Bs. Mccann et al., RELATIONSHIP OF SELF-EFFICACY TO CHOLESTEROL-LOWERING AND DIETARY CHANGE IN HYPERLIPIDEMIA, Annals of behavioral medicine, 17(3), 1995, pp. 221-226
This study examined whether self-efficacy was associated with lipid lo
wering and dietary change among men undergoing dietary counseling to l
ower cholesterol levels. Twenty-five hyperlipidemic men (total cholest
erol greater than or equal to 220 mg/dL) participated in four weeks of
dietary instruction. Plasma lipids were measured prior to treatment,
at posttreatment, and at three- and twelve-month follow-up. Dietary in
take and self-efficacy as measured by the revised Eating Self-Efficacy
Scale (ESES-R) were assessed at pretreatment, posttreatment, and thre
e-month follow-up. Pretreatment to posttreatment increases in self-eff
icacy in situations characterized by negative affect were related to e
xtent of lipid lowering and dietary change. Although subjects showed s
ignificant reductions in cholesterol levels following treatment, by on
e year, lipid levels had returned to pretreatment values. Factors rela
ted to long-term maintenance of dietary change and lipid lowering amon
g hyperlipidemics merit further research.