Effect of Group Counseling based on Theory of Planned Behavior on Health Promotion Lifestyle in Mothers with Overweight and Obesity during Postpartum Period: A Randomized Controlled Trial.
完整摘要 · 中文译文
背景：超重和肥胖是慢性病的重要危险因素，其患病率在妊娠期和产后是一个主要关注问题。本研究旨在确定基于计划行为理论（TPB）的团体咨询对产后超重和肥胖母亲健康促进生活方式的影响。 方法：在2021年7月至2022年3月于伊朗乌尔米亚开展的一项随机对照试验中，104名超重或肥胖母亲被随机分配到干预组或常规护理组。数据采用人口学问卷和健康促进生活方式量表II（HPLP-II）收集。干预组通过WhatsApp接受为期六周的基于TPB的团体咨询。作为主要结局的HPLP在三个不同时间点进行测量，包括干预前以及干预完成后一个月和三个月。数据使用SPSS软件20.0版通过重复测量方差分析、卡方检验和独立样本t检验进行分析。P<0.05被视为具有统计学显著性。 结果：参与者的平均年龄为27.06±5.98岁。在干预组中，从基线到一个月随访时，HPLP总分及各分量表平均得分均观察到显著改善（P<0.001），但营养和精神成长除外（P>0.05）。这些改善在干预后三个月仍持续存在（P<0.05）。营养显示出延迟效应，其平均得分从基线到三个月有所改善 干预后数月（P=0.005）以及干预后1个月至3个月（P=0.008）。精神成长也表现出延迟但显著的改善，即从干预后1个月至3个月（P<0.001），但从基线至1个月或从基线至3个月未观察到显著变化（P>0.05）。 结论：基于WhatsApp的计划行为理论（TPB）干预有效改善了健康促进行为。该研究支持在产后超重和肥胖女性中使用理论驱动的数字平台的可行性。试验注册号：IRCT20210811052148N1。
完整摘要 · 英文原文
BACKGROUND: Overweight and obesity are significant risk factors for chronic diseases, with their prevalence being a major concern during pregnancy and postpartum. This study aimed to determine the effect of group counseling based on the Theory of Planned Behavior (TPB) on health promotion lifestyle in mothers with overweight and obesity during the postpartum period. METHODS: In a randomized controlled trial conducted from July 2021 to March 2022 in Urmia, Iran, 104 mothers with overweight or obesity were randomly assigned to either an intervention or a routine care group. Data were collected using demographic and Health-Promoting Lifestyle Profile II (HPLP-II) questionnaires. The intervention group received six weeks of TPB-based group counseling via WhatsApp. HPLP, as the primary outcome, was measured at three distinct time points including prior before the intervention, and one month and three months after the completion of the intervention. Data were analyzed using SPSS software version 20.0 through repeated measures analysis of variance, Chi-square, and independent t-tests. A p-value of P<0.05 was considered statistically significant. RESULTS: The mean age of the participants was 27.06±5.98 years. In the intervention group, significant improvements were observed from baseline to onemonth followup in total and the mean scores of HPLP of the subscales (P<0.001), except for nutrition and spiritual growth (P>0.05). These gains were sustained three months after intervention (P<0.05). Nutrition showed a delayed effect, with a mean score improvement from the baseline to three months after the intervention (P=0.005) and from one month to three months after the intervention (P=0.008). Spiritual growth also showed a delayed but significant improvement from one month to three months postintervention (P<0.001), but no significant changes were observed from baseline to one month or baseline to three months (P>0.05). CONCLUSION: The WhatsAppbased TPB intervention effectively improved healthpromoting behavior. It supports the feasibility of using theorydriven digital platforms in women with overweight and obesity during the postpartum period.The trial registration number: IRCT20210811052148N1.
摘要 待译
BACKGROUND: Overweight and obesity are significant risk factors for chronic diseases, with their prevalence being a major concern during pregnancy and postpartum. This study aimed to determine the effect of group counseling based on the Theory of Planned Behavior (TPB) on health promotion lifestyle in mothers with overweight and obesity during the postpartum period. METHODS: In a randomized controlled trial conducted from July 2021 to March 2022 in Urmia, Iran, 104 mothers with overweight or obesity were randomly assigned to either an intervention or a routine care group.…