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If I know how to change, I will:

Investigating the mediating role of certainty

and self-efficacy theory in the relationship

between disgust and health behavior change

Ismay Schaaij

MSc Marketing Management Thesis defense

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Table of contents

Relevance

Theoretical Framework

Conceptual Model

Methodology

Results

Discussion

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Relevance

Health and well-being becoming an increasingly important topic

worldwide (Apostolidis & McLeay, 2016; Pierce et al., 2012; World Health Organization, 2019)

Emotions important factor influencing decision-making and

change (e.g., Grecucci et al., 2013; Lerner et al., 2015; Lupton, 2015)

Disgust-eliciting elements enhance fear appeals’ effectiveness

(Morales et al., 2012) → avoidance reaction

Increase understanding role of disgust in basic consumer processes

Goal of this paper: provide insights into the emotion of disgust

and its effect on behavioral change

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Theoretical Framework

Fear vs. Disgust

Different emotions

Different avoidance behaviors (Rosen & Schulkin, 1998)

State of maximum uncertainty vs. Strong sense of certainty

(Smith & Ellsworth, 1985)

Self-efficacy theory(Bandura, 1977)

Efficacy expectancies

Outcome expectancies

H1: A disgust appeal leads to an increased feeling of self-efficacy

compared to a fear appeal, thereby leading to behavioral change.

H2: The relationship between a disgust appeal and level of perceived self-efficacy is mediated by a feeling of certainty.

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Methodology

Data collected through online survey (N = 135, MAge= 28.76, SDAge

= 13.07, 67.4% female)

Introduced by worldwide increased alcohol intake due to COVID-19 pandemic

Fear (n = 63) vs. Disgust appeal (n = 72)

Measured variables

Certainty

Perceived level of self-efficacy(Sobell et al., 1996)

Behavioral change (Fishbein & Ajzen, 2010)

Outcome expectancies(Leigh & Stacey, 1993)

Morality

Manipulation check (Harmon-Jones et al., 2016)

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Results

Fear-condition elicited more disgust than disgust-condition

H1 rejected: self-efficacy is not a mediator between disgust and

behavioral change

H2 rejected: certainty is not a mediator between disgust and

self-efficacy

H3 rejected: outcome expectancies is not a mediator between

disgust and behavioral change

Significant relationships:

Disgust increases the amount of certainty (𝛽 = 0.439, t = 2.361, p = 0.020)

Certainty decreases behavioral change (𝛽 = -0.197, t = -2.210, p = 0.029)

Disgust decreases behavioral change (𝛽 = -0.415, t = -2.143, p = 0.034)

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Discussion

Disgust does not lead to behavioral change

Psychological reactance (Reynolds-Tylus, 2019)

Questioning of causality (De Hoog et al., 2007)

Self-efficacy is not a mediator

Message in appeal might be more effective (Tannenbaum et al., 2015; Witte & Allen, 2000)

Certainty is a mediator between disgust and change

In line with definition of disgust (Smith & Ellsworth, 2015)

Negative effect on change

Psychological reactance

Questioning of causality

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Limitations and Future Research

Sketched COVID-19 situation could have contributed to feeling

of psychological reactance

Exact message in label might have contributed to questioning

causality → lowered perceived susceptibility

Behavior addressed in label → future research!

Socially acceptable (Fauci et al., 2019)

Relatively young respondents

Repeated exposure to a threat is more effective(Shi & Smith, 2016)→

future research!

Threats are more effective for one-time compared to repeated behaviors (Tannenbaum et al., 2015)→ future research!

Future research! → Link between self-efficacy and disgust

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