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Cited by 176Nutrition, Health and Food BehaviorBehavioral Health and InterventionsObesity, Physical Activity, Diet

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Testing Theories of Dietary Behavior Change in Youth Using the Mediating Variable Model with Intervention Programs

Cerin, Ester, Barnett, Anthony, Baranowski, Tom·2009·Journal of Nutrition Education and Behavior
DOI 10.1016/j.jneb.2009.03.129
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Abstract

Objective To review and critique current experimentally-based evidence of theoretical mechanisms of dietary behavior change in youth and provide recommendations on ways to enhance theory evaluation. Methods Interventions that examined mediators of dietary behavior change in youth (age 5-18 years) were identified via electronic database searches and reference scanning. Selected studies were reviewed for quality and content and findings were tabulated. Results Seven published interventions were found. All were school-based but differed substantially in dietary outcome, target population, measures, methods of mediation analyses, and theoretical framework. Interventions were relatively unsuccessful in changing mediators. Self-efficacy and outcome expectations were the mechanisms most consistently associated with dietary behavior change. However, only outcome expectancies were identified as mediators in multiple interventions. Conclusions and implications Few interventions have assessed the validity of theoretical mechanisms of dietary behavior change in youth. The variability in the design and target populations across studies makes it impossible to draw conclusions regarding the validity of theories and mediators of dietary behavior change in youth. Future intervention trials need to focus on the identification of effective procedures for mediator change and adopt a more rigorous and systematic approach to theory testing. This is likely to result in more effective interventions.

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Metadata

Authors
Cerin, E., Barnett, A., & Baranowski, T.
Affiliations
Agricultural Research Service (US)
ORCID
Venue
Journal of Nutrition Education and Behavior
Publisher
Elsevier BV
Published
2009-09
Volume
41
Issue
5
Pages
309-318
ISSN
1499-4046 (ISSN-L)
DOI
10.1016/j.jneb.2009.03.129
OpenAlex
W2106714104
Cited by
176
References
0
Citations by year
2025: 3 · 2024: 8 · 2023: 2 · 2022: 7 · 2021: 10 · 2020: 7 · 2019: 8 · 2018: 7 · 2017: 12 · 2016: 19 · 2015: 11 · 2014: 17 · 2013: 14 · 2012: 17
FWCI
16.46
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Nutrition Education and Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • Research Bank (Australian Catholic University) (submittedVersion)
  • The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
dietary behavior change, youth, school-based intervention, mediation analysis, theory testing, self-efficacy, outcome expectations, theoretical mechanisms, nutrition education
MeSH terms
Adolescent, Behavior Therapy, Child, Child, Preschool, Diet, Feeding Behavior, Female, Humans, Male, Models, Theoretical, Obesity, Patient Education as Topic, Health Behavior

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