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Maintaining or Losing Intervention-Induced Health-Related Behavior Change.: A Mixed Methods Field Study
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Service Research Center (from 2013).ORCID iD: 0009-0002-9764-0110
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Service Research Center (from 2013).ORCID iD: 0000-0001-8102-8168
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Educational Studies (from 2013).ORCID iD: 0000-0002-4495-6819
2021 (English)In: Frontiers in Psychology, E-ISSN 1664-1078, Vol. 12, article id 688192Article in journal (Refereed) Published
Abstract [en]

The aim of this mixed methods field study was to gain a better understanding of how psychological factors can contribute to success in intervention-induced behavior change over time. While it can be difficult to change behavior, the use of interventions means that most participants succeed in change during the intervention. However, it is rare for the immediate change to automatically transform into maintained behavior changes. Most research conducted on health-related behavior change interventions contains quantitative studies that investigate key intervention components on a group level. Hence, to bring more knowledge about maintained intervention-induced behavior change, there is need for a study approach that enhances the understanding of individual participants' experiences during and after the intervention. Therefore, the present study, which was conducted in Sweden, used a mixed methods design (triangulation) consisting of pre-, post-, and follow-up quantitative data (questionnaires and body measurements) and qualitative data (interviews), where the individuals' accounts are used to broaden the understanding of the intervention and the behavior change process. All study participants were enrolled in a volitional (fee-based and non-manipulated) intervention given by certified gyms. The quantitative data collection included 22 participants who completed questionnaires and body measurements before and after the intervention, plus 13 complete body measurements 6 months after the intervention. The qualitative data included pre-interviews with 12 participants and six follow-up-interviews. The questions in both questionnaires and interviews related to expectations, efficacy, motivation, goals, achievements, behavior change, and future. Overall, the results show that levels of expectations, efficacy, and motivation cannot be used in isolation to predict maintained intervention-induced behavior change. To successfully extend and maintain immediate change, it was crucial to experience goal achievement (but not BMI change). Furthermore, enabling talk was salient in the pre-interviews with participants reporting successful immediate (and maintained) change. By contrast, pre-interview disabling talk turned out to be evident in interviews, with participants not responding to follow-up. When the qualitative and quantitative results are summarized and integrated, it appears that subjective goal achievement, combined with enabling self-talk, were crucial factors in successful maintained behavior change.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2021. Vol. 12, article id 688192
Keywords [en]
health-related change, motivation, goal achievement, eating behavior, physical activity, intervention-induced change, maintained change
National Category
Public Health, Global Health, Social Medicine and Epidemiology Sport and Fitness Sciences
Research subject
Sports Science
Identifiers
URN: urn:nbn:se:kau:diva-85545DOI: 10.3389/fpsyg.2021.688192ISI: 000668931000001PubMedID: 34220651Scopus ID: 2-s2.0-85109067717OAI: oai:DiVA.org:kau-85545DiVA, id: diva2:1583087
Available from: 2021-08-05 Created: 2021-08-05 Last updated: 2023-06-20Bibliographically approved
In thesis
1. Positive change for wellbeing: Maintained intervention-induced behaviors and healthier lifestyles
Open this publication in new window or tab >>Positive change for wellbeing: Maintained intervention-induced behaviors and healthier lifestyles
2023 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Lifestyle behaviors such as increased private car use, stress, low physical activity, and unhealthy eating negatively affect individual and global health, environment and economy. We must change behavior, not only to decrease suffering and economical costs, but to promote wellbeing for flourishing human beings on a living planet. It may not be simple to change ingrained behaviors. Nevertheless, with aid from interventions, the success rate for behavioral change is high, yet not automatically lasting. Despite growing harm, and that brief change generates brief effects, research on maintained intervention-induced behavior is scarce. Due to this research gap, this thesis aims to broaden understanding of psychological mechanisms involved in health- and lifestyle-related intervention-induced behavior and maintenance and suggest potential development for intervention initiators and participants. The aim is approached through three field studies: Study I uses a quantitative approach to investigate motives for intervention participation, as well as psychological mechanisms in early phases of behavior adoption, in relation to immediate behavior change in a travel-intervention setting using incentives. Study II uses a quantitative approach to investigate psychological mechanisms in adopting and maintaining behavior in a mandatory, wellbeing intervention setting. Study III uses a mixed-methods approach to investigate psychological mechanisms on a deeper level, in a fee-based lifestyle intervention. For maintained intervention-induced behavioral change, the main findings indicate the importance of: Focusing on behavior goals; undergoing positive experiences during an intervention; experiencing gains from immediate outcomes; and learning to apply a flexible approach that meets shifting conditions and responses through the different intervention phases.

Abstract [en]

Lifestyle behaviors such as increased private car use, stress, low physical activity, and unhealthy eating negatively affect individual and global health, environment and economy. We must change, not only to decrease suffering and economical costs, but to promote wellbeing for flourishing human beings on a living planet. It is not simple to change ingrained behaviors, but the success rate for behavior change interventions is high, yet not automatically lasting. Despite growing problems and brief change generating brief effects, research on maintained intervention-induced behavior is scarce. Due to this research gap, this thesis aims to broaden understanding of psychological mechanisms involved in maintained lifestyle-related intervention-induced behavior and suggest potential development for initiators and participants. This aim is approached through three field studies involving travel behavior, wellbeing activities, physical activity and healthy eating. 

For maintained intervention-induced behavior change, the main findings imply the importance of: Focusing on behavior goals; undergoing positive experiences during an intervention; experiencing gains from immediate outcomes; and learning to apply a flexible approach meeting shifting conditions throughout the intervention phases.

Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2023. p. 50
Series
Karlstad University Studies, ISSN 1403-8099 ; 2023:10
Keywords
maintained, behavioral change, intervention, wellbeing, health, lifestyle
National Category
Applied Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-94004 (URN)978-91-7867-362-9 (ISBN)978-91-7867-363-6 (ISBN)
Public defence
2023-05-12, Agardhsalen, 11D 257, Karlstads universitet, Karlstad, 13:00 (English)
Opponent
Supervisors
Available from: 2023-04-21 Created: 2023-03-23 Last updated: 2023-04-21Bibliographically approved

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Skarin, FridaWästlund, ErikGustafsson, Henrik

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