Journal of Immigrant and Minority Health

, Volume 15, Issue 1, pp 85–92 | Cite as

Does the “Stages of Change” Construct Predict Cross-Sectional and Temporal Variations in Dietary Behavior and Selected Indicators of Diabetes Risk Among Norwegian-Pakistani Women?

  • M. K. Råberg Kjøllesdal
  • G. Holmboe-Ottesen
  • M. Wandel
Original Paper


The aim of this study is to explore the association between motivational “stage” and intake of selected foods, and risk factors for diabetes; and what degree of attendance in an intervention that was necessary to show movements across the motivational “stages of change”. Participants (n = 198, aged 25–62 years) were randomly assigned into intervention and control. Data collection: Interviews with a structured questionnaire, anthropometric and biochemical assessments. Intake of several food items and blood parameters at baseline differed according to motivational stage. Those who participated in at least four group sessions in the intervention were more likely to show a positive move through the “stages of change”. Those in low motivational stages at baseline had benefitted just as much from the intervention as those in higher stages. Intake of several food items corresponded to the motivational “stage”. High attendance in the intervention was necessary for a positive move through “stages of change”.


Pakistani Culturally adapted intervention Intentions to change Dietary habits 



We want to thank Benedikte Bjørge and Victoria Telle-Hjellset for carrying out the intervention and Monica Morris, Aisha Ali, Anica Munir, Marianne Lunde and Eva Kristensen for their contribution to coordination and collection of data. We also want to thank all the participating women who gave us their time and shared their knowledge and experiences with us. This work was supported by the Norwegian Research Council [166977/v50]; Norwegian Directorate of Health, Ministry of Health and care services, the Extra Foundation for Health and Rehabilitaion; the Throne Holst foundation [2875]; City of Oslo and the Jahre foundation. Walking shoes were provided by Reebok.


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • M. K. Råberg Kjøllesdal
    • 1
  • G. Holmboe-Ottesen
    • 2
  • M. Wandel
    • 1
  1. 1.Department of NutritionInstitute for Basic Medical Sciences, University of OsloOsloNorway
  2. 2.Department of Community MedicineInstitute of Health and Society, University of OsloOsloNorway

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