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Moderating Nutritious Habits in Psychiatric Patients Using Transtheoretical Model of Change and Counseling

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GeNeDis 2016

Abstract

Motivational Interviewing provides the opportunity to health professionals to have an effective strategy to increase the level of readiness to change health behaviors. Along with the Transtheoretical Model (Stages of Change Model) compose the theoretical base of intervention in psychiatry settings. Objective: This study was aimed to change nutritious behavior of psychiatric patients using a specific Model of Change and Counseling implementing a health education program. Methodology: A quasi-experimental design was adopted on a random sample of 60 psychiatric patients at Military Hospital of Athens. Patients were divided into two groups as follows; (a) Intervention Group (four sessions of counseling and encouraging motivation for modification of their nutritious habits), and (b) Control Group (simple information sessions about the principles of healthy alimentation). Results: The mean age of Intervention Group (IG) was 43.9 ± 9.5 and Control Group (CG) 46.1 ± 9.1, ranging from 40 to 55 years old. Also, 26.7% of the participants were female, 23.3% were married and, 10% divorced. Our analyses showed that IG patients were significantly loss weight post-intervention compared to CG patients. Specifically, IG patients were significantly moderated the intake of starchy foods in every meal (p < 0.001) and the intake of fruits and vegetables (p < 0.001). Similarly, IG patients were moderated the intake of low fat dairy foods while they changed the full fat dairy foods with low fat (p < 0.001). Also important, IG patients showed significant enhance (80%) regarding drugs compliance, suggesting that 34% of the CG patients often forgot to take their medication. Finally, IG patients reported a positive attitude towards moderating unhealthy nutritious behaviors (p = 0.032). Conclusions: Our results confirms that health educational and promotional Interventions may change behavior of psychiatric patients and thus may positively influence their nutritious habits.

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References

  1. Prochaska, J.O., C.C. Diclemente, and J.C. Norcross. 1992. In Search of How People Change: Applications to Addictive Behaviours. American Psychologist 47: 1102–1114.

    Article  CAS  PubMed  Google Scholar 

  2. Miller, W.R., and S. Rollnick. 1991. Motivational Interviewing: Preparing People to Change Addictive Behaviors. New York: Guilford Press.

    Google Scholar 

  3. Higgins, J., D. Babor, and R. Biddle. 1996. A Randomized Clinical Trial of Brief Interventions in Primary Health Care. Disease Control Priorities Project 47: 13–20.

    Google Scholar 

  4. DiClememte, C.C., and J.O. Prohaska. 1998. Toward a Comprehensive Transtheoritical Model of Change: Stages of Change and Addictive Behaviors. In Motivational Interviewing: Enhancing Motivation for Change – A Learners Manual for the American/Indian/Alaska Native Counselor, ed. K. Tomlin, R. Walker, J. Grover, W. Arquette, and P. Stewart. Portland, OR: One Sky Center.

    Google Scholar 

  5. Peppas, Ε. 2006. In Alcohol Abuse and Dependency, ed. Ι. Liappas, Ε. Mellos, and Β. Pomini. Athens: Itaca Publications Greek Department.

    Google Scholar 

  6. Tomlin, K., R. Walker, J. Grover, et al. 2014. Motivational Interviewing: Enhancing Motivation for Change – A Learner’s Manual for the American Indian/Alaska Native Counselor. Portland, OR: One Sky Center.

    Google Scholar 

  7. MacLean, L., N. Edwards, M. Garrard, N. Sims-Jones, K. Clinton, and L. Ashley. 2009. Obesity, Stigma and Public Health Planning. Health Promotion International 24: 88–93.

    Article  PubMed  Google Scholar 

  8. Hasler, G., D.S. Pine, A. Gamma, et al. 2004. The Associations Between Psychopathology and Being Overweight: A 20-Year Prospective Study. Psychiatric Medicine 34: 1047–1057.

    CAS  Google Scholar 

  9. John, U., C. Meyer, H. Rumpf, et al. 2005. Relationships of Psychiatric Disorders with Overweight and Obesity in an Adult General Population. Obesity Research 13: 101–109.

    Article  PubMed  Google Scholar 

  10. Tountas, Y. 1994. In Preventive medicine and health promotion: Health education, Athens University, Epidimiological and Health Laboratory, ed. E. Kaklamanaki and Y. Fragoulis-Koumantakis. Athens: Paschalides Medical Publications.

    Google Scholar 

  11. Laforge, R.G., J. Maddock, and J. Rossi. 1998. Using the Transtheoretical Model for Population Based Approaches to Health Promotion and Disease Prevention. Homeostasis in Health and Disease 40 (5): 174–195.

    Google Scholar 

  12. Miller, W.R., T.B. Moyers, and P. Amrhein. 2005. The Change Questionnaire. Department of Psychology, University of New Mexico, unpublished.

    Google Scholar 

  13. Lochoro, P. 2004. Measuring Patients’ Satisfaction in U.C.M.B. Health Institutions. Health Policy and Development 2 (3): 243–248.

    Google Scholar 

  14. Dipasquale, S., C.M. Pariante, P. Dazzan, et al. 2013. The Dietary Pattern of Patients with Schizophrenia: A Systematic Review. Journal of Psychiatric Research 47 (2): 197–207.

    Article  PubMed  Google Scholar 

  15. Chouinard, V.A., S.M. Pingali, G. Chouinard, et al. 2016. Factors Associated with Overweight and Obesity in Schizophrenia, Schizoaffective and Bipolar Disorders. Psychiatry Research 237: 304–310.

    Article  PubMed  Google Scholar 

  16. Hardcastle, S., A. Taylor, M. Bailey, et al. 2008. A Randomised Controlled Trial on the Effectiveness of a Primary Health Care Based Counselling Intervention on Physical Activity, Diet and CHD Risk Factors. Patient Education and Counseling 70 (1): 31–39. doi:10.1016/j.pec.2007.09.014.

    Article  PubMed  Google Scholar 

  17. Karatay, G., Y. Akkus, N. Demirci, and B. Ozturk. 2016. Short-Term Effects of the Stage-Matched Multicomponent Lifestyle Intervention on Weight Control. Middle East Journal of Rehabilitation and Health., (in press). doi:10.17795/mejrh-36533.

    Google Scholar 

  18. Lee, W.W.M., K.C. Choi, R.W.Y. Yum, et al. 2016. Effectiveness of Motivational Interviewing on Lifestyle Modification and Health Outcomes of Clients at Risk or Diagnosed with Cardiovascular Diseases: A Systematic Review. International Journal of Nursing Studies 53: 331–341.

    Article  PubMed  Google Scholar 

  19. Resnicow, K., R. Davis, and S. Rollnick. 2006. Motivational Interviewing for Pediatric Obecity: Conceptual Issues and Evidence Review. Journal of the American Dental Association 106: 2024–2033.

    Article  Google Scholar 

  20. Steptoe, A., E. Rink, and S. Kerry. 2000. Psycosocial Predictors of Changes in Physical Activity in Overweight Sedentary Adults Following Counselling in Primary Care. Preventive Medicine 31: 183–194.

    Article  CAS  PubMed  Google Scholar 

  21. Wilson, G.T., and T.R. Schlam. 2004. The Transtheoretical Model and Motivational Interviewing in the Treatment of Eating and Weight Disorders. Clinical Psychology Review 24: 361–378.

    Article  PubMed  Google Scholar 

  22. Dunn, C., L. Deroo, and F.P. Rivara. 2001. The Use of Brief Interventions Adapted from Motivational Interviewing Across Behavioral Domains: A Systematic Review. Addiction 96: 1725–1742.

    Article  CAS  PubMed  Google Scholar 

  23. Woolard, J., L. Beilin, T. Lord, I. Puddey, D. MacAdam, and I. Rouse. 1995. A Controlled Trial of Nurse Counseling on Lifestyle Change for Hypertensives Treated in General Practice: Preliminary Results. Clinical and Experimental Pharmacology and Physiology 22: 466–468.

    Article  CAS  Google Scholar 

  24. Hettema, J., J. Steele, and W. Miller. 2005. Motivational Interviewing. Annual Review Clinical Psychology 1: 91–111.

    Article  Google Scholar 

  25. Rollnick, S.R., N. Heather, and A. Bell. 1992. Negotiating Behavioral Change in Medical Settings: The Development of Brief Motivational Interviewing. Journal of Mental Health 1: 25–37.

    Article  Google Scholar 

  26. Colby, S.M., P.M. Monti, N.P. Barnett, et al. 1998. Brief Motivational Interviewing in a Hospital Setting for Adolescent Smoking: A Preliminary Study. Journal of Consulting and Clinical Psycholog 66: 574–578.

    Article  CAS  Google Scholar 

  27. Steinberg, M.L., D.M. Ziedonis, J.A. Krejci, et al. 2004. Motivational Interviewing with Personalized Feedback: A Brief Intervention for Motivating Smokers with Schizophrenia to Seek Treatment for Tobacco Dependence. Journal of Consulting and Clinical Psychology 72 (4): 723–728.

    Article  PubMed  Google Scholar 

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Acknowledgements Authors would like to thanks all patients that participated in the study.

Conflict of interestAll authors declare that there is no financial or personal conflict of interest related to this paper.

FundingThere was no funding for the current work.

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Correspondence to Evangelos C. Fradelos .

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Anastopoulou, K. et al. (2017). Moderating Nutritious Habits in Psychiatric Patients Using Transtheoretical Model of Change and Counseling. In: Vlamos, P. (eds) GeNeDis 2016. Advances in Experimental Medicine and Biology, vol 988. Springer, Cham. https://doi.org/10.1007/978-3-319-56246-9_5

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