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.     

Can the chronic exclusion-resignation link be broken? An analysis of support groups within prisons

Social exclusion, especially when prolonged over time––has a strong impact on the individuals’ health and wellbeing. According to the Temporal Need-Threat Model (Williams, 2009), the experience of chronic social exclusion inescapably leads to a condition of resignation, characterized by feelings of alienation, depression, helplessness, and unworthiness. However, few empirical studies have tested this prediction and its potential moderating factors. In this research, we identified the prison as a prototypical condition of chronic social exclusion, and aimed at (a) empirically testing the link between chronic exclusion and the resignation stage, (b) investigating whether situational factors—such as attending a support group in prison—can reduce the adverse outcomes of the resignation, and (c) exploring the role of individual differences (e.g., psychological flexibility) in mediating the effect of the support group on the resignation. The study involved 136 participants—68 detainees (31 of them participated in a support group) and 68 free citizens. Results showed that prisoners without the support group showed the highest levels of feelings of resignation. By contrast, prisoners in the support group were no different from nonprisoners in terms of resignation stage outcomes, and this beneficial effect of the support group was mediated by higher levels of perceived social support and psychological flexibility. Overall, this study suggests that the link between chronic exclusion and the resignation stage could be moderated by intervening social factors, highlighting the potential benefits of group-based interventions to tackle the negative consequences of chronic exclusion in chronically excluded populations.     

Can Accidents be Predicted? An Empirical Test of the Cognitive Failures Questionnaire

Cent cinquante neuf jeunes gens remplirent un questionnaire dans ie but d'évaluer la fréquence de diverses erreurs mentales banales. Les réponses au questionnaire furent alors comparées aux dossiers de chauffeur des sujets. Ceux qui obtenaient le plus d'erreurs mentales, devaient probablement être aussi ceux qui avaient causé des accidents de circulation, mais la corrélation apparut seulement après l'exclusion de ceux des sujets qui avaient des dossiers de chauffeur remarquablement mauvais. Dans un deuxième groupe de cent cinquante deux hommes, les réponses au questionnaire différenciaient également ces sujets qui avaient causé des accidents de ceux qui ne l'avait pas fait.
A total of 159 young men filled out a questionnaire designed to assess the frequency of various common mental slips. Their responses were then compared with the driving records of the respondents. Those subjects reporting more mental slips were also more likely to have caused traffic accidents, but the relationship only emerged following exclusion of those subjects with remarkably bad driving records. In a second group of 152 men, questionnaire responses again differentiated those subjects who had caused accidents from those who had not.     

Can rail pedestrian violations be deterred? An investigation into the threat of legal and non-legal sanctions

Collisions between trains and pedestrians continue to be the most likely accident to result in severe injuries and fatalities on the rail network. While a range of countermeasures have been utilised in an attempt to reduce the incidence of risky behaviours at level crossings, limited focus has been directed towards deterrence-based approaches to improve crossing safety. As a result, this study explored pedestrians’ perceptions of legal and non-legal sanctions at level crossings, with particular emphasis directed towards identifying factors that maximise perceptual deterrence and reduce the occurrence of rule violations. In total, 636 individuals volunteered to participate in the study that required completion of either an online or paper version of a questionnaire that focused on behaviours and perceptions. Participants were more likely to report intentionally violating level crossing rules (24.52%, n = 156) compared to making crossing errors (3.46%, n = 22). Knowledge of the possibility of sanctions (e.g., monetary fines) was low. The threat of being injured and feeling shame when breaching crossing rules were the highest reported perceptual deterrent factors, higher even than the certainty and severity of sanctions. Regression analysis revealed that males who had lower perceptions of certainty of apprehension and displayed a tendency to repeat the behaviour were most likely to deliberately break crossing rules. However, this group also recognised the physical risks of violating rules and that it breached social norms. In regards to identifying effective countermeasures, increasing police presence was considered the most effective approach to reduce violations, which is directly linked to deterrence processes such as increasing perceptual certainty. This paper will further outline the study findings in regards to perceptual deterrence-based research as well as provide direction for future research efforts to develop effective countermeasures designed to improve pedestrian safety.     

Who participates in which health promotion programs? A meta-analysis of motivations underlying enrollment and retention in HIV-prevention interventions

This meta-analysis examines whether exposure to HIV-prevention interventions follows self-validation or risk-reduction motives. The dependent measures used in the study were enrolling in an HIV-prevention program and completing the program. Results indicated that first samples with low prior condom use were less likely to enroll than samples with high prior condom use. Second, samples with high knowledge were less likely to stay in an intervention than were those with low knowledge. Third, samples with medium levels of motivation to use condoms and condom use were more likely to complete an intervention than were those with low or high levels. Importantly, those patterns were sensitive to the interventions' inclusions of information-, motivation-, and behavioral-skills strategies. The influence of characteristics of participants, the intervention, and the recruit procedure are reported.     

Can performance-feedback accuracy be improved? Effects of rater priming and rating-scale format on rating accuracy

Performance appraisal information is often used for employee feedback and development. Research has found that assessments that are global (i.e., based on broad aspects of performance) and comparative (i.e., explicit interratee comparisons) may be most accurate in terms of Cronbach's (1955) differential accuracy, a type of accuracy that is directly relevant to the provision of feedback. Unfortunately, a global-comparative assessment may not give recipients the most useful diagnostic feedback. In this experiment, an innovative rater-priming manipulation was developed and tested on a sample of 109 participants. The priming manipulation had the effect of improving differential accuracy and providing diagnostic feedback. A 2nd independent variable involving 2 different Behavioral Observation Scale formats also was investigated. Explanations of findings, limitations of this experiment, directions for future research, and implications for performance appraisal practice are discussed.     

Validation of the NEO Personality Inventory and the five-factor model. Can findings from exploratory and confirmatory factor analysis be reconciled?

The aims of the study were (i) to analyse a Norwegian version of the NEO Personality Inventory (NEO-PI), using both exploratory factor analysis (EFA) and confirmatory factor analysis (CFA); (ii) to compare the results of the two factor analytic strategies, both within the present study and across different studies; and (iii) to discuss possible causes of discrepant findings (across factor-analytic methods and across samples). The sample comprised 961 subjects representative of the non-institutionalized Norwegian adult population. Using an EFA strategy, very high coefficients of factor comparability (r=0.93–0.99) across sexes were found. None of the five main domains turned out to be as homogeneous as suggested by the original five-factor model, but most of the deviations from the assumed simple structure were comparable to results from recent American studies. However, none of the revised EFA-based models were supported using CFA methods. Moreover, a large number of modifications were necessary to obtain a model with acceptable fit. It is argued that these discrepant findings can be accounted for, at least in part, by (i) consequences of different model acceptance criteria in the EFA and CFA tradition, (ii) the inherent logical–semantical structure of the NEO-PI, and (iii) consequences of selection effects (factorial invariance problem). © 1997 by John Wiley & Sons, Ltd.     

Can Beck's theory of depression and the response style theory be integrated?

There are obvious similarities between the cognitive constructs of A. T. Beck's (1976) cognitive theory and the response style theory (S. Nolen-Hoeksema & J. Morrow, 1991). Different propositions of J. A. Ciesla and J. E. Roberts (2007) and S. Lyubomirsky and S. Nolen-Hoeksema (1993, 1995) concerning associations of 2 response styles, brooding and reflection, with constructs of Beck's cognitive theory (schemata, cognitive errors, cognitive triad, automatic thoughts) were tested. Model comparisons were based on a 4-week study in which 397 participants completed self-report instruments at 2 time points. A model allowing schemata to influence brooding and reflection that influence the other cognitive variables of Beck's cognitive theory fits the data better than the other integrated models. However, although schemata were significant predictors of both response styles, neither response style did significantly predict other cognitive variables. A comparison of the integrated model with Beck's original cognitive theory revealed that Beck's original theory fits the data better than the integrated model, whereas both models explain about the same amount of variance. Thus, an integration of Beck's theory and the response style theory are not supported.     

Can we really reduce ethnic prejudice outside the lab? A meta‐analysis of direct and indirect contact interventions

The present meta‐analysis tested the effectiveness of contact‐based interventions for the reduction of ethnic prejudice. Up to now, a meta‐analysis summarizing the results of real‐world interventions that rest on the intergroup contact theory has been missing. We included evaluations of programs realizing direct (i.e., face‐to‐face) and/or indirect (i.e., extended or virtual) contact in real‐world settings outside the lab. The interventions' effectiveness was tested shortly after their end (k = 123 comparisons, N = 11 371 participants) and with a delay of at least 1 month (k = 25, N = 1650). Our data show that contact interventions improve ethnic attitudes. Importantly, changes persist over time. Furthermore, not only direct but also indirect contact interventions are successful. In addition, contact programs are effective even in the context of a serious societal conflict (e.g., in the Middle East). Although changes are typically larger for ethnic majorities, there is an impact on minorities, too. Finally, contact interventions not only improve attitudes toward individuals involved in the program, their effects also generalize to outgroups as a whole. In sum, social psychology provides an intervention for prejudice reduction that can be successfully implemented in the practical field. Copyright © 2015 John Wiley & Sons, Ltd.     

Can the distress-signal and arousal-reduction views of crying be reconciled? Evidence from the cardiovascular system

Theorists have staked out two ostensibly opposing views of human crying as either an arousing behavior that signals distress or a soothing behavior that reduces arousal after distress. The present study examined whether these views of crying might be reconciled by attending to physiological changes that unfold over crying episodes. Sixty female students watched neutral and cry-eliciting films while autonomic physiology, including respiratory sinus arrhythmia and pre-ejection period, was assessed. Crying participants exhibited heart rate increases that rapidly subsided after crying onset. Crying onset was also associated with increases in respiratory sinus arrhythmia and slowed breathing. All crying effects subsided by 4 minutes after onset. It is possible that crying is both an arousing distress signal and a means to restore psychological and physiological balance, depending on how and when this complex behavior is interrogated.     

Can the subaltern feel? An ethnography of migration,subalternity, and emotion

Drawing on biographical and migratory experiences gathered from Chinese marriage-migrants in Taiwan, this paper investigates the link between migration, subalternity and emotion. We examine how emotions are socially, temporarily and situationally constructed by migrant women, positioned in a condition of vulnerability during migration. Conceptually, we advance that emotions can be turned into resources, practices and competences that sustain migrants' social, economic and cultural positioning in the society of arrival. Through the identification of three empirically-rooted states of emotions – imaginative, implosive and mutual – we claim that, in a context of social contempt, familial exclusion and economic marginalisation, migrants' individual and collective performance of emotions contributes to ‘undo’ a condition of subalternity. Such states are purposely experimental and incomplete. Whilst they are as temporary and mutable as migrant women's emotional experiences and practices, this paper proposes that they could serve as a methodological and analytical tool for future research on migration and emotion.     

Can reading accuracy and comprehension be separated in the Neale Analysis of Reading Ability?

Background: The Neale Analysis of Reading Ability (NARA) (Neale, 1997) is widely used in education and research. It provides measures of reading accuracy (decoding) and comprehension, which are frequently interpreted separately. Aims: Three studies were conducted to investigate the degree to which the NARA measures could be separated. Samples: British 7‐ and 8‐year‐olds participated in Study 1 (N=114) and Study 2 (N=212). In Study 3, 16 skilled and less‐skilled comprehenders were identified from the Study 2 sample. Methods: Study 1: By investigating their contribution to silent reading comprehension, the independence of NARA decoding and comprehension scores was determined. Study 2: Decoding groups matched for listening comprehension were compared on the NARA comprehension measure, and population performance was compared across listening comprehension and NARA reading comprehension. Study 3: Comprehension groups were compared on ability to answer open‐ended and forcedchoice questions. Results: Firstly, NARA comprehension performance depended on decoding, to the extent that children with high listening comprehension ability but low decoding ability attained low NARA comprehension scores. Secondly, 32% of children who attained low NARA comprehension scores exhibited high listening comprehension. Thirdly, comprehension groups differed when assessed with open‐ended questions but not when assessed with forced‐choice questions. Conclusions: The NARA can underestimate the comprehension ability of children with weak decoding skills and children who have some difficulty with open‐ended questions. The decoding and comprehension measures of the NARA cannot be separated. These findings have important implications for the interpretation of the measures provided by the NARA, in education and research.     

Can the Effects of Religion and Spirituality on Both Physical and Mental Health be Scientifically Measured? An Overview of the Key Sources,with Particular Reference to the Teachings of Said Nursi

Within Western secular societies, everything has to be substantiated by empirical evidence; this means it has to be quantifiable and measurable. Research, particularly quantitative research, then, is the criterion by which everything, including religion, is either accepted or rejected. The separation of religion from science began with the Renaissance, the Reformation and the advent of the Enlightenment. It was perceived that religion did not match the language of science and that there was no logical proof or empirical evidence for the existence of God. Religion therefore, due to its inability to be measured and quantified, has since been largely marginalised. In recent times, in order to integrate ‘religion’ into everyday life, attempts have been made to argue and bring in scientific proof for the effectiveness of religion for improved health and well-being. The psychiatrist Harold Koenig has been one of the key people whose collation of research evidence has shown that religion has a positive effect on both physical and mental health. By looking firstly at the definitions of religion and spirituality and then discussing various opinions from both secular and religious perspectives, including those of Said Nursi, this paper aimed to determine whether religion and spirituality can indeed be measured.     

Testing the effects of an expectancy-based intervention among adolescents: Can placebos be used to enhance physical health?

It has been suggested that the well-known health benefits associated with exercise can be explained by a placebo effect, and that greater effort should be given to convince people that their current behaviors have desirable health consequences. The overall purpose of this study was to test the efficacy of this "mind-set matters" hypothesis through the use of an expectancy-based intervention with adolescents. The study involved a four week randomized controlled trial with 348 Grade 9 adolescents (M (age)?=?14.07 yrs, SD?=?0.30), from four high schools, taking part in either a placebo-intervention condition (n?=?188) or a control condition (n?=?160). Participants in the placebo-intervention condition were informed that what they are already doing in school physical education lessons fulfills current recommendations for an active lifestyle. Participants in the control condition were not given this information. Four weeks after the intervention, adolescents in the placebo-intervention condition did not demonstrate significant changes in physiological health-related measures (diet, weight, body mass index, percentage body fat, heart rate, mean arterial pressure). The findings question the external validity of the "mind-set matters" hypothesis with adolescents, and suggest that simply encouraging adolescents to believe that they are healthy may not enable them to respond with improved indicators of physical health.     

Does self-efficacy mediate the cross-sectional relationship between perceived quality of health care and self-management of diabetes? Results from Diabetes MILES – Australia

Objective: Quality of health care (QoC) and self-efficacy may affect self-management of diabetes, but such effects are not well understood. We examined the indirect role of diabetes-specific self-efficacy (DSE) and generalised self-efficacy (GSE) in mediating the cross-sectional relationship between self-reported QoC and diabetes self-management.

Design: Diabetes MILES–Australia was a national survey of 3,338 adults with diabetes. We analysed data from 1,624 respondents (age: M = 52.1, SD = 13.9) with type 1 (T1D; n = 680) or type 2 diabetes (T2D; n = 944), who responded to a version of the survey containing key measures.

Main Outcome Measures: self-reported healthy eating, physical activity, self-monitoring of blood glucose frequency, HbA_1c, medication/insulin adherence.

Results: We used Preacher and Hayes’ bootstrapping method, controlling for age, gender and diabetes duration, to test mediation of DSE and GSE on the relationship of QoC with each self-management variable. We found statistically significant but trivial mediation effects of DSE and of GSE on most, but not all, variables (all effect sizes < .06).

Conclusion: Support for mediation was weak, suggesting that relationships amongst these variables are small and that future research might explore other aspects of self-management in diabetes.     

Can intergroup behaviors be emitted out of self-determined reasons? Testing the role of group norms and behavioral congruence in the internalization of discrimination and parity behaviors

Bringing self-determination theory to understand why intergroup behaviors are emitted, two studies were conducted to investigate how group norms and individuals' congruence with these norms predicted self-determination to pursue two types of intergroup behaviors (parity and discrimination). Experiment 1 (N = 97) manipulated ingroup norms in favor of parity versus of discrimination and assessed the behavior participants displayed (congruent or incongruent with the norm) and their motivations for emitting this behavior. The manipulated norms significantly influenced group members' behaviors. When the ingroup norm was parity, participants whose behavior was congruent with this norm reported more self-determination to emit this behavior. When the ingroup norm was prodiscrimination, participants whose behavior was congruent with this norm were less self-determined. Experiment 2 (N = 139) replicated and extended these findings in a more conflictual intergroup setting. Results are discussed in light of motivational and intergroup theories.     

What Can be Done with an Egg? Creativity,Material Objects,and the Theory of Affordances

This article offers a reflection on the role of material objects in the creative process and explores the potential links between creativity and the theory of affordances (Gibson, 1986 ), conceptualized from a sociocultural perspective. From this standpoint, creativity can be defined as a process of perceiving, exploiting, and “generating” novel affordances during socially and materially situated activities. Illustrations are offered for each of the above from a research project investigating traditional Easter egg decoration activities in rural Romania. This brief case study exemplifies the discovery of existing action potentials, the generation of objects with novel affordances, and the transgression of conventional procedures, all resulting in creative forms of expression. In the end, some conclusions are drawn regarding the ways in which an affordance theory of creativity can enrich our understanding of the phenomenon and contribute to the development of a new program of research concerned with situated and distributed creative acts.     

‘I feel better when…’: An analysis of the memory-experience gap for peoples’ estimates of the relationship between health behaviours and experiences

Objective: People often overestimate how strongly behaviours and experiences are related. This memory-experience gap might have important implications for health care settings, which often require people to estimate associations, such as “my mood is better when I exercise”. This study examines how subjective correlation estimates between health behaviours and experiences relate to calculated correlations from online reports and whether subjective estimates are associated with engagement in actual health behaviour.

Design: Seven-month online study on physical activity, sleep, affect and stress, with 61 online assessments.

Main Outcome Measures: University students (N = 168) retrospectively estimated correlations between physical activity, sleep, positive affect and stress over the seven-month study period.

Results: Correlations between experiences and behaviours (online data) were small (r = ?.12–.14), estimated correlations moderate (r = ?.35–.24). Correspondence between calculated and estimated correlations was low. Importantly, estimated correlations of physical activity with stress, positive affect and sleep were associated with actual engagement in physical activity.

Conclusion: Estimation accuracy of relations between health behaviours and experiences is low. However, association estimates could be an important predictor of actual health behaviours. This study identifies and quantifies estimation inaccuracies in health behaviours and points towards potential systematic biases in health settings, which might seriously impair intervention efficacy.