Development and validation of a lifestyle behavior tool in overweight and obese women through qualitative and quantitative approaches

• Main Authors: KU, Chee Wai, LOO Rachel, LIM, Cheryl, TAN, Jacinth Jia Xin, HO, Joey, HAN, Wee Meng, NG, Xiang Wen, CHAN, Jerry, LOY, See Ling
• Format: text
• Language: English
• Published: Institutional Knowledge at Singapore Management University 2021
• Subjects: obesity; lifestyle behavior tool; 6P; healthy nutrition; Applied Behavior Analysis; Dietetics and Clinical Nutrition; Nutrition
• Online Access: https://ink.library.smu.edu.sg/soss_research/3500; https://ink.library.smu.edu.sg/context/soss_research/article/4758/viewcontent/nutrients_13_04553_v2.pdf
• Institution: Singapore Management University

There is a paucity of effective intervention tools for overweight/obese women to assess, guide and monitor their eating behavior. This study aimed to develop a lifestyle intervention tool, assess its acceptability and usefulness, and verify its construct validity in overweight/obese women. The 6P tool (Portion, Proportion, Pleasure, Phase, Physicality, Psychology) was developed and 15 women with a body mass index (BMI) ≥ 25 kg/m2 were interviewed to assess its perceived acceptability and usefulness. Subsequently, the revised 6P tool was tested in 46 women with a BMI ≥ 25 kg/m2. The Three-Factor Eating Questionnaire (TFEQ), International Physical Activity Questionnaire-Short (IPAQ), and weight were measured at baseline and one-month. Most participants were satisfied with the presentation of the 6P tool (86.8%), and agreed it was useful in guiding healthy eating (81.6%) and raising awareness of eating behavior (97.4%). There were significant improvements in cognitive restraint (p = 0.010) and disinhibition (p = 0.030) (TFEQ), portion size (P1), pleasure behaviors (P3), and total composite 6P score (p View Full-Text