Testing mediator variables in a resistance training intervention for obese adults with type 2 diabetes

Psychol Health. 2012;27(12):1388-404. doi: 10.1080/08870446.2011.613471. Epub 2011 Sep 6.

Abstract

A poor understanding of behaviour change mechanisms has hindered the development of effective physical activity interventions. The aim of this study was to identify potential mediators of change in a home-based resistance training (RT) program for obese individuals with type 2 diabetes. Obese individuals with type 2 diabetes (N = 48) were randomly allocated to either an RT intervention (n = 27) or a control group (n = 21) for the 16-week study period. The study sample included 16 men and 32 women and the mean age of participants was 54.4 (±11.7) years. Participants in the RT group received a multi-gym and dumbbells and home supervision from a certified personal trainer. RT behaviour was measured using a modified Godin Leisure Time Questionnaire. Social-cognitive constructs were measured and tested in a mediating variable framework using a product-of-coefficients test. The intervention had a significant effect on RT behaviour (p < 0.001) and muscular strength (p < 0.001). The intervention had a significant effect on RT planning strategies (p < 0.01), which mediated the effect of the intervention on RT behaviour. The home-based RT program successfully targeted participants' RT planning strategies which contributed to their exercise adherence.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / therapy*
  • Exercise / psychology*
  • Female
  • Home Care Services*
  • Humans
  • Male
  • Middle Aged
  • Muscle Strength
  • Obesity / complications
  • Obesity / therapy*
  • Patient Compliance / statistics & numerical data
  • Program Evaluation
  • Resistance Training / methods*
  • Surveys and Questionnaires