Effect of Counseling based on Information-Behavioral Motivation Model on Health Promoting Lifestyle Behaviors and Psychological Well-being in Obese and Overweight Pregnant Women: A Randomized Clinical Trial

Authors

  • Ahmad Shirvani, Marjan Midwifery Instructor, Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran . Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran 5 Assistant Professor, Mobility Impairment Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
  • Bakhtiari, Afsaneh Assistant Professor, Mobility Impairment Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.Department of Midwifery, Faculty of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran
  • Bakouei, Fatemeh Assistant Professor, Infertility and Health Reproductive Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran Department of Midwifery, Faculty of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran
  • Faramarzi, Mahbobeh Associate Professor, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
  • Motahari Tabari, Narges Sadat MSc Student in Midwifery Counseling, Student Research Committee, Faculty of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran
  • Nasiri Amiri*, Fatemeh Assistant Professor, Infertility and Health Reproductive Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran . Department of Midwifery, Faculty of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran
  • Omidvar, Shabnam Assistant Professor, Infertility and Health Reproductive Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran 7.Department of Midwifery, Faculty of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran
Abstract:

Background and purpose: Physiological changes in pregnancy cause profound challenges to mental health. The aim of this study was to investigate the effect of counseling based on Information-Behavioral Motivation Model on health promoting lifestyle behaviors and psychological well-being in overweight and obese pregnant women. Materials and methods: This randomized clinical trial was performed in 137 pregnant women with a BMI ≥25 and 12 to 16 weeks gestational age. The participants were divided into two groups of counseling (n=67) and routine care (n=70). The counseling group attended four sessions of counseling based on the Information-Behavioral Motivation Model, while the other group received routine care. Demographic information was recorded and Health-Promoting Lifestyle Profile [HPLP II] and Ryff's Psychological Well-being scale were completed before and 8 weeks after the intervention. Descriptive and inferential tests, ANOVA, and Multivariate Covariance Analysis (MANCOVA) were used to analyze the data. Results: Using the ANCOVA and MANCOVA test after adjusting the pre-intervention scores in both groups, the mean scores for health-promoting lifestyle behaviors and psychological well-being were found to be higher in intervention group compared to those in the group that received routine care (158.72±24.15 vs 141.29±24.88, P <0.001, d= 0.77 and 75.92 ± 7.87 vs. 72.17 ± 11.88, P= 0.04, d= 0.23, respectively). Conclusion: Consultation based on Information-Behavioral Motivation Model improves health-promoting lifestyle and promotes level of mental well-being.   (Clinical Trials Registry Number: IRCT20120125008822N3)    

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Journal title

volume 29  issue 177

pages  99- 110

publication date 2019-10

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