DETERMINANTS OF THE HEALTH-RELATED INTENTION-BEHAVIOUR GAP AMONG MILITARY PERSONNEL: AN EXPLORATORY STUDY
DOI:
https://doi.org/10.32782/psyspu/2024.1.11Keywords:
health behaviour, health-related procrastination, psychiatric rehabilitation, mental health, phenomenological approach, military personnelAbstract
The publication highlights the findings of an exploratory qualitative study that aimed to identify potential determinants of the healthrelated intention-behaviour gap among military personnel. The gap term refers to the challenges encountered in translating intentions into actions to maintain or improve health. Given the military personnel sample, rehabilitation was selected as the primary health behaviour under investigation. The study underscored the significance of adaptive perception of interventions for bridging the gap and restoring the psychological functioning of the target group. The study analysed data from 24 semi-structured interviews conducted with combatants undergoing rehabilitation at the Medical-Psychological Rehabilitation Department of the Kyiv Regional Center for Mental Health. Interview transcripts regarding participants’ engagement in the rehabilitation program were subjected to keywordbased content analysis and latent concept modelling through Latent Dirichlet Allocation (LDA) and t-Distributed Stochastic Neighbour Embedding (t-SNE). The analysis identified key themes that may represent the extent of military personnel's involvement in rehabilitation: experiences of existential insecurity, perceived mismatches between interventions and needs, and the perception of interventions as either negatively impactful or ineffectual. Potential distal factors affecting the intention-behaviour gap in rehabilitation intentions include the degree of institutional betrayal and the strength of social support networks, aligning with the primary reflective processes of the Multi-Process Action Control (M-PAC) model. Perceived intervention outcomes, health literacy, and attitudes toward health, as well as an agreement with staff, are suggested as proximal determinants of the intention-behaviour gap.
References
Bridging Intention-Behavior Gap through Implementation Intention: Conceptual Insight / Wijetunge W. A. D. S. et al. Int J Res Innov Soc Sci. 2023. Vol. 7, No. 11. P. 1627–1635. https://doi.org/10.47772/IJRISS.2023.7011127
Self-regulatory processes mediate the intention-behavior relation for adherence and exercise behaviors / de Bruin M. et al. Health Psychol. 2012. Vol. 31, No. 6. P. 695–703. URL: https://psycnet.apa.org/doi/10.1037/a0027425
Zhao X., Dichtl F. F., Foran H. M. Predicting smoking behavior: intention and future self-continuity among Austrians. Psychol Health Med. 2022. Vol. 27, No. 5. P. 1042–1051. https://doi.org/10.1080/13548506.2020.1842898
Youth exercise intention and past exercise behavior: Examining the moderating influences of sex and meeting exercise recommendations / Downs D. S. et al. Res Quart Exerc Sport. 2006. Vol. 77, No. 1. P. 91–99. https://doi.org/10.1080/02701367.2006.10599335
Conner M., Norman P. Understanding the intention-behavior gap: The role of intention strength. Front Psychol. 2022. Vol. 13. P. 923464. https://doi.org/10.3389/fpsyg.2022.923464
Казаков С. С. Екзистенційні чинники прокрастинації турботи про здоров’я: експлораторне дослідження. Габітус. 2023. No. 49. P. 204–210. https://doi.org/10.32782/2663-5208.2023.49.35
Physical comorbidities of post-traumatic stress disorder in Australian Vietnam War veterans / McLeay S. C. et al. Med J Aust. 2017. Vol. 206, No. 6. P. 251–257. https://doi.org/10.5694/mja16.00935
Rhodes R. E., de Bruijn G. J. How big is the physical activity intention–behaviour gap? A meta‐analysis using the action control framework. Brit J Health Psychol. 2013. Vol. 18, No. 2. P. 296–309. https://doi.org/10.1111/bjhp.12032
Hruby A., Lieberman H. R., Smith T. J. Symptoms of depression, anxiety, and post-traumatic stress disorder and their relationship to health-related behaviors in over 12,000 US military personnel: Bi-directional associations. J Affect Disord. 2021. Vol. 283. P. 84–93. https://doi.org/10.1016/j.jad.2021.01.029
Bridging the intention-behavior gap for cardiac rehabilitation participation: the role of perceived barriers / Williamson T. M. et al. Disab Rehab. 2020. 42(9), 1284–1291. https://doi.org/10.1080/09638288.2018.1524519
Stigma as a barrier to seeking health care among military personnel with mental health problems / Sharp M. L. et al. Epidemiol Rev. 2015. Vol. 37, No. 1. P. 144–162. http://doi.org/10.1093/epirev/mxu012
Крук І. М., Григус І. М. Фізична терапія військовослужбовців з наслідками вогнепальних поранень. Rehab Recreat. 2022. No. 12. P. 44–51. https://doi.org/10.32782/2522-1795.2022.12.6
Combs M. A., Critchfield E. A., Soble J. R. Relax while you rehabilitate: A pilot study integrating a novel, yogabased mindfulness group intervention into a residential military brain injury rehabilitation program. Rehab Psychol. 2018. Vol. 63, No. 2. P. 182. https://doi.org/10.1037/rep0000179
Reflections on recovery, rehabilitation and reintegration of injured service members and veterans from a bio-psychosocial-spiritual perspective / Besemann L. M. Can J Surg. 2018. Vol. 61, No. 6. P. S219–S231. https://doi.org/10.1503%2Fcjs.015318
Beliefs about the influence of rest during concussion recovery may predict activity and symptom progression within an active duty military population / Remigio-Baker R. A. Arch Physical Med Rehab. 2020. Vol. 101, No. 7. P. 1204–1211. https://doi.org/10.1016/j.apmr.2020.02.015
Lin N., Roberts K. R. Predicting and explaining behavioral intention and hand sanitizer use among US Army soldiers. Amer J Infect Control. 2017. Vol. 45, No. 4. P. 396–400. https://doi.org/10.1016/j.ajic.2016.11.008
Health Coaching: A Preliminary Report on the Effects in Traumatic Brain Injury/Polytrauma Patients / Madrigal E. et al. Integr Med Clinic J. 2017. Vol. 16, No. 6. P. 26. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438084/
Dabovich P. A., Eliott J. A., McFarlane A. C. Individuate and separate: Values and identity re-development during rehabilitation and transition in the Australian Army. Soc Sci Med. 2019. Vol. 222. P. 265–273. https://doi.org/10.1016/j.socscimed.2019.01.012
Rhodes R. E. Multi-process action control in physical activity: a primer. Front Psychol. 2021. Vol. 12. P. 797484. https://doi.org/10.3389/fpsyg.2021.797484
Expanding the Andersen model: The role of psychosocial factors in long‐term care use / Bradley E. H. et al. Health Serv Res. 2002. Vol. 37, No. 5. P. 1221–1242. https://doi.org/10.1111/1475-6773.01053
A density-based method for adaptive lda model selection / Cao J. et al. Neurocomputing. 2009. Vol. 72, No. 7–9. P. 1775–1781. http://doi.org/10.1016/j.neucom.2008.06.011
Deveaud R., SanJuan É., Bellot P. Accurate and effective latent concept modeling for ad hoc information retrieval. Doc Num. 2014. Vol. 17, No. 1. P. 61–84. http://doi.org/10.3166/dn.17.1.61-84
Казаков, С. Концептуалізація інтенційно-поведінкового розриву в терапевтичному процесі. Регістри стосунків 2023: Життя всупереч – далі буде : матеріали ХІ всеукр. конф., м. Київ, 02–03 груд. 2023 р. / УСП Київ, 2023. C. 63–69. URL: http://bit.ly/3UgU3Se
