ARTICLE INFO

Article Type

Original Research

Authors

Mirkarimi   S.K. (1)
Charkazi   A. (2)
Honarvar   M.R. (1)
Kabir   M.J. (1)
Berdi Ozouni-Davaji   R. (1)
Aryaie   M. (*)
Eri   M. (1)






(*) Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran
(1) Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran
(2) Public Health School, Public Health School, Golestan University of Medical Sciences, Gorgan, Iran

Correspondence

Address: Health Management and Social Development Research Center, Golestan University of Medical Sciences, Hirkan Boulevard, Gorgan, Iran
Phone: +98 (17) 32424377
Fax: +98 (17) 32421657
aryaiem2009@yahoo.com

Article History

Received:   October  12, 2015
Accepted:   August 1, 2016
ePublished:   October 1, 2016

ABSTRACT

Aims As a growing problem, obesity is one of the most important worldwide health problems. One of the major factors leading to obesity is the sedentary lifestyle. The aim of this study was to investigate the effects of motivational interviewing on the physical activity intention in the obese or overweight women, using the protection motivation theory (PMT).
Materials & Methods In the clinical trial study, 60 obese or overweight women referred to the health centers of Gorgan were studied in 2015. The subjects, selected via non-probable and available sampling method, were randomly divided into two groups including control and motivational interviewing groups. Data was collected using a researcher-made questionnaire before the intervention and 2 and 6 months after in both groups. Data was analyzed by SPSS 18 software using independent T, Chi-square, repeated measures ANOVA, LSD, and one-variable and multivariable linear regression tests.
Findings The scores of all the constructs of PMT in motivational interviewing group significantly increased 2 and 6 months after he intervention (p<0.001) than control group. However, the reductions in the BMI and weight anthropometric indices were not significant 2 and 6 months after the intervention (p>0.05). The most powerful constructs predicting the intention towards the physical activities 2 months after the intervention were perceived-reply efficiency, self-efficiency, and perceived intensity, successively. In addition, such factors 6 months after the intervention were attitude and perceived intensity, successively.
Conclusion The motivational interviewing increases the scores of all the constructs of PMT, which leads to an increase in the physical activity intention in the obese or overweight women.

Keywords: Motivational Interviewing , Physical Activity , Protection Motivation Theory , Obesity, Overweight,

CITATION LINKS

[1]Rerksuppaphol S, Rerksuppaphol L. Association of obesity with the prevalence of hypertension in school children from central thailand. J Res Health Sci. 2014;15(1):17-21.
[2]Lippa NC, Sanderson SC. Impact of information about obesity genomics on the stigmatization of overweight individuals: an experimental study. Obesity. 2012;20(12):2367-76.
[3]Mirkarimi K, Mostafavi F, Eshghinia S, Vakili MA, Ozouni-Davaji RB, Aryaie M. Effect of motivational interviewing on a weight loss program based on the protection motivation theory. Iran Red Crescent Med J. 2015;17(6):e23492.
[4]Daniali SS, Azadbakht L, Mostafavi DF. The relationship between body image, self-efficacy and phisycal activity in female employees of Isfahan University of Medical Science and University of Isfahan, Iran. Health Sys Res. 2012;8(6):991-1001. [Persian]
[5]Bastos JP, Araújo CLP, Hallal PC. Prevalence of insufficient physical activity and associated factors in Brazilian adolescents. J Phys Act Health. 2008;5(6):777-94.
[6]Sheikholeslam R, Mohamad A, Mohammad K, Vaseghi S. Non communicable disease risk factors in Iran. Asia Pac J Clin Nutr. 2004;13:S100. [Persian]
[7]Momenan A, Delshad M, Mirmiran P, Ghanbarian A, Safarkhani M, Azizi F. Physical inactivity and related factors in an adult Tehranian population (Tehran Lipid and Glucose Study). Iran J Endocrinol Metabol. 2012;13(5):493-503.
[8]Tucker JM, Tucker LA, LeCheminant J, Bailey B. Obesity increases risk of declining physical activity over time in women: A prospective cohort study. Obesity. 2013;21(12):E715-20.
[9]Berlin JA, Colditz GA. A meta-analysis of physical activity in the prevention of coronary heart disease. Am J Epidemiol. 1990;132(4):612-28.
[10]Wadden TA, Foster GD. Behavioral treatment of obesity. Med Clin North Am. 2000;84(2):441-61.
[11]Haas WC, Moore JB, Kaplan M, Lazorick S. Outcomes from a medical weight loss program: primary care clinics versus weight loss clinics. Am J Med. 2012;125(6):e7-11.
[12]Martins RK, McNeil DW. Review of motivational interviewing in promoting health behaviors. Clin Psychol Rev. 2009;29(4):283-93.
[13]Navidian A, Abedi M, Baghban I, Fatehizadeh M, Poursharifi H. Effect of motivational interviewing on blood pressure of referents suffering from hypertension. Trauma Mon. 2010;15(2):115-21. [Persian]
[14]Rollnick S, Miller WR, Butler CC, Aloia MS. Motivational interviewing in health care: Helping patients change behavior. Int J Chron Obstruct Pulmon Dis. 2008;5(3):203.
[15]Westen D, Morrison K. A multidimensional meta-analysis of treatments for depression, panic, and generalized anxiety disorder: An empirical examination of the status of empirically supported therapies. J Consult Clin Pych. 2001;69(6):875-99.
[16]Dusek JA, Hibberd PL, Buczynski B, Chang B-H, Dusek KC, Johnston JM, et al. Stress management versus lifestyle modification on systolic hypertension and medication elimination: A randomized trial. J Altern Complement Med. 2008;14(2):129-38.
[17]Yoon E. Food defense management plan implementation intention: An application of protection motivation theory [Dissertation]. Manhattan: Kansas State University; 2007. p. 161.
[18]Redd BR. Using the protection motivation theory to examine the effects of obesity fear arousal on the physical activity of young adult female college students[Dissertation]. Detroit, Michigan: Wayne State University. 2012. p. 171.
[19]Lee SA, Wen W, Xu WH, Zheng W, Li H, Yang G, et al. Prevalence of obesity and correlations with lifestyle and dietary factors in Chinese men. Obesity. 2008;16(6):1440-7.
[20]Navidian A, Abedi M, Baghban I, Fatehizadeh M, Poursharifi H, Hashemi Dehkordi M. Effects of motivational interviewing on weight loss of individuals suffering. Iran J Nutr Sci Food Technol. 2010;5(2):45-52. [Persian]
[21]Mostafavi F, Mirkarimi SK, Berdi Ozouni-Davaji R, Vakili MA, Eshghinia S. Effect of motivational interviewing on weight loss. J Gorgan Univ Med Sci. 2014;17(3):11-7. [Persian]
[22]Araújo-Soares V, McIntyre T, Sniehotta FF. Predicting changes in physical activity among adolescents: the role of self-efficacy, intention, action planning and coping planning. Health Educ Res. 2009;24(1):128-39.
[23]Zhang Y, Cooke R. Using a combined motivational and volitional intervention to promote exercise and healthy dietary behaviour among undergraduates. Diabetes Res Clin Pract. 2012;95(2):215-23.
[24]Park OH, Hoover L, Dodd T, Huffman L, Feng D. The use of the modified protection motivation theory to explore adult consumers’ functional foods consumption behavior. Graduate Student Research Conference in Hospitality and Tourism. Texas: Texas Tech University; 2011.
[25]Foley L, Prapavessis H, Maddison R, Burke S, McGowan E, Gillanders L. Predicting physical activity intention and behavior in school-age children. Pediatr Exerc Sci. 2008;20(3):342-56.
[26]Solimanina A, Niknami S, Hajizadeh I, Shojaeezadeh D, Tavousi M. Predictors of physical activity to prevent osteoporosis based on extended health belief model. Payesh. 2014;13(3):313-20. [Persian]
[27]Amireault S, Godin G, Vézina-Im L-A. Determinants of physical activity maintenance: A systematic review and meta-analyses. Health Psychol Rev. 2013;7(1):55-91.
[28]Webb TL, Sheeran P. Does changing behavioral intentions engender behavior change? a meta-analysis of the experimental evidence. Psychol Bull. 2006;132(2):249-68.
[29]Milne S, Sheeran P, Orbell S. Prediction and intervention in health‐related behavior: A meta‐analytic review of protection motivation theory. J Appl Soc Psychol. 2000;30(1):106-43.