Skip to main content
Top
Gepubliceerd in: Journal of Behavioral Medicine 3/2014

01-06-2014

Health motives and health behaviour self-regulation in older adults

Auteurs: Benjamin Schüz, Susanne Wurm, Lisa M. Warner, Julia K. Wolff, Ralf Schwarzer

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2014

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Health motives are motivational dispositions towards health. They are implicitly inherent in most health behaviour theories, yet rarely studied. We examined the role of health motives in health behaviour self-regulation (physical activity), particularly in the mediation of intention effects on behaviour via planning in an at-risk population with high need for behaviour change, older adults with multiple illnesses. A longitudinal study with two measurement points over 6 months was conducted, assessing 309 community-dwelling adults with multiple illnesses aged 65 and older. Health motives were assessed by contrasting health ratings with all other domains on the Personal Life Investment Schedule. Data were analysed in a moderated mediation framework using path analyses. Health Motives moderated the degree to which intentions predicted behaviour via planning (intention*health motives β = .18, p < .05). Intentions are better translated into planning and behaviour if furnished with health motives. For older adults, this suggests that “health” in health behaviour change motivation merits more investigation, for example by stressing functional implications.
Voetnoten
1
Physical activity deviated both at baseline and follow-up significantly from normal distribution. Additional analyses were conducted with log-transformed physical activity scores, which produced identical results patterns. For ease of interpretation, results of analyses using the non-transformed physical activity variables are reported.
 
Literatuur
go back to reference Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage. Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage.
go back to reference Baltes, M. M., Maas, I., Wilms, H. U., Borchelt, M., & Little, T. D. (1999). Everyday competence in old and very old age: Theoretical considerations and empirical findings. In P. B. Baltes & K. U. Mayer (Eds.), The Berlin aging study: Aging from 70 to 100 (pp. 384–402). New York: Cambridge University Press. Baltes, M. M., Maas, I., Wilms, H. U., Borchelt, M., & Little, T. D. (1999). Everyday competence in old and very old age: Theoretical considerations and empirical findings. In P. B. Baltes & K. U. Mayer (Eds.), The Berlin aging study: Aging from 70 to 100 (pp. 384–402). New York: Cambridge University Press.
go back to reference Barnett, K., Mercer, S. W., Norbury, M., Watt, G., Wyke, S., & Guthrie, B. (2012). Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. The Lancet, 380, 37–43. doi:10.1016/s0140-6736(12)60240-2 CrossRef Barnett, K., Mercer, S. W., Norbury, M., Watt, G., Wyke, S., & Guthrie, B. (2012). Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. The Lancet, 380, 37–43. doi:10.​1016/​s0140-6736(12)60240-2 CrossRef
go back to reference Baumeister, R. F., Heatherton, T. F., & Tice, D. M. (1994). Losing control: How and why people fail at self-regulation. San Diego, CA: Academic Press. Baumeister, R. F., Heatherton, T. F., & Tice, D. M. (1994). Losing control: How and why people fail at self-regulation. San Diego, CA: Academic Press.
go back to reference Bayliss, E. A., Ellis, J. L., & Steiner, J. F. (2009). Seniors’ self-reported multimorbidity captured biopsychosocial factors not incorporated into two other data-based morbidity measures. Journal of Clinical Epidemiology, 62, e551. doi:10.1016/j.jclinepi.2008.05.002 CrossRef Bayliss, E. A., Ellis, J. L., & Steiner, J. F. (2009). Seniors’ self-reported multimorbidity captured biopsychosocial factors not incorporated into two other data-based morbidity measures. Journal of Clinical Epidemiology, 62, e551. doi:10.​1016/​j.​jclinepi.​2008.​05.​002 CrossRef
go back to reference Cameron, L. D., & Moss-Morris, R. (2010). Illness-related cognitions and behaviour. In D. French, K. Vedhara, A. A. Kaptein, & J. Weinman (Eds.), Health Psychology (2nd ed., pp. 149–161). Oxford: Blackwell. Cameron, L. D., & Moss-Morris, R. (2010). Illness-related cognitions and behaviour. In D. French, K. Vedhara, A. A. Kaptein, & J. Weinman (Eds.), Health Psychology (2nd ed., pp. 149–161). Oxford: Blackwell.
go back to reference Ebner, N. C., Freund, A. M., & Baltes, P. B. (2006). Developmental changes in personal goal orientation from young to late adulthood: From striving for gains to maintenance and prevention of losses. Psychology and Aging, 21, 664–678. doi:10.1037/0882-7974.21.4.664 PubMedCrossRef Ebner, N. C., Freund, A. M., & Baltes, P. B. (2006). Developmental changes in personal goal orientation from young to late adulthood: From striving for gains to maintenance and prevention of losses. Psychology and Aging, 21, 664–678. doi:10.​1037/​0882-7974.​21.​4.​664 PubMedCrossRef
go back to reference Engstler, H., & Motel-Klingebiel, A. (2010). Datengrundlagen und Methoden des Deutschen Alterssurvey (DEAS) [Data and methods in the German Ageing Survey (DEAS)]. In A. Motel-Klingebiel, S. Wurm, & C. Tesch-Römer (Eds.), Altern im Wandel: Befunde des Deutschen Alterssurveys (DEAS) [Ageing in Change: Findings from the German Ageing Survey (DEAS)] (pp. 34–60). Stuttgart: Kohlhammer. Engstler, H., & Motel-Klingebiel, A. (2010). Datengrundlagen und Methoden des Deutschen Alterssurvey (DEAS) [Data and methods in the German Ageing Survey (DEAS)]. In A. Motel-Klingebiel, S. Wurm, & C. Tesch-Römer (Eds.), Altern im Wandel: Befunde des Deutschen Alterssurveys (DEAS) [Ageing in Change: Findings from the German Ageing Survey (DEAS)] (pp. 34–60). Stuttgart: Kohlhammer.
go back to reference Feist, G. J., Bodner, T. E., Jacobs, J. F., Miles, M., & Tan, V. (1995). Integrating top-down and bottom-up structural models of subjective well-being: A longitudinal investigation. Journal of Personality and Social Psychology, 68, 138–150. doi:10.1037/0022-3514.68.1.138 CrossRef Feist, G. J., Bodner, T. E., Jacobs, J. F., Miles, M., & Tan, V. (1995). Integrating top-down and bottom-up structural models of subjective well-being: A longitudinal investigation. Journal of Personality and Social Psychology, 68, 138–150. doi:10.​1037/​0022-3514.​68.​1.​138 CrossRef
go back to reference Halm, E. A., Mora, P., & Leventhal, H. (2006). No symptoms, no asthma: the acute episodic disease belief is associated with poor self-management among inner-city adults with persistent asthma. Chest, 129, 573–580. doi:10.1378/chest.129.3.573 PubMedCrossRef Halm, E. A., Mora, P., & Leventhal, H. (2006). No symptoms, no asthma: the acute episodic disease belief is associated with poor self-management among inner-city adults with persistent asthma. Chest, 129, 573–580. doi:10.​1378/​chest.​129.​3.​573 PubMedCrossRef
go back to reference Heckhausen, H. (1991). Motivation and action. Berlin, Heidelberg, New York: Springer.CrossRef Heckhausen, H. (1991). Motivation and action. Berlin, Heidelberg, New York: Springer.CrossRef
go back to reference Lippke, S., Wiedemann, A. U., Ziegelmann, J. P., Reuter, T., & Schwarzer, R. (2009). Self-efficacy moderates the mediation of intentions into behavior via plans. American Journal of Health Behavior, 33, 521–529. doi:10.5993/AJHB.33.5.5 PubMedCrossRef Lippke, S., Wiedemann, A. U., Ziegelmann, J. P., Reuter, T., & Schwarzer, R. (2009). Self-efficacy moderates the mediation of intentions into behavior via plans. American Journal of Health Behavior, 33, 521–529. doi:10.​5993/​AJHB.​33.​5.​5 PubMedCrossRef
go back to reference Michie, S., Ashford, S., Sniehotta, F. F., Dombrowski, S. U., Bishop, A., & French, D. P. (2011). A refined taxonomy of behaviour change techniques to help people change their physical activity and healthy eating behaviours: The CALO-RE taxonomy. Psychology and Health, 26, 1479–1498. doi:10.1080/08870446.2010.540664 PubMedCrossRef Michie, S., Ashford, S., Sniehotta, F. F., Dombrowski, S. U., Bishop, A., & French, D. P. (2011). A refined taxonomy of behaviour change techniques to help people change their physical activity and healthy eating behaviours: The CALO-RE taxonomy. Psychology and Health, 26, 1479–1498. doi:10.​1080/​08870446.​2010.​540664 PubMedCrossRef
go back to reference Muthén, L. K., & Muthén, B. O. (2007). MPlus user’s guide (5th ed.). Los Angeles, CA: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (2007). MPlus user’s guide (5th ed.). Los Angeles, CA: Muthén & Muthén.
go back to reference Nelson, M. E., Rejeski, W. J., Blair, S. N., Duncan, P. W., Judge, J. O., King, A. C., et al. (2007). Physical activity and public health in older adults: Recommendation from the American College of Sports Medicine and the American Heart Association. Medicine and Science in Sports and Exercise, 39, 1435–1445. doi:10.1249/mss.0b013e3180616aa2 PubMedCrossRef Nelson, M. E., Rejeski, W. J., Blair, S. N., Duncan, P. W., Judge, J. O., King, A. C., et al. (2007). Physical activity and public health in older adults: Recommendation from the American College of Sports Medicine and the American Heart Association. Medicine and Science in Sports and Exercise, 39, 1435–1445. doi:10.​1249/​mss.​0b013e3180616aa2​ PubMedCrossRef
go back to reference Norman, P., & Conner, M. (2005). The theory of planned behavior and exercise: Evidence for the mediating and moderating roles of planning on intention-behavior relationships. Journal of Sport and Exercise Psychology, 27, 488–504. Norman, P., & Conner, M. (2005). The theory of planned behavior and exercise: Evidence for the mediating and moderating roles of planning on intention-behavior relationships. Journal of Sport and Exercise Psychology, 27, 488–504.
go back to reference Reuter, T., Ziegelmann, J. P., Wiedemann, A. U., Geiser, C., Lippke, S., & Schüz, B. (2010). Changes in intentions, planning, and self-efficacy predict changes in behaviours: An application of latent true change modeling. Journal of Health Psychology, 15, 935–947. doi:10.1177/1359105309360071 PubMedCrossRef Reuter, T., Ziegelmann, J. P., Wiedemann, A. U., Geiser, C., Lippke, S., & Schüz, B. (2010). Changes in intentions, planning, and self-efficacy predict changes in behaviours: An application of latent true change modeling. Journal of Health Psychology, 15, 935–947. doi:10.​1177/​1359105309360071​ PubMedCrossRef
go back to reference Schüz, B., Wurm, S., Ziegelmann, J. P., Wolff, J. K., Warner, L. M., Schwarzer, R., et al. (2012b). Contextual and individual predictors of physical activity: Interactions between environmental factors and health cognitions. Health Psychology, 31, 714–723. doi:10.1037/a0027596 PubMedCrossRef Schüz, B., Wurm, S., Ziegelmann, J. P., Wolff, J. K., Warner, L. M., Schwarzer, R., et al. (2012b). Contextual and individual predictors of physical activity: Interactions between environmental factors and health cognitions. Health Psychology, 31, 714–723. doi:10.​1037/​a0027596 PubMedCrossRef
go back to reference Schwarzer, R. (1992). Self-efficacy in the adoption and maintenance of health behaviors: Theoretical approaches and a new model. In R. Schwarzer (Ed.), Self-efficacy: Thought control of action (pp. 217–242). Washington, DC: Hemisphere. Schwarzer, R. (1992). Self-efficacy in the adoption and maintenance of health behaviors: Theoretical approaches and a new model. In R. Schwarzer (Ed.), Self-efficacy: Thought control of action (pp. 217–242). Washington, DC: Hemisphere.
go back to reference Schwarzer, R., Schüz, B., Ziegelmann, J. P., Lippke, S., Luszczynska, A., & Scholz, U. (2007). Adoption and maintenance of four health behaviors: Theory-guided longitudinal studies on dental flossing, seat belt use, dietary behavior, and physical activity. Annals of Behavioral Medicine, 33, 156–166. doi:10.1007/BF02879897 PubMedCrossRef Schwarzer, R., Schüz, B., Ziegelmann, J. P., Lippke, S., Luszczynska, A., & Scholz, U. (2007). Adoption and maintenance of four health behaviors: Theory-guided longitudinal studies on dental flossing, seat belt use, dietary behavior, and physical activity. Annals of Behavioral Medicine, 33, 156–166. doi:10.​1007/​BF02879897 PubMedCrossRef
go back to reference Slootmaker, S., Schuit, A., Chinapaw, M., Seidell, J., & van Mechelen, W. (2009). Disagreement in physical activity assessed by accelerometer and self-report in subgroups of age, gender, education and weight status. International Journal of Behavioral Nutrition and Physical Activity, 6, 17. doi:10.1186/1479-5868-6-17 PubMedCentralPubMedCrossRef Slootmaker, S., Schuit, A., Chinapaw, M., Seidell, J., & van Mechelen, W. (2009). Disagreement in physical activity assessed by accelerometer and self-report in subgroups of age, gender, education and weight status. International Journal of Behavioral Nutrition and Physical Activity, 6, 17. doi:10.​1186/​1479-5868-6-17 PubMedCentralPubMedCrossRef
go back to reference Sniehotta, F. F., Scholz, U., Schwarzer, R., Fuhrmann, B., Kiwus, U., & Völler, H. (2005a). Long-term effects of two psychological interventions on physical exercise and self-regulation following coronary rehabilitation. International Journal of Behavioral Medicine, 12, 244–255. doi:10.1207/s15327558ijbm1204_5 PubMedCrossRef Sniehotta, F. F., Scholz, U., Schwarzer, R., Fuhrmann, B., Kiwus, U., & Völler, H. (2005a). Long-term effects of two psychological interventions on physical exercise and self-regulation following coronary rehabilitation. International Journal of Behavioral Medicine, 12, 244–255. doi:10.​1207/​s15327558ijbm120​4_​5 PubMedCrossRef
go back to reference Sniehotta, F. F., Schwarzer, R., Scholz, U., & Schüz, B. (2005b). Action planning and coping planning for long-term lifestyle change: Theory and assessment. European Journal of Social Psychology, 35, 565–576. doi:10.1002/ejsp.258 CrossRef Sniehotta, F. F., Schwarzer, R., Scholz, U., & Schüz, B. (2005b). Action planning and coping planning for long-term lifestyle change: Theory and assessment. European Journal of Social Psychology, 35, 565–576. doi:10.​1002/​ejsp.​258 CrossRef
go back to reference Washburn, R. A. (2000). Assessment of physical activity in older adults. Research Quarterly for Exercise and Sport, 71, S79–S88.PubMed Washburn, R. A. (2000). Assessment of physical activity in older adults. Research Quarterly for Exercise and Sport, 71, S79–S88.PubMed
go back to reference Webb, T. L., & Sheeran, P. (2004). Identifying good opportunities to act: Implementation intentions and cue discrimination. European Journal of Social Psychology, 34, 407–419. doi:10.1002/ejsp.205 CrossRef Webb, T. L., & Sheeran, P. (2004). Identifying good opportunities to act: Implementation intentions and cue discrimination. European Journal of Social Psychology, 34, 407–419. doi:10.​1002/​ejsp.​205 CrossRef
go back to reference Wiedemann, A. U., Schüz, B., Sniehotta, F., Scholz, U., & Schwarzer, R. (2009). Disentangling the relation between intentions, planning, and behaviour: A moderated mediation analysis. Psychology & Health, 24, 67–79. doi:10.1080/08870440801958214 CrossRef Wiedemann, A. U., Schüz, B., Sniehotta, F., Scholz, U., & Schwarzer, R. (2009). Disentangling the relation between intentions, planning, and behaviour: A moderated mediation analysis. Psychology & Health, 24, 67–79. doi:10.​1080/​0887044080195821​4 CrossRef
Metagegevens
Titel
Health motives and health behaviour self-regulation in older adults
Auteurs
Benjamin Schüz
Susanne Wurm
Lisa M. Warner
Julia K. Wolff
Ralf Schwarzer
Publicatiedatum
01-06-2014
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2014
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-013-9504-y

Andere artikelen Uitgave 3/2014

Journal of Behavioral Medicine 3/2014 Naar de uitgave