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Relationship of self-effecacy to cholesterol lowering and dietary change in hyperlipidemia

  • Empirical Research
  • Published:
Annals of Behavioral Medicine

Abstract

This study examined whether self-efficacy was associated with lipid lowering and dietary change among men undergoing dietary counseling to lower cholesterol levels. Twenty-five hyperlipidemic men (total cholesterol ≧220 mg/dL) participated in four weeks of dietary instruction. Plasma lipids were measured prior to treatment, at posttreatment, and at three- and twelvemonth follow-up. Dietary intake and self-efficacy as measured by the revised Eating Self-Efficacy Scale (ESES-R) were assessed at pretreatment, posttreatment, and three-month follow-up. Pre-treatment to posttreatment increases in self-efficacy in situations characterized by negative affect were related to extent of lipid lowering and dietary change. Although subjects showed significant reductions in cholesterol levels following treatment, by one year, lipid levels had returned to pretreatment values. Factors related to long-term maintenance of dietary change and lipid lowering among hyperlipidemics merit further research.

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Author information

Authors and Affiliations

  1. Cardiovascular Behavioral Medicine Program, University of Washington School of Medicine, 1100 Olive Way, Suite 1430, 98101-1827, Seattle, WA

    Barbara S. McCann & Viktor E. Bovbjerg

  2. University of Washington School of Public Health and Community Medicine, Washington, USA

    Barbara S. McCann & Viktor E. Bovbjerg

  3. Tufts University School of Medicine, Tufts, USA

    Deborah J. Brief & Charli Turner

  4. Northern Arizona University, Northern Arizona, USA

    Deborah J. Brief & Charli Turner

  5. University of Nevada at Reno, Reno, USA

    William C. Follette & Virginia Fitzpatrick

  6. University of Washington School of Medicine and Northwest Lipid Research Clinic, Washington, USA

    Alice Dowdy, Barbara Retzlaff, Carolyn E. Walden & Robert H. Knopp

Authors
  1. Barbara S. McCann
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  2. Viktor E. Bovbjerg
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  3. Deborah J. Brief
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  4. Charli Turner
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  5. William C. Follette
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  6. Virginia Fitzpatrick
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  7. Alice Dowdy
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  8. Barbara Retzlaff
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  9. Carolyn E. Walden
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  10. Robert H. Knopp
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Additional information

Merck, Sharp, and Dohme

Preparation of this manuscript was supported in part by a National Institutes of Health Biomedical Research Support Grant (RR 05432), and by National Institutes of Health Grants HL 28891 and DK 35816 (Clinical Nutrition Research Unit).

The authors are grateful to Dr. Susan Curry for her comments on an earlier draft of this paper, and wish to thank Ms. Cheryl Kaplan for her assistance.

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McCann, B.S., Bovbjerg, V.E., Brief, D.J. et al. Relationship of self-effecacy to cholesterol lowering and dietary change in hyperlipidemia. Ann Behav Med 17, 221–226 (1995). https://doi.org/10.1007/BF02903916

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