Preventing the spread of H1N1 influenza infection during a pandemic: autonomy-supportive advice versus controlling instruction

Abstract

Wearing facemask is an effective strategy for preventing the spread of the H1N1 in enclosed public spaces. This quasi-experiment examined the effects of University professor ‘autonomy support on students’ motivation, social cognitive factors, and intention to wear facemasks in the lecture hall during a hypothetical H1N1 pandemic. University students (N = 705) completed self-report measures of motivation, social cognitive factors, and intention according to a hypothetical H1N1 pandemic scenario in which their professors asked them to wear facemasks in the lecture hall, using either an ‘autonomy-supportive’ interpersonal style or a ‘controlling’ style. The results showed that the manipulation of professors’ autonomy support exerted a positive effect on students’ perception of autonomy support, which positively predicted their self-determined motivation, social cognitive factors, and intentions to wear facemasks. In conclusion, promoting self-determined motivation using autonomy-supportive communication styles might be an effective means of fostering individuals’ adaptive beliefs and motivation of H1N1 prevention.

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References

  1. Ajzen, I. (1985). From intentions to actions: A theory of planned behavior. In J. Kuhl & J. Beckmann (Eds.), From intentions to actions: A theory of planned behavior (pp. 11–39). Berlin: Springer.

    Google Scholar 

  2. Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211. doi:10.1016/0749-5978(91)90020-T

    Article  Google Scholar 

  3. Ajzen, I. (2002, January, 2006). Constructing a TPB questionnaire: Conceptual and methodological considerations. Retrieved 16 May, 2012, from University of Massachusetts Web site, http://people.umass.edu/aizen/tpb.html

  4. Bartholomew, K. J., Ntoumanis, N., & Thogersen-Ntoumani, C. (2010). The controlling interpersonal style in a coaching context: Development and initial validation of a psychometric scale. Journal of Sport and Exercise Psychology, 32, 193–216.

    PubMed  Google Scholar 

  5. Bish, A., & Michie, S. (2010). Demographic and attitudinal determinants of protective behaviours during a pandemic: A review. British Journal of Health Psychology, 15, 797–824. doi:10.1348/135910710x485826

    Article  PubMed  Google Scholar 

  6. Chan, D. K. C., Dimmock, J. A., Donovan, R. J., Lentillon-Kaestner, V., Hardcastle, S., & Hagger, M. S. (2014a). Self-determined motivation in sport predicts motivation and intention of anti-doping behaviors: A perspective from the Trans-contextual Model. Journal of Science and Medicine in Sport,. doi:10.1016/j.jsams.2014.04.001

    PubMed  Google Scholar 

  7. Chan, D. K. C., Donovan, R. J., Lentillon-Kaestner, V., Hardcastle, S. J., Dimmock, J. A., Keatley, D., & Hagger, M. S. (2014b). Young athletes’ awareness and monitoring of anti-doping in daily life: Does motivation matter? Scandinavian Journal of Medicine and Science in Sports,. doi:10.1111/sms.12362

    Google Scholar 

  8. Chan, D. K. C., Fung, Y. K., Xing, S., & Hagger, M. S. (2014c). Myopia prevention, near work, and visual acuity of college students: Integrating the theory of planned behavior and self-determination theory. Journal of Behavioral Medicine, 73, 369–380. doi:10.1007/s10865-013-9494-9

    Article  Google Scholar 

  9. Chan, D. K. C., & Hagger, M. S. (2012a). Autonomous forms of motivation underpinning injury prevention and rehabilitation among police officers: An application of the trans-contextual model. Motivation and Emotion, 36, 349–364. doi:10.1007/s11031-011-9247-4

    Article  Google Scholar 

  10. Chan, D. K. C., & Hagger, M. S. (2012b). Self-determined forms of motivation predict sport injury prevention and rehabilitation intentions. Journal of Science and Medicine in Sport, 15, 398–406. doi:10.1016/j.jsams.2012.03.016

    Article  PubMed  Google Scholar 

  11. Chan, D. K. C., & Hagger, M. S. (2012c). Theoretical integration and the psychology of sport injury prevention. Sports Medicine, 42, 725–732. doi:10.1007/BF03262291

    PubMed  Google Scholar 

  12. Chan, D. K. C., & Hagger, M. S. (2012d). Trans-contextual development of motivation in sport injury prevention among elite athletes. Journal of Sport and Exercise Psychology, 34, 661–682.

    PubMed  Google Scholar 

  13. Chan, D. K. C., Hagger, M. S., & Spray, C. M. (2011). Treatment motivation for rehabilitation after a sport injury: Application of the trans-contextual model. Psychology of Sport and Exercise, 12, 83–92.

    Article  Google Scholar 

  14. Chan, D. K. C., Hardcastle, S., Dimmock, J. A., Lentillon-Kaestner, V., Donovan, R. J., Burgin, M., & Hagger, M. S. (2015). Modal salient belief and social cognitive variables of anti-doping behaviors in sport: Examining an extended model of the theory of planned behavior. Psychology of Sport and Exercise, 16, 164–174. doi:10.1016/j.psychsport.2014.03.002

    Article  Google Scholar 

  15. Chan, D. K. C., Lonsdale, C., Ho, P. Y., Yung, P. S. H., & Chan, K. M. (2009). Patient motivation and adherence to post-surgery rehabilitation exercise recommendations: The influence of physiotherapists’ autonomy supportive behaviors. Archives of Physical Medicine and Rehabilitation, 90, 1977–1982. doi:10.1016/j.apmr.2009.05.024

    Article  PubMed  Google Scholar 

  16. Chatzisarantis, N. L. D., Hagger, M. S., & Smith, B. (2007). Influences of perceived autonomy support on physical activity within the theory of planned behavior. European Journal of Social Psychology, 37, 934–954. doi:10.1002/Ejsp.407

    Article  Google Scholar 

  17. Cowling, B. J., Ng, D. M. W., Ip, D. K. M., Liao, Q. Y., Lam, W. W. T., Wu, J. T., & Fielding, R. (2010). Community psychological and behavioral responses through the first wave of the 2009 influenza A(H1N1) pandemic in Hong Kong. Journal of Infectious Diseases, 202, 867–876. doi:10.1086/655811

    Article  PubMed  Google Scholar 

  18. Deci, E. L., & Ryan, R. M. (1985). Intrinsic motivation and self-determination in human behavior. New York: Plenum.

    Google Scholar 

  19. Deci, E. L., & Ryan, R. M. (2000). The “what” and “why” of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11(4), 227–268.

    Article  Google Scholar 

  20. Frazier, P. A., Tix, A. P., & Barron, K. E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51(1), 115–134.

    Article  Google Scholar 

  21. Hagger, M. S., & Chatzisarantis, N. L. D. (2009). Integrating the theory of planned behaviour and self-determination theory in health behaviour: A meta-analysis. British Journal of Health Psychology, 14, 275–302.

    Article  PubMed  Google Scholar 

  22. Hagger, M. S., & Chatzisarantis, N. L. D. (2014). An integrated behavior-change model for physical activity. Exercise and Sport Sciences Reviews, 42, 62–69. doi:10.1249/JES.0000000000000008

    Article  PubMed  Google Scholar 

  23. Hagger, M. S., Chatzisarantis, N. L. D., & Harris, J. (2006). The process by which relative autonomous motivation affects intentional behavior: Comparing effects across dieting and exercise behaviors. Motivation and Emotion, 30, 307–321. doi:10.1007/s11031-006-9046-5

    Article  Google Scholar 

  24. Halvari, A. E. M., & Halvari, H. (2006). Motivational predictors of change in oral health: An experimental test of self-determination theory. Motivation and Emotion, 30, 295–306. doi:10.1007/s11031-006-9035-8

    Article  Google Scholar 

  25. Halvari, A. E. M., Halvari, H., Bjornebekk, G., & Deci, E. L. (2012). Self-determined motivational predictors of increases in dental behaviors, decreases in dental plaque, and improvement in oral health: A randomized clinical trial. Health Psychology, 31, 777–788. doi:10.1037/A0027062

    Article  PubMed  Google Scholar 

  26. Hambleton, R. K. (2005). Issues, designs, and technical guidelines for adapting tests into multiple languages and cultures. In R. K. Hambleton, P. Merenda, & C. Spielberger (Eds.), Adapting educational and psychological tests for cross-cultural assessment (pp. 3–38). Mahwah, NJ: Lawrence Erlbaum.

    Google Scholar 

  27. Kock, N. (2011). Using WarpPLS in e-collaboration studies: Descriptive statistics, settings, and key analysis results. International Journal of e-Collaboration, 7, 1–18. doi:10.4018/jec.2011040101

    Google Scholar 

  28. Lau, J. T. F., Griffiths, S., Choi, K. C., & Lin, C. Q. (2010). Prevalence of preventive behaviors and associated factors during early phase of the H1N1 influenza epidemic. American Journal of Infection Control, 38, 374–380. doi:10.1016/J.Ajic.2010.03.002

    Article  PubMed  Google Scholar 

  29. Levesque, C. S., Williams, G. C., Elliot, D., Pickering, M. A., Bodenhamer, B., & Finley, P. J. (2007). Validating the theoretical structure of the Treatment Self-Regulation Questionnaire (TSRQ) across three different health behaviors. Health Education Research, 22, 691–702. doi:10.1093/Her/Cyl148

    Article  PubMed  Google Scholar 

  30. Lindwall, M., Larsman, P., & Hagger, M. S. (2011). The reciprocal relationship between physical activity and depression in older European adults: A prospective cross-lagged panel design using SHARE data. Health Psychology, 30, 453–462. doi:10.1037/A0023268

    Article  PubMed  Google Scholar 

  31. Nexoe, J., Kragstrup, J., & Sogaard, J. (1999). Decision on influenza vaccination among the elderly: A questionnaire study based on the health belief model and the multidimensional locus of control theory. Scandinavian Journal of Primary Health Care, 17, 105–110. doi:10.1080/028134399750002737

    Article  CAS  PubMed  Google Scholar 

  32. Ng, J. Y. Y., Ntoumanis, N., Thøgersen-Ntoumani, C., Deci, E. L., Ryan, R. M., Duda, J. L., & Williams, G. C. (2012). Self-determination theory applied to health contexts: A meta analysis. Perspectives on Psychological Science, 7, 325–340. doi:10.1177/1745691612447309

    Article  Google Scholar 

  33. Pauwels, P., Patterson, P. G., De Ruyter, K., & Wetzels, M. (2009). The propensity to continue internationalization: A study of entrepreneurial decision-making in Australian service firms. Advances in International Marketing, 20, 11–36. doi:10.1108/S1474-7979(2009)0000020004

    Google Scholar 

  34. Reeve, J., & Jang, H. S. (2006). What teachers say and do to support students’ autonomy during a learning activity. Journal of Educational Psychology, 98, 209–218. doi:10.1037/0022-0663.98.1.209

    Article  Google Scholar 

  35. Ryan, R. M., & Connell, J. P. (1989). Perceived locus of causality and internalization: Examining reasons for acting in 2 domains. Journal of Personality and Social Psychology, 57, 749–761.

    Article  CAS  PubMed  Google Scholar 

  36. Sebire, S. J., Standage, M., & Vansteenkiste, M. (2009). Examining intrinsic versus extrinsic exercise goals: Cognitive, affective, and behavioral outcomes. Journal of Sport and Exercise Psychology, 31, 189–210.

    PubMed  Google Scholar 

  37. Silva, M. N., Vieira, P. N., Coutinho, S. R., Minderico, C. S., Matos, M. G., Sardinha, L. B., & Teixeira, P. J. (2010). Using self-determination theory to promote physical activity and weight control: A randomized controlled trial in women. Journal of Behavioral Medicine, 33, 110–122. doi:10.1007/S10865-009-9239-Y

    Article  PubMed  Google Scholar 

  38. Tang, C. S. K., & Wong, C. Y. (2003). An outbreak of the severe acute respiratory syndrome: Predictors of health behaviors and effect of community prevention measures in Hong Kong, China. American Journal of Public Health, 93, 1887–1888. doi:10.2105/Ajph.93.11.1887

    Article  PubMed Central  PubMed  Google Scholar 

  39. Tang, C. S. K., & Wong, C. Y. (2004). Factors influencing the wearing of facemasks to prevent the severe acute respiratory syndrome among adult Chinese in Hong Kong. Preventive Medicine, 39, 1187–1193. doi:10.1016/J.Ypmed.04.032

    Article  PubMed  Google Scholar 

  40. Tenenhaus, M., Vinzi, V. E., Chatelin, Y. M., & Lauro, C. (2005). PLS path modeling. Computational Statistics & Data Analysis, 48, 159–205. doi:10.1016/J.Csda.2004.03.005

    Article  Google Scholar 

  41. Vansteenkiste, M., & Lens, W. (2006). Intrinsic versus extrinsic goal contents in self-determination theory: Another look at the quality of academic motivation. Educational Psychologist, 41, 19–31. doi:10.1207/S15326985ep4101_4

    Article  Google Scholar 

  42. Wetzels, M., Odekerken-Schroder, G., & van Oppen, C. (2009). Using PLS path modeling for assessing hierarchical construct models: Guidelines and empirical illustration. MIS Quarterly, 33, 177–195.

    Google Scholar 

  43. Williams, G. C., Cox, E. M., Kouides, R., & Deci, E. L. (1999). Presenting the facts about smoking to adolescents: Effects of an autonomy-supportive style. Archives of Pediatrics and Adolescent Medicine, 153, 959–964.

    Article  CAS  PubMed  Google Scholar 

  44. Williams, G. C., Grow, V. M., Freedman, Z. R., Ryan, R. M., & Deci, E. L. (1996). Motivational predictors of weight loss and weight-loss maintenance. Journal of Personality and Social Psychology, 70, 115–126.

    Article  CAS  PubMed  Google Scholar 

  45. Williams, G. C., McGregor, H. A., Sharp, D., Levesque, C., Kouides, R. W., Ryan, R. M., & Deci, E. L. (2006). Testing a self-determination theory intervention for motivating tobacco cessation: Supporting autonomy and competence in a clinical trial. Health Psychology, 25, 91–101. doi:10.1037/0278-6133.25.1.91

    Article  PubMed  Google Scholar 

  46. World Health Organization. (2009). Advice on the use of masks in the community setting in Influenza A(H1N1) outbreaks. Retrieved from January 15, 2014. http://www.who.int/csr/resources/publications/Adviceusemaskscommunityrevised.pdf

  47. World Health Organization. (2010). Pandemic (H1N1)—update 85. Retrieved from 15 January 2014. http://www.who.int/csr/don/2010_01_29/en/index.html

  48. Zhao, X. S., Lynch, J. G., & Chen, Q. M. (2010). Reconsidering Baron and Kenny: Myths and truths about mediation analysis. Journal of Consumer Research, 37, 197–206. doi:10.1086/651257

    Article  Google Scholar 

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Acknowledgments

The authors would like to acknowledge Dr Clare Graydon of Lingnan University and Mr Ching Yin Samuel Leung of The Hong Kong Institute of Education for their sincere help and ideas at the early stage of this research project.

Conflict of interest

Derwin K. C. Chan, Sophie X. Yang, Barbara Mullan, Xiumin Du, Nikos L. D. Chatzisarantis, and Martin S. Hagger declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

All procedures followed were 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 (5). Informed consent was obtained from all participants for being included in the study.

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Correspondence to Sophie Xin Yang.

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Chan, D.KC., Yang, S.X., Mullan, B. et al. Preventing the spread of H1N1 influenza infection during a pandemic: autonomy-supportive advice versus controlling instruction. J Behav Med 38, 416–426 (2015). https://doi.org/10.1007/s10865-014-9616-z

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Keywords

  • Pandemic
  • Self-determination theory
  • Theory of planned behavior
  • Infectious disease control
  • Hygiene