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Article

Applying the Stages of Change Model in a Nutrition Education Programme for the Promotion of Fruit and Vegetable Consumption among People with Severe Mental Disorders (DIETMENT)

1
Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, University of Vic—Central University of Catalonia, 08500 Vic, Spain
2
Osonament—Osona Psychopedagogical Medical Center Foundation, 08500 Vic, Spain
3
Multidisciplinary Research Group in Mental Health, Faculty of Medicine, University Hospital of Vic, University of Vic—Central University of Catalonia, 08500 Vic, Spain
4
Research Group on Mental Health, University of Vic—Central University of Catalonia, 08500 Vic, Spain
5
Social Innovation (SaMIS), University of Vic—Central University of Catalonia, 08500 Vic, Spain
*
Author to whom correspondence should be addressed.
Academic Editors: Antonis Zampelas, George Moschonis and Emmanuella Magriplis
Nutrients 2021, 13(6), 2105; https://doi.org/10.3390/nu13062105
Received: 10 May 2021 / Revised: 14 June 2021 / Accepted: 17 June 2021 / Published: 19 June 2021
Despite growing evidence of the benefits of adequate intake of fruit and vegetables (F&V) and the recommendation to consume five servings daily, the adoption of these habits is poor among people with severe mental disorder (SMD). The main aim of the present study is to determine changes in the intake of F&V and motivation to do so among people with SMDs after participating in a food education programme. A community-based randomized controlled trial was conducted in Spain, with the intervention group (IG) participating in a food education programme based on the stages of change model to promote consumption of F&V and the control group (CG) receiving three informative sessions on basic healthy eating. The main outcomes were related to the intake of F&V and stages of change. Data collection was performed at baseline, post intervention, and 12-month follow-up. Seventy-four participants enrolled in the study and sixty completed the 12-month follow-up. An increase in motivation towards the intake of F&V was observed in the IG but not in the CG (McNemar’s test p = 0.016, p = 0.625). No significant difference was observed for the intake of fruit, vegetables, or F&V. Basing food education strategies on the stages of change model shows positive results, increasing the awareness and disposition of people with SMD towards the intake of F&V. More research is needed to identify the most appropriate eating intervention to increase the intake of F&V. View Full-Text
Keywords: mental disorders; mental health recovery; fruit and vegetables consumption; nutrition education; health behaviour; transtheoretical model mental disorders; mental health recovery; fruit and vegetables consumption; nutrition education; health behaviour; transtheoretical model
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MDPI and ACS Style

Vilamala-Orra, M.; Vaqué-Crusellas, C.; Foguet-Boreu, Q.; Guimerà Gallent, M.; del Río Sáez, R. Applying the Stages of Change Model in a Nutrition Education Programme for the Promotion of Fruit and Vegetable Consumption among People with Severe Mental Disorders (DIETMENT). Nutrients 2021, 13, 2105. https://doi.org/10.3390/nu13062105

AMA Style

Vilamala-Orra M, Vaqué-Crusellas C, Foguet-Boreu Q, Guimerà Gallent M, del Río Sáez R. Applying the Stages of Change Model in a Nutrition Education Programme for the Promotion of Fruit and Vegetable Consumption among People with Severe Mental Disorders (DIETMENT). Nutrients. 2021; 13(6):2105. https://doi.org/10.3390/nu13062105

Chicago/Turabian Style

Vilamala-Orra, Mireia, Cristina Vaqué-Crusellas, Quintí Foguet-Boreu, Marta Guimerà Gallent, and Ruben del Río Sáez. 2021. "Applying the Stages of Change Model in a Nutrition Education Programme for the Promotion of Fruit and Vegetable Consumption among People with Severe Mental Disorders (DIETMENT)" Nutrients 13, no. 6: 2105. https://doi.org/10.3390/nu13062105

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