The purpose of this project is to explore potential social cognitive and psychosocial predictors of lifestyle changes, including diet and physical activity behaviors, in a sample of colorectal cancer survivors who are at high risk of developing a second colorectal cancer. Participants, recruited from Georgetown University's Lombardi Comprehensive Cancer Center, are colorectal cancer survivors from families at high or confirmed risk of having a hereditary colorectal cancer syndrome. Results indicate that, at the bivariate level, many of the psychosocial and social cognitive variables of interest are significantly associated with one another as well as with various health behaviors and health behavior changes. Correlational data indicate that lower distress is associated with higher psychosocial functioning, self-efficacy, and self-regulatory ability. In addition, the data also suggest that individuals with higher self-efficacy display higher self-regulation and more positive outcome expectations related to health behaviors. Overall, participants were more likely to increase healthy behaviors or remain consistent with moderately healthy lifestyles practiced prior to their colorectal cancer diagnosis and treatment, and decrease unhealthy behaviors. Implications and directions for future research are discussed within the paper. / Master of Science

College-age adults gain weight more rapidly than the general population, with a mean weight gain of ~1.8 to 4 kilograms during their first year at college. The purpose of this pilot RCT was to test the efficacy of a semester long internet weight-loss program based upon social cognitive theory for overweight college freshmen. Qualitative focus groups were used to provide feedback on content of the active intervention. Participants (n=27; mage=18.5±.6; mweight=90kg±18; 74% female) were randomly assigned to the active intervention (Fit Freshmen; FF) or a health information control group and completed baseline and 3 month follow-up measurements. When compared to controls FF participants experienced higher improvement in self-regulatory skills for portion control, fruit and vegetable consumption and physical activity (all p's<.05). Consumption of dietary fat and added sugar also decreased significantly for FF subjects when compared to controls (all p's<.05) while total energy intake differences were significant (p<.09). Trends in increased physical activity were present, but not significantly different between groups. Finally, FF lost significantly more weight than controls (mdifference=2.2kg; p<0.05) and more fat mass (mdifference=1kg; p<0.09). Themes for content improvement included providing a more detailed meal plan, reducing email contact, and increasing social activity opportunities. Program characteristics that were positively evaluated included the flexible exercise program, incentives for weight loss, and use of an onsite weigh station. This study provides promising outcomes for a scalable internet-based weight loss program for college freshmen and highlights features that could be improved to be more attractive to this population. / Master of Science

Diet and physical activity behaviors may be influenced by internal and external factors that may change over time, in response to personal development and changes in environments. The current literature does not explore specifically how the different factors and particularly Social Cognitive Theory (SCT) constructs, affect behaviors of college students. This project, aimed to compare the influence of SCT constructs between college students and parents in healthier foods (HF) and physical activity (PA) categories (first part) and SCT on diet and physical activity of students (second part). In the spring of 2009 the cross-sectional survey was conducted with students and their parents from three different courses. Out of 720 students, 404 (56.1%) completed the survey. Out of 173 contacted parents, 118 (68.2%) completed the survey. Spearman rank correlation and multiple regression models were applied to test relations between SCT and behaviors in student-parent pairs and student groups. Student-parent pairs showed positive correlations for self-efficacy (p=0.0004), self-regulation (p<0.0001), and positive outcome expectations for HF (p= 0.03). For PA, social support from family (p<0.0001), self-efficacy (p=0.0003), self-regulation (p=0.004), and negative outcome expectations (p= 0.02) were significantly correlated. None of the HF or PA behaviors were correlated for student-parent pairs. Students who took at least one health-related course in college had significantly higher Godin (exercise) scores (p=0.014) than students who never took such a course. The students with a course had PA influenced by self-regulation, outcome expectations, and support from friends. Students with no courses had been influenced by friends' support, home exercise equipment, and outcome expectations. The students with a health course consumed more fiber (p=0.035) and less fat (p=0.008) than the other students. The correlation of SCT variables with diet revealed that self-efficacy and self-regulation were significantly correlated with all food variables, whereas negative outcomes were correlated only with fat (p<0.0001) and fiber (p=0.003). Beliefs about HF and PA may have demonstrated continuity between generations but dietary and PA behaviors may have been under stronger influence of changes in skills/knowledge and environments. Future research may focus on recruitment of balanced groups of participants who will represent similar skills/knowledge and interests. / Ph. D.

Yes / Social Cognitive Theory has been used to explain findings derived from focus group discussions (N = 4) held in the United Kingdom with the aim of informing best practice in personalised nutrition. Positive expectancies included weight loss and negative expectancies surrounded on-line security. Monitoring and feedback were crucial to goal setting and progress. Coaching by the service provider, family and friends was deemed important for self-efficacy. Paying for personalised nutrition symbolised commitment to behaviour change. The social context of eating, however, was perceived a problem and should be considered when designing personalised diets. Social Cognitive Theory could provide an effective framework through which to deliver personalised nutrition. / This work was supported by the European Commission under the Food, Agriculture, Fisheries and Biotechnology Theme of the 7th Framework Programme for Research and Technological Development (265494).

A modified grounded theory approach was used to analyze 200 parenting blog posts for instances of conforming to or deviating from gender stereotypes. A plethora of research recognizes the negative effects of perpetuating stereotypes on such aspects of life and culture as self-concepts, concepts of others, opportunities, obstacles, and occupations. Social cognitive theory informs how these gender stereotypes can affect parents even through blogs and how parents can then affect their children. Thus, research question one asked: Are there gendered instances in parenting blogs that deviate from or conform to a gender stereotype? and research question two asked: What categories and themes of gendered instances that deviate from or conform to a gender stereotype are present in the blogs? What categories and themes are most prevalent in the blogs? Findings indicated that there were gendered instance in the parenting blogs. Although only 30% of the analyzed blog posts contained gendered instances of deviating from or conforming to stereotypes, 75.6% of those instances were found to conform to a gender stereotype rather than deviate. Moreover, the categories that were present in the blog were as follows: Unrealistic Domestic Goddess, Perceived Gender Conformity of Children, Part-time Domestic Father, Realistic Domestic Mother, Normalizing Feminine Characteristics and Interests in Sons, Full-time Domestic Father, Negative Stereotypes Against Women, and Perceived Gender Nonconformity of Children. The category that was by far the most prevalent was the Unrealistic Domestic Goddess as 75.6% of the gendered instances fell under this category. / Master of Arts

With a global and national shortage in the number of registered organ donors, this study employed a qualitative thematic analysis of thirteen episodes from popular medical dramas that aired between 2016-2020. The aim of this study was to allow for a better understanding of how the media utilizes entertainment television to portray storylines related to organ donation. The analyzed shows included in this study were: Grey's Anatomy, The Good Doctor, New Amsterdam, Chicago Med, and The Resident. From the analysis, six major themes emerged: Urgency of Transplant, Ethical Decision-Making, Emotional Impacts of Organ Donation on Patient and Families, Familial Relationships Impacting Donation, Viewer Education via Vicarious Learning, and Excitement Surrounding Surgery. In addition to these themes, both favorable and unfavorable cues related to organ donation were present throughout the analysis. These findings have implications for audience members via social cognitive theory. This study illuminated the ongoing efforts made by the entertainment television industry to portray organ donation in a factual manner and to provide the viewing public with potential opportunities for organ donation education. / Master of Arts / With a global and national shortage in the number of registered organ donors, this study analyzed thirteen episodes from popular medical dramas that aired between 2016-2020 to determine what themes were present amongst the analyzed shows. The analyzed shows included in this study were: Grey's Anatomy, The Good Doctor, New Amsterdam, Chicago Med, and The Resident. The aim of this study was to allow for a better understanding of how the media utilized entertainment television to portray storylines related to organ donation. From the analysis, six major themes emerged: Urgency of Transplant, Ethical Decision-Making, Emotional Impacts of Organ Donation on Patient and Families, Familial Relationships Impacting Donation, Viewer Education via Vicarious Learning, and Excitement Surrounding Surgery. In addition to the emergence of these themes, the analysis revealed both favorable and unfavorable cues related to organ donation were present in these entertainment storylines. This study illuminated the ongoing efforts made by the entertainment television industry to portray organ donation in a factual manner and to provide the viewing public with opportunities for organ donation education.

Bakgrund: Mer och mer forskning kommer fram som styrker fördelarna med regelbunden fysisk aktiv (FA). Ändå har många svårt att röra på sig tillräckligt. I tidigare forskning har interventioner med ett webbaserat program (WBP) och interventioner med coaching fått positiva resultat med att främja FA. Syfte: Syftet med litteraturöversikten var att undersöka effekten av ett webbaserat program tillsammans med coaching för att främja FA hos individer som är i behov av ökad FA. Metod: För att besvara syftet har en litteraturöversikt gjorts med sammanställning av 8 vetenskapliga originalartiklar. Sökningen gjordes med Databasen PubMed. Artiklarna granskades med hjälp av ”Oxford Levels of Evidence 2011” evidensmetod. Resultat: Majoriteten av studierna (n=6 av 8) visade en positiv effekt av WBP och coaching på FA. Två artiklar såg ingen signifikant förbättring. Slutsats: Utifrån den granskade litteraturen så finns det skäl till att använda ett webbaserat program tillsammans med coaching för att främja FA. Mer forskning kräves för att säkerställa effekten av ett WBP och Coaching på FA samt specifikt effekten på den yngre och äldre befolkningen. / Background: More and more research is emerging that demonstrates the benefits of regular physical activity (FA). Still, many have difficulty being physically active. In previous research, interventions with a web-based program (WBP) and interventions with coaching have had positive results in promoting FA. Aim: The purpose of the review is to investigate the effect of a web-based program together with coaching to promote FA in individuals who are in need of increased FA. Method: In order to answer the purpose, a literature review has been compiled with the compilation of 8 scientific original articles. Articles were found using the PubMed database. The articles were reviewed using the "Oxford Levels of Evidence 2011" evidence method. Results: The majority of studies (n = 6 of 8) showed a positive effect of WBP and coaching on FA. Two articles saw no significant improvement. Conclusion: Based on the literature reviewed, there is positive evidence to suggest usage a web-based program together with coaching to promote FA. More research is needed to ensure the effect of a WBP and Coaching on the FA and specifically the effect on the younger and older population.

Eftersom att ungdomar inte rör på sig tillräckligt har en trend bland skolor i Sverige utvecklats att implementera pulsträningspass, bland annat med avsikt att främja elevers hälsa. Syftet med undersökningen var att öka förståelsen av hur elever upplever det hälsofrämjande arbetet på pulsträningspass i jämförelse med det hälsofrämjande arbetet på idrottslektioner. Undersökningen utgick från en kvalitativ hermeneutisk metodansats genom att tolka elevers upplevelser med hjälp av semi-strukturerade intervjuer. Studiens utgångspunkt baserades på Albert Banduras Social Cognitive Theory om hur beteenden kan förändras genom samspel mellan omgivningen och individen. Nio högstadieelever från en skola som har implementerat pulsträningspass intervjuades. Datamaterialet kategoriserades i teman över hur elever upplevde (1) hur deras hälsa främjades och (2) deras förväntade effekter. I båda fallen jämfördes upplevelser av pulsträningspass med upplevelser av idrottslektioner. Resultatet visade att intensitetsnivån, förmedling av teoretiska kunskaper och den sociala omgivningen var tre teman som skiljde sig beträffande hur hälsan främjades mellan passen och lektionerna. Fysiska, studierelaterade och sociala effekter var tre teman av elevers förväntade effekter som skiljde sig mellan de två olika aktiviteterna. Studien kom fram till att pulsträningspassen kan fungera som ett betydelsefullt komplement till idrottslektionerna. Men problematik kan uppstå om idrottsämnet inte upplevs lika motiverande och lekfullt som pulspassen eftersom betydelsefulla värden gällande hälsa i idrottsämnet då kan nedvärderas hos elever. Medvetenhet hos lärare om att de förväntade positiva effekterna kan fungera som incitament samtidigt som de negativa effekterna kan verka som hinder för elevers fysiska aktivitet är betydelsefullt för att kunna forma en undervisning som kan främja elevers hälsa. / As a result of physical inactivity among adolescents, Swedish schools have implemented “pulsträningspass”, a physical activity with pulse surveillance with the intention to promote students’ health. The aim of the study was to increase the understanding of how students experience health promotion in pulsträningspass in comparison with it in physical education. The study was based on a hermeneutic approach. It involved interpreting students’ experiences using semi-structured interviews. The investigation was guided by Albert Bandura’s Social Cognitive Theory about how behavior can be changed by interaction between the environment and the individual. Nine students from a secondary school that had implemented pulsträningspass were interviewed. The data were categorized regarding how students experienced (1) how their health was promoted, and (2) their outcome expectations. In both cases, pulsträningspass responses were compared with physical education responses. The results showed that: level of intensity, mediation of theoretical knowledge and the social environment differed regarding how their health was promoted between the pulsträningspass and the classes. Physical, study-related and social effects were three themes of students’ expected outcomes that differed between the two activities. Pulsträningspass can operate as a significant complement to physical education. However, problems can appear if physical education is not as motivating or playful as pulsträningspass, since students can then downgrade significant values regarding health in physical education. Awareness by teachers that positive outcome expectations can function as incentives while negative outcome expectations can work as obstacles for the students’ physical activity is important. It can help teachers to form an education that can promote students health.

Published Article / First-year university students make judgements about their capabilities in mathematics which mainly stem from their past school experiences. It is against this background that the researchers decided to conduct a study with the aim of assessing the academic behavioural confidence of first-year students enrolled in the B.Ed. (FET): Natural Sciences programme and the B.Ed. (FET): Economic and Management Sciences programme offered by the School of Teacher Education at the Central University of Technology, Free State. Bandura's (1986) Social Cognitive Theory is the overarching theoretical framework of the self-efficacy construct and therefore also for this study. A quantitative approach was followed and the Academic Behavioural Confidence scale (ABC) designed by Sander and Sanders (2006), was adopted for use in the study. The study sought to first of all determine whether a significant difference in the academic behavioural confidence of the first-year students within the Natural Sciences and Economic and Management Sciences programmes does exist. It furthermore wanted to determine if a significant difference in the academic behavioural confidence between male and female students within these two programmes exists. The results indicated that there is a significant difference in the academic behavioural confidence of the NS and EMS groups. There is, however, no significant difference between male and female students within and between the two groups. Based on the findings some recommendations on dealing with first-year students have been made.

Bakgrund: Hälsmärta drabbar en av 10 individer någon gång i livet, i cirka 80 procent av fallen är orsaken plantar fasciit. Läkningstiden för plantar fasciit kan bli mycket lång, i vissa fall upp till två år. Följsamhet till träningsprogram är av stor betydelse för utfallet vid fysioterapeutiska behandling. Syfte: Att undersöka hur styrketräning av tårnas flexormuskulatur, med fokus på excentrisk belastning, påverkar tilltro till aktivitetsnivå (rask promenad) och symtom vid plantar fasciit. Vidare är syftet att utifrån socialkognitiv teori undersöka faktorer av betydelse för följsamhet till träning, samt hur deltagarna upplever träningen. Metod: Studien har en A-B-A Singel-Case Design. Patienter tillfrågandes löpande på en privat fysioterapimottagning. Tre deltagare inkluderades i studien. Baslinjemätningen under två veckor (A1) följdes av sex veckor intervention med avslutande baslinjemätning under två veckor (A2). Data samlades in genom självrapporterade skattningar av variabler av intresse i en träningsdagbok. Visuell avläsning har gjorts utifrån trend och lutning. Resultat: Deltagare A visade på förbättring, B och C har kvarstående eller något ökade symtom. Samtliga deltagare visade på hög self-efficacy för utförande av övningen. Deltagare A och B visade på hög följsamhet och C på lägre följsamhet till träningsprogrammet. Slutsats: Författarens slutsats är att träningsupplägget är genomförbart för patienter med plantar fasciit. För eventuell gruppstudie kunde inklusions- och exklusionskriterier föreslås baserat på resultat av denna studie. / Background: Heel pain affects 1 in 10 individuals at some point in life, in about 80% of the cases, the cause is plantar fasciitis. The healing time for plantar fasciitis can be very long, in some cases up to two years. Adherence to treatment is of great importance for the outcome in physiotherapy. Aim: To investigate how the strength of the toe flexor, focusing on the eccentric load, affecting self-efficacy for activity (power walking) and symptoms of plantar fasciitis. Further to investigate and examine factors affecting adherence to exercise, and how participants feel the workout, based of social cognitive theory. Methods: The study has an A-B-A Single-Case Design. Patients asked to participate at a private physiotherapy clinic in Sweden. Three participants were included in the study. Baseline measurements was collected for two weeks (A1) that was followed by six weeks of intervention with ending baseline measurements for two weeks (A2). Data were collected through self-reported estimates of the variables of interest in a diary. Visual reading was made based on the trend and slope. Results: Participants A showed improvement, B and C have persistent or increased symptoms. All participants showed high self-efficacy for performing the exercise. Participant A and B showed high adherence and C showed lower adherence to the exercise program. Conclusions:. The author's conclusion is that the exercise program is feasible for patients with plantar fasciitis. For a future group study the inclusion and exclusion criteria are proposed to be based on the results of this study.