Does planning how to cope with anticipated barriers facilitate health-related behaviour change? A systematic review

Briefly review the current state of theorizing about volitional behaviour change and identification of challenges and possible solutions for future theory development. Review of the literature and theoretical analysis. Reasoned action theories have made limited contributions to the science of behaviour change as they do not propose means of changing cognitions or account for existing effective behaviour change techniques. Changing beliefs does not guarantee behaviour change. The implementation intentions (IMPs) approach to planning has advanced theorizing but the applications to health behaviours often divert substantially from the IMPs paradigm with regard to interventions, effects, mediators and moderators. Better construct definitions and differentiations are needed to make further progress in integrating theory and understanding behaviour change. Further progress in theorizing can be achieved by (a) disentangling planning constructs to study their independent and joint effects on behaviour, (b) progressing research on moderators and mediators of planning effects outside the laboratory and (c) integrating planning processes within learning theory and self-regulation theory.

This study concerns the implications of Peter Gollwitzer's concept of implementation intentions for Icek Ajzen's theory of planned behavior. Attitude, subjective norm, perceived behavioral control, and intentions were assessed before an intervention that required subjects to make implementation intentions concerning when and where they would perform breast self-examination during the next month. Behavior was assessed by self-report 1 month later. Results supported Gollwitzer's contention that goal intentions that have been supplemented by implementation intentions concerning where and when the behavior is to be performed are more likely to be enacted. Evidence suggested that implementation intentions were effective because they provided a mechanism that facilitated the retrieval of intentions in memory. Implementation intentions also reduced the capacity of past behavior to predict future behavior, suggesting that implementation intentions mimic the effect of habit in human action. Implications for applications of models of attitude-behavior relations are outlined.

Forming an implementation intention or "if-then plan" promotes the attainment of different types of goals (Gollwitzer, 1999; Gollwitzer & Sheeran, 2006). So far, research on implementation intentions has focused on the initiation of goal striving, whereas the issue of shielding of ongoing goal striving has been largely neglected. In two field experiments concerned with dieting (Study 1) and athletic goals (Study 2), goal shielding was supported by implementation intentions geared at controlling potentially interfering inner states (i.e., cravings for junk food in Study 1, and disruptive thoughts, feelings, and physiological states in Study 2). In both experiments, forming if-then plans enhanced the rate of goal attainment. Thus, implementation intention formation can be used to promote the realization of desired outcomes not only by facilitating getting started with goal striving but also by preventing goal striving from straying off course.