3  Regulatory Focus

This chapter examines three measures of regulatory focus — motivational orientations that shape whether you focus on pursuing positive outcomes (promotion) or avoiding negative outcomes (prevention). Understanding your regulatory focus orientation is foundational to health communication because it directly influences how you frame health messages and how those messages are received by different audiences.

ImportantPsychographics

This week will explore how promotion and prevention mindsets influence conceptions of health and community, preferences for mental health strategies, and promotion vs. prevention goals.

TipCase Study

Using promotion and prevention-focused framing, your team will evaluate the “hidden messages” in previous health communication campaigns.

WarningHealth Campaign

Using regulatory focus theory and message framing techniques, your team will design health messages related to your topic that resonate with both promotion-focused and prevention-focused audiences.


3.1 Regulatory Focus Questionnaire

Constructs

The Regulatory Focus Questionnaire (RFQ; Higgins et al., 2001) measures whether your general behavioral style is driven by promotion or prevention.

  • Promotion Focus: An eagerness-based orientation toward achieving gains, pursuing ideals, and accomplishing aspirations
  • Prevention Focus: A vigilance-based orientation toward avoiding losses, fulfilling duties, and meeting obligations

Measures

The RFQ contains 11 items (6 promotion, 5 prevention) rated on a 5-point scale: 1 = Never or Seldom, 2 = Rarely, 3 = Sometimes, 4 = Often, 5 = Very Often. Higher scores indicate a stronger orientation toward that focus.

Example items:

  • Promotion: “How often have you accomplished things that got you ‘psyched’ to work even harder?”
  • Prevention: “How often did you obey rules and regulations that were established by your parents?”

Your Scores

Find your password below to see your Regulatory Focus Questionnaire scores.

NoteA Note about Passwords

A few students provided identifying passwords. Those passwords were changed to use “health” and retained the original numbers in your password. You should be able to identify your new password now. If you cannot find your password, contact Dr. Shane McCarty.

Regulatory Focus Questionnaire: Your Composite Scores
Password Promotion Focus Promotion Focus (%) Prevention Focus Prevention Focus (%)
$iorrZZ2425! 3.83 74% (high) 3.8 61% (mid)
'@Auliebear224757328el 3.50 53% (mid) 3.6 42% (mid)
5121lyster 3.17 45% (mid) 3.6 42% (mid)
78fArO50r 3.67 63% (mid) 4.2 84% (high)
Arlingtonfootball(333) 3.33 47% (mid) 3.8 61% (mid)
Benny2013 3.83 74% (high) 4.0 71% (high)
Binghamton1234 2.83 16% (low) 3.2 26% (low)
Birth2005 3.00 32% (low) 3.4 37% (mid)
Biscuit1227 3.83 74% (high) 3.2 26% (low)
Bxqc3216 3.50 53% (mid) 4.4 89% (high)
Damilola1976 3.83 74% (high) 2.2 0% (low)
December1912 2.83 16% (low) 2.2 0% (low)
Eski3754 2.83 16% (low) 4.2 84% (high)
Funkita732 3.83 74% (high) 3.6 42% (mid)
Goodwin7292()! 3.83 74% (high) 3.2 26% (low)
Health$402 3.50 53% (mid) 3.6 42% (mid)
Health1203 2.50 5% (low) 3.8 61% (mid)
Littlekitty1019 3.00 32% (low) 4.4 89% (high)
LongSurvey1234 4.33 97% (high) 2.6 11% (low)
Power2 3.50 53% (mid) 4.6 97% (high)
Rcool1229 4.17 95% (high) 2.8 13% (low)
Strawberryhamburger3 2.67 13% (low) 4.0 71% (high)
Tinawatsonqwe1 2.50 5% (low) 3.0 21% (low)
VT1107lyn!Bing 2.83 16% (low) 3.6 42% (mid)
biotinISneeded2313! 3.67 63% (mid) 3.6 42% (mid)
brita6767 3.00 32% (low) 3.0 21% (low)
earth5567 4.00 92% (high) 2.8 13% (low)
ha1rcut 2.60 11% (low) 3.4 37% (mid)
health0925 3.67 63% (mid) 3.8 61% (mid)
health1244 3.00 32% (low) 2.8 13% (low)
health1248 3.00 32% (low) 2.4 5% (low)
health4103 2.17 0% (low) 2.4 5% (low)
jelly1909 2.83 16% (low) 4.0 71% (high)
kyunkyun3890 2.33 3% (low) 4.0 71% (high)
schre0000 3.83 74% (high) 3.6 42% (mid)
surv1901 2.83 16% (low) 3.2 26% (low)
vidyaravi1 NaN NA% (high) NaN NA% (high)
water6331 4.50 100% (high) 4.4 89% (high)
water9813 3.67 63% (mid) 4.0 71% (high)
witch2026 3.33 47% (mid) 4.8 100% (high)

Class Distribution

Regulatory Focus Questionnaire: Promotion vs. Prevention Focus across all participants. Dashed lines indicate the 33rd and 67th percentiles.

3.2 Health Regulatory Focus Scale

Constructs

The Health Regulatory Focus Scale (HRFS; Ferrer et al., 2017) measures whether you approach your own health with a health promotion focus or health prevention focus orientation.

  • Health Promotion Focus: Striving toward ideal health, feeling accomplished by healthy behaviors, and admiring healthy people
  • Health Prevention Focus: Worrying about illness, feeling anxious about health obligations, and fearing future health problems

Measures

The HRFS contains 12 items (6 promotion, 6 prevention) rated on a 6-point scale: 1 = Strongly Disagree, 2 = Disagree, 3 = Slightly Disagree, 4 = Slightly Agree, 5 = Agree, 6 = Strongly Agree. Higher scores indicate a stronger health-specific focus.

Example items:

  • Health Promotion: “I frequently imagine how I can achieve a state of ‘ideal health.’”
  • Health Prevention: “I often worry that I am not doing the best I can to improve my health.”

Your Scores

Health Regulatory Focus Scale: Your Composite Scores
Password Health Promotion Focus Health Promotion Focus (%) Health Prevention Focus Health Prevention Focus (%)
$iorrZZ2425! 5.83 95% (high) 2.83 13% (low)
'@Auliebear224757328el 4.67 42% (mid) 4.17 76% (high)
5121lyster 3.67 11% (low) 3.83 58% (mid)
78fArO50r 4.33 32% (low) 3.17 26% (low)
Arlingtonfootball(333) 4.83 55% (mid) 4.00 68% (high)
Benny2013 5.00 63% (mid) 4.17 76% (high)
Binghamton1234 4.67 42% (mid) 3.67 45% (mid)
Birth2005 6.00 100% (high) 2.33 11% (low)
Biscuit1227 5.50 84% (high) 3.50 34% (mid)
Bxqc3216 4.17 24% (low) 3.83 58% (mid)
Damilola1976 3.67 11% (low) 3.33 32% (low)
December1912 4.50 39% (mid) 3.67 45% (mid)
Eski3754 5.33 71% (high) 5.50 100% (high)
Funkita732 4.67 42% (mid) 4.50 84% (high)
Goodwin7292()! 5.33 71% (high) 3.17 26% (low)
Health$402 5.67 87% (high) 3.67 45% (mid)
Health1203 5.33 71% (high) 4.67 92% (high)
Littlekitty1019 5.00 63% (mid) 4.50 84% (high)
LongSurvey1234 4.17 24% (low) 3.50 34% (mid)
Power2 3.00 3% (low) 1.67 0% (low)
Rcool1229 2.83 0% (low) 2.83 13% (low)
Strawberryhamburger3 4.00 16% (low) 4.33 82% (high)
Tinawatsonqwe1 3.00 3% (low) 3.00 21% (low)
VT1107lyn!Bing 4.67 42% (mid) 3.67 45% (mid)
biotinISneeded2313! 4.33 32% (low) 1.67 0% (low)
brita6767 3.00 3% (low) 3.50 34% (mid)
earth5567 5.67 87% (high) 4.00 68% (high)
ha1rcut 4.83 55% (mid) 2.17 8% (low)
health0925 4.83 55% (mid) 3.67 45% (mid)
health1244 4.17 24% (low) 3.83 58% (mid)
health1248 5.33 71% (high) 5.00 95% (high)
health4103 4.00 16% (low) 2.83 13% (low)
jelly1909 4.67 42% (mid) 4.50 84% (high)
kyunkyun3890 4.33 32% (low) 5.00 95% (high)
schre0000 5.33 71% (high) 1.83 5% (low)
surv1901 4.00 16% (low) 3.50 34% (mid)
vidyaravi1 NaN NA% (high) NaN NA% (high)
water6331 5.67 87% (high) 3.00 21% (low)
water9813 5.83 95% (high) 3.83 58% (mid)
witch2026 5.00 63% (mid) 4.00 68% (high)

Class Distribution

Health Regulatory Focus Scale: Promotion vs. Prevention focus in health goals. Dashed lines indicate the 33rd and 67th percentiles.

3.3 Prosocial Regulatory Focus Scale

Constructs

The Prosocial Regulatory Focus Scale (McCarty et al., 2026) measures whether your prosocial motivation is oriented toward promoting care for others or preventing harm to others.

  • Promoting Care: Focusing on making positive impacts, uplifting others, and helping people achieve well-being
  • Preventing Harm: Focusing on stopping harmful actions, taking preventive action, and protecting people from threats

Measures

The scale contains 10 items (5 promoting care, 5 preventing harm) rated on a 6-point scale: 1 = Strongly Disagree, 2 = Disagree, 3 = Slightly Disagree, 4 = Slightly Agree, 5 = Agree, 6 = Strongly Agree. Higher scores indicate a stronger prosocial orientation in that direction.

Example items:

  • Promoting Care: “I typically focus on making a positive impact on people.”
  • Preventing Harm: “I am generally good at stopping harmful actions from happening to people.”

Your Scores

Prosocial Regulatory Focus Scale: Your Composite Scores
Password Promoting Care Promoting Care (%) Preventing Harm Preventing Harm (%)
$iorrZZ2425! 5.4 82% (high) 5.6 100% (high)
'@Auliebear224757328el 4.0 8% (low) 3.6 16% (low)
5121lyster 4.6 37% (mid) 4.0 32% (low)
78fArO50r 4.4 26% (low) 3.0 3% (low)
Arlingtonfootball(333) 5.8 92% (high) 4.6 55% (mid)
Benny2013 5.8 92% (high) 5.0 79% (high)
Binghamton1234 5.0 58% (mid) 5.0 79% (high)
Birth2005 4.0 8% (low) 4.0 32% (low)
Biscuit1227 5.4 82% (high) 4.8 71% (high)
Bxqc3216 4.6 37% (mid) 3.2 8% (low)
Damilola1976 5.2 76% (high) 4.8 71% (high)
December1912 4.4 26% (low) 3.6 16% (low)
Eski3754 4.6 37% (mid) 4.8 71% (high)
Funkita732 4.4 26% (low) 4.2 42% (mid)
Goodwin7292()! 4.8 53% (mid) 5.0 79% (high)
Health$402 5.8 92% (high) 5.0 79% (high)
Health1203 4.6 37% (mid) 3.4 13% (low)
Littlekitty1019 5.0 58% (mid) 3.6 16% (low)
LongSurvey1234 5.6 87% (high) 5.0 79% (high)
Power2 3.0 0% (low) 2.8 0% (low)
Rcool1229 5.0 58% (mid) 4.2 42% (mid)
Strawberryhamburger3 5.2 76% (high) 4.4 50% (mid)
Tinawatsonqwe1 5.0 58% (mid) 5.0 79% (high)
VT1107lyn!Bing 4.2 21% (low) 4.2 42% (mid)
biotinISneeded2313! 5.0 58% (mid) 4.6 55% (mid)
brita6767 4.6 37% (mid) 4.0 32% (low)
earth5567 5.6 87% (high) 4.6 55% (mid)
ha1rcut 4.0 8% (low) 3.6 16% (low)
health0925 4.8 53% (mid) 4.6 55% (mid)
health1244 4.6 37% (mid) 4.4 50% (mid)
health1248 3.8 5% (low) 3.8 29% (low)
health4103 5.0 58% (mid) 5.0 79% (high)
jelly1909 4.4 26% (low) 4.6 55% (mid)
kyunkyun3890 3.4 3% (low) 3.2 8% (low)
schre0000 5.0 58% (mid) 5.0 79% (high)
surv1901 4.0 8% (low) 4.0 32% (low)
vidyaravi1 NaN NA% (high) NaN NA% (high)
water6331 4.2 21% (low) 3.6 16% (low)
water9813 6.0 100% (high) 4.6 55% (mid)
witch2026 4.0 8% (low) 3.0 3% (low)

Class Distribution

Prosocial Regulatory Focus Scale: Promoting Care vs. Preventing Harm orientations. Dashed lines indicate the 33rd and 67th percentiles.

Chapter Summary: All Regulatory Focus Measures

Chapter 3 Summary: All six regulatory focus subscales across the three regulatory focus measures.

References

Ferrer, R. A., Lipkus, I. M., Cerully, J. L., McBride, C. M., Shepperd, J. A., & Klein, W. M. (2017). Developing a scale to assess health regulatory focus. Social Science & Medicine, 195, 50–60. https://doi.org/10.1016/j.socscimed.2017.10.029

Higgins, E. T., Friedman, R. S., Harlow, R. E., Idson, L. C., Ayduk, O. N., & Taylor, A. (2001). Achievement orientations from subjective histories of success: Promotion pride versus prevention pride. European Journal of Social Psychology, 31(1), 3–23. https://doi.org/10.1002/ejsp.29

McCarty, S., et al. (2026). Prosocial regulatory focus theory: Prosocial motivational orientation of promotion and prevention. Manuscript in preparation.