Gender-specific impact of self-monitoring and social norm information on walking behavior among Chinese college students assessed using WeChat: Longitudinal tracking study
Yuepei Xu2,3; Ling-Zi Yue2,3; Wei Wang1; Xiao-Ju Wu2,3; Zhu-Yuan Liang2,3
刊名Journal of Medical Internet Research
2021-12-10
通讯作者邮箱liangzy@psych.ac.cn
卷号23期号:12页码:e29167
关键词self-monitoring social norm group identity mHealth gender differences mobile health
ISSN号1438-8871
DOI10.2196/29167
产权排序2
文献子类实证研究
英文摘要

Background: Walking is a simple but beneficial form of physical activity (PA). Self-monitoring and providing information about social norms are the 2 most widely used “mobile health (mHealth)” strategies to promote walking behavior. However, previous studies have failed to discriminate the effect of self-monitoring from the combination of the 2 strategies, and provide practical evidence within Chinese culture. Some essential moderators, such as gender and group identity, were also overlooked.

Objective: We aimed to investigate the effectiveness of social norm and self-monitoring interventions for walking behavior and assess the moderating effects of gender and group identity, which could guide optimal mHealth intervention projects in China.

Methods: In 2 longitudinal tracking studies (study 1, 22 days; study 2, 31 days), Chinese college students wore trackers for at least 8 hours per day (MASAI 3D Pedometer and Xiaomi Wristband 2) to record their daily step counts in baseline, intervention, and follow-up stages. In each study, participants (study 1: n=117, 54% female, mean age 25.60 years; study 2: n=180, 51% female, mean age 22.60 years) were randomly allocated to 1 of the following 3 groups: a self-monitoring group and 2 social norm intervention groups. In the 2 intervention groups and during the intervention stage, participants received different social norm information regarding group member step rankings corresponding to their grouping type of social norm information. In study 1, participants were grouped by within-group member PA levels (PA consistent vs PA inconsistent), and in study 2, participants were grouped by their received gender-specific social norm information (gender consistent vs gender inconsistent). Piece-wise linear mixed models were used to compare the difference in walking steps between groups.

Results: In study 1, for males in the self-monitoring group, walking steps significantly decreased from the baseline stage to the intervention stage (change in slope=−1422.16; P=.02). However, additional social norm information regardless of group consistency kept their walking unchanged. For females, social norm information did not provide any extra benefit beyond self-monitoring. Females exposed to PA-inconsistent social norm information even walked less (slope during the intervention=−122.18; P=.03). In study 2, for males, a similar pattern was observed, with a decrease in walking steps in the self-monitoring group (change in slope=−151.33; P=.08), but there was no decrease in the 2 social norm intervention groups. However, for females, gender-consistent social norm information decreased walking steps (slope during the intervention=−143.68; P=.03).

Conclusions: Both gender and group identity moderated the effect of social norm information on walking. Among females, social norm information showed no benefit for walking behavior and may have exerted a backfire effect. Among males, while walking behavior decreased with self-monitoring only, the inclusion of social norm information held the level of walking behavior steady.

URL标识查看原文
收录类别SSCI
资助项目Beijing Natural Science Foundation (BNSF)[9172019] ; National Natural Science Foundation of China (NSFC)[7170111] ; CAS Engineering Laboratory for Psychological Service[KFJ-PTXM-29] ; Scientific Foundation of the Institute of Psychology, Chinese Academy of Sciences[Y9CX303008] ; Major Projects of the National Social Science Foundation of China[19ZDA358]
WOS关键词INCREASE PHYSICAL-ACTIVITY ; DESCRIPTIVE NORMS ; ALCOHOL-CONSUMPTION ; PLANNED BEHAVIOR ; INTERVENTION ; HEALTH ; INTENTIONS ; EFFICACY ; BELIEFS ; CENTERS
WOS研究方向Health Care Sciences & Services ; Medical Informatics
出版者JMIR PUBLICATIONS, INC
WOS记录号WOS:000740347800002
资助机构Beijing Natural Science Foundation (BNSF) ; National Natural Science Foundation of China (NSFC) ; CAS Engineering Laboratory for Psychological Service ; Scientific Foundation of the Institute of Psychology, Chinese Academy of Sciences ; Major Projects of the National Social Science Foundation of China
国家中国
状态OA
内容类型期刊论文
源URL[http://ir.psych.ac.cn/handle/311026/41149]  
专题心理研究所_中国科学院行为科学重点实验室
通讯作者Zhu-Yuan Liang
作者单位1.Brigham and Women’s Hospital, Harvard Medical School , Boston, MA, US
2.CAS Key Laboratory of Behavioral Science, Institute of Psychology , Beijing , CN
3.Department of Psychology, University of Chinese Academy of Sciences , Beijing , CN
推荐引用方式
GB/T 7714
Yuepei Xu,Ling-Zi Yue,Wei Wang,et al. Gender-specific impact of self-monitoring and social norm information on walking behavior among Chinese college students assessed using WeChat: Longitudinal tracking study[J]. Journal of Medical Internet Research,2021,23(12):e29167.
APA Yuepei Xu,Ling-Zi Yue,Wei Wang,Xiao-Ju Wu,&Zhu-Yuan Liang.(2021).Gender-specific impact of self-monitoring and social norm information on walking behavior among Chinese college students assessed using WeChat: Longitudinal tracking study.Journal of Medical Internet Research,23(12),e29167.
MLA Yuepei Xu,et al."Gender-specific impact of self-monitoring and social norm information on walking behavior among Chinese college students assessed using WeChat: Longitudinal tracking study".Journal of Medical Internet Research 23.12(2021):e29167.
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