Psicologia e nutrição: predizendo a intenção comportamental de aderir a dietas de redução de peso entre obesos de baixa renda Psychology and nutrition: predicting behavioral intention to follow weight reduction diets among low-income obese patients

O presente estudo foi realizado entre 189 obesos de baixa renda atendidos por nutricionistas na rede pública de saúde de João Pessoa, Paraíba. Levantou as crenças positivas e negativas e os referentes mais expressivos sobre estes pacientes quanto ao comportamento de seguir uma dieta médica para redução de peso. Um instrumento de medida da intenção comportamental de efetivamente seguir tais dietas foi construído, o que permitiu verificar a ênfase do aspecto normativo geral e atitudinal nos obesos com renda de até um salário-mínimo sobre sua intenção comportamental. Isto pode indicar dois pontos eficazes a serem explorados em comunicações dirigidas a esta classe social em campanhas de saúde para redução de peso. Esta medição torna-se útil para ações preventivas de saúde; a obesidade é considerada uma epidemia mundial carente de controle imediato, aumentando em incidência principalmente nas classes mais baixas dos países em desenvolvimento.<br>The present study was accomplished with 189 low income obese attended by public health nutritionists of João Pessoa, Paraíba. We found out positive and negative beliefs plus the most expressive referees on these patients about the behavior of following a medical diet to reduce weight. This permitted to build a behavioral intention measurement instrument to check those who might really follow these diets. It was verified the emphasis on general normative and attitudinal aspects over obese who had up to one minimum-wage income. This may indicate two efficacious points to be explored on targeted communications to this social class during weight loss public health campaigns. This measurement can be turned into preventive health actions; obesity is considered worldwide as epidemics, in need of immediate control, growing in incidence mainly among lower ranks of the population of developing countries

Does the temporal stability of behavioral intentions moderate intention-behavior and past behavior - Future behavior relations?

This study tested the hypothesis that the temporal stability of behavioral intentions moderates relationships between intentions and behavior and between previous experience and subsequent performance. Respondents (N = 164) completed measures of theory of planned behavior variables, with respect to studying over the winter vacation, at two time points prior to the vacation and subsequently reported their study behavior. Intention stability was computed from within-participants correlations between Time 1 and Time 2 intention items. Intention stability moderated the intention-behavior relation such that stable intentions were more likely to be enacted than unstable intentions. The past behavior - future behavior relation was also moderated by intention stability. When intentions were stable, past behavior was not related to subsequent performance. In contrast, when intentions were unstable, past behavior was the best predictor of future behavior. Findings also revealed that theory of planned behavior variables and past behavior had different associations with stable as compared to unstable intentions

Bottom-up communication: Identifying opportunities and limitations through an exploratory field-based evaluation

Full article available via Springerlink.comCommunication to promote behaviours like energy saving can use significant resources. What is less clear is the comparative value of different approaches available to communicators. While it is generally agreed that ‘bottom-up’ approaches, where individuals are actively involved rather than passive, are preferable to ‘top-down’ authority-led projects, there is a dearth of evidence that verifies why this should be. Additionally, while the literature has examined the mechanics of the different approaches, there has been less attention paid to the associated psychological implications. This paper reports on an exploratory comparative study that examined the effects of six distinct communication activities. The activities used different communication approaches, some participative and others more top-down informational. Two theories, from behavioural studies and communication, were used to identify key variables for consideration in this field-based evaluation. The evaluation aimed to assess not just which activity might be most successful, as this has limited generalisability, but to also gain insight into what psychological impacts might contribute to success. Analysis found support for the general hypothesis that bottom-up approaches have more impact on behaviour change than top-down. The study also identified that, in this instance, the difference in reported behaviour across the activities related partly to the extent to which intentions to change behaviour were implemented. One possible explanation for the difference in reported behaviour change across the activities is that a bottom-up approach may offer a supportive environment where participants can discuss progress with like-minded individuals. A further possible explanation is that despite controlling for intention at an individual level, the pre-existence of strong intentions may have an effect on group success. These suggestive findings point toward the critical need for additional and larger-scale studies. The challenges associated with field-based evaluative research and the role of theory are discussed. The design approach and measures used in this study may be useful to other evaluations that seek to compare different communicative approaches.The research discussed in this article was funded by a bursary from the UK Engineering and Physical Sciences Research Council