Development and Validation of a Lifestyle Behavior Tool in Overweight and Obese Women through Qualitative and Quantitative Approaches

Nutrients

Joey Ee Wen Ho¹  Wee Meng Han¹  Rachael Si Xuan Loo²  Xiang Wen Ng³  Jerry Kok Yen Chan⁴  See Ling Loy⁴  Chee Wai Ku⁴  Fabian Yap⁴  Jacinth J. X. Tan⁵  Cheryl Jia En Lim⁶ 

[1] Department of Dietetics, KK Women’s and Children’s Hospital, Singapore 229899, Singapore;Department of Paediatrics, KK Women’s and Children’s Hospital, Singapore 229899, Singapore;Department of Reproductive Medicine, KK Women’s and Children’s Hospital, Singapore 229899, Singapore;Duke-NUS Medical School, 8 College Road, Singapore 169857, Singapore;School of Social Sciences, Singapore Management University, Singapore 178903, Singapore;Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore;

关键词: obesity;    lifestyle behavior tool;    6P;    healthy nutrition;   

DOI  :  10.3390/nu13124553

来源: DOAJ

【 摘 要 】

There is a paucity of effective intervention tools for overweight/obese women to assess, guide and monitor their eating behavior. This study aimed to develop a lifestyle intervention tool, assess its acceptability and usefulness, and verify its construct validity in overweight/obese women. The 6P tool (Portion, Proportion, Pleasure, Phase, Physicality, Psychology) was developed and 15 women with a body mass index (BMI) ≥ 25 kg/m² were interviewed to assess its perceived acceptability and usefulness. Subsequently, the revised 6P tool was tested in 46 women with a BMI ≥ 25 kg/m². The Three-Factor Eating Questionnaire (TFEQ), International Physical Activity Questionnaire-Short (IPAQ), and weight were measured at baseline and one-month. Most participants were satisfied with the presentation of the 6P tool (86.8%), and agreed it was useful in guiding healthy eating (81.6%) and raising awareness of eating behavior (97.4%). There were significant improvements in cognitive restraint (p = 0.010) and disinhibition (p = 0.030) (TFEQ), portion size (P1), pleasure behaviors (P3), and total composite 6P score (p < 0.001). However, there was no significant reduction in weight or increase in physical activity. The 6P tool is acceptable and presents with good validity for assessing lifestyle behaviors.

【 授权许可】

Unknown