The Index of Self-Regulation: Development and Psychometric Analysis

1998 ◽  
Vol 6 (1) ◽  
pp. 3-17 ◽  
Author(s):  
Julie Fleury
Keyword(s):  
Health Behavior ◽  
Construct Validity ◽  
Behavior Change ◽  
Internal Consistency ◽  
Content Validity ◽  
Self Regulation ◽  
Reliability And Validity ◽  
Health Behavior Change ◽  
Rehabilitation Program ◽  
Validity Assessment

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.

The Index of Readiness: Development and Psychometric Analysis

1994 ◽  
Vol 2 (2) ◽  
pp. 143-154 ◽  
Author(s):  
Julie Fleury
Keyword(s):  
Construct Validity ◽  
Internal Consistency ◽  
Content Validity ◽  
Reliability And Validity ◽  
Psychometric Evaluation ◽  
Internal Consistency Reliability ◽  
Health Behavior Change ◽  
Rehabilitation Program ◽  
Goal Commitment ◽  
Validity Assessment

This article describes the development and initial psychometric evaluation of a measure of individual appraisal of readiness to initiate health behavior change. Items were developed from inductively generated data to index dimensions of individual appraisal of readiness. Quantification of Index of Readiness content validity was established 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 Revaluation of Lifestyle, Identification of Barriers, and Goal Commitment demonstrated internal consistency. Criterion-related and construct validity were substantiated. With refinement, this measure will provide a basis for nursing interventions designed to enhance individual motivation in relation to specific health behaviors.

scholarly journals Health Behavior Change Processes Among Adults With Serious Mental Illness Engaged in Illness Self-Management

2021 ◽  
pp. 104973232199204
Author(s):  
Anjana Muralidharan ◽  
Amanda Peeples ◽  
Alicia Lucksted
Keyword(s):  
Mental Illness ◽  
Health Behavior ◽  
Behavior Change ◽  
Serious Mental Illness ◽  
Cognitive Theory ◽  
Self Regulation ◽  
Health Behavior Change ◽  
Self Management ◽  
Living Well ◽  
Management Interventions

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.

scholarly journals Mindfulness-Informed Guided Imagery to Target Physical Activity: A Mixed Method Feasibility and Acceptability Pilot Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Alexis D. Mitchell ◽  
Laura E. Martin ◽  
Austin S. Baldwin ◽  
Sara M. Levens
Keyword(s):  
Physical Activity ◽  
Health Behavior ◽  
Behavior Change ◽  
Guided Imagery ◽  
Self Regulation ◽  
Health Behavior Change ◽  
Second Phase ◽  
Supporting Evidence ◽  
Initial Development ◽  
Activity Enjoyment

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.

scholarly journals Self-regulation mechanisms in health behavior change: a systematic meta-review of meta-analyses, 2006–2017

2020 ◽  
Vol 14 (1) ◽  
pp. 6-42 ◽  
Author(s):  
Emily A. Hennessy ◽  
Blair T. Johnson ◽  
Rebecca L. Acabchuk ◽  
Kiran McCloskey ◽  
Jania Stewart-James
Keyword(s):  
Health Behavior ◽  
Behavior Change ◽  
Self Regulation ◽  
Health Behavior Change ◽  
Meta Review ◽  
Regulation Mechanisms ◽  
Meta Analyses

scholarly journals Reliability and Validity of Household Disaster Preparedness Index (HDPI)

2020 ◽  
Keyword(s):  
Factor Analysis ◽  
Construct Validity ◽  
Exploratory Factor Analysis ◽  
Internal Consistency ◽  
Content Validity ◽  
Disaster Preparedness ◽  
Reliability And Validity ◽  
Face Validity ◽  
Acceptable Range ◽  
Household Preparedness

Introduction: The preparedness of families for the disasters can set auspicious grounds for the preparedness of the whole society. In Iran health system, Household Disaster Preparedness Index (HDPI) that is composed of 15 items is applied for assessing the household preparedness in disasters. This study was conducted to investigate the reliability and validity of this index. Methods: In order to investigate the HDPI reliability, we two methods, namely internal consistency and stability determination, are. In order to investigate HDPI validity, we examined the face validity, content validity and construct validity. To do so, besides interviewing with the experts and family heads, 200 families were selected based on multistage cluster sampling method from amongst a study population that included the families in all the counties in Isfahan Province. Use has been made in content validity investigation of both qualitative and quantitative methods; and, in investigating the construct validity, exploratory factor analysis was the method of choice. Results: The amount of HDPI internal consistency was calculated 0.786 which is in an acceptable range. HDPI stability, as well, was computed 0.98 using the test-retest method which is also in an optimal level. Therefore, it can be stated that HDPI enjoys the required reliability. Investigation of HDPI face validity indicated that the families have problems in perceiving some of the items of this index. The experts presented suggestions for improving the HDPI content validity following the qualitative investigation of the content validity. In the investigation of the content validity ratio (CVR), all the items, except the ones numbered 1, 3 and 4 were in an acceptable range; however, the investigation of the content validity index (CVI) indicated that only the validity of the items numbered 12 and 13 was acceptable in terms of all the three scales of relevancy, clarity and simplicity. To determine the construct validity, we used exploratory factor analysis to extract five factors (subscales), namely reduction of vulnerability, planning for disasters, family empowerment, procurement of resources for disasters and specialized programs. The internal consistency of these subscales indicated that only the internal consistencies of the first and the second factors were in an acceptable range. Conclusion: The present study revealed that although HDPI was a reliable measure, it did not enjoy the required validity for assessing the household preparedness in disasters.

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