Individual behavioral and cognitive-behavioral interventions for lifestyle change. : case studies

The purpose of this study was to assist the subjects in developing positive lifestyle change for weight control via behavioral and cognitive-behavioral interventions. In addition, this study explored the effectiveness of individualized self-management programs, which emphasized both proper nutrition and exercise for weight control. Subjects (N = 9) for the present study were solicited from an announcement made at a corporate fitness center regarding the beginning of a weight control program. The investigation utilized a pre program interview; the pre- and post program administrations of: (a) the Commitment to Physical Activity Scale (Corbin, Neilson, Bordsdorf & Laurie, 1987), CPA; (b) the Body Image Distortion Questionnaire (Mable, Balance & Galgan, 1986), BIDQ; (c) the Physical Self-Perception Profile and Perceived Importance Profile (Fox & Corbin, 1989), PSPP, PIP; (d) an exercise adherence questionnaire (Corbin & Lindsey, 1994), (e) pre- and post program fitness assessments; and a post program evaluation survey.

BIDQ and PSPP results suggested that many of the subjects improved in the amount of body image distortion and self-esteem levels with either behavioral or cognitive-behavioral interventions. However, those subjects that reported frequent use of cognitive-behavioral techniques, i.e., cognitive restructuring, reflected greater reductions in distortion levels and lower discrepancy scores associated with global self-esteem.

CPA and exercise adherence questionnaire results indicated many of the subjects had elevated adherence factor ratings and a higher level of motivation to exercise. This resulted from either behavioral or cognitive-behavioral interventions.

Post Program survey responses suggested that the subjects valued and supported program individualization. Gaining and understanding basic exercise and nutrition knowledge proved to be a powerful tool, aiding the subjects in increasing their sense of control over their personal program. Subjects also preferred gradual, positive lifestyle changes rather than "quick" and expensive diet programs.