ABSTRACT
Objectives@#It is critical to assess community readiness (CR) when implementing childhood obesity prevention programs to ensure their eventual success and sustainability. Multiple tools have been developed based on various conceptions of readiness. One of the most widely used and flexible tools is based on the community readiness model (CRM). This study aimed to adapt the CRM and assess the validity of a community readiness tool (CRT) for childhood obesity prevention programs in Iran. @*Methods@#A Delphi study that included 26 individuals with expertise in 8 different subject areas was conducted to adapt the CRM into a theoretical framework for developing a CRT. After linguistic validation was conducted for a 35-question CR interview guide, the modified interview guide was evaluated for its content and face validity. The quantitative and qualitative analyses were performed using Stata version 13 and MAXQDA 2010, respectively. @*Results@#The Delphi panelists confirmed the necessity/appropriateness and adequacy of all 6 CRM dimensions. The Persian version of the interview guide was then modified based on the qualitative results of the Delphi study, and 2 more questions were added to the community climate dimension of the original CRT. All questions in the modified version had acceptable content and face validity. The final CR interview guide included 37 questions across 6 CRM dimensions. @*Conclusions@#By adapting the CRM and confirming linguistic, content, and face validity, the present study devised a CRT for childhood obesity prevention programs that can be used in relevant studies in Iran.
ABSTRACT
Context: beyond the objective outcomes of metabolic syndrome [MetS], the association between this syndrome and its patient centered outcomes need to be investigated in Middle-Eastern countries. This report aims to summarize the Tehran lipid and glucose study [TLGS] findings regarding the association between MetS and health-related quality of life [HRQoL] and its influential factors through the past decade
Evidence Acquisition: the current review has been conducted on the TLGS published data regarding different aspects of the association between MetS and HRQoL in adult participants through the last decade. To assess HRQoL, the Iranian version of short form health survey [SF-36] was used. To define MetS the most commonly used insulin resistance [IR]-and waist circumference [WC] - based MetS definitions have been applied in the publications reviewed
Results: as a whole, MetS was a determinant of poor physical HRQoL only in women [OR: 1.78; 95% CI: 1.21 - 2.61], particularly in those with more component of MetS [P < 0.001]. Results further showed that only reproductive aged women with MetS were more likely to report poor PCS compared to those without MetS even after adjusting for age [OR: 1.7, 95% CI: 1.0 - 3.0; P < 0.05]. Different structures of MetS and physical HRQoL constructs in men and women as well as age and smoking with significant gender-specific effects on mental HRQoL were factors responsible for the gender specific pattern observed. Considering the duration of MetS, only women with intermittent MetS indicated higher risk for reporting poor PCS [OR: 2.75, 95% CI: 1.19 - 6.37; P < 0.001] compared to those without MetS. The observed sex-specific pattern used to detect poor HRQoL in those with MetS was confirmed by all WC-based definitions except for the American Heart Association/National Heart, Lung, and Blood Institute [AHA/NHLBI] definition. However, none of IR-based definitions could detect poor physical and mental HRQoL in either gender
Conclusions: in summary, in the TLGS population, the association between MetS and HRQoL followed a sex specific pattern, mainly significant only in women and in the physical aspect
ABSTRACT
Objective [s]: Existing data show a considerable prevalence of non communicable diseases risk factors and their rising trend in our country. Unhealthy nutrition is an important underlying factor for mentioned diseases. Considering the necessity of understanding the underlying factors of a healthy nutrition from the perspective of society members and lack of related studies from Iran, the current study investigates perceptions and experiences of Tehranian men who are participating in Tehran Lipid and Glucose Study [TLGS]
Methods: This is a qualitative study, conducted according to the grounded theory approach. In total 8 semi-structured focus group discussions were conducted in TLGS unit, during 2008 to 2009. Participants were 96 men, aged 25-65 years, who were selected and recruited in the current study from the fourth phase of TLGS. All interviews and focus group discussions were audio recorded and transcribed verbatim. Data collection and analysis were done simultaneously according to the Strauss and Corbin analysis method
Results: Based on content analysis of data, barriers to a healthy nutrition are [inefficient education], [behavioral models],[lack of access], [women's role] and [personal taste and interest]
Conclusion: Study results demonstrated the main barriers for a healthy nutrition as perceived by men, barriers that any effective interventions require to address for tackling non-communicable diseases in Tehranian families