Table 1

Performance objectives for preventing weight gain, with a selection of determinants per performance objective

Performance Objective

Theory

Determinants


1. People decide to prevent weight gain.

PAPM [22]

- Awareness.

- Knowledge

- Risk-perception [23]


TPB [17]

- Attitude

- Perceived Behavioural Control


2. People choose at least one small change in DI or PA (goal setting).

PAPM

- Awareness


TPB

- Attitude/preferences [33]

- Subjective norm (FGI), [34,35]

- Goal-efficacy (FGI)


SDT [36]

- Goal commitment.


3. People prepare strategies to establish how they will make their chosen behaviour change

HAPA [37]

- Action self-efficacy [38-40]

- Awareness of cues to action


TPB

- Social influence [41]


4. People change their

DI or PA (goal striving).

HAPA

- Action self-efficacy [42]

- Coping self-efficacy (FGI)


RPT [20]

- Awareness of barriers/high risk situations

- Coping self-efficacy [20]


SRT [16]

- Awareness of standards (their self-chosen change)

- Monitoring (self-regulation effort)


5. People evaluate their behaviour change and its effect on body weight.

SRT

(also for 5a, 5b and 5c)

- Awareness of personal weight standards

- Skills


a. if successful, they may maintain or adapt their goal (towards a higher goal).

HAPA

- Task self-efficacy


SDT

Commitment


b. If unsuccessful, they go back to previous stages (#5) and revise their strategies for them

RPT

- Recovery self-efficacy [43]


SDT

- Commitment


TPB

- Attitude [20,44,45].

- Awareness


c. if unsuccessful, they may also choose a new behavioural goal (#2)


FGI = information derived from Focus Group Interviews, GST = Goal Setting Theory, HAPA = Health Action Process Approach, PAPM = Precaution Adoption Process Model, RPT = Relapse Prevention Theory, TPB = Theory of Planned Behaviour, SDT = Self determination Theory, SRT - Self-Regulation Theory.

van Genugten et al. BMC Public Health 2010 10:649   doi:10.1186/1471-2458-10-649

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