Interference and Facilitation among Personal Goals: Differential Associations with Subjective Well-Being and Persistent Goal Pursuit

Person-centered care for musculoskeletal pain: Putting principles into practice

Person-centered care specifically focuses on the whole person and is an important component of contemporary care for people with musculoskeletal pain conditions. Evidence suggests however, that some clinicians experience difficulties with integrating person-centered care principles into their clinical practice. Therefore, the purpose of this masterclass is to provide a framework that enables clinicians to incorporate person-centered principles in their management of people with musculoskeletal pain conditions. To support clinicians in overcoming some of the reported obstacles, we provide practical recommendations aimed at putting principles of person-centered care into practice. The framework supporting clinicians' delivery of person-centered care in practice consists of three key-principles: A) a biopsychosocial understanding of the person's experience; B) person-focused communication; and C) supported self-management. The framework includes three phases: 1) identification and goal setting, 2) coaching to self-management, and 3) evaluation. Building a therapeutic relationship underpins these phases and is an overarching element that weaves through the key-principles and phases of the framework. We use a clinical case to illustrate the practical implementation of these recommendations.

The Spanish version of Occupational Balance Questionnaire: psychometric properties and normative data in a representative sample of adults

BACKGROUND

The Occupational Balance Questionnaire (OBQ) is an instrument that assesses occupational balance (OB). It has been transculturality adapted and validated in different countries, showing adequate psychometric properties. To date, no general population-based cut-off points for OB have been developed.

OBJECTIVE

To assess the psychometric proprieties of the Spanish version OBQ (OBQ-E) and to estimate reference norms and the cut-off for OBQ-E in a representative sample of Spanish adults.

MATERIALS AND METHODS

A total of 797 adults were included in this validity study. Internal consistency, intra and test-retest reliability of OBQ-E were examined. To obtain the convergent validity and the divergent validity, the Satisfaction with Life Scale (SLS) and the Hospital Anxiety and Depression Scale (HAD) were used respectively, compared with OBQ-E. To determine extreme and moderate disturbed OB stratified by age, sex, and educational level were used the 5 and 15% percentiles of OBQ-E.

RESULTS

The OBQ-E showed good internal consistency (α-Cronbach = 0.87), intraclass reliability (ICC = 0.87), and test-retest reliability (rho = 0.83). Convergent (SLS) and divergent (HAD) validity were moderate (rho = 0.39 and rho = -0.46, respectively). The lowest extreme disturbed OB cut-off point in men (17.2) and in women (24) appeared at the primary education level, under 40 years of age (men) and 40-65 years of age (women).

CONCLUSIONS

The OBQ-E presents adequate psychometric properties, and its normative data can be used as a reference to assess and monitor the occupational balance in the general Spanish population.KEY MESSAGESThe 'Occupational Balance Questionnaire' (OBQ), stands out as a specific measure of the concept of Occupational Balance, considered as satisfaction with the number and variation of occupations in which the person participates.The OBQ is a short and simple instrument that can be a useful tool for use in population-based and epidemiological studies to monitor OB and explore the associated factors or implications of disturbed OB.The Spanish version of the OBQ (OBQ-E) seems to be a reliable and valid questionnaire to assess the perception of balance between occupations, related to health and well-being in the Spanish adult population.

Motivational Conflict and Volitional Career Actions in Young Adults: Ego Depletion as an Explanatory Mechanism

We assessed the underlying mechanisms through which career motivational conflict was related

to career volitional action in young adults. We tested a model in which career motivational conflict (parent-child career incongruence and career goal progress discrepancy) was related to reduced career volitional actions (career decision self-efficacy and career engagement) via self-regulatory failure (ego depletion in reference to talking to parents about their careers or thinking about their careers). Participants were 260 young adults (75.8% female; M age = 19.89 years) enrolled at a large, multi-campus university in South-East Queensland, Australia. We confirmed greater career-related motivational conflict, in both forms, was associated with lower volitional actions. Furthermore, self-referenced depletion explained the relationships between career goal progress discrepancy and poorer career decision self-efficacy and less career engagement. These findings have implications for how counsellors might assist young people to improve their career volitional actions by reducing the effects of career motivational conflict.

Study protocol for an adapted personal project analysis to measure vertical inter-goal relations on physical activity and diet

Background

The promotion of multiple healthy lifestyles has been implemented as part of public health efforts to prevent and reduce the burden of non-communicable diseases. However, these interventions have shown a heterogeneity in their effectiveness. The pursuit of multiple daily goals may influence overall progress in achieving health goals. Horizontal inter-goal relations can be conflicting (due to time constraints) or facilitating (due to goal compatibility) and impact progress towards goal achievement. Personal values also play an important role in health promotion. Personal values direct attention towards accomplishing a higher-level goal through goal setting. Identifying the conflicting or facilitating relationships between health goals and personal values would provide insights in how individuals value health and the personal values that may support the adoption of a healthy behavior. The health goals that this study will focus on are physical activity and a healthy diet.

Methods

Participants between 18 and 30 years old residing in Belgium and interested in a healthy diet and/or physical activity, will be recruited. The study will be a mixed-methods research study based on an adapted personal project analysis for goal elicitation, goal appraisal, and rating of inter-goal conflicting or facilitating relations on a cross-impact matrix. The main objectives include examining the conflicting and facilitating relations between health goals and personal values. Secondary objectives include: examining correlations between horizontal and vertical goal relations; and the goal self-concordance score as a method of data triangulation of facilitating relations between goals and personal values.

Discussion

This study will provide insights into how the emerging adult population relate healthy behaviors, specifically physical activity and a healthy diet, to their personal values. The degree to which individuals are able to pursue a health goal is also influenced by other life goals, and therefore the conflicting and facilitating relations between health goals and other life goals will also be examined. This study contributes to multiple health behavior change theories and has implications for the formulation of interventions for the promotion of healthy behaviors.

Supplementary Information

The online version contains supplementary material available at 10.1186/s40359-022-00931-4.

Better off without? Benefits and costs of resolving goal conflict through goal shelving and goal disengagement

Pursuing multiple goals with limited time often leads to goal conflicts that can be resolved by prioritizing some goal pursuits over others. This research examines proximal outcomes of two approaches to goal prioritization: Goal shelving (temporarily withdrawing from a goal) and goal disengagement (permanently withdrawing from a goal). We conducted an experiment (N = 214) to compare motivational and emotional consequences of resolving goal conflict through goal shelving and disengagement. Results suggest that goal shelving and disengagement are similarly effective at reducing different facets of experienced goal conflict, but people regret shelving goals less than disengaging from them. Together, these findings provide first evidence that goal shelving may allow people to “have their cake and eat it too:” to reap the benefits of goal prioritization while minimizing its costs.

Predicting nursing students' psychological well-being: network analysis based on a model of thriving through relationships

BACKGROUND

Psychological well-being plays a vital role in nursing students' mental health and affects their decisions to stay in the nursing profession, particularly during the COVID-19 outbreak. Close relationships are undeniably linked to psychological well-being, but it is unknown how the specific pathways through which close relationships are related to each other and which are most strongly linked to nursing students' psychological well-being.

AIMS

To explore the network structure, central and bridge factors among well-being characteristics, and predictors based on a model of thriving through relationships.

METHODS

A cross-sectional research design was used with a sample of undergraduate nursing students (531 participants from the Southwest part of China). We used a network model to analyze the network structure of perceived social support, mindfulness, self-integrity, self-compassion, professional self-concept, savoring, intentional self-regulation, non-relational self-expansion, relational self-expansion, attachment insecurity, and psychological well-being.

RESULTS

 A highly interconnected network of psychological well-being featured predictors and traits were formed. Node 8 (self-kindness), node 9 (self-judgment), and node 23 (non-relational self-expansion) were the predictors with the highest centrality in the network. Perceived social support and professional self-concept were most central in linking predictors to psychological well-being traits. Attachment insecurity was a non-supportive factor for predicting psychological well-being among female nursing students.

CONCLUSIONS

Interventions based on these supportive/non-supportive predictors, which operate on different psychological levels, hold promise to achieve positive effects on psychological well-being among nursing students.

Teachers Between a Rock and a Hard Place: Goal Conflicts Affect Teaching Motivation Mediated by Basic Need Satisfaction

Teaching is a highly demanding profession that requires handling multiple and potentially contradictory goals. Therefore, it is likely that teachers experience conflict between work-related goals on a daily basis. Intraindividual goal conflict may occur when individuals pursue multiple goals drawing on the same limited resources (resource-based goal conflict), or when two or more goals are incompatible in terms of goal attainment strategy or desired end states (inherent goal conflict). Because goal conflict is typically associated with negative effects such as attenuated motivation and wellbeing, teacher goal conflict may jeopardize teaching motivation. This cross-sectional study investigated the effects of in-service teachers' (N = 302) goal conflicts on their autonomous (intrinsic and identified regulation) and controlled (introjected and extrinsic regulation) teaching motivation and tested the satisfaction of teachers' basic need for autonomy, competence, and relatedness as mediators. In line with our hypotheses, results from structural equation modeling showed that frequently experiencing resource-based goal conflict leads to a lower satisfaction of the basic need for autonomy, which, however, was unrelated to teaching motivation. In contrast, frequently experiencing inherent goal conflict attenuates the satisfaction of the basic need for competence, which, in turn, positively predicted autonomous teaching motivation and negatively predicted extrinsic regulation. As expected, relatedness was not associated with the experience of goal conflict. The discussion focuses on differential effects of the two types of goal conflict on teaching motivation and on the relevance to expand research on teachers' intraindividual goal conflicts.

Motivational Interdependence in Couple Relationships

This article presents an integrative conceptual model of motivational interdependence in couples, the MIC model. Based on theoretical tenets in motivation psychology, personality psychology, and research on interpersonal perception, the MIC model postulates that two partners' motive dispositions fundamentally interact in shaping their individual motivation and behavior. On a functional level, a partner's motivated behavior is conceptualized as an environmental cue that can contribute to an actor's motive expression and satisfaction. However, the partner's motivated behavior is considered to gain this motivational relevance only via the actor's subjective perception. Multilevel analyses of an extensive experience sampling study on partner-related communal motivation (N = up to 60,803 surveys from 508 individuals nested in 258 couples) supported the MIC model. Participants, particularly those with strong communal motive dispositions, behaved more communally at moments when they perceived their partners to behave more communally. In addition, participants experienced momentary boosts in satisfaction when they behaved more communally and, at the same time, perceived their partners' behavior as similarly communal. Broader implications of the MIC model for research on romantic relationships are discussed.

Self-management at the core of back pain care: 10 key points for clinicians

BACKGROUND

A paradigm shift away from clinician-led management of people with chronic disorders to people playing a key role in their own care has been advocated. At the same time, good health is recognised as the ability to adapt to changing life circumstances and to self-manage. Under this paradigm, successful management of persistent back pain is not mainly about clinicians diagnosing and curing patients, but rather about a partnership where clinicians help individuals live good lives despite back pain.

OBJECTIVE

In this paper, we discuss why there is a need for clinicians to engage in supporting self-management for people with persistent back pain and which actions clinicians can take to integrate self-management support in their care for people with back pain.

DISCUSSION

People with low back pain (LBP) self-manage their pain most of the time. Therefore, clinicians and health systems should empower them to do it well and provide knowledge and skills to make good decisions related to LBP and general health. Self-management does not mean that people are alone and without health care, rather it empowers people to know when to consult for diagnostic assessment, symptom relief, or advice. A shift in health care paradigm and clinicians' roles is not only challenging for individual clinicians, it requires organisational support in clinical settings and health systems. Currently, there is no clear evidence showing how exactly LBP self-management is most effectively supported in clinical practice, but core elements have been identified that involve working with cognitions related to pain, behaviour change, and patient autonomy.

Parental Catastrophizing and Goal Pursuit in the Context of Child Chronic Pain: A Daily Diary Study

Background: Despite daily variability in children's chronic pain experiences, little is known about how parents' emotions and goals toward their child's pain are influenced by these daily changes. This diary study examined how daily child pain intensity (as perceived by parents) moderates the associations between parental catastrophic thoughts about child pain on the one hand, and daily parental distress and parents' goals with regard to their child's pain (pain control vs. activity engagement) on the other hand.

Method: Participants were 25 parents of 20 different children (N = 18; 90% girls). Children, aged 8–14 years (M = 9.5, SD = 2.09), experienced either chronic headache or functional abdominal pain with an average pain duration of 22.5 months (SD = 24.5 months). Daily parental responses (i.e., perceived child pain intensity, distress and goal endorsement) were collected through a 3-week daily diary (resulting in 413 valid diary reports). Parents completed the Pain Catastrophizing Scale for Parents prior to starting the diary (PCS-P general) and a daily measure (PCS-P daily) included in the diary. To account for the interdependence of the data, the data were analyzed using multilevel modeling.

Results: Perceived daily child pain intensity moderated the impact of parental general and daily catastrophic thoughts on parents' daily distress. Only for parents experiencing low general catastrophic thoughts an increase in distress was observed on days when they perceived their child's pain intensity as high. For all parents, high levels of perceived child pain intensity were related to more distress on days where parents reported high levels of catastrophic thinking (i.e., PCS-P daily). Perceived daily child pain intensity also moderated the impact of parental general catastrophic thinking on parents' daily endorsement of goals. Parents with high levels of general catastrophic thinking reported a lower focus on child pain control on days when child pain intensity was perceived to be low. Parents with low general catastrophic thinking reported lower endorsement of the activity engagement goal on days where the child's pain intensity was perceived to be low.

Conclusion: These findings highlight the complexity of daily fluctuations in parental distress and goals regarding their child's pain. Clinical implications and future directions are critically assessed.

Self-control from a multiple goal perspective of mixed reward options

We introduce a distinct type of choice that has yet to be addressed by self-control research: Choosing between activities that offer both delayed and immediate rewards. We describe when and why such mixed-reward choices pose challenges to self-control, and suggest that self-control in mixed-reward choices may be supported (rather than undermined) by delay discounting.

Joint Goals in Older Couples: Associations With Goal Progress, Allostatic Load, and Relationship Satisfaction

Older adults often have long-term relationships, and many of their goals are intertwined with their respective partners. Joint goals can help or hinder goal progress. Little is known about how accurately older adults assess if a goal is joint, the role of over-reporting in these perceptions, and how joint goals and over-reporting may relate to older partners' relationship satisfaction and physical health (operationally defined as allostatic load). Two-hundred-thirty-six older adults from 118 couples (50% female; M _age = 71 years) listed their three most important goals and whether they thought of them as goals they had in common with and wanted to achieve together with their partner (self-reported joint goals). Two independent raters classified goals as "joint" if both partners independently listed open-ended goals of the same content. Goal progress and relationship satisfaction were assessed 1 week later. Allostatic load was calculated using nine different biomarkers. Results show that 85% self-reported at least one goal as joint. Over-reporting- the perception that a goal was joint when in fact it was not mentioned among the three most salient goals of the spouse - occurred in one-third of all goals. Multilevel models indicate that the number of externally-rated joint goals was related to greater goal progress and lower allostatic load, but only for adults with little over-reporting. More joint goals and higher over-reporting were each linked with more relationship satisfaction. In conclusion, joint goals are associated with goal progress, relationship satisfaction, and health, but the association is dependent on the domain of functioning.

Managing conflicting goals through prioritization? The role of age and relative goal importance

Three studies tested the role of prioritization in solving conflict between multiple goals in different age groups. Study 1 (N = 185 young, middle-aged, older adults) stressed the importance to solve two competing tasks equally well within a short time. Older adults prioritized more than younger adults. However, contrary to our expectations, prioritization led to higher perceived conflict, more negative affect, and less control. Study 2 (N = 117 younger and older adults) found that, using a more lenient instruction, deemphasizing the importance of performing equally well on both tasks, prioritization was no longer associated with perceived goal conflict. Study 3 (N = 721 young, middle-aged, older adults) was an online study using hypothetical scenarios. This study was run to substantiate the potential mechanism underlying the differences between Study 1 and 2 and supported the hypothesized effect of the instructional strictness of pursuing two goals. Thus, when encountering conflicting goals older adults prioritize more than younger adults, but prioritization might not be optimal for solving short-term goal conflict when both conflicting goals are equally important.

Goal Motives and Well-Being in Student-Athletes: A Person-Centered Approach

Using a person-centered approach, the aim of this study was to examine how student-athletes' motives for multiple-goal pursuit relate to indices of well- and ill-being. Student-athletes (N = 362) from British universities identified the most important sporting and academic goals that they were pursuing over the academic year. The participants rated their extrinsic, introjected, identified, and intrinsic goal motives for each goal and completed measures of well- and ill-being. Latent profile analysis revealed six distinct profiles of goal motives, with variations in both the strength of motives and the motivational quality. Follow-up analyses revealed between-profile differences for well- and ill-being; students with more optimal goal motive profiles reported higher and lower well- and ill-being, respectively, than those with less optimal goal motives. To experience well-being benefits when pursuing multiple goals, student-athletes should strive for their academic and sporting goals with high autonomous and low controlled goal motives.

Is More Always Better? Examining the Nonlinear Association of Social Contact Frequency With Physical Health and Longevity

Frequent social contact has been associated with better health and longer life. It remains unclear though whether there is an optimal contact frequency, beyond which contact is no longer positively associated with health and longevity. The present research explored this question by examining nonlinear associations of social contact frequency with health and longevity. Study 1 ( N ∼ 350,000) demonstrated that once the frequency of social contact reached a moderate level (monthly or weekly), its positive association with health flattened out. Study 2 ( N ∼ 50,000) extended these findings to longitudinal and mortality data: Although low contact frequency was associated with poor health and low survival rates, increasing the frequency of social interactions beyond a moderate level (monthly or weekly) was no longer associated with better health and longevity and, in some cases, was even related to worse health and increased mortality risks.

"What Should I Do First?" The Effect of Manipulated Goal Conflict on Affect, Motivation, and Helping Behavior in Chronic Pain Couples

Although support provision by a partner is an important resource for individuals with chronic pain (ICPs), it poses a challenge for partners because it competes with other important personal goals of partners. The current study examined the impact of experimentally induced goal conflict in partners on their motives for helping, quality of provided help, and on partners' and ICPs' affect. Sixty-eight couples, with at least one person having chronic pain, performed 2 series of household activities, with partners either asked to be simply available for help (ie, control condition) or to additionally work on a puzzle task (ie, goal conflict condition). Couples reported on interpersonal (eg, helping motives) and intrapersonal (eg, affect) outcomes. In addition, quality of partners' helping behavior and ICPs' pain behavior were videotaped and coded afterward. In the goal conflict condition, ICPs were less satisfied with the received help and they experienced more pain. Also, the quality of the provided help was lower and partners experienced less positive and more negative affect. Addressing partners' goal conflict in clinical practice may help to avoid its negative impact on both ICPs and partners. Perspective: This article provides a compelling argument to include partners in chronic pain treatment by demonstrating the detrimental effects of partners' experienced conflicts in goals upon the quality of help they provide, partners' affective functioning, and ICPs' pain-related outcomes.

Doing exercise or sport together with one's child is positively associated with mothers' momentary affect in daily life, but not with higher levels of overall physical activity

BACKGROUND

Physical inactivity is a widespread problem with a great need for innovative intervention concepts to overcome it. Epidemiological studies have identified working women in high-income Western countries to be at greater risk for physical inactivity. The current study included working mothers and examined within-subject associations between doing exercise/sport together with one's child and five different affective states, and with light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA).

METHOD

During 1 week, mothers (N = 192) completed up to eight ecological momentary assessment (EMA) surveys a day to assess momentary affect and certain situational circumstances (e.g., doing exercise/sport, being together with child). Physical activity was assessed objectively with waist-worn accelerometers.

RESULTS

Multilevel analysis showed that doing exercise/sport together with one's child was associated with higher positive affect and lower negative affect compared to being active alone. However, greater frequency of doing exercise/sport together with children was negatively associated with MVPA.

CONCLUSION

Due to the positive effect on momentary affect, combining spending time together with one's child and simultaneously doing exercise/sport might be a good strategy of pairing two relevant personal goals. However, this strategy was not associated with sufficient MVPA.

Sexual goals and perceptions of goal congruence in individuals' PrEP adoption decisions: A mixed-methods study of gay and bisexual men who are in primary relationships

BACKGROUND

Although health goals are recognized as a central feature of health behavior theories, the relational context through which goals are conceptualized is often overlooked. Interdependence theory represents a valuable framework for understanding goals in the adoption of health behaviors, such as pre-exposure prophylaxis (PrEP), among gay and bisexual men in primary relationships.

PURPOSE

We examined the content and focus of men's sexual health goals, as well as whether goal content, goal focus, or perceptions of goal congruence with a primary partner were related to PrEP adoption among gay and bisexual men in primary relationships.

METHODS

Mixed-methods data were collected from a PrEP demonstration project from 145 HIV-negative gay and bisexual men in primary relationships. Participants reported their sexual health goals and completed measures of perceptions of goal congruence, relationship factors, and sociodemographic factors.

RESULTS

Three main goal content categories were identified: prevention, satisfaction, and intimacy. In expressing these goals, participants framed them with either a self-focus or a relationship-focus. Men in serodiscordant relationships reported more intimacy goals and greater perceptions of goal congruence. There were no differences in goal content or focus by sexual agreement. In the multivariable logistic regression model, perceived goal congruence was associated with PrEP adoption, over and above covariates.

CONCLUSIONS

Intimate relationships play a significant role in the formation of health-related goals. Goal content, focus, and perceived congruence with partners may represent important targets for HIV prevention interventions for gay and bisexual men in primary relationships, especially in the context of PrEP.

Inter-goal conflict and facilitation as predictors of adherence to dieting goals: an ecological momentary assessment study

Objectives: To examine dieting goals within a system of individual goals, and the patterns by personally-relevant goals might interfere or facilitate each other.Design: 94 dieters completed an assessment of goals using Little's personal project analysis. Participants identified 7 goals; one of which was pre-defined as adhering to diet. Over the beginning 14 days of their diet, participants completed an Ecological Momentary Assessment study recording their food intake in real-time. Every evening, participants reported their goal engagement and which goals conflicted or facilitated with each other.Main outcome measures/results: Over the study duration, 1452 days of food intake and goal conflict/facilitation were recorded. Participants completed an average of 1.54 (SD = 0.85) snacks, an average of 0.94 (SD = 1.81) goal conflicts, and 4.16 (SD = 4.70) goal facilitations per day. Inter-goal conflict was associated with a significant but small improvement on individuals' mood, but was not associated with daily dietary intake or long-term weight-loss. Similarly, inter-goal facilitation was not associated with daily dietary intake or long-term weight-loss. Daily food intake was a significant predictor of long-term weight-loss.Conclusions: The results of this study suggest the impact of inter-goal conflict and facilitation on dieting is not via overall snack or food consumption.

When the Fun Is Over

Abstract. How do we know when an activity has exhausted us or helped us recover? In this paper, we present a motivational approach to exhaustion and recovery that takes into account the multidimensional nature of the constructs. The account details three psychological processes that may – individually and in interaction – underlie exhaustion and recovery. Specifically, we propose that changes in mood, subjective time perception, and opportunity costs experienced during an ongoing effortful or relaxing activity indicate a person’s momentary degree of exhaustion and recovery and impact the decision of whether the person should continue or disengage from the activity at hand. Addressing developmental changes across adulthood, we present two opposing hypotheses on how younger and older adults may differ in their experiences of exhaustion and recovery: (i) Older adults may experience an accelerated subjective time perception compared to younger adults and may thus feel less exhausted (more recovered) than younger adults after spending an identical amount of time engaged in an effortful (relaxing) activity. (ii) Older adults may be more sensitive toward increasing opportunity costs experienced during an effortful or relaxing activity and may therefore feel exhausted or recovered faster than younger adults.

Making New Year's Resolutions that Stick: Exploring how Superordinate and Subordinate Goals Motivate Goal Pursuit

BACKGROUND

New Year's Eve is a time when people make resolutions, but, more often than not, fail to achieve them. Previous research highlighted the positive effect of subordinate goals in goal pursuit. We argue that combining superordinate and subordinate goals contributes to successful goal pursuit, especially in the long run. We test whether a simultaneous focus on both goal types helps people to keep their resolutions.

METHODS

Using a 2 × 2 between-subjects design, participants (N = 256) formulated a resolution from which they derived either a superordinate (yes/no) or a subordinate goal (yes/no). The control group focused exclusively on a self-set resolution. Main outcome measures were effort in goal pursuit and intentions to further pursue the goal after 3 months.

RESULTS

Focusing on superordinate and subordinate goals increased the amount of effort invested in goal pursuit. A group difference was found only between the group focusing on both goal types and the group focusing on a superordinate goal. No statement could be made about intentions for further goal pursuit and processes by which goal type affects goal pursuit.

CONCLUSION

The study provides preliminary insights into how combining superordinate and subordinate goals may be a helpful strategy to pursue long-term goals.

Investigating midwives' barriers and facilitators to multiple health promotion practice behaviours: a qualitative study using the theoretical domains framework

Background

In addition to their more traditional clinical role, midwives are expected to perform various health promotion practice behaviours (HePPBes) such as informing pregnant women about the benefits of physical activity during pregnancy and asking women about their alcohol consumption. There is evidence to suggest several barriers exist to performing HePPBes. The aim of the study was to investigate the barriers and facilitators midwives perceive to undertaking HePPBes.

Methods

The research compromised of two studies.

Study 1: midwives based in a community setting (N = 11) took part in semi-structured interviews underpinned by the theoretical domains framework (TDF). Interviews were analysed using a direct content analysis approach to identify important barriers or facilitators to undertaking HePPBes.

Study 2: midwives (N = 505) completed an online questionnaire assessing views on their HePPBes including free text responses (n = 61) which were coded into TDF domains. Study 2 confirmed and supplemented the barriers and facilitators identified in study 1.

Results

Midwives’ perceived a multitude of barriers and facilitators to carrying out HePPBes. Key barriers were requirements to perform an increasing amount of HePPBes on top of existing clinical work load, midwives’ cognitive resources, the quality of relationships with pregnant women, a lack of continuity of care and difficulty accessing appropriate training. Key facilitators included midwives’ motivation to support pregnant women to address their health. Study 1 highlighted strategies that midwives use to overcome the barriers they face in carrying out their HePPBes.

Conclusions

Despite high levels of motivation to carry out their health promotion practice, midwives perceive numerous barriers to carrying out these tasks in a timely and effective manner. Interventions that support midwives by addressing key barriers and facilitators to help pregnant women address their health behaviours are urgently needed.

Electronic supplementary material

The online version of this article (10.1186/s13012-019-0913-3) contains supplementary material, which is available to authorized users.

'Active'ating thoughts about affect: elicitation of physical activity judgements in insufficiently active women

OBJECTIVE

A growing body of evidence suggests that affective judgements are distinct from, and exert greater influence on, physical activity behaviours than instrumental judgements.

DESIGN

As part of a randomised controlled trial, 110 insufficiently active, female, university students were randomised to (a) an affective mental contrasting condition, (b) an instrumental mental contrasting condition, or (c) a 'standard' mental contrasting intervention (with no modifications). In the analyses concerning the trial's primary outcome, the affective mental contrasting condition was found to be more effective for increasing physical activity than the standard or instrumental conditions. The purpose of this study was to qualitatively examine the physical activity outcomes and obstacles elicited from participants as part of the three mental contrasting interventions within this trial.

RESULTS

32 lower-order physical activity judgement themes, categorised within seven high-order themes, were derived through the use of the mental contrasting intervention. In addition to identifying several affective and instrumental outcomes and obstacles that have previously been recognised, participants in this study also highlighted contextualised responses that describe complicated relationships that exist between affective and instrumental judgements.

CONCLUSIONS

This study provides fine-grained insight into cognitive processes derived from a novel intervention involving insufficiently active women.

The relation between goal adjustment, goal disturbance, and mental well-being among persons with multiple sclerosis

OBJECTIVE

This study investigated the role of goal adjustment, i.e. disengaging from blocked goals and reengaging into alternative goals, in mental well-being and goal disturbance in persons with multiple sclerosis (MS).

DESIGN

A cross-sectional design was used with self-report data from questionnaires and Personal Project Analysis (PPA).

MAIN OUTCOME MEASURES

Dependent variables were mental well-being, indicated by depression/anxiety (HADS; Hospital Anxiety and Depression Scale) and mental functioning (SF-36; Short Form Health Survey), and goal disturbance, indicated by goal manageability and goal interference (PPA). Independent variables were patient-reported physical impairment (SF-36) and goal disengagement and reengagement (GAS; Goal Adjustment Scale).

RESULTS

Higher goal reengagement was associated with better mental well-being, but unrelated to goal disturbance. Goal disengagement only showed a negative association with anxiety. High disengagement was associated with lower goal interference but only for those also scoring high on reengagement. Goal adjustment did not buffer the effects of physical impairment on mental well-being and goal disturbance. Contrary to expectations, higher goal reengagement increased the association between physical impairment and goal interference.

CONCLUSION

Although goal reengagement is associated with better mental well-being in persons with MS, it might also strengthen the perceived effect of physical impairment on goal interference.

Agency and Motivation in Adulthood and Old Age

This review addresses conceptual and empirical research about how individual agency and motivation influences development during adulthood and old age. The major life-span approaches to individual agency and developmental regulation are discussed, with a focus on the motivational theory of life-span development. Developmental agency unfolds through action cycles of pursuing long-term goals for optimal development. Individuals differ in their capacity to regulate their goal engagements effectively within the age-graded structure of opportunities and constraints in their life courses. We discuss a set of research examples about specific developmental challenges, such as transition to adulthood, biological aging, illness, and societal transformation, and show how individuals, as agents in their own development, navigate change for better or worse. We conclude with suggestions for future research.

Helping Your Partner with Chronic Pain: The Importance of Helping Motivation, Received Social Support, and Its Timeliness

Objective

Like all intentional acts, social support provision varies with respect to its underlying motives. Greater autonomous or volitional motives (e.g., enjoyment, full commitment) to help individuals with chronic pain (ICPs) are associated with greater well-being benefits for the latter, as indexed by improved satisfaction of their psychological needs for autonomy, competence, and relatedness. The present study investigates the processes explaining why partners' autonomous or volitional helping motivation yields these benefits.

Methods

A total of 134 couples, where at least one partner had chronic pain, completed a 14-day diary. Partners reported on their daily helping motives, whereas ICPs reported on their daily received support, timing of help, need-based experiences, and pain.

Results

On days when partners provided help for volitional motives, ICPs indicated receiving more help, which partially accounted for the effect of autonomous helping motivation on ICP need-based experiences. Timing of help moderated the effects of daily received support on ICP need-based experiences.

Conclusions

Findings highlight the importance of ICPs of receiving support in general and the role of timing in particular, which especially matters when there is little support being received.

Holding on to the Goal or Letting It Go and Moving On? A Tripartite Model of Goal Striving

Recent findings challenge the widely held motto of “never give up” in goal striving. There are situations in which it is of strategic interest to abandon an important goal and allocate resources to an alternative goal. The ability to realize whether a goal is attainable or not (and therefore the ability to make the “right choice” between goal persistence and goal disengagement or reengagement) is influenced by at least two key motivational factors: motivation for goal striving and a self-regulatory technique called mental contrasting with implementation intentions. The interplay between these two factors is as yet unexplored but holds promise for several conceptual and practical advancements in understanding the pursuit of challenging life goals. To this end, we propose a tripartite model of goal striving that integrates goal motivation and goal regulation.

Goal conflict in chronic pain: day reconstruction method

Background

When suffering from chronic pain, attempts to control or avoid pain often compete with other daily activities. Engaging in one activity excludes engaging in another, equally valued activity, which is referred to as "goal conflict." As yet, the presence and effects of goal conflicts in patients with chronic pain remain poorly understood.

Methods

This study systematically mapped the presence and experience of goal conflicts in patients with fibromyalgia compared to healthy controls. A total of 40 patients and 37 controls completed a semi-structured interview in which they first reconstructed the previous day, identified conflicts experienced during that day, and classified each of the conflicting goals in one of nine goal categories. Additionally, they assessed how they experienced the previous day and the reported conflicts.

Results

Results showed that patients did not experience more goal conflicts than healthy controls, but that they did differ in the type of conflicts experienced. Compared to controls, patients reported more conflicts related to pain, and fewer conflicts involving work-related, social or pleasure-related goals. Moreover, patients experienced conflicts as more aversive and more difficult to resolve than control participants.

Discussion

This study provides more insight in the dynamics of goal conflict in daily life, and indicates that patients experience conflict as more aversive than controls, and that conflict between pain control (and avoidance) and other valued activities is part of the life of patients.

Time in relation to goals

One of the most important aspects of goals is time. From how goals are set to the dynamics of goal pursuit, time plays an important and multifaceted role. Goals to walk 10000 steps per day or to call one's parents once a week, for example, are defined by time (e.g. a day or week), pursued over time (e.g. for multiple days or multiple weeks), and subject to constraints on time (e.g. needing to also spend time on work). This article discusses three key ways to think about time in relation to goals: time as a defining feature of goals, as a dimension of goal pursuit, and as a constraint on goal pursuit. I discuss prior research relevant to this organizing framework and conclude with a discussion of emerging topics and opportunities for further investigation.

(How) Does Initial Self-Control Undermine Later Self-Control in Daily Life?

Past research suggests that self-control lapses occur more frequently following demanding experiences in daily life. However, the reason for these effects is debated. Three studies were therefore conducted to better understand self-control lapses. Exploratory analyses were conducted in Study 1 to identify possible effects. Studies 2 and 3 evaluated these effects’ reliability. Two patterns were identified. First, initial desire–goal conflict predicted later increases in subjective fatigue. This was in turn related to less effective self-control attempts. Second, initial self-control attempts also led participants to enact desires more frequently. This latter effect occurred even when (and perhaps especially when) those later desires were not resisted. In contrast, the strength model of self-control did not receive support, as initial self-control attempts did not affect the success of subsequent self-control attempts. These studies therefore suggest initial self-control does play an important role in producing later self-control lapses—just a different role than predicted by the strength model.

Working adults' well-being: An online self-help goal-based intervention

An online self‐help goal‐setting and planning (GAP) intervention to improve working adults’ well‐being was tested using a longitudinal, randomized crossover design. The study sought to (1) test the effectiveness of the intervention relative to wait‐list controls; and (2) test the stability of effects over a 3‐month follow‐up period. Participants were recruited from the UK Civil Service and were randomized to either a GAP intervention or a wait‐list control condition. Wait‐list participants then crossed‐over to receive GAP. Relative to wait‐list controls (N = 149), GAP participants (N = 158) reported significantly higher levels of positive affect (PA) and flourishing, but similar levels of negative affect (NA) and life satisfaction immediately after the intervention. Longitudinal data were analysed for the whole sample (N = 307). Compared to the start of the intervention, participants reported an increase in PA and flourishing directly after the intervention and 3 months later. NA and life satisfaction showed no change by the end of the intervention, but had improved by 3‐month follow‐up. Completing more modules predicted post‐intervention improvements in well‐being, accounting for pre‐intervention well‐being levels. The online self‐help format allowed the intervention to be offered with minimal therapeutic support, enabling convenient access by a large group of employees. The study provides an example of a successful adaptation of a clinically proven well‐being intervention to make it accessible to working adults.

Practitioner points

Well‐being interventions proven in clinical settings can be effectively adapted for use in workplace settings with only minor alterations.

Brief, online self‐help interventions can improve working adults’ well‐being.

Goal‐based interventions can improve working adults’ well‐being when focused towards goals that are aligned with personal values and have been chosen by the individual.

Less Power, Greater Conflict

Abstract. Power facilitates goal pursuit, but how does power affect the way people respond to conflict between their multiple goals? Our results showed that higher trait power was associated with reduced experience of conflict in scenarios describing multiple goals (Study 1) and between personal goals (Study 2). Moreover, manipulated low power increased individuals’ experience of goal conflict relative to high power and a control condition (Studies 3 and 4), with the consequence that they planned to invest less into the pursuit of their goals in the future. With its focus on multiple goals and individuals’ experiences during goal pursuit rather than objective performance, the present research uses new angles to examine power effects on goal pursuit.

Aiming at a Moving Target: Theoretical and Methodological Considerations in the Study of Intraindividual Goal Conflict between Personal Goals

Multiple-goal pursuit and conflict between personal life-defining goals can be considered part of everyday business in most individuals' lives. Given the potentially detrimental effects of goal conflict—for example, impaired well-being or poor performance—the literature on goal conflict is surprisingly scattered due to heterogeneous methodological approaches and technical terms. Little empirical research has addressed the conceptualization of goal conflict against the background of differing understandings from a structure-like and a process-like perspective. In the present article, we outline theoretical foundations of goal conflict from two perspectives: a structure- and a process-like perspective. Based on a comparative analysis and integration of these two perspectives, we systematically review empirical studies on goal conflict over 30 years of research. In doing so, we identify and discuss important conceptual dimensions of goal conflict, namely, goal conflict as a cognitive construct and an experiential instance, a focus on goal interrelations or on specific goal properties, and resource vs. inherent conflict, and the potential of these distinctions to further research on goal conflict. Finally, we present major challenges and pose questions that need to be addressed by future research.

Milieu matters: Evidence that ongoing lifestyle activities influence health behaviors

Health behaviors occur within a milieu of lifestyle activities that could conflict with health actions. We examined whether cognitions about, and performance of, other lifestyle activities augment the prediction of health behaviors, and whether these lifestyle factors are especially influential among individuals with low health behavior engagement. Participants (N = 211) completed measures of past behavior and cognitions relating to five health behaviors (e.g., smoking, getting drunk) and 23 lifestyle activities (e.g., reading, socializing), as well as personality variables. All behaviors were measured again at two weeks. Data were analyzed using neural network and cluster analyses. The neural network accurately predicted health behaviors at follow-up (R2 = .71). As hypothesized, lifestyle cognitions and activities independently predicted health behaviors over and above behavior-specific cognitions and previous behavior. Additionally, lifestyle activities and poor self-regulatory capability were more influential among people exhibiting unhealthy behaviors. Considering ongoing lifestyle activities can enhance prediction and understanding of health behaviors and offer new targets for health behavior interventions.