The RUD-H Lab

Risk, Uncertainty, and Decision-making in Health

Adapting a self-affirmation intervention for use in a mobile application for smokers

Jennifer Taber, Amy McQueen, Nicolle Simonovic, Erika A. Waters

Self-affirmation interventions can reduce defensive responses to threats to the self, but have had limited reach to the general population. We sought to create an effective and feasible version of the Kindness Questionnaire self-affirmation intervention for use on a mobile device outside the traditional university laboratory setting and by non-student participants. In an online experiment, 603 cigarette smokers (Mage= 37.5 years, SD = 10.2) were randomly assigned to one of six conditions in a 2 (Self-Affirmation: Self-Affirmation, No Self-Affirmation Control) × 3 (Example Type: Written, Imagined, No Examples) fully-crossed design. Participants read a message about the health harms of smoking. None of the self-affirmation variations were effective or feasible: the self-affirmation showed null effects on the primary outcomes of message acceptance, perceived message effectiveness, and reactance. It also backfired by reducing intentions to quit smoking and risk perceptions. Participants spent little time reading the health message, and those in the written self-affirmation condition infrequently provided detailed responses. Translating interventions developed and tested for efficacy in laboratory settings to “real-world” settings is necessary but challenging.

Publication language English
Pages 1050-1061
Volume 42
Issue number 6
Publication status Published - 01.12.2019

Keywords

Behavioral intentions
Feasibility
Reactance
Self-affirmation
Smoking

ASJC Scopus subject areas

General Psychology
Psychiatry and Mental health
Access to Document
10.1007/s10865-019-00028-1
Other files and links
Link to publication in Scopus