Mechanisms by Which the Fun for Wellness Intervention May Promote Subjective Well-Being in Adults with Obesity: a Reanalysis Using Baseline Target Moderation.
Mechanisms by Which the Fun for Wellness Intervention May Promote Subjective Well-Being in Adults with Obesity: a Reanalysis Using Baseline Target Moderation.
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DOI：
10.1007/s11121-021-01274-z
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发表时间：
2023-03
影响因子：
3.5
通讯作者：
Bateman, Andre G
中科院分区：
文献类型：
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作者：
Myers, Nicholas D;Prilleltensky, Isaac;McMahon, Adam;Brincks, Ahnalee M;Lee, Seungmin;Prilleltensky, Ora;Pfeiffer, Karin A;Bateman, Andre G
Fun For Wellness（FFW）是一种基于自我效能理论的在线行为干预，旨在促进身体活动和幸福感的增长。FFW促进主观幸福感的概念模型认为，FFW对主观幸福感既有积极的直接影响，又通过幸福自我效能感对主观幸福感产生积极的间接影响。在FFW中，主观幸福感被定义为个人对他们生活中七个关键领域的状态的满意度。幸福自我效能在FFW中被定义为个体感知他们有能力在生活的七个关键领域获得积极状态的程度。本研究的目的是使用基线目标适度来评估FFW对肥胖成年人主观幸福感维度影响的变化。对来自健康和体力活动研究（ClinicalTrials.gov，标识符：NCT 03194854）的数据（N = 667）进行了重新分析。有证据表明，基线时的幸福自我效能感调节了FFW对基线后30天职业和心理维度的幸福自我效能感的直接影响。这两项发现都表明存在“补偿”效应。同样，有证据表明，基线时的幸福自我效能通过基线后30天的职业和心理维度的幸福自我效能，调节了基线后60天FFW对主观幸福感的间接影响。这两个发现都表明了一种“补偿”效应。最后，有证据表明，基线时的幸福自我效能调节了FFW对基线后60天的社区、职业和身体维度的主观幸福感的直接影响。这三个发现都暗示了某种形式的“富人更富”效应。总之，结果提供了支持性和不支持性（即，人际、经济和整体维度）的证据，并应影响未来FFW试验的设计。
Fun For Wellness (FFW) is a self-efficacy theory-based online behavioral intervention that aims to promote growth in physical activity and well-being. The FFW conceptual model for the promotion of subjective well-being posits that FFW exerts both a positive direct effect, and a positive indirect effect through well-being self-efficacy, on subjective well-being. Subjective well-being is defined in FFW as an individual’s satisfaction with their status in seven key domains of their life. Well-being self-efficacy is defined in FFW as the degree to which an individual perceives that they have the capability to attain a positive status in seven key domains of their life. The objective of this study was to use baseline target moderation to assess variation in the impact of FFW on subjective well-being dimensions in adults with obesity. Data (N = 667) from the Well-Being and Physical Activity Study (ClinicalTrials.gov, identifier: NCT03194854) were reanalyzed. There was evidence that well-being self-efficacy at baseline moderated the direct effect of FFW on well-being self-efficacy at 30 days post-baseline for the occupational and psychological dimensions. Both of these findings suggest a “compensatory” effect. Similarly, there was evidence that well-being self-efficacy at baseline moderated the indirect effect of FFW on subjective well-being at 60 days post-baseline through well-being self-efficacy at 30 days post-baseline for the occupational and psychological dimensions. Both of these findings suggest a “compensatory” effect. Finally, there was evidence that well-being self-efficacy at baseline moderated the direct effect of FFW on subjective well-being at 60 days post-baseline for the community, occupational, and physical dimensions. Each of these three findings suggest some version of a “rich-get-richer” effect. In summary, results provide both supportive and unsupportive (i.e., interpersonal, economic, and overall dimensions) evidence regarding variation in the impact of the FFW intervention and should impact the design of future FFW trials.