Systematic Self-Monitoring and Reflection of Health Behavior in Widely Differing Preventive Settings
Abstract
Effects of a group health promotion program were tested in widely differing preventive settings. The objectives of the SySeRe program are systematic self-monitoring and reflection on everyday life health behavior as well as the promotion of health- and development-related cognitions and personal well-being. Randomized group designs were employed to evaluate effects on health locus of control, health value, personal developmental control, personal self-regulation of development, well-being, and psychosomatic complaints. Program effects were confirmed with reference to outcome measures administered at the end of the treatment and at 2-month follow-ups in samples of 56 aged individuals (Study 1), 50 adolescents (Study 2), and 53 inpatients on a psychosomatic rehabilitation hospital program (Study 3). Results demonstrate effectiveness and usability of the SySeRe program as an economical health promotion treatment in different primary and tertiary preventive settings.
References
Beck, A. T. , Weissman, A. , Lester, D. , Trexler, L. (1974). The measurement of pessimism: The Hopelessness Scale. Journal of Consulting and Clinical Psychology, 42, 861– 865Becker, P. (1982). Psychologie der seelischen Gesundheit [Psychology of mental health] (Vol. 1). Göttingen, Germany: HogrefeBrandtstädter, J. (2001). Entwicklung, Intentionalität, Handeln [Development, intentionality, action]. Stuttgart, Germany: KohlhammerBrandtstädter, J. , Krampen, G. , Heil, F. E. (1986). Personal control and emotional evaluation of development in partnership relations during adulthood. In M. M. Baltes & P. B. Baltes (Eds.), The psychology of aging and control (pp. 265-296). Hillsdale, NJ: ErlbaumCohen, J. (1977). Statistical power analysis for the behavioral sciences (2nd ed.). New York, NY: Academic PressGochman, D. S. (Ed.) (1988). Health behavior: Emerging research perspectives. New York, NY: PlenumGreve, W. , Krampen, G. (1991). Gesundheitsbezogene Kontrollüberzeugungen und Gesundheitsverhalten [Health locus of control and health behavior]. n J. Haisch & H.-P. Zeitler (Eds.), Gesundheitspsychologie [Health psychology] (pp. 223-241). Heidelberg, Germany: AsangerKaplan, G. D. , Cowles, A. (1978). Health protective behavior: An exploratory study. Journal of Health and Social Behavior, 20, 17– 29Krampen, G. (1979). Hoffnungslosigkeit bei stationären Patienten [Hopelessness in general hospital inpatients]. Medizinische Psychologie, 5, 39– 49Krampen, G. (1991). Diagnostisches und Evaluatives Instrumentarium zum Autogenen Training (AT-EVA) [Diagnostic and evaluative instrument for autogenic training]. Göttingen, Germany: HogrefeKrampen, G. (1992). Autogenes Training als Entwicklungsintervention [Autogenenic training as a developmental intervention]. Zeitschrift für Entwicklungspsychologie und Pädagogische Psychologie, 24, 184– 200Krampen, G. (1994). Skalen zur Erfassung von Hoffnungslosigkeit [Scales for the measurement of hopelessness]. Göttingen, Germany: HogrefeKrampen, G. (1996a). The program for systematic self-monitoring and reflexion of health behavior and health attitudes (SySeRe): Conception and empirical evaluation of a group program on health promotion. Swiss Journal of Psychology, 55, 227– 240Krampen, G. (1996b). Evaluation of the effectiveness of autogenic training in gerontopsychology. European Psychologist, 1, 243– 254Krampen, G. (1998). Einführungskurse zum Autogenen Training [Introductory courses to autogenic training] (2nd ed.). Göttingen, Germany: HogrefeKrampen, G. (1999). Long-term evaluation of the effectiveness of additional autogenic training in the psychotherapy of depressive disorders. European Psychologist, 4, 11– 18Krampen, G. (2003). Prävention bei Erwachsenen [Prevention in adults]. In M. Jerusalem & H. Weber (Eds.), Psychologische Gesundheitsförderung [Psychological health promotion] (pp. 419-432). Göttingen, Germany: HogrefeKrampen, G. , Fähse, D. , Groß, S. (1993). Biographische Rekonstruktion und Wohlbefinden im höheren Lebensalter [Biographical reconstruction and well-being in the elderly]. Zeitschrift für Gerontopsychologie und -psychiatrie, 6, 229– 240Lerner, R. M. , Busch-Rossnagel, N. A. (Eds.) (1981). Individuals as producers of their development. New York: Academic PressLohaus, A. , Schmitt, G. M. (1989). Fragebogen zur Erhebung von Kontrollüberzeugungen zu Krankheit und Gesundheit [Questionnaire for the assessment of disease and health locus of control]. Göttingen, Germany: HogrefeNentwig, C. G. , Windemuth, D. (1992). Entwicklung und Validierung einer kurzen Skala zur Erfassung des Verstärkungswertes der Gesundheit [Development and validation of a short scale for the assessment of reinforcement value of health]. Verhaltensmodifikation und Verhaltensmedizin, 13, 217– 234Renner, B. , Weber, H. (2003). Gesundheitsbezogene Ziele und Erwartungen [Health-related goals and expectations]. In M. Jerusalem & H. Weber (Eds.), Psychologische Gesundheitsförderung [Psychological health promotion] (pp.17-37). Göttingen, Germany: HogrefeSchmidt, L. R. (1990). Psychodiagnostik in der Gesundheitspsychologie [Psychodiagnosis in health psychology]. In R. Schwarzer (Hrsg.), Gesundheitspsychologie [Health psychology] (pp. 79-92). Göttingen, Germany: HogrefeSchwarzer, R. (2001). Social-cognitive factors in changing health-related behaviors. Current Directions in Psychological Science, 10, 47– 51Seeman, M. , Seeman, T .E. (1983). Health behavior and personal autonomy: A longitudinal study on the sense of control in illness. Journal of Health and Social Behavior, 24, 144– 160Sniehotta, F. F. , Schwarzer, R. (2003). Modellierung der Gesundheitsverhaltensänderung [Modelling of health behavior change]. In M. Jerusalem & H. Weber (Eds.), Psychologische Gesundheitsförderung [Psychological health promotion] (pp. 677-694). Göttingen, Germany: HogrefeWahl, H.-W. , Schmid-Furstoss, U. (1988). Alltagsaktivitäten und Kontrolle im Alter [Everyday life activities and control in the aged]. Report Psychologie, 13, 24– 30Wallston, B. S. , Wallston, K. A. (1984). Social psychological models of health behavior: An examination and integration. In A. Baum, S. E. Taylor & J. E. Singer (Eds.), Social psychological aspects of health (= Handbook of psychology and health, Vol. 4, pp. 221-254). Hillsdale, NJ: ErlbaumWallston, K. A. , Wallston, B. S. , DeVellis, R. (1978). Multidimensional health locus of control (MHLC) scale. Health Education Monographs, 6, 160– 170Ziegler, M. , Reid, D. W. (1983). Correlates of changes in desired control scores and in life satisfaction scores among elderly persons. International Journal of Aging and Human Development, 2, 135– 146