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The influence of cognitive-perceptual variables on patterns of change over time in rural midlife and older women’s healthy eating

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  • Yates, Bernice C.
  • Pullen, Carol H.
  • Santo, Jonathan Bruce
  • Boeckner, Linda
  • Hageman, Patricia A.
  • Dizona, Paul J.
  • Walker, Susan Noble

Abstract

Although studies demonstrate that dietary interventions for healthy adults can result in beneficial dietary changes, few studies examine when and how people change in response to these interventions, particularly in rural populations. The purpose of this study was to examine patterns of change over time in healthy eating behaviors in midlife and older women in response to a one-year health-promoting intervention, and to examine what predictors (perceived benefits, barriers, self-efficacy, and family support for healthy eating) influence the changes during the intervention and follow-up. Data for this secondary analysis were from the Wellness for Women community-based trial. Women (N = 225) between the ages of 50–69 in rural Nebraska, U.S.A., were recruited. A repeated-measures experimental design was used with randomization of two rural counties to intervention (tailored newsletter) or comparison (standard newsletter) groups. Eating behavior was measured by the Healthy Eating Index. The predictor variables were assessed using standard measures. Data analysis was done using latent growth curve modeling. The tailored newsletter group was successful in improving their healthy eating behavior compared to the standard newsletter group during the one-year intervention, at the end of the intervention, and during the follow-up phase. Family support at the end of the intervention was positively associated with healthy eating at the end of the intervention. Perceived barriers had the strongest impact on healthy eating behavior at all time points. Compared to participants in the standard newsletter group, those in the tailored newsletter group perceived more family support and fewer barriers for healthy eating at the end of the intervention (mediation effects). Based on these findings, both family support and perceived barriers should be central components of interventions focused on healthy eating behavior in rural midlife and older women.

Suggested Citation

  • Yates, Bernice C. & Pullen, Carol H. & Santo, Jonathan Bruce & Boeckner, Linda & Hageman, Patricia A. & Dizona, Paul J. & Walker, Susan Noble, 2012. "The influence of cognitive-perceptual variables on patterns of change over time in rural midlife and older women’s healthy eating," Social Science & Medicine, Elsevier, vol. 75(4), pages 659-667.
    • Handle: RePEc:eee:socmed:v:75:y:2012:i:4:p:659-667
    DOI: 10.1016/j.socscimed.2012.01.001
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    References listed on IDEAS

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    1. Kelley, Kate & Abraham, C.Charles, 2004. "RCT of a theory-based intervention promoting healthy eating and physical activity amongst out-patients older than 65 years," Social Science & Medicine, Elsevier, vol. 59(4), pages 787-797, August.
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    3. Folta, S.C. & Lichtenstein, A.H. & Seguin, R.A. & Goldberg, J.P. & Kuder, J.F. & Nelson, M.E., 2009. "The strongwomen-healthy hearts program: Reducing cardiovascular disease risk factors in rural sedentary, overweight, and obese midlife and older women," American Journal of Public Health, American Public Health Association, vol. 99(7), pages 1271-1277.
    4. Henson, Spencer & Blandon, Jose & Cranfield, John, 2010. "Difficulty of healthy eating: A Rasch model approach," Social Science & Medicine, Elsevier, vol. 70(10), pages 1574-1580, May.
    5. Hermstad, April K. & Swan, Deanne W. & Kegler, Michelle C. & Barnette, J.K. & Glanz, Karen, 2010. "Individual and environmental correlates of dietary fat intake in rural communities: A structural equation model analysis," Social Science & Medicine, Elsevier, vol. 71(1), pages 93-101, July.
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    Cited by:

    1. Sarah Kelly & Steven Martin & Isla Kuhn & Andy Cowan & Carol Brayne & Louise Lafortune, 2016. "Barriers and Facilitators to the Uptake and Maintenance of Healthy Behaviours by People at Mid-Life: A Rapid Systematic Review," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-26, January.
    2. Cha-Nam Shin & Michael Belyea, 2019. "Psychosocial Factors and Dietary Practices in Korean Americans," Clinical Nursing Research, , vol. 28(3), pages 374-388, March.
    3. Aboud, Frances E. & Singla, Daisy R., 2012. "Challenges to changing health behaviours in developing countries: A critical overview," Social Science & Medicine, Elsevier, vol. 75(4), pages 589-594.

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