Abstract
A field experiment was designed to test the effects on weight change in obese children of (1) communications varying in threat and (2) health beliefs of the child's mother, in terms of perceived vulnerability to health threats, the efficacy of taking actions, and barriers to acting. Treatments involved messages containing more or less threatening material regarding obesity, plus a control (no communication) condition. Beliefs were assessed by means of personal interviews. All mothers and children received dietary counseling and were scheduled for four follow-up visits, which included weighing. The 182 participants were from low-income areas served by a large hospital pediatric clinic. High-threat messages yielded the most consistent weight loss, followed by low threat and control. In addition, both general beliefs concerning health and specific beliefs about obesity and dieting predicted weight loss. Both messages and mothers' beliefs acted together on keeping appointments and making efforts to comply. Results are discussed in terms of the effects of threats and health belief-behavior linkages.
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References
American Academy of Pediatrics (1967). Obesity in childhood.Pediatrics 40: 455–467.
Becker, M., and Maiman, L. (1975). Sociobehavioral determinants of compliance with health and medical care recommendations.Med. Care 13: 10–24.
Becker, M., Drachman, R., and Kirscht, J. (1972). Predicting mothers' compliance with pediatric medical regimens.J. Pediat. 81: 843–854.
Crawford, T. (1974). Theories of attitude change and the “beyond family planning debate.” The case for the persuasion approach in population policy.J. Soc. Issues 30: 211–233.
Dabbs, J., and Leventhal, H. (1966). Effects of varying the recommendations in a fear-arousing communication.J. Personal. Soc. Psychol. 4: 525–531.
Fishbein, M., and Ajzen, I. (1975).Belief, Attitude, Intention, and Behavior, Addison-Wesley, Reading, Mass., 1975.
Gross, S., and Niman, C. (1975). Attitude-behavior consistency: A review.Publ. Opinion Quart. 39: 358–368.
Haefner, D. (1965). Arousing fear in dental health education.J. Publ. Health Dent. 25: 140–146.
Haefner, D., and Kirscht, J. (1970). Motivational and behavioral effects of modifying health beliefs.Publ. Health Rep. 85: 478–484.
Higbee, K. (1969). Fifteen years of fear arousal: Research on threat appeals, 1953–1968.Psychol. Bull. 72: 426–444.
Janis, I. (1967). Effects of fear arousal on attitude change: Recent developments in theory and experimental research. In Berkowitz, L. (ed.),Advances in Experimental Social Psychology, Vol. 3, Academic Press, New York.
Kelman, H. (1974). Attitudes are alive and well and gainfully employed in the sphere of action.Am. Psychol. 29: 310–324.
Leventhal, H. (1965). Feat communications in the acceptance of preventive health practices.Bull. N.Y. Acad. Med. 41: 1144–1168.
Leventhal, H. (1970). Findings and theory in the study of fear communications. In Berkowitz, L. (ed.),Advances in Experimental Social Psychology, Vol. 5, Academic Press, New York, 1970.
Leventhal, H. (1973). Changing attitudes and habits to reduce risk factors in chronic disease.Am. J. Cardiol. 31: 571–581.
Mayer, J. (1975). Obesity during childhood. In Winick, M. (ed.),Childhood Obesity, Wiley, New York, 1975.
McGuire, W. (1969). The nature of attitudes and attitude change. In Lindzey, G., and Aronson, E. (eds.),Handbook of Social Psychology, Vol. 3, 2nd ed., Addison-Wesley, Reading, Mass., 1969.
Rogers, R. (1975). A protection motivation theory of fear appeals and attitude change.J. Psychol. 91: 93–114.
Rogers, R., and Mewborn, C. (1976). Fear appeals and attitude change. Effects of a threat's noxiousness, probability of occurrence, and the efficacy of coping responses.J. Personal. Soc. Psychol. 34: 54–61.
Rokeach, M. (1969).Beliefs, Attitudes, and Values, Jossey-Bass, San Francisco, 1969.
Rosenstock, I. (1974). Historical origins of the health belief model.Health Educ. Monogr. 2: 328–335.
Wicker, A. (1969). Attitudes vs. actions: The relationship of verbal and overt behavioral responses to attitude objects.J. Soc. Issues 24: 41–78.
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This investigation was supported by Grants HL 5P17HL14207 and HL 18045 from the National Heart and Lung Institute.
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Kirscht, J.P., Becker, M.H., Haefner, D.P. et al. Effects of threatening communications and mothers' health beliefs on weight change in obese children. J Behav Med 1, 147–157 (1978). https://doi.org/10.1007/BF00846636
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DOI: https://doi.org/10.1007/BF00846636