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McAlpine T, Mullan BA, Dorina I. Comparison of approach/avoidance intentions for alcohol and vegetable consumption under a temporal self-regulation theory framework. Psychol Health 2024:1-22. [PMID: 38952006 DOI: 10.1080/08870446.2024.2372649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2024] [Accepted: 06/20/2024] [Indexed: 07/03/2024]
Abstract
OBJECTIVE This study aimed to compare the differences between the framing of intention (approach vs. avoidance) and the type of self-regulatory capacity (planning vs. inhibition) to predict two behaviours (alcohol vs. vegetable consumption). Interaction effects between temporal self-regulation theory constructs were also explored. METHODS UK participants were recruited online (N = 254) and completed measures of intention (approach and avoidance), self-regulatory capacity (planning and inhibition), and behavioural prepotency (habit) related to alcohol and vegetable consumption. One week later, consumption was assessed. RESULTS Habit strength and approach-intentions consistently predicted consumption across each model for both behaviours. There was mixed support for avoidance-intentions and self-regulatory capacity variables in predicting consumption. Planning was more important in vegetable consumption than in alcohol consumption, and avoidance-intentions were only predictive in alcohol consumption. Inhibition was not significant for either behaviour. The interaction between approach-intention and planning was the only significant moderation detected and was only present in vegetable consumption. CONCLUSION The framing of intentions and the sub-facet of self-regulatory capacity are important to consider when attempting to explain health behaviours. Furthermore, theoretically defined moderation between temporal self-regulation theory variables might also depend on the type of behaviour and specific measured used to capture self-regulatory capacity.
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Affiliation(s)
- Thomas McAlpine
- enAble Institute, Curtin University, Bentley, WA, Australia
- School of Population Health, Curtin University, Bentley, WA, Australia
| | - Barbara A Mullan
- enAble Institute, Curtin University, Bentley, WA, Australia
- School of Population Health, Curtin University, Bentley, WA, Australia
| | - Indita Dorina
- enAble Institute, Curtin University, Bentley, WA, Australia
- School of Population Health, Curtin University, Bentley, WA, Australia
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Liddelow C, Mullan B, Boyes M, Ling M. Can temporal self-regulation theory and its constructs predict medication adherence? A systematic review and meta-analysis. Health Psychol Rev 2023; 17:578-613. [PMID: 36154853 DOI: 10.1080/17437199.2022.2127831] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Accepted: 09/19/2022] [Indexed: 11/04/2022]
Abstract
The relationships between temporal self-regulation theory (TST) constructs (intention, behavioural prepotency and self-regulatory capacity) and medication adherence should be established before further applying the theory to adherence. Searches of PsychINFO, Medline, EMBASE, CINAHL and Web of Science were conducted in 2019 (updated November 2021). Studies had to be original quantitative research, assessed the relationship between one of the constructs and adherence in one illness, and used an adult population. The risk of bias was assessed using the NHLBI Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Three meta-analyses were conducted using R. Moderation analyses were also conducted. A total of 57 articles (60 studies) with 13,995 participants were included, with 7 studies included in more than one analysis. Results identified significant correlations between intention (r = .369, [95% CI: .25, .48]), behavioural prepotency (r = .332, [95% CI: .18, .48]), self-regulatory capacity (r = .213, [95% CI: .10, .32]) and adherence. There was some evidence of publication bias and no significant moderators. No studies explored the interactions in the theory, so whilst the constructs adequately predict adherence, future research should apply the theory to adherence in a specific illness to assess these relationships. Pre-registered on Prospero: CRD42019141395.
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Affiliation(s)
- Caitlin Liddelow
- School of Population Health, Curtin University, Perth, Australia
- Global Alliance for Mental Health and Sport, School of Psychology, University of Wollongong, Wollongong, Australia
| | - Barbara Mullan
- School of Population Health, Curtin University, Perth, Australia
- EnAble Institute, Curtin University, Perth, Australia
| | - Mark Boyes
- School of Population Health, Curtin University, Perth, Australia
- EnAble Institute, Curtin University, Perth, Australia
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Dominguez Garcia A, Mullan B, Dorina I. Predicting discretionary food consumption using temporal self-regulation theory and food reward sensitivity. Appetite 2023; 190:107010. [PMID: 37619621 DOI: 10.1016/j.appet.2023.107010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Revised: 07/17/2023] [Accepted: 08/21/2023] [Indexed: 08/26/2023]
Abstract
Discretionary foods account for over a third of the average adult's total daily energy intake. But its excess consumption is a risk factor for obesity, Type 2 diabetes, and other diet-related diseases. This study aimed to use temporal self-regulation theory (intention, past behaviour, habit, self-regulatory capacity) and food reward sensitivity to identify predictors of discretionary food consumption. Two hundred and seventy-three participants aged between 18 and 80 (M = 42.55, SD = 17.07) comprising of mostly females (79.5%) and those residing in Australia (93.4%), completed a two-part online survey, one week apart. Participants completed measures of intention, past behaviour, habit, self-regulatory capacity, food reward sensitivity and demographic information at time one, and discretionary food consumption at time two. Data was analysed using a hierarchical multiple regression analysis. All variables in combination accounted for a significant 40.3% of the variance in discretionary food consumption (R2 = 0.40, p < .001). However, past behaviour and intention were the only unique significant predictors of discretionary food consumption. No significant moderation effects found. Findings offer insight into the motivators of discretionary food consumption, which can inform the development of effective interventions to reduce discretionary food consumption. Past behaviour should be considered, and intention targeted in interventions to reduce discretionary food consumption.
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Affiliation(s)
- Alejandro Dominguez Garcia
- School of Population Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia; Behavioural Science and Health Research Group, EnAble Research Institute, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
| | - Barbara Mullan
- School of Population Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia; Behavioural Science and Health Research Group, EnAble Research Institute, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia; Western Australia Cancer Prevention Unit, EnAble Research Institute, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
| | - Indita Dorina
- School of Population Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia; Behavioural Science and Health Research Group, EnAble Research Institute, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia; Western Australia Cancer Prevention Unit, EnAble Research Institute, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
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4
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Rogers AA, Halvari AEM, Johnsen JAK, Solbakk AK. Executive functioning as a moderator of flossing behaviour among young adults: a temporal self-regulation theory perspective. Health Psychol Behav Med 2023; 11:2249972. [PMID: 37645514 PMCID: PMC10461502 DOI: 10.1080/21642850.2023.2249972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Accepted: 08/13/2023] [Indexed: 08/31/2023] Open
Abstract
Background Flossing among young adults is often infrequent and barriers not completely understood. One explanation concerns the capacity for executive functioning (EF) during the self-regulation of behaviour. Methods Using Temporal Self-Regulation Theory (TST) as a framework to explore EF, young adults from Norwegian universities completed a survey that measured monthly flossing frequency, flossing-related intentions and behavioural prepotency (BP), and EF using the Behaviour Rating Inventory of Executive Function - Adult Version (BRIEF-A). Results Data from 362 participants were analysed. The TST-model explained a substantial proportion of variance in monthly flossing (R2 = 0.74), and flossing was associated directly with intention and BP, and interactions between intention and both BP and global-EF. Sub-domains of EF were explored using the same model, revealing that behavioural regulation processes, specifically those related to emotional control and shifting between tasks, offered better fit. Simple slopes revealed that moderation effects were only present at lower levels of BP. Conclusion EF plays a role in moderating the translation of intentions into flossing behaviour. Specifically, emotional control and task-shifting appear to be influential, and this influence increases when habitual and environmental support (i.e. BP) is reduced. Overcoming EF-barriers may represent a key step in establishing flossing behaviours.
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Affiliation(s)
- Adam A. Rogers
- Institute of Clinical Dentistry, University of Oslo, Oslo, Norway
| | | | - Jan-Are K. Johnsen
- Institute of Clinical Dentistry, UiT The Arctic University of Norway, Tromso, Norway
| | - Anne-Kristin Solbakk
- RITMO Centre for Interdisciplinary Studies in Rhythm, Time, and Motion, Department of Psychology, University of Oslo, Oslo, Norway
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5
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Gardner B, Arden MA, Brown D, Eves FF, Green J, Hamilton K, Hankonen N, Inauen J, Keller J, Kwasnicka D, Labudek S, Marien H, Masaryk R, McCleary N, Mullan BA, Neter E, Orbell S, Potthoff S, Lally P. Developing habit-based health behaviour change interventions: twenty-one questions to guide future research. Psychol Health 2023; 38:518-540. [PMID: 34779335 DOI: 10.1080/08870446.2021.2003362] [Citation(s) in RCA: 19] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
OBJECTIVE Habitual behaviours are triggered automatically, with little conscious forethought. Theory suggests that making healthy behaviours habitual, and breaking the habits that underpin many ingrained unhealthy behaviours, promotes long-term behaviour change. This has prompted interest in incorporating habit formation and disruption strategies into behaviour change interventions. Yet, notable research gaps limit understanding of how to harness habit to change real-world behaviours. METHODS Discussions among health psychology researchers and practitioners, at the 2019 European Health Psychology Society 'Synergy Expert Meeting', generated pertinent questions to guide further research into habit and health behaviour. RESULTS In line with the four topics discussed at the meeting, 21 questions were identified, concerning: how habit manifests in health behaviour (3 questions); how to form healthy habits (5 questions); how to break unhealthy habits (4 questions); and how to develop and evaluate habit-based behaviour change interventions (9 questions). CONCLUSIONS While our questions transcend research contexts, accumulating knowledge across studies of specific health behaviours, settings, and populations will build a broader understanding of habit change principles and how they may be embedded into interventions. We encourage researchers and practitioners to prioritise these questions, to further theory and evidence around how to create long-lasting health behaviour change.
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Affiliation(s)
- Benjamin Gardner
- Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Madelynne A Arden
- Centre for Behavioural Science and Applied Psychology, Department of Psychology, Sociology & Politics, Sheffield Hallam University, Sheffield, UK
| | - Daniel Brown
- Department of Applied Psychology, Griffith University, Brisbane, Australia
| | - Frank F Eves
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK
| | - James Green
- School of Allied Health and Physical Activity for Health Research Cluster (Health Research Institute), University of Limerick, Limerick, Ireland
| | - Kyra Hamilton
- Griffith University and Menzies Health Institute Queensland, Mt Gravatt, Qld, Australia
| | - Nelli Hankonen
- Faculty of Social Sciences, University of Helsinki, Helsinki, Finland
| | - Jennifer Inauen
- Department of Health Psychology and Behavioral Medicine, Institute of Psychology, University of Bern, Bern, Switzerland
| | - Jan Keller
- Division Health Psychology, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany
| | - Dominika Kwasnicka
- Faculty of Psychology, SWPS University of Social Sciences and Humanities, Wrocław, Poland.,NHMRC CRE in Digital Technology to Transform Chronic Disease Outcomes, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia
| | - Sarah Labudek
- Network Aging Research (NAR), Heidelberg University, Heidelberg, Germany
| | - Hans Marien
- Department of Psychology, Utrecht University, Utrecht, The Netherlands
| | - Radomír Masaryk
- Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University Bratislava, Bratislava, Slovakia
| | - Nicola McCleary
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.,School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Canada
| | - Barbara A Mullan
- Behavioural Science and Health Research Group, Curtin University, Perth, Australia
| | - Efrat Neter
- Department of Behavioral Sciences, Ruppin Academic Center, Emeq Hefer, Israel
| | - Sheina Orbell
- Department of Psychology, University of Essex, Essex, UK
| | - Sebastian Potthoff
- Department of Social Work, Education, and Community Wellbeing, Northumbria University, Newcastle upon Tyne, UK
| | - Phillippa Lally
- Research Department of Behavioural Science and Health, University College London, London, UK
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Tao H, Zhou Q, Yang Q. A Study on the Localization of Urban Residents' Recreation: A Moderated Mediation Model Based on Temporal Self-Regulation Theory. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5160. [PMID: 36982068 PMCID: PMC10048969 DOI: 10.3390/ijerph20065160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Revised: 03/07/2023] [Accepted: 03/14/2023] [Indexed: 06/18/2023]
Abstract
The pandemic has resulted in a further reduction in travel distance, recreational radius of destinations and other levels of tourism activity, making "local people traveling locally" a new feature. From the perspective of localization of urban residents' recreation, this paper describes a moderated mediation model based on temporal self-regulation theory. Five representative urban parks in Beijing were selected as study areas, and data collected through a questionnaire were used to discuss the behavioral characteristics of localized recreation and the formation mechanism of sense of place among urban residents in Beijing. The results showed that: (1) connectedness beliefs and temporal valuations positively influenced sense of place, and had a positive indirect effect on sense of place through the mediating role of recreation involvement; (2) recreation benefits positively influenced sense of place; (3) recreation benefits reinforced the direct and mediating role of recreation involvement. Based on these findings, the paper concludes with a discussion of the theoretical value and practical implications, as well as future research directions for park and city management.
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Affiliation(s)
- Hui Tao
- School of Management, Minzu University of China, Beijing 100081, China
| | - Qing Zhou
- School of Tourism and Urban-Rural Planning, Zhejiang Gongshang University, Hangzhou 310018, China
| | - Qian Yang
- School of European Studies, Beijing International Studies University, Beijing 100024, China
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7
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Xiao HL, Jin CY, Zhang GD, Zhang CQ. Applying the temporal self-regulation theory to understand sugar-sweetened beverage consumption among Chinese college students. Health Psychol Behav Med 2023; 11:2208213. [PMID: 37139497 PMCID: PMC10150612 DOI: 10.1080/21642850.2023.2208213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/05/2023] Open
Abstract
Objective Worldwide, there is a growing trend that college students are consuming more and more sugar-sweetened beverages (SSBs). In order to develop effective intervention strategies, it is important to explore what social-cognitive factors impact on college students' SSB consumption. Building on the temporal self-regulation theory (TST), the current study aimed to examine the effects of intention, behavioral prepotency, and self-regulatory capacity on SSB consumption among college students. Design Data were collected from five hundred Chinese college students online. Participants self-reported their intention, behavioral prepotency (environmental cues and habits), self-regulatory capacity, and behaviors of SSB consumption. Results Study findings showed that intention, behavioral prepotency, and self-regulatory capacity accounted for 32.9% of variance in SSB consumption. In terms of the direct effects, intention, behavioral prepotency, and self-regulatory capacity were significantly associated with the SSB consumption among college students. In addition, self-regulatory capacity and habits but not the environmental cues showed significant moderation effects on the intention-SSB consumption path, indicating that individual factors rather than environmental cues influenced the intention-behavior path of SSB consumption among college students. Conclusion Findings of the current study demonstrated that the TST can be used to explain and understand the impacts of social-cognitive factors on college students' SSB consumption. Future research can apply TST to develop effective intervention programs targeting the reduction of SSB consumption among college students.
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Affiliation(s)
- Hui-Lan Xiao
- Department of Psychology, Sun Yat-sen University, Guangzhou, People’s Republic of China
| | - Cheng-Yan Jin
- Department of Psychology, Sun Yat-sen University, Guangzhou, People’s Republic of China
- Shenzhen Fuhai Middle School, Shenzhen, People’s Republic of China
| | - Guang-Dong Zhang
- Department of Psychology, Sun Yat-sen University, Guangzhou, People’s Republic of China
- Mental Health Education & Counseling Center, Sun Yat-sen University, Guangzhou, People’s Republic of China
| | - Chun-Qing Zhang
- Department of Psychology, Sun Yat-sen University, Guangzhou, People’s Republic of China
- Chun-Qing Zhang Department of Psychology, Sun Yat-Sen University East Campus, No. 132 Waihuan East Road, Higher Education Mega Center, Guangzhou510006, People’s Republic of China
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8
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Wang W, Wu M, Hua Y, Zhang X, Feng G. Using an integrated model of the theory of planned behavior and the temporal self-regulation theory to explain physical activity in patients with coronary heart disease. Front Psychol 2023; 14:1049358. [PMID: 36874847 PMCID: PMC9975550 DOI: 10.3389/fpsyg.2023.1049358] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 01/13/2023] [Indexed: 02/17/2023] Open
Abstract
Background This study aimed to explore the psychosocial determinants of the physical activity (PA) levels in patients with coronary heart disease (CHD) using an integrated theoretical model based on the theory of planned behavior (TPB) and the temporal self-regulation theory (TST). Method This was a prospective study conducted at the Affiliated Hospital of Hangzhou Normal University, Zhejiang, China. A total of 279 patients with CHD [176 men aged 26-89 years, mean (M) = 64.69, standard deviation (SD) = 13.17] were selected under the study inclusion criteria by convenience sampling. The data on attitude, subjective norm (SN), perceived behavioral control (PBC), and intention variables for the TPB model and consideration of future consequences (CFC), habit, and self-control (SC) variables for the TST model were collected 1-2 days before the discharge (Time 1, T1) of the participants, and a telephone follow-up was made to assess the participants' self-reported PA levels 1 week after their discharge (Time 2, T2). Results The results revealed that only 39.8% of the patients with CHD met the guidelines' recommendations on PA. The data analyses using structural equation modeling (SEM) in the Mplus 8.3 modeling program showed that, in the simple mediation model, attitude, PBC, and CFC were positively related to the intention to practice guideline-recommended levels of PA but SN was not. In addition, intention was shown to mediate the relationships between attitude, PBC, CFC, and PA levels. Furthermore, based on the moderated mediating model, intention and habit were shown to be positively associated with PA levels but SC was not. Moreover, SC played a significant moderating role between intention and PA levels. However, habit strength did not moderate the relationship between intention and PA levels. Conclusion An integration of the TPB and TST models offers a good theoretical tool for understanding PA levels in patients with CHD.
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Affiliation(s)
- Wenqin Wang
- School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang Province, China
| | - Minjuan Wu
- School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang Province, China
| | - Yun Hua
- School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang Province, China
| | - Xingwei Zhang
- The Affiliated Hospital of Hangzhou Normal University, Hangzhou, Zhejiang Province, China
| | - Guohe Feng
- The Affiliated Hospital of Hangzhou Normal University, Hangzhou, Zhejiang Province, China
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Dorina I, Mullan B, Boyes M, Liddelow C. Utility of temporal self‐regulation theory in health and social behaviours: A meta‐analysis. Br J Health Psychol 2022; 28:397-438. [PMID: 36404715 DOI: 10.1111/bjhp.12631] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Revised: 08/14/2022] [Accepted: 10/07/2022] [Indexed: 11/22/2022]
Abstract
PURPOSE Temporal self-regulation theory was developed to address an observed intention-behaviour gap across behaviours. However, a synthesis of studies has not yet been conducted to investigate the theory's utility to explain behaviour and bridge the intention-behaviour gap. This review aimed to evaluate the predictive ability of temporal self-regulation theory to understanding behaviour and pre-registered at PROSPERO (ID: CRD42021253174). METHOD Forward citation searches on the original theory publication through Google Scholar until May 2021 identified 37 eligible articles, including, 12,555 participants assessing at least two of the three theory constructs. Random-effects meta-analyses assessed the strength of associations between theory constructs on behaviour and random effects meta-regressions assessed moderators of behaviour. RESULTS Findings provide support for temporal self-regulation theory to explain behaviour with very weak (self-regulatory capacity r = .039, CI = .00, -.07) to moderate (intention r = .331, CI = .26, .40; behavioural pre-potency r = .379, CI = .32, .44) effect sizes. Further, the strength of associations varied across behaviour types and contexts. However, there was high heterogeneity across studies and some moderating effects could not be assessed due to insufficient numbers of studies assessing interactions. CONCLUSIONS We urge researchers to assess and report interactions for better understanding of the drivers of behaviour to develop effective interventions for positive behaviour change.
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Affiliation(s)
- Indita Dorina
- School of Population Health, Faculty of Health Sciences Curtin University Perth Western Australia Australia
- Behavioural Science and Health Research Group, enAble Research Institute, Faculty of Health Sciences Curtin University Perth Western Australia Australia
- Western Australia Cancer Prevention Unit, enAble Research Institute, Faculty of Health Sciences Curtin University Perth Western Australia Australia
| | - Barbara Mullan
- School of Population Health, Faculty of Health Sciences Curtin University Perth Western Australia Australia
- Behavioural Science and Health Research Group, enAble Research Institute, Faculty of Health Sciences Curtin University Perth Western Australia Australia
- Western Australia Cancer Prevention Unit, enAble Research Institute, Faculty of Health Sciences Curtin University Perth Western Australia Australia
| | - Mark Boyes
- School of Population Health, Faculty of Health Sciences Curtin University Perth Western Australia Australia
| | - Caitlin Liddelow
- Behavioural Science and Health Research Group, enAble Research Institute, Faculty of Health Sciences Curtin University Perth Western Australia Australia
- Global Alliance for Mental Health and Sport, School of Psychology, Faculty of Arts, Social Sciences and Humanities University of Wollongong Wollongong New South Wales Australia
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10
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Exploring rational and automatic processes in parents’ snack and beverage provision: The role of self-control, intention, and counter-intentional habit. Appetite 2022; 178:106185. [DOI: 10.1016/j.appet.2022.106185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 07/17/2022] [Accepted: 07/21/2022] [Indexed: 11/22/2022]
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Bhagavathula AS, Rahmani J, Vidyasagar K, Tesfaye W, Khubchandani J. Sweetened beverage consumption and risk of cardiovascular mortality: A systematic review and meta-analysis. Diabetes Metab Syndr 2022; 16:102462. [PMID: 35325785 DOI: 10.1016/j.dsx.2022.102462] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 03/10/2022] [Accepted: 03/12/2022] [Indexed: 11/18/2022]
Abstract
BACKGROUND AND AIMS Several studies have reported the association of sweetened beverages (SB) with cardiovascular disease. However, the relationship between SB and cardiovascular mortality has not been clearly established. This systematic review and meta-analysis investigated the association between SB consumption and cardiovascular mortality. METHODS PubMed/MEDLINE, Web of Science, and Embase were systematically searched up to July 31, 2021, for prospective cohort studies investigating this association in adults. Pooled relative risks (RRs) and 95% confidence intervals (CIs) were used to assess the strength of association between SB: sugar-sweetened beverages (SSB)/artificial-sweetened beverages (ASB) exposure and cardiovascular mortality. RESULTS A total of eight cohort studies comprising 1.2 million participants exposed to SB, reported 15,831 (1.2%) cases of cardiovascular mortality with a median follow-up of 12.2 years. Consuming at least one glass (250 ml) of SB per day (RR: 1.06; 95% CI: 1.00-1.12, P < 0.001) or ≥2 glasses per day (RR: 1.24; 95% CI: 1.16-1.31, P < 0.001) was significantly associated with increased risk of cardiovascular mortality. SSB and ASB intake of ≥2 glasses per day increased the risk of cardiovascular mortality by 21% (RR:1.21, 95% CI: 1.09-1.33, P < 0.001) and 33% (RR: 1.33, 95% CI: 1.12-1.55, P < 0.001), respectively. CONCLUSIONS Our findings reveal that high SSB and ASB consumption are associated with an increased risk of cardiovascular mortality. Policymakers and public health practitioners should work on multisectoral strategies to reduce the consumption of sweetened beverages around the world and among all population groups.
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Affiliation(s)
- Akshaya Srikanth Bhagavathula
- Department of Social and Clinical Pharmacy, Faculty of Pharmacy at Hradec Kralove, Charles University, Hradec Kralove, Czech Republic.
| | - Jamal Rahmani
- Department of Community Nutrition, Student Research Committee, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| | - Kota Vidyasagar
- Department of Pharmaceutical Sciences, University College of Pharmaceutical Sciences, Hanamkonda 506009, Telangana, India.
| | - Wubshet Tesfaye
- Health Research Institute, University of Canberra, Canberra, Australian Capital Territory, Australia.
| | - Jagdish Khubchandani
- Department of Public Health Sciences, College of Health and Social Services, New Mexico State University, Las Cruces, NM, 88003, USA.
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The role of environmental cues in sugar-sweetened beverage consumption using a temporal self-regulation theory framework. Appetite 2021; 169:105828. [PMID: 34856325 DOI: 10.1016/j.appet.2021.105828] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 11/10/2021] [Accepted: 11/25/2021] [Indexed: 11/23/2022]
Abstract
Sugar-sweetened beverage consumption is related to adverse health outcomes such as obesity and Type 2 diabetes. The present research further examined the utility of the temporal self-regulation theory in predicting sugar-sweetened beverage consumption. In addition, the research aimed to identify salient cues that trigger intake. Two-hundred and eighty-seven participants were recruited using convenience sampling in US and Australian populations. Hierarchical multiple regression analyses were used, and the final model accounted for 27.1% of the variance in consumption, providing partial support for the temporal self-regulation theory (ƒ2 = 0.37). Intention accounted for a significant 7.0% of variance (R2 = 0.07, p < .001), behavioural prepotency variables (past behaviour, habit, and cues) together combined for an additional 15.1% of variance (R2 = 0.15, p < .001), but neither measure of self-regulatory capacity (trait self-control, inhibition) was a significant predictor. No cues emerged as unique predictors, however the findings suggest that consumption may be influenced by a combination of cues across different situations. Behavioural prepotency moderated the intention-behaviour relationship such that as behavioural prepotency increased, the greater the influence intention had on behaviour. Further support for the role of both intention and automatic processes in sugar-sweetened beverage consumption was garnered, but more research is needed to identify when specific cues influence consumption most.
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Mullan B, Olivier C, Thøgersen‐Ntoumani C. Mind the gap: Habit and self-determined motivation predict health behaviours in middle-aged and older adults. Br J Health Psychol 2021; 26:1095-1113. [PMID: 33938096 PMCID: PMC8519144 DOI: 10.1111/bjhp.12522] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Revised: 03/15/2021] [Indexed: 11/26/2022]
Abstract
OBJECTIVES Physical activity and fruit and vegetable consumption are two key health behaviours associated with the health and well-being of middle-aged and older adults. The present research investigated how habit and self-determined motivation interact with intention to prospectively predict physical activity and fruit and vegetable consumption in middle-aged and older adults. DESIGN A prospective correlational design (two data collection points) was used. METHODS A convenience sample of 195 adults completed online questionnaires measuring intention, habit, and self-determined motivation. One week later, 177 participants (67.2% female), aged 52-87 years (M = 61.50, SD = 5.90), completed self-report measures of physical activity and fruit and vegetable consumption over the previous week. RESULTS Separate hierarchical multiple regression analyses were conducted. For physical activity, the model explained 46% of the variance in behaviour, F(8, 168) = 17.88, p < .001 and a large effect size (ƒ2 = .85). Two-way interactions contributed an additional 3.70% of unique variance in physical activity, F(3, 165) = 4.07, p = .008, ƒ2 = .04. For fruit and vegetable consumption, the model explained 19.20% of the variance in behaviour, F(5, 171) = 8.13, p < .001 and a medium effect size (ƒ2 = .24). Two-way interactions did not significantly improve the model, F(3, 168) = 1.68, p = .174. CONCLUSIONS Habit and self-determined motivation were both important in narrowing the intention-behaviour gap for two key health behaviours, and combining these processes may better inform strategies to support people's intentions to improve these health behaviours.
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Affiliation(s)
- Barbara Mullan
- Health Psychology and Behavioural Medicine Research GroupSchool of PsychologyCurtin UniversityPerthWestern AustraliaAustralia
| | - Claudia Olivier
- Health Psychology and Behavioural Medicine Research GroupSchool of PsychologyCurtin UniversityPerthWestern AustraliaAustralia
- Physical Activity and Well‐Being Research GroupSchool of PsychologyCurtin UniversityWestern Australia
| | - Cecilie Thøgersen‐Ntoumani
- Health Psychology and Behavioural Medicine Research GroupSchool of PsychologyCurtin UniversityPerthWestern AustraliaAustralia
- Physical Activity and Well‐Being Research GroupSchool of PsychologyCurtin UniversityWestern Australia
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Liddelow C, Ferrier A, Mullan B. Understanding the predictors of hand hygiene using aspects of the theory of planned behaviour and temporal self-regulation theory. Psychol Health 2021; 38:555-572. [PMID: 34491138 DOI: 10.1080/08870446.2021.1974862] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
OBJECTIVE Adherence to proper hand hygiene practice is relatively low and is particularly salient in light of the current COVID-19 pandemic. Having a greater understanding of the psychosocial predictors of engaging in proper hand hygiene is warranted. One way to do this is through the application of a combined theory of planned behaviour and temporal self-regulation theory model. DESIGN A prospective two-part study was conducted between May - November 2020, with N = 232 Australians. At time one, variables from both the theory of planned behaviour (attitude, subjective norm, perceived behavioural control, and intention) and temporal self-regulation theory (habit, environmental cues, and planning) were completed. MAIN OUTCOME MEASURES One week later, engagement in proper hand hygiene behaviour over the previous week was assessed. RESULTS Two hierarchical multiple regressions were conducted, with 47% of variance accounted for in intention, with subjective norm being the strongest predictor, and 38% of variance accounted for in hand hygiene behaviour, with intention being the strongest predictor. Environmental cues also moderated the relationship between intention and behaviour. CONCLUSIONS To increase intention, incorporating subjective norm messages in advertisements may be helpful. Incorporating environmental cues in places where hand washing is recommended may assist in increasing hand hygiene.
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Affiliation(s)
- Caitlin Liddelow
- School of Population Health, Curtin University, Bentley, Western Australia, Australia.,School of Psychology, University of Wollongong, Wollongong, New South Wales, Australia
| | - Amber Ferrier
- School of Population Health, Curtin University, Bentley, Western Australia, Australia
| | - Barbara Mullan
- School of Population Health, Curtin University, Bentley, Western Australia, Australia
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Jones CM, Schüz B. Stable and momentary psychosocial correlates of everyday smoking: An application of Temporal Self-Regulation Theory. J Behav Med 2021; 45:50-61. [PMID: 34363146 PMCID: PMC8818630 DOI: 10.1007/s10865-021-00248-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Accepted: 07/20/2021] [Indexed: 11/16/2022]
Abstract
Smoking is one of the leading causes of non-communicable disease mortality and morbidity. Smoking behaviour is determined by both stable, person-level (e.g., motivation, nicotine dependence) and variable, situation-level factors (e.g., urges, cues). However, most theoretical approaches to understanding health behaviours so far have not integrated these two spheres of influence. Temporal Self-Regulation Theory (TST) integrates these person-level and situation-level factors, but has not yet been comprehensively applied to predicting smoking behaviour. We use Ecological Momentary Assessment to examine the utility of TST in predicting daily smoking. 46 smokers reported individual and environmental cues right after smoking and at random time points during the day. Cognitions, self-control, past behaviour, and nicotine dependence were assessed at baseline. Multi-level logistic regressions show that smoking is largely guided by momentary cues, but individual motivation can buffer their influence. This suggests that TST is a useful integrative approach to understand modifiable determinants of smoking and thus intervention targets.
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Affiliation(s)
- Christopher M Jones
- Institute of Public Health and Nursing Research, University of Bremen, Grazer Str. 4, 28359, Bremen, Germany.
| | - Benjamin Schüz
- Institute of Public Health and Nursing Research, University of Bremen, Grazer Str. 4, 28359, Bremen, Germany
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Liddelow C, Mullan B, Boyes M, McBride H. A Qualitative Application of Temporal Self-Regulation Theory to Understand Adherence to Simple and Complex Medication Regimens. Healthcare (Basel) 2020; 8:healthcare8040487. [PMID: 33207611 PMCID: PMC7711536 DOI: 10.3390/healthcare8040487] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Revised: 11/09/2020] [Accepted: 11/12/2020] [Indexed: 12/03/2022] Open
Abstract
Medication adherence is a global health concern, and variables of temporal self-regulation theory (TST) have been shown to be important in improving adherence. This qualitative study aims to explore how TST can help explain medication adherence in people’s daily lives, and whether there are differences in the adherence to simple and complex medication regimens. Twenty-nine participants from Australia engaged in semi-structured interviews based on TST (intention, behavioural prepotency, self-regulation), and other variables important to adherence. Interviews were analysed using thematic analysis. Six themes were identified (Routines, External Supports, Cost, Sense of Agency, Adverse Outcomes, and Weighing Up Pros and Cons), with partial support for TST (specifically intention, past behaviour, cues and planning). Four themes not related to TST were also identified. Individuals with more complex medication regimens spoke of the importance of routines, planning, and knowledge-seeking, whereas those with simpler regimens spoke of the importance of visual cues. TST may be useful for identifying some variables important in medication adherence, however, additional factors were also identified. For simple regimens, future research should focus on the manipulation of visual cues. For complex regimens, health professionals should consider supporting the use of medication management apps to assist in planning and ensuring a consistent routine.
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Liddelow C, Mullan B, Boyes M. Understanding the predictors of medication adherence: applying temporal self-regulation theory. Psychol Health 2020; 36:529-548. [DOI: 10.1080/08870446.2020.1788715] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Caitlin Liddelow
- Health Psychology and Behavioural Medicine Research Group, School of Psychology, Curtin University, Bentley, Western Australia, Australia
| | - Barbara Mullan
- Health Psychology and Behavioural Medicine Research Group, School of Psychology, Curtin University, Bentley, Western Australia, Australia
| | - Mark Boyes
- Health Psychology and Behavioural Medicine Research Group, School of Psychology, Curtin University, Bentley, Western Australia, Australia
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