Cancer Risk Factors and Life-Style Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), 50139 Florence, Italy.
The Italian League Against Tumors (LILT), Oncological Rehabilitation Centre (CeRiOn), 50139 Florence, Italy.
Int J Environ Res Public Health. 2020 Nov 19;17(22):8589. doi: 10.3390/ijerph17228589.
We studied the determinants of motivation among post-menopausal women enrolled in a two-year diet and physical activity primary prevention randomized trial. Participants were requested to grade the importance attached to changing their lifestyle, their confidence about being able to implement the change, and their willingness to be involved in studies focusing on lifestyle. We used multi-adjusted regression to investigate the association between individual characteristics, study arm, and individual motivation at study entry and end. Participants ( = 234) were highly motivated both at entry and throughout the study. Women with pre-existing healthier eating habits and lifestyles (e.g., high consumption of fruit and vegetables, low red meat consumption, and physically active) were more motivated at entry and over the course of the study. Women assigned to any intervention arm were more motivated than those in the control arm. These findings may help enhance adherence to recommendations and improve effectiveness of community-based health promotion campaigns.
我们研究了参加为期两年的饮食和身体活动初级预防随机试验的绝经后妇女的动机决定因素。要求参与者对改变生活方式的重要性、实施改变的信心以及参与关注生活方式的研究的意愿进行评分。我们使用多调整回归分析来研究个体特征、研究组和个体动机在研究开始和结束时之间的关系。参与者（=234）在开始时和整个研究过程中都表现出很高的积极性。在研究开始时和整个研究过程中，饮食习惯和生活方式更健康的女性（例如，高水果和蔬菜摄入量、低红肉摄入量和积极运动）更有积极性。与对照组相比，任何干预组的女性都更有积极性。这些发现可能有助于提高对建议的依从性，并提高基于社区的健康促进活动的效果。
