Self-administered programs for health behavior change: Smoking cessation and weight reduction by mail

BACKGROUND The Transtheoretical Model recommends "processes of change", while the Motivational Interviewing approach offers “motivational language” as indicators of health behavior change. The relationship between these indicators and the usage of Facebook reaction buttons is little known. However, this relationship may highlight how to evaluate one of the most popular engagement indicators (Facebook reactions) in online health behavior change interventions. OBJECTIVE The study aim was to understand the relationship between processes of change, motivational language, Facebook users’ gender, and the Facebook reaction buttons. METHODS A total of 821 comments were analyzed in the current study (N=821), which came from different Facebook users, and responded to image-based, smoking cessation support contents. The processes of change (experiential and behavioral processes) and the motivational language (change talk and sustain talk) in the investigated comments were identified. The presence, the number, and the proportion of these linguistic categories were compared with the Facebook users’ gender and the usage of reaction buttons. RESULTS The Facebook users who used the “Haha” reaction button wrote significantly higher proportion of sustain talk than those who used the “Like” or “Love” reaction (P=.011). No significant difference in the number or proportion of linguistic categories was found between those who used the "Like" reaction button, and those who did not use reaction buttons. The Facebook users who combined the comment and “Love” reaction wrote significantly more change talk than those who used the “Haha” and “Like” reactions, or those who did not utilize these buttons (P<.001). Significant female dominance was observed in the presence, the number, and the proportion of experiential processes and change talk (P<.05). In addition, significant male predominance was found in the presence, the number, and the proportion of sustain talk (P<.05). CONCLUSIONS The "Haha" reaction may be a negative engagement indicator, the "Like" reaction may be a neutral engagement indicator, and the "Love" reaction may be a positive engagement indicator in terms of the smoking cessation during Facebook-based interventions. Furthermore, female engagement may be characterized by utilizing the terms of experiential processes and change talk, while the usage of sustain talk can be typical for male engagement. We recommend the evaluation of processes of change and motivational utterances in participants' comments during online public health interventions.

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Cancer patient interest and perceptions of health behavior change programs.

Journal of Clinical Oncology ◽

10.1200/jco.2018.36.7_suppl.98 ◽

2018 ◽

Vol 36 (7_suppl) ◽

pp. 98-98

Author(s):

Lawson Eng ◽

Sophia Yijia Liu ◽

Qihuang Zhang ◽

Delaram Farzanfar ◽

Sabrina Yeung ◽

...

Keyword(s):

Smoking Cessation ◽

Health Behavior ◽

Behavior Change ◽

Health Behavior Change ◽

Routine Care ◽

Second Hand Smoke ◽

Drinking Alcohol ◽

Logistic Regression Models ◽

Survey Results

98 Background: Health behavior change including smoking cessation, physical activity (PA) and alcohol moderation are important aspects of cancer survivorship. We assessed cancer pt interest and perceptions of programs for these behaviours. Methods: 501 cancer pts were surveyed on their smoking, PA and alcohol use along with their interest and perceptions for programs for these behaviors. Multivariate logistic regression models identified factors associated with pt interest and perceptions. Results: At diagnosis, 115 pts smoked; 184 were exposed to second hand smoke (SHS); 313 did not meet PA guidelines; 238 were drinking alcohol. At risk pts’ (e.g, smokers for smoking cessation, SHS exposed for household smoking cessation) survey results are shown in the table. Most pts perceived smoking (90%), SHS (83%) and alcohol (56%) to be harmful on quality of life, survival and fatigue while PA (77%) was felt to improve these outcomes. These perceptions were not associated with program interest ( P> 0.05). However, pts perceiving that alcohol worsened and PA improved these outcomes were more to likely believe associated programs are beneficial (alcohol aORs = 2.1-2.2 P< 0.03; PA aORs = 1.9-3.2 P< 0.02) and should be routine care (alcohol aORs = 1.9-3.5 P< 0.03; PA aORs = 1.7-2.4 P< 0.1). Pts with more pack-yrs smoked less likely perceived a benefit in a household smoking cessation program (aOR = 1.02 P< 0.007). Pts preferred discussing programs with doctors ( > 35%) or counsellors ( > 42%). Conclusions: About half of pts feel that health behavior change programs would be beneficial and should be part of routine care. These factors were more important than perception of the behaviors on outcomes in influencing pt interest. Initial discussions with pts should focus on discussing benefits of these programs. [Table: see text]

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Applying a new theory to smoking cessation: case of multi-theory model (MTM) for health behavior change

Health Promotion Perspectives ◽

10.15171/hpp.2017.18 ◽

2017 ◽

Vol 7 (2) ◽

pp. 102-105 ◽

Cited By ~ 4

Author(s):

Manoj Sharma ◽

Jagdish Khubchandani ◽

Vinayak K. Nahar

Keyword(s):

Smoking Cessation ◽

Health Behavior ◽

Behavior Change ◽

Health Behavior Change ◽

Theory Model

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Perceptions of Health Behavior Change in Veterans Attending a Weight Reduction Program

Journal of the American Dietetic Association ◽

10.1016/j.jada.2008.06.384 ◽

2008 ◽

Vol 108 (9) ◽

pp. A31

Author(s):

S. Payvar ◽

E. Takaki ◽

J. O'Donohue ◽

A. O'Donnell ◽

P. Coburn ◽

...

Keyword(s):

Health Behavior ◽

Behavior Change ◽

Weight Reduction ◽

Health Behavior Change ◽

Weight Reduction Program ◽

Reduction Program

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Normative Beliefs of Health Behavior Professionals regarding the Psychosocial and Environmental Factors That Influence Health Behavior Change Related to Smoking Cessation, Regular Exercise, and Weight Loss

American Journal of Health Promotion ◽

10.4278/0890-1171-10.5.371 ◽

1996 ◽

Vol 10 (5) ◽

pp. 371-379 ◽

Cited By ~ 8

Author(s):

Mary Beth Love ◽

Gerald W. Davoli ◽

Quint C. Thurman

Keyword(s):

Weight Loss ◽

Smoking Cessation ◽

Environmental Factors ◽

Health Behavior ◽

Behavior Change ◽

Survey Design ◽

Health Behavior Change ◽

Work Place ◽

Regular Exercise ◽

Positive Elements

Purpose. To examine the degree of consensus among health behavior change professionals regarding the personal and environmental factors they believe most strongly influence health behavior decisions related to smoking cessation, regular exercise, and weight loss. Design. A factorial survey design was implemented. This method combines the positive elements from simple sample surveys and factorial experiment designs. A total of 44 independent psychosocial and environmental variables are used to randomly construct vignettes, or short stories, to collect dependent variable data. Subjects. A probability sample of 311 health behavior change professionals was selected from the Society for Public Health Education, Inc., the Society of Behavioral Medicine, and faculty from the 1986 Harvard University Symposium on Health Promotion in the Work Place. Measures. Judgment ratings on the probability that the person described in each vignette would initiate the behavior in question. Results. Multivariate analysis indicates that the multidimensional model explained approximately one half of the variance in the judgments across the three health behaviors (smoking cessation, R2 = .52; weight loss, R2 = .49; and regular exercise, R2 = .49). Conclusions. These data suggest a high degree of consensus among the sample regarding the personal and environmental factors that influence health behavior judgments. Here, the subjects perceive both behavioral intentions and self-efficacy as the most powerful determinants of judgments to initiate weight loss, regular exercise, and smoking cessation.

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