Project Overview +

Take the Pledge II updates part of the CISRC tailored print intervention for fruit and vegetable consumption for a wider audience.

Aims +

Aim 1. Adapt tailored materials originally produced for a National Cancer Institute project to improve cultural relevance and intervention methods to be able to appeal, reach, and enhance behavior change in a broader population.

Aim 2. Provide production printing of tailored materials for the study.

Participants +

300 parents of upper elementary school students in Pontiac Michigan.

Intervention +

Take the Pledge II adapts and modifies a previously funded program to a more culturally diverse and economically disadvantaged population through engaging them to "Take the Pledge" to eat 5 fruits and vegetables a day and increase physical activity. The focus of adaptation is to improve cultural relevance and intervention methods to be able to appeal, reach and enhance behavior change in a broader population.

The intervention population includes those who agree to "Take the Pledge" to change food and exercise habits. Participants are drawn from the parents of upper elementary school children in two Pontiac schools, the Pontiac church and community population and participants in the Health Division's Women, Infant and Children Supplemental Food Program.

Based on data collected from the participants during phone interviews, each participant receives 3 mailings individually tailored to their barriers and beliefs about fruit and vegetable consumption and physical activity. Additionally, two pamphlets on physical activity are sent to participants with the newsletters.

Findings +

104 parents completed the pre and post test; 100% were women.

  • 53% of participants responded that it was likely or very likely that they could prevent cancer at pre-test compared to 68% at post-test. (p<.003)
  • A 10% increase in the number of participants who believed that eating fruit and vegetables may help to decrease their risk of getting cancer. (p=.0025)
  • A 15% increase in the number of participants who said it was likely or very likely that eating 5 or more servings of fruit and vegetables a day will help reduce their risk of getting cancer. (p=.00005)
  • Participants who were active 5 to 7 days a week jumped from 32% pre-test to 54% post-test.
  • Servings of fruit and vegetables on an average day went from 2.91 pre-test to 3.41 post-test.

Conclusion +

Take the Pledge II helped increase fruit and vegetable consumption and physical activity levels.

When asked, participants who had received both the tailored newsletter and the MSU Extension newsletters prior, said that while they liked their tailored newsletters, they preferred the Extension Newsletters that were designed around topics that concerned them (time, money, kid-friendly food, meal planning and prep, etc.).

Take the Pledge II

05/01/2000 - 01/31/2001

Sponsor(s)

Southeastern Michigan Health Association

Principal Investigator:

M. Jean B. Egan, MPH, RD