Introduction
Obesity is a significant public health problem in the United States. Over one-third of US, adults are obese, and the prevalence of obesity among children and adolescents has increased dramatically over the past few decades (James, 2018). There are many health consequences associated with obesity, including an increased risk for type 2 diabetes, heart disease, stroke, certain types of cancer, and osteoarthritis. The Centers for Disease Control and Prevention (CDC) estimates that obesity costs the US economy more than $147 billion each year in medical expenses, lost productivity, and taxes (USD) (Haththotuwa, Wijeyaratne & Senarath, 2020).
One possible way to reduce the health consequences associated with obesity is to understand the behavioral mechanisms that underlie it. Social cognitive theory (SCT) is a widely accepted framework for understanding how individuals think, feel, and behave in their environment (Rosengren, 2021). SCT posits that people are motivated primarily by three factors: cognitions (thinking about and evaluating information), emotions (feelings about oneself and the environment), and behaviors (actions we take) (James, 2018). Behavior is influenced by the individual’s goals and the context in which the goal is pursued. In obesity prevention, understanding how people think about and evaluate information about their weight is crucial because it can help them develop healthy eating habits and make positive changes to their lifestyle if they are overweight or obese(Haththotuwa, Wijeyaratne & Senarath, 2020). Thus, this paper will overview the significant tenets of SCT and how they can be used to understand obesity-related behaviors.
A theoretical framework as well as research questions or goals for a research or program proposal
The main goal of social cognitive theory in obesity prevention is to help individuals understand their thoughts, feelings, and behaviors related to obesity. Another goal is to help individuals make better decisions about weight-loss strategies (Oyibo, Orji & Vassileva, 2018). These are some possible research questions that could be explored using social cognitive theory in obesity prevention:
- What are the social cognitive determinants of obesity?
- How can social cognitive theory be used to prevent obesity?
- What are the most effective interventions for preventing obesity using social cognitive theory?
- What are the barriers to implementing social cognitive prevention interventions for obesity?
- How can social cognitive theory be used to improve individuals’ understanding and motivation for preventing obesity?
- What are the implications of social cognitive theory for obesity prevention?
Goals and Objectives and how they align to the theoretical framework
Goal:
- To understand how social cognitive theory can be used to prevent obesity in individuals: This goal will help to understand how social cognitive theory can prevent obesity in individuals. This goal will also help to identify critical aspects of the social cognitive theory that can be used in obesity prevention.
Objectives:
- To understand how social cognitive theory can help individuals develop healthy eating habits: This objective will help to understand how social cognitive theory can help individuals develop healthy eating habits. This objective will also help identify critical aspects of the social cognitive theory that can be used to develop healthy eating habits.
- To understand how social cognitive theory can help individuals understand the impact of their lifestyle choices on their weight: This objective will help to understand how social cognitive theory can help individuals understand the impact of their lifestyle choices on their weight. This objective will also help identify critical aspects of the social cognitive theory that can be used to understand the impact of lifestyle choices on weight.
Possible roadblocks and challenges in carrying out the research or program project
There are several potential barriers and challenges to implementing a social cognitive theory-based obesity prevention program. One challenge is that social cognitive theory posits that individual behavior is shaped by the interaction between personal factors (e.g., self-efficacy, social norms) and situational factors (e.g., environmental cues, task demands) (James, 2018). Thus, it is difficult to determine which environmental or task factors are most relevant to obesity prevention and how to modify them to achieve desired results. Another barrier is that social cognitive theory is complex, and many people may not fully understand the theory or its application to obesity prevention (Rosengren, 2021). Thus, engaging individuals in obesity prevention programs based on social cognitive theory may be complex.
Additionally, many people view obesity as a personal problem they are responsible for solving. Hence, it may be difficult to convince individuals to participate in obesity prevention programs based on social cognitive theory (Kapoor, 2021). However, by understanding the theory and its application to obesity prevention, program developers can more effectively engage individuals in the program and ensure that it is effective(Oyibo, Orji & Vassileva, 2018). Ultimately, overcoming these barriers will require a concerted effort by program developers and individuals interested in obesity prevention. It will also require a willingness to learn about the social cognitive theory and its application to obesity prevention.
The Importance of the Health Issue (Why Should We Care?) as well as the behavior issue-condition relationship
According to the National Institutes of Health, Obesity is having a body mass index (BMI) of 30 or higher. BMI is a measure of body fat based on height and weight. Obesity is not just a cosmetic concern (Kapoor, 2021). It is a medical problem that increases one’s risk for other diseases and health problems, such as heart disease, stroke, type 2 diabetes, and some types of cancer. In addition, obesity can lead to social problems, such as difficulties finding appropriate clothing and difficulty fitting into everyday activities (Bandera et al., 2021). This finding implies that obesity prevention should be aimed at preventing obesity-related illnesses and reducing social and behavioral problems.
The behavior issue-condition relationship is an essential principle in the social cognitive theory of obesity prevention. The behavior issue is the individual’s intention to engage in a particular behavior, and the condition is the environmental or situational factors that determine whether or not the behavior is likely to occur (Beauchamp, Crawford & Jackson, 2019). The social cognitive theory of obesity prevention suggests that individuals’ intentions and behaviors are influenced by their thoughts and beliefs about themselves and their surroundings (Harris, Carins, & Rundle-Thiele, 2021). For example, individuals who believe that they are overweight are more likely to engage in unhealthy behavior than those who do not believe that they are overweight.
Social cognitive theory is a popular perspective on how people think, feel, and behave. This theory suggests that people learn and behave in ways consistent with their beliefs about themselves and their world (Beauchamp, Crawford & Jackson, 2019). The beliefs that influence how people act are called schemas. Schemas are patterns of thought about oneself, other people, and the world around us (Catania et al., 2022). The following are four examples of obesity-related schemas:
- Thin is good – People who are obese often believe that being thin is the best way to be happy and prosperous. They may have unrealistic expectations about what it takes to be thin and may become discouraged if they do not achieve their ideal weight (Catania et al., 2022).
- I can control my eating – People who are obese often believe that they can control how much they eat. They may feel guilty if they overeat or think eating junk food is the only way to satisfy their hunger (Catania et al., 2022).
- Thin people do not have to work out – People who are obese may believe that being thin requires little effort. They may be less likely to exercise because they think it will make them look overweight (Catania et al., 2022).
- I cannot help being obese – Some people who are obese believe that there is nothing they can do to change their weight or health. This can lead to feelings of helplessness and hopelessness (Catania et al., 2022).
These four obesity-related schemas may lead to different behaviors, including overeating, not eating enough, not exercising, and avoiding healthy foods (Kapoor, 2021). It is essential for individuals who are obese to understand their bodies and mind so that they can make healthy choices for themselves. Research has shown that mindfulness can help reduce obesity-related stress and improve mental health (Oyibo, Orji & Vassileva, 2018). Mindfulness is a practice that involves paying attention to present-moment experiences without judgment. It is beneficial in reducing stress, anxiety, and depression (Catania et al., 2022).
Theoretical Framework
According to Social Cognitive Theory, humans are active agents in their socialization and are capable of shaping their behavior. This theory can be applied to obesity prevention in a few ways. First, individuals must believe that they are capable of change in order to take action. This belief is essential because it allows individuals to set goals and work toward them (Catania et al., 2022). For instance, individuals who believe they can lose weight and improve their health may be more motivated to change their lifestyle(Haththotuwa, Wijeyaratne & Senarath, 2020). Hence, obesity prevention can be successful by targeting individuals’ beliefs about their ability to change and succeed.
Social Cognitive Theory can help individuals understand why they are obese and what they need to do to change their behavior. This understanding can motivate individuals to take action and make healthy choices. In addition, social support from friends and family can help individuals achieve success in obesity prevention. Together, these strategies can lead to a healthier lifestyle and a reduced risk of developing obesity-related health conditions(Haththotuwa, Wijeyaratne & Senarath, 2020).
Besides, social cognitive theory suggests that individuals are motivated by feelings of self-efficacy (the belief that one can complete a task) and social approval (the feeling that others values or approves of one’s actions) (Catania et al., 2022). When individuals feel capable and approved, they are more likely to take action and maintain healthy behaviors. In order to promote obesity prevention, social institutions (For example, schools and workplaces) must provide individuals with the resources they need in order to be successful (For instance, information on healthy eating and exercise) (Oyibo, Orji & Vassileva, 2018).
Finally, social interventions (For example, health messages delivered by health professionals) can help to change individuals’ behaviors and achieve long-term obesity prevention (Beauchamp, Crawford & Jackson, 2019). The social cognitive theory suggests that health messages must be tailored to the individual and delivered engagingly (e.g., using humorous content). In addition, interventions must be repeated (For example, in order to change behavior, messages must be delivered multiple times), and they should also be accessible (i.e., affordable and available to everyone) (Catania et al., 2022). Overall, social factors (For instance, beliefs about one’s ability to change and succeed, social approval and health messages delivered by health professionals) can play an important role in obesity prevention. However, interventions must be tailored to the individual to be most effective.
Conclusion
Social cognitive theory is a valuable tool for obesity prevention because it emphasizes the importance of social and environmental factors in influencing individual behavior. The theory posits that individuals are more likely to engage in healthy behaviors if they have a positive outlook toward health and wellness and perceive their social environment as supportive of healthy choices. This theory can create interventions that target social and environmental factors to promote a healthy lifestyle among obese individuals. By doing so, we may be able to reduce the prevalence of obesity and associated health problems. Overall, the social cognitive theory is a valuable tool for obesity prevention that can be used in conjunction with other interventions to help individuals make healthy choices. Ultimately, this will help to reduce the prevalence of obesity and its associated health problems. Future research should focus on developing more effective interventions using social cognitive theory and testing these interventions in randomized controlled trials to determine their efficacy.
References
Bandera, E. V., Qin, B., Lin, Y., Zeinomar, N., Xu, B., Chanumolu, D., … & Hong, C. C. (2021). Association of body mass index, central Obesity, and body composition with mortality among black breast cancer survivors. JAMA oncology, 7(8), 1186-1195.
Beauchamp, M. R., Crawford, K. L., & Jackson, B. (2019). Social cognitive theory and physical activity: Mechanisms of behavior change, critique, and legacy. Psychology of Sport and Exercise, pp. 42, 110–117.
Catania, J., Spirou, D., Gascoigne, M., & Raman, J. (2022). Loss of control as a transdiagnostic feature in obesity‐related eating behaviors: A systematic review. European Eating Disorders Review.
Harris, J. A., Carins, J., & Rundle-Thiele, S. (2021). Can Social Cognitive Theory Influence Breakfast Frequency in an Institutional Context: A Qualitative Study. International Journal of Environmental Research and Public Health, 18(21), 11270.
Haththotuwa, R. N., Wijeyaratne, C. N., & Senarath, U. (2020). Worldwide epidemic of obesity. In obesity and obstetrics (pp. 3–8). Elsevier.
James, W. P. T. (2018). Obesity: a global public health challenge. Clinical chemistry, 64(1), 24–29.
Kapoor, N. (2021). Thin fat Obesity: The tropical phenotype of obesity. Endotext [Internet].
Oyibo, K., Orji, R., & Vassileva, J. (2018). Developing culturally relevant design guidelines for encouraging physical activity: a social cognitive theory perspective. Journal of Healthcare Informatics Research, 2(4), 319-352.
Rosengren, A. (2021). Obesity and cardiovascular health: the size of the problem. European Heart Journal, 42(34), 3404-3406.