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Public Health Nurs. 2016 May;33(3):232-241. doi: 10.1111/phn.12213. Epub 2015 Jun 24.

Motivational Factors Predict Weight Loss in Rural Adults.

Author information

1
University of Nebraska Medical Center, Kearney, NE.
2
University of Nebraska Medical Center, Omaha, NE.
3
Department of Psychology, Ashford University, San Diego, CA.
4
Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, NE.

Abstract

OBJECTIVE:

The objective was to: (a) describe the changes over time in motivational factors of weight loss and (b) to examine predictors of weight loss in rural adults enrolled in a weight loss program.

DESIGN AND SAMPLE:

A longitudinal study was conducted in a convenience sample of 50 adults recruited from a rural Young Men's Christian Association.

MEASURES:

Questionnaires were completed at baseline (preprogram), 1, 2 and 3 months (end of program).

RESULTS:

Mean age was 42.4 (SD ± 11.8); 84% were female and mean BMI was 32.9 (SD ± 4.3). Individuals lost an average of 12.1 pounds. Barriers to healthy eating decreased significantly over time (p < .001). Significant predictors of weight loss included gender (β = .501, p < .001), and the amount of change between baseline and 3 months in controlled regulation (β = .270, p < .05), barriers to healthy eating (β = -0.225, p < .05), and physical activity (β = .238, p < .05) explaining 45% of the variance (F[(8, 41] = 5.92, p < .001) in weight loss.

CONCLUSIONS:

Rural adults were more likely to lose weight if they had higher levels of controlled regulation, if barriers were reduced, and if physical activity levels increased during the 3-month weight loss program.

KEYWORDS:

motivation; obesity; rural adults; self-monitoring; weight loss

PMID:
26105202
DOI:
10.1111/phn.12213

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