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Title: Development and validation of a lifestyle behavior tool in overweight and obese women through qualitative and quantitative approaches
Authors: Ku, Chee Wai 
Loo, Rachael Si Xuan
Lim, Cheryl Jia En
Tan, Jacinth J. X.
Ho, Joey Ee Wen
Han, Wee Meng
Ng, Xiang Wen
Chan, Jerry Kok Yen 
Yap, Fabian 
Loy, See Ling 
Keywords: 6P
Healthy nutrition
Lifestyle behavior tool
Issue Date: 20-Dec-2021
Publisher: MDPI
Citation: Ku, Chee Wai, Loo, Rachael Si Xuan, Lim, Cheryl Jia En, Tan, Jacinth J. X., Ho, Joey Ee Wen, Han, Wee Meng, Ng, Xiang Wen, Chan, Jerry Kok Yen, Yap, Fabian, Loy, See Ling (2021-12-20). Development and validation of a lifestyle behavior tool in overweight and obese women through qualitative and quantitative approaches. Nutrients 13 (12) : 4553. ScholarBank@NUS Repository.
Rights: Attribution 4.0 International
Abstract: There is a paucity of effective intervention tools for overweight/obese women to assess, guide and monitor their eating behavior. This study aimed to develop a lifestyle intervention tool, assess its acceptability and usefulness, and verify its construct validity in overweight/obese women. The 6P tool (Portion, Proportion, Pleasure, Phase, Physicality, Psychology) was developed and 15 women with a body mass index (BMI) ≥ 25 kg/m2 were interviewed to assess its perceived acceptability and usefulness. Subsequently, the revised 6P tool was tested in 46 women with a BMI ≥ 25 kg/m2. The Three-Factor Eating Questionnaire (TFEQ), International Physical Activity Questionnaire-Short (IPAQ), and weight were measured at baseline and one-month. Most participants were satisfied with the presentation of the 6P tool (86.8%), and agreed it was useful in guiding healthy eating (81.6%) and raising awareness of eating behavior (97.4%). There were significant improvements in cognitive restraint (p = 0.010) and disinhibition (p = 0.030) (TFEQ), portion size (P1), pleasure behaviors (P3), and total composite 6P score (p < 0.001). However, there was no significant reduction in weight or increase in physical activity. The 6P tool is acceptable and presents with good validity for assessing lifestyle behaviors. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
Source Title: Nutrients
ISSN: 2072-6643
DOI: 10.3390/nu13124553
Rights: Attribution 4.0 International
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