Stage of Change in Calorie Balance Intake: Decisional Balance and Self–Efficacy Effective in Obese and Overweight Women

Background & aim: The effectiveness of the Transtheoretical model for changing nutritional behavior has been questioned by some studies. The purpose of this study was to investigate the relationship between self-efficacy and decisional equilibrium and transfer among the stages of behavior chang...

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Main Authors: Amdomohamad Mousavi, Mohsen Shams, Mehdi Akbartabar Toori, Hossein Fallah zadeh, Rashid Ghafari, Ali Mousavizadeh, MohammadAli Morowatisharifabad
Format: Article
Language:fas
Published: Yasuj University Of Medical Sciences 2015-01-01
Series:Armaghane Danesh Bimonthly Journal
Subjects:
Online Access:http://armaghanj.yums.ac.ir/browse.php?a_code=A-10-1-10&slc_lang=en&sid=1
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author Amdomohamad Mousavi
Mohsen Shams
Mehdi Akbartabar Toori
Hossein Fallah zadeh
Rashid Ghafari
Ali Mousavizadeh
MohammadAli Morowatisharifabad
author_facet Amdomohamad Mousavi
Mohsen Shams
Mehdi Akbartabar Toori
Hossein Fallah zadeh
Rashid Ghafari
Ali Mousavizadeh
MohammadAli Morowatisharifabad
author_sort Amdomohamad Mousavi
collection DOAJ
description Background & aim: The effectiveness of the Transtheoretical model for changing nutritional behavior has been questioned by some studies. The purpose of this study was to investigate the relationship between self-efficacy and decisional equilibrium and transfer among the stages of behavior change of a calorie balance intake among obese women inYasuj, Iran. Methods : The data of the present descriptive analytical study were baseline data of 447 obese or overweight who were selected using the random cluster method. Based on the Transtheoretical model, individuals pass stages of change, which are precontemplation, contemplation, preparedness, action and maintenance. Two other main constructs which affect the stages of behavior change are self-efficacy and decisional balance. Demographic and anthropometric variables and stages of change, self-efficacy, decisional equilibrium pros and cons related to calorie balance intake were measured using valid and reliable questionnaires. Results: The participants average age was 33.49 years. Neither demographic nor anthropometric variables changes were significant among the stages of behavior change except literacy level before high school ( P=.047,OR=.502, %95 CI=.255 ~ .990). A significant change was observed in self-efficacy ( F(4.425)= 27.09, P= .000),decisional equilibrium (F(4.394), P= .004), and pros (F(4.430)=5.33, P=000), while no significant change was observed among cons (F(4.400)=1.83, P=.123). Conclusion: The findings confirmed the specific model of self-efficacy, decisional equilibrium and pros which predict that the obese women transfer between the five stages of calorie balance intake.
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spelling doaj.art-84990127e75b4176a4ccbfae260fb3402022-12-22T03:52:46ZfasYasuj University Of Medical SciencesArmaghane Danesh Bimonthly Journal1728-65061728-65142015-01-011910902920Stage of Change in Calorie Balance Intake: Decisional Balance and Self–Efficacy Effective in Obese and Overweight WomenAmdomohamad Mousavi0Mohsen Shams1Mehdi Akbartabar Toori2Hossein Fallah zadeh3Rashid Ghafari4Ali Mousavizadeh5MohammadAli Morowatisharifabad6 Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran Health vice-chancellor, Yasuj University of Medical Sciences, Yasuj, Iran, Department of Statistics and Epidemiology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran, Health Education and promotion Department, School of Health, Shahid Sadoughi University of Medical Sciences, Yazad, Iran Background & aim: The effectiveness of the Transtheoretical model for changing nutritional behavior has been questioned by some studies. The purpose of this study was to investigate the relationship between self-efficacy and decisional equilibrium and transfer among the stages of behavior change of a calorie balance intake among obese women inYasuj, Iran. Methods : The data of the present descriptive analytical study were baseline data of 447 obese or overweight who were selected using the random cluster method. Based on the Transtheoretical model, individuals pass stages of change, which are precontemplation, contemplation, preparedness, action and maintenance. Two other main constructs which affect the stages of behavior change are self-efficacy and decisional balance. Demographic and anthropometric variables and stages of change, self-efficacy, decisional equilibrium pros and cons related to calorie balance intake were measured using valid and reliable questionnaires. Results: The participants average age was 33.49 years. Neither demographic nor anthropometric variables changes were significant among the stages of behavior change except literacy level before high school ( P=.047,OR=.502, %95 CI=.255 ~ .990). A significant change was observed in self-efficacy ( F(4.425)= 27.09, P= .000),decisional equilibrium (F(4.394), P= .004), and pros (F(4.430)=5.33, P=000), while no significant change was observed among cons (F(4.400)=1.83, P=.123). Conclusion: The findings confirmed the specific model of self-efficacy, decisional equilibrium and pros which predict that the obese women transfer between the five stages of calorie balance intake.http://armaghanj.yums.ac.ir/browse.php?a_code=A-10-1-10&slc_lang=en&sid=1Transtheoretical model stages of change Self-efficacy Decisional balance pros and cons
spellingShingle Amdomohamad Mousavi
Mohsen Shams
Mehdi Akbartabar Toori
Hossein Fallah zadeh
Rashid Ghafari
Ali Mousavizadeh
MohammadAli Morowatisharifabad
Stage of Change in Calorie Balance Intake: Decisional Balance and Self–Efficacy Effective in Obese and Overweight Women
Armaghane Danesh Bimonthly Journal
Transtheoretical model
stages of change
Self-efficacy
Decisional balance
pros and cons
title Stage of Change in Calorie Balance Intake: Decisional Balance and Self–Efficacy Effective in Obese and Overweight Women
title_full Stage of Change in Calorie Balance Intake: Decisional Balance and Self–Efficacy Effective in Obese and Overweight Women
title_fullStr Stage of Change in Calorie Balance Intake: Decisional Balance and Self–Efficacy Effective in Obese and Overweight Women
title_full_unstemmed Stage of Change in Calorie Balance Intake: Decisional Balance and Self–Efficacy Effective in Obese and Overweight Women
title_short Stage of Change in Calorie Balance Intake: Decisional Balance and Self–Efficacy Effective in Obese and Overweight Women
title_sort stage of change in calorie balance intake decisional balance and self efficacy effective in obese and overweight women
topic Transtheoretical model
stages of change
Self-efficacy
Decisional balance
pros and cons
url http://armaghanj.yums.ac.ir/browse.php?a_code=A-10-1-10&slc_lang=en&sid=1
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