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By Maddock, Jay; Lutya, T.M. (Thozama Mandisa)

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2 Testing the Assumptions of Stage of Change for Fruit and Vegetable Consumption: A Naturalistic Study Jay E. Maddock*, Jodi D. Barnett, Carrie S. Marshall and Claudio R. Nigg Department of Public Health Sciences University of Hawai‘i at Mānoa, USA 1. Introduction Chronic disease now accounts for 7 of every 10 deaths in the United States and 60% of the nation’s health expenditures [1]. Poor nutrition is a substantial contributor to the chronic disease burden, accounting for over $33 billion in medical costs and $9 billion in lost productivity per year [1].

Identify indoor activities other than screen-based activities and perform them together with your child. Use fun physical activities as a reward for behaviours with positive outcome. Do not use physical activity as a punishment for behaviours with negative outcome. REDUCE TV VIEWING Beliefs and knowledge Modelling Availability and/or accessibility Shaping - Use the daily recommended norm related to watching television as a guideline. - Reduce your own TV viewing time. Switch off the TV while you, your children or the entire family is eating.

Increase knowledge, skills and self-efficacy in children. Promote key messages in the schools and kindergartens. The IDEFICS Intervention Toolbox – A Guide to Successful Obesity Prevention at Community Level 23 Concept of module 5 Module 5 includes the integration of the key messages in the class curriculum and the promotion of the key messages in the entire school. The key messages have to be integrated in the framework of (classroom) health education and not as part of obesity prevention to avoid stigmatisation of affected children.

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