title: Assessing Readiness to Lose Weight among Obese Women Attending the Nutrition Clinic.
abstract: BACKGROUND
  Assessing individual's readiness to change and targeting the inter-vention to the level of readiness may improve successful weight loss rates. This study aimed to assess readiness for weight loss in obese women using the trans theoretical model.
  
  
  METHODS
  A cross-sectional study was conducted on 90 volunteer apparently healthy obese women, in Ardabil, Iran. Participants completed the translated and validated University of Rhode Island Change Assessment questionnaire in their first visit. Subjects were categorized into one of the stages of change based on the highest of four z-transformed scale scores. The readiness to change score was calculated.
  
  
  RESULTS
  More than half of the participants were in early stages of weight loss and 24.5% were in the action stage. The readiness score in the precontemplation stage was significantly lower than the other stages, but no significant difference was observed among the contemplation, action and maintenance stages. The significant correlation was observed between the stages of change and waist-to-hip ratio (r=0.33, P<0.05).
  
  
  CONCLUSIONS
  Obese women attending the nutrition clinic are in different stages to change for weight loss. Understanding person specific stages of change ori-entates the dietitian to use the most appropriate counseling strategies. Hence the stages and readiness to change should be considered before implementing any intervention in clinical settings for optimal outcomes.
authors.affiliation: International Branch, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Ghannadiasl
authors.affiliation: Nutrition Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Reza
authors.initials: R
authors.lastname: Mahdavi
authors.affiliation: Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: AsghariJafarabadi
keywords: Obese women; Readiness to change; Weight loss
references.citation: Prev Med. 2005 Jun;40(6):769-78
references.pmid: 15850878
references.citation: Int J Obes Relat Metab Disord. 2001 May;25 Suppl 1:S80-4
references.pmid: 11466595
references.citation: Eat Behav. 2003 Sep;4(3):305-14
references.pmid: 15000973
references.citation: Body Image. 2005 Sep;2(3):233-47
references.pmid: 18089191
references.citation: Eat Behav. 2010 Apr;11(2):74-8
references.pmid: 20188289
references.citation: Prev Med. 2008 Mar;46(3):238-46
references.pmid: 18055007
references.citation: J Black Psychol. 2011 Feb 1;38(1):81-103
references.pmid: 24683280
references.citation: Circulation. 2002 Dec 17;106(25):3143-421
references.pmid: 12485966
references.citation: Am J Clin Nutr. 2005 Jul;82(1 Suppl):222S-225S
references.pmid: 16002825
references.citation: Int J Behav Nutr Phys Act. 2004 Aug 2;1(1):12
references.pmid: 15287984
references.citation: Am J Crit Care. 2003 Sep;12(5):444-53
references.pmid: 14503428
references.citation: Health Promot Pract. 2013 May;14(3):441-50
references.pmid: 23091300
references.citation: Ann Clin Psychiatry. 2007 Apr-Jun;19(2):83-7
references.pmid: 17612847
references.citation: Psychiatr Clin North Am. 2010 Jun;33(2):423-40
references.pmid: 20385345
references.citation: J Am Board Fam Pract. 2000 May-Jun;13(3):164-71
references.pmid: 10826863
references.citation: Addict Behav. 1992;17(1):35-45
references.pmid: 1595424
references.citation: Obes Rev. 2008 Mar;9 Suppl 1:41-7
references.pmid: 18307698
references.citation: Prev Med. 1999 Jan;28(1):61-74
references.pmid: 9973589
references.citation: J Am Diet Assoc. 2004 Oct;104(10):1589-92
references.pmid: 15389419
references.citation: J Gen Intern Med. 2005 May;20(5):410-5
references.pmid: 15963162
references.citation: J Am Diet Assoc. 2010 Apr;110(4):535-42
references.pmid: 20338279
references.citation: Int J Obes (Lond). 2008 Sep;32(9):1431-7
references.pmid: 18607383
references.citation: Appetite. 2006 Jul;47(1):30-5
references.pmid: 16806579
references.citation: J Nutr Educ Behav. 2009 Mar-Apr;41(2):110-9
references.pmid: 19304256
references.citation: Behav Res Ther. 2004 Jun;42(6):711-29
references.pmid: 15081886
references.citation: Am Psychol. 1992 Sep;47(9):1102-14
references.pmid: 1329589
references.citation: Obes Res. 2001 Jan;9(1):59-67
references.pmid: 11346668
references.citation: Obesity (Silver Spring). 2009 Apr;17(4):698-705
references.pmid: 19148126
references.citation: Behav Ther. 2009 Jun;40(2):164-70
references.pmid: 19433147
references.citation: Appetite. 2012 Jun;58(3):822-6
references.pmid: 22329988
references.citation: J La State Med Soc. 2003 Jan-Feb;155(1):52-6
references.pmid: 12656277
references.citation: J Am Diet Assoc. 2004 Jul;104(7):1102-8
references.pmid: 15215768
references.citation: Appetite. 2008 Nov;51(3):506-11
references.pmid: 18479777
references.citation: Addict Behav. 1998 Sep-Oct;23(5):655-68
references.pmid: 9768301
references.citation: Health Educ Behav. 2010 Oct;37(5):753-62
references.pmid: 19494057
references.citation: Obes Res. 2004 Sep;12(9):1499-508
references.pmid: 15483215