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Blicher-Hansen J, Chilcot J, Gardner B. Experiences of successful physical activity maintenance among adults with type 2 diabetes: a theory-based qualitative study. Psychol Health 2024; 39:399-416. [PMID: 35475454 DOI: 10.1080/08870446.2022.2063863] [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: 09/15/2020] [Accepted: 04/04/2022] [Indexed: 10/18/2022]
Abstract
OBJECTIVE Approximately 70% of adults with type 2 diabetes (T2D) fail to achieve the 150 minutes of weekly physical activity (PA) recommended for self-management. Interventions to promote PA adoption in T2D rarely achieve stable maintenance. Analysis of lived experiences of adults with T2D who have successfully transitioned to long-term PA maintenance can build understanding of factors influencing long-term maintenance. DESIGN Semi-structured interviews were conducted among 18 adults with T2D who had transitioned to a lifestyle incorporating maintenance of recommended PA. Interview topics were informed by the three phases of the 'Multi-Process Action Control' (M-PAC) Framework, and explored attitudes, beliefs and experiences relating to PA decision, adoption and the transition to stable maintenance. Transcripts were thematically analysed. FINDINGS Seven themes emerged. Results variously showed that negative affect engendered by T2D diagnosis and inspiration from peers influenced intention formation, and that setting easy, fun goals, and experiencing biopsychosocial gains were important to behaviour adoption. PA maintenance was regulated by habit, expectations of positive affect, and a new sense of identity. CONCLUSION Phase-based frameworks can help understand how regulation of behaviour evolves over time. PA promotion strategies for inactive adults with T2D should be phase-tailored, to help people transition from intentions to maintenance.
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Affiliation(s)
- Jennie Blicher-Hansen
- Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Joseph Chilcot
- Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Benjamin Gardner
- Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
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2
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Claassen MA, Papies EK. Representational shifts: increasing motivation for bottled water through simulation-enhancing advertisements. BMC Public Health 2023; 23:2209. [PMID: 37946180 PMCID: PMC10634071 DOI: 10.1186/s12889-023-17109-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Accepted: 10/30/2023] [Indexed: 11/12/2023] Open
Abstract
BACKGROUND Despite its numerous health benefits, consumers' daily water consumption is below recommend levels while soft drink consumption remains high. Previous research has shown that the degree to which drinks are cognitively represented in terms of consumption and enjoyment (i.e., through simulations of consumption and reward) predicts desire and intake. Here, we examined whether simulation-enhancing advertisements that frame water in terms of consumption and reward change cognitive representations and increase motivation for a fictitious bottled water. METHODS In three pre-registered online experiments (Nexp1 = 984; Nexp2 = 786; Nexp3 = 907), UK participants viewed three advertisements that either highlighted the rewarding consumption experience of water (e.g., "Refresh all your senses with this smooth, cool water"; simulation-enhancing ads), the health consequences of drinking water (e.g., "This water takes care of your health"; health-focused ads), or control ads. We assessed cognitive representations of the bottled water with a semantic feature production task, and we coded the words used as consumption and reward features or positive long-term health consequences features. We assessed motivation through ratings of the attractiveness of the water (Exp. 1 only), desire to drink it, and willingness to pay for it (WTP). RESULTS In line with our hypotheses, participants represented the bottled water more in terms of consumption and reward after viewing simulation-enhancing advertisements, and more in terms of positive long-term health consequences after viewing health-focused advertisements. There was no direct effect of advertisement condition on motivation ratings. However, significant indirect effects showed that simulation-enhancing advertisements increased desire and WTP through the proportion of consumption and reward features, whereas health-focused advertisements increased motivation through an increase in the proportion of positive long-term health consequences features. The effects through consumption and reward were stronger. CONCLUSIONS These findings are consistent with research suggesting that the experience of immediate reward from drinking water underlies intake. Public health interventions should emphasize the enjoyment of drinking water, rather than the long-term health benefits.
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Affiliation(s)
- Maria Almudena Claassen
- Center for Adaptive Rationality, Max-Planck-Institute for Human Development, Lentzeallee 94, 14195, Berlin, Germany.
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3
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Liao Q, Yuan J, Lok KYW, Ngu SF, Chen Y, Lam WWT. Learning from mothers' success in breastfeeding maintenance: coping strategies and cues to action. Front Psychol 2023; 14:1167272. [PMID: 37260966 PMCID: PMC10229069 DOI: 10.3389/fpsyg.2023.1167272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Accepted: 04/18/2023] [Indexed: 06/02/2023] Open
Abstract
This study aimed to gain insight from mothers who were successful in breastfeeding maintenance to develop interventions for promoting breastfeeding maintenance. Following the phenomenological framework, this qualitative study recruited mothers who had maintained breastfeeding for at least 4 months for in-depth interviews. A total of 30 in-depth interviews were completed. We found that almost all participants had experienced an initial adjustment period. During this period, a social support network, personal perseverance in "trying" breastfeeding and "pumping," and adjusting expectations for breastfeeding to relieve themselves from the pressure of exclusive breastfeeding were important coping strategies. All participants then entered a stage of getting more attuned when breastfeeding was easier. During this period, seeking support from the online mother groups, deliberating medication that might affect breastfeeding, adjusting to accommodate breastfeeding and lives, and managing breastfeeding in public were the main strategies. For working mothers, despite workplace and employers' support, proactive adjustment for using the facilities and lactation breaks for breast milk expression was essential for breastfeeding continuation after returning to work. Throughout the whole journey, positive cues identified from their breastfeeding experiences that helped breastfeeding maintenance included enjoying breastfeeding, breastfeeding as a personal achievement, a healthy and thriving child, positive social feedback, bodily response, the convenience of breastfeeding, and breastfeeding as a motherhood commitment. To conclude, while mothers should be mentally prepared for the difficulties of breastfeeding, they should also be encouraged that things will always get easier as they persevere. Adjustments should be made to accommodate lives and other personal needs. Future studies should consider integrating relevant cues into existing psychosocial interventions for promoting breastfeeding maintenance.
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Affiliation(s)
- Qiuyan Liao
- School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - Jiehu Yuan
- School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - Kris Yuet Wan Lok
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - Siew Fei Ngu
- Department of Obstetrics and Gynaecology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - Yuyi Chen
- School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - Wendy Wing Tak Lam
- School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
- Li Ka Shing Faculty of Medicine, Jockey Club Institute of Cancer Care, The University of Hong Kong, Hong Kong, Hong Kong SAR, China
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4
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Kawa C, Ianiro-Dahm PM, Nijhuis JFH, Gijselaers WH. Effects of a Nudging Cue Targeting Food Choice in a University Cafeteria: A Field Study. Healthcare (Basel) 2023; 11:healthcare11091307. [PMID: 37174849 PMCID: PMC10178432 DOI: 10.3390/healthcare11091307] [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: 04/12/2023] [Revised: 04/29/2023] [Accepted: 04/29/2023] [Indexed: 05/15/2023] Open
Abstract
Many students approaching adulthood often choose high-calorie food products. Concurrently, health interventions applied during this life phase can potentially lead to a healthier lifestyle. Nudge health interventions in experimental cafeteria settings have been found to improve eating behavior effectively, yet research in real-world settings is lacking. Accepting nudges as health interventions impacts nudge effectiveness. The present study applies a pretest-posttest design for a period of three consecutive weeks (no nudge, nudge, no nudge), testing the effectiveness of the so-called Giacometti cue on the number of calories purchased in a real-world cafeteria. Students were exposed to the nudge during the intervention week when entering the cafeteria and when choosing their meals. After purchasing a meal, their choice was recorded, and they completed a questionnaire. The Giacometti cue immediately reduced the number of calories purchased (comparing weeks one and two). After nudge removal, an effect was identified, increasing the number of calories purchased (comparing weeks two and three). Contrary to expectations, higher nudge acceptance resulted in more calories purchased. Neither awareness of the nudge's presence when buying food nor the interaction between acceptance and awareness played a role. We explore potential explanations for the Giacometti cue's effects.
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Affiliation(s)
- Christine Kawa
- Department of Management Sciences, University of Applied Sciences Bonn-Rhein-Sieg, 53359 Rheinbach, Germany
| | - Patrizia M Ianiro-Dahm
- Department of Management Sciences, University of Applied Sciences Bonn-Rhein-Sieg, 53359 Rheinbach, Germany
| | - Jan F H Nijhuis
- Department of Educational Research and Development, School of Business and Economics, Maastricht University, 6211 LM Maastricht, The Netherlands
| | - Wim H Gijselaers
- Department of Educational Research and Development, School of Business and Economics, Maastricht University, 6211 LM Maastricht, The Netherlands
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5
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Melis M, Schroyen G, Leenaerts N, Smeets A, Sunaert S, Van der Gucht K, Deprez S. The impact of mindfulness on cancer-related cognitive impairment in breast cancer survivors with cognitive complaints. Cancer 2023; 129:1105-1116. [PMID: 36625501 DOI: 10.1002/cncr.34640] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 12/12/2022] [Accepted: 12/15/2022] [Indexed: 01/11/2023]
Abstract
BACKGROUND Interventions that target cancer-related cognitive impairment (CRCI) to improve the quality of life of cancer survivors are needed. In this study, the potential of a mindfulness-based intervention to reduce CRCI in breast cancer survivors, compared with physical training and a wait list control group, was investigated. METHODS Breast cancer survivors with cognitive complaints (N = 117) were randomly allocated to a mindfulness (n = 43), physical training (n = 36), or wait list control condition (n = 38). Participants completed neuropsychological tests and questionnaires before the intervention, immediately after, and 3 months after intervention. The primary outcome measure was the change in cognitive complaints over time. Secondary outcomes were objective cognitive impairment and psychological well-being. All outcomes were compared between groups over time using linear mixed models, including participants with missing values. RESULTS Of the 117 included participants, 96 completed the three assessments. Participants in the three groups reported decreased cognitive complaints after intervention, without group differences. There were no between-group differences in objective cognitive impairment after intervention compared with baseline. Compared with the wait list control group, participants reported increased mindfulness skills and reduced emotional distress after mindfulness and reduced emotional distress and fatigue after physical training. CONCLUSION Contrary to the hypothesis, all groups reported an improvement in cognitive complaints over time. It is suggested that priming and acknowledgment of CRCI might alter the experience of cognitive impairment. Additionally, both mindfulness-based intervention and physical training can improve psychological well-being of breast cancer survivors with cognitive complaints.
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Affiliation(s)
- Michelle Melis
- Department of Imaging and Pathology, Leuven Brain Institute, Translational MRI, Catholic University Leuven, Leuven, Belgium.,Research Foundation Flanders (FWO), Flanders, Belgium.,Leuven Cancer Institute, Catholic University Leuven, Leuven, Belgium
| | - Gwen Schroyen
- Department of Imaging and Pathology, Leuven Brain Institute, Translational MRI, Catholic University Leuven, Leuven, Belgium.,Leuven Cancer Institute, Catholic University Leuven, Leuven, Belgium
| | - Nicolas Leenaerts
- Department of Neurosciences, Leuven Brain Institute, Mind-body Research, Catholic University Leuven, Leuven, Belgium
| | - Ann Smeets
- Leuven Cancer Institute, Catholic University Leuven, Leuven, Belgium.,Department of Oncology, Surgical Oncology, Catholic University Leuven, Leuven, Belgium.,Department of Surgical Oncology, Multidisciplinary Breast Center, University Hospitals Leuven, Leuven, Belgium
| | - Stefan Sunaert
- Department of Imaging and Pathology, Leuven Brain Institute, Translational MRI, Catholic University Leuven, Leuven, Belgium.,Department of Radiology, University Hospitals Leuven, Leuven, Belgium
| | - Katleen Van der Gucht
- Leuven Mindfulness Centre, Faculty of Psychology and Educational Sciences, Catholic University Leuven, Leuven, Belgium.,Department of Rehabilitation Sciences, Neuromodulation Laboratory, Biomedical Sciences Group, Catholic University Leuven, Leuven, Belgium.,Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands
| | - Sabine Deprez
- Department of Imaging and Pathology, Leuven Brain Institute, Translational MRI, Catholic University Leuven, Leuven, Belgium.,Leuven Cancer Institute, Catholic University Leuven, Leuven, Belgium
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Rodger A, Vezevicius A, Papies EK. Can a simple plan change a complex behavior? Implementation intentions in the context of water drinking. Appetite 2023; 183:106459. [PMID: 36646386 DOI: 10.1016/j.appet.2023.106459] [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: 09/07/2022] [Revised: 12/02/2022] [Accepted: 01/10/2023] [Indexed: 01/15/2023]
Abstract
Underhydration has significant adverse physical and mental health effects, yet many people drink too little water. Implementation intentions have been found to effectively promote many health behaviors, but little is known about the processes underlying their effects in naturalistic settings, and whether they could improve water drinking. This mixed-methods study assessed the impact and potential underlying processes of using implementation intentions to increase self-reported water intake over a five-day follow-up. Ninety-five participants (Mage = 39, SD = 12) received an educational quiz to increase their water drinking motivation before being randomly assigned to the control or intervention group. Participants also completed a qualitative survey that assessed the processes underlying their attempts to increase water intake. Quantitative results suggested that most participants increased their average daily water intake regardless of group. Qualitative results indicated that implementation intention participants struggled with remembering and the perceived effort of preparation and drinking behaviors, which reduced the effect of planning on behavior. This study provides essential theoretical and methodological considerations for researchers studying implementation intentions, as the effects and mechanisms of implementation intentions in real-life situations may be more complex than previously assumed. For example, the results suggest that implementation intentions did not automatize remembering and performing the behavior in ways the current literature theorizes. Other kinds of interventions may be needed to improve the complex daily-life behaviour of water drinking.
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Affiliation(s)
- Amy Rodger
- School of Psychology, Institute of Neuroscience and Psychology, University of Glasgow, UK.
| | - Ariel Vezevicius
- School of Psychology, Institute of Neuroscience and Psychology, University of Glasgow, UK
| | - Esther K Papies
- School of Psychology, Institute of Neuroscience and Psychology, University of Glasgow, UK
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Batchelor R, Taylor MD. Experiences and perspectives of peer support among young adults with epilepsy. Epilepsy Behav Rep 2023; 21:100590. [PMID: 36818645 PMCID: PMC9929678 DOI: 10.1016/j.ebr.2023.100590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 01/14/2023] [Accepted: 01/30/2023] [Indexed: 02/05/2023] Open
Abstract
Young adulthood is a critical developmental period which having epilepsy tends to complicate, suggesting support could be useful. This study aimed to examine the experiences and perspectives of peer support among young adults with epilepsy (YAWE). An online survey was completed by 144 YAWE. Most YAWE reported not having access to peer support but perceived several potential benefits which could support their mental health including mutual understanding, fostering friendships and reducing loneliness, and promoting self-management and coping strategies. Reported barriers to accessing peer support included practical barriers such as travel and time constraints, emotional barriers (e.g., anxiety), and peers not feeling confident or skilled enough to support others. The need for epilepsy peer support groups specifically designed for young adults, university students, and individuals with co-occurring conditions such as autism and attention deficit hyperactivity disorder were also recognised as well as online delivery to address some of the identified barriers. Appropriate training for facilitators and group moderation were noted as important. Overall, these preliminary findings support the acceptability of peer support among YAWE, indicating peer support could be a worthy focus of policy and care pathway development. However, future research is needed to evaluate the effectiveness of peer support for epilepsy populations.
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Affiliation(s)
- Rachel Batchelor
- Department of Psychology, Royal Holloway, University of London, Surrey, UK
- Corresponding author at: Department of Psychology, Royal Holloway, University of London, Egham, Surrey TW20 0EX, UK.
| | - Michelle D. Taylor
- Department of Psychology, Royal Holloway, University of London, Surrey, UK
- Health Psychology Research Limited (HPR Ltd.), 188 High Street, Egham, Surrey, UK
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8
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Leeuwis N, van Bommel T, Alimardani M. A framework for application of consumer neuroscience in pro-environmental behavior change interventions. Front Hum Neurosci 2022; 16:886600. [PMID: 36188183 PMCID: PMC9520489 DOI: 10.3389/fnhum.2022.886600] [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: 02/28/2022] [Accepted: 08/23/2022] [Indexed: 11/15/2022] Open
Abstract
Most consumers are aware that climate change is a growing problem and admit that action is needed. However, research shows that consumers' behavior often does not conform to their value and orientations. This value-behavior gap is due to contextual factors such as price, product design, and social norms as well as individual factors such as personal and hedonic values, environmental beliefs, and the workload capacity an individual can handle. Because of this conflict of interest, consumers have a hard time identifying the true drivers of their behavior, as they are either unaware of or unwilling to acknowledge the processes at play. Therefore, consumer neuroscience methods might provide a valuable tool to uncover the implicit measurements of pro-environmental behavior (PEB). Several studies have already defined neurophysiological differences between green and non-green individuals; however, a behavior change intervention must be developed to motivate PEB among consumers. Motivating behavior with reward or punishment will most likely get users engaged in climate change action via brain structures related to the reward system, such as the amygdala, nucleus accumbens, and (pre)frontal cortex, where the reward information and subsequent affective responses are encoded. The intensity of the reward experience can be increased when the consumer is consciously considering the action to achieve it. This makes goal-directed behavior the potential aim of behavior change interventions. This article provides an extensive review of the neuroscientific evidence for consumer attitude, behavior, and decision-making processes in the light of sustainability incentives for behavior change interventions. Based on this review, we aim to unite the current theories and provide future research directions to exploit the power of affective conditioning and neuroscience methods for promoting PEB engagement.
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Affiliation(s)
- Nikki Leeuwis
- Department of Cognitive Science and Artificial Intelligence, Tilburg School of Humanities and Digital Sciences, Tilburg University, Tilburg, Netherlands
- Unravel Research, Utrecht, Netherlands
| | | | - Maryam Alimardani
- Department of Cognitive Science and Artificial Intelligence, Tilburg School of Humanities and Digital Sciences, Tilburg University, Tilburg, Netherlands
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Personal motivation, self-regulation barriers and strategies for weight loss in people with overweight and obesity: a thematic framework analysis. Public Health Nutr 2022; 25:2426-2435. [PMID: 35190011 PMCID: PMC9991665 DOI: 10.1017/s136898002200043x] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To explore motivations, self-regulation barriers and strategies in a multi-ethnic Southeast Asian population with overweight and obesity. DESIGN Qualitative design using semi-structured face-to-face and videoconferencing interviews. Data were analysed using thematic framework analysis and constant comparison method. SETTING Specialist weight management clinic. PARTICIPANTS Twenty-two participants were purposively sampled from 13 April to 30 April 2021. Median age and BMI of the participants were 37·5 (interquartile range (IQR) = 13·3) and 39·2 kg/m2 (IQR = 6·1), respectively. And 31·8 % were men, majority had a high intention to adopt healthy eating behaviours (median = 6·5; IQR = 4·8-6·3) and 59 % of the participants had a medium level of self-regulation. RESULTS Six themes and fifteen subthemes were derived. Participants were motivated to lose weight by the sense of responsibility as the family's pillar of support and to feel 'normal' again. We coupled self-regulation barriers with corresponding strategies to come up with four broad themes: habitual overconsumption - mindful self-discipline; proximity and convenience of food available - mental tenacity; momentary lack of motivation and sense of control - motivational boosters; and overeating triggers - removing triggers. We highlighted six unique overeating triggers namely: trigger activities (e.g. using social media); eating with family, friends and colleagues; provision of food by someone; emotions (e.g. feeling bored at home, sad and stressed); physiological condition (e.g. premenstrual syndrome); and the time of the day. CONCLUSIONS Future weight management interventions should consider encompassing participant-led weight loss planning, motivation boosters and self-regulation skills to cope with momentary overeating triggers.
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Horn F, Jongenelis MI. Outcomes of exposure to healthy weight and lifestyle advertising: An experimental study of adults from the United Kingdom. Prev Med Rep 2022; 25:101679. [PMID: 35127358 PMCID: PMC8800051 DOI: 10.1016/j.pmedr.2021.101679] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2021] [Revised: 10/31/2021] [Accepted: 12/24/2021] [Indexed: 11/16/2022] Open
Abstract
Mass media advertising promoting healthy weight and lifestyles represents an important approach to the prevention of non-communicable diseases. However, concerns have been raised that advertisements promoting a healthy weight may be stigmatizing and contribute to negative outcomes. This study explored the potential negative and positive cognitive, psychological, and behavioral intention outcomes of exposure to different public health campaign advertisements that promote positive behavior change and healthy weight. A total of 1,098 adult residents of the United Kingdom (50% female, Mage = 35.21 years) viewed one of four video advertisements: one control advertisement and three healthy weight and lifestyle advertisements that differed in message content (negative health impacts, support/encouragement, and social norms) and execution style (graphic, animation, and depicted scene). Participants then responded to items assessing a variety of cognitive, psychological, and behavioral intention outcomes. Compared to those in the control condition, those exposed to a healthy weight and lifestyle advertisement reported significantly higher scores for (i) perceptions of weight stigma, (ii) negative emotions, and (iii) intentions to engage in adaptive lifestyle behaviors. There were no differences observed between conditions for maladaptive behavioral intentions, internalized weight bias, anti-fat attitudes, and body dissatisfaction. The advertisement featuring a supportive/encouraging message and animation style performed most favorably. Results suggest that healthy weight and lifestyle advertisements have the potential to promote positive behavior change but may be associated with some negative outcomes. Of the assessed communication approaches, a supportive/encouraging message with animation style appears least likely to induce negative emotions and is preferred for minimizing weight stigma.
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Affiliation(s)
- Freya Horn
- Melbourne Centre for Behaviour Change, Melbourne School of Psychological Sciences, The University of Melbourne, Redmond Barry Building, Parkville Campus, Melbourne, VIC 3010, Australia
- Turning Point, Eastern Health, 110 Church Street, Richmond, VIC 3121, Australia
| | - Michelle I. Jongenelis
- Melbourne Centre for Behaviour Change, Melbourne School of Psychological Sciences, The University of Melbourne, Redmond Barry Building, Parkville Campus, Melbourne, VIC 3010, Australia
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11
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Dono J, Ettridge KA, Wakefield M, Pettigrew S, Coveney J, Roder D, Durkin S, Wittert G, Martin J, Miller CL. Intentions to reduce sugar-sweetened beverage consumption: the importance of perceived susceptibility to health risks. Public Health Nutr 2021; 24:5663-5672. [PMID: 33472724 PMCID: PMC10195437 DOI: 10.1017/s1368980021000239] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 12/16/2020] [Accepted: 01/15/2021] [Indexed: 11/06/2022]
Abstract
OBJECTIVE There are numerous health effects associated with excess sugar-sweetened beverage (SSB) consumption. Interventions aimed at reducing population-level consumption require understanding of the relevant barriers and facilitators. This study aimed to identify the variables with the strongest relationship with intentions to reduce SSB consumption from a suite of variables derived from the literature. DESIGN Random-digit dialling of landline and mobile phones was used to survey adults using computer-assisted telephone interviews. The outcome variable was 'likelihood of reducing SSB consumption in next 6 months', and the predictor variables were demographics, SSB attitudes and behaviour, health risk perceptions and social/environmental exposure. SETTING Australia. PARTICIPANTS A subsample of 1630 regular SSB consumers from a nationally representative sample of 3430 Australian adults (38 % female, 51 % aged 18-45 years, 56 % overweight or obese). RESULTS Respondents indicated that they were 'not at all' (30·1 %), 'somewhat' (43·9 %) and 'very likely' (25·3 %) to reduce SSB consumption. Multivariate nominal logistic regressions showed that perceiving future health to be 'very much' at risk was the strongest predictor of intention to reduce SSB consumption (OR = 8·1, 95 % CI 1·8, 37·0, P < 0·01). Other significant predictors (P < 0·01) included self-perceptions about too much consumption, habitual consumption, difficulty reducing consumption and likelihood of benefitting from reduced consumption. CONCLUSIONS Health risk perceptions had the strongest relationship with intentions to reduce consumption. Age and consumption perceptions were also predictors in the multivariate models, whereas social/environmental exposure variables were not. Interventions may seek to incorporate strategies to denormalise consumption practices and increase knowledge about perceived susceptibility to health risks.
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Affiliation(s)
- Joanne Dono
- Health Policy Centre, South Australian Health and Medical Research Institute, North Terrace, Adelaide, SA5000, Australia
- School of Psychology, The University of Adelaide, Adelaide, Australia
| | - Kerry A Ettridge
- Health Policy Centre, South Australian Health and Medical Research Institute, North Terrace, Adelaide, SA5000, Australia
- School of Psychology, The University of Adelaide, Adelaide, Australia
| | - Melanie Wakefield
- Centre for Behavioural Research in Cancer, Cancer Council Victoria, Melbourne, Australia
- School of Psychological Sciences, The University of Melbourne, Melbourne, Australia
| | - Simone Pettigrew
- Food Policy, The George Institute for Global Health, Sydney, Australia
| | - John Coveney
- College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
| | - David Roder
- Cancer Epidemiology and Population Health, University of South Australia, Australia
| | - Sarah Durkin
- Centre for Behavioural Research in Cancer, Cancer Council Victoria, Melbourne, Australia
- School of Psychological Sciences, The University of Melbourne, Melbourne, Australia
| | - Gary Wittert
- Freemasons Foundation Centre for Men’s Health, Faculty of Health Sciences, University of Adelaide, Adelaide, Australia
- Centre for Nutrition and GI Diseases, South Australian Health and Medical Research Institute, Adelaide, Australia
| | - Jane Martin
- Obesity Policy Coalition and Alcohol and Obesity Policy, Cancer Council Victoria, Melbourne, Australia
| | - Caroline L Miller
- Health Policy Centre, South Australian Health and Medical Research Institute, North Terrace, Adelaide, SA5000, Australia
- School of Public Health, The University of Adelaide, Adelaide, Australia
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Dutriaux L, Papies EK, Fallon J, Garcia-Marques L, Barsalou LW. Incidental exposure to hedonic and healthy food features affects food preferences one day later. Cogn Res Princ Implic 2021; 6:78. [PMID: 34894322 PMCID: PMC8665956 DOI: 10.1186/s41235-021-00338-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Accepted: 10/18/2021] [Indexed: 11/10/2022] Open
Abstract
AbstractMemories acquired incidentally from exposure to food information in the environment may often become active to later affect food preferences. Because conscious use of these memories is not requested or required, these incidental learning effects constitute a form of indirect memory. In an experiment using a novel food preference paradigm (n = 617), we found that brief incidental exposure to hedonic versus healthy food features indirectly affected food preferences a day later, explaining approximately 10% of the variance in preferences for tasty versus healthy foods. It follows that brief incidental exposure to food information can affect food preferences indirectly for at least a day. When hedonic and health exposure were each compared to a no-exposure baseline, a general effect of hedonic exposure emerged across individuals, whereas health exposure only affected food preferences for high-BMI individuals. This pattern suggests that focusing attention on hedonic food features engages common affective processes across the general population, whereas focusing attention on healthy food features engages eating restraint goals associated with high BMI. Additionally, incidental exposure to food features primarily changed preferences for infrequently consumed foods, having less impact on habitually consumed foods. These findings offer insight into how hedonic information in the obesogenic food environment contributes to unhealthy eating behavior that leads to overweight and obesity. These findings further motivate the development of interventions that counteract the effects of exposure to hedonic food information and that broaden the effects of exposure to healthy food information.
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Rodger A, Wehbe LH, Papies EK. "I know it's just pouring it from the tap, but it's not easy": Motivational processes that underlie water drinking. Appetite 2021; 164:105249. [PMID: 33887422 DOI: 10.1016/j.appet.2021.105249] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Revised: 03/31/2021] [Accepted: 04/01/2021] [Indexed: 10/21/2022]
Abstract
Water drinking behaviour is under-researched despite the prevalence and adverse health consequences of underhydration. We conducted a qualitative exploration into the motivational processes underlying water drinking, informed by a grounded cognition perspective on desire and motivated behaviour. We interviewed and analysed data from 60 participants stratified by age, gender, and education level using thematic analysis, to generate three key themes. "Water as situated habits," suggests that participants form and maintain situated water drinking habits, so that within certain situations they regularly drink water. However, participants who situated their water intake only in one key situation (e.g., work routine), had low and inconsistent intake when they left this situation. Some situations happened so infrequently during the day (e.g., before bed) that participants' daily water intake was low. Many participants reported drinking water in reaction to thirst cues, but these were easily suppressed or ignored, so that water drinking was inconsistent. Participants who saw drinking water as part of their self-identity had consistent and high water intake across a variety of situations. "Knowledge and attitudes," suggests that few participants had knowledge or attitudes that promoted water intake (e.g., perceived water as positive or understood the importance of hydration). "Strategies underlying attempts to increase intake" suggests that many participants lacked insight into strategies to increase water intake, although they spontaneously discussed attempts to drink more. This lead to ineffective attempts at behaviour change. Participants' mentions of dehydration and their responses to a urine colour chart suggested that many participants were possibly underhydrated. Our findings suggest that interventions and practitioners attempting to increase water intake need to increase knowledge about the importance of hydration, and encourage individuals to develop effective situated water drinking habits.
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Affiliation(s)
- Amy Rodger
- School of Psychology, Institute of Neuroscience and Psychology, University of Glasgow, UK.
| | - Lara H Wehbe
- School of Psychology, Institute of Neuroscience and Psychology, University of Glasgow, UK
| | - Esther K Papies
- School of Psychology, Institute of Neuroscience and Psychology, University of Glasgow, UK
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14
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Baker EA, Brewer SK, Owens JS, Cook CR, Lyon AR. Dissemination Science in School Mental Health: A Framework for Future Research. SCHOOL MENTAL HEALTH 2021; 13:791-807. [PMID: 33897906 PMCID: PMC8053372 DOI: 10.1007/s12310-021-09446-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/07/2021] [Indexed: 11/25/2022]
Abstract
There has been an increase in school mental health research aimed at producing generalizable knowledge to address longstanding science-to-practice gaps to increase children's access to evidence-based mental health services. Successful dissemination and implementation are both important pieces to address science-to-practice gaps, but there is conceptual and semantic imprecision that creates confusion regarding where dissemination ends and implementation begins, as well as an imbalanced focus in research on implementation relative to dissemination. In this paper, we provide an enhanced operational definition of dissemination; offer a conceptual model that outlines elements of effective dissemination that can produce changes in awareness, knowledge, perceptions, and motivation across different stakeholder groups; and delineate guiding principles that can inform dissemination science and practice. The overarching goal of this paper is to stimulate future research that aims to advance dissemination science and practice in school mental health.
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Affiliation(s)
- Elizabeth A. Baker
- Department of Psychology, University of Calgary, 2500 University Drive NW, Calgary, AB T2N 1N4 Canada
| | - Stephanie K. Brewer
- Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, 6200 NE 74th St, Suite 100, Seattle, WA 98115 USA
| | - Julie Sarno Owens
- Department of Psychology, Ohio University, Porter Hall 200, Athens, OH 45701 USA
| | - Clayton R. Cook
- Department of Educational Psychology, University of Minnesota, 250 Education Sciences Bldg, 56 East River Road, Minneapolis, MN 55455 USA
| | - Aaron R. Lyon
- Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, 6200 NE 74th St, Suite 100, Seattle, WA 98115 USA
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15
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Larsen JK, Hollands GJ. Targeting automatic processes to reduce unhealthy behaviours: a process framework. Health Psychol Rev 2021; 16:204-219. [PMID: 33491571 DOI: 10.1080/17437199.2021.1876572] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
While previous frameworks to address health behaviours through targeting underlying automatic processes have stimulated an improved understanding of related interventions, deciding between intervention strategies often remains essentially arbitrary and atheoretical. Making considered decisions has likely been hampered by the lack of a framework that guides the selection of different intervention strategies targeting automatic processes to reduce unhealthy behaviours. We propose a process framework to fulfil this need, building upon the process model of emotion regulation. This framework differentiates types of intervention strategies along the timeline of the unfolding automatic response, distinguishing between three broad classes of intervention strategies - direct antecedent, indirect antecedent, and response-focused. Antecedent-focused strategies aim to prevent the exposure to or activation of automatic responses directly through the avoidance of unwanted stimulus-response associations (i.e., situation modification or situation-specific response selection), or indirectly through automatising self-control (i.e., attentional deployment or cognitive change). Response-focused strategies aim to directly downregulate automatic unwanted responses (i.e., response modulation). Three main working hypotheses derived from this process framework provide practical guidance for selecting interventions, but await direct testing in future studies.
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Affiliation(s)
- Junilla K Larsen
- Behavioural Science Institute, Radboud University, Nijmegen, the Netherlands
| | - Gareth J Hollands
- Behaviour and Health Research Unit, University of Cambridge, Cambridge, UK
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16
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Stämpfli AE, Stöckli S, Brunner TA, Messner C. A Dieting Facilitator on the Fridge Door: Can Dieters Deliberately Apply Environmental Dieting Cues to Lose Weight? Front Psychol 2020; 11:582369. [PMID: 33408662 PMCID: PMC7779523 DOI: 10.3389/fpsyg.2020.582369] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2020] [Accepted: 11/23/2020] [Indexed: 12/21/2022] Open
Abstract
Individuals exposed to dieting-related environmental cues have been repeatedly shown to be better able to resist tempting food. This especially applies to restrained eaters who hold a chronic dieting goal. Thus far, mainly short-term effects of environmental dieting cues have been examined and the individuals were typically unaware of being influenced. Yet, it is unclear whether individuals can deliberately apply environmental dieting cues for themselves to facilitate the pursuit of the longer-term goal of losing weight. The present longitudinal study applied a 2 (cue: visually dieting-related vs. visually neutral cue) × 2 (awareness: being aware vs. not being aware of the cue’s facilitating influence) between-subjects design for 6 months (N = 166 participants who started the study; Mage = 47.85 years; 69.9% female; MBMI = 29.07 kg/m2). Our results provide preliminary indications that cue, awareness, and restrained eating interact. The results suggest that high (vs. low) restrained eaters could deliberately apply environmental dieting cues for themselves to facilitate losing weight. However, further studies are needed to explore the effects of environmental dieting cues over a longer period of time.
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Affiliation(s)
- Aline E Stämpfli
- Department of Consumer Behavior, Institute of Marketing and Management, University of Bern, Bern, Switzerland.,Food Science and Management, School of Agricultural, Forest, and Food Sciences HAFL, Bern University of Applied Sciences, Zollikofen, Switzerland
| | - Sabrina Stöckli
- Department of Consumer Behavior, Institute of Marketing and Management, University of Bern, Bern, Switzerland
| | - Thomas A Brunner
- Food Science and Management, School of Agricultural, Forest, and Food Sciences HAFL, Bern University of Applied Sciences, Zollikofen, Switzerland
| | - Claude Messner
- Department of Consumer Behavior, Institute of Marketing and Management, University of Bern, Bern, Switzerland
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17
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Visual Design Cues Impacting Food Choice: A Review and Future Research Agenda. Foods 2020; 9:foods9101495. [PMID: 33086720 PMCID: PMC7589873 DOI: 10.3390/foods9101495] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Revised: 10/08/2020] [Accepted: 10/14/2020] [Indexed: 12/28/2022] Open
Abstract
This review aims to tackle the challenge of understanding how visual design cues can affect behavioural outcomes in a food context. The review answers two key questions: (1) What are the effects of the most important visual design cues on behavioural outcomes and how can they be explained? (2) What are the research gaps in this area? We start from a comprehensive taxonomy of visual design cues delineating the most important visual design cues. Next, we evaluate the extant research based on a structured, narrative literature review on visual design cues in the food domain. We differentiate between object processed and spatially processed visual design cues in food choice contexts and show how they affect behavioural outcomes through a range of psychological processes (attention, affective-, cognitive- and motivational reactions, food perceptions and attitudes). We end with recommendations which take into account the current food store context, the state-of-art in measuring psychological processes and behavioural outcomes and the specific food-, person- and context-related moderators. This review offers guidance for research to untangle the complexity of the effect of visual design cues in a food choice context.
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18
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Adusumalli S, Aragam G, Patel M. A Nudge Towards Cardiovascular Health: Applications of Behavioral Economics for Primary and Secondary Cardiovascular Prevention. CURRENT TREATMENT OPTIONS IN CARDIOVASCULAR MEDICINE 2020. [DOI: 10.1007/s11936-020-00824-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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19
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Papies EK, Johannes N, Daneva T, Semyte G, Kauhanen LL. Using consumption and reward simulations to increase the appeal of plant-based foods. Appetite 2020; 155:104812. [PMID: 32827576 DOI: 10.1016/j.appet.2020.104812] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Revised: 07/23/2020] [Accepted: 07/27/2020] [Indexed: 01/21/2023]
Abstract
The production of meat is a main contributor to current dangerous levels of greenhouse gas emissions. However, the shift to more plant-based diets is hampered by consumers finding meat-based foods more attractive than plant-based foods. How can plant-based foods best be described to increase their appeal to consumers? Based on the grounded cognition theory of desire, we suggest that descriptions that trigger simulations, or re-experiences, of eating and enjoying a food will increase the attractiveness of a food, compared to descriptions emphasizing ingredients. In Study 1, we first examined the descriptions of ready meals available in four large UK supermarkets (N = 240). We found that the labels of meat-based foods contained more references to eating simulations than vegetarian foods, and slightly more than plant-based foods, and that this varied between supermarkets. In Studies 2 and 3 (N = 170, N = 166, pre-registered), we manipulated the labels of plant-based and meat-based foods to either include eating simulation words or not. We assessed the degree to which participants reported that the description made them think about eating the food (i.e., induced eating simulations), and how attractive they found the food. In Study 2, where either sensory or eating context words were added, we found no differences with control labels. In Study 3, however, where simulation-based labels included sensory, context, and hedonic words, we found that simulation-based descriptions increased eating simulations and attractiveness. Moreover, frequent meat eaters found plant-based foods less attractive, but this was attenuated when plant-based foods were described with simulation-inducing words. We suggest that language that describes rewarding eating experiences can be used to facilitate the shift toward healthy and sustainable diets.
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Affiliation(s)
- Esther K Papies
- Institute of Neuroscience and Psychology, University of Glasgow, UK, 62 Hillhead Street, Glasgow, G12 8QB, United Kingdom.
| | - Niklas Johannes
- Institute of Neuroscience and Psychology, University of Glasgow, UK, 62 Hillhead Street, Glasgow, G12 8QB, United Kingdom; Oxford Internet Institute, University of Oxford, United Kingdom.
| | - Teya Daneva
- Institute of Neuroscience and Psychology, University of Glasgow, UK, 62 Hillhead Street, Glasgow, G12 8QB, United Kingdom.
| | - Gintare Semyte
- Institute of Neuroscience and Psychology, University of Glasgow, UK, 62 Hillhead Street, Glasgow, G12 8QB, United Kingdom.
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20
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Vermeir I, Weijters B, De Houwer J, Geuens M, Slabbinck H, Spruyt A, Van Kerckhove A, Van Lippevelde W, De Steur H, Verbeke W. Environmentally Sustainable Food Consumption: A Review and Research Agenda From a Goal-Directed Perspective. Front Psychol 2020; 11:1603. [PMID: 32754095 PMCID: PMC7381298 DOI: 10.3389/fpsyg.2020.01603] [Citation(s) in RCA: 55] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Accepted: 06/15/2020] [Indexed: 11/13/2022] Open
Abstract
The challenge of convincing people to change their eating habits toward more environmentally sustainable food consumption (ESFC) patterns is becoming increasingly pressing. Food preferences, choices and eating habits are notoriously hard to change as they are a central aspect of people's lifestyles and their socio-cultural environment. Many people already hold positive attitudes toward sustainable food, but the notable gap between favorable attitudes and actual purchase and consumption of more sustainable food products remains to be bridged. The current work aims to (1) present a comprehensive theoretical framework for future research on ESFC, and (2) highlight behavioral solutions for environmental challenges in the food domain from an interdisciplinary perspective. First, starting from the premise that food consumption is deliberately or unintentionally directed at attaining goals, a goal-directed framework for understanding and influencing ESFC is built. To engage in goal-directed behavior, people typically go through a series of sequential steps. The proposed theoretical framework makes explicit the sequential steps or hurdles that need to be taken for consumers to engage in ESFC. Consumers need to positively value the environment, discern a discrepancy between the desired versus the actual state of the environment, opt for action to reduce the experienced discrepancy, intend to engage in behavior that is expected to bring them closer to the desired end state, and act in accordance with their intention. Second, a critical review of the literature on mechanisms that underlie and explain ESFC (or the lack thereof) in high-income countries is presented and integrated into the goal-directed framework. This contribution thus combines a top-down conceptualization with a bottom-up literature review; it identifies and discusses factors that might hold people back from ESFC and interventions that might promote ESFC; and it reveals knowledge gaps as well as insights on how to encourage both short- and long-term ESFC by confronting extant literature with the theoretical framework. Altogether, the analysis yields a set of 33 future research questions in the interdisciplinary food domain that deserve to be addressed with the aim of fostering ESFC in the short and long term.
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Affiliation(s)
- Iris Vermeir
- BE4LIFE, Department of Economics and Business Administration, Ghent University, Ghent, Belgium
| | - Bert Weijters
- BE4LIFE, Department of Psychology and Educational Sciences, Ghent University, Ghent, Belgium
| | - Jan De Houwer
- BE4LIFE, Department of Psychology and Educational Sciences, Ghent University, Ghent, Belgium
| | - Maggie Geuens
- BE4LIFE, Department of Economics and Business Administration, Ghent University, Ghent, Belgium
| | - Hendrik Slabbinck
- BE4LIFE, Department of Economics and Business Administration, Ghent University, Ghent, Belgium
| | - Adriaan Spruyt
- BE4LIFE, Department of Economics and Business Administration, Ghent University, Ghent, Belgium
| | - Anneleen Van Kerckhove
- BE4LIFE, Department of Economics and Business Administration, Ghent University, Ghent, Belgium
| | - Wendy Van Lippevelde
- BE4LIFE, Department of Economics and Business Administration, Ghent University, Ghent, Belgium
| | - Hans De Steur
- BE4LIFE, Department of Agricultural Economics, Ghent University, Ghent, Belgium
| | - Wim Verbeke
- BE4LIFE, Department of Agricultural Economics, Ghent University, Ghent, Belgium
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21
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Murawski B, Plotnikoff RC, Lubans DR, Rayward AT, Brown WJ, Vandelanotte C, Duncan MJ. Examining mediators of intervention efficacy in a randomised controlled m-health trial to improve physical activity and sleep health in adults. Psychol Health 2020; 35:1346-1367. [PMID: 32456468 DOI: 10.1080/08870446.2020.1756288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Objectives: Examining mediators of intervention efficacy in an m-health intervention targeting physical activity and sleep in 160 Australian adults.Design: Nationwide randomised controlled trial.Main outcome measures: Moderate- and vigorous-intensity physical activity (MVPA), assessed using the Active Australia Questionnaire; sleep quality (Pittsburgh Sleep Quality Index); and sleep hygiene practices (Sleep Hygiene Index). Hypothesised psychosocial (e.g. self-efficacy) and behavioural (i.e. MVPA, sleep quality, sleep hygiene) mediators were tested on primary endpoint data at 3 months using bias-corrected bootstrapping (PROCESS 2 for SPSS). All outcomes and mediators were assessed using self-report.Results: At three months, the intervention had significantly improved sleep quality (d = 0.48, 95% CI: -2.26, -0.33, p = 0.009) and sleep hygiene (d = 0.40, 95% CI: -3.10, -0.19, p = 0.027). Differences in MVPA were not significant (d = 0.24, 95% CI: -35.53, 254.67, p = 0.139). Changes in MVPA were mediated by self-efficacy, perceived capability, environment, social support, intentions and planning, some of which showed inconsistent mediation (suppression). None of the hypothesised psychosocial factors mediated sleep outcomes. Changes in sleep hygiene mediated changes in sleep quality.Conclusions: Several psychosocial factors mediated changes in physical activity but not in sleep outcomes. Mediation effects of sleep hygiene on sleep quality highlight the importance of providing evidence-based strategies to improve sleep quality.
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Affiliation(s)
- Beatrice Murawski
- Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Newcastle, NSW, Australia.,School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Newcastle, NSW, Australia
| | - Ronald C Plotnikoff
- Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Newcastle, NSW, Australia.,School of Education, Faculty of Education and Arts, University of Newcastle, Newcastle, NSW, Australia
| | - David R Lubans
- Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Newcastle, NSW, Australia.,School of Education, Faculty of Education and Arts, University of Newcastle, Newcastle, NSW, Australia
| | - Anna T Rayward
- Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Newcastle, NSW, Australia.,School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Newcastle, NSW, Australia
| | - Wendy J Brown
- Centre for Research on Exercise, Physical Activity and Health, School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, QLD, Australia
| | - Corneel Vandelanotte
- Appleton Institute, Physical Activity Research Group, Central Queensland University, Rockhampton, QLD, Australia
| | - Mitch J Duncan
- Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Newcastle, NSW, Australia.,School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Newcastle, NSW, Australia
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22
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Haider S, Fatima F, Bakhsh K, Ahmed M. Effect of intervention on employees' intentions to use environmentally sustainable work practices: A field experiment. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2019; 248:109334. [PMID: 31466182 DOI: 10.1016/j.jenvman.2019.109334] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/02/2018] [Revised: 07/21/2019] [Accepted: 07/29/2019] [Indexed: 06/10/2023]
Abstract
Owing to the growing public concerns about environmental sustainability, the importance of sustainable workplaces has increased. Despite knowing that employees can play a vital role in achieving workplace sustainability, less attention has been paid to understand how employee attitude toward the use of environmentally sustainable work practices (ESWPs) can be developed. We examined the effect of intervention on employees' knowledge about ESWPs. Subsequently, a latent change model was tested to examine the effect of change in knowledge on change in intentions through change in employee attitude toward ESWPs. A pretest-posttest design was used in a field quasi-experiment (N = 51) where 28 and 23 employees from restaurant industry were assigned to experiment and control groups, respectively. Employee knowledge about ESWPs and other variables were measured by using questionnaires from existing literature. The results indicate that intervention improved employees' knowledge by 87% (mean difference = 1.91; p < 0.01) compared with those who did not receive intervention (mean difference = 0.17; p > 0.05). The change in knowledge caused a significant change in attitude and, subsequently, the intentions to use ESWPs. Workplace sustainability can be achieved by using knowledge-based persuasive interventions to improve employees' knowledge, attitude, and intentions toward using ESWPs.
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Affiliation(s)
- Sajid Haider
- Department of Management Sciences, COMSATS University Islamabad, Vehari Campus, Off Multan Road, Pir Murad, Vehari, Pakistan.
| | - Fareeha Fatima
- Department of Management Sciences, COMSATS University Islamabad, Vehari Campus, Off Multan Road, Pir Murad, Vehari, Pakistan.
| | - Khuda Bakhsh
- Department of Management Sciences, COMSATS University Islamabad, Vehari Campus, Off Multan Road, Pir Murad, Vehari, Pakistan.
| | - Munir Ahmed
- Department of Management Sciences, COMSATS University Islamabad, Vehari Campus, Off Multan Road, Pir Murad, Vehari, Pakistan.
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23
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Rodda SN, Bagot KL, Manning V, Lubman DI. An Exploratory RCT to Support Gamblers' Intentions to Stick to Monetary Limits: A Brief Intervention Using Action and Coping Planning. J Gambl Stud 2019; 36:387-404. [PMID: 31302802 DOI: 10.1007/s10899-019-09873-w] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The aim of this study was to investigate the feasibility and impact of an action and coping planning intervention deployed in gambling venues to improve adherence to expenditure limits. We conducted a 2-group parallel-block randomised controlled trial comparing one 20-min session of action and coping planning to an assessment alone. Gamblers who were intending to set a monetary limit on EGMs (n = 184) were recruited in venues and administered the intervention prior to gambling. Measures were adherence to self-identified gambling limits and adherence to expenditure intentions at 30-days post-intervention using the Time Line Follow-Back. The intervention was feasible in terms of recruitment and willingness of gamblers to engage in a pre-gambling intervention. Most gamblers enacted strategies to limit their gambling prior to entering the venue, albeit these limits were on average higher than the Australian low risk gambling guidelines. In terms of impact, the intervention did not improve adherence to limits at post or 30-day follow-up assessment. However, Moderate Risk/Problem Gamblers in the Intervention group spent less (a median of $60 less) than intended (median $100) within the venue. All intervention participants intended to spend significantly less in the 30 days after the intervention compared to the amount spent in the 30 days prior to the intervention. This reduction was not found for participants in the control group. A simple brief intervention appears feasible in gambling venues and have an impact on gambling intentions over the short term.
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Affiliation(s)
- Simone N Rodda
- School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.
- Turning Point, Eastern Health, 110 Church Street, Richmond, VIC, 3121, Australia.
| | - Kathleen L Bagot
- The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne Brain Centre, 245 Burgundy Street, Heidelberg, VIC, 3084, Australia
| | - Victoria Manning
- Turning Point, Eastern Health, 110 Church Street, Richmond, VIC, 3121, Australia
- Eastern Health Clinical School and Monash Addiction Research Centre, Faculty of Medicine, Nursing and Health Sciences, Monash University, Level 2 5 Arnold Street, Box Hill, VIC, 3128, Australia
| | - Dan I Lubman
- Turning Point, Eastern Health, 110 Church Street, Richmond, VIC, 3121, Australia
- Eastern Health Clinical School and Monash Addiction Research Centre, Faculty of Medicine, Nursing and Health Sciences, Monash University, Level 2 5 Arnold Street, Box Hill, VIC, 3128, Australia
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24
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A Theory Based Intervention to Enhance Information Exchange during Over-The-Counter Consultations in Community Pharmacy: A Feasibility Study. PHARMACY 2019; 7:pharmacy7020073. [PMID: 31226837 PMCID: PMC6630978 DOI: 10.3390/pharmacy7020073] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Revised: 06/10/2019] [Accepted: 06/15/2019] [Indexed: 11/17/2022] Open
Abstract
Background: Management of minor ailments through self-care and self-medication brings both benefits and risks that can be mitigated if consumers and pharmacy personnel engage in information exchange during over-the-counter (OTC) consultations. Objective: Explore the feasibility of interventions using situational cues to promote information exchange between pharmacy personnel and consumers, during OTC consultations. Methods: Intervention tools were developed prior to conducting the study, in two community pharmacies in Perth, Western Australia. The situational cues included two posters and individual position badges. Data were collected from audio-recording OTC consultations, consumer questionnaires and interviews, and pharmacy personnel interviews. Results: Space required for posters and for researchers conducting interviews was challenging in the retail environment. Pharmacy personnel perceived that the badges positively impacted -consumers’ ability to identify the position of personnel they engaged with. Data collection methods were deemed practical and acceptable. Conclusions: The proposed interventions and evaluation methods were feasible. The use of posters and badges as situational cues to address the barriers to information exchange during OTC consultations was found to be practical, in a community pharmacy setting. There is potential to use situational cues to address other barriers identified to information exchange, to add to the effectiveness of the intervention. With growing emphasis on self-care and self-medication, effective interventions are necessary to promote information exchange to enhance appropriate management in community pharmacies.
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25
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Stadel M, Daniels JK, Warrens MJ, Jeronimus BF. The gender-specific impact of emotional tears. MOTIVATION AND EMOTION 2019. [DOI: 10.1007/s11031-019-09771-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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26
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Smeets PAM, Dagher A, Hare TA, Kullmann S, van der Laan LN, Poldrack RA, Preissl H, Small D, Stice E, Veldhuizen MG. Good practice in food-related neuroimaging. Am J Clin Nutr 2019; 109:491-503. [PMID: 30834431 PMCID: PMC7945961 DOI: 10.1093/ajcn/nqy344] [Citation(s) in RCA: 49] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Revised: 10/22/2017] [Accepted: 11/05/2018] [Indexed: 12/17/2022] Open
Abstract
The use of neuroimaging tools, especially functional magnetic resonance imaging, in nutritional research has increased substantially over the past 2 decades. Neuroimaging is a research tool with great potential impact on the field of nutrition, but to achieve that potential, appropriate use of techniques and interpretation of neuroimaging results is necessary. In this article, we present guidelines for good methodological practice in functional magnetic resonance imaging studies and flag specific limitations in the hope of helping researchers to make the most of neuroimaging tools and avoid potential pitfalls. We highlight specific considerations for food-related studies, such as how to adjust statistically for common confounders, like, for example, hunger state, menstrual phase, and BMI, as well as how to optimally match different types of food stimuli. Finally, we summarize current research needs and future directions, such as the use of prospective designs and more realistic paradigms for studying eating behavior.
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Affiliation(s)
- Paul A M Smeets
- UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, NL,Division of Human Nutrition and Health, Wageningen University & Research, Wageningen, The Netherlands,Address correspondence to PAMS (e-mail: )
| | - Alain Dagher
- Montreal Neurological Institute, McGill University, Montreal, Canada
| | - Todd A Hare
- Zurich Center for Neuroeconomics, Department of Economics, University of Zurich, Zurich, Switzerland
| | - Stephanie Kullmann
- Institute for Diabetes Research and Metabolic Diseases of the Helmholtz Center Munich at the University of Tübingen, German Center for Diabetes Research, Tübingen, Germany
| | - Laura N van der Laan
- Amsterdam School of Communication Research, University of Amsterdam, Amsterdam, The Netherlands
| | | | - Hubert Preissl
- Institute for Diabetes Research and Metabolic Diseases of the Helmholtz Center Munich at the University of Tübingen, German Center for Diabetes Research, Tübingen, Germany
| | - Dana Small
- Department of Psychiatry, Yale School of Medicine, New Haven, CT
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27
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Best M, Papies EK. Right Here, Right Now: Situated Interventions to Change Consumer Habits. ACTA ACUST UNITED AC 2017. [DOI: 10.1086/695443] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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