The Effect of Training Given to Women With Obesity Patients According to the Health Belief Model

This study was conducted to examine the effectiveness of the training provided to women with obesity based on the Health Belief Model on women's beliefs regarding obesity and obesity management of the women. Study population included 18 to 65 years old women with obesity and the study sample included 128 women (64 in the control group and 64 in the experimental group) determined by power analysis. Randomized controlled, single-blind clinical study included a total of 128 obesity woman

Research data were collected by the researcher in the community health center. Research data were completed in 4 months. women in the experimental and control groups in collecting test data; Introductory Features consisting of 15 questions The form, which includes the Obesity health belief model scale and anthropometric measurements, was applied.Interventions were made on the women in the experimental situation, and no intervention was made on the control group.

Health Belief Model Scale in Obesity evaluates beliefs and attitudes towards. The scale consisting of 32 items in total The cronbach alpha coefficient is 0.80. Health Belief Model Scale in Obesity , sensitivity, seriousness, benefit and five sub-dimensions that can be used independently of each other, including perception of disability The importance of health; the level of importance individuals give to their health shows and consists of eight items (1, 2, 3, 4, 5, 6, 7, 8). Perceived sensitivity; health problems and complications that may develop due to obesity. to what level they find themselves susceptible, and the interventions to be made for obesity. evaluates at what level they find useful, and takes four items (12, 13, 14, 16) consists of. Perceived seriousness; To what extent do individuals have obesity and consists of four items (9, 10, 11, 17). Perceived benefit; what individuals gain in terms of their health when they manage obesity shows the level of awareness of the benefits and consists of 8 items (21, 22, 24, 25, 26, 27, 28, 32). Perceived obstacle; people's health recommendations for obesity. shows the level of the obstacles they perceive in practice and (15, 18, 19, 20, 23, 29, 30, 31).

The scale is a 5-point Likert type scale for each item. The importance of health in scale sub for the size; 1 for "Never", 2 for "Sometimes", 3 for "Frequently", 4 for "Very often", "Every evaluation is made by giving 5 points for "time". Perceived sensitivity, seriousness, obstacle and for perceptions of benefit; By giving 1 points for "absolutely disagree", 2 for "disagree", 3 for "indecisive", 4 for "agree", 5 for "absolutely agree" evaluation is done. total scale point average is not calculated. Each sub of the scale The scores of the items belonging to the subscale of the subscale are summed up and the number of items in each subscale is calculated. is divided. If every item in the scale was not answered, the number of items answered the corresponding ratings are summed up and the responses on that subscale are divided by the number of items. Sensitivity perception: Women see obesity as a disease and The definition of obesity in the educational content, how is it is evaluated and why it is an important health problem. Towards the perception of seriousness: Women should consider obesity as a serious health problem.

After evaluating the visual conditions, the educational content caused by obesity Health problems such as physical and mental illnesses are included. For the perception of benefit: It is important for women to manage obesity well. After evaluating the usefulness of the educational content, obesity health benefits of obesity management, proper nutrition and physical The benefits of the activity are included. Barrier perception: Perceived barriers by women in managing obesity After evaluating the obstacles encountered in managing obesity in the educational content what happened was discussed with the group, the things that could be done to overcome these obstacles were listed. education that includes the ability of women to manage obesity using appropriate ways For the perception of barriers: Perceived barriers by women in managing obesity After evaluating the obstacles encountered in managing obesity in the educational content what happened was discussed with the group, the things that could be done to overcome these obstacles were listed. education that includes the ability of women to manage obesity using appropriate ways program has been created. İmportance of health in scale, perceived usefulness, perceived the increase in the mean scores of the sensitivity and perceived seriousness sub-dimensions, The decrease in the average score of the perceived disability sub-dimension indicates that the applied training yields a positive result. Weight measurements of women, by placing the scales on a flat surface without slope, his thick clothes and shoes were removed, and it was made upright without moving.his thick clothes and shoes were removed, and it was built upright without moving.Women's height measurements with feet united and on the frankfort plane (head the angle between the neck and the neck is 90 degrees)Women's waist circumference measurements should be kept on a flat surface and excessive pressure by keeping the tape measure. hands and arms at both sides, feet close to each other (12-15 cm near) and the weight is evenly distributed on two feet from the belly button level. measured. A decrease in height, weight and BMI indicates that training is effective IMPACT STATEMENT What is already known on this subject? Behavior change is an important factor in obesity What the results of this study add? There are behavioral change initiatives by providing training, but by integrating the model use and training areas into the model, providing behavioral and attitude change will provide more effective and sustainable lifestyle changes in obesity.

What the implications are of these findings for clinical practice and/or further research? Studies about obesity patients, it is recommended that nursing interventions be carried out within the framework of models, and their training should be aimed at cognitive, affective and psychomotor areas and applied to different groups.In studies to be intended for obesity patients, it is recommended that nursing interventions be carried out within the framework of models, and their training should be aimed at cognitive, affective and psychomotor areas and applied to different groups. Its use in the Health belief model-based of obese with chronic diseases also contributes to disease. Health belief model-based training to be given to healthy individuals will contribute to the prevention of obesity.

Eligibility Criteria:
Inclusion Criteria:

* women with a waist circumference ≥88 cm
* with no previous training regarding obesity
* being at least a primary school graduate
* having no chronic diseases or mental or psychological disability limiting daily life activities

Exclusion Criteria:

* having an obesity surgery