Maintenance of Health Behavior Change: Additional Challenges for Self-Regulation Theory, Research, and Practice

2008 ◽  
pp. 193-215 ◽  
Author(s):  
John B. F. de Wit
2021 ◽  
pp. 104973232199204
Author(s):  
Anjana Muralidharan ◽  
Amanda Peeples ◽  
Alicia Lucksted

Self-management interventions promote illness management among adults with chronic health conditions. Little is known regarding the processes by which these interventions have their effects. The present study examined how Living Well, an effective self-management intervention for adults with serious mental illness, led to health behavior change in a randomized controlled trial. A convenience subset ( N = 15) of participants completed qualitative interviews regarding the feasibility/acceptability of Living Well. An inductive secondary qualitative analysis, using a combination of interpretive phenomenological and social constructivist approaches, was conducted to examine processes of change. Results indicate that Living Well provided information and knowledge, opportunities for learning from others and real-world practice, and an interpersonally supportive environment. These active ingredients led to enhanced self-awareness, confidence, sense of control, and behavior and health status changes among participants. These findings are considered in the context of prominent behavior change theories such as social cognitive theory and self-regulation.


Author(s):  
Peter A. Hall ◽  
Geoffrey T. Fong ◽  
Cassandra J. Lowe

Affective experiences are part of our everyday life, but do they influence health-related decisions and behaviors in a systematic way? Temporal self-regulation theory (TST) posits that health behaviors are a joint function of neurobiologically rooted executive control processes, prepotency, and intentions. The relative weights of these in turn depend largely on the ecological context in which the behaviors are being performed. On the surface, then, TST is a model of health behavior that relies predominantly on social-cognitive and neurocognitive constructs to explain health behavior trajectories. For this reason, it appears to not deal directly with the topic of affect in general, and emotion more specifically. However, there are several facets of the TST model that involve these processes, or are heavily influenced by them. This chapter discusses each of the primary points of intersection between affective processes and constructs within TST.


2021 ◽  
Vol 12 ◽  
Author(s):  
Alexis D. Mitchell ◽  
Laura E. Martin ◽  
Austin S. Baldwin ◽  
Sara M. Levens

Physical activity offers substantial mind-body health benefits and reduced mortality, yet many individuals are chronically underactive. Physical activity interventions may benefit from integrative approaches that join components of mindfulness and neurobiological models of behavior. Mindfulness increases one’s awareness of cognitions and physical sensations to potentially facilitate self-regulation, while neurobiological models such as the dual system model of health behavior offer guidance on improving physical activity intervention targets. This 2-phase study includes an initial development process to create brief (∼4 min) mindfulness informed guided imagery audio files that target distinct cognitive and affective processes to promote physical activity. In the second phase, participants completed a 2-week pilot intervention study to gather qualitative and quantitative data on intervention feasibility and acceptability. Participants endorsed the mindfulness informed guided imagery as easy to use, enjoyable and helpful. Over a 2-week intervention period participants reported positive shifts in behavior change, physical activity enjoyment, increased mindfulness during physical activity, and increased physical exercise self-efficacy and satisfaction. Interview data revealed that participants increased their frequency of physical activity and tended to experience positive affect during physical activity, engaged in future oriented thinking and were able to view physical activity in a more positive light. Findings support the feasibility and acceptability of an integrative online mindfulness informed guided imagery intervention to promote physical activity enjoyment and engagement. This study extends health behavior change intervention research and provides supporting evidence for a flexible and tailorable online mindfulness-based intervention.


2020 ◽  
Vol 14 (1) ◽  
pp. 6-42 ◽  
Author(s):  
Emily A. Hennessy ◽  
Blair T. Johnson ◽  
Rebecca L. Acabchuk ◽  
Kiran McCloskey ◽  
Jania Stewart-James

1998 ◽  
Vol 6 (1) ◽  
pp. 3-17 ◽  
Author(s):  
Julie Fleury

This paper describes the development and initial psychometric evaluation of a measure of individual self-regulation in the maintenance of health behavior change. Items were developed from inductively generated data to index dimensions of self-regulation in behavioral change (Fleury, 1991). Quantification of Index of Self-Regulation (ISR) content validity was supported through the ratings of 10 experts, following criteria established by Imle and Atwood (1988). The instrument was tested in successive steps with 146 individuals who were participating in an outpatient cardiac rehabilitation program for reliability and validity, including internal consistency reliability and three forms of validity assessment (content validity, criterion-related validity, and construct validity). The three subscales of Stimulus Control, Reconditioning, and Behavioral Monitoring demonstrated internal consistency ranging from .73-.76. Total scale alpha was .87. Initial estimates of criterion-related and construct validity were documented with correlations between ISR subscales and theoretically related criterion measures (.20-.47). With refinement the ISR will provide a basis for tailoring and evaluating clinical interventions designed to enhance motivation in the maintenance of health behavior change.


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