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People more likely to change diet with written plan combined with counseling calls

According to research at University of Michigan combining telephone counseling calls with a daily written diet plan increases a person's success in improving fruit and vegetables consumption.

Researchers say that nutrition often gets neglected in preventive health care for many reasons, including lack of time, lack of training and economic restraints, so to help patients eat better a simple thing doctors can do is to have them write down what they eat each day to identify which changes need to be made.

The research team evaluated subjects based on one goal: to increase fruit and vegetable consumption by at least two servings a day by replacing one less nutritious item. All subjects were age 40 or older, in general health and consuming less than 5.5 servings of fruit and vegetables a day.

They were randomized into three groups:
  • Group one received only educational materials containing information on dietary recommendations, suggestions and lists of healthy foods.
  • Group two received the educational materials as well as a form to create a specific daily food plan based on their current habits.
  • Group three received the same materials as group two, including three counseling calls from a registered dietician and a small log book that included check boxes to monitor fruit, vegetables and less nutritious foods. The counseling calls consisted of reviewing the written plan, reviewing the self-monitoring logs and discussing any progress made towards the goal.
Researchers concluded everyone knows what healthy foods are, but people need more support than educational materials because sometimes it's difficult to find accountability within themselves to make changes. It's hard for people to make the changes needed to break old habits, such as the familiar grocery shopping routine and the usual chips and soda for a snack, but if someone is checking up on them, they are more motivated to do the right thing. By consequence, researchers found counseling calls very useful.

The research was published in Preventive Medicine

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Source: University of Michigan Health System



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