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The Diabetes Educator

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Health Promotion Practice
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Implementation of a Family Intervention to Increase Fruit and Vegetable Intake: The Hi5+ Experience

Kathleen F. Harrington, MAEd, MPH

Frank A. Franklin, MD, PhD

Susan L. Davies, PhD

Richard M. Shewchuk, PhD

University of Alabama at Birmingham.

Maria Brown Binns, MS

Blue Cross and Blue Shield of Alabama in Birmingham, Alabama.

Family is an important, yet challenging, target for dietary intervention. This article describes the implementation of Hi5+, a family fruit and vegetable (FV) promotion program. Complementing a fourth-grade school curriculum, the seven weekly Family Fun Nites were at-home family meal sharing and game evenings. A sample of families (N = 575; 69% consented) from schools in a southeastern U.S. urban area received tailored intervention materials based on their FV attitudes and family interaction styles. A pyramidal organizational design, using peer leaders, facilitated 71% of families to complete all seven sessions, whereas 84% completed at least one session. Significant independent predictors of program completion were attending an introductory Kick-Off Nite, interactive family style, additional adults in the household, married parents, being African American, earning more than $60,000, and additional children in the household. Familyspecific issues and initial program experience are important considerations for implementing a family intervention.

Key Words: family intervention • fruit and vegetable • implementation methods

Health Promotion Practice, Vol. 6, No. 2, 180-189 (2005)
DOI: 10.1177/1524839904263681


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[Abstract] [Full Text] [PDF]