The development of self-efficacy scales for healthrelated diet and exercise behaviors

Sallis, James F.; Pinski, Robin B.; Grossman, Robin M.; Patterson, Thomas L.; Nader, Philip R.

doi:10.1093/her/3.3.283

Cited by 688 publications

(565 citation statements)

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“…Similar barriers to exercise among college students have (Sallis et al, 1988) and may play a greater role among low-income minority women facing financial burdens. The challenge for future research is to uncover the beliefs, motivations, and attitudes that lead one person to maintain an exercise regimen while another consistently forgoes exercise under similar schedules and responsibilities.…”

Section: Discussionmentioning

confidence: 95%

Outcomes of a program to enhance exercise self‐efficacy and improve fitness in black and hispanic college‐age women

D’Alonzo

Stevenson

Davis

2004

Research in Nursing & Health

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A quasi-experimental design was used to test the outcomes of an exercise program directed towards Black and Hispanic college-age women. Forty-four women (36 Black, 7 Hispanic, and 1 Black/Hispanic) attended exercise classes three times per week for 16 weeks. At program completion, women were classified as either high attendees (n = 26) or low attendees (n = 18). Compared to low attendees, the high attendees had significantly higher exercise self-efficacy (p < . 001), perceived benefits and barriers (p =.004), aerobic fitness, flexibility, muscle strength, and percentage of body fat (all p <.001). Daily activity levels improved significantly in the high attendance group following the program (p <.001) and at 8 weeks post-program completion (p =. 01). Keywordsexercise; resistance training; intervention; Black and Hispanic women; health promotion; exercise self-efficacy Considerable evidence exists that exercise has numerous physiological, metabolic, and psychological benefits. The U.S. Department of Health and Human Services report, Physical Activity and Health (1996), contains a summary of these benefits, including: (a) improvement in cardiovascular and respiratory function; (b) reduction in coronary artery disease risk factors; (c) decreased morbidity and mortality; and (d) the postulated benefits of decreased anxiety and depression, enhanced feelings of well-being, and enhanced performance of work, recreational, and sport activities.Rather than embrace these benefits, a significant percentage of Americans maintain a largely sedentary lifestyle. Although physical activity has been shown to decline with age (Centers for Disease Control, 1998; National Center for Health Statistics, 1994Statistics, , 1997, evidence suggests that these declines begin early in life. The findings of the Youth Risk Behavior Survey (Center for Disease Control and Prevention, 2001) indicated that teenage girls were less active than boys throughout the 4 years of high school, and both Black and Hispanic NIH Public Access Author ManuscriptRes Nurs Health. Author manuscript; available in PMC 2011 November 8. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript teenage girls were significantly less active than White teenage girls. During the college years, females tend to become even less active. This is particularly true for AfricanAmerican and Hispanic women (Ainsworth, Berry, Schnyder, & Vickers, 1992;Ford & Goode, 1994;Kelley & Kelley, 1994). Suminski and Petosa (2002) studied 3,000 ethnically diverse college students and found that both Black and Hispanic female women were significantly more likely to report a sedentary lifestyle than were their White counterparts. Based upon age trends, many young minority women are at high risk for living out their lives as sedentary adults. Chronic inactivity in young and middle adulthood substantially increases the risk for cardiovascular disease, particularly hypertension and stroke (Howard et al., 1994;Whelton et al., 1996). One important sub-population of young adu...

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Section: Discussionmentioning

confidence: 95%

Outcomes of a program to enhance exercise self‐efficacy and improve fitness in black and hispanic college‐age women

D’Alonzo

Stevenson

Davis

2004

Research in Nursing & Health

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“…Self-reported responses to the SEBS are rated on a Likert-type scale from 1 ("I know I cannot do it") to 5 ("I know I can do it"), with higher scores indicating greater self-efficacy. Internal consistency reliability was 0.83-0.85 in a college-age population [19], but was higher (0.91) in middle-aged women engaged in moderate or higher intensity physical activity [20]. Factor test-retest reliability was 0.68.…”

Section: Outcome Measuresmentioning

confidence: 92%

“…Physical activity self-efficacy-Confidence in one's ability to change physical activity behaviors was measured by the Self-efficacy for Exercise Behavior (SEBS) [19]. The 12-item SEBS has two subscales: resisting relapse/sticking to it (5 items) and making time for exercise (7 items).…”

Section: Outcome Measuresmentioning

confidence: 99%

“…Factor test-retest reliability was 0.68. Resisting relapse/sticking to it and making time subscales were significantly correlated with reported participation in vigorous activity (r = 0.32, p < 0.001; r = .40, p < 0.001, respectively) [19]. The most recent version of the SEBS was used in this study which can be found at the following web site (http://www.drjamessallis.sdsu.edu).…”

Section: Outcome Measuresmentioning

confidence: 99%

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Continuous glucose monitoring counseling improves physical activity behaviors of individuals with type 2 diabetes: A randomized clinical trial

Allen¹,

Fain²,

Braun³

et al. 2008

Diabetes Research and Clinical Practice

138

152

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Aims-Despite the known benefits, 60% of individuals with diabetes do not engage in regular physical activity (PA). This pilot study tested the effects of a counseling intervention using continuous glucose monitoring system (CGMS) feedback on PA self-efficacy, PA levels, and physiological variables.Methods-Adults (N = 52) with type 2 diabetes (non-insulin requiring, inactive) were randomized to intervention (n = 27) or control (n = 25) groups. Both groups received 90 min of diabetes education with a follow-up phone call 4 weeks later. The intervention group also received counseling derived from self-efficacy theory. This intervention included feedback on each participant's CGMS graph and used role model CGMS graphs to clearly depict glucose reductions in response to PA. Outcomes were assessed at baseline and 8 weeks.Results-Participants receiving the intervention had higher self-efficacy scores than the control group for sticking to activity/resisting relapse at 8 weeks (p < 0.05), indicating more confidence in maintaining a PA program. Intervention group participants light/sedentary activity minutes decreased significantly (p < 0.05), moderate activity minutes increased significantly (p < 0.05), and, HbA1c and BMI decreased significantly (p < 0.05).Conclusions-These data suggest that PA counseling interventions using CGMS feedback for individuals with type 2 diabetes may improve PA levels and reduce risk factors for diabetes-related complications.

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“…Consistent with our theoretical framework, selfefficacy for exercise and diet were assessed by The Self-Efficacy and Eating Habits Survey and SelfEfficacy and Exercise Habits Survey consist of 20 and 12 items, respectively. Respondents rate their confidence to perform healthy behaviors in a range of situations on a 5-point scale (I know I cannot to I know I can) [18]. The dietary scale was modified to assess self-efficacy for eating a low calorie diet, rather than for a low-fat diet.…”

Section: Pilot Testmentioning

confidence: 99%

Translation of the diabetes prevention program lifestyle intervention for promoting postpartum weight loss among low-income women

Rosal¹,

Lemon²,

Nguyen³

et al. 2011

Behav. Med. Pract. Policy Res.

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The Women Infants and Children (WIC) program is a promising venue in which to implement weight loss interventions for low-income postpartum women. The goals of this study were to describe formative steps to translate the DPP lifestyle intervention to be delivered to diverse low-income postpartum women who are served by the WIC program, and to present the results of a pilot trial of the intervention. The steps of intervention translation involved were the following: (1) building partnerships, (2) understanding the target setting, (3) understanding the target population, (4) re-designing the intervention, and (5) refining the intervention. The pilot trial was a single group pre/post test comparison among 27 overweight/obese postpartum WIC clients. The intervention resulted in an average weight loss of 4.6lb at a 4-month follow-up (p=0.004). A dose-response association between intervention attendance and weight loss was observed. This translation of the DPP for diverse low-income postpartum women has potential for widespread implementation. KEYWORDS Weight loss, Health disparities, Intervention, Translational researchThe postpartum period is a critical time for targeting weight loss, as on average, women retain approximately 3 kg per pregnancy over the life course [1]. Low SES and minority women are at greatest risk of postpartum weight retention, and these populations also experience significant weight gain after the first few postpartum weeks [2]. The Women Infants and Children (WIC) program is a promising setting in which to implement evidence-based weight loss interventions for low SES women. WIC is a federaland state-funded program with a mission to promote health of low-income women, infants, and children up to age 5 who are at nutritional risk. WIC serves approximately 18 million individuals a year via 9,000 clinics across the country. The program does not systematically provide weight loss services per se, but addressing weight loss among its participants is within the mission of WIC.Only a few interventions have aimed to promote postpartum weight loss among WIC clients and have had minimal or no success [2][3][4]. These interventions have not used or translated existing evidence-based programs or strategies [5,6] (i.e., limited focus on creating an energy deficit; nonsystematic use of self-monitoring, goal-setting and problem-solving, and limited hands-on opportunities and support to develop healthy cooking skills and physical activity behaviors). In addition, studies reported poor attendance and high attrition rates.Despite the promise of efficacious weight loss interventions such as the Diabetes Prevention Program (DPP) Lifestyle Intervention [5,7], to date only a few studies have demonstrated a positive effect of using the DPP intervention in real world settings and populations [8]. There are sizeable barriers to widespread implementation and dissemination of efficacious weight loss interventions like the DPP to real world settings and populations, such as WIC clinics and the low SES postpartum ...

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The development of self-efficacy scales for healthrelated diet and exercise behaviors

Cited by 688 publications

References 5 publications

Outcomes of a program to enhance exercise self‐efficacy and improve fitness in black and hispanic college‐age women

Outcomes of a program to enhance exercise self‐efficacy and improve fitness in black and hispanic college‐age women

Continuous glucose monitoring counseling improves physical activity behaviors of individuals with type 2 diabetes: A randomized clinical trial

Translation of the diabetes prevention program lifestyle intervention for promoting postpartum weight loss among low-income women

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