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Motivational readiness for treatment in weight control programs: The TREatment MOtivation and REadiness (TRE-MORE) test

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Abstract

Background and aims: The degree of motivation before starting the treatment represents a pre-treatment predictor of successful weight management. The aim of this study is to develop and validate a new self-reported questionnaire of motivation and readiness to change before starting a lifestyle modification program (the TREatment MOtivation and REadiness test) (TRE-MORE) for overweight patients. Methods and results: TRE-MORE was evaluated in a consecutive series of 129 obese patients attending our Outpatient Clinic. Validation of the questionnaire was performed through test-retest reliability, internal consistency, psycho-pathological correlates, and concurrent validity. Subjects have been evaluated by means of a clinical interview, and different self-reported questionnaires, assessing the eating specific and general psychopathology, and quality of life. TRE-MORE total and subscales scores showed good test-retest reliability and internal consistency. We identified 10 items grouped in 3 areas (obstacles and desire to overcome, taking care of themselves, and sharing the problems, current lifestyle). TRE-MORE scores were significantly correlated with eating specific psychopathology and quality of life measures. Univariate and Receiver Operating Characteristic curve analysis showed that TRE-MORE total and subscales scores represent a good model for predicting a weight loss >5% of the initial weight after 6 months of treatment. Conclusion: TRE-MORE represents a validated and easy-to-use questionnaire assessing at the meantime the treatment motivation and readiness with good predictive capacity for weight loss.

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References

  1. Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence and trends in obesity among US adults, 1999–2002. JAMA 2004, 291: 2847–50.

    Article  CAS  PubMed  Google Scholar 

  2. Weiss EC, Galuska DA, Khan LK, Serdula MK. Weight-control practices among US adults, 2001–2002. American Journal Preventive Medicine 2006, 31: 18–24.

    Article  Google Scholar 

  3. Foster GD, Wadden TA, Vogt RA, Brewer G. What is a reasonable weight loss? Patients’ expectations and evaluations of obesity treatment outcomes. J Consult Clin Psychol 1997, 65: 79–85.

    Article  CAS  PubMed  Google Scholar 

  4. World Health Organization. Obesity: preventing and managing the global epidemic. Geneva, Switzerland: World Health Organization, 1998.

    Google Scholar 

  5. Teixeira PJ, Going SB, Houtkooper LB, et al. Pre-treatment predictors of attrition and successful weight management in women. Int J Obes Relat Metab Disord 2004, 28: 1124–33.

    Article  CAS  PubMed  Google Scholar 

  6. Brownell KD, Wadden TA. The heterogeneity of obesity: fitting treatments to individuals. Behavioural Therapy 1991, 22: 153–77.

    Article  Google Scholar 

  7. Teixeira PJ, Going SB, Houtkooper LB, et al. Weight loss readiness in middle-aged women: psychosocial predictors of success for behavioral weight reduction. J Behav Med 2002, 25: 499–523.

    Article  PubMed  Google Scholar 

  8. Rieder S, Ruderman A. The development and validation of the weight management support inventory. Metabolism 2007, 8: 39–47.

    Google Scholar 

  9. Sherwood NE, Jeffery RW, Wing RR. Binge status as a predictor of weight loss treatment outcome. Int J Obes Relat Metab Disord 1999, 23: 485–93.

    Article  CAS  PubMed  Google Scholar 

  10. Teixeira PJ, Going SB, Sardinha LB, Lohman TG. A review of psychosocial pre-treatment predictors of weight control. Obes Rev 2005, 6: 43–65.

    Article  CAS  PubMed  Google Scholar 

  11. Cresci B, Rotella CM. Motivational readiness to change in lifestyle modification programs. Eat Weight Disord 2009, 14: e158–62.

    Article  CAS  PubMed  Google Scholar 

  12. Teixeira PJ, Silva MN, Coutinho SR, et al. Mediators of Weight Loss and Weight Loss Maintenance in Middle-aged Women. Obesity (Silver Spring) 2009, doi:10.1038/oby.2009.281.

  13. Elfhag K, Rössner S. Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain. Obes Rev 2005, 6: 67–85.

    Article  CAS  PubMed  Google Scholar 

  14. Prochaska JO, DiClemente CC. Stages and processes of self-change of smoking: Toward an integrative model of change. J Consult Clin Psychol 1983, 51: 390–5.

    Article  CAS  PubMed  Google Scholar 

  15. Byrne SM, Cooper Z, Fairburn CG. Psychological predictors of weight regain in obesity Behav Res Ther 2004, 42: 1341–56.

    Article  PubMed  Google Scholar 

  16. Brownell KD, Rodin J. The dieting maelstrom. Is it possible and advisable to lose weight? Am Psychol 1994, 49: 781–91.

    Article  CAS  PubMed  Google Scholar 

  17. Edell BH, Edington S, Herd B, O’Brien RM, Witkin G. Self-efficacy and self-motivation as predictors of weight loss. Addict Behav 1987, 12: 63–6.

    Article  CAS  PubMed  Google Scholar 

  18. Brownell KD. Dieting readiness. Weight Control Dig 1990, 1: 5–10.

    Google Scholar 

  19. Cresci B, Tesi F, La Ferlita T, et al. Group versus individual cognitive-behavioral treatment for obesity: results after 36 months. Eat Weight Disord 2007, 12: 147–53.

    Article  CAS  PubMed  Google Scholar 

  20. First MB, Spitzer RL, Gibbon M, Williams JBW. Structured clinical interview for DSM-IV Axis I disorders (SCID-I). Washington, DC: 7 American Psychiatric Association, 1995.

    Google Scholar 

  21. American Psychiatric Association, Diagnostic and statistical manual of mental disorders. Fourth edition (DSM-IV). Washington DC: American Psychiatric Association, 1994.

    Google Scholar 

  22. Beck AT, Steer R. Manual for revised Beck Depression Inventory. New York: Psychological Corporation, 1987.

    Google Scholar 

  23. Spielberger CD, Gorsuch RL, Lushene RE. Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press, 1970.

    Google Scholar 

  24. Derogatis LR, Lipman RS, Covi L. SCL-90: an outpatient psychiatric rating scale—preliminary report. Psychopharmacol Bull 1973, 9: 13–28.

    CAS  PubMed  Google Scholar 

  25. Fairburn CG, Beglin SJ. Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord 1994, 16: 363–70.

    CAS  PubMed  Google Scholar 

  26. Gormally J, Black S, Daston S, Rardin D. The assessment of binge eating severity among obese persons. Addict Behav 1982, 7: 47–55.

    Article  CAS  PubMed  Google Scholar 

  27. Mannucci E, Ricca V, Barciulli E, et al. Quality of life and overweight: the obesity related well-being (Orwell 97) questionnaire. Addict Behav 1999, 24: 345–57.

    Article  CAS  PubMed  Google Scholar 

  28. Wadden TA, Sarwer DB. Behavioral treatment of obesity: new approaches to an old disorder. In: Goldstein DJ (ed). The Management of Eating Disorder and Obesity. Totowa, New Jersey: Humana Press. 1999, 173–99.

    Google Scholar 

  29. Dixon JB, Laurie CP, Anderson ML, Hayden MJ, Dixon ME, O’Brien PE. Motivation, readiness to change, and weight loss following adjustable gastric band surgery. Obesity (Silver Spring) 2009, 17: 698–705.

    Article  Google Scholar 

  30. Kolotkin RL, Head S, Hamilton M, Tse CK. Assessing Impact of Weight on Quality of Life. Obes Res 1995, 3: 49–56.

    Article  CAS  PubMed  Google Scholar 

  31. Traverso A, Ravera G, Lagattolla V, Testa S, Adami GF. Weight loss after dieting with behavioral modification for obesity: the predicting efficiency of some psychometric data. Eat Weight Disord 2000, 5: 102–7.

    Article  CAS  PubMed  Google Scholar 

  32. Björvell H, Aly A, Langius A, Nordström G. Indicators of changes in weight and eating behaviour in severely obese patients treated in a nursing behavioural program. International Int J Obes Relat Metab Disord 1994, 18: 521–5.

    Google Scholar 

  33. Cuntz U, Leibbrand R, Ehrig C, Shaw R, Fichter MM. Predictors of post-treatment weight reduction after in-patient behavioral therapy. Int J Obes RelatMetab Disord 2001, 25(Suppl 1): S99–101.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Clinical Pathophysiology, Section of Endocrinology, Obesity Agency, Italy

    B. Cresci, L. Pala & C. M. Rotella MD (Full Professor of Endocrinology)

  2. Department of Neuropsychiatry Science, Psychiatry Unit, Italy

    G. Castellini, C. Ravaldi & V. Ricca

  3. Department of Pathophysiology, University of Florence, Viale Pieraccini 6, 50134, Firenze, Italy

    C. Faravelli

Authors
  1. B. Cresci
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  2. G. Castellini
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  3. L. Pala
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  4. C. Ravaldi
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  5. C. Faravelli
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  6. C. M. Rotella MD
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  7. V. Ricca
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Correspondence to C. M. Rotella MD.

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Cresci, B., Castellini, G., Pala, L. et al. Motivational readiness for treatment in weight control programs: The TREatment MOtivation and REadiness (TRE-MORE) test. J Endocrinol Invest 34, e70–e77 (2011). https://doi.org/10.1007/BF03347079

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