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Abstract
Physical activity is critical in healthy weight loss, yet there is still much to be learned about psychosocial mechanisms of physical activity behavior change in weight loss. A sequential mixed methods approach was used to assess the physical and psychosocial impact of a 12-week cognitive—behavioral weight management program and explore factors associated with weight loss. Quantitative data (N = 55) revealed program completion rate and mean percentage weight loss that compare favorably with other interventions, and differential psychosocial impacts on those losing more weight. Telephone interviews (n = 11) revealed four potential mechanisms for these differential impacts: (a) fostering accountability, (b) balancing perceived effort and success, (c) redefining ‘‘success,’’ and (d) developing cognitive flexibility.
|
Abildso, C.G. , Zizzi, S.J. , & Reger-Nash, B. (2010). Evaluating an insurance-sponsored weight management program with the RE-AIM model, West Virginia, 2004-2008 . Preventing Chronic Disease. Retrieved July 6, 2010, from http://www.cdc.gov/pcd/issues/2010/may/09_0114.htm Google Scholar | Medline | ISI | |
|
American College of Sports Medicine. (2005 ). ACSM’s guidelines for exercise testing and prescription (7th ed.). Hagerstown, MD: Lippincott, Williams, & Wilkins. Google Scholar | |
|
Andersen, R.E. , Wadden, T.A. , Bartlett, S.J. , Zemel, B. , Verde, T.J. , & Franckowiak, S.C. (1999). Effects of lifestyle activity versus structured aerobic exercise in obese women: A randomized trial. Journal of the American Medical Association, 281, 335-340. Google Scholar | Crossref | ISI | |
|
Bandura, A. ( 1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191-215. Google Scholar | Crossref | Medline | ISI | |
|
Booth, F. , & Chakravarthy, M. (2002). Cost and consequences of sedentary living: New battleground for an old enemy. President’s Council on Physical Fitness and Sports Research Digest, 3(16), 1-8. Google Scholar | |
|
Brownell, K.D. ( 2000). The LEARN program for weight control (6th ed.). Dallas, TX: American Health . Google Scholar | |
|
Brownson, R.C. , Eyler, A.A. , King, A.C. , Shyu, Y.L. , Brown, D.R. , & Homan, S.M. ( 1999). Reliability of information on physical activity and other chronic disease risk factors among us women aged 40 years or older. American Journal of Epidemiology, 149, 379-391. Google Scholar | Crossref | Medline | ISI | |
|
Byrne, S.M. , Cooper, Z. , & Fairburn, C.G. (2004). Psychological predictors of weight regain in obesity. Behaviour Research and Therapy , 42, 1341-1356. Google Scholar | Crossref | Medline | ISI | |
|
Castro, C.M. , Sallis, J.F. , Hickmann, S.A. , Lee, R.E. , & Chen, A.H. ( 1999). A prospective study of psychosocial correlates of physical activity for ethnic minority women. Psychology and Health , 14, 277-293. Google Scholar | Crossref | ISI | |
|
Centers for Disease Control and Prevention. ( 2009). Behavior Risk Factor Surveillance System: 2007 prevalence data. Retrieved from http://apps.nccd.cdc.gov/brfss/ Google Scholar | |
|
Crawford, J.R. , & Henry, J.D. ( 2003). The Positive and Negative Affect Schedule (PANAS): Construct validity, measurement properties and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 43, 245-265. Google Scholar | Crossref | ISI | |
|
Creswell, J.W. ( 1994). Research design: Qualitative and quantitative approaches . Thousand Oaks, CA: SAGE. Google Scholar | |
|
Dishman, R.K. , Sallis, J.F. , & Orenstein, D.R. (1985). The determinants of physical activity and exercise. Public Health Reports, 100, 158-171. Google Scholar | Medline | ISI | |
|
Dunn, A.L. , Garcia, M.E. , Marcus, B.H. , Kampert, J.B. , Kohl, H.W. , & Blair, S.N. ( 1998). Six-month physical activity and fitness changes in project active, a randomized trial. Medicine & Science in Sports & Exercise, 30, 1076-1083. Google Scholar | Crossref | Medline | ISI | |
|
Fahrenwald, N.L. , & Walker, S.N. ( 2003). Application of the transtheoretical model of behavior change to the physical activity behavior of WIC mothers. Public Health Nursing, 20, 307-317. Google Scholar | Crossref | Medline | ISI | |
|
Fine, L.J. , Philogene, G.S. , Gramling, R. , Coups, E.J. , & Sinha, S. ( 2004). Prevalence of multiple chronic disease risk factors. 2001 National Health Interview Survey. American Journal of Preventive Medicine, 27(Suppl. 2), 18-24. Google Scholar | Medline | ISI | |
|
Gaesser, G.A. ( 2004). Weight loss for the obese: Panacea or pound-foolish? Quest, 56, 12-27. Google Scholar | Crossref | ISI | |
|
Gallagher, K.I. , Jakicic, J.M. , Napolitano, M.A. , & Marcus, B.H. ( 2006). Psychosocial factors related to physical activity and weight loss in overweight women. Medicine & Science in Sports & Exercise, 38, 971-980. Google Scholar | Crossref | Medline | ISI | |
|
Ginde, S.R. , Geliebter, A. , Rubiano, F. , Silva, A.M. , Wang, J. , Heshka, S. , & Heymsfield, S.B. (2005). Air displacement plethysmography: Validation in overweight and obese subjects. Obesity Research , 13, 1232-1237. Google Scholar | Crossref | Medline | |
|
Glasgow, R.E. , Vogt, T.M. , & Boles, S.M. ( 1999). Evaluating the public health impact of health promotion interventions: The RE-AIM framework. American Journal of Public Health, 89, 1322-1327. Google Scholar | Crossref | Medline | ISI | |
|
Greene, J.C. , Caracelli, V.J. , & Graham, W.F. ( 1989). Toward a conceptual framework for mixed-method evaluation designs. Educational Evaluation and Policy Analysis, 11, 255-274. Google Scholar | SAGE Journals | |
|
Jones, F. , Harris, P. , Waller, H. , & Coggins, A. ( 2005). Adherence to an exercise prescription scheme: The role of expectations, self-efficacy, stage of change and psychological well-being . British Journal of Health Psychology, 10, 359-378. Google Scholar | Crossref | Medline | ISI | |
|
Jones, L.R. , & Wadden, T.A. ( 2006). State of the science: Behavioural treatment of obesity . Asia Pacific Journal of Clinical Nutrition, 15(Suppl. 1), 30-39. Google Scholar | Medline | |
|
Kendzierski, D. , & Johnson, W. ( 1993). Excuses, excuses, excuses: A cognitive behavioral approach to exercise implementation. Journal of Sport and Exercise Psychology, 15, 207-219. Google Scholar | Crossref | ISI | |
|
Kimiecik, J.C. ( 2002). The intrinsic exerciser: Discovering the joy of exercise . Orlando, FL: Houghton Mifflin . Google Scholar | |
|
Klem, M.L. , Wing, R.R. , McGuire, M.T. , Seagle, H.M. , & Hill, J.O. ( 1997). A descriptive study of individuals successful at long-term maintenance of substantial weight loss. American Journal of Clinical Nutrition, 66, 239-246. Google Scholar | Medline | ISI | |
|
Malterud, K. ( 2001). Qualitative research: Standards, challenges, and guidelines . Lancet, 358, 483-488. Google Scholar | Crossref | Medline | ISI | |
|
Marcus, B.H. , Eaton, C.A. , Rossi, J.S. , & Harlow, L.L. ( 1994). Self-efficacy, decision-making, and stages of change: An integrative model of physical exercise. Journal of Applied Social Psychology, 24, 489-508. Google Scholar | Crossref | ISI | |
|
Marcus, B.H. , & Forsyth, L.H. ( 2003). Motivating people to be physically active. Champaign, IL: Human Kinetics. Google Scholar | |
|
Marcus, B.H. , Rakowski, W. , & Rossi, J.S. ( 1992). Assessing motivational readiness and decision making for exercise. Health Psychology, 11, 257-261. Google Scholar | Crossref | Medline | ISI | |
|
Marcus, B.H. , Selby, V.C. , Niaura, R.S. , & Rossi, J.S. ( 1992). Self-efficacy and the stages of exercise behavior change . Research Quarterly for Exercise and Sport, 63, 60-66. Google Scholar | Crossref | Medline | ISI | |
|
Marcus, B.H. , Williams, D.M. , Dubbert, P.M. , Sallis, J.F. , King, A.C. , Yancey, A.K. , . . . Claytor, R.P. ( 2006). Physical activity intervention studies: What we know and what we need to know: A scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity); Council on Cardiovascular Disease in the Young; and the Interdisciplinary Working Group on Quality of Care and Outcomes Research. Circulation , 114, 2739-2752. Google Scholar | Medline | ISI | |
|
Minderico, C. , Silva, A. , Teixeira, P. , Sardinha, L. , Hull, H. , & Fields, D. ( 2006). Validity of air-displacement plethysmography in the assessment of body composition changes in a 16-month weight loss program, Nutrition and Metabolism,3, 8). Retrieved from http://www.nutritionandmetabolism.com/content/3/1/32 Google Scholar | Crossref | |
|
Mokdad, A.H. , Marks, J.S. , Stroup, D.F. , & Gerberding, J.L. (2005). Correction: Actual causes of death in the United States, 2000. Journal of the American Medical Association, 293, 293-294. Google Scholar | Crossref | ISI | |
|
National Heart Lung and Blood Institute. ( 1998). Obesity education initiative expert panel: Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults - the evidence report. Obesity Research, 6(Suppl.), 51-210. Google Scholar | |
|
Neter, J.E. , Stam, B.E. , Kok, F.J. , Grobbee, D.E. , & Geleijnse, J.M. (2003). Influence of weight reduction on blood pressure: A meta-analysis of randomized controlled trials. Hypertension, 42, 878-884. Google Scholar | Crossref | Medline | ISI | |
|
Perri, M.G. ( 1984). Maintenance strategies for the treatment of obesity: An evaluation of relapse prevention training and posttreatment contact by mail and telephone. Journal of Consulting and Clinical Psychology , 52, 404-413. Google Scholar | Crossref | Medline | ISI | |
|
Perri, M.G. , McAllister, D.A. , Gange, J.J. , Jordan, R.C. , McAdoo, W.G. , & Nezu, A.M. ( 1988). Effects of four maintenance programs on the long-term management of obesity. Journal of Consulting and Clinical Psychology, 56, 529-534. Google Scholar | Crossref | Medline | ISI | |
|
Polivy, J. , & Herman, C.P. ( 2002). If at first you don’t succeed. False hopes of self-change . American Psychologist, 57, 677-689. Google Scholar | Crossref | Medline | ISI | |
|
Prochaska, J.O. , Norcross, J.C. , & DiClemente, C.C. (1994). Changing for good: A revolutionary six-stage program for overcoming bad habits and moving your life positively forward. New York, NY: HarperCollins . Google Scholar | |
|
Sears, S.R. , & Stanton, A.L. ( 2001). Expectancy-value constructs and expectancy violation as predictors of exercise adherence in previously sedentary women. Health Psychology, 20, 326-333. Google Scholar | Crossref | Medline | ISI | |
|
Teixeira, P.J. , Going, S.B. , Sardinha, L.B. , & Lohman, T.G. ( 2005). A review of psychosocial pre-treatment predictors of weight control. Obesity Reviews, 6, 43-65. Google Scholar | Crossref | Medline | ISI | |
|
Wadden, T.A. , Berkowitz, R.I. , Womble, L.G. , Sarwer, D.B. , Phelan, S. , Cato, R.K. , ... Stunkard, A.J. ( 2005). Randomized trial of lifestyle modification and pharmacotherapy for obesity. New England Journal of Medicine, 353, 2111-2120. Google Scholar | Crossref | Medline | ISI | |
|
Wadden, T.A. , Womble, L.G. , Sarwer, D.B. , Berkowitz, R.I. , Clark, V.L. , & Foster, G.D. ( 2003). Great expectations: ‘‘I’m losing 25% of my weight no matter what you say.’’ Journal of Consulting and Clinical Psychology, 71, 1084-1089. Google Scholar | Crossref | Medline | ISI | |
|
Watson, D. , Clark, L.A. , & Tellegen, A. ( 1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063-1070. Google Scholar | Crossref | Medline | ISI | |
|
Witte, R.S. , & Witte, J.S. ( 2001). Statistics (6th ed.). Orlando, FL: Harcourt. Google Scholar |
