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?
- 216 Downloads
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”.
KeywordsPakistani 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 ; City of Oslo and the Jahre foundation. Walking shoes were provided by Reebok.
- 1.Prochaska James O, Redding Colleen A, Evers Kerry E. The transtheoretical model and stages of change. In: Lewis FM, Glanz K, Rimer BK, editors. Health behavior and health education: theory, research, and practice. San Francisco, CA: Jossey-Bass; 2002. p. 99–120.Google Scholar
- 16.Kumar B, Meyer HE, Sogaard AJ, Strand BH. The Oslo immigrant health profile. Oslo: Norwegian Institute of Public Health; 2008.Google Scholar
- 22.Kumar B, Meyer HE. The Oslo immigrant study-methods. Available at: http://www.fhi.no/dav/906123CAA9.pdf; 2011. Accessed 23 Feb 2011.
- 23.Schwarz PE, Lindstrom J, Kissimova-Scarbeck K, Szybinski Z, Barengo NC, Peltonen M, Tuomilehto J. The European perspective of type 2 diabetes prevention: diabetes in Europe–prevention using lifestyle, physical activity and nutritional intervention (DE-PLAN) project. Exp Clin Endocrinol Diabetes. 2008;116(3):167–72.PubMedCrossRefGoogle Scholar
- 26.Hjellset VT. A culturally adapted lifestyle intervention with main focus on blood glucose regulation improved the risk profile for type 2 diabetes in Pakistani immigrant women. PhD dissertation, Medical Faculty, University of Oslo, Norway; 2011.Google Scholar