The Effects of a Self-Management Program in Reducing Off-Task Behavior

Two adolescents with learning disabilities were taught to use a self-management program to decrease off-task behavior in two general education classes and a study hall class. The self-management program included three components—a checklist, a behavior rating scale, and a self-monitoring form. A multiple baseline design was implemented across settings for each participant. The findings indicated that the self-management program was successful in all three settings in decreasing off-task behaviors. Additionally, the teacher ratings of student behavior were found to increase during self-monitoring, suggesting the overall behavior of the students improved during the self-management program. The results are discussed in terms of the novelty of using teacher ratings of student behavior to demonstrate a relationship between the implementation of the self-management program and teacher reports of changes in other classroom behaviors.     

Depressed mood and environmental mastery as potential pathways linking family relationship quality and disease self-management for African Americans with hypertension

African Americans are at significantly greater risk of hypertension and worse cardiovascular outcomes than other racialized groups, yet hypertension intervention effects remain limited. Thus, it is necessary to understand the potential mechanisms whereby interventions may be more effectively targeted to improve health. Supported by prior research evidence and guided by the Biobehavioral Family Model, this study examined associations between family relationship quality, psychological wellbeing, and self-management behaviors for African Americans with hypertension. Data were pooled from three Midlife Development in the U.S. projects, resulting in a sample of 317 African Americans (63.4% female, M_age = 53.32) with self-reported high blood pressure in the past 12 months. We tested four cross-sectional multiple mediator models, with depressed mood and environmental mastery mediating associations between family strain and exercise, smoking, problematic alcohol use, and stress-eating. Environmental mastery mediated the association between greater family strain and decreased odds of achieving recommended exercise levels; greater odds of reporting problematic alcohol use; and greater stress-eating. Though family strain was associated with depressed mood in each model, this variable did not serve as an indirect pathway to self-management behaviors. Family strain, and the potential pathway identified via environmental mastery, may be a meaningful predictor of disease self-management for African Americans with hypertension. Longitudinal studies are needed to examine directionality and to support intervention trials for improving self-management and hypertension outcomes.     

“Behave like a responsible adult” – Relation between social identity and psychosocial skills at stake in self-management of a chronic disease

We show that the development of psychosocial skills promoting self-management of a chronic disease is associated with the acquisition of a social identity valued in the ideological context of reference. To do this, we focus on a skill that is important for people suffering from a chronic disease to acquire: Assuming responsibility for self-managing one’s own pathology. Because acting responsibly is also a skill socially attributed to the identity of adults in Western liberal societies, we studied the chronically ill’s sense of belonging to the adult social group. In Study 1 (N = 102 diabetics), we suggested that behaving like a “responsible adult” in the self-management of a chronic disease is socially valued. In Study 2 (N = 261 diabetics), we suggested that identification with this group is associated with a feeling of responsibility promoting improved self-management behaviors. The results obtained from the two studies are consistent with our hypotheses. They allow us to conceptualize psychosocial skills through the identity, ideological and normative issues that underpin their development.     

An exploration of attitudes toward the use of patient incentives to support diabetes self-management

Objective: To improve our understanding of the potential of incentives to enhance diabetes self-management (type 1 and type 2) and to integrate incentives into a conceptual model of diabetes self-management over time.

Design: A qualitative analysis of in-depth individual interviews with 12 patients and 9 providers.

Main outcome measures: Influence of time on patients’ needs for diabetes self-management technologies and on the use of incentives to drive behavioural changes.

Results: Ten of the 12 participants with diabetes (83%) were interested in using financial incentives to improve their diabetes self-management. We found that incentives can play two key roles in diabetes self-management: guide the learning phase during the creation of habits; and serve as an acknowledgement of efforts made in the stable phase, when providers typically only focus on the patients’ failures at self-management.

Conclusion: Patients seem receptive to the idea of financial incentives, which have the potential to support diabetes self-management through either small monetary amounts or tangible rewards. Incentives hold promise for supporting behaviour changes, especially in early stages of diabetes, but they require careful planning to avoid the undesired consequence of decreased intrinsic motivation.     

Reductions in anxiety and improvements in teaching associated with cue-controlled relaxation training

This study examined the efficacy of cue-controlled relaxation, taught in three 2-hour workshops, in reducing the anxiety of two elementary school teachers. Anxiety was measured using direct observation of external behavior and self-report of internal states; and the effects of anxiety reduction on selected teaching behaviors were also examined. Following training, both teachers exhibited significant reductions in motoric manifestations of anxiety and in some self-reported internal states. Both teachers showed significant increases in rewarding behavior, and they reduced disapproving behavior to zero on most days. Even though results were not maintained following the treatment program, this study demonstrated that training in the self-management of stress and tension can significantly affect the anxiety and teaching behaviors of teachers.     

The effect of message framing on self-management of chronic pain: A new perspective on intervention?

This study examines framed messages as a novel approach to promote self-management of chronic pain. Primary care patients reporting chronic pain (pain rated?≥?4 on 0–10 NRS-I for ≥3 months) were randomly assigned to receive a gain- or loss-framed message promoting self-management of pain. Impact of the framed message on behavioural self-management (including communicating with providers, relaxation, activity pacing, pleasant activities and healthy lifestyle) was assessed. Post-message, individuals in the loss-frame condition reported significantly greater interest in and more knowledge gained from the information presented in the message (p?≤?0.03). Loss-frame participants were significantly more likely to express confidence that they would practice relaxation (p?≤?0.03). Pain readiness to change, pain self-efficacy and message frame independently influenced motivation to engage in relaxation as a self-management strategy. Across all behaviours assessed, there were no observed interactions between message frame and either pain self-efficacy or pain readiness to change (p?>?0.05). Framing may be useful to promote pain self-management; larger trials are needed to fully evaluate its potential and to further assess the applicability of framed communication to impact a broader range of chronic conditions.     

Self-recording and goal-setting: Effects on on-task and math productivity of low-achieving Korean elementary school students

Using an alternating treatments design, we investigated the effects of self-recording and goal-setting on the on-task behavior and the mathematics productivity of five low-achieving elementary school students in a group of eleven students in Korea. We also examined which intervention students preferred after they experienced self-recording and goal-setting. Visual analyses of the data showed (a) increases in students' on-task and mathematics productivity levels contingent upon the implementation of both self-recording and goal-setting, (b) no differential effects of the two interventions, and (c) students' general preference of goal-setting to self recording. We interpreted these results as indicating that both self-recording and goal-setting are effective self-management strategies, but practitioners must consider the features of the interventions before selecting one from them, and future researchers must examine the effect of combining the two procedures.     

The relationship between performance-based self-esteem and self-reported work and health behaviors among Danish knowledge workers

Since knowledge intensive work often requires self-management, one might fear that persons who are dependent on work success for self-esteem will have difficulties in finding a healthful and sustainable balance between internal needs and external demands. Accordingly, we examined to what degree work-related performance-based self-esteem (PBS) was linked to work and health behaviors in 392 knowledge workers (226 women, 166 men). In the women group, multiple binary logistic regression analyses with repeated measurements showed that the PBS score was associated with 10 of the 17 examined work and health behaviors. For men the corresponding figure was 3 of 17. In both men and women, higher PBS scores were positively associated with reports of efforts and strivings for work as well as attending work while ill. In conclusion, statistically significant relationships between PBS and work and health behaviors were more clearly visible among women than men. Whether this gender difference is dependent on the study design, or on true inherent differences between women and men, cannot be concluded with any certainty. However, persons who described themselves as being relatively more dependent on work accomplishments for a high self-esteem, as expressed by the PBS score, seem to display work behaviors that may lessen their restitution time. In addition, they also seem to be more prone to work while sick.     

Conceptualizing Self-determination from a Behavioral Perspective: The Role of Choice,Self-control,and Self-management

The goal of education can be defined in many ways; but in searching the literature, we found that in most cases, people consider the goal of education to be developing a self-determined individual. Self-determination is an abstract term. Behavior analysts may find this term difficult to define. Therefore, it may be difficult to observe and measure whether “self-determined behaviors” have developed. Many other service providers use this term frequently; thus, behavior analysts working with these service providers must come to terms with this concept in order to better collaborate. We argue that self-determination can be operationally defined with the concepts of choice, self-control, and self-management. By using the measurable behaviors included in these concepts, we believe that services can be developed to teach self-determination skills. This paper explores these concepts and how they can contribute to an operational definition of self-determination, and ultimately, help behavior analysts work with other providers to effectively teach self-determination to individuals with developmental disabilities.

     

A HIERARCHICAL CONSTRUCT OF SELF-MANAGEMENT LEADERSHIP AND ITS RELATIONSHIP TO QUALITY OF WORK LIFE AND PERCEIVED WORK GROUP EFFECTIVENESS

This study validates the self-management leadership theory as operationalized by the Self-Management Leadership Questionnaire (Manz & Sims, 1987) in a large telephone company. The sample for this study is 390 self-managing and 412 traditionally managed employees and 94 external leaders from 58 self-managing and 60 traditionally managed teams. Results support Manz and Sims' 6-factor pattern at the first-order level, and in addition, identify a common second-order factor. The hierarchical factor structure is invariant in employee and leader samples drawn from both self-managing and traditionally managed work teams, suggesting that the construct of self-managing leadership is similar for members and leaders of both types of teams. Respondents perceive slightly more self-management leadership behaviors in the self-managing than the traditional work teams. Respondents evaluate self-managing work teams as more effective than traditional work teams, and this difference is moderate in size. Self-managing leadership behaviors are positively associated with QWL (mainly employee satisfaction) and self-rated effectiveness for both self-managing and traditional teams. In general, self-managing work teams are not that different from traditionally managed groups in the relationship of self-managing leadership to outcomes. We conclude that self-management leadership is a hierarchical concept, constituted of specific strategies as well as a general orientation toward empowering employees. These leadership behaviors are applicable to managing both traditional and self-managing work teams.     

Intersecting Identities as a Source of Religious Incongruence

Chaves (2010) argues that much of the work in the sociology of religion is susceptible to the religious congruence fallacy—the tendency to assume consistency between religious beliefs and one's attitudes and behaviors across situations when they are in fact highly variable. We build on and extend this argument by focusing on intersecting group identities as a mechanism for identifying such incongruence, not only within religious contexts, but also at the intersection of categories such as gender and race. To illustrate this argument, the analysis draws on data from the 2006 Panel Study of American Religion and Ethnicity (PS‐ARE) to assess how race, gender, and religion interact to produce different levels of attitude and behavior incongruencies on key issues of the day, specifically conservative social values and voting behaviors. The results find marked differences and inconsistent relationships between attitudes and behaviors across racial‐gender groups. We use the analysis to highlight the conditions that result in incongruence at the intersections of identity categories and pinpoint where social scientists are most vulnerable to committing the congruence fallacy.     

Different temporary work status, different behaviors in organization

This study examined the contributions of the psychological contract framework to an understanding of the effects of different work statuses on employees’ behavior. We compared temporary firm workers (n=71) with core workers (n=268) and direct-hire temporary workers (n=149) with core workers (n=42) in two different samples. As expected, temporary firm workers consider that they receive fewer socio-emotional inducements from the organization they work for (opportunities for promotion, career development, long-term employment), but direct-hire temporary workers who succeeded in having their contracts extended had a psychological contract in which socio-emotional components predominated. A psychological contract with a predominance of socio-emotional components was important for organizations because it mediated the influence of work status on civic virtue behaviors on the part of temporary firm workers, and directly and positively influenced these behaviors in direct-hired temporary workers (behaviors as assessed by their supervisors). Contrary to the hypothesis, psychological contract had a direct and positive influence on the in-role behavior of direct-hire temporary workers. The implications of the findings for psychological contract research are discussed.     

A qualitative study of leader behaviors perceived to enable salesperson performance

Abstract

This study builds on and extends previous sales leadership research by exploring sales professionals’ perceptions of effective leadership behaviors. Semistructured interviews with both sales leaders and salespeople working in a global enterprise software company were examined through a qualitative analysis. Results indicated that participants believed sales leadership played an important role in influencing sales performance. When asked to describe specific sales leader behaviors that best enable salesperson performance, sales professionals – both sales leaders and salespeople – overwhelmingly referenced coaching, followed by collaborating, championing, and customer engaging. We define and describe these four key sales leader behaviors and identify four potential mediating variables (trust, confidence, optimism, and resilience), from which emerges a conceptual framework of sales leader behaviors perceived to enable salesperson performance. We examine these four key sales leader behaviors and mediators in the broader context of leadership theory, particularly transformational, servant, authentic, and adaptive leadership theories. The key contribution of this study is the identification of a set of leader behaviors that are likely to be especially effective in modern sales organizations given that they originated from the perceptions of sales professionals themselves.     

What Determines Social Control? People's Reactions to Counternormative Behaviors in Urban Environments1

Social control refers to any reaction by which a bystander communicates to the “perpetrator” of an uncivil behavior that his or her action is not acceptable. In 3 field studies, we examined the factors that affect people's tendency to exert social control. Passersby in the streets were asked how they would react were they to witness different uncivil behaviors. They also rated their appraisal of the situation and the emotions they would feel. The results suggest that 3 factors are primary determinants of social control: the feeling of responsibility to exert it; the perceived legitimacy of social control in the situation; and the extent to which bystanders felt hostile emotions. These results have implications for how to reduce uncivil behaviors.     

Social norms are enforced by friends: The effect of relationship closeness on bystanders’ tendency to confront perpetrators of uncivil,immoral, and discriminatory behaviors

When witnessing an uncivil, immoral, or discriminatory behavior, bystanders have the opportunity to “speak up” and confront the perpetrator about his/her act. We examined whether the closeness of the relationship between the bystander and the perpetrator affects the bystander's reaction. We asked middle schoolers, high schoolers, and university students (N = 1,386) to indicate how they would react if they were to witness each of 26 uncivil, immoral, or discriminatory behaviors. We experimentally manipulated the relationship to the perpetrator, who was described as a friend, an acquaintance, or a stranger. Results showed that the closer the relationship to the perpetrator the greater the bystander's self-reported likelihood of “speaking up.” The findings speak to the role of close relationships in the perpetuation of social norms. They also suggest ways to curb anti-social behaviors in a variety of school and organizational settings.     

Self-management of diabetes mellitus: a critical review

Diabetes has no known cure and is a leading source of morbidity and mortality. Clinical management involves patients managing a complex and variable regimen. This article reviews the determinants of effective self-management and the methods of promoting better self-management. Trait variables (e.g., personality and demographics) have been presumed to affect self-management, but evidence suggests they have little impact. The important determinants of self-management are transient situational factors such as psychological stress and social pressure to eat. Interventions to promote better self-management have reported initial improvements in blood glucose control, but the long-term effects are unclear. We conclude that self-management has been inadequately assessed and that attempts to improve self-management have relied excessively on providing information. More research is needed to clarify determinants of self-management, and interventions to improve self-management will need to change these determinants.     

Identifying health-seeking behaviors: a study of adolescents

While it is known that health-seeking behaviors are influenced by information-seeking behaviors, reported research on adolescents' information-seeking behaviors is minimal. Available definitive information primarily addresses ways in which peers, parents, and health professionals are used as sources of information concerning sexuality. Research is now needed on how adolescents use the media and other sources of health information to effect changes in their lives. The present study sought to determine how adolescents' health-seeking behaviors, which include self-management and information-seeking behaviors, differ according to age, race, socioeconomic status, gender, and religion. The study was based on two assumptions: Self-management and information-seeking behaviors are fundamental to adolescents' health-seeking behaviors, and subjects answer self-management and information-seeking questions in terms of past behaviors and their behavioral intent. Important findings that emerged from this investigation include confirmation of gender as a differentiating variable for the performance of information-seeking behavior and positive health behaviors among black adolescents. Further, subjects reported an overall positive composite of health-seeking behaviors.     

TEACHING DAILY LIVING SKILLS TO CHILDREN WITH AUTISM IN UNSUPERVISED SETTINGS THROUGH PICTORIAL SELF-MANAGEMENT

We investigated the efficacy of pictorial self-management to teach daily living skills to 3 low-functioning children with autism. Stimulus and response generalization, stimulus control of self-management materials, and maintenance of behavior change were also assessed. Results showed that children with autism could successfully use pictures to manage their behavior in the absence of a treatment provider, generalize their behavior across settings and tasks, and maintain behaviors at follow-up. In addition, when compared to baseline, all children showed a substantial decrease in stereotypic behaviors. When picture order was manipulated in stimulus control probes, the children followed the new picture sequence, suggesting that the pictures were controlling their behavior. Further, a savings effect was demonstrated, in that 2 subjects reached criterion on second and third behaviors within less than 25% of original training time.     

Becoming who they want to be: A cross-national examination of value-behavior concordance and mindfulness in adolescence*

Aristotle, Shakespeare, and Gandhi suggested the good life involves living according to one’s values, yet little research has examined the role of value-behavior concordance (VBC) in adolescence. Mindfulness may develop during adolescence and foster VBC via heightened awareness of one’s values and behaviors. We employed data from 5877 adolescents (M _age = 17.53, SD = 3.67; 53% female) from seven countries (Australia, Canada, India, Thailand, Ukraine, United Kingdom, and United States), and examined invariance of links involving age, mindfulness, VBC, and meaning. In all countries, older adolescents were more mindful than younger adolescents, and higher levels of mindfulness were positively linked to VBC. Further, in six countries mindfulness was linked to meaning, in part, through VBC, suggesting a generalizable process where mindful youth experience greater meaning because they live according to their values. As evidence suggests mindfulness can be cultivated through meditation, mindfulness may be a trainable skill that helps young people become who they want to be.     

Magnitude: An Important Dimension of Self‐Efficacy1

According to Bandura (1977a. 1977b). self‐efficacy for a particular task varies along 3 dimensions: magnitude, strength, and generality. Although the magnitude of a task influences one's degree of self‐efficacy, researchers have seldom tapped this dimension. We explicitly examined the magnitude dimension, and whether magnitude and confidence represent operationally distinct dimensions. A sample of undergraduates (n= 221) rated how confident they were that they could perform 22 behaviors comprising 3 domains of protective sexual behaviors (refusing sexual intercourse, questioning potential sexual partners, using condoms). Each participant also rank‐ordered the difficulty of performing each item within each domain. Data analyses revealed considerable overlap between the dimensions of confidence and magnitude, but also substantial differences. Thus, researchers may want to include this dimension when including self‐efficacy.