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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 2/2009

01-10-2009 | Original Article

A Randomized Trial of Tailoring and Motivational Interviewing to Promote Fruit and Vegetable Consumption for Cancer Prevention and Control

Authors: Marci Kramish Campbell, Ph.D., Carol Carr, M.A., Brenda DeVellis, Ph.D., Boyd Switzer, Ph.D., Andrea Biddle, Ph.D., M. Ahinee Amamoo, M.S., Joan Walsh, Ph.D., Bingqing Zhou, M.S., Robert Sandler, M.D., M.P.H.

Published in: Annals of Behavioral Medicine | Issue 2/2009

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Abstract

Background

Healthful dietary patterns, including eating fruits and vegetables (F&V) and avoiding obesity, may decrease the risk of cancer and other chronic diseases. In addition to promoting health for the general population, a cancer diagnosis may provide a “teachable moment,” facilitating the adoption of more healthful eating habits and leading to lower risk of chronic disease and better overall health.

Purpose

This study was designed to test the effectiveness of two health communication interventions in increasing F&V consumption and physical activity in a sample of older adults (average age of 66 years), including both colorectal cancer (CRC) survivors and noncolorectal cancer-affected (N-CRC) individuals.

Methods

CRC survivors and N-CRC individuals were recruited from a population-based case–control study and randomly assigned to four conditions using a 2 × 2 design. We tested two different methods of communicating and promoting health behavior change alone or in combination: tailored print communication (TPC) and brief telephone-based motivational interviewing (TMI).

Results

A significant increase in F&V consumption was found for the combined intervention group in the entire sample (p < 0.05). When stratified by cancer survivor status, the effect was concentrated in the N-CRC subset (p < 0.01) versus CRC survivors. The combined intervention was also found to be most cost-effective for the N-CRC group, with TPC more cost-effective than TMI. For physical activity, none of the interventions produced statistically significant improvements.

Conclusions

This study indicates that combining tailoring and motivational interviewing may be an effective and cost-effective method for promoting dietary behavior change among older healthy adults. More research is needed to identify the optimal dose and timing for intervention strategies to promote dietary and physical activity change among both CRC survivors and the general population.
Literature
1.
2.
Warren JL, Yabroff KR, Meekins A, Topor M, Lamont EB, Brown ML. Evaluation of trends in the cost of initial cancer treatment. J Natl Cancer Inst. 2008; 100: 888-897.CrossRefPubMed
3.
Prentice RL, Thomson CA, Caan B, et al. Low-fat dietary pattern and cancer incidence in the Women's Health Initiative Dietary Modification Randomized Controlled Trial. J Natl Cancer Inst. 2007; 99: 1534-1543.CrossRefPubMed
4.
Doyle VC. Nutrition and colorectal cancer risk: A literature review. Gastroenterol Nurs. 2007; 30: 178-183.CrossRefPubMed
5.
6.
Schatzkin A, Mouw T, Park Y, et al. Dietary fiber and whole-grain consumption in relation to colorectal cancer in the NIH-AARP Diet and Health Study. Am J Clin Nutr. 2007; 85: 1353-1360.PubMed
7.
8.
Bines J, Gradishar WJ. Primary care issues for the breast cancer survivor. Compr Ther. 1997; 23: 605-611.PubMed
9.
Talamini R, Franceschi S, Favero A, Negri E, Parazzini F, La Vecchia C. Selected medical conditions and risk of breast cancer. Br J Cancer. 1997; 75: 1699-1703.PubMed
10.
Campbell MK, Demark-Wahnefried W, Symons M, et al. Fruit and vegetable consumption and prevention of cancer: The Black Churches United for Better Health Project. Am J Public Health. 1999; 89: 1390-1396.CrossRefPubMed
11.
Campbell MK, James A, Hudson MA, et al. Improving multiple behaviors for colorectal cancer prevention among African American church members. Health Psychol. 2004; 23: 492-502.CrossRefPubMed
12.
Resnicow K, Jackson A, Wang T, et al. A motivational interviewing intervention to increase fruit and vegetable intake through Black churches: Results of the eat for life trial. Am J Public Health. 2001; 91: 1686-1693.CrossRefPubMed
13.
Marcus AC, Heimendinger J, Wolfe P, et al. A randomized trial of a brief intervention to increase fruit and vegetable intake: A replication study among callers to the CIS. Prev Med. 2001; 33: 204-216.CrossRefPubMed
14.
McBride CM, Clipp E, Peterson BL, Lipkus IM, Demark-Wahnefried W. Psychological impact of diagnosis and risk reduction among cancer survivors. Psychooncology. 2000; 9: 418-427.CrossRefPubMed
15.
Demark-Wahnefried W, Aziz NM, Rowland JH, Pinto BM. Riding the crest of the teachable moment: Promoting long-term health after the diagnosis of cancer. J Clin Oncol. 2005; 23: 5814-5830.CrossRefPubMed
16.
Demark-Wahnefried W, Rock CL. Nutrition-related issues for the breast cancer survivor. Semin Oncol. 2003; 30: 789-798.CrossRefPubMed
17.
Demark-Wahnefried W, Peterson B, McBride C, Lipkus I, Clipp E. Current health behaviors and readiness to pursue life-style changes among men and women diagnosed with early stage prostate and breast carcinomas. Cancer. 2000; 88: 674-684.CrossRefPubMed
18.
Pierce JP, Newman VA, Flatt SW, et al. Telephone counseling intervention increases intakes of micronutrient- and phytochemical-rich vegetables, fruit and fiber in breast cancer survivors. J Nutr. 2004; 134: 452-458.PubMed
19.
Kuhn KG, Boesen E, Ross L, Johansen C. Evaluation and outcome of behavioural changes in the rehabilitation of cancer patients: A review. Eur J Cancer. 2005; 41: 216-224.CrossRefPubMed
20.
Demark-Wahnefried W, Clipp EC, Lipkus IM, et al. Main outcomes of the FRESH START trial: A sequentially tailored, diet and exercise mailed print intervention among breast and prostate cancer survivors. J Clin Oncol. 2007; 25: 2709-2718.CrossRefPubMed
21.
Elliot DL, Goldberg L, Kuehl KS, Moe EL, Breger RK, Pickering MA. The PHLAME (Promoting Healthy Lifestyles: Alternative Models' Effects) firefighter study: Outcomes of two models of behavior change. J Occup Environ Med. 2007; 49: 204-213.CrossRefPubMed
22.
Kinney AY, Harrell J, Slattery M, Martin C, Sandler RS. Rural–urban differences in colon cancer risk in blacks and whites: The North Carolina Cancer Study. J Rural Health. 2006; 22: 124-130.CrossRefPubMed
23.
Satia JA, Keku T, Galanko JA, et al. Diet, lifestyle, and genomic instability in the North Carolina Colon Cancer Study. Cancer Epidemiol Biomarkers Prev. 2005; 14: 429-436.CrossRefPubMed
24.
Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot. 1997; 12: 38-48.PubMed
25.
26.
27.
Miller WR, Rollnick S. Motivational Interviewing: Preparing People for Change. New York: Guilford; 2002.
28.
Resnicow K, Jackson A, Braithwaite R, et al. Healthy Body/Healthy Spirit: A church-based nutrition and physical activity intervention. Health Educ Res. 2002; 17: 562-573.CrossRefPubMed
29.
Drewnowski A, Rock CL, Henderson SA, et al. Serum beta-carotene and vitamin C as biomarkers of vegetable and fruit intakes in a community-based sample of French adults. Am J Clin Nutr. 1997; 65: 1796-1802.PubMed
30.
Dixon LB, Subar AF, Wideroff L, Thompson FE, Kahle LL, Potischman N. Carotenoid and tocopherol estimates from the NCI diet history questionnaire are valid compared with multiple recalls and serum biomarkers. J Nutr. 2006; 136: 3054-3061.PubMed
31.
Resnicow K, Odom E, Wang T, et al. Validation of three food frequency questionnaires and 24-hour recalls with serum carotenoids in a sample of African American adults. Am J Epidemiol. 2000; 152: 1072-1080.CrossRefPubMed
32.
James AS, Hudson MA, Campbell MK. Demographic and social correlates of physical activity among African Americans. Am J Health Behav. 2003; 27: 421-431.PubMed
33.
Campbell MK, Meier A, Carr C, Reedy J, James A, Zheng B. Health behavior changes after colon cancer: Comparison of face-to-face and on-line focus group findings. Fam Community Health. 2001; 24: 88-103.
34.
James A, Campbell MK, DeVellis B, Reedy J, Carr C, Sandler R. Health behavior correlates among colon cancer survivors: NC STRIDES baseline results. Am J Health Behav. 2006; 30: 720-730.PubMed
35.
Kelsey KS, DeVellis BM, Begum M, Belton L, Hooten EG, Campbell MK. Positive affect, exercise and self-reported health in blue-collar women. Am J Health Behav. 2006; 30: 199-207.PubMed
36.
Brug J, Glanz K, Van Assema P, Kok G, van Breukelen GJ. The impact of computer-tailored feedback and iterative feedback on fat, fruit, and vegetable intake. Health Educ Behav. 1998; 25: 517-531.CrossRefPubMed
37.
Skinner CS, Strecher VJ, Hospers H. Physicians' recommendations for mammography: Do tailored messages make a difference? Am J Public Health. 1994; 84: 43-49.CrossRefPubMed
38.
Kreuter MW, Farrell D, Olevitch L, Brennan L. Tailoring Health Messages: Customizing Communications Using Computer Technology. Mahwah: Erlbaum; 1999.
39.
Moyers TB, Martin T, Manuel JK, Hendrickson SM, Miller WR. Assessing competence in the use of motivational interviewing. J Subst Abuse Treat. 2005; 28: 19-26.CrossRefPubMed
40.
Moyers TB, Miller WR, Hendrickson SM. How does motivational interviewing work? Therapist interpersonal skill predicts client involvement within motivational interviewing sessions. J Consult Clin Psychol. 2005; 73: 590-598.CrossRefPubMed
41.
Baron RM, Kenny DA. The moderator–mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986; 51: 1173-1182.CrossRefPubMed
42.
Gold MR, Siegel JE, Russel LB, Weinstein MC. Cost-Effectiveness in Health and Medicine. New York: Oxford University Press; 1996.
43.
44.
Krebs-Smith S, Heimendinger J, Subar A, Patterson B, Pivonka E. Using food frequency questionnaires to estimate total fruit and vegetable intake: Association between the number of questions and total intake. J Nutr Educ. 1995; 27: 80-85.
45.
Johnson-Kozlow M, Sallis JF, Gilpin EA, Rock CL, Pierce JP. Comparative validation of the IPAQ and the 7-Day PAR among women diagnosed with breast cancer. Int J Behav Nutr Phys Act. 2006;3:7. (Serial online; accessed May 28, 2009).CrossRefPubMed
46.
Lynch BM, Cerin E, Newman B, Owen N. Physical activity, activity change, and their correlates in a population-based sample of colorectal cancer survivors. Ann Behav Med. 2007; 34: 135-143.CrossRefPubMed
47.
Noar S, Benac C, Harris M. Does tailoring matter? Meta-analytic review of tailored print health behavior change interventions. Psychol Bull. 2007; 133: 673-693.CrossRefPubMed
48.
Velicer WF, Prochaska JO, Redding CA. Tailored communications for smoking cessation: Past successes and future directions. Drug Alcohol Rev. 2006; 25: 49-57.CrossRefPubMed
49.
Heimendinger J, O'Neill C, Marcus AC, et al. Multiple tailored messages are effective in increasing fruit and vegetable consumption among callers to the Cancer Information Service. J Health Commun. 2005; 10: 65-82.CrossRefPubMed
50.
Strecher VJ, Marcus A, Bishop K, et al. A randomized controlled trial of multiple tailored messages for smoking cessation among callers to the cancer information service. J Health Commun. 2005; 10: 105-118.CrossRefPubMed
51.
van Keulen HM, Mesters I, Brug J, et al. Vitalum study design: RCT evaluating the efficacy of tailored print communication and telephone motivational interviewing on multiple health behaviors. BMC Public Health. 2008; 8: 216.CrossRefPubMed
Metadata
Title
A Randomized Trial of Tailoring and Motivational Interviewing to Promote Fruit and Vegetable Consumption for Cancer Prevention and Control
Authors
Marci Kramish Campbell, Ph.D.
Carol Carr, M.A.
Brenda DeVellis, Ph.D.
Boyd Switzer, Ph.D.
Andrea Biddle, Ph.D.
M. Ahinee Amamoo, M.S.
Joan Walsh, Ph.D.
Bingqing Zhou, M.S.
Robert Sandler, M.D., M.P.H.
Publication date
01-10-2009
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 2/2009
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-009-9140-5

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