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”.
Similar content being viewed by others
References
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.
van Sluijs EM, van Poppel MN, van MW. Stage-based lifestyle interventions in primary care: are they effective? Am J Prev Med. 2004;26(4):330–43.
Prochaska JO, Velicer WF, Rossi JS, Goldstein MG, Marcus BH, Rakowski W, Fiore C, Harlow LL, Redding CA, Rosenbloom D. Stages of change and decisional balance for 12 problem behaviors. Health Psychol. 1994;13(1):39–46.
Greene GW, Rossi SR, Rossi JS, Velicer WF, Fava JL, Prochaska JO. Dietary applications of the stages of change model. J Am Diet Assoc. 1999;99(6):673–8.
Kristal AR, Glanz K, Curry SJ, Patterson RE. How can stages of change be best used in dietary interventions? J Am Diet Assoc. 1999;99(6):679–84.
De VE, De NJ, de Vries NK, Brug J. The transtheoretical model for fruit, vegetable and fish consumption: associations between intakes, stages of change and stage transition determinants. Int J Behav Nutr Phys Act. 2006;3:13.
Robinson AH, Norman GJ, Sallis JF, Calfas KJ, Rock CL, Patrick K. Validating stage of change measures for physical activity and dietary behaviors for overweight women. Int J Obes (Lond). 2008;32(7):1137–44.
Di NJ, Schinke SP, Prochaska JO, Contento IR. Application of the transtheoretical model to fruit and vegetable consumption among economically disadvantaged African-American adolescents: preliminary findings. Am J Health Promot. 2006;20(5):342–8.
Vallis M, Ruggiero L, Greene G, Jones H, Zinman B, Rossi S, Edwards L, Rossi JS, Prochaska JO. Stages of change for healthy eating in diabetes: relation to demographic, eating-related, health care utilization, and psychosocial factors. Diabetes Care. 2003;26(5):1468–74.
Wolf RL, Lepore SJ, Vandergrift JL, Wetmore-Arkader L, McGinty E, Pietrzak G, Yaroch AL. Knowledge, barriers, and stage of change as correlates of fruit and vegetable consumption among urban and mostly immigrant black men. J Am Diet Assoc. 2008;108(8):1315–22.
Greene GW, Rossi SR, Reed GR, Willey C, Prochaska JO. Stages of change for reducing dietary fat to 30% of energy or less. J Am Diet Assoc. 1994;94(10):1105–10.
Kumar BN, Meyer HE, Wandel M, Dalen I, Holmboe-Ottesen G. Ethnic differences in obesity among immigrants from developing countries, in Oslo,Norway. Int J Obes (Lond). 2006;30(4):684–90.
Jenum AK, Holme I, Graff-Iversen S, Birkeland KI. Ethnicity and sex are strong determinants of diabetes in an urban Western society: implications for prevention. Diabetologia. 2005;48(3):435–9.
Wandel M, Raberg M, Kumar B, Holmboe-Ottesen G. Changes in food habits after migration among South Asians settled in Oslo: the effect of demographic, socio-economic and integration factors. Appetite. 2008;50(2–3):376–85.
Mellin-Olsen T, Wandel M. Changes in food habits among Pakistani immigrant women in Oslo, Norway. Ethn Health. 2005;10(4):311–39.
Kumar B, Meyer HE, Sogaard AJ, Strand BH. The Oslo immigrant health profile. Oslo: Norwegian Institute of Public Health; 2008.
Johnson MRD. Perceptions of Barriers to healthy physical activity among Asian communities. Sport Educ Soc. 2000;5(1):51–70.
Hussain A, Claussen B, Ramachandran A, Williams R. Prevention of type 2 diabetes: a review. Diabetes Res Clin Pract. 2007;76(3):317–26.
Fagerli RAA, Lien ME, Botten GS, Wandel M. Role dilemmas among health-workers in cross-cultural patient encounters around dietary advice. Scand J Public Health. 2005;33(5):360–9.
Johansen KS, Bjorge B, Hjellset VT, Holmboe-Ottesen G, Raberg M, Wandel M. Changes in food habits and motivation for healthy eating among Pakistani women living in Norway: results from the InnvaDiab-DEPLAN study. Public Health Nutr. 2010;13(6):858–67.
Lorentzen C, Ommundsen Y, Jenum AK, Holme I. The “Romsas in Motion” community intervention: program exposure and psychosocial mediated relationships to change in stages of change in physical activity. Int J Behav Nutr Phys Act. 2007;4:15.
Kumar B, Meyer HE. The Oslo immigrant study-methods. Available at: http://www.fhi.no/dav/906123CAA9.pdf; 2011. Accessed 23 Feb 2011.
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.
Deurenberg-Yap M, Schmidt G, van Staveren WA, Deurenberg P. The paradox of low body mass index and high body fat percentage among Chinese, Malays and Indians in Singapore. Int J Obes Relat Metab Disord. 2000;24(8):1011–7.
Råberg Kjøllesdal MK, Hjellset VT, Bjørge B, Holmboe-Ottesen G, Wandel M. Food perceptions in terms of health among Norwegian-Pakistani women participating in a culturally adapted intervention. Int J Public Health. 2011;56:475–83.
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.
Råberg Kjøllesdal MK, Hjellset VT, Bjørge B, Holmboe-Ottesen G, Wandel M. Intention to change dietary habits and weight loss among Norwegian-Pakistani women participating in a culturally adapted intervention. J Immigr Minor Health. 2011;13:1150–8.
Raberg M, Kumar B, Holmboe-Ottesen G, Wandel M. Overweight and weight dissatisfaction related to socio-economic position, integration and dietary indicators among South Asian immigrants in Oslo. Public Health Nutr. 2009;13(5):695–703.
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.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
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
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10903-012-9580-z