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Perceived Control and Intrinsic vs. Extrinsic Motivation for Oral Self-Care: A Full Factorial Experimental Test of Theory-Based Persuasive Messages

  • Original Article
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Annals of Behavioral Medicine

Abstract

Background

Correlational evidence suggests that perceived control (PC) and intrinsic motivation (IM), key constructs in social cognitive and self-determination theories, may interact to reinforce behavior change.

Purpose

This proof-of-principle study examines the independent and synergistic effects of interventions to increase PC and IM upon dental flossing frequency.

Methods

University students (n = 185) were randomized in a 2 × 2 full factorial design to receive two computer-based interventions: one to either increase or decrease PC and another to increase either IM or extrinsic motivation. These constructs were measured immediately post-intervention; flossing behavior was measured 1 week later.

Results

The interventions to increase PC and PC/IM had main and interaction effects on flossing, respectively. The PC/IM interaction effect was mediated by increases in PC and IM.

Conclusions

Combining interventions to increase PC and IM seems to be a promising avenue of research, which has implications for both theory and intervention development.

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References

  1. Bem S, de Jong HL. Theoretical issues in psychology. London: Sage; 1997.

    Google Scholar 

  2. Noar SM, Zimmerman RS. Health behaviour theory and cumulative knowledge regarding health behaviours: are we moving in the right direction? Health Educ Res. 2005; 20: 275-290.

    Article  PubMed  Google Scholar 

  3. Sniehotta FF. An experimental test of the theory of planned behaviour. Appl Psychol Health Well-Being. 2009; 2: 257-270.

    Article  Google Scholar 

  4. Weinstein ND. Misleading tests of health behavior theories. Ann Behav Med. 2007; 33: 1-10.

    Article  PubMed  Google Scholar 

  5. Ajzen I. The theory of planned behaviour. Organ Behav Hum Decis. 1991; 50: 179-211.

    Article  Google Scholar 

  6. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977; 84: 191-215.

    Article  CAS  PubMed  Google Scholar 

  7. McEachan RRC, Conner M, Taylor NJ, Lawton RJ. Prospective prediction of health-related behaviours with the theory of planned behaviour: a meta-analysis. Health Psychol Rev. 2011; 5: 97-144.

    Article  Google Scholar 

  8. Williams SL, French DP. What are the most effective intervention techniques for changing physical activity self-efficacy and physical activity behaviour—and are they the same? Health Educ Res. 2011; 26: 308-322.

    Article  CAS  PubMed  Google Scholar 

  9. Fisher K, Johnston M. Experimental manipulation of perceived control and its effect on disability. Psychol Health. 1996; 11: 657-669.

    Article  Google Scholar 

  10. Deci EL, Ryan RM. Intrinsic motivation and self-determination in human behaviour. New York: Plenum; 1985.

    Book  Google Scholar 

  11. Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000; 55: 68-78.

    Article  CAS  PubMed  Google Scholar 

  12. Hagger MS, Chatzisarantis NLD. Integrating the theory of planned behaviour and self-determination theory in health behaviour: a meta-analysis. Brit J Health Psychol. 2009; 14: 275-302.

    Article  Google Scholar 

  13. Hurkmans EJ, Maes S, de Gucht V, et al. Motivation as a determinant of physical activity among patients with rheumatoid arthritis. Arthritis Care Res. 2010; 62: 371-377.

    Article  CAS  Google Scholar 

  14. Mata J, Silva MN, Vieira PN, et al. Motivational “spill-over” during weight control: Increased self-determination and exercise intrinsic motivation predict eating self-regulation. Health Psychol. 2009; 28: 709-716.

    Article  PubMed  Google Scholar 

  15. Chatzisarantis NLD, Biddle SJH, Meek GA. A self-determination theory approach to the study of intentions and the intention-behaviour relationship in children’s physical activity. Brit J Health Psychol. 1997; 2: 343-360.

    Article  Google Scholar 

  16. Tabernero C, Hernández B. Self-efficacy and intrinsic motivation guiding environmental behavior. Environ Behav. 2011; 43: 658-675.

    Article  Google Scholar 

  17. ADA. (2005). ADA statement on toothbrush care: cleaning, storage and replacement. Council on Scientific Affairs, Available at http://www.ada.org/1887.aspx (access 3-10-13). American Dental Association.

  18. British Dental Association. Oral hygiene recommendations. Available at http://www.bdasmile.org/adults/adults.cfm?contentid=1116&contentparentid=1036. Accessibility verified October 3, 2013.

  19. Bauroth K, Charles CH, Mankodi SM, Simmoms K, Zhao Q, Kumar LD. The efficacy of an essential oil antiseptic mouthrinse vs dental floss in controlling interproximal gingivitis: a comparative study. J Am Dent Assoc. 2003; 134: 359-365.

    Article  CAS  PubMed  Google Scholar 

  20. Sambunjak D, Nickerson JW, Poklepovic T, et al. Flossing for the management of periodontal diseases and dental caries in adults. Cochrane Database Syst Rev. 2011; 12, CD008829.

    PubMed  Google Scholar 

  21. Hill KB, Chadwick B, Freeman R, O’Sullivan I, Murray JJ. Adult dental health survey 2009: relationships between dental attendance patterns, oral health behaviour and the current barriers to dental care. Brit Dent J. 2013; 214: 25-32.

    Article  CAS  PubMed  Google Scholar 

  22. Sniehotta FF, Araujo-Soares V, Dombrowski SU. Randomised controlled trial of a one-minute intervention changing oral self-care behaviour. J Dent Res. 2007; 86: 641-645.

    Article  CAS  PubMed  Google Scholar 

  23. Lavin D, Groarke A. Dental floss behaviour: a test of the predictive utility of the theory of planned behaviour and the effects of making implementation intentions. Psychol Health Med. 2005; 10: 243-252.

    Article  Google Scholar 

  24. Rise J, Astrøm AN, Sutton S. Predicting intentions and use of dental floss among adolescents: an application of the theory of planned behaviour. Psychol Health. 1998; 13: 223-236.

    Article  Google Scholar 

  25. McCaul KD, Glasgow RE, O'Neill HK. The problem of creating habits: establishing health-protective dental behaviors. Health Psychol. 1992; 11: 101-110.

    Article  CAS  PubMed  Google Scholar 

  26. Münster Halvari AE, Halvari H, Bjørnebekk G, Deci EL. Motivation for dental home care: testing a self-determination theory model. J Appl Soc Psychol. 2012; 42: 1-39.

    Article  Google Scholar 

  27. Münster Halvari AE, Bjørnebekk G, Halvari H, Deci EL. Self-determined motivational predictors of increases in dental behaviors, decreases in dental plaque, and improvement in oral health: a randomized clinical trial. Health Psychol. 2012; 31: 777-788.

    Article  PubMed  Google Scholar 

  28. Michie S, Richardson M, Johnston M, et al. The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Ann Behav Med. 2013; 46: 81-95.

    Article  PubMed  Google Scholar 

  29. Hagger MS, Chatzisarantis NLD, Biddle SJH. The influence of autonomous and controlling motives on physical activity intentions within the theory of planned behaviour. Brit J Health Psychol. 2002; 7: 283-297.

    Article  Google Scholar 

  30. Ryan RM, Connell JP. Perceived locus of causality and internalization: examining reasons for acting in two domains. J Pers Soc Psychol. 1989; 57: 749-761.

    Article  CAS  PubMed  Google Scholar 

  31. Schafer JL. Analysis of incomplete multivariate data. London: Chapman & Hall; 1997.

    Book  Google Scholar 

  32. Hayes AF. PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling. Retrieved from http://www.afhayes.com/public/process2012.pdf. Accessibility verified May 23, 2014.

  33. Preacher KJ, Hayes AF. SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Methods Instrum. 2004; 36: 717-731.

    Article  Google Scholar 

  34. Knittle K, De Gucht V, Hurkmans E, et al. Targeting motivation and self-regulation to increase physical activity among patients with rheumatoid arthritis: a randomised controlled trial. Clin Rheumatol. 2013. doi:10.1007/s10067-013-2425-x.

    PubMed  Google Scholar 

  35. Sutton S, Kinmonth AL, Hardeman W, et al. Does electronic monitoring influence adherence to medication? Randomized controlled trial of measurement reactivity. Ann Behav Med. 2014; In Press. doi 10.1007/s12160-014-9595-x

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Authors Statement of Conflict of Interest and Adherence to Ethical Standards

Authors Liam Staunton, Paul Gellert, Keegan Knittle, and Falko F. Sniehotta all declare to have no conflict of interest. All procedures, including the informed consent process, were conducted in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. The study was approved by the School of Psychology Ethical Board of Aberdeen University (PEC: 1810060780).

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Correspondence to Falko F. Sniehotta Ph.D..

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Staunton, L., Gellert, P., Knittle, K. et al. Perceived Control and Intrinsic vs. Extrinsic Motivation for Oral Self-Care: A Full Factorial Experimental Test of Theory-Based Persuasive Messages. ann. behav. med. 49, 258–268 (2015). https://doi.org/10.1007/s12160-014-9655-2

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  • DOI: https://doi.org/10.1007/s12160-014-9655-2

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