健康行为改变不同阶段的信息框架效应概念模型研究
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摘要
[目的/意义]信息框架效应对个体行为改变决策具有普遍影响,然而涉及信息框架对行为改变过程的影响研究较少。为确定信息框架效应在行为改变过程中的应用价值,本研究对该情境下信息框架效应的产生和其对行为改变各阶段的影响机制进行了深入探讨。[方法/过程]以健康行为改变为例,在基于跨理论模型的阶段式行为改变情境下,通过分析框架效应产生的机制,确定框架效应产生的调节因素和中介变量,进而探讨信息框架对处于不同变化阶段的个体决策倾向的影响,以及这种决策倾向如何影响行为改变的进程。[结果/结论]提出健康行为改变不同阶段的信息框架效应概念模型,为提高不良行为改变的信息干预方案水平和个体健康管理水平提供一定的科学依据。
[Purpose/significance] Framing effects have a universal influence on individual behavior change decision,while there are few studies on the influence of framing effects on the process of behavior change. In order to determine the practical value of frame effect in process of behavior change,this study further explores the generation of frame effect and its influence mechanism on all stages of behavior change. [Method/process] This study takes changes in health behavior as an example. In the behavior change situation based on the transtheoretical model, this study analyzes the mechanism of framing effect, determines the moderators and mediator of framing effects, and then discusses the influence of message framing on individual decision-making tendencies at different stages of change, and how such decision-making tendencies affect the process of behavioral change. [Result/conclusion] This study provides a scientific basis for improving the level of information intervention program of health behavior change and individual health management.
[Purpose/significance] Framing effects have a universal influence on individual behavior change decision,while there are few studies on the influence of framing effects on the process of behavior change. In order to determine the practical value of frame effect in process of behavior change,this study further explores the generation of frame effect and its influence mechanism on all stages of behavior change. [Method/process] This study takes changes in health behavior as an example. In the behavior change situation based on the transtheoretical model, this study analyzes the mechanism of framing effect, determines the moderators and mediator of framing effects, and then discusses the influence of message framing on individual decision-making tendencies at different stages of change, and how such decision-making tendencies affect the process of behavioral change. [Result/conclusion] This study provides a scientific basis for improving the level of information intervention program of health behavior change and individual health management.
引文
[1] LEVOY K,SALANI D.A systematic review of advance care planning interventions for clients with cancer using the transtheoretical model of behavior change (S721)[J].Journal of pain & symptom management,2018,55(2):667-668.
[2] LEMKEN D,SPILLER A,MEYER-H?FER M V.The case of legume-cereal crop mixtures in modern agriculture and the transtheoretical model of gradual adoption[J].Ecological economics,2017,137:20-28.
[3] DINCELLI E,CHENGALUR-SMITH S.Applying the transtheoretical model of behavior change to online self-disclosure[OL].[2018-06-25].https://aisel.aisnet.org/cgi/viewcontent.cgi?article=1114&context=icis2017.
[4] ROMAIN A J,BORTOLON C,GOURLAN M,et al.Matched or nonmatched interventions based on the transtheoretical model to promote physical activity:a meta-analysis of randomized controlled trials[J].Journal of sport and health science,2018,7(1):50-57.
[5] 李桂玲.大学生健康行为改变过程中信息行为的研究[D].长春:吉林大学,2017.
[6] 毛富强.医学行为学 [M].北京:清华大学出版社,2012.
[7] 段锦云,曹忠良,娄玮瑜.框架效应及其认知机制的研究进展[J].应用心理学,2008,14(4):378-384.
[8] 赵立军.框架效应与公平判断[D].上海:华东师范大学,2010.
[9] 张京玉.健康信息外部表征形式与信息框架对大学生健康行为决策的影响[D].重庆:西南大学,2016.
[10] HIRVONEN N,HUOTARI M L,NIEMEL? R,et al.Information behavior in stages of exercise behavior change[J].Journal of the American Society for Information Science & Technology,2012,63(9):1804-1819.
[11] PROCHASKA J O,VELICER W F.The transtheoretical model of health behavior change[J].American journal of health promotion,1997,12(1):38-48.
[12] COURNEYA K S,BOBICK T M.Integrating the theory of planned behavior with the processes and stages of change in the exercise domain[J].Psychology of sport & exercise,2000,1(1):41-56.
[13] MARCUS B H,ROSSI J S,SELBY V C,et al.The stages and processes of exercise adoption and maintenance in a worksite sample[J].Health psychology,1992,11(6):386-395.
[14] 尹博.健康行为改变的跨理论模型[J].中国心理卫生杂志,2007,21(3):194-199.
[15] PETROCELLI J V.Processes and stages of change:counseling with the transtheoretical model of change[J].Journal of counseling & development,2014,80(1):22-30.
[16] PRENTICEDUNN S,ROGERS R W.Protection Motivation Theory and preventive health:beyond the Health Belief Model[J].Health education research,1986,1(3):153-161.
[17] TVERSKY A,KAHNEMAN D.The framing of decisions and the rationality of choice[J].Science,1980:503-520.
[18] 杜秀芳,王颖霞,赵树强.框架效应研究30年的变迁[J].济南大学学报(社会科学版),2010,20(3):71-74,92.
[19] 肖凌云,高峰.Effect of information delay on string stability of platoon of automated vehicles under typical information frameworks[J].中南大学学报(英文版),2010,17(6):1271-1278.
[20] FAGLEY N S,MILLER P M.Framing effects and arenas of choice:your money or your life?[J].Organizational behavior & human decision processes,1997,71(3):355-373.
[21] LEVIN I P,SCHNEIDER S L,GAETH G J.All frames are not created equal:a typology and critical analysis of framing effects[J].Organizational behavior & human decision processes,1998,76(2):149-188.
[22] MCELROY T,SETA J J.Framing effects:an analytic-holistic perspective[J].Journal of experimental social psychology,2003,39(6):610-617.
[23] 王凯.突发事件下决策者的框架效应研究[D].杭州:浙江大学,2010.
[24] KAHNEMAN D,TVERSKY A.Prospect theory:an analysis of decision under risk[J].Econometrica,1979,47(2):263-291.
[25] REYNA V F,BRAINERD C J.Fuzzy-trace theory and framing effects in choice:gist extraction,truncation,and conversion[J].Journal of behavioral decision making,1991,4(4):249-262.
[26] GIGERENZER G,HOFFRAGE U,KLEINB?LTING H.Probabilistic mental models:a Brunswikian theory of confidence[J].Psychological review,1991,98(4):506.
[27] 李纾.决策心理:齐当别之道[M].上海:华东师范大学出版社,2016.
[28] GONZALEZ C,DANA J,KOSHINO H,et al.The framing effect and risky decisions:examining cognitive functions with fMRI.[J].journal of economic psychology,2005,26(1):1-20.
[29] CACIOPPO J T,PETTY R E,FEINSTEIN J A,et al.Dispositional differences in cognitive motivation:the life and times of individuals varying in need for cognition[J].Psychological bulletin,1996,119(2):197-253.
[30] NAIR K U,RAMNARAYAN S.Individual differences in need for cognition and complex problem solving [J].Journal of research in personality,2000,34(3):305-328.
[31] PILLI L E,MAZZON J A.Information overload,choice deferral,and moderating role of need for cognition:empirical evidence[J].Revista de administra??o,2016,51(1):36-55.
[32] SANDRA D A,OTTO A R.Cognitive capacity limitations and need for cognition differentially predict reward-induced cognitive effort expenditure[J].Cognition,2018,172:101-106.
[33] 孙天义,许远理.认知负荷的理论及主要模型[J].心理研究,2012,5(2):93-96.
[34] BOCAGE-BARTHéLéMY Y,CHATARD A,JAAFARI N,et al.Automatic social comparison:cognitive load facilitates an increase in negative thought accessibility after thin ideal exposure among women[J].Plos One,2018,13(3):1-13.
[35] BIELE G P,HEEKEREN H R.Cognitive load increases risk aversion[EB/OL].[2018-06-25].http://sfb649.wiwi.huberlin.de.
[36] ROTHMAN A J,SALOVEY P.Shaping perceptions to motivate healthy behavior:the role of message framing[J].Psychological bulletin,1997,121(1):3-19.
[37] GALLAGHER K M,UPDEGRAFF J A.Health message framing effects on attitudes,intentions,and behavior:a meta-analytic review[J].Annals of behavioral medicine,2012,43(1):101-116.
[38] CARVER C S,WHITE T L.Behavioral inhibition,behavioral activation,and affective responses to impending reward and punishment:the BIS/BAS Scales[J].Journal of personality & social psychology,1994,67(2):319-333.
[39] ELLIOT A J,THRASH T M.Approach-avoidance motivation in personality:approach and avoidance temperaments and goals[J].J pers soc psychol,2002,82(5):804-818.
[40] HIGGINS E T.Promotion and prevention as a motivational duality:implications for evaluative processes[C]//Dual-process theories in social psychology.New York:Guilford Publications,1999:503-525.
[41] MANN T,SHERMAN D,UPDEGRAFF J.Dispositional motivations and message framing:a test of the congruency hypothesis in college students[J].Health psychology official journal of the division of Health Psychology American Psychological Association,2004,23(3):330-334.
[42] SHERMAN D K,MANN T,UPDEGRAFF J A.Approach/avoidance motivation,message framing,and health behavior:understanding the congruency effect[J].Motivation & emotion,2006,30(2):164-168.
[43] GEREND M A,SHEPHERD J E.Using message framing to promote acceptance of the human papillomavirus vaccine[J].Health psychology official journal of the division of Health Psychology American Psychological Association,2007,26(6):745-752.
[44] RENCH T A.A field experiment testing the utility of regulatory fit messages for promoting physical activity[J].Journal of experimental social psychology,2008,44(3):826-832.
[45] CESARIO J,GRANT H,HIGGINS E T.Regulatory fit and persuasion:transfer from “Feeling Right.”[J].Journal of personality & social psychology,2004,86(3):388-404.
[46] CESARIO J,HIGGINS E T,SCHOLER A A.Regulatory fit and persuasion:basic principles and remaining questions[J].Social & personality psychology compass,2008,2(1):444-463.
[47] ORBELL S,PERUGINI M,RAKOW T.Individual differences in sensitivity to health communications:consideration of future consequences[J].Health psychology official journal of the Division of Health Psychology American Psychological Association,2004,23(4):388-396.
[48] ORBELL S,HAGGER M.Temporal framing and the decision to take part in type 2 diabetes screening:effects of individual differences in consideration of future consequences on persuasion[J].Health psychology official journal of the Division of Health Psychology American Psychological Association,2006,25(4):537-548.
[49]蒋晓莲,薛咏红,汪国成.自我效能研究进展[J].护理研究,2004,18(9):763-767.
[50] RIET J V,RUITER R A C,WERRIJ M Q,et al.Self-efficacy moderates message-framing effects:the case of skin-cancer detection[J].Psychology & health,2010,25(3):339-349.
[51] RIET J V,RUITER R A C,WERRIJ M Q,et al.The influence of self-efficacy on the effects of framed health messages[J].European journal of social psychology,2008,38(5):800-809.
[52] WATSON D,CLARK L A,TELLEGEN A.Development and validation of brief measures of positive and negative affect:the PANAS scales.[J].J pers soc psychol,1988,54(6):1063-1070.
[53] CHANG C T.Interactive effects of message framing,product perceived risk,and mood-the case of travel healthcare product advertising[J].Journal of advertising research,2007,47(1):51-65.
[54] LEVIN I P,GAETH G J,SCHREIBER J,et al.A new look at framing effects:distribution of effect sizes,individual differences,and independence of types of effects[J].Organizational behavior & human decision processes,2002,88(1):411-429.
[55] RIET J V,RUITER R A C,WERRIJ M Q,et al.Distinct pathways to persuasion:the role of affect in message-framing effects[J].European journal of social psychology,2010,40(7):1261-1276.
[56] 刘扬,孙彦.行为决策中框架效应研究新思路——从风险决策到跨期决策,从言语框架到图形框架[J].心理科学进展,2014,22(8):1205-1217.
[2] LEMKEN D,SPILLER A,MEYER-H?FER M V.The case of legume-cereal crop mixtures in modern agriculture and the transtheoretical model of gradual adoption[J].Ecological economics,2017,137:20-28.
[3] DINCELLI E,CHENGALUR-SMITH S.Applying the transtheoretical model of behavior change to online self-disclosure[OL].[2018-06-25].https://aisel.aisnet.org/cgi/viewcontent.cgi?article=1114&context=icis2017.
[4] ROMAIN A J,BORTOLON C,GOURLAN M,et al.Matched or nonmatched interventions based on the transtheoretical model to promote physical activity:a meta-analysis of randomized controlled trials[J].Journal of sport and health science,2018,7(1):50-57.
[5] 李桂玲.大学生健康行为改变过程中信息行为的研究[D].长春:吉林大学,2017.
[6] 毛富强.医学行为学 [M].北京:清华大学出版社,2012.
[7] 段锦云,曹忠良,娄玮瑜.框架效应及其认知机制的研究进展[J].应用心理学,2008,14(4):378-384.
[8] 赵立军.框架效应与公平判断[D].上海:华东师范大学,2010.
[9] 张京玉.健康信息外部表征形式与信息框架对大学生健康行为决策的影响[D].重庆:西南大学,2016.
[10] HIRVONEN N,HUOTARI M L,NIEMEL? R,et al.Information behavior in stages of exercise behavior change[J].Journal of the American Society for Information Science & Technology,2012,63(9):1804-1819.
[11] PROCHASKA J O,VELICER W F.The transtheoretical model of health behavior change[J].American journal of health promotion,1997,12(1):38-48.
[12] COURNEYA K S,BOBICK T M.Integrating the theory of planned behavior with the processes and stages of change in the exercise domain[J].Psychology of sport & exercise,2000,1(1):41-56.
[13] MARCUS B H,ROSSI J S,SELBY V C,et al.The stages and processes of exercise adoption and maintenance in a worksite sample[J].Health psychology,1992,11(6):386-395.
[14] 尹博.健康行为改变的跨理论模型[J].中国心理卫生杂志,2007,21(3):194-199.
[15] PETROCELLI J V.Processes and stages of change:counseling with the transtheoretical model of change[J].Journal of counseling & development,2014,80(1):22-30.
[16] PRENTICEDUNN S,ROGERS R W.Protection Motivation Theory and preventive health:beyond the Health Belief Model[J].Health education research,1986,1(3):153-161.
[17] TVERSKY A,KAHNEMAN D.The framing of decisions and the rationality of choice[J].Science,1980:503-520.
[18] 杜秀芳,王颖霞,赵树强.框架效应研究30年的变迁[J].济南大学学报(社会科学版),2010,20(3):71-74,92.
[19] 肖凌云,高峰.Effect of information delay on string stability of platoon of automated vehicles under typical information frameworks[J].中南大学学报(英文版),2010,17(6):1271-1278.
[20] FAGLEY N S,MILLER P M.Framing effects and arenas of choice:your money or your life?[J].Organizational behavior & human decision processes,1997,71(3):355-373.
[21] LEVIN I P,SCHNEIDER S L,GAETH G J.All frames are not created equal:a typology and critical analysis of framing effects[J].Organizational behavior & human decision processes,1998,76(2):149-188.
[22] MCELROY T,SETA J J.Framing effects:an analytic-holistic perspective[J].Journal of experimental social psychology,2003,39(6):610-617.
[23] 王凯.突发事件下决策者的框架效应研究[D].杭州:浙江大学,2010.
[24] KAHNEMAN D,TVERSKY A.Prospect theory:an analysis of decision under risk[J].Econometrica,1979,47(2):263-291.
[25] REYNA V F,BRAINERD C J.Fuzzy-trace theory and framing effects in choice:gist extraction,truncation,and conversion[J].Journal of behavioral decision making,1991,4(4):249-262.
[26] GIGERENZER G,HOFFRAGE U,KLEINB?LTING H.Probabilistic mental models:a Brunswikian theory of confidence[J].Psychological review,1991,98(4):506.
[27] 李纾.决策心理:齐当别之道[M].上海:华东师范大学出版社,2016.
[28] GONZALEZ C,DANA J,KOSHINO H,et al.The framing effect and risky decisions:examining cognitive functions with fMRI.[J].journal of economic psychology,2005,26(1):1-20.
[29] CACIOPPO J T,PETTY R E,FEINSTEIN J A,et al.Dispositional differences in cognitive motivation:the life and times of individuals varying in need for cognition[J].Psychological bulletin,1996,119(2):197-253.
[30] NAIR K U,RAMNARAYAN S.Individual differences in need for cognition and complex problem solving [J].Journal of research in personality,2000,34(3):305-328.
[31] PILLI L E,MAZZON J A.Information overload,choice deferral,and moderating role of need for cognition:empirical evidence[J].Revista de administra??o,2016,51(1):36-55.
[32] SANDRA D A,OTTO A R.Cognitive capacity limitations and need for cognition differentially predict reward-induced cognitive effort expenditure[J].Cognition,2018,172:101-106.
[33] 孙天义,许远理.认知负荷的理论及主要模型[J].心理研究,2012,5(2):93-96.
[34] BOCAGE-BARTHéLéMY Y,CHATARD A,JAAFARI N,et al.Automatic social comparison:cognitive load facilitates an increase in negative thought accessibility after thin ideal exposure among women[J].Plos One,2018,13(3):1-13.
[35] BIELE G P,HEEKEREN H R.Cognitive load increases risk aversion[EB/OL].[2018-06-25].http://sfb649.wiwi.huberlin.de.
[36] ROTHMAN A J,SALOVEY P.Shaping perceptions to motivate healthy behavior:the role of message framing[J].Psychological bulletin,1997,121(1):3-19.
[37] GALLAGHER K M,UPDEGRAFF J A.Health message framing effects on attitudes,intentions,and behavior:a meta-analytic review[J].Annals of behavioral medicine,2012,43(1):101-116.
[38] CARVER C S,WHITE T L.Behavioral inhibition,behavioral activation,and affective responses to impending reward and punishment:the BIS/BAS Scales[J].Journal of personality & social psychology,1994,67(2):319-333.
[39] ELLIOT A J,THRASH T M.Approach-avoidance motivation in personality:approach and avoidance temperaments and goals[J].J pers soc psychol,2002,82(5):804-818.
[40] HIGGINS E T.Promotion and prevention as a motivational duality:implications for evaluative processes[C]//Dual-process theories in social psychology.New York:Guilford Publications,1999:503-525.
[41] MANN T,SHERMAN D,UPDEGRAFF J.Dispositional motivations and message framing:a test of the congruency hypothesis in college students[J].Health psychology official journal of the division of Health Psychology American Psychological Association,2004,23(3):330-334.
[42] SHERMAN D K,MANN T,UPDEGRAFF J A.Approach/avoidance motivation,message framing,and health behavior:understanding the congruency effect[J].Motivation & emotion,2006,30(2):164-168.
[43] GEREND M A,SHEPHERD J E.Using message framing to promote acceptance of the human papillomavirus vaccine[J].Health psychology official journal of the division of Health Psychology American Psychological Association,2007,26(6):745-752.
[44] RENCH T A.A field experiment testing the utility of regulatory fit messages for promoting physical activity[J].Journal of experimental social psychology,2008,44(3):826-832.
[45] CESARIO J,GRANT H,HIGGINS E T.Regulatory fit and persuasion:transfer from “Feeling Right.”[J].Journal of personality & social psychology,2004,86(3):388-404.
[46] CESARIO J,HIGGINS E T,SCHOLER A A.Regulatory fit and persuasion:basic principles and remaining questions[J].Social & personality psychology compass,2008,2(1):444-463.
[47] ORBELL S,PERUGINI M,RAKOW T.Individual differences in sensitivity to health communications:consideration of future consequences[J].Health psychology official journal of the Division of Health Psychology American Psychological Association,2004,23(4):388-396.
[48] ORBELL S,HAGGER M.Temporal framing and the decision to take part in type 2 diabetes screening:effects of individual differences in consideration of future consequences on persuasion[J].Health psychology official journal of the Division of Health Psychology American Psychological Association,2006,25(4):537-548.
[49]蒋晓莲,薛咏红,汪国成.自我效能研究进展[J].护理研究,2004,18(9):763-767.
[50] RIET J V,RUITER R A C,WERRIJ M Q,et al.Self-efficacy moderates message-framing effects:the case of skin-cancer detection[J].Psychology & health,2010,25(3):339-349.
[51] RIET J V,RUITER R A C,WERRIJ M Q,et al.The influence of self-efficacy on the effects of framed health messages[J].European journal of social psychology,2008,38(5):800-809.
[52] WATSON D,CLARK L A,TELLEGEN A.Development and validation of brief measures of positive and negative affect:the PANAS scales.[J].J pers soc psychol,1988,54(6):1063-1070.
[53] CHANG C T.Interactive effects of message framing,product perceived risk,and mood-the case of travel healthcare product advertising[J].Journal of advertising research,2007,47(1):51-65.
[54] LEVIN I P,GAETH G J,SCHREIBER J,et al.A new look at framing effects:distribution of effect sizes,individual differences,and independence of types of effects[J].Organizational behavior & human decision processes,2002,88(1):411-429.
[55] RIET J V,RUITER R A C,WERRIJ M Q,et al.Distinct pathways to persuasion:the role of affect in message-framing effects[J].European journal of social psychology,2010,40(7):1261-1276.
[56] 刘扬,孙彦.行为决策中框架效应研究新思路——从风险决策到跨期决策,从言语框架到图形框架[J].心理科学进展,2014,22(8):1205-1217.