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                    "lastName": "Wardle"
                },
                {
                    "creatorType": "author",
                    "firstName": "Weiwei",
                    "lastName": "Cui"
                },
                {
                    "creatorType": "author",
                    "firstName": "France",
                    "lastName": "Bellisle"
                },
                {
                    "creatorType": "author",
                    "firstName": "Anna-Maria",
                    "lastName": "Zotti"
                },
                {
                    "creatorType": "author",
                    "firstName": "Reka",
                    "lastName": "Baranyai"
                },
                {
                    "creatorType": "author",
                    "firstName": "Robert",
                    "lastName": "Sanderman"
                }
            ],
            "abstractNote": "Background. Smoking, diet, and physical exercise are key determinants of health. This study assessed changes over 10 years and their relationship to changes in health beliefs and risk awareness.\nMethod. A survey was carried out of university students from 13 European countries (Belgium, England, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, The Netherlands, Poland, Portugal, and Spain) in 1990 (4,701 men, 5,729 women) and repeated in 2000 (4,604 men, 5,732 women). We assessed smoking, exercise, fruit and fat intake, beliefs in the importance of behaviors for health, and awareness of the influence of behaviors on heart disease risk.\nResults. Smoking prevalence increased and fruit consumption decreased between 1990 and 2000, while physical exercise and fat intake were more stable. There were large variations between country samples. Health beliefs weakened, with marked decreases in beliefs about smoking and diet. Across country samples, changes in beliefs correlated with changes in the prevalence of behaviors. Awareness of the effects of smoking and exercise was stable, but knowledge of the role of fat intake increased over the decade.\nConclusions. The differences in health behaviors, beliefs, and risk awareness between the two surveys were disappointing in this educated sector of young adult Europeans. The association between changes in beliefs and prevalence of behavior emphasizes the importance of enhancing positive attitudes to healthier lifestyles.",
            "publicationTitle": "Preventive Medicine",
            "publisher": "",
            "place": "",
            "date": "August 2002",
            "volume": "35",
            "issue": "2",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "97-104",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "Preventive Medicine",
            "DOI": "10.1006/pmed.2002.1048",
            "citationKey": "",
            "url": "http://www.sciencedirect.com/science/article/pii/S0091743502910480",
            "accessDate": "2014-03-09T20:30:32Z",
            "PMID": "",
            "PMCID": "",
            "ISSN": "0091-7435",
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            "shortTitle": "",
            "language": "",
            "libraryCatalog": "ScienceDirect",
            "callNumber": "",
            "rights": "",
            "extra": "",
            "tags": [
                {
                    "tag": "Health Behavior",
                    "type": 1
                },
                {
                    "tag": "health beliefs",
                    "type": 1
                },
                {
                    "tag": "international health",
                    "type": 1
                },
                {
                    "tag": "risk awareness",
                    "type": 1
                }
            ],
            "collections": [],
            "relations": {},
            "dateAdded": "2014-03-09T21:06:03Z",
            "dateModified": "2014-03-09T21:06:03Z"
        }
    },
    {
        "key": "TDVAVN6X",
        "version": 2,
        "library": {
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            "id": 253182,
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            "creatorSummary": "Dishman et al.",
            "parsedDate": "1985-04",
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        },
        "data": {
            "key": "TDVAVN6X",
            "version": 2,
            "itemType": "journalArticle",
            "title": "The determinants of physical activity and exercise",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "R K",
                    "lastName": "Dishman"
                },
                {
                    "creatorType": "author",
                    "firstName": "J F",
                    "lastName": "Sallis"
                },
                {
                    "creatorType": "author",
                    "firstName": "D R",
                    "lastName": "Orenstein"
                }
            ],
            "abstractNote": "Evaluation and delivery of physical activity and exercise programs appear impeded by the substantial numbers of Americans who are unwilling or unable to participate regularly in physical activity. As a step toward identifying effective interventions, we reviewed available research on determinants relating to the adoption and maintenance of physical activity. We categorized determinants as personal, environmental, or characteristic of the exercise. We have considered supervised participation separately from spontaneous activity in the general population. A wide variety of determinants, populations, and settings have been studied within diverse research traditions and disciplines. This diversity and the varied interpretation of the data hinder our clearly summarizing the existing knowledge. Although we provide some directions for future study and program evaluation, there is a need for research that tests hypotheses derived from theoretical models and that has clear implications for intervention programs. We still need to explore whether general theories of health behavior or approaches relating to specific exercises or activities can be used to predict adoption and maintenance of physical activity.",
            "publicationTitle": "Public health reports (Washington, D.C.: 1974)",
            "publisher": "",
            "place": "",
            "date": "1985 Mar-Apr",
            "volume": "100",
            "issue": "2",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "158-171",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "Public Health Rep",
            "DOI": "",
            "citationKey": "",
            "url": "",
            "accessDate": "",
            "PMID": "",
            "PMCID": "",
            "ISSN": "0033-3549",
            "archive": "",
            "archiveLocation": "",
            "shortTitle": "",
            "language": "eng",
            "libraryCatalog": "NCBI PubMed",
            "callNumber": "",
            "rights": "",
            "extra": "PMID: 3920714 \nPMCID: PMC1424729",
            "tags": [
                {
                    "tag": "Age Factors",
                    "type": 1
                },
                {
                    "tag": "Attitude to Health",
                    "type": 1
                },
                {
                    "tag": "Costs and Cost Analysis",
                    "type": 1
                },
                {
                    "tag": "Environment",
                    "type": 1
                },
                {
                    "tag": "Family",
                    "type": 1
                },
                {
                    "tag": "Humans",
                    "type": 1
                },
                {
                    "tag": "Life Style",
                    "type": 1
                },
                {
                    "tag": "Motivation",
                    "type": 1
                },
                {
                    "tag": "Personality",
                    "type": 1
                },
                {
                    "tag": "Physical Exertion",
                    "type": 1
                },
                {
                    "tag": "Physician's Role",
                    "type": 1
                },
                {
                    "tag": "Research",
                    "type": 1
                },
                {
                    "tag": "Research Design",
                    "type": 1
                },
                {
                    "tag": "Sports",
                    "type": 1
                }
            ],
            "collections": [],
            "relations": {},
            "dateAdded": "2014-03-09T21:06:03Z",
            "dateModified": "2014-03-09T21:06:03Z"
        }
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            },
            "creatorSummary": "John and Ziebland",
            "parsedDate": "2004-04-01",
            "numChildren": 2
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        "data": {
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            "itemType": "journalArticle",
            "title": "Reported barriers to eating more fruit and vegetables before and after participation in a randomized controlled trial: a qualitative study",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Jeyanthi H.",
                    "lastName": "John"
                },
                {
                    "creatorType": "author",
                    "firstName": "Sue",
                    "lastName": "Ziebland"
                }
            ],
            "abstractNote": "This qualitative study compares the barriers to eating more fruit and vegetables reported before and after participation in a 6‐month randomized controlled trial in primary care. At the initial intervention appointment of a primary care intervention to promote eating five or more portions of fruit and vegetables a day, participants were asked to identify the barriers that they thought they might encounter. Barriers were discussed again at the final appointment 6 months later. At the end of the study, a purposive sample of 40 of the trial participants was interviewed to explore their experiences in greater detail. Transcripts of tape recordings of the intervention appointments and the semi‐structured interview were analysed using qualitative methods. This paper presents the results of a qualitative analysis of these appointment and interview transcripts (results of the trial are published elsewhere). Women reported that children and male partners were obstructive to their attempts to eat more fruit and vegetables, whilst men reported that their partners were supportive of the change. The perception that fruit and vegetables were expensive was a relatively intractable barrier for those with inflexible food budgets. Some barriers, including the problem of getting fruit and vegetables when travelling or when the daily routine is disrupted such as at weekends, were not anticipated and only encountered when participants tried to make changes. However, while all but three of the interview respondents described experiencing at least one barrier to eating more fruit and vegetables, three quarters (29 of 40) reported an increase in intake of between one and five daily portions. This study adds to the existing literature in that it investigates those barriers that were reported at the end of, as well as before, a 6‐month trial of a dietary intervention. The findings show that trial participants were not always able to anticipate what might be a barrier to change at the initial intervention appointment. The flexible action plan meant that if participants found their initial plan hard to maintain, they were able to adapt it rather than give up. This suggests that health behaviour interventions that are negotiated and non‐prescriptive may be more successful than those that are relatively inflexible.",
            "publicationTitle": "Health Education Research",
            "publisher": "",
            "place": "",
            "date": "04/01/2004",
            "volume": "19",
            "issue": "2",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "165-174",
            "series": "",
            "seriesTitle": "",
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            "journalAbbreviation": "Health Educ. Res.",
            "DOI": "10.1093/her/cyg016",
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            "accessDate": "2014-02-23T21:24:26Z",
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            "ISSN": "0268-1153, 1465-3648",
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            "shortTitle": "Reported barriers to eating more fruit and vegetables before and after participation in a randomized controlled trial",
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            "creatorSummary": "Whitehead",
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        "data": {
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            "version": 2,
            "itemType": "journalArticle",
            "title": "Reconciling the differences between health promotion in nursing and ‘general’ health promotion",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Dean",
                    "lastName": "Whitehead"
                }
            ],
            "abstractNote": "In the light of the fact that it is known that much of nursing-related health promotion practice is ‘out-of-step’ with the wider health promotion community, it seems sensible to explore to what extent this is the case and the reasons why. This article examines the key issues related to both camps. In doing so, and in noting any differences, it is possible to put forward recommendations for any needed reform – so that, where differences can be reconciled, nursing health promotion is seen to be in alignment with other health professions and the general health promotion community at large.",
            "publicationTitle": "International Journal of Nursing Studies",
            "publisher": "",
            "place": "",
            "date": "June 2009",
            "volume": "46",
            "issue": "6",
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            "partNumber": "",
            "partTitle": "",
            "pages": "865-874",
            "series": "",
            "seriesTitle": "",
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            "journalAbbreviation": "International Journal of Nursing Studies",
            "DOI": "10.1016/j.ijnurstu.2008.12.014",
            "citationKey": "",
            "url": "http://www.sciencedirect.com/science/article/pii/S0020748908003611",
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]