One of the best predictors of successful weight loss
may have less to do with eating than with thinking.
A team of researchers from the University of Utrecht
in the Netherlands reports that obese people who think they
will be successful in weight loss shed significantly more
pounds than their counterparts who are less certain of their
ability to adhere to a weight-loss program. The results
are the latest to underscore the importance of "self-efficacy"
in fostering successful behavior change.
"Self-efficacy
is your confidence that you can perform a particular behavior,"
explains Carlo C. DiClemente, chairman of psychology at
the University of Maryland-Baltimore County and co-author
of the book "Changing for Good" (Avon).
First described by Stanford University psychologist
Albert Bandura, "self-efficacy is a potent predictor of
treatment outcome across dozens of health behaviors," notes
John C. Norcross, professor of psychology at the University
of Scranton. "In fact, it supports the age-old wisdom that
if you think you can succeed, you will, and if you don't,
you won't."
In the Utrecht study, researchers recruited 66 obese
men and women to participate in an eight-week, very-low-calorie
weight-loss program. Before entering the study, all participants
completed a questionnaire to assess their physical and mental
health, bodily self-esteem, eating behavior, social network,
sexual functioning and reasons for being overweight. During
the study, all participants received the same information,
support and direction on dieting, ate the same number of
daily calories and completed the same number of follow-up
visits during the study.
The study found that those "who perceived themselves
to be better able to control their weight, who did not attribute
their being overweight to a physical origin [which they
could not control] and who experience more self-efficacy
with respect to eating behavior, lost significantly more
weight," the team reports in the March issue of the Journal
of the American Dietetic Association. Strong self-efficacy
was the best predictor of weight-loss success.
All of which is well and good, you may say, but
how would people with low self-efficacy -- those who don't
think they can lose the weight -- get themselves to believe
they can? Here's what experts say has been proven to help
boost self-efficacy to achieve a healthier weight:
Start small. One way to strengthen self-efficacy
is to pick, and then accomplish, small goals that are easy
to meet. So instead of setting an ambitious diet overhaul,
start by improving just one meal. Or trade regular soda
for diet soda, whole milk for 1 percent, or a candy bar
snack with fruit or veggies. When you've mastered one goal,
move on to something else. "Success breeds self-efficacy,
which breeds success, which breeds self-efficacy," DiClemente
says.
Set goals for behavior, not weight loss.
"It's the behavior that gets you to your goal," Norcross
notes. Rather than aiming for a 30-pound weight loss, aim
at the steps that will get you there. "Instead of saying,
'I will lose two pounds,' tell yourself that my goal is
to change [specific] eating habits and exercise twice a
week for the next month," Norcross advises. The pounds will
take care of themselves if the right behaviors are in place.
Learn from your past weight-loss experience.
Few people who change their habits succeed on the first,
second or even third try. In fact, behavioral research suggests
that it takes at least half a dozen attempts -- and often
far more -- to instill a new habit. Those with strong self-efficacy
view these unsuccessful attempts not as failures, but as
teachable moments to learn what didn't work, experts say.
Look for a good role model. If you're looking
for inspiration, your best choice is someone similar to
you who has succeeded, a person who can provide something
called vicarious learning. "If I see someone who is like
me doing well with weight loss, then I think that I can
do this, too," DiClemente notes. But the flip side is that
if your role model starts slipping, it can erode your self-efficacy.
Get support. Recruit your spouse, friend,
colleague, relative or just someone who knows you and shares
your goal for better eating and increasing physical activity.
It's important for that person to provide constructive coaching,
not platitudes about character. "You want someone to whom
you can say, 'I blew it. I haven't been to the gym and I've
just been eating comfort food,' " Norcross notes. "And they'll
say, 'Tomorrow will be a better day. I know you can do this.
I've been there, too. ' "
Reward yourself. Although it may feel unfamiliar,
patting yourself on the back is a proven way to strengthen
self-efficacy. "You need to remind yourself that you can
do it," Norcross says. Give yourself a concrete reward as
you meet your goals. No need to spend money on rewards either:
Soak in a bubble bath, read a great book, listen to music
or take a respite from an onerous task such as cleaning.
In other words, Norcross says, "give yourself a break."