Social and Behavioral Sciences Commons^™

Electronic Nicotine Product (Enp) Graphic Warnings: Association Between Exposure And Changes In Perceived Susceptibility And Severity Of Explosion And Lung Injuries, Erica Harp, Matthew E. Rossheim, Xiaoquan Zhao, Christian Seiter, Ogechikamma C. Emechebe, Eric Soule

Health Behavior Research

Electronic nicotine products (ENPs) are the most prevalent form of tobacco use among U.S. young adults. Research is needed to investigate how to communicate new risks from ENPs to the public. In this study, we tested the comparative persuasiveness of ENP explosion and lung injury graphic warnings. We recruited a sample of 343 young adults (18 to 28 years; 146 male, 197 female), including both ENP users and nonusers, via Amazon Mechanical Turk in October 2020. We randomly assigned participants to one of six exposure conditions: two images of lung injuries with prevalence statistics, two images of battery explosion injuries …

Just Pin It: Understanding The Dynamics Of Pinterest Use, Motivation, Self-Efficacy, And Health Behaviors, Kathryn E. Dolphin, Rachel Char, Summer Rogers

Health Behavior Research

Image-based social media platforms, such as Pinterest, have revolutionized how individuals seek, share, and interpret health information. Previous research suggests a link between consuming social media content and intentions to engage in health behaviors; however, it is unclear if individuals who actively seek health-related information on social media engage in healthier behaviors. This mixed-methods study explored the relationships among Pinterest use, motivations, self-efficacy, and health behaviors. Women participants (n = 227) completed surveys that included sociodemographic characteristics, motivation, self-efficacy, Pinterest use, and diet and exercise behaviors. Independent samples t-tests assessed differences in exercise behaviors, and multivariate analyses of variance …

Health Belief Model, Demographic, And Sexual Behavioral Factors Associated With Mpox Vaccination Among Men Who Have Sex With Men, Christopher Owens, Randolph Duane Hubach

Health Behavior Research

The mpox virus outbreak (formerly known as monkeypox) in the United States created an urgent need to inform vaccination acceptance and uptake interventions. We quantitatively examined the association of the Health Belief Model, demographic, and sexual behavioral factors with men who have sex with men (MSM) getting the mpox vaccine. We qualitatively explored MSM’s perceived barriers to obtaining the mpox vaccine. A convenience sample of MSM in the United States (n = 554) completed a mixed-method online cross-sectional survey. A series of chi-square tests of independence, t-tests, and multivariable logistic regressions were used to analyze associations between participants who were …

Strategy For Expanding Nutrition Professionals’ Competency: A Pilot Case Study In Dissemination And Implementation Science Training, Ayron E. Walker, Elizabeth A. Claydon, Samantha E. Scarneo-Miller, Daniel Totzkay, Melissa D. Olfert

Health Behavior Research

Dissemination and Implementation (D&I) science trainings are essential to build knowledge among a variety of current and future health professionals.

The objective of this study was to pilot-test and assess implementation of a nutrition-specific D&I science training.

Participants (students enrolled in nutrition and public health programs) completed pre/post surveys and exit interviews. Descriptive statistics and a qualitative thematic analysis used deductive coding; in which coding and theme development are directed by existing concepts. Initial coding was completed by one researcher and validated by an additional researcher to describe and provide examples of the categories the Kirkpatrick Model and Implementation Outcomes …

Potentially Misleading Weight Loss Advertisements Targeting Men: Examining Influence Of Celebrity Athlete Endorsement On Ad Believability And Purchase Intentions, Andrew C. Pickett, Katie M. Brown, Zack J. Damon, Natasha T. Brison

Health Behavior Research

Given the prevalence of false or exaggerated claims in advertisements for weight loss products, as well as risks associated with use of unproven dietary supplements and exercise plans, they are subject to heightened scrutiny from regulators. However, celebrity athlete endorsers are increasingly featured in advertisements promoting weight loss products targeting men. This study employed a 2x2 (athlete endorser vs. non-celebrity; plausible vs. unrealistic advertising claim) experimental design, whereby participants (n= 292) were exposed to one of four ad conditions. Results suggest the athlete endorser was perceived as more credible than a non-celebrity, being rated as more expert. Significant …

Reasoned Action Approach To Analyze Differences In Athletes' Physical Activity During Covid-19, Olivia Branson, Karly S. Geller, Paul Branscum

Health Behavior Research

The purpose of this study was to examine the reasoned action approach (RAA) in relation to the impact of COVID-19 on college athletes’ physical activity (PA). Participants were college athletes (ages 18-22 years) who were involved in university, club, and/or intramural sport. The RAA constructs were measured for the three different types of PA behaviors. Statistical analyses included ANOVA and multiple regression analyses to evaluate the RAA determinants of PA intentions. Results partially supported theoretical expectations. All RAA constructs had an impact on perceived norms indicating a dominant influence. Remote social interaction/training during isolation periods are suggested to promote sustained …

Global Perspectives For Strengthening Health Education: A Mixed-Methods Study, Mohammad Torabi, Wasantha Jayawardene, Dennis Daniels, Tapati Dutta, Nicola Bragazzi, David K. Lohrmann

Health Behavior Research

This study aimed to identify the knowledge, experiences, and attitudes about current practices of health education (HE) among government-affiliated high-profile health administrators in developed and developing nations. Respondents (N = 21) were purposively selected based on their affiliation as a health administrator at the national level, with roles in high-profile decision-making for devising policies/programs and allocating funding or advocating strategies to advance HE. Information was gathered using a web-based cross-sectional survey in 5 languages, consisting of 14 closed-ended and 8 open-ended questions. A majority were males (70%) and spoke English (57%), 45% had postgraduate degrees, and 57% were from high-income …

Examining The Influences Of Covid-19 Information Avoidance And Uncertainty On Perceived Severity Of The Pandemic: Applications From The Health Belief Model And Weick’S Model Of Organizing, Xuewei Chen, Jati Ariati, Ming Li, Gary Kreps

Health Behavior Research

Public health responses to the COVID-19 pandemic have been insufficient at keeping the virus from spreading rapidly and threatening public health around the globe. Not only has society been challenged by biomedical issues of disease contagion, infection, morbidity, and mortality, but has also confronted complex cognitive challenges to making sense of this health threat, especially related to accurately evaluating and responding appropriately to the severity of the pandemic. Perceived severity is an important cognitive factor associated with public willingness to adopt needed prevention, protection, and treatment behaviors for responding to serious health risks, like COVID-19. Information avoidance and uncertainty are …

Incorporating A Sense Of Community In A Group Exercise Intervention Facilitates Adherence, Katie M. Heinrich, Brady K. Kurtz, Meg Patterson, Derek A. Crawford, Adam Barry

Health Behavior Research

Participant attrition is detrimental for exercise intervention studies, particularly if dropout is not random. Community engagement has helped facilitate participant adherence, which is particularly applicable for group exercise programs. Developing a sense of community (SOC) helps participants feel that they belong and provides ongoing social support. This paper reports on strategies used during an 11-week high intensity functional training (HIFT) intervention with exceptionally high adherence (96.7%) that involved 30 participants (57% women, age 36.7 ± 4.5 years). Participants recorded their heart rate variability using a smartphone app daily throughout the study, completed three different weeks of fitness assessments, and attended …

Beliefs About Staying Home: Findings From A Nationally Representative Probability Sample Of U.S. Adults In The Early Days Of The Covid-19 Epidemic, Christopher Owens, Susan E. Middlestadt, Stephanie Dickinson, Kristina Hunter-Mullis, Jonathan T. Macy

Health Behavior Research

Understanding the beliefs about staying home is essential to inform stay-at-home policies to mitigate COVID-19 and future epidemics. This study (1) identified the salient advantages, disadvantages, and facilitating beliefs about staying home, and (2) examined the relationship between these beliefs and intention. U.S. adults from a nationally representative probability-based household panel completed an online reasoned action approach belief elicitation from April 10-20, 2020, about one month after stay-at-home guidelines were implemented. First, we conducted an inductive content analysis to reveal salient beliefs about staying home. We identified eight advantages, 12 disadvantages, and 12 facilitators that broadly spanned across health domains: …

Development And Validation Of An Instrument Measuring Determinants Of Bystander Intervention To Prevent Sexual Assault: An Application Of The Reasoned Action Approach, Christine L. Hackman, Sarah E. Rush Griffin, Paul W. Branscum, Arden Castle, Marina Katague

Health Behavior Research

Bystander Intervention (BI) is an evidence-based approach that is considered the gold standard by governmental organizations to reduce sexual assault in college. Few survey instruments are available to measure the predispositions students have towards engaging in BI. Valid and reliable instruments are greatly needed, especially those tailored to BI. The purpose of this study was to develop and validate an instrument based on the reasoned action approach with college students at two U.S. universities. An elicitation of beliefs was accomplished to inform survey items (i.e., behavioral, normative, and control beliefs). Then, an initial draft was developed and sent to an …

An Observational Analysis Of ‘Me Too’ Narratives From Youtube, Jordan L. Nelon, Mandy N. Spadine, Meg S. Patterson, Sydney E. Brown, Christina L. Bookout, Lauren M. Woods, Sara K. Fehr

Health Behavior Research

The ‘me too’ movement originated to help survivors of sexual violence by providing resources and building a community of advocates to exemplify the magnitude of sexual violence victimization. This movement gained momentum via Twitter due to the viral hashtag—#metoo. YouTube is often used as a means of expression in younger generations, thus sexual violence survivors began using the platform as a way to disseminate ‘me too’ narratives. Therefore, this study aimed to examine how sexual violence narratives resulting from the ‘me too’ movement are being told on YouTube and understand the components of the narratives related to self-blaming mindsets. Based …

Going Beyond The Science: Fostering Community Within Health Behavior Interventions For Lasting Change, Katie M. Heinrich

Health Behavior Research

This commentary discusses the author’s views and experience regarding the importance of fostering community for effective and sustainable health behavior change.

What Determines Young Adults’ Attitudes, Perceived Norms, And Perceived Behavioral Control Towards Healthy Sleep Behaviors? A Reasoned Action Approach, Paul Branscum, Katie Qualls Fay

Health Behavior Research

A common limitation to the design of public health sleep interventions is the overall lack of using theory. Previous researchers have utilized the theory of planned behavior and the reasoned action approach (RAA) to predict healthy sleep behaviors, however much of this research was done using reflective (or generalized) measures, which alone is likely inadequate to equip health practitioners with tangible information they can use to translate theory into practice. Therefore, the purpose of this study was to use formative (or belief-based) measures of the RAA to evaluate the determinants of attitudes, perceived norms, and perceived behavioral control (PBC) of …

The Spread And Utility Of Social Network Analysis Across A Group Of Health Behavior Researchers, Megan S. Patterson, Tyler Prochnow Med, Patricia Goodson

Health Behavior Research

Social network analysis (SNA), both as theory and methodology, is a powerful framework for delimiting and studying health behaviors. Using SNA allows scholars to answer new research questions, innovatively investigate the social and systemic contexts of health and behavior, and collaborate on multi- or inter-disciplinary projects. As a result, SNA is growing in popularity within health behavior research and practice. Despite SNA’s contribution and appeal, few health behavior researchers and practitioners have access to formal SNA education; much of the current training efforts occur outside degree-granting curricula. Therefore, the aims of this paper were to: 1) assess the diffusion of …

Examining Multiple Health Behaviors, Julie M. Croff, Ashleigh L. Chiaf, Erica K. Crockett

Health Behavior Research

Health behaviors have been extensively studied as predictors of disease; however, these behaviors may interact and intersect to amplify or ameliorate risks of predicted disease outcomes. Breadth of study is needed to examine how single antecedents may act to influence multiple health behaviors, and how multiple health behaviors may predict other behaviors and/or interact to influence the occurrence of disease outcomes. Better understanding of how behaviors interact and impact health is necessary to identify the appropriate leverage points for the evolution of health behavior theory, and the promotion of multiple health behavior change.

Evaluation Of A Peer-To-Peer Approach To Improve The Reach Of Farmers’ Markets Among Low-Income Populations, Darcy Freedman, Eunlye Lee, Susan Flocke, Rachael Sommer, Erika S. Trapl, Amanda Osborne, Elaine Borawski

Health Behavior Research

Farmers’ markets have been implemented to improve access to nutritious foods, yet use is low among people receiving Supplemental Nutrition Assistance Program (SNAP) benefits. This study’s objectives were to assess the feasibility of implementing the FreshLink Ambassador intervention to promote use of farmers’ markets located in high SNAP neighborhoods, describe information dissemination by Ambassadors, and evaluate intervention impact on SNAP use. The theory-based and data-driven intervention trained nine community residents as FreshLink Ambassadors in 2017; eight completed the study. Ambassadors conducted weekly outreach disseminating coupons to promote use of three intervention markets. Four comparison markets were selected to evaluate impact …

The Role Of Acculturation And Training In Personal Protective Equipment (Ppe) Use Among Hispanic Farmworkers: A Follow-Up From The ¡Protejase! Study., Shedra A. Snipes, Angela G. Campbell, Patricia Y. Miranda

Health Behavior Research

Hispanic farmworkers are at disproportionate risk of pesticide exposure. Moreover, new immigrant, Spanish-speaking farmworkers are least likely to receive safety training and protection from pesticides in the form of personal protective equipment (PPE). Provision is known to increase PPE use among farmworkers, but it is unclear whether provision helps new immigrant Hispanic farmworkers. Thus, this study examined the extent to which provision increases Hispanic farmworkers’ use of PPE. Additionally, we examined associations with English language acculturation since language barriers might influence training and use of PPE in a largely new immigrant, Spanish-speaking workforce. Farmworkers were provided three types of PPE …

Weight-Loss Treatment-Induced Physical Activity Associated With Improved Nutrition Through Changes In Social Cognitive Theory Variables In Women With Obesity, James J. Annesi, Nicole Mareno

Health Behavior Research

Behavioral weight-loss treatments have typically been unsuccessful and a theoretical. Even when treatments were scientifically derived, theory has rarely been used to decompose, and understand the bases of, their effects. This 2-year study evaluated mediation of the prediction of nutritional changes by changes in physical activity, through social cognitive theory variables. Data from women with Class 1–2 obesity, classified as “insufficiently active” (N = 50; Mage = 47.6 years), were extracted from 2 initial trials of a new cognitive-behavioral intervention. That treatment sought to improve self-regulation, mood, and self-efficacy through increased physical activity, to then induce improved eating …