scholarly journals Autonomy support, self-regulation, and weight loss.

2014 ◽  
Vol 33 (4) ◽  
pp. 332-339 ◽  
Author(s):  
Amy A. Gorin ◽  
Theodore A. Powers ◽  
Richard Koestner ◽  
Rena R. Wing ◽  
Hollie A. Raynor
2020 ◽  
Vol 35 (6) ◽  
pp. 958-958
Author(s):  
Gettens K ◽  
Gorin A

Abstract Objective Executive functions (EF) are crucial to successful weight management, yet few studies have prospectively explored the influence of social-environmental factors on the EF-weight loss (WL) link. This study examined interactions between EF, partner support, and household structure on weight loss outcomes in a couples-based intervention, grounded in Self-Determination Theory (SDT). Method Cohabitating dyads attended weekly weight loss groups (Ncouples = 64), Mage =54.0 ± 9.5, MBMI = 34.2 ± 5.4 kg/m2, 50% female, 88.8% Caucasian). Weight was measured at baseline and 6 months. The Behavior Rating Index of Executive Functions-Adult assessed 9 EF domains; higher scores indicate greater difficulty. Partner autonomy support (AS) was measured using the Important Other Climate Questionnaire, household structure with the Confusion, Hubbub, and Order Scale (CHAOS), IQ with the WASI-II 2-subscale estimate. Results Multilevel models were specified with MIXED linear function in SPSS to account for dyadic interdependence, controlling for age, education, IQ and group. Moderators (AS and CHAOS) were grand-mean centered. High and low levels were created at +1SD and -1SD. At high levels of AS, Shifting (B = 1.50, p = .01) and Inhibition (B = 2.23, p = .01) were associated with greater 6-month WL. At low levels of AS, Working Memory was associated with greater WL (p < .01). Self-Monitoring was associated with greater WL at high chaos (B = .43, p = .01), but not low chaos (p = 0.1). Conclusions Findings suggest that context matters; recruiting specific EFs may promote more WL for individuals embedded in low support or chaotic home environments. Future interventions should address the complexity of successful weight management, targeting both individual and social-interpersonal factors.


Obesity Facts ◽  
2021 ◽  
pp. 1-14
Author(s):  
R. James Stubbs ◽  
Cristiana Duarte ◽  
António L. Palmeira ◽  
Falko F. Sniehotta ◽  
Graham Horgan ◽  
...  

<b><i>Background:</i></b> Effective interventions and commercial programmes for weight loss (WL) are widely available, but most people regain weight. Few effective WL maintenance (WLM) solutions exist. The most promising evidence-based behaviour change techniques for WLM are self-monitoring, goal setting, action planning and control, building self-efficacy, and techniques that promote autonomous motivation (e.g., provide choice). Stress management and emotion regulation techniques show potential for prevention of relapse and weight regain. Digital technologies (including networked-wireless tracking technologies, online tools and smartphone apps, multimedia resources, and internet-based support) offer attractive tools for teaching and supporting long-term behaviour change techniques. However, many digital offerings for weight management tend not to include evidence-based content and the evidence base is still limited. <b><i>The Project:</i></b> First, the project examined why, when, and how many European citizens make WL and WLM attempts and how successful they are. Second, the project employed the most up-to-date behavioural science research to develop a digital toolkit for WLM based on 2 key conditions, i.e., self-management (self-regulation and motivation) of behaviour and self-management of emotional responses for WLM. Then, the NoHoW trial tested the efficacy of this digital toolkit in adults who achieved clinically significant (≥5%) WL in the previous 12 months (initial BMI ≥25). The primary outcome was change in weight (kg) at 12 months from baseline. Secondary outcomes included biological, psychological, and behavioural moderators and mediators of long-term energy balance (EB) behaviours, and user experience, acceptability, and cost-effectiveness. <b><i>Impact:</i></b> The project will directly feed results from studies on European consumer behaviour, design and evaluation of digital toolkits self-management of EB behaviours into development of new products and services for WLM and digital health. The project has developed a framework and digital architecture for interventions in the context of EB tracking and will generate results that will help inform the next generation of personalised interventions for effective self-management of weight and health.


2014 ◽  
Vol 73 (4) ◽  
pp. 509-518 ◽  
Author(s):  
Marta Stelmach-Mardas ◽  
Marcin Mardas ◽  
Jarosław Walkowiak ◽  
Heiner Boeing

After having participated in a weight loss trial, most participants do not stabilise the obtained weight loss but return to their initial weight. The aim of this review is to describe the main determinants of continued low weight status after weight loss, and the effectiveness of physical activity (PA), energy restriction and macronutrient composition of the diet for low long-term weight regain. Studies with intervention periods of at least 3 months duration of weight reduction measures and a follow-up at least 2 years after the intervention period were considered as eligible for the review. Owing to limited data, the studies describing the role of PA in weight management were eligible with a follow-up of 1 year only. It appears that a diet with self-regulation of dietary intake seems to be given a prominent role in the strategy of successful long-term weight loss among the obese. This measure could be combined with behaviour therapy and PA and tailored to the individual situation. However, considering available evidence it is difficult to conclude regarding unambiguous measures and to recommend a specific dietary intervention. Nevertheless, interventions should be effective in promoting intrinsic motivation and self-efficacy. The harmonisation and standardisation of data collection in the follow-up period of long-term weight loss studies is a major challenge.


2018 ◽  
Vol 41 (6) ◽  
pp. 806-818 ◽  
Author(s):  
Fania C. M. Dassen ◽  
Katrijn Houben ◽  
Vanessa Allom ◽  
Anita Jansen

2019 ◽  
Vol 10 (4) ◽  
pp. 1064-1069
Author(s):  
Lauren H Law ◽  
Dawn K Wilson ◽  
Sara M St. George ◽  
Heather Kitzman ◽  
Colby J Kipp

Abstract Climate-based weight loss interventions, or those that foster a nurturing family environment, address important ecological influences typically ignored by the traditional biomedical treatments. Promoting a climate characterized by positive communication, autonomy support, and parental warmth supports adolescents in making healthy behavioral changes. In addition, encouraging these skills within the family may have additional benefits of improved family functioning and other mental and physical health outcomes. Although several programs have identified essential elements and established the evidence base for the efficacy of these interventions, few have offered resources for the translation of these constructs from theoretical concepts to tangible practice. This paper provides strategies and resources utilized in the Families Improving Together (FIT) for weight loss randomized controlled trial to create a warm, supportive climate characterized by positive communication within the parent–child relationship. Detailed descriptions of how Project FIT emphasized these constructs through facilitator training, intervention curriculum, and process evaluation are provided as a resource for clinical and community interventions. Researchers are encouraged to provide resources to promote translation of evidence-based interventions for programs aiming to utilize a positive climate-based family approach for lifestyle modification.


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