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超越单一行为理论:将跨行为认知纳入健康行动过程方法。

Beyond single behaviour theory: Adding cross-behaviour cognitions to the health action process approach.

作者信息

Fleig Lena, Ngo Joy, Roman Blanca, Ntzani Evangelia, Satta Paolo, Warner Lisa M, Schwarzer Ralf, Brandi Maria L

机构信息

Health Psychology, Freie Universität Berlin, Germany.

Centre for Hip Health and Mobility, Vancouver, British Columbia, Canada.

出版信息

Br J Health Psychol. 2015 Nov;20(4):824-41. doi: 10.1111/bjhp.12144. Epub 2015 Jun 25.

DOI:10.1111/bjhp.12144
PMID:26112344
Abstract

OBJECTIVES

Commonly, health behaviour theories have been applied to single behaviours, giving insights into specific behaviours but providing little knowledge on how individuals pursue an overall healthy lifestyle. In the context of diet and physical activity, we investigated the extent to which cross-behaviour cognitions, namely transfer cognitions and compensatory health beliefs, contribute to single behaviour theory.

DESIGN

A total of 767 participants from two European regions (i.e., Germany n = 351, southern Europe n = 416) completed online questionnaires on physical activity and healthy dietary behaviour, behaviour-specific cognitions (i.e., self-efficacy, outcome expectancies, risk perception, intention, action planning, action control), as well as cross-behaviour cognitions, namely transfer cognitions and compensatory health beliefs.

METHODS

Nested path models were specified to investigate the importance of cross-behaviour cognitions over and above behaviour-specific predictors of physical activity and healthy nutrition.

RESULTS

Across both health behaviours, transfer cognitions were positively associated with intention and self-regulatory strategies. Compensatory health beliefs were negatively associated with intention. Action planning and action control mediated the effect of intentions on behaviour.

CONCLUSIONS

Cross-behaviour cognitions contribute to single behaviour theory and may explain how individuals regulate more than one health behaviour. Statement of contribution What is already known on this subject? Cross-behaviour cognitions are related to a healthy lifestyle. Compensatory health beliefs hinder the adoption of a healthy lifestyle. Transfer cognitions encourage the engagement in a healthy lifestyle. What does this study add? Transfer cognitions were positively associated with intentions, action planning, and action control over and above behaviour-specific cognitions. Compensatory health beliefs were related to intentions only. Both facilitating and debilitating cross-behaviour cognitions need to be studied within a unified multiple behaviour research framework.

摘要

目标

通常,健康行为理论已应用于单一行为,这有助于深入了解特定行为,但对于个体如何追求整体健康生活方式的了解甚少。在饮食和身体活动的背景下,我们研究了跨行为认知,即转移认知和补偿性健康信念,在多大程度上有助于单一行为理论。

设计

来自两个欧洲地区(即德国n = 351,南欧n = 416)的767名参与者完成了关于身体活动和健康饮食行为、行为特定认知(即自我效能感、结果期望、风险感知、意图、行动计划、行动控制)以及跨行为认知(即转移认知和补偿性健康信念)的在线问卷。

方法

指定嵌套路径模型来研究跨行为认知在身体活动和健康营养的行为特定预测因素之外的重要性。

结果

在两种健康行为中,转移认知与意图和自我调节策略呈正相关。补偿性健康信念与意图呈负相关。行动计划和行动控制介导了意图对行为的影响。

结论

跨行为认知有助于单一行为理论,并可能解释个体如何调节多种健康行为。贡献声明 关于这个主题已知的是什么?跨行为认知与健康生活方式有关。补偿性健康信念阻碍了健康生活方式的采用。转移认知鼓励参与健康生活方式。这项研究增加了什么?除行为特定认知外,转移认知与意图、行动计划和行动控制呈正相关。补偿性健康信念仅与意图有关。促进和削弱跨行为认知都需要在统一的多行为研究框架内进行研究。

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