Self-regulatory processes mediate the intention-behavior relation for adherence and exercise behaviors

Marijn de Bruin*, Paschal Sheeran, Gerjo Kok, Anneke Hiemstra, Jan M. Prins, Harm J. Hospers, Gerard J. P. van Breukelen

*Corresponding author for this work

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Objectives: Understanding the gap between people's intentions and actual health behavior is an important issue in health psychology. Our aim in this study was to investigate whether self-regulatory processes (monitoring goal progress and responding to discrepancies) mediate the intention-behavior relation in relation to HIV medication adherence (Study I) and intensive exercise behavior (Study 2). Method: In Study 1, questionnaire and electronically monitored adherence data were collected at baseline and 3 months later from patients in the control arm of an HIV-adherence intervention study. In Study 2, questionnaire data was collected at 3 time points 6-weeks apart in a cohort study of physical activity. Results: Complete data at all time points were obtained from 51 HIV-infected patients and 499 intensive exercise participants. Intentions were good predictors of behavior and explained 25 to 30% of the variance. Self-regulatory processes explained an additional 11% (Study I) and 6% (Study 2) of variance in behavior on top of intentions. Regression and bootstrap analyses revealed at least partial, and possibly full, mediation of the intention-behavior relation by self-regulatory processes. Conclusions: The present studies indicate that self-regulatory processes may explain how intentions drive behavior. Future tests, using different health behaviors and experimental designs, could firmly establish whether self-regulatory processes complement current health behavior theories and should become routine targets for intervention.

Original languageEnglish
Pages (from-to)695-703
Number of pages9
JournalHealth Psychology
Volume31
Issue number6
DOIs
Publication statusPublished - Nov 2012

Keywords

  • intention behavior gap
  • self regulation
  • control theory
  • treatment adherence
  • physical exercise
  • HIV-infected patients
  • planned behavior
  • physical-activity
  • antiretroviral therapy
  • temporal stability
  • health
  • intervention
  • metaanalysis
  • moderators
  • psychology

Cite this

de Bruin, M., Sheeran, P., Kok, G., Hiemstra, A., Prins, J. M., Hospers, H. J., & van Breukelen, G. J. P. (2012). Self-regulatory processes mediate the intention-behavior relation for adherence and exercise behaviors. Health Psychology, 31(6), 695-703. https://doi.org/10.1037/a0027425

Self-regulatory processes mediate the intention-behavior relation for adherence and exercise behaviors. / de Bruin, Marijn; Sheeran, Paschal; Kok, Gerjo; Hiemstra, Anneke; Prins, Jan M.; Hospers, Harm J.; van Breukelen, Gerard J. P.

In: Health Psychology, Vol. 31, No. 6, 11.2012, p. 695-703.

Research output: Contribution to journalArticle

de Bruin, M, Sheeran, P, Kok, G, Hiemstra, A, Prins, JM, Hospers, HJ & van Breukelen, GJP 2012, 'Self-regulatory processes mediate the intention-behavior relation for adherence and exercise behaviors', Health Psychology, vol. 31, no. 6, pp. 695-703. https://doi.org/10.1037/a0027425
de Bruin, Marijn ; Sheeran, Paschal ; Kok, Gerjo ; Hiemstra, Anneke ; Prins, Jan M. ; Hospers, Harm J. ; van Breukelen, Gerard J. P. / Self-regulatory processes mediate the intention-behavior relation for adherence and exercise behaviors. In: Health Psychology. 2012 ; Vol. 31, No. 6. pp. 695-703.
@article{9a5516432e5b4e7e999eba2988f1a137,
title = "Self-regulatory processes mediate the intention-behavior relation for adherence and exercise behaviors",
abstract = "Objectives: Understanding the gap between people's intentions and actual health behavior is an important issue in health psychology. Our aim in this study was to investigate whether self-regulatory processes (monitoring goal progress and responding to discrepancies) mediate the intention-behavior relation in relation to HIV medication adherence (Study I) and intensive exercise behavior (Study 2). Method: In Study 1, questionnaire and electronically monitored adherence data were collected at baseline and 3 months later from patients in the control arm of an HIV-adherence intervention study. In Study 2, questionnaire data was collected at 3 time points 6-weeks apart in a cohort study of physical activity. Results: Complete data at all time points were obtained from 51 HIV-infected patients and 499 intensive exercise participants. Intentions were good predictors of behavior and explained 25 to 30{\%} of the variance. Self-regulatory processes explained an additional 11{\%} (Study I) and 6{\%} (Study 2) of variance in behavior on top of intentions. Regression and bootstrap analyses revealed at least partial, and possibly full, mediation of the intention-behavior relation by self-regulatory processes. Conclusions: The present studies indicate that self-regulatory processes may explain how intentions drive behavior. Future tests, using different health behaviors and experimental designs, could firmly establish whether self-regulatory processes complement current health behavior theories and should become routine targets for intervention.",
keywords = "intention behavior gap, self regulation, control theory, treatment adherence, physical exercise, HIV-infected patients, planned behavior, physical-activity, antiretroviral therapy, temporal stability, health, intervention, metaanalysis, moderators, psychology",
author = "{de Bruin}, Marijn and Paschal Sheeran and Gerjo Kok and Anneke Hiemstra and Prins, {Jan M.} and Hospers, {Harm J.} and {van Breukelen}, {Gerard J. P.}",
year = "2012",
month = "11",
doi = "10.1037/a0027425",
language = "English",
volume = "31",
pages = "695--703",
journal = "Health Psychology",
issn = "0278-6133",
publisher = "AMER PSYCHOLOGICAL ASSOC",
number = "6",

}

TY - JOUR

T1 - Self-regulatory processes mediate the intention-behavior relation for adherence and exercise behaviors

AU - de Bruin, Marijn

AU - Sheeran, Paschal

AU - Kok, Gerjo

AU - Hiemstra, Anneke

AU - Prins, Jan M.

AU - Hospers, Harm J.

AU - van Breukelen, Gerard J. P.

PY - 2012/11

Y1 - 2012/11

N2 - Objectives: Understanding the gap between people's intentions and actual health behavior is an important issue in health psychology. Our aim in this study was to investigate whether self-regulatory processes (monitoring goal progress and responding to discrepancies) mediate the intention-behavior relation in relation to HIV medication adherence (Study I) and intensive exercise behavior (Study 2). Method: In Study 1, questionnaire and electronically monitored adherence data were collected at baseline and 3 months later from patients in the control arm of an HIV-adherence intervention study. In Study 2, questionnaire data was collected at 3 time points 6-weeks apart in a cohort study of physical activity. Results: Complete data at all time points were obtained from 51 HIV-infected patients and 499 intensive exercise participants. Intentions were good predictors of behavior and explained 25 to 30% of the variance. Self-regulatory processes explained an additional 11% (Study I) and 6% (Study 2) of variance in behavior on top of intentions. Regression and bootstrap analyses revealed at least partial, and possibly full, mediation of the intention-behavior relation by self-regulatory processes. Conclusions: The present studies indicate that self-regulatory processes may explain how intentions drive behavior. Future tests, using different health behaviors and experimental designs, could firmly establish whether self-regulatory processes complement current health behavior theories and should become routine targets for intervention.

AB - Objectives: Understanding the gap between people's intentions and actual health behavior is an important issue in health psychology. Our aim in this study was to investigate whether self-regulatory processes (monitoring goal progress and responding to discrepancies) mediate the intention-behavior relation in relation to HIV medication adherence (Study I) and intensive exercise behavior (Study 2). Method: In Study 1, questionnaire and electronically monitored adherence data were collected at baseline and 3 months later from patients in the control arm of an HIV-adherence intervention study. In Study 2, questionnaire data was collected at 3 time points 6-weeks apart in a cohort study of physical activity. Results: Complete data at all time points were obtained from 51 HIV-infected patients and 499 intensive exercise participants. Intentions were good predictors of behavior and explained 25 to 30% of the variance. Self-regulatory processes explained an additional 11% (Study I) and 6% (Study 2) of variance in behavior on top of intentions. Regression and bootstrap analyses revealed at least partial, and possibly full, mediation of the intention-behavior relation by self-regulatory processes. Conclusions: The present studies indicate that self-regulatory processes may explain how intentions drive behavior. Future tests, using different health behaviors and experimental designs, could firmly establish whether self-regulatory processes complement current health behavior theories and should become routine targets for intervention.

KW - intention behavior gap

KW - self regulation

KW - control theory

KW - treatment adherence

KW - physical exercise

KW - HIV-infected patients

KW - planned behavior

KW - physical-activity

KW - antiretroviral therapy

KW - temporal stability

KW - health

KW - intervention

KW - metaanalysis

KW - moderators

KW - psychology

U2 - 10.1037/a0027425

DO - 10.1037/a0027425

M3 - Article

VL - 31

SP - 695

EP - 703

JO - Health Psychology

JF - Health Psychology

SN - 0278-6133

IS - 6

ER -