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Application of Behavior Change Theory to the Development

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Table 8<br />

McBride & Peck, 1970: Low Threat/Low Intimacy Letter<br />

28<br />

BEHAVIOR CHANGE THEORY<br />

Design Characteristics Score General stage Score Early stage Score Late stage Score<br />

Participation rate 70% 4 Systematic feedback 3 Consciousness raising 2 Stimulus control 0<br />

No-treatment control 4 Personal<br />

responsibility<br />

Random assignment 4 Direct advice 3 Environmental<br />

reevaluation<br />

Similar subject<br />

characteristics<br />

Blinded <strong>to</strong> random<br />

schedule<br />

Temporality 4 Streng<strong>the</strong>n selfefficacy<br />

3 Dramatic relief 2 Helping relationships 0<br />

2 Counter conditioning 0<br />

0 Choice <strong>of</strong> strategy 3 Social liberation 0 Contingency<br />

management<br />

0 Express empathy 3 Self reevaluation 0 Self liberation 0<br />

3<br />

Total 16 18 6 0<br />

The low threat/low intimacy letter made good use <strong>of</strong> three early stage strategies.<br />

Consciousness-raising melded with systematic feedback <strong>to</strong> increase <strong>the</strong> subject’s anxiety<br />

about <strong>the</strong> possible consequences <strong>of</strong> negligent driving. However, <strong>the</strong>se apprehensions<br />

were allowed <strong>to</strong> subside (dramatic relief) through a technique that reinforced <strong>the</strong><br />

subject’s power <strong>to</strong> control <strong>the</strong> situation through future driving behaviors. Finally, <strong>the</strong><br />

warning letter employed an environmental reevaluation technique when it<br />

reinterpreted <strong>the</strong> driving record in terms <strong>of</strong> elevated risk <strong>to</strong> self, loved ones, and<br />

innocent o<strong>the</strong>rs.<br />

Taken as a whole, <strong>the</strong> ANOVA summary for violations during <strong>the</strong> five-months<br />

subsequent <strong>to</strong> reinforcement found that <strong>the</strong> treatment by intimacy interaction was<br />

significant (F = 10.48, p < 0.001), indicating that an interaction not evident in <strong>the</strong> first 7<br />

months emerged in <strong>the</strong> last 5 months and is unrelated <strong>to</strong> reinforcement. This appears <strong>to</strong><br />

indicate that some enduring quality <strong>of</strong> <strong>the</strong> treatment and/or <strong>the</strong> intimacy dimensions<br />

interacts with time <strong>to</strong> exert a positive effect long after treatment.<br />

Meanwhile, <strong>the</strong> ANOVA summary for accidents during <strong>the</strong> seven-months post<br />

treatment indicated a significant threat dimension effect (F = 3.05, p < 0.10) with low<br />

threat treatments producing significantly more accident reductions than high threat<br />

treatments.<br />

In addition, <strong>the</strong> ANOVA summary for accidents during <strong>the</strong> five-months subsequent <strong>to</strong><br />

reinforcement found that <strong>the</strong> reinforcement by threat (F = 3.20, p < 0.10) and<br />

reinforcement by intimacy by threat (F = 3.61, p < 0.10) interactions were significant.<br />

These results indicate that <strong>the</strong> reinforcement effect is significantly larger when<br />

accompanied by low threat and/or high intimacy treatments.<br />

0

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