Assessing motivation for change toward healthy nutrition and regular physical activity. Validation of two sets of instruments

Spiller, Valter; Scaglia, Maurizio; Meneghini, Stefania; Vanzo, Angiola

doi:10.1007/s12349-009-0044-5

Cited by 8 publications

(11 citation statements)

References 25 publications

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“…At baseline, all subjects were tested for motivation to habitual physical activity by the EMME-3 test [ 22 ], as previously reported [ 23 , 24 ]. The test consists of two parts: a) an 18-item questionnaire (MAC 2) on a Likert scale from 0 (totally false) to 6 (totally true); b) a set of 6 visual analogue scales (VAS) from 0 to 100.…”

Section: Methodsmentioning

confidence: 99%

A standard ballroom and Latin dance program to improve fitness and adherence to physical activity in individuals with type 2 diabetes and in obesity

Mangeri¹,

Montesi

Forlani

et al. 2014

Diabetol Metab Syndr

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ObjectiveTo test the effectiveness of a dance program to improve fitness and adherence to physical activity in subjects with type 2 diabetes and obesity.Research Design and MethodsFollowing a motivational interviewing session, 100 subjects with diabetes and/or obesity were enrolled either in a dance program (DP, n = 42) or in a self-selected physical activity program (SSP, n = 58), according to their preferences. Outcome measures were reduced BMI/waist circumference, improved metabolic control in type 2 diabetes (−0.3% reduction of HbA1c) and improved fitness (activity expenditure >10 MET-hour/week; 10% increase in 6-min walk test (6MWT)). Target achievement was tested at 3 and 6 months, after adjustment for baseline data (propensity score).ResultsAttrition was lower in DP. Both programs significantly decreased body weight (on average, −2.6 kg; P < 0.001) and waist circumference (DP, −3.2 cm; SSP, −2.2; P < 0.01) at 3 months, and the results were maintained at 6 months. In DP, the activity-related energy expenditure averaged 13.5 ± 1.8 MET-hour/week in the first three months and 14.1 ± 3.0 in the second three-month period. In SSP, activity energy expenditure was higher but highly variable in the first three-month period (16.5 ± 13.9 MET-hour/week), and decreased in the following three months (14.2 ± 12.3; P vs. first period < 0.001). At three months, no differences in target achievement were observed between groups. After six months the odds to attain the MET, 6MWT and A1c targets were all significantly associated with DP.ConclusionDance may be an effective strategy to implement physical activity in motivated subjects with type 2 diabetes or obesity (Clinical trial reg. no.NCT02021890, clinicaltrials.gov).

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Section: Methodsmentioning

confidence: 99%

A standard ballroom and Latin dance program to improve fitness and adherence to physical activity in individuals with type 2 diabetes and in obesity

Mangeri¹,

Montesi

Forlani

et al. 2014

Diabetol Metab Syndr

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“…Motivation to change was tested using the EMME-3 questionnaire for healthy diet and habitual physical activity [ 15 ], derived from a previously validated tool for individuals with alcohol problems [ 16 ]. The questionnaire consists of two parallel sets of instruments (for diet and physical activity, respectively): (a) an 18-item questionnaire (MAC 2) on a Likert scale from 0 (totally false) to 6 (totally true); (b) a set of 6 visual analogue scales (VAS) from 0 to 100.…”

Section: Methodsmentioning

confidence: 99%

“…The questionnaires showed good internal consistency with theoretical assumptions, reliability and concurrent validity in a large study of 431 subjects, most of whom were overweight or obese [ 15 ].…”

Section: Methodsmentioning

confidence: 99%

Motivational Interviewing Adapted to Group Setting for the Treatment of Relapse in the Behavioral Therapy of Obesity. A Clinical Audit

et al. 2020

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Motivational interviewing (MI) is devised to change unhealthy behaviors by increasing motivation. We adapted MI to a group format for the treatment of relapse during the behavioral treatment of obesity and performed a clinical audit to evaluate its effectiveness in stopping weight regain. The program was structured in seven weekly sessions, plus a 6-month follow-up. Patients (n = 86) completed a questionnaire on motivation to change in both healthy diet and physical activity, and a self-reported measurement of calorie intake and physical activity at baseline, at program end and at 6-month follow-up. The attendance to the program was high, with only 13 patients (15%) not completing the program and 24% not attending the 6-month follow-up. By the end of follow up, the prevalence of patients in either precontemplation or contemplation was reduced from over 60% at enrollment to approximately 20%, whereas the sum of patients in action or maintenance stages was increased from 9.5% in healthy diet and 14% in physical activity to 39.7% and 41.3%, respectively. These changes translated into significant behavioral changes (mean calorie intake, −13%; total physical activity, +125%; sedentary time, −8%) and finally into reduced body weight ( −3%). We conclude that MI programs adapted for groups may be used to stop relapse in individuals following a behavioral intervention for obesity.

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“…Next, the second and third parts consisted of two scales [ 29 , 32 ], each validated in Italian and containing 18 items seeking responses on a Likert scale ranging from 1 ( not at all true ) to 7 ( completely true ) and six visual analog scale items assessing nutritional and physical activity habits. In the fourth part, we used Ishikawa et al’s [ 34 , 35 ] health literacy scale validated in German, albeit reduced to nine items, to assess the communicative and critical health literacy of patients with DM2.…”

Section: Methodsmentioning

confidence: 99%

“…Beyond that, Centis et al [ 29 ] developed and applied an instrument specifically designed to measure readiness to change dietary and physical activity habits in a group of patients with DM2 at 14 tertiary care centers in Italy. The instrument is based on not only Prochaska et al’s [ 17 ] TTM but also on the motivational interviewing principles developed by Rollnick and Miller [ 30 , 31 ], applied by the authors to measure psychological processes (e.g., discrepancy (weighing the pro and cons of change), importance, self-efficacy (individuals’ evaluation of being able to do the change), temptation (individuals’ feeling of being overwhelmed by the not well enough changed behavior), readiness to change, and stability of change) with visual analog scales and an instrument validated by Spiller et al [ 32 ].…”

Section: Introductionmentioning

confidence: 99%

Do Health Professionals Sufficiently Address Patients’ Disposition Toward Changing Their Nutritional and Physical Activity Habits? Findings from a Pilot Study among People with Type 2 Diabetes in Northern Italy

Wieser¹,

Vittadello

Comploj

et al. 2020

Healthcare

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The aim of our study was to evaluate the disposition of individuals with type 2 diabetes mellitus (DM2) toward changing their nutritional and physical activity habits and associated factors—particularly their perceptions about interacting and communicating with four health professions. Working with a local patients’ association, we invited 364 individuals with DM2, all at least 18 years old, to complete a paper-based survey with questions addressing their experiences of interacting and communicating with general practitioners, nurses, dieticians and diabetologists and about their readiness to change targeted habits, their health literacy and their clinical status. Of the 109 questionnaires collected, 100 were eligible for descriptive and inferential statistical analysis. Regarding nutritional habits, the highest percentage of participants were at the maintenance stage (26%), whereas regarding physical activity habits the highest percentage of participants were at the preparation stage (31%). Significant differences between the habits emerged for four of the five stages and for two psychological processes. The precontemplation stage was most associated with communication-related variables, whereas the maintenance stage was associated with higher health literacy for both habits, and waist-to-height ratio was associated with several stages of change and psychological processes for physical activity habits. Considering aggregated stages (i.e., active or passive stage), significant differences were observed for all psychological processes except readiness to change nutritional habits. Logistic regression analysis revealed associations of the active stage with higher self-efficacy and lower discrepancy processes for both habits. Nutritional habits were associated with normal HbA1c values and physical activity habits with high cholesterol. Understanding the combination of the stages of change and how they relate to psychological processes can afford meaningful insights into the potential internal and external communication skills of health professions and should be examined as possible elements for a patient evaluation model.

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Assessing motivation for change toward healthy nutrition and regular physical activity. Validation of two sets of instruments

Cited by 8 publications

References 25 publications

A standard ballroom and Latin dance program to improve fitness and adherence to physical activity in individuals with type 2 diabetes and in obesity

A standard ballroom and Latin dance program to improve fitness and adherence to physical activity in individuals with type 2 diabetes and in obesity

Motivational Interviewing Adapted to Group Setting for the Treatment of Relapse in the Behavioral Therapy of Obesity. A Clinical Audit

Do Health Professionals Sufficiently Address Patients’ Disposition Toward Changing Their Nutritional and Physical Activity Habits? Findings from a Pilot Study among People with Type 2 Diabetes in Northern Italy

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