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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?

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Abstract

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”.

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Acknowledgments

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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Authors and Affiliations

  1. Department of Nutrition, Institute for Basic Medical Sciences, University of Oslo, Pb 1046 Blindern, 0317, Oslo, Norway

    M. K. Råberg Kjøllesdal & M. Wandel

  2. Department of Community Medicine, Institute of Health and Society, University of Oslo, Pb 1130 Blindern, 0318, Oslo, Norway

    G. Holmboe-Ottesen

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  1. M. K. Råberg Kjøllesdal
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  2. G. Holmboe-Ottesen
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  3. M. Wandel
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Correspondence to M. Wandel.

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Råberg Kjøllesdal, M.K., Holmboe-Ottesen, G. & Wandel, M. 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?. J Immigrant Minority Health 15, 85–92 (2013). https://doi.org/10.1007/s10903-012-9580-z

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