مشخصات پژوهش

Introduction: Metabolic syndrome (Mets) is the presence of several metabolic risk factors in accompany with abdominal obesity which can lead to the remarkable health hazards. This disease naturally is interrelated with several aspects of the daily life and its treatment demands a bio-psycho-social oriented manipulation. However; most of the existing evidence concerned with the control of Mets are outcomes from quantitative researches, especially in the case of exercise training. Moreover, a great part of the available information are come from different population not having Mets, with considerable cultural and racial diversity which did not provide a deep understanding about the patients and their around people's perceptions, experiences, attitudes and expectations. Therefore, identification of the essential causes influencing to not adherence or withdrawal from exercise training and/or dietary control with a qualitative approach could certainly be a valuable step to improve Mets control and other complications from its accompanying diseases. Methodology: This study was conducted according to the grounded theory method with goal oriented and also snowball sampling between males and female patients with Mets and their around people (physicians, family members, friends and coworkers) using holistic method. After subject selection based on the study aim and also considering the inclusion and exclusion criteria, achievement of a verbal consent and selection of the interview location, a face to face interview with open ended questions was recorded by an audio recorder. The nonverbal cues were also recorded by the interviewer. Results: Finally, 74 codes were allocated after analyze in five main concept categories; including on supportive structure, coping tools, interactions, patients characteristics and psycho-spiritual load which should be considered in exercise therapy service programming as an appropriate way out to stimulate future behavior change and motivation inc