The relationship between self-monitoring, outcome expectancies, difficulties with eating and exercise, and physical activity and weight loss treatment outcomes
Abstract
BACKGROUND/PURPOSE: During a behavioral weight loss program (BWLP), weight loss and exercise can vary considerably from week to week. Weekly fluctuations in outcome expectancies and perceived difficulties with eating and exercise may be associated with weekly variability in weight loss and exercise. Also, inconsistent self-monitoring of exercise may be associated with poor weight loss and physical activity treatment outcomes. METHODS: Forty obese, sedentary participants completed a 6-month BWLP. Body weight, outcome expectancies, and difficulties with eating and exercise were assessed weekly. Weekly self-monitoring of exercise was computed from physical activity diaries. Physical activity, VO2max, and caloric intake were assessed pre- and posttreatment. RESULTS: Within-subjects analyses indicated that participants exercised less during weeks that participants reported greater difficulties with exercise, relative to weeks participants reported fewer difficulties. Participants lost significantly more weight during weeks that participants reported more positive outcome expectancies and greater difficulties with exercise, compared to weeks participants reported less positive outcome expectancies and fewer difficulties with exercise. Consistent self-monitoring of exercise was associated with fewer difficulties with exercise and greater exercise and weight loss. CONCLUSIONS: Interventions that are targeted to increase self-monitoring and to improve transient difficulties with exercise and diminished outcome expectancies may improve BWLP treatment outcomes.
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Only one reviewed study specifically examined the role of self-monitoring exercise in relation to weight loss.
“However, only one of these studies specifically examined the role of self-monitoring exercise in relation to weight loss (27).”
From Self-monitoring in weight loss: a systematic review of the literature (2011) · cites this paper as [27]
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- Authors
- Carels, R. A., Darby, L. A., Rydin, S., Douglass, O. M., Cacciapaglia, H. M., & O'Brien, W. H.
- Affiliations
- Bowling Green State University (US)
- Bowling Green State University, USA
- Corresponding author
- Carels, Robert A.
- ORCID
- Carels, Robert A.
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-12-01
- Volume
- 30
- Issue
- 3
- Pages
- 182-190
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- OpenAlex
- W1987894809
- Semantic Scholar
- b5a8a1a34f551d28dbc2cf52663d34f7a28e70b8
- Cited by
- 129
- References
- 37
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 4 · 2022: 7 · 2021: 11 · 2020: 8 · 2019: 10 · 2018: 7 · 2017: 5 · 2016: 9 · 2015: 7 · 2014: 3 · 2013: 11 · 2012: 11
- FWCI
- 2.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R24HD050959)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- self-monitoring, outcome expectations, eating difficulties, exercise difficulty, physical activity, weight loss, behavioral weight loss program, obesity, sedentary adults, exercise adherence, physical activity diary
- MeSH terms
- Adult, Analysis of Variance, Diet, Reducing, Female, Humans, Male, Motivation, Obesity, Patient Compliance, Patient Education as Topic, Self Care, Exercise, Glycemic Index
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