Kamal Mirkarimi; Firoozeh Mostafavi; Rahman Berdi Ozouni-Davaji; Samira Eshghinia; Mohammad Ali Vakili
Volume 19, Issue 1 , January 2017, , Pages 1-10
Abstract
Background: It is especially true that prevalence of overweight and obesity is increasing worldwide and it is probably because of changes in diet and physical behavior pattern. Objectives: The current study aimed to test the effect of weight loss program on overweight and obese females based on protection ...
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Background: It is especially true that prevalence of overweight and obesity is increasing worldwide and it is probably because of changes in diet and physical behavior pattern. Objectives: The current study aimed to test the effect of weight loss program on overweight and obese females based on protection motivation theory.Methods: A randomized clinical trial (RCT) was implemented in the form of single blind. In total, 150 females with overweight and obesity were randomly divided into three groups including: 1, standard program group; 2, motivation interviewing (MI) group and; 3, motivation interviewing (MI) and intention intervention (II) condition (50 subjects in each group). They participated in a randomized clinical trial, also attended a private nutrition clinic in Gorgan city (Golestan province, North of Iran) for the first time. A researcher-made questionnaire and participant’s sheets (including three days food recall and anthropometric traits) were used to collect data. Data were analyzed using SPSS (ver.11) and statistical tests including Kruskal-Wallis, One-way ANOVA, Friedman test, Tukey test, Paired T-test and linear regression model were employed.Results: The mean age of females was 38.45 ± 9.49 years, most of them had academic degree 46.7% (n = 70), 78.7% (n = 118) were married and 60.7% (n = 91) were housewives. ANOVA repeated measure test showed that daily energy intake decreased two (P = 0.001) and six months (P = 0.001), weight (P = 0.007) and body mass index (BMI) (0.005) after intervention. Threat appraisal statistically differed six months after intervention (P = 0.001).Conclusions: Motivational interviewing resulted in decreased daily energy intake, anthropometric characteristics as well as augmented scores of coping and threat appraisal
Mahnoush Reisi; Firoozeh Mostafavi; Homamodin Javadzede; Behzad Mahaki; Gholamreza Sharifirad; Elahe Tavassoli
Volume 19, Issue 1 , January 2017, , Pages 1-9
Abstract
Background: Patients today are required to understand more and more complex health information, and to navigate increasingly complex health systems. As a result, they need to develop skills such as finding, processing, understanding, and applying information about health issues, which has been conceptualized ...
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Background: Patients today are required to understand more and more complex health information, and to navigate increasingly complex health systems. As a result, they need to develop skills such as finding, processing, understanding, and applying information about health issues, which has been conceptualized as health literacy (HL). Assessing HL is critical to providing meaningful health information to patients.Objectives: This study aimed to examine the cultural adaptation and the psychometric properties of the Iranian version of the functional, communicative and critical health literacy (FCCHL) scales measuring three aspects of HL among type 2 diabetic patients. Patients and Methods: We conducted a methodological survey of 187 patients with type 2 diabetes using a cross-sectional design. The study was carried out in two phases: the first phase was designed to obtain a cross-cultural equivalent of the FCCHL scales, based on Beaton’s guidelines. In the second phase, a cross-sectional study was conducted to evaluate the psychometric properties of the questionnaire.Results: Exploratory factor analysis (EFA) identified three main factors with 27.07%, 22.46%, and 16.23% of extracted variance, respectively. Confirmatory factor analysis (CFA) completely supported the three-factor model of the HL scales. Internal consistency was approved for the total scale (α = 0.82) and for the functional, communicative, and critical subscales (α = 0.91, 0.80, and 0.76, respectively). Convergent validity analysis indicated a significant positive correlation (r = 0.45; P < 0.01) between the scores on the functional HL scales and the Iranian version of the Short Test of Health Literacy in Adults (S-TOFHLA), which was to be expected.Conclusions: We concluded that the FCCHL scales are valid and reliable, and can be used to measure health literacy among Iranian diabetic patients. However, further research is needed to establish stronger psychometric properties for the use of this questionnaire in Iran.
