The impact of social comparison information on motivation in patients with diabetes as a function of regulatory focus and self-efficacy.

Schokker, Marike C.; Keers, Joost C.; Bouma, J.; Links, Thera P.; Sanderman, Robbert; Wolffenbuttel, Bruce H. R.; Hagedoorn, Mariët

doi:10.1037/a0019878

Cited by 45 publications

(42 citation statements)

References 38 publications

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“…Thus, behavior change interventions that align with an individual’s regulatory focus may be more successful than those that do not (Ludolph and Schulz, 2015). For example, dietary interventions are most persuasive for people high in promotion focus when emphasizing health promoting benefits of fruit and vegetable consumption, but are more persuasive for people high in prevention focus when emphasizing negative health consequences of low fruit and vegetable consumption (Cesario et al, 2004; Latimer et al, 2008a; Schokker et al, 2010; Spiegel et al, 2004). Similarly, tailoring physical activity interventions to regulatory focus increases persuasiveness (Latimer et al, 2008b).…”

Section: Introductionmentioning

confidence: 99%

Developing a scale to assess health regulatory focus

Ferrer

Lipkus

Cerully

et al. 2017

Social Science & Medicine

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Rationale: Regulatory focus (i.e., focus on motivation to achieve gains or avoid losses and non-gains) is used to tailor health behavior change interventions, improving efficacy, but is currently assessed by scales that are not health-specific and may capture a version of the construct that is not ideally matched to the rationale for tailoring. Objective: We developed and validated a Health Regulatory Focus Scale (HRFS), which assesses tendencies to avoid negative health consequences (prevention focus) or achieve positive health outcomes (promotion focus). Methods: Across four studies (and a scale development study in supplementary online materials), we established convergent, discriminant, and predictive validity for the HRFS. In studies examining predictive validity, main outcome measures were health behavior intentions, including intentions to reduce alcohol use, quit smoking, eat a healthy diet, exercise, be screened for cancer, and engage in general cancer preventive behaviors. Results: The promotion and prevention sub-scales performed well in confirmatory factor analyses. Single-factor models had significantly poorer fit than models delineating promotion and prevention. The sub-scales were differentially (and only modestly) correlated with related constructs (anxiety, optimism, information avoidance, ambiguity/fatalism). Higher HRFS-Promotion focus generally corresponded with greater health behavior intentions. Conversely, higher HRFS-Prevention focus corresponded with lower health behavior intentions. Associations were largely maintained even when controlling for established regulatory focus measures, supporting the assertion that the HRFS would predict unique variance in health behavior intentions. Conclusion: The HRFS has the potential to improve the precision with which framed health messages change behavior, as it may assess a version of regulatory focus that is more ideally matched to rationale for tailoring interventions.

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Section: Introductionmentioning

confidence: 99%

Developing a scale to assess health regulatory focus

Ferrer

Lipkus

Cerully

et al. 2017

Social Science & Medicine

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“…Vigilant strategies serve prevention concerns because they are about carefully avoiding potential loss and guarding against mistakes in order to ensure safety and maintain a satisfactory state (see also Brodscholl, Kober, & Higgins, 2007). Indeed, individuals in a prevention focus are more motivated by negative role models (Lockwood et al, 2002;Schokker et al, 2010) and perform better after receiving failure feedback that increases vigilance (Idson & Higgins, 2000;Idson et al, 2004;Van-Dijk & Kluger, 2004).…”

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confidence: 99%

Inflating and deflating the self: Sustaining motivational concerns through self-evaluation

Scholer

Ozaki

Higgins

2014

Journal of Experimental Social Psychology

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The ways in which individuals think and feel about themselves play a significant role in guiding behavior across many domains in life. The current studies investigate how individuals may shift the positivity of self-evaluations in order to sustain their chronic or momentary motivational concerns. Specifically, we propose that more positive self-evaluations support eagerness that sustains promotion-focused concerns with advancement, whereas less positive self-evaluations support vigilance that sustains prevention-focused concerns with safety. The current studies provide evidence that self-evaluation inflation is associated with promotion concerns whereas self-evaluation deflation is associated with prevention concerns, whether regulatory focus is situationally manipulated (Studies 1, 2b, and 3) or measured as a chronic individual difference (Study 2a). Following regulatory focus primes, individuals in a promotion focus showed relatively greater accessibility of positive versus negative self-knowledge compared to individuals in a prevention focus (Study 1). In an ongoing performance situation, participants in a promotion focus reported higher self-esteem than participants in a prevention focus (Studies 2a and 2b). Finally, individuals in a promotion focus persisted longer on an anagram task when given an opportunity to focus on their strengths versus weaknesses, which was not the case for individuals in a prevention focus (Study 3). Across studies, the predicted interactions were consistently obtained, although sometimes the effects were stronger for promotion or prevention motivation. We discuss implications for existing models of the motives underlying self-

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“…This difference might be of importance e.g. in tailoring health messages either towards achieving health goals or avoiding illnesses or in offering either upward or downward comparisons or role models (Schokker et al 2010). However, as Link & Phelan (1995) point out, even when talking about the risks of getting ill, we also need to look behind the risks and look at the social conditions that put a person at the risk of being at risk.…”

Section: Introductionmentioning

confidence: 99%

In search of an empowering and motivating personal wellbeing pathway for Finnish heart patients

Tuohimaa

2014

SpringerPlus

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In this article, motivation for healthy living is discussed, with a special focus on empowerment and responsibility. The individual and his or her needs and preferences are taken as the starting point with an aim to sketch a holistic picture of the elements needed in a health promotive care process from the perspective of the individual, to enhance empowerment and motivation to lead a healthy life. Health and wellbeing related services are presented as an exemplar of a structural element by which society can work as an enabler of wellbeing, taking co-responsibility of the wellbeing of the individual. It is argued that this requires that the services of public, private and third sector service providers from different fields are seamlessly connected and easy to access, with support and information available throughout the personally tailored care pathway. Also the knowhow and attitudes of all the actors must be thought of. These aspects of a good care process have been identified through interviews with heart patients and workshops with actors in a region in southern Finland, as well as based on theoretical background information and prior research. These aspects form the personal wellbeing pathway model that is presented in this article as an ideal type of a service pathway to enhance taking actively charge of one’s own wellbeing.

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The impact of social comparison information on motivation in patients with diabetes as a function of regulatory focus and self-efficacy.

Abstract: The current study highlights the importance of considering individual differences when using role models to encourage self-care activities in persons with diabetes.

Cited by 45 publications

References 38 publications

Developing a scale to assess health regulatory focus

Developing a scale to assess health regulatory focus

Inflating and deflating the self: Sustaining motivational concerns through self-evaluation

In search of an empowering and motivating personal wellbeing pathway for Finnish heart patients

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