Adherence to healthy diet and physical activity in clinical patients

  1. Rubén Martín-Payo 1
  2. Javier Suárez-Álvarez 1
  3. María Eulalia Amieva Fernández 2
  4. María José Duaso 3
  5. Estela Álvarez Gómez 2
  1. 1 Universidad de Oviedo (España)
  2. 2 Hospital Universitario Central de Asturias (España)
  3. 3 Florence Nightingale Faculty of Nursing and Midwifery- King’s College London
Mostrar afiliaciones +
Revista:
Psicothema

ISSN: 0214-9915

Año de publicación: 2016

Volumen: 28

Número: 4

Páginas: 457-464

Tipo: Artículo

DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Psicothema

Resumen

Antecedentes: el objetivo de este estudio ha sido explorar las propiedades psicométricas del cuestionario Motiva.Diaf, diseñado para medir la adherencia a las características de la dieta saludable y realización de actividad física en personas enfermas. Método: participaron 230 pacientes, que asistieron a consultas hospitalarias, con una edad media de 49,28 años (SD = 12,34), siendo un 55,7 % mujeres. Dos semanas tras la administración inicial, se seleccionaron al azar 40 participantes, de los que tenían otra cita hospitalaria, para completar nuevamente el cuestionario con el fin de evaluar la fiabilidad test-retest. Resultados: la precisión de las puntuaciones es adecuada en términos de consistencia interna (α = .802; Ω = .776) y de estabilidad temporal (r =.786). La estructura del test es esencialmente unidimensional y las puntuaciones en esta dimensión convergen con las medidas de necesidades psicológicas básicas (r Diet = .294; r Physical Activity= .359) y salud percibida (r = .266). También se encontró una relación moderada con IMC (r = - .129). Conclusiones: Motiva.Diaf ha demostrado una fiabilidad y validez. La disponibilidad de un instrumento de estas características tiene implicaciones significativas en la evaluación de las conductas, diseño e implementación de intervenciones conductuales.

Referencias bibliográficas

  • Bemelmans, W. J., Broer, J., de Vries, J. H., Hulshof, K. F., May, J. F., & Meyboom-De Jong, B. (2000). Impact of Mediterranean diet education versus posted leafl et on dietary habits and serum cholesterol in a high risk population for cardiovascular disease. Public Health Nutrition, 3(3), 273-283.
  • Castro-Quezada, I., Román-Viñas, B., & Serra-Majem, L. (2014). The Mediterranean diet and nutritional adequacy: A review. Nutrients, 6(1), 231-248.
  • Crespo-Salgado, J. J., Delgado-Martín, J. L., Blanco-Iglesias, O., & Aldecoa-Landesa, S. (2015). Guía básica de detección del sedentarismo y recomendaciones de actividad física en atención primaria [Basic guidelines for detecting sedentarism and recommendations for physical activity in primary care]. Atención Primaria, 47(3), 175-183.
  • Dapcich, V., Salvador Castell, G., Ribas Barba, L., Pérez Rodrigo, C., Aranceta Bartrina, J., & Serra Majem, LL. (2007). Advice for healthy eating. Retrieved from http://www.semfyc.es/pfw_files/cma/Informacion/modulo/documentos/guia_alimentacion.pdf
  • Deci, E. L., & Ryan, R. M. (1985). The general Causality Orientations Scale: Self-Determination in personality. Journal of Research in Personality, 19, 109-134.
  • Deci, E. L., & Ryan, R. M. (2012). Self-determination theory in health care and its relations to motivational interviewing: A few comments. International Journal of Behavioral Nutrition and Physical Activity, 9, 24.
  • Duncan, M. J., Kline, C. E., Vandelanotte, C, Sargent, C., Rogers, N. L., & Di Milia, L. (2014). Cross-sectional associations between multiple lifestyle behaviors and health-related quality of life in the 10,000 Steps cohort. PLoS One, 9(4), e94184.
  • Dutton, S. N., Bauman, A., Dennis, S. M., Zwar, N., & Harris, M. F. (2016). Resourcing an evolution of roles in general-practice: A study to determine the validity and reliability of tools to assist nurses and patients to assess physical activity. Australian Journal of Primary Health. Advance online publication.
  • Fortier, M. S., Duda, J. L., Guerin, E., & Teixeira, P. J. (2012). Promoting physical activity: Development and testing of self-determination theory-based interventions. International Journal of Behavioral Nutrition and Physical Activity, 9(20).
  • García del Castillo, J. A., García del Castillo-López, A., López-Sánchez, C., & Días, P. (2015). Theoretical confi guration of health motivation from the self-determination theory. Health and Addictions, 15(2), 137-150.
  • Gourlan, M., Trouilloud, D., & Boiché, J. (2016). Motivational profi les for physical activity practice in adults with type 2 diabetes: A selfdetermination theory perspective. Behavioral Medicine, 42(4), 227-237.
  • Hurkmans, E. J., Maes, S., de Gucht, V., Knittle, K., Peeters, A. J., Ronday, H. K., et al. (2010). Motivation as a determinant of physical activity in patients with rheumatoid arthritis. Arthritis Care & Research, 62(3), 371-377.
  • Instituto Nacional de Estadística (2014). Encuesta Europea de Salud en España [European Survey about Health in Spain]. Madrid: Instituto Nacional de Estadística. Retrieved from http://www.ine.es/metodologia/t15/t153042014cues_a.pdf
  • Kelly, R. B., Zyzanski, S. J., & Alemagno, S. A. (1991). Prediction of motivation and behavior change following health promotion: Role of health beliefs, social support, and self-effi cacy. Social Science & Medicine, 32(3), 311-320.
  • Kopp, L. L., & Zimmer-Gembeck, M. J. (2011). Women’s global selfdetermination, eating regulation, and body dissatisfaction: Exploring the role of autonomy support. Eating Behaviors, 12(3), 222-224.
  • Lane, S. (2014). Validity evidence based on testing consequences. Psicothema, 26, 127-135.
  • La Vecchia, C., & Serra Majem, L. (2015). Evaluating trends in global dietary patterns. The Lancet. Global Health, 3(3), e114-115.
  • Leblanc, V., Bégin, C., Hudon, A. M., Royer, M. M., Corneau, L., Dodin, S., et al. (2014). Gender differences in the long-term effects of a nutritional intervention program promoting the Mediterranean diet: Changes in dietary intakes, eating behaviors, anthropometric and metabolic variables. Nutrition Journal, 13, 107.
  • Leblanc, V., Hudon, A. M., Royer, M. M., Corneau, L., Dodin, S., Bégin, C., et al. (2015). Differences between men and women in dietary intakes and metabolic profi le in response to a 12-week nutritional intervention promoting the Mediterranean diet. Journal of Nutritional Science, 4, e13.
  • Leong, S. L., Madden, C., Gray, A., & Horwath, C. (2012). Self-determined, autonomous regulation of eating behavior is related to lower body mass index in a nationwide survey of middle-aged women. Journal of the Academy of Nutrition and Dietetics, 112(9), 1337-1346.
  • Mask, L., Blanchard, C. M., & Baker, A. (2014). Do portrayals of women in action convey another ideal that women with little self-determination feel obligated to live up to? Viewing effects on body image evaluations and eating behaviors. Appetite, 83, 277-286.
  • McKenzie, F., Biessy, C., Ferrari, P., Freisling, H., Rinaldi, S., Chajès, V., et al. (2016). Healthy lifestyle and risk of cancer in the european prospective investigation into cancer and nutrition cohort study. Medicine, 95(16), e2850.
  • Muñoz, M. A., Fíto, M., Marrugat, J., Covas, M. I., & Schröder, H. REGICOR and HERMES investigators (2009). Adherence to the Mediterranean diet is associated with better mental and physical health. The British Journal of Nutrition, 101(12), 1821-1827.
  • Muros Molina, J. J., Oliveras López, M. J., Mayor Reyes, M., Reyes Burgos, T., & López García de la Serrana, H. (2011). Infl uence of physical activity and dietary habits on lipid profi le, blood pressure and BMI in subjects with metabolic syndrome. Nutrició n Hospitalaria, 26(5), 1105-1109.
  • Ng, J. Y., Ntoumanis, N., Thøgersen-Ntoumani, C., Deci, E. L., Ryan, R. M., Duda, J. L., et al. (2012). Self-determination theory applied to health contexts: A meta-analysis. perspectives on psychological science: A Journal of the Association for Psychological Science, 7(4), 325-340.
  • Padilla, J. L., & Benítez, I. (2014). Validity evidence based on response processes. Psicothema, 26, 136-144.
  • Peddle, C. J., Plotnikoff, R. C., Wild, T. C., Au, H. J., & Courneya, K. S. (2008). Medical, demographic, and psychosocial correlates of exercise in colorectal cancer survivors: An application of self-determination theory. Supportive Care in Cancer: Offi cial Journal of the Multinational Association of Supportive Care in Cancer, 16(1), 9-17.
  • Rios, J., & Wells, C. (2014). Validity evidence based on internal structure. Psicothema, 26, 108-116.
  • Rutten, G. M., Meis, J. J., Hendriks, M. R., Hamers, F. J., Veenhof, C., & Kremers, S. P. (2014). The contribution of lifestyle coaching of overweight patients in primary care to more autonomous motivation for physical activity and healthy dietary behaviour: Results of a longitudinal study. The International Journal of Behavioral Nutrition and Physical Activity, 11, 86.
  • Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and wellbeing. The American Psychologist, 55(1), 68-78.
  • Ryan, R. M., Patrick, H., Deci, E. L., & Williams, G. C. (2008). Facilitating health behaviour change and its maintenance: Interventions based on self-determination theory. The European Health Psychologist, 10, 2-5.
  • Shigaki, C., Kruse, R. L., Mehr, D., Sheldon, K. M., Bin, Ge., Moore, C., et al. (2010). Motivation and diabetes self-management. Chronic illness, 6(3), 202-214.
  • Silva, M. N., Vieira, P. N., Coutinho, S. R., Minderico, C. S., Matos, M. G., Sardinha, L. B., et al. (2010). Using self-determination theory to promote physical activity and weight control: A randomized controlled trial in women. Journal of Behavioral Medicine, 33(2), 110-122.
  • Sireci, S., & Faulkner-Bond, M. (2014). Validity evidence based on test content. Psicothema, 26, 100-107.
  • Teixeira, P. J., Carraça, E. V., Markland, D., Silva, M. N., Ryan, R. M. (2012). Exercise, physical activity, and self-determination theory: A systematic review. The International Journal of Behavioral Nutrition and Physical Activity, 9, 78.
  • Tilman, D., & Clark, M. (2014). Global diets link environmental sustainability and human health. Nature, 515(7528), 518-522.
  • Timmerman, M. E., & Lorenzo-Seva, U. (2011). Dimensionality assessment of ordered polytomous items with parallel analysis. Psychological Methods, 16, 209-220.
  • Weman-Josefsson, K., Lindwall, M., & Ivarsson, A. (2015). Need satisfaction, motivational regulations and exercise: Moderation and mediation effects. The International Journal of Behavioral Nutrition and Physical Activity, 12, 67.
  • Williams, G. C., McGregor, H., Sharp, D., Kouldes, R. W., Lévesque, C. S., Ryan, R. M., et al. (2006). A self-determination multiple risk intervention trial to improve smokers’ health. Journal of General Internal Medicine, 21(12), 1288-1294.
  • World Health Organization (2010). Global recommendations on physical activity for health. Geneva, Switzerland: WHO Press. Retrieved from http://www.who.int/dietphysicalactivity/factsheet_adults/en/
Fuente de los datos: Dialnet