title: Changes in self-efficacy and decisional balance for exercise among obese women in a weight management program.
abstract: OBJECTIVE
  To assess changes in eating and exercise self-efficacy and decisional balance for exercise in an obese population enrolled in a multi-disciplinary weight management program.
  
  
  METHODS
  Thirty-two obese women were assessed at entry and after 12 weeks of treatment.
  
  
  RESULTS
  Participants showed 15% mean weight loss after 12 weeks of treatment. Mean minutes of self-reported exercise increased by 229%. Participants demonstrated significant improvements in self-efficacy for both eating and exercise and health parameters but not in decisional balance for exercise adoption.
  
  
  CONCLUSIONS
  These results may have implications for the practitioner in that self-efficacy changes occur during successful weight loss, but decisional balance for exercise may not change until individuals enter maintenance. These results imply that practitioners may be advised to shift from confidence building to relapse prevention early on in treatment, and that focusing on strengthening the pros of exercise and reducing the cons of exercise may need to remain constant during treatment.
authors.affiliation: Miriam Hospital and Brown University School of Medicine, Providence, RI 02906, USA. BPinto@Lifespan.org
authors.forename: B M
authors.initials: BM
authors.lastname: Pinto
authors.forename: M M
authors.initials: MM
authors.lastname: Clark
authors.forename: D G
authors.initials: DG
authors.lastname: Cruess
authors.forename: L
authors.initials: L
authors.lastname: Szymanski
authors.forename: V
authors.initials: V
authors.lastname: Pera
mesh_terms: D000328:Adult; D000368:Aged; D001521:Behavior Therapy; D001794:Blood Pressure; D015992:Body Mass Index; D001835:Body Weight; D003657:Decision Making / Q000502:physiology*; D004038:Diet, Reducing; D015444:Exercise / Q000502:physiology / Q000523:psychology*; D005247:Feeding Behavior / Q000523:psychology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid / Q000523:psychology* / Q000628:therapy; D020377:Self Efficacy; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D015431:Weight Loss