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RATIONALE: Translating research evidence into clinical practice to improve care involves healthcare professionals adopting new behaviours and changing or stopping their existing behaviours. However, changing healthcare professional behaviour can be difficult, particularly when it involves changing repetitive, ingrained ways of providing care. There is an increasing focus on understanding healthcare professional behaviour in terms of non-reflective processes, such as habits and routines, in addition to the more often studied deliberative processes. Theories of habit and routine provide two complementary lenses for understanding healthcare professional behaviour, although to date, each perspective has only been applied in isolation. OBJECTIVES: To combine theories of habit and routine to generate a broader understanding of healthcare professional behaviour and how it might be changed. METHODS: Sixteen experts met for a two-day multidisciplinary workshop on how to advance implementation science by developing greater understanding of non-reflective processes. RESULTS: From a psychological perspective 'habit' is understood as a process that maintains ingrained behaviour through a learned link between contextual cues and behaviours that have become associated with those cues. Theories of habit are useful for understanding the individual's role in developing and maintaining specific ways of working. Theories of routine add to this perspective by describing how clinical practices are formed, adapted, reinforced and discontinued in and through interactions with colleagues, systems and organisational procedures. We suggest a selection of theory-based strategies to advance understanding of healthcare professionals' habits and routines and how to change them. CONCLUSION: Combining theories of habit and routines has the potential to advance implementation science by providing a fuller understanding of the range of factors, operating at multiple levels of analysis, which can impa

OBJECTIVE: The COVID-19 pandemic saw promotion of novel virus transmission-reduction behaviours, and discouragement of familiar transmission-conducive behaviours. Understanding changes in the automatic nature of such behaviours is important, because habitual behaviours may be more easily reactivated in future outbreaks and disrupting old habits may discontinue unwanted behaviours. DESIGN: A repeated-measures, multi-national design tracked virus-transmission habits and behaviour fortnightly over six months (Apr-Sept 2020) among 517 participants (age M = 42 ± 16y, 79% female). MAIN OUTCOME MEASURES: Within-participant habit trajectories across all timepoints, and engagement in transmission-reduction behaviours (handwashing when entering home; handwashing with soap for 20 seconds; physical distancing) and transmission-conducive behaviours (coughing/sneezing into hands; making physical contact) summed over the final two timepoints. RESULTS: Three habit trajectory types were observed. Habits that remained strong ('stable strong habit') and habits that strengthened ('habit formation') were most common for transmission-reduction behaviours. Erosion of initially strong habits ('habit degradation') was most common for transmission-conducive behaviours. Regression analyses showed 'habit formation' and 'stable strong habit' trajectories were associated with greater behavioural engagement at later timepoints. CONCLUSION: Participants typically maintained or formed transmission-reduction habits, which encouraged later performance, and degraded transmission-conducive habits, which decreased performance. Findings suggest COVID-19-preventive habits may be recoverable in future virus outbreaks.

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Contains fulltext : 76902.pdf (publisher's version ) (Closed access), Three experiments demonstrated structural properties and dynamic effects of self-construal on the processing and use of values. In Study 1, it was found that self-focus during encoding caused spontaneous cognitive clustering of individualistic versus relational values. Study 2 demonstrated that self-construal affected the implicit weight of a value-related attribute in a multi-attribute choice task. In Study 3, behavioral intentions were better predicted by personal values than social norms when the personal self was primed, whereas social norms predicted better when the collective self was primed. The effects of manipulated self-construal were mimicked when comparing participants with an individualistic versus collectivistic cultural background. No interaction was found between priming and cultural background. Taken together, the studies demonstrated that different domains of the self are associated with different values, which may instigate different cognitive and behavioral processes when activated.

The limited success of behavioural strategies in injury prevention has been attributed to failure to properly apply behaviour change models to intervention design and the explanation of safety behaviours. However, this paper contends that many health behaviour change interventions do not succeed because they fail to take into account the habitual quality of most health and safety-related behaviour, a more complete model of behaviour change needs to be based on a better understanding of the role of habit. The overall aim is to contribute to better understanding of behavioural strategies for injury prevention. When habits are weak, attitudes and intentions predict behaviours, but as behaviours turn into habits, they become better predictors of future behaviour than attitudes or intentions. Furthermore, where habits are strong, individuals are less likely to act on new information, evaluating counter-habitual information negatively. Integrating the concepts of strong and weak habits with upstream and downstream strategies, a framework is presented for tailoring strategies to the habit strength of the target behaviour.

Prospective remembering refers to remembering and acting on behavioural intentions. Three experiments tested the hypothesis that prospective remembering requires the availability of executive processes. It was expected that this is more important when intentions are stated in categorical terms. Type of instruction (specific versus categorical), typicality of the cue in relation to the category specified, and executive load were manipulated. Results showed a general benefit of specific instructions. Furthermore, with categorical instructions, performance was better with typical cues. Although the data suggested that executive processes are responsible for the processing of cues, the load manipulation had no significant effect on the prospective memory measure. Thus, no evidence was found for the hypothesis that prospective remembering requires the availability of executive processes. It is argued that it is a matter of strategic choice whether executive processes are deployed: One does not need to monitor for cues but can choose to rely on bottom-up processes. Monitoring may be sufficient, but not necessary for successful prospective remembering.

RU Radboud Universiteit Nijmegen, 17 december 2003, Promotores : Verplanken, B., Knippenberg, A.F.M. van, Item does not contain fulltext, This dissertation's objectives were to validate impulse buying tendency as a genuinely distinctive construct related to impulse purchase behavior and attached to fundamental personality traits, and its relationships to a number of relevant factors. Studies reported were steps to a better understanding of the impulse buying phenomenon. In the first 2 studies (using Dutch and Indonesian samples), a reliable 20-item scale to measure impulse buying tendency was developed. The scale has 2 facets represented by correlated subscales, referring to the cognitive (i.e., the lack of planning and deliberation) and affective aspects (i.e., feelings of pleasure and excitement, an urge to buy, the difficulty to leave things, and possible regret afterwards). Correlations with self-reported purchase patterns indicated that high impulse buying tendency resulted in more impulsive purchases with higher impulsivity. Impulse buying tendency was also correlated with several personality-based individual differences. The next study observed impulse buying behavior in actual purchase settings. Impulse buying tendency was correlated with the primary dimensions (MDS analysis) of emotions associated with, and buying considerations of the purchase. Findings verified that these dimensions are stable, with high arousal emotions and impetuous buying considerations related to impulse buying consumption experience. In the 2 final studies (using Norwegian and Indonesian samples) impulse buying tendency scale was validated with the Big Five/Five Factor Model personality dimensions (i.e., Extraversion, Conscientiousness, Agreeableness, Neuroticism/Emotional Stability, and Openness/Autonomy). Results confirmed that impulse buying tendency is a personality-based trait. Indications of gender differences in impulse buying; older people may demonstrate more control on their impulse buying tendency; presence of others may enhance impulse buying behavior; and favorable normative evaluation mediates between imp

RU Radboud Universiteit Nijmegen, 20 mei 2003, Promotores : Knippenberg, A.F.M. van, Verplanken, B., Item does not contain fulltext

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This study focuses on the role of habit in the process of information use underlying daily travel mode choices. Based on the ‘policy capturing’ paradigm, eighty-two students performed a multiattribute travel mode judgment task, in which they could use information about travel circumstances in order to make a number of judgments. Measures of information use were obtained by performing multiple regression analyses for each subject. It was found that habit reduced the elaborateness of information use in judgments of travel mode use. This effect was independent of effects of manipulated accountability demands.

Contains fulltext : 28767___.PDF (publisher's version ) (Open Access), Three studies examined the role of habit in travel mode choices. Habit was measured by using mental representations of activities that may include the target behavior. Using behavioral process-tracing paradigms, it was found that habit attenuates not only the elaborateness of information acquisition concerning the attributes of choice options, but also basic features in the appreciation of the choice situation. In a field study, it was found that actual travel mode choices were predicted by behavioral intentions only when habit was weak. Attempts to influence the elaborateness of habitual decision-making were not or only temporarily effective.

Contains fulltext : 28770.pdf (publisher's version ) (Closed access), In line with Susan Fiske and Steven Neuberg's continuum model of impression formation, it was found that when a social category was perceived as homogeneous on a stereotypic trait, a target's behavioral discrepancy from that stereotype elicited attention to and elaboration of individuating information. Individuating information consisted of the target person's attitude toward a stereotype-unrelated issue. Perceived variability was manipulated. Impressions of the stimulus person were related to participants'own attitude toward the issue, suggesting a similarity attraction effect. In the atypical-behavior/low-variability condition, this relationship was mediated by attitude-related thoughts. This suggests a cognitive-response-mediated similarity-attraction effect leading to relatively individuated impressions. All results were consistent across two different stimulus groups that were associated with complementary stereotypes.

Contains fulltext : 27976.pdf (publisher's version ) (Open Access), This study focuses on the strength of the relationship between behavioural intentions and actual behaviour in a multi-alternative choice context. Two separate moderating processes of intention-behaviour consistency were hypothesized, i.e. the amount of reasoning during intention formation, and the degree of confidence in the intention. Involvement (as an issue-specific factor), and need for cognition (as an individual difference factor) were investigated as antecedents of amount of reasoning. confidence in the intention was predicted from the size of the consideration set (i.e. the number of alternatives that one considers for choice), and involvement. The study comprised a longitudinal two-wave survey conducted before and after national elections in The Netherlands, in which pre-election voting intentions were compared with actual voting behaviour. A high degree of intention-behaviour consistency was found, which was significantly related to both amount of reasoning and confidence. The expected relations were found. The results extend current process models of attitude–behaviour relations. Furthermore, the results indicate that processes related to the consideration set size and content account for variance in intention-behaviour consistency in choice contexts that cannot be accounted for by traditional attitude-behaviour perspectives.