When values matter: Expressing values in behavioral intentions for the near vs. distant future

It was predicted that because of their abstract nature, values will have greater impact on how individuals plan their distant future than their near future. Experiments 1 and 2 found that values better predict behavioral intentions for distant future situations than near future situations. Experiment 3 found that whereas high-level values predict behavioral intentions for more distant future situations, low-level feasibility considerations predict behavioral intentions for more proximate situation. Finally, Experiment 4 found that the temporal changes in the relationship between values and behavioral intentions depended on how the behavior was construed. Higher correspondence is found when behaviors are construed on a higher level and when behavior is planned for the more distant future than when the same behavior is construed on a lower level or is planned for the more proximal future. The implications of these findings for self-consistency and value conflicts are discussed.     

Positive and negative behavioural intentions towards refugees in Turkey: The roles of national identification,threat, and humanitarian concern

The present research investigated positive and negative behavioural intentions towards Syrian refugees in Turkey. The behavioural intentions were examined in relation to national identification, perception of threat, and humanitarian concerns. A questionnaire was conducted among Turkish participants (n = 605) and the results showed that respondents made a distinction between negative and positive behavioural intentions towards Syrian refugees. Further, higher national identification was associated with more negative and less positive behavioural intentions, and perception of threat was responsible for these associations. In addition, humanitarian concern was associated with more positive behavioural intentions and less negative ones. Additionally, stronger humanitarian concern weakened the association between threat perceptions and negative behavioural intentions but also strengthened the association between higher threat and lower positive behavioural intentions.     

Increasing Women's Calcium Intake: The Role of Health Beliefs,Intentions, and Health Value1

Undergraduate women who varied in how much they valued health were exposed to written communications persuading them of their vulnerability to osteoporosis and of the effectiveness of a recommended action in preventing this disease. Vulnerability had a significant main effect on intentions and subsequent behavior. This effect was obtained regardless of how much the subjects valued their health or whether the coping response was effective. Intentions to perform the recommended behaviors proved to be the best predictors of self-reported and actual behavior change, in support of the Ajzen-Fishbein (1980) model. Intentions, in turn, were predicted from recipients' beliefs regarding their ability to perform the behavior, their vulnerability to the health threat, and the effectiveness of the recommended threat-reducing response. Implications of these findings for health promotion campaigns are discussed.     

A Meta-Analysis of Research on Protection Motivation Theory

This article reports the first meta-analysis of the literature on protection motivation theory (Rogers, 1975, 1983; Rogers & Prentice-Dunn, 1997), a model of disease prevention and health promotion that has generated research for over two decades. The literature review included 65 relevant studies ( N = approximately 30,000) that represented over 20 health issues. The mean overall effect size ( d += 0.52) was of moderate magnitude. In general, increases in threat severity, threat vulnerability, response efficacy, and self-efficacy facilitated adaptive intentions or behaviors. Conversely, decreases in maladaptive response rewards and adaptive response costs increased adaptive intentions or behaviors. This held true whether the measures were based on intentions or behaviors, and suggests that PMT components may be useful for individual and community interventions.     

Protection Motivation Theory and Skin Cancer Risk: The Role of Individual Differences in Responses to Persuasive Appeals

Undergraduates who sunbathed were assessed on personality variables and then randomly assigned to read one of 4 essays (with photos) that manipulated threat and coping appraisal information about sunbathing, skin damage, and skin cancer symptoms and prevention. High threat-appraisal information was by far the most powerful predictor of intentions to take precautionary measures against skin cancer. Coping appraisal information was associated with reduced perceptions of hopelessness concerning skin cancer risk. Individual-difference variables (i.e., appearance concern, need for cognition, health locus of control) predicted maladaptive coping modes and, to a lesser extent, adaptive behavioral intentions. Results suggest that tailoring persuasive appeals to individuals may modestly improve preventive efforts, and that invoking perceived threat effectively motivates most people.     

The characteristics of a potential goal threat predict attention and information-seeking in middle-aged and older adults

The present experiment examined to what extent features of a potential goal threat and personal characteristics affect attention and information-seeking in 124 adults aged 50–70. We manipulated two characteristics of a potential decline in future health: the amount of control people have over preventing the threat (no-control versus control) and the amount of time left before the threat will occur (short-term versus long-term). As expected, a shorter period of time left resulted in more attention being paid to threat signals and also in more information being sought. Control did not influence attention, but did have an effect on information-seeking behavior. More control resulted in more time that was taken to seek information about the potential health threat and possible ways to prevent it. Aging anxiety was a predictor of attention, and age and education predictors of information-seeking. None of the other personal factors were found to be relevant.     

Predicting short and long-term exercise intentions and behaviour in patients with coronary artery disease: A test of protection motivation theory

The purpose of this study was to examine the utility of protection motivation theory (PMT) in the prediction of exercise intentions and behaviour in the year following hospitalisation for coronary artery disease (CAD). Patients with documented CAD (n?=?787), recruited at hospital discharge, completed questionnaires measuring PMT's threat (i.e. perceived severity and vulnerability) and coping (i.e. self-efficacy, response efficacy) appraisal constructs at baseline, 2 and 6 months, and exercise behaviour at baseline, 6 and 12 months post-hospitalisation. Structural equation modelling showed that the PMT model of exercise at 6 months had a good fit with the empirical data. Self-efficacy, response efficacy, and perceived severity predicted exercise intentions, which, in turn predicted exercise behaviour. Overall, the PMT variables accounted for a moderate amount of variance in exercise intentions (23%) and behaviour (20%). In contrast, the PMT model was not reliable for predicting exercise behaviour at 12 months post-hospitalisation. The data provided support for PMT applied to short-term, but not long-term, exercise behaviour among patients with CAD. Health education should concentrate on providing positive coping messages to enhance patients’ confidence regarding exercise and their belief that exercise provides health benefits, as well as realistic information about disease severity.     

Coping with health threat: social influence processes in reactions to medical test results

In a laboratory experiment, undergraduate subjects tested positive for an enzyme deficiency they believed to be a risk factor for pancreatic disorders. All Ss were tested with a confederate who received a positive or negative test result. For half the Ss, the confederate expressed a minimizing appraisal of the deficiency's seriousness. Although Ss' concern about the test result was significantly reduced by what the confederate said, behavioral intentions were determined by the confederate's diagnostic status. The effect of the confederate's diagnostic status on intentions was mediated by Ss' perceptions of the deficiency's prevalence. The results support Leventhal's self-regulation theory and demonstrate that the opinions and health characteristics of comparison others have differential effects on cognitive, emotional, and behavioral aspects of coping with a health threat.     

Ambivalence, communication and past use: understanding what influences women's intentions to use contraceptives

Unintended pregnancy among women in the 18-30 age group is a public health concern. The Extended Parallel Process Model (EPPM) provides a framework for exploring how women's perceptions of threat, efficacy, and fear influence intentions to use contraceptives. Past use and communication with best friends and partners were also considered. A telephone survey of 18-30-year-old women (N = 599) was completed. After univariate and bivariate analyses were conducted, the variables were entered into a hierarchal, multi-variate linear regression with three steps consistent with the EPPM to predict behavioral intention. The first step included the demographic variables of relationship status and income. The constructs for the EPPM were entered into step 2. Step 3 contained the fear measure. The model for the third step was significant, F(10,471) = 36.40, p < 0.001 and the variance explained by this complete model was 0.42. Results suggest that perceived severity of the consequences of an unintended pregnancy (p < 0.01), communication with friends (p < 0.01) and last sexual partner (p < 0.05), relationship status (p < 0.01), and past use (p < 0.001) were associated with women's intentions to use contraceptives. A woman's perception of the severity was related to her intention to use contraceptives. Half of the women (50.3%) reported ambivalence about the severity of an unintended pregnancy. In our study, talking with their last sexual partner had a positive effect on intentions to use contraceptives, while talking with friends influenced intentions in a negative direction. These results reconfirm the need for public health practitioners and health care providers to consider level of ambivalence toward unintended pregnancy, communication with partner, and relationship status when trying to improve women's contraceptive behaviors. Implications for effective communication interventions are discussed.     

Effects of components of protection-motivation theory on adaptive and maladaptive coping with a health threat

How do people cope with a threat when they do not plan to adopt an adaptive, protective response? We explored this question by examining the effects of information about a health threat and two aspects of coping ability, self-efficacy and response efficacy, on two adaptive and five maladaptive coping strategies (e.g., avoidance, wishful thinking). The results disclosed that the high-threat condition energized all forms of coping; it did not differentially cue specific coping strategies. The critical factor in determining the specific strategies used was the coping information. The high-response-efficacy and high-self-efficacy conditions strengthened adaptive coping and did not foster any maladaptive coping. A supplementary path analysis revealed an intriguing pattern of relations, including the finding that the most maladaptive strategy was avoidant thinking, which simultaneously reduced fear of the threat and weakened intentions to adopt the adaptive response.     

The solace of radicalism: Self-uncertainty and group identification in the face of threat

From uncertainty–identity theory, it was hypothesized that where people feel their self-relevant values and practices are under threat, self-uncertainty strengthens identification with “radical” groups, and either has no effect on or weakens identification with “moderate” groups. Since this hypothesis was tested on Australian students, who prefer to identify with moderate groups, the context-specific expectation was for that preference to disappear under uncertainty. This prediction was confirmed by a laboratory experiment in which self-uncertainty and group radicalism were manipulated in a 2 × 2 design (N = 82); the preference to identify with a moderate over a radical group disappeared under uncertainty because uncertainty strengthened identification with the radical group. This effect was directly mirrored in people's intentions to engage in specific group behaviors, and behavioral intentions were mediated by identification. The research is framed by a discussion of the relationship between uncertainty and social extremism, and implications for future research are noted.     

Creeping dispositionism: the temporal dynamics of behavior prediction

Four studies tested the hypothesis that temporal distance increases the weight of global dispositions in predicting and explaining future behavior. Study 1 found that the correspondence bias was manifested more strongly in predictions of distant future behavior than of near future behavior. Study 2 found that participants predicted higher cross-situational consistency in distant future behavior than in near future behavior. Study 3 found that participants sought information about others' more global dispositions for predicting distant future than near future behavior. Finally, Study 4 found that participants made more global causal attributions for distant future outcomes than for near future outcomes. The results were interpreted as supporting the assumption of construal level theory that perceivers use more abstract representations (higher level construals) to predict and explain more distant future behaviors.     

Relative Persuasiveness of Gain‐ Versus Loss‐Framed Human Papillomavirus Vaccination Messages for the Present‐ and Future‐Minded

This research examines how young adults' attitudes toward human papillomavirus (HPV) vaccination and their intentions to get the vaccine are influenced by the framing of health messages (gain vs. loss) and time orientation (i.e., the extent to which people value immediate vs. distant consequences of their decisions). Results of an experiment showed an overall persuasive advantage for loss‐framed messages. Attitudes and behavioral intentions toward HPV vaccination were found to be more favorable among future‐minded individuals. Moreover, an interaction between framing and time orientation was found to predict persuasive outcomes. Present‐minded participants responded more favorably to the loss‐framed message, whereas future‐minded participants were equally persuaded by both frames. Implications of the findings for vaccine risk communication are discussed.     

Predicting the near and distant future

Four studies investigated individuals' confidence in predicting near future and distant future outcomes. Study 1 found that participants were more confident in theory-based predictions of psychological experiments when these experiments were expected to take place in the more distant future. Studies 2-4 examined participants' confidence in predicting their performance on near and distant future tests. These studies found that in predicting their more distant future performance, participants disregarded the format of the questions (e.g., multiple choice vs. open ended) and relied, instead, on their perceived general knowledge (e.g., history knowledge). Together, the present studies demonstrate that predictions of the more distant future are based on relatively abstract information. Individuals feel more confident in predicting the distant future than the near future when the predictions concern outcomes that are implied by relatively abstract information.     

Using message framing to promote acceptance of the human papillomavirus vaccine.

OBJECTIVE: Use of message framing for encouraging vaccination, an increasingly common preventive health behavior, has received little empirical investigation. The authors examined the relative effectiveness of gain-versus loss-framed messages in promoting acceptance of a vaccine against human papillomavirus (HPV)-a virus responsible for virtually all cases of cervical cancer. DESIGN: Undergraduate women (N = 121) were randomly assigned to read a booklet describing the benefits of receiving (gain-framed message) or the costs of not receiving (loss-framed message) a prophylactic HPV vaccine. After reading the booklet, participants indicated their intent to obtain the HPV vaccine. MAIN OUTCOME MEASURE: A 5-item composite representing intentions to obtain the HPV vaccine. RESULTS: The effect of message framing on HPV vaccine acceptance was moderated by risky sexual behavior and approach avoidance motivation. A loss-framed message led to greater HPV vaccination intentions than a gain framed message but only among participants who had multiple sexual partners and participants who infrequently used condoms. The loss-frame advantage was also observed among participants high in avoidance motivation. CONCLUSION: Findings highlight characteristics of the message recipient that may affect the success of framed messages promoting vaccine acceptance. This study has practical implications for the development of health communications promoting vaccination.     

Predictors of Intention to Take Precautions Against AIDS Among Black College Students1

This research explored the relationship between behavioral intentions to engage in AIDS-risky sexual practices and a variety of variables that are theoretically and/or popularly assumed to be important factors in AIDS prevention. These variables included beliefs and knowledge about AIDS, fear of AIDS, perceived vulnerability of self and others, as well as probability that self and others on one's campus would contract AIDS, perceived efficacy to control exposure to AIDS, self-esteem, general locus of control, and past behavioral reaction to the threat of AIDS. General intention to “do something to protect oneself against AIDS,” and specific behavioral intention to use condoms in vaginal sex were measured and considered as possible proxies for future behavior. Data were collected from 124 black respondents in a southeastern university. In a series of multiple regression analyses, each of these measures of behavioral intentions was “predicted” from the other variables. Results showed that situational efficacy (to protect oneself from AIDS) was the best predictor of general intention, followed by reports of past behavioral changes as a result of the AIDS epidemic, and by knowledge. Proximal fear of AIDS was a negative predictor. For specific intentions, a specific belief about inconvenience in condom use was the best predictor, followed by past behavioral change, followed by knowledge. Normative beliefs, a belief that condoms would prevent disease, and distant threat of AIDS were also significant predictors. Theoretical and policy implications of the findings are discussed.     

The role of risk perception and efficacy cognitions in the prediction of HIV-related preventive behavior and condom use

The salience of the Protection Motivation Theory to HIV preventive behavior was investigated in a sample of 468 heterosexual men 20-45 years of age recruited in Germany and at vacation spots in Spain. This theory conceptualizes self-protective behaviors as a function of the severity of the threat, perceived personal vulnerability to this threat, the availability of coping responses, and the effectiveness of these responses. Cognitive variables measured included perceived severity of the threat of AIDS, sexual self-efficacy expectancy, self-efficacy expectations in terms of sexual communication skills, response efficacy, and attitude toward condom use. On a scale of 1 (low) to 6 (high), perceived severity of the AIDS threat averaged 5.3, individual susceptibility ratings averaged 3.5, and susceptibility of peers had a mean of 4.9. Although 33% of respondents had made behavioral changes in response to the AIDS epidemic, only 15% always used condoms while 12% used them occasionally. Self-efficacy expectancy with regard to assertiveness and use of preventive measures emerged as the most significant predictor of HIV-related behaviors. The causal analyses indicated that high communicative self-efficacy expectancy is associated with high-risk sexual behaviors, while self-efficacy expectancy regarding assertiveness and the use of preventive measures promotes risk reduction. These associations were strongest in men over 26 years of age, singles, and tourists. These findings suggest a need for interventions for couples such as assertiveness training and guidance on communicating about sex and AIDS. Also demonstrated was the need for AIDS education programs to identify where participants are in terms of perceiving the threat of and coping with the AIDS epidemic and promote conditions that will help people advance to the next stage.     

The Krantz Health Opinion Survey: correlations with preventive health behaviors and intentions

The Krantz Health Opinion Survey, a measure of treatment preferences, was administered to 124 college women who also completed the Multidimensional Health Locus of Control Scale and rated their own preventive health behaviors and intentions. Analysis confirmed previous findings of relations between the two scales, particularly the moderate negative correlation between the Krantz Behavioral Involvement Scale and Powerful Others Locus of Control. The Krantz scores also were correlated with demographic measures such as education and occupation of the head of the household. With the exception of low correlations with frequency of obtaining Pap tests and with intentions to engage in exercise, the Krantz scores were uncorrelated with preventive health behaviors and intentions. It may be that another variable such as health value moderates these associations.     

Health Behavior Theories and Research: Implications for Suicidal Individuals’ Treatment Linkage and Adherence

Treatment linkage and adherence to psychotherapeutic interventions can be challenging with suicidal individuals. Health behavior theories, specifically the Health Belief Model, Stages of Change, and Theory of Planned Behavior, focus on individuals' beliefs, their readiness to change, their perceptions of illness severity and "threat," their perceptions of significant others' attitudes toward illness and treatment, and their behavioral intentions to change. These constructs have relevance both for understanding suicidal individuals' behaviors related to treatment utilization and for understanding cultural variations in these behaviors. Furthermore, these theories have implications for clinical practices aimed at facilitating improved treatment follow-through and adherence. After describing the theories and their constructs, clinical examples are provided to illustrate applications to practice with suicidal individuals.