SOCIETY <strong>of</strong> BEHAVIORAL MEDICINE Rapid Communications Posters Friday, March 23, <strong>2007</strong> • 6:30 PM-8:00 PM • Poster Session C overweight groups but positive in obese; the attitudes to HCS were positive in the healthy-weight and overweight groups but negative in obese; all groups showed negative implicit attitudes to LC foods. The ANOVA performed on explicit ratings revealed a significant effect <strong>of</strong> food type (F(3,213)=22.54, p
<strong>2007</strong> SBM Annual Meeting & Scientific Sessions March 21-24, <strong>2007</strong> FINAL PROGRAM Rapid Communications Posters Friday, March 23, <strong>2007</strong> • 6:30 PM-8:00 PM • Poster Session C Prenatal genetic counseling aims to help clients make informed choices about invasive testing. An informed choice can be defined as understanding relevant information and choosing a course <strong>of</strong> action consistent with one’s attitudes that results in minimal decisional conflict or regret. The goals <strong>of</strong> this study were to determine the role <strong>of</strong> attitudes and ambivalence in decisions about invasive prenatal testing and what their role predicts about interventions aimed at enhancing informed choices about testing. It was modeled on the theory <strong>of</strong> planned behavior and measured attitudes, ambivalence, social norms, and intentions before and immediately following genetic counseling. Follow-up assessments 3-4 weeks later include test choice and decisional conflict as outcome measures. 154 women who were seen for prenatal genetic counseling in five different clinical settings around the US completed the first two assessments. For an initial analysis intentions was used as an outcome measure. The mean attitude score at baseline was 19.9/36 (demonstrating slightly negative attitudes toward undergoing invasive testing). After counseling it was 17.4/36, slightly positive (p=0.00). Ambivalence was 2.6/9 prior to counseling and remained at 2.5/9 following counseling. Intentions became more positive (p=0.00) following counseling, going from 6.1/12 to 6.3/12. Attitudes and ambivalence were correlated with intentions and predict 68% <strong>of</strong> the variance. When the interaction between these variables was added to the regression model, the variables accounted for 70.8% <strong>of</strong> the variance. Attitudes were a strong predictor <strong>of</strong> prenatal testing decisions and ambivalence moderated the relationship between attitudes and intentions, reducing the likelihood <strong>of</strong> making informed choices. Thus, interventions aimed at reducing ambivalence should enhance informed choices about testing. CORRESPONDING AUTHOR: Barbara B. Biesecker, MS, PhD Candidate, Social and <strong>Behavioral</strong> Research Institute, National Institutes <strong>of</strong> Health, Bethesda, MD, 20892-0249; barbarab@mail. nih.gov 3491 CARDIOVASCULAR DISEASE RISK, THEORY OF PLANNED BEHAVIOR, AND EXERCISE AMONG T2DM PATIENTS Todd A. Doyle, BS, 1 Mary de Groot, PhD, 1 Jennifer Merrill, BA, 1 Erin Hockman, MS 1 and William Klein, PhD 2 1 Psychology, Ohio University, Athens, OH and 2 Psychology, University <strong>of</strong> Pittsburgh, Pittsburgh, PA. Patients with type 2 diabetes (T2DM) are at increased risk for cardiovascular disease (CVD). Despite the substantial evidence showing the heart health benefits <strong>of</strong> long-term exercise for persons with T2DM, it is <strong>of</strong>ten an underutilized form <strong>of</strong> treatment. Little is known about T2DM patients’ estimation <strong>of</strong> CVD risk and its association with exercise. This study investigated CVD risk perception and the theory <strong>of</strong> planned behavior (TBP) as predictors <strong>of</strong> exercise among T2DM patients. The sample consisted <strong>of</strong> 126 T2DM patients who were 68% female, 70% White, mean age <strong>of</strong> 56±12 yrs, and mean BMI 33±8. Oral hypoglycemic agents were the modal T2DM treatment (66%; insulin 7%; diet only 13%; combination therapy 11%). Patients reported a mean total score <strong>of</strong> 3.5±2.9 metabolic equivalents/day <strong>of</strong> exercise during the previous week. 31% <strong>of</strong> patients reported no regular exercise and 58% <strong>of</strong> patients reported they did not receive exercise recommendations at every physician visit. Standard multiple regression was used to examine the significant predictors <strong>of</strong> exercise. Age, BMI, education, gender, CVD risk and TBP components were entered into the model simultaneously, F (12, 71) = 4.04, p
Change language