Cognitive-Motivational Influences on Health Behavior Change in Adults with XXXX .

@entity1 @entity4512 @entity2531 @entity158 @entity1118
OBJECTIVE: The primary aim was to assess the psychological factors that influence engagement in health behaviors in individuals with @entity1118 using a new measure, the Behavioral Engagement Test for @entity1118 (BET-CP). A secondary aim was to determine preliminary psychometric properties of the BET-CP. SUBJECTS: @entity1 were 86 adults with chronic @entity4512 recruited from University of @entity158 clinics and the community. METHODS: @entity1 completed a battery of self-report instruments online, including the BET-CP and measures of related constructs. Items on the BET-CP assessed motivation, self-efficacy, outcome expectations, and the symptom benefit required to engage across four health behaviors: exercise, diet, sleep, and @entity158 self-management (e.g., relaxation and activity pacing). RESULTS: @entity1 reported modest expectations of @entity158 -related symptom improvement if they practiced the health behaviors (22-26% improvement), but they required twice that (47-54% improvement) to make it worth their while to commit to practicing them. @entity1 expected to get the most symptom relief from relaxation and activity pacing, but they were most confident and motivated to eat a healthy diet. In a subsample of @entity1 who provided data for psychometric analysis, the BET-CP demonstrated strong test-retest reliability across 7 days and adequate convergent validity. CONCLUSION: While @entity1 with @entity4512 have outcome expectancies that are nearly in line with research on @entity158 treatments, their stringent requirements for symptom benefit may impede engagement in the health behaviors recommended for their @entity2531 . Additional psychometric study with larger sample sizes is needed to further validate the BET-CP.
