A smoker’s choice? Identifying the most autonomy-supportive message frame in an online computer-tailored smoking cessation intervention

Altendorf, Maria B; Smit, Eline Suzanne; Azrout, Rachid; Hoving, Ciska; Weert, Julia C.M. van

doi:10.1080/08870446.2020.1802457

Cited by 5 publications

(6 citation statements)

References 53 publications

(76 reference statements)

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“…Self-determined motivation to perform safer sex was measured using a version of the Treatment Self-Regulation Questionnaire (Levesque et al, 2007) to measure to which degree participants would perform the health behaviour for autonomous, self-determined reasons, or for controlled reasons as used by Altendorf et al (2021). To limit participant burden in the rather young sample of participants, six items were used in the questionnaire, instead of the 16 used by Altendorf et al (2021). Therefore, (1) three items were chosen to measure autonomous regulation and (2) three items to measure controlled regulation.…”

Section: Europeanmentioning

confidence: 99%

Adolescents’ Self-Determined Motivation to Learn About Safer Sex Online

Gültzow,

Driehuizen,

Zimmermann

et al. 2023

EJHC

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Self-determined motivation fosters better learning and sustained health behaviour adoption than controlled motivation. Self-determined motivation can be strengthened by satisfying the need for autonomy. Therefore, this study investigated if adolescents’ (1) intrinsic motivation to learn about safer sex and (2) self-determined motivation to perform safer sex would be higher when an online message is presented in autonomy-supportive language compared to controlling language. Furthermore, this study also investigated if adolescents’ (1) intrinsic motivation to learn about safer sex and (2) self-determined motivation to perform safer sex changes depending on whether the online message is written by someone that is similar to them. To this end, a 2 (autonomy-supportive language vs. controlling language) x 2 (identification vs. no identification) experimental study (N = 214) was conducted using a website page about safe sex from the Dutch sexual health website sense.info. Even though we found some indications of the expected effects, a two-way analysis of covariance (ANCOVA) showed no significant difference for either autonomy-supportive language, identification, or an interaction of both strategies. However, we found some preliminary evidence that this could be due to a ceiling effect. We therefore recommend further exploring these strategies, considering some lessons learned.

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Section: Europeanmentioning

confidence: 99%

Adolescents’ Self-Determined Motivation to Learn About Safer Sex Online

Gültzow,

Driehuizen,

Zimmermann

et al. 2023

EJHC

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“…Examples of feedback messages for the 4 message frames are presented in Table 1. For more examples, refer to the study by Altendorf et al [31].…”

Section: Integrate Message Frames In the Program And Conduct A Second...mentioning

confidence: 99%

“…Therefore, a web-based experiment with a 2×2 (language: autonomy-supportive vs controlling; choice vs no choice) between-participants design with a control condition was conducted. An extensive description of the method and results of this experiment is provided elsewhere [31]. However, we summarize the most important outcomes below.…”

Section: Conduct a 2×2 Web-based Experiments With A Control Conditionmentioning

confidence: 99%

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Message Frame–Tailoring in Digital Health Communication: Intervention Redesign and Usability Testing

Strien-Knippenberg¹,

Altendorf²,

Hoving³

et al. 2022

JMIR Form Res

Self Cite

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Background Message frame–tailoring based on the need for autonomy is a promising strategy to improve the effectiveness of digital health communication interventions. An example of a digital health communication intervention is Personal Advice in Stopping smoking (PAS), a web-based content-tailored smoking cessation program. PAS was effective in improving cessation success rates, but its effect sizes were small and disappeared after 6 months. Therefore, investigating whether message frame–tailoring based on the individual’s need for autonomy might improve effect rates is worthwhile. However, to our knowledge, this has not been studied previously. Objective To investigate whether adding message frame–tailoring based on the need for autonomy increases the effectiveness of content-tailored interventions, the PAS program was redesigned to incorporate message frame–tailoring also. This paper described the process of redesigning the PAS program to include message frame–tailoring, providing smokers with autonomy-supportive or controlling message frames—depending on their individual need for autonomy. Therefore, we aimed to extend framing theory, tailoring theory, and self-determination theory. Methods Extension of the framing theory, tailoring theory, and self-determination theory by redesigning the PAS program to include message frame–tailoring was conducted in close collaboration with scientific and nonscientific smoking cessation experts (n=10), smokers (n=816), and communication science students (n=19). Various methods were used to redesign the PAS program to include message frame–tailoring with optimal usability: usability testing, think-aloud methodology, heuristic evaluations, and a web-based experiment. Results The most autonomy-supportive and controlling message frames were identified, the cutoff point for the need for autonomy to distinguish between people with high and those with low need for autonomy was determined, and the usability was optimized. Conclusions This resulted in a redesigned digital health communication intervention that included message frame–tailoring and had optimal usability. A detailed description of the redesigning process of the PAS program is provided. Trial Registration Netherlands Trial Register NL6512 (NRT6700); https://www.trialregister.nl/trial/6512

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“…Different versions of the TSRQ have been adapted in various studies (22)(23)(24)(25) to examine the effect of autonomous regulation on distinct behaviors e.g. lifestyle changes in patients with chest pain (26), physical activity in patients with rheumatoid arthritis (27)(28), dietary habits (1,15,(22)(23), physical activity (1,29), drinking behavior (30), smoking (1,(31)(32) and weight loss practices (12,33). Consistent with these studies' importance of autonomous regulation on diabetes control, care and self-management, positive lifestyle changes, therapeutic adherence and regular physical activity, diet change, blood glucose control and stress control were studied (3-4, 8, 12-13, 17, 33-43).…”

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confidence: 99%

Psychometric analysis of the Treatment Self-Regulation Questionnaire-Persian (TSRQ-P) version: autonomous regulation appraisal among the Iranian type 2 diabetes patients

Matin

Sarbakhsh

Shaghaghi

2022

Preprint

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Background: Autonomous self-regulation is a proxy for adapting long-term healthy behaviors with major impact on prevention of chronic illnesses. The psychometric properties of the Treatment Self-Regulation Questionnaire- Persian version (TSRQ-P) was assessed in this study for use in examination of autonomous regulation among the Iranian type 2 diabetes patients. Methods: The preliminary draft of the TSRQ-P was prepared based on a standard translation/back translation procedure and 15 allied health specialists assessed its face and content validities. The internal consistency measure of the Cronbach’s alpha and Intraclass Correlation Coefficient (ICC) were estimated to verify the TSRQ-P’s content validity and reliability. The exploratory (EFA) and confirmatory factor (CFA) analyses were performed to check the scale’s structural components. Results: The calculated Cronbach’s alpha= 0.893 and ICC= 0.982 deemed the scale as content valid and acceptable in terms of measurement invariance. The EFA and CFA outputs yielded two distinct factor structure for the TSRQ-P (RMSEA=0.078, NFI=0.849, RFI=0.806, IFI=0.913, TLI=0.886, CFI= 0.911). Conclusion: The TSRQ-P indicated robust psychometric features for application among Persian-speaking type 2 diabetes patients. Due to cross-borders cultural diversity of the subgroups of Persian speaking populations, further psychometric scrutiny is recommended to prevent bias and sociolinguistic inconsistencies.

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A smoker’s choice? Identifying the most autonomy-supportive message frame in an online computer-tailored smoking cessation intervention

Cited by 5 publications

References 53 publications

Adolescents’ Self-Determined Motivation to Learn About Safer Sex Online

Adolescents’ Self-Determined Motivation to Learn About Safer Sex Online

Message Frame–Tailoring in Digital Health Communication: Intervention Redesign and Usability Testing

Psychometric analysis of the Treatment Self-Regulation Questionnaire-Persian (TSRQ-P) version: autonomous regulation appraisal among the Iranian type 2 diabetes patients

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