Leilani Dodgen, Heather Kitzman, Emily Spence, Abdullah Mamun, Scott T Walters, Diana Cervantes
{"title":"理论有什么用：在 Better Me Within 随机试验中衡量理论对生活方式行为和体重的影响。","authors":"Leilani Dodgen, Heather Kitzman, Emily Spence, Abdullah Mamun, Scott T Walters, Diana Cervantes","doi":"10.1080/19325037.2022.2163007","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Knowing which theoretical constructs work best to design effective interventions is essential for populations with increased disease burden. African American women (AAW) experience greater prevalence of chronic diseases and fewer benefits from weight loss interventions compared to White women.</p><p><strong>Purpose: </strong>To examine how theoretical constructs were associated with lifestyle behaviors and weight outcomes in the Better Me Within (BMW) Randomized Trial.</p><p><strong>Methods: </strong>BMW used a tailored diabetes prevention program implemented in churches among AAW with BMI ≥ 25. Regression models assessed relationships between constructs (self-efficacy, social support and motivation), and outcomes (physical activity (PA), calories, and weight).</p><p><strong>Results: </strong>Among 221 AAW (mean (SD) age 48.8 years (11.2); mean weight 215.1 pounds (50.5), several significant relationships were found including an association between change in motivation for activity and change in PA (p=.003), and change in motivation for diet and weight at follow-up (p=<.001).</p><p><strong>Discussion: </strong>The clearest relationships emerged for PA with motivation for activity and weight management social support demonstrating significance in all models.</p><p><strong>Translation to practice: </strong>Self-efficacy, motivation and social support show promise to promote changes in PA and weight among church-going AAW. Opportunities to keep engaging AAW in research are essential for eliminating health inequities in this population.</p>","PeriodicalId":46846,"journal":{"name":"American Journal of Health Education","volume":"54 2","pages":"86-98"},"PeriodicalIF":0.7000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10311983/pdf/","citationCount":"0","resultStr":"{\"title\":\"What's theory got to do with it: measuring effects of theory on lifestyle behaviors and weight in the Better Me Within Randomized Trial.\",\"authors\":\"Leilani Dodgen, Heather Kitzman, Emily Spence, Abdullah Mamun, Scott T Walters, Diana Cervantes\",\"doi\":\"10.1080/19325037.2022.2163007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Knowing which theoretical constructs work best to design effective interventions is essential for populations with increased disease burden. African American women (AAW) experience greater prevalence of chronic diseases and fewer benefits from weight loss interventions compared to White women.</p><p><strong>Purpose: </strong>To examine how theoretical constructs were associated with lifestyle behaviors and weight outcomes in the Better Me Within (BMW) Randomized Trial.</p><p><strong>Methods: </strong>BMW used a tailored diabetes prevention program implemented in churches among AAW with BMI ≥ 25. Regression models assessed relationships between constructs (self-efficacy, social support and motivation), and outcomes (physical activity (PA), calories, and weight).</p><p><strong>Results: </strong>Among 221 AAW (mean (SD) age 48.8 years (11.2); mean weight 215.1 pounds (50.5), several significant relationships were found including an association between change in motivation for activity and change in PA (p=.003), and change in motivation for diet and weight at follow-up (p=<.001).</p><p><strong>Discussion: </strong>The clearest relationships emerged for PA with motivation for activity and weight management social support demonstrating significance in all models.</p><p><strong>Translation to practice: </strong>Self-efficacy, motivation and social support show promise to promote changes in PA and weight among church-going AAW. 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What's theory got to do with it: measuring effects of theory on lifestyle behaviors and weight in the Better Me Within Randomized Trial.
Background: Knowing which theoretical constructs work best to design effective interventions is essential for populations with increased disease burden. African American women (AAW) experience greater prevalence of chronic diseases and fewer benefits from weight loss interventions compared to White women.
Purpose: To examine how theoretical constructs were associated with lifestyle behaviors and weight outcomes in the Better Me Within (BMW) Randomized Trial.
Methods: BMW used a tailored diabetes prevention program implemented in churches among AAW with BMI ≥ 25. Regression models assessed relationships between constructs (self-efficacy, social support and motivation), and outcomes (physical activity (PA), calories, and weight).
Results: Among 221 AAW (mean (SD) age 48.8 years (11.2); mean weight 215.1 pounds (50.5), several significant relationships were found including an association between change in motivation for activity and change in PA (p=.003), and change in motivation for diet and weight at follow-up (p=<.001).
Discussion: The clearest relationships emerged for PA with motivation for activity and weight management social support demonstrating significance in all models.
Translation to practice: Self-efficacy, motivation and social support show promise to promote changes in PA and weight among church-going AAW. Opportunities to keep engaging AAW in research are essential for eliminating health inequities in this population.
期刊介绍：
AJHE is sponsored by the American Association for Health Education of the American Alliance for Health, Physical Education, Recreation and Dance. The mission of the American Association for Health Education(AAHE) is to advance the profession by serving health educators and others who strive to promote the health of all people through education and other systematic strategies.AAHE addresses the following priorities •Develop and promulgate standards, resources and services regarding health education to professionals and non-professionals •Foster the development of national research priorities in health education and promotion. Provide mechanisms for the translation and interaction between theory, research and practice.
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