scholarly journals Determinants of Fasting in Patients with Cancer : A Longitudinal Study Using an Integrated Behavior Change Model

2021 ◽  
Author(s):  
Sébastien Mas ◽  
Mathieu Gourlan ◽  
Paquito Bernard ◽  
Florence Cousson-Gélie
Keyword(s):  
Behavior Change ◽  
Autonomy Support ◽  
Action Planning ◽  
Autonomous Motivation ◽  
Subjective Norm ◽  
Initial Time ◽  
Future Research ◽  
Change Model ◽  
Patients With Cancer ◽  
Past Behavior

Fasting is currently not recommended during cancer treatment. Despite this, a meaningful proportion of patients with cancer have positive perceptions of fasting, or practice fasting during their treatment. The integrated behavior change model (IBCM) combines variables and hypotheses derived from the theory of planned behavior, the self-determination theory, and the health action process approach to explain health behavior. Based on the IBCM, the present study examined determinants of fasting in patients with cancer. A total of 114 patients (M = 52 years, 108 women) completed an online questionnaire measuring past behavior, action planning, intention, attitudes, subjective norm, perceived behavioral control (PBC), autonomous motivation, controlled motivation, amotivation, and perceived autonomy support at an initial time point and informed one month later to what extent they had performed fasting in the last 30 days. Hypotheses were tested using a Bayesian path analysis. The model tested confirmed most of the hypothesized paths of the IBCM. Autonomous motivation was significantly directly linked to intention, while attitude and subjective norm were not significantly linked to intention. PBC was significantly indirectly linked to fasting through intention and action planning. Past behavior was significantly indirectly linked to actual fasting through some variables of the IBCM, with a significant strong link between past behavior and autonomous motivation. Autonomous motivation appears to play a central role in the practice of fasting among patients with cancer. Future research should apply the IBCM to fasting among various populations and with a longer period of follow-up.

scholarly journals Predicting consumers’ intention to purchase sporting goods online

2018 ◽  
Vol 30 (2) ◽  
pp. 333-351 ◽  
Author(s):  
Weisheng Chiu ◽  
Taejung Kim ◽  
Doyeon Won
Keyword(s):  
Subjective Norm ◽  
Future Research ◽  
Content Type ◽  
Female Consumers ◽  
Past Behavior ◽  
Intention To Purchase ◽  
Sporting Goods ◽  
Gender Based ◽  
And Gender ◽  
Anticipated Emotions

Purpose The purpose of this paper is to apply the model of goal-directed behavior (MGB) as a research framework to investigate consumers’ behavioral intention to purchase sporting goods online. Design/methodology/approach Mall intercept sampling was used to collect data from Korean consumers who have the experience of purchasing sporting goods online. After the elimination of invalid responses, total 314 valid questionnaires were used for further analysis. Findings The results revealed that attitude, subjective norm, positive and negative anticipated emotions had significant influences on consumers’ desire to buy sporting goods online. Moreover, the frequency of past behavior and desire played significant roles in influencing on Korean consumers’ intention. Further analysis revealed that male consumers had higher levels of positive attitude, subjective norm, positive and negative anticipated emotions, desire, intention, frequency of past behavior toward the online purchase of sporting goods than female consumers did. It also found that male consumers’ desire had a significantly stronger influence on behavioral than female consumers did. Research limitations/implications The study suggests the benefit and gender-based targeting strategies in marketing sporting goods online. The primary limitation of this study was that respondents were all Korean online consumers of buying sporting goods. Future research should apply MGB to different countries or regions to generalize the results of this study. Originality/value The findings of this study provide a better understanding of Korean consumers’ intention to purchase sporting goods online and gender differences in their decision-making process.

scholarly journals Collaborative autonomy: The dynamic relations between personal goal autonomy and perceived autonomy support in emerging adulthood results in positive affect and goal progress

2020 ◽  
Author(s):  
Shelby L. Levine ◽  
Marina Milyavskaya
Keyword(s):  
Positive Affect ◽  
Autonomy Support ◽  
Personal Autonomy ◽  
Autonomous Motivation ◽  
Well Being ◽  
Future Research ◽  
Reciprocal Relation ◽  
Personal Goals ◽  
Collaborative Process ◽  
Goal Progress

Individuals are more successful when they pursue autonomous goals, but how do such goals develop in young adults? The current investigation suggests that the development of autonomous personal goals is a collaborative process. To test this, we examined whether autonomous motivation and autonomy support would interact in a dynamic reciprocal manner over the school year. A 5-wave longitudinal study was conducted with university students (N = 1544), who completed surveys on motivation, support, goal progress and affect. A dynamic reciprocal relation emerged between autonomous motivation and autonomy support. At each subsequent time-point, autonomy support led to increased autonomous motivation, and autonomous motivation led to increased autonomy support. This upward spiral of autonomous goal motivation and autonomy support also resulted in increased positive affect and goal progress over the academic year. These results suggest that the development of autonomous personal goals is a collaborative process fueled by an individual’s personal autonomy and the interpersonal autonomy support they perceive from others, and this upward cycle is also beneficial for well-being and success. Future research is needed to determine how autonomously motivated individuals seek or elicit more autonomy support from others.

Autonomous motivation and support flourishes for individuals higher in collaborative personality factors: agreeableness, assisted autonomy striving and secure attachment

2021 ◽  
Author(s):  
Shelby L. Levine ◽  
Marina Milyavskaya ◽  
Anne Catherine Holding
Keyword(s):  
Autonomy Support ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Personal Autonomy ◽  
Goal Pursuit ◽  
Autonomous Motivation ◽  
Future Research ◽  
Personality Factors ◽  
Secure Attachment ◽  
Academic Year

Introduction: Individuals who strive autonomously for their goals, and who perceive autonomy supportive environments are more successful during goal pursuit. What dispositional factors predict autonomy flourishing during goal pursuit? Methods: Four longitudinal studies were conducted over an 8-month academic year, and university students (N total = 1544) completed surveys on motivation, support, and personality. Structural equation models were created using MPlus software to test whether collaborative personality factors were related to growth in autonomous motivation and autonomy support. Results: All three distinct collaborative personality factors, trait agreeableness, assisted autonomy striving, and secure parental attachment, were related to increases in autonomous motivation over the academic year. Conscientiousness, assisted autonomy, and secure attachment were related to increases in perceived autonomy support. A higher order latent collaborative traits factor, composed of agreeableness, assisted autonomy, and secure attachment was found to be related to increased autonomous motivation and support over the academic year and resulted in increased goal progress. Conclusion: These results suggest that individuals higher in collaborative personality factors experience growth in personal autonomy during goal pursuit. Future research is needed to determine how to promote collaboration in goal pursuit to further help individuals successfully strive for their goals.

Abstract 13773: Applied Behavior Change Techniques in Self-care Interventions for Patients With a Chronic Condition

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Barbara Riegel ◽  
Heleen Westland ◽  
Paolo Iovino ◽  
Ingrid Barelds ◽  
Joyce Bruins Slot ◽  
...  
Keyword(s):  
Behavior Change ◽  
Chronic Condition ◽  
Healthcare Providers ◽  
Self Care ◽  
Action Planning ◽  
Future Research ◽  
Behavior Change Techniques ◽  
Care Intervention ◽  
Intervention Trials ◽  
Behavior Change Technique

Introduction: Self-care requires behavior change in patients and healthcare providers play a pivotal role in supporting those changes. Examination of the behavior change techniques used by providers in self-care interventions can provide insights into how self-care behavior is enhanced in patients with a chronic condition. Objective: To quantify the behavior change techniques used to enhance healthy behavior in self-care interventions for patients with a chronic condition. Methods: Studies from a scoping review (n=233) were reviewed to identify behavior change techniques used in studies testing self-care interventions in adults with nine chronic conditions, most of which were CVDs. All studies were published between January 2008 and January 2019. Nine techniques from the Behavior Change Technique Taxonomy V1 (with 93 consensually agreed, distinct techniques) were selected for review because they are commonly used by a broad range of disciplines and have previously been shown to influence behavior change. Results: The 233 studies represent 59,950 patients, mean age 59.5 (±8.3) years, 44% female. Study sample sizes ranged from 24 to 2,445 patients. Most studies focused on DM2 (n=85; 36%), HTN (n=32; 14%) or HF (n=27; 12%). Most interventions targeted only patients (n=207; 89%). Goal setting (n=113; 48%) and problem solving (n=92; 40%) were the behavior change techniques used predominantly. Action planning, feedback and review of behavioral goals were used in 46-60 (20%-26%) studies and most commonly in patients with DM2 or CAD and rarely in patients with HTN or HF. Information about health consequences was used in 46 (20%) studies. Social support (n=17; 7%) and reminders (n=13; 6%) were rarely used. Conclusions: Few behavior change techniques were specified in the published self-care intervention trials. In future research, behavior change techniques and the associated mechanisms of actions need to be specified to support self-care intervention research.

Determinants of Virtual Exercise Equipment Use: An Integrated Model Investigation

2021 ◽  
pp. 1-10
Author(s):  
Navin Kaushal ◽  
Kathy Berlin ◽  
Martin S. Hagger
Keyword(s):  
Social Cognition ◽  
Structural Equation ◽  
Behavioral Control ◽  
Autonomous Motivation ◽  
Equation Model ◽  
Perceived Behavioral Control ◽  
Change Model ◽  
Behavioral Determinants ◽  
Past Behavior ◽  
Exercise Equipment

Background: Given the limited research on behavioral determinants of using virtual exercise machines to engage in exercise during the COVID-19 pandemic, this study applied an integrated behavior change model to identify behavioral determinants using these machines. Method: Adult owners of livestreaming virtual exercise equipment (N = 123) completed measures of social cognition, planning, motivation, virtual exercise machine features, and sociostructural variables at an initial occasion (T1) and 4 weeks later (T2). Hypothesized relations among model constructs were tested using a cross-lagged structural equation model with past behavior and sociostructural variables as covariates. Results: Autonomous motivation predicted intentions and habit indirectly via attitudes and perceived behavioral control at T1; virtual exercise machine features predicted intention and habit indirectly via social cognition constructs at T1; and intention and habit at T1 predicted exercise behavior at T2. Conclusions: This study supports social cognition constructs and virtual features as predictors of exercise using virtual exercise machines.

scholarly journals Hand Washing and Related Cognitions Following a Brief Behavior Change Intervention During the COVID-19 Pandemic: a Pre-Post Analysis

2021 ◽  
Author(s):  
Jan Keller ◽  
Dominika Kwasnicka ◽  
Lea O. Wilhelm ◽  
Noemi Lorbeer ◽  
Theresa Pauly ◽  
...  
Keyword(s):  
Behavior Change ◽  
Self Efficacy ◽  
Action Planning ◽  
Hand Washing ◽  
Future Research ◽  
Convenience Sample ◽  
Daily Diaries ◽  
Self Monitoring ◽  
Behavior Change Interventions ◽  
Registration Number

Abstract Background Effective hand washing (for at least 20 s, with water and soap) is one of the health behaviors protecting against infection transmissions. Behavior change interventions supporting the initiation and maintenance of hand washing are crucial to prevent infection transmissions. Based on the Health Action Process Approach, the aim of this research was to conduct a pre-post analysis of hand washing and related cognitions (i.e., intention, self-efficacy, self-monitoring), measured up to 100 days following an intervention. Methods A convenience sample of N = 123 participants (age: M = 23.96 years; SD = 5.82; 80% women) received a brief intervention (key behavior change techniques: information about health consequences of hand washing; action planning) and responded to daily diaries and questionnaires up to a 100-day follow-up. Two-level models were used to analyze data of n = 89 participants who provided longitudinal data. Results Hand washing and self-monitoring increased, whereas intention and self-efficacy decreased over time. Only self-monitoring was a consistent positive correlate of hand washing on a between-person level. Conclusions Hand washing and self-monitoring considerably increased over several weeks following the intervention. Future research testing the intervention against a control condition is needed to rule out that changes in behavior and cognitions might have been prompted by completing the daily diaries. Trial Registration German Clinical Trials Register; https://www.drks.de; registration number: DRKS00022067.

scholarly journals Predicting Social Distancing Intention and Behavior During the COVID-19 Pandemic: An Integrated Social Cognition Model

2020 ◽  
Vol 54 (10) ◽  
pp. 713-727 ◽  
Author(s):  
Martin S Hagger ◽  
Stephanie R Smith ◽  
Jacob J Keech ◽  
Susette A Moyers ◽  
Kyra Hamilton
Keyword(s):  
Social Cognition ◽  
Action Planning ◽  
Subjective Norm ◽  
Moral Norm ◽  
Self Report ◽  
Social Distancing ◽  
Past Behavior ◽  
Cognition Model ◽  
And Behavior

Abstract Background Social distancing is a key behavior to minimize COVID-19 infections. Identification of potentially modifiable determinants of social distancing behavior may provide essential evidence to inform social distancing behavioral interventions. Purpose The current study applied an integrated social cognition model to identify the determinants of social distancing behavior, and the processes involved, in the context of the COVID-19 pandemic. Methods In a prospective correlational survey study, samples of Australian (N = 365) and U.S. (N = 440) residents completed online self-report measures of social cognition constructs (attitude, subjective norm, moral norm, anticipated regret, and perceived behavioral control [PBC]), intention, action planning, habit, and past behavior with respect to social distancing behavior at an initial occasion. Follow-up measures of habit and social distancing behavior were taken 1 week later. Results Structural equation models indicated that subjective norm, moral norm, and PBC were consistent predictors of intention in both samples. Intention, action planning, and habit at follow-up were consistent predictors of social distancing behavior in both samples. Action planning did not have consistent effects mediating or moderating the intention–behavior relationship. Inclusion of past behavior in the model attenuated effects among constructs, although the effects of the determinants of intention and behavior remained. Conclusions Current findings highlight the importance of subjective norm, moral obligation, and PBC as determinants of social distancing intention and intention and habit as behavioral determinants. Future research on long-range predictors of social distancing behavior and reciprocal effects in the integrated model is warranted.

A systematic review of eHealth physical activity interventions for adults affected by cancer: current evidence and directions for future research (Preprint)

2021 ◽  
Author(s):  
Manuel Ester ◽  
Maximilian Eisele ◽  
Amanda Wurz ◽  
Meghan H. McDonough ◽  
Margaret McNeely ◽  
...  
Keyword(s):  
Physical Activity ◽  
Behavior Change ◽  
Cognitive Theory ◽  
Action Planning ◽  
Well Being ◽  
Risk Of Bias ◽  
Current Evidence ◽  
Future Research ◽  
Cochrane Central Register ◽  
Health Technologies

BACKGROUND Physical activity (PA) interventions can increase PA and improve well-being among adults affected by cancer, yet most do not meet cancer-specific PA recommendations. Lack of time, limited access to facilities, and travel distances are barriers to participating in PA interventions. Electronic health technologies (eHealth) may address some of these barriers and serve as a viable way to promote PA behavior change in this population. Nevertheless, no review has synthesized available evidence across eHealth and cancer types from July 2018 onward, nor examined the use of behavioral theory and behavior change techniques (BCTs) leaving important gaps in knowledge. OBJECTIVE To provide a comprehensive, updated overview of evidence on eHealth PA interventions for adults with cancer by (1) describing the current state of the literature, (2) exploring associations between intervention characteristics and effectiveness, (3) assessing the bias and completeness of evidence, and (4) identifying future research needs. METHODS Medline, Embase, CINAHL, SportDiscus, Scopus, and the Cochrane Central Register of Controlled Trials were searched for articles describing eHealth PA interventions for adults affected by cancer. Study selection and data extraction was performed in duplicate with consultation from the senior author. BCT coding, risk of bias, and completeness of reporting were performed using standardized tools. Results were summarized via narrative synthesis and harvest plots. Weight analyses were conducted to explore associations between intervention characteristics and effectiveness. RESULTS Seventy-one articles (67 studies) involving 6655 participants (Mage=56.7±8.2 years) were included. Nearly 50% of included articles were published after July 2018. Significant post-intervention increases in PA levels were noted in 52% of studies and PA maintenance noted in 5 of the 12 studies that included a follow-up. Study duration, primary objectives, and eHealth modality (e.g. websites, activity trackers, text messaging) varied widely. Social cognitive theory (34%) was the most commonly used theory. The mean number of BCTs used across studies was 13.5±5.5 with self-monitoring, credible source, and goal-setting being used in over 90% of studies. Weight analyses showed greatest associations between increased PA levels and PA as a primary outcome (0.621), interventions using websites (0.656) or mobile apps (0.563), interventions integrating multiple behavioral theories (0.750), and interventions using BCTs of problem solving (0.657) and action planning (0.645). All studies had concerns with high risk of bias, mostly due to risk of confounding and measurement bias, and incomplete reporting. CONCLUSIONS A range of eHealth PA interventions may increase PA levels among adults affected by cancer and specific intervention components (e.g. websites, use of theory, action planning) may be linked to greater effectiveness. However, more work is needed to ascertain and optimize effectiveness, measure long-term effects, and address concerns with bias and incomplete reporting. This evidence is required to support arguments for integrating eHealth within PA promotion in oncology. CLINICALTRIAL PROSPERO: CRD42020162181.

Adopting and maintaining physical activity behaviour in people with severe mental illness: The importance of autonomous motivation

2016 ◽  
Vol 33 (S1) ◽  
pp. S42-S42
Author(s):  
M. Probst
Keyword(s):  
Physical Activity ◽  
Mental Illness ◽  
Stages Of Change ◽  
Autonomy Support ◽  
Physical Activity Behaviour ◽  
Autonomous Motivation ◽  
Lifestyle Changes ◽  
Future Research ◽  
Physical And Mental Health ◽  
Patient Centered

BackgroundPhysiotherapy can improve the health of people with serious mental illness (SMI) but many are inactive. Adopting theoretically-based evidence considering the motivational processes linked to the adoption and maintenance of an active lifestyle can assist physiotherapists in facilitating lifestyle changes in people with SMI.PurposeWithin the Self-Determination Theory (SDT) and the Trans-Theoretical Model (TTM) (stages of change) frameworks, we investigated differences in motives for physical activity between different diagnostic SMI groups.MethodsAll participants with SMI from 15 different centers completed the Behavioral Regulation in Exercise Questionnaire 2 (BREQ-2), the International Physical Activity Questionnaire (IPAQ) and the Patient-centered Assessment and Counseling for Exercise (PACE) questionnaire.ResultsOverall 294 persons with SMI (190♀) (43.6 ± 13.6years) agreed to participate. People with affective disorders had higher levels of introjected regulations than people with schizophrenia. No significant differences were found for other motivational regulations. Moreover, no significant differences were found according to gender, setting and educational level. Multivariate analyses showed significantly higher levels of amotivation and external regulations and lower levels of identified and intrinsic regulations in the earlier stages of change. Strongest correlations with the IPAQ were found for motivational regulations towards walking.ConclusionsOur results suggest that in all people with SMI the level of identified and intrinsic motivation may play an important role in the adoption and maintenance of health promoting behaviours.ImplicationsThe study provides a platform for future research to investigate the relationships between autonomy support, motivational regulations and physical and mental health variables within physiotherapy interventions for this population.Disclosure of interestThe author has not supplied his declaration of competing interest.

Applying the Integrated Behavior Change Model to Understanding Physical Activity Among Older Adults: A Qualitative Study

2017 ◽  
Vol 39 (1) ◽  
pp. 43-55 ◽  
Author(s):  
Urska Arnautovska ◽  
Frances O’Callaghan ◽  
Kyra Hamilton
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Decision Making ◽  
Behavior Change ◽  
Future Research ◽  
Change Model ◽  
Subjective Experiences ◽  
Implicit Processes ◽  
Decision Making Processes ◽  
Motivational Influences

We explored older adults’ experiences of physical activity (PA) and related decision-making processes underlying PA. Twenty Australians (Mage = 73.8 years) participated in semistructured interviews. Data were analyzed using thematic analysis, and identified themes were matched deductively within motivational, volitional, and implicit processes of the integrated behavior change model for PA. Motivational influences such as participants’ time orientation toward health and perceptions of what PA should be like were frequently featured in participants’ narratives. Volitional processes were also identified, with participants reporting different ways of coping with competing priorities. Physical surroundings and habitual PA were the identified themes within implicit processes. Together, these findings contribute to a better understanding of subjective experiences of older adults regarding PA. They also add to a more contextual understanding of multiple decision-making processes underpinning older adults’ PA engagement. Identified concepts may be used in future research and PA interventions targeting older adults.

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