Associations between effort, importance, and self-monitoring during and after a 12-week behavioural weight management program.

Associations between effort, importance, and self-monitoring during and after a 12-week behavioural weight management program.
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DOI:
10.1002/osp4.431
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发表时间:
2020-10
影响因子:
2.2
通讯作者:
Ross KM
Ross KM
中科院分区:
其他
文献类型:
--
作者:
Eastman A;Dixon BN;Ross KM

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在行为减肥计划中,自我监测体重和热量摄入与改善体重减轻和维持体重减轻有关;然而,参与者对自我监控的坚持倾向于随着时间的推移而减少。为了确定自我监测依从性的潜在障碍,目前的研究检查了在行为减肥计划期间和之后,感知努力程度评分、减肥目标的相对重要性以及对体重和热量摄入自我监测的依从性之间的周与周的关联。参与者是74名超重和肥胖的成年人,他们参加了一个为期12周的基于互联网的减肥计划,随后是40周的“维持”期,在此期间没有提供额外的干预。在整个研究期间(1年),参与者每周在研究网站上自我报告遵守自我监测的情况,并完成努力程度和重要性的评分。纵向多水平模型表明,努力程度越高,自我监测体重(β = - 0.100, p < 0.0001)和热量摄入(β = - 0.300, p < 0.0001)的天数越少。相反,较高的重要性评级与更频繁的自我监测体重(β = 0.360, p < 0.0001)和热量摄入(β = 0.742, p < 0.0001)相关。此外,在维持期这些关联的强度比初始干预时更强,ps < 0.01。努力和重要性的感知都与坚持自我监测体重和热量摄入独立相关,并且这种影响在初始干预结束后似乎更强。未来的研究应该调查基于这些构念的定制干预内容是否可以提高自我监控的依从性。
Self‐monitoring of weight and caloric intake has been associated with improved weight loss and weight loss maintenance in behavioural weight loss programs; however, participants' adherence to self‐monitoring tends to decrease over time. To identify potential barriers to self‐monitoring adherence, the current study examined week‐to‐week associations between ratings of perceived effort, relative importance of weight loss goals, and adherence to self‐monitoring of weight and caloric intake during and after a behavioural weight loss programme. Participants were 74 adults with overweight and obesity enrolled in a 12‐week, Internet‐based weight loss programme followed by a 40‐week “maintenance” period during which no additional intervention was provided. Participants self‐reported adherence to self‐monitoring and completed ratings of effort and importance on a study website weekly throughout the study period (1 year). Longitudinal multilevel models demonstrated that higher ratings of effort were associated with fewer days of self‐monitoring of weight, β = −0.100, p < .0001, and caloric intake, β = −0.300, p < .0001. Conversely, higher ratings of importance were associated with more frequent self‐monitoring of weight, β = 0.360, p < .0001, and caloric intake, β = 0.742, p < .0001. Moreover, the magnitude of these associations were stronger during the maintenance period than during initial intervention, ps < .01. Perceptions of effort and importance are both independently associated with adherence to self‐monitoring weight and caloric intake, and this effect appears to be stronger after the end of initial intervention. Future research should investigate whether tailoring intervention content based on these constructs can improve adherence to self‐monitoring.
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