A B S T R A C T
Background and Purpose:To evaluate the effectiveness of two subsequent intervention components (motivational and self-regulatory components), placed in different order, to promote fruit and vegetable (FV) intake. Methods: After baseline assessment, university students (N = 205, aged 18-26 years) were allocated to two groups. One group received a motivational intervention (outcome expectancies, risk perception, and task self-efficacy) followed by a self-regulatory intervention (planning and dietary selfefficacy) after 17 days. The second group received the same intervention conditions in the opposite order. Follow-up assessments were done after another 17 days. Results: Both intervention sequences yielded gains in terms of FV intake and self-efficacy. However, this gain was only due to the self-regulatory component whereas the motivational component did not contribute to the changes. Moreover, changes in intention and self-efficacy mediated between intervention sequence and follow-up behavior, suggesting that improving these proximal predictors of FV intake was responsible for the behavioral gains. Conclusions: Findings highlight the superiority of a self-regulatory intervention over a motivational intervention when it comes to dietary changes in this sample of young adults. Moreover, changes in dietary selfefficacy may drive nutritional changes.© 2014 Elsevier Ltd. All rights reserved.
IntroductionUnderscoring the benefits of consuming a sufficient amount of fruit and vegetables (FV), a World Health Organization (WHO) review on the effectiveness of interventions and programs promoting FV intake showed that consumption of FV reduces cardiovascular diseases, cancers, diabetes, obesity and prevents several micronutrient deficiencies, especially in less developed countries (Pomerleau, Lock, Knai, & McKee, 2005). However, most people do not attain the recommendation of a minimum of 400 g of FV per day (i.e., approximately five portions). Moreover, this review highlights the need for data collection on FV intervention effectiveness in the majority of countries. India is a vast subcontinent covering 2.4% of the global landmass, it is inhabited by more than one-sixth of the world's population. Currently, the country is undergoing a rapid socio-economic, demographic, and health transition. For instance, over the last two decades, preventive nutrition has emerged as a public health concern; there have been increases in the prevalence of obesity, diabetes, and cardiovascular diseases, especially in urban areas (Ramachandran, 2006). Thus, evidence-based interventions are needed for the promotion of FV intake, as well as an understanding of the underlying working mechanisms of intervention effectiveness. In addition to basic nutritional knowledge, both motivation and self-regulation are required for people to change their habitual dietary patterns (Adriaanse, Vinkers, De Ridder, Hox, & De Wit, 2011;Verhoeven, Adriaanse, Evers, & De Ridder, 2012).
Motivational and self-regulational mechanisms of health behavio...