ISSN 2146-8346
 

Original Research 


Social determinants of motivation to lose weight among literate obese patients: A qualitative study

Ayodele Emmanuel Oyebanji, Musa Dankyau, Osesienemo Asiribo-Sallau.

Abstract
Background: The study of motivation is central to understanding and identifying patients who are likely to benefit from obesity interventions. Previous studies have demonstrated the efficacy of an outpatient counselling technique in improving motivation to change among literate obese patients. The reasons for this demonstrated efficacy needs to be explored to guide policy and practice of obesity interventions.
Methods: A total of 18 obese individuals were recruited by purposive sampling into three groups of six individuals each matched for Readiness to Change (RTC) group based on URICA Score, age group and gender. Focus group discussions using open-ended questions to elucidate which factors could potentially be correlated with participants’ motivation, were moderated between July and October 2012. Data was recorded manually and with an MP3 recorder. Thematic analysis was used to generate themes and a derived model in January 2013.
Results: The key themes generated from the focus group discussion include: Pressure from family, friends and society; Dressing, stigmatization and self-esteem; Recognition of risk factors for diseases; Counselling by the physician: Economic factors: and having a weight loss programme in the hospital.
Conclusion: Mixed extrinsic and intrinsic factors play a role in motivation to lose weight among literate obese patients in a primary care setting. Extrinsic factors (peer, family and societal pressure; cash incentives; counselling by physician; and hospital weight loss programme) were however predominant. These findings have implications for clinicians involved in weight management programmes, and policy makers seeking public health interventions for obesity prevention need to consider interventions targeted on extrinsic motivations.

Key words: Focus groups, Motivation, Obesity, outpatients, weight reduction programmes


 
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REFERENCES
1. World Obesity Federation. Prevalence of Overweight and Obesity by WHO Region by Gender and Age. Available from: http://www.worldobesity.org/resources/obesity-data-repository/resources/tables/. [Last accessed on 2016 Jan 10].
2. World Health Organization. Obesity and Overweight. Fact sheet N 311. Available from: http://www.who.int/mediacentre/factsheets/fs311/en/. [Last accessed on 2016 Jan 10].
3. Healthy People 2010 (Group), and Human Services. (2000). Healthy People. Vol. 1. Washington, DC: US Department of Health and Human Services; 2010.
4. 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;9:297-311. [DOI via Crossref]    [Pubmed]   
5. Amoah AG. Sociodemographic variations in obesity among Ghanaian adults. Public Health Nutr 2003;6:751-7. [DOI via Crossref]    [Pubmed]   
6. Ogunbode AM, Ladipo MM, Ajayi OI, Ogunbode OO, Adebusoye LA, Fatiregun AA. Prevalence of obesity among women attending a Nigerian primary care clinic. Trop J Health Sci 2010;17:59-65. [DOI via Crossref]   
7. Wahab KW, Sani MU, Yusuf BO, Gbadamosi M, Gbadamosi A, Yandutse MI. Prevalence and determinants of obesity - A crosssectional study of an adult Northern Nigerian population. Int Arch Med 2011;4:10. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
8. Puepet FH, Zoakah AI, Chuhwak EK. Prevalence of overweight and obesity among urban Nigeria adults in Jos. Highland Med Res J 2005;1:13-6. [DOI via Crossref]   
9. Hickson M, Macqueen C, Frost G. Evaluation of attendance and weight loss in an intensive weight management clinic compared to standard dietetic care. J Hum Nutr Diet 2009;22:72-6. [DOI via Crossref]    [Pubmed]   
10. Donini LM, Savina C, Castellaneta E, Coletti C, Paolini M, Scavone L, et al. Multidisciplinary approach to obesity. Eat Weight Disord 2009;14:23-32. [DOI via Crossref]    [Pubmed]   
11. Elte JW, Castro Cabezas M, Vrijland WW, Ruseler CH, Groen M, Mannaerts GH. Proposal for a multidisciplinary approach to the patient with morbid obesity: The St. Franciscus Hospital morbid obesity program. Eur J Intern Med 2008;19:92-8. [DOI via Crossref]    [Pubmed]   
12. Inelmen EM, Toffanello ED, Enzi G, Gasparini G, Miotto F, Sergi G, et al. Predictors of drop-out in overweight and obese outpatients. Int J Obes (Lond) 2005;29:122-8. [DOI via Crossref]    [Pubmed]   
13. Teixeira PJ, Going SB, Houtkooper LB, Cussler EC, Metcalfe LL, Blew RM,et al. Pre-treatment predictors of attrition and successful weight management in women. Int J Obes Relat Metab Disord 2004;28:1124-33. [DOI via Crossref]    [Pubmed]   
14. Honas JJ, Early JL, Frederickson DD, O'Brien MS. Predictors of attrition in a large clinic-based weight-loss program. Obes Res 2003;11:888-94. [DOI via Crossref]    [Pubmed]   
15. De Panfilis C, Cero S, Dall'Aglio E, Salvatore P, Torre M, Maggini C. Psychopathological predictors of compliance and outcome in weightloss obesity treatment. Acta Biomed 2007;78:22-8. [Pubmed]   
16. Rollnick S, Miller WR, Butler CC, Aloia MS. Motivational interviewing in health care: Helping patients change behaviour. COPD J Chron Obstruct Pulmon Dis 2008;5:203-13. [DOI via Crossref]   
17. DiClemente CC, Bellino LE, Neavins TM. Motivation for change and alcoholism treatment. Alcohol Res Health 1999;23:86-92. [Pubmed]   
18. Jonas S. Mobilizing motivation: The wellness pathway. ACSM's Exercise is Medicine: A Clinician's Guide to Exercise Prescription. Philadelphia: Lippincott Williams and Wilkins; 2009. p. 61.
19. Leblanc ES, O'Connor E, Whitlock EP, Patnode CD, Kapka T. Effectiveness of primary care-relevant treatments for obesity in adults: A systematic evidence review for the U.S. Preventive Services Task Force. Ann Intern Med 2011;155:434-47. [DOI via Crossref]    [Pubmed]   
20. West R. Time for a change: Putting the transtheoretical (stages of change) model to rest. Addiction 2005;100:1036-9. [DOI via Crossref]    [Pubmed]   
21. Evers KE, Prochaska JM, Prochaska JO, Driskell MM, Cummins CO, Velicer WF. Strengths and weaknesses of health behaviour change programs on the internet. J Health Psychol 2003;8:63-70. [DOI via Crossref]    [Pubmed]   
22. Bower P, Rowland N, Hardy R. The clinical effectiveness of counselling in primary care: A systematic review and meta-analysis. Psychol Med 2003;33:203-15. [DOI via Crossref]    [Pubmed]   
23. Oyebanji AE, Dankyau M. The effect of motivation on lifestyle change in literate obese clients in a primary care setting. Int J Health Sci Res 2015;5:314-24.
24. Oyebanji AE, Dankyau M. Factors affecting readiness to change among literate obese patients in primary care. Am J Appl Psychol 2015;4:105-10. [DOI via Crossref]   
25. Field CA, Adinoff B, Harris TR, Ball SA, Carroll KM. Construct, concurrent and predictive validity of the URICA: Data from two multi-site clinical trials. Drug Alcohol Depend 2009;101:115-23. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
26. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006;3:77-101. [DOI via Crossref]   
27. Fessler DM. Shame in two cultures: Implications for evolutionary approaches. J Cognit Cult 2004;4:207-62. [DOI via Crossref]   
28. Wadden TA, Volger S, Sarwer DB, Vetter ML, Tsai AG, Berkowitz RI, et al. A two-year randomized trial of obesity treatment in primary care practice. N Engl J Med 2011;365:1969-79. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
29. Ruelaz AR, Diefenbach P, Simon B, Lanto A, Arterburn D, Shekelle PG. Perceived barriers to weight management in primary care – perspectives of patients and providers. J Gen Intern Med 2007;22:518-22. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
30. Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): Case-control study. Lancet 2004;364:937-52. [DOI via Crossref]   
31. Puhl RM, Moss-Racusin CA, Schwartz MB, Brownell KD. Weight stigmatization and bias reduction: perspectives of overweight and obese adults. Health Educ Res 2008;23:347-58. [DOI via Crossref]    [Pubmed]   
32. 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;1:237-41.
33. 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. Pak J Nutr 2007;6:502-5. [DOI via Crossref]   
34. Sodjinou R, Agueh V, Fayomi B, Delisle H. Obesity and cardiometabolic risk factors in urban adults of Benin: Relationship with socio-economic status, urbanisation, and lifestyle patterns. BMC Public Health 2008;8:84. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   

How to Cite this Article
Pubmed Style

Ayodele Emmanuel Oyebanji, Musa Dankyau, Osesienemo Asiribo-Sallau. Social determinants of motivation to lose weight among literate obese patients: A qualitative study. J Behav Health. 2016; 5(3): 123-128. doi:10.5455/jbh.20160306071015


Web Style

Ayodele Emmanuel Oyebanji, Musa Dankyau, Osesienemo Asiribo-Sallau. Social determinants of motivation to lose weight among literate obese patients: A qualitative study. http://www.jbehavioralhealth.com/?mno=215682 [Access: January 23, 2019]. doi:10.5455/jbh.20160306071015


AMA (American Medical Association) Style

Ayodele Emmanuel Oyebanji, Musa Dankyau, Osesienemo Asiribo-Sallau. Social determinants of motivation to lose weight among literate obese patients: A qualitative study. J Behav Health. 2016; 5(3): 123-128. doi:10.5455/jbh.20160306071015



Vancouver/ICMJE Style

Ayodele Emmanuel Oyebanji, Musa Dankyau, Osesienemo Asiribo-Sallau. Social determinants of motivation to lose weight among literate obese patients: A qualitative study. J Behav Health. (2016), [cited January 23, 2019]; 5(3): 123-128. doi:10.5455/jbh.20160306071015



Harvard Style

Ayodele Emmanuel Oyebanji, Musa Dankyau, Osesienemo Asiribo-Sallau (2016) Social determinants of motivation to lose weight among literate obese patients: A qualitative study. J Behav Health, 5 (3), 123-128. doi:10.5455/jbh.20160306071015



Turabian Style

Ayodele Emmanuel Oyebanji, Musa Dankyau, Osesienemo Asiribo-Sallau. 2016. Social determinants of motivation to lose weight among literate obese patients: A qualitative study. Journal of Behavioral Health, 5 (3), 123-128. doi:10.5455/jbh.20160306071015



Chicago Style

Ayodele Emmanuel Oyebanji, Musa Dankyau, Osesienemo Asiribo-Sallau. "Social determinants of motivation to lose weight among literate obese patients: A qualitative study." Journal of Behavioral Health 5 (2016), 123-128. doi:10.5455/jbh.20160306071015



MLA (The Modern Language Association) Style

Ayodele Emmanuel Oyebanji, Musa Dankyau, Osesienemo Asiribo-Sallau. "Social determinants of motivation to lose weight among literate obese patients: A qualitative study." Journal of Behavioral Health 5.3 (2016), 123-128. Print. doi:10.5455/jbh.20160306071015



APA (American Psychological Association) Style

Ayodele Emmanuel Oyebanji, Musa Dankyau, Osesienemo Asiribo-Sallau (2016) Social determinants of motivation to lose weight among literate obese patients: A qualitative study. Journal of Behavioral Health, 5 (3), 123-128. doi:10.5455/jbh.20160306071015





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