J Korean Biol Nurs Sci.  2020 Nov;22(4):232-248. 10.7586/jkbns.2020.22.4.232.

The Development and Evaluation of a Motivation-Strengthening Obesity Management Program for Obese Subjects with Visual Impairment

• Lee SH
• Choi JS

• KMID: 2509056
• DOI: http://doi.org/10.7586/jkbns.2020.22.4.232

Abstract

Purpose
The purpose of this study was to develop and apply a motivation-strengthening obesity management program for obese subjects with visual impairment and evaluate its effects.
Methods
The program development and evaluation periods were from March to August 2018. The study design was an experimental study of non-equality, control repeat design. 25 subjects in the experimental group participated in the 12-week obesity management program and the 26 people in the control group did not.
Results
The motivation-strengthening obesity management program included stretching exercises for 30 minutes in the morning five times a week. In addition, counseling, education, and group discussions were continued once a week for motivational strengthening. Special custom exercises for blind patients were also completed once a week simultaneously. Both of these activities were continued for 50 minutes a week for a total of 12 weeks. Measurements were recorded periodically to identify the sustained effects of the program. The obese subjects with visual impairment improved their knowledge of obesity, perceived disability, self-efficacy of exercise, and quality of life related to obesity through the motivational obesity management program. Waist circumference, systolic blood pressure, diastolic blood pressure, and fasting blood sugar were also improved in obese subjects.
Conclusion
The study findings indicate that this program could be an active intervention for the control of weight gain in participants with visual impairment. Therefore, the motivation-strengthening program based on the ADDIE (Analysis, Design, Development, Implementation& Evaluation) model could be an effective strategy for better health outcomes of obese subjects with visual impairment.

Keyword

Vision disorders; Motivation; Strengthening; Obesity management; Program