自我效能感与经济激励：职场减肥干预中影响健康行为和体重减轻的因素
Perceived Self-Efficacy and Financial Incentives: Factors Affecting Health Behaviors and Weight Loss in a Workplace Weight Loss Intervention.
作者信息
Faghri Pouran D, Simon Julia, Huedo-Medina Tania, Gorin Amy
机构信息
Department of Allied Health Sciences (Dr Faghri, Ms Simon, Dr Huedo-Medina); and Department of Psychology (Dr Gorin), University of Connecticut, Storrs, Connecticut.
出版信息
J Occup Environ Med. 2017 May;59(5):453-460. doi: 10.1097/JOM.0000000000000987.
Abstract
OBJECTIVE
To evaluate if self-efficacy (SE) and financial incentives (FI) mediate the effect of health behavior on weight loss in a group of overweight and obese nursing-home employees participating in a 16-week weight-loss intervention with 12-week follow-up.
METHODS
Ninety nine overweight/obese (body mass index [BMI] > 25) employees from four nursing-homes participated, with a mean age of 46.98 years and BMI of 35.33. Nursing-homes were randomized to receiving an incentive-based intervention (n = 51) and no incentive (n = 48). Participants' health behaviors and eating and exercise self-efficacy (Ex-SE) were assessed at week 1, 16, and 28 using a self-reported questionnaire. Mediation and moderated mediation analysis assessed relationships among these variables.
RESULTS
Eating self-efficacy (Eat-SE) and Ex-SE were significant mediators between health behaviors and weight loss (P < 0.05). Incentives significantly moderated the effects of self-efficacy (P = 0.00) on weight loss.
CONCLUSIONS
Self-efficacy and FI may affect weight loss and play a role in weight-loss interventions.
摘要
目的
评估自我效能感（SE）和经济激励（FI）是否介导了健康行为对一组参与为期16周减肥干预并进行12周随访的超重和肥胖养老院员工体重减轻的影响。
方法
来自四家养老院的99名超重/肥胖（体重指数[BMI]＞25）员工参与了研究，平均年龄为46.98岁，BMI为35.33。养老院被随机分为接受基于激励的干预组（n = 51）和无激励组（n = 48）。在第1周、16周和28周使用自我报告问卷评估参与者的健康行为以及饮食和运动自我效能感（Ex-SE）。中介和调节中介分析评估了这些变量之间的关系。
结果
饮食自我效能感（Eat-SE）和Ex-SE是健康行为与体重减轻之间的显著中介因素（P＜0.05）。激励显著调节了自我效能感（P = 0.00）对体重减轻的影响。
结论
自我效能感和FI可能影响体重减轻，并在减肥干预中发挥作用。
相似文献
1
Perceived Self-Efficacy and Financial Incentives: Factors Affecting Health Behaviors and Weight Loss in a Workplace Weight Loss Intervention.自我效能感与经济激励：职场减肥干预中影响健康行为和体重减轻的因素
J Occup Environ Med. 2017 May;59(5):453-460. doi: 10.1097/JOM.0000000000000987.
2
Effect of Escalating Financial Incentive Rewards on Maintenance of Weight Loss: A Randomized Clinical Trial.提高财务激励奖励对减肥维持效果的影响：一项随机临床试验。
JAMA Netw Open. 2019 Nov 1;2(11):e1914393. doi: 10.1001/jamanetworkopen.2019.14393.
3
Mediators of weight loss and weight loss maintenance in middle-aged women.中年女性体重减轻和维持体重减轻的中介因素。
Obesity (Silver Spring). 2010 Apr;18(4):725-35. doi: 10.1038/oby.2009.281. Epub 2009 Aug 20.
4
A Simple Liking Survey Captures Behaviors Associated with Weight Loss in a Worksite Program among Women at Risk of Type 2 Diabetes.一项简单的喜好调查在一项针对有 2 型糖尿病风险的女性的工作场所计划中，捕捉到与减肥相关的行为。
Nutrients. 2021 Apr 17;13(4):1338. doi: 10.3390/nu13041338.
5
Effect of mindfulness meditation on short-term weight loss and eating behaviors in overweight and obese adults: A randomized controlled trial.正念冥想对超重和肥胖成年人短期体重减轻及饮食行为的影响：一项随机对照试验。
J Complement Integr Med. 2017 Dec 5;15(2):/j/jcim.2018.15.issue-2/jcim-2016-0048/jcim-2016-0048.xml. doi: 10.1515/jcim-2016-0048.
6
Financial incentive strategies for maintenance of weight loss: results from an internet-based randomized controlled trial.基于互联网的随机对照试验对维持减肥效果的财务激励策略：结果。
Nutr Diabetes. 2018 May 25;8(1):33. doi: 10.1038/s41387-018-0036-y.
7
Reciprocal effects of treatment-induced increases in exercise and improved eating, and their psychosocial correlates, in obese adults seeking weight loss: a field-based trial.寻求减肥的肥胖成年人中，治疗引起的运动和改善饮食的相互影响及其心理社会相关因素：一项基于现场的试验。
Int J Behav Nutr Phys Act. 2013 Dec 5;10:133. doi: 10.1186/1479-5868-10-133.
8
Eating behaviors and weight loss outcomes in a 12-month randomized trial of diet and/or exercise intervention in postmenopausal women.在一项针对绝经后妇女的为期 12 个月的饮食和/或运动干预随机试验中，饮食行为和减肥效果。
Int J Behav Nutr Phys Act. 2019 Nov 27;16(1):113. doi: 10.1186/s12966-019-0887-1.
9
Framing Financial Incentives to Increase Physical Activity Among Overweight and Obese Adults: A Randomized, Controlled Trial.设定经济激励措施以增加超重和肥胖成年人的身体活动：一项随机对照试验。
Ann Intern Med. 2016 Mar 15;164(6):385-94. doi: 10.7326/M15-1635. Epub 2016 Feb 16.
10
The design and conduct of Keep It Off: An online randomized trial of financial incentives for weight-loss maintenance.“保持体重：一项关于减肥维持经济激励措施的在线随机试验”的设计与实施。
Clin Trials. 2017 Feb;14(1):29-36. doi: 10.1177/1740774516669679. Epub 2016 Sep 23.
引用本文的文献
1
Effectiveness of Physical Activity-Led Workplace Health Promotion Interventions: A Systematic Review.以体育活动为主导的职场健康促进干预措施的有效性：一项系统综述。
Healthcare (Basel). 2025 May 29;13(11):1292. doi: 10.3390/healthcare13111292.
2
The Effect of Nurse-Led Intervention on Limiting Health Costs of Cardiovascular Diseases in Chinese Adults.护士主导的干预措施对限制中国成年人心血管疾病医疗费用的影响。
J Prev (2022). 2025 May 8. doi: 10.1007/s10935-025-00850-1.
3
Interventions Intended to Improve the Well-Being at Work of Nurses Working in Care Settings for Older People-A Systematic Review.旨在改善在老年人护理机构工作的护士工作幸福感的干预措施——一项系统综述
Int J Older People Nurs. 2025 Jan;20(1):e70005. doi: 10.1111/opn.70005.
4
Effectiveness of an mHealth App That Uses Financial Incentives and Gamification to Promote Health Behavior Change in Adolescents and Caregivers: Protocol for a Clinic-Based Randomized Controlled Trial.利用移动健康应用程序中的经济激励和游戏化促进青少年和照顾者健康行为改变的效果：一项基于诊所的随机对照试验方案。
JMIR Res Protoc. 2024 Sep 10;13:e63505. doi: 10.2196/63505.
5
The Impact of Monetary Incentives on Delay Discounting Within a Year-Long Physical Activity Intervention.金钱激励对为期一年的体育活动干预中延迟折扣的影响。
Ann Behav Med. 2024 Apr 11;58(5):341-352. doi: 10.1093/abm/kaae009.
6
Occupational Health of Health-Care Workers with Overnutrition: Scoping Review with Meta-Analysis.医护人员营养过剩的职业健康问题：系统评价与荟萃分析。
Nutrients. 2023 Jul 31;15(15):3416. doi: 10.3390/nu15153416.
7
Perceptions and experiences of young Black South African women with obesity from a low socioeconomic community after following a 12-week structured exercise intervention.来自低社会经济社区的肥胖南非年轻黑人女性在接受为期12周的结构化运动干预后的认知与体验
Front Sports Act Living. 2022 Oct 5;4:813339. doi: 10.3389/fspor.2022.813339. eCollection 2022.
8
Predictors of Weight-Control Behavior in Healthy Weight and Overweight Korean Middle-Aged Women.健康体重和超重的韩国中年女性体重控制行为的预测因素。
Int J Environ Res Public Health. 2022 Jun 20;19(12):7546. doi: 10.3390/ijerph19127546.
9
Influence of Nursing Intervention Based on Risk Assessment Model on Self-Efficacy and Postoperative Rehabilitation of Surgical Patients.基于风险评估模型的护理干预对手术患者自我效能感和术后康复的影响。
J Healthc Eng. 2022 Apr 13;2022:6750320. doi: 10.1155/2022/6750320. eCollection 2022.
10
Influence of Nutrition, Food and Diet-Related Interventions in the Workplace: A Meta-Analysis with Meta-Regression.营养、食物及与饮食相关的职场干预措施的影响：一项包含元回归分析的荟萃分析
Nutrients. 2021 Nov 4;13(11):3945. doi: 10.3390/nu13113945.
本文引用的文献
1
A Simple Liking Survey Captures Behaviors Associated with Weight Loss in a Worksite Program among Women at Risk of Type 2 Diabetes.一项简单的喜好调查在一项针对有 2 型糖尿病风险的女性的工作场所计划中，捕捉到与减肥相关的行为。
Nutrients. 2021 Apr 17;13(4):1338. doi: 10.3390/nu13041338.
2
Effectiveness of Financial Incentives in a Worksite Diabetes Prevention Program.经济激励措施在工作场所糖尿病预防项目中的有效性。
Open Obes J. 2014;6:1-12. doi: 10.2174/1876823720140107001. Epub 2014 Jan 24.
3
Health Behaviors and Overweight in Nursing Home Employees: Contribution of Workplace Stressors and Implications for Worksite Health Promotion.养老院员工的健康行为与超重：工作场所压力源的影响及对工作场所健康促进的启示
ScientificWorldJournal. 2015;2015:915359. doi: 10.1155/2015/915359. Epub 2015 Aug 25.
4
Successful behavior change in obesity interventions in adults: a systematic review of self-regulation mediators.成人肥胖干预中成功的行为改变：自我调节中介因素的系统评价
BMC Med. 2015 Apr 16;13:84. doi: 10.1186/s12916-015-0323-6.
5
Obesity and cardiovascular disease.肥胖与心血管疾病。
Minerva Pediatr. 2015 Feb;67(1):25-32. Epub 2014 Nov 11.
6
Benefits of adding small financial incentives or optional group meetings to a web-based statewide obesity initiative.在一项基于网络的全州范围肥胖症倡议中增加小额经济激励或可选小组会议的益处。
Obesity (Silver Spring). 2015 Jan;23(1):70-6. doi: 10.1002/oby.20937. Epub 2014 Nov 11.
7
The roles of self-efficacy and motivation in the prediction of short- and long-term adherence to exercise among patients with coronary heart disease.自我效能感和动机在预测冠心病患者短期和长期运动依从性中的作用。
Health Psychol. 2014 Nov;33(11):1344-53. doi: 10.1037/hea0000094. Epub 2014 Aug 18.
8
A systematic review of financial incentives for dietary behavior change.系统评价饮食行为改变的经济激励措施。
J Acad Nutr Diet. 2014 Jul;114(7):1023-1035. doi: 10.1016/j.jand.2014.03.011. Epub 2014 May 14.
9
Financial incentives for exercise adherence in adults: systematic review and meta-analysis.促进成年人锻炼依从性的经济激励措施：系统评价和荟萃分析。
Am J Prev Med. 2013 Nov;45(5):658-67. doi: 10.1016/j.amepre.2013.06.017.
10
What are the most effective techniques in changing obese individuals' physical activity self-efficacy and behaviour: a systematic review and meta-analysis.改变肥胖个体身体活动自我效能感和行为的最有效技术有哪些：系统评价和荟萃分析。
Int J Behav Nutr Phys Act. 2013 Mar 3;10:29. doi: 10.1186/1479-5868-10-29.
Zotero 插件