Psychosocial mediators of a theory-based resistance training maintenance intervention for prediabetic adults

Psychol Health. 2016 Sep;31(9):1108-24. doi: 10.1080/08870446.2016.1179740. Epub 2016 May 13.

Abstract

Objective: Examine psychosocial mediators of the effects of high vs. low-dose resistance training (RT) maintenance interventions among older (ages 50-69), overweight and pre-diabetic adults.

Design: Participants (N = 123) completed a three-month supervised RT initiation phase and were subsequently randomised (time 1) to high or low-dose six-month unsupervised RT maintenance interventions (time 2), followed by a six-month no-contact phase (time 3).

Main outcome measures: Online measures of putative mediators and RT behaviour.

Results: RT intervention condition (high vs. low dose) had significant effects on change from time 1 to time 2 in behavioural expectation, self-regulation and perceived satisfaction (f(2) = .04-.08), but not outcome expectancies, RT strategies or behavioural intentions (f(2) ≤ .02). Change in each of the putative mediators, except for outcome expectancies (f(2) ≤ .02), had significant effects on RT behaviour at times 2 (f(2) = .12-.27) and 3 (f(2) = .23-.40). In a multiple mediation model, behavioural expectation (f(2) = .11) and self-regulation (f(2) = .06) mediated the effects of RT intervention condition on time 2 RT behaviour, whereas perceived satisfaction did not (f(2) = .01). Self-regulation was a significant mediator of intervention effects on time 3 RT behaviour (f(2) = .11), but behavioural expectation and perceived satisfaction were not (f(2) = .04).

Conclusions: Findings suggest that behavioural expectation and self-regulation are appropriate targets for RT maintenance interventions among at-risk older adults.

Keywords: behavioural expectation; behavioural maintenance; diabetes; older adults; self-regulation; theory.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Female
  • Health Behavior
  • Humans
  • Intention
  • Male
  • Middle Aged
  • Overweight / psychology
  • Overweight / therapy
  • Prediabetic State / psychology*
  • Prediabetic State / therapy*
  • Psychological Theory*
  • Resistance Training / methods*
  • Self-Control
  • Treatment Outcome