Magnhild Høie

An extended version of the theory of planned behavour: Prediction of intentions to quit smoking using past behaviour as moderator

It was hypothesised that: (i) intentions to quit smoking were predictable from group identity, self-identity, moral norms and past quit attempts, beyond the components of the Theory of Planned Behaviour (TPB), and (ii) that past experiences with the behaviour (quit attempts) would increase the predictive utility of the extended TPB model on intentions. The data was collected among 357 daily smoking students (M = 24 years). The TPB components accounted for 12.3% of the variance in quitting intentions, while the extension variables added 16.5% to the explained variance in intentions beyond the impact of the TPB. Past behaviour had the strongest impact on intentions (α = 0.30), followed by moral norms (α = 0.25), perceived behavioural control (PBC, α = 0.20), attitude (α = 0.18) and group commitment (α = −0.11). By splitting the sample into three categories of past quit attempts the picture changed, revealing that the predictive utility of the TPB increased with the number of quit attempts (no past quit attempt, R2 = 1%, ns and several past quit attempts, R2 = 12.3%, p < 0.001). Moreover, PBC and group commitment were significantly stronger predictors of intention among those who had several previous quit attempts compared with those who never had tried to quit smoking. The extended TPB model explained 1% and 28% of the variance in intentions among those with no and several previous quit attempts, respectively. The practical implications of these results for the development of interventions to encourage smokers to quit smoking are outlined.

Teachers' experiences of adolescents' pain in everyday life: a qualitative study

Objectives More adolescents report pain now than previously. In Norway, episodic pain problems have been reported by 60% of children and adolescents aged 8–18 years, with 21% reporting duration of pain of more than 3 months. Since adolescents spend much time at school, the attitude and behaviour of teachers play important roles regarding the experience of pain felt by adolescents in everyday life. Yet research on how teachers perceive the pain experienced by adolescents in a school setting is limited. We therefore seek to gain insight to teachers’ classroom experiences with (1) adolescents self-reported pain symptoms; (2) adolescents management of their pain and (3) how to help adolescents manage their pain. Setting Teachers in 5 junior high schools in Norway representing municipalities in 3 rural areas and 2 cities. Research design A qualitative study with an explorative design comprising 5 focus group interviews. Each group consisted of 3–8 junior high school teachers. A semistructured interview guide was used to cover the issues. The transcribed text was analysed with qualitative content analysis. Participants 22 teachers participated (5 men, 17 women; age range 29–62 years) with teaching experience ranging from 3 to nearly 40 years. Results The main theme describing the experience of teachers with adolescents’ pain in everyday life is that pain and management of pain is a social, physical and psychological interwoven phenomenon. Through empirical analyses, 3 subcategories emerged: (1) everyday pain—expressing strenuous life; (2) managing pain—escaping struggle and (3) strategies of teachers—support and normalisation. Conclusions Teachers have a biopsychosocial understanding and approach to pain experienced by adolescents. This understanding influences the role of teachers as significant others in the lives of adolescents with regard to pain and management of their pain in a school setting.

Predicting patient post-detoxification engagement in 12-step groups with an extended version of the theory of planned behavior

IntroductionIndividuals with substance use disorders can receive important abstinence-specific support in 12-step groups (TSGs). However, our understanding of key factors that influence TSG participation remains limited. This study used an extended version of the theory of planned behavior (TPB) to enhance the understanding of TSG affiliation.MethodsData were retrieved from a controlled trial of a 12-step facilitation intervention conducted on an inpatient detoxification ward in Norway (N = 140). Surveys at baseline included a TPB questionnaire. The behavioral target was to attend at least two TSG meetings per month in the 6-month follow-up period. Structural equation modeling was used to analyze the predictors of behavior at follow-up.ResultsWe found that attitudes, the moral norm, and perceived behavior control accounted for 81 % of the variance in the intention to participate regularly in TSGs after treatment. Subjective norms did not significantly influence the intention to participate. Moreover, the intention to participate significantly predicted behavior (β = 0.42, p < 0.001). In contrast to theory, there was a substantial, model-independent pathway from past to later behavior (β = 0.22, p = 0.047). The model explained 46 % (p < 0.001) of the variance in behavior. Attending ≥ 12 TSG meetings in the follow-up period was associated with a high percentage of abstinent days at follow-up (β = 0.38, p = 0.023).ConclusionsThe present TPB questionnaire worked well for assessing patient intentions to attend a TSG. Treatment providers should encourage patient intentions to participate in TSGs post-detoxification.

Has life satisfaction in Norway increased over a 20-year period? Exploring age and gender differences in a prospective longitudinal study, HUNT

Aim: The aim of the present study was to investigate the change in overall life satisfaction for different age groups and between genders over a 20-year period. Methods: Data from 1984 to 2008 were extracted from a large prospective longitudinal health study of Nord-Trøndelag (HUNT), Norway. The study included more than 176,000 participants ranging from 20 to 70+ years of age. Data were analysed using logistic regression and adjusted for gender. Results: The analyses revealed an increase in life satisfaction for all age groups from 1984–1986 (HUNT 1) to 1995–1997 (HUNT 2), with the highest levels being reached at 2006–2008 (HUNT 3). For all age groups, the data showed an increase of about 20% for the period from 1984–1986 (HUNT 1) to 1995–1997 (HUNT 2). From 1995–1997 (HUNT 2) to 2006–2008 (HUNT 3), the increase in overall life satisfaction was 16% for the younger age groups, and about 32% for the older age groups (40–69 and 70+ years). Women’s scores for overall life satisfaction were higher for nearly all age groups when compared to men using HUNT 3 as a reference. Conclusions: These findings suggest an increase in life satisfaction for all age groups from 1984 to 2008, especially for the older age group (40–69 and 70+ years). The data indicate that women score higher on life satisfaction for most age groups as compared to men.