BACKGROUND: Little is known about psychosocial mechanisms that may underlie differences in lifestyle change between socioeconomic groups. PURPOSE: The purpose of this study is to examine how educational level influences middle-aged participants' (N = 385) psychosocial responses to the GOAL Lifestyle Implementation Trial. METHODS: The measurements of self-efficacy and planning for healthy lifestyle were conducted pre-intervention (T1) and post-intervention (T2, 3 months), and measurements of exercise and healthy eating as outcomes at T1 and at 12 months (T3). RESULTS: Psychosocial determinants at T1 and their T1-T2 changes were mostly similar, irrespective of educational levels. Exercise barriers self-efficacy was enhanced slightly less (p = 0.08) among the low-SES. T2 levels as well as pre-post-intervention changes in exercise self-efficacy predicted 12-month changes in exercise, and T2 diet coping planning predicted changes in dietary fat intake. The associations were similar across all SES groups. CONCLUSIONS: Enhancing self-efficacy and planning is similarly effective among intervention participants regardless of education level.
RCT Entities:
BACKGROUND: Little is known about psychosocial mechanisms that may underlie differences in lifestyle change between socioeconomic groups. PURPOSE: The purpose of this study is to examine how educational level influences middle-aged participants' (N = 385) psychosocial responses to the GOAL Lifestyle Implementation Trial. METHODS: The measurements of self-efficacy and planning for healthy lifestyle were conducted pre-intervention (T1) and post-intervention (T2, 3 months), and measurements of exercise and healthy eating as outcomes at T1 and at 12 months (T3). RESULTS:Psychosocial determinants at T1 and their T1-T2 changes were mostly similar, irrespective of educational levels. Exercise barriers self-efficacy was enhanced slightly less (p = 0.08) among the low-SES. T2 levels as well as pre-post-intervention changes in exercise self-efficacy predicted 12-month changes in exercise, and T2 diet coping planning predicted changes in dietary fat intake. The associations were similar across all SES groups. CONCLUSIONS: Enhancing self-efficacy and planning is similarly effective among intervention participants regardless of education level.
Authors: Courtney R Lyles; Michael S Wolf; Dean Schillinger; Terry C Davis; Darren Dewalt; Allison R Dahlke; Laura Curtis; Hilary K Seligman Journal: Diabetes Care Date: 2012-12-28 Impact factor: 19.112
Authors: M Amalia Pesantes; María Lazo-Porras; Abd Moain Abu Dabrh; Jaime R Ávila-Ramírez; María Caycho; Georgina Y Villamonte; Grecia P Sánchez-Pérez; Germán Málaga; Antonio Bernabé-Ortiz; J Jaime Miranda Journal: Can J Cardiol Date: 2015-06-17 Impact factor: 6.614