Self-efficacy partially mediates the effect of a school-based physical-activity intervention among adolescent girls

Dishman, R

doi:10.1016/j.ypmed.2003.12.007

Cited by 373Physical Activity and HealthPhysical Education and PedagogySchool Health and Nursing Education

Self-efficacy partially mediates the effect of a school-based physical-activity intervention among adolescent girls

Dishman, R·2004·Preventive Medicine

DOI 10.1016/j.ypmed.2003.12.007

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Abstract

Background This study evaluated the effects of the Lifestyle Education for Activity Program (LEAP), a comprehensive school-based intervention emphasizing changes in instruction and school environment, on variables derived from social-cognitive theory (SCT) as mediators of change in physical activity among black and white adolescent girls.Methods Twenty-four high schools paired on enrollment size, racial composition, urban, suburban, or rural location, and class structure were randomized into control (n = 12) or experimental (n = 12) groups. There were 1038 girls in the control group and 1049 girls in the experimental group. The multicomponent intervention emphasized the enhancement of self-efficacy and development of behavioral skills by using curricular activities within physical education classes and health education instruction. The primary outcomes were self-efficacy, outcome-expectancy value, goal setting, satisfaction, and physical activity.Results Latent variable structural equation modeling indicated that: (1) self-efficacy and satisfaction exhibited synchronous, cross-sectional relationships with physical activity; (2) the intervention had direct effects on self-efficacy, goal setting, and physical activity; and (3) self-efficacy partially mediated the effect of intervention on physical activity.Conclusions To our knowledge, this study provides the first evidence from a randomized controlled trial that manipulation of self-efficacy results in increased physical activity among black and white adolescent girls. The results encourage the use of self-efficacy as a targeted, mediator variable in interventions designed to increase physical activity among girls.

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For Dishman 2004, the review judged allocation concealment as low risk because the criterion was not applicable: all participants were allocated at one point in time following recruitment, so allocation was not known at recruitment.
“Low risk Comment: criterion not applicable because all participants were allocated at 1 point in time following recruitment, so at time of recruitment allocation was not known”
From School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18 (2013) · cites this paper as Dishman 2004
For Dishman 2004, the review judged incomplete outcome data as low risk because missing data for physical activity at follow-up were imputed.
“Low risk Comment: missing data for physical activity at follow-up were imputed”
From School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18 (2013) · cites this paper as Dishman 2004
For Dishman 2004, the review judged blinding as unclear risk because no information was given and it was likely not done.
“Unclear risk Comment: no information given, likely not done”
From School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18 (2013) · cites this paper as Dishman 2004
For Dishman 2004, the review judged data collection methods as low risk because data collection tools were reported to be valid and reliable.
“Low risk Comment: data collection tools reported to be valid and reliable”
From School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18 (2013) · cites this paper as Dishman 2004
For Dishman 2004, the review judged confounders as controlled (low risk) because relevant confounders were controlled, including age, ethnicity, and body mass index.
“Low risk Comment: relevant confounders were controlled including age, ethnicity, body mass index”
From School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18 (2013) · cites this paper as Dishman 2004

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Enjoyment mediates effects of a school-based physical-activity intervention
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Examining social-cognitive determinants of intention and physical activity among Black and White adolescent girls using structural equation modeling.
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Self-Efficacy Moderates the Relation Between Declines in Physical Activity and Perceived Social Support in High School Girls
Dishman, R. K., Saunders, R. P., Motl, R. W., Dowda, M. C., & PATE, R. R. (2008) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsn100 · Cited by 127 · see citing works
Self-citation

Authors: Dishman, R.
Affiliations: University of Georgia (US)
Corresponding author: Dishman, R
ORCID: Dishman, R
Venue: Preventive Medicine
Publisher: Elsevier BV
Published: 2004-05
Volume: 38
Issue: 5
Pages: 628-636
ISSN: 0091-7435 (ISSN-L)
DOI: 10.1016/j.ypmed.2003.12.007
OpenAlex: W2030509555
Cited by: 373
References: 59
Citations by year: 2026: 10 · 2025: 3 · 2024: 9 · 2023: 9 · 2022: 14 · 2021: 15 · 2020: 17 · 2019: 12 · 2018: 12 · 2017: 12 · 2016: 18 · 2015: 21 · 2014: 22 · 2013: 28 · 2012: 24
FWCI: 9.87
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
Scholar Commons (University of South Carolina) (submittedVersion)
Funders: National Institutes of Health
National Heart, Lung, and Blood Institute (R01HL057775, HL57775)
Topics: Health Sciences › Medicine › Physiology › Physical Activity and Health
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Physical Education and Pedagogy
Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
Keywords: self-efficacy, physical activity, adolescent girls, school-based intervention, social cognitive theory, mediation, goal setting, outcome expectations, satisfaction, physical education, health education, racial differences
MeSH terms: Adolescent, Adolescent Behavior, Female, Humans, South Carolina, Exercise, Self Efficacy

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Self-efficacy partially mediates the effect of a school-based physical-activity intervention among adolescent girls

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