Conroy Dominic, Smith Debbie M, Armitage Christopher J
School of Social Sciences and Professions, London Metropolitan University, London, UK.
Manchester Centre for Health Psychology, University of Manchester, Manchester, UK.
Psychol Health. 2023 Sep-Oct;38(10):1288-1308. doi: 10.1080/08870446.2021.2012574. Epub 2022 Jan 11.
Mental imagery interventions are a cost-effective way of promoting health behaviour change. We tested a mental imagery intervention designed to promote adherence to wearing face coverings during the COVID-19 pandemic. A four-arm randomised controlled trial to explore potential mechanisms of action. Measures of behaviour (frequency of self-reported face covering adherence), theory of planned behaviour constructs (i.e. intention, attitudes, subjective norms, and perceived behavioural control), personality traits, imagery ability and barrier self-efficacy were measured at baseline (T1). Behaviour was also assessed at four-week follow-up (T2). Of 297 participants, a majority always wore face coverings ( 216, 73% overall sample). Logistic regression analyses revealed no intervention effects on changes in adherence to wearing face coverings, though T1 wearing of face coverings and being male predicted T2 behaviour. Subgroup analysis of participants self-reporting 'suboptimal T1 adherence, revealed that T2 non-adherence was predicted by being a non-student and by subjective norms and lower T1 intention to wear face coverings. Imagery-based interventions to increase face covering wearing adherence may exert significant public health effects but only when conducted on a very large scale. Our findings suggest that interventions should target men and disrupt habitual past behaviour.
心理意象干预是促进健康行为改变的一种经济有效的方式。我们测试了一种心理意象干预措施,旨在促进在新冠疫情期间坚持佩戴口罩。这是一项四臂随机对照试验,以探索潜在的作用机制。在基线期(T1)测量了行为(自我报告的佩戴口罩频率)、计划行为理论结构(即意图、态度、主观规范和感知行为控制)、人格特质、意象能力和障碍自我效能感。在四周随访期(T2)也对行为进行了评估。在297名参与者中,大多数人总是佩戴口罩(216人,占总样本的73%)。逻辑回归分析显示,干预措施对佩戴口罩依从性的变化没有影响,不过T1期佩戴口罩情况和男性身份可预测T2期行为。对自我报告“T1期依从性欠佳”的参与者进行的亚组分析显示,非学生身份、主观规范以及T1期佩戴口罩的意愿较低可预测T2期的不依从行为。基于意象的干预措施要提高佩戴口罩的依从性,可能会产生重大的公共卫生影响,但前提是要大规模开展。我们的研究结果表明,干预措施应针对男性,并打破过去的习惯行为。