J Med Assoc Thai 2013; 96 (12):131

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Self-Efficacy, Decisional Balance and Stages of Change on Dietary Practices among Metabolic Syndrome Persons, Uthai Thani Province
Therawiwat M Mail, Imamee N , Khamklueng T

Objective: To determine factors related to stages of change regarding dietary intake of persons with metabolic syndrome in Uthai Thani.
Material and Method: Five hundred metabolic syndrome persons were randomly selected using a three-stage sampling method and voluntarily responded to a validated, self-administered questionnaire.
Results: Majority of the respondents (36.4%) had dietary practices in the pre-contemplation stage while only 17.4 percent of them were in the action and maintenance stage. Perceived self-efficacy, pros, and cons of decisional balance for dietary intake had statistically positive association with the stages of change (Somers’d value = 0.21, 0.29, and 0.09 with p<0.01, <0.01, and 0.015 respectively).
Conclusion: Perceived self-efficacy, pros, and cons of decisional balance are related to stages of change regarding dietary intake of persons with metabolic syndrome. Therefore, perceived self-efficacy, pros for positive and cons for negative dietary intake should be emphasized to elevate food consumption practices of the metabolic syndrome persons from pre-contemplation to action and maintenance stage.

Keywords: Stages of change, Dietary practices, Decisional balance

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