scholarly journals Gender-Specific Impact of Self-Monitoring and Social Norm Information on Walking Behavior Among Chinese College Students Assessed Using WeChat: Longitudinal Tracking Study

10.2196/29167 ◽  
2021 ◽  
Vol 23 (12) ◽  
pp. e29167
Author(s):  
Yuepei Xu ◽  
Ling-Zi Yue ◽  
Wei Wang ◽  
Xiao-Ju Wu ◽  
Zhu-Yuan Liang

Background Walking is a simple but beneficial form of physical activity (PA). Self-monitoring and providing information about social norms are the 2 most widely used “mobile health (mHealth)” strategies to promote walking behavior. However, previous studies have failed to discriminate the effect of self-monitoring from the combination of the 2 strategies, and provide practical evidence within Chinese culture. Some essential moderators, such as gender and group identity, were also overlooked. Objective We aimed to investigate the effectiveness of social norm and self-monitoring interventions for walking behavior and assess the moderating effects of gender and group identity, which could guide optimal mHealth intervention projects in China. Methods In 2 longitudinal tracking studies (study 1, 22 days; study 2, 31 days), Chinese college students wore trackers for at least 8 hours per day (MASAI 3D Pedometer and Xiaomi Wristband 2) to record their daily step counts in baseline, intervention, and follow-up stages. In each study, participants (study 1: n=117, 54% female, mean age 25.60 years; study 2: n=180, 51% female, mean age 22.60 years) were randomly allocated to 1 of the following 3 groups: a self-monitoring group and 2 social norm intervention groups. In the 2 intervention groups and during the intervention stage, participants received different social norm information regarding group member step rankings corresponding to their grouping type of social norm information. In study 1, participants were grouped by within-group member PA levels (PA consistent vs PA inconsistent), and in study 2, participants were grouped by their received gender-specific social norm information (gender consistent vs gender inconsistent). Piece-wise linear mixed models were used to compare the difference in walking steps between groups. Results In study 1, for males in the self-monitoring group, walking steps significantly decreased from the baseline stage to the intervention stage (change in slope=−1422.16; P=.02). However, additional social norm information regardless of group consistency kept their walking unchanged. For females, social norm information did not provide any extra benefit beyond self-monitoring. Females exposed to PA-inconsistent social norm information even walked less (slope during the intervention=−122.18; P=.03). In study 2, for males, a similar pattern was observed, with a decrease in walking steps in the self-monitoring group (change in slope=−151.33; P=.08), but there was no decrease in the 2 social norm intervention groups. However, for females, gender-consistent social norm information decreased walking steps (slope during the intervention=−143.68; P=.03). Conclusions Both gender and group identity moderated the effect of social norm information on walking. Among females, social norm information showed no benefit for walking behavior and may have exerted a backfire effect. Among males, while walking behavior decreased with self-monitoring only, the inclusion of social norm information held the level of walking behavior steady.

2021 ◽  
Author(s):  
Yuepei Xu ◽  
Ling-Zi Yue ◽  
Wei Wang ◽  
Xiao-Ju Wu ◽  
Zhu-Yuan Liang

BACKGROUND Walking is a simple but beneficial form of physical activity (PA). Self-monitoring and providing information about social norms are the 2 most widely used “mobile health (mHealth)” strategies to promote walking behavior. However, previous studies have failed to discriminate the effect of self-monitoring from the combination of the 2 strategies, and provide practical evidence within Chinese culture. Some essential moderators, such as gender and group identity, were also overlooked. OBJECTIVE We aimed to investigate the effectiveness of social norm and self-monitoring interventions for walking behavior and assess the moderating effects of gender and group identity, which could guide optimal mHealth intervention projects in China. METHODS In 2 longitudinal tracking studies (study 1, 22 days; study 2, 31 days), Chinese college students wore trackers for at least 8 hours per day (MASAI 3D Pedometer and Xiaomi Wristband 2) to record their daily step counts in baseline, intervention, and follow-up stages. In each study, participants (study 1: n=117, 54% female, mean age 25.60 years; study 2: n=180, 51% female, mean age 22.60 years) were randomly allocated to 1 of the following 3 groups: a self-monitoring group and 2 social norm intervention groups. In the 2 intervention groups and during the intervention stage, participants received different social norm information regarding group member step rankings corresponding to their grouping type of social norm information. In study 1, participants were grouped by within-group member PA levels (PA consistent vs PA inconsistent), and in study 2, participants were grouped by their received gender-specific social norm information (gender consistent vs gender inconsistent). Piece-wise linear mixed models were used to compare the difference in walking steps between groups. RESULTS In study 1, for males in the self-monitoring group, walking steps significantly decreased from the baseline stage to the intervention stage (change in slope=−1422.16; <i>P</i>=.02). However, additional social norm information regardless of group consistency kept their walking unchanged. For females, social norm information did not provide any extra benefit beyond self-monitoring. Females exposed to PA-inconsistent social norm information even walked less (slope during the intervention=−122.18; <i>P</i>=.03). In study 2, for males, a similar pattern was observed, with a decrease in walking steps in the self-monitoring group (change in slope=−151.33; <i>P</i>=.08), but there was no decrease in the 2 social norm intervention groups. However, for females, gender-consistent social norm information decreased walking steps (slope during the intervention=−143.68; <i>P</i>=.03). CONCLUSIONS Both gender and group identity moderated the effect of social norm information on walking. Among females, social norm information showed no benefit for walking behavior and may have exerted a backfire effect. Among males, while walking behavior decreased with self-monitoring only, the inclusion of social norm information held the level of walking behavior steady.


2020 ◽  
Author(s):  
Christelle Akl ◽  
Nadine Rashidi ◽  
Chaza Akik ◽  
Eveline Hitti ◽  
Ghassan Hamadeh ◽  
...  

Abstract Background Self-monitoring of blood pressure has been shown to optimize the management of blood pressure in high-income settings, but there is less evidence from low-to-middle income countries. We designed a proof-of-concept pilot trial to assess the feasibility and acceptability of an intervention built around self-monitoring of blood pressure and health education, and to measure its association with reduced blood pressure among hypertensives. The study was conducted in Lebanon, a country where the management of hypertension presents challenges similar to those faced in countries of the Arab region and other middle-income countries. Methods We conducted a parallel two-arm pilot trial with a mixed-method approach to investigate the effect of the intervention on patient experience. Hypertensive patients (n = 80) were recruited at two primary and one tertiary health centers in Beirut, and were randomly allocated (1:1) to either an intervention group where patients received blood pressure devices, diaries and educational sessions, or a control group where patients received standard of care as practiced in their health centers. The main outcomes were feasibility (recruitment, retention and adherence), acceptability, and changes in systolic blood pressure. Quantitative and qualitative data were obtained at baseline and 6 weeks later. Results The recruitment rates for the study was 52% and retention was 95%. Most participants in the self-monitoring group (33/38) reported that the device was convenient and easy to use. Complete case analysis showed that blood pressure monitoring was associated with a greater reduction in systolic (-6.3 mmHg, 95%CI [-12.4; − 0.17]) and diastolic (-1.9 mmHg, 95%CI [-6.34; 2.58]) blood pressure in the self-monitoring group (n = 36) as compared to the standard of care group (n = 36). Improved knowledge of hypertension was also observed in the self-monitoring group. There were no adverse events related to study participation. Conclusions Self-monitoring is acceptable and feasible and has the potential to improve hypertension management. Our results should be further tested in trials with adequate statistical power and longer follow-up periods to examine the effectiveness of the intervention on blood pressure levels. Trial Registration and funding: Retrospectively Registered on April 3, 2020. ISRCTN 16450193. Funded by the Harvard Medical School Center for Global Health Delivery.


2007 ◽  
Vol 345-346 ◽  
pp. 873-876
Author(s):  
Jin Oh Lee ◽  
Min Soo Kang ◽  
Jeong Hun Shin ◽  
Kil Sung Lee

The pedometer, an objective assessment of measuring step counts, has often been used to motivate individuals to increase their ambulatory physical activity. Minimal contact pedometer-based intervention (MCPBI) is gaining in popularity because they are simple and inexpensive. MCPBI is based on self-monitoring by the participants; however, one limitation of using the self-monitoring approach was the participant attrition (i.e., dropout), which makes it difficult to achieve the successful intervention. A new algorithm for pedometer-based intervention, the systematic-monitoring based on conditional feedback, was designed to increase awareness and allow participants to more successfully attain their step goals. Thus, the purpose of this study was to examine the effect of the systematic-monitoring based on conditional feedback algorithm on 10,000 step goal attainments. The study result can be used to design more comprehensive pedometer-based physical activity interventions to increase individuals’ overall health status.


Author(s):  
Judson B. Murray

Confucian mysticism is a subfield in academic areas of study including Chinese thought, Chinese religions, Confucian studies, and comparative mysticism. Important topics examined in this subfield include, first, a view of the human self that is fundamentally relational, both in an interpersonal sense and because Confucians presuppose various correlations and an integration between, on the one hand, the matter–energy, capacities, processes, and activities comprising the self and, on the other, the elements, forces, patterns, and processes of the world it inhabits. One paradigmatic way Confucians conceptualize the interrelation between the self and the cosmos is their idea and ideal of the “unity of Heaven and humanity.” The Confucian mystical self, provided failings such as unbalanced emotions, selfish desires, and self-centeredness are effectively curtailed, contributes vitally to, because of its profound reverence for life, the generative and life-sustaining process of change that pervades and animates the cosmos. Second, practitioners use various techniques of religious praxis in combination to form multifaceted training regimens aimed at self-cultivation and self-transformation. Examples include a form of meditation called “quiet-sitting,” rituals, textual study, “investigating things,” self-examination and self-monitoring, filial piety, and “reverent attentiveness.” Third, training in these practices can achieve the different mystical aims, experiences, and transformations they seek, all of which relate to the overarching ideal of the unity of Heaven and humanity. These objectives, broadly speaking, include self-understanding, accurately grasping the “principles” of things and affairs, effortless moral virtuosity, “forming one body with all things” (and other types of Confucian mystical union), and exemplifying “sincerity.” Accomplishing them collapses the conventional divide separating several specious dichotomies, such as thought and action, self and other, humankind and nature, internal and external, the subjective and the objective, and moral ought and is. Fourth, the influence that precedent and tradition exert in Confucianism has prompted scholars to devote attention both to notable continuities and to intriguing innovations in comparing ancient mystical ideas, practices, experiences, and aims to later expressions and elaborations of them. At present, much of the scholarship on Confucian mysticism contributes to efforts attempting to provide rich and nuanced analyses of the tradition’s core doctrines, practices, experiences, and ethical and religious aims, by viewing these subjects through the lens of Confucianism’s mystical and spiritual dimensions. Less scholarly attention has been devoted to identifying and explicating the possible contributions that studying Confucian mysticism can make to the scholarship on theories of mysticism and comparative mysticism. Scholars of mysticism have not yet availed themselves of the wealth of data, the possible additional perspectives on contested issues, and the new trajectories for future research that Confucianism offers to these fields. Also, few studies employ the definitions, categories, and theories that have been developed in the contemporary study of mysticism as a methodology for studying Confucian mysticism.


2018 ◽  
Vol 120 ◽  
pp. 234-237 ◽  
Author(s):  
Christopher Marcin Kowalski ◽  
Radosław Rogoza ◽  
Philip A. Vernon ◽  
Julie Aitken Schermer

Curationis ◽  
2021 ◽  
Vol 44 (1) ◽  
Author(s):  
Johanna Munyungula ◽  
Simangele Shakwane

Background: Preeclampsia is one of the causes of maternal deaths and is also responsible for complications such as premature births worldwide. In South Africa, hypertensive disorders cause 14% of all maternal deaths. Evidence indicates that it may be beneficial to empower women to monitor their blood pressure (BP) in the comfort of their homes.Objectives: The purpose of this study was to explore and describe preeclampsia patients’ knowledge and attitudes towards the self-monitoring of their BP.Method: An exploratory, descriptive and contextual qualitative research study was conducted. Fourteen preeclampsia patients were purposively sampled and participated in the study. In-depth semi-structured interviews were used to collect data. Data were analysed using the thematic analytic approach.Results: The knowledge and attitudes towards the self-monitoring of blood pressure (SMBP) were explored. Four themes emerged, namely understanding of hypertension disorders during pregnancy, openness on self-monitoring at home, its hindrances and benefits. The participants portrayed limited understanding and knowledge of preeclampsia, yet they had positive attitudes towards monitoring BP themselves and were open and willing to do self-monitoring at home.Conclusion: The use of SMBP may relieve overcrowding in public healthcare institutions. Encouraging patients to participate in self-monitoring could promote active participation and a positive outlook on their pregnancies. The unavailability and unaffordability of the equipment may pose a challenge to women with a low socioeconomic status.


2019 ◽  
Vol 2 (2) ◽  
pp. 68-84
Author(s):  
Maria Dwindita ◽  
Rini Hildayani

ABSTRAKPerilaku on-task merupakan segala perilaku yang bertujuan untuk menyelesaikan tugas sehingga berperan penting dalam pencapaian akademik pada anak. Anak dengan underachiever umumnya memiliki masalah dalam menampilkan perilaku on- task. Sebaliknya, mereka cenderung untuk menampilkan perilaku off-task yang didefinisikan sebagai perilaku melakukan pekerjaan yang tidak ada hubungannya dengan tugas atau aktivitas yang sedang dijalani. Perilaku on-task dapat ditingkatkan dengan metode self-monitoring. Tujuan penelitian ini adalah untuk menguji efektivitas teknik self-monitoring dalam meningkatkan perilaku on-task pada anak underachiever. Penelitian ini menggunakan desain penelitian subyek tunggal A-B dengan follow-updengan partisipan penelitian adalah anak laki-laki underachiever berusia 9 tahun dengan IQ rata-rata atas yang cenderung menampilkan perilaku off-task ketika dihadapkan pada suatu tugas atau aktivitas. Penelitian ini terdiri dari 10 sesi dan hasil menunjukkan bahwa teknik self-monitoring dapat meningkatkan perilaku on-task dari 60% menjadi 90% dan efek pemberian intervensi bertahan hingga tahap follow-up.Kata kunci: on-task, self-monitoring, underachieverABSTRACTOn-task behavior refers as all behaviors that intended to complete the task, so it plays an important role for children’s academic achievement. Mostly, the underachiever children tend to have problems demonstrating on-task behavior. In the contrary, they tend to demonstrate off-task behavior that defined as all behaviorsthat isn’t intended to complete the task. On-task behavior can be increased with self-monitoring method. The aim of this research is to test the effectivity of self-monitoring techinique to increase underachiever children’s on-task behavior. This research is a single case AB with follow-up design. The participant in this research is a male underachiever student age 9 with the IQ score of above average that tend to demonstrate off task behavior while working on his school task. This research consists of 10 session and the result shows that the self-monitoring technique is effective in increasing the on-task behavior from 60% to 90%. The effect of this intervention last until the follow up sessionKeywords: on-task, self-monitoring, underachiever


Author(s):  
Keren Yarhi-Milo

This chapter looks at original surveys of sixty-eight presidential historians on the president each had studied in depth. The historians’ survey suggests that American presidents exhibit variation in their self-monitoring dispositions. The chapter then leverages this variation to test statistically whether US presidents’ behavior during international crises is consistent with the expectations of the theory presented in this book. The self-monitoring disposition of a US president is a significant predictor of his likelihood of employing and initiating military instruments to demonstrate resolve during international conflict. Low self-monitor presidents not only engage in less militarized interstate disputes, but they are also significantly less likely to initiate such disputes, compared to high self-monitor presidents. The chapter also presents findings indicating that high self-monitor presidents are more likely to prevail in militarized interstate disputes compared to their low self-monitor counterparts.


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