ArticleTranslational behavioral medicine2014
Mediators and moderators of behavior change in patients with chronic cardiopulmonary disease: the impact of positive affect and self-affirmation.
Article in Translational behavioral medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Renegotiating dimensions of the self: A systematic review and qualitative evidence synthesis of the lived experience of self-managing rheumatoid arthritis.Health expectations : an international journal of public participation in health care and health policy · 2020Pooled it
- Self-management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary disease.The Cochrane database of systematic reviews · 2017Pooled it
- Positive psychological well-being and clinical characteristics in IBS: A systematic review.General hospital psychiatryPooled it
- Positive affect predicts enhanced quality of life and glycemic outcomes in adolescents with type 1 diabetes.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2026Trial
- Trial
- Randomized Controlled Pilot Trial of a Low-Touch Remotely-Delivered Values Intervention to Promote Adherence to Adjuvant Endocrine Therapy Among Breast Cancer Survivors.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022Trial
- Changing the Health Behavior of Patients With Cardiovascular Disease Through an Electronic Health Intervention in Three Different Countries: Cost-Effectiveness Study in the Do Cardiac Health: Advanced New Generation Ecosystem (Do CHANGE) 2 Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
- A Personalized eHealth Intervention for Lifestyle Changes in Patients With Cardiovascular Disease: Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
- Randomized controlled trial of a facilitated online positive emotion regulation intervention for dementia caregivers.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2019Trial
- Innovative approaches to weight loss in a high-risk population: The small changes and lasting effects (SCALE) trial.Obesity (Silver Spring, Md.) · 2017Trial
- Randomized controlled trial of a positive affect intervention for people newly diagnosed with HIV.Journal of consulting and clinical psychology · 2017Trial
- Results from the Trial Using Motivational Interviewing, Positive Affect, and Self-Affirmation in African Americans with Hypertension (TRIUMPH).Ethnicity & disease · 2016Trial
- Small Changes and Lasting Effects (SCALE) Trial: the formation of a weight loss behavioral intervention using EVOLVE.Contemporary clinical trials · 2015Trial
- Effective pathways for driving self-management among older adults with osteoporosis: a structural equation modeling study based on individual and family self-management theories.Frontiers in public health · 2026Article
- A longitudinal assessment of chronic care pathways in real-life: self-care and outcomes of chronic heart failure patients in Tuscany.BMC health services research · 2022Article
- A Brief mHealth-Based Psychological Intervention in Emotion Regulation to Promote Positive Subjective Well-Being in Cardiovascular Disease Patients: A Non-Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2022Article
- Leveraging values to promote adherence to endocrine therapy among breast cancer survivors: A mixed-methods investigation.Journal of contextual behavioral science · 2022Article
- Patient contracts for chronic medical conditions: Scoping review.Canadian family physician Medecin de famille canadien · 2022Article
- Changed health behavior improves subjective well-being and vice versa in a follow-up of 9 years.Health and quality of life outcomes · 2022Article
- Design of a randomized controlled trial of digital health and community health worker support for diabetes management among low-income patients.Contemporary clinical trials communications · 2022Article
Corrections and comments
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Authors and funding
10 authors.
Funding
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 < .01). Behavior-specific self-efficacy also predicted success (p < .01). Induction of positive affect played a critical role in buffering against the adverse behavioral consequences of stress. Patients who experienced either negative psychosocial changes (p < .05) or interval negative life events (p < .05) fared better with the PA intervention than without it. The PA intervention increased self-efficacy and promoted success in behavior change by buffering stress.
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Registered trials
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