Major factors for facilitating change in behavioral strategies to reduce obesity

Grave, Riccardo Dalle; Centis, Elena; Marzocchi, Rebecca; Ghoch, Marwan El; Marchesini, Giulio

doi:10.2147/prbm.s40460

Cited by 52 publications

(57 citation statements)

References 95 publications

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“…In line with the present research, some studies have shown that lack of social support challenges the formation of health behaviors (19,20). Other surveys have reported that the patients' lack of knowledge (22), absence of psychological readiness and motivation for communication (23), lack of interest in changing the behavior (24,25), and financial and cultural (26) concerns of the clients to receive services are principal barriers to health education. To provide better health services to the clients and increase the efficiency of the presented education, it is essential that all health caregivers, educational authorities, and health care providers learn communication and counseling skills.…”

Section: Discussionsupporting

confidence: 86%

Perspective of Health Care Providers about Barriers of Instructional Programs: A Qualitative Study

et al. 2017

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Background: The education presented to the clients by the health care personnel can guarantee the well-being of the individuals and stimulate sound health care behaviors in them. Recognizing the barriers to health education enhances the understanding and knowledge of preventive services. Objectives: The present study aimed at investigating the perspective of health care providers about barriers of instructional programs in Iran. Methods: This qualitative study was conducted in the urban health care centers of Sanandaj, West of Iran, in 2016. Using purposive sampling, 15 experienced employees in charge of health care education were included in the study. Data were collected through individual interview and group discussions, observation and field notes, were and analyzed by conventional content analysis. To confirm the accuracy and strength of the data, credibility, confirmability, and transferability components were taken into account. Results:The results of data analysis yielded 5 major categories: (1) health center related problems; (2) lack of preparation for education; (3) clients' problems; (4) personal problems of the personnel; and (5) organizational factors. The participants reported the significance of intra-and intersectoral cooperation and coordination in implementation of health care education programs and the need for further attention from authorities to health care education. Conclusions:The findings revealed that presentation of health care education is a complicated issue, which is influenced by various factors. Also, the success of educational programs in health care centers is not merely an intrasectoral enterprise rather it requires the cooperation of the public media and related organizations, support of the society and attention of families and authorities to health education.

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Section: Discussionsupporting

confidence: 86%

Perspective of Health Care Providers about Barriers of Instructional Programs: A Qualitative Study

et al. 2017

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“…It is essential that areas of user interface and evidence-based methods marry in a way not to compromise one another. Websites should remain simple, provide strong tutorials, avoid repetition, use evidence-based strategies with increasing intensity and offer rewards in order to keep subjects engaged and promote adherence (5,17). Given that wide-scale implementations of web-based programs often suffer from early technical glitches that may affect consumer morale, such programs should be rolled-out gradually (29).…”

Section: Results Of Literature Reviewmentioning

confidence: 99%

“…The increasing prevalence of obesity over the recent decades appears to be in large part due to behavioral changes supporting the maladaptive behaviors of sedentariness and consumption of larger, energy-dense foods (5). Behavior-based weight loss interventions are part of a comprehensive lifestyle approach used in the management of obesity.…”

Section: Introductionmentioning

confidence: 99%

Innovative interventions to promote behavioral change in overweight or obese individuals: A review of the literature

2014

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The overweight and obesity trends have risen over the past few decades placing significant burdens on healthcare in terms of increased morbidity and cost. Behavioral change therapy is an effective treatment strategy and includes goal setting, self-monitoring, problem solving, and reinforcement tactics. Traditionally, behavior change therapy has been delivered using face-to-face counseling along with paper and pen recording of dietary intake and physical activity. The current advances in technology provide opportunities to deliver interventions using cellphones, internet and active video games. These new methods to deliver behavior change for the management and prevention of obesity are being developed in order to increase access, improve convenience, decrease cost and increase participant engagement. In this review, we present new approaches to promote behavior changes in the management of obesity. Currently available data shows promising results. However, future research is needed to address study limitations and implementation challenges of these innovative interventions.

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“…Psychological approach was based on the cognitive-behavioral therapy of obesity [24] as well as a systemic/strategic approach [25]. Psychological individual sessions initially aimed at a diagnostic assessment and to the listing of weight-related problems [26].…”

Section: Methodsmentioning

confidence: 99%

Effects of an Intensive Inpatient Rehabilitation Program in Elderly Patients with Obesity

et al. 2019

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Objective: The aim of this study was to assess the short-term effectiveness of an intensive inpatient multidimensional rehabilitation program (MRP), including diet, exercise, and behavioral therapy, in elderly patients with severe obesity. Methods: Forty-four elderly patients (old; age 69.3 ± 3.5 years, BMI 41.9 ± 14.9) were analyzed against 215 younger patients (young; age 48.2 ± 18.5 years, BMI 43.9 ± 9.4), who were used as controls. All patients underwent MRP, based on group therapy guided by a multidisciplinary team (physicians, dietitians, exercise trainers, psychologists). We evaluated changes in anthropometry, cardiovascular risk factors, physical fitness, quality of life, and eating behavior. Results: After 3 weeks of MRP, we observed a reduction in body weight (old –3.8%, young –4.3%), BMI (old –3.9%, young –4.4%), waist circumference (old –3.4%, young –4.1%), total cholesterol (old –14.0%, young –15.0%), and fasting glucose (old –8.3%, young –8.1%), as well as improved performance in the Six-Minute-Walk Test (old +28.7%, young +15.3%), chair-stand test (old +24.8%, young +26.9%), and arm-curl test (old +15.2%, young +27.3%). Significant improvement was registered in all other analyzed domains. Conclusion: Our 3-week MRP provided significant clinical and functional improvement, which was similar between elderly and younger patients with severe obesity. In the long-term, this may be translated into better quality of life, through better management of obesity-associated morbidities and reduced frailty.

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Major factors for facilitating change in behavioral strategies to reduce obesity

Cited by 52 publications

References 95 publications

Perspective of Health Care Providers about Barriers of Instructional Programs: A Qualitative Study

Perspective of Health Care Providers about Barriers of Instructional Programs: A Qualitative Study

Innovative interventions to promote behavioral change in overweight or obese individuals: A review of the literature

Effects of an Intensive Inpatient Rehabilitation Program in Elderly Patients with Obesity

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