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The Diabetes Educator

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Health Education & Behavior
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The Effect of the Maryland WIC 5-a-Day Promotion Program on Participants’ Stages of Change for Fruit and Vegetable Consumption

Robert H. L. Feldman, PhD

Department of Health Education, University of Marylandrfeldman{at}wam.umd.edu

Dorothy Damron, MS

Jean Anliker, PhD, RD

Michael Ballesteros, MS

Patricia Langenberg, PhD

Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine

Carlo Diclemente, PhD

Department of Psychology, University of Maryland Baltimore County

Stephen Havas, MD, MPH, MS

Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine

The Maryland Women, Infants and Children (WIC) 5-A-Day Promotion Program examined the effect of a multifaceted nutrition intervention on changing the fruit and vegetable consumption of low-income women in the WIC program in Maryland. The sample consisted of 3,122 participants (1,443 intervention and 1,679 control) with a mean age of 27.2. Fifty-six percent were Black/African American. This article focuses on the effect of the intervention on the stages of change of the participants. Intervention participants showed significantly greater positive movement through the stages than control participants. Stages of change were measured for two specific target behaviors: eating five servings of fruits and vegetables a day and eating more servings of fruit and vegetables a day. Results demonstrated significant differences in the stage status of intervention and control women and in movement through the stages. The effectiveness of the intervention across groups depended on which staging measure was used.

Health Education & Behavior, Vol. 27, No. 5, 649-663 (2000)
DOI: 10.1177/109019810002700509
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