Mediators and moderators of behavior change in patients with chronic cardiopulmonary disease: The impact of positive affect and self-affirmation

Mary E. Charlson, Martin T. Wells, Janey C. Peterson, Carla Boutin-Foster, Gbenga O. Ogedegbe, Carol A. Mancuso, James P. Hollenberg, John P. Allegrante, Jared Jobe, Alice M. Isen

Research output: Contribution to journalArticle

Abstract

Among patients with chronic cardiopulmonary disease, increasing healthy behaviors improves outcomes, but such behavior changes are difficult for patients to make and sustain over time. This study aims to demonstrate how positive affect and self-affirmation improve health behaviors compared with a patient education control group. The patient education (PE control) patients completed a behavioral contract, promising to increase their physical activity or their medication adherence and received an educational guide. In addition to the contract and guide, the positive affect/self-affirmation intervention (PA intervention) patients also learned to use positive affect and self-affirmation to facilitate behavior change. Follow-up was identical. In 756 patients, enrolled in three randomized trials, the PA intervention resulted in increased positive affect and more success in behavior change than the PE control (p

Original languageEnglish (US)
Pages (from-to)7-17
Number of pages11
JournalTranslational Behavioral Medicine
Volume4
Issue number1
DOIs
StatePublished - 2014

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Chronic Disease
Patient Education
Contracts
Medication Adherence
Health Behavior
Exercise
Control Groups

Keywords

  • Behavior change
  • Positive affect
  • Self-affirmation
  • Self-efficacy
  • Stress

ASJC Scopus subject areas

  • Behavioral Neuroscience
  • Applied Psychology

Cite this

Mediators and moderators of behavior change in patients with chronic cardiopulmonary disease : The impact of positive affect and self-affirmation. / Charlson, Mary E.; Wells, Martin T.; Peterson, Janey C.; Boutin-Foster, Carla; Ogedegbe, Gbenga O.; Mancuso, Carol A.; Hollenberg, James P.; Allegrante, John P.; Jobe, Jared; Isen, Alice M.

In: Translational Behavioral Medicine, Vol. 4, No. 1, 2014, p. 7-17.

Research output: Contribution to journalArticle

Charlson, ME, Wells, MT, Peterson, JC, Boutin-Foster, C, Ogedegbe, GO, Mancuso, CA, Hollenberg, JP, Allegrante, JP, Jobe, J & Isen, AM 2014, 'Mediators and moderators of behavior change in patients with chronic cardiopulmonary disease: The impact of positive affect and self-affirmation', Translational Behavioral Medicine, vol. 4, no. 1, pp. 7-17. https://doi.org/10.1007/s13142-013-0241-0
Charlson, Mary E. ; Wells, Martin T. ; Peterson, Janey C. ; Boutin-Foster, Carla ; Ogedegbe, Gbenga O. ; Mancuso, Carol A. ; Hollenberg, James P. ; Allegrante, John P. ; Jobe, Jared ; Isen, Alice M. / Mediators and moderators of behavior change in patients with chronic cardiopulmonary disease : The impact of positive affect and self-affirmation. In: Translational Behavioral Medicine. 2014 ; Vol. 4, No. 1. pp. 7-17.
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