Joy Burnham - Academia.edu (original) (raw)
Papers by Joy Burnham
Educational research quarterly, 2019
University o f A la b a m a W hile exploring several demographic variables fo r the fir s t time,... more University o f A la b a m a W hile exploring several demographic variables fo r the fir s t time, this study fo u n d significant differences across urban, rural, and suburban locations, age level, gender, and racial identity. There were 4 8 7 students in Grades 2-1 2 in this study. Previous fe a r studies have investigated the impact o f living in a rural or urban communities on children, thus only a limited number o f studies are available fo r comparison purposes. The findings fo r this study revealed that while considering geographic location, significant differences were reported across race, age, and gender, based on the five fear-factors identified on the elementary version o f the F S S C-A M (Burnham, 2005). Two unique perspectives were gatheredfrom this research and severalfindings merit further review. Specifically, this study p u t forw ard distinctive findings that rendered greater understanding o f how yo u th differ across gender, age, location, and racial identity in relation to fears. While implications fo r counselors are offered, results are useful fo r educators and other helping professionals who work with school-aged children and adolescents.
Canadian Journal of Counselling and Psychotherapy, 2018
Although research on children’s fears is available, there is a gap in the literature concerning t... more Although research on children’s fears is available, there is a gap in the literature concerning the fears of children with disabilities. We used the Fear Survey Schedule for Children (FSSC-AM; Burnham, 2005) to examine age, racial, and gender differences of 404 children (ages 7–20), including 50% with disabilities and 50% without disabilities. Significant fear differences were reported across gender, age, race, and disability. For example, children with intellectual disabilities had more fears related to safety. Both younger and older children with moderate to profound disabilities had significantly more fear than their peers without disabilities. This study broadened the examination of fears in children with moderate, severe, and profound disabilities.
Journal of Computing in Teacher Education, 2009
This study examined cyberbullying in three distinct phases to facilitate a multifaceted understan... more This study examined cyberbullying in three distinct phases to facilitate a multifaceted understanding of cyberbullying. The phases included (a) a quantitative survey, (b) a qualitative focus group, and (c) development of educational scenarios/simulations (within the Second Life virtual environment). Phase III was based on adolescent feedback about cyberbullying from Phases I and II of this study. In all three phases, adolescent reactions to cyberbullying were examined and reported to raise awareness and to educate others about cyberbullying. Results from scenario development indicate that simulations created in a virtual environment are engaging and have the potential to be powerful tools in helping schools address problems such as cyberbullying education and prevention. (Keywords: cyberbullying, virtual worlds, Second Life, teacher education, counselor education)
Journal of school counseling, 2018
Counseling and non-counseling duties were investigated. The Assessment of School Counselor Needs ... more Counseling and non-counseling duties were investigated. The Assessment of School Counselor Needs for Professional Development (ASCNPD; Dahir & Stone, 2003, 2004) was used to examine the practices of 1,244 school counselors to determine the prevalence of the activities among school counselors. Principal component analysis indicated a two-factor structure for the ASCNPD related to “counseling duties” and “noncounseling duties.” Additional analyses using MANOVA revealed significant grade level differences and urban and rural school differences. Results and implications related to counseling roles and role confusion are discussed.
Journal of Human Lactation, 2018
Background: Breastfeeding self-efficacy and breastfeeding intention are two modifiable factors th... more Background: Breastfeeding self-efficacy and breastfeeding intention are two modifiable factors that influence rates of breastfeeding initiation. Research Aims: (1) To develop a scale to measure prenatal breastfeeding self-efficacy, and (2) test its psychometric properties by determining the internal consistency and reliability, and (3) assess the relationships between prenatal breastfeeding self-efficacy and breastfeeding intention. Methods: Cross-sectional prospective one-group survey design was used. A convenience sample of pregnant patients attending an obstetrics and gynecology clinic ( N=124) completed a survey at the recruitment site that assessed demographics, breastfeeding intention, and breastfeeding self-efficacy theory constructs. Retest surveys ( n=14) were taken home and returned to the researcher by mail after completion. Results: Cronbach’s alpha for the 39-item scale was .98 (test) and .97 (retest) with an item-to-total correlation range of .54 to .78. A four-factor ...
Measurement and Evaluation in Counseling and Development, 2005
Abstract Twenty contemporary fears (e.g., terrorist attacks, drive-by shootings, having to fight ... more Abstract Twenty contemporary fears (e.g., terrorist attacks, drive-by shootings, having to fight in a war) were added to E. Gullone and N. J. King’s (1992) Australian Fear Survey Schedule for Children-I I for use in the United States. The revised survey, the American Fear Survey Schedule for Children (J J. Burnham, 1995), was investigated The component structure was examined; findings on fears are reported for Grades 2-12.
Alabama Counseling Association Journal, 2006
This study was designed to investigate the fears of children and adolescents in Alabama in the af... more This study was designed to investigate the fears of children and adolescents in Alabama in the aftermath of 9/11 and after the initial invasion of Iraq in 2003. The American Fear Survey Schedule for Children (FSSC-AM; Burnham, 1995, 2005) was utilized to measure the fears of youth in Grades 2-12.
Alabama Counseling Association Journal, 2008
The Alabama Department of Education (ALSDE) introduced the revised Comprehensive Counseling and G... more The Alabama Department of Education (ALSDE) introduced the revised Comprehensive Counseling and Guidance State Model for Alabama Public Schools (State Plan) in 2003.
Alabama Counseling Association Journal, 2012
Cyberbullying is a growing concern because youth are technologically savvy. Much is to be learned... more Cyberbullying is a growing concern because youth are technologically savvy. Much is to be learned about this pervasive phenomenon, especially during the middle school years when cyberbullying often peaks. This focus group study examined cyberbullying attitudes, beliefs, and opinions among middle school students in Alabama and describes conversations middle school students shared in the interviews. Cyberbullying: What Students Want You to Know Cyberbullying is an emergent 21st century dilemma, largely because of the increased use of online and mobile technologies among school-aged youth (
Journal of Interactive Online Learning
attachments, as technology has progressed so have the techniques and methods of collaborating. Ho... more attachments, as technology has progressed so have the techniques and methods of collaborating. However, often, faculty adhere to traditional methods of sharing work and thus may be unwilling to try new, innovative methods of co-creating writing products, which can be more efficient and manageable. Most recently, a technology appropriately named "wiki" (in Hawaiian, wiki-wiki means quick) has taken the web world by storm. In brief, a wiki refers to an online technology in which, using a web browser, users can contribute, change, and interact with content via one website. This technology allows for a convenient, and typically userfriendly, site in which users can share knowledge, organize and manage large projects, participate, and collaborate. Moreover, it eliminates the need for removable storage devices such as USB thumb or flash drives and CD's. A wiki can also allow one or more collaborators (e.g., authors, educators, grant writers, and so forth) to interact with a website that can either be public (e.g., Wikipedia) or private (e.g., the one we created to manage our book writing efforts from start to finish). Currently, we are three tenured faculty members at one major southeastern university. In our journey of promotion and tenure at that university, we noted many questions and concerns that surrounded the development of an annual academic dossier, an important collection of evidence that documents a faculty member's successes in the academy's triad of teaching, research, and service. In searching the literature base for recommendations regarding dossier development (i.e., the process and content), we found limited articles and books that addressed the subject. We saw an opportunity to collaborate on a much-needed book, which would help demystify the process of creating and maintaining an academic dossier. While colleagues and friends in the academy, the three of us had not previously collaborated on a project. This would be our first. As we began sharing and brainstorming ideas for the book during spring, 2007, we searched for ways to collect and archive our ideas. As our book ideas grew (e.g., multiple chapter ideas, summaries of existing literature, and collected examples), we asked ourselves how
National educational policies and initiatives around the start of the 21st century, including the... more National educational policies and initiatives around the start of the 21st century, including the No Child Left Behind Act (2001), changed the nature and operation of schools across the United States. Today, as schools face growing educational demands and expectations, they have taken into account how to respond to societal factors, including economic instabilities, nontraditional family configurations, transiency, increasing numbers of English-language learners, and evolving technological advancements (Amatea & Clark, 2005). The impact of these demands has forced educators to rethink what needs to be accomplished in schools, and by whom (Gardner, 1999; Schlechty, 1997). The need to reconsider how school counseling programs operate also came under scrutiny as the 20th century drew to a close ___________________________________________ Significant Changes in School Counseling and the Role of the School Counselor Historically, school counselors' voices were never on the forefront ...
TheScientificWorldJournal, 2012
Researchers have reported how Hurricane Katrina has affected teachers who work with Kindergarten ... more Researchers have reported how Hurricane Katrina has affected teachers who work with Kindergarten to Grade 12 (K-12), yet little is known about how the natural disaster has affected other important K-12 faculty and staff (e.g., coaches, librarians, school counselors, and cafeteria workers). Missing from the literature is the impact that this natural disaster has had on these formal (school counselors) and informal (coaches, librarians) helpers of K-12 students. Using a focus group methodology, the authors examined the aftereffects of Hurricane Katrina on 12 school employees in New Orleans, Louisiana, 18 months after the hurricane. Informed by qualitative content analysis, three emergent themes were identified: emotion-focused aftereffects, positive coping, and worry and fear. The implications for future research and promoting hope in mental health counseling are discussed.
Journal of Psychological Trauma, 2008
Several studies have found that youth have increased fears after exposure to disasters, although ... more Several studies have found that youth have increased fears after exposure to disasters, although few studies have examined the effects of the Hurricane Katrina disaster among youth (Weissbecker, Sephton,
The Professional Counselor, 2012
This study sought to develop meaningful and engaging virtual cyberbullying scenarios in digital e... more This study sought to develop meaningful and engaging virtual cyberbullying scenarios in digital environments that reflect the educational needs of today's adolescents. In order to inform and script these scenarios, a threestage study was implemented with middle schools. This paper describes how data collected in each stage informed the cyberbullying scenarios' development. The authors share implications for educational use in middle school counseling.
The Family Journal, 2009
In this exploratory, correlational study, the researchers examined the extent to which select fam... more In this exploratory, correlational study, the researchers examined the extent to which select family systems theory constructs were associated with self-reported current weight among a sample of 77 primarily non-Hispanic Black adolescents. We also explored the extent to which select parental and familial constructs (family cohesion, family conflict, family resources, and perceptions of weight), and parents' current weight status separately and taken together predicted adolescents' current weight. Bivariate analyses suggested that adolescents' self-reported weight status is correlated with factors from multiple levels in which the adolescent is embedded; adolescent weight status was positively associated with parent- and family-level factors. Furthermore, the exploratory regression model established the existence of a small significant relationship (22% of the variance) between the parent- and family-level constructs and adolescent weight status, with parents' percept...
Psychology in the Schools, 2006
ABSTRACT Fears profiles among children and adolescents were explored using the Fear Survey Schedu... more ABSTRACT Fears profiles among children and adolescents were explored using the Fear Survey Schedule for Children-American version (FSSC-AM; J.J. Burnham, 1995, 2005). Eight cluster profiles were identified via multistage Euclidean grouping and supported by homogeneity coefficients and replication. Four clusters reflected overall level of fears (i.e., very low, below average, moderate, and multiple), and four others exhibited specific peaks associated with school-related fears, medical fears, and scary things. Demographic characteristics associated with cluster profile membership revealed variability primarily based on gender and age, with some differences associated with community type. Comparisons with prior results on earlier fear surveys and implications for school refusal behavior provide a useful context for discussion. © 2006 Wiley Periodicals, Inc. Psychol Schs 43: 673–683, 2006.
Professional School Counseling, 2009
NASSP Bulletin, 2010
School principals and school counselors have the ability to forge a unique collaborative relation... more School principals and school counselors have the ability to forge a unique collaborative relationship to improve student achievement. Historically, school counselors have altered the primary focus of their work as deemed by the perspective of their principals.With an emphasis on improving student success in school, this study revealed the differences in counselor-principal priorities and perceptions and suggests the importance of counselor and principal collaboration to support this common goal.
Journal of the American Dietetic Association, 2008
An estimated 65% of US adults are currently either overweight or obese (1), defined as having a b... more An estimated 65% of US adults are currently either overweight or obese (1), defined as having a body mass index (BMI; calculated as kg/m 2) ≥ 25. Although the knowledge base about weight management and nutrition continues to expand, little progress has been made in long-term maintenance interventions (2-6), excluding surgery (3). Behavior modification continues to be the cornerstone of obesity intervention (7). Historically, traditional behavioral interventions emphasize adjustments in food intake, increases in physical activity, and increased knowledge, which reduces weight management to a simplistic equation (8) of "energy in equaling energy out." This equation creates the illusion that individuals can attain their goals simply by adjusting these selected variables. Although an energy deficit is necessary for reducing body weight, weight loss has been difficult to sustain over the long term (3) and often does not explore an individual's relationship with food. In addition, many individuals have the knowledge to implement healthful lifestyle practices, but do not operationalize their knowledge. Therefore, additional variables need to be considered in the weight-management equation because, when traditional variables are used and modified alone, sustained weight management is unsuccessful (9), with up to 80% of individuals who lose weight gradually regaining it back (10).
Educational research quarterly, 2019
University o f A la b a m a W hile exploring several demographic variables fo r the fir s t time,... more University o f A la b a m a W hile exploring several demographic variables fo r the fir s t time, this study fo u n d significant differences across urban, rural, and suburban locations, age level, gender, and racial identity. There were 4 8 7 students in Grades 2-1 2 in this study. Previous fe a r studies have investigated the impact o f living in a rural or urban communities on children, thus only a limited number o f studies are available fo r comparison purposes. The findings fo r this study revealed that while considering geographic location, significant differences were reported across race, age, and gender, based on the five fear-factors identified on the elementary version o f the F S S C-A M (Burnham, 2005). Two unique perspectives were gatheredfrom this research and severalfindings merit further review. Specifically, this study p u t forw ard distinctive findings that rendered greater understanding o f how yo u th differ across gender, age, location, and racial identity in relation to fears. While implications fo r counselors are offered, results are useful fo r educators and other helping professionals who work with school-aged children and adolescents.
Canadian Journal of Counselling and Psychotherapy, 2018
Although research on children’s fears is available, there is a gap in the literature concerning t... more Although research on children’s fears is available, there is a gap in the literature concerning the fears of children with disabilities. We used the Fear Survey Schedule for Children (FSSC-AM; Burnham, 2005) to examine age, racial, and gender differences of 404 children (ages 7–20), including 50% with disabilities and 50% without disabilities. Significant fear differences were reported across gender, age, race, and disability. For example, children with intellectual disabilities had more fears related to safety. Both younger and older children with moderate to profound disabilities had significantly more fear than their peers without disabilities. This study broadened the examination of fears in children with moderate, severe, and profound disabilities.
Journal of Computing in Teacher Education, 2009
This study examined cyberbullying in three distinct phases to facilitate a multifaceted understan... more This study examined cyberbullying in three distinct phases to facilitate a multifaceted understanding of cyberbullying. The phases included (a) a quantitative survey, (b) a qualitative focus group, and (c) development of educational scenarios/simulations (within the Second Life virtual environment). Phase III was based on adolescent feedback about cyberbullying from Phases I and II of this study. In all three phases, adolescent reactions to cyberbullying were examined and reported to raise awareness and to educate others about cyberbullying. Results from scenario development indicate that simulations created in a virtual environment are engaging and have the potential to be powerful tools in helping schools address problems such as cyberbullying education and prevention. (Keywords: cyberbullying, virtual worlds, Second Life, teacher education, counselor education)
Journal of school counseling, 2018
Counseling and non-counseling duties were investigated. The Assessment of School Counselor Needs ... more Counseling and non-counseling duties were investigated. The Assessment of School Counselor Needs for Professional Development (ASCNPD; Dahir & Stone, 2003, 2004) was used to examine the practices of 1,244 school counselors to determine the prevalence of the activities among school counselors. Principal component analysis indicated a two-factor structure for the ASCNPD related to “counseling duties” and “noncounseling duties.” Additional analyses using MANOVA revealed significant grade level differences and urban and rural school differences. Results and implications related to counseling roles and role confusion are discussed.
Journal of Human Lactation, 2018
Background: Breastfeeding self-efficacy and breastfeeding intention are two modifiable factors th... more Background: Breastfeeding self-efficacy and breastfeeding intention are two modifiable factors that influence rates of breastfeeding initiation. Research Aims: (1) To develop a scale to measure prenatal breastfeeding self-efficacy, and (2) test its psychometric properties by determining the internal consistency and reliability, and (3) assess the relationships between prenatal breastfeeding self-efficacy and breastfeeding intention. Methods: Cross-sectional prospective one-group survey design was used. A convenience sample of pregnant patients attending an obstetrics and gynecology clinic ( N=124) completed a survey at the recruitment site that assessed demographics, breastfeeding intention, and breastfeeding self-efficacy theory constructs. Retest surveys ( n=14) were taken home and returned to the researcher by mail after completion. Results: Cronbach’s alpha for the 39-item scale was .98 (test) and .97 (retest) with an item-to-total correlation range of .54 to .78. A four-factor ...
Measurement and Evaluation in Counseling and Development, 2005
Abstract Twenty contemporary fears (e.g., terrorist attacks, drive-by shootings, having to fight ... more Abstract Twenty contemporary fears (e.g., terrorist attacks, drive-by shootings, having to fight in a war) were added to E. Gullone and N. J. King’s (1992) Australian Fear Survey Schedule for Children-I I for use in the United States. The revised survey, the American Fear Survey Schedule for Children (J J. Burnham, 1995), was investigated The component structure was examined; findings on fears are reported for Grades 2-12.
Alabama Counseling Association Journal, 2006
This study was designed to investigate the fears of children and adolescents in Alabama in the af... more This study was designed to investigate the fears of children and adolescents in Alabama in the aftermath of 9/11 and after the initial invasion of Iraq in 2003. The American Fear Survey Schedule for Children (FSSC-AM; Burnham, 1995, 2005) was utilized to measure the fears of youth in Grades 2-12.
Alabama Counseling Association Journal, 2008
The Alabama Department of Education (ALSDE) introduced the revised Comprehensive Counseling and G... more The Alabama Department of Education (ALSDE) introduced the revised Comprehensive Counseling and Guidance State Model for Alabama Public Schools (State Plan) in 2003.
Alabama Counseling Association Journal, 2012
Cyberbullying is a growing concern because youth are technologically savvy. Much is to be learned... more Cyberbullying is a growing concern because youth are technologically savvy. Much is to be learned about this pervasive phenomenon, especially during the middle school years when cyberbullying often peaks. This focus group study examined cyberbullying attitudes, beliefs, and opinions among middle school students in Alabama and describes conversations middle school students shared in the interviews. Cyberbullying: What Students Want You to Know Cyberbullying is an emergent 21st century dilemma, largely because of the increased use of online and mobile technologies among school-aged youth (
Journal of Interactive Online Learning
attachments, as technology has progressed so have the techniques and methods of collaborating. Ho... more attachments, as technology has progressed so have the techniques and methods of collaborating. However, often, faculty adhere to traditional methods of sharing work and thus may be unwilling to try new, innovative methods of co-creating writing products, which can be more efficient and manageable. Most recently, a technology appropriately named "wiki" (in Hawaiian, wiki-wiki means quick) has taken the web world by storm. In brief, a wiki refers to an online technology in which, using a web browser, users can contribute, change, and interact with content via one website. This technology allows for a convenient, and typically userfriendly, site in which users can share knowledge, organize and manage large projects, participate, and collaborate. Moreover, it eliminates the need for removable storage devices such as USB thumb or flash drives and CD's. A wiki can also allow one or more collaborators (e.g., authors, educators, grant writers, and so forth) to interact with a website that can either be public (e.g., Wikipedia) or private (e.g., the one we created to manage our book writing efforts from start to finish). Currently, we are three tenured faculty members at one major southeastern university. In our journey of promotion and tenure at that university, we noted many questions and concerns that surrounded the development of an annual academic dossier, an important collection of evidence that documents a faculty member's successes in the academy's triad of teaching, research, and service. In searching the literature base for recommendations regarding dossier development (i.e., the process and content), we found limited articles and books that addressed the subject. We saw an opportunity to collaborate on a much-needed book, which would help demystify the process of creating and maintaining an academic dossier. While colleagues and friends in the academy, the three of us had not previously collaborated on a project. This would be our first. As we began sharing and brainstorming ideas for the book during spring, 2007, we searched for ways to collect and archive our ideas. As our book ideas grew (e.g., multiple chapter ideas, summaries of existing literature, and collected examples), we asked ourselves how
National educational policies and initiatives around the start of the 21st century, including the... more National educational policies and initiatives around the start of the 21st century, including the No Child Left Behind Act (2001), changed the nature and operation of schools across the United States. Today, as schools face growing educational demands and expectations, they have taken into account how to respond to societal factors, including economic instabilities, nontraditional family configurations, transiency, increasing numbers of English-language learners, and evolving technological advancements (Amatea & Clark, 2005). The impact of these demands has forced educators to rethink what needs to be accomplished in schools, and by whom (Gardner, 1999; Schlechty, 1997). The need to reconsider how school counseling programs operate also came under scrutiny as the 20th century drew to a close ___________________________________________ Significant Changes in School Counseling and the Role of the School Counselor Historically, school counselors' voices were never on the forefront ...
TheScientificWorldJournal, 2012
Researchers have reported how Hurricane Katrina has affected teachers who work with Kindergarten ... more Researchers have reported how Hurricane Katrina has affected teachers who work with Kindergarten to Grade 12 (K-12), yet little is known about how the natural disaster has affected other important K-12 faculty and staff (e.g., coaches, librarians, school counselors, and cafeteria workers). Missing from the literature is the impact that this natural disaster has had on these formal (school counselors) and informal (coaches, librarians) helpers of K-12 students. Using a focus group methodology, the authors examined the aftereffects of Hurricane Katrina on 12 school employees in New Orleans, Louisiana, 18 months after the hurricane. Informed by qualitative content analysis, three emergent themes were identified: emotion-focused aftereffects, positive coping, and worry and fear. The implications for future research and promoting hope in mental health counseling are discussed.
Journal of Psychological Trauma, 2008
Several studies have found that youth have increased fears after exposure to disasters, although ... more Several studies have found that youth have increased fears after exposure to disasters, although few studies have examined the effects of the Hurricane Katrina disaster among youth (Weissbecker, Sephton,
The Professional Counselor, 2012
This study sought to develop meaningful and engaging virtual cyberbullying scenarios in digital e... more This study sought to develop meaningful and engaging virtual cyberbullying scenarios in digital environments that reflect the educational needs of today's adolescents. In order to inform and script these scenarios, a threestage study was implemented with middle schools. This paper describes how data collected in each stage informed the cyberbullying scenarios' development. The authors share implications for educational use in middle school counseling.
The Family Journal, 2009
In this exploratory, correlational study, the researchers examined the extent to which select fam... more In this exploratory, correlational study, the researchers examined the extent to which select family systems theory constructs were associated with self-reported current weight among a sample of 77 primarily non-Hispanic Black adolescents. We also explored the extent to which select parental and familial constructs (family cohesion, family conflict, family resources, and perceptions of weight), and parents' current weight status separately and taken together predicted adolescents' current weight. Bivariate analyses suggested that adolescents' self-reported weight status is correlated with factors from multiple levels in which the adolescent is embedded; adolescent weight status was positively associated with parent- and family-level factors. Furthermore, the exploratory regression model established the existence of a small significant relationship (22% of the variance) between the parent- and family-level constructs and adolescent weight status, with parents' percept...
Psychology in the Schools, 2006
ABSTRACT Fears profiles among children and adolescents were explored using the Fear Survey Schedu... more ABSTRACT Fears profiles among children and adolescents were explored using the Fear Survey Schedule for Children-American version (FSSC-AM; J.J. Burnham, 1995, 2005). Eight cluster profiles were identified via multistage Euclidean grouping and supported by homogeneity coefficients and replication. Four clusters reflected overall level of fears (i.e., very low, below average, moderate, and multiple), and four others exhibited specific peaks associated with school-related fears, medical fears, and scary things. Demographic characteristics associated with cluster profile membership revealed variability primarily based on gender and age, with some differences associated with community type. Comparisons with prior results on earlier fear surveys and implications for school refusal behavior provide a useful context for discussion. © 2006 Wiley Periodicals, Inc. Psychol Schs 43: 673–683, 2006.
Professional School Counseling, 2009
NASSP Bulletin, 2010
School principals and school counselors have the ability to forge a unique collaborative relation... more School principals and school counselors have the ability to forge a unique collaborative relationship to improve student achievement. Historically, school counselors have altered the primary focus of their work as deemed by the perspective of their principals.With an emphasis on improving student success in school, this study revealed the differences in counselor-principal priorities and perceptions and suggests the importance of counselor and principal collaboration to support this common goal.
Journal of the American Dietetic Association, 2008
An estimated 65% of US adults are currently either overweight or obese (1), defined as having a b... more An estimated 65% of US adults are currently either overweight or obese (1), defined as having a body mass index (BMI; calculated as kg/m 2) ≥ 25. Although the knowledge base about weight management and nutrition continues to expand, little progress has been made in long-term maintenance interventions (2-6), excluding surgery (3). Behavior modification continues to be the cornerstone of obesity intervention (7). Historically, traditional behavioral interventions emphasize adjustments in food intake, increases in physical activity, and increased knowledge, which reduces weight management to a simplistic equation (8) of "energy in equaling energy out." This equation creates the illusion that individuals can attain their goals simply by adjusting these selected variables. Although an energy deficit is necessary for reducing body weight, weight loss has been difficult to sustain over the long term (3) and often does not explore an individual's relationship with food. In addition, many individuals have the knowledge to implement healthful lifestyle practices, but do not operationalize their knowledge. Therefore, additional variables need to be considered in the weight-management equation because, when traditional variables are used and modified alone, sustained weight management is unsuccessful (9), with up to 80% of individuals who lose weight gradually regaining it back (10).