The effect of TTM-based nutrition education on decisional balance, self-efficacy and processes of change for fat intake

2021 ◽  
Vol 121 (3) ◽  
pp. 229-245
Author(s):  
Maedeh Gordali ◽  
Marjan Bazhan ◽  
Mohtasham Ghaffari ◽  
Nasrin Omidvar ◽  
Bahram Rashidkhani
Keyword(s):  
Nutrition Education ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Stage Of Change ◽  
Intervention Group ◽  
Educational Interventions ◽  
Decisional Balance ◽  
Control Group ◽  
Fat Intake ◽  
Content Type

PurposeThe purpose of this study is to determine how transtheoretical model (TTM) constructions change through nutrition education for fat intake modification among overweight and obese women living in Shazand city, Iran.Design/methodology/approachA semi-experimental design with intervention and control groups (50 women in each group) was performed. TTM constructions for dietary fat intake were measured through a questionnaire in four phases: before the intervention, immediately, one month and six months after the intervention. Participants in two groups were classified into inactive and active subgroups, based on their determined stage of change. Then in the intervention group, each subgroup received a separate education program of five or eight sessions for the active and inactive subgroups, respectively.FindingsThe intervention resulted in significant progress in participants' stage of change compared to the control group (p = 0.002). Also, it resulted in an increase in the self-efficacy and decisional balance scores in both of the intervention subgroups, with these effects being more pronounced in the inactive subgroup, and these significant differences, compared to the control group, remained in the third and fourth phases. The intervention also positively impacted the behavioral processes, but this effect was not so long-lasting and decreased after six months.Originality/valueThe results indicated the intervention effectiveness and the necessity of planning educational interventions to change fat consumption behavior. This study provides further insight into effective and sustainable nutrition education strategies based on behavioral change stages rather than traditional approaches. These methods should be used to design group interventions to change individuals' health behavior in future works.

scholarly journals Educational Intervention to Improve Citizen’s Healthcare Participation Perception in Rural Japanese Communities: A Pilot Study

2021 ◽  
Vol 18 (4) ◽  
pp. 1782
Author(s):  
Ryuichi Ohta ◽  
Yoshinori Ryu ◽  
Jun Kitayuguchi ◽  
Chiaki Sano ◽  
Karen D. Könings
Keyword(s):  
Rural Communities ◽  
Self Efficacy ◽  
Cognitive Theory ◽  
Health Management ◽  
Intervention Group ◽  
Educational Interventions ◽  
Medical Professionals ◽  
Control Group ◽  
Structured Interviews ◽  
Japanese Elderly

In this mixed-methods study, we hypothesized that social cognitive theory (SCT)-based educational interventions for healthcare participation can improve the self-efficacy of older rural citizens in participating in their health management without any difficulties. Quasi-experimental study before and after SCT-based educational interventions and semi-structured interviews were conducted. Participants were Japanese elderly (>65 years) from rural communities. Propensity score matching was performed to estimate the effectiveness of educational interventions on participants’ perception (intervention: n = 156; control: n = 121). Interview contents were transcribed verbatim and analyzed based on thematic analysis. The intervention group scored significantly higher than the control group for participation in planning and managing self-care. Interviews revealed three themes: ability to manage health conditions, relationship with medical professionals, and relationship among citizens. Participants reported difficulties in judging symptoms and communicating with medical professionals. Hierarchy and low motivation to participate in healthcare hindered collaboration. The findings suggest that SCT-based educational interventions can positively impact rural citizens’ self-efficacy in healthcare participation.

scholarly journals Healthy Eating and Active Living for Diabetes-Glycemic Index (HEALD-GI): A Pragmatic Randomized Controlled Trial

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1289-1289
Author(s):  
Hayford Avedzi ◽  
Allison Soprovich ◽  
Stephanie Ramage ◽  
Abdulrhman Alghamdi ◽  
Kate Storey ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Glycemic Index ◽  
Self Efficacy ◽  
Text Messaging ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Dietary Intakes ◽  
Web Based ◽  
Phone Calls

Abstract Objectives Rigorous evidence is needed to support uptake of recommendations to include low glycemic index (GI) foods in daily meal planning as an effective dietary self-care strategy for people with type 2 diabetes (T2D). We evaluated the effectiveness of a 12-week web-based GI-targeted nutrition education intervention on dietary intakes and GI-related knowledge among adults with T2D. Methods Participants were randomized to a control group (n = 34) that received standard printed copies of Canada's Food Guide and Diabetes Canada's GI resources or an intervention group (n = 33) that received those same materials, plus an online platform with six self-directed learning modules and supplementary print material. Each module consisted of a customized video, links to reliable websites, chat rooms, and quizzes. Evidence-based GI concept information included GI values of foods and advice for low-GI shopping, recipes, and cooking tips by a Registered Dietitian. Preferred supports through email, text messaging, phone calls, or postal mail to reinforce participants’ learning were also provided. The primary outcome, average daily dietary GI intake, was assessed using 3-day food records. Additional measures including GI knowledge and self-efficacy, glycated hemoglobin A1c, lipids, systolic blood pressure, body mass index, waist circumference, and computer proficiency, were assessed at baseline and at three months post-intervention. Results Participants (N = 67) were 64% men; mean (standard deviation [SD]) age 69.5 (9.3) years, with mean diabetes duration of 19.0 (13.7) years, BMI 30.1 (5.7) kg/m2 and A1c 7.1 (1.2)% at baseline. Mean daily GI intake decreased in the intervention group by 2.79 (7.77) compared to a 0.76 (6.48) increase in the control group (adjusted mean difference [95% CI]; −3.77 [−6.95, −0.58]). Mean GI knowledge 2.14 [0.59, 3.69], understanding of GI concept 1.65 [0.85, 2.44] and self-efficacy for consuming low-GI foods 1.29 [0.51, 2.07] increased among the intervention group (P < 0.01) compared with the control group. Conclusions Web-based GI-targeted education program improved the quality of carbohydrate consumption among adults with T2D and may have been mediated through increases in knowledge and self-efficacy. Web-based nutrition education may be an effective alternative in this population. Funding Sources Canadian Foundation for Dietetic Research.

scholarly journals Tailored smartphone intervention to promote healthy eating among Brazilian adolescents: a randomised controlled trial protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e038896
Author(s):  
Giselle Rhaisa Melo ◽  
Stefany Correa Lima ◽  
Carolina M dos Santos Chagas ◽  
Eduardo Y Nakano ◽  
Natacha Toral
Keyword(s):  
Stages Of Change ◽  
Healthy Eating ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Nutritional Knowledge ◽  
Senior Student ◽  
Smartphone Intervention

IntroductionAdolescent eating patterns are characterised by high consumption of unhealthy foods, which has resulted in an increasing prevalence of overweight and chronic diseases. It is crucial to promote healthy eating habits, and nutritional interventions based on the transtheoretical model have been found to be especially effective. Mobile health strategies also seem promising for adolescents. This study aims to outline a smartphone intervention via WhatsApp for adolescents to promote healthy eating consumption, better nutritional knowledge, self-efficacy in the adoption of healthy practices and progress through the stages of change.Methods and analysisThere will be three distinct groups in this randomised study: a general intervention group (GG), in which the participants will receive the same healthy eating messages, based on the Brazilian food guide; a tailored intervention group (TG), in which the participants will receive healthy eating messages based on their stage of change; and a control group (CG), in which participants will receive messages on a different theme. Possession of a smartphone, use of WhatsApp and being a senior student (16–19 years) from a public school of the Federal District of Brazil will be the study’s inclusion criteria. Rural schools will be excluded. The sample size estimated is 390 individuals: 38 in the GG, 314 in the TG and 38 in the CG. The intervention will last 6 weeks, with a daily message sent to the students. We will investigate nutritional knowledge, self-efficacy in the adoption of healthy eating practices, food consumption and stages of change using preintervention and postintervention questionnaires. Memorisation of the messages will be also assessed.Ethics and disseminationThe study was approved by the University of Brasília, School of Health Sciences and Research Ethics Committee. At the end of the study, the participating schools will receive a printed report with the main results of the intervention.Trial registration numberRBR-5b9jk7.

Determinants of Forward Stage Transition from Precontemplation and Contemplation for Fruit Consumption

2005 ◽  
Vol 19 (4) ◽  
pp. 278-285 ◽  
Author(s):  
Emely de Vet ◽  
Jascha de Nooijer ◽  
Nanne K. de Vries ◽  
Johannes Brug
Keyword(s):  
Transtheoretical Model ◽  
Self Efficacy ◽  
Response Rate ◽  
Early Stage ◽  
Stage Of Change ◽  
Decisional Balance ◽  
Fruit Intake ◽  
Sampling Frame ◽  
Cross Sectional ◽  
Stage Transition

Purpose. To examine associations between decisional balance, self-efficacy, fruit intake, and stage of change transition from precontemplation and contemplation with cross-sectional and longitudinal methods. Design. A longitudinal cohort study with the use of electronic questionnaires was conducted. Three measurements were analyzed cross-sectionally, and the two intervals between the measurements were analyzed longitudinally. Setting. A random sample of 1500 individuals from an existing Dutch Internet panel resulted in a cohort of 735 individuals. Of the cohort, 648 (response rate 88%), 592 (response rate 81%), and 570 (response rate 78%) respondents completed questionnaires at the start of the present study (T1), 53 days after T1 (T2), and 106 days after T1 (T3), respectively. Subjects. Mean age was 37.5 years, 51% were women, and 57% ate less than the recommended intake of 250 g of fruit per day. Measures. Questionnaires included items measuring stage of change, factors favoring (pros) or working against (cons) behavior change, and self-efficacy. A food frequency questionnaire was used to assess fruit intake. Results. Logistic regression analyses showed that pros, fruit intake, and self-efficacy predicted forward stage transition from precontemplation. Self-efficacy predicted forward stage transition from contemplation. Cons did not predict stage transitions. Results from longitudinal analyses were similar to cross-sectional results, except for self-efficacy: no differences between early stages in self-efficacy were found, whereas self-efficacy predicted these early stage transitions. Conclusions. Within the limitations posed by the sampling frame, results provided support for the Transtheoretical Model, although determinants might not always be stage specific.

scholarly journals The Influence of a Campus-based Culinary, Nutrition Education Program, "College CHEF," on College Students' Self-efficacy with Cooking Skills and Nutrition Behaviors

2017 ◽  
Vol 1 (2) ◽  
pp. 61 ◽  
Author(s):  
Jennifer McMullen ◽  
Melinda Ickes
Keyword(s):  
College Students ◽  
Nutrition Education ◽  
Education Program ◽  
Self Efficacy ◽  
Dietary Habits ◽  
Intervention Group ◽  
Future Research ◽  
Control Group ◽  
Cooking Skills ◽  
Nutrition Education Program

Background: College students tend to have poor dietary habits. Self-efficacy is important in promoting positive behavior change and may be impactful when targeting college students' eating and cooking habits.Aim: To evaluate the influence of a campus-based culinary nutrition education program, the College CHEF, on participants' self-efficacy for cooking skills and techniques and fruit and vegetable (FV) use and consumption.Methods: Study subjects comprised intervention (N = 15) and control participants (N = 17). The mean age of the intervention group was 18 (SD = 0.00) with a mean age for control group participants of 18.3 (SD = 0.59). The intervention group participated in four weekly hands-on cooking/nutrition sessions. Pre- and post-surveys to assess changes with self-efficacy were administered through Qualtrics to both groups (Qualtrics Inc., 2013). Subscale responseswere compared utilizing t-tests, apriori p < .05.Results: Intervention participants reported significant improvements as compared to the control group for the Self-Efficacy for using Fruits, Vegetables, and Seasonings subscale (p =.015).Conclusion: Findings support the implementation of campus-based programming to improve college students’ self-efficacy for using fruits, vegetables, and seasonings with cooking to promote healthier eating and cooking behaviors. Future research should explore the various means to promote self-efficacy (i.e., vicarious experiences, mastery experience, verbal persuasion, and physiological feedback) among college students as part of similar programming.

scholarly journals Asthma Counselling Targeted to Removal of Domestic Animals

2008 ◽  
Vol 15 (1) ◽  
pp. 33-38 ◽  
Author(s):  
Louise Hagan ◽  
Pierre Valois ◽  
Hélène Patenaude ◽  
Hélène Boutin ◽  
Louis-Philippe Boulet ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Transtheoretical Model ◽  
Intervention Program ◽  
Behavioural Change ◽  
Intervention Group ◽  
Educational Interventions ◽  
Domestic Animals ◽  
Controlled Study ◽  
Control Group ◽  
The Individual

OBJECTIVES: To create and evaluate the efficacy of a short individualized educational intervention program, based on Prochaska’s transtheoretical model, for a six-month period in a population of adult asthma patients living with domestic animals but sensitized to these pets.METHODS: A randomized, controlled study using a pretested questionnaire was conducted at three different times (pretest, and at three and six months postintervention).RESULTS: Eleven members (29%) of the intervention group and eight members (21%) of the control group removed their pets within six months (χ2=3.23; P>0.35). The two groups showed similar improvements in their perception of the benefits of pet removal and in their level of belief that they could do it. The experimental group showed a greater improvement in knowledge acquisition about asthma and allergies than the control group (P<0.05). Both experimental and standard educational interventions were effective in facilitating progression through the stages of behavioural change.CONCLUSION: Overall, the results do not support the utility of behavioural change educational intervention, tailored to the transtheoretical model stage of the individual, in the context of convincing patients to remove their pets from their homes. However, the decision-making aid appears to be helpful in raising awareness of the problem of asthma and allergy in the patient, and in developing appropriate knowledge.

scholarly journals Efek motivational interviewing dan kelas edukasi gizi berbasis instagram terhadap perubahan pengetahuan healthy weight loss dan kualitas diet mahasiswi obesitas

2020 ◽  
Vol 17 (2) ◽  
pp. 53
Author(s):  
Ira Mulyani ◽  
Fillah Fithra Dieny ◽  
Ayu Rahadiyanti ◽  
Deny Yudi Fitranti ◽  
A Fahmy Arif Tsani ◽  
...  
Keyword(s):  
Weight Loss ◽  
Motivational Interviewing ◽  
Nutrition Education ◽  
Diet Quality ◽  
Sodium Intake ◽  
Intervention Group ◽  
Control Group ◽  
Fat Intake ◽  
Healthy Weight ◽  
Education Class

Effect of motivational interviewing and nutrition education class based on instagram for change healthy weight loss knowledge and diet quality in obese female studentsBackground: Obesity is a health problem that has a serious impact on women. Instagram is one of the media for nutrition education that can present healthy messages effectively and motivational interviewing can improves intrinsic motivation to changes in behavior. Objective: To analyze the effects of motivational interviewing and nutrition education class on changes in healthy weight loss knowledge and diet quality. Methods: This study used a quasi-experimental design with the pre-post test control group. The sample consists of 40 female students obesity were divided into three groups, control group (K); intervention group 1 with motivational interviewing and nutrition education class (P1); intervention group 2 only nutrition education class (P2). The nutrition education class based on instagram was given for thirty days and motivational interviewing was given 4 times with a duration of 15-45 minutes. Changes in healthy weight loss knowledge were assessed by pre-test and post-test questionnaire, while diet quality was assessed by Diet Quality Index-International (DQI-I). Results: There was a significant difference between healthy weight loss knowledge in the three groups. There were significant differences on sub-components of the adequacy of staple food (p=0.026), fiber (p=0.026), protein (p=0.006), total fat intake (p=0.009), saturated fat intake (p=0.024), sodium intake (p=0.016), energy intake (p=0.000), and carbohydrate intake (p=0.002) in the three groups. Conclusions: Motivational interviewing and nutrition education class based on instagram could increase the healthy weight loss knowledge and reduce staple food intake, total fat intake, saturated fat intake, sodium intake, energy intake, and carbohydrate intake in obese women.

Audiovisual Educational Intervention for Children and Adolescent with Cancer: A Systematic Review

2020 ◽  
Author(s):  
Noyuri Yamaji ◽  
Daichi Suzuki ◽  
Maiko Suto ◽  
Erika Ota
Keyword(s):  
Randomized Controlled Trials ◽  
Educational Intervention ◽  
Self Efficacy ◽  
Cancer Education ◽  
Intervention Group ◽  
Educational Interventions ◽  
Control Group ◽  
Controlled Trials ◽  
Children And Adolescent ◽  
Randomized Controlled

Abstract Background : Audiovisual materials for children have been widely used for cancer education; however, the effects of the materials remain unclear. The purpose of this study was to clarify the effects of audiovisual educational interventions for children.Methods : We searched PubMed, EMBASE, CENTRAL, PsycINFO, and CINAHL on 3 September 2018. Randomized controlled trials and quasi-randomized controlled trials that evaluated the audiovisual materials for children with cancer were included to identify the effects of the audiovisual interventions. The results of the analysis were evaluated using the Grade of Recommendation, Assessment, Development and Evaluation to assess the certainty of evidence.Results: From the identified 5,367 studies, we included four reports based on two trials that included 388 children under 18 years old. One trial found that audiovisual educational intervention increased knowledge and self-efficacy (very low certainty of the evidence). The other trial reported that there were no clear differences in perceived stress and health locus of control (very low certainty of the evidence). The result of the meta-analysis indicated that there was no clear difference between the intervention group and the control group for the quality of life (very low certainty of the evidence).Conclusion: Audiovisual interventions might increase knowledge and self-efficacy, but there were no meaningful overall conclusions. Further trials are needed to assess educational interventions used in pediatric cancer treatment. Healthcare professionals should consider whether the materials they are currently using to communicate cancer-related information are sufficient and understandable for children with cancer.Systematic review registration: We registered the protocol to the PROSPERO (Registration: CRD42018110562)

An Examination of the Transtheoretical Model and Exercise Behavior in Older Adults

1995 ◽  
Vol 17 (3) ◽  
pp. 312-324 ◽  
Author(s):  
Trish Gorely ◽  
Sandy Gordon
Keyword(s):  
Behavior Change ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Stage Of Change ◽  
Age Groups ◽  
Decisional Balance ◽  
Exercise Behavior ◽  
Processes Of Change ◽  
Pros And Cons ◽  
The Relationship

This study examined the structure of the transtheoretical model (TM) in exercise behavior change among adults age 50–65 years (n = 583). The purpose was to examine the relationship between stage of change and the constructs of processes of change, self-efficacy, and decisional balance. The results showed that 5 of the 10 processes of change, self-efficacy, and both pros and cons make significant and unique contributions to discrimination between the stages. Specifically, the use of the processes of change was shown to fluctuate across the stages, self-efficacy was shown to increase from precontemplation to maintenance, and the balance between pros and cons was shown to change from precontemplation to maintenance. The similarity of these results to previous literature suggests that the process of behavior change hypothesized within the TM holds across different age groups and cultures. Several implications for intervention design and suggestions for further research are discussed.

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