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Title: Goal conflict and goal facilitation : theory development and application in preventive health-related behaviour and health professional behaviour
Author: Presseau, Justin
ISNI:       0000 0004 2710 6681
Awarding Body: University of Aberdeen
Current Institution: University of Aberdeen
Date of Award: 2011
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Daily life often involves the pursuit of numerous goal-directed behaviours (GDBs) which can compete for limited resources, leading to goal conflict, and complement each other, leading to goal facilitation.  The theory of planned behaviour (TPB) has been applied to understand preventive health-related behaviour and health professional behaviour, focusing on a single GDB at a time. This thesis presents six studies which investigated how goal facilitation and goal conflict contribute to understanding individual’s engagement in PA and health professionals’ provision of PA advice, alongside the TPB.  Theory-based semi-structured interviews conducted with general medical practitioners and community-based adults demonstrated that GDBs facilitating and conflicting with providing PA advice and engaging in PA are readily identifiable and elicited independently of control beliefs.  A prospective study with students demonstrated that goal facilitation predicted self-reported PA two months later, controlling for intention and perceived behavioural control (PBC).  A second prospective study with students showed that baseline perceived goal facilitation and daily time spent in conflicting GDBs (assessed using daily diaries) predicted seven days of accelerometer-assessed PA, controlling for intention and PBC. A theory-based process evaluation was conducted alongside a new pay-for-performance target for providing lifestyle advice introduced in primary care. While no changes were observed on goal conflict, goal facilitation, or TPB constructs, the study demonstrated a potentially useful method for conducting theory-based process evaluation alongside natural experiments.  A prospective study with GPs and nurses showed that goal facilitation and conflict predicted providing PA advice six months later, controlling for intention and PBC. Overall, this thesis supports the consideration of goal facilitation and goal conflict when predicting preventive health-related and health professional behaviour.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available