title: Self-efficacy in weight management.
abstract: Self-efficacy is an important mediating mechanism in advancing understanding of the treatment of obesity. This study developed and validated the Weight Efficacy Life-Style Questionnaire (WEL), improving on previous studies by the use of clinical populations, cross-validation of the initial factor analysis, exploration of the best fitting theoretical model of self-efficacy, and examination of change in treatment. The resulting 20-item WEL consists of five situational factors: Negative Emotions, Availability, Social Pressure, Physical Discomfort, and Positive Activities. A hierarchical model was found to provide the best fit to the data. Results from two separate clinical treatment studies (total N = 382) show that the WEL is sensitive to changes in global scores as well as to a subset of the five situational factor scores. Treatment programs may be incomplete if they change only a subset of the situational dimensions of self-efficacy. Theoretical and clinical implications are discussed.
authors.affiliation: Division of Behavioral Medicine, Miriam Hospital, Providence, Rhode Island 02906.
authors.forename: M M
authors.initials: MM
authors.lastname: Clark
authors.forename: D B
authors.initials: DB
authors.lastname: Abrams
authors.forename: R S
authors.initials: RS
authors.lastname: Niaura
authors.forename: C A
authors.initials: CA
authors.lastname: Eaton
authors.forename: J S
authors.initials: JS
authors.lastname: Rossi
mesh_terms: D000328:Adult; D000368:Aged; D003920:Diabetes Mellitus / Q000178:diet therapy* / Q000523:psychology*; D004038:Diet, Reducing / Q000523:psychology*; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000178:diet therapy* / Q000523:psychology*; D012649:Self Concept; D015431:Weight Loss