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

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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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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 › Public Health, Environmental and Occupational Health › Physical Activity and Health
Social Sciences › Education › Physical Education and Pedagogy
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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