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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: BACKGROUND, OBJECTIVE, METHODS, RESULTS. Meshes: Analysis of Variance, Diabetes Mellitus, Type 2, Employment, Female, Goals, Humans, Life Style, Logistic Models, Male, Middle Aged, Obesity, Patient Dropouts, Psychology, Self Efficacy.
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Does low goal ownership predict drop-out from a weight intervention study in overweight patients with type 2 diabetes? Context: Drop-out is a major problem in weight loss studies. Although previous attrition research has examined some predictors of drop-out, theoretically grounded research on psychological predictors of drop-out from weight interventions has been lacking. To examine psychological predictors of drop-out from a weight reduction study in diabetes type 2 patients. A clinical trial was conducted with 101 overweight/obese (body mass index >27) diabetes type 2 patients. Patients were randomly assigned to a self-regulation intervention, an active control group, and a passive control group. Psychological, somatic, socio-demographic, and lifestyle variables were examined as predictors of drop-out from baseline to 6 months follow-up. Multiple logistic regression analysis indicated that low autonomous regulation or low 'goal ownership' was the best predictor of drop-out.
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It is suggested that the assessment of 'goal ownership' prior to a weight reduction intervention could identify patients who are sufficiently motivated to participate. Patients who score low on 'goal ownership' may be offered pretreatment interventions to increase their motivation. Final Decision: yes