Students Win Awards for Studies based on TMT

This week I'm sharing an article from our CU College of Nursing press office, recognizing two students doing research that's connected to Two Minds Theory: http://www.ucdenver.edu/academics/colleges/nursing/about-us/news/Pages/2019/Poster-presentation-covers-it-all.aspx

Two of my students won awards for their poster presentations at the College's research symposium, one for a study of trauma and chronic pain in patients with opioid use disorders, and the other for a study of Intuitive-level variables that predict medication adherence in patients with HIV. Both are topics that I have posted about previously on the blog (HIV treatment adherence here; opioid use disorders here and here), and each is the focus of ongoing research at the college.

The college posted copies of Linda Driscoll Powers's poster on chronic pain and trauma in patients with opioid use (2nd place winner), and Nasser Al-Salmi's poster on predictors of HIV medication adherence (3rd place winner). Nasser is a PhD student at the college, and Linda is in our BSN Honors program that gives nursing students a chance to conduct original research while getting their undergraduate degrees. Congratulations to them both!

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Prototypes and Willingness: The Theory of Planned Behavior Revisited

You may recall my blog post from last year on the Theory of Planned Behavior (TPB) , titled "in praise of a failed model." My evaluation of this model was that it accurately describes the Narrative Mind, which does control intentions. But the ultimate goal of the TPB is to predict behavior, and the relationship between intentions and behavior is weak at best -- in fact, it is entirely attributable to the fact that when someone says they don't intend to do something, they probably won't do it. When they say they do intend to do it, their actual results are no better than chance, a result of the intention-behavior gap as described in Two Minds Theory. The full TPB is shown in this diagram: Cognitive constructs like attitudes, subjective norms, and perceived behavioral control (i.e., self-efficacy) are Narrative-system phenomena, and they do indeed have relationships with each other and with intentions (which are also products of the Narrative Mind). Perceived behavi...

Leventhal's Common-Sense Model and Two Minds Theory

Leventhal, Diefenbach, and Leventhal's (1992) "common sense model" of self-regulation. My 2018 paper describing Two Minds Theory (TMT) cites work by my colleague and coauthor Dr. Paula Meek, who conducted studies of patients experiencing the symptom of breathlessness due to chronic obstructive pulmonary disorder (COPD). Paula's research used a model by Howard and Elaine Leventhal (with Michael Diefenbach) that was an early iteration of the dual-process approach also used in TMT. She found that people who focused their attention on different aspects of the feeling of breathlessness then in turn had different interpretations of what that symptom meant for them, and that those interpretations changed their perception of the symptom's intensity. This example illustrates a back-and-forth between perceptions and thoughts, which is characteristic of Leventhal's model. Leventhal's dual-process model, sometimes called the "common sense model" of self-reg...

New Study Suggests That Fatigue is Most Detrimental for the Narrative Mind

I'm one of the authors on a new study by Dr. Mustafa Ozkaynak's research team, which looks at how emergency department (ED) nurses change their decision-making process when they become fatigued. In a previous paper , we found that fatigue was common in ED nurses, particularly toward the end of their work shift, and that nurses' fatigue was more often characterized as physical rather than mental or emotional -- in other words, this really represented being physically tired at the end of the day, not being burned-out or depressed. Nevertheless, physical fatigue has important effects on nurses' decision-making in the ED. Based on nurses' qualitative reports, fatigue has mixed effects on their clinical performance. Nurses said that they definitely cut corners when they were tired, for example in terms of documentation in the electronic health record. They felt that they were less careful about double-checking things, and might be more likely to make snap decisions. We...

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