"Je ne regret rien?" : the value of adding anticipated regret to the theory of planned behaviour

Regret is fundamentally motivational, where there is a desire to be able to undo what has or has not been done; anticipating regret, therefore, seems a useful way of avoiding this negative experience and has been found to be a powerful mechanism for changing behaviour in areas such as economics and litigation (e.g. Larrick & Boles, 1995). Recent research has also been conducted into incorporating this explicitly affective component into the utilitarian-bound Theory of Planned Behaviour (Ajzen, 1985, 1988, 1991). A meta-analysis conducted in this thesis on all previous relevant research established that anticipated affective reactions, including regret, did make a significant contribution to the model in terms of increasing the variance in intentions. The remit of this PhD was to specifically consider anticipated regret’s predictive value to a broader variety of behaviours in a completely novel way. Study 1 differentiated between two particular behaviour types, Immediate Hedonic and Distal Benefit Behaviours, which mapped on to action and inaction regret respectively. A selection of these behaviours was used in Studies 2, 3 and 4, with Study 4 using an intervention designed to explicitly increase regret salience. Studies 5 and 6 set out to replicate the results from previous research into exercise behaviour by Abraham and Sheeran (2003; 2004), whilst Study 7 used an objective measure of exercise behaviour. The studies were either traditional pen-and-paper or web studies. The results provide overwhelming evidence that anticipated regret (unambiguously defined) adds significantly and independently to the predictive validity of the TPB in terms of intentions over and above the traditional TPB variables, even when controlling for past behaviour, experiential and instrumental attitudes. Replication of Abraham and Sheeran’s (2003; 2004) results (i.e. moderation by anticipated regret on the intention-behaviour relationship, mediated by intention stability) failed in pen-and-paper Study 5, although success was evident in web Study 6. Finally, although Study 7 explicitly established the disparate value of anticipated regret to the predictive validity of intention, there was a failure to detect any moderation or mediation effects: rather the most important predictor of exercise behaviour by Sports Centre members was past behaviour. Issues regarding multi-item versus single-item scales, web versus pen-and-paper designs, student versus ‘other’ populations, and observational designs are discussed with recommendations for further research

The impact of asking intention or self-prediction questions on subsequent behavior: a meta-analysis

The current meta-analysis estimated the magnitude of the impact of asking intention and self-prediction questions on rates of subsequent behavior, and examined mediators and moderators of this question–behavior effect (QBE). Random-effects meta-analysis on 116 published tests of the effect indicated that intention/prediction questions have a small positive effect on behavior (d+ = 0.24). Little support was observed for attitude accessibility, cognitive dissonance, behavioral simulation, or processing fluency explanations of the QBE. Multivariate analyses indicated significant effects of social desirability of behavior/behavior domain (larger effects for more desirable and less risky behaviors), difficulty of behavior (larger effects for easy-to-perform behaviors), and sample type (larger effects among student samples). Although this review controls for co-occurrence of moderators in multivariate analyses, future primary research should systematically vary moderators in fully factorial designs. Further primary research is also needed to unravel the mechanisms underlying different variants of the QBE

Varying cognitive targets and response rates to enhance the question-behaviour effect: An 8-arm Randomised Controlled Trial on influenza vaccination uptake

Rationale: The question-behaviour effect (QBE) refers to the finding that survey questions about a behaviour can change that behaviour. However, little research has tested how the QBE can be maximized in behavioural medicine settings. The present research tested manipulations of cognitive targets (questions about anticipated regret or beneficence) and survey return rates (presence vs. absence of a sticky note requesting completion of the questionnaire) on the magnitude of the QBE for influenza vaccination in older adults. Method: Participants (N = 13,803) were recruited from general practice and randomly allocated to one of eight conditions: control 1 (no questionnaire); control 2 (demographics questionnaire); intention and attitude questionnaire (with or without a sticky note); intention and attitude plus anticipated regret questionnaire (with or without a sticky note); intention and attitude plus beneficence questionnaire (with or without a sticky note). Objective records of subsequent influenza vaccination from general practice records formed the dependent variable. Results: Intention-to-treat analyses indicated that receiving an influenza vaccination questionnaire significantly increased vaccination rates compared to the no questionnaire, OR = 1.17, 95% CI = 1.01, 1.36 and combined control conditions, OR = 1.13, 95% CI = 1.01, 1.25. Including the sticky note significantly increased questionnaire return rates, OR = 1.25, 95% CI = 1.04, 1.50. However, there were no differences in vaccination rates between questionnaires containing different cognitive targets, a sticky note or not, and no interactions. There were no significant differences in the per-protocol analyses, i.e. among respondents who completed and returned the questionnaires. Conclusion: The QBE is a simple, low-cost intervention to increase influenza vaccination rates. Increasing questionnaire return rates or asking anticipated regret or beneficence questions in addition to intention and attitude questions did not enhance the QBE

The role of emotions in predicting sperm and egg donation.

Across two studies, we assessed the role of social-cognitive and emotional factors in promoting and deterring sperm and egg donation. Study 1 (N = 138 men) found that feeling anxiety towards discovering a fertility problem and pride positively predicted sperm donation intention and information seeking behaviour. By contrast, feeling anxiety towards the process of donation negatively predicted sperm donation intention and information seeking behaviour. Study 2 (N = 193 women) found that pride positively and the anxiety towards the process negatively predicted egg donation intentions, but not information seeking behaviour. These results suggest that it is important to consider the role of emotions in motivating and deterring people from becoming a sperm and egg donor

The effect of alternating and biphasic currents on humans' wound healing: a literature review

[Abstract] Although different types of currents, including bidirectional currents, have been used to promote healing, there is neither a summary about their effects nor consensus on best parameters to be used. The aim of this article is to provide an overview of current evidence on the effectiveness of bidirectional electrical stimulation on wound healing in accordance with the parameters used. Relevant articles were selected following a search of Medline, Cochrane, Embase, CINAHL, and PEDro for English, Spanish, Portuguese, Italian, or French articles published between 1980 and 2011. Ten trials and four case-series were found that deal with pressure ulcers, diabetic ulcers, venous ulcers, skin flaps, and amputation. Eight trials were of low-quality. Five of ten controlled trials found a statistically significant difference on wound healing, and another four trials found positive trends. Both of the two skin flap trials, one of two diabetic trials, and two of five pressure ulcer trials found a significant difference in bidirectional stimulated groups. Both TENS and NMES types of currents were used, but many parameters were not specified. In general, bidirectional currents appear to increase wound healing rates and reduce size of wounds, above all in skin flaps. However, there is a lack of well-designed studies on biphasic and alternating stimulation, and there is a need for improvement in description of parameters and in uniformity of nomenclature

The question-behaviour effect: a theoretical and methodological review and meta-analysis

Research has demonstrated that asking people questions about a behaviour can lead to behaviour change. Despite many, varied studies in different domains, it is only recently that this phenomenon has been studied under the umbrella term of the question-behaviour effect (QBE) and moderators of the effect have been investigated. With a particular focus on our own contributions, this article: (1) provides an overview of QBE research; (2) reviews and offers new evidence concerning three theoretical accounts of the QBE (behavioural simulation and processing fluency; attitude accessibility; cognitive dissonance); (3) reports a new meta-analysis of QBE studies (k = 66, reporting 94 tests) focusing on methodological moderators. The findings of this meta-analysis support a small significant effect of the QBE (g = 0.14, 95% CI = 0.11, 0.18, p < .001) with smaller effect sizes observed in more carefully controlled studies that exhibit less risk of bias and (4) also considers directions for future research on the QBE, especially studies that use designs with low risk of bias and consider desirable and undesirable behaviour separately

Fibromyalgia and neuropathic pain - differences and similarities. A comparison of 3057 patients with diabetic painful neuropathy and fibromyalgia

<p>Abstract</p> <p>Background</p> <p>Patients with diabetic neuropathy (DPN) and fibromyalgia differ substantially in pathogenetic factors and the spatial distribution of the perceived pain. We questioned whether, despite these obvious differences, similar abnormal sensory complaints and pain qualities exist in both entities. We hypothesized that similar sensory symptoms might be associated with similar mechanisms of pain generation. The aims were (1) to compare epidemiological features and co-morbidities and (2) to identify similarities and differences of sensory symptoms in both entities.</p> <p>Methods</p> <p>The present multi-center study compares epidemiological data and sensory symptoms of a large cohort of 1434 fibromyalgia patients and 1623 patients with painful diabetic neuropathy. Data acquisition included standard demographic questions and self-report questionnaires (MOS sleep scale, PHQ-9, Pain<it>DETECT</it>). To identify subgroups of patients with characteristic combinations of symptoms (sensory profiles) a cluster analysis was performed using all patients in both cohorts.</p> <p>Results</p> <p>Significant differences in co-morbidities (depression, sleep disturbance) were found between both disorders. Patients of both aetiologies chose very similar descriptors to characterize their sensory perceptions. Burning pain, prickling and touch-evoked allodynia were present in the same frequency. Five subgroups with distinct symptom profiles could be detected. Two of the subgroups were characteristic for fibromyalgia whereas one profile occurred predominantly in DPN patients. Two profiles were found frequently in patients of both entities (20-35%).</p> <p>Conclusions</p> <p>DPN and fibromyalgia patients experience very similar sensory phenomena. The combination of sensory symptoms - the sensory profile - is in most cases distinct and almost unique for each one of the two entities indicating aetiology-specific mechanisms of symptom generation. Beside the unique aetiology-specific sensory profiles an overlap of sensory profiles can be found in 20-35% of patients of both aetiologies.</p

Erratum to: Methods for evaluating medical tests and biomarkers

[This corrects the article DOI: 10.1186/s41512-016-0001-y.]