Do logistic regression and signal detection identify different subgroups at risk? Implications for the design of tailored interventions

Identifying subgroups of high-risk individuals can lead to the development of tailored interventions for those subgroups. This study compared two multivariate statistical methods (logistic regression and signal detection) and evaluated their ability to identify subgroups at risk. The methods identified similar risk predictors and had similar predictive accuracy in exploratory and validation samples. However, the 2 methods did not classify individuals into the same subgroups. Within subgroups, logistic regression identified individuals that were homogeneous in outcome but heterogeneous in risk predictors. In contrast, signal detection identified individuals that were homogeneous in both outcome and risk predictors. Because of the ability to identify homogeneous subgroups, signal detection may be more useful than logistic regression for designing distinct tailored interventions for subgroups of high-risk individuals.     

Self-efficacy as a moderator of the planning-behaviour relationship in interventions designed to promote physical activity

Individuals who lack perceived self-efficacy may benefit less from planning interventions because they fail to apply their plans when encountering situations that appear challenging. Thus, self-efficacy may operate as a moderator in relation to the effects of planning interventions on behaviour. This article reports from two experimental studies using cluster randomisation. Study 1 included 58 patients with diabetes who received a face-to-face action planning intervention to improve their physical activity levels. Study 2 targeted the roles of planning and self-efficacy for the maintenance of regular running and for relapse prevention in 187 active individuals over a 2-year period. The email-delivered intervention prompted specific goal setting and facilitated planning to mobilise social support to secure relapse prevention. Results of the two studies were consistent with a moderating effect of self-efficacy in relation to the planning-behaviour relationship. Individuals with high self-efficacy benefited from planning interventions. If a person lacks self-efficacy, planning may not effectively promote physical activity.     

Factors underlying expectancies of success and achievement: the influential roles of need for cognition and general or specific self-concepts

It has been assumed that task-specific self-concepts are more important than general self-concepts in determining expectancies of success and subsequent achievement. The authors argue here that the influence varies depending on need for cognition (NFC). Findings from Study 1 (N=104) showed that expectancies of success in an academic task could be predicted from specific self-concept for individuals with a high NFC and from general self-concept for individuals with a low NFC. In Study 2 (N=193), where cognitive load was manipulated, given a high cognitive load, only general self-concept was predictive of success expectancies, independent of NFC. In Study 3 (N=197), given a high relevance of correct expectancy ratings, only specific self-concept was predictive of expectancies and actual achievement, independent of NFC. In Studies 4 and 5, the results from Study 1 concerning the prediction of expectancies (as well as achievement) reappeared in a physical and a social domain.     

Varieties of Religious Experience:Continuity and Change in Religious Involvement

ABSTRACT The intent of the present study was to determine whether the selective aggregation of background data subgroups could be used to identify and control for differences across persons in the meaning of religious involvement. After background data subgroups had been clustered based on similarity in the variables related to religious involvement, two clusters were identified. One cluster contained individuals whose religious involvement was characterized by a functional, instrumental orientation, while the other was composed of individuals whose religious involvement was characterized by an affective, expressive orientation. Subsequently, causal models intended to describe continuity and change in religious involvement were constructed using individuals assigned to each cluster. It was found that different models were required to describe continuity and change in religious involvement in the instrumental and expressive clusters.     

Identifying Specific Factors Underlying Attitudes Toward Change: Using Multiple Methods to Compare Expectancy‐Value Theory to Reasons Theory1

This study used multiple methods to compare expectancy‐value theory (EVT) to reasons theory for identifying specific factors underlying attitudes toward a planned organizational change. Reasons theory utilizes an accessible reason construct within a decision‐making framework. Study 1 used the correlational method to statistically identify the strength of specific factors underlying attitudes according to each theory. The value and accessible reason factors demonstrated the strongest associations with attitudes toward change. The strength of specific factors was then manipulated experimentally according to each construct to examine the impact on potential change in Study 2. The interventions developed from expectancy and accessible reason factors were evaluated most positively by individuals in the target organization, with accessible reasons having the strongest effect. Unexpectedly, interventions based on the value and expectancy value factors had less efficacy in Study 2. Implications for applied research are discussed.     

Long-term, non-specific spinal pain: reliable and valid subgroups of patients

The aim of this study was to identify reliable and valid subgroups of spinal pain patients, using data from the Swedish version of the Multidimensional Pain Inventory (MPI-S). A second aim was to test the generalisability of the three patient profiles described in earlier studies on the MPI ("adaptive coper", "dysfunctional" and "interpersonally distressed" patients). The study base consisted of two samples of individuals suffering from long-term, non-specific spinal pain and the results were validated across these samples. Cluster analysis was used to detect distinct groups of patients and the validity of these subgroups was evaluated on variables not used to generate the cluster solution. One subgroup was characterised by lower pain severity, lower interference with everyday activities, lower affective distress and higher life control than the other two subgroups. This patient profile was similar to the MPI adaptive coper patients. A second subgroup resembled the dysfunctional patient profile, thus displaying a worse adjustment to chronic pain than the AC patients. The third patient group reported significantly lower levels of social support from "significant others" than the other subgroups. This patient profile was similar to that of the interpersonally distressed patient group. Taken together, the results support the reliability, validity and generalisability of three subgroups of chronic pain patients derived from the MPI-S.     

Free classification: Element-level and subgroup-level similarity

Subjects classified sets of multidimensional stimuli into two groups in any way they wished. The sets were composed of 6 or 12 stimuli: 2 or 4 instances of 3 different stimuli (e.g., 2 blue circles, 2 green circles, 2 red circles). There were striking individual differences in the preferred classification. Some subjects maximized the similarity between subgroups by matching the composition of the subgroups--one instance of each stimulus was placed in each group. The other subjects maximized the similarity among stimuli within each subgroup by placing similar stimuli in each group (the blues and greens in one group, the reds in the other). The nature of the stimuli as well as the relationships among the three stimuli had little effect on classification. In this case, cognitive styles specific to individuals but general across diverse dimensions and stimulus sets determined classification.     

Correlates of physical activity in a national sample of girls and boys in grades 4 through 12.

Psychological, biological, social, and physical environmental variables were examined for their association with physical activity of young people. A national sample of 1,504 parents and children in Grades 4-12 were interviewed by telephone. Twenty-two potential determinants were assessed along with an 11-item child physical activity index (alpha = .76). Hierarchical multiple regressions were conducted separately for 6 age-sex subgroups. Percentage of variance explained ranged from 18% for boys in Grades 4-6 to 59% for girls in Grades 10-12. Three variables had strong and consistent associations with the child physical activity index that generalized across subgroups: use of afternoon time for sports and physical activity, enjoyment of physical education, and family support for physical activity. These 3 variables should be targeted for change to promote physical activity in all groups of young people.     

Results of the healthy body healthy spirit trial.

Healthy Body Healthy Spirit was a multicomponent intervention to increase fruit and vegetable (F & V) consumption and physical activity (PA) delivered through Black churches. Sixteen churches were randomly assigned to 3 intervention conditions. At baseline, 1,056 individuals were recruited across the 16 churches, of which 906 (86%) were assessed at 1-year follow-up. Group 1 received standard educational materials, Group 2 received culturally targeted self-help nutrition and PA materials, and Group 3 received the same intervention as did Group 2 as well as 4 telephone counseling calls based on motivational interviewing (MI) delivered over the course of 1 year. At 1-year follow-up, Groups 2 and 3 showed significant changes in both F & V intake and PA. Changes were somewhat larger for F & V. For F & V, but not PA, there was a clear additive effect for the MI intervention.     

Schools can improve motivational quality: Profile transitions across early foreign language learning experiences

Elementary school is as much about developing attitudes as competence. With this fact in mind, the Japanese national government established a plan to enhance elementary school students’ motivation for learning English. The success of this program has, however, not been empirically tested. This study aimed to assess the longitudinal, discrete development of Japanese elementary school students’ motivation for learning English as a foreign language. A cohort of 513 Japanese elementary students participated in the study across 2 years of school. Students responded to surveys regarding the quality of their motivation at three time points, and their engagement at two time points. Latent profile analysis followed by latent profile transition analysis was used to assess the sample for latent subgroups. With subgroups established at three time points, a Mover–Stayer model was tested to estimate the movement of students among the subgroups across three time points and 2 years of elementary school education. Three theoretically consistent latent subgroups were observed at each of the time points. Based on theory and past empirical research, the subgroups (presented from least to most adaptive) were labeled: Poor Quality, High Quantity, and Good Quality. Across the three measurements, an overall shift of students to higher quantity and quality motivational subgroups was observed. This study provides evidence that the low-stakes, high-interest approach currently undertaken may have the desired effect of improving students’ motivation to learn across 2 years of schooling. Implications for both practice and national policy are discussed.     

Differential Predictability: Selection of Handicapped and Non-handicapped

This research is concerned with the question of differential predictability of handicapped and non-handicapped subgroups. The specific question posed was: Is the performance of non-handicapped subgroups of skilled, clerical, and non-skilled workers more predictable than that of handicapped subgroups when aptitude measures are used as predictors? Correlations between scores on selected scales of the GATB and a composite performance criterion were obtained for each of the subgroups. Results showed a pattern of consistently lower validities for the handicapped which suggests that aptitude measures typically used in selection may not be appropriate for the handicapped, and that validity coefficients may be diluted by the inclusion of this subgroup with the non-handicapped in validity studies.     

A biodynamic basis for perceived categories of action: a study of sitting and stair climbing

Actors must determine whether the properties of the surface layout are sufficient to meet their specific requirements for performing an action. Warren's (1984) study of bipedal stair climbing has demonstrated the significance of intrinsic, body-scaled measures of environmental properties for defining perceptual categories relevant to action. Whereas the absolute measure of the perceptual boundary between "climbable" and "not climbable" varied according to the actor's size and mass, the perceived boundary was a constant proportion of each actor's leg length. Our current study examined the perceived maximum seat height (SHmax) for the act of sitting. Experiment 1 delineated the range of surface heights that were perceived to afford sitting on. When expressed as a function of each person's leg length (L), SHmax was remarkably stable across individuals. Unexpectedly, it was quite close to the maximum riser height determined by Warren. Experiment 2 examined whether this similarity reflected a common biodynamic requirement, since climbing and sitting require actors to lift their center of gravity above the surface of support. Perceived critical heights were obtained for both acts using the same methods and apparatus. The perceived maximum heights for each act were virtually identical. These findings are consistent with the possibility that the information used in determining critical action boundaries is already scaled with reference to some physical dimension of the actor.     

Drive for thinness, affect regulation and physical activity in eating disorders: a daily life study

Using Ecological Momentary Assessment, the within patient associations between drive for thinness, emotional states, momentary urge to be physically active and physical activity were studied in 32 inpatients with an eating disorder. Participants received an electronic device and had to indicate at nine random times a day during 1 week their momentary drive for thinness, positive and negative emotional states and their urge to be physically active and physical activity. Multilevel analyses indicated that patients with higher mean levels for urge to be physically active were characterized by lower body mass index (BMI) and chronically negative affect whereas patients with higher mean levels for physical activity were characterized by lower BMI and higher dispositions for drive for thinness. In addition, within patient relations between drive for thinness and urge to be physically active were moderated by BMI and chronically negative affect whereas within patient relations between drive for thinness and physical activity were moderated by BMI. Finally, also positive emotional states were significantly associated with physical activity within patients. By using a daily process design, characteristics of physical activity were revealed that have not been identified with assessment methods that have a lower time resolution.     

Surviving Toward College Graduation

This 5-year longitudinal study with a diverse sample of 405 graduating high school seniors examined the person, behavior, and environment (PBE) factors that increased student chances of deciding to attend a 2- or 4-year college, enrolling in college the fall semester immediately following high school graduation, and then returning to that same college a year later as a retained college student. Survivability across these three critical college-going transitions was a function of two different kinds of PBE patterns. First, certain PBE factors played prominent roles at specific transition points and then more minor support roles at others. Second, several factors provided consistent support at each transition point without being the primary determiner of success at any single transition. Students are more likely to succeed in college if school counselors help them to learn and take advantage of those PBE patterns that promote postsecondary success.     

Long-term adverse health outcomes of physical workplace violence: a 7-year population-based follow-up study

The aim of the present study was to analyse whether physical workplace violence increases the risk of long-term adverse health outcomes (i.e., high number of visits to the general practitioner, outpatient treatment, hospital admittance, antidepressant use, and/or having a mental disorder). The study was based on representative survey data from 2006 and 2010 (entitled “How are you?”) merged with register data for a 7-year follow-up period (N = 30,812). To examine if physical workplace violence was a predictor of adverse health outcomes, logistic regression models were conducted for the total follow-up period and for each follow-up year with the different outcome measures as the dependent variables. In the follow-up period, individuals who were exposed to physical workplace violence had a higher number of visits to the general practitioner, had more often received outpatient treatment, and had more often been admitted to hospital than their non-exposed counterparts. Moreover, exposed individuals had higher odds of using antidepressants in the last three follow-up years than did non-exposed individuals. The findings call for heightened attention to securing preventive as well as rehabilitative strategies to help victims of physical workplace violence with the aim of avoiding adverse long-term health consequences.     

Different perspectives on measuring lifestyle engagement: a comparison of activity measures and their relation with cognitive performance in older adults

Given the limitations associated with assessing activity engagement via the frequency of specific activities, it may be valuable to consider the characteristics of an activity. The method of asking individuals to report the amount of time spent engaging in activities that have certain characteristics was compared to a specific activity questionnaire, and a daily diary regarding their relation to cognitive functioning. Participants 60–90 years old (n = 187) completed the activity measurement methods and a series of cognitive tasks. Structural equation models showed that all three activity methods were predictive of adults’ cognitive performance, but no measure predicted all outcomes. Each activity measure provided unique information. Notably, the combination of the measurement types predicted more variance than any of the measures alone. There is additional power to predict cognition when multiple activity measurement methods are used, and daily assessment can be a valuable tool to augment traditional specific activity questionnaires.     

Long-term follow-up of physical activity behavior in older adults.

OBJECTIVE: To examine the contribution of social-cognitive factors (self-efficacy and affect) in predicting long-term physical activity in a sample of older adults (N=174). DESIGN: A prospective design assessed physical activity and psychosocial variables at 2 and 5 years following a 6-month randomized, controlled exercise trial. MAIN OUTCOME MEASURES: The primary outcome variable was self-reported physical activity, with previous behavior, self-efficacy, and affect assessed as determinants of physical activity. RESULTS: Covariance modeling analyses indicated that physical activity at Year 2 was the strongest predictor of physical activity at 5-year follow-up. Both self-efficacy and affect at Year 2 were also associated with physical activity at Year 5, as was original treatment condition. Variables accounted for 35% of the variance in Year 5 activity. CONCLUSION: Older adults with higher levels of physical activity, more positive affect, and higher self-efficacy at Year 2 were more likely to continue to be active at Year 5. This study is one of the longest follow-ups of exercise behavior in older adults and has implications for structuring environments to maximize the maintenance of physical activity.     

A LONGITUDINAL ANALYSIS OF BIOGRAPHICAL SUBGROUPS USING OWENS' DEVELOPMENTAL-INTEGRATIVE MODEL

The study examined the differential validity of 20 male and 14 female biographical subgroups in terms of 12 factor analyzed dimensions of postcollege experience. Owens' Developmental-Integrative Model hypothesizes that different subgroups of individuals with similar within-group early life experiences should exhibit significant differences (between-group) in a wide variety of life experiences. A sample of 1428 first-year college students were statistically grouped into 23 male and 15 female biodata subgroups after completing a standardized 118-item biodata form (Owens, 1968). Seven years later, a 97-item post-college experience inventory obtained scores for 484 of the original subjects on 12 factors of post-college behavior including job satisfaction, transition from college, personal and marital adjustment, and others. Significant univariate and multivariate differences were found between the biodata subgroups across the 7-year period. Implications for the validity of the D-I model are offered.     

Mindfulness and the intention-behavior relationship within the theory of planned behavior

The present study examined moderating effects of mindfulness on the intention-behavior relationship within the theory of planned behavior. Mindfulness describes a quality of consciousness characterized by heightened clarity and awareness of present experiences and functioning. Study 1 showed that mindfulness moderated the intention-behavior relationship in a leisure-time physical activity context such that intentions predicted physical activity among mindful individuals and not among less-mindful individuals. Study 2 measured counterintentional habits relating to binge-drinking and found that habitual binge-drinking obstructed the enactment of physical activity intentions among individuals acting less mindfully but not among individuals acting mindfully. Finally, Studies 1 and 2 demonstrated that the effects of mindfulness on physical activity were independent of effects observed for habit and variables contained in the theory of planned behavior. These findings suggest that mindfulness is a useful construct that helps understand the intention-behavior relationship within the theory of planned behavior.     

Activity engagement is related to level, but not change in cognitive ability across adulthood

It is unclear whether the longitudinal relation between activity participation and cognitive ability is due to preserved differentiation (active individuals have higher initial levels of cognitive ability), or differential preservation (active individuals show less negative change across time). This distinction has never been evaluated after dividing time-varying activity into its two sources of variation: between-person and within-person variability. Further, few studies have investigated how the association between activity participation and cognitive ability may differ from early to older adulthood. Using the PATH Through Life Project, we evaluated whether between- and within-person variation in activity participation was associated with cognitive ability and change within cohorts aged 20-24 years, 40-44 years, and 60-64 years at baseline (n = 7,152) assessed on three occasions over an 8-year interval. Multilevel models indicated that between-person differences in activity significantly predicted baseline cognitive ability for all age cohorts and for each assessed cognitive domain (perceptual speed, short-term memory, working memory, episodic memory, and vocabulary), even after accounting for sex, education, occupational status, and physical and mental health. In each case, greater average participation was associated with higher baseline cognitive ability. However, the size of the relationship involving average activity participation and baseline cognitive ability did not differ across adulthood. Between-person activity and within-person variation in activity level were both not significantly associated with change in cognitive test performance. Results suggest that activity participation is indeed related to cognitive ability across adulthood, but only in relation to the starting value of cognitive ability, and not change over time.