Identifying a motivational process surrounding adherence to exercise and diet among adults with type 2 diabetes.

Objectives: This paper aims to provide physicians with knowledge about the motivational processes surrounding exercise and diet for patients with type 2 diabetes and to offer patient support measures to favor self-management. To respond to this objective, the links between two kind of motivators (i.e., promotion and prevention foci), the Selection, Optimization and Compensation (SOC) self-management strategy, and adherence to exercise and diet of patients with type 2 diabetes were investigated for the first time in the literature.Method: A cross-sectional study was conducted with 491 French volunteer participants with type 2 diabetes diagnosed for at least 3 months (Age = 61.66 ± 9.63; BMI = 29.8 ± 5.9). Participants completed an online self-report survey measuring SOC strategy, promotion and prevention foci, and adherence to exercise and diet.Results: The main results of path and bootstrapping analysis demonstrated that promotion focus was positively related with SOC strategy (ß = .69, p < .001) whereas prevention focus was not (ß = -.01, ns.). On the other hand, SOC strategy was positively related with exercise (ß = .20, p < .05), general diet (ß = .49, p < .001), fruit and vegetable consumption (ß = .27, p < .001), and spacing of carbohydrates (ß = .40, p < .001), and mediated the positive link between promotion focus and these behaviors (bootstrapped 95% CI: [.11; .40], [.52; .81], [.22; .54], [.37; .70], respectively).Conclusion: This paper addresses a gap in previous research by evidencing a motivator that promotes self-management for exercise and diet among patients with type 2 diabetes. Our results suggest that physicians should privilege an interaction with patients oriented toward promotional motivation so as to favor their patients' self-management regarding exercise and diet.

Understanding the dynamics of physical activity practice in the health context through Regulatory Focus and Self-Determination theories.

This research aimed to associate for the first time in the literature Regulatory Focus and Self-Determination theories to understand the dynamics of physical activity practice in the health context. Two cross-sectional studies were conducted with 603 (Study 1) and 395 (Study 2) French volunteer participants aged from 18 to 69 and 19 to 71 respectively, who were healthy or concerned by a health condition. The main results of structural equation modeling analyses demonstrated that across the two studies, health promotion focus was positively associated with intrinsic motivation (.44 < ß < .74, p < .001), integrated regulation (.47 < ß < .72, p < .001), identified regulation (.40 < ß < .69, p < .001) and introjected regulation (.41 < ß < .53, p < .001), whereas health prevention focus was positively related with external regulation (.31 < ß < .45, p < .001) and amotivation (.32 < ß < .38, p < .001). Bootstrapping analyses main results in Study 2 showed that health promotion focus was indirectly associated with physical activity through intrinsic motivation (95% CI [.02 to .11]), integrated regulation (95% CI [.00 to .08]), identified regulation (95% CI [.00 to .09]) and introjected regulation (95% CI [.04 to .12]), whereas health prevention focus was indirectly associated with physical activity through external regulation (95% CI [.00 to .12]). These studies reveal meaningful associations between Regulatory Focus and Self-Determination theories' variables which support the relevance of associating these two models to understand the processes underlying the physical activity practice.

Health Regulatory Focus, Selection Optimization and Compensation Strategy and Sports Practice: A Mediational Analysis.

This study aimed to investigate associations of health promotion and prevention regulatory foci with sports practice, and examined the Selection, Optimization and Compensation (SOC) process behind the positive relationship between health promotion focus and sports practice. A cross-sectional study was conducted with 513 French volunteer sports participants aged from 18 to 82. Participants completed an online self-report survey measuring health regulatory foci, SOC strategy, Amount of Sports Practice (ASP), health condition, and educational level. Path analysis main results (χ2 = 16.64; df = 5; p < .01; RMSEA = 0.067; CFI = 0.98; R2 = .24) demonstrated that ASP was positively related with health promotion focus (ß = .13, p < .01), SOC strategy (ß = .28, p < .001) and negatively related with health prevention focus (ß = -.20, p < .001). SOC strategy was positively related with health promotion focus (ß = .39, p < .001) and bootstrapping analyses revealed that this strategy partially mediated the positive relationship between health promotion focus and ASP, 95% CI [.13, .29]. Finally, additional analyses showed that it was specifically the elective selection, optimization and compensation sub-components of SOC strategy which played mediating roles in this link, [.13, .29] < 95% CI < [.13, .29]. For the first time in the literature, these results evidenced direct links between health regulatory foci and sports practice, and a mechanistic pathway between health promotion focus and sports practice. The theoretical and applied implications of these results for sports promotion are discussed.

Health regulatory focus, selection optimization and compensation strategy and sports practice: a mediational analysis

This study aimed to investigate associations of health promotion and prevention regulatory foci with sports practice, and examined the Selection, Optimization and Compensation (SOC) process behind the positive relationship between health promotion focus and sports practice. A cross-sectional study was conducted with 513 French volunteer sports participants aged from 18 to 82. Participants completed an online self-report survey measuring health regulatory foci, SOC strategy, Amount of Sports Practice (ASP), health condition, and educational level. Path analysis main results (χ2 = 16.64; df = 5; p < .01; RMSEA = 0.067; CFI = 0.98; R2 = .24) demonstrated that ASP was positively related with health promotion focus (β = .13, p < .01), SOC strategy (β = .28, p < .001) and negatively related with health prevention focus (β = -.20, p < .001). SOC strategy was positively related with health promotion focus (β = .39, p < .001) and bootstrapping analyses revealed that this strategy partially mediated the positive relationship between health promotion focus and ASP, 95% CI [.13, .29]. Finally, additional analyses showed that it was specifically the elective selection, optimization and compensation sub-components of SOC strategy which played mediating roles in this link, [.13, .29] < 95% CI < [.13, .29]. For the first time in the literature, these results evidenced direct links between health regulatory foci and sports practice, and a mechanistic pathway between health promotion focus and sports practice. The theoretical and applied implications of these results for sports promotion are discussed

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Understanding the Paths to Appearance- and Performance-Enhancing Drug Use in Bodybuilding.

How do gym-goers who are normally not inclined to resort to appearance- and performance-enhancing drugs (APEDs) progressively normalize their use? Based on data collected through a year and a half of participant observation in a gym and 30 semi-directive interviews with practitioners with varying profiles in French-speaking Switzerland, this article examines the evolution of practitioners' relations with APED use by articulating various levels of analysis. Associated with social vulnerabilities, the progressive normalization of APED use is concomitant with the "conversion" to bodybuilding. Our results show the extent to which and under what conditions interactions within the layout of gyms can influence practices. From refusal to normalization, our results suggest that APEDs and the associated beliefs coincide with career stages, which we aim to bring to light here.

Sociocognitive self-regulatory mechanisms governing judgments of the acceptability and likelihood of sport cheating.

This study extends previous psychosocial literature (Bandura et al., 2001, 2003) by examining a structural model of the self-regulatory mechanisms governing the acceptability and likelihood of cheating in a sport context. Male and female adolescents (N = 804), aged 15-20 years, took part in this study. Negative affective self-regulatory efficacy influenced the acceptability and likelihood of cheating through the mediating role of moral disengagement, in females and males. Affective efficacy positively influenced prosocial behavior through moral disengagement or through resistive self-regulatory efficacy and social efficacy, in both groups. The direct effects of affective efficacy on beliefs about cheating were only evident in females. These results extend the findings of Bandura et al. (2001, 2003) to the sport context and suggest that affective and resistive self-regulatory efficacy operate in concert in governing adolescents' moral disengagement and transgressive behaviors in sport.

Effect of implicit theories on judgement of cheating acceptability in physical education: the mediating role of achievement goals.

We tested a hypothetical model that examined both the effects of implicit theories of ability on the judgement of cheating acceptability in a physical education context and the mediating role of the achievement goals defined in the social-cognitive model of achievement motivation. Data were collected from 477 middle-school students, who completed measures of implicit theories of ability, achievement goals, and judgement of cheating acceptability in team sports within a cross-sectional design. The results indicated that performance-approach and performance-avoidance goals mediated the relationships between entity theory and the judgement of cheating acceptability, and mastery-approach and mastery-avoidance goals mediated the relationships between incremental theory and the judgement of cheating acceptability. Further research is needed to determine whether these results would be replicated with other moral variables and other contexts.