Embodied cognition and skilled health behaviour

The present research examines health persuasion from an embodied cognition perspective by proposing that engaging the motor system during presentation of a health message will lead individuals to become more skilled at performing the prescribed behaviour. Participants watched a video on the importance of flossing while either imaging themselves flossing or imaging themselves flossing while minimally engaging the motor system (i.e. touching a piece of floss). Females (but not males) who touched an individual floss while watching the video demonstrated better flossing skills 1 week later. Over time, participants (both males and females) who engaged the motor system also developed more accessible attitudes and had a stronger relationship between their perceived flossing efficacy and actual flossing skill. Implications for the theories of embodied cognition and health interventions are discussed.     

Embodied cognition and skilled health behaviour

The present research examines health persuasion from an embodied cognition perspective by proposing that engaging the motor system during presentation of a health message will lead individuals to become more skilled at performing the prescribed behaviour. Participants watched a video on the importance of flossing while either imaging themselves flossing or imaging themselves flossing while minimally engaging the motor system (i.e. touching a piece of floss). Females (but not males) who touched an individual floss while watching the video demonstrated better flossing skills 1 week later. Over time, participants (both males and females) who engaged the motor system also developed more accessible attitudes and had a stronger relationship between their perceived flossing efficacy and actual flossing skill. Implications for the theories of embodied cognition and health interventions are discussed.     

The cultural congruency effect: Culture, regulatory focus, and the effectiveness of gain- vs. loss-framed health messages

The present study contributes a cultural analysis to the literature on the persuasive effects of matching message frame to individuals’ motivational orientations. One experiment examines how members of cultural groups that are likely to differ in their regulatory focus respond to health messages focusing on either the benefits of flossing or the costs of not flossing. White British participants, who had a stronger promotion focus, were more persuaded by the gain-framed message, whereas East-Asian participants, who had a stronger prevention focus, were more persuaded by the loss-framed message. This cultural difference in persuasion was mediated by an interaction between individuals’ self-regulatory focus and type of health message. Thus health messages framed to be culturally congruent led participants to have more positive attitudes and stronger intentions to perform the health behaviors, and the interaction between self-regulatory focus and message frame emerged as the pathway through which the observed cultural difference occurs. Discussion focuses on the integration of individual difference, socio-cultural, and situational factors into models of health persuasion.     

The effects of message quality and congruency on perceptions of tailored health communications

Recent research has documented the effectiveness of tailoring health behavior change messages to characteristics of the recipients, but little is known about the processes underlying these effects. Drawing from the elaboration likelihood model (Petty & Cacioppo, 1986), we examined the role of message scrutiny in moderating the congruency effect (Mann, Sherman, & Updegraff, 2004). One hundred and thirty-six undergraduate participants read either a strong or weak message promoting regular dental flossing with a frame (gain vs. loss) that either matched or mismatched their motivational orientation (approach vs. avoidance). Results showed that participants were sensitive to argument quality in the matched but not mismatched conditions. Further, argument quality moderated the effect of congruency on participants’ attitudes and perceived norms regarding flossing, as well as their subsequent self-reported flossing behavior. Results suggest that increased message scrutiny underlies message tailoring effects.     

Approach/avoidance motivation, message framing, and health behavior: understanding the congruency effect

Health messages framed to be congruent with individuals’ approach/avoidance motivations have been found to be more effective in promoting health behaviors than health messages incongruent with approach/avoidance motivations. This study examines the processes underlying this congruency effect. Participants (undergraduate students, N=67) completed a measure of approach/avoidance orientation (the BIS/BAS scales) and read either a gain- or loss-framed message promoting dental flossing. Results demonstrated a congruency effect: Participants who read a congruently framed message had greater flossing efficacy, intended to floss more, and used more dental flosses than did the participants who read an incongruent message. Moreover, intention to perform the behavior predicted the congruency effect and self-efficacy mediated participants’ intentions to perform the health behavior. Discussion centers on the role of personality factors and situational factors in models of behavior change.

The effect of peer comparison information in the context of expert recommendations on risk perceptions and subsequent behavior

The present study seeks to understand how social comparison information may be used to provide individuals with information about their level of risk and to promote health behavior. The effect of peer comparison information, presented alone or in the context of expert recommendations, was examined across two studies using distinct experimental manipulations. Study 1 showed that regardless of whether expert standards were available or not, participants who were provided with inflated estimates of peer flossing behavior demonstrated increased behavioral intentions and increased flossing behavior measured 3 months later. This pattern was replicated in Study 2 with effects on attitudes toward flossing and intentions to floss. These findings add to a growing literature identifying comparative feedback as distinct from objective information and are discussed in terms of implications for health promotion and risk communication. Copyright © 2009 John Wiley & Sons, Ltd.     

Predicting Dental Flossing Behavior: The Role of Implicit and Explicit Responses and Beliefs

The study examined the ability of implicit responses to predict dental flossing behavior. It was hypothesized that adding implicit responses would increase the predictive power of models containing variables suggested by social cognitive theories. To test the hypothesis, 125 participants completed measures of social cognitive variables (e.g., self-efficacy, task-efficacy, planning intention, behavior intention) and performed a procedure designed to measure their implicit responses to flossing. Flossing behavior was measured with retrospective self-reports and a follow-up measure of flossing. As predicted, the addition of implicit responses to models containing the social cognitive variables increased the predictive power of the models for both the self-report and follow-up measures.     

Distinctions Between Worry and Perceived Risk in the Context of the Theory of Planned Behavior

Worry and risk perception were integrated into the theory of planned behavior (TPB) within health and non-health domains (flossing and academic coursework, respectively). Models were estimated and replicated in 2 undergraduate samples ( n s = 191 and 309), with effects of worry and risk on intentions expected to occur primarily through attitudes. Past behavior was modeled through effects on all TPB constructs and through interactions with worry and risk. Worry positively predicted intentions and attitudes (and norms in the non-health domain) for those at the lowest levels of prior behavior. Risk perceptions negatively predicted intentions and self-efficacy (and attitudes in the health context) also for those at low levels of prior behavior. Implications for further theory development are discussed.     

Predicting the Performance of Dental Hygiene Behaviors: An Examination of the Fishbein and Ajzen Model and Self-Efficacy Expectations1

This study examined the value of the Fishbein and Ajzen model of behavioral intentions and Bandura's concept of self-efficacy expectations as prospective predictors of the dental hygiene behaviors of young adults. All participants (73 males and 58 females) completed self-report measures of the predictor variables and 60% of that group (N = 77) then recorded brushing and flossing behaviors over a four-week period. The Fishbein and Ajzen model accounted for a significant proportion of the variance in intentions to brush (R²= .32) and intentions to floss (R²= .30). Intentions were in turn related to self-monitoring records of brushing and flossing frequency (rs= .52 and .61). Introducing self-efficacy expectations into the Fishbein and Ajzen model failed to improve the prediction of brushing and flossing frequency. However, self-efficacy was predictive of behavioral intentions, adding significantly to the variance accounted for by the attitudinal and subjective norm components of the Fishbein and Ajzen model. These data suggest that self-efficacy expectations are important in understanding protective health behaviors and that the inclusion of a self-efficacy component in the Fishbein and Ajzen model deserves consideration.     

Dispositional motivations and message framing: a test of the congruency hypothesis in college students.

The authors examined the congruency hypothesis that health messages framed to be concordant with dispositional motivations will be most effective in promoting health behaviors. Undergraduate students (N=63) completed a measure of approach/avoidance orientation (behavioral activation/inhibition system) and read a gain- or loss-framed message promoting flossing. Results support the congruency hypothesis: When given a loss-framed message, avoidance-oriented people reported flossing more than approach-oriented people, and when given a gain-framed message, approach-oriented people reported flossing more than avoidance-oriented people. Discussion centers on implications for health interventions and the route by which dispositional motivations affect health behaviors through message framing.     

Dental flossing and automaticity: a longitudinal moderated mediation analysis

We investigated the role of normative support, behavioural automaticity, and action control in predicting dental flossing behaviour. Between May and October 2015, 629 Australian young adults completed a questionnaire assessing constructs of normative support and automaticity, and a 2-week follow-up of dental flossing behaviour and action control, resulting in n = 241 persons for longitudinal analysis. Findings supported the hypotheses that the effect of normative support on behaviour would be mediated via automaticity, and the effect of automaticity would be moderated by action control. Current results extend previous research to elucidate the mechanisms that help to understand predictors of oral hygiene behaviours and contribute to the cumulative evidence concerning self-regulatory and automatic components of health behaviour.     

Children's implicit attitude acquisition: Evaluative statements succeed,repeated pairings fail

From the earliest ages tested, children and adults show similar overall magnitudes of implicit attitudes toward various social groups. However, such consistency in attitude magnitude may obscure meaningful age‐related change in the ways that children (vs. adults) acquire implicit attitudes. This experiment investigated children's implicit attitude acquisition by comparing the separate and joint effects of two learning interventions, previously shown to form implicit attitudes in adults. Children (N = 280, ages 7–11 years) were taught about novel social groups through either evaluative statements (ES; auditorily presented verbal statements such as ‘Longfaces are bad, Squarefaces are good’), repeated evaluative pairings (REP; visual pairings of Longface/Squareface group members with valenced images such as a puppy or snake), or a combination of ES+REP. Results showed that children acquired implicit attitudes following ES and ES+REP, with REP providing no additional learning beyond ES alone. Moreover, children did not acquire implicit attitudes in four variations of REP, each designed to facilitate learning by systematically increasing verbal scaffolding to specify (a) the learning goal, (b) the valence of the unconditioned stimuli, and (c) the group categories of the conditioned stimuli. These findings underscore the early‐emerging role of verbal statements in children's implicit attitude acquisition, as well as a possible age‐related limit in children's acquisition of novel implicit attitudes from repeated pairings.     

Self-Interest, Symbolic Attitudes, and Support for Public Policy: A Multilevel Analysis

This paper examines the role of self-interest and symbolic attitudes as predictors of support for two domestic policy issues—guaranteed jobs and incomes and national health insurance—in the American National Election Survey (ANES) between 1972 and 2004. As was the case in 1976 when Sears, Lau, Tyler, and Allen (1980 ) first explored this topic, symbolic attitudes continue to be much more important predictors of policy attitudes than various indicators of self-interest over the 30 years we analyze. We explore this finding further to determine whether any individual/internal and external/contextual variables affect the magnitude of self-interest effects on policy support. Five possible internal moderators of self-interest effects are examined: (1) political knowledge, (2) issue publics, (3) political values, (4) social identifications, and (5) emotions, but none are found to boost the magnitude of the self-interest effect. However, we do find some evidence that contextual variables representing the social/information environment moderate the impact of self-interest on public opinion.     

On the association of field dependence-independence with personality, learning style, and social-political attitudes among adolescents

This study examined the relationship between scores on field dependence and field independence and sensory learning preference, cognitive learning style, personality, interpersonal trust, attributions of responsibility for solving social problems, and attitudes regarding citizenship among youth. Participants were 72 private school students in Grades 6 through 12 (26 girls, 46 boys; M age: 15.2 yr., SD=1.9). When controlling for grade and sex, field independence (measured by Group Embedded Figures Test scores) was associated with Intuitive Thinking personality, Concrete lobal learning style, and rejection of individual responsibility for social problems, relative to governmental and community responsibility. Associations with other aspects of learning style fell short of significance. No association was found with generalized trust or citizenship attitudes. Reassessment of these variables with a larger sample should be undertaken.     

Stage of exercise change model and attitudes toward exercise in older adults.

This study examined the attitudes toward exercise held by older adults within different stages of the exercise change model for the purpose of aiding health professionals in developing effective approaches that engage older adults in physical activity. Men and women (n = 116) between the ages of 60 and 93 years (73.9+/-6.6) completed a questionnaire used to categorize them into one of five stages of exercise change: precontemplation, contemplation, preparation, action, and maintenance. Participants also completed a questionnaire to assess four attitude factors related to exercise: tension release, health promotion, vigorous exercise, and social benefits. The Active older adults in this study reported positive attitudes toward exer cising for health benefits, social interaction, and tension release. Of these, the health benefits of exercise appear to be the most important factor in their participation in exercise. Therefore, prograns designed to engage older adults in regular physical activity should promote positive attitudes toward exercise, especially regarding the health related aspects of exercise.     

Increasing help-seeking for eating pathology among collegiate athletes: An examination of a novel,customized intervention

Athletes experience elevated risk for eating pathology (EP), but evidence lower levels of help seeking for EP than the general population. Indeed, athletes experience general (e.g., stigma) and athlete-specific (e.g., “push past physical and mental pain” attitude) barriers to help-seeking. Although general mental health help-seeking interventions have improved help seeking outcomes in athlete samples, no study has developed an intervention to increase EP help-seeking among athletes. The current study examined the effects of a 75-min mental health literacy and stigma reduction intervention among 107 collegiate athletes (54.2% female) randomly assigned to an intervention or control group. All athletes completed measures of help-seeking stigma, attitudes, intentions, and behavior at baseline, post-intervention, and six-week follow-up.At post-intervention, the intervention group demonstrated significant improvements in attitudes and intentions towards seeking help for EP and general mental health, relative to the control group. No significant differences in stigma were found between the groups. At six-week follow-up, the intervention group demonstrated higher rates of help-seeking and/or referring a friend for help than the control group. However, sustained improvements in help-seeking attitudes and intentions were not present in the intervention group compared to the control group, apart from EP help-seeking attitudes. Findings support the effectiveness of a customized intervention to improve EP help-seeking variables among athletes.     

The effects of gender, race, religion, and political orientation on the sex role attitudes of college freshmen.

Freshmen (N = 556) at a large eastern private university were administered a questionnaire during the first week of classes. A social learning perspective was used to examine the effects of gender, race (Asian, black, and white), religion (Catholic, Jewish, and Protestant), and political orientation (liberal and conservative) on four areas of sex role ideology--traditional attitudes toward female sexuality, justification of male dominance, negative attitudes toward homosexuality, and attitudes toward feminism. Although all four independent variables produced a significant effect on at least one measure of sex role ideology, religion and political orientation produced significant differences on all four sex role measures. Liberals as compared to conservatives and Jews as compared to Protestants were less traditional in their attitudes toward female sexuality, less accepting of male dominance and negative attitudes toward homosexuality, and more accepting of feminist attitudes. The results support the view that entering freshmen have established sex role belief systems that tend to be organized around constellations of traditional/conservative versus egalitarian/liberal attitudes.     

Attitudes of Health Care Trainees About Genetics and Disability: Issues of Access, Health Care Communication, and Decision Making

Prior studies suggest that knowledge and attitudes of health care professionals influence patient communication and medical decision making. To study this dynamic in the context of genetic disability, we developed a survey on health professionals' attitudes regarding disability and genetic screening and pilot-tested it on a sample of medical students, residents, and genetic counseling students (N = 85). Despite minimal experience with disability or genetics, most respondents reported feeling comfortable dealing with genetics (59%) and disability (75%). The majority felt that disability caused significant suffering for both the person (51%) and family (64%), and that research should be directed toward preventing genetic disability (62%). Similar to prior literature, perceived Quality of Life was most often based on degrees of physical and cognitive functioning, pain, and social support. However, differences were found between genetic counseling trainees and other medical trainees in their relative emphasis of social versus medical issues in questions of disability and genetic testing, and these response patterns were associated with differences in the groups' priorities for offering information about social resources. Respondents agreed that access to genetic testing and information is personal and that testing should be available upon request for oneself (68%) and to a lesser degree for one's fetus (55%) or child (41%). However, the same individuals frequently stated that society should regulate access to such technologies. Although most felt that the patient and professional should jointly make such decisions on a case-by-case basis, it was also seen as appropriate for the health care professional to occasionally decline genetic testing. It seems apparent that training and experience influence knowledge and attitudes. Therefore, it is critical to document knowledge and attitudes of various health care providers and trainees, including differences between various specialties, to improve educational interventions geared to this area.     

The Relationship Between Liberalism and Knowledge of Current Affairs

Summary

This study investigated the effect of behavior relevant information on the appropriateness of the behavioral criterion employed in attitude-behavior research. The attitudes toward dental health of 32 randomly selected male college students were assessed. These attitudes were compared with the quality of dental care behavior exhibited before and after participation in a group instruction session designed to provide information relevant to the realization of high quality dental care behavior. Although attitudes toward dental health were not significantly correlated with the quality of dental care behavior prior to the instructional session, strong attitude-behavior correlations (p < .01) emerged with respect to the postinstruction data. The implications of these findings for research on attitude-behavior consistency are discussed.