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培训对女性改变与肥胖相关饮食行为能力的影响:应用以家庭为中心的赋权模式。

The impact of training on women's capabilities in modifying their obesity-related dietary behaviors: applying family-centered empowerment model.

作者信息

Mataji Amirrood Maryam, Taghdisi Mohammad Hosein, Shidfar Farzad, Gohari Mahmood Reza

机构信息

Department of Health Education and Health Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Department of of Health Education and Health Promotion,School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Res Health Sci. 2014 Winter;14(1):75-80.

Abstract

BACKGROUND

Dietary behaviors affect obesity; therefore, it seems necessary to conduct interventions to modify behavioral patterns leading to weight-gain in the family. Our goal was to determine the impact of training on women's capabilities in modifying their obesity-related dietary behaviors in Urmia, West Azerbaijan Province, Iran: applying family-centered empowerment model.

METHODS

A quasi-experimental study with Pretest-Posttest design was conducted on 90 over-weight/obese women in 2012 in two Health Centers of Urmia. Convenience sampling was done and the participants were randomly assigned to two 'test' and 'control' groups. Data collection was done by completing the demographic data questionnaire, the empowerment tool and dietary behavior checklist. The intervention was conducted in the form of 6 educational classes held for the 'test' group. After two months, posttest was performed by completing the forms once again. Data were analyzed with descriptive tests, t-tests, Chi2 and Fischer's test.

RESULTS

The dietary behavior scores of the intervention group had risen from 7.4 ± 2.11 to 9.95 ± 2.41 (P<0.001), and the good dietary behaviors had risen from 21.4% to 61.9% (P=0.002). The 'good' capability level of this group had risen from 23.8% to 97.61% (P<0.001), and their mean capability score had risen from 54.61 ± 7.34 to 70.26 ± 6.04 (P<0.001). However, the changes were not significant in the control group.

CONCLUSIONS

The educational intervention performed whit applying family-centered empowerment model in this study was proven effective in women. Hence it is advised to consider it in behavior changing interventions to promote the health of the family and community.

摘要

背景

饮食行为会影响肥胖;因此,开展干预措施以改变导致家庭体重增加的行为模式似乎很有必要。我们的目标是确定培训对伊朗西阿塞拜疆省乌尔米耶市女性改变与肥胖相关饮食行为能力的影响:应用以家庭为中心的赋权模式。

方法

2012年在乌尔米耶市的两个健康中心对90名超重/肥胖女性进行了一项采用前测-后测设计的准实验研究。采用便利抽样法,将参与者随机分为“试验”组和“对照组”。通过填写人口统计学数据问卷、赋权工具和饮食行为清单来收集数据。干预以对“试验”组进行6次教育课程的形式进行。两个月后,再次填写表格进行后测。数据采用描述性检验、t检验、卡方检验和费舍尔检验进行分析。

结果

干预组的饮食行为得分从7.4±2.11提高到9.95±2.41(P<0.001),良好饮食行为从21.4%提高到61.9%(P=0.002)。该组的“良好”能力水平从23.8%提高到97.61%(P<0.001),其平均能力得分从54.61±7.34提高到70.26±6.04(P<0.001)。然而,对照组的变化不显著。

结论

本研究中采用以家庭为中心的赋权模式进行的教育干预被证明对女性有效。因此,建议在行为改变干预中考虑采用该模式,以促进家庭和社区的健康。

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