Safer Sex Behavior: The Role of Attitudes, Norms, and Control Factors

A study was undertaken to assess the utility of revisions to the theories of reasoned action/planned behavior in the context of HIV-preventive behaviors. Revisions to the models incorporated the addition of group norm (behavioral norm and group attitude) to the nonnative component of the reasoned action model and the distinction among three aspects (self-efficacy, perceived behavioral control, and planning) of the control component of the theory of planned behavior. Respondents were 211 sexually experienced heterosexual undergraduates. The study employed a longitudinal design, with the proposed predictors of performing the behaviors under consideration (using a condom every time you have sexual intercourse during the next month and discussing whether to use a condom with any new partners during the next month) assessed prior to the measures of reported behavior. Consistent with expectations, group norm emerged as a distinctive predictor (in addition to attitude and subjective norm) of intentions to practice both safer sex behaviors. The data also revealed some support for the distinction among the different measures of control. The results of the study suggest that the normative component of the theories of reasoned action and planned behavior should be revised to incorporate more subtle influences of the referent group and that tests of theory of planned behavior should distinguish among the different aspects of behavioral control.     

Reply to benjamin

Action and insight form an essential dialectic within the psychoanalytic process. Yet many recent psychoanalytic formulations, while emphasizing integration, have continued to view psychoanalytic and action‐oriented techniques dichotomously. It is reasoned that certain behavioral‐cognitive techniques that promote adaptive behavior can become an active part of an in‐depth analytic experience, providing material for an exploration that results in new ways not only of relating but also of experiencing the self and others. Such an approach, while at times helpful to certain patients, can be counterproductive for others. An integrative approach is compatible with many recent psychoanalytic frameworks emphasizing a two‐person psychology, but not with a one‐person vision of the psychoanalytic situation; in the two‐person view, it is reasoned that an integrative approach is capable of maintaining the integrity of the analytic process. The outlined technique reflects a relational psychoanalytic orientation emphasizing internalized object relations, with the use of action‐oriented techniques organized by the superordinate goal of modifying psychic structure, conceptualized principally in terms of self‐ and object‐representations. Reasoning that this approach is congruent with certain theoretical contributions from Gill, Mitchell, Sandier, and especially Wachtel, among others, I state underlying assumptions of the approach, preliminary technical guidelines, and illustrative case material.     

A contextual approach to research on AIDS prevention

The acquired immune deficiency syndrome (AIDS) is a disease that is transmitted almost entirely through behavioral factors. In the absence of a cure or vaccine, the modification of AIDS-risk behavior presents a unique challenge to behavioral scientists and should be taken as a clear imperative by behavior analysts. This paper discusses the currently dominant social-cognitive theories (the health belief model, the theory of reasoned action, and self-efficacy theory) that have been widely used to predict and understand AIDS-risk behavior. Although these theories have generated a voluminous literature on the cognitive, attitudinal, and demographic correlates of AIDS-risk behavior, they have not resulted in specific intervention strategies to influence risky behavior, most likely because they fail to specify manipulable variables. As an alternative to social-cognitive theories, this paper evaluates the usefulness of a behavior-analytic approach to stem the spread of HIV infection. It examines some of the philosophical differences underlying cognitive and behavioral approaches that are embedded in mechanistic versus functional contextualistic principles. It explores the theoretical and practical implications of adopting either predicting and explaining behavior or predicting and influencing behavior as the goals of science. To illustrate the value of adopting the goal of prediction and influence, behavior-analytic research on the social context of risky sexual behavior in adolescents is described. The paper argues that in order to alter the future course of the AIDS epidemic, the behavioral sciences must move beyond describing cognitive and attitudinal correlates of risky behavior and focus on the social context of the behavior of individuals. In addition, population-wide changes in AIDS-risk behavior can be accomplished only if research focuses on how to influence larger social systems, including the media, school systems, and community organizations.     

The theories of reasoned action and planned behavior: Overview of findings,emerging research problems and usefulness for exercise promotion

Abstract

This paper summarizes the results of published studies that have applied the theories of reasoned action and planned behavior to the prediction of exercising intentions and behavior. In particular, the paper illustrates the knowledge we have gained from the application of thesetheoriesand how these theoretical frameworks could be used to guide the development of exercise promotion programs. Finally, research are noted.     

Predicting and understanding mothers' infant-feeding intentions and behavior: testing the theory of reasoned action

The present study examines the applicability of Fishbein and Ajzen's theory of reasoned action to the prediction and understanding of how primiparous and multiparous mothers intended to feed their infants and how they actually fed these infants during the 6 weeks following delivery. Measures of attitudes to behavior, subjective norms, and behavioral intentions were taken during the last trimester of pregnancy. Behavior was assessed by self-report 6 weeks postpartum. In most respects the findings supported the theory of reasoned action. However, attitudes to behavior were found to make an independent and significant contribution to the prediction of infant-feeding behavior, and the previous behavior of multiparous mothers explained an independent and significant proportion of variation in their behavioral intentions. The relative importance of the attitudinal and normative components of the theoretical model tended to vary according to whether the mothers had direct experience of the criterion behavior. Further analysis revealed that mothers who breast-fed during the 6-week postpartum period differed from those who bottle-fed exclusively during this period on a number of behavioral beliefs, outcome evaluations, and normative beliefs, and on one measure of motivation to comply. The implications of these findings for the theory of reasoned action are discussed.     

An examination of premarital sexual behavior among college students in hong kong

Abstract

This study examined the determinants of Hong Kong Chinese college students' intentions to engage in premarital sexual behavior. Fishbein and Ajzen's (1975) theory of reasoned action (TOFA) and Ajzen's (1985) perceived behavioral control were used as the theoretical framework for our investigation. Two hundred and thirty eight students completed a questionnaire designed to measure constructs of the two theories. Results from the regression analysis: (a) support the applicability of TORA in predicting these students' intentions to engage in premarital sex; (b) suggest that while attitudes toward engaging in premarital sex were more important in predicting male students' intentions, subjective norms were more important for female students; (c) reveal that the additional prediction contributed by the behavioral control components was relatively weak. Other findings were basically consistent with premarital sex research conducted in Western societies. Given the fact that promoting abstinence is one way to stop the transmission of the AIDS virus, both the theoretical and applied implications of our results for health intervention are discussed.     

The dynamics of perception and action

How might one account for the organization in behavior without attributing it to an internal control structure? The present article develops a theoretical framework called behavioral dynamics that integrates an information-based approach to perception with a dynamical systems approach to action. For a given task, the agent and its environment are treated as a pair of dynamical systems that are coupled mechanically and informationally. Their interactions give rise to the behavioral dynamics, a vector field with attractors that correspond to stable task solutions, repellers that correspond to avoided states, and bifurcations that correspond to behavioral transitions. The framework is used to develop theories of several tasks in which a human agent interacts with the physical environment, including bouncing a ball on a racquet, balancing an object, braking a vehicle, and guiding locomotion. Stable, adaptive behavior emerges from the dynamics of the interaction between a structured environment and an agent with simple control laws, under physical and informational constraints.     

Theories of reasoned action and planned behavior as models of condom use: a meta-analysis

To examine how well the theories of reasoned action and planned behavior predict condom use, the authors synthesized 96 data sets (N = 22,594) containing associations between the models' key variables. Consistent with the theory of reasoned action's predictions, (a) condom use was related to intentions (weighted mean r. = .45), (b) intentions were based on attitudes (r. = .58) and subjective norms (r. = .39), and (c) attitudes were associated with behavioral beliefs (r. = .56) and norms were associated with normative beliefs (r. = .46). Consistent with the theory of planned behavior's predictions, perceived behavioral control was related to condom use intentions (r. = .45) and condom use (r. = .25), but in contrast to the theory, it did not contribute significantly to condom use. The strength of these associations, however, was influenced by the consideration of past behavior. Implications of these results for HIV prevention efforts are discussed.     

Attitudes, Intentions, and Behavior: A Study of Women's Participation in Collective Action

The present study tests the theories of reasoned action and planned behavior in the context of women's participation in collective action. Participants were 387 women who completed two questionnaires with an interval of 1 year. In the first questionnaire, participants were asked to provide measures of attitudinal, normative, and control factors, as well as measures of intention to participate in 4 group-related activities over the coming year. One year later in the second questionnaire, the same women provided measures of the degree to which they had actually participated in these behaviors during the course of the year. Findings showed strong relationships between attitudinal factors and intentions, and between intentions and behavior. The addition of perceived behavioral control, as specified by the theory of planned behavior, made little difference in regression analyses. Further analyses focused on the mediating role of identification as an activist. This revealed that attitudinal considerations were only important in the prediction of intention for those individuals with a weaker sense of themselves as activists. It is suggested that expectancy-value calculations may be less important in predicting the intentions of strongly committed individuals to engage in group-relevant acts.     

Implications of goal theories for the theories of reasoned action and planned behaviour

This paper argues that the predictive validity of the theories of reasoned action and planned behaviour could be enhanced by considering key ideas from goal theories. In particular, goal theories highlight the importance of: (a) construing action as a process of behavioural selection designed to achieve actors’ goals, (b) assessing the extent to which people have planned how to perform action sequences implied by their goals (c) investigating goal conflict in order to understand intention-behaviour discrepancies (d) examining contextual variations in goal salience to account for the dynamics of choice, (e) using intention stability to index the prioritization of goals, and (f) analyzing the content of the goals underlying attitudes and intentions. Suggestions are made about self-report measures and computations that would permit greater use of these ideas in future research.     

Implications of goal theories for the theories of reasoned action and planned behaviour

This paper argues that the predictive validity of the theories of reasoned action and planned behaviour could be enhanced by considering key ideas from goal theories. In particular, goal theories highlight the importance of: (a) construing action as a process of behavioural selection designed to achieve actors’ goals, (b) assessing the extent to which people have planned how to perform action sequences implied by their goals (c) investigating goal conflict in order to understand intention-behaviour discrepancies (d) examining contextual variations in goal salience to account for the dynamics of choice, (e) using intention stability to index the prioritization of goals, and (f) analyzing the content of the goals underlying attitudes and intentions. Suggestions are made about self-report measures and computations that would permit greater use of these ideas in future research.     

Examining social-cognitive determinants of intention and physical activity among black and white adolescent girls using structural equation modeling.

Structural equation modeling was used to evaluate components within the theories of reasoned action (TRA), planned behavior (TPB), and self-efficacy (SET) for understanding moderate and vigorous physical activity among 1,797 Black and White adolescent girls. Modest to strong support was provided for components of TPB and SET; weak support was provided for components of TRA. Perceived behavioral control was related to vigorous physical activity. Self-efficacy was related to moderate and vigorous physical activity, and it accounted for the effect of intention on physical activity. The observed relationships were similar between Black and White girls. Self-efficacy and perceived behavioral control are independent influences on physical activity among Black and White adolescent girls and warrant study as potential mediators in physical activity interventions.     

Empirical and Theoretical Conclusions of an Analysis of Outcomes of HIV-Prevention Interventions

ABSTRACT— Over two decades of HIV-prevention attempts have generated a most impressive ecological data set for the test of behavioral-change and persuasion theories in the domain of condom use. An analysis of this evidence has yielded five important empirical and theoretical conclusions. First, interventions are more successful at achieving immediate knowledge and motivational change than they are at achieving immediate behavioral change. Second, the immediate motivational change decays over time, whereas behavior change increases over the same period. Third, interventions that engage audiences in particular activities, such as role-playing condom use, are more effective than presentations of materials to passive audiences. Fourth, interventions consistent with the theories of reasoned action and planned behavior, with self-efficacy models, and with information-motivation and behavioral-skills models prove effective, whereas interventions designed to induce fear do not. Fifth, expert intervention facilitators are more effective than lay community members in almost all cases. When populations are unempowered, expert facilitators are particularly effective, and they are most effective if they also share the gender and ethnicity of the target audience.     

Cognitive Behavioral Therapy for HIV-Negative Heterosexual Meth Users: The FASTLANE II Intervention

The purpose of this paper is to provide clinicians with a theoretical roadmap and practical toolkit for the FASTLANE II intervention, a 9-session behavior change intervention for HIV-negative meth-using heterosexual men and women that simultaneously targets depressive symptoms, meth use, and sexual risk behavior. The intervention was grounded in cognitive behavioral therapy (CBT), social cognitive theory (SCT), and the theory of reasoned action (TRA), and utilized a variety of cognitive and behavioral techniques. Examples of those techniques are provided, as well how those techniques map onto core theoretical elements of CBT, SCT, and TRA. We present three case studies with sample counseling session dialogue. Techniques and skills from FASTLANE II may be of use to clinicians interested in targeting depression, meth use, and high-risk sexual behavior.     

An Examination of the Individual‐Difference Approach to the Role of Norms in the Theory of Reasoned Action1

The relationship between subjective norm and behavioral intentions is the weakest link of the theory of reasoned action. Numerous approaches have addressed this issue, including the assertion that the weak contribution is a result of a small number of individuals who are under normative control. The present research examines this individual‐difference approach in the domain of health behaviors. Respondents were 287 students who rated their intentions, attitudes, and subjective norms in relation to 32 health behaviors and 5 substance‐use behaviors. Regression analyses, between subjects and within subjects, demonstrated that both behaviors and people can be under attitudinal or normative control. Support for an individual‐difference approach was less conclusive when findings were examined separately for specific health behaviors.     

A Comparison of Health Behavior Constructs: Social Psychological Predictors of AIDS-Preventive Behavioral Intentions

The present study focused on predicting AIDS-preventive behavioral intentions (i. e., intentions to discuss AIDS-related information and to use condoms) from constructs taken from the health belief model, the theory of reasoned action/planned behavior, and social cognitive theory. Questionnaire data were collected from 124 undergraduates using scales from previously published work as well as some new measures designed for this study. Perceived behavioral control, perceived risk, attitudes, self-efficacy, subjective norms, negative expected outcomes, and perceived severity of HIV infection were correlated with at least one intention measure; but regression analyses showed that perceived behavioral control was the strongest independent predictor of condom use intentions and of intentions to discuss AIDS information with a partner. Implications for theory and application are discussed.     

Stages of Change in Physical Exercise and Social Support: An Integrated Socio‐Psycho‐Economic Approach

The present research attempts to integrate behavioral and social science theories (e.g., theory of reasoned action, social cognitive theory, transtheoretical model) in assessing the effect and sources of social support of persons in various stages of physical exercise. Using multinomial regression to analyze the data collected via interviews from a sample of over 1,500 working adults in Jamaica, strong statistical support was found for the role of social support in initiating and maintaining exercise. The importance of various providers depends on the individual's stage of behavioral change. Health workers, relatives, and friends are important during early stages; while friends and physical trainers are important during later stages. Other results, limitations, and suggestions for future research are discussed.     

The Role of Desires,Self-Predictions,and Perceived Control in the Prediction of Training Session Attendance1

Employee attendance at a training session was examined using the theory of reasoned action (Fishbein & Ajzen, 1975). In addition, based on Audi (1973a, b) and Warshaw and Davis (1985), a distinction was made between desires (I want) and behavioral self-predictions (I will), and as in Ajzen (1985, 1987), the role of perceived control as a determinant of these desires, self-predictions, and attendance behavior, per se, was investigated. The results indicated that the best predictors of attendance at the training session were one's desire or motivation to attend the training session and the extent to which one perceived pressure from his or her supervisor to do so. Consistent with the theory of reasoned action, the motivation to attend training was predicted accurately from attitudes and subjective norms (R=.76, p < .001). Moreover, these attitudes and subjective norms were themselves predicted from a consideration of behavioral and normative beliefs, and key beliefs underlying one's desire to attend were identified. However, a consideration of perceived control did not improve the prediction of one's desire to attend training, and neither perceived control nor behavioral self-predictions improved prediction of actual attendance. The discussion focused on the roles of perceived control and different measures of intention in behavioral prediction.     

Examining the Relationships Between Voting Behavior, Intention, Perceived Behavioral Control, and Expectation

The theory of reasoned action (Ajzen & Fishbein, 1980) and the theory of planned behavior (Ajzen, 1985) are compared in terms of predictive validity and a comparison between behavioral expectation (BE) and behavioral intention (BI) as the immediate antecedent of behavior is offered. In addition, the relationships between attitude-toward-the-act (Aacf), subjective norm (SN), and perceived behavioral control (PBC) as predictors of BE are examined. Results indicate that the theory of planned behavior is a better predictor of intention than the theory of reasoned action and that BI is a stronger predictor of behavior than BE. The results also suggest that Aact, SN, and PBC are better predictors of BI than of BE and that development of a behavioral plan moderates the Aact-BI-B relations.     

Similarity to prototypical heavy drinkers and non-drinkers predicts AUDIT-C and risky drinking in young adults: prospective study

Objective: The aim of the present study was to explore whether constructs within the Prototype Willingness Model (PWM) predicted risky drinking as measured by AUDIT-C, drinking harms and unplanned drunkenness in a sample of UK young adults. Previous studies exploring the PWM often do not use validated measures of alcohol consumption, and the outcomes of risky drinking are underexplored. Design: An online prospective study design with 4 week follow-up was employed and 385 young adults completed the study (M age?=?21.76, SD?=?3.39, 69.6% female; 85.2% students). Main outcome measures: Intentions to get drunk, AUDIT-C, drinking harms experienced in the last 4 weeks, and unplanned drunkenness in the last 4 weeks. Results: Heavy and non-drinker prototype similarity predicted AUDIT-C, drinking harms and unplanned drunkenness when controlling for past behaviour and reasoned action pathway constructs. Intentions and willingness both mediated the relationship between prototype perceptions and AUDIT-C. Conclusion: This study supports the use of the PWM in the prediction of AUDIT-C, drinking harms and unplanned drinking in a UK sample. Prototype perceptions influenced behaviour via both reasoned and reactive cognitions. Targeting similarity to heavy and non-drinker prototypes should be the focus of future interventions in this population.