PSYCHOSOCIAL AND BEHAVIORAL PREDICTORS FOR PREVENTION OF OBESITY AMONG ADOLESCENTS: A TRANSTHEORETICAL MODEL PERSPECTIVE

PSYCHOSOCIAL AND BEHAVIORAL PREDICTORS FOR PREVENTION OF OBESITY AMONG ADOLESCENTS: A TRANSTHEORETICAL MODEL PERSPECTIVE

Abstract: To predict demographic, psychosocial, and behavioral variables specific to each stage by determining the stages of change of dietary behaviors of adolescents within the framework of TTM and thus to guide for interventions make adolescents ready for next stage of change.A descriptive, cross-sectional design was used in the study. The students aged between 10-12 years (n=530) completed a self-report questionnaire assessing the Transtheoretical Model constructs and selected indicators. Separate multivariate logistic regression models were created to determine the readiness of adolescents to make changes in dietary behaviors. Of the adolescences, 89.5% were in the Preparation, Action and Maintenance stages. In the Contemplation stage, father education and mother BMI; In Preparation, mother BMI, dietary knowledge and dietary self-efficacy; In Action, adolescent BMI, dietary knowledge and stress management were able to predict the later stage of promoting behavior change. In the Maintenance stage the sex, adolescent BMI, dietary knowledge, dietary behavior, dietary self-efficacy, stress management and social support were able to predict the maintenance of promoting health.TTM was useful to evaluate and predict health behaviors of adolescents. Except for exercise behavior, all of the determinants predicted the later stage for promoting behaviors. Female adolescents were more likely to be ready to make changes.  

___

  • [1] Pirzadeh, A., et al., Applying Transtheoretical Model to promote physical activities among women. Iran Journal of Psychiatry Behavioral Sciences, 2015, 9 (4), p.2-6. doi: 10.1002/14651858.CD008066.pub3.
  • [2] Centers for Disease Control and Prevention. Adolescent and school health. Retrieved from http://www.cdc.gov/healthy youth/adolescenthealth/index.htm.2014.
  • [3] The Preliminary Report of Childhood Obesity Research (COSI-TR).Retrieved from http://www.diabetcemiyeti.org/var/cdn/a/f/cosi-tr-sonuclari.pdf.2013.
  • [4] World Health Organization.Health topics adolescent health. Retrieved from http://www.who.int/maternal_child_adolescent/topics/adolescence/en/index.html2014. [5] Kim, Y., et al., Analysis of consumption frequencies of vegetables and fruits in Korean adolescents based on Korea youth risk behavior web-based survey (2006, 2011). Nutrition Research and Practice, 2015, 9(4),p. 411-419.
  • [6] Zhou, G , et al.,The role of action control and action planning on fruit and vegetable consumption. Appetite, 2015, 91,p. 64–68.
  • [7] Reis, L.C, et al., Stages of changes for fruit and vegetable intake and their relation to the nutritional status of undergraduate students, Einstein (Sao Paulo), 2014, 12 (1),p. 48-54.
  • [8] Haney, M,Ö.,Erdoğan, S., Factors related to dietary habits and body mass index among Turkish school children: a Cox’s interaction model-based study. Journal of Advanced Nursing, 2013, 69 (6),p. 1346–1356. doi: 10.1111/j.1365-2648.2012.06126.x.
  • [9] Mao, C., et al. Assessment of fruit and vegetable ıntake behavior among adolescents in Hangzhou, China. The Indian Journal of Pediatrics,2012, 79 (9),p. 1218-1223.
  • [10] Kadıoğlu, H., et al. Reliability and Validity of the Turkish Version of the Situational Self-Efficacy Scale for Fruit and Vegetable Consumption in Adolescents. American Journal of Health Promotion, 2015,29(4),p.273-275. doi: 10.4278/ajhp.131203-ARB-611.
  • [11] De Vriendt, T., et al.Chronic stress and obesity in adolescents: scientific evidence and methodological issues for epidemiological research. NMCD, 2009,19,p. 511-9.
  • [12] Yardımcı, F., Başbakkal, Z. Children and adolescent social support scale in Turkey validity and reliability study. The Journal of Atatürk University School Nursing, 2009, 12( 2),p.41-50 . [13] Prochaska, J.O. et al.,. Multiple health behavior change research: An introduction and overview. Prevent Medicine, 2008, 46 (3),p. 181–188.
  • [14] Hussein, R., Can knowledge alone predict vegetable and fruit consumption among adolescents? A Transtheoretical Model perspective. Journal of the Egyptian Public Health Association, 2011,86, p.95-103.
  • [15] Bundak, R., et al., Body mass index references for Turkish children. Acta Paediatrica, 2006,95,p. 194–198.
  • [16] Di Noia, J. et al., Application of the Transtheoretical Model to fruit and vegetable consumption among economically disadvantaged African-American adolescents: preliminary findings. Am J Health Promoting, 2006,20,p. 342–348.
  • [17] Melnyk, B.M., Small, L., Nutrition knowledge scale. Hammondsport, NY: COPE for HOPE, Inc. (2003).
  • [18] Ardıç, A., Erdoğan, S. The effectiveness of the COPE healthy lifestyles TEEN program: a school based intervention in middle school adolescents with 12-month follow-up. Journal of Advanced Nursing, 2017,73(6),p.1377-1389. doi: 10.1111/jan.13217.
  • [19] Edmundson, E. et al.,The effects of the child and adolescent trial for cardiovascular health upon psychosocial determinants of diet and physical activity behavior. Preventive Medicine, 1996, 25 (4),p. 442-454.
  • [20] Hendricks, C.S., et al.The adolescent lifestyle profile: development and psychometric characteristics. Journal of National Black Nurses Association,2006, 17 (2),p. 1-5.
  • [21] Ardıç, A., Esin, M.N., The Adolescent Lifestyle Profile scale: reliability and validity of the Turkish version of the instrument. The Journal of Nursing Research, 2015,23(1).p. 33-40.
  • [22] Maleckı, K.C., Demaray, K.M., Measurıng perceıved socıal support: Development of the chıld and adolescent socıal support scale (CASSS). Psychology in the Schools,2002, 39 (1),p. 1-7.
  • [23] Scaglioni, S., et al.,Influence of parental attitudes in the development of children eating behavior. British Journal of Nutrition 2008, 99, Suppl. 1, p.S22–S25. doi: 10.1017/S0007114508892471.
  • [24] Rhee, K.E.,. et al., Factors associated with parental readiness to make changes for overweight children. Pediatrics,2005, 116,p.94–101.
  • [25] Horwath, C.C., et al.,Investigating fruit and vegetable consumption using the Transtheoretical Model. American Journal of Health Promotion , 2010, 24 (5),p.324-333.
  • [26] Kelly, S., et al.,Predicting physical activity and fruit and vegetable ıntake in adolescents: a test of the information, motivation, behavioral skills model. Res Nurs Health ,2012, 35,p.146–163.
  • [27] Melnyk, B,.et al., The COPE healthy lifestyles TEEN randomized controlled trial with culturally diverse high school adolescents: Baseline characteristics and methods. Contemp Clin Trials ,2013,36(1),p.41-53 http://dx.doi.org/10.1016/j.cct.2013.05.013.
  • [28] O'Haver, J., et al.,Relationships among factors related to body mass index, healthy lifestyle beliefs and behaviors, and mental health indicators for youth in a title 1 school. Journal Pediatric Health Care, 2013, 28(3),p. 234-240. doi:http://dx.doi.org/10.1016/j.pedhc.2013.02.005.
  • [29] Verhaeghe, N., et al., Health promotion intervention in mental health care: design and baseline findings of a cluster preference randomized controlled trial, BMC Public Health,2012, 12,p.431. doi: 10.1186/1471-2458-12-431.