Self-efficacy and planning strategies can improve physical activity levels in women with a recent history of gestational diabetes mellitus

Introduction: Regular physical activity can reduce the risk of developing diabetes in high risk populations including in women with gestational diabetes mellitus (GDM). This study applied the Health Action Process Approach (HAPA) to determine the motivational and volitional factors important in increasing physical activity among women with previous GDM.

Methods: Women with GDM receiving obstetric care at a teaching hospital in Sri Lanka were invited to participate in a survey 6–36 months post-delivery. At baseline and 8 weeks later, 152 women completed postal and telephone surveys that collected socio-cognitive and physical activity data. The study hypotheses were tested using structural equation modelling.

Results: The modified model fit the data well (CFI = .95, TLI = .94, RMSEA = .057) and explained 11% of the variance in behaviour. Action self-efficacy was the only important predictor of intention to be physically active. Intention as well as maintenance self-efficacy predicted planning, which, in turn, predicted physical activity. Planning mediated the effect of intention and self-efficacy (maintenance and recovery) on physical activity.

Conclusion: This study has identified predictors of physical activity among women with previous GDM that can inform intervention studies. Interventions targeting this population need to include planning strategies and enhance self-efficacy.     

Social-Cognitive Factors in Changing Health-Related Behaviors

Changing health-related behaviors requires two separate processes that involve motivation and volition, respectively. First, an intention to change is developed, in part on the basis of self-beliefs. Second, the change must be planned, initiated, and maintained, and relapses must be managed; self-regulation plays a critical role in these processes. Social-cognition models of health behavior change address these two processes. One such model, the health action process approach, is explicitly based on the assumption that two distinct phases need to be studied longitudinally, one phase that leads to a behavioral intention and another that leads to the actual behavior. Particular social-cognitive variables may play different roles in the two stages; perceived self-efficacy is the only predictor that seems to be equally important in the two phases.     

Dissociation of acquisition and expression of fear conditioned responses under working memory load

Previously, it has been suggested that high working memory load (WML) prevents associative learning and, thus, conditioned responses (CRs) during differential-delay fear conditioning. However, previous studies did not distinguish between the effects of WML on the acquisition versus the expression of the CRs. In the present study, we reinvestigated this issue by manipulating WML during either acquisition or postconditioning and showed that the absence of a differential CR under high WML does not indicate the absence of the acquisition of this CR. Thus, a significant CR was observed during a task-free postconditioning phase, and there was no CR during the preceding acquisition phase with high WML. Conversely, a normally acquired CR was impaired by high WML during the postconditioning phase. The results suggest that high WML affects the expression of the CR. If they are not experimentally separated, the effects of WML on the acquisition and expression of the CR may occur together, and the findings may be erroneously interpreted as indicating a lack of associative learning.     

Saccadic facilitation by modulation of microsaccades in natural backgrounds

Saccades move objects of interest into the center of the visual field for high-acuity visual analysis. White, Stritzke, and Gegenfurtner (Current Biology, 18, 124-128, 2008) have shown that saccadic latencies in the context of a structured background are much shorter than those with an unstructured background at equal levels of visibility. This effect has been explained by possible preactivation of the saccadic circuitry whenever a structured background acts as a mask for potential saccade targets. Here, we show that background textures modulate rates of microsaccades during visual fixation. First, after a display change, structured backgrounds induce a stronger decrease of microsaccade rates than do uniform backgrounds. Second, we demonstrate that the occurrence of a microsaccade in a critical time window can delay a subsequent saccadic response. Taken together, our findings suggest that microsaccades contribute to the saccadic facilitation effect, due to a modulation of microsaccade rates by properties of the background.     

Self-efficacy as a moderator of the planning-behaviour relationship in interventions designed to promote physical activity

Individuals who lack perceived self-efficacy may benefit less from planning interventions because they fail to apply their plans when encountering situations that appear challenging. Thus, self-efficacy may operate as a moderator in relation to the effects of planning interventions on behaviour. This article reports from two experimental studies using cluster randomisation. Study 1 included 58 patients with diabetes who received a face-to-face action planning intervention to improve their physical activity levels. Study 2 targeted the roles of planning and self-efficacy for the maintenance of regular running and for relapse prevention in 187 active individuals over a 2-year period. The email-delivered intervention prompted specific goal setting and facilitated planning to mobilise social support to secure relapse prevention. Results of the two studies were consistent with a moderating effect of self-efficacy in relation to the planning-behaviour relationship. Individuals with high self-efficacy benefited from planning interventions. If a person lacks self-efficacy, planning may not effectively promote physical activity.     

Supervenience and infinitary property-forming operations

This paper provides an account of the closure conditions that apply to sets of subvening and supervening properties, showing that the criterion that determines under which property-forming operations a particular family of properties is closed is applicable both to the finitary and to the infinitary case. In particular, it will be established that, contra Glanzberg, infinitary operations do not give rise to any additional difficulties beyond those that arise in the finitary case.     

Affective and health-related outcome expectancies for physical activity in older adults

This study tests the effects of affective and health-related outcome expectancies on physical exercise, assuming stronger direct and indirect (via intention) effects from affective outcome expectancy to physical exercise than from health-related outcome expectancy to exercise. Physical exercise and social cognitive variables were assessed at baseline, and 6- and 12-month follow-up in 335 older adults (60-95 years of age). Applying structural equation modelling, there was a direct effect from affective, but not from health-related outcome expectancy on intentions and behaviour. Also, the indirect effect from self-efficacy on physical exercise via affective outcome expectancy was significant, whereas the mediation via health-related outcome expectancy was not. These findings emphasise the relative importance of affective versus health-related outcome expectancies in predicting intentions and physical exercise in older adults and highlight the importance to separate these facets at a conceptual level to enhance both theory development and health promotion.     

A combined planning and self-efficacy intervention to promote physical activity: a multiple mediation analysis

Many individuals are motivated to improve their physical activity levels, but often fail to act upon their intention. Interventions fostering volitional strategies, such as action planning, coping planning, and self-efficacy beliefs, can help to translate intentions into behavior. This study examines the effectiveness and the mechanisms of a combined planning and self-efficacy intervention to promote physical activity among motivated individuals. Participants (N = 883) were randomly assigned to the intervention or to a waiting-list control condition. Multivariate analysis of variance revealed that the intervention resulted in significantly more physical activity, higher levels of action planning, coping planning, and volitional self-efficacy beliefs (p < 0.01). In addition, multiple mediation analysis showed that action planning, coping planning, and volitional self-efficacy mediate between the intervention and physical activity. The study shows that the intervention successfully fostered physical activity and unfolds the underlying self-regulatory mechanisms of the intervention's effectiveness.     

The zoom lens of attention: Simulating shuffled versus normal text reading using the SWIFT model

Assumptions on the allocation of attention during reading are crucial for theoretical models of eye guidance. The zoom lens model of attention postulates that attentional deployment can vary from a sharp focus to a broad window. The model is closely related to the foveal load hypothesis, i.e., the assumption that the perceptual span is modulated by the difficulty of the fixated word. However, these important theoretical concepts for cognitive research have not been tested quantitatively in eye movement models. Here we show that the zoom lens model, implemented in the SWIFT model of saccade generation, captures many important patterns of eye movements. We compared the model's performance to experimental data from normal and shuffled text reading. Our results demonstrate that the zoom lens of attention might be an important concept for eye movement control in reading.