Establishing Directionality in the Self-Regulation-Self-Efficacy Change Relationship to Best Leverage Theory Within Cognitive-Behavioral vs. Educational Obesity Treatment.
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引用次数: 0
Abstract
Behavioral (non-surgical/non-pharmacological) obesity treatments have poor-to-modest outcomes, largely due to inadequate foci on psychosocial correlates of requisite behaviors. Better understanding theory-driven interrelations and directionalities of self-regulation and self-efficacy changes can inform intervention methods. Women were randomized into community-based obesity-treatment programs emphasizing either cognitive-behavioral (n = 90) or traditional educational (n = 44) methods. Regression-based paths from treatment type→early change in self-regulation→later change in self-efficacy→6- and 12-month change in both diet and physical activity/exercise were significant, but not when change in self-efficacy was, reciprocally, entered as the predictor of self-regulation change. Findings indicated advantages in focusing on self-regulation skill development for behavioral changes and weight reduction.
期刊介绍：
Consistently ranked as one of the most-read and most assigned journals by faculties of graduate programs in nursing, Advances in Nursing Science (ANS) is intellectually challenging, innovative and progressive, and features articles from a wide range of scholarly traditions. The journal particularly encourages works that speak to the need for global sustainability and that take an intersectional approach, recognizing class, color, sexual and gender identity, and other dimensions of human experience related to health. Articles in ANS are peer-reviewed and chosen for their pioneering perspectives and for their significance in contributing the evolution of the discipline of nursing.
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