Enhancing social diffusion theory as a basis for prevention intervention: A conceptual and strategic framework

Social diffusion theory has recently been recognized as a promising approach for large-scale disease prevention and health promotion efforts. This paper describes how principles and tactics from social cognitive theory, operant psychology, social psychology, social marketing, and the overarching stages of change model can be used to further develop the conceptual and strategic (technological) bases of social diffusion theory. Within an integrative framework, we discuss in detail more effective ways to train peer mediators of behavior change as one example of how social diffusion theory can benefit from this conceptual and strategic reformulation. We then further illustrate the use of peer mediators of change in human immunodeficiency virus (HIV) and cancer prevention intervention studies with both interventions training peer mediators to diffuse information, norms, and risk reduction strategies. Although the results of these studies showed reductions in high-risk behaviors across population segments, more closely following the framework discussed in this article should further increase the behavior change potential of future interventions based on social diffusion theory.     

A preventive,psychoeducational approach to increase perceived social support

Investigated the effects of a 13-week preventive, psychoeducational intervention program to improve perceived social support. Fifty-one, low-perceived support, community residents were randomly assigned to an intervention or wait-list control condition. Intervention subjects received training in social skills and cognitive reframing regarding the self and social relations. The intervention led to increased perceived social support from family, but not from friends. As hypothesized by social cognition models, increases in perceived support appeared to be mediated by changes in self-esteem and frequency of self-reinforcement. Further, such changes in cognition about the self were larger than the changes observed for perceived support, suggesting that it may be easier to change cognition about the self than perceptions of support.     

Folkbiology meets microbiology: a study of conceptual and behavioral change

Health education can offer a valuable window onto conceptual and behavioral change. In Study 1, we mapped out 3rd-grade Chinese children’s beliefs about causes of colds and flu and ways they can be prevented. We also explored older adults’ beliefs as a possible source of the children’s ideas. In Study 2, we gave 3rd- and 4th-grade Chinese children either a conventional cold/flu education program or an experimental “Think Biology” program that focused on a biological causal mechanism for cold/flu transmission. The “Think Biology” program led children to reason about cold/flu causation and prevention more scientifically than the conventional program, and their reasoning abilities dovetailed with their mastery of the causal mechanism. Study 3, a modified replication of Study 2, found useful behavioral change as well as conceptual change among children who received the “Think Biology” program and documented coherence among knowledge enrichment, conceptual change, and behavioral change.     

Learning from Communities: Overcoming Difficulties in Dissemination of Prevention and Promotion Efforts

The model of prevention science advocated by the Institute of Medicine (P. J. Mrazek & R. J. Haggerty, 1994) has not lead to widespread adoption of prevention and promotion programs for four reasons. The model of dissemination of programs to communities fails to consider community and organizational capacity to implement programs, ignores the need for congruence in values between programs and host sites, displays a pro-innovation bias that undervalues indigenous practices, and assumes a simplistic model of how community organizations adopt innovations. To address these faults, researchers should locate, study, and help disseminate successful indigenous programs that fit community capacity and values. In addition, they should build on theoretical models of how locally developed programs work to make existing programs and polices more effective.     

Greens or space invaders: Prominent utopian themes and effects on social change motivation

One way in which individuals can participate in action to change the society they live in is through the pursuit of an ideal society or “utopia”; however, the content of that utopia is a likely determinant of its motivational impact. Here we examined two predominant prototypes of utopia derived from previous research and theory—the Green and Sci-Fi utopias. When participants were primed with either of these utopias, the Green utopia was perceived to entail a range of other positive characteristics (e.g., warmth, positive emotions) and—provided it was positively evaluated—tended to elicit both motivation and behaviour for social change. In contrast, the Sci-Fi utopia was associated with low motivation, even when it was positively evaluated. Furthermore, the Green utopia was shown to elicit greater perceptions of participative efficacy, which in turn predicted the increase in social change motivation.     

Psychopharmacological enhancement: a conceptual framework

The availability of a range of new psychotropic agents raises the possibility that these will be used for enhancement purposes (smart pills, happy pills, and pep pills). The enhancement debate soon raises questions in philosophy of medicine and psychiatry (eg, what is a disorder?), and this debate in turn raises fundament questions in philosophy of language, science, and ethics. In this paper, a naturalistic conceptual framework is proposed for addressing these issues. This framework begins by contrasting classical and critical concepts of categories, and then puts forward an integrative position that is based on cognitive-affective research. This position can in turn be used to consider the debate between pharmacological Calvinism (which may adopt a moral metaphor of disorder) and psychotropic utopianism (which may emphasize a medical metaphor of disorder). I argue that psychiatric treatment of serious psychiatric disorders is justified, and that psychotropics are an acceptable kind of intervention. The use of psychotropics for sub-threshold phenomena requires a judicious weighing of the relevant facts (which are often sparse) and values.     

An integrative framework on the impact of allies: How identity-based needs influence intergroup solidarity and social movements

What impact do advantaged group allies have within social movements? Although solidarity between advantaged and disadvantaged group members is often encouraged to achieve long-term social change, allies run the risk of being ineffective or counterproductive, therefore making it important to shift our focus towards understanding the impact of allies. We propose an integrative theoretical framework describing the positive and negative impact of allies based on their distinct identity-based needs: advantaged group members’ need for moral acceptance and disadvantaged group members’ need for empowerment and respect. By consolidating extant literature and identifying gaps in prior research, we propose a set of hypotheses concerning (a) tensions that arise within intergroup solidarity efforts for social change between advantaged group allies and disadvantaged group members, and (b) the role of allies in influencing broader public opinion to advance the psychology of social change.     

Promoting child and family wellness: priorities for psychological and social interventions

In order to foster the well‐being of children and families we propose a shift in the priorities of psychological and social interventions. Following a brief discussion of the concept of wellness, we present a framework for interventions to promote child and family wellness. Psychological and social intervention strategies to promote child and family wellness are then reviewed and interpreted in terms of the framework. Recommendations for changing priorities for programmes and policies are based on the framework and a review of the effectiveness of existing interventions. Copyright © 2000 John Wiley & Sons, Ltd.     

Raising healthy children through enhancing social development in elementary school: Results after 1.5 years

This study examined results of a comprehensive, multifaceted longitudinal school-based prevention program called Raising Healthy Children (RHC). RHC focuses on enhancing protective factors with the goal of promoting positive youth development, reducing identified risk factors, and preventing adolescent problem behaviors. Participants included 938 elementary students from first or second grade who were enrolled in 10 area schools in the Pacific Northwest and randomly divided into two groups, those receiving RHC and peer controls. Analyses were conducted 18 months after implementation and focused on academic and behavioral improvements within the school environment. Results using hierarchical linear modeling showed that RHC students, compared to their peers who did not receive the intervention, had significantly higher teacher-reported academic performance (t ratio=2.27, p<.001) and a stronger commitment to school (t ratio=2.16, p<.03). Similarly, teachers reported that RHC students showed a significant decrease in antisocial behaviors (t ratio=−2.43, p<.02) and increased social competency (t ratio=2.96, p<.01) compared to control peers. Regression results from parent-reported outcomes also showed that RHC students had higher academic performance, β=.082, t=2.72, p<.01 and a stronger commitment to school, β=.080, t=2.45, p<.02. Results from this study and their implications for early and long-term prevention are discussed.     

Examining cognitive development from a conceptual change point of view: The framework theory approach

Sexual socialization refers to how, through social interaction, an individual acquires and internalizes culture-specific knowledge, values and attitudes about sexuality. Little, however, is known about how an individual's genetic characteristics modify this process, or if individuals gravitate towards specific environments according to their genetic characteristics. The aim was to explore whether adolescents' genetic predispositions modify environmental influences on peer-group sexual attitudes. Using a Finnish population-based sample of twins and their siblings (n = 9534), it was found that genetic effects influenced peer-group sexual attitudes in men (52%) and women (46%), thus offering evidence for gene–environment correlation. Men showed less restricted peer-group sexual attitudes than women. Some indications of different genes influencing environmental exposure in men and women were found.     

The role of movement leaders in building intergroup solidarity for social change: A case of the electoral reform movement in Malaysia

Leaders of social movements play a critical role in mobilizing broader society for social change. However, we know little about how movement leaders strategize to build a movement. To examine this issue, we interviewed the central leadership team of the electoral reform movement (Bersih) in Malaysia, before and after a mass protest organized by the movement. We then used thematic analysis to provide theoretically derived insights into how the leaders fostered intergroup solidarity among multiple racial groups. Specifically, they (a) expanded the movement's boundaries to include new groups within its support base, (b) shared the demands of the movement with multiple groups, and (c) highlighted leaders that were representative of different groups the movement sought to unite. These findings demonstrate how leaders attempt to craft an inclusive movement identity (i.e., who we are, what we do, who stands for us) to mobilize a diverse society for social change.     

The role of diverse instruction in conceptual change

This study examined how a fundamental principle of induction and scientific reasoning, information diversity, could be used to promote change in children's mental models of the earth's shape. Six-year-old children (N=132) were randomly allocated to a control or to one of two training conditions. Some training groups received instruction that simultaneously challenged children's beliefs concerning (a) why the earth appears flat to a surface observer and (b) the role of gravity. Others received instruction that repeatedly challenged only one of these beliefs. An adaptation of the Vosniadou and Brewer (1992, Cognitive Psychology 24, 535-585) protocol for identifying mental models of the earth was administered before and after instruction. Both instruction methods produced increases in factual knowledge. Only children receiving instruction about two core beliefs, however, showed an increased rate of acceptance of a spherical earth model at posttest. The findings show that instruction that challenges diverse aspects of children's na?ve scientific beliefs is more likely to produce conceptual change.     

Evaluating health care work settings: A holistic conceptual framework

Abstract

After offering a systems perspective that considers a diversity of job-related and personal factors, we discuss the determinants and impacts of health care work climates and how staff morale and performance can influence the treatment milieu and quality of patient care. We also describe the physical features, organizational structure and policies, and suprapersonal and task factors that help to shape health care work climates. We then review research on the connections between work climate and staff morale and performance, the interplay of work climate factors, and the role of personal factors in these relationships. Finally, we orovide some ideas about how to improve health care work settings and focus on some promising new research directions.     

The phenomenology of action: a conceptual framework

After a long period of neglect, the phenomenology of action has recently regained its place in the agenda of philosophers and scientists alike. The recent explosion of interest in the topic highlights its complexity. The purpose of this paper is to propose a conceptual framework allowing for a more precise characterization of the many facets of the phenomenology of agency, of how they are related and of their possible sources. The key assumption guiding this attempt is that the processes through which the phenomenology of action is generated and the processes involved in the specification and control of action are strongly interconnected. I argue in favor of a three-tiered dynamic model of intention, link it to an expanded version of the internal model theory of action control and specification, and use this theoretical framework to guide an analysis of the contents, possible sources and temporal course of complementary aspects of the phenomenology of action.     

ALTERING SHOPPERS' SUPERMARKET PURCHASES TO FIT NUTRITIONAL GUIDELINES: AN INTERACTIVE INFORMATION SYSTEM

This study reports the results of one effort to help supermarket shoppers alter food purchases to make purchases (and meals) that are lower in fat and higher in fiber. A prototype interactive information system using instructional video programs, feedback on purchases with specific goals for change, weekly programs, and the ability to track user interactions and intended purchases was evaluated. The major dependent measure was users' actual food purchases as derived from participants' highly detailed supermarket receipts. After a 5- to 7-week baseline phase, participants were randomly assigned to an experimental or control condition for the 7- to 8-week intervention phase. A follow-up phase began 5 to 8 weeks after participants completed the intervention and discontinued use of the system. The results indicated that experimental participants, when compared to control participants, decreased high fat purchases and increased high fiber purchases during intervention, with evidence for some maintenance of effect in follow-up. Plans for increasing the use and impact of the system are discussed.     

Suicide and blacks: a conceptual framework.

Suicide among black Americans has risen sharply in this decade. The suicide pattern differs from that of white Americans in that black suicide is mainly a youth phenomenon and the rates between black females and black males are relatively equal. The lack of research into these phenomena is highlighted along with an exploration of current explanations. A specific conceptual framework is proposed that includes extragroup pressure, intragroup pressure, and value orientation. The framework is extended into the area of mental health planning, as well as behavioral science practice.     

Loneliness and social monitoring: A conceptual replication of Knowles et al.

Contrary to the claim that loneliness routinely impairs the decoding of social cues such as emotion displays, Knowles, Lucas, Baumeister, and Gardner (2015) proposed that lonely adults “choke under pressure,” experiencing impairments only when social monitoring is framed as diagnostic of general social skill. In four experiments, Knowles et al. showed that lonely individuals performed worse than nonlonely individuals at decoding social cues when the decoding task was framed as a test of social aptitude, but not when it was framed as a test of academic aptitude. The studies were small (N's ranging from 78 to 203), and all employed a convenience sample of mostly female undergraduate students, impairing both statistical power and external validity. In addition, the lack of a true control group precluded the studies from establishing whether loneliness inhibits social monitoring ability if no frame is offered. This study conceptually replicates the central hypothesis of Knowles et al. using a sample of adults that is substantially larger and more diverse demographically and geographically, and using a true control group in addition to the comparison group. Results revealed a significant main effect of loneliness on social monitoring ability but did not replicate the choking under pressure phenomenon.