Navegando por Autor "NOBRE, Suellen Martins"

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Efeitos do treino de automonitoração e do treino de relato verbal no estabelecimento e na manutenção de comportamentos de seguir regras nutricionais em adultos com obesidade
(Universidade Federal do Pará, 2010-05-10) NOBRE, Suellen Martins; FERREIRA, Eleonora Arnaud Pereira; http://lattes.cnpq.br/6600933695027723
Obesity is an epidemic, chronic, multifactorial and high risk disease, which affectsthousands of people and provokes a lot of social, emotional and economic harms. Behavior Analysis tries to comprehend the obese person’s behaviors which cause both the acquisition and maintenance of such condition and the interactions of this individual with the environment. In spite behavioral strategies have been used, such as the self-monitoring register and the verbal report training, research on obesity treatment usually emphasizes non behavioral goals as criteria of success on treatment (e.g. weight loss). However, some authors defend the use of behavioral criteria which may result on benefits on quality of life, emphasizing the construction of healthy behaviors instead of eliminating maladjusted behaviors. Based on Goldiamond’s constructional model, the objective of this study was to verify the effects of self-monitoring and verbal report training on the establishment and maintenance, in the short term, of nutritional rule governed behaviors on obese adults. Two obese and adult women, patients on treatment in a private nutritional clinic, who had problems regarding to adherence to diet, participated of this research. Data were usually collected in participants own residences, on alternated days, on five stages: (1) Base Line Interviews in order to identify the initial nutritional behaviors; (2) Intervention, divided on the subsequent conditions: (I) Self-monitoring Training and (II) Verbal Report Training; (3) Short Term Maintenance; (4) Follow-up; and (5) Closing: Final Interview, in order to assess obtained data. On condition I, self-monitoring and meal planning registers were used, as for the condition II, verbal report was used for planning and access to the goal meal which had happened the day before. On all the intervention interviews, consistence analysis were conducted, confronting register/ goal meal report and the rules described on nutritional plan; following nutritional rules behaviors were also analyzed in terms of costs and benefits and the determinants variables for the emission of nutritional rule governed behaviors were identified. The training was applied to only one meal at each time, until one of the criteria of change for the goal meal was reached. In this case, the main criterion was the occurrence of 60% adherence on three consecutive interviews. On each interview the Diet Adherence Rating (DAR) was calculated for the goal meal. Results indicated that both participants reached the established criteria for all the meals but the afternoon snack. The efficacy of both procedures on installing self-monitoring feeding behavior was observed, however, the results concerning to self-control were few, suggesting that another behavioral strategies are needed, such as a self-control training, in order to maintain the results obtained on obesity treatment. The complexity of the treatment for obesity was also discussed as well as the need to considerer not only the disease focus, but the context in which obesity is inserted.