The role of attitudes towards the targets of behaviour in predicting and informing prenatal testing choices

Research considering the role of attitudes in prenatal testing choices has commonly focused on the relationship between the attitude towards undergoing testing and actual testing behaviour. In contrast, this study focused on the relationship between testing behaviour and attitudes towards the targets of the behaviour (in this case people with Down syndrome (DS) and having a baby with DS). A cross-sectional, prospective survey of 197 pregnant women measured attitudes towards the targets of prenatal testing along with intentions to use screening and diagnostic testing, and the termination of an affected pregnancy. Screening uptake was established via patient records. Although attitudes towards DS and having a baby with DS were significantly associated with screening uptake and testing and termination intentions, unfavourable attitudes were better than favourable ones at predicting these outcomes. For example, in the quartile of women with the ‘most favourable’ attitude towards people with DS 67% used screening although only 8% said they would terminate an affected pregnancy. Qualitative data suggested that not all women considered personal attitudes towards DS to be relevant to their screening decisions. This finding has implications for the way in which informed choice is currently understood and measured in the prenatal testing context.     

Using national survey data incorporating the theory of planned behavior: Implications for social marketing strategies in physical activity

Abstract

This paper illustratesthe potential use of the Theory of Planned Behavior (TPB) as a guiding fiamework for the conduct of population based survey research to develop strategies to promote physical activity involvement in various market segments. The Campbell's Survey of Well-Being (1988), a nation-Wide representative study of the Canadian population incorporated a modified operationali- zation of the TPB Pertainingto intended involvement in regularphysical activity. The theory was found to be generally effitive in munting for intentions in the general population (Rz= .32)as well as in various age and gender subgroups. Whereas, neither the model's direct predictors of intentions (e.g., attitudes, sub jective normdsocial support, perceived behavioral control) nor the indirect predictors (e.g., the beliefs underlying these predictors) varied consistently across gender, a number of age-related differenceswere observed. These differencesare used to exemplify how population-based data utilizing the TPB can be utilized to develop promotional and programming implications for fostering greater physical activity involvement in various ag-ender market segments.     

The prediction of safe sex behaviour: The role of intentions,attitudes, norms and control beliefs

Abstract

The present study was designed to examine the utility of the theory of reasoned action (Fishbein and Azjen, 1975) in relation to people's propensity to engage in a range of different safe sex strategies, including engaging in an exclusive sexual relationship, avoiding casual sex, and asking sexual partners about their previous sexual and IV drug use history. It was proposed that the intention to engage in a particular safe sex practice would be influenced by the person's attitude towards engaging in the practice, as well as his or her perception of the extent to which others thought they should do so (subjective norm), while behavioural intentions were proposed to predict actual behaviour. The study was also designed to examine whether, after control of the effects of the components of the theory of reasoned action, the person's generalised control beliefs would explain any additional variance in either behavioural intentions or actual behaviour. One hundred and two sexually active heterosexual students participated in the study. At the first wave of data collection, subjects completed measures of intentions, attitudes, and norms appropriate to each of the different behaviours. Measures of actual behaviour were obtained at follow-tip (three months after first period of data collection). The results of the study indicated that attitudes and norms predicted intentions for avoiding casual sex and asking sexual partners about their previous sexual and IV drug use history, while intentions predicted actual behaviour for all three safe sex strategies. Although there were no significant main effects of control beliefs on intentions or behaviour, subjects with internal control beliefs were more likely than their counterparts with external control beliefs to behave in accordance with their intentions to engage in an exclusive sexual relationship and ask sexual partners about their previous sexual and IV drug use history. Additional analyses revealed that the levels and determinants of intentions and actual behaviour were, in general, similar for males and females.     

Gay Identity and HIV Risk for Black and Latino Men Who Have Sex with Men

Strong gay identity among white men who have sex with men (MSM) has been associated with decreased HIV risk, but data for black and Latino MSM (BLMSM) are inconclusive. We examined gay identity and HIV risk among BLMSM to inform social and structural HIV intervention strategies. BLMSM were administered a computerized survey as part of an HIV research study during 2011–2012 conducted in New York City. We used a brief scale of Gay Identity Questionnaire. After data analysis, Stage I (not fully accepting) and Stage II (fully accepting) gay identity were determined based on participant responses. We used logistic regression to calculate adjusted odds ratios (aOR) and 95% confidence intervals (CI) for the association between gay identity with HIV risk and social determinant factors. Among 111 self-identified BLMSM (median age = 32 years, 68.4% with some college or higher education), 34.2% reported receptive anal sex without condoms in the previous three months. Gay Identity Questionnaire Scale assessment indicated that 22 (19.8%) were Stage I, and 85 (76.6%) were Stage II in this BLMSM sample. Stage II gay identity was more likely seen among BLMSM with high involvement in the gay community (aOR 3.2; CI 1.00, 10.26) and less likely among BLMSM who exchanged sex for food or shelter (aOR 0.15; CI 0.02, 0.98). Fully accepting gay identity may be protective for BLMSM as it relates to transactional sex; these factors warrant further research and consideration as part of HIV prevention strategies.     

Stress and coping: The Loma Prieta Earthquake

This study examined the stress response, coping strategies, and behavioral intentions of 185 subjects following the Loma Prieta Earthquake. Subjects completed a series of open ended questions about previous experience with earthquakes and their preparedness for previous and future earthquakes. The Impact of Event Scale (IES) and the Symptom Checklist, Version 90R (SCL-90R), were used to measure participants’ subjective stress response and symptoms of psychological distress at two days and either one week or three weeks following the earthquake. At one or three weeks, some subjects also completed the Coping Strategies Inventory. This study describes the stress response in this earthquake population and explores the relationship of the passage of time and past experiences with earthquakes to psychological distress following the earthquake. Coping strategies and behavioral intentions were also assessed. Results indicated that, although stress levels were elevated at the time of the initial testing, there were declines in reported stress as early as the one week follow-up session. Additionally, a number of gender differences were found in terms of the stress response to the earthquake.     

A pilot evaluation of the efficacy of a couple-tailored print intervention on colorectal cancer screening practices among non-adherent couples

The objective of this study was to evaluate the efficacy of a couple-tailored print (CTP) intervention on colorectal cancer screening (CRCS), CRCS intentions, and on knowledge and attitudes among couples in which neither partner is on schedule with regard to CRCS. A total of 168 married couples with both members non-adherent with CRCS were randomly assigned to receive either a CTP pamphlet accompanied by a generic print (GP) pamphlet or a GP pamphlet only. Couples completed measures of CRCS, intentions, relational perspective on CRCS, discussions about CRCS, spouse support for CRCS, spouse influence strategies, CRC knowledge, perceived CRC risk, and CRCS benefits and barriers. Results indicated there was no significant benefit of CTP vs. GP on CRCS, but there was a significant increase in CRCS intentions in CTP compared with GP. There was also a significant increase in relationship perspective on CRCS, a significant increase in husbands’ support of their wives’ CRCS, and a significant increase in CRCS benefits in CTP. In summary, CTP did not increase CRCS practices but increased intentions and perceived benefits of CRCS as well as improving couples’ ability to view CRCS as having benefit for the marital relationship.     

Predicting uptake of a routine cervical smear test: A comparison of the health belief model and the theory of planned behaviour

Abstract

This paper reports on a study carried out to identify predictors of uptake of cervical screening among 142 women (59% response rate) in inner London. Two social cognition models were used: The Health Belief Model (HBM; Becker, 1974) and the Theory of Planned Behaviour (TPB; Ajzen, 1991) and in addition anticipated affect following non-attendance for screening was assessed. The TPB emerged as by far the superior model for predicting screening intentions, explaining 51% of the variance in comparison with only 4% explained by the HBM variables. However, neither model was able to predict a significant amount of variance in uptake of screening three months later. Possible reasons for the poor prediction of this type of behaviour are discussed.     

Women's Sexual Aggression Against Men: Prevalence and Predictors

In this study, we investigated the prevalence of women's sexual aggression against men and examined predictors of sexual aggression in a sample of 248 women. Respondents reported their use of aggressive strategies (physical force, exploitation of a man's incapacitated state, and verbal pressure) to make a man engage in sexual touch, sexual intercourse, or oral sex against his will. Childhood abuse, gender role orientation, ambiguous communication of sexual intentions, level of sexual activity, and peer pressure were included as predictors of sexual aggression. Almost 1 in 10 respondents (9.3%) reported having used aggressive strategies to coerce a man into sexual activities. Exploitation of the man's incapacitated state was used most frequently (5.6%), followed by verbal pressure (3.2%) and physical force (2%). An additional 5.4% reported attempted acts of sexual aggression. Sexual abuse in childhood, ambiguous communication of sexual intentions, high levels of sexual activity, and peer pressure toward sexual activity were linked to an increased likelihood of sexual aggression. The findings are discussed in relation to the literature on men's sexual aggression.     

Youth’s Help-Seeking Intentions for ADHD and Depression: Findings from a National Survey

This study investigates the role that youth-level factors play in predicting help-seeking intentions in a nationally representative sample. Eleven help-seeking intentions were examined separately by target conditions (ADHD and depression), gender, race/ethnicity, and self-reported diagnosed/non-diagnosed in respect to the target conditions, and interaction effects were tested. Using factor analysis, a traditional help-seeking scale was created, which captured four help-seeking items, and predictive power of youth-level factors in accounting for traditional help-seeking was tested. Study findings provide practitioners and researchers with fresh evidence on what youth-level factors are associated with which help-seeking intentions, and illustrate the challenges involved in better understanding the complexity of the help-seeking process among youth in the context of ADHD/Depression. With increased understanding of youth’s perceptions and the complexity of their help-seeking behavior, community-based efforts to develop effective strategies that support active help-seeking behavior and eliminate barriers to appropriate care can have a greater likelihood of success.     

A qualitative analysis of the vaccine intention–behaviour relationship: parents’ descriptions of their intentions,decision-making behaviour and planning processes towards HPV vaccination

Objective: The objective of this study is to identify factors influencing the vaccine intention–behaviour relationship. Design: A total of 445 parents who received a brief intervention to promote HPV vaccination were categorized based on their intentions post-intervention (yes/unsure/eventually/never) and subsequent adolescents’ vaccine status (yes/no). Fifty-one of these parents participated in qualitative interviews. Main Outcome Measures: Parents described their intentions, decision-making and planning processes towards vaccination. Framework analysis was used to analyse the data. Results: Parents in the ‘Yes/Yes’ category were knowledgeable about HPV/vaccine, described strong, stable intentions, considered themselves the primary decision-makers about vaccination and said they vaccinated immediately. ‘Yes/No’ parents described strong intentions and thought their adolescent was vaccinated OR described hesitant intentions, seeking advice/agreement from others and noting barriers to vaccination without solutions. ‘Unsure/Yes’ parents described their intentions as strengthening with information from credible sources and identified strategies for overcoming barriers. ‘Unsure/No’ and ‘Eventually/No’ parents had misinformation/negative beliefs regarding vaccination, described being ambivalent or non-supportive of vaccination and cited barriers to vaccination. ‘Never/No’ parents held negative beliefs about vaccination, described strong, stable intentions to NOT vaccinate, deferring the decision to others, and reported no planning towards vaccination. Conclusions: Intention characteristics and planning processes could moderate the vaccine intention–behaviour relationship, potentially serving as targets for future vaccine strategies.     

Mental Health Services Use Intentions Among Canadian Military Recruits

Identifying the factors associated with mental health services use (MHSU) is an important step in developing strategies to improve services access and delivery. The aims of the present study were to (a) identify personality and individual difference characteristics associated with MHSU intentions within the framework of the Theory of Planned Behavior (TPB) and (b) explore complex relationships that might exist between these characteristics and determinants of MHSU intentions identified in TPB, including attitudes, subjective norms, and perceived behavioral control. Data for 244 Canadian Armed Forces recruits who completed a MHSU questionnaire following mental health training were linked to personality data collected earlier. Multivariate analyses showed that the relationship between agreeableness and MHSU intentions was mediated by instrumental attitudes and subjective norms. The relationship between hardiness and MHSU intentions was mediated by subjective norms and self-efficacy. Findings suggest it may be worthwhile to consider mental health education initiatives to improve MHSU.     

COVID-19 Help-Seeking Behaviors: Application of the Theory of Planned Behavior

The novel coronavirus disease (COVID-19) is highly contagious. More than 247 million cases have been confirmed by the end of October 2021. Seeking help earlier may slow the spread of COVID-19 because it may help in early detection of infected cases, and it facilitate tracing those who were with close contact with infected cases. The purpose of this study is to identify participants’ intentions toward COVID-19 seeking help and the factors affecting their decision. This is a cross-sectional study. An online survey using Google Forms was used for data collection. Hierarchical multiple regression analysis was used to explain intentions to seek help for COVID-19. The concepts included in the Theory of Planned Behavior and COVID-19 knowledge were used as predictors. The sample included 780 participants, with an average age of 28.60±9.86 years old. Most of the sample were female (67.4%) and having a bachelor’s degree (72.7%). Participants showed high level of knowledge regarding COVID-19, 73% of the sample had a total knowledge score equal to or higher than 85%. Also, participants had high positive attitudes and high intentions to seek help for COVID-19. The four predictors: Attitudes towards COVID-19, subjective norm, perceived behavioral control, and COVID-19 knowledge significantly explained intentions to seek help. Participants had high intentions to seek help for COVID-19, which was related to having positive attitudes toward seeking help, high social approval, high perceived controllability, and high COVID-19 knowledge levels. Regular awareness campaigns during early stages of pandemics should be performed to improve attitudes and knowledge level, which may improve prevention measures, and promote help seeking behaviors. Consequently, this may facilitate early detection of cases, and slow the spread of pandemics.     

Development and validation of the Smoking Expectancy Scale for Adolescents

This study assessed the factor structure, internal consistency, and concurrent validity of the Smoking Expectancies Scale for Adolescents (SESA) using 717 Australian adolescents (87% nonsmokers, 11% current smokers, and 2% ex-smokers). Exploratory factor analysis of SESA yielded 8 factors. Confirmatory factor analysis indicated that the 8-factor model, and also a 2nd-order cost-benefit model, fit the data significantly better than 4 alternatives. Validation analyses revealed the 8-factor model explained 26% to 32% of the variance in adolescent cigarette use, smoking intentions, smoking subjective norms, and peer smoking. The 2nd-order model explained 12% to 17% of the variance in these same variables.     

The prediction of turnover intention by means of employee engagement and demographic variables in a telecommunications organisation

This study sought to determine the prediction of turnover intention by employee engagement and demographic variables in a large South African information and communication technology (ICT) organisation. Cross-sectional survey data was collected from the organisation. Using a sample of 2276 participants the Utrecht Work Engagement Scale (UWES) was employed to measure employee engagement, while the Intention to Stay Questionnaire (ISQ) measured turnover intentions. Employee engagement was significantly negatively related with turnover intentions. A factor analysis conducted on the UWES indicated that activation accounted for 10% of the variance in turnover intentions. Age and tenure had statistically significant negative relationships with turnover intentions, whilst qualification and race had significant positive relationships with turnover intentions. The results also confirmed the predictive model of employee engagement as well as the impact of the demographic variables of race, age, tenure on turnover intentions. The study has practical implications in relation to its ability to contribute to human resources activities in the form of differentiated remuneration and retention strategies based on differences in age and tenure.     

Ain’t misbehavin? Monogamy maintenance strategies in heterosexual romantic relationships

Monogamy is a near universal expectation in intimate relationships in Western societies and is typically defined as sexual and romantic exclusivity to one partner. This research informs the paradox between monogamy intentions and high rates of infidelity. Monogamy maintenance (MM) strategies used in response to relationship threats posed by attraction to extradyadic others were identified and characterized. Across three samples, 741 U.S. adults in intimate relationships completed surveys addressing MM. Twenty‐four strategies emerged in three factors—Proactive Avoidance (of attractive alternatives), Relationship Enhancement, and Low Self‐Monitoring and Derogation (in the face of extradyadic attraction). All MM factors were commonly endorsed, yet were largely unsuccessful at forestalling infidelity.     

Self-Improvement as a Response to Interpersonal Regulation in Close Relationships: The Role of Attachment Styles

ABSTRACT

This study was designed to examine how the two dimensions of adult attachment styles, attachment anxiety and avoidance, would affect young adults' intentions of self-improvement in response to various regulatory strategies used by a close other (i.e., a romantic partner or best friend). One hundred and eighteen undergraduate students were involved in this study. Major findings include (a) the more avoidant an individual was, the less likely he/she would improve on those attributes that were desired to change by their close other; (b) a close other's use of the strategy “voice” was positively associated with individuals' intentions to self-improve, while the use of the strategy “exit” was negatively associated with individuals' intentions to self-improve; (c) a close other's use of “loyalty” was associated with a lower level of intentions to self-improve, except for participants scored high on attachment avoidance. Theoretical and practical implications of these findings were discussed.     

The impact of verbal and physical abuse on distress,mental health,and intentions to quit in sports officials

Sports officials (e.g., referees, umpires, judges) can experience distress from a multitude of sources, including episodes of verbal and physical abuse from spectators, coaches, and athletes. Little is known about the impact of this abuse on mental health (MH) outcomes and intentions to quit, however. As such, the primary aims of this study were to survey the prevalence and frequency of abuse in sports officials and to examine relationships between abuse, distress, and subsequent MH and intentions to quit outcomes. Survey data were collected from 438 Gaelic Games match officials. Of these, 94.29% and 23.06% had experienced verbal and physical abuse respectively during their career. Verbal abuse was mostly experienced a couple of times a season (reported by 43.83% of officials) or every couple of games (31.48%), whereas physical abuse was predominantly experienced once or twice in a career (85.15%). Structural equation modelling was used to assess three alternative models that proposed the relationship between experiences of abuse, and MH and intentions to quit outcomes to be either 1) direct, 2) indirect, fully mediated by distress, or 3) both direct and indirect, partially mediated by distress. For verbal abuse, only the direct and indirect effects model achieved acceptable fit and significantly explained variance in mental wellbeing (9.4%), anxiety (15.2%), depression (15.6%), and intentions to quit (19.1%). For physical abuse, though higher distress was associated with poorer MH and greater intentions to quit, none of the models fully explained the relationships between all variables. These findings demonstrate, for the first time, relationships between abuse, subsequent distress, and MH outcomes. We highlight the urgent need to develop evidence-based psychological interventions to tackle abuse, manage conflict, and support the MH needs of sports officials.     

Applying social cognitive career theory to predict interests and choice goals in statistics among Spanish psychology students

This study investigated the usefulness of social cognitive career theory—SCCT (Lent, Brown, and Hackett, 1994) in predicting interests and goals relating to statistics among psychology students. The participants were 1036 Spanish students who completed measurements of statistics-related mastery experiences, self-efficacy, outcome expectations, interests and goals/intentions. Structural equation modeling (including multi-group analysis) was used to test the fit of the hypothesized models to the data. Results indicated support for SCCT as a way to predict students' interests in statistics and their intentions of engaging in academic or professional activities where statistics is used. Collectively, the predictors accounted for 50% of the variance in interests and for 77% of the variance in goals. Implications both for future research on SCCT and for intervention in statistics education are discussed.     

Televised Sexual Content and Parental Mediation: Influences on Adolescent Sexuality

Little research has been conducted to examine the influence of exposure to televised sexual content on adolescent sexuality or how parental intervention may reduce negative effects of viewing such content. This study uses self-report data from 1,012 adolescents to investigate the relations among exposure to sexually suggestive programming, parental mediation strategies, and three types of adolescent sexuality outcomes: participation in oral sex and sexual intercourse, future intentions to engage in these behaviors, and sex expectancies. As predicted, exposure to sexual content was associated with an increased likelihood of engaging in sexual behaviors, increased intentions to do so in the future, and more positive sex expectancies. Often, parental mediation strategies were a significant factor in moderating these potential media influences.