A criterion measurement model for health behavior change

doi:10.1016/0306-4603(95)00083-6

Addictive Behaviors

Volume 21, Issue 5, September–October 1996, Pages 555-584

https://doi.org/10.1016/0306-4603(95)00083-6 Get rights and content

Abstract

Researchers in the field of health behavior change have traditionally relied on a univariate criterion measure to evaluate the efficacy of an intervention. Such measures have superficial face validity but suffer from a number of problems: (a) lack of precise definitions: (b) poor statistical power; and (c) a lack of meaningfulness for some aspects of the problem. As an alternative, a theoretical model is developed that attempts to define more appropriate multivariate sets of dependent variables for the study of health behavior change. The model involves three separate constructs: Positive Evaluation Strength, Negative Evaluation Strength, and Habit Strength. The pattern of change for each construct is described across four stages of change: Precontemplation, Contemplation, Action, and Maintenance. For each construct, two thresholds are proposed representing the ability of the environment to modify the construct. Four tests of the model are provided from existing data sets. First, a structural model analysis was used to test if the proposed measurement model adequately fits the data. Second, a dynamic typology approach produced profiles of change that are consistent with the model. Third, a time series analysis provided support for the assumed model. Fourth, longitudinal, five-wave panel design was employed to test if the relation between the two cognitive variables (Pros and Cons) and the behavioral measure (Habit Strength) was consistent with the model. Implications for alternative intervention strategies are discussed.

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^☆: This work was supported by Grant CA27821 and CA50087 from the National Cancer Institute.

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A criterion measurement model for health behavior change☆

Abstract

Addictive Behaviors

Addictive Behaviors

Addictive Behaviors

Addictive Behaviors

American Heart Journal

Addictive Behaviors

Preventive Medicine

Event history analysis: Regression for longitudinal event data

Self-efficacy and smoking re-examined: Construct validity and clinical utility

Journal of Consulting and Clinical Psychology

Self-efficacy: Toward a unifying theory of behavior change

Psychological Review

Self-efficacy mechanism in human agency

American Psychologist

Multivariate analysis with latent variables: Causal modeling

Annual Review of Psychology

Comparatiave fit indices in structural models

Psychological Bulletin

Pschological theories of drinking and alcoholism

Event history analysis: Statistical theory and application in the social sciences

Time-series analysis: Forecasting and control.

Understanding and preventing relapse

American Psychologist

Personality variables associated with cigarette smoking

Journal of Personality and Social Psychology

Self-efficacy and cessation of smoking

Psychological Reports

Statistical power analysis for the behavioral sciences

Latent class models for stage-sequential dynamic latent variable

Multivariate Behavioral Research

Self-efficacy and relapse in smoking cessation programs

Journal of Consulting and Clinical Psychology

Smoking motive factors: A review and replication

International Journal of the Addictions

Construct validity in psychological tests

Psychological Bulletin

Self-efficacy and smoking cessation maintenance: A preliminary report

Cognitive Therapy and Research

Self-efficacy and the addictive behaviors

Journal of Social and Clinical Psychology

The processes of smoking cessation: An analysis of precontemplation, contemplation and preparation stages of change

Journal of Consulting and Clinical Psychology

Self-efficacy and the stages of self-change of smoking

Cognitive Therapy and Research

Applying the Transtheoretical Model to a large representative smoking sample

Addictive Behaviors

Biochemical validation of smoking status in public health settings: pros, cons, and data from four low-intensity intervention trials

Addictive Behaviors

Design and analysis of time-series experiments

Modeling transitions in latent stage-sequential processes: A substance use prevention example

Journal of Consulting and Clinical Psychology

The behavior of number of factor rules with simulated data

Multivariate Behavioral Research

A comparison of alternative approaches to the analysis of interrupted time-series

Multivariate Behavioral Research

Computer programs for interrupted time series analysis: II. A quantitative evaluation

Multivariate Behavioral Research

Why do you smoke

A model for the study of personal choice health behavior

International Journal of the Addictions

Some dimensions of a model for smoking behavior change

American Journal of Public Health

Increasing adherence to a stressful decision via a motivational balance-sheet procedure: A field experiment

Journal of Personality and Social Psychology

A scale to differentiate between types of smoking as related to the management of affect

International Journal of the Addictions

The experience of affect as a determinant of smoking behavior: A series of validity studies

Journal of Abnormal Psychology

The dynamics of structured personality tests: 1971

Psychological Review

Decision making: A psychological analysis of conflict, choice and commitment

Effects of serial dependency on the agreement between visual and statistical inference

Journal of Applied Behavior Analysis

A general method for analysis of covariance structures

Biometrika

Statistical models and methods for analysis of longitudinal data

Structural analysis of covariance and correlation matrices

Psychometrika