The Attainment of Important Health Goals Throughout Adulthood: An Integration of the Theory of Planned Behavior and Aspects of Social Support

VonDras, Dean D.; Madey, Scott F.

doi:10.2190/78uq-5nmw-7yld-tfwv

Cited by 27 publications

(24 citation statements)

References 68 publications

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“…Indeed, in a study with a large community-based sample, Courneya et al showed that social support was a stronger predictor of exercise intention than subjective norm. Similarly, VonDras and Madey (2004) showed that the social support offered by a close friend or family member was more important in predicting behavioural intentions in the health domain, than subjective norm. Symons Downs and Hausenblas (2005) agreed that social support may be a stronger predictor than subjective norm, but indicated that the data is still insufficient to be able to draw firm conclusions on this issue.…”

Section: Subjective Normmentioning

confidence: 97%

Social identities in physical activity promotion for sedentary women

Pearson¹

2007

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The importance of regular and life long physical activity, both from a physical and medical perspective and from a psychological well-being perspective, is well documented. Also well documented is the reduction, below sufficient levels, in physical activity participation, particularly for populations such as young and mid-life adult women. Physical activity promotion is, thus, of great importance in modern society. In this thesis, my primary aim is to develop ways to enhance the adoption and maintenance of physical activity in young and midlife women. To do so, I have utilised the theoretical conceptions from a dominant social cognitive model, the theory of planned behavior (Ajzen, 1985). Subjective norm has not been a strong predictor of intention or behaviour in research on the theory of planned behavior in physical activity contexts (Symons Downs & Hausenblas, 2005), the reasons for which have been the subject of much debate in the literature. To date, there is disagreement about the conceptualization, measurement, and importance of the variable. In this thesis, I examined the potential of the social identity approach as a basis for making subjective norm more meaningful. In this approach, rather than assessing the influence of a random collection of important others as in the original definition (Ajzen, 1985), subjective norm is conceptualised as the perceived pressure from specific reference groups relevant to self, a conceptualization more in keeping with the social identity approach (Terry & Hogg 1996). I expected that the social identity approach to subjective norms would enhance its ability to predict intentions and be the basis of an effective physical activity intervention. Specifically, I expected that physical activity norms, when presented to women from members of a shared social identity would influence both intentions and behaviour.ii In the first study, I surveyed 214 women between the ages of 25 and 45 to obtain a list of the potential reference groups that would be relevant for young and midlife women. I asked women to list their self-characteristics and then to rate them on Simon's (1997) social self-categorisation index. I sorted the self-characteristics into types, and listed the frequency and social identity potential for each type. From the most frequently listed self-characteristic types, I found that the personality-based selfcharacteristics, such as strong independent woman, and spiritual caring woman, had more social identity potential, than the role-based self-characteristics, such as wife or professional. I used these personality-based self-characteristics as the basis for my intervention study.In the second study, I conducted a 3-month physical activity study based on the social identity approach to subjective norm. The intervention was for sedentary women (25 to 45 years), who engaged in less than 150 minutes of exercise per week. In two social identity conditions (SI), I conducted a social identity-based subjective norm manipulation. The first SI condition was for women (...

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Section: Subjective Normmentioning

confidence: 97%

Social identities in physical activity promotion for sedentary women

Pearson¹

2007

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“…According to the TPB model, whether or not an individual intends to perform a specific behaviour depends upon personal attitudes, desire to adhere to social norms, and perceptions regarding degree of control over performance (VonDras and Madey, 2004). Under these assumptions, an older adult's participation in a physical activity (behaviour) is determined by the individual's personal beliefs concerning the exercise (attitudes), perception of social acceptability or pressure from others towards the activity, and subjective evaluation of the degree of ease or difficulty in performing the activity.…”

Section: Social Support and Older Adults' Leisure Lifestylesmentioning

confidence: 99%

Older adults' physical activity participation and perceptions of wellbeing: Examining the role of social support for leisure

et al. 2006

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Recent nation-wide data on self-reported leisure-time physical inactivity reveals that about one third of the American population age 50 and over is sedentary. Several national organizations are promoting leisure-time physical activity among older adults as a strategy for this population to adapt to agerelated declines in mental and physical functioning and to improve their quality of life. Inferences from past research suggest that social support is significant in enabling older adults to achieve better health outcomes. Unfortunately, little is known about the relationship between health and wellbeing of older adults depending upon the amount and type of social support received for leisure activities, i.e., social support for leisure (SSL). In this study, we investigated the influence of SSL sources (family members, friends, and acquaintances) on physical activity levels and wellbeing, i.e., life satisfaction, stress, and health among older adults (age 50 and over). Study findings highlighted the importance of support from friends for increasing leisure and recreational physical activity participation among older adults. Findings revealed that both family and friends' support for leisure had positive effects on older adults' perception of wellbeing. Another important finding in this study was the positive relationship between family social support for leisure and the respondents' life-satisfaction levels.

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“…VonDras & Madey (2004) conclude the theory of planned behavior components and social support by close family or friends offer an integrated model for health interventions. Therefore the education plan was designed to offer the patient and family instruction related to the three determinants of the theory of planned behavior.…”

Section: Designing a Falls Prevention Patient And Family Education Planmentioning

confidence: 81%

“…Social support theory and the quality of one's social support has also been studied extensively in the health care field and found to be a powerful factor for individuals meeting health related goals (VonDras & Madey, 2004). Social support theory identifies how interpersonal relationships can influence the health behavior of others in both a positive or negative manner.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…When staff offer to take you to the bathroom while they are in your room, let them j. Tell staff and family to put your things near you before they leave the room and be sure your bed is in the lowest position as they may need reminders k. Allow your family to remind you of ways you can prevent falling while a patient V. What families can do to prevent patient falls (VonDras & Madey, 2004) a. Provide messages to the patient that support fall prevention strategies i.…”

Section: Implications For Future Researchmentioning

confidence: 99%

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Preventing Falls in an Acute Care Setting Through Patient and Family Education

Hahn¹

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Patient falls are of particular interest to hospitals as they are the leading cause of adverse events in this setting and the Center for Medicare and Medicaid no longer reimburses hospitals for care related to serious injury from a patient fall. Evidence based protocols and the literature support multifaceted fall prevention interventions, one of which is falls prevention education to patients and their families. A gap was found in the availability of evidence based falls prevention education.The study sought to determine if falls and falls with injury rates are decreased in older adults when patients and family support are provided an educational video on falls prevention based on the theory of planned behavior and social support theory. A 36 bed medical unit in a 238 bed community hospital provided a sample of convenience for this quasi-experimental two group design study with a comparison group (N = 100) receiving usual care and education brochure and intervention group (N = 92) receiving usual care, education brochure, and video with teach-back.The study was unable to reinforce social support due to the small numbers of family viewing the video (N = 7). No statistical difference between groups was found based on rates of falls per 1000 patient days, 2(1, N = 192) = 1.86, p = .270 due to the small number of falls. However, a statistically significant difference was demonstrated between groups in the proportion of patients receiving any falls education intervention based on the study phase, 2(1, N = 192) =0.20, p < .001 and exceeded convention for medium effect size. This statistical difference between groups for fidelity of education intervention supports clinically significant findings when comparing the frequency of fall rates between groups (Phase 1 = 6.01 vs. Phase 2 = 0.0). Interestingly, 3 70% of intervention participants viewed a falls education video and 94% of these participants received follow up by way of teach-back by the Registered Nurse. The results of this study provide clinically significant support for previous study's findings for the use of multimedia education and teach-back.Keywords: falls, education, hospital, acute care, older, education, and planned behavior. IntroductionFalling is a serious public health problem which can reduce quality of life and cause death. According to a report from the Center for Disease Control and Prevention (CDCP) falls in older adults, 65 years of age and older, are the leading cause of injury death and the most common cause of hospital admissions for trauma (CDCP, 2005).Further, traumatic brain injury accounted for 46% of fall injury deaths in 2000 and predicts that without intervention, there will be 500,000 hip fractures per year related to falls by 2040. In addition, hip fractures may cause significant functional impairment, require nursing home placement, and one in five hip fractures result in death (CDCP, 2005).The United States Department of Health and Human Services has promoted interest in falls prevention in the Healthy People campai...

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The Attainment of Important Health Goals Throughout Adulthood: An Integration of the Theory of Planned Behavior and Aspects of Social Support

Cited by 27 publications

References 68 publications

Social identities in physical activity promotion for sedentary women

Social identities in physical activity promotion for sedentary women

Older adults' physical activity participation and perceptions of wellbeing: Examining the role of social support for leisure

Preventing Falls in an Acute Care Setting Through Patient and Family Education

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