Autonomy support in a couples weight loss trial: Helping yourself while helping others.

Autonomy support in a couples weight loss trial: Helping yourself while helping others.
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DOI:
10.1037/fsh0000663
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发表时间:
2022-03
影响因子:
1.3
通讯作者:
Gorin, Amy A.
Gorin, Amy A.
中科院分区:
医学4区
文献类型:
--
作者:
Powers, Theodore A.;Koestner, Richard;Denes, Amanda;Cornelius, Talea;Gorin, Amy A.

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自我决定理论认为,自主支持环境会产生更好的健康结果,证明自主支持对健康行为改变的重要性的证据越来越清楚。以往的大部分研究都集中在获得自主支持的效果上,而本研究则集中在提供自主支持对改善支持者的体重减轻和关系满意度方面的潜在影响。64对夫妇被随机分为标准减肥干预组或包括训练以增强自主性支持行为(例如,移情反应、接受个人选择等)的干预组。每组每周开会,为期6个月,评估时间分别为基线、3个月、6个月和12个月。对提供的自主性支持的评估是基于对夫妇讨论减肥问题的录像互动的评级,以及对他们获得自主性支持的伴侣报告的评估。结果没有显示任何条件效应;然而,两种条件的结果都表明,除了接受自主支持外,提供自主支持还与支持提供者更持续的体重减轻有关,对于男性来说,随着时间的推移,对关系的满意度也更高。结果证实了以夫妻为基础的干预和自主支持对行为改变的重要性。此外,似乎提供自主支持对接受者和提供者都是有用的。这些结果表明,需要制定有针对性的干预措施,以促进提供自主支助。
Self Determination Theory proposes that autonomy supportive environments produce better health outcomes, and evidence demonstrating the importance of autonomy support for health behavior change has become increasingly clear. The bulk of the previous research has focused on the effects of receiving autonomy support, while the present study focuses on the potential impact of providing autonomy support for improving the weight loss and relationship satisfaction of the support provider. Sixty-four couples were randomized to a standard weight loss intervention, or an intervention that included training to enhance autonomy support behavior (e.g. empathic responding, accepting personal choices, etc.). Groups met weekly for 6 months, with assessments at baseline, 3, 6 & 12 months. The assessment of provided autonomy support was based on ratings of videotaped interactions of the couple discussing weight loss issues and on partner report of the autonomy support they received. The results did not show any condition effects; however, the results for both conditions indicated that beyond receiving autonomy support, providing autonomy support was associated with greater sustained weight loss for the support provider, and for men greater relationship satisfaction over time. The results confirm the importance of couples-based interventions and autonomy support for behavior change. In addition, it appears that providing autonomy support is useful for both the recipient and the provider. These results point to the need for developing targeted interventions to facilitate the provision of autonomy support.
DOI: 10.1186/s12889-017-4732-7
发表时间: 2017-09-29
期刊: BMC PUBLIC HEALTH
影响因子: 4.5
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发表时间: 1983-01-01
期刊: JOURNAL OF MARRIAGE AND THE FAMILY
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DOI: 10.1037/hea0000808
发表时间: 2020-02-01
期刊: HEALTH PSYCHOLOGY
影响因子: 4.2
作者:
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通讯作者: Huedo-Medina, Tania B.