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ISRN Obesity  2013 

Impact of Physical Activity Intervention Programs on Self-Efficacy in Youths: A Systematic Review

DOI: 10.1155/2013/586497

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Abstract:

Lack of physical activity has contributed to the nation’s childhood obesity crisis, but the impact of physical activity on self-efficacy as a mediator of behavior change has not been examined. This systematic review (SR) describes the published evidence related to the impact of physical activity intervention programs on self-efficacy among youths. From January 2000 to June 2011, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards were used to identify publications from PubMed, PsychInfo, Web of Knowledge, and the Cochran Database of Systematic Reviews. The Cochrane Population, Intervention, Control, Outcome, Study Design (PICOS) approach guided this SR articles selection and evaluation process. Of the 102 publications screened, 10 original studies matched the SR inclusion criteria. The types of physical activity interventions and self-efficacy assessments for these 10 studies were diverse. Of the 10 included articles, 6 articles identified an improvement in post-self-efficacy assessments compared to baseline and 4 showed no effect. In conclusion, physical activity intervention programs may improve self-efficacy in youths. A standardized approach to classify and measure self-efficacy is required. Further research is needed to quantify the association of self-efficacy ratings after completing physical activity interventions with objective health improvements, such as weight loss. 1. Introduction The prevalence of childhood obesity has increased dramatically in the United States (US) the last 20 years. After age gender-based adjustments, more than 30% of US children and adolescents surveyed in 2007-2008 were overweight with a body mass index (BMI) greater than the 85th percentile [1]. Young Americans suffer increasing morbidity from chronic diseases associated with obesity before reaching adulthood [2]. Although the etiology of obesity is multifactorial, weight loss can be achieved by diet and activity behavior modification [3]. In order to sustain weight loss, health behavior modifications must become lifestyle changes. Self-efficacy, a construct of Albert Bandura’s social cognitive theory (SCT), is defined as the belief in one’s own ability to achieve actions necessary to produce a desired effect [4]. It relates to an individual’s confidence in achieving and maintaining behavioral change. Hence, it is reasonable to anticipate that physical activity intervention programs may benefit from incorporating SCT modifications and to evaluate self-efficacy as a component in determining behavioral change. Various types of

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