How prescriptive support affects weight loss in weight-loss intervention participants and their untreated spouses.

Cornelius, Talea; Gettens, Katelyn; Lenz, Erin M.; Wojtanowski, Alexis C.; Foster, Gary D.; Gorin, Amy A.

doi:10.1037/hea0000630

Cited by 8 publications

(10 citation statements)

References 36 publications

(53 reference statements)

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“…Moreover, these “couples-based” approaches often focused only on one index participant, with spouses included in treatment with the intention of providing support for behavior change (Leroux et al, 2013). Recent work has revisited the efficacy of involving spouses in weight-loss treatment with an increased focus on involving both members of the couple within a dyadic framework and on identifying the types of spousal support that are most beneficial for weight loss (Cornelius et al, 2018; Gorin et al, 2013; Gorin, Powers, Koestner, Wing, & Raynor, 2014; Schierberl Scherr, McClure Brenchley, & Gorin, 2013). For example, Gorin et al (2013) found that including spouses or another adult household member in a comprehensive treatment targeting the home environment produced better short- and long-term weight-loss outcomes.…”

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confidence: 99%

A randomized controlled trial of a theory-based weight-loss program for couples.

et al. 2020

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Objective-Weight gain occurs during marriage yet obesity treatment is focused on individuals. Outcomes may be improved by targeting joint weight loss and the interpersonal milieu that fosters spousal interdependence. Self Determination Theory (SDT) posits that autonomy supportive environments (e.g., promote meaningful choice, minimize control) produce better health outcomes. This trial tested a SDT-informed weight loss intervention intended to facilitate autonomy support in couples.Methods-Sixty-four couples were randomized to standard behavioral weight loss (BWL) that couples attended together or to a SDT-informed intervention (SDT-WL) that aimed to bolster autonomy support (AS). Groups met weekly for 6 months with assessments at 0, 3, 6, and 12 months.Results-Percent weight loss at 6 and 12 months was 10.4±6.5 % and 9.2±8.2 %. No differences were observed between BWL or SDT-WL in percent weight loss or changes in AS. Across conditions, higher baseline AS predicted greater weight loss at 6 and 12 months, ps <.001. Increases in AS over time predicted greater weight loss at 6 and 12 months, ps≤ .02. Post-hoc moderation analysis indicated that only participants with low (but not high) baseline AS achieved greater improvements gains in AS at 12 months in SDT-WL than in BWL (p < .02).Conclusions-While no differences were found between conditions on weight loss or changes in autonomy support behavior, autonomy support from one's spouse predicted weight loss in both

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confidence: 99%

A randomized controlled trial of a theory-based weight-loss program for couples.

et al. 2020

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“…Health-related support was fairly traditional in conceptualization and operationalization in two of these studies; Ryon and Gleason (2018) 2010) also used a typical support operationalization by suggesting that social support was associated with encouragement and helpfulness. In contrast, Cornelius et al (2018) examined "prescriptive support," which, when operationalized, seemed to be more consistent with social control than with support. For example, it included direct social control (obligation to partner to stay healthy), persuasion (how often spouse tried to persuade), and pressure (how often spouse criticized).…”

Section: Nontraditional/alternative Conceptualizationsmentioning

confidence: 99%

Recognizing the blurred boundary between health‐related support and control in close relationships

Burke

Young

Duggan

2022

Personal Relationships

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In this review, we analyze the blurred boundary – or conceptual convergence – between health‐related social support and social control in close relationships. We begin with a brief overview of research on social support, defined as the provision of assistance or influence to help a close other achieve a health‐related goal or cope with illness related stressors, and social control, refers to communication intended to evoke health behavior change from a relational partner. We then disentangle the conceptualization and measurement of communication as social support and as social control over the last two decades. In articulating the conceptual convergence between social support and social control, we illustrate several patterns regarding what is being researched, how research has been conducted, and who is involved in existing research, thereby shedding light on the dynamics of power and privilege in conceptual and operational assumptions regarding these constructs in the literature. In addition, we propose ways for future scholarship to reflect more diverse methods, topics, and populations.

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“…Health‐related social control prompts behaviors linked to positive health outcomes (Umberson, 1992). Health‐related social control may be coercive (i.e., nagging and guilt) or persuasive (i.e., discussion; Lewis, Butterfield, Darbes, & Johnston‐Brooks, 2016) and occurs across many types of relationships, including partnerships (e.g., Cornelius et al, 2018). Partners in committed relationships both initiate and receive health promotion‐oriented exchanges, including social control (Franks, Wendorf, Gonzalez, & Ketterer, 2016).…”

Section: Literature Reviewmentioning

confidence: 99%

Information behavior and social control: Toward an understanding of conflictual information behavior in families managing chronic illness

Brown

Veinot

2020

Asso for Info Science & Tech

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The relationship between information and control interests social scientists; however, much prior work has focused on organizations rather than families. Work on interactive information behaviors has also focused on organizations and on collaboration rather than conflict. Therefore, in families managing chronic illness, we investigated information behaviors in the context of health‐related social control and the impact of control on patient health behavior. We conducted a qualitative analysis of interviews with 38 family groups and 97 individuals over 2 years. Findings revealed conflictual information behavior, which led to competitions for control and influence between family members and patients. In response to perceived patient health behavior‐related problems, family members sought, shared, and used information for social control of patients by enforcing norms, leveraging expertise, performing surveillance, and structuring the environment. These behaviors clashed with patients' interests and perspectives drawn from their own information acquisition. Patients responded by assessing family‐presented information and using information to resist or appease norm enforcement, refute or agree with expertise, and permit or block surveillance. Over time, some patient behaviors changed; alternatively, patients blocked family access to information about themselves, or family members retreated. The results challenge presumptions of benefit and harmony that have characterized much prior information behavior research.

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How prescriptive support affects weight loss in weight-loss intervention participants and their untreated spouses.

Cited by 8 publications

References 36 publications

A randomized controlled trial of a theory-based weight-loss program for couples.

A randomized controlled trial of a theory-based weight-loss program for couples.

Recognizing the blurred boundary between health‐related support and control in close relationships

Information behavior and social control: Toward an understanding of conflictual information behavior in families managing chronic illness

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