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Gepubliceerd in: Journal of Behavioral Medicine 6/2017

19-06-2017

Experiencing is believing: prior experience moderates the impact of self-based and socially-based cues in the context of blood donation

Auteurs: Lindsay Roberts, Jason P. Rose, Erin A. Vogel

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 6/2017

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Abstract

Two studies explored how self-based cues (i.e., self-efficacy), socially-based cues (i.e., perceived social norms), and prior blood donation experience differentially influence behavioral intentions. In Study 1, undergraduate students (N = 766) completed an online study that evaluated prior experiences, self-efficacy, perceived norms, and behavioral intentions in the context of blood donation. In Study 2, a community sample (N = 199) from a clinic waiting room completed similar measures. Across both studies, having high self-efficacy was a necessary and sufficient antecedent to high intentions, regardless of norm perception for donors. For non-donors, however, high self-efficacy was necessary but not sufficient; non-donors’ intentions were higher when giving blood was perceived to be normative, but far lower when it was not. When self-efficacy was low, the effects of experience and norms did not exert meaningful effects and donation intentions were quite low. These results demonstrate that the impact of self-based and socially-based cues on behavioral intentions may differ as a function of experience. The findings can inform public health initiatives and enhance the accuracy of theoretical models by directly examining experience as a moderator.
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Voetnoten
1
In the current context, our operationalization of self-efficacy beliefs most closely corresponds to belief extremity (i.e., high perceptions of efficacy vs. low perceptions of efficacy), but this could similarly reflect the strength of the belief (i.e., stronger efficacy beliefs vs. weaker efficacy beliefs).
 
2
Percentage-based norm items were not included in the norms index and thus excluded from subsequent analyses. This was done for two main reasons. First, a substantial proportion of responses (ranging from 18 to 28%) for these items were missing prior to imputation. The pre- and post-imputation responses were highly variable, suggesting that participants may have been guessing when providing their estimates. Second, omitting these items from further analyses makes Study 1 more directly comparable to Study 2 (due to the absence of free-response items in Study 2). Therefore, our perceived norm indices for both studies contain only averaged and standardized Likert-type items. However, it is notable that even when these items remain in the model, the results do not differ from what is reported here. See the online supplementary material for descriptive statistics and regression analyses.
 
3
Initially, 137 participants (17% of the sample) indicated that they were ineligible to donate to the best of their knowledge. Since this was a relatively large proportion of the overall sample, we surmised that many participants were likely reporting personal preferences (e.g., fear of needles) rather than their actual eligibility status. Thus, we used both exclusion criteria to identify participants who were most likely accurately reporting their ineligibility.
 
4
After deleting the 44 cases with a large percentage of missing data, the overall incidence of remaining missing values was less than 5%. Cheema (2014) has suggested that expectation maximization imputation provides the greatest increase in accuracy for samples of this size in a multiple regression context (compared to other imputation methods).
 
5
Following prior work (e.g., Baldwin et al., 2006; Humphreys et al., 1998), we also qualitatively examined the efficacy × norms interaction in donors and non-donors separately. In both studies, the efficacy × norms interaction remained significant for non-donors but was non-significant for donors. See the online supplementary material for regression coefficients (Table 5), simple slope tests, and a discussion of these results.
 
6
In contrast to Study 1, multiple imputation was used in Study 2 due to the comparatively smaller sample size. In general, multiple imputation tends to outperform expectation maximization imputation when sample sizes are low (Cheema, 2014).
 
7
Bandura (1997) has argued that the efficacy-behavior relationship is far from unidirectional; self-efficacy is both a cause and a consequence of experience in a given domain, and perceptions of efficacy also alter memories of past performance.
 
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Metagegevens
Titel
Experiencing is believing: prior experience moderates the impact of self-based and socially-based cues in the context of blood donation
Auteurs
Lindsay Roberts
Jason P. Rose
Erin A. Vogel
Publicatiedatum
19-06-2017
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 6/2017
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-017-9862-y

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