Improving body image one step at a time: greater pedometer step counts produce greater body image improvements

This randomized controlled trial examined whether the number of steps walked during an 11-week action planning intervention would mediate changes in sedentary women's body image. Seventy-five healthy, sedentary women were randomly assigned to either a control group, where they were required to self-monitor their daily pedometer-determined step count, or to an experimental group, where they were asked to self-monitor and form specific action plans for walking. Of the 75 participants randomized, 41 were included in the efficacy analyses. Measured outcomes were satisfaction with physical functioning and physical appearance, and daily pedometer-determined step counts. Greater satisfaction with physical functioning and higher step counts were found for the experimental group. Moreover, the total number of steps walked over Weeks 2-11 was shown to partially mediate the effect of the intervention on satisfaction with physical functioning. These findings suggest that walking greater distances is associated with greater improvement in at least one aspect of women's body images.     

Walk for well-being: The main effects of walking on approach motivation

The purpose of this study was to investigate the role of exercise in the development of self-efficacy and approach motivation. An 8-week blind experimental design was used (N?=?185), with two control and two treatment groups. Already physically active participants were assigned to one control group, while participants that reported a sedentary lifestyle at pretest were randomly assigned to either a sedentary control group or one of two treatment groups that began a brisk walking intervention. Treatment group participants walked either outdoors or indoors for 30 min per day, 4 days per week, for 8 weeks. The indoor/outdoor treatment group assignment was implemented to determine if exercising outdoors enhanced the outcomes. Significant main effects of walking were found for exercise self-efficacy, general self-efficacy and global approach motivation tendencies. Walking outdoors resulted in the greatest gains in general self-efficacy and global approach motivation. Given the alarmingly sedentary nature of American culture, these findings further evidence how simple changes in physical activity may have profound effects on well-being.

     

Effects of photoaging information and UV photo on sun protection intentions and behaviours: A cross-regional comparison

The physical environment is thought to influence walking; however, daily variations in perceived environment have received little attention. The current study sought to examine if key within-person factors (i.e., implementation intentions, social support, affect and self-efficacy) would be associated with walking and if perceived access to supportive environments (e.g., access to nice walking paths) and perceived environmental barriers (e.g., bad weather and safety issues) were uniquely associated with walking after controlling for other constructs. Participants (N?=?14, 50.0% men, 78.6% White, M age?=?59.4?±?6.4) were in the intervention arm of an 8-week controlled trial promoting walking via personal digital assistants. Participants completed electronic surveys twice a day (total entries?=?804) in which they reported brisk walking levels and psychosocial and environmental factors. Multilevel modelling was used to examine within-person variations in constructs as determinants of walking. Results suggested that daily variations in implementation intentions, social support and positive affect were positively associated with walking. Further, perceived access to supportive environments, though not perceived environmental barriers, was positively associated with walking after controlling for other constructs (p?<?0.05). Future research should explore intervention components that target context-specific information about perceived access to supportive environments as part of a broader perspective on intervention development.     

Temporal stability of behavioural intention as a moderator of intention–health behaviour relationships

Seven prospective studies of health behaviours containing eight prospective datasets testing the moderating role of intention stability on intention–behaviour and past behaviour–behaviour relationships were examined within the context of the Theory of Planned Behaviour. The measure of intention stability was based on lack of change in intentions between the two measurement time points. Across different behaviours, samples and time frames more stable intentions were associated with intentions at time 1 that were stronger predictors of behaviour at time 2. Intention stability did not consistently moderate the past behaviour–behaviour relationship. Across studies the frequency-weighted mean correlation between intentions and behaviour was substantially greater for stable (r ₊?=?0.60) compared to unstable (r ₊?=?0.27) intentions (Z _difference?=?6.65, p?<?0.001). The past behaviour–behaviour correlation was also stronger for stable (r ₊?=?0.50, p?<?0.001) compared to unstable (r₊ ?=?0.34, p?<?0.001) intentions (Z _difference?=?3.12, p?<?0.01). Perceived behavioural control was the variable most strongly related to stable intentions. Implications for understanding the role of health cognitions in the performance of health behaviour are discussed.     

Effect of pretesting on intentions and behaviour: A pedometer and walking intervention

This study addressed the influence of pedometers and a pretest on walking intentions and behaviour. Using a Solomon four-group design, 63 female university students were randomly assigned to one of four conditions: pedometer and pretest (n = 16), pedometer and no pretest (n = 16), no pedometer and pretest (n = 15), no pedometer and no pretest (n = 16). The pretest conditions included questions on walking, intentions to walk 12,500 steps per day, and self-efficacy for walking 12,500 steps per day. In the pedometer conditions a Yamax Digi-Walker SW-650 pedometer was worn for one week. All participants completed posttest questions. While significant pretest x pedometer interactions would have indicated the presence of pretest sensitisation, no such interactions were observed for either intention or self-reported walking. Wearing pedometers reduced intentions for future walking and coping self-efficacy. However, after controlling for pretest self-reported walking, pedometer use resulted in more self-reported walking. We conclude that wearing a pedometer increased self-reported walking behaviour but that a pretest did not differentially influence walking intentions, behaviour, or self-efficacy.     

Affective responses to 10-minute and 30-minute walks in sedentary,overweight women: Relationships with theory-based correlates of walking for exercise

ObjectivesThe purpose of this study was to examine affective responses to 10-min and 30-min walks among sedentary, overweight women. Secondary purposes were to: a) examine differences in theory-based correlates of future participation in walking for exercise; and b) determine if the affective responses were related to these correlates.Design/MethodsTwenty-three sedentary, overweight women (M age = 26.62 years; BMI = 33.53 kg/m²) completed 10-min walk, 30-min walk, and quiet rest (QR) control conditions. Affective responses were assessed prior to, during, and following each condition. Self-efficacy and intention for regular participation in multiple 10-min walks or single 30-min walks for exercise during the next month were also assessed post-exercise.Results/ConclusionsAnalyses revealed that improvements in affective responses (p < 0.05) emerged during and following both walking sessions while no benefits were observed with QR. Self-efficacy (p < 0.01) and intention (p < 0.01) to walk for exercise in the future were significantly higher for multiple 10-min walks. Correlation analyses demonstrated that affective responses were most strongly and consistently correlated with intention and self-efficacy for future participation following the 10-min walk. These findings demonstrate that, while both walks resulted in similar affective benefits, sedentary, overweight women reported greater intention and self-efficacy to participate in multiple brief walks for exercise in the future.     

Do increases in physical activity encourage positive beliefs about further change in the ProActive cohort?

Effects of behaviour change on cognitions are rarely examined within the Theory of Planned Behaviour. We tested whether increases in physical activity resulted in more positive beliefs about further change among a cohort of sedentary adults participating in a behavioural intervention trial (ProActive). At baseline, 6 and 12 months, 365 adults completed questionnaires assessing physical activity and cognitions about becoming more active over the coming year. Objective activity was assessed at baseline and 12 months. Participants reporting larger increases in activity were no more positive about making further increases than those reporting less behaviour change (p-values > 0.05). Participants with larger increases in objective activity reported weaker perceived control (β?=??0.342; p?=?0.001) and more negative instrumental attitudes (β?=??0.230; p?=?0.017) at 12 months. Participants may have felt that they had changed enough or measures of perceived success may be more sensitive to behaviour change. Alternatively, long measurement intervals may have missed immediate cognitive and affective consequences of behaviour change, or such effects may require participants to consistently self-monitor or receive feedback on performance. Future studies could test the effect of such techniques on physical activity and a wider range of cognitive, affective and physiological consequences, using more frequent measurement intervals.     

Using self-determination theory to examine the motivational correlates and predictive utility of spontaneous exercise implementation intentions

ObjectivesThis study adopted a self-determination theory approach to explore the correlates of a measure of spontaneous implementation intentions; designed to allow for volition in planning when, where, and how to exercise. The study further explored the relationship between spontaneous implementation intentions and measures of behavioural regulation, in explaining exercise behaviour.DesignThe initial sample of 253 (99 males, 153 females) Canadian University College students was reduced to 162 participants (63 males, 99 females) after three phases of data collection. Measures of spontaneous implementation intentions and the Behavioural Regulation in Exercise Questionnaire were completed during the first phase of data collection. Actual exercise behaviour was assessed two, then three weeks later.ResultsA standard regression analysis revealed that identified regulation significantly predicted spontaneous implementation intentions, accounting for 36% of the variance. A hierarchical regression analysis revealed that after the first step, identified regulation made a significant contribution accounting for 35% of the variance in exercise behaviour. The addition of spontaneous implementation intentions significantly increased the prediction of exercise by 8%. An investigation of the beta coefficients revealed that spontaneous implementation intentions reduced the effects of identification from .50 to .26 after taking into consideration the effects of spontaneous implementation intentions in the second step of the analysis. The indirect effect of identification on exercise via spontaneous implementation intentions was statistically significant (z=3.88, p<.05).ConclusionsPeople who exercise for more self-determined reasons are more likely to spontaneously form implementation intentions, and because implementation intentions have motivating effects, they might lead to more self-determined behaviour.     

Predicting changes in planning behaviour and physical activity among adults

Though the effect of action planning upon behavioural enactment is becoming well-established, adherence to planning interventions are modest. Motivations specific to action planning may predict planning behaviour. The primary purpose of the present study was to determine if theory of planned behaviour constructs operationalized for planning could predict change in planning behaviour. The secondary purpose was to determine if planning behaviour predicted changes in physical activity. Participants (n = 337, M_age = 31 ± 5) were adults with intentions to be more active who completed measures of affective and instrumental attitudes towards planning, subjective norms towards planning, perceived behavioural control over planning, intentions to plan, self-reported planning behaviour, intentions to be active and self-reported physical activity at baseline (T1) and after four weeks (T2). Affective attitudes towards planning (β = 0.10, p < .05), instrumental attitudes towards planning (β = 0.22; p < .01) subjective norms over planning (β = 0.12, p < .01) and perceived behavioural control over planning (β = 0.53, p < .01) predicted intentions to plan (adj. R² = 0.66). Intentions to plan (β = 0.16, p < .05) and intentions to be active (β = −0.25, p < .05) predicted change in planning behaviour (R²_change = 0.03). Planning behaviour (β = 0.27, p < .05) predicted change in physical activity (R²_change = 0.07). Planning behaviour appears to have its own motivations distinct from those of physical activity. Future interventions should target planning behaviour along with its motivations and control beliefs to increase rates of planning. The theoretical underpinnings of the TPB are of value for understanding both planning behaviour and physical activity.     

Does a self management intervention lower distress in woman diagnosed with breast cancer?1

Psychological distress is particularly common with any cancer diagnosis. This paper examined the psychological distress in a cohort of women newly diagnosed with breast cancer and postulates on the underlying theory. A longitudinal study of a cohort of women (n = 147) diagnosed with breast cancer (within the past 1 year), was conducted at University Malaya Medical Centre, Kuala Lumpur. Data were collected at baseline and at post 4‐week intervention. Analysis of variance was conducted to examine for any significant differences in the change‐scores between the experimental group (n = 69) and the control group (n = 78). Using the change scores, analyses of variance showed significant differences between groups for stress, F(1, 140) = 13.68, p < .0001, anxiety F(1, 140) = 8.44, p < .004, and depression, F(1, 140) = 11.57, p < .0001. Levels of stress, anxiety and depression generally decreased significantly in the experimental groups, p < .05, but either maintained or increased in the control group. This study indicates that the level of psychological distress of women with breast cancer can be ameliorated with a 4‐week self‐management intervention. Lower stress levels were also found in women who reported engagement in higher physical activity than women with low physical activity.     

Target-related autobiographical memories affect dietary intake intentions*

ABSTRACT

Although there is evidence that autobiographical memory (AM) recall impacts behaviour in multiple domains, the mechanisms for this effect are unclear. Two experiments examined how AM Frame and Relatedness to target behaviour affect intention to control future dietary intake. Participants completed an AM task where they recalled success or fail-framed memories of behaviour in the target domain (dietary intake), a related domain (exercise), and an unrelated domain (work). Next they completed questionnaires about attitudes, self-efficacy, and behavioural intention for controlling dietary intake. In Experiment 1, Frame and Relatedness of AMs recalled did not affect attitudes or self-efficacy ratings of controlling dietary intake. However, Related AMs resulted in higher intention ratings to control future dietary intake compared to Unrelated AMs. Experiment 2 replicated these results for attitude and self-efficacy, but showed no effect on behavioural intention. A mini-meta analysis was conducted to clarify the effect of AM recall on intention. This analysis confirmed a significant effect of AM Relatedness on intention ratings (meta-analysis Cohen’s d?=?.25, Z?=?2.54, p?=?.011). These results provide evidence that recalling related AM can affect dietary behaviour intentions directly, without changes attitudes or ratings of personal control regarding dietary intake.     

How help during pregnancy can undermine self-efficacy and increase postpartum intentions to quit

Pregnancy reflects a common experience for women in today's workforce, yet recent data suggest that some women scale back or leave the workforce following childbirth. Considering these effects on women's careers, researchers have sought to understand the underlying dynamics of these decisions. Here, we explore a paradoxical reason for weakened postpartum career attitudes: help that women receive during pregnancy. We integrate stereotype threat and benevolent sexism theories to explain how the effects of help on postpartum intentions to quit may be transmitted through reductions in work self-efficacy. In doing so, we consider the role of perceived impact—or the extent to which help interferes with versus enables women's perceived ability to continue performing their work role. Results of a weekly diary study of 105 pregnant employees suggest that work-interfering help led to decreased self-efficacy for work during the following week. Furthermore, there was an indirect effect of average help received at work during pregnancy on postpartum intentions to quit the workforce through reductions in work self-efficacy that was stronger insofar as help was work-interfering versus work-enabling. Taken together, our results highlight unintended negative consequences that occur when others provide ineffective support to women at work during pregnancy.     

Do web-based competitions promote physical activity? Randomized controlled trial

ObjectivesIntroducing competitions may inspire positive behaviour change but they tend to be implemented alongside other strategies. Thus, the study examined the effectiveness of a competitive web-based intervention to promote physical activity, disentangled the effects of competition from other behaviour change techniques, and identified underlying mediators.DesignRandomized controlled trial.MethodsPhysically inactive adults living or working in a UK city (n = 281) were recruited. Participants were randomized to one of three web-based conditions: a control group; a group encouraged to self-monitor their steps and who received basic feedback; a group encouraged to self-monitor their steps who received basic feedback plus additional feedback to instigate competition. Participants' physical activity was monitored through pedometers for one-week pre-intervention and for four-weeks during the intervention period. Participants completed the BREQ-2 and measures of intention, planning, goal conflict, goal importance, effort, commitment, perceived behavioural control and self-efficacy pre- and post-intervention.ResultsParticipants in the competition condition increased their steps significantly more than those in the control group with the effect being mediated by increased goal importance, identified motivation and intrinsic motivation. Participants in the competition condition increased their steps more than those in the self-monitoring condition. There was weaker evidence that the self-monitoring group increased their steps more than those in the control condition.ConclusionsSelf-monitoring and feedback can increase physical activity but adding a competitive component, implemented via the web, can boost goal importance, identified motivation and intrinsic motivation that mediate these increases in physical activity.     

Overcoming Procrastination: The Effect of Implementation Intentions1

A hypothesized solution for procrastination is the formation of an implementation intention ( Van Eerde, 2000 ). University students (N = 152) were assessed using the Aitken Procrastination Inventory ( Aitken, 1982 ) and were asked to report to an experiment. Half of the participants formed implementation intentions to attend. An odds ratio indicated that participants who formed implementation intentions were nearly 8 times more likely to keep their appointments than those who did not. Low procrastinators reported more often for the experiment than did high procrastinators (Low = 49.4%; High = 30.1%), χ²(1, N = 152) = 5.84, p < .016. The interaction between implementation intentions and procrastination was not significant, χ²(1, N = 152) = 0.28, p < .60.     

Changes in self-regulatory cognitions as predictors of changes in smoking and nutrition behaviour

Most longitudinal, correlational studies on health-behaviour change examine effects of Time1 social-cognitive predictors on subsequent behaviour. In contrast, our research focusses on associations between changes in predictors with change in behaviour. The Health Action Process Approach (HAPA) distinguishes between motivational predictors for intention formation and volitional predictors for behavioural change and served as theoretical basis. Two online-studies were launched targeting different behaviours (low-fat diet, smoking), different samples (Study 1: N = 469; Study 2: N = 441) and different time spans (Study 1: 3 months, Study 2: 4 weeks). Data were analysed by means of structural equation modelling with latent difference scores. Both studies resulted in almost parallel prediction patterns. Change in risk awareness and change in outcome expectancies did not result in change in intentions, whereas change in self-efficacy was of crucial importance. Change in behaviour was associated with change in action planning and action control over and above the effects of intentions. In one study, increases in self-efficacy yielded increases in behaviour change. Results demonstrate that change in action planning and especially action control was of great importance for behaviour change across two different behaviours. Analysing change in social-cognitive predictors allows drawing precise conclusions for interventions.     

Individual and collaborative implementation intentions and the promotion of breast self-examination

Implementation intentions, plans relating to when and where behaviours will be performed, have been effective in increasing health behaviour. Two studies are reported that test the impact of this strategy in promoting breast self-examination (BSE), a behaviour shown to aid the early detection of tumours. In study 1, 457 participants were randomly allocated to either implementation intention or control conditions. Implementation intentions significantly increased the likelihood of BSE at one month. The effect of the intervention was marginally significant at six months. Study 2 (N?=?101) tested the efficacy of a collaborative implementation intention intervention that required female participants to plan, with a partner, collaborative BSE performance. Results indicated that both implementation intentions and partner involvement were associated with BSE performance at one month, whilst the collaborative implementation intention intervention showed a 100% success rate. Collaborative implementation intentions may reduce forgetfulness. Interventions that encourage partner involvement in planning and enacting behaviour appear to enhance implementation intention utility.     

Beyond good intentions: The role of proactive coping in achieving sustained behavioural change in the context of diabetes management

This study examines the effectiveness of a brief self-management intervention to support patients recently diagnosed with type-2 diabetes to achieve sustained improvements in their self-care behaviours. Based on proactive coping, the intervention emphasizes the crucial role of anticipation and planning in maintaining self-care behaviours. In a randomised controlled trial among recent screen-detected patients, participants who received the intervention were compared with usual-care controls, examining changes in proximal outcomes (intentions, self-efficacy and proactive coping), self-care behaviour (diet, physical activity and medication) and weight over time (0, 3 and 12 months). Subsequently, the contribution of proactive coping in predicting maintenance of behavioural change was analysed using stepwise hierarchical regression analyses, controlling for baseline self-care behaviour, patient characteristics, and intentions and self-efficacy as measured after the course. The intervention was effective in improving proximal outcomes and behaviour with regard to diet and physical activity, resulting in significant weight loss at 12 months. Furthermore, proactive coping was a better predictor of long-term self-management than either intentions or self-efficacy. Proactive coping thus offers new insights into behavioural maintenance theory and can be used to develop effective self-management interventions.