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Article history: Psychological studies of ‘‘priming’’ effects document that covertly presented stimuli can influence
Received 23 September 2011 behavior without participant awareness. We examined whether nonconscious priming can influence
Received in revised form 1 June 2012 walking velocity on an instrumented walkway. Fifty-nine healthy participants were randomly assigned
Accepted 30 August 2012
to unscramble sentences and answer self-concept questions containing words related to either the
concepts elderly/passive or youthful/active. Walking velocity was measured before and after this priming
Keywords: manipulation. An ANOVA revealed a significant Group Time interaction; the elderly/passive group
Gait
showed a decrease in walking velocity over time while the youthful/active group showed an increase.
Walking velocity
Priming
None of the participants expressed any awareness of the study purpose and the experimenter was blind
Nonconscious to group assignment. These results suggest that spoken or written material received by patients prior to
gait assessments (such as casual conversations or written health inventories) might influence walking
performance outside of client or clinician awareness.
ß 2012 Elsevier B.V. All rights reserved.
1. Introduction 2. Methods
0966-6362/$ – see front matter ß 2012 Elsevier B.V. All rights reserved.
http://dx.doi.org/10.1016/j.gaitpost.2012.08.018
O. Stanislavova et al. / Gait & Posture 37 (2013) 470–471 471
4. Discussion
prior to completing a ‘‘cognitive task.’’ In actuality, the ‘‘cognitive
Individuals primed with the categories elderly/passive showed a
task’’ served as the priming manipulation and all individuals were
reduction in walking velocity on the Gait Mat II walkway while
asked to walk across the mat at ‘‘your normal walking speed’’. The
individuals primed with the concepts youthful/active subsequently
cover story was intended to prevent awareness of the priming
increased their speed. Two elements of the study deserve note.
manipulation and that walking velocity was in fact the outcome
First, random assignment to priming conditions permits the causal
measurement.
conclusion that activated belief states influenced walking speed.
At baseline, each participant walked across the mat three times.
Second, this design rules out demand effects and observer bias as
On each trial, the individual began walking at least 1 m in advance
confounds; the experimenter was blind to group assignment and
of the walkway and for at least 1 m beyond the end of the mat. We
the cover story prevented participant awareness of the study
analyzed walking velocity on the final trial. Participants were then
hypotheses. Because gait velocity is a common clinical outcome
given the priming stimuli in sealed envelopes to ensure the
measure, the implications for clinical practice are straightforward;
experimenter (first author) remained blind to group assignment.
conversations and self-report inventories occurring at session
Half the participants were randomly assigned to receive materials
outset may prime changes in physical functioning without the
priming the concepts elderly/passive (n = 29); half received
awareness of either therapist or client.
youthful/active priming materials (n = 30).
Inadvertent priming could affect behavior in other populations
The first priming task involved 30 sets of five words in
as well. For example, a conversation about an elderly patient’s
scrambled order; participants were asked to form sentences from 4
grandchildren might prime a mental construct of young while a
of the 5 words in each set. Word sets presented to the elderly/
conversation about their friends might prime the construct old.
passive group contained embedded elderly concept words (e.g.,
Similarly, discussion of active pursuits such as taking a trip or
‘‘him was worried she always’’); the youthful/active group received
paying a visit might prime mental categories leading to faster
youthful concept words in the same word sets (‘‘him was carefree
walking, whereas discussions of recent health problems or passive
she always’’). The priming task used by Bargh et al. [2] served as the
activities (receiving a visit from children) might prime slower
template for this manipulation.
walking. Further studies are necessary to pursue such questions
The second priming task required individuals to fill out a
and to extend the present results to disabled and elderly
supposed ‘‘self-concept’’ questionnaire. Respondents rated seven
participant samples.
statements on a visual-analog agree/disagree scale. Statements
were phrased to ensure that individuals would generally express
some level of agreement with each item. In the elderly/passive Conflict of interest statement
condition the sentences led individuals to self-label with passive
terms (‘‘Sometimes, others take care of me’’); in the youthful/active None of the authors have any conflicts of interest.
condition the statements expressed active self-attributions (‘‘I take
care of myself’’). References
The two written tasks were linked. The elderly/passive group
received the elderly sentence scrambles and the passive self- [1] Bargh JA, Chartrand T. Studying the mind in the middle: a practical guide to
concept items; the youthful/active group received the youthful priming and automaticity research. In: Reis H, Judd C, editors. Handbook of
research methods in social psychology. New York: Cambridge University Press;
sentence scrambles and the active self-concept sentences. 2000. p. 1–40.
Following priming, participants traversed the walkway three [2] Bargh JA, Chen M, Burrows L. Automaticity of social behavior: direct effects of
times (posttest), again with instructions to ‘‘walk at your normal trait construct and stereotype activation on action. Journal of Personality and
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[4] Ferguson MJ, Bargh JA. How social perception can automatically influence
3. Results
behavior. Trends in Cognitive Sciences 2004;8:33–9.
[5] Barker S, Craik R, Freedman W, Herrman N, Hillstrom H. Accuracy, reliability,
Mean (SD) walking velocities at pretest and posttest for the two and validity of a spatiotemporal gait analysis system. Medical Engineering and
groups during the third walking trial are depicted in Table 1. A 2- Physics 2006;28:460–7.
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