Browse > Article
http://dx.doi.org/10.4163/kjn.2009.42.7.639

Psychosocial Factors Related with the Intake of Vegetables and Fruits by Stage of Change of Elementary School Children in Chungnam Province  

Suh, Yoon-Suk (Department of Food and Nutrition, College of Human Ecology, Chungnam National University)
Choi, Ae-Sook (Department of Education, College of Education, Chungnam National University)
Chung, Young-Jin (Department of Food and Nutrition, College of Human Ecology, Chungnam National University)
Publication Information
Journal of Nutrition and Health / v.42, no.7, 2009 , pp. 639-649 More about this Journal
Abstract
This study aims at investigating the psychosocial factors that influence on the intake of fruits and vegetables according to stage of change in rural children. Total 256 elementary school children, located in Yeongi-Gun, Chungnam-Do were surveyed from May 14 2007 to May 30 2007. Stage of change on the intake of fruits and vegetables of the students was categorized into three stages: precontemplation (PC), contemplation & preparation (CO&PR) and action (AC). Psychosocial factors consist of decisional balance based on pros and cons, process of change of cognitive and behavioral processes, and self-efficacy. The recognition of cons out of decisional balance showed the highest score in the subjects at the stage of PC and lowest score in those action stage. While, no difference was shown in the score of recognition of pros among the stages. Both levels of cognitive and behavioral process of change showed no difference between two pre-action stages, PC and CO&PR. However, the subjects of action stages got higher scores in more number of the variables in both of cognitive and behavioral process of change compared to those of pre-action stages with more remarkable in results vegetables than in fruits. The results of self-efficacy on fruits and vegetables intake showed that the higher stages of change, the higher the self-efficacy score. From the result, it is suggested that the items and level of psychosocial factors are different according to the stage of change and between fruits and vegetables in rural children.
Keywords
stage of change; vegetables and fruits intake; psychosocial factors; decisional balance; process of change; self-efficacy; elementary school children;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Kim YH, Seo JS. Dietary pattern of children with an unbalanced diet in school feeding. J Korean Dietetic Assoc 2004; 10(3): 345-355
2 Chung SJ. Application of stage of change model and precedeprocede model. The Korean Society of Community Nutrition Workshop ; 2006. p.1-10
3 Ku JO, Kim KW, Kim CL, Park DY, Park HR, Yoon EY. Nutrition Education & Practice. Power Book; 2007
4 Greene GW, Fey-Yensan N, Padula C, Rossi JS, Clark PG. Differences in psychosocial variables by stage of change for fruits and vegetables in older adults. J Am Diet Assoc 2004; 104: 1236-1243   DOI   ScienceOn
5 Prochaska JO, Diclemente CC, Norcross JC. In search of how pepole change: Applications to addictive behavior. Am Psychol 1992; 47: 1102-1114   DOI   PUBMED   ScienceOn
6 Prochaska JO, Velicer WF. The Transtheoretical Model of health behavior change. AM J Hea Promot 1997; 12: 38-48   DOI   PUBMED
7 Janis IL, Mann L. Decision Making: A psychological analysis of conflict, choice and commitment, New York: Free Press; 1977
8 Block G, Wakimoto P, Metz D, Mary L, Fujii M, Feldman N, Mandel R, Sutherland B. A randomized trial of the little by little CD-ROM: Demonstrated effectiveness in increasing fruit and vegetable intake in a low-income population. Pub Hea Res Prac Policy 2004; 1(3): 1-12   PUBMED
9 Oh SY, Cho MR, Kim JO. Analysis on the stages of change in fat reducing behavior and social psychological correlates in adult female. Korean J Community Nutr 2000; 5(4): 615-623   과학기술학회마을
10 Rossi JS. Stages of change for 15 health risk behaviors in an HMO population. Paper presented at the 13th annual scientific sessions of the society of behavioral medicine New York; 1992
11 Prochaska JO, Diclemente CC, Velicer WF, Rossi JS. Standardized, individulalized, interactive and personalized self-help programs for smoking essation. Health Psychol 1993; 12(5): 399-405   DOI   PUBMED   ScienceOn
12 Brinley C, Barrar C, Cotugna N. Stages of change tools to increase fruit and vegetables consumption in high school students. J Nutr Edu 2001; 33(1): 57-58   DOI   ScienceOn
13 Ounpuu S, Woolcott DM, Rossi SR. Self-efficacy as an intermediate outcome variable in the transtheoretical model: validation of a measurement model for applications to dietary fat reduction. J Nutr Edu 1999; 31(1): 16-22   DOI   ScienceOn
14 Sohn SM, Lee KH, Kim KW, Lee YK. Counseling and Practice in Nutrition Education. Life Science; 2007
15 Oh SY, Kim KA, You HE, Chung HR. Development of a theory based nutrition education program for childbearing aged women in Korea. Korean J Community Nutr 2004; 9(6):725-727   과학기술학회마을
16 Rosalind SG. Principles of nutritional assessment second edition. Oxford; 2005
17 Diclemente CC, Prochaska JO, Fairhurst S, Velicer WF, Velasquez MM, Rossi JS. The processes of smoking cessation: An analysis of precontemplation, contemplation and preparation stages of change. J Consult. Clin Psychol 1991; 59: 295-304   DOI   PUBMED   ScienceOn
18 Chung SJ. Validity and reliability of stage of change instruments and processes of change to eat fruits and vegetables [Dissertation]. East Lansing: Michigan State University; 2001
19 Henry H, Reimer K, Smith C, Reickes M. Association of decisional balance, processes of change, and self-efficacy with stage of change for increased fruit and vegetable intake among lowincome, African-American mothers. J Am Diet Assoc 2006; 106(6): 841-849   DOI   ScienceOn
20 Williams J, Wake M, Hesketh K, Mather E, Waters E. Health-related quality of life of overweight and obese children. JAMA 2005; 293(1): 70-76   DOI   PUBMED   ScienceOn
21 Robert LG, Greene GW, Prochaska JO. Psychosocial factors influencing low fruit and vegetable consumption. J Beh Med 1994; 17(4):361-374   DOI
22 Parcel GS, Edmundson E, Perry CI, Feldman HA, O Hara-Tompkins N, Nader PR, Johnson CC, Stone EJ. Measurement of selfefficacy for diet-related behaviors among elementary school-children. J Sch health 1995; 65: 23-27   DOI   ScienceOn
23 Prochaska JO, Diclemente CC. Stage and processes of self-change of smoking: Toward an integrative model of change. J Consult Clin Psychol 1983; 51: 390-395   DOI   ScienceOn
24 Cullen KW, Bartholomew LK, Pareel GS, Koehly L. Measuring stage of change for fruits and vegetable consumption in 9 to 12 year old girls. J Beh Med 1998; 21(3): 241-254   DOI   ScienceOn
25 Hong YJ. A study on a relation of food ecology to obesity index of 5th grade children in Cheju city (II). Korean J Dietary Culture 1998; 13(2): 141-151   과학기술학회마을
26 Sun KS. The effect of web-based osteoporosis prevention program on the osteoporosis knowledge, self efficacy, health belief, stage of change in female college students [Dissertation]. Gwangju: Chonnam National University; 2003
27 The third Korea national health and nutrition examination survey (KNHANES III), Dietary reference intakes for Korean; 2005
28 Park SJ. The effect of nutrition program for elementary school children-especially focused on being familiar with vegetables. J Korean Dietetic Assoc 2000; 6(4): 17-25
29 Position of the American Dietetic Association and Dietitians of Canada: Vegetarian diet. J Am Diet Assoc 2003; 103: 748-765   DOI   PUBMED   ScienceOn
30 Kim SR. Relationships among nutritional knowledge, eating behavior and dietary self-efficacy of elementary school students In Chonbuk province [thesis]. Jeonju: Chonbuk National University; 2003
31 Greene GW, Rossi SR, Rossi JS, Velicer WF, Fava JS, Prochaska JO. Dietary applications of the stages of change model. J Am Diet Assoc 1999; 99: 673-678   DOI   PUBMED   ScienceOn
32 Ounpuu S, Woolcott DM, Rossi SR. Self--efficacy as an intemediate outcome variable in Transtheoretical Model: Application to dietary fat reduction. J Nutr Educ 1999; 31(1): 1-7   DOI   ScienceOn
33 Standard growth chart of Korean children. Korea centers for disease control & prevention, Committee for development of standard growth chart of Korean children; 2007
34 Lee KE, Hong WS, Kim MH. Students food preferences on vegetarian menus served at middle and high schools. J Korean Dietetic Assoc 2005; 11(3): 320-330
35 Ounpuu S, Woolcott DM, Geoffrey W, Greene. Defining Stage of change for lower-fat eating. J Am Diet Assoc 2000; 100(6): 674-679   DOI   ScienceOn