Self-affirmation increases acceptance of health-risk information among UK adult smokers with low socioeconomic status.

This study reports an experiment designed to test whether self-affirmation can overcome defensive processing of risk information in a sample of UK adult smokers with low socioeconomic status. Participants (N = 57) were randomized to either a self-affirmation or control condition before reading a government-sponsored antismoking leaflet and completing measures of message acceptance, intention, and self-efficacy. Participants' subsequent behavior (taking leaflets) was recorded surreptitiously. Results showed that the manipulation significantly increased message acceptance, intention and behavior, and that the effects of the manipulation on behavior were mediated through message acceptance and intention. The practical and theoretical implications of the findings are discussed in relation to the possible use of self-affirmation manipulations to enhance the effectiveness of smoking cessation interventions.     

群际威胁与社会认知基本维度自我肯定对自我评价的影响

两个实验探索群际威胁情境下表达性和能动性自我肯定对个体自我评价的影响。实验一诱发群际威胁,操作表达性自我肯定,测量被试的自我评价水平。实验二与实验一采用相同的方法,诱发群际威胁,操作能动性自我肯定,之后测量自我评价水平。两个实验均发现,群际威胁组的自我评价显著低于控制组;在群际威胁情境下,表达性自我肯定组和能动性自我肯定组的自我评价显著高于无自我肯定组。研究表明,群际威胁虽然是群体水平的感知,但会对个体水平的自我评价产生消极影响,通过社会认知基本维度进行自我肯定能有效缓解群际威胁对自我评价的消极影响。自我肯定对群际威胁与自我评价之间关系的作用机制还需要进一步探讨。     

An experimental test of the relationship between voice intonation and persuasion in the domain of health

Objective: In the process of behaviour change, intonation of speech is an important aspect that may influence persuasion when auditory messages are used. In two experiments, we tested to what extent different levels of intonation are related to persuasion and whether for some recipients the threat posed by the message information might become too strong to face.

Design: In Study 1, 130 respondents listened to a health message with either a low, moderate or high level of intonation. In Study 2 (N?=?143), the same manipulations of intonation were applied but half of the respondents were affirmed before they listened to the persuasive message. Intention to increase fruit and vegetable intake was used as a dependent variable.

Results: Both studies showed that high intonation led to a significant drop in intention among respondents who perceived their own health as good. After self-affirmation, persuasion was increased.

Conclusion: A high level of intonation seems to induce self-regulatory defences in people who do not see the necessity to change their health behaviour, whereas people with poor perceived health might perceive potential to change. The use of a normal level of intonation in auditory health messages is recommended.     

Self-Affirmation Theory and the Science of Well-Being

Social psychological self-affirmation research shows that value affirmations often boost adaptive functioning. Yet, such effects are under-recognized within the fields of well-being studies and positive psychology. This paper reviews self-affirmation theory and the principles by which self-affirmation is understood to facilitate resilient responses to self-threats. Next, it reviews research on the impact of self-affirmation on well-being, including feeling good and functioning well. The positive-activity model is employed to conceptualize self-affirmation as a well-being intervention and to underscore potential mediators and moderators of the relationship between self-affirmation and well-being. Future lines of investigation are outlined, including the role of self-affirmation within existing well-being interventions, the use of self-affirmation to enhance other well-being interventions, and the measurement of individual differences in trait self-affirmation in the prediction of well-being.     

From a terror management perspective: The efficacy of self-affirmation on organ donation-related thoughts and intentions in China

ABSTRACT

In 2015, the Chinese government officially abolished the practice of harvesting organs from executed prisoners. However, the voluntary donor registration rate among the Chinese population is approximately 2% as of January 2020. Guided by self-affirmation theory and terror management theory, the present investigation examined a number of variables that may be related to donor registration intentions and a method to mitigate death thoughts and misconceptions. An online experiment was conducted in which 352 Chinese participants were randomly assigned to either a self-affirmation (i.e., affirming values that are important to the participants) or a no-affirmation condition. Results revealed that self-affirmation lowered death thoughts among the participants, which in turn were positively related to organ donation misperceptions. Inconsistent with terror management theory, the level of death thoughts was not directly related to participants’ intentions to register as organ donors. Instead, the relationship between the two was mediated by misperceptions toward organ donation.     

Can the effectiveness of health promotion campaigns be improved using self-efficacy and self-affirmation interventions? An analysis of sun protection messages

Health-risk communications frequently target self-efficacy in order to encourage adaptive responses. Research has also indicated that self-affirmation may be a useful supplementary or alternative intervention technique. This study compared the effects of self-efficacy, self-affirmation and a combination of these techniques for two risk messages. Young British females (N?=?677) read about ultraviolet light and skin cancer or skin ageing (‘photoageing’) and were randomly assigned to a single intervention (self-affirmation/self-efficacy), the combined intervention or no intervention. The efficacy intervention led to greater message acceptance and perceived risk in both the cancer and photoageing conditions, while the only main effect of self-affirmation was on acceptance of the photoageing message. However, self-affirmation moderated the effect of efficacy information. For photoageing messages, efficacy information was associated with greater message acceptance only amongst self-affirmed participants, but the opposite occurred for skin cancer messages. Although these findings should be interpreted cautiously, they imply that health promoters should select efficacy information if only one intervention is used but that self-affirmation can influence responsiveness to efficacy interventions for particular messages.     

Don't derogate this message! Self-affirmation promotes online type 2 diabetes risk test taking

The aim of the present study was to examine whether self-affirmation promotes acceptance of threatening type 2 diabetes information and risk-testing behaviour. In an experimental study (N = 84), we manipulated self-affirmation by allowing participants to affirm a value that was either personally important or unimportant to them, and measured participants' risk level prior to reading threatening type 2 diabetes information. As dependent variables, we measured message derogation, intentions to do an online type 2 diabetes risk test and online risk-testing behaviour. Findings showed that self-affirmation decreased message derogation, increased intentions to do an online risk test and promoted online risk test taking among at-risk participants. Among participants not at-risk, self-affirmation decreased intentions and online risk test taking. Therefore, it is concluded, that for an at-risk population self-affirmation can decrease defensive responses to threatening health information and promote (online) risk test taking for diseases.     

Evidence of improved fluid management in patients receiving haemodialysis following a self-affirmation theory-based intervention: A randomised controlled trial

Objective: Haemodialysis patients are at risk of serious health complications; yet, treatment non-adherence remains high. Warnings about health risks associated with non-adherence may trigger defensive reactions. We studied whether an intervention based on self-affirmation theory reduced resistance to health-risk information and improved fluid treatment adherence.

Design: In a cluster randomised controlled trial, 91 patients either self-affirmed or completed a matched control task before reading about the health-risks associated with inadequate fluid control.

Outcome measures: Patients’ perceptions of the health-risk information, intention and self-efficacy to control fluid were assessed immediately after presentation of health-risk information. Interdialytic weight gain (IDWG), excess fluid removed during haemodialysis, is a clinical measure of fluid treatment adherence. IDWG data were collected up to 12 months post-intervention.

Results: Self-affirmed patients had significantly reduced IDWG levels over 12 months. However, contrary to predictions derived from self-affirmation theory, self-affirmed participants and controls did not differ in their evaluation of the health-risk information, intention to control fluid or self-efficacy.

Conclusion: A low-cost, high-reach health intervention based on self-affirmation theory was shown to reduce IDWG over a 12-month period, but the mechanism by which this apparent behaviour change occurred is uncertain. Further work is still required to identify mediators of the observed effects.     

Breast cancer: The intention to have a mammography and a clinical breast examination - application of the theory of planned behavior

Abstract

The purpose of these cross sectional studies was to identify the psychosocial factors explaining women's intention to have a mammography within the next two years and their intention to have a clinical breast examination (CBE) by a professional within the next year. Two random samples of women aged 40–69 years (n_a = 354, n_b = 344) completed a self-administered questionnaire that investigated theoretical constructs of the theory of planned behavior. The results of structural equation modeling showed that subjective norms and perceived behavioral control explained 81 % of the variance in intention of having a mammography. Sixty-five percent (65%) of the variance in intention of having a CBE was explained by attitude and perceived behavioral control. In conclusion, women need to be better informed, have better skills to overcome psychological and physical barriers in performing preventive breast behaviors, and promotion of preventive breast cancer methods should consider people significant for women.     

Is Affirmation the Cure? Self-Affirmation and European-Americans’ Perception of Systemic Racism

Abstract

Racial-ethnic gaps in perception of racism are persistent in the United States, perhaps because the acknowledgement of racism is threatening to European Americans. Supporting this argument, preliminary research indicates that self-affirmation boosts European Americans’ perception of racism and reduces the gap between European and Hispanic Americans’ perception of racism. Although promising, these studies were limited by relatively low statistical power and no subsequent studies have assessed their robustness. We conducted 3 pre-registered experiments testing the effect of self-affirmation on perception of racism. Surprisingly, self-affirmation failed to increase European Americans’ perception of racism (Study 1–3). Further, self-affirmation failed to reduce the gap between European and African Americans’ perception of racism (Study 3). Our results challenge the notion that self-affirmation reliably alters perception of racism. Discussion highlights methodological, cultural, and historical differences between studies that may explain discrepancies in results.     

Self-affirmation and affective forecasting: Affirmation reduces the anticipated impact of negative events

When forecasting how they will feel in the future, people overestimate the impact that imagined negative events will have on their affective states, partly because they underestimate their own psychological resiliency. Because self-affirmation enhances resiliency, two studies examined whether self-affirmation prior to forecasting reduces the extremity of affective forecasts. Participants in self-affirmation conditions completed a values scale or wrote an essay asserting their most important value, whereas participants in the no-affirmation condition asserted a relatively unimportant value. Participants then predicted their affective reactions to a negative or positive imagined event. In both studies, self-affirmation reduced the unpleasant affect expected to result from a negative event, but had no impact on affective forecasts for a positive event. This pattern was mediated by participants’ cognitive appraisals of the imagined event, but not by differential focus on that event. Results are consistent with self-affirmation activating or enhancing psychological resiliency to counteract immune neglect during affective forecasting of a negative event.     

Can the effectiveness of health promotion campaigns be improved using self-efficacy and self-affirmation interventions? An analysis of sun protection messages

Health-risk communications frequently target self-efficacy in order to encourage adaptive responses. Research has also indicated that self-affirmation may be a useful supplementary or alternative intervention technique. This study compared the effects of self-efficacy, self-affirmation and a combination of these techniques for two risk messages. Young British females (N=677) read about ultraviolet light and skin cancer or skin ageing ('photoageing') and were randomly assigned to a single intervention (self-affirmation/self-efficacy), the combined intervention or no intervention. The efficacy intervention led to greater message acceptance and perceived risk in both the cancer and photoageing conditions, while the only main effect of self-affirmation was on acceptance of the photoageing message. However, self-affirmation moderated the effect of efficacy information. For photoageing messages, efficacy information was associated with greater message acceptance only amongst self-affirmed participants, but the opposite occurred for skin cancer messages. Although these findings should be interpreted cautiously, they imply that health promoters should select efficacy information if only one intervention is used but that self-affirmation can influence responsiveness to efficacy interventions for particular messages.     

Act local but don’t think too global: The impact of ecological goal level on behavior

ABSTRACT

Growing awareness of humanity’s impact on the environment raises the question of how best to encourage pro-environmental actions. Numerous campaigns have been created to convince people to adopt environmentally friendly everyday behaviors, with varying success. The difficulty may be due, at least in part, to the huge gap between these small individual actions and the high-level goals, such as “saving the planet,” often used as incentives. We tested this hypothesis via four experiments. Studies 1 and 2 showed that high-level goals were less effective than low-level goals in promoting paper- and energy-saving behaviors. Study 3 showed that high-level goals engender lower perceived outcome expectancy and higher perception of cumulative effort. Study 4 showed that outcome expectancy mediates the direct effect of goal level on intention.     

Self-affirmation and the biased processing of threatening health-risk information

Self-affirming before reading about the link between alcohol and breast cancer promoted increased message acceptance among young women at higher risk. Differences were maintained on variables measured up to 1 month later. Relative to their nonaffirmed counterparts, higher risk, self-affirmed participants had higher ratings of risk, imagination, intention to reduce alcohol consumption, and negative affect, such as fear, while reading the leaflet. In contrast, there were no differences between the groups on measures of broader message acceptance (belief in the link, evidence strength). Thus, self-affirmation promoted acceptance of the personal relevance of the message, a critical step in the precaution adoption process. Overall, the findings support the view that self-affirmation in an unrelated domain can offset defensive processing of a threatening health message, promoting central route persuasion and producing consequential and durable increases in message acceptance.     

Young adults' intention to eat healthy food: Extending the theory of planned behaviour

Abstract

The present study predicts adults' intention to eat healthily, using the theory of planned behaviour (TPB) and additive and moderating effects of role identity, group norms and group identification, derived from identity theory and self categorisation theory. A total of 735, 25 years old adults participated in a mailed questionnaire survey in 1997. The TPB explained 52% of the variance in young adults' decision to eat healthily, with perceived behavioural control and subjective norms being the strongest (β= .56, p < .001) and weakest (β = .05, p < .005) determinants, respectively. Although, role identity accounted for an additional amount of 4% of the variance in behavioral intention, past behaviour did not moderate the impact of role identity on intention, as hypothesised. Neither perceived group norm nor group identification added to the prediction of intention over and above the TPB. However, group identification was found to act as a moderator on the relation between group norm and behavioural intention in the predicted direction. The wider social context seems to play a stronger role for the formation of adults' healthy eating decisions than indicated by the TPB.     

Calibrating the response to health warnings: limiting both overreaction and underreaction with self-affirmation

Self-affirmation, reflecting on one's defining personal values, increases acceptance of threatening information, but does it do so at the cost of inducing undue alarm in people at low risk of harm? We contrast an alarm model, wherein self-affirmation simply increases response to threat, with a calibration model, wherein self-affirmation increases sensitivity to the self-relevance of health-risk information. Female seafood consumers (N = 165) completed a values self-affirmation or control task before reading a U.S. Food and Drug Administration brochure on mercury in seafood. Findings support the calibration model: Among frequent seafood consumers, self-affirmation generally increased concern (reports of depth of thought, personal message relevance, perceived risk, and negative affect) for those high in defensiveness and reduced it for those low in defensiveness. Among infrequent consumers of seafood, self-affirmation typically reduced concern. Thus, self-affirmation increased the sensitivity with which women at different levels of risk, and at different levels of defensiveness, responded cognitively and affectively to the materials.     

Augmenting the theory of planned behaviour: Motivation to provide practical assistance and emotional support to parents

Abstract

Surveys indicate that the highest proportion of people receiving informal care are parents (Green, 1988), yet a literature search showed that psychological studies of motivation to care for parents are limited. The present study utilised an augmented model of the theory of planned behaviour (Ajzen, 1985) including measures of anticipated regret and carer self-concept, to examine individuals' motivations to provide practical assistance and emotional support to their parents. Intention to provide emotional support was predicted by the theory of planned behaviour constructs, while intention to provide practical assistance was predicted by subjective norm and perceived behavioural control but not by attitude. Anticipated regret substantially improved prediction of both types of behavioural intention. These findings indicate that providing practical assistance and emotional support are motivated behaviours, governed by both rational and emotional factors, suggesting that future research may benefit from adopting a broader perspective based upon social psychological theory     

Problematic donation procedures vs. futuristic research and treatment applications: A dichotomous social representation of stem cells in Italy

IntroductionCurrently, stem cells (SC) are one of the most studied issues of medical research as well as a widespread, complex, socially and ethically relevant issue.ObjectiveThe general aim of the present study is to explore how social representations (SR) of SC is different for people more or less willing to donate SC, also comparing bone marrow SC (BMSC) donation and umbilical cord blood SC (UCBSC) donation.MethodA paper-and-pencil survey was administrated to 78 Italian respondents. A structural analysis of SC-SRs (prototypical and co-occurrence analysis) was conducted comparing people with a high/low intention to donate UCBSC/BMSC.ResultsSimilarly to other bioethically relevant issues, SR of SC seems to be ambivalent and dichotomously organized, with the donation procedure been a barrier.ConclusionThese results are in line with studies finding two sets of dichotomies: on the one hand, a gift-of-life/replacement-of-body-parts dichotomy coexisting within people's SR of organ donation; on the other hand, a help/pain and needle dichotomy within blood donation's SR. Directions for future research are suggested.     

Regulating emotions under exposure to negative out-group-related news material results in increased acceptance of out-groups

ABSTRACT

Negative emotions affect the acceptance of out-groups. Here, we investigated whether modifying negative emotions would affect perceptions of out-groups. We experimentally manipulated the use of two emotion regulation strategies: suppression of emotional expression and cognitive reappraisal, the latter involving reframing a situation to mitigate its emotional impact. Using a population-based sample (N = 317), we conducted an online randomized controlled trial. Participants regulated their emotions while reading threatening news about out-groups. Not only reappraisal, but also suppression increased immediate acceptance of out-groups. The effect of reappraisal was partly mediated by decreased disgust, suggesting unique effects of reappraisal on this emotion. In the suppression condition acceptance decreased at high levels of habitual emotion regulation, whereas reappraisal showed an opposite tendency. Previous research may have underestimated the importance of different emotion regulation strategies on prejudice, and that relatively simple interventions can affect prejudice. The findings are of interest to prejudice prevention programs.