Britta Renner

Social-Cognitive Predictors of Health Behavior : Action Self-Efficacy and Coping Self-Efficacy

The effects of social-cognitive variables on preventive nutrition and behavioral intentions were studied in 580 adults at 2 points in time. The authors hypothesized that optimistic self-beliefs operate in 2 phases and made a distinction between action self-efficacy (preintention) and coping self-efficacy (postintention). Risk perceptions, outcome expectancies, and action self-efficacy were specified as predictors of the intention at Wave 1. Behavioral intention and coping self-efficacy served as mediators linking the 3 predictors with low-fat and high-fiber dietary intake 6 months later at Wave 2. Covariance structure analysis yielded a good model fit for the total sample and 6 subsamples created by a median split of 3 moderators: gender, age, and body weight. Parameter estimates differed between samples; the importance of perceived self-efficacy increased with age and weight.

Opportunities and challenges of Web 2.0 for vaccination decisions

A growing number of people use the Internet to obtain health information, including information about vaccines. Websites that allow and promote interaction among users are an increasingly popular source of health information. Users of such so-called Web 2.0 applications (e.g. social media), while still in the minority, represent a growing proportion of online communicators, including vocal and active anti-vaccination groups as well as public health communicators. In this paper, the authors: define Web 2.0 and examine how it may influence vaccination decisions; discuss how anti-vaccination movements use Web 2.0 as well as the challenges Web 2.0 holds for public health communicators; describe the types of information used in these different settings; introduce the theoretical background that can be used to design effective vaccination communication in a Web 2.0 environment; make recommendations for practice and pose open questions for future research. The authors conclude that, as a result of the Internet and Web 2.0, private and public concerns surrounding vaccinations have the potential to virally spread across the globe in a quick, efficient and vivid manner. Web 2.0 may influence vaccination decisions by delivering information that alters the perceived personal risk of vaccine-preventable diseases or vaccination side-effects. It appears useful for public health officials to put effort into increasing the effectiveness of existing communication by implementing interactive, customized communication. A key step to providing successful public health communication is to identify those who are particularly vulnerable to finding and using unreliable and misleading information. Thus, it appears worthwhile that public health websites strive to be easy to find, easy to use, attractive in its presentation and readily provide the information, support and advice that the searcher is looking for. This holds especially when less knowledgeable individuals are in need of reliable information about vaccination risks and benefits.

Why we eat what we eat. The Eating Motivation Survey (TEMS).

Understanding why people select certain food items in everyday life is crucial for the creation of interventions to promote normal eating and to prevent the development of obesity and eating disorders. The Eating Motivation Survey (TEMS) was developed within a frame of three different studies. In Study 1, a total of 331 motives for eating behavior were generated on the basis of different data sources (previous research, nutritionist interviews, and expert discussions). In Study 2, 1250 respondents were provided with a set of motives from Study 1 and the Eating Motivation Survey was finalized. In Study 3, a sample of 1040 participants filled in the Eating Motivation Survey. Confirmatory factor analysis with fifteen factors for food choice yielded a satisfactory model fit for a full (78 items) and brief survey version (45 items) with RMSEA .048 and .037, 90% CI .047-.049 and .035-.039, respectively. Factor structure was generally invariant across random selected groups, gender, and BMI, which indicates a high stability for the Eating Motivation Survey. On the mean level, however, significant differences in motivation for food choice associated with gender, age, and BMI emerged. Implications of the fifteen distinct motivations to choose foods in everyday life are discussed.

Social-cognitive predictors of dietary behaviors in South Korean men and women

Background: Eating a diet that is high in vitamins and low in fat is considered to be governed by social-cognitive factors, such as intentions, planning, self-efficacy, and outcome expectancies. Purpose: A longitudinal field study was designed to examine the interrelationships of these factors with dietary behaviors. Method: In 697 South Korean men and women, objective health-risk status was assessed at Time 1 (cholesterol, blood pressure, and body mass index) in conjunction with self-efficacy, outcome expectancies, and intentions. At Time 2, six months later, coping self-efficacy, planning, and dietary behaviors were measured. A two-group structural equation model for men and women was specified to determine the relations of distal and proximal predictors of a healthy diet. Results: Self-efficacy was of equal predictive power in men and women, whereas intentions and planning were relevant only in women. Objective risk status was associated with intentions in women but not in men. Conclusions: Results confirm the predictive power of the Health Action Process Approach and point to the role of gender in the self-regulation of dietary behaviors.

Gender differences in social cognitive determinants of exercise adoption

Gender differences in lifestyle-related mortality and morbidity suggest a need to investigate gender-specificity of health behaviour change process and factors influencing it. We tested whether changes in self-efficacy beliefs and planning, as well as the level of social support predict change in exercise. Finnish men and women, aged 50–65 years, at an increased risk for type 2 diabetes were recruited from health care centres to participate in the Good Ageing in Lahti Region (GOAL) Lifestyle Implementation Trial. Psychosocial factors were measured with questionnaires and exercise with 7-day physical activity diaries at baseline and at 3 months. At baseline, no gender differences were found in self-efficacy and planning, but men reported receiving more social support than women. At 3 months, women reported having formed more action plans for changing their exercise routines than men. Among women, increase in self-efficacy and planning predicted increase in exercise. Among men, changes in planning played a less significant role. The more salient role of planning for women than for men, and the fact that women receive less social support, may reflect life circumstances allowing less spontaneous lifestyle decisions and a lower acceptance of lifestyle changes by their social environment.

Age and Body Make a Difference in Optimistic Health Beliefs and Nutrition Behaviors

Nutrition behaviors are governed by health beliefs such as risk perceptions, outcome expectancies, and optimistic self-beliefs. This study deals with the role that objective criteria such as age and body weight might play in forming subjective beliefs. The question is whether they can deter people from forming an overly optimistic judgment of their health risk. Six kinds of verbal judgments were assessed, namely self-reported health, vulnerability toward cardiovascular diseases, nutrition outcome expectancies, nutrition self-efficacy, intentions to change one’s diet, and reported nutrition behaviors. In a sample of 1,583 men and women between 14 and 87 years of age, these judgments were statistically related to age and body weight. It was found that people do take their objective risk status into account, but only to a certain degree. The self-serving bias continues to exist throughout all age groups and weight levels. Moreover, it was found that individuals report better intentions to adhere to healthy foods and better nutrition behaviors as they grow older and gain weight.

Biased Reasoning: Adaptive Responses to Health Risk Feedback

The present study examined reactions toward repeated selfrelevant feedback. Participants in a community health screening received feedback about their cholesterol level on two separate occasions. Reactions to the first feedback were examined with regard to feedback valence and expectedness. The findings showed that negative feedback was devalued, but only when it was unexpected. Feedback consistency was incorporated into analyses of the second feedback. Again, results showed that negative feedback was not always devalued—only when it was inconsistent with the first feedback. Furthermore, positive feedback was not unconditionally accepted. When receiving unexpected positive feedback of low consistency, recipients were doubtful about its accuracy. Conversely, expected positive feedback was accepted regardless of its consistency. These results suggest that negative or unexpected positive feedbacks evoke greater sensitivity to feedback consistency, indicating elaborate cognitive processing. Theoretical accounts of these findings are discussed.

Social Support as Mediator of the Stress Buffering Effect of Optimism: The Importance of Differentiating the Recipients' and Providers' Perspective

Using a dyadic design, this longitudinal study with 85 couples examined whether the stress buffering effect of optimism is due to an actual higher availability of social support or to positive illusions about available social support by taking simultaneously the recipients’ and the providers’ perspective on social support into account. At baseline, optimism and social support from the recipients’ and the providers’ perspective were assessed. Perceived stress was measured at 3 months follow–up. Actor–Partner Interdependence Models showed that optimism was prospectively related to lower stress. Social support from the recipients’, but not from the providers’ perspective, partially mediated this relationship. The results suggest that optimists hold positive illusions about available support and that these illusions account at least partly for the stress buffering effect. Copyright

Candy or apple? How self-control resources and motives impact dietary healthiness in women.

People can choose between a virtually endless array of food items rising the question, which factors determine healthy or unhealthy food choice. The present study examines the impact of two contrasting motives for food choice (affect regulation and body weight control) and self-regulatory competences on healthy eating within a sample of women (N=761). The data show that a relative lack of self-regulatory resources combined with a high tendency to regulate negative affect through comfort eating was associated with an unfavorable dietary pattern. Accordingly, a healthy dietary pattern requires not only self-regulatory capacities but also a facilitating motive structure.

Neural systems of visual attention responding to emotional gestures.

Humans are the only species known to use symbolic gestures for communication. This affords a unique medium for nonverbal emotional communication with a distinct theoretical status compared to facial expressions and other biologically evolved nonverbal emotion signals. While a frown is a frown all around the world, the relation of emotional gestures to their referents is arbitrary and varies from culture to culture. The present studies examined whether such culturally based emotion displays guide visual attention processes. In two experiments, participants passively viewed symbolic hand gestures with positive, negative and neutral emotional meaning. In Experiment 1, functional magnetic resonance imaging (fMRI) measurements showed that gestures of insult and approval enhance activity in selected bilateral visual-associative brain regions devoted to object perception. In Experiment 2, dense sensor event-related brain potential recordings (ERP) revealed that emotional hand gestures are differentially processed already 150 ms poststimulus. Thus, the present studies provide converging neuroscientific evidence that emotional gestures provoke the cardinal signatures of selective visual attention regarding brain structures and temporal dynamics previously shown for emotional face and body expressions. It is concluded that emotionally charged gestures are efficient in shaping selective attention processes already at the level of stimulus perception.