Rethinking psychological approaches towards health promotion

The purpose of the present study was to test the factorial and discriminant validity of the Revised Illness Perception Questionnaire (IPQ-R), a measure of illness representations based on Leventhal, Meyer and Nerenz's Self-Regulation Theory, in a cervical screening context using confirmatory factor analysis. Six hundred and sixty women, who had attended a colposcopy clinic and were invited to re-attend, completed the IPQ-R. Data were analysed using covariance structure analysis. The adequacy of an a priori confirmatory factor analytic model that included seven dimensions of the cognitive illness representation: identity, timeline-acute/chronic, serious consequences, personal control, treatment control, illness coherence, and causal attributions, and one emotional representation factor was tested against the observed data. After the elimination of two items responsible for large standardised residuals and with low factor loadings, the model adequately accounted for covariances among the IPQ-R items according to multiple criteria for goodness-of-fit. Factor inter-correlations supported the discriminant validity of the constructs and the factors exhibited satisfactory composite reliability. A theoretically predictable pattern of relationships among the representation dimensions was evident. In particular, the control-related constructs and the illness coherence dimension were negatively related to other illness representation constructs. The present study provided confirmatory evidence using a robust hypothesis-testing framework to support the proposed structure of the illness representation dimensions in a cervical screening context.     

Exploring the characteristics of potential and current users of mobility scooters,among older people in Israel

Recognizing the decline in the ability of older people to serve as vehicle drivers and their physical limitations for long walks, mobility scooters are considered as an alternative mobility means for older people. An increasing popularity of scooters is recently being observed in Israel, raising safety concerns. This study explored the characteristics of potential users of mobility scooters among older people in Israel and the behaviours of their current users, by means of an opinion survey and field observations in urban areas. The opinion survey applied structured interviews, with 110 persons aged 65+. The survey's results showed that most people agreed that scooters may improve their mobility and quality of life. However, they expressed a relatively low willingness to use scooters, mostly, due to the preference for private cars but also the lack of appropriate infrastructure for safe scooter travel in the city. An increasing potential for scooters' use was associated with ages 70–84, people who are aware of their health problems and less involved in physical activities but still maintain an active lifestyle, living independently and appreciating scooter benefits. The observations included 55 video-records with older scooter riders. They showed that regardless the types of urban road or junction, the majority of scooter riders behaved like a vehicle, i.e. travelled on the roadway. Scooters' moving on a sidewalk did not create conflicts with pedestrians, while scooters travelling on the roads sometimes disturbed vehicle flows and created dangerous situations. To ensure safety of the scooter users, their travels on the sidewalks should be stimulated and, thus, appropriate adjustments of urban infrastructure are required.     

Risky driving and lapses on the road: An exploration on self-regulatory dysfunction in Australian drivers

Self-regulatory ability has been linked to a) the tendency to engage in risky behaviours, and b) the ability to focus attention. This study investigated the relationships between metacognitions, emotion regulation difficulties, risky driving behaviours, and attentional lapses on the road, among an online sample of Australian drivers (N = 255). Firstly, group comparisons showed that although females reported greater self-regulatory dysfunction, males reported a higher frequency of risky driving behaviours. Alternatively, older drivers reported being better self-regulators, and less-frequent risky driving behaviours and attentional lapses on the road. Secondly, correlations demonstrated that metacognitions were associated with difficulties in regulating emotions, the engagement of risky driving behaviours, and the quantity of attentional lapses experienced on the road. Emotion regulation difficulties and risky driving behaviours were also shown to be positively related to the frequency of attentional lapses. Structural equation modelling confirmed a hierarchical model in predicting attentional lapses, with self-regulatory components representing higher-order factors over risky behavioural components. Finally, metacognitions demonstrated mediative effects toward the relationship between prior speeding experiences and future intentions to speed. This study has provided preliminary evidence for the application of metacognitions in the engagement of risky driving behaviours, and therefore the potential for informing future interventions.     

Constructs of physical activity behaviour in children: The usefulness of Social Cognitive Theory

Objectives

The purpose of this study was to investigate the relationships among several Social Cognitive Theory (Bandura, 2004) constructs (e.g., self-efficacy) and children’s physical activity behaviours.

Design

Children from six elementary schools (N = 479) in grades 4th to 6th from five different school districts in the Southwestern USA participated in this study by completing a sociocognitive instrument as well as wearing a pedometer for five school days.

Methods

Previously validated scales were combined and administered to all children in order to examine the relationships among five constructs (self-efficacy, outcome expectations, social support, barriers, and goals) and physical activity participation was measured via pedometer. Data analyses included a two-step approach with confirmatory factor analysis followed by structural equation modelling.

Results

The confirmatory factor analyses indicated an adequate fit of the specified model. The structural model fit statistics also suggested that the data fit the specified model: χ² (8, N = 476) = 24.44, p = 0.00, χ²/df = 3.06, GFI = 0.98, AGFI = 0.96, CFI = 0.93, RMSEA = 0.07. The model explained 15% of the variance in social support, 11% of the variance in goals, 11% of the variance in barriers, 9% of the variance in outcome expectations, and 2% of the variance in physical activity. Self-efficacy was a strong predictor of total social support, total number of barriers, and outcome expectations.

Conclusions

This study supports the use of Social Cognitive Theory in understanding the constructs of physical activity behaviour in children, however, very little variance in behaviours was explained. There is a need to also investigate environmental influences on children’s decisions to be physically active.