Initiation and sustenance of small portion size consumption behavior in rural Appalachia, USA: Application of multi-theory model (MTM)
Introduction: About 81% counties of the central Appalachia in USA are experiencing the nation’s highest obesity rates. It is generally accepted that the consumption of large food portion sizes is associated with obesity which in turn is related to the etiopathogenesis of several chronic diseases. De...
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Edizioni FS
2019-03-01
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| Series: | Journal of Health and Social Sciences |
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| Online Access: | https://journalhss.com/wp-content/uploads/jhss41_85-100.pdf |
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| author | Ram Lakhan Sierra Turner Sangyal Dorjee Manoj Sharma |
| author_facet | Ram Lakhan Sierra Turner Sangyal Dorjee Manoj Sharma |
| author_sort | Ram Lakhan |
| collection | DOAJ |
| description | Introduction: About 81% counties of the central Appalachia in USA are experiencing the nation’s highest obesity rates. It is generally accepted that the consumption of large food portion sizes is associated with obesity which in turn is related to the etiopathogenesis of several chronic diseases. Developing consumption of small portion size behavior can address obesity and related consequences. This study aimed to assess the likelihood of initiation and sustenance of small portion size consumption behavior based on application of multi-theory model (MTM) among residents from rural Appalachia.
Methods: The study utilized a cross-sectional research design (n = 156). A previously validated Multitheory Model for Small Portion Size (MTM-SPS) questionnaire with acceptable reliability and validity for food portion size consumption behavior was adapted and used for data collection. Six counties of the rural Appalachian region of Kentucky defined as distressed, at risk, and transitional on socio-economic indicators by the Appalachians Research Commission (ARC) were selected for data collection. Stepwise multiple regression modeling was applied to predict the likelihood of initiation and sustenance of small portion size consumption behavior.
Results: Stepwise multiple regression demonstrated that initiation of small portion size consumption was explained by participatory dialogue (advantages outweighing disadvantages), behavioral confidence, and changes in physical environment (R2 = 47.9%, P < 0.001) and continuation of behavior by emotional transformation and practices for change (R2 = 40.2%, P < 0.001). Sociodemographic factors including age, gender, education, and ethnicity did not significantly contribute towards initiation and sustenance of small portion size consumption behavior in rural Appalachia (P > 0.05).
Conclusion: The MTM was found to be a useful theoretical framework that has the ability to predict initiation and sustenance of small portion size consumption. Findings of this study can be considered for designing an appropriate intervention in rural Appalachia. |
| format | Article |
| id | doaj-art-6e4c0ded05424c1fb3c56dc7b9228850 |
| institution | Kabale University |
| issn | 2499-2240 2499-5886 |
| language | English |
| publishDate | 2019-03-01 |
| publisher | Edizioni FS |
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| series | Journal of Health and Social Sciences |
| spelling | doaj-art-6e4c0ded05424c1fb3c56dc7b92288502025-01-18T18:20:31ZengEdizioni FSJournal of Health and Social Sciences2499-22402499-58862019-03-01418510010.19204/2019/nttn9Initiation and sustenance of small portion size consumption behavior in rural Appalachia, USA: Application of multi-theory model (MTM)Ram Lakhan0Sierra Turner1Sangyal Dorjee2Manoj Sharma3DrPH, Assistant Professor, Department of Health and Human Performance, Berea College, KY, USASenior, Health Studies Major, Berea College, Berea, KY, USASophomore, Biology Major, Berea College, Berea, KY, USAMBBS, Ph.D. Professor, Department of Behavioral and Environmental Health, School of Public Health, Jackson State University, MS; President, Health for All, NE; Faculty, Walden University, MN, USAIntroduction: About 81% counties of the central Appalachia in USA are experiencing the nation’s highest obesity rates. It is generally accepted that the consumption of large food portion sizes is associated with obesity which in turn is related to the etiopathogenesis of several chronic diseases. Developing consumption of small portion size behavior can address obesity and related consequences. This study aimed to assess the likelihood of initiation and sustenance of small portion size consumption behavior based on application of multi-theory model (MTM) among residents from rural Appalachia. Methods: The study utilized a cross-sectional research design (n = 156). A previously validated Multitheory Model for Small Portion Size (MTM-SPS) questionnaire with acceptable reliability and validity for food portion size consumption behavior was adapted and used for data collection. Six counties of the rural Appalachian region of Kentucky defined as distressed, at risk, and transitional on socio-economic indicators by the Appalachians Research Commission (ARC) were selected for data collection. Stepwise multiple regression modeling was applied to predict the likelihood of initiation and sustenance of small portion size consumption behavior. Results: Stepwise multiple regression demonstrated that initiation of small portion size consumption was explained by participatory dialogue (advantages outweighing disadvantages), behavioral confidence, and changes in physical environment (R2 = 47.9%, P < 0.001) and continuation of behavior by emotional transformation and practices for change (R2 = 40.2%, P < 0.001). Sociodemographic factors including age, gender, education, and ethnicity did not significantly contribute towards initiation and sustenance of small portion size consumption behavior in rural Appalachia (P > 0.05). Conclusion: The MTM was found to be a useful theoretical framework that has the ability to predict initiation and sustenance of small portion size consumption. Findings of this study can be considered for designing an appropriate intervention in rural Appalachia.https://journalhss.com/wp-content/uploads/jhss41_85-100.pdfFood; multi-theory model; portion size consumption; rural Appalachia; obesity; USA |
| spellingShingle | Ram Lakhan Sierra Turner Sangyal Dorjee Manoj Sharma Initiation and sustenance of small portion size consumption behavior in rural Appalachia, USA: Application of multi-theory model (MTM) Journal of Health and Social Sciences Food; multi-theory model; portion size consumption; rural Appalachia; obesity; USA |
| title | Initiation and sustenance of small portion size consumption behavior in rural Appalachia, USA: Application of multi-theory model (MTM) |
| title_full | Initiation and sustenance of small portion size consumption behavior in rural Appalachia, USA: Application of multi-theory model (MTM) |
| title_fullStr | Initiation and sustenance of small portion size consumption behavior in rural Appalachia, USA: Application of multi-theory model (MTM) |
| title_full_unstemmed | Initiation and sustenance of small portion size consumption behavior in rural Appalachia, USA: Application of multi-theory model (MTM) |
| title_short | Initiation and sustenance of small portion size consumption behavior in rural Appalachia, USA: Application of multi-theory model (MTM) |
| title_sort | initiation and sustenance of small portion size consumption behavior in rural appalachia usa application of multi theory model mtm |
| topic | Food; multi-theory model; portion size consumption; rural Appalachia; obesity; USA |
| url | https://journalhss.com/wp-content/uploads/jhss41_85-100.pdf |
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