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Health Promotion Practice
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Hi5+: Systematic Development of a Family Intervention to Increase Fruit and Vegetable Intake

Susan L. Davies, PhD

Kathleen Harrington, MAEd, MPH

Frank A. Franklin, MD, PhD

Richard M. Shewchuk, PhD

Michelle L. Feese, MPH

University of Alabama at Birmingham.

Michael Windle, PhD

Center for the Advancement of Youth Health at the University of Alabama at Birmingham.

This article describes the development of a peer-led home-based intervention to increase fruit and vegetable (FV) intake and family interaction among fourth graders and their families. Hi5+ intervention content and delivery strategies were developed using two complementary processes: cognitive mapping (CM), a consumerbased approach to identifying salient issues, and intervention mapping (IM), a comprehensive planning model. Step 1 involved creating plans to guide the design, implementation, and evaluation of Hi5+. We delineated our performance objectives and then prioritized those determinants we felt were most salient and changeable. Step 2 involved selecting and utilizing cognitive and behavioral theory constructs to develop intervention methods and strategies. Step 3 involved designing and pilot testing the instructional materials and other intervention components. Step 4 entailed developing plans for program adoption and implementation, while the final step (Step 5) involved creating a comprehensive evaluation plan. Implications of this multistep approach to intervention development are discussed.

Key Words: fruit and vegetable intake • nutrition • family • children • family activities • intervention mapping • intervention development • social cognitive theory

Health Promotion Practice, Vol. 6, No. 2, 190-201 (2005)
DOI: 10.1177/1524839904263706
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[Abstract] [Full Text] [PDF]