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. Author manuscript; available in PMC: 2023 Sep 28.
Published in final edited form as: Br J Health Psychol. 2023 Feb 24;28(3):793–813. doi: 10.1111/bjhp.12654

TABLE 1.

Self-affirmation comparison studies on proximal and behavioural outcomes.

Study Approaches compared Target behaviour Proximal outcome change Behaviour change
Armitage et al. (2011) Implementation intention, Kindness Alcohol consumption Both increased defensiveness Both decreased alcohol consumption
Celeste et al. (2021) Values,a Dual (Ethnic/British) identity,b British identity Test scores N/A Dual-identity affirmation increased scores among Black students, Values affirmation increased scores among non-Black students (primarily Eastern European and South Asian) and decreased scores among Black students
Choi and So (2019) Values, Message-integrated positive trait Environmentally conscious action (e.g., recycling) When viewing a high-threat message, both increased perceived risks, attitude and intention N/A
Critcher and Dunning (2015) Values, Perspective Test scores Both reduced defensiveness N/A
Harris et al. (2014) Values, Implementation intention, and a combination condition Fruit & vegetable intake None had an effect on intentions All increased fruit/vegetable consumption
Iles et al. (2021) Values essay, Health essay, Other-affirmation essay,c Values questionnaire, Health questionnaire, Other-affirmation questionnaire, Kindness questionnaire, Self-activationd Alcohol consumption Comparisons:
Self- vs. Other-affirmations
Self-affirmations associated with greater odds of creating an action plan to reduce alcohol consumption
Values vs. Health-affirmations
Values-affirmations associated with greater odds of creating an action plan to reduce alcohol consumption
Essay vs. Questionnaire
Essay affirmations associated with more worry and greater intentions to reduce consumption
Self-affirmation vs. Self-activation
Self-affirmation associated with less endorsement of the message and perceived importance of following health guidelines, but greater intentions to reduce consumption
N/A
Jessop et al. (2009) Values, Kindness, and Positive trait Sunscreen use All led to more positive attitudes Only positive trait affirmation increased sunscreen acceptance
Jiang (2018) Values, Work affirmation Creativity (Slogan Generation) N/A Both attenuated the negative effect of high job insecurity on creativity
Knight and Norman (2016) Values, Kindness, and Positive attributes Binge drinking None led to differences in attitudes or intentions None led to behaviour change
Norman and Wrona-Clarke (2016) Values, Implementation intention, and a combination condition Binge drinking None led to differences in defensiveness or intentions Implementation intentions reduced binge drinking
Shnabel et al. (2013) Values, Social belonging Test scores N/A Only social belonging improved test scores
Vogt et al. (2021) Implementation intention, Kindness questionnaire Alcohol consumption Neither led to differences in message acceptance, perceived risks, intentions, or action plans Neither led to behaviour change
Zhu and Yzer (2021) Values, Positive attributes Alcohol consumption Both reduced defensiveness, increased message acceptance N/A

Note: Only studies containing multiple self-affirmation interventions, a control, and a threat included.

a

“Values” indicates a values essay affirmation unless otherwise noted.

b

Dual-identity affirmation aims to simultaneously affirm both ethnic identity and common national identity among students.

c

Other-affirmation entails thinking of a value important to oneself and how a close other has demonstrated that value.

d

Self-activation is induced by having participants circle all instances of the letter “i” in a paragraph.