The role of attention and health goals in nudging healthy food choice

Introduction

Nudging is a promising intervention technique that supports people in pursuing their healthy eating goals. Recent research suggests that, despite previous assumptions, disclosure of the presence of a nudge does not compromise nudge effectiveness. However, it is unknown whether attention to a nudge affects nudge effects. We assessed the role of attention systematically, by examining explicit and implicit attention to nudges, while also exploring healthy eating goals as a potential moderator.

Methods

Participants were assigned to a nudge (i.e., a shopping basket inlay with pictures of healthy items) or control condition (i.e., a shopping basket inlay with neutral pictures) and chose a snack in an experimental supermarket field study. Explicit and implicit attention (with a mobile eye-tracker) to nudges, healthiness of snack choice, and healthy eating goals were assessed.

Results

Results showed that attention to the nudge did not hamper the nudge's effect. Furthermore, individuals with strong healthy eating goals made healthier food choices in the nudge condition. Individuals with weak to non-existent healthy eating goals were not influenced by the nudge.

Discussion

Findings are in line with the viewpoint that nudging does not by definition work 'in the dark', and suggests that nudges support people in adhering to their healthy eating goal.

Snacking for a reason: detangling effects of socio-economic position and stress on snacking behaviour

BACKGROUND

As snacking can be considered a cornerstone of an unhealthy diet, investigating psychological drivers of snacking behaviour is urgent, and therefore the purpose of this study. Socio-economic position (SEP) and stress are known to affect many behaviours and outcomes, and were therefore focal points in the study.

METHODS

In a cross-sectional survey study, we examined whether Socio-economic position (SEP) would amplify associations between heightened stress levels and self-reported negative-affect related reasons for snacking. Next, we investigated whether Socio-economic position (SEP) predicted frequency of snacking behaviour, and how stress and other reasons for snacking could explain this association. Outcome measures were reasons people indicated for snacking, and frequency of snacking behaviour.

RESULTS

Analyses revealed that people seem to find more reasons to snack when they are stressed, and that this association was more pronounced for people with a high compared to low socio-economic position. Furthermore, a higher socio-economic position was associated with a higher frequency of snacking, and both snacking to reward oneself and snacking because of the opportunity to do so remained significant mediators.

CONCLUSION

Whereas low socio-economic position was associated with higher stress levels, this did not translate into increased snacking. Contrarily, those with higher socio-economic position could be more prone to using 'reasons to snack', which may result in justification of unhealthy snacking behaviour.

The effect of nudges on autonomy in hypothetical and real life settings

Nudges have repeatedly been found to be effective, however they are claimed to harm autonomy, and it has been found that laypeople expect this too. To test whether these expectations translate to actual harm to experienced autonomy, three online studies were conducted. The paradigm used in all studies was that participants were asked to voluntarily participate in a longer version of the questionnaire. This was either done in a hypothetical setting, where participants imagined they were asked this question, but did not answer it, and reported their expectations for autonomy; Or in an actual choice setting where participants answered the question and then reported their actual autonomy. The first study utilized the hypothetical setting and tried to replicate that laypeople expect nudges to harm autonomy with the current paradigm. A total of 451 participants were randomly assigned to either a control, a default nudge, or a social norm nudge condition. In the default nudge condition, the affirmative answer was pre-selected, and in the social norm nudge condition it was stated that most people answered affirmative. The results showed a trend for lower expected autonomy in nudge conditions, but did not find significant evidence. In Study 2, with a sample size of 454, the same design was used in an actual choice setting. Only the default nudge was found to be effective, and no difference in autonomy was found. In Study 3, Studies 1 and 2 were replicated. Explanation of the nudge was added as an independent variable and the social norm nudge condition was dropped, resulting in six conditions and 1322 participants. The results showed that participants indeed expected default nudges to harm their autonomy, but only if the nudge was explained. When actually nudged, no effect on autonomy was found, independent of the presence of an explanation.

Under pressure: Nudging increases healthy food choice in a virtual reality supermarket, irrespective of system 1 reasoning

Previous research has shown that nudging can effectively support people's healthy food choices. Yet, to date knowledge about the psychological premises of nudging is limited, highlighting the need for closer scrutiny to determine how and when nudging is most effective. In the current study, we assessed whether the presumed effect of nudging on healthy food choice is enhanced under time pressure, a condition probing alleged system 1 reasoning. Food choice was studied in a realistic virtual reality supermarket where healthier alternatives were nudged by making them more salient. We additionally explored possible differences in decision-making experiences related to nudging or time pressure. The study took place at a science festival where visitors could decide to participate in a study. Participants (n = 99) had to purchase four products, each from a different product category that was provided on a shopping list. In the nudging condition, one healthier option within each product category was nudged by making it more salient. While a main effect of nudging was found, showing in increased healthy food choices, this effect was not further qualified by time pressure, suggesting that the effectiveness of nudging is not enhanced under system 1 conditions. Relatedly, people who were and who were not aware of the nudges showed similar effects of nudging on healthy food choice. Furthermore, no differences in decision-making experiences showed, suggesting that people have similar experiences regarding impulsive and reflective decision-making irrespective of whether they are being nudged or put under time pressure. All in all, our findings are in line with recent viewpoints on the premises of nudges, suggesting that alleged system 1 conditions are not a prerequisite for nudging to be effective.

And How Would That Make You Feel? How People Expect Nudges to Influence Their Sense of Autonomy

Objective

While nudges are increasingly utilized in public policy settings, their potential threat to autonomous choice is the topic of heated debate. Regardless of the actual effects of nudges on autonomy, the mere perception of nudges as autonomy threatening by the general public or policy makers could negatively influence nudge acceptability. The present online studies examined how people expect (different) nudges to affect their perception of autonomy.

Methods

In the first study (N = 455), participants were presented with a hypothetical choice that employed either a default nudge, direct persuasion, or no persuasion, to steer to the desired choice. The presented influence technique was explained before participants reported their expected autonomy, as well as their expected choice satisfaction. Study 2 (N = 601) involved a replication of Study 1 with an additional social norm nudge condition. In Study 3 (N = 750), the explanation of how choice had been influenced was omitted.

Results

While participants expected the default nudge to violate autonomy (Study 1), they had no such expectations for social norm nudges (Study 2). Omitting the explanation that most people are unaware of nudges influencing their choice, reduced the negative impact of nudges on expected autonomy (Study 3).

Conclusion

Effects of nudges on expectations of autonomy differ by type of nudge. Negative expectations are primarily driven by the explanation that decision makers are often unaware of nudges.

The Explanations People Give for Going to Bed Late: A Qualitative Study of the Varieties of Bedtime Procrastination

Background/Objective: Bedtime procrastination is a prevalent cause of sleep deprivation, but little is known about why people delay their bedtimes. In the present research, we conducted a qualitative study with bedtime procrastinators to classify their self-reported reasons for later-than-intended bedtime. Participants: Participants (N = 17) were selected who frequently engaged in bedtime procrastination, but whose sleep was not otherwise affected by diagnosed sleep disorders or shift work. Method: We conducted in-depth, semistructured interviews and used thematic analysis to identify commonly recurring themes in the interviews. Results and conclusions: Three emerging themes were identified: deliberate procrastination, mindless procrastination, and strategic delay. For the form of procrastination we classified as deliberate procrastination, participants typically reported wilfully delaying their bedtime because they felt they deserved some time for themselves. For the category of mindless procrastination, a paradigmatic aspect was that participants lost track of the time due to being immersed in their evening activities. Finally, participants who engaged in strategic delay reported going to bed late because they felt they needed to in order to fall asleep (more quickly), which suggests that despite describing themselves as "procrastinating," their bedtime delay may actually be linked to undiagnosed insomnia. The conceptual distinctions drawn in this paper deepen our understanding of bedtime delay and may be helpful for designing effective interventions.

Cueing healthier alternatives for take-away: a field experiment on the effects of (disclosing) three nudges on food choices

Background

The current field experiment demonstrates the effectiveness of nudging to promote healthy food choices.

Methods

Three types of nudges were implemented at a take-away food vendor: 1) an accessibility nudge that placed fruits at the front counter; 2) a salience nudge that presented healthy bread rolls to be more visually attractive; and 3) a social proof nudge that conveyed yoghurt as a popular choice. We additionally assessed whether nudging effects would remain robust when a disclosure message was included. The field experiment was conducted over a seven-week period. The measured outcome was the sales of the targeted healthy food products.

Results

The accessibility nudge significantly increased the sales of the fresh fruits. The impact of the salience nudge was limited presumably due to existing preferences or habits that typically facilitate bread purchases. As the sales of the yoghurt shakes remained consistently low over the seven-week period the impact of the social proof nudge remained unexamined. Critically, disclosing the purpose of the nudges did not interfere with effects.

Conclusions

Current findings suggest nudging as an effective strategy for healthy food promotion, and offer implications for topical debate regarding the ethics of nudges.

Distinguishing between self-control and perceived control over the environment to understand disadvantaged neighbourhood health and lifestyle outcomes

Objective: The current study aimed to test whether and how self-control and perceived control play a role in health outcomes and lifestyle differences between disadvantaged and non-disadvantaged neighbourhoods. Design: Cross-sectional survey data including demographics was collected from 3758 participants. Main outcome measures: With the survey, self-control, perceived control, health status and lifestyle variables were assessed. Results: Participants in disadvantaged neighbourhoods reported poorer general health, as well as unhealthier lifestyles compared to participants in non-disadvantaged neighbourhoods. Self-control was likewise positively associated with health and lifestyle variables. However, self-control did not differ between participants from different neighbourhoods. Perceived control over the environment mediated between type of neighbourhood and health, with participants from a disadvantaged neighbourhood reporting a lower sense of perceived control, which in turn was associated with poorer self-reported general health and less healthy lifestyle choices. Conclusion: This reveals that perceived control over one's life and the environment is more important than self-control when explaining health differences between neighbourhoods.

Too Depleted to Turn In: The Relevance of End-of-the-Day Resource Depletion for Reducing Bedtime Procrastination

Bedtime procrastination is an important predictor of sleep insufficiency in the general population (Kroese et al., 2014b), but little is known about the determinants of this self-undermining behavior. As the phenomenon has been conceptualized in the literature as a form of self-regulation failure (Kroese et al., 2014a), we hypothesized that people’s self-regulatory resources in the evening would be predictive of going to bed later than they intended. Specifically, we examined whether the cumulative effect of resisting desires, a measure of self-regulatory resource depletion (Hofmann et al., 2012b), relates to bedtime procrastination. Participants (N = 218) reported how many desires they had tried to resist during the previous day and the extent of their bedtime procrastination. Results show that people who attempted to resist more desires were more likely to engage in bedtime procrastination, suggesting that people may be less likely to stick to their intended bedtime after a particularly taxing day. Implications for intervention strategies are discussed.

I'm still standing: A longitudinal study on the effect of a default nudge

OBJECTIVE

This study assessed the effect of a default nudge to reduce sedentary behaviour at work over time.

DESIGN AND MAIN OUTCOME MEASURES

A field study was conducted at a governmental organisation. In the present study, the default setting of sit-stand desks (SSDs) was changed from sitting to standing height during a two-week intervention. Stand-up working rates were calculated based on observations that were done prior to, during, two weeks after and two months after the intervention. Additionally, a pre-measure survey (n = 606) and post-measure survey (n = 354) were completed. Intention and social norms concerning stand-up working were compared for the 183 employees who completed both pre- and post-assessments (45.4% female, M_age = 44.21).

RESULTS

Stand-up working rates raised from 1.82% in the baseline to 13.13% during the intervention. After the nudge was removed the percentage was 10.01% after two weeks and 7.78% after two months. A multilevel analysis indicated a significant increase in both intention and social norms after the nudge intervention.

CONCLUSIONS

This study shows that a default nudge can increase stand-up working rates in offices with SSDs at least until two months after the nudge intervention.

The Hunger Games: Using hunger to promote healthy choices in self-control conflicts

The majority of existing research and conventional wisdom would advise against shopping on an empty stomach as hunger is assumed to encourage impulsive choices that typically lead to self-control failure (i.e., favouring short-term gratifications at the expense of long-term goals). Nonetheless, through two studies the current research aims to demonstrate that hungry consumers would not always be disadvantaged when encountering a self-control conflict involving a trade-off choice between a healthy vs. a more palatable but unhealthy choice. Particularly we posit that the choice outcome of the self-control conflict is dependent on contextual cues, such that hungry consumers with the tendency to make fast decisions could benefit from following a social proof heuristic promoting the healthy options. In Study 1, we indeed observed participants' self-reported hunger to be negatively associated with state self-control, but as most participants generally experienced low levels of hunger we did not observe apparent effects of hunger on food choice (DV), and correspondingly the potential influence of the social proof heuristic in moderating the choice outcome. However, in Study 2 where hunger was manipulated, we found hungry participants making significantly less healthy choices than satiated participants, but a social proof heuristic mitigated this effect (i.e., in the presence of social proof heuristic hungry participants made just as many healthy food choices as satiated participants; and hungry participants made more healthy choices in the social proof condition than in the no heuristic condition). These findings support our approach of providing contextual cues in the environment in order to work with, rather than against, the impulsivity triggered by hunger to promote successful self-control behaviours.

A Multilab Preregistered Replication of the Ego-Depletion Effect

Good self-control has been linked to adaptive outcomes such as better health, cohesive personal relationships, success in the workplace and at school, and less susceptibility to crime and addictions. In contrast, self-control failure is linked to maladaptive outcomes. Understanding the mechanisms by which self-control predicts behavior may assist in promoting better regulation and outcomes. A popular approach to understanding self-control is the strength or resource depletion model. Self-control is conceptualized as a limited resource that becomes depleted after a period of exertion resulting in self-control failure. The model has typically been tested using a sequential-task experimental paradigm, in which people completing an initial self-control task have reduced self-control capacity and poorer performance on a subsequent task, a state known as ego depletion Although a meta-analysis of ego-depletion experiments found a medium-sized effect, subsequent meta-analyses have questioned the size and existence of the effect and identified instances of possible bias. The analyses served as a catalyst for the current Registered Replication Report of the ego-depletion effect. Multiple laboratories (k = 23, total N = 2,141) conducted replications of a standardized ego-depletion protocol based on a sequential-task paradigm by Sripada et al. Meta-analysis of the studies revealed that the size of the ego-depletion effect was small with 95% confidence intervals (CIs) that encompassed zero (d = 0.04, 95% CI [-0.07, 0.15]. We discuss implications of the findings for the ego-depletion effect and the resource depletion model of self-control.

Defying Food - How Distance Determines Monkeys' Ability to Inhibit Reaching for Food

Objects, such as food, in the environment automatically activate and facilitate affordances, the possibilities for motoric movements in interaction with the objects. Previous research has shown that affordance activation is contingent upon the distance of the object with only proximal objects activating potential movements. However, the effect of affordance-activating proximal objects on the ability to inhibit movements has been unaddressed. The current study addressed this question with two experiments on long-tailed macaques. In both experiments monkeys were situated behind a Plexiglass screen that prevented direct access to food placed right behind the screen. The food could only be reached via a detour through one of two holes on the sides of the screen. It was assessed whether monkeys’ ability to inhibit the unsuccessful immediate reaching movement forward toward the food depended on the distance at which the food was presented. Results of both Experiments revealed that monkeys reached for the proximally positioned food significantly more than for the distally positioned food, despite this Plexiglass screen preventing successful obtainment of the food. The findings reveal the effect of proximal, affordance-activating objects on the ability to resist movements involved in interacting with the objects. Implications for humans, living in environments in which proximal, or accessible food is constantly available are discussed. The findings can contribute to an understanding of why resisting accessible food in the environment is often unsuccessful.

Depletion sensitivity predicts unhealthy snack purchases

The aim of the present research is to examine the relation between depletion sensitivity - a novel construct referring to the speed or ease by which one's self-control resources are drained - and snack purchase behavior. In addition, interactions between depletion sensitivity and the goal to lose weight on snack purchase behavior were explored. Participants included in the study were instructed to report every snack they bought over the course of one week. The dependent variables were the number of healthy and unhealthy snacks purchased. The results of the present study demonstrate that depletion sensitivity predicts the amount of unhealthy (but not healthy) snacks bought. The more sensitive people are to depletion, the more unhealthy snacks they buy. Moreover, there was some tentative evidence that this relation is more pronounced for people with a weak as opposed to a strong goal to lose weight, suggesting that a strong goal to lose weight may function as a motivational buffer against self-control failures. All in all, these findings provide evidence for the external validity of depletion sensitivity and the relevance of this construct in the domain of eating behavior.

Effects of Trait Self-Control on Response Conflict About Healthy and Unhealthy Food

Self-control leads to positive life outcomes, but it is poorly understood. While previous research has focused on self-control failure, self-control success remains unexplored. The current studies aim to shed more light on the mechanisms of self-control by focusing on the resolution of response conflict as a key component in self-control success. Trait self-control was measured, and participants reported on the magnitude of response conflict they experienced about healthy and unhealthy foods in Study 1 (N = 146; M_age  = 33.03; 59 females, 83 males, 4 unknown). The response conflict process was assessed in Study 2 (N = 118; M_age  = 21.45; 68 females, 41 males, 9 unknown). Outcomes showed that self-reported evaluative response conflict about food items was smaller for people high in trait self-control. Study 2 revealed that higher trait self-control predicted faster resolution of self-control conflict, and an earlier peak of the response conflict. Taken together, these results provide insight into what makes people with high trait self-control successful, namely, how they handle response conflict. Implications for self-control theories and future directions are discussed.

UnAdulterated - children and adults' visual attention to healthy and unhealthy food

OBJECTIVE

Visually attending to unhealthy food creates a desire to consume the food. To resist the temptation people have to employ self-regulation strategies, such as visual avoidance. Past research has shown that self-regulatory skills develop throughout childhood and adolescence, suggesting adults' superior self-regulation skills compared to children.

METHODS

This study employed a novel method to investigate self-regulatory skills. Children and adults' initial (bottom-up) and maintained (top-down) visual attention to simultaneously presented healthy and unhealthy food were examined in an eye-tracking paradigm.

RESULTS

Results showed that both children and adults initially attended most to the unhealthy food. Subsequently, adults self-regulated their visual attention away from the unhealthy food. Despite the children's high self-reported attempts to eat healthily and importance of eating healthily, children did not self-regulate visual attention away from unhealthy food. Children remained influenced by the attention-driven desire to consume the unhealthy food whereas adults visually attended more strongly to the healthy food thereby avoiding the desire to consume the unhealthy option.

CONCLUSIONS

The findings emphasize the necessity of improving children's self-regulatory skills to support their desire to remain healthy and to protect children from the influences of the obesogenic environment.

"When the going gets tough, who keeps going?" Depletion sensitivity moderates the ego-depletion effect

Self-control relies on a limited resource that can get depleted, a phenomenon that has been labeled ego-depletion. We argue that individuals may differ in their sensitivity to depleting tasks, and that consequently some people deplete their self-control resource at a faster rate than others. In three studies, we assessed individual differences in depletion sensitivity, and demonstrate that depletion sensitivity moderates ego-depletion effects. The Depletion Sensitivity Scale (DSS) was employed to assess depletion sensitivity. Study 1 employs the DSS to demonstrate that individual differences in sensitivity to ego-depletion exist. Study 2 shows moderate correlations of depletion sensitivity with related self-control concepts, indicating that these scales measure conceptually distinct constructs. Study 3 demonstrates that depletion sensitivity moderates the ego-depletion effect. Specifically, participants who are sensitive to depletion performed worse on a second self-control task, indicating a stronger ego-depletion effect, compared to participants less sensitive to depletion.

Bedtime procrastination: introducing a new area of procrastination

Background: Procrastination is a prevalent and problematic phenomenon that has mostly been studied in the domain of academic behavior. The current study shows that procrastination may also lead to harmful outcomes in the area of health behavior, introducing bedtime procrastination as an important factor related to getting insufficient sleep and consequently affecting individual well-being. Bedtime procrastination is defined as failing to go to bed at the intended time, while no external circumstances prevent a person from doing so.

Methods: To empirically support the conceptual introduction of bedtime procrastination, an online survey study was conducted among a community sample (N = 177). The relationship between bedtime procrastination and individual difference variables related to self-regulation and general procrastination was assessed. Moreover, it was investigated whether bedtime procrastination was a predictor of self-reported sleep outcomes (experienced insufficient sleep, hours of sleep, fatigue during the day).

Results: Bedtime procrastination was negatively associated with self-regulation: people who scored lower on self-regulation variables reported more bedtime procrastination. Moreover, self-reported bedtime procrastination was related to general reports of insufficient sleep above and beyond demographics and self-regulation.

Conclusions: Introducing a novel domain in which procrastinators experience problems, bedtime procrastination appears to be a prevalent and relevant issue that is associated with getting insufficient sleep.

Effortless inhibition: habit mediates the relation between self-control and unhealthy snack consumption

In contrast to prevailing beliefs, recent research suggests that trait self-control promotes health behavior not because those high in self-control are more successful at resisting single temptations, but rather because they develop adaptive habits. The present paper presents a first empirical test of this novel suggestion by investigating the mediating role of habit in explaining the relation between self-control and unhealthy snacking behavior. Results showed that self-control was negatively associated with unhealthy snack consumption and unhealthy snacking habits. As hypothesized, the relation between self-control and unhealthy snack intake was mediated by habit strength. Self-control was not associated with fruit consumption or fruit consumption habits. These results provide the first evidence for the notion that high self-control may influence the formation of habits and in turn affect behavior. Moreover, results imply that self-control may be particularly influential in case of inhibiting unhealthy food intake rather than promoting healthy food intake.

Eat me if you can: cognitive mechanisms underlying the distance effect

Proximal objects provide affordances that activate the motor information involved in interacting with the objects. This effect has previously been shown for artifacts but not for natural objects, such as food. This study examined whether the sight of proximal food, compared to distant food activates eating-related information. In two experiments reaction times to verbal labels following the sight of proximal and distant objects (food and toys) were measured. Verbal labels included function words that were compatible with one object category (eating and playing) and observation words compatible with both object categories. The sight of food was expected to activate eating-related information when presented at proximity but not at distance, as reflected by faster reaction times to proximal than distant compatible eating words and no difference between reaction times to proximal and distant food for observation words (Experiment 1). Experiment 2 additionally compared the reaction times to wrapped and unwrapped food. The distance effect was expected to occur only for unwrapped food because only unwrapped food is readily edible. As expected, Experiment 1 and 2 revealed faster responses to compatible eating words at proximity than at distance. In Experiment 2 this distance effect occurred only for readily edible, unwrapped food but not for wrapped food. For observation words no difference in response times between the distances was found. These findings suggest that the sight of proximal food activates eating-related information, which could explain people’s differential behavioral responses to reachable versus distant food. The activation of eating-related information upon sight of accessible food could provide a cognition-based explanation for mindless eating.

“Because I Am Worth It”

Self-regulation failure is often explained as being overwhelmed by impulse. The present article proposes a novel pathway, presenting a theoretical framework and empirical review of a justification-based account of self-regulation failure. With justification we refer to making excuses for one’s discrepant behavior, so that when experiencing a self-regulation dilemma between immediate impulses and long-term intentions, people resolve the conflict by developing and employing justifications that allow violations of the goal they endorse. Accordingly, rather than inhibiting motivations from the impulsive system, the reflective system can also facilitate them, leading to self-regulation failure. We bring together empirical evidence from various domains demonstrating that justifications can instigate self-regulation failure and rule out alternative accounts. Having established that justification processes contribute to self-regulation failure, we then propose several mechanisms that may fuel the effect. Finally, routes for future research and the conceptual and practical implications of these novel insights for self-regulation are discussed.

Are Self-Management Interventions Suitable for All? Comparing Obese Versus Nonobese Type 2 Diabetes Patients

Objective. The aim of the current study was to compare obese and nonobese type 2 diabetes patients at baseline and after participating in an existing self-management intervention (i.e., Beyond Good Intentions) on cognitive, self-care, and behavioral measures to examine whether both groups are equally prepared and able to adopt self-management approaches. Methods. A total of 94 type 2 diabetes patients were included, of whom 64 (59% male) completed the study. The final sample consisted of 27 obese (33% male) and 37 nonobese (78% male) patients. The intervention comprised one individual and four group sessions and aimed to improve self-management behavior by enhancing proactive coping skills (i.e., setting concrete goals, identifying barriers, coping with difficult situations, action planning, and progress evaluation). Cognitive (i.e., proactive coping, self-control, self-efficacy), self-care (i.e., adherence to lifestyle recommendations), and behavioral (i.e., diet, exercise) measures were assessed at baseline and after completing the intervention. Results. At baseline, obese patients reported to possess lower cognitive skills and lower adherence to lifestyle recommendations compared with nonobese patients. The intervention was effective in improving cognitive skills, self-care activities, as well as dietary and exercise behaviors. Improvements were equal for obese and nonobese patients. However, obese patients were more likely to drop out. Conclusions. Although obese type 2 diabetes patients were found to possess limited skills at baseline compared with nonobese patients, the self-management course proved to be equally effective for both groups.

Appearance matters: neural correlates of food choice and packaging aesthetics

Neuro-imaging holds great potential for predicting choice behavior from brain responses. In this study we used both traditional mass-univariate and state-of-the-art multivariate pattern analysis to establish which brain regions respond to preferred packages and to what extent neural activation patterns can predict realistic low-involvement consumer choices. More specifically, this was assessed in the context of package-induced binary food choices. Mass-univariate analyses showed that several regions, among which the bilateral striatum, were more strongly activated in response to preferred food packages. Food choices could be predicted with an accuracy of up to 61.2% by activation patterns in brain regions previously found to be involved in healthy food choices (superior frontal gyrus) and visual processing (middle occipital gyrus). In conclusion, this study shows that mass-univariate analysis can detect small package-induced differences in product preference and that MVPA can successfully predict realistic low-involvement consumer choices from functional MRI data.

Improving diabetes self-management by mental contrasting

Diabetes patients often fail to adhere to self-management activities, such as losing weight by exercising and dieting. The present study tested the efficacy of a minimalist intervention consisting of only the self-regulation strategy 'mental contrasting' (Oettingen, G. (2000). Expectancy effects on behavior depend on self-regulatory thought. Social Cognition, 18, 101-129) in promoting these self-management activities among a clinical sample of type 2 diabetes patients (N = 64). Half of the participants were assigned to a positive indulging condition (fantasising about positive outcomes of losing weight) and the other half of the participants were assigned to a mental contrasting condition (fantasising about positive outcomes of losing weight and then contrasting these fantasies with obstacles in the present reality). Results showed that, one month later, participants in the mental contrasting condition had improved their diabetes self-management, and in particular their dieting behaviour, by a larger extent than participants who merely indulged in the positive future. It was concluded that although more elaborate interventions may yield stronger results, adding a mental contrasting exercise to their usual care may be a highly feasible, low-cost alternative to promote diabetes self-management.

"Instant success": turning temptations into cues for goal-directed behavior

Contrary to lay intuition, counteractive control theory posits that tempting food cues can help individuals to act in accordance with their long-term dieting goal. However, studies have shown that temptations trigger goal-directed behavior only in successful but not in unsuccessful self-regulators. The aim of the present study was to test whether it is possible to create facilitated temptation-goal associations in unsuccessful dieters using implementation intentions (e.g., "If I see or smell chocolate then I will follow my goal to diet") and whether this indeed stimulates more successful self-regulation. It was found that implementation intentions linking a temptation to a dieting goal lead to self-perceived improved resistance to (Study 1) as well as reduced consumption (Study 2) of tempting snacks compared to a control condition. Moreover, Study 2 revealed that the reduced snack consumption was indeed related to facilitated temptation-goal associations in participants who had formed implementation intentions.

Breaking Habits With Implementation Intentions: A Test of Underlying Processes

Implementation intentions specifying the replacement of a habitual response with an alternative response in a critical situation can overrule habits. In three experiments the cognitive effects of such counterhabitual implementation intentions were investigated. Results showed that implementation intentions eliminated the cognitive advantage of the habitual means in the “horse race” with the alternative response. That is, in the control condition, the habitual means was more accessible than the alternative means on encountering the critical situation, but this was no longer the case when implementation intentions were formulated. However, the cognitive advantage of the habitual means was not immediately replaced by an automatic activation of the alternative means. This suggests that formulating counterhabitual implementation intentions increases individuals’ flexibility to choose which behavior to perform in the critical situation but that actual behavior will depart from their habits only to the extent that individuals have strong alternative goal intentions.

Looking cool or attaining self-rule. Different motives for autonomy and their effects on unhealthy snack purchase

Being integral to adolescent health, autonomy presumably also is related to adolescent unhealthy snacking. We distinguish two differently motivated forms of autonomy: agentic autonomy, driven by a motivation to self-regulate, and self-presentational autonomy, driven by motives of image cultivation. The present study aimed to investigate the differential associations of these two types of motivation with unhealthy snack purchase in a prospective study among 105 adolescents. Results confirmed that agentic autonomy correlated with less unhealthy snack purchase, while self-presentational autonomy correlated with increased unhealthy snack purchase in males but not in females. This supports the hypothesis that autonomy is related to adolescent unhealthy eating, but can do so in different ways.

Investing in the future--identifying participants in an educational program for middle-aged and older adults

With the aging of societies, gerontological issues have become increasingly relevant. Within health education research, however, issues related to aging remain underrepresented. It is not yet understood whether and by what means people prepare for their aging. This article seeks to identify those who invest in the future by examining the reach of the educational program 'In anticipation of the golden years'. We studied what motivated participants to enroll, and collected demographic, psychological and social network characteristics from the 158 individuals (mean age 61.5 years) who had signed up for the program. These data were compared with data from large-scale surveys of the aging population in order to examine the representativeness of program participants. The majority of participants' motives corresponded very well with the aims of the program. Comparison of demographic, psychological and social characteristics revealed that, in general, participants enjoyed greater psychological resources than in the population, while they were less advantaged with respect to their personal situation (predominantly household composition and subjective health) and social relationships. Our findings suggest that future investment in relation to aging is a well-accepted idea that appeals to individuals who exhibit a specific combination of resources and risk factors.