Effect of self-efficacy on weight loss: A psychosocial analysis of a community-based adaptation of the diabetes prevention program lifestyle intervention

Laura M. Hays, Emily A. Finch, Chandan Saha, David G. Marrero, Ronald T. Ackermann

Research output: Contribution to journalArticle

16 Scopus citations


Objective. Weight loss is the most effective approach to reducing diabetes risk. It is a research priority to identify factors that may enhance weight loss success, particularly among those at risk for diabetes. This analysis explored the relationships between self-efficacy, weight loss, and dietary fat intake among adults at risk for developing type 2 diabetes.

Methods. This pilot, siterandomized trial was designed to compare group-based Diabetes Prevention Program lifestyle intervention delivery by YMCA staff to brief counseling alone (control) in 92 adults at risk for diabetes (BMI = 24 kg/m2, = 2 diabetes risk factors, and a random capillary blood glucose of 110-199 mg/dl). Self-efficacy was measured using the Weight Efficacy Lifestyle questionnaire. Data were collected at baseline, 6 months, and 12 months. A paired t test was used to determine within-group changes in self-efficacy and weight at 6 and 12 months. Using a fitted model, we estimated how much of an increase in self-efficacy was related to a 5% weight reduction at 6 and 12 months.

Results. Self-efficacy was associated with a 5% reduction in baseline weight at 6 and 12 months but was not related to fat intake.

Conclusion. These findings suggest that it is important to assess the level of self-efficacy when counseling adults at high risk for diabetes about weight loss. Certain aspects of selfefficacy seem to play a greater role, depending on the stage of weight loss.

Original languageEnglish (US)
Pages (from-to)270-275
Number of pages6
JournalDiabetes Spectrum
Issue number4
StatePublished - Nov 1 2014


ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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