Mirkarimi Kamal, Kabir Mohammad Javad, Honarvar Mohammad Reza, Ozouni-Davaji Rahman Berdi, Eri Maryam
Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Iran J Med Sci. 2017 Mar;42(2):187-193.
Obesity and overweight have become increasingly a major public health problem across the world. This study aimed at exploring the effects of motivational interviewing on weight efficacy lifestyle among women with obesity and overweight. A single-blind randomized clinical trial study was conducted on 100 overweight and obese women who attended a nutrition clinic. The samples were selected based on the clinical records and assigned into two groups, namely motivational interviewing arm (50 samples) and nutrition education arm (50 samples). Data were collected using a standard validated questionnaire entitled "weight efficacy lifestyle". The intervention was designed according to five motivation sessions and four nutrition education programs, such that the participants of the nutrition education arm were also provided with the nutrition pamphlets related to weight control. Data were finally analyzed using the SPSS statistical software by performing the independent t-test, chi-square, LSD and repeated measures ANOVA tests. P<0.05 were considered statistically significant. The mean age of women was 39.9±9.1 and 36.3±8.9 years in the control and motivational interviewing arms, respectively. Compared with the control group, the score of the motivational interviewing group was statistically significant in terms of weight efficacy lifestyle P=0.0001) and all subscales including social pressure (P=0.0001), physical discomfort (P=0.005), food accessibility (P=0.0001), positive and entertainment activities (P=0.0001), as well as negative emotions (P=0.003). Motivational interviewing appeared to be effective in increasing weight efficacy lifestyle among women with overweight and obesity.
IRCT2014051817736N1.
肥胖和超重已日益成为全球主要的公共卫生问题。本研究旨在探讨动机性访谈对肥胖和超重女性体重效能生活方式的影响。对100名到营养门诊就诊的超重和肥胖女性进行了一项单盲随机临床试验研究。根据临床记录选取样本并分为两组,即动机性访谈组(50个样本)和营养教育组(50个样本)。使用一份名为“体重效能生活方式”的标准有效问卷收集数据。干预措施根据五个动机性访谈环节和四个营养教育项目设计,营养教育组的参与者还会收到与体重控制相关的营养宣传册。最后使用SPSS统计软件进行独立t检验、卡方检验、LSD检验和重复测量方差分析来分析数据。P<0.05被认为具有统计学意义。对照组和动机性访谈组女性的平均年龄分别为39.9±9.1岁和36.3±8.9岁。与对照组相比,动机性访谈组在体重效能生活方式(P = 0.0001)以及所有子量表方面得分具有统计学意义,包括社会压力(P = 0.0001)、身体不适(P = 0.005)、食物可及性(P = 0.0001)、积极和娱乐活动(P = 0.0001)以及负面情绪(P = 0.003)。动机性访谈似乎对提高超重和肥胖女性的体重效能生活方式有效。
IRCT2014051817736N1。