건강행동 준수에 대한 계획된 행동이론 모형 검증: 낙관적 편향 및 지연할인 인식의조절효과를 중심으로
Verification of the Theory of Planned Behavior Model for Adherence of Health Behavior: Focused on Moderating Effects of Optimistic Bias and Delay Discounting
초록
본 연구에서는 건강행동 준수를 예측할 수 있는 계획된 행동이론(TPB) 모형을 검증하고, 그 모형에서 낙관적 편향과 지연할인 인식의 역할을 확인하였다. 연구 참여자들은 357명의 남녀 성인이었으며, 연령은 18세에서 76세까지 분포되어 있었다. 계획된 행동이론 변인들과 낙관적 편향은 선행연구들에서 사용된 문항들을 연구 목적에 맞게 수정하고 보완하여 측정하였으며, 지연할인 인식도 건강행동을 준수했을 때 나나타나는 효과가 지연되어 나타날 것이라고 인식하는 정도를 묻는 문항들로 측정하였다. 분석 결과, 태도와 행동 간의 직접 경로와 지각된 행동통제력과 행동 간의 직접 경로가 포함된 경쟁모형이 건강행동 준수에 대한 계획된 행동이론 모형으로 채택되었다. 그리고 이 모형은 각각 낙관적 편향과 지연할인 인식에 의해 조절되는 것으로 나타났다. 본 연구의 결과는 건강행동 준수에 관한 추후 연구를 위한 지식과 국민의 건강을 증진하고자 하는 의료인이나 건강전문가를 위한 유용한 임상적 정보를 제공한다.
- keywords
- 건강행동, 준수, 계획된 행동이론, 낙관적 편향, 지연할인, health behavior, adherence, theory of planned behavior, optimistic bias, delay discounting
Abstract
This study verified a theory of planned behavior (TPB) model to predict the adherence of health behavior and identified the role of the optimistic bias or delay discounting in that model. Subjects were 357 Korean male and female adults whose ages ranged from 18 to 76. The TPB factors and their optimistic bias were measured by modified items used in the previous studies, and some items were developed to measure delay discounting. An alternative TPB model, including a direct path from attitude to behavior and a direct path from the perceived behavioral control to behavior was validated for the adherence of health behavior. This model was found to be moderated by optimistic bias and delay discounting each. Findings of this study should provide useful information and knowledge for future research and for medical or health professionals who wanting to improve the adherence of health behavior of people.
- keywords
- 건강행동, 준수, 계획된 행동이론, 낙관적 편향, 지연할인, health behavior, adherence, theory of planned behavior, optimistic bias, delay discounting
참고문헌
강지원, 이애리, 김범수 (2016). 위험인식의 낙관적 편향실험을 통한 스미싱 보안인식 개선. 정보보호학회논문지, 26(2), 475-487.
김건식 (2017). 대규모 공공건설사업의 낙관적 편향에대한 탐색적 연구: 준거집단 기반의 추계를 중심으로. 정책분석평가학회보, 27(3), 97-131.
김봉철, 최영준 (2017). 흡연자의 낙관적 편견과 제3자효과 : 폐암 및 담뱃갑 경고그림을 중심으로. 광고학연구, 28(5), 205-231.
김혜수, 서선희 (2014). 과일섭취 의도에 영향을 미치는요인. Journal of Nutrition and Health, 47(2), 134-144.
남정민 (2019, 7, 8). ‘걸어서 100세까지’. 중도일보. http://www.joongdo.co.kr/web/view.php?key=20190708010002868에서 2020, 6, 12 자료 얻음.
박은자, 이예슬, 이정아, 권진원 (2014). 생활습관병 치료순응 현황 및 개선방안. 세종시: 한국보건사회연구원.
서경현 (2016). 준수행동의 개입과 중재. 2016년 한국심리학회 연차학술대회자료집, 146.
서경현 (2017). 국내외 건강심리학 분야의 최신 연구 동향. 한국심리학회지, 22(1), 1-13.
서미숙, 김이삭, 서경현 (2019). 계획된 행동이론 요인및 낙관적 편향과 대학생의 채소 및 과일 섭취 간의 관계. 한국심리학지: 건강, 24(1), 191-208.
서윤석, 최애숙, 정영진 (2009). 행동변화 단계에 따른충남지역 초등학생의 채소와 과일 섭취 관련 사회심리적 요인. 한국영양학회지, 42(7), 639-649.
손애리, Folrecil Tabang, 문정선, 고승덕 (2009). 서울시고등학생의 에이즈에 대한 낙관적 편견. 보건과 사회과학, 25, 57-78.
심홍연 (2015). 계획된 행동이론을 활용한 저작권 인식정도에 따른 온라인상의 불법콘텐츠 공유의도에 관한 연구. 한양대학교 석사학위논문.
이윤상, 김수현, 서가인, 조은강 (2016). 부정적 정서 조건에서의 지연 할인(Delay Discounting)에 따른 반응시간의 변화. 한국심리학회 2016년 연차학술대회자료집, 394.
주병하 (2017). 고등학생 건강지식 수준과 건강행동 실천. 한국웰니스학회지, 12(1), 475-487.
최나홍, 안홍석, 이승민 (2011). 서울시 거주 성인의 라이프스타일에 따른 건강신념 수준과 건강행동 실천비교. 대한지역사회영양학회지, 16(6), 683-696.
Ajzen, I (2002). Constructing a TpB Questionnaire:Conceptual and Methodological Considerations. (Revised January, 2006).
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211.
Alexander, E. (1993). Trading for a Living;Psychology, Trading Tactics, Money Management. New York, NY: John Wiley &Sons.
Andrade, L. F., Alessi, S. M., & Petry, N. M. (2013). The effects of alcohol problems and smoking on delay discounting in individuals with gambling problems. Journal of Psychoactive Drugs, 45(3), 241-248.
Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215.
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, N.J.: Prentice-Hall.
Becker, M. H., & Rosenstock, I. M. (1984). Compliance with medical advice. In A. Steptoe &A. Mathews (Eds.), Health care and human behavior. London: Academic Press.
Bickel, W. K., Odum, A. L., & Madden, G. J. (1999). Impulsivity and cigarette smoking: delay discounting in current, never, and ex-smokers. Psychopharmacology, 146(4), 447–454.
Bränström, R. & Brandberg, Y. (2010). Health Risk Perception, Optimistic Bias, and Personal Satisfaction. American Journal of Health Behavior, 34(2), 197-205.
Breckler, S. J. (1984). Empirical validation of affect, behavior, and cognition as distinct components of attitude. Journal of Personality and Social Psychology, 47(6), 1191-1205.
Chapin, J., & Coleman, G. (2009). Optimistic Bias: What you Think, What you Know or Whom you Know? North American Journal of Psychology, 11(1), 121-132.
DiMatteo, M. R. (2004). Variations in patients’adherence to medical recommendations: A quantitative review of 50 years of research. Medical Care, 42(3), 200-209.
Doyle, J. R. (2013). Survey of time preference, delay discounting models. Judgment and Decision Making, 8(2), 116-135.
Epstein, L. H., Paluch, R. A., Stein, J. S., Quattrin, T., Mastrandrea, L. D., Bree, K. A., Sze, Y. Y., Greenawald, M. H., Biondolillo, M. J., & Bickel, W. K. (2020). Delay discounting, glycemic regulation and health behaviors in adults with prediabetes. Behavioral Medicine(April 10, 2020), 1-11. doi:10.1080/08964289.2020.1712581
Fields, S. A, Ramos, A., & Reynolds, B. A. (2015). Delay discounting and health risk behaviors: the potential role of stress. Current Opinion in Psychology, 5, 101-105.
Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention, and behavior: An introduction to theory and research. Reading, MA:Addison-Wesley.
Frederick, S., Loewenstein, G., & O’donoghue, T. (2002). Time discounting and time preference: A critical review. Journal of Economic Literature, 40(2), 351-401.
Galor, O., & Özak, Ö. (2016). The agricultural origins of time preference. American Economic Review, 106(10), 3064-3103.
Gouveia, S. O., & Valerie C. (2001). Optimistic bias for negative and positive events. Health Education, 101(5), 228-234.
Hale, J.L.; Householder, B.J. & Greene, K.L. (2003). The theory of reasoned action. In J.P. Dillard &M. Pfau (Eds.), The persuasion handbook:Developments in theory and practice (pp. 259–286). Thousand Oaks, CA: Sage.
Higgins, T. J., Middleton, K. R., Winner, L., &Janelle, C. M. (2014). Physical activity interventions differentially affect exercise task and barrier self-efficacy: A meta-analysis. Health Psychology, 33(8), 891-903.
Johnson, S. S., Driskell, M. M., Johnson, J. L., Prochaska, J. M., Zwick, W., Prochaska, J. O. (2006). Efficacy of a transtheoretical model-based expert system for antihypertensive adherence. Disease Management, 9(5), 291-301.
Kinder, B. N., Pape, N. E., & Walfish, S. (1980). Drug and Alcohol Education Programs: A Review of Outcome Studies. The International Journal of the Addictions, 15(7), 1035-1054.
Martos-Méndez, M. J. (2015). Self-efficacy and adherence to treatment: the mediating effects of social support. Journal of Behavior, Health &Social Issues, 7(2), 19-29.
Masalu, J. R., & Åstrøm, A. N. (2001). Predicting intended and self-perceived sugar restriction among Tanzanian students using the theory of planned behavior. Journal of Health Psychology, 6(4), 435-445.
O’Sullivan, O. P. (2015). The neural basis of always looking on the bright side. Dialogues in Philosophy, Mental and Neuro Sciences, 8(1), 11-15.
Povey, R. Conner, M., Sparks, P., James, R., &Shepherd, R. (2000). Application of the theory of planned behaviour to two dietary behaviours:Roles of perceived control and self-efficacy. British Journal of Health Psychology, 5(2), 121-140.
Prochaska, J. O, & DiClemente, C. C. (1984). The transtheoretical approach: crossing traditional boundaries of therapy. Homewood, IL: Dow Jones-Irwin.
Sharot, T. (2011). The optimism bias. Current Biology, 21(23), R941-R945.
Takahashi, T., Hadzibeganovic, T., Cannas, S. A., Makino, T., Fukui, H., & Kitayama S. (2009). Cultural neuroeconomics of intertemporal choice. Neuro Endocrinoloy Letters, 30(2), 185-191.
Thomas, U., Pol, M., & Allan, J. (2017) Time preference and present bias: increasing physical activity. Institute of Applied Health Sciences (IAHS) Postgraduate Research Symposium, University of Aberdeen, Aberdeen.
Weinstein, N. D. (1984). Why it won’t happen to me:Perceptions of risk factors and susceptibility. Health Psychology, 3, 431-457.
Weinstein, N. D. (1988). The precaution adoption process. Health Psychology, 7, 355-386.
Weinstein, N. D., & William M. K. (1996). Unrealistic Optimism: Present and Future. Journal of Social and Clinical Psychology, 15(1), 1-8.
Weinstein, N. D., Sandman, P. M., & Blalock, S. J. (2008). The Precaution Adoption Process Model. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health Behavior and Health Education, 4th(pp. 123–147). San Francisco, CA:Jossey-Bass.
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