Nightly Variation in Sleep Influences Self-efficacy for Adhering to a Healthy Lifestyle: A Prospective Study

Background Self-efficacy, or the perceived capability to engage in a behavior, has been shown to play an important role in adhering to weight loss treatment. Given that adherence is extremely important for successful weight loss outcomes and that sleep and self-efficacy are modifiable factors in thi...

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Veröffentlicht in:International journal of behavioral medicine 2022-06, Vol.29 (3), p.377-386
Hauptverfasser: Burke, Lora E., Kline, Christopher E., Mendez, Dara D., Shiffman, Saul, Chasens, Eileen R., Zheng, Yaguang, Imes, Christopher C., Cajita, Mia I., Ewing, Linda, Goode, Rachel, Mattos, Meghan, Kariuki, Jacob K., Kriska, Andrea, Rathbun, Stephen L.
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container_end_page 386
container_issue 3
container_start_page 377
container_title International journal of behavioral medicine
container_volume 29
creator Burke, Lora E.
Kline, Christopher E.
Mendez, Dara D.
Shiffman, Saul
Chasens, Eileen R.
Zheng, Yaguang
Imes, Christopher C.
Cajita, Mia I.
Ewing, Linda
Goode, Rachel
Mattos, Meghan
Kariuki, Jacob K.
Kriska, Andrea
Rathbun, Stephen L.
description Background Self-efficacy, or the perceived capability to engage in a behavior, has been shown to play an important role in adhering to weight loss treatment. Given that adherence is extremely important for successful weight loss outcomes and that sleep and self-efficacy are modifiable factors in this relationship, we examined the association between sleep and self-efficacy for adhering to the daily plan. Investigators examined whether various dimensions of sleep were associated with self-efficacy for adhering to the daily recommended lifestyle plan among participants ( N  = 150) in a 12-month weight loss study. Method This study was a secondary analysis of data from a 12-month prospective observational study that included a standard behavioral weight loss intervention. Daily assessments at the beginning of day (BOD) of self-efficacy and the previous night’s sleep were collected in real-time using ecological momentary assessment. Results The analysis included 44,613 BOD assessments. On average, participants reported sleeping for 6.93 ± 1.28 h, reported 1.56 ± 3.54 awakenings, and gave low ratings for trouble sleeping (3.11 ± 2.58; 0: no trouble; 10: a lot of trouble) and mid-high ratings for sleep quality (6.45 ± 2.09; 0: poor; 10: excellent). Participants woke up feeling tired 41.7% of the time. Using linear mixed effects modeling, a better rating in each sleep dimension was associated with higher self-efficacy the following day (all p values 
doi_str_mv 10.1007/s12529-021-10022-0
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Given that adherence is extremely important for successful weight loss outcomes and that sleep and self-efficacy are modifiable factors in this relationship, we examined the association between sleep and self-efficacy for adhering to the daily plan. Investigators examined whether various dimensions of sleep were associated with self-efficacy for adhering to the daily recommended lifestyle plan among participants ( N  = 150) in a 12-month weight loss study. Method This study was a secondary analysis of data from a 12-month prospective observational study that included a standard behavioral weight loss intervention. Daily assessments at the beginning of day (BOD) of self-efficacy and the previous night’s sleep were collected in real-time using ecological momentary assessment. Results The analysis included 44,613 BOD assessments. On average, participants reported sleeping for 6.93 ± 1.28 h, reported 1.56 ± 3.54 awakenings, and gave low ratings for trouble sleeping (3.11 ± 2.58; 0: no trouble; 10: a lot of trouble) and mid-high ratings for sleep quality (6.45 ± 2.09; 0: poor; 10: excellent). Participants woke up feeling tired 41.7% of the time. Using linear mixed effects modeling, a better rating in each sleep dimension was associated with higher self-efficacy the following day (all p values &lt; .001). 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Behav. Med</stitle><addtitle>Int J Behav Med</addtitle><date>2022-06-01</date><risdate>2022</risdate><volume>29</volume><issue>3</issue><spage>377</spage><epage>386</epage><pages>377-386</pages><issn>1070-5503</issn><issn>1532-7558</issn><eissn>1532-7558</eissn><abstract>Background Self-efficacy, or the perceived capability to engage in a behavior, has been shown to play an important role in adhering to weight loss treatment. Given that adherence is extremely important for successful weight loss outcomes and that sleep and self-efficacy are modifiable factors in this relationship, we examined the association between sleep and self-efficacy for adhering to the daily plan. Investigators examined whether various dimensions of sleep were associated with self-efficacy for adhering to the daily recommended lifestyle plan among participants ( N  = 150) in a 12-month weight loss study. 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subjects Family Medicine
Full Length Manuscript
General Practice
Health Psychology
Healthy Lifestyle
Humans
Lifestyles
Medicine
Medicine & Public Health
Prospective Studies
Self Efficacy
Sleep
Weight Loss
title Nightly Variation in Sleep Influences Self-efficacy for Adhering to a Healthy Lifestyle: A Prospective Study
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