Changes to autonomous motivation and reductions in amotivation led to positive mental health in overweight male football fans: a causal mediation analysis of the European fans in training (EuroFIT) trial.
Øystein Bue Røynesdal, Otto R F Smith, Glyn C Roberts, Femke van Nassau, Judith G M Jelsma, Sally Wyke, Cindy M Gray, Hugo V Pereira, Eivind Andersen, Marlene N Silva, Marit Sørensen
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引用次数: 0
Abstract
Objective: Do post-program motivational regulations mediate the intervention effect of the SDT-based European Fans in Training (EuroFIT) program on self-esteem, well-being and vitality at 12-months follow-up?
Methods: A causal mediation analysis of data from the randomised controlled trial of the EuroFIT program that recruited 1113 overweight, male football fans in England, Norway, Portugal and the Netherlands.
Results: We found evidence of indirect effects of autonomous motivation on vitality (b=.487, 95% CI: .229, .767, p<.001) well-being (b=.063, 95% CI: .003, .131, p=.038) and self-esteem (b=.491, 95% CI: .278, .701, p<.001), but not controlled motivation, at 12-months follow-up in the EuroFIT trial. We also found that reductions in amotivation at post-program partly explained positive increases across outcomes at 12-months follow-up. When controlling for increases in outcome variables at post-program, only the mediating effect of autonomous motivation on self-esteem remained significant, whereas the indirect pathway through reductions in amotivation remained significant for all outcomes. None of the indirect effects were robust to potential mediator-outcome confounding.
Conclusion: EuroFIT program produced small-to-moderate improvements in vitality, well-being, and self-esteem at 12-month follow-up that were partly explained by post-program increases in autonomous motivation and reductions in amotivation. All indirect effects estimates were sensitive to potential mediator-outcome confounding.
期刊介绍:
Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.