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Maroney TL, Keech JJ. Feasibility and Acceptability of a Theory-Based Online Tool for Reducing Stress-Induced Eating. Appetite 2024:107558. [PMID: 38880281 DOI: 10.1016/j.appet.2024.107558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2024] [Revised: 06/07/2024] [Accepted: 06/12/2024] [Indexed: 06/18/2024]
Abstract
Stress-induced eating is associated with various health risks like obesity and cardiovascular disease, exacerbated by the overconsumption of unhealthy foods. This study sought to investigate replacement coping strategies for stress-induced eating that participants can seek to implement using behaviour change techniques like implementation intentions. The study adopted a feasibility and acceptability design, with 258 participants (88.37% female) aged 17-75 years old who self-reported stress-induced eating. Participants were asked to identify cues for their stress-induced eating and evaluate the acceptability of eight potential replacement coping strategies. After selecting their preferred strategy, participants formed implementation intentions, linking the strategy with their previously identified cues. There were six themes of cues for stress-induced eating as identified by participants, including a range of external and internal stressors. Themes regarding the acceptability of the replacement coping strategies were organised based on constructs from integrated social cognition theories. Participant responses reflected cognitive and affective attitudes, and control and normative beliefs behind engagement in coping behaviour; further, automatic and volitional processes were described by participants as playing a role in whether a coping strategy was deemed as useful. Plans formulated by participants commonly detailed specific situations and strategies to utilise, though few described start times or durations of their plan. Action planning was found to significantly increase following formation of implementation intentions, and participants' descriptions supported the feasibility and acceptability of utilising implementation intentions to adopt alternative coping strategies to stress-induced eating. Future research should conduct a randomised controlled trial to assess the efficacy of the implementation intentions intervention in promoting uptake of replacement coping strategies to reduce stress-induced eating.
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Affiliation(s)
- Tenelle L Maroney
- School of Applied Psychology, Griffith University, Messines Ridge Road, Mt Gravatt, Brisbane, Australia; School of Health, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
| | - Jacob J Keech
- School of Applied Psychology, Griffith University, Messines Ridge Road, Mt Gravatt, Brisbane, Australia; School of Health, University of the Sunshine Coast, Sippy Downs, Queensland, Australia.
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Dominguez Garcia A, Mullan B, Dorina I. Predicting discretionary food consumption using temporal self-regulation theory and food reward sensitivity. Appetite 2023; 190:107010. [PMID: 37619621 DOI: 10.1016/j.appet.2023.107010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Revised: 07/17/2023] [Accepted: 08/21/2023] [Indexed: 08/26/2023]
Abstract
Discretionary foods account for over a third of the average adult's total daily energy intake. But its excess consumption is a risk factor for obesity, Type 2 diabetes, and other diet-related diseases. This study aimed to use temporal self-regulation theory (intention, past behaviour, habit, self-regulatory capacity) and food reward sensitivity to identify predictors of discretionary food consumption. Two hundred and seventy-three participants aged between 18 and 80 (M = 42.55, SD = 17.07) comprising of mostly females (79.5%) and those residing in Australia (93.4%), completed a two-part online survey, one week apart. Participants completed measures of intention, past behaviour, habit, self-regulatory capacity, food reward sensitivity and demographic information at time one, and discretionary food consumption at time two. Data was analysed using a hierarchical multiple regression analysis. All variables in combination accounted for a significant 40.3% of the variance in discretionary food consumption (R2 = 0.40, p < .001). However, past behaviour and intention were the only unique significant predictors of discretionary food consumption. No significant moderation effects found. Findings offer insight into the motivators of discretionary food consumption, which can inform the development of effective interventions to reduce discretionary food consumption. Past behaviour should be considered, and intention targeted in interventions to reduce discretionary food consumption.
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Affiliation(s)
- Alejandro Dominguez Garcia
- School of Population Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia; Behavioural Science and Health Research Group, EnAble Research Institute, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
| | - Barbara Mullan
- School of Population Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia; Behavioural Science and Health Research Group, EnAble Research Institute, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia; Western Australia Cancer Prevention Unit, EnAble Research Institute, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
| | - Indita Dorina
- School of Population Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia; Behavioural Science and Health Research Group, EnAble Research Institute, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia; Western Australia Cancer Prevention Unit, EnAble Research Institute, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
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Engels L, Mons C, Mergelsberg E, Kothe E, Hamilton K, Gardner B, ten Hoor G, Mullan B. How to improve the diet of toddlers? The feasibility of an online, habit-based intervention targeting parental feeding behaviour. Health Psychol Behav Med 2022; 10:1020-1037. [DOI: 10.1080/21642850.2022.2134869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Affiliation(s)
- Lisa Engels
- Department of Work & Social Psychology, Faculty of Psychology & Neurosciences, Maastricht University, Maastricht, Netherlands
| | - Carlotta Mons
- Department of Work & Social Psychology, Faculty of Psychology & Neurosciences, Maastricht University, Maastricht, Netherlands
| | - Enrique Mergelsberg
- Health Psychology and Behavioural Medicine Research Group, Faculty of Health Sciences, School of Psychology, Curtin University, Perth, Australia
| | - Emily Kothe
- Faculty of Health, School of Psychology, Deakin University, Burwood, Australia
| | - Kyra Hamilton
- Health Psychology and Behavioural Medicine Research Group, Faculty of Health Sciences, School of Psychology, Curtin University, Perth, Australia
- School of Applied Psychology, Griffith University, Nathan, Australia
| | | | - Gill ten Hoor
- Department of Work & Social Psychology, Faculty of Psychology & Neurosciences, Maastricht University, Maastricht, Netherlands
| | - Barbara Mullan
- Health Psychology and Behavioural Medicine Research Group, Faculty of Health Sciences, School of Psychology, Curtin University, Perth, Australia
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Exploring rational and automatic processes in parents’ snack and beverage provision: The role of self-control, intention, and counter-intentional habit. Appetite 2022; 178:106185. [DOI: 10.1016/j.appet.2022.106185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 07/17/2022] [Accepted: 07/21/2022] [Indexed: 11/22/2022]
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Menu labeling influence on purchase behaviors: Applying the theory of planned behavior and health consciousness. Appetite 2022; 172:105967. [DOI: 10.1016/j.appet.2022.105967] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Revised: 01/06/2022] [Accepted: 02/04/2022] [Indexed: 11/18/2022]
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Brown DJ, Charlesworth J, Hagger MS, Hamilton K. A Dual-Process Model Applied to Two Health-Promoting Nutrition Behaviours. Behav Sci (Basel) 2021; 11:bs11120170. [PMID: 34940105 PMCID: PMC8698688 DOI: 10.3390/bs11120170] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Revised: 11/16/2021] [Accepted: 11/22/2021] [Indexed: 11/26/2022] Open
Abstract
We tested a dual process model incorporating constructs that reflect both performing the target behaviour (behaviour directed habit) and habits that run counter to the target behaviour (opposing behaviour habit) in accounting for variance in two health behaviours: eating the recommended serves of fruits and vegetables a day and restricting sugar-sweetened beverage consumption. A prospective correlational design with two waves of data collection separated by one week was adopted. Participants (N = 606) comprising middle school students (n = 266) and university students (n = 340) completed an initial survey comprising self-report measures of past behaviour, intention, and habit to perform the target behaviour and habits that run counter to the target behaviour. One week later, participants (N = 414) completed a self-reported measure of behaviour. Results revealed that behaviour directed habits predicted fruit and vegetable consumption in both samples, while opposing behaviour habits predicted restriction of sugar-sweetened beverages in the middle-school sample only, with a moderating effect also observed. Current findings indicate that habits specifying avoidance of the target behaviour did not predict future behaviour. However, the moderating effect observed provides preliminary evidence that strong habits to perform a behaviour may override habit to avoid the behaviour.
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Affiliation(s)
- Daniel J. Brown
- School of Applied Psychology, Griffith University, Brisbane 4122, Australia; (D.J.B.); (J.C.)
- Menzies Health Institute Queensland, Griffith University, Gold Coast 4222, Australia
| | - Jessica Charlesworth
- School of Applied Psychology, Griffith University, Brisbane 4122, Australia; (D.J.B.); (J.C.)
| | - Martin S. Hagger
- Psychological Sciences, University of California, Merced, CA 95343, USA;
- Health Sciences Research Institute, University of California, Merced, CA 95343, USA
- Faculty of Sport and Health Sciences, University of Jyväskylä, 40600 Jyväskylä, Finland
| | - Kyra Hamilton
- School of Applied Psychology, Griffith University, Brisbane 4122, Australia; (D.J.B.); (J.C.)
- Menzies Health Institute Queensland, Griffith University, Gold Coast 4222, Australia
- Health Sciences Research Institute, University of California, Merced, CA 95343, USA
- Correspondence:
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Lehberger M, Kleih AK, Sparke K. Panic buying in times of coronavirus (COVID-19): Extending the theory of planned behavior to understand the stockpiling of nonperishable food in Germany. Appetite 2021; 161:105118. [PMID: 33450299 DOI: 10.1016/j.appet.2021.105118] [Citation(s) in RCA: 31] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Revised: 12/23/2020] [Accepted: 01/09/2021] [Indexed: 12/28/2022]
Abstract
At the onset of the coronavirus pandemic, sales of nonperishable food drastically increased in Germany. Reports of hoarding and panic buying flooded the media. To identify the drivers of the increased sales of these products, we carried out an online survey with n = 495 people living in Germany. We followed a concurrent triangulation design. For the quantitative analysis, we extended the theory of planned behavior to identify possible reasons for stockpiling nonperishable food. The results suggest that "attitude," "subjective norm," and the "fear of future unavailability" were main drivers of stockpiling behavior in our sample. Additionally, we analyzed answers to open questions capturing participants' own explanations of why they did or did not stockpile nonperishable food. By contrasting the results, we found that our qualitative results validate some of our quantitative findings but also deliver new insights. For instance, a key stated reason for stockpiling nonperishable food was to reduce shopping frequency.
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Affiliation(s)
- Mira Lehberger
- Hochschule Geisenheim University, Department of Fresh Produce Logistics, Professorship of Horticultural Economics, Von Lade Straße 1, 65366, Geisenheim, Germany.
| | - Anne-Katrin Kleih
- Hochschule Geisenheim University, Department of Fresh Produce Logistics, Professorship of Horticultural Economics, Von Lade Straße 1, 65366, Geisenheim, Germany
| | - Kai Sparke
- Hochschule Geisenheim University, Department of Fresh Produce Logistics, Professorship of Horticultural Economics, Von Lade Straße 1, 65366, Geisenheim, Germany
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Gardner B, Lally P, Rebar AL. Does habit weaken the relationship between intention and behaviour? Revisiting the habit‐intention interaction hypothesis. SOCIAL AND PERSONALITY PSYCHOLOGY COMPASS 2020. [DOI: 10.1111/spc3.12553] [Citation(s) in RCA: 40] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Affiliation(s)
- Benjamin Gardner
- Department of Psychology, Institute of Psychiatry, Psychology and NeuroscienceKing's College London London UK
| | - Phillippa Lally
- Research Department of Behavioural Science and HealthUniversity College London London UK
| | - Amanda L. Rebar
- Physical Activity Research Group, Appleton Institute, School of Health, Medical, and Applied SciencesCentral Queensland University Rockhampton Australia
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Mergelsberg EL, Mullan BA, Allom V, Scott A. An intervention designed to investigate habit formation in a novel health behaviour. Psychol Health 2020; 36:405-426. [DOI: 10.1080/08870446.2020.1779272] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Enrique L.P Mergelsberg
- Health Psychology & Behavioural Medicine Research Group, School of Psychology, Curtin University, Perth, Western Australia, Australia
| | - Barbara A. Mullan
- Health Psychology & Behavioural Medicine Research Group, School of Psychology, Curtin University, Perth, Western Australia, Australia
| | - Vanessa Allom
- Health Psychology & Behavioural Medicine Research Group, School of Psychology, Curtin University, Perth, Western Australia, Australia
| | - Amelia Scott
- Health Psychology & Behavioural Medicine Research Group, School of Psychology, Curtin University, Perth, Western Australia, Australia
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Lagerkvist CJ, Mutiso JM, Okello JJ, Muoki P, Oluoch-Kosura W, Heck S. Predictors of Intention to Integrate Biofortified Orange-fleshed Sweetpotato in Child Feeding: A Field Information Experiment in Rural Kenya. Ecol Food Nutr 2020; 59:615-638. [PMID: 32406767 DOI: 10.1080/03670244.2020.1759576] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
The study assesses the psychosocial predictors of intention to integrate biofortified pro-vitamin A orange-fleshed sweet potato (OFSP) in proper complementary feeding (PCF) among women who received either verbal or verbal and visual demonstrations on OFSP-based foods. A total of 764 randomly selected women grouped into four categories, namely pregnant women, women with infants, women with young children, and potential mothers, participated in this study. Using a structural equation model of predicted intentions based on an extended Theory of Planned Behavior (TPB) the study found goal-setting, perceived behavior control, subjective norms, and attitudes had a significant influence on intention to integrate OFSP in PCF. Unexpectedly, knowledge of the various health benefits of OFSP did not positively influence intention. Probabilistic recursive regression was then used to estimate the relationship between the intention to provide PCF practices and its potential antecedents. The results then showed that the model structure and explanatory power was information-specific and also revealing outcome differences by category of women. These results have implications on how interventions targeting the improvement of PCF should be organized and delivered. They underscore the need to segment the audience during nutrition education.
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Affiliation(s)
- Carl Johan Lagerkvist
- Department of Economics, Swedish University of Agricultural Sciences , Uppsala, Sweden
| | - Janet Mwende Mutiso
- Department of Agricultural Economics, University of Nairobi , Nairobi, Kenya
| | - Julius Juma Okello
- Social & Nutrition Sciences Division, International Potato Centre , Kampala, Uganda
| | | | | | - Simon Heck
- International Potato Centre , Nairobi, Kenya
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Lim SL, Teoh C, Zhao X, Umareddy I, Grillo V, Singh SS, Khouw I. Attitudes & beliefs that influence healthy eating behaviours among mothers of young children in Singapore: A cross-sectional study. Appetite 2020; 148:104555. [PMID: 31843684 DOI: 10.1016/j.appet.2019.104555] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2019] [Revised: 11/01/2019] [Accepted: 12/08/2019] [Indexed: 10/25/2022]
Abstract
BACKGROUND Many countries recommend parental involvement to enhance the effectiveness of healthy lifestyle interventions focusing on behavioural modifications that encourage weight management in children. Our study investigates to what extent the different constructs of the Theory of Planned Behaviour (TPB) are influencing healthy eating behaviour among mothers of pre-school and primary school children in Singapore. METHODS A total of 716 mothers of pre-schoolers, 3-6 years old (N = 358) and primary school students, 7-12 years old (N = 358) were administered a survey to assess healthy eating behaviour using the TPB constructs. Bivariate correlations among TPB constructs were calculated and tested using Pearson's correlation. Multivariate generalized regression was performed to examine the associations between TPB constructs and healthy eating behaviour. RESULTS More than 80% of children consumed less than the daily recommended servings of at least 1 glass of dairy,2 servings of fruit and 2 servings of vegetables per day advised by the Singapore Health Board. More primary school children consumed less dairy per day compared to pre-school children (48.9% vs 26.3%; p < 0.001). Primary school children's healthy eating behaviours were correlated with mother's perceived behavioural control (PBC) such as adequate discipline (β = 0.40; p = 0.001), self-efficacy (β = 0.35; p = 0.01) and a lower barrier that healthy food does not satisfy hunger (β = -1.16; p < 0.001). Barriers that significantly reduced pre-school children's healthy food intake were lack of motivation among mothers (β = -1.13; p < 0.001) and children (β = -0.49; p = 0.02), lack of satiety (β = -1.06; p = 0.02), difficulty in changing child's eating habits (β = -0.58; p = 0.03), lack of family support (β = -0.62; p = 0.03). CONCLUSIONS Findings from this study provides a formative foundation for future research and exploration of plausible interventions around improving mother's PBC, self-efficacy and reducing barriers, which could increase mother's engagement in improving their children's healthy eating behaviours in Singapore.
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Affiliation(s)
- Su Lin Lim
- National University Hospital, 5 Lower Kent Ridge Road, Singapore, 119074.
| | - Cheryl Teoh
- Kantar Health, 50 Scotts Road, Singapore, 228242.
| | - Xiahong Zhao
- Kantar Health, 50 Scotts Road, Singapore, 228242.
| | | | - Vince Grillo
- Kantar Health, 50 Scotts Road, Singapore, 228242.
| | | | - Ilse Khouw
- FrieslandCampina, Stationsplein 4, 3818, LE Amersfoort, the Netherlands.
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Alexander DS, Cao C, Alfonso ML. Examining Whether the Social Cognitive Theory Concepts Predict Childhood Obesity Prevention Outcome Expectations. INTERNATIONAL QUARTERLY OF COMMUNITY HEALTH EDUCATION 2020; 41:143-151. [PMID: 32237977 DOI: 10.1177/0272684x20915383] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The social cognitive theory (SCT) has been used to explain and promote childhood obesity prevention behaviors. We examined whether the SCT concepts predicted outcome expectations of childhood obesity among the children of African American caregivers. Caregivers (n = 128) completed the childhood obesity perceptions paper-based survey. A multiple linear regression was conducted to determine the direct effects of moral disengagement, environment, self-efficacy, and behavioral capability on outcome expectations (p < .05). A mediation analysis using a bootstrapping bias correction method was used to test whether self-efficacy and behavioral capability mediated the effect of moral disengagement and environment on outcome expectations. Caregivers reported high levels of moral disengagement (M = 4.13; standard deviation [SD] = 0.70) and self-efficacy (M = 4.26; SD = 0.64) and moderate levels of behavioral capability (M = 2.83; SD = 0.75) and environment (M = 2.92; SD = 0.74). Findings indicated the hypothesized relationships in the SCT were not fully supported. In addition, the indirect effects of environment on outcome expectations were not statistically significantly mediated by behavioral capability. This research warrants more attention in testing the SCT concepts for the development of childhood obesity prevention efforts that prioritize African American families in rural communities.
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Affiliation(s)
- Dayna S Alexander
- Department of Community Health Behavior and Education, Jiann-Ping Hsu College of Public Health, Georgia Southern University
| | - Chunhua Cao
- Department of Rehabilitation, Human Resources and Communication Disorders, College of Education and Health Professions, University of Arkansas
| | - Moya L Alfonso
- Department of Community Health Behavior and Education, Jiann-Ping Hsu College of Public Health, Georgia Southern University
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