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Karikari G, Lohrmann DK, Huber L, Adamek M, Omodior O. An application of the reasoned action approach to clinical students' intention toward a career in geriatrics. Nurs Health Sci 2024; 26:e13076. [PMID: 38356094 DOI: 10.1111/nhs.13076] [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: 03/15/2023] [Revised: 09/28/2023] [Accepted: 12/13/2023] [Indexed: 02/16/2024]
Abstract
Guided by the reasoned action approach, this study examined select individual, information, and social factors that influence intention toward pursuing a career in geriatrics among 314 clinical medical and nursing students in Ghana. A Poisson regression showed attitude toward older persons was a significant influencing factor of intention to choose a career in geriatrics for medical students (B = 0.015, SE = 0.0048, p = 0.002) but not nursing students (B = 0.009, SE = 0.0145, p = 0.512). Personal interest was, however, a significant influencing factor for both medical and nursing students (B = 0.462, SE = 0.0592, p = 0.000) and (B = 0.015, SE = 0.0048, p = 0.002), respectively. Nursing students with moderate to strong interest were 1.6 times more likely to express an intention to specialize in geriatrics, and medical students were 1.5 times more likely to express an intention to specialize in geriatrics. The results show that the most important factor influencing geriatric career intention is students' personal interest in the field. Evidence-based interventions such as early educational and practice exposure to the field and interactions with older adults are recommended.
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Affiliation(s)
- Grace Karikari
- Department of Indigenous Health, University of North Dakota School of Medicine and Health Sciences, Grand Forks, North Dakota, USA
| | - David K Lohrmann
- Applied Health Science Department, Indiana University Bloomington School of Public Health, Bloomington, Indiana, USA
| | - Lesa Huber
- Applied Health Science Department, Indiana University Bloomington School of Public Health, Bloomington, Indiana, USA
| | - Margaret Adamek
- School of Social Work, Indiana University Purdue University Indianapolis, Indianapolis, Indiana, USA
| | - Oghenekaro Omodior
- Recreation, Park, And Tourism Studies, Indiana University Bloomington School of Public Health, Bloomington, Indiana, USA
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Kelly TA, Kral TVE, Teitelman AM, Deatrick JA, Lewis LM. Predicting intentions to meet fruit & vegetable recommendations among black emerging adult women. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022; 70:956-961. [PMID: 32673185 DOI: 10.1080/07448481.2020.1782921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Revised: 04/21/2020] [Accepted: 06/07/2020] [Indexed: 06/11/2023]
Abstract
ObjectiveTo examine Black emerging adult women's (ages 18-29) intention to meet the recommended daily intake of fruits and vegetables using the Theory of Planned Behavior (TPB). Participants: Black emerging adult women (BEAW; N = 100). Methods: A cross-sectional survey design. Results: Hierarchical regression analyses revealed that in Model 1, attitudes (p<.0001) and subjective norms (p<.05) were significant predictors of intentions to meet the recommended daily intake of fruits and vegetables. In Model 2, attitudes (p=.0001) and perceived behavioral control (p<.0001) were revealed to be significant predictors of intentions. The change in R squared from Model 1 (R2=.304) and Model 2 (R2=.559), was 0.255 (F = 40.08, p<.0001) with the addition of perceived behavioral control to the second model. Conclusion: The TPB may be a suitable framework to assess factors associated with fruit and vegetable intentions among BEAW. Interventions designed to increase fruit and vegetable intake in BEAW should prioritize modifying perceived behavioral control.
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Affiliation(s)
- Terri-Ann Kelly
- School of Nursing, Rutgers University-Camden, Camden, New Jersey, USA
| | - Tanja V E Kral
- School of Nursing, The University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Anne M Teitelman
- School of Nursing, The University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Janet A Deatrick
- School of Nursing, The University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Lisa M Lewis
- School of Nursing, The University of Pennsylvania, Philadelphia, Pennsylvania, USA
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Ellithorpe ME, Zeldes G, Hall ED, Chavez M, Takahashi B, Bleakley A, Plasencia J. I'm Lovin' It: How Fast Food Advertising Influences Meat-Eating Preferences. JOURNAL OF HEALTH COMMUNICATION 2022; 27:141-151. [PMID: 35492015 DOI: 10.1080/10810730.2022.2068701] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Overconsumption of red and processed meat is associated with a multitude of negative health outcomes. Previous research shows exposure to advertising messaging can influence dietary behaviors but research on the influence of meat advertising on diet, specifically, is scant. Theoretically informed by the Reasoned Action Approach, the present experiment randomly assigned participants to view a version of a print McDonald's advertisement that included meat imagery (a Big Mac), non-meat imagery (French fries), or no food (just the McDonalds' logo and slogan), which acted as a control. An online survey in the United States included 514 U.S. adults (Mage = 51 years). Participants exposed to meat imagery compared to the non-meat imagery reported a higher desire to eat meat. The meat imagery and control conditions were also significantly associated with increased cognitive accessibility of meat concepts, compared to when respondents were shown the no-meat condition. Desire to eat meat, but not the cognitive accessibility of meat concepts, was significantly associated with attitude, normative pressure, and perceived behavioral control for avoiding eating meat one day per week; these constructs predicted intention and willingness to avoid meat. Results indicate that exposure to meat imagery in advertising does have the potential to influence meat consumption behavior and also has implications for the use of meat imagery in persuasive messaging for public health campaigns.
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Affiliation(s)
| | - Geraldine Zeldes
- School of Journalism, Michigan State University, East Lansing, Michigan, USA
| | | | - Manuel Chavez
- School of Journalism, Michigan State University, East Lansing, Michigan, USA
| | - Bruno Takahashi
- School of Journalism, Michigan State University, East Lansing, Michigan, USA
| | - Amy Bleakley
- Department of Communication, University of Delaware, Newark, Delaware, USA
| | - Julie Plasencia
- Department of Dietetics and Human Nutrition, University of Kentucky, Lexington, Kentucky, USA
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Dobbs PD, Branscum P, Cohn AM, Tackett AP, Comiford AL. Pregnant Smokers' Intention to Switch From Cigarettes to E-Cigarettes: A Reasoned Action Approach. Womens Health Issues 2021; 31:540-549. [PMID: 34452825 DOI: 10.1016/j.whi.2021.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Revised: 07/21/2021] [Accepted: 07/26/2021] [Indexed: 11/28/2022]
Abstract
INTRODUCTION This study used the reasoned action approach (RAA) to examine 1) factors associated with pregnant smokers' intention to switch from cigarettes to e-cigarettes and 2) the influence that intention to switch had on future expectations to resume cigarette use postpartum. METHODS U.S. pregnant women (N = 267) who reported past 30-day use of cigarettes completed an online cross-sectional survey between November and December 2019. A 30-item scale measured RAA constructs (intention, instrumental attitudes, experiential attitudes, injunctive norms, descriptive norms, perceived autonomy, and perceived capacity). A confirmatory factor analysis confirmed and structural equation modeling tested the RAA constructs' association with intention to switch and the relationship between intention to switch and future expectations to resume smoking after pregnancy. RESULTS The confirmatory factor analysis confirmed the seven-factor measurement model. Structural equation modeling found instrumental attitudes (β = 0.43; p < .001) and descriptive norms (β = 0.53; p < .001) were associated with intention to switch from cigarettes to e-cigarettes. However, there were differences between the constructs' relationships with intention between those who did and did not use e-cigarettes in the past 30 days. Intention to switch was inversely related with future expectations to resume smoking postpartum (β = -0.13; p < .001). CONCLUSIONS This study examined multiple facets of behavioral decision-making that may influence pregnant smokers' intention to switch to e-cigarettes during pregnancy. In this sample, pregnant people who believed switching from cigarettes to e-cigarettes was important and that other smokers commonly switched during pregnancy reported greater intention to switch. Novel theories, such as the RAA, may provide an optimal lens to understand pregnant smokers' behavioral decision-making process as they consider switching from cigarettes to e-cigarettes.
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Affiliation(s)
- Page D Dobbs
- Health, Human Performance and Recreation Department, University of Arkansas, Fayetteville, Arkansas; Health and Exercise Science Department, University of Oklahoma, Norman, Oklahoma.
| | - Paul Branscum
- Department of Kinesiology and Health, Miami University, Oxford, Ohio
| | - Amy M Cohn
- Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma
| | - Alayna P Tackett
- Keck School of Medicine, University of Southern California, Los Angeles, California
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Dobbs PD, Branscum P, Wilkerson AH. Intention to Use E-Cigarettes to Quit Smoking: A Reasoned Action Approach. AMERICAN JOURNAL OF HEALTH EDUCATION 2020. [DOI: 10.1080/19325037.2020.1822238] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
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The Potential for Plant-Based Diets to Promote Health Among Blacks Living in the United States. Nutrients 2019; 11:nu11122915. [PMID: 31810250 PMCID: PMC6949922 DOI: 10.3390/nu11122915] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2019] [Revised: 11/13/2019] [Accepted: 11/21/2019] [Indexed: 02/07/2023] Open
Abstract
Plant-based diets are associated with reduced risks of various chronic diseases in the general population. However, it is unclear how these benefits translate to Blacks living in the United States, who are disproportionately burdened with heart disease, cancer, diabetes, obesity, and chronic kidney disease. The objectives of this study were to: (1) review the general evidence of plant-based diets and health outcomes; (2) discuss how this evidence translates to Blacks following a plant-based diet; and (3) provide recommendations and considerations for future studies in this area. Interestingly, although the evidence supporting plant-based diets in the general population is robust, little research has been done on Blacks specifically. However, the available data suggests that following a plant-based diet may reduce the risk of heart disease and possibly cancer in this population. More research is needed on cardiovascular disease risk factors, cancer subtypes, and other chronic diseases. Further, attention must be given to the unique individual, familial, communal, and environmental needs that Blacks who follow plant-based diets may have. Interventions must be culturally appropriate in order to achieve long-term success, and providing low-cost, flavorful, and nutritious options will be important.
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McKeever R, McKeever BW. Moms and Media: Exploring the Effects of Online Communication on Infant Feeding Practices. HEALTH COMMUNICATION 2017; 32:1059-1065. [PMID: 27484216 DOI: 10.1080/10410236.2016.1196638] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Using a survey of mothers with young children (N = 455), this study applies Fishbein and Ajzen's reasoned action approach (RAA) to examine the relationship between online communication and infant feeding practices. Contrary to expectations, attitudes, perceived normative pressure, and perceived behavioral control (PBC) did not fully mediate the relationship between time spent online and behavioral intentions. Our findings indicate a significant, direct, negative association between time spent online and breastfeeding intentions In this article, theoretical and practical implications for health communication are discussed.
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Affiliation(s)
- Robert McKeever
- a School of Journalism and Mass Communications , University of South Carolina
| | - Brooke W McKeever
- a School of Journalism and Mass Communications , University of South Carolina
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Senkowski V, Branscum P, Maness S, Larson D. Using the Integrative Model of Behavioral Prediction to Predict Vegetable Subgroup Consumption among College Students. AMERICAN JOURNAL OF HEALTH EDUCATION 2017. [DOI: 10.1080/19325037.2017.1316690] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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