"Efficacy Testing of the SAVOR (Sisters Adding Fruits and Vegetables fo" by LaVonne Brown, Manoj Sharma et al.
 

Efficacy Testing of the SAVOR (Sisters Adding Fruits and Vegetables for Optimal Results) Intervention Among African American Women: A Randomized Controlled Trial

Document Type

Article

Publication Date

7-12-2020

Publication Title

Health Promotion Perspectives

Volume

10

Issue

3

First page number:

270

Last page number:

280

Abstract

Background: In the United States, only about 15% of individuals meet daily fruit intake recommendations of 2 cups per day and only 10% meet the vegetable intake recommendations of 3 cups per day. African American women are a high-risk group. In this study, a fourth-generation multi-theory model (MTM) of health behavior change was used to design and evaluate a Sisters Adding Fruits and Vegetables for Optimal Results (SAVOR) intervention for AA women. Methods: The study utilized a randomized controlled trial (RCT) with measurements taken at pretest, posttest (after the three-week intervention) and follow-up (at the end of eight weeks). SAVOR (n=26) was compared to an equivalent knowledge-based intervention (n=28). Process evaluation was done for program fidelity and satisfaction. A validated 38-item self-reported questionnaire was used to measure changes in MTM constructs and past 24-hour consumption of fruits and vegetables. Results: The SAVOR intervention resulted in improvement of mean consumption of fruits and vegetables in the experimental group from pre-test (2.78) to posttest (4.77) to recommended levels at follow-up (5.04) while in the comparison group they remained at around 3 (P<0.0001) Statistically significant changes (P<0.05) were noted for all MTM constructs except for participatory dialogue. Conclusion: The SAVOR intervention was found to be efficacious and established the robustness of MTM. SAVOR can be replicated for future effectiveness trials.

Keywords

Fruit; Vegetables; Behavior; Program evaluation

Disciplines

Medicine and Health Sciences | Public Health | Public Health Education and Promotion

Language

English

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