Revisiting self-regulatory techniques to promote physical activity in older adults: null-findings from a randomised controlled trial

Objective. A randomised controlled trial (RCT) was conducted to evaluate a three-hour face-to-face physical activity (PA) intervention in community-dwelling older German adults with four groups: The intervention group (IG) received behaviour change techniques (BCTs) based on the health action process approach plus a views-on-ageing component to increase PA. The second intervention group ‘planning’ (IGpl) contained the same BCTs, only substituted the views-on-ageing component against an additional planning task. An active control group received the same BCTs, however, targeting volunteering instead of PA. A passive control group (PCG) received no intervention.

Design. The RCT comprised 5 time-points over 14 months in N = 310 participants aged 64+.

Main outcome measures. Self-reported as well as accelerometer-assessed PA.

Results. Neither PA measure increased in the IG as compared to the other groups at any point in time. Bayes analyses supported these null-effects.

Conclusion. A possible explanation for this null-finding in line with a recent meta-analysis is that some self-regulatory BCTs may be ineffective or even negatively associated with PA in interventions for older adults as they are assumed to be less acceptable for older adults. This interpretation was supported by observed reluctance to participate in self-regulatory BCTs in the current study.     

Motivational interviewing and self-determination theory in a web-based computer tailored physical activity intervention: A randomized controlled trial

Objective: This study explores whether a web-based physical activity (PA) intervention grounded in self-determination theory (SDT) and motivational interviewing (MI) is more effective and better appreciated than a traditional web-based PA intervention.

Design: A randomized controlled trial was conducted, comparing (1) I Move; a web-based PA intervention based on SDT and MI, (2) Active Plus; a traditional web-based PA intervention and (3) a waiting list control condition.

Main outcome measures: Weekly minutes of moderate to vigorous PA and weekly days with ≥30 min PA were measured through self-report at baseline and at 3 and 6 months from baseline.

Results: I Move achieved a small, but significant increase in weekly minutes of moderate to vigorous PA, while Active Plus did not have a significant impact on this outcome. Both interventions were effective in increasing weekly days with ≥30 min PA, whereas Active Plus yielded a greater effect on this outcome.

Conclusion: Overall, the web-based PA intervention grounded in SDT and MI did not outperform the traditional web-based PA intervention. Further research should reveal whether this type of intervention is profitable for long-term maintenance of PA levels.     

Book reviews and books received

Helping interventions John Heron: Helping the Client: a Creative Practical Guide. London: Sage, 1990. £9.95.

A person-centred perspective on school counselling John McGuiness: A Whole School Approach to Pastoral Care. London: Kogan Page, 1989. £8.95.

How to relate effectively Richard Nelson-Jones: Human Relationship Skills (2nd edition). London: Cassell, 1990. £11.95.

Ripe for research? Dave Mearns and Windy Dryden: Experiences of Counselling in Action. London: Sage, 1989. £9.95.

Issues in action Windy Dryden (ed.): Key Issues for Counselling in Action. London: Sage, 1989. £7.95.

The meaning of death Rosemary Dinnage: The Ruffian on the Stair: Reflections on Death. London: Viking, 1990. £14.99.

The empty cradle Irving G. Leon: When a Baby Dies: Psychotherapy for Pregnancy and Newborn Loss. London: Yale University Press, 1990. £20.

Children against themselves Israel Orbach: Children Who Don't Want to Live: Understanding and Treating the Suicidal Child. San Francisco: Jossey-Bass, 1988. £17.95.     

Can self-affirmation exacerbate adverse reactions to stress under certain conditions?

Objective: Self-affirmation has repeatedly been shown to reduce adverse psychological and physiological responses to stress. However, it is plausible that self-affirmation could exacerbate negative reactions to stress under certain conditions. The current research explored whether self-affirmation would increase negative psychological responses to a stressor occurring in a central life domain characterised by low levels of control.

Design: Female participants (Study 1 N = 132; Study 2 N = 141) completed baseline measures of anxiety and mood. They were then randomly allocated to complete a self-affirmation or control task, before reading a narrative documenting a stressful birth and imagining themselves in the place of the woman giving birth. After completing this task, participants again reported their levels of anxiety and positive mood.

Main outcome measures: Anxiety and positive mood assessed at follow-up.

Results: Study 1 demonstrated that self-affirmed women experienced increased anxiety and less positive mood at follow-up, compared both to baseline and to women in the control condition. Study 2 revealed that the effect of self-affirmation on outcomes was moderated by fear of childbirth.

Conclusion: These results provide preliminary evidence that self-affirmation may worsen negative responses to stressors under certain conditions and for certain individuals.     

The effect of perceived control on self-reported cardiovascular disease incidence across adulthood and old age

Objective: To examine whether rates of change in perceived control are predictive of cardiovascular disease (CVD) incidence across adulthood and old age.

Design: We used the PATH Through Life Project (n = 7103, M = 40, SD = 16; 52% women), a longitudinal panel survey that encompasses three cohorts at Time 1, ages 20–24, 40–44 and 60–64, who have been assessed three times at four-year intervals.

Method: We examined whether rates of change in perceived control were associated with CVD incidence over 8 years of time, over and above that of baseline levels of perceived control and known risk factors for CVD.

Main Outcome Measures: Self-reported CVD incidence.

Results: Increases in perceived control over time were associated with decreased likelihood of 8-year incidence of CVD and these effects were independent of socio-demographics, covariates and baseline levels of perceived control. The effects were consistent across young adulthood, midlife and old age and for men and women.

Conclusions: Findings demonstrate the importance of changes in perceived control as a predictor of CVD incidence across adulthood and old age. We suggest future research using mediation analysis to test reverse causality and mechanisms underlying the effects of perceived control on CVD incidence.     

Book reviews

So you thought you had sorted out a Code of Ethics? Gavin Fairbairn and Susan Fairbaim: Ethical Issues in Caring. Aldershot: Avebury, 1988. £22.50.

The myth of positivism Celia Kitzinger: The Social Construction of Lesbianism. London: Sage, 1987. £8.95.

A family approach to art psychotherapy H. B. Landgarten: Family Art Psychotherapy: a Clinical Guide and Casebook. New York: Brunner/Mazel, 1987. $27.50.

Simple psychodynamics Michael Jacobs: Psychodynamic Counselling in Action. London: Sage, 1988.

Optimistic assumptions T. Haberle: Counselling and Curing. London: SPCK, 1987. £3.50.     

Book notes

Apocalyptic Bodies: The Biblical End of the World in Text and Image Tina Pippin, 1999 London, New York: Routledge 160 pp., £14.99 ISBN 0–415–18248–4

The Picture in Question: Mark Tansey and the Ends of Representation Marc C. Taylor, 1999 Chicago, London: University of Chicago Press 144 pp., US$30.00, £23.95 (hb), US$12.00, £9.50 (pb) ISBN 0–226–79128–9 (hb), ISBN 0–226–79129–7

Religion in the Twenty‐first Century Mary Pat Fisher, 1999 London: Routledge 128 pp., £6.99 (pb) ISBN 0–415–21166–2

Religion im Wandel der Kosmologien Religionswissenschaft Vol. 10 Dieter Zeixer, ed., 1999 Frankfurt a.M., Berlin, Berne, New York, Paris, Vienna: Peter Lang 305 pp., £33.00 (pb) ISBN 3–631–33138‐X

Pluralism and the Religions: The Theological and Political Dimensions John D'Arcy May, ed., 1998 London: Cassell 99 pp., £30 (hb), £9.99 (pb) ISBN 0–304–70258–7 (hb), ISBN 0–304–70259–5 (pb)

Sharing Shalom: A Process for Local Interfaith Dialogue between Christians and Jews Philip A. Cunningham & Arthur F. Starr, eds., 1998 New York; Mahwah, NJ: Paulist Press/Stimulus Books 120 pp., US$7.95 (pb) ISBN 0–8091–3835–2

What Price Prejudice? Christian Antisemitism in America Frank E. Eakin, Jr., 1998 New York; Mahwah, NJ: Paulist Press/Stimulus Books 208 pp., US$9.95 (pb) ISBN 0–8091–3822–0

Christian Theology: A Brief Introduction Gareth Jones, 1999 Oxford: Polity Press 178 pp., £45.00 (hb), £14.99 (pb) ISBN 0–7456–1062–5 (hb), ISBN 0–7456–1063–3 (pb)

Holy Smoke. Religion and Roots: A Personal Memoir LiBBY PURVES, 1998 London: Hodder & Stoughton 199 pp., £14.99 (pb) ISBN 0–340–72151–0

Animal Gospel: Christian Faith as though Animals Mattered Andrew Linzey, 1998 London: Hodder & Stoughton 212 pp., £6.99 (pb) ISBN 0–340–62150–8

Vocations in Kerala: A Study on the Changes in the Social Determinants of Vocations to Priesthood and Religious Life in the Catholic Community in Kerala Jose Kuriedath, 1998 Thevara, Kochi, India: Sacred Heart College 144 pp., Rs 50/‐ no ISBN indicated

Jim Bakker: Miscarriage of Justice? James A. Albert, 1997 Chicago; La Salle, Illinois: Open Court Publishing 532 pp., £31.95 (hb), £14.50 (pb) ISBN 0–8126–9369–8 (hb), ISBN 0–8126–9370–1 (pb)

Buddhism and the Mythology of Evil: A Study in Theravada Buddhism Trevor Ling, 1997 Oxford: Oneworld Publications 179 pp., £11.99 (pb) ISBN 1–85168–132–9

Jung on Mythology Robert A. Segal, ed., 1998 London: Routledge 275 pp., £15.99 (pb) ISBN 0–415–19944–1

Islam: A Concise Introduction Neal Robinson, 1999 Richmond, Surrey: Curzon 197 pp., £40.00 (hb), £14.99 (pb) ISBN 0–7007–1103–1 (hb), ISBN 0–7007–1100–7 (pb)

Der Koran: Zugänge und Lesarten Hans Zirker, 1999 Darmstadt: Primus Verlag 230 pp., DM 39.80, SFR 37.00, 6S 291.00 (pb) ISBN 3–89678–121–9

On Faith Nathan Rotenstreich/Paul Mendes‐Flohr, 1998 Chicago, London: University of Chicago Press xii +169 pp., £27.95, US$35.00 (hb), £11.95, US$15.00 (pb) ISBN 0–226–72875–7 (hb), ISBN 0–226–72876–5 (pb)

Hegel's Idea of a Phenomenology of Spirit Michael N. Forster, 1998 Chicago: University of Chicago Press 661 pp., £59.95, US$75 (hb), £23.95, US$30.00 (pb) ISBN 0–226–25740–1 (hb), ISBN 0–226–25742–8 (pb)

Cartesian Questions: Method and Metaphysics Jean‐Luc Marion, 1999 Chicago, London: University of Chicago Press 215 pp., US$25.00, £19.95 (pb) ISBN 0–226–50544–8     

A cluster randomised controlled trial of an intervention based on the Health Action Process Approach for increasing fruit and vegetable consumption in Iranian adolescents

Objective: To evaluate an intervention programme based on the Health Action Process Approach and designed to increase the intake of fruit and vegetables (F&V) among Iranian adolescents aged 13 to 18.

Design: A randomised controlled trial with three arms examined the short- (1 month) and long-term (6 months) effects of the intervention. There were two intervention groups (one included adolescents only [A group; n = 510]; the second included mothers and adolescents [M + A group; n = 462]) and a control group (n = 483). All participants were recruited from schools.

Main outcome measures: Social cognitions, self-regulatory processes and F&V intake.

Results: The intervention led to an increase in F&V intake for adolescents in the short and long terms. Adolescents in the M + A group increased their F& V intake more than adolescents in the A group. Outcome expectancies, self-monitoring, intentions, action and coping planning, perceived social support and behavioural automaticity mediated the effect of the intervention on F&V intake.

Conclusion: The theory-based intervention led to an increase in F&V intake and promoted more positive social cognitions and self-regulatory processes among Iranian adolescents. The findings also provide evidence that involving mothers in an intervention can confer additional benefit.     

Book reviews and books received

Counselling and spirituality Lyall, D. 1995 Counselling in the Pastoral and Spiritual Context Buckingham, Open University Press ISBN 0-335-19162-2 £10.99

Career counselling Seligman, L. 1994 Developmental Career Counseling and Assessment (2nd ed.) London, Sage ISBN 0-8039-5804-8 £19.95

Women's careers Walsh, W.B. &; Osipow, S.H. (Eds), 1994 Career Counseling for Women Hove, Erlbaum ISBN 0-8058-1035-8 £53.50

Crisis? what crisis? Dattilio, F.M. &; Freeman, A. (Eds), 1994 Cognitive-Behavioral Strategies in Crisis Intervention New York, Guilford ISBN 0-89862-221-2 £25.00

Guidance on research methods McLeod, J. 1994 Doing Counselling Research London, Sage ISBN 0 8039 7804 9 £10.95

Barker, C. Pistrang, N. &; Elliott, R. 1994 Research Methods in Clinical and Counselling Psychology Chichester, Wiley ISBN 0-471-93612-X £29.95

Research into creative therapies Gilroy, T. &; Lee, C. (Eds), 1995 Art and Music Therapy and Research London, Routledge ISBN 0-415-10045-3 £37.50 (hardback); £15.99 (paperback)

Treating stress Palmer, S. &; Dryden, W. 1995 Counselling for Stress Problems London, Sage ISBN 0-8039-8863-X £12.95

Breast cancer Batt, S. 1994 Patient No More: the Politics of Breast Cancer London, Scarlet Press ISBN 1-85727-167-3 £10.99

Supervision Feltham, C. &; Dryden, W. 1994 Developing Counsellor Supervision London, Sage ISBN 0-8039-8939-3 £9.95     

Frightfully funny: combining threat and humour in health messages for men and women

Objective: It is imperative for public health to investigate what factors may reduce defensive responses and increase the effectiveness of health information. The present research investigated gender differences in responses to threatening health-promoting information communicated with humour.

Design: Male and female participants were exposed to a health message stressing the negative consequences of binge drinking (Experiment 1; N = 209) or caffeine consumption (Experiment 2; N = 242), that did or did not contain a funny visual metaphor (Experiment 1) or a slapstick cartoon (Experiment 2).

Main Outcome Measures: Message evaluation, message attention, and attitudes and intentions towards the behaviour were measured.

Results: Results showed that health messages were more persuasive when communicated with humour, although humour played a different role for men and women. Whereas men responded more in line with message goals when the message combined high threat with humour, women preferred the low threat humour messages.

Conclusion: By uncovering the moderating role of gender as a key audience characteristic, this research contributes to designing effective future health campaigns and provides important insights for future studies investigating the underlying mechanisms responsible for the different effects of threat and humour appeals for men and women.     

Subjective age and sleep in middle-aged and older adults

Objective: Chronological age is commonly used to explain change in sleep. The present study examines whether subjective age is associated with change in sleep difficulties across middle adulthood and old age.

Design: Participants were drawn from the second (2004–2005) and third (2013–2014) waves of the Midlife in the United States Survey (MIDUS, N = 2350; Mean Age: 55.54 years), the 2008 and 2014 waves of the Health and Retirement Study (HRS, N = 4066; Mean Age: 67.59 years) and the first (2011) and fourth (2014) waves of the National Health and Aging Trends Survey (NHATS, N = 3541; Mean Age: 76.46). In each sample, subjective age, sleep difficulties, depressive symptoms, anxiety and chronic conditions were assessed at baseline. Sleep difficulties was assessed again at follow-up.

Main outcome measures: Sleep difficulties.

Results: An older subjective age at baseline was related to an increase in sleep difficulties over time in the three samples, and was mediated, in part, through more depressive symptoms, anxiety and chronic conditions. Feeling older was associated with an increased likelihood of major sleeping difficulties at follow-up in the three samples.

Conclusion: Subjective age is a salient marker of individuals’ at risk for poor sleep quality, beyond chronological age.     

The role of fear in predicting sexually transmitted infection screening

Objective: This study assessed the extent to which social-cognitive factors (attitude, subjective norm and perceived control) and the fear of a positive test result predict sexually transmitted infection (STI) screening intentions and subsequent behaviour.

Design: Study 1 (N = 85) used a longitudinal design to assess the factors that predict STI screening intention and future screening behaviour measured one month later at Time 2. Study 2 (N = 102) used an experimental design to determine whether the relationship between fear and screening varied depending on whether STI or HIV screening was being assessed both before and after controlling for social-cognitive factors.

Main Outcome Measures: Across the studies the outcome measures were sexual health screening.

Results: In both studies, the fear of having an STI positively predicted STI screening intention. In Study 1, fear, but not the social-cognitive factors, also predicted subsequent STI screening behaviour. In Study 2, the fear of having HIV did not predict HIV screening intention, but attitude negatively and response efficacy positively predicted screening intention.

Conclusion: This study highlights the importance of considering the nature of the health condition when assessing the role of fear on health promotion.     

Predicting sun-protective intentions and behaviours using the theory of planned behaviour: a systematic review and meta-analysis

Objective: To synthesise theory of planned behaviour (TPB) relationships, using meta-analysis, and test the predictive utility of the model for sun protection behaviour.

Design: Thirty-eight samples were identified via database/manual searches and academic society posts based on the criteria: measuring sun-protective intentions and/or prospective behaviour; using the TPB/theory of reasoned action as a basis of measurement; and providing bivariate correlations for at least one relevant TPB association.

Main outcome measures: Sun-protective intentions and behaviours.

Results: The sample-weighted average effects were moderate-to-strong with attitudes showing the strongest association with intention (r+ = 0.494), followed by perceived behavioural control (PBC; r+ = 0.451), and subjective norm (r+ = 0.419). Intentions showed a stronger association with prospective behaviour (r+ = 0.486) compared to PBC (r+ = 0.314). A total of 39% of variance in intentions and 25% of variance in behaviour were explained. Publication bias was not evident. Moderator analyses showed that TPB associations were stronger when measures specified the Target, Action, Context and Time; in non-student samples; and when follow-up exceeded two weeks.

Conclusion: Despite recent criticism, this review shows that the TPB explains a large amount of variance in sun protection and that TPB associations are robust across different populations.     

Book notes

Mana: Revue de Sociologie et d'Anthropologie Caen: Department of Sociology, University of Caen, Esplanade de la Paix, 1400 Caen, France. 242 pp, 81 FF (in France, inch postage)

Desh Pardesh: The South Asian Presence in Britain Roger Ballard, ed., 1994 London: Hurst & Co. 296 pp., £9.95 (pb) ISBN 1–85065–092–6

Religions et sécurité international Jean‐François Mayer, 1995 Bern: Office Central de la Défense Series: Études relatives à la politique de sécurité, No. 2/1995 143 pp.

Essential Teachings His Holiness the Dalai Lama London: Souvenir Press, 1995 152 pp., £9.99 (hb) ISBN 0–285–63273–6

Voices of Islam John Bowker, 1995 Oxford: Oneworld Publications 188 pp., £8.95 ISBN 1–85168–095–0

A Short History of the Bahá'i Faith Peter Smith, 1996 Oxford: Oneworld Publications 168 pp., £5.95 (pb) ISBN 1–85168–070–5

A Short History of Islam William Montgomery Watt, 1996 Oxford: Oneworld Publications 156 pp., £5.95 (pb) ISBN 1–85168–109–4

Dictionary of the Middle East Dilip Hiro, 1996 Basingstoke: Macmillan 367 pp., £14.99 (pb) ISBN 0–333–65926–0

The Hebrew Bible Dan Cohn‐Sherbok, 1996 London: Cassell 257 pp., £55.00 (hb), £13.99 (pb) ISBN 0–304–33702–1 (hb), 0–304–33703‐X (pb)

The Puzzle of God Peter Vardy, 1995 London: Fount/Harper Collins 240 pp., £7.99 ISBN 0–00–627965–1     

Positive and negative affectivity,stress, and well-being in African-Americans: Initial demonstration of a polynomial regression and response surface methodology approach

Objective: The extent to which positive (PA) and negative (NA) affect conjointly impact well-being is not yet well understood. Additionally, research investigating the role of affectivity in maintaining well-being among ethnic and racial minorities is scant. The current research demonstrates how polynomial regression and response surface methodology (PR and RSM) may be used to better understand how PA and NA jointly influence stress and well-being.

Design: In Study 1, 291 African-American undergraduates (M_age = 22.91, SD = 6.91; 67% female) completed measures of affectivity and psychological well-being. In Study 2, a community sample of 117 African-Americans (M_age = 31.87, SD = 13.83; 69% female) completed affectivity measures and a laboratory-based social stressor task to assess links between affectivity and salivary cortisol reactivity.

Main outcome measures: Study 1 included life satisfaction, perceived stress and self-reported depressive symptoms. Study 2 included salivary cortisol reactivity.

Results: Across both studies, PA ascendency (i.e. high PA combined with low NA) was associated with better well-being, while NA ascendancy (i.e. high NA combined with low PA) was associated with poorer outcomes.

Conclusion: PR and RSM may provide new insight into the conjoint influence of PA and NA on health and well-being. We discuss potential implications for affectivity research, including race-related explorations.     

The interplay between feelings and beliefs about condoms as predictors of their use

Objective: Negative feelings about condoms are a key barrier to their use. Using the behavioural affective associations model, we examined the joint effects of affective associations and cognitive beliefs about condoms on condom use.

Design: In Study 1 (N = 97), students completed measures of their affective associations and cognitive beliefs about sex and condoms, sexual activity and condom use. In Study 2 (N = 171), a measure of behavioural intentions and condom selection task were added.

Main outcome measures: Condom use measured in Study 1 as (1) current condom use, and (2) willingness to use condoms; in Study 2 as: (1) behavioural intentions, (2) number of condoms selected.

Results: Affective associations with sex and condoms were behaviour-specific, were directly associated with the respective behaviour, and mediated the relations of cognitive beliefs to behaviour, ps < .05. In Study 2, affective associations were associated with behavioural intentions and the number of condoms selected, ps < .05; cognitive beliefs were indirectly associated with these outcomes through affective associations, indirect effects: ps < .05.

Conclusions: Affective associations are a behaviour-specific and proximal predictor of condom use, mediating the effect of cognitive beliefs, suggesting they may be a particularly viable intervention target.     

The positive eating scale: relationship with objective health parameters and validity in Germany,the USA and India

Objective: The prevailing focus regarding eating behaviour is on restriction, concern, worry and pathology. In contrast, the purpose of the present studies was to focus on a positive relationship with eating in non-clinical samples from Germany, the USA and India.

Design: In Study 1, the Positive Eating Scale (PES) was tested and validated in a large longitudinal sample (T1: N = 772; T2: N = 510). In Study 2, the PES was tested in online samples from the USA, India and Germany (total N = 749).

Main Outcome Measures: Health risk status was measured in Study 1 with objective health parameters (fasting serum glucose, triglycerides, high-density lipoprotein cholesterol, blood pressure, waist circumference, BMI).

Results: Study 1 revealed acceptable psychometric properties of the PES, internal consistency (α = .87), as well as test–retest reliability after six months (r = .67). Importantly, a positive relationship with eating was associated with decreased health risk factors six months later. In Study 2, the structure of the PES was confirmed for German, Indian and US-American adults, suggesting validity across remarkably different eating environments.

Conclusion: A positive relationship with eating might be a fruitful starting point for prevention and intervention programmes promoting physical and psychological health.     

Book reviews

Modern American Religion, Vol. 3. Under God, Indivisible, 1941–1960 Martin E. Marty, 1996 Chicago: University of Chicago Press 548 pp. + xii. £27.96, US$34.95 ISBN 0–22–50898–6

Perspectives on New Religious Movements John A. Sauba, 1995 London: Geoffrey Chapman 240 pp., £12.99 (pb), £35.00 (hb) ISBN 0–225–66787–8 (pb),’ ISBN 0–225–66786‐X (hb)

New Religions and the New Europe Robert Towler, ed., 1995 Aarhus: Aarhus University Press 246 pp., £19.95 ISBN 87 7288 433 9

A New Dictionary of Religions John R. Hinnells, ed., 1995 Oxford: Blackwell 760 pp., US$74.95 (hb) ISBN 0–631–18139–3

Den Fremden verstehen: Eine Praktische Hermeneutik Theo Sundermeier, 1996 Göttingen: Vandenhoek & Ruprecht 260 pp. ISBN 3–525–01619–0

Religion and Mass Media: Audiences and Adaptations Daniel A. Stout & Judith M. Buddenbaum, eds, 1996 Thousand Oaks, California: Sage Publications 294 pp., £37.00 (hb), £18.50 (pb) ISBN 0–8039–7173–7 (hb), 0–8039–7174–5 (pb)

Contemporary Mainstream Religion: Studies from Humberside and Lincolnshire Peter G. Forster, ed., 1995 Aldershot: Avebury xxxvii +135 pp., £30.00 ISBN 1–8562–919–2

One Earth Many Religions: Multifaith Dialogue and Global Responsibility Paul F. Kntiter, 1995 Maryknoll, New York: Orbis xiv + 218 pp., US$17.00 ISBN 1–57075–037–8

A Wider Vision: A History of the World Congress of Faiths 1936–1996 Marcus Braybrooke, 1996 Oxford: Oneworld Publications 192 pp., £10.99, US$16.95 ISBN 1–85168–119–1

The Phenomenon of Teilhard: Prophet for a New Age David H. Lane, 1996 Macon, Georgia: Mercer University Press xvi +192 pp., US$21.95 ISBN 0–86554–498–0

The Wisdom of the Wyrd: Teachings for Today from our Ancient Past Brian Bates, 1996 London: Rider xiii +306 pp., £12.99 ISBN 0‐712E‐7277‐X

Desinformation als Methode. Die Bahā'ísmus‐Monographie des F. Ficicchia Udo Schaefer, Nicola Towfigh, Ulrich Gollmer, 1995 Hildesheim Georg Olms Verlag xiii + 685 pp., DM 65.00 (hb) ISBN 3–487–10041‐X

The New Latin American Mission History (Latin American Studies Series) Erick Langer & Robert H. Jackson, eds, 1995 Lincoln & London: University of Nebraska Press 212 pp., £15.95 (pb), £32.95 (hb) ISBN 0–8032–7953–1 (pb), ISBN 0–8032–2911–9 (hb)

Gender Rituals: Female Initiation in Melanesia Nancy C. Lutkehaus & Paul B. Roscoe, eds, 1995 New York Routledge 265 pp., £13.99 (pb), £37.50 (hb) ISBN 0–415–91107–9 (pb), ISBN 0–415–91106–0 (hb)

Daughters of Anowa: African Women and Patriarchy Mercy Amba Oduyoye, 1995 Maryknoll, New York: Orbis Books 229 pp., US$18.00 (pb) ISBN 0–88344–999–4

Christianity in Africa: The Renewal of a Non‐Western Religion Kwame Bediako, 1995 Edinburgh: Edinburgh University Press; Maryknoll: Orbis Books 276 pp., £16.95 ISBN 0–7486–0625–4

The Christian Heritage in the Holy Land Anthony O'Mahony with Goran Gunner & Kevork Hintuan, eds, 1995 Epping, Essex: Scorpion Cavendish xi + 320 pp., £15.95 ISBN 1–900269–06–6 (pb)

Patterns of the Sacred: English Protestant and Russian Orthodox Pilgrims of the Nineteenth Century Ruth & Thomas Hummel, 1995 Epping, Essex: Scorpion Cavendish ix + 76 pp., £10.00 ISBN 1–900269–08–2 (pb)

Pilgrimage Past and Present: Sacred Travel and Sacred Space in the World Religions Simon Coleman & John Elsner, 1995 London: British Museum Press 240 pp., Illus., £20.00 ISBN 0–7141–1738–2     

Working mechanisms of a web-based self-management intervention for cancer survivors: a randomised controlled trial

Objective: The aim of this study was to investigate whether problem-solving skills and perceived personal control over cancer recovery mediated the intervention effects on depression and fatigue of a web-based computer-tailored intervention for cancer survivors – the Kanker Nazorg Wijzer (Cancer Aftercare Guide).

Design: Patients were recruited through 21 Dutch hospitals (November 2013–June 2014). The mediation model was tested in a randomised controlled trial with an intervention group (n = 231) and a waiting list control group (n = 231).

Main outcome measures: Hypothesised mediators problem-solving skills (SPSI-R) and personal control (IPQ-R) were measured at baseline and 3 months from baseline. Outcomes depression (HADS) and fatigue (CIS) were measured at baseline and 6 months from baseline.

Results: The intervention effects in decreasing depression and fatigue were mediated by personal control. Problem-solving skills did not mediate the intervention effects on depression and fatigue.

Conclusion: While personal control in the control group decreased in the first three months after baseline, levels of personal control within the intervention group were maintained. This effect partially explained the intervention effects on depression and fatigue. The results provide evidence for the relevance of addressing personal control in web-based interventions in order to improve psychosocial well-being in early cancer survivors.