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Impact of Work Site Health Promotion on Stages of Dietary Change: The Working Well Trial
Karen Glanz, PhD, MPH
Cancer Research Center of Hawaii, University of Hawaii, 1236 Lauhala Street, Suite 406, Honolulu, HI 96813; phone: (808) 586-3076; fax: (808) 586-3077; kglanz{at}hawaii.edu
Ruth E. Patterson, PhD, RD
Alan R. Kristal, DrPH
Cancer Prevention Research Program at the Fred Hutchinson Cancer Research Center; Department of Epidemiology at the University of Washington, Seattle
Ziding Feng, PhD
Cancer Prevention Research Program and Biostatistics Program at the Fred Hutchinson Cancer Research Center in Seattle, WA.
Laura Linnan, MEd
Miriam Hospital, Brown University in Providence
Jerianne Heimendinger, ScD, RD, MPH
AMC Cancer Research Center in Denver, Colorado
James R. Hebert, ScD, MSPH
Division of Preventive Medicine and Behavioral Medicine; Cancer Prevention and Control of the Cancer Center, at the University of Massachusetts Medical School in Worcester, MA
The stages of change construct has been applied to healthful dietary behavior in cross-sectional studies. This report examines associations of stages of change with diet prospectively and addresses whether (1) baseline stage of change predicts participation, (2) forward changes in stage movement were greater in treatment work sites, and (3) change in stage was associated with adoption of healthful diets, using data from a cohort of 11,237 employees. Findings indicate that persons in later stages of change reported higher participation levels. Employees from intervention work sites who were in preaction stages at baseline were much more likely to shift into action and maintenance stages than controls. Changes in dietary stage of change were associated with decreases in fat intake and increases in fiber, fruit and vegetable intake. Net change in diet due to the intervention was modest. Stage of change appears to be useful for understanding mediators of health promotion intervention effectiveness.
Health Education & Behavior, Vol. 25, No. 4,
448-463 (1998)
DOI: 10.1177/109019819802500404
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