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Gepubliceerd in: Journal of Behavioral Medicine 3/2017

21-12-2016

Self-determination theory and weight loss in a Diabetes Prevention Program translation trial

Auteurs: Paula M. Trief, Donald Cibula, Linda M. Delahanty, Ruth S. Weinstock

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2017

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Abstract

We examined self-determination theory (SDT) and weight loss, and hypothesized that the Diabetes Prevention Program’s (DPP) intervention would result in an increase in autonomous regulation of motivation (AR) in participants. Further, that those with higher AR, and those who perceived educators as supporting SDT-defined needs, would lose more weight. Support, Health Information, Nutrition and Exercise (SHINE) Study data (N = 257) were analyzed. SHINE was a randomized, controlled DPP translation trial (2-years, telephonic, primary care staff). Autonomous motivation in males increased significantly, while females showed no change. Males with high AR, but not females, lost more weight. However, the significance of these relationships varied over time. Participants who perceived educators as more supportive of psychological needs lost more weight (especially males). However, effect of support on weight loss was not mediated by AR change. Autonomous motivation and educator support are relevant to male weight loss. Future research might develop interventions to enhance autonomous motivation and educator support, and understand change pathways.
Literatuur
go back to reference Alberti, K. G., Zimmet, P., Shaw, J., & IDF Epidemiology Task Force Consensus Group. (2005). The metabolic syndrome—A new worldwide definition. Lancet, 366, 1059–1062.CrossRefPubMed Alberti, K. G., Zimmet, P., Shaw, J., & IDF Epidemiology Task Force Consensus Group. (2005). The metabolic syndrome—A new worldwide definition. Lancet, 366, 1059–1062.CrossRefPubMed
go back to reference Ali, M. K., Echouffo-Tcheugui, J., & Williamson, D. F. (2012). How effective were lifestyle interventions in real-world settings that were modeled on the Diabetes Prevention Program? Health Affairs, 31, 67–75.CrossRefPubMed Ali, M. K., Echouffo-Tcheugui, J., & Williamson, D. F. (2012). How effective were lifestyle interventions in real-world settings that were modeled on the Diabetes Prevention Program? Health Affairs, 31, 67–75.CrossRefPubMed
go back to reference Barte, J. C., ter Bogt, N. C., Bogers, R. P., Teixeira, P. J., Blissmer, B., Mori, T. A., et al. (2010). Maintenance of weight loss after lifestyle interventions for overweight and obesity: A systematic review. Obesity Reviews, 11, 899–906.CrossRefPubMed Barte, J. C., ter Bogt, N. C., Bogers, R. P., Teixeira, P. J., Blissmer, B., Mori, T. A., et al. (2010). Maintenance of weight loss after lifestyle interventions for overweight and obesity: A systematic review. Obesity Reviews, 11, 899–906.CrossRefPubMed
go back to reference Bhogal, M. S., & Langford, R. (2014). Gender differences in weight loss: Evidence from a NHS weight management service. Public Health, 128, 811–813.CrossRefPubMed Bhogal, M. S., & Langford, R. (2014). Gender differences in weight loss: Evidence from a NHS weight management service. Public Health, 128, 811–813.CrossRefPubMed
go back to reference Boltri, J. M., Davis-Smith, M., Okosun, I. S., Seale, J. P., & Foster, B. (2011). Translation of the National Institutes of Health Diabetes Prevention Program in African American churches. Journal of the National Medical Association, 103, 194–202.CrossRefPubMed Boltri, J. M., Davis-Smith, M., Okosun, I. S., Seale, J. P., & Foster, B. (2011). Translation of the National Institutes of Health Diabetes Prevention Program in African American churches. Journal of the National Medical Association, 103, 194–202.CrossRefPubMed
go back to reference Brantley, P. J., Stewart, D. W., Myers, V. H., Matthews-Ewald, M. R., Ard, J. D., Coughlin, J. W., et al. (2014). Psychosocial predictors of weight regain in the weight loss maintenance trial. Journal of Behavioral Medicine, 37, 1155–1168.CrossRefPubMedPubMedCentral Brantley, P. J., Stewart, D. W., Myers, V. H., Matthews-Ewald, M. R., Ard, J. D., Coughlin, J. W., et al. (2014). Psychosocial predictors of weight regain in the weight loss maintenance trial. Journal of Behavioral Medicine, 37, 1155–1168.CrossRefPubMedPubMedCentral
go back to reference Critchley, C. R., Hardie, E. A., & Moore, S. M. (2012). Examining the psychological pathways to behavior change in a group-based lifestyle program to prevent type 2 diabetes. Diabetes Care, 35, 699–705.CrossRefPubMedPubMedCentral Critchley, C. R., Hardie, E. A., & Moore, S. M. (2012). Examining the psychological pathways to behavior change in a group-based lifestyle program to prevent type 2 diabetes. Diabetes Care, 35, 699–705.CrossRefPubMedPubMedCentral
go back to reference Deci, E. L., & Ryan, R. M. (1985). Intrinsic motivation and self-determination in human behavior. New York, NY: Plenum Press.CrossRef Deci, E. L., & Ryan, R. M. (1985). Intrinsic motivation and self-determination in human behavior. New York, NY: Plenum Press.CrossRef
go back to reference Delahanty, L. M., Peyrot, M., Shrader, P. J., Williamson, D. A., Meigs, J. B., Nathan, D. M., et al. (2013). Pretreatment, psychological, and behavioral predictors of weight outcomes among lifestyle intervention participants in the Diabetes Prevention Program (DPP). Diabetes Care, 36, 34–40.CrossRefPubMed Delahanty, L. M., Peyrot, M., Shrader, P. J., Williamson, D. A., Meigs, J. B., Nathan, D. M., et al. (2013). Pretreatment, psychological, and behavioral predictors of weight outcomes among lifestyle intervention participants in the Diabetes Prevention Program (DPP). Diabetes Care, 36, 34–40.CrossRefPubMed
go back to reference Diabetes Prevention Program Research Group. (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine, 346, 393–403.CrossRefPubMedCentral Diabetes Prevention Program Research Group. (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine, 346, 393–403.CrossRefPubMedCentral
go back to reference Diabetes Prevention Program Research Group, Knowler, W. C., Fowler, S. E., Hamman, R. F., Christophi, C. A., Hoffman, H. J., et al. (2009). 10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study. Lancet, 374, 1677–1686.CrossRefPubMedCentral Diabetes Prevention Program Research Group, Knowler, W. C., Fowler, S. E., Hamman, R. F., Christophi, C. A., Hoffman, H. J., et al. (2009). 10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study. Lancet, 374, 1677–1686.CrossRefPubMedCentral
go back to reference DPP Research Group, Rubin, R. R., Fujimoto, W. Y., Marrero, D. G., Brenneman, T., Charleston, J. B., et al. (2002). The Diabetes Prevention Program: Recruitment methods and results. Controlled Clinical Trials, 23, 157–171.CrossRef DPP Research Group, Rubin, R. R., Fujimoto, W. Y., Marrero, D. G., Brenneman, T., Charleston, J. B., et al. (2002). The Diabetes Prevention Program: Recruitment methods and results. Controlled Clinical Trials, 23, 157–171.CrossRef
go back to reference Falk, C. F., & Biesanz, J. C. (2016). Two cross-platform programs for inferences and interval estimation about indirect effects in mediational models. SAGE Open. doi:10.1177/2158244015625445 Falk, C. F., & Biesanz, J. C. (2016). Two cross-platform programs for inferences and interval estimation about indirect effects in mediational models. SAGE Open. doi:10.​1177/​2158244015625445​
go back to reference Fortier, M. S., Sweet, S. N., O’Sullivan, T. L., & Williams, G. C. (2007). A self-determination process model of physical activity adoption in the context of a randomized controlled trial. Psychology of Sport and Exercise, 8, 741–757.CrossRef Fortier, M. S., Sweet, S. N., O’Sullivan, T. L., & Williams, G. C. (2007). A self-determination process model of physical activity adoption in the context of a randomized controlled trial. Psychology of Sport and Exercise, 8, 741–757.CrossRef
go back to reference Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.
go back to reference Jeffery, R. W., Drewnowski, A., Epstein, L. H., Stunkard, A. J., Wilson, G. T., Wing, R. R., et al. (2000). Long term maintenance of weight loss: Current status. Health Psychology, 1, 5–16.CrossRef Jeffery, R. W., Drewnowski, A., Epstein, L. H., Stunkard, A. J., Wilson, G. T., Wing, R. R., et al. (2000). Long term maintenance of weight loss: Current status. Health Psychology, 1, 5–16.CrossRef
go back to reference Juul, L., Maindal, H. T., Zoffmann, V., Frydenberg, V., & Sandbaek, A. (2014). Effectiveness of a training course for general practice nurses in motivation support in type 2 diabetes care: A cluster-randomized trial. PLoS ONE, 9, e96683.CrossRefPubMedPubMedCentral Juul, L., Maindal, H. T., Zoffmann, V., Frydenberg, V., & Sandbaek, A. (2014). Effectiveness of a training course for general practice nurses in motivation support in type 2 diabetes care: A cluster-randomized trial. PLoS ONE, 9, e96683.CrossRefPubMedPubMedCentral
go back to reference Kelley, J. M., Kraft-Todd, G., Schapira, L., Kossowsky, J., & Riess, H. (2014). The influence of the patient-clinician relationship on healthcare outcomes: A systematic review and meta-analysis of randomized controlled trials. PLoS ONE, 9, e94207.CrossRefPubMedPubMedCentral Kelley, J. M., Kraft-Todd, G., Schapira, L., Kossowsky, J., & Riess, H. (2014). The influence of the patient-clinician relationship on healthcare outcomes: A systematic review and meta-analysis of randomized controlled trials. PLoS ONE, 9, e94207.CrossRefPubMedPubMedCentral
go back to reference Kuk, J. L., & Ross, R. (2009). Influence of sex on total and regional fat loss in overweight and obese men and women. International Journal of Obesity, 33, 629–634.CrossRefPubMed Kuk, J. L., & Ross, R. (2009). Influence of sex on total and regional fat loss in overweight and obese men and women. International Journal of Obesity, 33, 629–634.CrossRefPubMed
go back to reference Levesque, C. S., Williams, G. C., Elliot, D., Pickering, M. A., Bodenhamer, B., & Finley, P. J. (2007). Validating the theoretical structure of the Treatment Self-Regulation Questionnaires (TSRQ) across three different health behaviors. Health Education Research, 22, 691–702.CrossRefPubMed Levesque, C. S., Williams, G. C., Elliot, D., Pickering, M. A., Bodenhamer, B., & Finley, P. J. (2007). Validating the theoretical structure of the Treatment Self-Regulation Questionnaires (TSRQ) across three different health behaviors. Health Education Research, 22, 691–702.CrossRefPubMed
go back to reference LookAHEAD Research Group. (2007). Reduction in weight and cardiovascular risk factors in individuals with type 2 diabetes: One-year results of the LookAHEAD Trial. Diabetes Care, 30, 1374–1383.CrossRef LookAHEAD Research Group. (2007). Reduction in weight and cardiovascular risk factors in individuals with type 2 diabetes: One-year results of the LookAHEAD Trial. Diabetes Care, 30, 1374–1383.CrossRef
go back to reference Markland, D., & Tobin, V. J. (2010). Need support and behavioural regulations for exercise among exercise referral scheme clients: The mediating role of psychological need satisfaction. Psychology of Sport and Exercise, 11, 91–99.CrossRef Markland, D., & Tobin, V. J. (2010). Need support and behavioural regulations for exercise among exercise referral scheme clients: The mediating role of psychological need satisfaction. Psychology of Sport and Exercise, 11, 91–99.CrossRef
go back to reference Ng, J. Y. Y., Ntoumanis, N., Thogersen-Ntoumani, C., Deci, E. L., Ryan, R. M., Duda, J. L., et al. (2012). Self-determination theory applied to health contexts: A meta-analysis. Perspectives on Psychological Science, 7, 325–340.CrossRefPubMed Ng, J. Y. Y., Ntoumanis, N., Thogersen-Ntoumani, C., Deci, E. L., Ryan, R. M., Duda, J. L., et al. (2012). Self-determination theory applied to health contexts: A meta-analysis. Perspectives on Psychological Science, 7, 325–340.CrossRefPubMed
go back to reference Orlinsky, D. E., Ronnestad, M. H., & Willutski, U. (2004). Fifty years of psychotherapy process-outcome research: Continuity and change. In M. J. Lambert (Ed.), Handbook of psychotherapy and behaviour change (5th ed.). New York: Wiley. Orlinsky, D. E., Ronnestad, M. H., & Willutski, U. (2004). Fifty years of psychotherapy process-outcome research: Continuity and change. In M. J. Lambert (Ed.), Handbook of psychotherapy and behaviour change (5th ed.). New York: Wiley.
go back to reference Powell, L., Calvin, J., III, & Calvin, J., Jr. (2007). Effective obesity treatments. American Psychologist, 62, 234–246.CrossRefPubMed Powell, L., Calvin, J., III, & Calvin, J., Jr. (2007). Effective obesity treatments. American Psychologist, 62, 234–246.CrossRefPubMed
go back to reference Ryan, R. M., & Connell, J. P. (1989). Perceived locus of causality and internalization: Examining reasons for acting in two domains. Journal of Personality and Social Psychology, 57, 749–761.CrossRefPubMed Ryan, R. M., & Connell, J. P. (1989). Perceived locus of causality and internalization: Examining reasons for acting in two domains. Journal of Personality and Social Psychology, 57, 749–761.CrossRefPubMed
go back to reference Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 68–78.CrossRefPubMed Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 68–78.CrossRefPubMed
go back to reference Ryan, R. M., Legate, N., Niemiec, C. P., & Deci, E. L. (2012). Beyond illusions and defense: Exploring the possibilities and limits of human autonomy and responsibility through self-determination theory. In P. R. Shaver & M. Mikulincer (Eds.), Meaning, mortality, and choice: The social psychology of existential concerns (pp. 215–233). Washington, DC: American Psychological Association.CrossRef Ryan, R. M., Legate, N., Niemiec, C. P., & Deci, E. L. (2012). Beyond illusions and defense: Exploring the possibilities and limits of human autonomy and responsibility through self-determination theory. In P. R. Shaver & M. Mikulincer (Eds.), Meaning, mortality, and choice: The social psychology of existential concerns (pp. 215–233). Washington, DC: American Psychological Association.CrossRef
go back to reference Silva, M. N., Markland, D., Carraca, E. V., Vieira, P. N., Coutinho, S. R., Minderico, C. S., et al. (2011). Exercise autonomous motivation predicts 3-year weight loss in women. Medicine and Science in Sports and Exercise, 43, 728–737.CrossRefPubMed Silva, M. N., Markland, D., Carraca, E. V., Vieira, P. N., Coutinho, S. R., Minderico, C. S., et al. (2011). Exercise autonomous motivation predicts 3-year weight loss in women. Medicine and Science in Sports and Exercise, 43, 728–737.CrossRefPubMed
go back to reference Stubbs, J., Whybrow, S., Teixeira, P., Blundell, J., Lawton, C., Westenhoefer, J., et al. (2012). Problems in identifying predictors and correlates of weight loss and maintenance: Implications for weight control therapies based on behavior change. Obesity Reviews, 12, 688–708. Stubbs, J., Whybrow, S., Teixeira, P., Blundell, J., Lawton, C., Westenhoefer, J., et al. (2012). Problems in identifying predictors and correlates of weight loss and maintenance: Implications for weight control therapies based on behavior change. Obesity Reviews, 12, 688–708.
go back to reference Teixeira, P. J., Carraca, E. V., Markland, D., Silva, M. N., & Ryan, R. M. (2012b). Exercise, physical activity, and self-determination theory: A systematic review. International Journal of Behavioral Nutrition and Physical Activity, 9, 78.CrossRefPubMedPubMedCentral Teixeira, P. J., Carraca, E. V., Markland, D., Silva, M. N., & Ryan, R. M. (2012b). Exercise, physical activity, and self-determination theory: A systematic review. International Journal of Behavioral Nutrition and Physical Activity, 9, 78.CrossRefPubMedPubMedCentral
go back to reference Teixeira, P. J., Silva, M. N., Mata, J., Palmeira, A. L., & Markland, D. (2012a). Motivation, self-determination, and long-term weight control. International Journal of Behavioral Nutrition and Physical Activity, 9, 22.CrossRefPubMedPubMedCentral Teixeira, P. J., Silva, M. N., Mata, J., Palmeira, A. L., & Markland, D. (2012a). Motivation, self-determination, and long-term weight control. International Journal of Behavioral Nutrition and Physical Activity, 9, 22.CrossRefPubMedPubMedCentral
go back to reference Teixeira, P. J., Silva, M. N., Coutinho, S. R., Palneira, A. L., Mata, J., Vieira, P. N., et al. (2010). Mediators of weight loss and weight loss maintenance in middle-aged women. Obesity, 18, 725–735.CrossRefPubMed Teixeira, P. J., Silva, M. N., Coutinho, S. R., Palneira, A. L., Mata, J., Vieira, P. N., et al. (2010). Mediators of weight loss and weight loss maintenance in middle-aged women. Obesity, 18, 725–735.CrossRefPubMed
go back to reference Trief, P. M., Weinstock, R. S., Cibula, D., & Delahanty, L. M. (2014). Sustained weight loss one year after group telephone intervention: 3-Year results from the SHINE Study. Diabetes Research and Clinical Practice, 106, e74–e78.CrossRefPubMedPubMedCentral Trief, P. M., Weinstock, R. S., Cibula, D., & Delahanty, L. M. (2014). Sustained weight loss one year after group telephone intervention: 3-Year results from the SHINE Study. Diabetes Research and Clinical Practice, 106, e74–e78.CrossRefPubMedPubMedCentral
go back to reference Turk, M. W., Yang, K., Hravnak, M., Sereika, S. M., Ewing, L. J., & Burke, L. E. (2009). Randomized clinical trials of weight-loss maintenance: A review. Journal of Cardiovascular Nursing, 24, 58–80.CrossRefPubMedPubMedCentral Turk, M. W., Yang, K., Hravnak, M., Sereika, S. M., Ewing, L. J., & Burke, L. E. (2009). Randomized clinical trials of weight-loss maintenance: A review. Journal of Cardiovascular Nursing, 24, 58–80.CrossRefPubMedPubMedCentral
go back to reference Vieira, P. N., Silva, M. N., Mata, J., Coutinho, S. R., Santos, T. C., Sardina, L. B., et al. (2012). Correlates of health-related quality of life, psychological well-being, and eating self-regulation after successful weight loss maintenance. Journal of Behavioral Medicine, 36, 601–610.CrossRefPubMed Vieira, P. N., Silva, M. N., Mata, J., Coutinho, S. R., Santos, T. C., Sardina, L. B., et al. (2012). Correlates of health-related quality of life, psychological well-being, and eating self-regulation after successful weight loss maintenance. Journal of Behavioral Medicine, 36, 601–610.CrossRefPubMed
go back to reference Weinstock, R. S., Trief, P. M., Cibula, D., Morin, P. C., & Delahanty, L. M. (2013). Weight loss success in metabolic syndrome by telephone interventions: Results from the SHINE Study. Journal of General Internal Medicine, 28, 1620–1628.CrossRefPubMedPubMedCentral Weinstock, R. S., Trief, P. M., Cibula, D., Morin, P. C., & Delahanty, L. M. (2013). Weight loss success in metabolic syndrome by telephone interventions: Results from the SHINE Study. Journal of General Internal Medicine, 28, 1620–1628.CrossRefPubMedPubMedCentral
go back to reference West, D. S., Gorin, A. A., Subak, L. L., Foster, G., Bragg, C., Hecht, J., et al. (2011). A motivation-focused weight loss maintenance program is an effective alternative to a skill-based approach. International Journal of Obesity (London), 35, 259–269.CrossRef West, D. S., Gorin, A. A., Subak, L. L., Foster, G., Bragg, C., Hecht, J., et al. (2011). A motivation-focused weight loss maintenance program is an effective alternative to a skill-based approach. International Journal of Obesity (London), 35, 259–269.CrossRef
go back to reference West, D. S., Prewitt, T. E., Bursac, Z., & Felix, H. C. (2008). Weight loss of black, white, and Hispanic men and women in the Diabetes Prevention Program. Obesity, 16, 1413–1420.CrossRefPubMed West, D. S., Prewitt, T. E., Bursac, Z., & Felix, H. C. (2008). Weight loss of black, white, and Hispanic men and women in the Diabetes Prevention Program. Obesity, 16, 1413–1420.CrossRefPubMed
go back to reference Williams, G. C., Grow, V. M., Freedman, Z. R., Ryan, R. M., & Deci, E. L. (1996). Motivational predictors of weight loss and weight-loss maintenance. Journal of Personality and Social Psychology, 70, 115–126.CrossRefPubMed Williams, G. C., Grow, V. M., Freedman, Z. R., Ryan, R. M., & Deci, E. L. (1996). Motivational predictors of weight loss and weight-loss maintenance. Journal of Personality and Social Psychology, 70, 115–126.CrossRefPubMed
go back to reference Wing, R. R., Papandonatos, G., Fava, J. L., Gorin, A., Phelan, S., McCaffery, J., et al. (2008). Maintaining large weight losses: The role of behavioral and psychological factors. Journal of Consulting and Clinical Psychology, 76, 1015–1021.CrossRefPubMedPubMedCentral Wing, R. R., Papandonatos, G., Fava, J. L., Gorin, A., Phelan, S., McCaffery, J., et al. (2008). Maintaining large weight losses: The role of behavioral and psychological factors. Journal of Consulting and Clinical Psychology, 76, 1015–1021.CrossRefPubMedPubMedCentral
go back to reference Wirth, A., & Steinmetz, B. (1998). Gender differences in changes in subcutaneous and intra-abdominal fat during weight reduction: An ultrasound study. Obesity Research, 6, 393–399.CrossRefPubMed Wirth, A., & Steinmetz, B. (1998). Gender differences in changes in subcutaneous and intra-abdominal fat during weight reduction: An ultrasound study. Obesity Research, 6, 393–399.CrossRefPubMed
Metagegevens
Titel
Self-determination theory and weight loss in a Diabetes Prevention Program translation trial
Auteurs
Paula M. Trief
Donald Cibula
Linda M. Delahanty
Ruth S. Weinstock
Publicatiedatum
21-12-2016
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2017
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-016-9816-9

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