Awareness of a disconnect between the value assigned to health and the effort devoted to health increases the intention to become more physically active.

IF 2.4 Q2 PSYCHOLOGY, CLINICAL Health Psychology and Behavioral Medicine Pub Date : 2023-07-30 eCollection Date: 2023-01-01 DOI:10.1080/21642850.2023.2242484
Lorraine L Landais, Judith G M Jelsma, Evert A L M Verhagen, Danielle R M Timmermans, Olga C Damman
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Abstract

Background: Intrinsic values and priorities influence decision-making and are, therefore, important to consider explicitly in intervention development. Although health is generally considered an important value, individuals often make unhealthy choices, indicating a values disconnect.

Study aim: To investigate how becoming aware of a disconnect between the value assigned to health and the effort devoted to health is related to intentions and commitment for behavioural change and physical activity among inactive adults.

Methods: We performed a secondary exploratory analysis on previously collected data. The intervention included a values exercise based on the Disconnected Values Model (DVM) that made disconnected values explicit to participants in two study arms. We compared participants with a disconnect (n = 138) with participants without a disconnect (n = 101) regarding intentions and commitment for behavioural change and physical activity and sitting time 2-4 weeks follow-up. Logistic and linear regression analyses were performed to analyse the data.

Results: Between-group differences were found for the intention to devote more effort to health (OR = 3.75; 95%CI: 2.05; 6.86) and for the intention to become more physically active (OR = 2.21; 95%CI: 1.10; 4.46), indicating that significantly more participants with a disconnect were motivated to change, compared to participants without a disconnect. No between-group differences were found for commitment, intention strength, follow-up physical activity and sitting time.

Conclusion: Making explicit a disconnect regarding health in an active choice intervention was associated with intentions to become more physically active. Still, it did not translate in significant behaviour change at 2-4 weeks follow-up.

Trial registration: ClinicalTrials.gov: NCT04973813. Retrospectively registered.

Trial registration: ClinicalTrials.gov identifier: NCT04973813..

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如果意识到健康的价值与为健康付出的努力之间存在脱节,就会增强更加积极参加体育锻炼的意愿。
背景:内在价值观和优先事项会影响决策,因此在制定干预措施时必须明确考虑这一点。研究目的:调查意识到赋予健康的价值与为健康付出的努力之间的脱节与不运动成年人行为改变和体育锻炼的意向和承诺之间的关系:我们对之前收集的数据进行了二次探索性分析。干预措施包括基于 "断裂价值观模型"(DVM)的价值观练习,让两个研究组的参与者明确断裂的价值观。我们比较了有断裂价值观的参与者(n = 138)和没有断裂价值观的参与者(n = 101)在行为改变的意向和承诺、体育活动和坐着时间方面的情况,并进行了 2-4 周的随访。我们对数据进行了逻辑和线性回归分析:结果发现,在为健康付出更多努力的意向(OR = 3.75;95%CI:2.05;6.86)和更加积极参加体育锻炼的意向(OR = 2.21;95%CI:1.10;4.46)方面存在组间差异,这表明,与没有脱节的参与者相比,有脱节的参与者有更多的改变动机。在承诺、意向强度、后续体育锻炼和久坐时间方面没有发现组间差异:结论:在主动选择干预中明确提出健康方面的脱节与增加体育锻炼的意愿有关。结论:在主动选择干预中明确提出健康方面的脱节与加强体育锻炼的意向有关,但在2-4周的随访中并没有转化为显著的行为变化:试验注册:ClinicalTrials.gov:NCT04973813.试验注册:ClinicalTrials.gov:NCT04973813:试验注册:ClinicalTrials.gov identifier:NCT04973813.
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来源期刊
CiteScore
3.50
自引率
3.70%
发文量
57
审稿时长
24 weeks
期刊介绍: Health Psychology and Behavioral Medicine: an Open Access Journal (HPBM) publishes theoretical and empirical contributions on all aspects of research and practice into psychosocial, behavioral and biomedical aspects of health. HPBM publishes international, interdisciplinary research with diverse methodological approaches on: Assessment and diagnosis Narratives, experiences and discourses of health and illness Treatment processes and recovery Health cognitions and behaviors at population and individual levels Psychosocial an behavioral prevention interventions Psychosocial determinants and consequences of behavior Social and cultural contexts of health and illness, health disparities Health, illness and medicine Application of advanced information and communication technology.
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