Introduction of Alternative Proteins for Health Professionals’ Diet: The Transtheoretical Model and Motivational Interviewing of Nutritional Interventions
Abstract
:1. Introduction
1.1. Alternative Proteins
1.2. The Transtheoretical Model through Stages of Change and the Motivational Interviewing as Interventions to Eating Behaviour Modifications
- 1.2.1. The precontemplation stage: The person does not intend to change behaviour over the next six months. Those involved in this stage have never received information, are poorly informed about the consequences of their behaviour, or feel discouraged due to previous failed attempts.
- 1.2.2. The contemplation stage: The person intends to change their behaviour over the next six months. They are conscious of the advantages and disadvantages of behaviour modification.
- 1.2.3. The stage of preparation: The person intends to take action to modify their behaviour in the immediate future (more specifically, in the period of one month) and they have already formulated an action plan aimed at changing their eating behaviour.
- 1.2.4. The stage of action: The person in this stage has already made modifications regarding their lifestyle within the last six months.
- Motivation to change is generated by the individual and not imposed by external factors. Motivational interviewing is based on identifying and mobilizing the individual’s internal values and elements in order to change behavior.
- It is not the therapist’s but the individual’s purpose to clearly and distinctly articulate and resolve their ambivalent feelings. The counselor’s purpose is to enhance the expression of both components of ambivalence and lead the individual to an acceptable resolution of the problem which supports change.
- Direct persuasion is not an effective method to resolve ambivalent feelings. Such methods have been shown to increase the individual’s resistance and reduce the likelihood of behavior modification.
- The style of intervention should be calm and eliciting through the counselor’s use of arguments, direct persuasion and aggressive countering.
- The counselor is direct in helping the individual to examine and resolve their ambivalent feelings.
- Whether the individual is ready for the desired behavior change will be determined by the interpersonal interaction between the counselor and the patient.
- Step 1—Engagement
- Step 2—Focus
- Step 3—Incitement
- Step 4—Planning
1.3. Aim and Objectives of the Study
- (i)
- to investigate the nutritional behavior of the study population regarding the introduction of alternative proteins;
- (ii)
- to improve their diet and compliance regarding the introduction of alternative proteins in their diet during their monitoring;
- (iii)
- to evaluate the effectiveness of the TM in supporting the modification of health behaviors and assess the intervention program, its design and quality characteristics via the study population after the end of the program;
- (iv)
- to compare the effectiveness of a short counseling/information intervention lasting 10 min and a behavior modification intervention with the application of the MI intervention in the form of MET (motivational enhancement therapy) of four sessions of semi-structured interviews and telephone intervention in the study population.
2. Methods and Analysis
2.1. Design
2.2. Ethical Approval
2.3. Participants and Recruitment
Exclusion Criteria
- Have been diagnosed with mental illness or depression.
- Do not speak Greek.
- Have a health problem diagnosed, such as a cardiovascular condition or diabetes.
- Have an allergy or intolerance to any of the recommended products, such as alternative proteins.
- Are vegan or vegetarians.
- Are not healthcare professionals
2.4. Nutritional Intervention Based on the Transtheoretical Model and Motivational Interviewing
2.4.1. Control Group
2.4.2. Intervention Group
- Information and mobilization form concerning the intervention program, research that will be carried out, goals, procedures and expected benefits from their participation.
- Signed consent form before joining the program.
- Complaint form.
2.5. Study Tools
- Knowledge and attitude questionnaire for health professionals regarding the alternative proteins.
- 2.
- Classification questionnaire in the stages of the Transtheoretical—Stages of Change—Model
- The evaluation of the intervention group is to be carried out upon completion of the questionnaire at the beginning of each session and at the end of the intervention. The evaluation of the change concerning the behaviour of participants will be classified through the movement of the population from one stage of the model to another, for example, moving from the stage of contemplation to the stage of action. It is also to be used as an indicator of successful non-modification of eating behaviour by including functional foods and compliance with preventive controls.
- The questionnaire is also to be completed by the control group at the beginning and at the end of the intervention. This action aims to draw conclusions regarding the ability to change the pre-desired eating habits and aims to compare the behavioural response of the group.
- 3.
- Semi-structured interviews
- A.
- A 10-min interview will have an educational and advisory character and will not follow any other specific methodological scheme. It is to concern the category of the population/control group.
- B.
- There are to be four 40-min interviews/meetings with 10-min intermediate telephone interviews according to the methodology of motivational enhancement therapy (MET) [16,17,18,19]. The interviews are to be held every 15 days with an intermediate telephone interview that will be determined in agreement with each participant and will aim to monitor and evaluate the effort to modify the behaviour of the participants and provide brief advice on issues that may arise.
- 4.
3. Statistical Analyses
3.1. Data Entry in Statistical Program (SPSS)
3.2. Data File Checking, Error Correction from Data Entry in SPSS (Editing)
3.3. Initial Descriptive Data Analysis
3.4. Descriptive Data Analysis
3.5. Quality Data Analysis
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
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Tsampoula, I.; Kelesi, M.; Papathanasiou, I.V.; Thanasa, G.; Goula, A.; Papageorgiou, D.; Kaba, E. Introduction of Alternative Proteins for Health Professionals’ Diet: The Transtheoretical Model and Motivational Interviewing of Nutritional Interventions. Int. J. Environ. Res. Public Health 2023, 20, 3097. https://doi.org/10.3390/ijerph20043097
Tsampoula I, Kelesi M, Papathanasiou IV, Thanasa G, Goula A, Papageorgiou D, Kaba E. Introduction of Alternative Proteins for Health Professionals’ Diet: The Transtheoretical Model and Motivational Interviewing of Nutritional Interventions. International Journal of Environmental Research and Public Health. 2023; 20(4):3097. https://doi.org/10.3390/ijerph20043097
Chicago/Turabian StyleTsampoula, Iliana, Martha Kelesi, Ioanna V. Papathanasiou, Georgia Thanasa, Aspasia Goula, Dimitrios Papageorgiou, and Evridiki Kaba. 2023. "Introduction of Alternative Proteins for Health Professionals’ Diet: The Transtheoretical Model and Motivational Interviewing of Nutritional Interventions" International Journal of Environmental Research and Public Health 20, no. 4: 3097. https://doi.org/10.3390/ijerph20043097