title: Pilot testing a cognitive-behavioral protocol on psychosocial predictors of exercise, nutrition, weight, and body satisfaction changes in a college-level health-related fitness course.
abstract: OBJECTIVE
  Small-scale pilot testing of supplementing a required college health-related fitness course with a cognitive-behavioral exercise-support protocol (The Coach Approach).
  
  
  METHODS
  Three classes were randomly assigned to Usual processes (n = 32), Coach Approach-supplemented: Mid-size Groups (n = 32), and Coach Approach-supplemented: Small Groups (n = 34) conditions.
  
  
  METHODS
  Repeated-measures analyses of variance (ANOVAs) assessed overall and between-class changes in the behavioral/physiological factors of exercise, fruit/vegetable intake, and body mass index (BMI); and the psychosocial factors of self-regulation, exercise self-efficacy, mood, and body satisfaction. Dependent t tests evaluated within-class changes. Multiple regression analyses tested prediction of exercise by changes in self-regulation, self-efficacy, and mood.
  
  
  RESULTS
  Significant improvements in self-regulation and fruit/vegetable intake were found in all classes. The Coach Approach-supplemented classes demonstrated significant increases in exercise. Significant improvements in BMI, self-efficacy, and body satisfaction were found in only The Coach Approach-supplemented: Small Groups class. Psychosocial changes predicted increased exercise. Self-regulation was the strongest contributor.
  
  
  CONCLUSIONS
  Overall, results were positive and warrant more comprehensive testing.
authors.forename: James J
authors.initials: JJ
authors.lastname: Annesi
authors.forename: Amy
authors.initials: A
authors.lastname: Howton
authors.forename: Ping H
authors.initials: PH
authors.lastname: Johnson
authors.forename: Kandice J
authors.initials: KJ
authors.lastname: Porter
mesh_terms: D000293:Adolescent; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D015444:Exercise / Q000523:psychology*; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D020446:Fitness Centers; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D008297:Male; D010865:Pilot Projects; D011237:Predictive Value of Tests; D013334:Students / Q000523:psychology*; D014495:Universities / Q000639:trends; D055815:Young Adult
keywords: cognitive-behavioral; college students; exercise; health behavior; psychosocial