Annals of Behavioral Medicine最新文献

{"title":"Yes I can! Exploring the impact of self-efficacy in a digital weight loss intervention.","authors":"Angel E Cleare, Christopher D Gardner, Abby C King, Michele L Patel","doi":"10.1093/abm/kaae085","DOIUrl":"10.1093/abm/kaae085","url":null,"abstract":"<p><strong>Background: </strong>Self-efficacy is a modifiable intervention target in behavioral weight loss interventions. However, its role in the context of digital interventions is less clear.</p><p><strong>Purpose: </strong>To determine change in self-efficacy in a digital weight loss intervention, and whether self-efficacy is associated with engagement in self-monitoring diet or weight loss.</p><p><strong>Methods: </strong>This is a secondary analysis of the GoalTracker study among 100 adults with overweight or obesity enrolled in a 12-week standalone digital weight loss intervention emphasizing daily self-monitoring. At baseline, 1 month, and 3 months, we assessed self-efficacy for controlling eating (via the Weight Efficacy Lifestyle Questionnaire; WELQ) and self-efficacy for tracking diet. Dietary self-monitoring engagement data were collected from the MyFitnessPal app. Weight was collected in person on a calibrated scale. Analyses included participants with complete data (N range: 72-99).</p><p><strong>Results: </strong>Positive change from baseline to 1 month in self-efficacy for controlling eating was associated with higher dietary self-monitoring engagement (r = 0.21, P = .008) but not with 3-month weight change (r = -0.20, P = .052). Meanwhile, positive change from baseline to 1 month in self-efficacy for tracking diet was associated in a beneficial direction with both outcomes (r = 0.57, P < .001; r = -0.35, P < .001, respectively). However, on average, self-efficacy for controlling eating did not change over time while self-efficacy for tracking diet decreased (P < .001).</p><p><strong>Conclusion: </strong>Improvements in self-efficacy-particularly for tracking diet-early on in a digital weight loss intervention served as a mechanism of greater engagement and weight loss, highlighting the need for strengthening intervention strategies that promote early self-efficacy within a digital context.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changing mindsets about methotrexate in the rheumatology clinic to reduce side effects and improve adherence: a randomized controlled trial.","authors":"Rachael Yielder, Kari Leibowitz, Alia J Crum, Paul Manley, Nicola Dalbeth, Keith J Petrie","doi":"10.1093/abm/kaae089","DOIUrl":"10.1093/abm/kaae089","url":null,"abstract":"<p><strong>Background: </strong>Patients' negative expectations about medication can exacerbate side effect burden leading to low adherence and persistence. A novel intervention involves targeting mindsets about non-severe symptoms; reframing them as encouraging signs of medication working.</p><p><strong>Purpose: </strong>This study aimed to assess whether a brief symptom-mindset intervention can improve symptom experience and adherence in patients starting methotrexate to treat an inflammatory rheumatic disease.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted with patients starting methotrexate. Participants were randomly assigned (1:1) to a mindset intervention or standard information control condition. Symptom mindset was assessed after 4 weeks to check intervention efficacy. The primary outcome was symptom experience after 4 weeks. Secondary outcomes were adherence and motivation to take methotrexate (4 weeks), as well as continuation and C-reactive protein (12 weeks).</p><p><strong>Results: </strong>Forty-seven participants were randomly assigned to the intervention (n = 24) or control group (n = 23). All participants completed the study. After 4 weeks, compared to the control group, intervention participants endorsed more positive symptom mindsets, experienced less symptom burden (mean difference -2.70 [95% CI, -4.50, -0.90] P = .005), fewer general symptoms (3.53 [-6.99, .79] P = .045) and a similar number of methotrexate-specific symptoms (-0.79 [-2.29, 0.71] P = .295). The intervention group had better motivation and adherence to methotrexate at 4 weeks and better continuation, and C-reactive protein at 12 weeks than the control group. There was no difference in side effect attribution.</p><p><strong>Conclusions: </strong>In patients starting methotrexate, a mindset intervention reframing the role of non-severe side effects is a promising approach for improving symptom experience and early stage medication persistence.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142880940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Daily reciprocal relationships between affect, physical activity, and sleep in middle and later life.","authors":"Sun Ah Lee, Zachary Fisher, David M Almeida","doi":"10.1093/abm/kaae072","DOIUrl":"10.1093/abm/kaae072","url":null,"abstract":"<p><strong>Background: </strong>The daily dynamics among affect, physical activity, and sleep are often explored by taking a unidirectional approach. Yet, obtaining a comprehensive understanding of the reciprocal dynamics among affect and health behaviors is crucial for promoting daily well-being.</p><p><strong>Purpose: </strong>This study examined the reciprocal associations among affect, physical activity, and sleep in daily life in a U.S. national sample of mid- and later-life adults.</p><p><strong>Methods: </strong>The study sample included 1,171 participants (mean age = 62.61 years, SD = 10.26 years, 57% female, 82% White) with 9,033 daily interview days from the daily diary project of the third wave of the Midlife in the United States study (MIDUS III). Participants reported their daily experiences across eight consecutive days. Using a dynamic structural equation modeling, we examined day-to-day autoregressive and cross-lagged associations among positive and negative affect, physical activity, and sleep.</p><p><strong>Results: </strong>Results revealed that higher positive affect predicted a greater likelihood of engaging in moderate-to-vigorous physical activity (MVPA) and better sleep quality the following day. Higher sleep quality predicted increased positive affect, reduced negative affect, and a greater likelihood of MVPA engagement the next day. Longer sleep duration predicted lower negative affect the following day. However, MVPA engagement predicted subsequent higher negative affect.</p><p><strong>Conclusions: </strong>Findings underscore the importance of simultaneously considering affect, physical activity, and sleep in studying their day-to-day dynamics, and the protective role of positive affect and sleep quality in daily life. Maintaining high positive affect and managing sleep quality may be important intervention targets for enhancing daily well-being.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142811969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in daily stress reactivity and changes in physical health across 18 years of adulthood.","authors":"Jonathan Rush, Susan T Charles, Emily C Willroth, Eric S Cerino, Jennifer R Piazza, David M Almeida","doi":"10.1093/abm/kaae086","DOIUrl":"10.1093/abm/kaae086","url":null,"abstract":"<p><strong>Background: </strong>Stress plays a pivotal role in physical health. Although many studies have linked stress reactivity (daily within-person associations between stress exposure and negative affect) to physical health outcomes, we know surprisingly little about how changes in stress reactivity are related to changes in physical health.</p><p><strong>Purpose: </strong>The current study examines how change in stress reactivity over 18 years is related to changes in functional health and chronic health conditions.</p><p><strong>Methods: </strong>Three measurement bursts from the National Study of Daily Experiences (N = 2880; 55% female) each included daily measures of stressor exposure and negative affect across 8 consecutive days, yielding 33 944 days of data across 18 years of adulthood. At each wave, participants reported their functional health limitations (ie, basic activities of daily living [ADL] and instrumental activities of daily living [IADL]) and chronic health conditions. Multilevel structural equation models simultaneously modeled stress reactivity at Level 1, longitudinal changes in stress reactivity at Level 2, and the association between changes in stress reactivity and changes in functional limitations and chronic conditions at Level 3.</p><p><strong>Results: </strong>Higher levels of stress reactivity at baseline were associated with more functional health limitations 18 years later (ADLs: Est. = 0.90, P = .001; IADLs: Est. = 1.78, P < .001). Furthermore, individuals who increased more in their stress reactivity across the 18-year period also showed greater increases in their functional health limitations (ADLs: Est. = 4.02, P = .017; IADLs: Est. = 5.74, P < .001) and chronic conditions (Est. = 11.17, P = .008).</p><p><strong>Conclusions: </strong>These findings highlight the strong connection between health and stress in daily life, and how they travel together across adulthood.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing the Use of Personal Values to Promote Medication Adherence: A Randomized Controlled Trial Comparing Affective and Behavioral Responses to Theory-Driven Domain Congruent Versus Incongruent Values Approaches.","authors":"Lauren B Finkelstein, Emma E Bright, Heng Chao J Gu, Joanna J Arch","doi":"10.1093/abm/kaae064","DOIUrl":"10.1093/abm/kaae064","url":null,"abstract":"<p><strong>Background: </strong>Self-affirmation theory (SAT) and acceptance and commitment therapy (ACT) embody competing approaches to leveraging personal values to motivate behavior change but are rarely compared in the domain of health behavior. This study compares these theory-driven values-based interventions for promoting medication adherence.</p><p><strong>Purpose: </strong>To compare affective and behavioral responses to competing values-based medication adherence interventions.</p><p><strong>Methods: </strong>In this three-armed randomized trial, participants with cancer (n = 95) or diabetes (n = 97) recruited online using Prolific and prescribed daily oral medication for that disease completed a one-session online writing intervention leveraging (1) a domain incongruent (DI) value, where the value was not connected to medication adherence; (2) a domain congruent (DC) value, where the value was connected to adherence; or (3) a control condition, focused on medication adherence procedures.</p><p><strong>Results: </strong>There were no main effects of conditions on reported medication adherence at the 1-month follow-up. During the intervention, positive affect was higher in the values conditions than control (p < .001), and trended higher in DI versus DC (p = .054). Negative affect did not vary between the values and control groups (p = .093) but was lower in DI versus DC (p = .006). Improvements in positive affect over the course of the intervention were associated with increased adherence behavior for individuals who started with low levels of positive affect (p = .003). Disease type did not moderate findings.</p><p><strong>Conclusions: </strong>Consistent with SAT, focusing on DI values led to more positive and less negative affect than connecting values directly to behavior in a threatening domain such as chronic illness. For some participants, increases in positive affect predicted greater adherence.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dulce Digital-Me: results of a randomized comparative trial of static versus adaptive digital interventions for Latine adults with diabetes.","authors":"Athena Philis-Tsimikas, Addie L Fortmann, Taylor Clark, Samantha R Spierling Bagsic, Emilia Farcas, Scott C Roesch, James Schultz, Todd P Gilmer, Job G Godino, Kimberly L Savin, Mariya Chichmarenko, Jennifer A Jones, Haley Sandoval, Linda C Gallo","doi":"10.1093/abm/kaae077","DOIUrl":"10.1093/abm/kaae077","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effectiveness of a static, text-based diabetes education and support intervention (Dulce Digital, DD) versus a dynamic approach with personalized feedback and goal setting (Dulce Digital-Me, DD-Me) in improving diabetes outcomes.</p><p><strong>Design and methods: </strong>Comparative effectiveness trial in 310 Latine adults with poorly managed type 2 diabetes in a Federally Qualified Health Center in Southern California, randomized to DD, DD-Me-Auto (algorithm-driven text-based personalized feedback), or DD-Me-Tel (coach delivered personalized feedback). Changes in HbA1c (primary outcome), low-density lipoprotein-cholesterol, systolic blood pressure, and patient-reported outcomes were examined across 6 and 12 months, with the primary comparison being DD versus DD-Me (combined automated and telephonic).</p><p><strong>Results: </strong>Participants were 52.1 (±10.2) years old, 69.7% female, with HbA1c 9.3% (±1.6) at baseline. Across groups, there was a statistically significant improvement in HbA1c at 6 months (mean∆ per month = -0.17, 95% CI -0.20, -0.14; P < .001) and 12 months (mean∆ per month = -0.07, 95% CI -0.09, -0.05; P < .001). However, there were no time-by-group interaction effects indicating group differences in clinical outcomes across 6 or 12 months. The DD-Me groups showed greater improvements across time than the DD group for diabetes self-management behaviors.</p><p><strong>Conclusions: </strong>Static and adaptive digital interventions for Latine adults with type 2 diabetes had similar and clinically significant effects on HbA1c across 12 months. Simple digital approaches can be integrated within primary care-based chronic care models to reduce diabetes disparities.</p><p><strong>Clinicaltrials.gov registration: </strong>NCT03130699, Initial Release 04/24/2017, https://clinicaltrials.gov/ct2/show/NCT03130699?term=NCT03130699&draw=2&rank=1.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of the Let's Move It multi-level vocational school-based intervention on physical activity and sedentary behavior: a cluster randomized trial.","authors":"Nelli Hankonen, Ari Haukkala, Minttu Palsola, Matti Toivo Juhani Heino, Reijo Sund, Kari Tokola, Pilvikki Absetz, Vera Araújo-Soares, Falko F Sniehotta, Katja Borodulin, Antti Uutela, Taru Lintunen, Tommi Vasankari","doi":"10.1093/abm/kaaf023","DOIUrl":"10.1093/abm/kaaf023","url":null,"abstract":"<p><strong>Background: </strong>Low levels of physical activity (PA), more prevalent among those with low education, require effective interventions. Fewer trials have tested interventions to decrease sedentary behavior (SB). No school-based interventions have shown lasting effects on PA or SB in vocational schools.</p><p><strong>Purpose: </strong>To examine whether the Let's Move It intervention has effects on behavioral and clinical outcomes among vocational students after 2 and 14 months.</p><p><strong>Methods: </strong>A cluster randomized trial in 6 school units in vocational education in Finland (N = 1112) (mean age 18.5 years, range 15-46). The multi-component intervention targeted in-class activity opportunities (eg, teacher-led activity breaks, equipment in classrooms), and students' motivation and self-regulation (eg, 6 group sessions, à 45-60 min, during the intensive intervention period of 2 months). Valid (≥ 4 days, ≥ 10 h/day) accelerometer data were obtained from 741 students at baseline, 521 (70.3%) at 2 months, and 406 (54.8%) at 14 months.</p><p><strong>Results: </strong>No evidence of a significant intervention effect on the co-primary outcomes (moderate-to-vigorous PA, SB, breaks in SB) was found. Participants in the intervention arm reduced their total daily SB time by 32 min (95% CI, -43.2 to -20.8) on weekdays, compared with the control arm's reduction of 8.6 (95% CI, -19.5 to 2.3) and engaged in more accelerometer-measured light PA during school time. Few differences were found in secondary outcomes. The fidelity of intervention delivery was relatively good.</p><p><strong>Conclusions: </strong>This school-based intervention did not affect leisure-time activity. Despite a positive outcome on school-time light PA, more comprehensive or intensive environmental changes may be needed to meaningfully improve vocational students' total activity.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Daily hassle effects on daily cigarette and/or e-cigarette use: the moderating effect of daily uplifts.","authors":"Yitong Lin, Daryl B O'Connor, Mark Conner","doi":"10.1093/abm/kaaf016","DOIUrl":"10.1093/abm/kaaf016","url":null,"abstract":"<p><strong>Background: </strong>Daily hassles, as minor stressful events, are common in life. However, they have received less attention in previous studies on relationships between stressful events and nicotine product use. Meanwhile, daily uplifts have also been investigated less in research on nicotine use.</p><p><strong>Purpose: </strong>The current study was conducted to explore the relationships between daily measures of hassles, uplifts, and the use of nicotine products (ie, cigarettes, e-cigarettes).</p><p><strong>Methods: </strong>This was a daily diary study. Participants completed 1 diary each day for up to 7 days. One hundred and eighty-one adults who currently use cigarettes or e-cigarettes solely or co-use both completed a total of 886 daily diary entries. Multilevel modeling was used to predict the daily use of the above nicotine products from daily hassles, daily uplifts, and their interactions.</p><p><strong>Results: </strong>Daily hassles were positively associated with any daily nicotine use. There were no significant associations between daily hassles and daily cigarette use or between daily hassles and daily e-cigarette use. Daily uplifts were not directly associated with any behaviors, but daily hassles and daily uplifts showed a significant interaction in affecting any daily nicotine use, daily cigarette use, and daily e-cigarette use. In each use pattern, increasing levels of uplifts were associated with an attenuation of the relationship between hassles and the use of nicotine products.</p><p><strong>Conclusions: </strong>It may be worthwhile to explore further the effects of daily hassles and daily uplifts on nicotine product use through ecological momentary assessments.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transforming Health Psychology and Behavioral Medicine to Address the Climate Crisis: A Call for Strategic Research and Advocacy.","authors":"Elissa S Epel, Kristi E White, Kelly D Brownell, Judith Rodin, Adrienne L Hollis, Michael A Diefenbach, Katie E Alegria, Elena Fromer, Susan M Czajkowski, Simon L Bacon, Tracey A Revenson, John Ruiz, Edward Maibach","doi":"10.1093/abm/kaae088","DOIUrl":"https://doi.org/10.1093/abm/kaae088","url":null,"abstract":"<p><strong>Objective: </strong>The climate crisis poses the largest threat to human health and survival and has been a public health emergency for many years. It is causing harmful consequences for physical and mental health and is amplifying existing health inequities. In this call to action, we highlight the relevance of the health psychology and behavioral medicine communities in addressing the health impacts of climate change.</p><p><strong>Method: </strong>We identify mitigation and adaptation climate health behaviors and social changes needed that underlie the three essential objectives to address climate change and its associated health consequences: (a) rapid decarbonization, (b) drawdown of atmospheric heat-trapping gases (sequestration), and (c) adap- tation.</p><p><strong>Results: </strong>To advance the behavioral and systemic changes necessary to protect health, we propose a 1-2-3 Transformational Model in which the larger field of health psychology and behavioral medicine promotes (1) One Health, human and planetary health by (2) targeting climate health behaviors, and (3) social change across major professional areas, including research, interventions, and education/advo- cacy. We urge the adoption of the social quantum change paradigm, a systems approach to understanding the process of social change, where systemic change is viewed as local to global, and the individual has an influential role.</p><p><strong>Discussion: </strong>These shifts in views, priorities, and methods will bolster hope, collective efficacy, and action to support the next generation of health psychology and behavioral medicine profession- als. With these changes, the health psychology and behavioral medicine communities can have a more immediate and meaningful impact on the climate crisis and its associated health consequences.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-related social control in overweight romantic couples: daily associations with physical activity and affect for targets and agents.","authors":"Pascal Küng, Corina Berli, Patrick S Höhener, Robert Tobias, Urte Scholz","doi":"10.1093/abm/kaae093","DOIUrl":"10.1093/abm/kaae093","url":null,"abstract":"<p><strong>Background: </strong>Physical activity is essential for health and wellbeing. However, many individuals fail to reach the recommended levels and obesity rates are increasing. Health-related social control refers to strategies employed by 1 person (agent) to influence another person's (target) health behavior. These strategies can be classified into persuasion (eg, encouraging or motivating) or pressure (eg, nagging or coercing). However, much of the existing research is cross-sectional and mostly focuses on the experiences of the targets.</p><p><strong>Purpose: </strong>This study investigates how persuasion and pressure within overweight romantic couples relate to outcomes in both agents and targets. Specifically, it examines same-day associations with positive and negative affect, as well as physical activity.</p><p><strong>Methods: </strong>This study is a secondary analysis of the 14-day follow-up period from a randomized controlled trial. Accelerometers and daily diaries tracked 99 overweight romantic couples. For each outcome and each partner, separate multilevel models were fitted.</p><p><strong>Results: </strong>Daily persuasion used by agents was associated with increased physical activity in targets and a more favorable affect in agents. Daily pressure was not associated with the physical activity of either partner but was linked to a more unfavorable affect in the agent. Both persuasion and pressure were unrelated to the targets' affect.</p><p><strong>Conclusions: </strong>Health-related social control in romantic relationships relates to same-day outcomes of both agents and targets. Our findings suggest that health behavior change interventions and weight loss programs could benefit from encouraging persuasion and limiting pressure.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142943006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}