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Journal of Cancer Education

, Volume 30, Issue 4, pp 759–765 | Cite as

CaPSCA: Evaluation of a Brief Cancer Prevention Education Programme to Promote Balanced Diet in French School Children

  • Laura J. RennieEmail author
  • Cécile Bazillier-Bruneau
  • Jacques Rouëssé
Article

Abstract

This study examined the effectiveness of two cancer prevention interventions in improving balanced diet among French children aged 12–14 years. The educational techniques used were taken from the taxonomy of behaviour change techniques (BCTs; Abraham & Michie, 2008). Allocation to intervention group (intervention versus control) was randomised at the school-level, the intervention group received two interventions, each of 1-h duration, containing BCTs including advocated attitude, anticipated success/regret, behaviour modelling and barrier identification. Self-reported diet was assessed pre- and post-interventions. The resulting data were coded by a nutritionist and transformed into a novel measure representing the extent to which the participant achieved a balanced diet. Multilevel modelling indicated that, having taken into account the clustered nature of the data, gender and the differing socio-economic status of the participants, balanced diet decreased over time, b = −1.23, t(1830) = −2.79, p = 0.005, but this was qualified by a significant interaction effect with intervention, b = 1.42, t(1830) = 1.98, p = 0.047. Separate models for each intervention group revealed that balanced diet decreased over time in the control group, b = −1.25, t(1195) = −2.47, p = 0.014, but did not in the intervention group, b = 0.19, t(635) = 0.44, p = 0.66, suggesting a buffering effect of the interventions on balanced diet over time. These findings demonstrate the effectiveness of educational interventions using established behaviour change techniques, to change behaviour.

Keywords

Cancer prevention Health behaviour change Education Intervention Adolescents Balanced diet 

Notes

Acknowledgments

This research was supported in full by a grant from La Comité des Hauts-de-Seine de la Ligue Nationale Contre le Cancer.

References

  1. 1.
    Doll R, Peto R (1981) The causes of cancer: quantitative estimates of avoidable risks of cancer in the United States today. J Natl Cancer Inst 66:1192–1308Google Scholar
  2. 2.
    Cancer Research UK (2014) Diet and cancer: the evidence. Retrieved from http://www.cancerresearchuk.org/cancer-info/healthyliving/diet-healthy-eating-and-cancer/stats-evidence/diet-and-cancer-the-evidence. Accessed 28 November 2014
  3. 3.
    Wolin KY, Carson K, Colditz G (2010) Obesity and cancer. Oncologist 15:556PubMedCentralCrossRefPubMedGoogle Scholar
  4. 4.
    Pettinger C, Holdsworth M, Gerber M (2004) Psycho-social influences of food choice in Southern France and Central England. Appetite 42:307–316CrossRefPubMedGoogle Scholar
  5. 5.
    Rozin P, Kabnick K, Pete E, Fischler C, Shields C (2003) The ecology of eating: smaller portion sizes in France than in the United States help explain the French paradox. Psychol Sci 14:450–454CrossRefPubMedGoogle Scholar
  6. 6.
    De Saint Pol, Thibault, Ricroch L (2012) Le temps de l’alimentation en France. INSEE Premiere 1417. Retrieved from http://www.insee.fr/fr/themes/document.asp?ref_id=ip1417. Accessed 7 August 2014
  7. 7.
    Charles M-A, Eschwège E, Basdevant A (2008) Monitoring the obesity epidemic in France: the Obepi surveys 1997–2006. Obesity 16:2182–2186PubMedCentralCrossRefPubMedGoogle Scholar
  8. 8.
    Michie S, Richardson M, Johnston M, Abraham C, Francis J, Hardeman W, Wood C (2013) The behaviour change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behaviour change interventions. Ann Behav Med 46:81–95CrossRefPubMedGoogle Scholar
  9. 9.
    World Health Organisation. 2014. A healthy lifestyle: 12 steps to healthy eating. Retrieved from http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle. Accessed 7 August 2014.
  10. 10.
    Epton T, Harris PR (2008) Self-affirmation promotes health behaviour change. Health Psychol 27:746–752CrossRefPubMedGoogle Scholar
  11. 11.
    Margetts BM, Cade JE, Osmond C (1989) Comparison of a food frequency questionnaire with a diet record. Int J Epidemiol 18:868–873CrossRefPubMedGoogle Scholar
  12. 12.
    Möttus R, McNeill G, Jia X, Leone CA, Craig JM, Starr, Deary IJ (2011) The associations between personality, diet and body mass index in older people. Health Psychol 32:353–360CrossRefPubMedGoogle Scholar
  13. 13.
    Randall E, Marshall JR, Graham S, Brasure J (1990) Patterns in food use and their associations with nutrient intakes. Am J Clin Nutr 52:739–745PubMedGoogle Scholar
  14. 14.
    Kennedy ET, Ohls J, Carlson S, Fleming K (1995) The healthy eating index: design and applications. J Am Diet Assoc 95:1103–1108CrossRefPubMedGoogle Scholar
  15. 15.
    Wardle J, Haase AM, Steptoe A, Nillapun M, Jonwutiwes K, Bellisle F (2004) Gender differences in food choice: the contribution of health beliefs and dieting. Ann Behav Med 27:107–116CrossRefPubMedGoogle Scholar
  16. 16.
    Sandrine L, Touvier M, Lafay L, Volatier J-L, Maire B (2008) Dietary and physical activity patterns in French children are related to overweight and socioeconomic status. J Nutr 138:101–107Google Scholar
  17. 17.
    Currie CE, Elton RA, Todd J, Platt S (1997) Indicators of socioeconomic status for adolescents: the WHO health behaviour in school-aged children survey. Health Educ Res 12:385–397CrossRefPubMedGoogle Scholar
  18. 18.
    Estaquio C, Kesse-Guyot E, Deschamps V, Bertrais S, Dauchet L, Galan P et al (2009) Adherence to the French Programme National Nutrition Santé Guideline Score is associated with better nutrient intake and nutritional status. J Am Diet Assoc 109:1031–1041CrossRefPubMedGoogle Scholar
  19. 19.
    Enders CK, Tofighi D (2007) Centring predictor variables in cross-sectional multi-level models: a new look at an old issue. Psychol Methods 12:121–138CrossRefPubMedGoogle Scholar
  20. 20.
    Cohen RY, Brownell KD, Felix MR (1990) Age and sex differences in health habits and beliefs of schoolchildren. Health Psychol 9:208–224CrossRefPubMedGoogle Scholar
  21. 21.
    Rasmussen, Mette, Krolner R, Klepp K-I, Lytle L, Brug J, Bere E, Due P (2006) Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part 1: Quantitative studies. Int J Behav Nutr Phys Act 3:22Google Scholar
  22. 22.
    Lien N, Lytle LA, Klepp K-I (2001) Stability in consumption of fruit, vegetables and sugary foods in a cohort from age 14 to age 21. Prev Med 33:217–226CrossRefPubMedGoogle Scholar
  23. 23.
    Birch LL, Zimmerman SI, Hind H (1980) The influence of social-affective context on the formation of children’s food preferences. Child Dev 51:856–861CrossRefGoogle Scholar
  24. 24.
    Power E, Van Cornelia HM, Jaarsveld KMC, Miles A, Atkin W, Wardle J (2008) Understanding intentions and action in colorectal cancer screening. Ann Behav Med 35:285–294CrossRefPubMedGoogle Scholar
  25. 25.
    Gollwitzer PM, Sheeran P (2006) Implementation intentions and goal achievement: a meta-analysis of effects and processes. Adv Exp Soc Psychol 38:69–119CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Laura J. Rennie
    • 1
    Email author
  • Cécile Bazillier-Bruneau
    • 1
  • Jacques Rouëssé
    • 2
  1. 1.B-Research/Université Paris-Ouest Nanterre la DéfenseParisFrance
  2. 2.Académie Nationale de MédecineParisFrance

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