1
|
Berli C, Scholz U. Long-Term and Transfer Effects of an Action Control Intervention in Overweight Couples: A Randomized Controlled Trial Using Text Messages. Front Psychol 2021; 12:754488. [PMID: 34899496 PMCID: PMC8651541 DOI: 10.3389/fpsyg.2021.754488] [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] [Received: 08/06/2021] [Accepted: 10/28/2021] [Indexed: 11/13/2022] Open
Abstract
Keeping a physically active lifestyle requires consistent self-regulatory effort such as action control (e.g., continuously monitoring and evaluating a behavior in terms of one's goals). Involving the romantic partner in interventions might be particularly effective in the long run. The present study examined the long-term and transfer effects of an action control intervention in couples using text messaging for promoting target persons' and partners' physical activity, anthropometric measures and physical fitness 6 months post baseline. A total of 121 overweight and obese romantic couples, randomly allocated to an intervention (n = 60; information + action control text messages) or a control group (n = 61; information only) and to participating as target person or partner, completed baseline assessments (T1). 100 couples (82.6%) completed the 6-month follow-up (T3) assessment. Primary outcomes included self-reported moderate-to-vigorous physical activity (MVPA) and objective MVPA and MVPA adherence using triaxial accelerometers across a diary period of 14 days after T3. Secondary outcomes included BMI, waist-to-hip circumference and physical fitness (target persons only) using a submaximal aerobic cycle test. At T3, there were no significant between-group differences between target persons and partners with regard to their objective MVPA, self-reported MVPA, BMI, waist-hip ratio or physical fitness. No significant changes in outcomes were observed from T1 to T3; however, changes in BMI from T1 to T3 between target persons and partners in the intervention group were associated. Overall, the brief 14-days action control intervention was not effective in improving target person's physical activity, body measures and physical fitness in the long-term. Moreover, no long-term benefits for partners emerged. While brief ecological momentary interventions might be a promising tool for short-term effects, future studies are needed to test features enhancing long-term effectiveness. Associations in romantic partners' changes suggest that dyadic interventions can be a promising approach, as changes induced in one partner may then transfer over to the other (controlled-trials.com ISRCTN15705531).
Collapse
Affiliation(s)
- Corina Berli
- Applied Social and Health Psychology, Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Urte Scholz
- Applied Social and Health Psychology, Department of Psychology, University of Zurich, Zurich, Switzerland.,University Research Priority Program "Dynamics of Healthy Aging", Department of Psychology, University of Zurich, Zurich, Switzerland
| |
Collapse
|
2
|
Carr RM, Quested E, Stenling A, Thøgersen-Ntoumani C, Prestwich A, Gucciardi DF, McVeigh J, Ntoumanis N. Postnatal Exercise Partners Study (PEEPS): a pilot randomized trial of a dyadic physical activity intervention for postpartum mothers and a significant other. Health Psychol Behav Med 2021; 9:251-284. [PMID: 34104560 PMCID: PMC8158286 DOI: 10.1080/21642850.2021.1902815] [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: 10/31/2022] Open
Abstract
Background: Research suggests dyadic interventions can increase physical activity; such interventions are untested within postpartum parent couples. Methods: A three-armed pilot randomized trial addressed this gap and tested which type of dyadic intervention is most effective. Inactive postpartum mothers and a significant other were recruited in Australia (n = 143 assessed for eligibility) and randomised in a single-blinded fashion (i.e. participants were blinded) to 1 of 3 dyadic conditions involving a single face-to-face session with access to web-based group support: a minimal treatment control (n = 34), collaborative planning group (n = 38), or collaborative planning + need supportive communication group (n = 30). Participants were asked to wear their accelerometers for 8 days and completed self-report measures at baseline, end of intervention (week 4), and follow-up (week 12). We expected dyads in the collaborative planning + need supportive communication group would have the greatest increases in Physical Activity (PA), autonomous motivation, and partners' need supportive behaviours; and decreases in controlled motivation and controlling partner behaviours. Results: Results from 51 dyads using Bayesian actor-partner interdependence models provided some evidence for a small positive effect on total PA at follow-up for postpartum mothers in the collaborative planning group and for partners in the collaborative planning + need supportive communication group. Furthermore, partners in the collaborative planning + need supportive communication group were more likely to engage in some vigorous PA. At follow-up, postpartum mothers in the collaborative planning + need supportive communication group scored lower on personal autonomous reasons. Conclusions: The impact of prior specification mean intervention effects need to be interpreted with caution. Progression to a full trial is warranted.
Collapse
Affiliation(s)
- Rachel Margaret Carr
- School of Psychology, Curtin University, Perth, Australia.,Department of Health Sciences, University of York, York, UK.,Physical Activity and Well-being Research Group, Curtin University, Perth, Australia
| | - Eleanor Quested
- School of Psychology, Curtin University, Perth, Australia.,Physical Activity and Well-being Research Group, Curtin University, Perth, Australia
| | | | - Cecilie Thøgersen-Ntoumani
- School of Psychology, Curtin University, Perth, Australia.,Physical Activity and Well-being Research Group, Curtin University, Perth, Australia
| | | | - Daniel Frank Gucciardi
- School of Psychology, Curtin University, Perth, Australia.,Physical Activity and Well-being Research Group, Curtin University, Perth, Australia.,School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia
| | - Joanne McVeigh
- School of Psychology, Curtin University, Perth, Australia.,School of Occupational Therapy, Speech Therapy and Social Work, Curtin University, Perth, Australia
| | - Nikos Ntoumanis
- School of Psychology, Curtin University, Perth, Australia.,Physical Activity and Well-being Research Group, Curtin University, Perth, Australia
| |
Collapse
|
3
|
Determinants of Breast Cancer screening: Application of Protection Motivation Theory. INTERNATIONAL JOURNAL OF CANCER MANAGEMENT 2020. [DOI: 10.5812/ijcm.100535] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
|
4
|
Buitenhuis AH, Tuinman MA, Hagedoorn M. A planning intervention to quit smoking in single-smoking couples: does partner involvement improve effectiveness? Psychol Health 2019; 36:1-15. [PMID: 31880171 DOI: 10.1080/08870446.2019.1703983] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
OBJECTIVE Smoking cessation interventions that use implementation intentions have shown promising results. Implementation intentions are if-then plans that specify certain behaviour within a situational context. This study examines whether dyadic planning (i.e., involving a non-smoking partner) is more effective than individual planning in quitting smoking. DESIGN This longitudinal single-blind randomized controlled trial involves a baseline questionnaire, end-of-day measurements for three weeks, and a follow-up questionnaire after three months. Single-smoking couples were randomized to a dyadic or individual planning condition. After the intervention, which 176 couples received, smokers attempted to quit smoking, and the diary measurements started. MAIN OUTCOME MEASURES smoking abstinence, number of cigarettes smoked and relationship satisfaction. RESULTS At follow-up, both planning groups showed similar quit rates (33%, dyadic; 30%, individual) and a similar significant decline in number of cigarettes smoked (almost 50%). For most smokers, the smoking pattern shown in the diary seemed to be indicative of smoking behaviour at follow-up. Relationship satisfaction declined minimally, in both intervention groups and in both smokers and partners. CONCLUSION The involvement of a non-smoking partner in the planning did not increase its effectiveness. However, couple participation and daily measurements during a quit attempt could be important components of future interventions.
Collapse
Affiliation(s)
- Anne H Buitenhuis
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - Marrit A Tuinman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - Mariët Hagedoorn
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| |
Collapse
|
5
|
A Couples-Based Approach for Increasing Physical Activity Among Adults With Type 2 Diabetes: A Pilot Feasibility Randomized Controlled Trial. DIABETES EDUCATOR 2019; 45:629-641. [DOI: 10.1177/0145721719881722] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
PurposeThe purpose of the study was to examine feasibility outcomes and obtain initial efficacy data on an intervention testing collaborative implementation intentions (IIs) for physical activity (PA) among participants with type 2 diabetes.MethodsThe study used a pilot randomized design and enrolled people with diabetes (PWD) and their partners (N = 40 couples, 80 individuals). PWD reported psychosocial measures, including self-efficacy for PA, diabetes partner investment in diabetes self-management, and PA-related social support. Accelerometers (objective) and the International Physical Activity Questionnaire (self-report) were used to assess PA.ResultsParticipants in both experimental conditions reported being satisfied with the intervention and highly committed to their PA plans. Participants were able to follow instructions and completed the intervention in less than 30 minutes. Participants in the collaborative IIs condition reported a greater increase in PA-related social support (partial2= .185, P < .05) and self-reported recreational PA (partial2= .210, P < .05) at 6 weeks compared to the other 2 conditions. In this pilot study, there were no significant group differences on other psychosocial outcomes or for objective PA; however, time in light PA trended higher for the collaborative IIs condition compared to the other 2 conditions (partial2= .237, P = .056).ConclusionsThis study provides initial support for collaborative IIs for PA with PWD and their partners. This brief intervention was feasible and highly acceptable, and it may improve relationship dynamics around PA as well as ultimately increase PA.
Collapse
|
6
|
Designing and Psychometric Evaluation of Breast Self-Examination Behavior Predicting Scale (BSEBPS). INTERNATIONAL JOURNAL OF CANCER MANAGEMENT 2018. [DOI: 10.5812/ijcm.74266] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
|
7
|
Buitenhuis AH, Tuinman MA, Hagedoorn M. A dyadic planning intervention to quit smoking in single-smoking couples: design of a randomized controlled trial. BMC Psychol 2018; 6:53. [PMID: 30419956 PMCID: PMC6233499 DOI: 10.1186/s40359-018-0266-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Accepted: 10/29/2018] [Indexed: 11/10/2022] Open
Abstract
Background Tobacco use is the largest preventable cause of death. Smoking cessation interventions that use implementation intentions show promising results. Implementation intentions are if-then plans that specify a certain behaviour within a situational context. This study will examine whether involving a non-smoking partner could improve planning interventions, and whether and which partner interactions underlie this effectiveness. Methods This single-blind randomized controlled trial has a longitudinal design with a baseline questionnaire, end-of-day measurements for three weeks starting on the quit date, and a follow-up questionnaire after three months. Participants: single-smoking couples who live together and are in a relationship for more than one year. Setting: couples are randomized to either a dyadic or individual planning condition. After the intervention the smoker attempts to quit smoking and the diary measurements start. Measurements: The primary outcome variable is smoking abstinence. Secondary outcome measures are smoking behaviour and relationship satisfaction. Partner interactions are examined as a possible mediator. Discussion This RCT is the first to examine the effectiveness of dyadic planning to quit smoking in single-smoking couples. Partner interactions are thought to play an important role during the quit attempt, and therefore in the effectiveness of the intervention. This RCT will provide more insight into which daily partner interactions are beneficial for smoking abstinence and the couples’ relationship satisfaction, and whether the type of intervention is related to different types or levels of partner interactions and smoking behaviour. When proven effective, this planning intervention in combination with coaching for the non-smoking partner will be a valuable and low-cost addition to existing smoking interventions. Trial registration The trial is retrospectively registered on 19/04/2017 on www.trialregister.nl (TC: 6398). Electronic supplementary material The online version of this article (10.1186/s40359-018-0266-8) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Anne H Buitenhuis
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, De Brug, FA12, POB 30.001, 9700, RB, Groningen, The Netherlands.
| | - Marrit A Tuinman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, De Brug, FA12, POB 30.001, 9700, RB, Groningen, The Netherlands
| | - Mariët Hagedoorn
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, De Brug, FA12, POB 30.001, 9700, RB, Groningen, The Netherlands
| |
Collapse
|
8
|
Abstract
Research on the Commonsense Self-Regulation Model has emphasised reflective/conscious perceptual processes regarding illness threat (beliefs about symptoms, consequences, timeline, and curability) in predicting and changing coping behaviours. Understanding of illness self-regulation and avenues for intervention might be enriched by consideration of automatic processes that influence the recognition and identification of illness, response to illness, and ongoing management. This article adopts an integrative approach to (1) outline the theoretical importance of implicit processes in patients' self-regulation of illness and methods to study them; (2) review research evidence for these processes, including interventions tested to modify them; and (3) outline avenues for future research. A substantial body of research on implicit processes (cognitive bias and interpretational bias) in illness maintenance in chronic illness has recently been extended to detection and interpretation of acute illness and new perspectives relating to the self-system. There is encouraging evidence that cognitive accessibility of coping and implicit attitudes may impact upon coping behaviours. Procedures that strategically automatise coping responses and create habits have considerable promise. We outline an agenda for future research in which health psychology accepts the challenge posed by the interplay of the reflective and associative systems in promoting effective self-regulation of illness.
Collapse
Affiliation(s)
- Sheina Orbell
- Department of Psychology, University of Essex, Colchester, UK
| | | |
Collapse
|
9
|
Radtke T, Luszczynska A, Schenkel K, Biddle S, Scholz U. A cluster randomized controlled trial comparing the effectiveness of an individual planning intervention with collaborative planning in adolescent friendship dyads to enhance physical activity (TWOgether). BMC Public Health 2018; 18:911. [PMID: 30041603 PMCID: PMC6056914 DOI: 10.1186/s12889-018-5818-6] [Citation(s) in RCA: 47] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Accepted: 07/10/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Most adolescents do not meet the recommendations for physical activity (PA) of at least 1 h per day. Individual planning (IP) interventions, including forming plans for when, where and how (action planning) to engage in a behavior, as well as the planning for how to deal with arising barriers (coping planning), are effective to enhance PA in adults. Collaborative planning (CP) is conjoint planning of two individuals regarding a behavior which is performed together. It is assumed that CP stimulates social exchange processes between the planning partners. However, it remains unclear whether planning interventions of PA in adolescents are successful and which planning intervention is more effective. Thus, this cluster randomized controlled trial (RCT) examines changes in daily moderate-to-vigorous PA in adolescents' friendship dyads resulting from planning. Individual self-regulating mechanism and social exchange processes are proposed as mediating mechanisms of the effects of planning for health behavior change. METHODS A single-blind four-arm parallel-group cluster-RCT is used. The sample consists of 400 friendship dyads between 14 and 18 years of age. As the recruitment takes place in schools, a cluster randomization of the schools is used to enroll dyads to (a) an IP intervention, (b) a CP intervention or (c) one of the two no-planning control conditions. Devise-measured and self-reported PA as the primary outcomes, self-regulatory strategies, and social exchange processes as secondary outcomes are assessed at three or four time points. After baseline measurement, the baseline ecological momentary assessment of the main variables takes place for 8 days followed by the intervention and a 7-days diary phase. Follow-ups are 1 month and 6 months later. Subsequent to the six-month follow-up, another 7-days diary phase takes place. DISCUSSION This is the first study examining IP in comparison to CP in adolescents applying a single-blind cluster RCT. Consequently, the study allows for understanding the efficacy of individual and collaborative planning and the underlying mechanisms in adolescent dyads. TRIAL REGISTRATION This RCT was funded by the Swiss National Science Foundation (100019_169781/1) and was registered on 18/06/2018 at ClinicalTrials.gov : NCT03575559 .
Collapse
Affiliation(s)
- Theda Radtke
- Department of Psychology, Applied Social and Health Psychology, University of Zurich, Binzmuehlestrasse 14/14, 8050, Zurich, Switzerland. .,Institute for Resilient Regions, University of Southern Queensland, Education City, 37 Sinnathamby Boulevard, Springfield Central, QLD, 4300, Australia.
| | - Aleksandra Luszczynska
- SWPS University of Social Sciences and Humanities, 30b Ostrowskiego Street, PL-53-238, Wroclaw, Poland.,Trauma, Health, & Hazards Center, University of Colorado at Colorado Springs, 1420 Austin Bluffs Pkwy, Colorado Springs, CO, 80918, USA
| | - Konstantin Schenkel
- Department of Psychology, Applied Social and Health Psychology, University of Zurich, Binzmuehlestrasse 14/14, 8050, Zurich, Switzerland
| | - Stuart Biddle
- Institute for Resilient Regions, University of Southern Queensland, Education City, 37 Sinnathamby Boulevard, Springfield Central, QLD, 4300, Australia
| | - Urte Scholz
- Department of Psychology, Applied Social and Health Psychology, University of Zurich, Binzmuehlestrasse 14/14, 8050, Zurich, Switzerland
| |
Collapse
|
10
|
Keller J, Fleig L, Hohl DH, Wiedemann AU, Burkert S, Luszczynska A, Knoll N. Which characteristics of planning matter? Individual and dyadic physical activity plans and their effects on plan enactment. Soc Sci Med 2017; 189:53-62. [PMID: 28783502 DOI: 10.1016/j.socscimed.2017.07.025] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2017] [Revised: 07/20/2017] [Accepted: 07/28/2017] [Indexed: 10/19/2022]
Abstract
OBJECTIVE Past research supports individual planning as an effective intervention strategy to increase physical activity in individuals. A similar strategy, dyadic planning, adds a planning partner who supports an individual's planning processes. Whether the two planning formats differ in terms of participants' entered plan content and whether and how different content characteristics are linked to plan enactment remains unknown. By investigating the content of generated plans, this study aimed at distinguishing plan characteristics of the two planning formats and examining their role as predictors of later plan enactment. METHODS Secondary analyses of a three-arm RCT with German couples (data collection between 2013 and 2015). Couples were assigned to an individual (IPC, n = 114) or dyadic planning condition (DPC, n = 111) and formulated up to 5 physical activity plans for a target person. Couples assigned to a control condition were not included as they did not generate plans. The following characteristics were distinguished and coded for each plan: number of planned opportunities, presence of a planned routine, planned cue- or activity-related specificity, activity-related intensity, and chronological plan rank. One week before (T0) and two weeks following (T2) the intervention (T1), increase vs. no increase of the planned activity was coded as a dichotomous plan enactment variable. Multilevel logistic regressions were fit. RESULTS Plan enactment was higher in dyadic than in individual planners. Findings indicated that routines (e.g., after work) were positively related to plan enactment, whereas a high specificity of when-cues (e.g., Friday at 6.30 p.m.) showed a negative relationship. None of the examined plan characteristics could explain differences in enactment between IPC and DPC. CONCLUSIONS Linking health behaviours to other behavioural routines seems beneficial for subsequent plan enactment. Dyadic planning was linked with higher enactment rates than individual planning. However, as mechanisms underlying this effect remain unclear, they should be investigated further.
Collapse
Affiliation(s)
- Jan Keller
- Department of Education and Psychology, Division Health Psychology, Freie Universität Berlin, Germany.
| | - Lena Fleig
- Department of Education and Psychology, Division Health Psychology, Freie Universität Berlin, Germany
| | - Diana Hilda Hohl
- Department of Education and Psychology, Division Health Psychology, Freie Universität Berlin, Germany
| | - Amelie U Wiedemann
- Department of Education and Psychology, Division Health Psychology, Freie Universität Berlin, Germany
| | - Silke Burkert
- Institute of Medical Psychology, Charité - Universitätsmedizin Berlin, Germany
| | - Aleksandra Luszczynska
- SWPS University of Social Sciences and Humanities, Wroclaw, Poland; Trauma, Health, & Hazards Center, University of Colorado at Colorado Springs, Colorado Springs, CO, USA
| | - Nina Knoll
- Department of Education and Psychology, Division Health Psychology, Freie Universität Berlin, Germany
| |
Collapse
|
11
|
Fakolade A, Lamarre J, Latimer-Cheung A, Parsons T, Morrow SA, Finlayson M. Understanding leisure-time physical activity: Voices of people with MS who have moderate-to-severe disability and their family caregivers. Health Expect 2017; 21:181-191. [PMID: 28722772 PMCID: PMC5750693 DOI: 10.1111/hex.12600] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/16/2017] [Indexed: 01/25/2023] Open
Abstract
Background Physical activity (PA) is beneficial for all people, yet people affected by multiple sclerosis (MS) find regular PA challenging. These people may include individuals with the disease who have moderate‐to‐severe disability and their family caregivers. For researchers and clinicians to effectively promote PA among caregiver/care‐recipient dyads with moderate‐to‐severe MS, a comprehensive understanding of the shared PA experiences of these dyads would be beneficial. Objective We explored shared experiences of caregiver/care‐recipient dyads affected by moderate‐to‐severe MS about PA and directions for intervention. Methods Six focus groups with 23 people with moderate‐to‐severe MS and 12 family caregivers were conducted. Data were analysed using a constant comparative approach. Results Three major themes emerged as follows: (i) PA is a continuum, (ii) cycle of disengagement and (iii) cycle of adjustment. The first theme captured the dyads understanding that PA falls along a continuum ranging from highly structured to unstructured activities. Cycle of disengagement captured the experiences of dyads engaging in little or no PA. These dyads perceived internal and external issues as drivers of the cycle of disengagement, while availability of supportive programmes and services or people helped the dyads to break out of the cycle. When the cycle of disengagement was broken, the dyads described moving towards the cycle of adjustment, where they were able to learn skills and take action to incorporate PA into daily routines. Conclusion This research highlights the need to adopt an integrative approach that acknowledges the caregiver/care‐recipient dyad with moderate‐to‐severe MS as a focus for PA intervention.
Collapse
Affiliation(s)
- Afolasade Fakolade
- School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada
| | - Julie Lamarre
- School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada
| | - Amy Latimer-Cheung
- School of Kinesiology and Health Studies, Queen's University, Kingston, ON, Canada
| | - Trisha Parsons
- School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada
| | - Sarah A Morrow
- Multiple Sclerosis Clinic, University Hospital-London Health Services, London, ON, Canada
| | - Marcia Finlayson
- School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada
| |
Collapse
|
12
|
Arden‐Close E, McGrath N. Health behaviour change interventions for couples: A systematic review. Br J Health Psychol 2017; 22:215-237. [PMID: 28150410 PMCID: PMC5408388 DOI: 10.1111/bjhp.12227] [Citation(s) in RCA: 82] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2016] [Revised: 10/14/2016] [Indexed: 01/28/2023]
Abstract
OBJECTIVES Partners are a significant influence on individuals' health, and concordance in health behaviours increases over time in couples. Several theories suggest that couple-focused interventions for health behaviour change may therefore be more effective than individual interventions. DESIGN A systematic review of health behaviour change interventions for couples was conducted. METHODS Systematic search methods identified randomized controlled trials (RCTs) and non-randomized interventions of health behaviour change for couples with at least one member at risk of a chronic physical illness, published from 1990-2014. RESULTS We identified 14 studies, targeting the following health behaviours: cancer prevention (6), obesity (1), diet (2), smoking in pregnancy (2), physical activity (1) and multiple health behaviours (2). In four out of seven trials couple-focused interventions were more effective than usual care. Of four RCTs comparing a couple-focused intervention to an individual intervention, two found that the couple-focused intervention was more effective. CONCLUSIONS The studies were heterogeneous, and included participants at risk of a variety of illnesses. In many cases the intervention was compared to usual care for an individual or an individual-focused intervention, which meant the impact of the couplebased content could not be isolated. Three arm studies could determine whether any added benefits of couple-focused interventions are due to adding the partner or specific content of couple-focused interventions. Statement of contribution What is already known on this subject? Health behaviours and health behaviour change are more often concordant across couples than between individuals in the general population. Couple-focused interventions for chronic conditions are more effective than individual interventions or usual care (Martire, Schulz, Helgeson, Small, & Saghafi, ). What does this study add? Identified studies targeted a variety of health behaviours, with few studies in any one area. Further assessment of the effectiveness of couple-focused versus individual interventions for those at risk is needed. Three-arm study designs are needed to determine benefits of targeting couples versus couple-focused intervention content.
Collapse
Affiliation(s)
- Emily Arden‐Close
- Department of PsychologyFaculty of Science and TechnologyResearch Centre for Behaviour ChangeBournemouth UniversityPooleUK
| | - Nuala McGrath
- Department of Primary Care and Population SciencesUniversity of SouthamptonUK
- Department of Social Statistics and DemographyUniversity of SouthamptonUK
- Africa Centre for Health and Population StudiesUniversity of KwaZulu NatalDurbanSouth Africa
| |
Collapse
|
13
|
Keller J, Wiedemann AU, Hohl DH, Scholz U, Burkert S, Schrader M, Knoll N. Predictors of dyadic planning: Perspectives of prostate cancer survivors and their partners. Br J Health Psychol 2016; 22:42-59. [PMID: 27743412 DOI: 10.1111/bjhp.12216] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2015] [Revised: 09/18/2016] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Extending individual planning of health behaviour change to the level of the dyad, dyadic planning refers to a target person and a planning partner jointly planning the target person's health behaviour change. To date, predictors of dyadic planning have not been systematically investigated. Integrating cognitive predictors of individual planning with four established predictor domains of social support provision, we propose a framework of predictors of dyadic planning. Including target persons' and partners' perspectives, we examine these predictor domains in the context of prostate cancer patients' rehabilitative pelvic floor exercise (PFE) following radical prostatectomy. DESIGN Longitudinal data from 175 patients and their partners were analysed in a study with four post-surgery assessments across 6 months. METHODS PFE-related dyadic planning was assessed from both partners together with indicators from four predictor domains: context, target person, partner, and relationship factors. Individual planning and social support served as covariates. RESULTS Findings from two-level models nesting repeated assessments in individuals showed that context (patients' incontinence), target person (i.e., positive affect and self-efficacy), and relationship factors (i.e., relationship satisfaction) were uniquely associated with dyadic planning, whereas partner factors (i.e., positive and negative affects) were not. Factors predicting patients' and partners' accounts of dyadic planning differed. CONCLUSIONS Resembling prior findings on antecedents of support provision in this context, partner factors did not prevail as unique predictors of dyadic planning, whereas indicators from all other predictor domains did. To establish predictive direction, future work should use lagged predictions with shorter intermeasurement intervals. Statement of contribution What is already known on this subject? Dyadic planning has been shown to be linked to health behaviour change. However, its role in behaviour regulation frameworks is not well investigated, especially regarding factors that might be predictive of dyadic planning. What does this study add? A framework of predictors of dyadic planning in the health behaviour change process is presented. The framework is investigated accounting for both planning partners' perspectives. Context, target person, and relationship factors were related to dyadic planning.
Collapse
Affiliation(s)
- Jan Keller
- Department of Educational Science and Psychology, Division Health Psychology, Freie Universität Berlin, Germany
| | - Amelie U Wiedemann
- Department of Educational Science and Psychology, Division Health Psychology, Freie Universität Berlin, Germany
| | - Diana Hilda Hohl
- Department of Educational Science and Psychology, Division Health Psychology, Freie Universität Berlin, Germany
| | - Urte Scholz
- Department of Psychology, University of Zurich, Switzerland
| | - Silke Burkert
- Institute of Medical Psychology, Charité - Universitätsmedizin Berlin, Germany
| | - Mark Schrader
- Department of Urology, HELIOS Klinikum Berlin-Buch, Germany
| | - Nina Knoll
- Department of Educational Science and Psychology, Division Health Psychology, Freie Universität Berlin, Germany
| |
Collapse
|
14
|
Koka A. An intervention crossing two types of action planning with mental simulation for the promotion of physical activity among adolescents. Int J Adolesc Med Health 2016; 29:/j/ijamh.2017.29.issue-3/ijamh-2015-0088/ijamh-2015-0088.xml. [PMID: 27060731 DOI: 10.1515/ijamh-2015-0088] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2015] [Accepted: 12/05/2015] [Indexed: 11/15/2022]
Abstract
BACKGROUND Four of every five adolescents do not meet the current physical activity (PA) recommendations. Therefore, there is a need for effective interventions that promote PA behavior among adolescents. OBJECTIVE The present study aimed to evaluate the effectiveness of an integrated theory-based intervention to promote leisure-time PA (LTPA) among adolescents over a 1-month follow-up period. METHODS Following the completion of self-reported LTPA at baseline, 316 adolescents aged 14-16 years were randomized into one of six conditions based on a 2 (outcome mental simulation: present vs. absent)×3 (action planning: standard vs. reasoning vs. absent) factorial design. The LTPA was measured again 1 month later. RESULTS The intervention did not change adolescents' self-reported LTPA over a 1-month follow-up period. Participants receiving either of the intervention manipulation or combination of these intervention manipulations did not demonstrate significantly higher levels of LTPA compared with partcipants who did not receive intervention manipulations. This might be due to several reasons such as complexity of the target behavior, lack of booster sessions within the follow-up period, or seasonality issues. CONCLUSION The results of this study suggest that such an integrated intervention may not yet be ready for implementation in promoting LTPA behavior among adolescents.
Collapse
|
15
|
Hagger MS, Luszczynska A, de Wit J, Benyamini Y, Burkert S, Chamberland PE, Chater A, Dombrowski SU, van Dongen A, French DP, Gauchet A, Hankonen N, Karekla M, Kinney AY, Kwasnicka D, Hing Lo S, López-Roig S, Meslot C, Marques MM, Neter E, Plass AM, Potthoff S, Rennie L, Scholz U, Stadler G, Stolte E, Ten Hoor G, Verhoeven A, Wagner M, Oettingen G, Sheeran P, Gollwitzer PM. Implementation intention and planning interventions in Health Psychology: Recommendations from the Synergy Expert Group for research and practice. Psychol Health 2016; 31:814-39. [PMID: 26892502 DOI: 10.1080/08870446.2016.1146719] [Citation(s) in RCA: 83] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The current article details a position statement and recommendations for future research and practice on planning and implementation intentions in health contexts endorsed by the Synergy Expert Group. The group comprised world-leading researchers in health and social psychology and behavioural medicine who convened to discuss priority issues in planning interventions in health contexts and develop a set of recommendations for future research and practice. The expert group adopted a nominal groups approach and voting system to elicit and structure priority issues in planning interventions and implementation intentions research. Forty-two priority issues identified in initial discussions were further condensed to 18 key issues, including definitions of planning and implementation intentions and 17 priority research areas. Each issue was subjected to voting for consensus among group members and formed the basis of the position statement and recommendations. Specifically, the expert group endorsed statements and recommendations in the following areas: generic definition of planning and specific definition of implementation intentions, recommendations for better testing of mechanisms, guidance on testing the effects of moderators of planning interventions, recommendations on the social aspects of planning interventions, identification of the preconditions that moderate effectiveness of planning interventions and recommendations for research on how people use plans.
Collapse
Affiliation(s)
- Martin S Hagger
- a Health Psychology and Behavioural Medicine, School of Psychology and Speech Pathology, Faculty of Health Sciences , Curtin University , Perth , Australia.,b School of Applied Psychology and Menzies Health Institute Queensland , Griffith University , Brisbane , Australia.,c School of Human, Health and Social Sciences , Central Queensland University , Rockhampton , Australia.,d Faculty of Sport and Health Sciences, Department of Sport Sciences , University of Jyväskylä , Jyväskylä , Finland
| | - Aleksandra Luszczynska
- e University of Social Sciences and Humanities , Wroclaw , Poland.,f Trauma, Health, & Hazards Center , University of Colorado at Colorado Springs , Colorado Springs , USA
| | - John de Wit
- g Centre for Social Research in Health, Faculty of Arts and Social Sciences , University of New South Wales , Sydney , Australia
| | - Yael Benyamini
- h Bob Shapell School of Social Work , Tel Aviv University , Tel Aviv , Israel
| | - Silke Burkert
- i Institut für Medizinische Psychologie , Charité Universitätsmedizin Berlin , Berlin , Germany
| | - Pier-Eric Chamberland
- j Département de psychologie , Université du Québec à Trois-Rivières , Trois-Rivières , Canada
| | - Angel Chater
- k School of Pharmacy, Centre for Behavioural Medicine, Department of Practice and Policy , University College London , London , UK
| | - Stephan U Dombrowski
- l School of Natural Sciences, Division of Psychology , University of Stirling , Stirling , UK
| | - Anne van Dongen
- m Sanquin Blood Supply Foundation , Amsterdam , The Netherlands
| | - David P French
- n School of Psychological Science , University of Manchester , Manchester , UK
| | - Aurelie Gauchet
- o Laboratoire Interuniversitaire de Psychologie Personnalité, Cognition, et Changement Social , Université Grenoble Alpes , Grenoble , France
| | - Nelli Hankonen
- p Department of Social Research , University of Helsinki , Helsinki , Finland
| | - Maria Karekla
- q Department of Psychology , University of Cyprus , Nicosia , Cyprus
| | - Anita Y Kinney
- r Department of Internal Medicine , University of New Mexico , Albuquerque , USA
| | - Dominika Kwasnicka
- a Health Psychology and Behavioural Medicine, School of Psychology and Speech Pathology, Faculty of Health Sciences , Curtin University , Perth , Australia
| | - Siu Hing Lo
- s Research Department of Epidemiology and Public Health, Health Behaviour Research Centre , University College London , London , UK
| | - Sofía López-Roig
- t Departamento de Psicología de la Salud, Facultad de Medicina , Universidad Miguel Hernández de Elche , Elche , Spain
| | - Carine Meslot
- o Laboratoire Interuniversitaire de Psychologie Personnalité, Cognition, et Changement Social , Université Grenoble Alpes , Grenoble , France
| | | | - Efrat Neter
- v Ruppin Academic Centre , Emek Hefer , Netanya , Israel
| | - Anne Marie Plass
- w Netherlands Institute for Health Services Research (NIVEL) , Utrecht , The Netherlands
| | | | - Laura Rennie
- y B-Research/Université Paris-Ouest Nanterre La Défense , Paris , France
| | - Urte Scholz
- z Department of Psychology, Applied Social Psychology , University of Zurich , Zurich , Switzerland
| | - Gertraud Stadler
- aa Department of Psychology , Columbia University , New York , USA
| | - Elske Stolte
- ab Department of Sociology, Faculty of Social Sciences , VU Amsterdam , Amsterdam , The Netherlands
| | - Gill Ten Hoor
- ac Psychology and Neuroscience, Work and Social Psychology, Applied Social Psychology , Maastricht University , Maastricht , The Netherlands
| | - Aukje Verhoeven
- ad Clinical & Health Psychology, Faculty of Social Sciences , Utrecht University , Utrecht , The Netherlands.,ae Department of Clinical Psychology , University of Amsterdam , Amsterdam , The Netherlands
| | - Monika Wagner
- af Department of Medical Psychology , Medizinischen Universität Innsbruck , Innsbruck , Austria
| | - Gabriele Oettingen
- ag Department of Psychology , New York University , New York , USA.,ah Department of Psychology and Human Movement , University of Hamburg , Hamburg , Germany
| | - Paschal Sheeran
- ai Department of Psychology , University of North Carolina , Chapel Hill , USA
| | - Peter M Gollwitzer
- ag Department of Psychology , New York University , New York , USA.,aj Department of Psychology , University of Konstanz , Konstanz , Germany
| |
Collapse
|
16
|
Toli A, Webb TL, Hardy GE. Does forming implementation intentions help people with mental health problems to achieve goals? A meta-analysis of experimental studies with clinical and analogue samples. BRITISH JOURNAL OF CLINICAL PSYCHOLOGY 2015; 55:69-90. [DOI: 10.1111/bjc.12086] [Citation(s) in RCA: 90] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2014] [Revised: 01/14/2015] [Indexed: 11/30/2022]
|
17
|
Thürmer JL, Wieber F, Gollwitzer PM. A Self-regulation Perspective on Hidden-profile Problems: If-Then Planning to Review Information Improves Group Decisions. JOURNAL OF BEHAVIORAL DECISION MAKING 2014. [DOI: 10.1002/bdm.1832] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- J. Lukas Thürmer
- Department of Psychology; University of Konstanz; Konstanz Germany
| | - Frank Wieber
- Department of Psychology; University of Konstanz; Konstanz Germany
| | - Peter M. Gollwitzer
- Department of Psychology; University of Konstanz; Konstanz Germany
- New York University; New York NY USA
| |
Collapse
|
18
|
Knäuper B, Ivanova E, Xu Z, Chamandy M, Lowensteyn I, Joseph L, Luszczynska A, Grover S. Increasing the effectiveness of the Diabetes Prevention Program through if-then plans: study protocol for the randomized controlled trial of the McGill CHIP Healthy Weight Program. BMC Public Health 2014; 14:470. [PMID: 24885388 PMCID: PMC4032631 DOI: 10.1186/1471-2458-14-470] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2014] [Accepted: 05/13/2014] [Indexed: 11/24/2022] Open
Abstract
Background The Diabetes Prevention Program (DPP) is highly effective in promoting weight loss in overweight and obese individuals. However, one-on-one DPP sessions are costly. As a cost-saving alternative, a group version of the DPP, called Group Lifestyle Balance program (GLB), has been developed but has been shown to be less effective. The aim of this two-arm parallel randomized controlled trial is to increase the effectiveness of the GLB by integrating habit formation techniques, namely if-then plans and their mental practice, into the program. Methods/Design A total of 154 participants will be randomized to a standard or enriched GLB program. For the enriched GLB program, if-then plans and their mental practice will be integrated into the standard GLB program. Participants will be overweight or obese men and women (BMI of 28 to 45 kg/m2, waist circumference ≥ 88 for women, ≥ 102 for men, 18 to 75 years of age) who do less than 200 minutes of self-reported moderate or vigorous exercise per week. Measures will be completed at baseline, 3 months, post-intervention (12 months), and 12 months post-intervention (24 months). The primary outcome measure is weight loss at 3, 12, and 24 months. Secondary outcomes include percent reaching weight loss goal, physical activity at 3, 12, and 24 months, and weight-related risk factors (waist circumference, hemoglobin A1c, systolic/diastolic blood pressure, total cholesterol/HDL ratio). Standardized training of the life-style coaches, use of standardized manuals, and audio taping and reviewing of the sessions will ensure intervention fidelity. Discussion The study will provide evidence-based data on the effectiveness of an enhanced GLB intervention in promoting weight loss and in reducing weight-related risk factors for chronic health problems. Ethical clearance has been received from the Research Ethics and Compliance Board of the Faculty of Medicine Research and Graduate Studies Office at McGill University (Montreal, Canada). Trial registration ClinicalTrials.gov Identifier: NCT02008435. Registered 6 December 2013.
Collapse
Affiliation(s)
- Bärbel Knäuper
- Department of Psychology, McGill University, 1205 Dr, Penfield Avenue, Montreal H3A 1B1, QC, Canada.
| | | | | | | | | | | | | | | |
Collapse
|
19
|
From the bench to public health: population-level implementation intentions in colorectal cancer screening. Am J Prev Med 2014; 46:273-80. [PMID: 24512866 DOI: 10.1016/j.amepre.2013.11.008] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2013] [Revised: 10/28/2013] [Accepted: 11/18/2013] [Indexed: 11/22/2022]
Abstract
BACKGROUND Early detection of colorectal cancer (CRC) using fecal occult blood test (FOBT) reduces mortality, yet screening adherence remains low. PURPOSE Enhancing FOBT adherence in a field experiment, using Implementation Intentions (II) technique. DESIGN Participants were randomly assigned to a standard care group or to II experimental group. SETTING/PARTICIPANTS A test kit was mailed to 29,833 HMO-insured members in two waves in 2011. INCLUSION CRITERIA eligible persons aged 50-74 who underwent the test the year before. A sample of 2200 participants was interviewed over the telephone for possible cognitive and background moderators. INTERVENTION Leaflet attached to the test kit containing an "if-then" condition and planning instructions of when, where, and how. MAIN OUTCOME MEASURE Test performance at 2 and 6 months following mailing of the test kit, retrieved from HMO's computerized database (2011-2012). RESULTS Adherence in the experimental group ranged 1.2%-6.6% higher than in the control group. Within 6 months of kits' mailing, test uptake for the two waves was 71.4% and 67.9% for experiment and control, respectively (χ(2)=40.58, p=0.0001). The difference remained significant after controlling for age, gender, marital status, and wave (OR=1.17, 95% CI=1.11, 1.23, p<0.0001). Test performance was related to cognitive and background variables. No interaction was found among cognitive or background variables and the intervention. CONCLUSIONS II technique is useful in increasing adherence to CRC screening, even in a mailed form rather than a face-to-face experimental situation. Mailed II is an inexpensive and effective method, applicable for public health.
Collapse
|
20
|
Prestwich A, Kellar I. How can the impact of implementation intentions as a behaviour change intervention be improved? EUROPEAN REVIEW OF APPLIED PSYCHOLOGY-REVUE EUROPEENNE DE PSYCHOLOGIE APPLIQUEE 2014. [DOI: 10.1016/j.erap.2010.03.003] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
21
|
Hagger MS, Luszczynska A. Implementation intention and action planning interventions in health contexts: state of the research and proposals for the way forward. Appl Psychol Health Well Being 2013; 6:1-47. [PMID: 24591064 DOI: 10.1111/aphw.12017] [Citation(s) in RCA: 256] [Impact Index Per Article: 23.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
The purpose of this paper is to provide an overview of the literature on two planning intervention techniques in health behaviour research, implementation intentions and action planning, and to develop evidence-based recommendations for effective future interventions and highlight priority areas for future research. We focused our review on four key areas: (1) definition and conceptualisation; (2) format and measurement; (3) mechanisms and processes; and (4) design issues. Overall, evidence supports the effectiveness of planning interventions in health behaviour with advantages including low cost and response burden. There is, however, considerable heterogeneity in the effects across studies and relatively few registered randomised trials that include objective behavioural measures. Optimally effective planning interventions should adopt "if-then" plans, account for salient and relevant cues, include examples of cues, be guided rather than user-defined, and include boosters. Future studies should adopt randomised controlled designs, report study protocols, include fidelity checks and relevant comparison groups, and adopt long-term behavioural follow-up measures. Priority areas for future research include the identification of the moderators and mediators of planning intervention effects. Future research also needs to adopt "best practice" components of planning interventions more consistently to elucidate the mechanisms and processes involved.
Collapse
|
22
|
Prestwich A, Conner MT, Lawton RJ, Ward JK, Ayres K, McEachan RRC. Partner- and planning-based interventions to reduce fat consumption: randomized controlled trial. Br J Health Psychol 2013; 19:132-48. [PMID: 23659492 DOI: 10.1111/bjhp.12047] [Citation(s) in RCA: 66] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2012] [Revised: 03/28/2013] [Indexed: 11/30/2022]
Abstract
OBJECTIVE The research tested the efficacy of partner- and planning-based interventions to reduce dietary fat intake over a 6-month period. DESIGN Randomized controlled, blinded, parallel trial. METHODS A computer randomization feature was used to allocate council employees (N = 427, of which 393 completed baseline measures) to one of four conditions (partner + implementation intentions, partner-only, implementation intentions, and control group) before they completed measures at baseline and follow-ups at 1, 3, and 6 months post-baseline. Outcome measures were comprised of validated self-report measures of dietary fat intake (saturated fat intake, fat intake, ratio of 'good' fats to 'bad' fats); psychosocial mediators (enjoyment, intention, self-efficacy, social influence, partner support); weight and waist size (baseline and 6 months only). RESULTS Data from 393 participants were analysed in accordance with intention-to-treat analyses. All intervention groups reported greater reductions in fat intake than the control group at 3 months. The partner-based groups increased the ratio of 'good' fats to 'bad' fats at 3 and 6 months and lost more inches on their waist, versus the non-partner groups. The impacts of the partner-based manipulations on outcomes were partially mediated by greater perceived social influences, partner support, and enjoyment of avoiding high-fat foods. The partner-based interventions also increased intention and self-efficacy. However, the effects in this study were typically small and generally marginally significant. CONCLUSIONS Partner-based interventions had some positive benefits on dietary-related outcomes at 3 and 6 months. Support for implementation intentions was more limited.
Collapse
|
23
|
Craciun C, Schüz N, Lippke S, Schwarzer R. Enhancing planning strategies for sunscreen use at different stages of change. HEALTH EDUCATION RESEARCH 2012; 27:857-867. [PMID: 22907532 DOI: 10.1093/her/cys091] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
To promote sun safety by implementing different plans for sunscreen use, different psychological interventions are compared. Self-regulatory strategies such as action planning and coping planning are seen as proximal predictors of actual behavior. The study compares a pure planning intervention with a broader resource communication and examines differential effects at different stages of change. A sun safety online study was designed with two intervention groups (resource communication versus planning) and one control group at two assessment points, 2 weeks apart. Participants (N = 292) were grouped post hoc according to their stage of change, resulting in 51 pre-intenders (no intention to use sunscreen), 102 intenders (high intention but no regular use of sunscreen) and 139 actors (sunscreen use on a regular basis). No overall treatment effects on planning, but an interaction between time, stage and intervention emerged. The resource communication was more effective for pre-intenders, whereas the planning intervention proved more effective for intenders. A planning treatment was more beneficial in motivated individuals, whereas a broader approach was better for unmotivated ones. Findings highlight the potential that stage-matched interventions might have in the context of sun safety promotion.
Collapse
Affiliation(s)
- Catrinel Craciun
- Department of Psychology, Babes-Bolyai University, Republicii 37, 400015, Cluj-Napoca, Romania.
| | | | | | | |
Collapse
|
24
|
Dombrowski SU, Sniehotta FF, Mackintosh J, White M, Rodgers H, Thomson RG, Murtagh MJ, Ford GA, Eccles MP, Araujo-Soares V. Witness response at acute onset of stroke: a qualitative theory-guided study. PLoS One 2012; 7:e39852. [PMID: 22911691 PMCID: PMC3401234 DOI: 10.1371/journal.pone.0039852] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2012] [Accepted: 05/28/2012] [Indexed: 12/03/2022] Open
Abstract
Background Delay in calling emergency medical services following stroke limits access to early treatment that can reduce disability. Emergency medical services contact is mostly initiated by stroke witnesses (often relatives), rather than stroke patients. This study explored appraisal and behavioural factors that are potentially important in influencing witness behaviour in response to stroke. Methods and Findings Semi-structured interviews with 26 stroke witnesses were transcribed and theory-guided content analysed was undertaken based on the Common Sense Self-Regulation Model (appraisal processes) and Theory Domains Framework (behavioural determinants). Response behaviours were often influenced by heuristics-guided appraisal (i.e. mental rules of thumb). Some witnesses described their responses to the situation as ‘automatic’ and ‘instinctive’, rather than products of deliberation. Potential behavioural influences included: environmental context and resources (e.g. time of day), social influence (e.g. prompts from patients) and beliefs about consequences (e.g. 999 accesses rapid help). Findings are based on retrospective accounts and need further verification in prospective studies. Conclusions Witnesses play a key role in patient access to emergency medical services. Factors that potentially influence witnesses’ responses to stroke were identified and could inform behavioural interventions and future research. Interventions might benefit from linking automatic/instinctive threat perceptions with deliberate appraisal of stroke symptoms, prompting action to call emergency medical services.
Collapse
Affiliation(s)
- Stephan U Dombrowski
- Institute of Health & Society, Newcastle University, Baddiley-Clark Building, Newcastle upon Tyne, United Kingdom.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
25
|
The interplay of dyadic and individual planning of pelvic-floor exercise in prostate-cancer patients following radical prostatectomy. J Behav Med 2012; 35:305-17. [DOI: 10.1007/s10865-012-9416-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2011] [Accepted: 03/16/2012] [Indexed: 10/28/2022]
|
26
|
Browne† J, Chan A. Using the Theory of Planned Behaviour and implementation intentions to predict and facilitate upward family communication about mammography. Psychol Health 2011; 27:655-73. [DOI: 10.1080/08870446.2011.615396] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
|
27
|
Norman P, Cooper Y. The theory of planned behaviour and breast self-examination: Assessing the impact of past behaviour, context stability and habit strength. Psychol Health 2011; 26:1156-72. [DOI: 10.1080/08870446.2010.481718] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
28
|
Burkert S, Scholz U, Gralla O, Roigas J, Knoll N. Dyadic planning of health-behavior change after prostatectomy: A randomized-controlled planning intervention. Soc Sci Med 2011; 73:783-92. [DOI: 10.1016/j.socscimed.2011.06.016] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2010] [Revised: 03/04/2011] [Accepted: 06/08/2011] [Indexed: 10/18/2022]
|
29
|
de Vet E, Gebhardt WA, Sinnige J, Van Puffelen A, Van Lettow B, de Wit JBF. Implementation intentions for buying, carrying, discussing and using condoms: the role of the quality of plans. HEALTH EDUCATION RESEARCH 2011; 26:443-455. [PMID: 21414997 DOI: 10.1093/her/cyr006] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Forming implementation intentions (i.e. action plans that specify when, where and how a person will act) could be effective in promoting condom use on a large scale. However, the technique implies that people are able to form high quality implementation plans that are likely to induce behaviour change. Young single females, aged 16-30 years old, were asked to form either an implementation intention for the target behaviour using condoms (n = 159) or preparatory implementation intentions for buying, carrying, discussing and using condoms (n = 146). Condom preparations were assessed at follow-up 2 months later. The implementation intentions that participants formed were rated on quality. In general, it appeared hard for young women to form high quality general implementation intentions for the target behaviour condom use. Implementation intentions for the preparatory behaviours were of better quality than general implementation intentions. Females who formed strong implementation intentions in the preparatory behaviours condition were more committed to these plans and perceived them as more useful. Plan commitment and perceived usefulness predicted condom preparations at follow-up. We conclude that it is important to ask individuals to form implementation intentions for the preparatory behaviours rather than for the target behaviour alone.
Collapse
Affiliation(s)
- Emely de Vet
- Clinical and Health Psychology, Utrecht University, 3508 TC Utrecht, The Netherlands.
| | | | | | | | | | | |
Collapse
|
30
|
Hagger MS, Lonsdale A, Koka A, Hein V, Pasi H, Lintunen T, Chatzisarantis NLD. An Intervention to Reduce Alcohol Consumption in Undergraduate Students Using Implementation Intentions and Mental Simulations: A Cross-National Study. Int J Behav Med 2011; 19:82-96. [DOI: 10.1007/s12529-011-9163-8] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
31
|
Hagger MS, Lonsdale A, Chatzisarantis NLD. A theory-based intervention to reduce alcohol drinking in excess of guideline limits among undergraduate students. Br J Health Psychol 2011; 17:18-43. [PMID: 22233103 DOI: 10.1111/j.2044-8287.2010.02011.x] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Undergraduate students frequently exceed guideline limits for alcohol intake in a single session and are highly susceptible to associated health, social, and economic problems. Psychological theory suggests that interventions aimed at reducing alcohol consumption should target both motivational and volitional phases of action to be effective. This study reports an integrated theory-based intervention aimed at reducing undergraduates' alcohol consumption in excess of guideline limits. DESIGN The study adopted a 2 (motivation: mental simulation vs. no mental simulation) × 2 (volitional: implementation intention vs. no implementation intention) randomized controlled design presented in an online format. METHODS Undergraduate students (N= 238; females, n= 133, M age = 20.11, SD= 2.09; males, n= 105, M age = 20.38, SD= 1.35) completed baseline psychological measures and self-reported alcohol consumption as units consumed and heavy episodic drinking occasions followed by the intervention manipulation (if any). One month later participants completed follow-up measures of the psychological variables and alcohol consumption. RESULTS Significant reductions in alcohol consumption were observed at follow-up. Participants receiving a mental simulation intervention reported significantly fewer units of alcohol consumed and heavy episodic drinking occasions. Among participants with high baseline alcohol consumption, participants in the combined mental simulation and implementation intention intervention group consumed significantly fewer units than other groups. CONCLUSION Results support the use of these theory-based strategies to reduce alcohol drinking in excess of guideline limits among undergraduates. There was preliminary support for the interaction between the two strategies among heavier drinkers. Targeting both motivational and implemental phases of action poses a high probability for success in changing alcohol-related behaviour in this population.
Collapse
Affiliation(s)
- Martin S Hagger
- School of Psychology and Speech Pathology, Curtin University, Australia.
| | | | | |
Collapse
|
32
|
Webb TL, Sheeran P. Mechanisms of implementation intention effects: The role of goal intentions, self-efficacy, and accessibility of plan components. BRITISH JOURNAL OF SOCIAL PSYCHOLOGY 2010; 47:373-95. [DOI: 10.1348/014466607x267010] [Citation(s) in RCA: 238] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
|
33
|
Benyamini Y, Ashery L, Shiloh S. Involving Husbands in their Wives' Health Behaviour: Does it Work? Appl Psychol Health Well Being 2010. [DOI: 10.1111/j.1758-0854.2010.01041.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
34
|
Molloy GJ, Dixon D, Hamer M, Sniehotta FF. Social support and regular physical activity: does planning mediate this link? Br J Health Psychol 2010; 15:859-70. [PMID: 20178694 DOI: 10.1348/135910710x490406] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVES Social support for physical activity is reliably associated with regular physical activity, however the social cognitive processes, particularly post-intentional processes, that can explain this link have not been well characterized. In this study, we examined the extent to which the relationship between social support for physical activity and subsequent physical activity can be accounted for by planning processes. DESIGN AND METHOD The design was prospective observational and the sample consisted of 903 university students. Participants completed standard theory of planned behaviour, planning, and physical activity measures at 2 time points, approximately 7 weeks apart. A gender stratified multiple mediation model was conducted to test the study hypotheses. RESULTS A significant interaction between social support and gender was observed. This indicated that lower levels of social support for physical activity were associated with lower levels of physical activity at Time 2, for women only. In multiple mediation analysis, this was partly explained by the indirect effects of social support through perceived behavioural control and coping planning. CONCLUSION These findings highlight the importance of interpersonal processes in understanding the post-intentional social cognitive determinants of regular physical activity. It is likely that planning processes relating to physical activity are often influenced by those in the ongoing immediate social environment who support this behaviour. Future development of theory and interventions should take account of the socially interactive nature of planning processes.
Collapse
Affiliation(s)
- G J Molloy
- Department of Psychology, University of Stirling, UK.
| | | | | | | |
Collapse
|
35
|
Mason TE, White KM. Applying an extended model of the theory of planned behaviour to breast self-examination. J Health Psychol 2009; 13:946-55. [PMID: 18809646 DOI: 10.1177/1359105308095069] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Few studies have examined the predictors of breast self-examination in younger women, where it is the primary method for the early detection of breast cancer. Female college students (N = 253, aged 17 to 50 years) completed items related to breast self-examination assessing theory of planned behaviour (TPB) constructs (intentions, attitude, subjective norm, perceived behavioural control), social influence variables of self-identity and group norm, and demographic characteristics. One month later, breast self-examination behaviour was assessed. Results supported this application of the TPB model and highlight the importance of group norms for strategies to increase breast self-examination in younger women.
Collapse
|
36
|
Schweiger-Gallo I, de Miguel J, Rodríguez-Monter M, Álvaro JL, Gollwitzer PM. Efectos de las intenciones de implementación en las intervenciones sobre la salud. INTERNATIONAL JOURNAL OF SOCIAL PSYCHOLOGY 2009. [DOI: 10.1174/021347409789050579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
37
|
Sniehotta FF. Towards a theory of intentional behaviour change: plans, planning, and self-regulation. Br J Health Psychol 2008; 14:261-73. [PMID: 19102817 DOI: 10.1348/135910708x389042] [Citation(s) in RCA: 225] [Impact Index Per Article: 14.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
PURPOSE Briefly review the current state of theorizing about volitional behaviour change and identification of challenges and possible solutions for future theory development. METHOD Review of the literature and theoretical analysis. RESULTS Reasoned action theories have made limited contributions to the science of behaviour change as they do not propose means of changing cognitions or account for existing effective behaviour change techniques. Changing beliefs does not guarantee behaviour change. The implementation intentions (IMPs) approach to planning has advanced theorizing but the applications to health behaviours often divert substantially from the IMPs paradigm with regard to interventions, effects, mediators and moderators. Better construct definitions and differentiations are needed to make further progress in integrating theory and understanding behaviour change. CONCLUSIONS Further progress in theorizing can be achieved by (a) disentangling planning constructs to study their independent and joint effects on behaviour, (b) progressing research on moderators and mediators of planning effects outside the laboratory and (c) integrating planning processes within learning theory and self-regulation theory.
Collapse
|
38
|
Scholz U, Schüz B, Ziegelmann JP, Lippke S, Schwarzer R. Beyond behavioural intentions: planning mediates between intentions and physical activity. Br J Health Psychol 2007; 13:479-94. [PMID: 17553212 DOI: 10.1348/135910707x216062] [Citation(s) in RCA: 165] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVES Health-behaviour change is not predicted well by behavioural intentions alone. Action planning and coping planning are two self-regulatory strategies that may help bridge the gap between intentions and behaviour. Action planning comprises the when, where and how of implementing a behaviour. Coping planning involves the anticipation of barriers and ways to overcome them. The study examines whether the inclusion of these two planning constructs would improve the overall prediction of physical activity. The main research question is which kind of planning would be beneficial for the initiation of behaviour and which one for its maintenance. Moreover, it is examined whether intentions moderate the planning-behaviour relationship. METHODS A 5-week longitudinal on-line study was conducted with 354 participants. Differences in prediction patterns between formerly active and formerly inactive individuals were compared using multigroup structural equation modelling. Moderating effects of intentions were tested by means of latent interactions. RESULTS Inclusion of the two planning factors accounted for substantially more behaviour variance than intention alone did. Coping planning mediated the intention-behaviour relationship only in formerly active, but not in formerly inactive participants. Moreover, intentions moderated the effects of both types of planning on behaviour. CONCLUSIONS Action planning appears to predict behaviour only when intentions are high. For actors, coping planning represents a critical self-regulation strategy to maintain their physical activity levels.
Collapse
Affiliation(s)
- Urte Scholz
- Department of Psychology, University of Zürich, Zürich, Switzerland.
| | | | | | | | | |
Collapse
|
39
|
Koestner R, Horberg EJ, Gaudreau P, Powers T, Di Dio P, Bryan C, Jochum R, Salter N. Bolstering implementation plans for the long haul: the benefits of simultaneously boosting self-concordance or self-efficacy. PERSONALITY AND SOCIAL PSYCHOLOGY BULLETIN 2007; 32:1547-58. [PMID: 17030894 DOI: 10.1177/0146167206291782] [Citation(s) in RCA: 83] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Recent studies suggest that implementation planning exercises may not be as helpful for long-term, self-initiated goals as for short-term, assigned goals. Two studies used the personal goal paradigm to explore the impact of implementation plans on goal progress over time. Study 1 examined whether administering implementation plans in an autonomy supportive manner would facilitate goal progress relative to a neutral, control condition and a condition in which implementation plans were administered in a controlling manner. Study 2 examined whether combining implementation plans with a self-efficacy boosting exercise would facilitate goal progress relative to a neutral, control condition and a typical implementation condition. The results showed that implementation plans alone did not result in greater goal progress than a neutral condition but that the combination of implementation plans with either autonomy support or self-efficacy boosting resulted in significantly greater goal progress.
Collapse
Affiliation(s)
- Richard Koestner
- Psychology Department, McGill University, 1205 Dr. Penfield Avenue, Montreal, Quebec H3A 1B1, USA.
| | | | | | | | | | | | | | | |
Collapse
|
40
|
Current issues and new directions inPsychology and Health: ‘Plus ça change, plus c’est la même chose’. Psychol Health 2007. [DOI: 10.1080/14768320601071009] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|