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Published on: May 31, 2021
[Effects of transtheoretical model intervention on improving self-esteem of obese children]
Xueyan Zhang1, Leshan Zhou, Chenchen Li
1Nursing School of Central South University, Changsha 410013, China. 495906513@qq.com
Objective:
To explore the effects of transtheoretical model (TTM) intervention on improving self-esteem status of obese children.
Methods:
A quasi-experimental research was conducted using a repeated-measure, pretest-posttest control group design in one randomly-selected boarding school of Changsha, Hunan Province in China. Seventy-three obesity students (54 males, 19 females) among grade three to six were included. All participants received first assessment, including: demographic data, stage of change questionnaire, and the Self-Esteem Scale (SES). According to the baseline data, different intervention measures based on TTM were given to different students to promote them to begin exercise and improve their self-esteem status. Follow-up assessments were collected respectively at 1- and 6- month after intervention. Intervention effects on proportion of obese children and self-esteem status as well as BMI were explored. All analyses were conducted using SPSS 17.0.
Results:
After intervention, the proportion of obese children in precontemplation and maintenance stages was significantly different (P < 0.001). BMI and SES scores didn't change significantly. SES score was significantly different in five stages among three intervention points (P < 0.001).
Conclusion:
Obesity children who are in the later stages have higher self-esteem scores than those in former stages. Intervention based on TTM can help obese children move through the stages of change.
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