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Table 2: Summary of Nutrition and Exercise (frequency per month) at Baseline, Immediate Post-intervention Test (IPT), and 6- and 12-Month Follow-up Assessments

Question

Recoding

Condition

Baseline

(n=562) a

IPT

(n=488) a

6-Month

(n=422)

12-Month

(n=428)

(W2)How often did you eat a serving of fruit?

0=Never

2=1 to 3 times per month

6=1 to 2 times per week

14=3 to 4 times per week

22=5 to 6 times per week

30=More than 6 times perweek

Couple Wellness Promotion

9.3 (8.3)

10.5 (9.2)

8.3 (8.1)

8.9 (9.0)

Individual Risk Reduction

10.3 (9.4)

9.8 (9.2)

8.5 (9.1)

8.5 (9.2)

Couple Risk Reduction

9.5 (9.2)

10.0 (9.4)

9.2 (9.6)

8.7 (8.8)

(W3) How often did you eat green salad?

0=Never

2=1 to 3 times per month

6=1 to 2 times per week

14=3 to 4 times per week

22=5 to 6 times per week

30=More than 6 times per week

Couple Wellness Promotion

7.9 (7.8)

8.5 (8.0)

7.7 (8.1)

7.8 (8.4)

Individual Risk Reduction

7.3 (8.1)

7.2 (7.9)

7.6 (8.3)

6.6 (7.9)

Couple Risk Reduction

8.2 (8.7)

8.2 (8.7)

7.1 (8.2)

7.9 (8.6)

(W5)How often did you eat foods that have been steamed, broiled, or grilled?

0=Never

2=1 to 3 times per month

6=1 to 2 times per week

14=3 to 4 times per week

22=5 to 6 times per week

30=More than 6 times per week

Couple Wellness Promotion

8.8 (8.3)

10.1 (9.3)†

9.3 (9.1)

8.8 (8.8)

Individual Risk Reduction

7.9 (8.4)

8.7 (8.9)

9.5 (9.6)

7.1 (7.7)

Couple Risk Reduction

9.3 (9.5)

7.8 (8.3)†

9.0 (9.1)

8.6 (8.1)

(W6) How often did you eat vegetables, not counting green salad or potatoes?

0=Never

2=1 to 3 times per month

6=1 to 2 times per week

14=3 to 4 times per week

22=5 to 6 times per week

30=More than 6 times per week

Couple Wellness Promotion

10.4 (9.2)

10.3 (8.8)

9.6 (8.7)

9.8 (9.2)

Individual Risk Reduction

9.4 (9.1)

9.1 (9.0)

10.8 (9.8)

9.1 (8.7)

Couple Risk Reduction

10.7 (9.8)

9.7 (9.1)

9.7 (9.3)

9.8 (9.2)

Nutrition 1: Good Eating Habit

W2 + W3 + W5 + W6

(4 items; Range: 0 – 120; alpha =0.78)

Couple Wellness Promotion

36.4 (25.3)

39.5 (29.1)

34.8 (26.5)

35.3 (29.7)

Individual Risk Reduction

34.9 (27.6)

34.9 (27.7)

36.4 (29.7)

31.4 (25.3)

Couple Risk Reduction

37.7 (29.4)

35.7 (28.4)

35.0 (29.7)

35.0 (27.7)

(W4) How often did you eat fried foods like French fries of fried rice?

0=Never

2=1 to 3 times per month

6=1 to 2 times per week

14=3 to 4 times per week

22=5 to 6 times per week

30=More than 6 times per week

Couple Wellness Promotion

10.6 (9.0)

8.2 (7.9)

9.3 (9.5)

7.8 (8.1)

Individual Risk Reduction

11.3 (9.6)

9.8 (9.3)

10.0 (9.1)

9.0 (8.7)

Couple Risk Reduction

11.9 (9.6)

9.5 (9.1)

10.0 (9.4)

8.8 (8.4)

(W7)How often did you cook and/or eat foods that were made with butter, ham, bacon, Crisco, or similar ingredients to enhance the flavor?

0=Never

2=1 to 3 times per month

6=1 to 2 times per week

14=3 to 4 times per week

22=5 to 6 times per week

30=More than 6 times per week

Couple Wellness Promotion

10.8 (9.5)

8.2 (8.3)†

9.8 (9.5)

7.7 (8.6)

Individual Risk Reduction

11.1 (9.9)

9.2 (9.2)

8.4 (8.9)

9.3 (9.2)

Couple Risk Reduction

12.2 (10.1)

10.5 (9.9)†

9.7 (9.0)

9.2 (8.7)

Nutrition 2: Bad Eating Habit

W4 + W7

(2 items; Range: 0 – 60; alpha = 0.69)

Couple Wellness Promotion

21.4 (16.0)

16.4 (14.0)

19.1 (17.1)

15.5 (14.6)

Individual Risk Reduction

22.3 (17.2)

19.0 (16.3)

18.4 (15.8)

18.3 (15.3)

Couple Risk Reduction

24.1 (17.3)

20.0 (16.2)

19.7 (16.4)

18.1 (14.9)

(W16) How often do you exercise or participate in vigorous physical activity such as basketball, soccer, running, swimming laps, fast bicycling, fast dancing, or similar aerobic activities?

0=Never

2=1 to 3 times per month

6=1 to 2 times per week

14=3 to 4 times per week

22=5 to 6 times per week

30=More than 6 times per week

Couple Wellness Promotion

4.7 (6.8)

7.2 (8.1)*(*)

5.9 (8.2)

5.7 (7.6)*

Individual Risk Reduction

4.2 (6.4)

4.7 (7.9)*

5.1 (8.1)

5.0 (7.2)

Couple Risk Reduction

4.8 (7.5)

4.6 (7.3)**

5.1 (7.4)

3.6 (5.8)*

(W17) How often to you exercise or participate in light physical activity such as fast walking, slow bicycling, skating, pushing a lawn mower, mopping floors, or anything else that causes small increases in your breathing or heart rate?

0=Never

2=1 to 3 times per month

6=1 to 2 times per week

14=3 to 4 times per week

22=5 to 6 times per week

30=More than 6 times per week

Couple Wellness Promotion

7.6 (9.3)

9.6 (9.1)*

7.8 (9.0)

8.1 (9.2)**

Individual Risk Reduction

7.9 (9.3)

7.8 (9.6)

7.9 (9.7)

7.6 (9.4)*

Couple Risk Reduction

7.9 (9.4)

6.9 (9.0)*

7.8 (9.3)

5.0 (7.5)*(*)

(W18)How often do you exercise to strengthen or tone your muscles, such as push-ups, sit-ups, or weight lifting?

0=Never

2=1 to 3 times per month

6=1 to 2 times per week

14=3 to 4 times per week

22=5 to 6 times per week

30=More than 6 times per week

Couple Wellness Promotion

3.8 (6.6)

6.3 (7.7)*

5.4 (7.7)

5.3 (7.6)

Individual Risk Reduction

4.7 (7.3)

5.0 (8.1)

5.2 (8.6)

4.3 (6.9)

Couple Risk Reduction

4.6 (7.0)

4.3 (7.0)*

4.8 (6.9)

3.9 (6.4)

Exercise

W16 + W17 + W18

(3 items; Range: 0 – 90; alpha = 0.76)

Couple Wellness Promotion

16.2 (18.7)

23.1 (21.1)**†

19.1 (21.7)

19.0 (21.6)*

Individual Risk Reduction

16.7 (19.4)

17.4 (22.6)†

18.1 (23.6)

16.9 (20.0)

Couple Risk Reduction

17.3 (20.0)

15.8 (20.1)**

17.7 (19.7)

12.5 (17.4)*

† p<0.1; * p<0.05; ** p<0.01

Note:

a. The data for two participants was lost due to computer failure.

b. The significance tests were to compare across three arms at each time points by Bonferroni multiple-comparison test

c. Calculation of Cronbach’s alpha was based on the baseline data.

Table 3: Longitudinal Multilevel Analysis of Nutrition and Exercise (frequency per month) in the Past 90 Days: Effect Estimates and Standard Errors

Question

Model

Entire

Follow-up

IPT

6-Month

12-Month

(W2)How often did you eat a serving of fruit?

Full sample: Wellness Promotion vs. Risk Reduction

0.14 (0.51)

0.46 (0.78)

0.13 (0.51)

-0.19 (0.82)

Subgroup: Couple Wellness vs. Couple Risk

-0.16 (0.58)

0.11 (0.89)

-0.17 (0.58)

-0.44 (0.94)

(W3) How often did you eat green salad?

Full sample: Wellness Promotion vs. Risk Reduction

0.34 (0.44)

0.53 (0.68)

0.34 (0.44)

0.14 (0.71)

Subgroup: Couple Wellness vs. Couple Risk

0.34 (0.52)

0.51 (0.80)

0.33 (0.52)

0.16 (0.84)

(W5)How often did you eat foods that have been steamed, broiled, or grilled?

Full sample: Wellness Promotion vs. Risk Reduction

0.79 (0.50)

1.34 (0.77)†

0.77 (0.51)

0.20 (0.81)

Subgroup: Couple Wellness vs. Couple Risk

1.00 (0.58)†

2.06 (0.88)*

0.95 (0.58)†

-0.15 (0.93)

(W6)How often did you eat vegetables, not counting green salad or potatoes?

Full sample: Wellness Promotion vs. Risk Reduction

0.06 (0.52)

0.50 (0.80)

0.04 (0.52)

-0.41 (0.84)

Subgroup: Couple Wellness vs. Couple Risk

0.12 (0.60)

0.53 (0.92)

0.11 (0.60)

-0.32 (0.97)

Nutrition 1: Good Eating Habit

(W2 + W3 + W5 + W6)

Full sample: Wellness Promotion vs. Risk Reduction

1.21 (1.54)

2.80 (2.35)

1.16 (1.54)

-0.49 (2.47)

Subgroup: Couple Wellness vs. Couple Risk

1.30 (1.81)

3.30 (2.76)

1.24 (1.81)

-0.82 (2.92)

(W4) How often did you eat fried foods like French fries of fried rice?

Full sample: Wellness Promotion vs. Risk Reduction

-0.94 (0.49)†

-1.04 (0.76)

-0.94 (0.50)†

-0.83 (0.79)

Subgroup: Couple Wellness vs. Couple Risk

-0.76 (0.57)

-0.87 (0.88)

-0.75 (0.57)

-0.64 (0.92)

(W7) How often did you cook and/or eat foods that were made with butter, ham, bacon, Crisco, or similar ingredients to enhance the flavor?

Full sample: Wellness Promotion vs. Risk Reduction

-0.88 (0.53)†

-0.89 (0.81)

-0.87 (0.53)†

-0.85 (0.84)

Subgroup: Couple Wellness vs. Couple Risk

-1.19 (0.61)*

-1.50 (0.93)

-1.17 (0.61)†

-0.85 (0.98)

Nutrition 2: Bad Eating Habit

(W4 + W7)

Full sample: Wellness Promotion vs. Risk Reduction

-1.80 (0.87)*

-1.91 (1.33)

-1.79 (0.87)*

-1.67 (1.40)

Subgroup: Couple Wellness vs. Couple Risk

-1.89 (1.02)†

-2.29 (1.55)

-1.86 (1.02)†

-1.42 (1.64)

(W16) How often do you exercise or participate in vigorous physical activity such as basketball, soccer, running, swimming laps, fast bicycling, fast dancing, or similar aerobic activities?

Full sample: Wellness Promotion vs. Risk Reduction

1.43 (0.42)**

2.04 (0.64)**

1.41 (0.42)**

0.79 (0.67)

Subgroup: Couple Wellness vs. Couple Risk

1.83 (0.48)**

2.10 (0.73)**

1.82 (0.48)**

1.55 (0.77)*

(W17)How often to you exercise or participate in light physical activity such as fast walking, slow bicycling, skating, pushing a lawn mower, mopping floors, or anything else that causes small increases in your breathing or heart rate?

Full sample: Wellness Promotion vs. Risk Reduction

1.49 (0.51)**

1.74 (0.78)*

1.48 (0.51)**

1.21 (0.82)

Subgroup: Couple Wellness vs. Couple Risk

2.11 (0.57)**

1.92 (0.87)*

2.12 (0.57)**

2.32 (0.92)*

(W18) How often do you exercise to strengthen or tone your muscles, such as push-ups, sit-ups, or weight lifting?

Full sample: Wellness Promotion vs. Risk Reduction

1.31 (0.41)**

1.67 (0.63)**

1.30 (0.41)**

0.92 (0.66)

Subgroup: Couple Wellness vs. Couple Risk

1.47 (0.46)**

1.87 (0.71)**

1.46 (0.46)**

1.05 (0.75)

Exercise

(W16 + W17 + W18)

Full sample: Wellness Promotion vs. Risk Reduction

4.26 (1.15)**

5.50 (1.76)**

4.21 (1.15)**

2.93 (1.85)

Subgroup: Couple Wellness vs. Couple Risk

5.50 (1.29)**

5.99 (1.97)**

5.49 (1.29)**

4.99 (2.08)*

† p<0.1; * p<0.05; ** p<0.01

Note:

Multilevel regression models were used to estimate the effects with setting random-effects for couple