Improving dietary behavior: the effectiveness of tailored messages in primary care settings.
Open accessAbstract
OBJECTIVES. To achieve the Healthy People 2000 objectives, public health professionals must develop effective dietary interventions that address psychosocial and behavioral components of change. This study tested the effect of individually computer-tailored messages designed to decrease fat intake and increase fruit and vegetable intake. METHODS. Adult patients from four North Carolina family practices were surveyed at baseline and then randomly assigned to one of two interventions or to a control group. The first intervention consisted of individually computer-tailored nutrition messages; the second consisted of nontailored nutrition information based on the 1990 Dietary Guidelines for Americans. Patients were resurveyed 4 months postintervention. RESULTS. The tailored intervention produced significant decreases in total fat and saturated fat scores compared with those of the control group (P < .05). Total fat was decreased in the tailored group by 23%, in the nontailored group by 9%, and in the control group by 3%. Fruit and vegetable consumption did not increase in any study group. Seventy-three percent of the tailored intervention group recalled receiving a message, compared with 33% of the nontailored intervention group. CONCLUSIONS. Tailored nutrition messages are effective in promoting dietary fat reduction for disease prevention.
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Individualized interventions where participants have bought into the intervention have been shown to be more effective.
“Individualized interventions where participants have bought into an intervention [15] have been shown to be more effective [88–92].”
From Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literature (2023) · cites this paper as [90]
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Cites
Stages and processes of self-change of smoking: Toward an integrative model of change.
Prochaska, J. O., & DiClemente, C. C. (1983) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.51.3.390 · Cited by 9,098 · see citing works
In search of how people change: Applications to addictive behaviors.
Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992) · American Psychologist · doi:10.1037/0003-066x.47.9.1102 · Cited by 8,596 · see citing works
The Health Belief Model and Sick Role Behavior
Becker, M. H. (1974) · Health Education Monographs · doi:10.1177/109019817400200407 · Cited by 2,327 · see citing works
A DATA-BASED APPROACH TO DIET QUESTIONNAIRE DESIGN AND TESTING
Block, G., Hartman, A. M., DRESSER, C. M., Carroll, M. D., Gannon, J. G., & Gardner, L. B. (1986) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114416 · Cited by 2,150 · see citing works
Physicians' recommendations for mammography: do tailored messages make a difference?
Skinner, C. S., Strecher, V. J., & Hospers, H. J. (1994) · American Journal of Public Health · doi:10.2105/ajph.84.1.43 · Cited by 507 · see citing works
Self-citationStrategies for enhancing patient compliance
Becker, M. H., & Maiman, L. A. (1980) · Journal of Community Health · doi:10.1007/bf01318980 · Cited by 355 · see citing works
An application of the stage model of behavior change to dietary fat reduction
Curry, S. J., Kristal, A. R., & Bowen, D. J. (1992) · Health Education Research · doi:10.1093/her/7.1.97 · Cited by 199 · see citing works
A brief dietary screen for high fat intake
Block, G., Clifford, C. K., Naughton, M. D., HENDERSON, M., & McAdams, M. (1989) · Journal of Nutrition Education · doi:10.1016/s0022-3182(89)80003-2 · Cited by 183 · see citing works
Seasonal variation in intake of carotenoids and vegetables and fruits among white men in New Jersey
Ziegler, R. G., Wilcox, H. B., Mason, T. J., Bill, J. S., & Virgo, P. (1987) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/45.1.107 · Cited by 64 · see citing works
Telephone health surveys: potential bias from noncompletion.
Mishra, S. I., Dooley, D. A., Catalano, R. A., et al. (1993) · American Journal of Public Health · doi:10.2105/ajph.83.1.94 · Cited by 58 · see citing works
Hunt, J. R., Kristal, A. R., WHITE, E. W., et al. (1995) · American Journal of Public Health · doi:10.2105/ajph.85.5.722 · Cited by 49 · see citing works
The politics of dietary guidance--a new opportunity.
Nestle, M. (1994) · American Journal of Public Health · doi:10.2105/ajph.84.5.713 · Cited by 12 · see citing works
Flagged first, then by citations
Research works printed but not linked: 5
- [2]2. Prochaska J. A transtheoretical model of behavior change: implications for diet interventions. In: Henderson M, Bowen D, DeRoos K, eds. Promoting Dietary Change in Communities: Appying EDsting Models of Dietary Change to Population-Based Interven- tions. Seattle, Wash: Fred Hutchinson Cancer Research Center; 1992:37-50.
- [7]7. Pennington J, Church H. Bowes and Church's Food Values of Pordons Com- monly Used. 15th ed. Philadelphia, Pa: JB Lippincott; 1989.
- [10]10. Campbell MK The Impact of Message Tailoring on Nutridon Behavior Change for Disease Prevention. Chapel Hill, NC: Univer- sity of North Carolina; 1992. Dissertation.
- [11]11. Becker M, ed. The health belief model and personal health behavior. Health Educ Monogr. 1974;2:324-508.
- [12]12. Nutrition and Your Health: Dietary Guide- lines for Americans. 3rd ed. Washington, DC: US Dept of Agriculture and US Dept of Health and Human Services; 1990. Home and Garden Bulletin 232.
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Effective techniques in healthy eating and physical activity interventions: A meta-regression.
Michie, S., Abraham, C., Whittington, C., McAteer, J., & Gupta, S. (2009) · Health Psychology · doi:10.1037/a0016136 · Cited by 2,229 · see citing works
Does tailoring matter? Meta-analytic review of tailored print health behavior change interventions
Noar, S. M., Benac, C. N., & Harris, M. S. (2007) · Psychological Bulletin · doi:10.1037/0033-2909.133.4.673 · Cited by 2,136 · see citing works
Tailored and Targeted Health Communication: Strategies for Enhancing Information Relevance
Kreuter, M. W., & Wray, R. J. (2003) · American Journal of Health Behavior · doi:10.5993/ajhb.27.1.s3.6 · Cited by 1,095 · see citing works
Evaluating primary care behavioral counseling interventions An evidence-based approach
Whitlock, E. (2002) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(02)00415-4 · Cited by 1,057 · see citing works
Understanding tailoring in communicating about health
Hawkins, R. P., Kreuter, M., Resnicow, K., Fishbein, M., & Dijkstra, A. (2008) · Health Education Research · doi:10.1093/her/cyn004 · Cited by 934 · see citing works
A meta-analysis of computer-tailored interventions for health behavior change
Krebs, P., Prochaska, J. O., & Rossi, J. S. (2010) · Preventive Medicine · doi:10.1016/j.ypmed.2010.06.004 · Cited by 854 · see citing works
One size does not fit all: the case for tailoring print materials
Kreuter, M. W., Strecher, V. J., & Glassman, B. (1999) · Annals of Behavioral Medicine · doi:10.1007/bf02895958 · Cited by 831 · see citing works
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Galuska, D. A. (1999) · JAMA · doi:10.1001/jama.282.16.1576 · Cited by 640 · see citing works
Kroeze, W., Werkman, A., & Brug, J. (2006) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm3103_2 · Cited by 570 · see citing works
Advancing Tailored Health Communication: A Persuasion and Message Effects Perspective
Rimer, B. K., & Kreuter, M. W. (2006) · Journal of Communication · doi:10.1111/j.1460-2466.2006.00289.x · Cited by 531 · see citing works
Campbell, M. K., Demark-Wahnefried, W., Symons, M., Kalsbeek, W. D., Dodds, J., Cowan, A., Jackson, B., Motsinger, B., Hoben, K., Lashley, J., et al. (1999) · American Journal of Public Health · doi:10.2105/ajph.89.9.1390 · Cited by 347 · see citing works
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Barriers to obesity management: a pilot study of primary care clinicians
Forman-Hoffman, V., Little, A., & Wahls, T. (2006) · BMC Family Practice · doi:10.1186/1471-2296-7-35 · Cited by 217 · see citing works
Revere, D., & Dunbar, P. J. (2001) · Journal of the American Medical Informatics Association · doi:10.1136/jamia.2001.0080062 · Cited by 208 · see citing works
Glasgow, R. E., La Chance, P.-A., Toobert, D. J., Brown, J., Hampson, S. E., & Riddle, M. C. (1997) · Patient Education and Counseling · doi:10.1016/s0738-3991(97)00039-6 · Cited by 203 · see citing works
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Pignone, M. P., Ammerman, A., Fernandez, L., Orleans, C. T., Pender, N., Woolf, S., Lohr, K. N., & Sutton, S. (2003) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(02)00580-9 · Cited by 197 · see citing works
Self-citationVan Duyn, M. A. S., Kristal, A. R., Dodd, K., Campbell, M. K., Subar, A. F., Stables, G., Nebeling, L., & Glanz, K. (2001) · American Journal of Health Promotion · doi:10.4278/0890-1171-16.2.69 · Cited by 192 · see citing works
Self-citationCalfas, K. J., Sallis, J. F., Zabinski, M. F., Wilfley, D. E., Rupp, J., Prochaska, J. J., Thompson, S., Pratt, M., & Patrick, K. (2002) · Preventive Medicine · doi:10.1006/pmed.2001.0964 · Cited by 179 · see citing works
Interactive communication strategies Implications for population-based physical-activity promotion
Marcus, B. (2000) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(00)00186-0 · Cited by 170 · see citing works
Weight Control in the Physician's Office
Ashley, J. M., St Jeor, S. T., Schrage, J. P., Perumean-Chaney, S. E., Gilbertson, M. C., McCall, N. L., & Bovee, V. (2001) · Archives of Internal Medicine · doi:10.1001/archinte.161.13.1599 · Cited by 163 · see citing works
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Clark, M., Hampson, S. E., Avery, L., & Simpson, R. (2004) · British Journal of Health Psychology · doi:10.1348/1359107041557066 · Cited by 156 · see citing works
Anderson, E. S., Winett, R. A., Wojcik, J. R., Winett, S. G., & Bowden, T. (2001) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2302_3 · Cited by 138 · see citing works
(2001) · Journal of Health Communication · doi:10.1080/108107301752384442 · Cited by 131 · see citing works
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RICHARDSON, C. R., KRISKA, A. M., LANTZ, P. M., & HAYWARD, R. A. (2004) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000145443.02568.7a · Cited by 116 · see citing works
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Mullen, P. D., Evans, D., Forster, J., Gottlieb, N. H., Kreuter, M., Moon, R., O'Rourke, T., & Strecher, V. J. (1995) · Health Education Quarterly · doi:10.1177/109019819402200306 · Cited by 115 · see citing works
Self-citationBlow, F. C., Barry, K. L., Walton, M. A., Maio, R. F., Chermack, S. T., Bingham, C. R., Ignacio, R. V., & Strecher, V. J. (2006) · Journal of Studies on Alcohol · doi:10.15288/jsa.2006.67.568 · Cited by 115 · see citing works
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Stevens, V. J., Glasgow, R. E., Toobert, D. J., Karanja, N., & Smith, K. S. (2003) · Preventive Medicine · doi:10.1016/s0091-7435(03)00019-7 · Cited by 103 · see citing works
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Doshi, A., Patrick, K., Sallis, J. F., & Calfas, K. (2003) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2502_06 · Cited by 96 · see citing works
Clark, M., & Hampson, S. E. (2001) · Patient Education and Counseling · doi:10.1016/s0738-3991(00)00128-2 · Cited by 93 · see citing works
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LUTZ, S. F., AMMERMAN, A. S., ATWOOD, J. R., CAMPBELL, M. K., DeVELLIS, R. F., & ROSAMOND, W. D. (1999) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(99)00169-8 · Cited by 86 · see citing works
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West, J. H., Hall, P. C., Arredondo, V., Berrett, B., Guerra, B., & Farrell, J. (2013) · Journal of Consumer Health On the Internet · doi:10.1080/15398285.2013.756343 · Cited by 72 · see citing works
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Keller, S. N., Labelle, H., Karimi, N., & Gupta, S. (2002) · Journal of Health Communication · doi:10.1080/10810730290088175 · Cited by 55 · see citing works
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Jacobs, A. D., Ammerman, A. S., Ennett, S. T., Campbell, M. K., Tawney, K. W., Aytur, S. A., Marshall, S. W., Will, J. C., & Rosamond, W. D. (2004) · Journal of Women's Health · doi:10.1089/1540999041281016 · Cited by 54 · see citing works
Self-citationRyan, G. L. (2001) · Health Education Research · doi:10.1093/her/16.5.555 · Cited by 45 · see citing works
Randomized trial of a low-intensity dietary intervention in rural residents
Fries, E., Edinboro, P., McClish, D., Manion, L., Bowen, D., Beresford, S. A. A., & Ripley, J. (2005) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2004.10.017 · Cited by 35 · see citing works
- Authors
- Campbell, M. K., DeVellis, B. M., Strecher, V. J., Ammerman, A. S., DeVellis, R. F., & Sandler, R. S.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 1994-05
- Volume
- 84
- Issue
- 5
- Pages
- 783-787
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- OpenAlex
- W2168181523
- Cited by
- 666
- References
- 12
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 6 · 2023: 10 · 2022: 5 · 2021: 9 · 2020: 13 · 2019: 11 · 2018: 9 · 2017: 14 · 2016: 13 · 2015: 15 · 2014: 18 · 2013: 20 · 2012: 16
- FWCI
- 21.69
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed (publishedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- UNC Libraries
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Social Sciences › Arts and Humanities › Literature and Literary Theory › Media Influence and Health
- Keywords
- dietary behavior change, fat intake reduction, saturated fat, fruit and vegetable intake, nutrition education, primary care, general practice, Dietary Guidelines for Americans, message recall, Healthy People 2000, disease prevention
- MeSH terms
- Adult, Diet, Dietary Fats, Family Practice, Feeding Behavior, Female, Health Education, Humans, Male, Middle Aged, Nutritional Physiological Phenomena
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