Identified mediators for medium-/long-term weight control were higher levels of autonomous motivation , self-efficacy/barriers , self-regulation skills ( such as self-monitoring ) , flexible eating restraint , and positive body image .
For physical activity , significant putative mediators were high autonomous motivation , self-efficacy , and use of self-regulation skills .
For dietary intake , the evidence was much less clear , and no consistent mediators were identified .
Conclusions This is the first systematic review of mediational psychological mechanisms of successful outcomes in obesity-related lifestyle change interventions .
Despite limited evidence , higher autonomous motivation , self-efficacy , and self-regulation skills emerged as the best predictors of beneficial weight and physical activity outcomes ; for weight control , positive body image and flexible eating restraint may additionally improve outcomes .
These variables represent possible targets for future lifestyle interventions in overweight/obese population
Background Relapse is high in lifestyle obesity interventions involving behavior and weight change .
Identifying mediators of successful outcomes in these interventions is critical to improve effectiveness and to guide approaches to obesity treatment , including re source allocation .
This article review s the most consistent self-regulation mediators of medium- and long-term weight control , physical activity , and dietary intake in clinical and community behavior change interventions targeting overweight/obese adults .
The roles of self-efficacy and motivation in the prediction of short- and long-term adherence to exercise among patients with coronary heart disease.
OBJECTIVES Poor adherence to regular exercise is a documented challenge among people with heart disease . Identifying key determinants of exercise adherence and distinguishing between the processes driving short- and long-term adherence to regular exercise is a valuable endeavor . The purpose of the present study was to test a model of exercise behavior change , which incorporates motivational orientations and self-efficacy for exercise behavior , in the prediction of short- and long-term exercise adherence . METHOD Male and female patients ( N = 801 ) hospitalized for coronary heart disease were recruited from 3 tertiary care cardiac centers and followed for a period of 1 year after hospital discharge . A prospect i ve , longitudinal design was used to examine the roles of motivation and self-efficacy ( measured at recruitment and at 2 and 6 months after discharge ) in the prediction of exercise behavior at 6 and 12 months . Baseline measures of exercise and clinical and demographic covariates were included in the analyses . RESULTS Structural equation modeling showed that both autonomous motivation and self-efficacy were important determinants of short-term ( 6-month ) exercise behavior regulation , but that only autonomous motivation remained a significant predictor of long-term ( 12-month ) exercise behavior . Self-efficacy partially mediated the relationship between motivation for exercise and 6-month exercise behavior . CONCLUSIONS This research confirmed the roles of autonomous motivation and self-efficacy in the health behavior change process and emphasized the key function of autonomous motivation in exercise maintenance . Theoretical and cardiac rehabilitation program applications of this research are discussed
Identified mediators for medium-/long-term weight control were higher levels of autonomous motivation , self-efficacy/barriers , self-regulation skills ( such as self-monitoring ) , flexible eating restraint , and positive body image .
For physical activity , significant putative mediators were high autonomous motivation , self-efficacy , and use of self-regulation skills .
For dietary intake , the evidence was much less clear , and no consistent mediators were identified .
Conclusions This is the first systematic review of mediational psychological mechanisms of successful outcomes in obesity-related lifestyle change interventions .
Despite limited evidence , higher autonomous motivation , self-efficacy , and self-regulation skills emerged as the best predictors of beneficial weight and physical activity outcomes ; for weight control , positive body image and flexible eating restraint may additionally improve outcomes .
These variables represent possible targets for future lifestyle interventions in overweight/obese population
Background Relapse is high in lifestyle obesity interventions involving behavior and weight change .
Identifying mediators of successful outcomes in these interventions is critical to improve effectiveness and to guide approaches to obesity treatment , including re source allocation .
This article review s the most consistent self-regulation mediators of medium- and long-term weight control , physical activity , and dietary intake in clinical and community behavior change interventions targeting overweight/obese adults .