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Douglas ME, Driver S, Ochoa C, McShan E, Callender L, Froehlich-Grobe K. Baseline health-related self-efficacy for individuals following stroke, traumatic brain injury, and spinal cord injury prior to enrollment in a weight-loss intervention. Disabil Rehabil 2024; 46:3314-3322. [PMID: 37753959 DOI: 10.1080/09638288.2023.2261845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Accepted: 09/15/2023] [Indexed: 09/28/2023]
Abstract
PURPOSE To examine health-related self-efficacy for individuals following acquired brain or spinal cord injury prior to enrollment in a weight-loss intervention and associations with demographics, injury characteristics, and additional physiologic variables. MATERIALS AND METHODS Cross-sectional analysis of baseline data for community-dwelling adults following stroke (CVA), traumatic brain injury (TBI), or spinal cord injury (SCI) across three disability-adapted weight-loss interventions. RESULTS Overall results suggest a significant difference between injury type and self-efficacy as measured by the Self Rated Abilities for Health Practices (SRAHP) scale. On average, individuals with SCI had the lowest overall perceived self-efficacy of the three groups (11.2-unit difference; (CI: -17.4, -5.0), followed by those with TBI (9.5-unit difference; (CI: -16.7, -2.4). There were also differences between groups in age, number of household members, time since injury, sex, race, marital status, physiological measures, and employment status. CONCLUSIONS Results suggest that individuals with different disabilities following neurological injuries have different baseline perceptions in their ability to eat a healthy diet and exercise regularly. Health interventions should be tailored for these groups based on disability-specific barriers and should include components to enhance health-related self-efficacy to address weight management among these populations.IMPLICATIONS FOR REHABILITATIONEvidence suggests that health-related self-efficacy may differ following different injury types and level of disability may impact one's ability to maintain health-related behaviorsResults suggest that individuals with a spinal cord injury may have different baseline perceptions of self-efficacy related to their ability to eat a healthy diet and exercise regularly compared to those with a traumatic brain injury or stroke.Health interventions should be tailored to encompass disability-specific barriers which may impact an individual's health-related self-efficacy.
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Affiliation(s)
- Megan E Douglas
- Baylor Scott & White Research Institute, Dallas, TX, USA
- Baylor Scott & White Institute for Rehabilitation, Dallas, TX, USA
| | - Simon Driver
- Baylor Scott & White Research Institute, Dallas, TX, USA
- Baylor Scott & White Institute for Rehabilitation, Dallas, TX, USA
| | - Christa Ochoa
- Baylor Scott & White Research Institute, Dallas, TX, USA
- Baylor Scott & White Institute for Rehabilitation, Dallas, TX, USA
| | - Evan McShan
- Baylor Scott & White Research Institute, Dallas, TX, USA
- Baylor Scott & White Institute for Rehabilitation, Dallas, TX, USA
| | - Librada Callender
- Baylor Scott & White Research Institute, Dallas, TX, USA
- Baylor Scott & White Institute for Rehabilitation, Dallas, TX, USA
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Albasheer O, Hakami N, Abdelwahab SI, Alqassim AY, Alharbi A, Abdelmola AO, Altraifi AAA, Medani IE, Hakami AMS, Moafa MH, Abuhadi RI, Hobani AH. Utilisation of the health belief model to study the behavioural intentions relating to obesity management among university students: a cross-sectional study. BMJ Open 2024; 14:e079783. [PMID: 38702084 PMCID: PMC11086379 DOI: 10.1136/bmjopen-2023-079783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/06/2024] Open
Abstract
BACKGROUND Overweight and obesity are excessive fat accumulations linked with many health problems, including heart diseases, type 2 diabetes and cancer. Multiple studies have demonstrated that beliefs about overweight, obesity and self-efficacy play essential roles in the success of interventions for obesity management. OBJECTIVES This study aimed to identify the perceptions of university students of overweight and obesity using the health belief model (HBM) and to analyse their association with the body mass index (BMI) categories of the students. DESIGN A cross-sectional questionnaire-based study and a multistage sampling technique were used to ensure the recruitment of students from selected colleges of Jazan University-Saudi Arabia. SETTING Six colleges of Jazan University were randomly selected to ensure equal representation of health sciences, sciences and humanities colleges. PARTICIPANTS A total of 579 students completed an online survey between January and April 2023. PRIMARY AND SECONDARY OUTCOME MEASURES The primary outcome measures were demographic characteristics and HBM constructs. Secondary outcome measures were behavioural intentions relating to obesity management. RESULTS This study demonstrated that gender and self-reported family history of obesity were significantly correlated with the BMI categories of the students (p <0.001). Students in the underweight category showed the highest mean score for perceived severity (3.62 ±0.08). Perceived self-efficacy in exercise and diet was significantly associated with BMI categories, with adjusted ORs of 2.82 (2.10 to 3.79) and 1.51 (1.09 to 2.09), respectively. Perceived barriers to healthy eating and regular physical activity were significantly related to the behavioural intentions of obesity management. Multivariate logistic regression showed that perceived severity, perceived cues to action, perceived barriers and self-efficacy in dieting and exercise were significant predictors of behavioural intentions for the management of obesity. CONCLUSION This study underscores the need for tailored health promotion strategies that consider the perceptions and beliefs of people about the management of obesity.
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Affiliation(s)
- Osama Albasheer
- Department of Family and Community Medicine, College of Medicine, Jazan University, Jazan, Saudi Arabia
| | - Nasser Hakami
- Department of Surgery, College of Medicine, Jazan University, Jazan, Saudi Arabia
| | | | - Ahmad Y Alqassim
- Department of Family and Community Medicine, College of Medicine, Jazan University, Jazan, Saudi Arabia
| | - Abdullah Alharbi
- Department of Family and Community Medicine, College of Medicine, Jazan University, Jazan, Saudi Arabia
| | - Amani Osman Abdelmola
- Department of Family and Community Medicine, College of Medicine, Jazan University, Jazan, Saudi Arabia
| | | | - Isameldin E Medani
- Department of Obstetrics and Gynecologicy, College of Medicine, Jazan University, Jazan, Saudi Arabia
| | - Ahlam Mohammed S Hakami
- Department of Obstetrics and Gynecologicy, College of Medicine, Jazan University, Jazan, Saudi Arabia
| | - Mnar H Moafa
- College of Medicine, Jazan University, Jazan, Saudi Arabia
| | - Rana I Abuhadi
- College of Medicine, Jazan University, Jazan, Saudi Arabia
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Killeen OJ, Gonzalez LA, Rothberg AE, Khanna S, Cornblath WT, Deveney T, Wong SH, De Lott LB. Facilitators and Barriers to Weight Loss Among Patients With Idiopathic Intracranial Hypertension. J Neuroophthalmol 2024:00041327-990000000-00622. [PMID: 38608181 DOI: 10.1097/wno.0000000000002133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2024]
Abstract
BACKGROUND Little is known about motivation for weight loss and barriers to weight loss among patients with idiopathic intracranial hypertension (IIH). Such information is crucial for developing tailored weight management recommendations and novel interventions. METHODS We administered a survey to patients with IIH presenting to neuro-ophthalmology clinics at The University of Michigan Kellogg Eye Center (Michigan, USA) and St. Thomas' Hospital (London, England). Participants rated importance and motivation to lose weight (1-10 scale; 10 = extremely important/motivated). Facilitators and barriers to weight loss were assessed using open-ended survey questions informed by motivational interviewing methodology. Open-ended responses were coded by 2 team members independently using a modified grounded theory approach. Demographic data were extracted from medical records. Descriptive statistics were used to analyze quantitative responses. RESULTS Of the 221 (43 Michigan and 178 London) patients with IIH (Table 1), most were female (n = 40 [93.0%] Michigan and n = 167 [94.9%] London). The majority of patients in the United States were White (n = 35 [81.4%] Michigan), and the plurality were Black in the United Kingdom (n = 67 [37.6%] London]) with a mean (SD) BMI of 38.9 kg/m2 (10.6 kg/m2) Michigan and 37.5 kg/m2 (7.7 kg/m2) London. Participants' mean (SD) level of importance to lose weight was 8.5 (2.2) (8.1 [2.3] Michigan and 8.8 [2.1] London), but their mean (SD) level of motivation to lose weight was 7.2 (2.2) (6.8 [2.4] Michigan and 7.4 [2.1] London). Nine themes emerged from the 992 open-ended coded survey responses grouped into 3 actionable categories: self-efficacy, professional resources (weight loss tools, diet, physical activity level, mental health, and physical health), and external factors (physical/environmental conditions, social influences, and time constraints). Most responses (55.6%; n = 551) were about barriers to weight loss. Lack of self-efficacy was the most discussed single barrier (N = 126; 22.9% total, 28.9% Michigan, and 20.4% London) and facilitator (N = 77; 17.5% total, 15.9% Michigan, and 18.7% London) to weight loss. Other common barriers were related to physical activity level (N = 79; 14.3% total, 13.2% Michigan, and 14.8% London) and diet (N = 79; 14.3% total, 9.4% Michigan, and 16.3% London). Commonly reported facilitators included improvements in physical activity level (N = 73; 16.6% total, 18.5% Michigan, and 15.1% London) and dietary changes (N = 76; 17.2% total, 16.4% Michigan, and 17.9% London). CONCLUSIONS Patients with IIH believe weight loss is important. Self-efficacy was the single most mentioned important patient-identified barrier or facilitator of weight loss, but professional resource needs and external factors vary widely at the individual level. These factors should be assessed to guide selection of weight loss interventions that are tailored to individual patients with IIH.
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Affiliation(s)
- Olivia J Killeen
- Department of Ophthalmology (OJK), Duke University, Durham, North Carolina; Department of Ophthalmology & Visual Sciences (LAG, SK, WTC, TD, LBDL), University of Michigan, Ann Arbor, Michigan; The Ohio State University College of Medicine (LAG), Columbus, Ohio; Department of Internal Medicine (AER), The University of Michigan, Ann Arbor, Michigan; School of Public Health (AER), The University of Michigan, Ann Arbor, Michigan; Weight Management Program & Rewind (AER), The University of Michigan, Ann Arbor, Michigan; Department of Neurology (WTC, LBDL), University of Michigan, Ann Arbor, Michigan; Department of Neuro-Ophthalmology (SHW), Moorfields Eye Hospital, London, United Kingdom; Eye Department (SHW), St Thomas' Hospital, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom; Institute of Neurology (SHW), University College London, London, United Kingdom; and Faculty of Life Sciences & Medicine (SHW), King's College London, London, United Kingdom
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Liu PL. Understanding mHealth Adoption and Lifestyle Improvement: An Empirical Test of the Antecedents and Mediating Mechanisms. JOURNAL OF HEALTH COMMUNICATION 2024; 29:155-165. [PMID: 38205945 DOI: 10.1080/10810730.2024.2303641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2024]
Abstract
The potential of using mobile phones for health care service delivery has been well acknowledged. Despite that mobile health (mHealth) related research has proliferated in the past decade, mHealth is still in the fledgling stage with a low adoption rate. There is a research gap in understanding factors influencing mHealth adoption and examining the effects of mHealth use on health outcomes. The purpose of this study was thus to explore influential factors of mHealth use, and test mediation pathways through which mHealth use impacts healthy lifestyle behaviors (e.g. sleep, exercise, and social participation). Survey results from 432 online participants illustrate that performance expectancy, social influence, support conditions, and perceived reliability were significantly associated with mHealth use. However, the impact of effort expectancy on mHealth use was statistically nonsignificant. Moreover, the results indicate that mHealth use can not only contribute to the improvement of healthy lifestyle behaviors directly but also exert an impact through the mediating effect of health competence. Knowing what factors motivate people's mHealth use and how mHealth use contributes to lifestyle improvement can help trigger interventions to boost mHealth adoption and improve public health. Implications and limitations are discussed.
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Lee JW, Nersesian PV, Suen JJ, Cudjoe TKM, Gill J, Szanton SL, Hladek MD. Loneliness is Associated With Lower Coping Self-Efficacy Among Older Adults. J Appl Gerontol 2023; 42:270-279. [PMID: 36178675 PMCID: PMC9840677 DOI: 10.1177/07334648221129858] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
To address the gap of lacking research on the association between coping self-efficacy and loneliness, this study examined this relationship to inform future research and intervention on loneliness. Using data from 151 community-dwelling older adults ages 65 and older, we estimated multivariate logistic regression models with age, race/ethnicity, sex, body mass index, chronic disease composite score, social support, coping self-efficacy, and depression symptoms. Loneliness was reported in 32.1% of participants and negatively associated with coping self-efficacy (OR = 0.68, 95% CI: 0.50-0.93) while controlling for age, race, sex, chronic disease composite score, and body mass index. Our findings suggest that coping self-efficacy may be a target for intervention involving loneliness in future research; however, the causal relationship between coping self-efficacy and loneliness should be explored further.
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Affiliation(s)
- Ji Won Lee
- Johns Hopkins School of Nursing, 525 N. Wolfe St., Baltimore, MD 21205
| | - Paula V. Nersesian
- University of Southern Maine School of Nursing, PO Box 9300, Portland, ME 04104
| | - Jonathan J. Suen
- Johns Hopkins School of Nursing, 525 N. Wolfe St., Baltimore, MD 21205
| | | | - Jessica Gill
- Johns Hopkins School of Nursing, 525 N. Wolfe St., Baltimore, MD 21205
| | - Sarah L. Szanton
- Johns Hopkins School of Nursing, 525 N. Wolfe St., Baltimore, MD 21205,Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., Baltimore, MD 21205
| | - Melissa D. Hladek
- Johns Hopkins School of Nursing, 525 N. Wolfe St., Baltimore, MD 21205
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Ee C, Cave A, Vaddiparthi V, Naidoo D, Boyages J. Factors associated with weight gain after breast cancer: Results from a community-based survey of Australian women. Breast 2023:S0960-9776(23)00012-7. [PMID: 36710237 DOI: 10.1016/j.breast.2023.01.012] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2022] [Revised: 01/23/2023] [Accepted: 01/24/2023] [Indexed: 01/27/2023] Open
Abstract
PURPOSE Weight gain after breast cancer is common. The aim of this study was to determine factors associated with weight gain after breast cancer in Australian women. METHODS A cross-sectional online survey was conducted between November 2017 and January 2018. Women living in Australia who self-identified as having breast cancer or ductal carcinoma in-situ were eligible. We created stepwise linear and logistic regression models to evaluate predictors for absolute and clinically significant (≥5%) weight gain respectively. RESULTS Data from 276 women were analysed. Most were Caucasian and 92% had been diagnosed with Stage 0-III breast cancer. Absolute weight gain was associated with hot flushes, being in the menopausal transition at diagnosis, being less physically active than at diagnosis, lower eating self-efficacy when watching television or using a computer, and higher self-efficacy when anxious or nervous (F-ratio = 3.26, R2-adjusted = 0.16, p < .001). Clinically significant weight gain was associated with tamoxifen use (OR 2.7), being less physically active than at diagnosis (OR 3.1), and lower eating self-efficacy when watching television or using a computer (OR 0.82) (Chi-square 64.94, df = 16, p < .001). Weight gain was not associated with chemotherapy, radiotherapy, aromatase inhibitor use, number of lymph nodes removed, or body mass index at diagnosis. CONCLUSIONS Interventions to prevent weight gain after breast cancer, particularly aiming to maintain physical activity, should be targeted at women receiving tamoxifen. The role of eating self-efficacy, especially attentive eating, in managing weight after breast cancer should be explored.
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Affiliation(s)
- Carolyn Ee
- NICM Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, Sydney, New South Wales, Australia; Translational Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, Sydney, New South Wales, Australia; LivingRoom, Chris O' Brien Lifehouse Cancer Centre, PO Box M33, Missenden Rd, Camperdown, Sydney, New South Wales, Australia; Caring Futures Institute, Flinders University, Bedford Park, Adelaide, South Australia, Australia.
| | - Adele Cave
- NICM Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, Sydney, New South Wales, Australia
| | - Vaishnavi Vaddiparthi
- NICM Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, Sydney, New South Wales, Australia
| | - Dhevaksha Naidoo
- NICM Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, Sydney, New South Wales, Australia
| | - John Boyages
- ICON Cancer Centre, Sydney Adventist Hospital, 185 Fox Valley Road, Wahroonga, Sydney, New South Wales, Australia; Faculty of Health and ANU College of Health & Medicine, Canberra, Australian Capital Territory, Australia
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A Smartphone Intervention to Promote Time Restricted Eating Reduces Body Weight and Blood Pressure in Adults with Overweight and Obesity: A Pilot Study. Nutrients 2021; 13:nu13072148. [PMID: 34201442 PMCID: PMC8308240 DOI: 10.3390/nu13072148] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 06/16/2021] [Accepted: 06/17/2021] [Indexed: 12/16/2022] Open
Abstract
The goal of this study was to test the feasibility of time restricted eating (TRE) in adults with overweight and obesity. Participants (n = 50) logged all eating occasions (>0 kcal) for a 2-week run-in period using a smartphone application. Participants with eating duration ≥14 h enrolled in an open label, non-randomized, prospective 90-day TRE intervention, with a self-selected reduced eating window of 10 h. No dietary counseling was provided. Changes in anthropometrics, eating patterns and adherence after TRE were analyzed using t-tests or Wilcoxon Rank-Sum Test. The mean duration of the baseline eating window was 14 h 32 m ± 2 h 36 m (n = 50) with 56% of participants with duration ≥14 h. TRE participants (n = 16) successfully decreased their eating window from 16 h 04 m ± 1 h 24 m to 11 h 54 m ± 2 h 06 m (p < 0.001), and reduced the number of daily eating occasions by half (p < 0.001). Adherence to logging and to the reduced eating window was 64% ± 22% and 47% ± 19%, respectively. TRE resulted in decreases in body weight (−2.1 ± 3.0 kg, p = 0.017), waist circumference (−2.2 ± 4.6 cm, p = 0.002) and systolic blood pressure (−12 ± 11 mmHg, p = 0.002). This study demonstrates the feasibility and efficacy of TRE administered via a smartphone, in adults with overweight and obesity.
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Multi-Validity Process and Factor-Invariance. Perceived Self-Efficacy-Scale for the Prevention of Obesity in Preteens. CHILDREN-BASEL 2021; 8:children8060504. [PMID: 34198705 PMCID: PMC8232174 DOI: 10.3390/children8060504] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 06/05/2021] [Accepted: 06/07/2021] [Indexed: 11/17/2022]
Abstract
Given the lack of scales with a robust psychometric assessment of self-efficacy related to obesity in early adolescence, we aimed to obtain an instrument with high-quality validity and reliability items. Nonrandom samples (N = 2371) classified boys (1174, M = 12.83, SD = 0.84) and girls (1197, M = 12.68, SD = 0.78) from Mexico City and some cities of the Mexican Republic with obesity rates near to the national level mean. A multi-validity process and structural invariance analysis using the Perceived Self-efficacy Scale for Obesity Prevention were performed. A two-factor-physical activity and healthy eating-model with high effect-sized values-girls R2 (0.88, p < 0.01) and boys R2 (0.87, p < 0.01)-were obtained. Each factor explained more than half of the variance with high-reliability coefficients in each group and acceptable adjustment rates. The self-efficacy scale proved to have only girls, an invariant factor structure, or a psychometric equivalence between the groups. The obtained scale showed that a two-factor structure is feasible and appropriate, according to the highest quality of validity and reliability.
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Gilcharan Singh HK, Chee WSS, Hamdy O, Mechanick JI, Lee VKM, Barua A, Mohd Ali SZ, Hussein Z. Eating self-efficacy changes in individuals with type 2 diabetes following a structured lifestyle intervention based on the transcultural Diabetes Nutrition Algorithm (tDNA): A secondary analysis of a randomized controlled trial. PLoS One 2020; 15:e0242487. [PMID: 33253259 PMCID: PMC7703935 DOI: 10.1371/journal.pone.0242487] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2019] [Accepted: 11/03/2020] [Indexed: 12/16/2022] Open
Abstract
OBJECTIVE Eating self-efficacy behavior is an important predictor of successful lifestyle intervention. This secondary analysis evaluated the changes in eating self-efficacy behavior in patients with type 2 diabetes (T2D) and overweight/obesity following structured lifestyle intervention based on the Malaysian customized transcultural Diabetes Nutrition Algorithm (tDNA). METHODS Patients with T2D and overweight/obesity (n = 230) were randomized either into the tDNA group which included a structured low-calorie meal plan using normal foods, incorporation of diabetes-specific meal replacements, and an exercise prescription or usual T2D care (UC) for 6 months. Patients in the tDNA group also received either counseling with motivational interviewing (tDNA-MI) or conventional counseling (tDNA-CC). The UC group received standard dietary and exercise advice using conventional counseling. Eating self-efficacy was assessed using a locally validated Weight Efficacy Lifestyle (WEL) questionnaire. All patients were followed up for additional 6 months' post-intervention. RESULTS There was a significant change in WEL scores with intervention over one-year [Group X Time effect: F = 51.4, df = (3.4, 318.7), p<0.001]. Compared to baseline, WEL scores improved in both the tDNA groups with significantly higher improvement in the tDNA-MI group compared to the tDNA-CC and UC groups at 6 months (tDNA-MI: 25.4±2.1 vs. tDNA-CC: 12.9±2.8 vs. UC: -6.9±1.9, p<0.001). At 12 months' follow-up, both the tDNA groups maintained improvement in the WEL scores, with significantly higher scores in the tDNA-MI group than tDNA-CC group, and the UC group had decreased WEL scores (tDNA-MI: 28.9±3.1 vs. tDNA-CC: 11.6±3.6 vs. UC: -13.2±2.1, p<0.001). Patients in the tDNA-MI group with greater weight loss and hemoglobin A1C reduction also had a higher eating self-efficacy, with a similar trend observed in comparative groups. CONCLUSION Eating self-efficacy improved in patients with T2D and overweight/obesity who maintained their weight loss and glycemic control following a structured lifestyle intervention based on the Malaysian customized tDNA and the improvement was further enhanced with motivational interviewing. CLINICAL TRIAL This randomized clinical trial was registered under National Medical Research Registry, Ministry of Health Malaysia with registration number: NMRR-14-1042-19455 and also under ClinicalTrials.gov with registration number: NCT03881540.
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Affiliation(s)
- Harvinder Kaur Gilcharan Singh
- Division of Nutrition and Dietetics, School of Health Sciences, International Medical University, Kuala Lumpur, Malaysia
| | - Winnie Siew Swee Chee
- Division of Nutrition and Dietetics, School of Health Sciences, International Medical University, Kuala Lumpur, Malaysia
| | - Osama Hamdy
- Division of Endocrinology, Diabetes and Metabolism, Joslin Diabetes Center, Harvard Medical School, Boston, United States of America
| | - Jeffrey Ian Mechanick
- Division of Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, United States of America
| | - Verna Kar Mun Lee
- Department of Family Medicine, School of Medicine, International Medical University, Kuala Lumpur, Malaysia
| | - Ankur Barua
- Department of Community Medicine, School of Medicine, International Medical University, Kuala Lumpur, Malaysia
| | - Siti Zubaidah Mohd Ali
- Department of Non-Communicable Diseases, Klinik Kesihatan Seremban, Negeri Sembilan, Malaysia
| | - Zanariah Hussein
- Department of Medicine, Hospital Putrajaya, Pusat Pentadbiran Kerajaan Persekutuan, Putrajaya, Malaysia
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Qu D, Zhong X, Lai M, Dai J, Liang H, Huang A. Influencing Factors of Pre-Exposure Prophylaxis Self-Efficacy Among Men Who Have Sex With Men. Am J Mens Health 2020; 13:1557988319847088. [PMID: 31030626 PMCID: PMC6488787 DOI: 10.1177/1557988319847088] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
This research examines the level of pre-exposure prophylaxis (PrEP) self-efficacy among HIV-negative men who have sex with men (MSM) in China and identifies the influencing factors associated with the level of PrEP self-efficacy in terms of social-demographic characteristics and social psychological factors. The data were gathered from a baseline assessment of a longitudinal randomized controlled intervention trial. From April 2013 to March 2015, nonprobability sampling was used to recruit HIV-negative MSM at Chongqing, Guangxi, Xinjiang, and Sichuan in west China. A total of 1884 HIV-negative MSM were analyzed. Chi-square test and nonparametric rank sum test were used for univariate analysis. Multivariable linear regression analysis was used to discuss the factors that influence the level of PrEP self-efficacy. Overall levels of PrEP self-efficacy were low, and five factors were found to effect PrEP self-efficacy: age, residence, AIDS-related knowledge, PrEP-related motivation, and anxiety. Age and anxiety score were negatively related to PrEP self-efficacy. The higher the age and anxiety score, the lower the PrEP self-efficacy. AIDS-related knowledge and PrEP-related motivation were actively related to PrEP self-efficacy. The higher the knowledge and motivation score, the higher the PrEP self-efficacy. In addition, the PrEP self-efficacy level of MSM in rural areas is lower than that in urban areas. The lower level of self-efficacy in the MSM population needs to be improved. Pertinent interventions should be taken to promote the self-efficacy of PrEP in MSM, to enhance their willingness to take medicine, improve their medication adherence, and thus reduce HIV infection among MSM.
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Affiliation(s)
- Dou Qu
- 1 Department of Epidemiology and Health Statistics, School of Public Health and Management, Chongqing Medical University, China.,2 Research Center for Medicine and Social Development, Chongqing Medical University, China.,3 Innovation Center for Social Risk Governance in Health, Chongqing Medical University, China
| | - Xiaoni Zhong
- 1 Department of Epidemiology and Health Statistics, School of Public Health and Management, Chongqing Medical University, China.,2 Research Center for Medicine and Social Development, Chongqing Medical University, China.,3 Innovation Center for Social Risk Governance in Health, Chongqing Medical University, China
| | - Minqing Lai
- 1 Department of Epidemiology and Health Statistics, School of Public Health and Management, Chongqing Medical University, China.,2 Research Center for Medicine and Social Development, Chongqing Medical University, China.,3 Innovation Center for Social Risk Governance in Health, Chongqing Medical University, China
| | - Jianghong Dai
- 4 Department of Epidemiology and Health Statistics, School of Public Health, Xinjiang Medical University, China
| | - Hao Liang
- 5 Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning, China
| | - Ailong Huang
- 6 Key Laboratory of Molecular Biology, Ministry of Molecular Biology, Infectious Diseases, Medical University of Chongqing, China
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Saghafi-Asl M, Aliasgharzadeh S, Asghari-Jafarabadi M. Factors influencing weight management behavior among college students: An application of the Health Belief Model. PLoS One 2020; 15:e0228058. [PMID: 32032376 PMCID: PMC7006943 DOI: 10.1371/journal.pone.0228058] [Citation(s) in RCA: 40] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Accepted: 01/06/2020] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Overweight and obesity have become a significant public health concern in both developing and developed countries. Due to the health implications of weight-reduction behaviors, it is important to explore the factors that predict their occurrence. Therefore, the present study was performed to examine factors affecting the behavioral intention of weight management as well as assess the predictive power of the Health Belief Model (HBM) for body mass index (BMI). METHODS This cross-sectional study was conducted among 336 female students recruited from dormitories of Tabriz University of Medical Sciences, using quota sampling technique. Data were collected by a structured questionnaire in seven parts (including perceived severity, perceived susceptibility, perceived benefit, perceived barrier, cue to action, self-efficacy in dieting and physical activity, and behavioral intention of weight management), based on the HBM. Structural equation modeling (SEM) was conducted to identify the relationship between HBM constructs and behavioral intention of weight management. Linear regression model was performed to test the ability of the HBM to predict students' BMIs. RESULTS Higher level of perceived threats (sum of perceived susceptibility and severity) (β = 0.41, P<0.001), perceived benefits (β = 0.19, P = 0.009), self-efficacy in exercise (β = 0.17, P = 0.001), and self-efficacy in dieting (β = 0.16, P = 0.025) scales was significantly related to greater behavioral intention of weight management. Moreover, perceived threat mediated the relationships between perceived cue to action, perceived benefits, self-efficacy in exercise, and weight management practices. The fit indices of the SEM model seemed acceptable. The final regression model explained approximately 40% of variance in BMI (P<0.001). Additionally, perceived severity, barrier, and self-efficacy in dietary life were the significant variables to predict students' BMIs. CONCLUSIONS These findings suggest that health education programs based on the HBM needs to be integrated in preventive health programs and health interventions strategies to ensure adherence and well-being of the participants.
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Affiliation(s)
- Maryam Saghafi-Asl
- Nutrition Research Center, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Soghra Aliasgharzadeh
- Student Research Committee, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
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Meal Planning Program to Reduce Barriers and Improve Diet Quality in Worksite Wellness Center Members. J Occup Environ Med 2019; 60:998-1004. [PMID: 29995649 DOI: 10.1097/jom.0000000000001390] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE Many adults struggle with eating healthfully. To address this problem, dietitians and a physician at a worksite wellness center designed and implemented a healthy eating program to identify and reduce barriers and to improve nutrition knowledge, confidence, and eating habits. METHODS A single cohort study design of members of a worksite wellness center who attended the program. RESULTS Eight-six participants demonstrated significant improvement in reducing perceived barriers (P < 0.001), improving nutritional knowledge (P = 0.001), increasing confidence (P < 0.001), and increasing the frequency of preparing healthy meals (P < 0.001) and intake of fruits and vegetables (P < 0.001). These improvements were maintained at the 6-month follow-up. CONCLUSION These results suggest that participation in a 6-week nutrition education program at a worksite wellness center decreases barriers to healthy eating and improves dietary intake.
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Leung AWY, Chan RSM, Sea MMM, Woo J. Identifying psychological predictors of adherence to a community-based lifestyle modification program for weight loss among Chinese overweight and obese adults. Nutr Res Pract 2019; 13:415-424. [PMID: 31583061 PMCID: PMC6760981 DOI: 10.4162/nrp.2019.13.5.415] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2019] [Revised: 05/11/2019] [Accepted: 07/18/2019] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND/OBJECTIVES Existing evidence on lifestyle modification programs for weight loss is limited by the high attrition rate of such programs. Identifying predictors of adherence to a lifestyle modification program could result in program improvement. However, little is known about behavior-specific adherence and its psychological predictors. This study aimed to examine the psychological predictors of adherence after one-month participation in a community-based lifestyle modification program among Chinese overweight and obese adults in Hong Kong. SUBJECTS/METHODS A total of 205 Chinese overweight and obese adults aged 38.9 ± 10.5 years completed the study. Data were collected at baseline and after one month using self-reported questionnaires, which assessed knowledge (self-developed scale), motivation (Treatment Self-Regulation Questionnaire), stage of change (Stage of Exercise Scale) and self-efficacy (Self-Rated Abilities for Health Practices Scale). At one month, a 4-day dietary recall and the International Physical Activity Questionnaire-Short Form were used to assess dietary and physical activity (PA) adherence. Food and PA diaries were examined to indicate self-monitoring. Program attendance was tracked between baseline and one-month follow-up. RESULTS After one month, participants reported high dietary adherence, attendance, and adherence to self-monitoring but low PA adherence. Multiple regression analyses suggested that diet self-efficacy (baseline) and nutrition knowledge (one-month change) were independent predictors of dietary adherence score at one month, whereas autonomous PA motivation (baseline) and PA self-efficacy (both baseline and one-month change) were independent predictors of PA adherence score at one month. No significant psychological predictor was identified for attendance or self-monitoring. CONCLUSIONS The results suggest that the effect of psychological factors on adherence differs between diet and PA adherence outcomes. To promote adherence, practitioners should assess self-efficacy, knowledge, and motivation at the beginning of a weight-loss program and explore behavior-specific strategies to improve knowledge and self-efficacy. The results of this study have direct implications for program improvements.
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Affiliation(s)
- Alice Wai Yi Leung
- Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China
| | - Ruth Suk Mei Chan
- Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China
- Centre for Nutritional Studies, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China
| | - Mandy Man Mei Sea
- Centre for Nutritional Studies, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China
| | - Jean Woo
- Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China
- Centre for Nutritional Studies, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China
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Internalizing, Externalizing, and Interpersonal Components of the MMPI-2-RF in Predicting Weight Change After Bariatric Surgery. Obes Surg 2019; 30:127-138. [DOI: 10.1007/s11695-019-04133-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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15
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Goode RW, Kalarchian MA, Craighead L, Conroy MB, Wallace J, Eack SM, Burke LE. The feasibility of a binge eating intervention in Black women with obesity. Eat Behav 2018; 29:83-90. [PMID: 29549863 PMCID: PMC5935580 DOI: 10.1016/j.eatbeh.2018.03.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2017] [Revised: 02/20/2018] [Accepted: 03/08/2018] [Indexed: 12/21/2022]
Abstract
INTRODUCTION U.S. Black women have the highest rates of obesity and report frequent binge eating behaviors. To our knowledge, no intervention research has aimed to treat binge eating specifically among Black women. The purpose of this study was to investigate the feasibility and preliminary effect of Appetite Awareness Treatment (AAT), an 8-week cognitive-behavioral binge eating intervention, among Black women with obesity, and who report binge eating. METHODS Participants (N = 31), had a mean (±SD) age of 48.8 ± 12.8 years, a body mass index of 33.7 ± 3.9 kg/m2, and reported at least one binge eating episode monthly over the last three months. Using a randomized controlled trial design, Black women were randomized to AAT or a wait-list control group (WAIT) group. We examined recruitment, attendance, retention, and adherence. Linear mixed models explored preliminary differences between the AAT and WAIT on the primary outcome variables of binge eating and eating self-efficacy measured at baseline and 8-weeks. RESULTS Approximately one-third of screened participants were eligible and did enroll. Participants completed 55% of homework assignments, and attended 59% of intervention sessions. Retention to AAT was 87.5%. Compared to participants in the WAIT group, AAT participants had greater decreases in binge eating scores and greater improvements in eating self-efficacy scores at the end of Week 8. CONCLUSION Results suggest that AAT is feasible among Black women with binge eating behaviors, with evidence of preliminary efficacy, providing a rationale for a trial of AAT in a larger sample of Black women.
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Affiliation(s)
- Rachel W. Goode
- Schools of Social Work and Nursing, 2117 Cathedral of Learning, Pittsburgh, PA 15260 University of Pittsburgh,School of Social Work, University of North Carolina at Chapel Hill; 325 Pittsboro Street; CB #3550; Chapel Hill, NC 27599-3550
| | - Melissa A. Kalarchian
- School of Nursing, Duquesne University; Fisher Hall, 600 Forbes Avenue, Pittsburgh, PA 15282
| | - Linda Craighead
- Department of Psychology, Emory University; 201 Dowman Drive; Atlanta, GA 30322
| | - Molly B. Conroy
- Division of General Internal Medicine, University of Utah, 30 N 1900E.; Room 9R218; Salt Lake City, Utah 84132
| | - John Wallace
- Schools of Social Work and Nursing, 2117 Cathedral of Learning, Pittsburgh, PA 15260 University of Pittsburgh
| | - Shaun M. Eack
- Schools of Social Work and Nursing, 2117 Cathedral of Learning, Pittsburgh, PA 15260 University of Pittsburgh
| | - Lora E. Burke
- Schools of Social Work and Nursing, 2117 Cathedral of Learning, Pittsburgh, PA 15260 University of Pittsburgh
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Wilson JL, Wolf DM, Olszewski KA. Reducing Commercial Truck Driver BMI Through Motivational Interviewing and Self-Efficacy. Workplace Health Saf 2018; 66:270-275. [DOI: 10.1177/2165079918754585] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Obesity is recognized as a national and global health epidemic. Commercial truck drivers (CTDs) have a higher obesity rate and lower life expectancy compared with the general population. CTDs work sedentary jobs with long hours that pose barriers to healthy eating and regular exercise. An evidenced-based practice (EBP) change project that used motivational interviewing (MI) and education regarding diet and exercise over a 4-week period was found to have a positive impact on CTDs behavior. Results revealed an increase in aggregated self-efficacy for weight loss (14.8%, exceeding the benchmark of 11%). For aggregated body mass index (BMI), CTDs lost a mean of 0.65 kg/m2, over a 4-week period which was statistically significant at p = .0001. The results suggest a short-term MI intervention can be effective when implemented as a clinical standard for CTDs.
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Cioffi CE, Ranjani H, Staimez LR, Anjana RM, Mohan V, Weber MB. Self-efficacy and diabetes prevention in overweight South Asians with pre-diabetes. BMJ Open Diabetes Res Care 2018; 6:e000561. [PMID: 30397491 PMCID: PMC6203034 DOI: 10.1136/bmjdrc-2018-000561] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2018] [Revised: 07/30/2018] [Accepted: 09/05/2018] [Indexed: 01/09/2023] Open
Abstract
OBJECTIVE We evaluated the effects of a diabetes prevention itervention on self-efficacy (SE) and the associations between SE and diabetes-related outcomes among overweight Asian Indian adults with pre-diabetes in a randomized controlled translational trial (the Diabetes Community Lifestyle Improvement Program, D-CLIP). RESEARCH DESIGN AND METHODS Data were obtained from 550 adults who were randomized to a diabetes prevention program or standard of care. Dietary and exercise-related SEs were measured at baseline, core intervention completion (4 months), and annually until the end of follow-up (3 years or diabetes diagnosis). Mixed-effects regressions described changes in SE over time by treatment group. Among treatment participants, multivariable-adjusted models described associations of SE at baseline and intervention completion with diabetes incidence and other secondary outcomes (weight, waist circumference (WC), exercise, and energy intake). RESULTS From baseline to 4 months, dietary (β=10.3, p=0.04) and exercise (β=0.49, p=0.04) SE increased significantly in the treatment arm only; however, this increase from baseline was no longer significant at later time points. Among treatment participants, there was no association of dietary or exercise SE with diabetes incidence, but baseline exercise SE was independently associated with improved weight, WC, and exercise at 4 months (p<0.05). Change in exercise SE from baseline to intervention completion also predicted increased exercise at 4, 12, and 24 months (p<0.05). CONCLUSIONS Exposure to D-CLIP resulted in improved SE at treatment completion, but this effect was not sustained over longer follow-up. Several short-term and long-term secondary outcomes, but not diabetes risk, were significantly associated with exercise SE, suggesting this psychosocial trait may facilitate success in achieving certain health goals. TRIAL REGISTRATION NUMBER NCT01283308.
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Affiliation(s)
- Catherine E Cioffi
- Nutrition and Health Sciences Doctoral Program, Laney Graduate School, Emory University, Atlanta, USA
| | | | - Lisa R Staimez
- Emory Global Diabetes Research Center, Hubert Department of Global Health, Emory University, Atlanta, USA
| | | | | | - Mary Beth Weber
- Emory Global Diabetes Research Center, Hubert Department of Global Health, Emory University, Atlanta, USA
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Harden SM, Johnson SB, Almeida FA, Estabrooks PA. Improving physical activity program adoption using integrated research-practice partnerships: an effectiveness-implementation trial. Transl Behav Med 2017; 7:28-38. [PMID: 28299746 DOI: 10.1007/s13142-015-0380-6] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
Integrated research-practice partnerships (IRPPs) may improve adoption of evidence-based programs. The aim of this study is to compare adoption of an IRPP-developed physical activity (PA) program (Fit Extension, FitEx) to a typical efficacy-effectiveness-dissemination pipeline model program (Active Living Every Day, ALED). Guided by the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework, a randomized controlled trial assigned health educators (HEs) to FitEx (n = 18) or ALED (n = 18). Fourteen HEs adopted FitEx, while two HEs adopted ALED (χ 2 = 21.8; p < 0.05). FitEx HEs took less time to deliver (p < 0.05), stated greater intentions for continued program delivery (p < 0.05), and reached more participants (n = 1097 total; 83 % female; 70 % Caucasian; M age = 44 ± 11.8) per HE than ALED (n = 27 total; 60 % female; 50 % Caucasian; M age = 41 ± 11.3). No significant difference existed in FitEx or ALED participants' increased PA (M increase = 9.12 ±29.09 min/day; p > 0.05). IRPP-developed programs may improve PA program adoption, implementation, and maintenance and may also result in programs that have higher reach-without reducing effectiveness.
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Affiliation(s)
- Samantha M Harden
- Department of Human Nutrition, Foods and Exercise, Virginia Tech, 1981 Kraft Dr, Blacksburg, VA, 24060, USA.,Department of Obstetrics and Gynecology, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA.,Fralin Translational Obesity Research Center, Blacksburg, VA, USA
| | - Sallie Beth Johnson
- Department of Human Nutrition, Foods and Exercise, Virginia Tech, 1981 Kraft Dr, Blacksburg, VA, 24060, USA.,Fralin Translational Obesity Research Center, Blacksburg, VA, USA
| | - Fabio A Almeida
- Department of Human Nutrition, Foods and Exercise, Virginia Tech, 1981 Kraft Dr, Blacksburg, VA, 24060, USA.,Fralin Translational Obesity Research Center, Blacksburg, VA, USA.,Department of Family and Community Medicine, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA
| | - Paul A Estabrooks
- Department of Human Nutrition, Foods and Exercise, Virginia Tech, 1981 Kraft Dr, Blacksburg, VA, 24060, USA. .,Fralin Translational Obesity Research Center, Blacksburg, VA, USA. .,Department of Family and Community Medicine, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA.
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Burke LE, Zheng Y, Ma Q, Mancino J, Loar I, Music E, Styn M, Ewing L, French B, Sieworek D, Smailagic A, Sereika SM. The SMARTER pilot study: Testing feasibility of real-time feedback for dietary self-monitoring. Prev Med Rep 2017; 6:278-285. [PMID: 28409090 PMCID: PMC5388931 DOI: 10.1016/j.pmedr.2017.03.017] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2016] [Revised: 03/07/2017] [Accepted: 03/23/2017] [Indexed: 11/27/2022] Open
Abstract
Self-monitoring (SM) of food intake is central to weight loss treatment. Technology makes it possible to reinforce this behavior change strategy by providing real-time feedback (FB) tailored to the diary entry. To test the feasibility of providing 1–4 daily FB messages tailored to dietary recordings via a smartphone, we conducted a 12-week pilot randomized clinical trial in Pittsburgh, PA in US in 2015. We compared 3 groups: SM using the Lose It! smartphone app (Group 1); SM + FB (Group 2); and SM + FB + attending three in-person group sessions (Group 3). The sample (N = 39) was mostly white and female with a mean body mass index of 33.76 kg/m2. Adherence to dietary SM was recorded daily, weight was assessed at baseline and 12 weeks. The mean percentage of days adherent to dietary SM was similar among Groups 1, 2, and 3 (p = 0.66) at 53.50% vs. 55.86% vs. 65.33%, respectively. At 12 weeks, all groups had a significant percent weight loss (p < 0.05), with no differences among groups (− 2.85% vs. − 3.14% vs. − 3.37%) (p = 0.95); 26% of the participants lost ≥ 5% of their baseline weight. Mean retention was 74% with no differences among groups (p = 0.37). All groups adhered to SM at levels comparable to or better than other weight loss studies and lost acceptable amounts of weight, with minimal intervention contact over 12 weeks. These preliminary findings suggest this 3-group approach testing SM alone vs. SM with real-time FB messages alone or supplemented with limited in-person group sessions warrants further testing in a larger, more diverse sample and for a longer intervention period. Preliminary data are provided on testing of novel algorithm-based feedback system. Pilot study informed refinement of algorithm and real-time feedback message system. Using a smartphone app for self-monitoring diet could enhance adherence. Receiving feedback messages with no face-to-face groups could lead to weight loss.
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Affiliation(s)
- Lora E Burke
- University of Pittsburgh School of Nursing, Pittsburgh, PA, USA.,University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.,Clinical and Translational Science Institute, Pittsburgh, PA, USA
| | - Yaguang Zheng
- Connell School of Nursing, Boston College, Boston, MA, USA
| | - Qianheng Ma
- University of Pittsburgh School of Nursing, Pittsburgh, PA, USA.,University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA
| | - Juliet Mancino
- University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - India Loar
- University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - Edvin Music
- University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - Mindi Styn
- University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - Linda Ewing
- University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - Brian French
- Carnegie Mellon University, School of Computer Science, Pittsburgh, PA, USA
| | - Dan Sieworek
- Carnegie Mellon University, School of Computer Science, Pittsburgh, PA, USA
| | - Asim Smailagic
- Carnegie Mellon University, School of Computer Science, Pittsburgh, PA, USA
| | - Susan M Sereika
- University of Pittsburgh School of Nursing, Pittsburgh, PA, USA.,University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.,Clinical and Translational Science Institute, Pittsburgh, PA, USA
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OBARA-GOLEBIOWSKA M. Application of Cognitive-behavioural Techniques on Changes in the Scope of Dieting Self-efficacy Level among Obese People. IRANIAN JOURNAL OF PUBLIC HEALTH 2017; 46:141-142. [PMID: 28451543 PMCID: PMC5401927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 10/29/2022]
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Wilson KE, Harden SM, Almeida FA, You W, Hill JL, Goessl C, Estabrooks PA. Brief self-efficacy scales for use in weight-loss trials: Preliminary evidence of validity. Psychol Assess 2016; 28:1255-1264. [PMID: 26619093 PMCID: PMC5522615 DOI: 10.1037/pas0000249] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Self-efficacy is a commonly included cognitive variable in weight-loss trials, but there is little uniformity in its measurement. Weight-loss trials frequently focus on physical activity (PA) and eating behavior, as well as weight loss, but no survey is available that offers reliable measurement of self-efficacy as it relates to each of these targeted outcomes. The purpose of this study was to test the psychometric properties of brief, pragmatic self-efficacy scales specific to PA, healthful eating and weight-loss (4 items each). An adult sample (n = 1,790) from 28 worksites enrolled in a worksite weight-loss program completed the self-efficacy scales, as well as measures of PA, dietary fat intake, and weight, at baseline, 6-, and 12-months. Confirmatory factor analysis supported the hypothesized factor structure indicating, 3 latent self-efficacy factors, specific to PA, healthful eating, and weight-loss. Measurement equivalence/invariance between relevant demographic groups, and over time was also supported. Parallel growth processes in self-efficacy factors and outcomes (PA, fat intake, and weight) support the predictive validity of score interpretations. Overall, this initial series of psychometric analyses supports the interpretation that scores on these scales reflect self-efficacy for PA, healthful eating, and weight-loss. The use of this instrument in large-scale weight-loss trials is encouraged. (PsycINFO Database Record
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Affiliation(s)
- Kathryn E. Wilson
- Department of Human Nutrition, Foods, and Exercise, Virginia Polytechnic Institute and State University
- Fralin Translational Obesity Research Center, Virginia Polytechnic Institute and State University
| | - Samantha M. Harden
- Department of Human Nutrition, Foods, and Exercise, Virginia Polytechnic Institute and State University
- Fralin Translational Obesity Research Center, Virginia Polytechnic Institute and State University
| | - Fabio A. Almeida
- Department of Human Nutrition, Foods, and Exercise, Virginia Polytechnic Institute and State University
- Fralin Translational Obesity Research Center, Virginia Polytechnic Institute and State University
| | - Wen You
- Fralin Translational Obesity Research Center, Virginia Polytechnic Institute and State University
- Department of Agriculture and Applied Economics, Virginia Polytechnic Institute and State University
| | - Jennie L. Hill
- Department of Human Nutrition, Foods, and Exercise, Virginia Polytechnic Institute and State University
- Fralin Translational Obesity Research Center, Virginia Polytechnic Institute and State University
| | - Cody Goessl
- Department of Human Nutrition, Foods, and Exercise, Virginia Polytechnic Institute and State University
| | - Paul A. Estabrooks
- Department of Human Nutrition, Foods, and Exercise, Virginia Polytechnic Institute and State University
- Fralin Translational Obesity Research Center, Virginia Polytechnic Institute and State University
- Department of Family and Community Medicine, Carilion Clinic
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Jamal SN, Moy FM, Azmi Mohamed MN, Mukhtar F. Effectiveness of a Group Support Lifestyle Modification (GSLiM) Programme among Obese Adults in Workplace: A Randomised Controlled Trial. PLoS One 2016; 11:e0160343. [PMID: 27537687 PMCID: PMC4990415 DOI: 10.1371/journal.pone.0160343] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2016] [Accepted: 07/18/2016] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND There was an increasing trend in the prevalence of obesity and its comorbidities over the past decades in Malaysia. Effective intervention for obesity remains limited. This study aimed to compare the effectiveness of a group based lifestyle modification programme amongst obese individuals with an existing dietary counseling programme. METHODS We recruited one hundred and ninety four overweight and obese (BMI>27.5 kg/m2) employees from a local university. They were randomly allocated to either Group Support Lifestyle Modification (GSLiM) (intervention)(n = 97) or dietary counseling (comparison)(n = 97). The GSLIM activities included self monitoring, cognitive-behaviour sessions, exercise as well as dietary change advocacy, which were conducted through seminars and group sessions over 24 weeks. The comparison group was given dietary counselling once in 12 weeks. Both groups were followed up for additional 12 weeks to check for intervention effect sustenance. Anthropometric and biochemical parameters were measured at baseline, 12, 24 and 36 weeks; while dietary intake, physical activities, psychological measures and quality of life measured at baseline, 24 and 36 weeks. Data analysis was conducted using ANOVA repeated measures with intention to treat principle. RESULTS The participants were predominantly women with mean (standard deviation) age of 40.5 (9.3) years. A total of 19.6% of the participants in GSLiM achieved 6% weight loss compared to 4.1% in the comparison group (Risk Ratio 4.75; 95% CI: 1.68, 13.45). At 24 weeks, the retention rate was 83.5% for GSLiM and 82.5% for comparison group. GSLiM participants also achieved significant improvement in total weight self-efficacy score, negative emotions and physical discomfort subscales, MDPSS friend subscale and all domains in quality of life. Participants in the comparison group experienced reduction in negative self-thoughts. CONCLUSION The GSLiM programme proved to be more effective in achieving targeted weight loss, improving weight self-efficacy, friend social support, and quality of life compared to dietary counseling. TRIAL REGISTRATION Iranian Registry of Clinical Trials IRCT201104056127N1.
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Affiliation(s)
- Siti Noraida Jamal
- Julius Centre University of Malaya, Department of Social and Preventive Medicine, Faculty of Medicine, University Malaya, 50603 Kuala Lumpur, Malaysia
| | - Foong Ming Moy
- Julius Centre University of Malaya, Department of Social and Preventive Medicine, Faculty of Medicine, University Malaya, 50603 Kuala Lumpur, Malaysia
| | - Mohd Nahar Azmi Mohamed
- Department of Sports Medicine, Faculty of Medicine, University Malaya, 50603 Kuala Lumpur, Malaysia
| | - Firdaus Mukhtar
- Departments of Psychiatry, Faculty of Medicine, University Putra Malaysia, 43400 Serdang, Malaysia
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Yang SO, Kim SJ, Lee SH. Effects of a South Korean Community-Based Cardiovascular Disease Prevention Program for Low-Income Elderly with Hypertension. J Community Health Nurs 2016; 33:154-67. [DOI: 10.1080/07370016.2016.1191872] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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