title: Sustaining self-regulatory efficacy and psychological outcome expectations for postnatal exercise: effects of a group-mediated cognitive behavioural intervention.
abstract: OBJECTIVE
  The objective of the current investigation was to examine if the effects of a group-mediated cognitive behavioural counselling plus exercise intervention were superior to the effects of a standard exercise care condition on postnatal mothers' self-regulatory efficacy (SRE), outcome expectations (OEs) and self-directed physical activity (PA).
  
  
  METHODS
  The design of the study consisted of two intervention conditions; group-mediated cognitive behavioural counselling plus exercise (GMCB) and standard exercise (SE). Each condition consisted of two phases; a 4-week supervised, centre-based intensive exercise training phase followed by a 4-week home-based phase.
  
  
  METHODS
  Participants were 57 postnatal women randomly assigned to conditions (SE: N=31; GMCB: N=26). Measures of SRE and OEs were assessed prior to and following the centre-based aspect of the intervention. Physical activity was measured following the intensive exercise training phase as well as the home-based phase.
  
  
  RESULTS
  GMCB participants' SRE and OEs were sustained during the intervention whereas those of SE participants declined. GMCB participants also reported significantly greater time spent engaging in self-directed PA at the conclusion of the intensive and home-based phases. Mediation analysis revealed that SRE partially mediated the relationship between intervention condition and post home-based PA as confirmed by a significant sobel test.
  
  
  CONCLUSIONS
  These findings suggest that a theory-based GMCB counselling plus exercise intervention is superior to the SE condition in sustaining SRE and OEs, and in promoting greater self-directed PA. SRE partially mediated the relationship between intervention condition and post home-based PA supporting the targeting of that variable for change as part of the intervention.
authors.affiliation: Department of Kinesiology, McMaster University, Hamilton, Ontario, Canada. acramp2@uwo.ca
authors.forename: A G
authors.initials: AG
authors.lastname: Cramp
authors.forename: L R
authors.initials: LR
authors.lastname: Brawley
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy; D003469:Culture; D015444:Exercise / Q000523:psychology*; D005260:Female; D006801:Humans; D033182:Intention; D007389:Internal-External Control; D009043:Motor Activity; D011181:Postnatal Care / Q000523:psychology*; D011615:Psychotherapy, Group; D020377:Self Efficacy