American Journal of Applied Psychology

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Factors Affecting Readiness to Change among Literate Obese Patients in Primary Care

Received: 22 June 2015    Accepted: 01 July 2015    Published: 09 July 2015
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Abstract

Background: Obesity is a chronic disease which contributes to morbidity and mortality from non-communicable diseases. Urbanization, western lifestyles and demographic transition contribute to this problem in Nigeria. Primary care physicians should be active in early detection, and motivating obese people for life style change. Motivation is an important first step towards any action or behaviour change and clinicians can assess and enhance motivation to change before extensive damage is done to health, relationships, reputation, or self-image. Aims: To determine pattern and predictive factors for readiness to change among literate obese patients in primary care. Methods and Materials: A cross-sectional study was conducted between July and October 2012, among literate obese patients in the outpatient department of an urban hospital. Obese patients were identified by clinical examination, and readiness to change was measured with the University of Rhode Island Change Assessment (URICA) score. Results: Prevalence of obesity was 17.43%. Most of the subjects were married (83.8%), female (76.5%) had tertiary education (64.7%) and from professional cadre (54.4%). Mean age was 43.5±9.2. Majority (69.1%) felt that they were motivated (self- perception) to lose weight, but most (58%) were not confident that they could lose weight (self-efficacy). Based on the URICA score, most (73.5%)of the literate obese patients were contemplators. There were no significant predictors of the stage of change. Conclusion: Obesity is common among literate patients in the outpatient setting. The mean URICA score was 8.68±1.68, and most were in contemplation stage.

DOI 10.11648/j.ajap.20150404.14
Published in American Journal of Applied Psychology (Volume 4, Issue 4, July 2015)
Page(s) 105-110
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Obesity, Weight Loss, Lifestyle, Stages of Change, URICA

References
[1] Hamdy O, Uwaifo GI, Oral EA. Obesity. Medscape reference. [Accessed 20/03/15]. Available from http://emedicine.medscape.com/article/123702.
[2] World Health Organization. Obesity and overweight fact sheet. [Accessed 10pm 6/10/11]. Available from http://www.who.int/mediacentre/factsheets/fs311/en/.
[3] Tan KCB. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157-63.
[4] Kelly T, Yang W, Chen CS, Reynolds K, He J. Global burden of obesity in 2005 and projections to 2030. Int. J Obes (Lond) 2008;32(9):1431-7.
[5] Carroll JF, Chiapa AL, Rodriquez M, Phelps DR, Cardarelli KM, Vishwanatha JK et al. Visceral fat, waist circumference, and BMI: Impact of race/ethnicity. Obesity. 2008;16(3):600-7.
[6] Prentice AM &Jebb SA. Beyond body mass index. Obes Rev. 2001;2:141-7.
[7] Flegal KM, Carroll MD, Ogden CL and Curtin LR. Prevalence and trends in obesity among US adults, 1999-2008. JAMA 2010;303(3):235-41.
[8] Finucane MM, Stevens GA, Cowan MJ, Danaei G, Lin JK, Paciorek CJ, et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet. 2011;377(9765):557-67.
[9] Amoah AGB. Sociodemographic variations in obesity among Ghanaian adults. Public Health Nutr 2003,6:751-7
[10] Sodjinou R, Agueh V, Fayomi B, Delisle H. Obesity and cardio-metabolic risk factors in urban adults of Benin: relationship with socio-economic status, urbanisation, and lifestyle patterns. BMC Public Health. 2008;8:84.
[11] Tanumidardjo SA, Anderson C, Kaufer-Horwitz M. Poverty, obesity, and malnutrition: An international perspective recognizing the paradox. J Am Diet Assoc. 2007;107:1966-72.
[12] Abubakari AR, Lauder W, Agyemang C, Jones M, Kirk A, Bhopal RS. Prevalence and time trends in obesity among adult West African populations: a meta-analysis. Obes Rev 2008;9(4):297-311.
[13] Russel SH. Realistic approach to counselling in the office setting. Am FamPhy. 2009;79(4):277-84.
[14] Jonas S. Mobilizing Motivation. In: Jonas S and Phillips EM (eds). ACSM's Exercise is Medicine: A Clinician's Guide to Exercise Prescription. Lippincott Williams and Wilkins: Philadelphia, USA. 2009;61-69.
[15] Rubak S, Sandbæk A, Lauritzen T, Christensen BO. Motivational interviewing: a systematic review and meta-analysis .Br J Gen Pract. 2005;55(513):305-12.
[16] Diclemente CC, Bellino LE, Neavins TM. Motivation for change in alcoholism. Alcohol res health. 1999;23(2):86-92.
[17] Wadden TA, Berkowitz RI, Womble LG, Sarwer DB, Phelan S, Cato RK et al. Randomized trial of lifestyle modification and pharmacotherapy for obesity. N Engl J Med 2005;353:2111–20.
[18] Miller WR, Rollnick S. Ten things that motivational interviewing is not. BehavCognPsychother 2009;37:129–40.
[19] Edell BH, Edington S, Herd B, O’Brien RM, Witkin G. Self-efficacy and self-motivation as predictors of weight loss. Addict Behav 1987;12:63–66.
[20] Williams GC, Grow VM, Freedman ZR, Ryan RM, Deci EL. Motivational predictors of weight loss and weight-loss maintenance. J PersSocPsychol 1996;70:115–126.
[21] Rollnick S, Miller WR, Butler CC. Motivational interviewing in health care: Helping patients change behaviour. New York: Guilford Press, 2008.
[22] McConnaughy. EI, Prochaska, JO, Velicer WF. Stages of change in psychotherapy: Measurement and sample profiles. Psychotherapy: Theory. Research, and Practice. 1983;20:368-75.
[23] Prochaska JO, DiClementi CC, Necross JC. In search of how people change. Applications to addictive behaviours. Am Psychol 1992;47:1102-14.
[24] West RJ. Time for a change: Putting the transtheoretical (stages of change) model to rest. Addiction. 2005;100:1036-9
[25] Field CA, Adinoff B, Harris TR, Ball SA, Carroll KM. Construct, concurrent and predictive validity of the URICA: Data from two multisite clinical sites. Drug Alcohol Depend. 2009;101(1-2):115-23.
[26] Wahab KW, Mohmoud US, Bashir OY, Maruf G, Gbadamosi A, Mohmoud IY. Prevalence and determinants of obesity. A cross sectional study of an adult northern Nigerian population. Int Arch Med. 2011;4:10(1):1186/1755-82.
[27] Peupet FH, Zoaka AI, Chuhwak EK. Prevalence of overweight and obesity among urban Nigerian Adults in Jos. Highland Med Res J. 2002;1(1):13-6.
[28] Adediran OS, Okpara IC, Adeniyi OS, Jimoh AK. Obesity prevalence and its associated factors in an urban and rural area of Abuja Nigeria. Glob Adv Res J Med Med Sci. 2012;1(8):237-41.
[29] Desalu OO, Salami AK, Oluboyo PO, Olumoye JK. The prevalence and socio-demographic determinants of obesity among adults in an urban Nigerian population. Sahel medical journal 2008;11(2):61-4.
[30] Iloh G, Amadi A, Nwankwo B, Ugwu VC. Obesity in adult Nigerians: A study of its prevalence and common primary co-morbidities in a semi-urban mission general hospital in South-Eastern Nigeria. Niger J Med. 2010;19(4):22-9.
[31] Amole IO, OlaOlorun AD, Odeigah LO, Adesina SA. The prevalence of abdominal obesity and hypertension amongst adults in Ogbomoso, Nigeria. Afr J Prim Health Care Fam Med. 2011;2(1):20-7.
[32] Ojofeitimi EO, Adeyeye AO, Fadiora AO, Kuteyi AO, Faborode TG, Adegbenro CA et al. Awareness of obesity and its health hazard among women in a university community. Pakistan Journal of Nutrition 2007;6(5):502-5.
[33] Siminnialayi IM, Emem-Chioma PC, Dapper DV. The prevalence of obesity as indicated by BMI and waist circumference among Nigerian adults attending family medicine clinics as outpatients in Rivers State. Niger J Med. 2008;17(3):430-5.
[34] Fadupin GT, Joseph EU, Keshinro OO. Prevalence of obesity among Type 2 Diabetic patients in Nigeria. A case study of patients in Ibadan, Oyo state Nigeria. Afr J Med Sci. 2004;33(4):381-4.
[35] Amodu PH, Mba IO, Lawson L. Prevalence of Obesity and dyslipidemia in hypertensives in Abuja Nigeria. Scan J Clin Lab Inv. 2005;20(24):14-7.
[36] Adeogun OJ, Ligali LA. The prevalence of overweight and obesity in an institutionalized multi ethnic based male adult sample. Int J HumanitSoc Sci. 2013;3(5);34-9.
[37] Laforge RG, Velicer WF, Richmond RL, Owen N. Stage distributions for five health behaviours in the USA and Australia. Prev Med. 1999;28:61-74.
[38] Hawkins DS, Hornsby PP, Scorling JB. Stages of change and weight loss among rural African American women. Obes Res. 2001;9:59-67.
[39] Wee CC, Davis RB, Phillips RS. Stage of readiness to control weight and adopt weight control behaviours in primary care. J Gen Intern Med. 2005; 20:410-415.
[40] Ghannadiasl F, Mahdavi R, AsghariJafarabadi M. Assessing Readiness to Lose Weight among Obese Women Attending the Nutrition Clinic. Health PromotPerspect. 2014;4(1):27-34.
Author Information
  • Department of Family Medicine, Brigade Medical Centre, Yola, Nigeria

  • Department of Family Medicine, Bingham University Teaching Hospital, Jos, Nigeria

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  • APA Style

    Oyebanji Ayodele Emmanuel, Dankyau Musa. (2015). Factors Affecting Readiness to Change among Literate Obese Patients in Primary Care. American Journal of Applied Psychology, 4(4), 105-110. https://doi.org/10.11648/j.ajap.20150404.14

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    ACS Style

    Oyebanji Ayodele Emmanuel; Dankyau Musa. Factors Affecting Readiness to Change among Literate Obese Patients in Primary Care. Am. J. Appl. Psychol. 2015, 4(4), 105-110. doi: 10.11648/j.ajap.20150404.14

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    AMA Style

    Oyebanji Ayodele Emmanuel, Dankyau Musa. Factors Affecting Readiness to Change among Literate Obese Patients in Primary Care. Am J Appl Psychol. 2015;4(4):105-110. doi: 10.11648/j.ajap.20150404.14

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  • @article{10.11648/j.ajap.20150404.14,
      author = {Oyebanji Ayodele Emmanuel and Dankyau Musa},
      title = {Factors Affecting Readiness to Change among Literate Obese Patients in Primary Care},
      journal = {American Journal of Applied Psychology},
      volume = {4},
      number = {4},
      pages = {105-110},
      doi = {10.11648/j.ajap.20150404.14},
      url = {https://doi.org/10.11648/j.ajap.20150404.14},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajap.20150404.14},
      abstract = {Background: Obesity is a chronic disease which contributes to morbidity and mortality from non-communicable diseases. Urbanization, western lifestyles and demographic transition contribute to this problem in Nigeria. Primary care physicians should be active in early detection, and motivating obese people for life style change. Motivation is an important first step towards any action or behaviour change and clinicians can assess and enhance motivation to change before extensive damage is done to health, relationships, reputation, or self-image. Aims: To determine pattern and predictive factors for readiness to change among literate obese patients in primary care. Methods and Materials: A cross-sectional study was conducted between July and October 2012, among literate obese patients in the outpatient department of an urban hospital. Obese patients were identified by clinical examination, and readiness to change was measured with the University of Rhode Island Change Assessment (URICA) score. Results: Prevalence of obesity was 17.43%. Most of the subjects were married (83.8%), female (76.5%) had tertiary education (64.7%) and from professional cadre (54.4%). Mean age was 43.5±9.2. Majority (69.1%) felt that they were motivated (self- perception) to lose weight, but most (58%) were not confident that they could lose weight (self-efficacy). Based on the URICA score, most (73.5%)of the literate obese patients were contemplators. There were no significant predictors of the stage of change. Conclusion: Obesity is common among literate patients in the outpatient setting. The mean URICA score was 8.68±1.68, and most were in contemplation stage.},
     year = {2015}
    }
    

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    T1  - Factors Affecting Readiness to Change among Literate Obese Patients in Primary Care
    AU  - Oyebanji Ayodele Emmanuel
    AU  - Dankyau Musa
    Y1  - 2015/07/09
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    AB  - Background: Obesity is a chronic disease which contributes to morbidity and mortality from non-communicable diseases. Urbanization, western lifestyles and demographic transition contribute to this problem in Nigeria. Primary care physicians should be active in early detection, and motivating obese people for life style change. Motivation is an important first step towards any action or behaviour change and clinicians can assess and enhance motivation to change before extensive damage is done to health, relationships, reputation, or self-image. Aims: To determine pattern and predictive factors for readiness to change among literate obese patients in primary care. Methods and Materials: A cross-sectional study was conducted between July and October 2012, among literate obese patients in the outpatient department of an urban hospital. Obese patients were identified by clinical examination, and readiness to change was measured with the University of Rhode Island Change Assessment (URICA) score. Results: Prevalence of obesity was 17.43%. Most of the subjects were married (83.8%), female (76.5%) had tertiary education (64.7%) and from professional cadre (54.4%). Mean age was 43.5±9.2. Majority (69.1%) felt that they were motivated (self- perception) to lose weight, but most (58%) were not confident that they could lose weight (self-efficacy). Based on the URICA score, most (73.5%)of the literate obese patients were contemplators. There were no significant predictors of the stage of change. Conclusion: Obesity is common among literate patients in the outpatient setting. The mean URICA score was 8.68±1.68, and most were in contemplation stage.
    VL  - 4
    IS  - 4
    ER  - 

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