Development and Validation of a Self-Efficacy Measure for Fat Intake Behaviors of Low-Income Women

Chang, Mei-Wei; Nitzke, Susan; Brown, Roger; Baumann, Linda C.; Oakley, Linda Denise

doi:10.1016/s1499-4046(06)60344-8

Cited by 32 publications

(23 citation statements)

References 12 publications

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“…The original scale demonstrated construct, convergent validity, and Cronbach's alpha > .82. 37 Cronbach's alpha in this sample was .75.…”

Section: Self-efficacy For Healthy Eatingmentioning

confidence: 65%

“…An eight-item self-efficacy scale for eating a low-fat diet 37 was modified to assess self-efficacy for "making healthy food choices, such as choosing fruits or vegetables, choosing lower fat foods, and watching how much you eat" when faced with common barriers. The original scale demonstrated construct, convergent validity, and Cronbach's alpha > .82.…”

Section: Self-efficacy For Healthy Eatingmentioning

confidence: 99%

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Dietary Intake, Behaviors and Psychosocial Factors among Women from Food-Secure and Food-Insecure Households

et al. 2016

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Objective: Determine whether macro-and micro-nutrient intake, energy intake, diet quality, adherence to recommended dietary intake, and psychosocial and behavioral factors are associated with household food security.Design: Baseline data from in-person interviews and telephone-based, 24-hour dietary recall from women recruited to a diet and physical activity controlled trial.Setting: Neighborhoods encompassing 18 urban census tracts in South Carolina.Participants: Participants (n=202) were predominantly African American (87%), overweight or obese women aged 25 to 51 years with mean body mass index of 40.6±8.7. Main Outcomes Measures:Macro-and micro-nutrient intake, energy intake, diet quality, adherence to recommended dietary intake (via multi-pass, 24-h recall); diet-related self-efficacy and social support, healthy/lowfat and emotional eating behaviors, and depressive symptoms.Results: Women in food-secure (FS) and food insecure (FI) households were not different on health and sociodemographic characteristics. Women in FI households had lower self-efficacy and healthy/low-fat eating behaviors, and higher emotional eating and depressive symptoms compared with women in FS households. The groups did not differ on social support. Significant dietary differences were few (FS>FI on protein and lean meat; FS

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“…The original scale demonstrated construct, convergent validity, and Cronbach's alpha > .82. 37 Cronbach's alpha in this sample was .75.…”

Section: Self-efficacy For Healthy Eatingmentioning

confidence: 65%

Section: Self-efficacy For Healthy Eatingmentioning

confidence: 99%

Dietary Intake, Behaviors and Psychosocial Factors among Women from Food-Secure and Food-Insecure Households

et al. 2016

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“…Methods to achieve those goals are individualized to women’s preferences, resources, and cultural context using motivational interviewing and theoretical constructs derived from social cognitive theory (SCT) [18] and the Transtheoretical Model (TTM) [19], which have been used extensively in home-based and self-management programs [19,20]. Thus, the counseling approach addresses stages of change [21,22], self-efficacy [20,23], and social support for lifestyle behaviors [24]. …”

Section: Methodsmentioning

confidence: 99%

A pragmatic cluster randomized clinical trial of diabetes prevention strategies for women with gestational diabetes: design and rationale of the Gestational Diabetes’ Effects on Moms (GEM) study

Ferrara

Hedderson

Albright

et al. 2014

BMC Pregnancy Childbirth

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BackgroundWomen with gestational diabetes (GDM) are at high risk of developing diabetes later in life. After a GDM diagnosis, women receive prenatal care to control their blood glucose levels via diet, physical activity and medications. Continuing such lifestyle skills into early motherhood may reduce the risk of diabetes in this high risk population. In the Gestational Diabetes’ Effects on Moms (GEM) study, we are evaluating the comparative effectiveness of diabetes prevention strategies for weight management designed for pregnant/postpartum women with GDM and delivered at the health system level.Methods/DesignThe GEM study is a pragmatic cluster randomized clinical trial of 44 medical facilities at Kaiser Permanente Northern California randomly assigned to either the intervention or usual care conditions, that includes 2,320 women with a GDM diagnosis between March 27, 2011 and March 30, 2012. A Diabetes Prevention Program-derived print/telephone lifestyle intervention of 13 telephonic sessions tailored to pregnant/postpartum women was developed. The effectiveness of this intervention added to usual care is to be compared to usual care practices alone, which includes two pages of printed lifestyle recommendations sent to postpartum women via mail. Primary outcomes include the proportion of women who reach a postpartum weight goal and total weight change. Secondary outcomes include postpartum glycemia, blood pressure, depression, percent of calories from fat, total caloric intake and physical activity levels. Data were collected through electronic medical records and surveys at baseline (soon after GDM diagnosis), 6 weeks (range 2 to 11 weeks), 6 months (range 12 to 34 weeks) and 12 months postpartum (range 35 to 64 weeks).DiscussionThere is a need for evidence regarding the effectiveness of lifestyle modification for the prevention of diabetes in women with GDM, as well as confirmation that a diabetes prevention program delivered at the health system level is able to successfully reach this population. Given the use of a telephonic case management model, our Diabetes Prevention Program-derived print/telephone intervention has the potential to be adopted in other settings and to inform policies to promote the prevention of diabetes among women with GDM.Trial registrationClinical Trials.gov number, NCT01344278.

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“…Mediators include self-efficacy, emotional coping response, social support and autonomous motivation. Self-efficacy is measured by asking participants’ to rate their confidence (1 = not confident at all, 4 = very confident) in eating healthy foods (8 items), becoming more physically active (10 items), and managing their stress (9 items) [47,48]. Emotional coping response is measured by asking participants about strategies used to cope with emotional eating (6 items), physical activity (4 items), and stress management (7 items) [47,49].…”

Section: Methodsmentioning

confidence: 99%

A community based prevention of weight gain intervention (Mothers In Motion) among young low-income overweight and obese mothers: design and rationale

et al. 2014

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BackgroundOver 45% of American women 20–39 years old are at risk for type 2 diabetes, cardiovascular disease, and other health conditions because they are overweight or obese. The prevalence of overweight and obesity is disproportionately high among low-income women. This paper describes the study design and rationale of a community based intervention (Mothers In Motion, MIM) aimed to prevent weight gain among low-income overweight and obese mothers18-39 years old by promoting stress management, healthy eating, and physical activity.Methods/DesignPeer recruiters approach participants from 5 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Michigan. The MIM delivers theory-based, culturally-sensitive intervention messages via a combination of DVDs and peer support group teleconferences (PSGTs). The DVD features African American and white overweight and obese WIC mothers who participated in a healthy lifestyle intervention patterned after MIM. The PSGTs are led by paraprofessionals from Michigan State University Extension and WIC providers in Michigan who are trained in motivational interviewing and group facilitation skills. Participants are randomly assigned to an intervention (n = 350) or comparison group (n = 175). The intervention group receives a 16-week intervention on a weekly or bi-weekly basis. Participants are asked to watch 10 MIM DVD chapters at home and join 10 PSGT sessions by phone. The comparison group receives printed educational materials. The primary outcome is body weight. Secondary outcomes include dietary fat, fruit, and vegetable intake; physical activity; stress, and affect. Mediators are self-efficacy, emotional coping response, social support, and autonomous motivation. Telephone interviews and in-person data collection at WIC offices occur at 3 time points: baseline, immediately, and 3 months after the 16-week intervention.DiscussionIf MIM shows effectiveness, it could have a favorable impact on public health and community programs. The DVDs and PSGTs will be disseminated in WIC, Extension, clinical practice that promote healthy lifestyles for similar target audiences to make a broad contribution to the prevention of weight gain in low-income mothers. Also, our methodology can be adapted by researchers and community stakeholders to help other low-income populations prevent weight gain.Trial registrationClinical Trials Number: NCT01839708.

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Development and Validation of a Self-Efficacy Measure for Fat Intake Behaviors of Low-Income Women

Cited by 32 publications

References 12 publications

Dietary Intake, Behaviors and Psychosocial Factors among Women from Food-Secure and Food-Insecure Households

Dietary Intake, Behaviors and Psychosocial Factors among Women from Food-Secure and Food-Insecure Households

A pragmatic cluster randomized clinical trial of diabetes prevention strategies for women with gestational diabetes: design and rationale of the Gestational Diabetes’ Effects on Moms (GEM) study

A community based prevention of weight gain intervention (Mothers In Motion) among young low-income overweight and obese mothers: design and rationale

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