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. Author manuscript; available in PMC: 2013 Nov 18.
Published in final edited form as: Am J Health Promot. 2013 Feb 11;27(6):10.4278/ajhp.110516-QUAN-201. doi: 10.4278/ajhp.110516-QUAN-201

Table 1.

Processes of Change for Increasing Fruit and Vegetable (FV) Consumption

Process of Change Description Sample Item (“How Often
Did…”)
Experiential processes
  Consciousness raising (CR) Raising awareness of the need to eat more FV …you read about eating more vegetables and fruits?
  Environmental reevalutaion (ER) Assessing how one’s FV intake affects others. …you think that eating more fruits and vegetables would make you a better role model?
  Dramatic relief (DR) Experiencing and expressing feelings about not eating enough FV. …you become disturbed when you considered how eating too few fruits and vegetables can have a bad effect on your health?
  Self reevaluation (SR) Reappraising how one feels about oneself with respect to eating FV. …you feel you’re taking responsibility for your health when you eat fruits and vegetables?
  Social liberation (SO) Considering the impact of the environment or others on one’s ability to eat FV. …you become aware that more people are making fruits and vegetables available at events?
Behavioral processes
  Counterconditioning (CC) Substituting FV for less healthy foods. …you have fruit instead of sweets for dessert?
  Helping relationships (HR) Being open about the problem with someone who cares. …someone support you in your decision to eat more vegetables and fruits?
  Reinforcement management (RM) Being rewarded by self or others for making changes. …your family praises you for eating fruits and vegetables?
  Self-liberation (SL) Choosing and committing to act with regard to eating more FV. …you make a promise to yourself to eat more vegetables and fruits?
  Stimulus control (SC) Using cues to promote eating FV. …you remind yourself to have vegetables and fruits for snacks?
  Interpersonal systems control (IP) Seeking out others who promote eating FV or avoiding those who discourage eating FV. …you spend time with people who encouraged you to eat more vegetables and fruits?
  Planning ahead (PA) Being proactive about situations that facilitate eating enough FV. …you plan your meals in advance so you’re able to eat more vegetables and fruits?