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Smoking is the leading cause of preventable death in the United States and imposes a substantial economic cost. Despite the well-established potential harm, relapse rates remain high during quit attempts. In the realm of applied behavior analysis, functional assessment has long been recognized as a reliable method to increase effectiveness of treatments for a variety of problem behaviors. Functional assessment may aid in designating targeted treatment for smokers based on the maintaining function(s) of the behavior. The current study (N= 414) sought to assess the reliability and validity of the Functional Assessment of Smoking for Treatment Recommendations (FASTR) and provide preliminary evidence towards a hypothesized factor structure. The full FASTR included five subscales derived from the field of functional behavior assessment: 1) Automatic Positive Reinforcement, 2) Social Positive Reinforcement, 3) Automatic Negative Reinforcement, 4) Social Negative Reinforcement, and 5) Antecedent Stimuli. The full battery of subscales was found to be adequately reliable and valid, with overall sample reliability coefficients ranging from [alpha] = 0.69 to [alpha] = 0.90. Confinnatory factor analysis of the five-factor model produced acceptable fit indices (CFI = 0.908, TLI = 0.896, RMSEA = 0.059, SRMR = 0.071). A five-factor model performed favorably across several fit indices, providing preliminary validity for the FASTR. Further research should aim to replicate the observed factor structure in other samples and establish the clinical utility of the FASTR. Keywords Cigarette use * Functional assessment * Behavior analysis * Smoking cessation, Introduction Tobacco use is the leading cause of preventable death in the United States and accounts for more than 6 million deaths worldwide every year (World Health Organization, 2018). The [...]

Background: People living in rural areas often experience limited access to health resources, slow knowledge diffusion, and geographical isolation, and tend to be at higher risk for poor physical and mental health outcomes compared with nonrural populations. It is unclear, yet, how the concept of "rural" shapes observed differences from nonrural populations. We aim to develop a psychometrically sound scale to assess key dimensions that constitute individual‐level perceived rurality. Methods: We first conducted a broad literature review to identify a priori concepts related to rurality and adapted survey items measuring relevant constructs, such as loneliness, attitudes toward people living in rural areas, and perceived social membership. We used these conceptual constructs and measures to develop a survey questionnaire focused on rural perceptions. We recruit residents in 3 rural states: Kentucky, New Hampshire, and Vermont. Using the explorative factor analysis and second‐order measurement model in the structural equation model framework, we developed a rural perception scale consisting of 18 items. Results: We recruited 1,384 participants (n = 686 from KY; n = 698 from NH/VT) using Amazon Mechanical Turk (n = 897, 64.8%) and social media paid ads (n = 487, 35.2%). The average age of participants was 41 years old (SD = 15); 54.7% of respondents had less than college graduate education, and 94.2% reported their race as non‐Hispanic White. Majority of the participants were from Rural Urban Commuting Area (RUCA)‐designated urban areas (n = 798, 57.7%), followed by RUCA‐designated large rural areas (257, 18.6%), RUCA‐designated rural areas (n = 174, 12.6%) and RUCA‐designated isolated areas (n = 133, 9.6%). Our final model revealed 4 latent constructs: "belonging" (Cronbach's α = 0.896), "attitudes toward rural life" (Cronbach's α = 0.807), "loneliness" (Cronbach's α = 0.898), and "community social ties to people in their community" (Cronbach's α = 0.846). Conclusions: We identified 4 subfactors of the umbrella concept of rurality that explain how people in rural regions may perceive being in rural environments and having rural lifestyles. [ABSTRACT FROM AUTHOR]

Maternal smoking is associated with a host of negative health outcomes, including an increased risk of children developing attention-deficit/hyperactivity disorder (ADHD). This study evaluated the efficacy of health messages disseminated through Facebook Ads focused on reducing tobacco smoke exposure during pregnancy. Two message versions were promoted via post advertisements on Facebook—a static infographic and a video containing an animated version of the infographic. The reach of and engagement with each message version was evaluated. Comments made to the posts were assessed using content analysis. The infographic reached approximately 60,000 people and the video reached about 16,000 people. The average costs were $10.00 and $40.00 per 1,000 people reached for the infographic- and video-based posts, respectively. While there was no engagement with the video, the infographic was liked (n = 157), given alternative likes (n = 59), shared (n = 171 to 341), and commented on (n = 221). About one-quarter of comments contained a personal narrative and mentions of health history related to ADHD and/or smoking. Comments were more often negative (than positive) (16.6% vs 3.9%) and expressed skepticism more often than message acceptance (21.5% vs 12.2%). Facebook users were more responsive to the infographic (compared to the video) and static posts were a preferred channel (i.e. higher engagement at a lower cost) to disseminate messages when using the boost post feature on Facebook for health education. Our review of the comments provided insights into message acceptance and guidance for future social media-based health message campaigns. However, it is not known whether and if so, how, these findings on message exposure would correlate with behavioral intentions or changes in behavior, such as intentions to quit smoking or smoking cessation. [ABSTRACT FROM AUTHOR]

Self-regulation is studied across various disciplines, including personality, social, cognitive, health, developmental, and clinical psychology; psychiatry; neuroscience; medicine; pharmacology; and economics. Widespread interest in self-regulation has led to confusion regarding both the constructs within the nomological network of self-regulation and the measures used to assess these constructs. To facilitate the integration of cross-disciplinary measures of self-regulation, we estimated product-moment and distance correlations among 60 cross-disciplinary measures of self-regulation (23 self-report surveys, 37 cognitive tasks) and measures of health and substance use based on 522 participants. The correlations showed substantial variability, though the surveys demonstrated greater convergent validity than did the cognitive tasks. Variables derived from the surveys only weakly correlated with variables derived from the cognitive tasks (M =.049, range =.000 to.271 for the absolute value of the product-moment correlation; M =.085, range =.028 to.241 for the distance correlation), thus challenging the notion that these surveys and cognitive tasks measure the same construct. We conclude by outlining several potential uses for this publicly available database of correlations. [ABSTRACT FROM AUTHOR]

Advertorials—advertisements camouflaged as editorial material—are a pervasive advertising strategy. Presentational features of advertorials, such as a small or omitted advertisement label and useful information presented in an editorial format prior to promoting a product, are likely to give impressions to readers that the reading material is a useful resource rather than advertising material. We examined the cognitive and persuasive effects of health product–related advertorials based on a schema-laden information processing model framework. Study 1 (n = 337) found that advertorials were less likely to trigger advertising schema, especially consumer awareness of persuasive intent. Study 2 (n = 336) found that the structure presenting useful information before advertising a related product decreased consumer skepticism. Overall, readers exhibited more positive attitudes toward advertorials than they did toward traditional advertisements due to decreased awareness of persuasive intent (Study 1) and advertorials’ structure (Study 2), which, in turn, increased willingness to purchase advertised products. [ABSTRACT FROM AUTHOR]