Self-efficacy in weight management.

Clark, Matthew M.; Abrams, David B.; Niaura, Raymond; Eaton, Cheryl A.; Rossi, Joseph S.

doi:10.1037/0022-006x.59.5.739

Cited by 559 publications

(485 citation statements)

References 28 publications

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“…Higher scores indicate greater levels of eating self-efficacy. Responses are based on in a 10-point Likert scale, with scores ranging from 0 = not confident to 9 = very confident ( Clark et al, 1991). The WEL contains five components: (1) negative emotions (for example, I can resist eating when I am angry), (2) availability (for example, I can control my eating on the weekends), (3) social pressure (for example, I can resist eating even when I have to say no to others), (4) physical discomfort (for example, I can resist eating when I feel physically run down), and (5) positive activities (for example, I can resist eating when I am watching TV).…”

Section: Weight Efficacy Lifestyle Questionnaire (Wel)mentioning

confidence: 99%

“…The WEL contains five components: (1) negative emotions (for example, I can resist eating when I am angry), (2) availability (for example, I can control my eating on the weekends), (3) social pressure (for example, I can resist eating even when I have to say no to others), (4) physical discomfort (for example, I can resist eating when I feel physically run down), and (5) positive activities (for example, I can resist eating when I am watching TV). Reported Cronbach's alpha coefficients from the literature range from .70 to .90 ( Clark et al, 1991;Turk et al, 2012).…”

Section: Weight Efficacy Lifestyle Questionnaire (Wel)mentioning

confidence: 99%

“…Obesity researchers have learned that improvement in self-efficacy is associated with weight loss ( Clark, Abrams, Niaura, Eaton, & Rossi, 1991;Warziski, Sereika, Styn, Music, & Burke, 2008). Conversely, lower rates of self-efficacy have been linked with a decreased likelihood of practicing weight management behaviors ( Palmeira et al, 2007;Shin et al, 2011).…”

mentioning

confidence: 99%

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The Impact of Racial and Socioeconomic Disparities on Binge Eating and Self-Efficacy among Adults in a Behavioral Weight Loss Trial

Goode

Ye²,

Zheng

et al. 2016

Health Social Work

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The prevalence of obesity is a significant problem among racial and ethnic minorities and those of low socioeconomic status (SES). Psychosocial barriers, such as binge eating and low self-efficacy, are known to hinder the adoption of a more healthful diet. There is limited research identifying racial and SES differences in binge eating and self-efficacy. Further investigations of these constructs may allow researchers to improve the effectiveness of weight management interventions and increase social worker involvement. In this article, the authors examine the socioeconomic and racial differences in binge eating and eating self-efficacy in a sample of individuals seeking weight loss treatment (N = 151). They explore associations between various sociodemographic variables and the Binge Eating Scale and Weight Efficacy Lifestyle Questionnaire (WEL). At baseline, nonwhite participants or those with fewer years of education exhibited more confidence resisting eating when food was available. Moreover, nonwhite participants reported more self-confidence eating under social pressure and had higher total WEL scores than white participants. However, at six months, nonwhite participants' WEL scores decreased. White participants increased their total WEL scores and obtained a higher percent weight change by the end of the intervention. Additional investigations on the dynamics affecting the development of self-efficacy are warranted.

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Section: Weight Efficacy Lifestyle Questionnaire (Wel)mentioning

confidence: 99%

Section: Weight Efficacy Lifestyle Questionnaire (Wel)mentioning

confidence: 99%

See 1 more Smart Citation

The Impact of Racial and Socioeconomic Disparities on Binge Eating and Self-Efficacy among Adults in a Behavioral Weight Loss Trial

Goode

Ye²,

Zheng

et al. 2016

Health Social Work

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“…A higher score indicates greater self-efficacy. Internal consistencies were reported to be α = .70-.90 [40] and were .74-.81 for the present sample [18].…”

Section: Methodsmentioning

confidence: 64%

“…Self-efficacy for controlling eating-The 20-item Weight Efficacy Lifestyle Scale [40] was used to measure selfefficacy for controlling eating when negative emotions, food availability, physical discomfort, positive activities, and social pressure might be challenging (e.g., "I can resist eating even when I have to say 'no' to others"). Item responses range from 0 (not confident) to 9 (very confident) and are summed.…”

Section: Methodsmentioning

confidence: 99%

Psychosocial predictors of decay in healthy eating and physical activity improvements in obese women regaining lost weight: translation of behavioral theory into treatment suggestions

Annesi

2016

Behav. Med. Pract. Policy Res.

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Regain of lost weight is a universal problem for behavioral treatments. An increased understanding of theory-based psychosocial predictors of decay in behavioral correlates of weight loss might improve treatments. Data were derived from a previous weight loss investigation of 110 women with obesity. A subsample from the experimental treatment who lost ≥3 % body weight and regained at least one third of that over 24 months (N = 36) was assessed. During months 6 through 24, there were unfavorable changes in behavioral (fruit/vegetable and sweet intake; physical activity) and psychosocial variables. Mood change predicted change in fruit/vegetable and sweet intake, with emotional eating change mediating the latter relationship. Change in self-regulation predicted changes in sweet and fruit/vegetable intake and physical activity, with self-efficacy mediating the self-regulationfruit/vegetable intake and self-regulation-physical activity relationships. Findings suggest that after treatmentinduced weight loss, addressing indicated theory-based psychosocial variables might mitigate decay in behavioral predictors of healthier weight. KEYWORDSWeight loss, Maintenance, Treatment, Self-regulation, Self-efficacy, Physical activity Although behavioral (non-pharmacological/nonsurgical) treatments have consistently been associated with a 5-8 % loss in initial body weight, even more consistent has been a gradual climb toward baseline weight after approximately 6 months [1][2][3]. Although as little as 3 % weight loss can have health benefits [4,5], from one third to two third regain of weight is expected over 2 years [2,6]. Often, regain will continue beyond a participant's initial weight [1]. Repeating a pattern of weight loss and regain might increase individuals' health risks [7]. Researchers suggest that weight loss maintenance differs considerably from weight loss and thus should be distinctly studied and addressed [8]. In a recent trial incorporating a yearlong, state-of-the-science behavioral weight management protocol directed primarily at reductions in energy intake [9], an initial weight loss of 9 % demonstrated a 91 % regain of baseline weight over the subsequent 3 years [10]. Because of the failure of this seemingly comprehensive protocol that was highly focused upon maintaining weight loss from its outset, along with the long history of behavioral treatments' association with weight regain [1-3], its developers questioned the merits of any further pursuits of such weight management interventions [10]. Although other researchers disagreed [11][12][13], it seemed clear that new and different approaches were needed.As a reaction to this and (a) a consensus that exercise is a primary predictor of maintained weight loss [6,14,15], (b) suggestions that the development of self-regulation prior to pursuing reductions in energy intake is advisable [8], (c) proposed behavioral models of the relationship between exercise and weight loss [11,16,17], and (d) indications that physical activity affects weight loss more thr...

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Simultaneous vs Sequential Counseling for Multiple Behavior Change

Hyman

Pavlik

Taylor³

et al. 2007

Arch Intern Med

172

122

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Background: Many patients in primary care settings present with multiple behavioral risk factors for cardiovascular disease. Research has provided little information on the most effective ways to approach multiple behavior change counseling in clinical settings. Methods:We implemented a randomized trial in a publicly funded primary care setting to test whether a sequential presentation of stage of change-based counseling to stop smoking, reduce dietary sodium level to less than 100 mEq/L per day, and increase physical activity by at least 10 000 pedometer steps per week would be more effective than simultaneous counseling. African Americans with hypertension, aged 45 to 64 years, initially nonadherent to the 3 behavioral goals, were randomized to the following conditions: (1) 1 in-clinic counseling session on all 3 behaviors every 6 months, supplemented by motivational interviewing by telephone for 18 months; (2) a similar protocol that addressed a new behavior every 6 months; or (3) 1-time referral to existing group classes ("usual care"). The pri-mary end point was the proportion in each arm that met at least 2 behavioral criteria after 18 months.Results: A total of 289 individuals (67.3% female) were randomized, and 230 (79.6%) completed the study. At 18 months, only 6.5% in the simultaneous arm, 5.2% in the sequential arm, and 6.5% in the usual-care arm met the primary end point. However, results for single behavioral goals consistently favored the simultaneous group. At 6 months, 29.6% in the simultaneous, 16.5% in the sequential, and 13.4% in the usual-care arms had reached the urine sodium goal (P=.01). At 18 months, 20.3% in the simultaneous, 16.9% in the sequential, and 10.1% in the usualcare arms were urine cotinine negative (P=.08).Conclusions: Long-term multiple behavior change is difficult in primary care. This study provides strong evidence that addressing multiple behaviors sequentially is not superior to, and may be inferior to, a simultaneous approach.

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Self-efficacy in weight management.

Cited by 559 publications

References 28 publications

The Impact of Racial and Socioeconomic Disparities on Binge Eating and Self-Efficacy among Adults in a Behavioral Weight Loss Trial

The Impact of Racial and Socioeconomic Disparities on Binge Eating and Self-Efficacy among Adults in a Behavioral Weight Loss Trial

Psychosocial predictors of decay in healthy eating and physical activity improvements in obese women regaining lost weight: translation of behavioral theory into treatment suggestions

Simultaneous vs Sequential Counseling for Multiple Behavior Change

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