Self-Efficacy, Decisional Balance and Stages of Change on Dietary Practices among Metabolic Syndrome Persons, Uthai Thani Province
Manirat Therawiwat PhD*, Nirat Imamee PhD*, Thaweesak Khamklueng MSc**
Affiliation : * Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand ** Provincial Public Health Office, Uthai Thani, Thailand
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
