title: The effects of behavioral modification based on client center program to health behaviors among obese university students.
abstract: The objectives of this research were to examine the effectiveness of Health Behavioral Modification based on the Client Center Program (HBMCCP) and to study behavioral change in relation to self - efficacy, self- regulation, self-care behaviors and body weight. The sample was 59 undergraduate students, who were selected by cluster random sampling. 29 participated in the HBMCCP for 8 weeks, and were followed up 4 weeks after the program, and 30 students in the control group. Data was collected 3 times, before, immediately after and 4 weeks after the program, by 6 scale - questionnaires which had high reliability of Cronbach's alpha-coefficient between .81 to.94. The stratified variables were psycho-social variables, being a positive attitude towards health behavior and social support. Data were analyzed by MANOVA and ANCOVA. Results showed that 1) Obese students in the experimental group with HBMCCP had self - efficacy, self- regulation and self-care behavior at immediately after and 4 weeks later program significantly higher scores than before the program (p<0.000). For body weights at immediately after program were significantly lower scores than before the program (p=0.02), 2) Obese students in the program had self - efficacy, self- regulation and self-care behavior scores at immediately after and 4 weeks after the program significantly higher than obese students in the control group (p=0.009) and significantly lower body weights than obese students in the control group (p=0.026), and 3) No three - way interaction among positive attitude towards health behavior, social support and the program was found, although there was a two- way interaction between positive attitude towards health behavior and the program (p=0.001) and effect size=0.272.
authors.affiliation: Srinakharinvirot University. ungsinun@swu.ac.th.
authors.forename: Ungsinun
authors.initials: U
authors.lastname: Intarakamhang
authors.forename: Anan
authors.initials: A
authors.lastname: Malarat
mesh_terms: D000704:Analysis of Variance; D015992:Body Mass Index; D001835:Body Weight; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D009765:Obesity / Q000523:psychology / Q000628:therapy*; D015397:Program Evaluation / Q000379:methods / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D012648:Self Care; D020377:Self Efficacy; D012944:Social Support; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D013785:Thailand