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Modelle gesundheitsbezogenen Handelns und Verhaltensänderung

  • Sonia LippkeEmail author
  • Benjamin Schüz
  • Ben Godde
Living reference work entry
Part of the Springer Reference Pflege – Therapie – Gesundheit book series (SRPTG)

Zusammenfassung

Es gibt verschiedene Theorien und Modelle, die Gesundheitsverhalten beschreiben und erklären. Diese Theorien und Modelle sind vor allem deswegen wichtig, weil sie die Grundlage für die Entwicklung und Evaluation von Maßnahmen zur Verbesserung gesundheitsbezogenen Handelns und generell für die Optimierung von Verhaltensänderung sein können. Die Evidenz aus Studien zu diesen Theorien und Modellen kann außerdem eine Entscheidungshilfe für die Gestaltung von Interventionen sein. In diesem Kapitel unterscheiden wir zwischen Theorien, die Erwartungen als zentrale Einflussgröße von Verhaltensmotivation (auch Absicht, Intention oder Schutzmotivation genannt) annehmen, und Theorien, die die Verhaltensänderung als eine Abfolge von unterschiedlichen Denkweisen (mindsets) verstehen. Außerdem stellen wir neuere Ansätze vor, die sich mit der Einbindung von Umwelt- und sozialen Faktoren in die Erklärung von Gesundheitsverhalten sowie mit der Beschreibung und Vorhersage von zusammenhängenden parallel ausgeführten Verhaltensweisen beschäftigen.

Literatur

  1. Abrantes AM, Scalco MD, O’Donnell S, Minami H, Read JP (2017) Drinking and exercise behaviors among college students: between and within-person associations. J Behav Med 40:964–977.  https://doi.org/10.1007/s10865-017-9863-xCrossRefPubMedGoogle Scholar
  2. Achtziger A, Gollwitzer PM (2018) Motivation and volition in the course of action. In: Motivation and action. Springer, Cham, S 485–527CrossRefGoogle Scholar
  3. Ajzen I (1991) The theory of planned behavior. Organ Behav Hum Decis Process 50:179–211.  https://doi.org/10.1016/0749-5978(91)90020-TCrossRefGoogle Scholar
  4. Bandura A (1997) Self-efficacy: the exercise of control. Freeman, New YorkGoogle Scholar
  5. Bartholomew Eldredge LK, Markham CM, Ruiter RA, Fernández ME, Kok G, Parcel GS (2016) Planning health promotion programs: an intervention mapping approach. Jossey-Bass Inc, San FranciscoGoogle Scholar
  6. Becker MH (Hrsg) (1974) The health belief model and personal health behavior. Slack, ThorofareGoogle Scholar
  7. Cerasoli CP, Alliger GM, Donsbach JS, Mathieu JE, Tannenbaum SI, Orvis KA (2018) Antecedents and outcomes of informal learning behaviors: a meta-analysis. J Bus Psychol 33(2):203–230CrossRefGoogle Scholar
  8. Cihlar V, Lippke S (2017) Physical activity behavior and competing activities: interrelations in 55-to-70-year-old Germans. J Aging Phys Act 25:576–586.  https://doi.org/10.1123/japa.2016-0211CrossRefPubMedGoogle Scholar
  9. Conner M, McEachan R, Jackson C, McMillan B, Woolridge M, Lawton R (2013) Moderating effect of socioeconomic status on the relationship between health cognitions and behavior. Ann Behav Med 46:19–30.  https://doi.org/10.1007/s12160-013-9481-yCrossRefPubMedGoogle Scholar
  10. Deci EL, Ryan RM (1980) Self-determination theory: when mind mediates behavior. J Mind Behav 1(1):33–43Google Scholar
  11. Elliston KG, Ferguson SG, Schüz B (2017) Personal and situational predictors of everyday snacking: an application of temporal self-regulation theory. Br J Health Psychol 22:854–871.  https://doi.org/10.1111/bjhp.12259CrossRefPubMedGoogle Scholar
  12. Epton T, Harris PR, Kane R, van Koningsbruggen GM, Sheeran P (2015) The impact of self-affirmation on health-behavior change: a meta-analysis. Health Psychol 34:187.  https://doi.org/10.1037/hea0000116CrossRefPubMedGoogle Scholar
  13. Ferguson SG, Walters JAE, Lu W, Wells GP, Schüz N (2015) Examination of the mechanism of action of two pre-quit pharmacotherapies for smoking cessation. BMC Public Health 15(1):1268.  https://doi.org/10.1186/s12889-015-2596-2CrossRefPubMedPubMedCentralGoogle Scholar
  14. Fishbein M, Ajzen I (1975) Belief, attitude, intention, and behavior: an introduction to theory and research. Addison-Wesley, ReadingGoogle Scholar
  15. Fleig L, Küper C, Schwarzer R, Lippke S, Wiedemann AU (2015) Cross-behavior associations and multiple behavior change: a longitudinal study on physical activity and fruit and vegetable intake. J Health Psychol 20:525–534.  https://doi.org/10.1177/1359105315574951CrossRefPubMedGoogle Scholar
  16. Geller K, Lippke S, Nigg CR (2017) Future directions of multiple behavior change research. J Behav Med 40:194.  https://doi.org/10.1007/s10865-016-9809-8CrossRefPubMedGoogle Scholar
  17. Godin G, Sheeran P, Conner M, Bélanger-Gravel A, Gallani MCB, Nolin B (2010) Social structure, social cognition, and physical activity: a test of four models. Br J Health Psychol:15.  https://doi.org/10.1348/135910709x429901CrossRefPubMedGoogle Scholar
  18. Gollwitzer PM, Sheeran P (2003) Bridging the intention behaviour ‚gap‘ through strategic automatization: meta-analysis of implementation intentions. http://gsbwww.uchicago.edu/research/workshops/behavioral/Gollwitzer.pdf. Zugegriffen im Oct. 2005
  19. Gorges J, Grund A (2017) Aiming at a moving target: theoretical and methodological considerations in the study of intraindividual goal conflict between personal goals. Front Psychol 8:2011.  https://doi.org/10.3389/fpsyg.2017.02011CrossRefPubMedPubMedCentralGoogle Scholar
  20. Gray JS, Ozer DJ, Rosenthal R (2017) Goal conflict and psychological well-being: a meta-analysis. J Res Pers 66:27–37.  https://doi.org/10.1016/j.jrp.2016.12.003CrossRefGoogle Scholar
  21. Hagger MS, Wood C, Stiff C, Chatzisarantis NL (2010) Ego depletion and the strength model of self-control: a meta-analysis. Psychol Bull 136:495.  https://doi.org/10.1037/a0019486CrossRefPubMedGoogle Scholar
  22. Hall PA, Fong GT (2007) Temporal self-regulation theory: a model for individual health behavior. Health Psychol Rev 1(1):6–52.  https://doi.org/10.1080/17437190701492437CrossRefGoogle Scholar
  23. Hall PA, Fong GT (2013) Temporal self-regulation theory: integrating biological, psychological and ecological determinants of health behavior performance. In: Hall PA (Hrsg) Social Neuroscience and Public Health. Springer, New York, S 35–53CrossRefGoogle Scholar
  24. Hall PA, Fong GT (2015) Temporal self-regulation theory: a neurobiologically informed model for physical activity behavior. Front Hum Neurosci 9:117.  https://doi.org/10.3389/fnhum.2015.00117CrossRefPubMedPubMedCentralGoogle Scholar
  25. Heckhausen H (1989) Motivation und Handeln, 2. Aufl. Springer, Berlin/Heidelberg/New YorkCrossRefGoogle Scholar
  26. Hill S, Amos A, Clifford D, Platt S (2014) Impact of tobacco control interventions on socioeconomic inequalities in smoking: review of the evidence. Tob Control 23(2):89–97.  https://doi.org/10.1136/tobaccocontrol-2013-051110CrossRefGoogle Scholar
  27. Hofmann W, Friese M, Wiers RW (2011) Impulsive processes in the self-regulation of health behaviour: theoretical and methodological considerations in response to commentaries. Health Psychol Rev 5(2):162–171.  https://doi.org/10.1080/17437199.2011.565593CrossRefGoogle Scholar
  28. James E, Freund M, Booth A, Duncan M J, Johnson N, Short CE, ... Vandelanotte C (2016) Comparative efficacy of simultaneous versus sequential multiple health behavior change interventions among adults: a systematic review of randomised trials. Prev Med 89:211–223.  https://doi.org/10.1016/j.ypmed.2016.06.012CrossRefPubMedGoogle Scholar
  29. Kahneman D, Tversky A (1984) Choices, values, and frames. Am Psychol 39:341CrossRefGoogle Scholar
  30. Kanfer FH, Karoly P (1972) Self-control: a behavioristic excursion into the lionʼs den. Behav Ther 3:398–416CrossRefGoogle Scholar
  31. Knäuper B, Rabiau M, Cohen O, Patriciu N (2004) Compensatory health beliefs: scale development and psychometric properties. Psychol Health 19:607–624.  https://doi.org/10.1080/0887044042000196737CrossRefGoogle Scholar
  32. Koestner R, Lekes N, Powers TA, Chicoine E (2002) Attaining personal goals: self-concordance plus implementation intentions equals success. J Pers Soc Psychol 83(1):231–244.  https://doi.org/10.1037/0022-3514.83.1.231CrossRefPubMedGoogle Scholar
  33. Kok G, Peters G-JY, Kessels LTE, ten Hoor GA, Ruiter RAC (2017) Ignoring theory and misinterpreting evidence: the false belief in fear appeals. Health Psychol Rev 12(2):111–125.  https://doi.org/10.1080/17437199.2017.1415767CrossRefPubMedGoogle Scholar
  34. Kok G, Peters GJY, Kessels LT, Ten Hoor GA, Ruiter RA (2018) Ignoring theory and misinterpreting evidence: the false belief in fear appeals. Health Psychol Rev 12(2):1–33CrossRefPubMedGoogle Scholar
  35. Lampert T, Kroll L, Müters S, Stolzenberg H (2013) Measurement of socioeconomic status in the German health interview and examination survey for adults (DEGS1). Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz 56(5–6):631–636.  https://doi.org/10.1007/s00103-012-1663-4CrossRefGoogle Scholar
  36. Lehne G, Bolte G (2017) Impact of universal interventions on social inequalities in physical activity among older adults: an equity-focused systematic review. Int J Behav Nutr Phys Act 14(1):20.  https://doi.org/10.1186/s12966-017-0472-4CrossRefPubMedPubMedCentralGoogle Scholar
  37. Leventhal H, Singer R, Jones S (1965) Effects of fear and specificity of recommendation upon attitudes and behavior. J Pers Soc Psychol 2:20–29CrossRefPubMedGoogle Scholar
  38. Lewin K (1951) Field theory in social science; selected theoretical papers. Harper und Row, New YorkGoogle Scholar
  39. Lippke S (2014) Modelling and supporting complex behavior change related to obesity and diabetes prevention and management with the compensatory carry-over action model. J Diabetes Obes 1(2):1–5.  https://doi.org/10.15436/2376-0494.14.009CrossRefGoogle Scholar
  40. Liss DT, Baker DW (2014) Understanding current racial/ethnic disparities in colorectal cancer screening in the United States: the contribution of socioeconomic status and access to care. Am J Prev Med 46:228–236.  https://doi.org/10.1016/j.amepre.2013.10.023CrossRefPubMedGoogle Scholar
  41. Lowe MR, Butryn ML (2007) Hedonic hunger: a new dimension of appetite? Physiol Behav 91:432–439.  https://doi.org/10.1016/j.physbeh.2007.04.006CrossRefPubMedGoogle Scholar
  42. Lowe CJ, Hall PA, Staines WR (2014) The effects of continuous theta burst stimulation to the left dorsolateral prefrontal cortex on executive function, food cravings, and snack food consumption. Psychosom Med 76:503–511.  https://doi.org/10.1097/PSY.0000000000000090CrossRefPubMedGoogle Scholar
  43. Lu W, Chappell K, Walters JAE, Jacobson GA, Patel R, Schüz N, Ferguson SG (2017) The effect of varenicline and nicotine patch on smoking rate and satisfaction with smoking: an examination of the mechanism of action of two pre-quit pharmacotherapies. Psychopharmacology:2341969–2341976.  https://doi.org/10.1007/s00213-017-4604-yCrossRefPubMedGoogle Scholar
  44. Michie S, West R, Sheals K, Godinho CA (2018) Evaluating the effectiveness of behavior change techniques in health-related behavior: a scoping review of methods used. Translat Behav Med 8(2):212–224.  https://doi.org/10.1093/tbm/ibx019CrossRefGoogle Scholar
  45. Miller EK (2000) The prefrontal cortex and cognitive control. Nat Rev Neurosci 1:59–65.  https://doi.org/10.1038/35036228CrossRefPubMedGoogle Scholar
  46. Miquelon P, Knäuper B, Vallerand RJ (2012) Motivation and goal attainment. The role of compensatory beliefs. Appetite 58(2):608–615.  https://doi.org/10.1016/j.appet.2011.12.025CrossRefPubMedGoogle Scholar
  47. Norman DA, Shallice T (1986) „Attention to action: willed and automatic control of behaviour“ (Revised reprint of Norman und Shallice, 1980). In: Davidson RJ, Schwartz GE, Shapiro D (Hrsg) Consciousness and self-regulation: advances in research and theory. Plenum Press, New York, NY, S 1–18.  https://doi.org/10.1007/978-1-4757-0629-1_1CrossRefGoogle Scholar
  48. Paech J, Lippke S (2017) Put two (and two) together to make the most of physical activity and healthy nutrition–A longitudinal online study examining cross-behavioural mechanisms in multiple health behaviour change. Res Sports Med:1–16.  https://doi.org/10.1080/15438627.2017.1314287CrossRefPubMedGoogle Scholar
  49. Peters GJY, Ruiter RA, Kok G (2013) Threatening communication: a critical re-analysis and a revised meta-analytic test of fear appeal theory. Health Psychol Rev 7(1):8–31.  https://doi.org/10.1080/17437199.2012.703527CrossRefGoogle Scholar
  50. Peters GJY, Ruiter RA, Ten Hoor GA, Kessels LT, Kok G (2018) Towards consensus on fear appeals: a rejoinder to the commentaries on Kok, Peters, Kessels, ten Hoor u. Ruiter (2018). Health Psychol Rev 1–1112(2):151–156CrossRefGoogle Scholar
  51. Presseau J, Tait RI, Johnston DW, Francis JJ, Sniehotta FF (2013) Goal conflict and goal facilitation as predictors of daily accelerometer-assessed physical activity. Health Psychol 32:1179–1187.  https://doi.org/10.1037/a0029430CrossRefPubMedGoogle Scholar
  52. Prochaska JO, DiClemente CC, Norcross JC (1992) In search of how people change: applications to addictive behaviors. Am Psychol 47(9):471102–471114CrossRefPubMedGoogle Scholar
  53. Rogers RW (1975) A protection motivation theory of fear appeals and attitude change. J Psychol 91:93–114CrossRefPubMedGoogle Scholar
  54. Rosenstock IM (1966) Why people use health services. Milbank Mem Fund Q 44:94–127CrossRefGoogle Scholar
  55. Sala G, Gobet F (2017) When the music’s over. Does music skill transfer to children’s and young adolescents’ cognitive and academic skills? A meta-analysis. Educ Res Rev 20:55–67CrossRefGoogle Scholar
  56. Schüz B (2017) Socio-economic status and theories of health behaviour: time to upgrade a control variable. Br J Health Psychol 22(1):1–7.  https://doi.org/10.1111/bjhp.12205CrossRefPubMedGoogle Scholar
  57. Schüz B, Wurm S, Ziegelmann JP, Wolff JK, Tesch-Römer C, Warner LM, Schwarzer R (2012) Contextual and individual predictors of physical activity: interactions between environmental factors and health cognitions. Health Psychol 31:714–723.  https://doi.org/10.1037/a0027596CrossRefPubMedGoogle Scholar
  58. Schüz B, Bower J, Ferguson SG (2015a) Stimulus control and affect in dietary behaviours. An intensive longitudinal study. Appetite 87:310–317.  https://doi.org/10.1016/j.appet.2015.01.002CrossRefPubMedGoogle Scholar
  59. Schüz B, Schüz N, Ferguson SG (2015b) It’s the power of food: individual differences in food cue responsiveness and snacking in everyday life. Int J Behav Nutr Phys Act 12(1).  https://doi.org/10.1186/s12966-015-0312-3
  60. Schüz N, Schüz B, Eid M (2016) Adding perspective: predicting adolescent sunscreen use with an extended health action process approach. Applied psychology. Health Well-Being 8(2):155–171.  https://doi.org/10.1111/aphw.12066CrossRefPubMedGoogle Scholar
  61. Schüz B, Li ASW, Hardinge A, McEachan RRC, Conner M (2017a) Socioeconomic status as a moderator between social cognitions and physical activity: systematic review and meta-analysis based on the theory of planned behavior. Psychol Sport Exerc 30:186–195.  https://doi.org/10.1016/j.psychsport.2017.03.004CrossRefGoogle Scholar
  62. Schüz B, Revell S, Hills AP, Schüz N, Ferguson SG (2017b) Higher BMI is associated with stronger effects of social cues on everyday snacking behaviour. Appetite 114:1–5.  https://doi.org/10.1016/j.appet.2017.03.012CrossRefPubMedGoogle Scholar
  63. Schüz B, Papadakis T, Ferguson SG (2018) Situation-specific social norms as mediators of social influence on snacking. Health Psychol 37(2):153–159.  https://doi.org/10.1037/hea0000568CrossRefPubMedGoogle Scholar
  64. Schüz, N., & Ferguson, S. G. (2014) An exploratory examination of the mechanisms through which pre-quit patch use aids smoking cessation. Psychopharmacology 231(13):2603–2609.  https://doi.org/10.1007/s00213-013-3430-0CrossRefPubMedGoogle Scholar
  65. Schwarzer R (2001) Social-cognitive factors in changing health-related behaviors. Curr Dir Psychol Sci 10(2):47–51.  https://doi.org/10.1111/1467-8721.00112CrossRefGoogle Scholar
  66. Sheeran P (2002) Intention-behavior relations: a conceptual and empirical review. In: Stroebe W, Hewstone M (Hrsg) European review of social psychology, Bd 12. Wiley, Chichester, S 1–30Google Scholar
  67. Sheeran P, Harris PR, Epton T (2014) Does heightening risk appraisals change people’s intentions and behavior? A meta-analysis of experimental studies. Psychol Bull 140(2):511CrossRefPubMedGoogle Scholar
  68. Storm V, Reinwand D, Wienert J, Kuhlmann T, De Vries H, Lippke S (2017) Compensatory health beliefs are negatively associated with intentions for regular fruit and vegetable consumption when self-efficacy is low. J Health Psychol 22:1094–1100.  https://doi.org/10.1177/1359105315625358CrossRefPubMedGoogle Scholar
  69. Stringhini S, Dugravot A, Shipley M, Goldberg M, Zins M, Kivimäki M, ... Singh-Manoux A (2011) Health behaviours, socioeconomic status, and mortality: further analyses of the British Whitehall II and the French GAZEL prospective cohorts. PLoS Med 8(2).  https://doi.org/10.1371/journal.pmed.1000419CrossRefPubMedPubMedCentralGoogle Scholar
  70. Tan SL, Whittal A, Lippke S (2018) Associations among sleep, diet, quality of life, and subjective health. Health Behav Pol Rev 5(2):46–58CrossRefGoogle Scholar
  71. Tannenbaum MB, Hepler J, Zimmerman RS, Saul L, Jacobs S, Wilson K, Albarracín D (2015) Appealing to fear: a meta-analysis of fear appeal effectiveness and theories. Psychol Bull 141:1178–1204.  https://doi.org/10.1037/a0039729CrossRefPubMedPubMedCentralGoogle Scholar
  72. Voelcker-Rehage C, Niemann C (2013) Structural and functional brain changes related to different types of physical activity across the life span. Neurosci Biobehav Rev:372268–372295.  https://doi.org/10.1016/j.neubiorev.2013.01.028CrossRefGoogle Scholar
  73. Wang Y, Wang L, Cui X, Fang Y, Chen Q, Wang Y, Qiang Y (2015) Eating on impulse: implicit attitudes, self-regulatory resources, and trait self-control as determinants of food consumption. Eat Behav 19:144–149.  https://doi.org/10.1016/j.eatbeh.2015.09.011CrossRefPubMedGoogle Scholar
  74. Warner LM, Schüz B, Wolff JK, Parschau L, Wurm S, Schwarzer R (2014) Sources of self-efficacy for physical activity. Health Psychol 331298.  https://doi.org/10.1037/hea0000085CrossRefPubMedGoogle Scholar
  75. Warner LM, Stadler G, Lüscher J, Knoll N, Ochsner S, Hornung R, Scholz U (2018) Day-to-day mastery and self-efficacy changes during a smoking quit attempt: two studies. Br J Health Psychol 23(2):371–386.  https://doi.org/10.1111/bjhp.12293CrossRefPubMedGoogle Scholar
  76. Weinstein ND (1980) Unrealistic optimism about future life events. J Pers Soc Psychol 39:806–820CrossRefGoogle Scholar
  77. Witte K, Allen M (2000) A meta-analysis of fear-appeals: implications for effective public health campaigns. Health Educ Behav 27:591–615.  https://doi.org/10.1177/109019810002700506CrossRefPubMedGoogle Scholar
  78. Wood C, Conner M, Miles E, Sandberg T, Taylor N, Godin G, Sheeran P (2016) The impact of asking intention or self-prediction questions on subsequent behavior: a meta-analysis. Personal Soc Psychol Rev 20(3):245–268.  https://doi.org/10.1177/1088868315592334CrossRefGoogle Scholar
  79. Young MD, Plotnikoff RC, Collins CE, Callister R, Morgan PJ (2014) Social cognitive theory and physical activity: a systematic review and meta-analysis. Obes Rev 15:983–995.  https://doi.org/10.1111/obr.12225CrossRefPubMedGoogle Scholar

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© Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Psychology and Methods; Health Psychology & Behavioral MedicineJacobs University BremenBremenDeutschland
  2. 2.Institut für Public Health und PflegeforschungUniversität BremenBremenDeutschland
  3. 3.Psychology & MethodsJacobs University BremenBremenDeutschland

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