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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.

Knowing which theoretical constructs work best to design effective interventions is essential for populations with increased disease burden. African American women (AAW) experience a greater prevalence of chronic diseases and fewer benefits from weight loss interventions compared to White women. To...

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Published in:American Journal of Health Education Vol. 54; no. 2; pp. 86 - 99
Main Authors: Dodgen, Leilani, Kitzman, Heather, Spence, Emily, Mamun, Abdullah, Walters, Scott T., Cervantes, Diana
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Mar/Apr2023
Online Access:View this record in EBSCOhost
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      dt: Mar/Apr2023
      vid: 54
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/19325037.2022.2163007
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        atl: What's Theory Got to Do with It: Measuring Effects of Theory on Lifestyle Behaviors and Weight in the Better Me Within Randomized Trial.
      aug:
        au:
          Dodgen, Leilani
          Kitzman, Heather
          Spence, Emily
          Mamun, Abdullah
          Walters, Scott T.
          Cervantes, Diana
        affil: University of North Texas
      sug:
        subj:
          Life Style Changes
          Behavioral Changes
          Body Weight Changes
          Theory-Practice Relationship Evaluation
          Human
          Secondary Analysis
      ab: Knowing which theoretical constructs work best to design effective interventions is essential for populations with increased disease burden. African American women (AAW) experience a greater prevalence of chronic diseases and fewer benefits from weight loss interventions compared to White women. To examine how theoretical constructs were associated with lifestyle behaviors and weight outcomes in the Better Me Within (BMW) Randomized Trial. 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). 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 = <0.01), and weight loss self-efficacy and weight at follow-up (p = <0.01). The clearest relationships emerged for PA with motivation for activity and weight management social support demonstrating significance in all models. 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.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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