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  • 1
    In: Health Education & Behavior, SAGE Publications, Vol. 44, No. 1 ( 2017-02), p. 92-102
    Abstract: More than 100 million people globally are estimated to be exposed to arsenic in drinking water that exceeds the World Health Organization guideline of 10 µg/L. In an effort to develop and test a low-cost sustainable approach for water arsenic testing in Bangladesh, we conducted a randomized controlled trial which found arsenic educational interventions when combined with fee-based water arsenic testing programs led to nearly all households buying an arsenic test for their drinking water sources (93%) compared with only 53% when fee-based arsenic testing alone was offered. The aim of the present study was to build on the findings of this trial by investigating prospectively the psychological factors that were most strongly associated with switching to arsenic-safe wells in response to these interventions. Our theoretical framework was the RANAS (risk, attitude, norm, ability, and self-regulation) model of behavior change. In the multivariate logistic regression model of 285 baseline unsafe well users, switching to an arsenic-safe water source was significantly associated with increased instrumental attitude (odds ratio [OR] = 9.12; 95% confidence interval [CI] = [1.85, 45.00]), descriptive norm (OR = 34.02; 95% CI = [6.11, 189.45] ), coping planning (OR = 11.59; 95% CI = [3.82, 35.19]), and commitment (OR = 10.78; 95% CI = [2.33, 49.99] ). In addition, each additional minute from the nearest arsenic-safe drinking water source reduced the odds of switching to an arsenic-safe well by more than 10% (OR = 0.89; 95% CI = [0.87, 0.92]). Future arsenic mitigation programs should target these behavioral determinants of switching to arsenic-safe water sources.
    Type of Medium: Online Resource
    ISSN: 1090-1981 , 1552-6127
    RVK:
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2017
    detail.hit.zdb_id: 2082564-X
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  • 2
    In: Appetite, Elsevier BV, Vol. 116 ( 2017-09), p. 1-10
    Type of Medium: Online Resource
    ISSN: 0195-6663
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2017
    detail.hit.zdb_id: 1461347-5
    SSG: 12
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  • 3
    In: Appetite, Elsevier BV, Vol. 162 ( 2021-07), p. 105170-
    Type of Medium: Online Resource
    ISSN: 0195-6663
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2021
    detail.hit.zdb_id: 1461347-5
    SSG: 12
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  • 4
    Online Resource
    Online Resource
    Wiley ; 2014
    In:  British Journal of Health Psychology Vol. 19, No. 4 ( 2014-11), p. 701-719
    In: British Journal of Health Psychology, Wiley, Vol. 19, No. 4 ( 2014-11), p. 701-719
    Abstract: The objectives of this study were to investigate the importance of commitment strength in the theory of planned behaviour ( TPB ) and to test whether behaviour change techniques ( BCT s) aimed at increasing commitment strength indeed promote switching to arsenic‐safe wells by changing commitment strength. Design A cluster‐randomized controlled trial with four arms was conducted to compare an information‐only intervention to information plus one, two, or three commitment‐enhancing BCT s. Methods Randomly selected households ( N  = 340) of M onoharganj, B angladesh, in seven geographically separate areas, whose members were drinking arsenic‐contaminated water at baseline and had access to arsenic‐safe wells, participated in this trial. The areas were randomly allocated to the four intervention arms. Water consumption behaviour, variables of the TPB , commitment strength, and socio‐demographic characteristics were assessed at baseline and at 3‐month follow‐up by structured face‐to‐face interviews. Mediation analysis was used to investigate the mechanisms of behaviour change. Results Changes in commitment strength significantly increased the explanatory power of the TPB to predict well‐switching. Commitment‐enhancing BCT s – public self‐commitment, implementation intentions, and reminders – increased the behaviour change effects of information by up to 50%. Mediation analyses confirmed that the BCT s indeed increased well‐switching by increasing commitment strength. Unexpectedly, however, mediation via changes in behavioural intentions was the strongest mechanism of the intervention effects. Conclusions Commitment is an important construct to consider in water‐ and health‐related behaviour change and may be for other health behaviours as well. BCT s that alter behavioural intentions and commitment strength proved highly effective at enhancing the behaviour change effects of information alone. Statement of contribution What is already known on this subject? Millions of people drink contaminated water even if they have access to safe water alternatives and despite increased awareness of the consequences to health. The theory of planned behaviour ( TPB ) and commitment strength are predictive of safe water consumption. The potentially commitment‐enhancing behaviour change techniques ( BCT s) – reminders, implementation intentions, and public self‐commitment – can promote health behaviours, including safe water consumption. What does this study add? Changes in commitment strength significantly added to the prediction of switching to arsenic‐safe wells by the TPB . Information‐plus‐BCTs aimed at increasing commitment strength led to 〉 50% more well‐switching than information alone. Behaviour change effects of the BCT s were mediated by changes in commitment strength and behavioural intentions.
    Type of Medium: Online Resource
    ISSN: 1359-107X , 2044-8287
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2014
    detail.hit.zdb_id: 2026500-1
    SSG: 5,2
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  • 5
    Online Resource
    Online Resource
    Hogrefe Publishing Group ; 2014
    In:  Zeitschrift für Gesundheitspsychologie Vol. 22, No. 4 ( 2014-01-01), p. 156-164
    In: Zeitschrift für Gesundheitspsychologie, Hogrefe Publishing Group, Vol. 22, No. 4 ( 2014-01-01), p. 156-164
    Abstract: Kompensatorische Gesundheitsüberzeugungen (CHBs)–definiert als die Überzeugung, dass negative Effekte von ungesundem Verhalten durch gesundes Verhalten kompensiert werden, können in dispositionelle und situationsspezifische CHBs unterschieden werden. Dispositionelle CHBs werden definiert als stabiles Persönlichkeitsmerkmal, während situationsspezifische CHBs in Situationen aktiviert werden, in denen man einer Versuchung, wie z. B. ein Stück leckeren Kuchen zu essen, nicht widerstehen kann. Das Ziel dieser Studie war es zu untersuchen, ob dispositionelle oder situationsspezifische CHBs prädiktiv für ein ungesundes Verhalten wie kalorienreichen Snackkonsum sind. In einem experimentellen Setting wurde daher 66 Frauen im Alter von 16 bis 50 Jahren ein kalorienreicher Snack angeboten. Als Ergebnis zeigte sich, dass dispositionelle und situationsspezifische CHBs nur moderat miteinander korrelierten. Darüber hinaus wies die Regressionsanalyse nur die dispositionellen CHBs, welche als Kompensationsverhalten Sport abfragten, als signifikanten Prädiktor für den kalorienreichen Snackkonsum aus, während die situationsspezifischen CHBs nur marginal signifikant mit dem Snackkonsum assoziiert waren. Dispositionelle und situationsspezifische CHBs, welche eine reduzierte Nahrungsaufnahme als Kompensationsverhalten beinhalteten, zeigten in der Regressionsanalyse keinen prädiktiven Zusammenhang mit dem Snackkonsum. Die Ergebnisse zeigen, dass dispositionelle CHBs relevant für die Vorhersage des kalorienreichen Snackkonsums sind. Zukünftige Forschung sollte jedoch weiter die Messung der CHBs, insbesondere der situationsspezifischen CHBs verfeinern.
    Type of Medium: Online Resource
    ISSN: 0943-8149 , 2190-6289
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    Language: English
    Publisher: Hogrefe Publishing Group
    Publication Date: 2014
    detail.hit.zdb_id: 2090997-4
    detail.hit.zdb_id: 2893143-9
    detail.hit.zdb_id: 1146931-6
    SSG: 5,2
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  • 6
    Online Resource
    Online Resource
    Hogrefe Publishing Group ; 2018
    In:  Swiss Journal of Psychology Vol. 77, No. 2 ( 2018-03-01), p. 59-67
    In: Swiss Journal of Psychology, Hogrefe Publishing Group, Vol. 77, No. 2 ( 2018-03-01), p. 59-67
    Abstract: Abstract. This study tested the effects of exercise on eating behavior. The transfer hypothesis proposes that exercise leads to a generalization of healthy behavior and therefore an improved diet. The compensation hypothesis assumes that exercise leads to increased caloric intake in order to “compensate” for the energy expenditure. We tested these hypotheses for actual as well as imagined exercise. Female university employees or students (N = 227) were randomly assigned to three experimental groups: actual exercise vs. imagined exercise vs. control. After baseline data had been obtained, the participants engaged in a 5-minute experimental task and were then left alone with unhealthy snacks. Participants who had imagined themselves exercising (M = 101 kcal, SD = 128 kcal) consumed significantly fewer calories than did controls (M = 129 kcal, SD = 142 kcal), consistent with a transfer effect. Participants who had engaged in actual exercise, but had been distracted from thinking about exercise, consumed quantities (M = 127 kcal, SD = 111 kcal) similar to those consumed by controls. This study suggests that transfer effects are underpinned by psychological processes, such as goal activation, which should be investigated in the future.
    Type of Medium: Online Resource
    ISSN: 1421-0185 , 1662-0879
    RVK:
    Language: English
    Publisher: Hogrefe Publishing Group
    Publication Date: 2018
    detail.hit.zdb_id: 3093293-2
    detail.hit.zdb_id: 2090982-2
    SSG: 2,1
    SSG: 5,2
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  • 7
    In: BMJ Open, BMJ, Vol. 12, No. 3 ( 2022-03), p. e055971-
    Abstract: Behaviour change is key to the public health measures that have been issued in many countries worldwide to contain COVID-19. Public health measures will only take preventive effect if people adhere to them. Interventions taking health psychology approaches may promote adherence to public health measures. However, evidence from randomised controlled behaviour change trials is scarce during an ongoing pandemic. We aim to use the example of hand washing with soap to optimise and test a digital, theory-based and evidence-based behaviour change intervention to prevent the spread of COVID-19. Methods and analysis This protocol describes the multiphase optimisation strategy for the preparation, optimisation and evaluation of a theory-based and evidence-based intervention delivered via app. The app aims to promote correct hand hygiene at key times in the adult general population. The study will be conducted in German-speaking Switzerland. The preparation phase has identified relevant behavioural determinants of hand hygiene during a pandemic from health behaviour theories and formative research with focus groups (n=8). The optimisation phase will identify the most effective and acceptable combination and sequence of three intervention modules in a parallel randomised trial (n=387) with analysis of variance (ANOVA) and regression analysis. Additionally, thematic analysis of qualitative interview data (n=15) will be used to gain insights on the feasibility, usability and satisfaction of the intervention. The evaluation phase will test the optimised intervention against an active control group in a randomised controlled trial (n=205), analysing pre-post differences and 6-month follow-up effects with ANOVA and regression analysis. Ethics and dissemination The trial was approved by the Cantonal Ethics Commission Bern of the Swiss Association of Research Ethics Committees (protocol ID: 2021-00164). Final results will be presented in peer-reviewed journals and at conferences. Trial registration number NCT04830761 .
    Type of Medium: Online Resource
    ISSN: 2044-6055 , 2044-6055
    Language: English
    Publisher: BMJ
    Publication Date: 2022
    detail.hit.zdb_id: 2599832-8
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  • 8
    In: PLOS ONE, Public Library of Science (PLoS), Vol. 17, No. 6 ( 2022-6-23), p. e0269926-
    Abstract: More than a third of women in Nepal have to carry water from source to home to satisfy their families’ daily needs. A cross-sectional study was carried out in a hilly area in Nepal to assess water-carrying practices and their association with women’s health. Quantitative interviews were conducted with 1001 women of reproductive age and were complemented with health surveys carried out by health professionals and structured observations of water carrying. Multivariate mixed logistic regression models were used to assess the associations between water-carrying-related risk factors and health issues for women. Around 46% of women faced considerably increased to excessive physical stress due to water carrying during the dry season. Women suffered from a disproportionately high prevalence of back pain (61%), with about 18% of this pain being horrible to excruciating; pain in the knees (34%); uterine prolapse (11.3%); and at least one spontaneous abortion (9%). The risk category of water carrying was significantly associated with uterine prolapse (OR = 1.44, 95%CI = 1.12–1.85, p = 0.031) and pain in the hips (OR = 1.69, 95%CI = 1.27–2.26, p 〈 0.001). Receiving help with water carrying during pregnancy and during the first three months after delivery was associated with reduced odds ratios for uterine prolapse (OR = 0.10, 95% CI = 0.01–0.87, p = 0.037), and strong back pain (OR = 0.32, 95% CI = 0.12–0.87, p = 0.026). Improvements to water supply infrastructure and the promotion of social support for carrying water during pregnancy and after delivery are recommended to reduce water-carrying-related health risks.
    Type of Medium: Online Resource
    ISSN: 1932-6203
    Language: English
    Publisher: Public Library of Science (PLoS)
    Publication Date: 2022
    detail.hit.zdb_id: 2267670-3
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  • 9
    Online Resource
    Online Resource
    IOP Publishing ; 2023
    In:  Environmental Research Letters Vol. 18, No. 4 ( 2023-04-01), p. 043001-
    In: Environmental Research Letters, IOP Publishing, Vol. 18, No. 4 ( 2023-04-01), p. 043001-
    Abstract: Environmental problems demand for innovative interdisciplinary research to tackle problem complexity and provide insights for problem-solving. Along these lines, behavioral insights have the potential to improve the effectiveness of policies by identifying which behaviors are best tackled and how. In this paper, we present a systematic review of the literature on small-scale farmers’ pesticide use in the Global South to identify (a) pesticide use behaviors and (b) their behavioral determinants. We defined our body of literature by establishing inclusion criteria and screened studies in a two-step process involving multiple coders. From the selected studies ( k  = 70), we extracted data about farmers’ pesticide use behaviors. We also extracted the determinants of these behaviors with an established framework of behavioral change, the behavior change wheel. Finally, we show how the behavioral insights thus obtained can provide hypotheses on the suitability and ultimate effectiveness of policy instruments for agriculture and environmental protection. Overall, this systematic approach showcases how behavioral insights can be used to systematically gather new knowledge on what works and why in pesticide policy. Additionally, this paper illustrates that the current literature on pesticide use behavior in the Global South lacks standardized and consistent measures of behavior and determinants to provide valid and robust results. Overall, this hampers evidence synthesis and thus scientific progress in the field.
    Type of Medium: Online Resource
    ISSN: 1748-9326
    Language: Unknown
    Publisher: IOP Publishing
    Publication Date: 2023
    detail.hit.zdb_id: 2255379-4
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  • 10
    In: GeoHealth, American Geophysical Union (AGU), Vol. 3, No. 8 ( 2019-08), p. 218-236
    Abstract: Parents in four small mining‐impacted towns in Peru successfully collected soil samples from areas where their children play Parents analyzed samples with trained help using a field procedure that led to the identification of a new hotspot of Pb contamination Child blood‐Pb was associated with parent shoe and clothing cleanliness as well as education level, but not with Pb in soil
    Type of Medium: Online Resource
    ISSN: 2471-1403 , 2471-1403
    Language: English
    Publisher: American Geophysical Union (AGU)
    Publication Date: 2019
    detail.hit.zdb_id: 2892823-4
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