From intentions via planning and behavior to physical exercise habits

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Psychology of Sport and Exercise 14 (2013) 632e639

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Psychology of Sport and Exercise


journal homepage: www.elsevier.com/locate/psychsport

From intentions via planning and behavior to physical exercise habits


Lena Fleig a, *, Sarah Pomp a, Linda Parschau a, Milena Barz a, b, Daniela Lange a,
Ralf Schwarzer a, c, Sonia Lippke d
a
Freie Universität Berlin, Germany
b
International Max Planck Research School ‘The Life Course: Evolutionary and Ontogenetic Dynamics’ (LIFE), Germany
c
University of Social Sciences and Humanities, Wroclaw, Poland
d
Jacobs University Bremen, Jacobs Center on Lifelong Learning and Institutional Development, Germany

a r t i c l e i n f o a b s t r a c t

Article history: Objectives: Individuals who enact a health behavior effortlessly with minimal conscious deliberation can
Received 6 June 2012 be assumed to have formed a healthy habit. This can be reflected by increases in self-reported habit
Received in revised form strength of a behavior. We examined whether physical exercise intentions facilitate changes in exercise
27 February 2013
habit strength by increasing the use of action planning and exercise.
Accepted 9 March 2013
Design: Two field studies investigated the effect of behavioral intentions on changes in habit strength
Available online 19 March 2013
through a sequential path from action planning to exercise.
Method: Exercise intentions, action planning, habit strength, and exercise were assessed at two mea-
Keywords:
Exercise habit strength
surement points in time in 231 university students (Study 1), and at four points in time in 134 reha-
Intentions bilitation patients (Study 2).
Planning Results: In multiple-step mediation models in both samples, there were indirect effects of intentions on
Physical exercise habit strength through action planning and behavior.
Conclusion: Action planning and behavior operated as sequential mediators to bridge the gap between
intentions and habit strength. Exercise habit strength may increase as a result of conscious action
planning and frequent behavior enactment. Including these constructs jointly into behavior change
models may improve the understanding of the mechanisms involved in behavior maintenance.
Ó 2013 Elsevier Ltd. All rights reserved.

For most individuals, many daily behaviors such as brushing one’s can promote an increase in exercise habit strength in the context of a
teeth, using a seat-belt, or washing one’s hands, have become primary prevention as well as in a secondary prevention setting.
routinized to the point that they are being performed with little
conscious effort (Ajzen, 2002). Complex health behaviors, such as From reflective to habitual behavior regulation
physical exercise, can become a habit, even though they are initially
guided by intentions and deliberate self-regulation (Lally, van Habits are understood as behaviors that have acquired a high
Jaarsveld, Potts, & Wardle, 2010; Rhodes, De Bruijn, & Matheson, degree of automaticity (Bargh, 1994). In other words, behaviors that
2010). Positive changes in habit strength are a desired goal for have acquired a high level of habit strength are enacted with little
many behavior change interventions (Lally & Gardner, 2011), because conscious deliberation and need for self-regulation (Verplanken &
once a behavior has become habitual, risk of relapse might be Melkevik, 2008; Wood & Neal, 2007; i.e., habitual behavior regula-
reduced, and maintenance of the behavior ensured (Rothman, tion). Before reaching such a “state of effortlessness”, however, in-
Sheeran, & Wood, 2009; Verplanken & Wood, 2006). To contribute dividuals have to form an intention (Ajzen, 2002) and make
to the design of theory- and evidence-based health behavior in- continuous use of conscious self-regulatory strategies such as action
terventions, we investigated how conscious self-regulatory strategies planning (Lally & Gardner, 2011; i.e., reflective behavior regulation).

Intentions, action planning, and behavior


* Corresponding author. Freie Universität Berlin, Health Psychology, Habelsch-
werdter Allee 45 (PF 10), 14195 Berlin, Germany. Even if people hold strong intentions to act, they often do not
E-mail addresses: lena.fleig@fu-berlin.de (L. Fleig), sarah.pomp@fu-berlin.de
(S. Pomp), linda.parschau@fu-berlin.de (L. Parschau), milena.barz@fu-berlin.de
translate them into behavior (Sheeran, 2002). They forget their
(M. Barz), daniela.lange@fu-berlin.de (D. Lange), ralf.schwarzer@fu-berlin.de intentions or may be distracted by other tasks when they encounter
(R. Schwarzer), s.lippke@jacobs-university.de (S. Lippke). an opportunity to enact the desired behavior. Behavior initiation

1469-0292/$ e see front matter Ó 2013 Elsevier Ltd. All rights reserved.
http://dx.doi.org/10.1016/j.psychsport.2013.03.006
L. Fleig et al. / Psychology of Sport and Exercise 14 (2013) 632e639 633

becomes more likely when individuals support their intentions et al., 2012; Lally et al., 2010). Reversely, the distribution of inten-
with action plans (Leventhal, Singer, & Jones, 1965; Sniehotta, tioneexercise profiles can be predicted by different levels of habit
Schwarzer, Scholz, & Schüz, 2005). Action planning refers to a strength (de Bruijn, 2011). In their experimental study, Orbell and
deliberate, prospective self-regulatory strategy, in which people Verplanken (2010) revealed that only those individuals who plan-
mentally link behavioral responses with specific situations ned where and when to floss their teeth reported higher levels of
(Sheeran & Orbell, 1999). An example of an action plan supporting behavior and habit strength at short-term follow-up. Besides
the intention of more frequent exercise would be: “when I come forming action plans, previous research identified strong intentions
home from work on Monday, I will go for a walk in the park.” Upon (Orbell & Verplanken, 2010; Study 3) as well as positive attitudes
encountering the situational cues specified by the plan (i.e., time, (Judah et al., 2012) as being beneficial for habit formation. However,
location), the intended behavior is assumed to become more likely, when predicting follow-up dental flossing habit, Orbell and
as a smaller amount of conscious effort is required for the initiation Verplanken (2010) as well as Judah et al. (2012) did not account
of the behavior (Webb & Sheeran, 2007). Consequently, the inten- for baseline habit strength. Furthermore, it remains unanswered by
ded behavior should be performed more often. previous research whether changes in habit strength can be
There is ample empirical support that action planning promotes attributed to changes in actual use of action planning in everyday
exercise, particularly among the patients engaged in rehabilitation life (rather than action plans as induced by an experimental
programs (Bélanger-Gravel, Godin, & Amireault, 2011). In line with manipulation) and subsequent increases in behavior. With the
prominent models of health behavior, such as the health action present study we aim to add evidence to this research question by
process approach (HAPA; Schwarzer, 2008; Schwarzer, Lippke, & looking at short- and long-term longitudinal associations between
Luszczynska, 2011), or the extended theory of planned behavior intentions, use of spontaneous planning, exercise, and changes in
(TPB; Sniehotta, Gorski, & Araújo-Soares, 2010), observational field exercise habit strength in university students and medical reha-
studies in primary (Conner, Sandberg, & Norman, 2011; Koring et al., bilitation patients.
2011) and secondary prevention settings (Lippke, Ziegelmann, &
Schwarzer, 2004; Reuter, Ziegelmann, Lippke, & Schwarzer, 2009; Aims of the two studies in university students and
Sniehotta, Scholz, & Schwarzer, 2005) provide consistent support rehabilitation patients
that the use of action planning not only predicts exercise, but also
bridges the gap between intentions and exercise. Based on the health action process approach (Schwarzer, 2008;
In terms of interventions, previous field studies on the working Schwarzer et al., 2011), the extended theory of planned behavior
mechanisms of planning trials have revealed that generating action (Sniehotta et al., 2010) and the habit formation framework sug-
plans promotes the use of action planning in everyday life, and gested by Lally and Gardner (2011), we therefore examined
thereby supports subsequent repeated exercise engagement (Lippke, whether increases in exercise habit strength rely on two processes
Schwarzer, Ziegelmann, Scholz, & Schüz, 2010; Luszczynska, 2006; that may operate in a sequential manner. In particular, we hy-
Wiedemann, Lippke, Reuter, Ziegelmann, & Schwarzer, 2011). pothesized that intentions (a) facilitate the use of action planning
(b), which in turn, promotes exercise (c). As a result, habit strength
Predicting increases in habit strength: intentions, planning, and of a behavior should progressively increase (d) (see Fig. 1). In two
behavior repetition observational studies, we aimed to test the effects of intentions on
exercise habit strength through action planning and exercise, via
As a result of repetition, behavior enactment requires less multiple-step mediation analyses. In a university student sample
conscious resources and becomes rather automated (Aarts, (Study 1), we examined whether intentions are translated into
Paulussen, & Schalma, 1997; Gardner, de Bruijn, & Lally, 2011; exercise habits via a sequential path from action planning to
Judah, Gardner, & Aunger, 2012; Lally et al., 2010). According to dual frequent behavior enactment. Among medical rehabilitation pa-
process theories (e.g., reflective impulsive model, Strack & Deutsch, tients (Study 2), we investigated whether the effect of initial ex-
2004), a behavior can be subject to the influence of reflective and ercise intentions on long-term changes in exercise habit strength
habitual processes that may change over the course of time may be explained by a sequence from changes in action planning to
(Dombrowski & Luszczynska, 2009; Marteau, Hollands, & Fletcher, changes in behavior.
2012; Rothman et al., 2009): First, if a behavior is newly adopted, it
Study 1. How intentions facilitate changes in exercise habit
must be regulated very actively. Second, if a behavior is performed
strength: A field study in university students.
repeatedly, then its execution becomes gradually automated and
conscious self-regulation becomes less important (i.e., habitual
mode; Aarts et al., 1997; Lally & Gardner, 2011; Neal, Wood, & Method
Quinn, 2006; Verplanken & Melkevik, 2008). This gradual shift in
the “quality” of behavior engagement can be reflected by an increase Participants and procedure
in the habit strength of a behavior (Verplanken & Melkevik, 2008).
For example, if a person e as a result of action plans e repeatedly German university students were approached during courses,
goes for a run in the gym on Sundays after lunch, his or her behavior and were invited to take part in a combined paperepencil and
becomes closely tied to these contextual cues (i.e., time, location). online survey. At baseline (Time 1; T1), 529 students first provided
Consequently, behavior enactment may gradually fall under the informed consent, and then filled in the questionnaire assessing
control of contextual cues rather than conscious intention formation exercise, social-cognitive and socio-demographic variables. To
and self-regulation (Verplanken & Melkevik, 2008; Wood & Neal, analyze changes in exercise habit strength, we excluded those re-
2007). Increases in the habit strength of that behavior should be habilitants who already reported very high levels at baseline (i.e.,
observable. Essentially then, intentions may facilitate changes in mean score above 4 on the habit strength measure; n ¼ 144). Only
exercise habit strength by increasing the use of action planning, individuals with weak or moderate habits remained in the sample.
which promotes the repetition of behavior. The follow-up assessment (Time 2; T2) took place two weeks
Previous field studies support the notion that increases in habit later in the same courses with 231 participants (60% of initial
strength can be promoted by forming action plans and by consis- sample). The mean age of this longitudinal sample was 24.88 years
tent behavior repetition (Orbell & Verplanken, 2010; Study 3; Judah (SD ¼ 6.4; range 17e46 years), and it consisted mainly of women
634 L. Fleig et al. / Psychology of Sport and Exercise 14 (2013) 632e639

Fig. 1. Theoretical framework of habit formation: Intentions (a, independent variable) facilitate increases in exercise habit strength (d, dependent variable) via a sequential path
from (b, mediator 1) action planning to (c, mediator 2) behavior.

(82.3%). Of all participants, 42.4% were living with a partner. The Statistical analyses
majority of the longitudinal sample (89.7%) reported having at least
a high school degree. Participants were rewarded with credit points All analyses were performed with SPSS 20. Action planning and
for their course upon completion of all three assessments. Attrition exercise were specified as sequential mediators of the effect of in-
analyses indicated that with regard to physical exercise, social- tentions on habit strength in a multiple-step mediation model
cognitive and socio-demographic variables (all ps > .05), those (Hayes, Preacher, & Myers, 2010). Within a three-step mediation
who continued study participation did not differ from those who model, a dependent variable is regressed on an independent vari-
dropped out. Ethical approval was granted by the internal review able via a chain of two sequential mediators. For all calculations,
board. variables were standardized. Estimates of path coefficients were
calculated by using Ordinary Least Squares regressions. 95% confi-
Measures dence intervals were estimated applying the bootstrapping
approach. Gender, marital status, and baseline habit strength were
Unless otherwise stated, response formats were six-point Likert included as covariates. Missing data (<5% on all variables) were
scales, ranging from “totally disagree” (1) to “totally agree” (6). Item imputed using the Expectation Maximization (EM) algorithm.
examples provided below are translated from German. At the
beginning of each questionnaire, individuals were informed that Results
the following questions relate to exercise activities in which they a)
engage outside of work duties (at work or at home), and b) that are Descriptive statistics
intended, and c) are at least of moderate intensity.
Self-reported physical exercise was measured at T1, with an Means, standard deviations, and intercorrelations of all model
adapted version of the International Physical Activity Questionnaire variables are displayed in Table 1. Behavioral intentions, action
(IPAQ; Craig et al., 2003): participants indicated on how many days planning, and exercise were significantly associated with habit
per week they had performed moderate and vigorous physical strength at T2.
exercise in their leisure time, and for how long they exercised on
average per day. Multiplying frequency and average duration Multiple-step mediation analyses
resulted in the amount of time spent on exercise per week. The
distribution was slightly positively skewed. Behavioral intentions T1 were associated with action planning T1
Behavioral intentions to perform physical exercise in the next and exercise T1 (see Fig. 2). Habit strength T2 was predicted by the
two weeks were measured at T1 with an assessment analogous to action planning T1, behavior T1 as well as by intentions T1 (see
that of exercise behavior: participants indicated how often per Fig. 2). After controlling for action planning and exercise, the relation
week and for how long they intended to perform moderate and between intentions and exercise habit strength was reduced to
vigorous leisure exercise (Koring et al., 2011). Multiplying intended b ¼ .01. The specific indirect effect of intentions through action
frequency and intended duration computed an average amount of planning, and exercise on habit strength equaled b ¼ .02
intended time in exercise activities per week (correlation of the two (CIBCA ¼ .002e.035). The specific indirect effect of intentions through
items r ¼ .12). action planning on habit strength was b ¼ .043 (CIBCA ¼ .010 to
Action Planning (Lippke et al., 2004) was assessed at T1 with four .061). The specific indirect effect of intentions through exercise on
items addressing when, where, and how to be active. The items habit strength revealed b ¼ .25 (CIBCA ¼ .181e.362). The multiple
were worded: “for the next two weeks, I have already planned.” mediator model accounted for 47% of the variance in T2 exercise
(1) “.which type of physical exercise I will perform”, (2) “.where habit strength. Among all covariates, only T1 habit strength
I will be physically active,” (3) “.on which days of the week I will (p ¼ .001) was associated with T2 habit strength. Marital status
be physically active”, and (4) “.for how long I will be physically
Table 1
active” (Cronbach’s a ¼ .91). Means (M), standard deviations (SD), and intercorrelations for intentions, Action
Exercise habit strength was assessed at T1 and T2 with four items planning, exercise Habit strength, and physical exercise in N ¼ 231 students
adapted from Verplanken and Orbell (2003). Participants were (Study 1).
asked to think about the past two weeks and their previous levels of 1 2 3 4 M SD Range
physical exercise. The items were worded: “being as physically
1. Intentions T11 90.27 97.21 0e900
active as I have been during the last two weeks is something” (a) 2. Action planning T1 .34** 3.96 1.41 1e6
“. I do without thinking about,” (b) “. I do automatically,” (c) 3. Physical exercise T12 .61** .32** 60.53 91.83 0e600
“.that belongs to my daily routines,” (d) “. I would miss if I did 4. Exercise habit strength T2 .46* .33** .62** 2.54 1.61 1e6
not do it.” Answers were given on a six-point Likert scale with the 5. Exercise habit strength T1 .52** .36** .45** .53** 2.11 1.46 1e4

anchors “not at all” (1) to “very much” (6) (Cronbach’s a ¼ .79). Note. *p < .05; **p < .01; 1,2
in minutes per week.
L. Fleig et al. / Psychology of Sport and Exercise 14 (2013) 632e639 635

Fig. 2. Multiple step mediation model in N ¼ 231 university students. Note. *p < .05; **p < .01. Further control variables were gender, age, and marital status.

(p ¼ .07), age (p ¼ .36), and gender (p ¼ .94) were not associated with cardiac rehabilitation clinic. All individuals participated in the
T2 habit strength. regular clinic program that comprised a complex regimen of
medical, physiotherapeutic, and psychological therapies with an
Discussion of Study 1 average duration of 18 days (SD ¼ 5.7). At the onset (T1) and at the
end of rehabilitation (T2), patients were asked to fill out a
This study tested the underlying theory of the mediation process computer-based questionnaire. A total of 419 patients agreed to
between intentions and changes in exercise habit strength in a participate and provided informed consent (n ¼ 121 cardiac and
university field setting. We investigated whether the translation of n ¼ 298 orthopedic patients). To analyze changes in exercise habit
intentions into changes in exercise habit strength was facilitated by strength, we excluded those rehabilitants who already reported
action planning and frequent behavior enactment. By applying a very high levels at baseline (i.e., mean score above 4 on the habit
multiple-step mediation model, we tested whether both variables strength measure; n ¼ 135). Only individuals with weak or mod-
may operate in a stepwise manner (see Fig. 2). Results supported erate habits remained in the sample. Of the remaining n ¼ 284
the hypothesized relationships. Evidence is provided that action participants, n ¼ 232 completed the second questionnaire at the
planning (mediator 1) is associated with leisure time physical ex- end of rehabilitation. The second follow-up assessment (T3) took
ercise (mediator 2; e.g., Koring et al., 2011). However, as both me- place six weeks after discharge via Computer-Assisted Telephone
diators were measured at the same point in time, final conclusions Interviews with n ¼ 212 patients. Twelve months after discharge
about their sequential order cannot yet be drawn. To allow for the (T4), n ¼ 134 patients filled out a paperepencil questionnaire.
temporally correct specification of intentions, action planning, ex- The mean age of the longitudinal sample was 48.4 years
ercise, and habit strength, however, all model variables should be (SD ¼ 10.1; range 20e76 years), and the sample consisted of slightly
measured at different points in time. Thus, a further study was more women (54.1%) than men. Of all participants, 75.8% were
necessary to apply a longitudinal study design with four mea- living with a partner. Two thirds of the entire sample (63.3%) re-
surement points in time, using change scores. As in previous ported having a high school degree, and 73.3% were employed.
research investigating the underlying processes of habit formation Drop-out analyses indicated that patients who continued study
(Aarts & Dijksterhuis, 2000; Lally et al., 2010; Orbell & Verplanken, participation were more likely to be employed than those who did
2010), Study 1 was conducted in a university setting with rather not (p ¼ .03) and slightly older (M ¼ 50.3, SD ¼ 8.7) than those who
young participants. To further generalize findings beyond student dropped out (M ¼ 46.7, SD ¼ 6.1) Aside from that, no other differ-
samples, Study 2 aimed at replicating the findings in a secondary ences were found with regard to exercise, social-cognitive and
prevention context among medical rehabilitation patients. socio-demographic variables (all p > .05). Ethical approval was
granted by the Ethics Commission of the German Association of
Study 2. Predicting changes in exercise habit strength after
Psychology (DGPs).
medical rehabilitation.
The approach of Study 2 was similar to that of Study 1, aiming at
Measures
replicating the findings with four instead of two measurement
points in time, and in a more diverse sample. The main difference to
Item examples given below are translated from German.
Study 1 lies in the research context, because participants were
Self-reported physical exercise was measured at T1 and T3, with
much older, and they were recovering from serious illness or injury
a modified version of the Godin Leisure-Time Exercise Question-
after medical rehabilitation treatment. Moreover, whereas Study 1
naire (Godin & Shephard, 1985; Plotnikoff et al., 2007). Participants
investigated static relationships, Study 2 employed a path model
indicated how often per week and how long per session they per-
with change scores.
formed strenuous physical exercise (fast heart rate, sweating) and
moderate physical exercise (hardly exhausting, light sweating).
Method Only activities outside of work duties and voluntary activities of at
least moderate intensity were addressed. Total physical exercise
Participants and procedure was the total number of sessions per week, multiplied by minutes
per session (correlation of the two exercise scores r ¼ .12).
Participants were recruited at two orthopedic rehabilitation Behavioral intentions to perform physical exercise were assessed
centers (one inpatient and one outpatient), and one inpatient at T1 by two items, as suggested by Nigg (2005): “after rehabilitation,
636 L. Fleig et al. / Psychology of Sport and Exercise 14 (2013) 632e639

I intend to perform the following activities at least three [two] days (see Fig. 3). After controlling for action planning and exercise, the
per week for 40 [20] minutes.” (1) “.strenuous (heart beats relation between intentions and exercise habit strength was low-
rapidly, sweating) physical exercises” and (2) “.moderate (not ered to b ¼ .19 (SE ¼ .10; p ¼ .08). The specific indirect effect of
exhausting, light perspiration) physical exercises.” Answers were intentions through action planning and exercise on habit strength
given on a six-point scale from “not at all true” (1) to “absolutely revealed b ¼ .02 (CIBCA ¼ .001 to .047). The specific indirect effect of
true” (6). Both answers were aggregated to a sum score (correlation intentions through action planning on habit strength was b ¼ .098
of the items r ¼ .12). Thus, items with discriminant validity were (CIBCA ¼ .012 to .151). The specific indirect effect of intentions
combined to obtain an index that reflects a broad construct. through exercise on habit strength equaled b ¼ .04 (CIBCA ¼ .012 to
Action planning (Lippke et al., 2004) was assessed at T1 and T2 .102). The multiple mediator models accounted for 33% of the
with four items addressing the when, where, and how of the ac- variance in habit strength at T4. Age (p ¼ .02) and baseline habit
tivity. The items were worded: “for the month after the rehabili- strength (p ¼ .05) were positively associated with habit strength at
tation, I have already planned.” (1) “.which type of physical T4. In contrast, gender (p ¼ .18), employment (p ¼ .41) and marital
exercise I will perform (e.g., walking),” (2) “.where I will be status (p ¼ .45) were not associated with exercise habit strength
physically active (e.g., in the park),” (3) “.on which days of the at T4.
week I will be physically active” and (4) “.for how long I will be
physically active” (Cronbach’s a ¼ .87). Responses were given on a Discussion of Study 2
six-point Likert scale, ranging from totally disagree (1) to totally
agree (6). Study 2 replicated the major findings of Study 1, although the
Exercise habit strength was assessed at T1 and T4 with two items setting and sample characteristics were very different. Moreover,
adapted from Verplanken and Orbell (2003). Participants were Study 2 involved four measurement points in time, allowing for the
asked to think about the past four weeks and their previous level of temporally correct specification of the mediators as assumed in our
exercise. The items were worded: “being as physically active as I theoretical framework of predicting changes in habit strength (see
have been during the last month is something” (a) “. I do without Fig. 1). Thus, although causality cannot be proven in such longitu-
thinking about,” (b) “.that has become a confirmed habit for me.” dinal research, the path model does reflect the hypothesized tem-
Answers were given on a six-point Likert scale, with the anchors poral order. Interestingly, the strength of the revealed associations
“not at all” (1) to “very much” (6) (intercorrelation of the two items between behavior and habit strength in Study 2 was somewhat
r ¼ .61). lower than the average weighted correlation (rþ ¼ .44) reported by
a recent meta-analysis (Gardner et al., 2011). This may be attributed
Statistical analyses to the measurement of habit strength. Habit strength was assessed
with items that capture features of automaticity, rather than habit
All analyses were performed in the same manner as in Study 1. features that relate to the history of behavior repetition. As argued
In addition, change scores were used to specify the multiple by Sniehotta and Presseau (2011), behavior repetition is a prereq-
mediation models. Changes in action planning and exercise were uisite of habit formation, rather than an actual characteristic of
operationalized as residualized change scores by regressing T2 and habits. Correlations reported by Gardner et al. (2011) may thus be
T3 scores, respectively, on the corresponding baseline variables. In inflated, due to the large construct overlap between habit as
the mediation model, standardized change scores were used. operationalized by the complete Self-report Habit Index (SRHI;
Verplanken & Orbell, 2003), and exercise as operationalized by
Results frequency and duration measures (de Bruijn, 2011; Sniehotta &
Presseau, 2011). Finally, the time lag of 10 months between the
Descriptive statistics two points of measurements can have attenuated the strength of
associations between behavior (T3) and habit strength (T4).
Means, standard deviations, and intercorrelations of all model
variables are displayed in Table 2. T1 behavioral intentions, T2 ac- General discussion of both studies
tion planning, and T3 exercise were significantly associated with
exercise habit strength at T4. These two longitudinal studies tested a predictive model of the
pathways from intention to increases in habit strength, and the
Multiple-step mediation analyses underlying theory of the mediation process in a university and a
rehabilitation field setting. Based on hypotheses around the pre-
Behavioral intentions T1 predicted exercise habit strength at T4, dictors of habit strength (Lally & Gardner, 2011), a path analysis was
as well as action planning T2 and exercise T3. Exercise habit performed with action planning and exercise specified as sequen-
strength T4 was predicted by action planning T2 and exercise T3 tial mediators between intentions and exercise habit strength.

Table 2
Means (M), standard deviations (SD), and intercorrelations for intentions, Action planning, exercise Habit strength, and physical exercise in N ¼ 134 rehabilitation patients
(Study 2).

1 2 3 4 5 6 M SD Range
1. Intentions T1 3.17 1.16 1e6
2. Action planning T2 .51** 4.23 1.32 1e6
3. Action planning T1 .40** .46** 3.26 1.57 1e6
4. Physical exercise T3a .24** .26* .10* 163.21 206.66 0e950
5. Physical exercise T1a .25** .18* .19** .12* 46.75 84.38 0e630
6. Exercise habit strength T4 .28** .36** .25** .36** .17* 3.91 1.71 1e6
7. Exercise habit strength T1 .23** .10* .26** .12** .32** .20** 2.52 1.19 1e4

Note. *p < .05; **p < .01.


a
Physical exercise in minutes per week.
L. Fleig et al. / Psychology of Sport and Exercise 14 (2013) 632e639 637

Fig. 3. Multiple step mediation model in N ¼ 134 rehabilitation patients. Note. *p < .05; **p < .01. Further control variables were gender, age, and marital status.

The main contribution of these studies lies in the extension of the exercise on habit strength, findings among rehabilitation patients
simple intention-planning-behavior mediator model into a revealed that hypothesized relationships also hold true for long-
multiple-step mediation model, with exercise habit strength as the term changes in habit strength. To add depth to the understand-
most distal outcome. Results were in line with hypotheses. ing of how intentions direct exercise habits, it may be useful to
incorporate habit strength into models of behavior change (de
Intentions are translated into exercise habits in two steps Bruijn, 2011; de Bruijn, Kroeze, Oenema, & Brug, 2008) and inter-
vention practice.
In line with previous research, we found that habit strength
increased as a result of action planning and frequent behavior Limitations and outlook
enactment. This study builds upon the one by Orbell and
Verplanken (2010) who demonstrated that the formation of ac- There are several limitations to this study. The employed exer-
tion plans facilitated increases in habit strength of dental flossing cise scales assessed a rather broad range of behaviors regardless of
among healthy and younger adults. The present results provide the context in which they are performed (e.g., in the park after
further evidence that previous findings also hold true for chroni- lunch). From simply investigating associations between action
cally ill individuals (Study 2) as well as for physical exercise which planning and behavior, one cannot draw conclusions about
is a more complex behavior (Studies 1 and 2). Most importantly, our whether individuals actually exercised in response to the cues
findings reveal that not only an experimental manipulation of plans specified by their action plans. Unconditional behavioral measures
(Orbell & Verplanken, 2010) but also the spontaneous use of action (Sniehotta, 2009) can only function as a proxy for whether in-
planning promotes increases in exercise and subsequent changes in dividuals acted upon their plans (i.e., planning adherence).
exercise habit strength. Evidence is additionally provided that both Measuring the degree to which individuals adhere to their action
variables, planning and exercise, help to translate intentions in a plans, and how this affects healthy habit formation, opens up new
stepwise manner, elucidating the putative mechanisms of changes pathways for research. Furthermore, behavior enactment may be
in exercise habit strength. First, results showed that intentions necessary but not sufficient for changes in habit strength (Lally &
stimulated the use of action planning. In a next step, action plan- Gardner, 2011). Subjective evaluation of experienced exercise out-
ning was found to enhance exercise, adding to previous findings comes (e.g., feeling more attractive or having less pain as a result of
from observational studies (Bélanger-Gravel et al., 2011) and action exercising) (Aarts et al., 1997; de Bruijn, Rhodes, & van Osch, 2011;
planning trials (Lippke et al., 2010; Luszczynska, 2006; Wiedemann Fleig, Lippke, Pomp, & Schwarzer, 2011; Rothman et al., 2009),
et al., 2011). By increasing behavior, action planning may create a positive attitudes (Judah et al., 2012), and intrinsic motivation
“cognitive framework for the development of future habits” (Gardner & Lally, 2012) may also affect whether or not the in-
(Verplanken, 2005, p. 107). Finally, results suggest that the more dividuals maintain exercise, and ultimately develop health habits.
individuals engaged in exercise, the more their behavior acquired In addition, the “location of a new behavior within existing
features of a habit. These findings can be well integrated with re- behavior routines” has been shown to be associated with habit
sults from a previous longitudinal field study analyzing changes in formation (Judah et al., 2012, p. 13). Transferred to the exercise
habit strength (Lally et al., 2010). The authors found the following domain this suggests that it is more promising to plan to engage in
consistent intra-individual pattern: the more frequently a behavior a new exercise behavior after an existing (health behavior) routine
was performed in response to stable context cues, the more it ac- rather than before. Thirdly, we relied on a short version of the ex-
quired features of a habit (i.e., automaticity; Lally et al., 2010). ercise habit strength measure that referred to general vigorous and
Although we only considered rather broad categories of exercise in moderate physical exercise. Future studies may include additional
the present study (i.e., moderate and vigorous leisure time exer- items of the SRHI (Gardner, Abraham, Lally, & de Bruijn, 2012;
cise), we could establish similar associations between behavior and Verplanken & Orbell, 2003) to capture further facets of habitual
habit strength among healthy as well as among chronically ill automaticity (e.g., lack of control). In addition, it may be useful to
individuals. consider more specific behaviors (e.g., walking) and its context
In sum, the hypothesized predictors of changes in habit strength stability when measuring habit strength (Sniehotta & Presseau,
(see Fig. 1) were replicated across university students and reha- 2011). Finally, the longitudinal design with the predictor, media-
bilitation patients. Whereas results among university students tors, and outcome variables measured at two (Study 1) or four
referred to short-term effects of intentions, action planning, and points (Study 2) in time provide initial evidence for the assumed
638 L. Fleig et al. / Psychology of Sport and Exercise 14 (2013) 632e639

predictors of changes in habit strength. Ideally, future studies may Craig, C. L., Marshall, A. L., Sjorstrom, M., Bauman, A. E., Booth, M. L.,
Ainsworth, B. E., et al. (2003). International physical activity questionnaire:
apply an experimental causal chain design (Reuter, Ziegelmann,
12-country reliability and validity. Medicine & Science in Sports & Exercise, 35,
Wiedemann, & Lippke, 2008; Spencer, Zanna, & Fong, 2005) to 1381e1395. http://dx.doi.org/10.1249/01.MSS.0000078924.61453.FB.
further accumulate evidence on the theorized mechanisms of habit de Bruijn, G.-J. (2011). Exercise habit strength, planning and the theory of planned
formation. Finally, the theoretical framework of exercise habit for- behaviour: an action control approach. Psychology of Sport and Exercise, 12(2),
106e114.
mation (Lally & Gardner, 2011) used in this study focused on how de Bruijn, G. J., Kroeze, W., Oenema, A., & Brug, J. (2008). Saturated fat consumption
individuals develop healthy lifestyle habits. The concepts may also and the theory of planned behaviour: exploring additive and interactive effects
be applied to model the processes that individuals go through of habit strength. Appetite, 51(2), 318e323.
de Bruijn, G. J., Rhodes, R. E., & van Osch, L. (2011). Does action planning moderate
when they try to break unhealthy habits. Following up on Webb, the intention-habit interaction in the exercise domain? A three-way interaction
Sheeran, and Luszczynska (2009), reflective and habitual pro- analysis investigation. Journal of Behavioral Medicine, 35(5), 509e519.
cesses may not only complement each other (i.e., reflective pro- Dombrowski, S., & Luszczynska, A. (2009). The interplay between conscious and
automatic self-regulation and adolescents’ physical activity: the role of plan-
cesses facilitating habitual responses) but also come into conflict ning, intentions, and lack of awareness. Applied Psychology, 58(2), 257e273.
with one another (Marteau et al., 2012). In an experimental field Fleig, L., Lippke, S., Pomp, S., & Schwarzer, R. (2011). Exercise maintenance after
study, for example, Webb et al. (2009) revealed that only those rehabilitation: how experience can make a difference. Psychology of Sport and
Exercise, 12, 293e299. http://dx.doi.org/10.1016/j.psychsport.2011.01.003.
smokers with moderate or low smoking habits were successful in Gardner, B., Abraham, C., Lally, P., & de Bruijn, G. J. (2012). Towards parsimony in
overriding their unhealthy habitual responses with new behavioral habit measurement: testing the convergent and predictive validity of an
alternatives as specified in an action plan. An avenue for future automaticity subscale of the Self-Report Habit Index. International Journal of
Behavioral Nutrition and Physical Activity, 9(1), 102. http://dx.doi.org/10.1186/
research is to answer the question of how conscious self-regulatory
1479-5868-9-102.
strategies such as planning can be optimally used to support in- Gardner, B., de Bruijn, G.-J., & Lally, P. (2011). A systematic review and meta-analysis
dividuals in breaking unhealthy habitual behavior, such as smoking of applications of the self-report habit index to nutrition and physical activity
(Webb et al., 2009) and unhealthy snacking (e.g., Adriaanse, behaviours. Annals of Behavioral Medicine, 43(1), 1e14. http://dx.doi.org/
10.1007/s12160-011-9317-6.
Gollwitzer, De Ridder, de Wit, & Kroese, 2011). Gardner, B., & Lally, P. (2012). Does intrinsic motivation strengthen physical activity
habit? Modeling relationships between self-determination, past behaviour,
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Conclusions
s10865-012-9442-0.
Godin, G., & Shephard, R. J. (1985). A simple method to assess exercise behavior in
The two presented studies in university and rehabilitation set- the community. Canadian Journal of Applied Sport Sciences, 10, 141e146.
tings extend common mediator models of successful goal pursuit: Hayes, A. F., Preacher, K. J., & Myers, T. A. (2010). Mediation and the estimation of
indirect effects in political communication research. In E. P. Bucy, & R. L. Holbert
action planning and behavior performance may operate as (Eds.), Sourcebook for political communication research: Methods, measures, and
sequential mediating processes in translating intentions into ex- analytical techniques. New York: Routledge.
ercise habits. Incorporating these constructs jointly into behavior Judah, G., Gardner, B., & Aunger, R. (2012). Forming a flossing habit: an exploratory
study of the psychological determinants of habit formation. British Journal of
change models and intervention practice (i.e., habit strength as Health Psychology, http://dx.doi.org/10.1111/j.2044-8287.2012.02086.x.
intervention outcome) may improve the understanding of the Koring, M., Richert, J., Lippke, S., Parschau, L., Reuter, T., & Schwarzer, R. (2011).
mechanisms involved in changing levels of habit strength (de Synergistic effects of planning and self-efficacy on physical activity. Health
Education and Behavior, http://dx.doi.org/10.1177/1090198111417621.
Bruijn, 2011). Lally, P., & Gardner, B. (2011). Promoting habit formation. Health Psychology Review,
http://dx.doi.org/10.1080/17437199.2011.603640.
Acknowledgements/Conflict of Interest Lally, P., van Jaarsveld, C. H. M., Potts, H. W. W., & Wardle, J. (2010). How are habits
formed: modelling habit formation in the real world. European Journal of Social
Psychology, 40(6), 998e1009. http://dx.doi.org/10.1002/ejsp.674.
Study 1 has been funded by the Freie Universität Berlin. Study 2 Leventhal, H., Singer, R., & Jones, S. (1965). Effects of fear and specificity of
has been funded by the Deutsche Rentenversicherung Bund (DRV; recommendation upon attitudes and behavior. Journal of Personality and Social
Psychology, 2, 20e29. http://dx.doi.org/10.1037/h0022089.
German Pension Insurance) within the project FABA (Project ID Lippke, S., Schwarzer, R., Ziegelmann, J. P., Scholz, U., & Schüz, B. (2010). Testing
8011 e 106 e 31/31.91). The authors would like to thank the stage-specific effects of a stage-matched intervention: a randomized controlled
rehabilitation clinics and their patients for participating in this trial targeting physical exercise and its predictors. Health Education & Behavior,
37(4), 533e546. http://dx.doi.org/10.1177/1090198109359386.
study. We especially appreciate the support of Mrs. Pimmer, Dr. Lippke, S., Ziegelmann, J. P., & Schwarzer, R. (2004). Behavioral intentions and action
Kiwus, Dr. Glatz, Dr. Milse, and Dr. Johnigk. None of the authors plans promote physical exercise: a longitudinal study with orthopedic reha-
have any conflicting interests. bilitation patients. Journal of Sport and Exercise Psychology, 26, 470e483.
Luszczynska, A. (2006). An implementation intentions intervention, the use of
planning strategy, and physical activity after myocardial infarction. Social Sci-
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