Access With Education Improves Fruit and Vegetable Intake in Preschool Children.

OBJECTIVE: To compare effects of interventions aimed at increasing fruit and vegetable (FV) intake in children. DESIGN: Pre-post comparison and intervention study with randomly grouped classrooms. SETTING: Head Start classrooms. PARTICIPANTS: Two hundred nine Head Start children. INTERVENTIONS: Treatment A (n = 61) and treatment B (n = 82) children received high-carotenoid FVs for 8 weeks. Treatment B children also received weekly FV education, and their caregivers received FV information and recipes. The comparison group (n = 66) received neither FVs nor education. MAIN OUTCOME MEASURE: Carotenoid values in Raman units. ANALYSIS: Multilevel mixed models, ANCOVA, and post hoc analysis were used. RESULTS: Multilevel mixed models with the group as fixed effect and classrooms within group as a random effect; ANCOVA showed that the only significant variable affecting the score was the group main effect. The intraclass correlation coefficient was 0.037; the Raman unit scores of treatment B were significantly higher than those of treatment A (P = .02) or comparison group (P < .001). However, there was no significant difference between treatment A and comparison (P = .10; Cohen D = .71). CONCLUSIONS AND IMPLICATIONS: The results suggested that providing education where FVs are offered may help increase consumption. Measurement of carotenoids in family members who received FVs plus education, as well as replication of this model in different locations and ages of children should be investigated in future research.

Sexual temptation: substance abuse, no sex, safe sex, risky sex, and STDs.

Background University students' substance abuse and risky sex contribute to sexually transmitted diseases (STDs). Purpose We develop and empirically test a formative theoretical model of sexual temptation involving substance abuse (cigarettes, alcohol, and marijuana), safe sexual behavior (use of condom/barrier for oral and vaginal intercourse), risky sexual behavior (unprotected sex and multiple sexual partners), and STDs: gonorrhea, HIV, and genital herpes. We simultaneously explore these constructs, controlling membership in social groups (fraternity/sorority, varsity athlete, and club sports) and perceived norm of substance abuse. Methods A total of 687 American university students completed the National College Health Assessment (NCHA). We use structural equation modeling (SEM) to test the goodness of fit between our formative theoretical model and actual data. Results Results reveal the following discoveries: membership in campus social groups is positively associated with STDs, whereas perceived norm of peer substance abuse is negatively related to STDs. Under the influence of substance abuse, we test three outcomes of sexual temptation as related to STDs. Those who have no sex do not contract STDs. For those who fall into temptation and have sex, substance abuse is more strongly related to risky sex which leads to STDs than safe sex which does not. Those engaging in risky sex have significantly higher cognitive impairment than those practicing safe sex. Conclusions Substance abuse contributes to STDs through risky sex only. Those having risky sex suffer higher cognitive impairment than those practicing safe sex. We provide novel implications to policy makers, practitioners, and researchers.

A model linking sources of stress to approach and avoidance coping styles of Turkish basketball referees.

Purpose of this study was to externally validate and test a conceptual transient model involving six paths that linked sources of acute stress to avoidance and approach coping styles among Turkish basketball referees. The sample consisted of 125 Turkish basketball referees ranging in age from 18 to 36 years (mean = 25.58. σ = 3.69). The path analysis tested the relationships simultaneously from stressors, in consecutive order, distractions, subpar performance and verbal abuse, to coping styles, first both avoidance-cognitive and approach-cognitive, and then approach-behaviour. Results indicated that the model achieved a good fit and that all paths tested simultaneously were significant. The distractions stressor was positively related to subpar performance, which, in turn, was positively related to verbal abuse. Verbal abuse was negatively associated with an avoidance-cognitive coping style and positively related to the approach-cognitive coping style. The results also supported a crossover effect of both avoidance-cognitive and approach-cognitive on approach-behaviour. One implication of this study is that coping should be studied in naturally occurring stages, a process-oriented approach. Another implication is that approach and avoidance coping styles, each sub-divided into cognitive and behavioural categories, provide a meaningful framework which provides sports officials a coherent structure for learning and improving ways to cope with acute stress experienced during the contest.

Effect of a storyboarding technique on selected measures of fitness among university employees.

The purpose of this study was to determine the effectiveness of storyboarding (i.e., participants' written narrative) on improving fitness among university employees over 10 weeks. Groups consisted of storytelling during the program orientation, storytelling plus two coaching sessions, or the normal program only (control). Using difference (pretest from posttest) scores, a one-way multivariate analysis of variance indicated significant differences between groups (p < .01). For percent body fat, only the coached group was statistically superior to the control group (p < .03), while the two experimental groups were statistically similar. For submax VO2, both storyboarding groups were superior to the control group (p < .04). It was concluded that storyboarding may be an effective means for changing selected health behaviors.

Racial and gender differences on sources of acute stress and coping style among competitive athletes.

The authors examined racial and gender differences on sport-related sources of acute stress that competitive athletes perceived as highly intense and experienced during the competitive event. Athletes (N = 332, 176 men, 156 women; 59 African Americans: 27 men, 32 women; 232 Caucasians: 125 men, 107 women; and 41 Hispanics: 24 men, 17 women) who competed in sport on a high school or college team participated in this study. The sources of the acute stress and the coping style in sport scales, which M. H. Anshel and T. Sutarso (2007) developed, required the athletes to indicate their perceived stress intensity and their "typical" coping responses after experiencing the two stressors they perceived as most intense. A multivarite analysis of variance indicated that Caucasians experienced higher stress intensity more often than did African Americans on each of two sources of acute stress, and Caucasians tended to use an approach-behavior coping style. Women reported higher stress intensity for coach-related sources of acute stress and used approach-behavioral and avoidance-cognitive coping styles more often than did their male counterparts. Hispanic athletes did not differ from other groups on any measure. The authors conclude that race and gender influence the coping process in competitive sport.