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设定现实的健康目标:前因与后果。

Setting Realistic Health Goals: Antecedents and Consequences.

机构信息

Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, NC, USA.

School of Psychology, University of Leeds, Leeds, UK.

出版信息

Ann Behav Med. 2019 Nov 9;53(12):1020-1031. doi: 10.1093/abm/kaz012.

Abstract

BACKGROUND

People often fail to translate their intentions into health behaviors.

PURPOSE

The present research examined a new potential moderator of intention-behavior relations, namely, how realistic or unrealistic are respective goal intentions. Goal realism was defined as the degree to which intentions are aligned with expectations (i.e., predicted performance).

METHODS

A validation study (N = 81) examined our novel goal realism measure. Study 1 (N = 246) tested goal importance, fantasy proneness, and pathways thinking as predictors of realistic goal setting using a cross-sectional questionnaire design. Moderation of the intention-behavior relation was tested in prospective surveys of cervical cancer screening (Study 2, N = 854), physical activity (Study 3, N = 237), and performance of a suite of 15 health behaviors (Study 4, N = 378).

RESULTS

The validation study offered preliminary evidence concerning the convergent and predictive validity of the goal realism measure. Study 1 showed that goal importance, fantasy proneness, and pathways thinking interacted to predict how realistic were intentions to perform 11 health behaviors. In Study 2, realistic intentions better predicted women's attendance for cervical cancer screening compared with unrealistic intentions. Study 3 confirmed this finding for a frequently performed behavior (physical activity). In Study 4, multilevel modeling of longitudinal data for 15 health behaviors again revealed a significant goal realism × intention interaction. Greater realism was associated with improved prediction of behavior by intention. The interaction term remained significant even when past behavior, perceived behavioral control, and other predictors were taken into account.

CONCLUSIONS

The present findings offer new insights into the factors that lead to more realistic intentions and demonstrate that goal realism influences how effectively intentions are translated into action.

摘要

背景

人们常常无法将意图转化为健康行为。

目的

本研究考察了意图-行为关系的一个新的潜在调节因素,即各自目标意图的现实程度。目标现实度被定义为意图与期望(即预测绩效)相符的程度。

方法

一项验证性研究(N=81)检验了我们新的目标现实度测量方法。研究 1(N=246)使用横断面问卷设计,检验了目标重要性、幻想倾向和途径思维对现实目标设定的预测作用。在宫颈癌筛查的前瞻性调查(研究 2,N=854)、体育活动(研究 3,N=237)以及 15 项健康行为的综合表现(研究 4,N=378)中测试了意图-行为关系的调节作用。

结果

验证性研究提供了关于目标现实度测量方法的收敛和预测效度的初步证据。研究 1 表明,目标重要性、幻想倾向和途径思维相互作用,预测了 11 项健康行为的意图现实程度。在研究 2 中,现实的意图比不现实的意图更好地预测了女性参加宫颈癌筛查的情况。研究 3 对一项经常进行的行为(体育活动)证实了这一发现。在研究 4 中,对 15 项健康行为的纵向数据进行多层次建模,再次发现了目标现实度×意图的显著交互作用。更高的现实度与意图对行为的预测能力的提高有关。即使考虑了过去的行为、感知的行为控制和其他预测因素,交互项仍然具有统计学意义。

结论

本研究结果提供了关于导致更现实意图的因素的新见解,并证明目标现实度影响意图转化为行动的有效性。

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