The goal of Healthy STRIDES/Healthy MOVE! is to disseminate evidence-based research to effect population-based changes in fruit and vegetable consumption among US veterans identified by health providers in Veterans Health Administration facilities as being at increased health risk due to overweight or obesity (BMI of 25 or more). The parent grant project, NC STRIDES, found in a randomized trial that a combined intervention of mailed tailored print communications (TPCs) and telephone-based tailored motivational interviewing (TMI) calls over a one year period led to a significant increase in fruit and vegetable consumption of 1.0 servings per day in an older population-based intervention group compared to no change in the control group. In collaboration with the VA National Center for Health Promotion and Disease Prevention, the proposed project will disseminate and test the effectiveness of TMI and TPCs as an enhancement of the VA's new MOVE! (Managing Overweight/Obesity for Veterans Everywhere) program which addresses weight control for veterans attending its medical centers and community-based outpatient clinics. MOVE! does not currently have a strong fruit and vegetable intervention component and uses only modestly-tailored print materials and MI-based telephone counseling; however there is strong interest in adopting these approaches. The RE-AIM framework will be used as a guide for evaluation. To assess effectiveness we will use a quasi-experimental design that compares changes in fruit and vegetable consumption and psychosocial mediators in two comparable VA sites, one of which will implement the standard MOVE! program and the other will implement Healthy STRIDES/Healthy MOVE!. A careful process evaluation will be conducted in order to understand factors relevant to adoption, implementation and maintenance of evidence-based strategies to improve the health and quality of life of veterans.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
3R01CA081914-04S1
Application #
6800586
Study Section
Special Emphasis Panel (ZCA1)
Program Officer
Hesse, Bradford
Project Start
1999-09-27
Project End
2005-04-30
Budget Start
2002-05-01
Budget End
2005-04-30
Support Year
4
Fiscal Year
2003
Total Cost
$100,000
Indirect Cost
Name
University of North Carolina Chapel Hill
Department
Nutrition
Type
Schools of Public Health
DUNS #
608195277
City
Chapel Hill
State
NC
Country
United States
Zip Code
27599
Ko, Linda K; Allicok, Marlyn; Campbell, Marci K et al. (2011) An examination of sociodemographic, health, psychological factors, and fruit and vegetable consumption among overweight and obese U.S. veterans. Mil Med 176:1281-6
Ko, Linda K; Campbell, Marci K; Lewis, Megan A et al. (2011) Information processes mediate the effect of a health communication intervention on fruit and vegetable consumption. J Health Commun 16:282-99
Allicock, Marlyn; Ko, Linda; van der Sterren, Elke et al. (2010) Pilot weight control intervention among US veterans to promote diets high in fruits and vegetables. Prev Med 51:279-81
Ko, Linda K; Campbell, Marci K; Lewis, Megan A et al. (2010) Mediators of fruit and vegetable consumption among colorectal cancer survivors. J Cancer Surviv 4:149-58
Campbell, Marci Kramish; Carr, Carol; Devellis, Brenda et al. (2009) A randomized trial of tailoring and motivational interviewing to promote fruit and vegetable consumption for cancer prevention and control. Ann Behav Med 38:71-85
Allicock, Marlyn; Sandelowski, Margarete; DeVellis, Brenda et al. (2008) Variations in meanings of the personal core value ""health"". Patient Educ Couns 73:347-53
James, Aimee S; Campbell, Marci K; DeVellis, Brenda et al. (2006) Health behavior correlates among colon cancer survivors: NC STRIDES baseline results. Am J Health Behav 30:720-30
Reedy, Jill; Haines, Pamela S; Campbell, Marci Kramish (2005) Differences in fruit and vegetable intake among categories of dietary supplement users. J Am Diet Assoc 105:1749-56
Reedy, Jill; Haines, Pamela S; Campbell, Marci Kramish (2005) The influence of health behavior clusters on dietary change. Prev Med 41:268-75
Satia, Jessie A; Campbell, Marci K; Galanko, Joseph A et al. (2004) Longitudinal changes in lifestyle behaviors and health status in colon cancer survivors. Cancer Epidemiol Biomarkers Prev 13:1022-31

Showing the most recent 10 out of 11 publications