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No / The number of young people in Europe who are not in education, employment or training (NEET) is increasing. Given that young people from disadvantaged backgrounds tend to have diets of poor nutritional quality, this exploratory study sought to understand barriers and facilitators to healthy eating and dietary health promotion needs of unemployed young people aged 16–20 years. Three focus group discussions were held with young people (n = 14). Six individual interviews and one paired interview with service providers (n = 7). Data were recorded, transcribed verbatim and thematically content analysed. Themes were then fitted to social cognitive theory (SCT). Despite understanding of the principles of healthy eating, a ‘spiral’ of interrelated social, economic and associated psychological problems was perceived to render food and health of little value and low priority for the young people. The story related by the young people and corroborated by the service providers was of a lack of personal and vicarious experience with food. The proliferation and proximity of fast food outlets and the high perceived cost of ‘healthy’ compared to ‘junk’ food rendered the young people low in self-efficacy and perceived control to make healthier food choices. Agency was instead expressed through consumption of junk food and drugs. Both the young people and service providers agreed that for dietary health promotion efforts to succeed, social problems needed to be addressed and agency encouraged through (individual and collective) active engagement of the young people themselves.

Heavy drinking has been consistently associated with negative legal, academic, and health problems in college students and recent studies suggest that the frequency of undergraduates experiencing alcohol related problems may be increasing. Research aimed at lowering rates of consumption has begun to focus on individual differences in motivations for heavy alcohol use. The following study used a social-cognitive based model to prospectively examine heavy drinking among socially anxious college students. It was hypothesized that alcohol expectancies of social facilitation/anxiety reduction and self-efficacy for avoiding heavy drinking in socially anxious situations would be predictive of drinking in socially anxious college students. Using group testing and individual interview formats questionnaires assessing alcohol expectancies of improved sociability and self-efficacy were developed and shown to have adequate levels of reliability and construct validity. These questionnaires, along with measures of dispositional social anxiety, and a quantity-frequency index of alcohol use were then administered to 372 undergraduates. Seventy-one participants, identified as dispositionally socially anxious, were followed-up six-weeks later and completed both a time-line-follow-back assessment of their alcohol use over the six week interval and a semi-structured interview that assessed the types of situations in which they drank. Results of the study provided partial support for the hypothesized model as the expectancy X efficacy interaction accounted for a significant percentage of the variance in the quantity and frequency of alcohol use after controlling for the main effects of alcohol expectancies and self-efficacy. At the six-week follow-up however, the expectancy X efficacy interaction failed to account for significant variance beyond that accounted for by the expectancy and efficacy effects. Further examination of the follow-up data did provide partial support for the model, as it was found that the main effects of expectancy and efficacy were significant predictors of drinking behavior, but only in situations that were likely to elicit feelings of social anxiety. Results are discussed in terms of the relationship between social anxiety, outcome expectancies and self-efficacy and implications for developing alcohol intervention programs with high-risk college student drinkers. / Ph. D.

The purpose of the present study was to examine the relative effectiveness of two different ways of operationalizing a mastery experience in an e-mail based fitness walking program. Mastery experiences are considered the best way to increase exercise self-efficacy (Bandura, 1997), which is strongly associated with regular physical activity, but little research has systematically explored how effective mastery experiences can be developed. Fifty-nine sedentary adult women were randomly assigned to a mastery experience group (n=29) that operationalized mastery experiences in a manner consistent with Bandura's social cognitive theory, or to a standard care group (n=30) that operationalized mastery experiences in a manner consistent with standard care. Both intervention conditions received the same physical activity prescription and were designed to promote equivalent levels of contact with the experimenter over the 12-week program. The effects of the program were examined on overall adherence to the program, one-mile walk test times, estimated VO2max, social cognitive outcomes, and program evaluation ratings. Both the mastery experience group and the standard care group had similar levels of adherence to the program. The mastery experience group demonstrated a significantly greater improvement in one-mile walk test time than the standard care group. Although the mastery experience group also showed a larger increase in estimated VO2max than the standard care group, this difference did not reach significance. The mastery experience group had significantly greater increases in goal-setting relative to the standard care group, but the intervention did not show any differences between the two groups on three measures of self-efficacy. In program evaluation ratings, the mastery experience group demonstrated greater satisfaction with the program than the standard care group. / Ph. D.

The effects of setting goals on goal commitment and goal achievement in the context of an alcohol use intervention were examined using an experimental design in which participants were randomly assigned to participatively-set goals, assigned goals, and no goal conditions. The current study provides information regarding the links between degree of participation in goal setting, goal commitment, self-efficacy for one's goal, subsequent alcohol use, and goal achievement. It was hypothesized that: 1) Goal setting and participation in goal setting would significantly predict alcohol use outcomes: a) having a goal for alcohol consumption would cause lower quantity and frequency of alcohol use relative to not having a goal; b) participation in goal setting, rather than being assigned a goal, would influence goal achievement such that participation in goal setting would cause greater success in achieving one's goal. 2) Participation in goal setting would influence goal commitment such that participation in goal setting would cause greater goal commitment. 3) Goal commitment would influence goal achievement such that greater goal commitment would be predictive of greater success in achieving one's goal. 4) The facilitative effect of participation in goal setting on subsequent goal achievement would be mediated by goal commitment. 5) Self-efficacy for one's goal would influence goal achievement such that greater self-efficacy for one's goal would be predictive of greater success in achieving one's goal. One hundred and twenty-six binge-drinking college students received a single cognitive-behavioral assessment/intervention session and completed measures of goal commitment, self-efficacy for goal achievement, and alcohol use. Results were consistent with, and expanded upon, previous research by demonstrating that having a goal for alcohol consumption was predictive of lower quantity and frequency of alcohol use relative to not having a goal; however, participation in goal setting did not result in significantly better alcohol use outcomes or greater goal achievement relative to when goals were assigned. Participation in goal setting yielded greater goal commitment and self-efficacy for goal achievement than assigned goals. Lastly, goal commitment and self-efficacy contributed unique variance to the prediction of goal achievement across follow-up as well as changes in quantity and frequency of alcohol use at follow-up after controlling for baseline use. / Ph. D.