1
|
Wei X, Xu M, Yang L, Gao Z, Kuang J, Zhou K. Determinants Influencing Health-Promoting Behaviors in Individuals at High Risk of Stroke: A Cross-Sectional Study. HEALTH EDUCATION & BEHAVIOR 2024; 51:457-466. [PMID: 36960724 DOI: 10.1177/10901981231160149] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/25/2023]
Abstract
BACKGROUND Health-promoting behaviors and positive lifestyle changes are crucial for effective stroke prevention. However, individuals at high risk of stroke exhibit poor health behavior due to a deficiency of individual motivation. Moreover, there are only a few studies on health-promoting behaviors that have applied behavior change theories in individuals at high risk of stroke. OBJECTIVE This study aimed to use the theory of the planned behavior (TPB) model to investigate determinants of health-promoting behaviors for stroke prevention and control. METHOD In this cross-sectional study, 263 participants were recruited from five community health centers in Qingdao. Confirmatory factor analysis was performed to assess the reliability and validity of the constructs, and structural equation modeling was used to analyze the proposed relationships between the TPB-related variables. RESULTS The attitudes, subjective norms, and perceptions of behavioral control positively influenced behavioral intention. The behavioral intention had a positive effect on health-promoting behaviors. Attitudes, subjective norms, and perceived behavioral control were influenced primarily by the mediating variable behavioral intention to affect health-promoting behaviors. Stroke knowledge was an influential facilitator of behavioral attitudes, subjective norms, and perceived behavior control. CONCLUSION The TPB-based model is suitable for explaining health-promoting behaviors in individuals at risk of stroke and for guiding the development of effective health management programs. A comprehensive person-centered motivation behavior strategy that is based on health education and complemented by social support and health resource optimization is critical in promoting health behavior motivation and health promotion behaviors in stroke high-risk groups.
Collapse
Affiliation(s)
- Xiao Wei
- Qingdao University, Qingdao, China
| | | | - Li Yang
- Qingdao University, Qingdao, China
| | | | | | | |
Collapse
|
2
|
Majeed R, Hamilton K, Watts GF, Hagger MS. Social cognition correlates of self-management behaviors in patients with familial hypercholesterolemia (FH): A meta-analytic review. Soc Sci Med 2024; 351:116968. [PMID: 38759387 DOI: 10.1016/j.socscimed.2024.116968] [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: 11/10/2023] [Revised: 02/25/2024] [Accepted: 05/09/2024] [Indexed: 05/19/2024]
Abstract
OBJECTIVE Familial Hypercholesterolemia (FH) is an inherited disorder leading to increased risk of premature atherosclerotic cardiovascular disease. This risk can be ameliorated through adherence to pharmacological treatment and salient lifestyle behaviors (e.g., physical activity participation, healthy eating). Identifying theory-based, modifiable determinants of these behaviors may inform behavioral interventions promoting participation in FH self-management behaviors. We aimed to identify the belief-based social cognition constructs uniquely associated with intentions to perform, and actual participation in, FH self-management behaviors in the extant research. METHOD A systematic database search identified studies (k = 9, N = 1394) reporting relations between social cognition theory constructs and intention toward, or actual participation in, self-management behaviors in FH patients. As no studies examining prospectively-measured behaviors were identified, we tested relations among social cognition constructs, intentions, and past FH-self-management behavior using random effects multi-level meta-analysis and meta-analytic structural equation modelling. RESULTS We found non-zero averaged correlations among the key social cognition constructs (attitudes, norms, risk perceptions, self-efficacy), intentions, and past behavior. A meta-analytic structural equation model indicated non-zero averaged direct effects of attitudes, norms, self-efficacy, and past behavior on FH self-management behavioral intentions. There were also non-zero averaged indirect effects of past behavior on intentions mediated by the social cognition constructs. CONCLUSION Findings provide evidence to support the proposed model and highlight the importance of personal, normative, and capacity related beliefs and past experience as unique correlates of intentions to perform FH self-management behaviors. The model may signal potential constructs that could be targeted in behavioral interventions to promote participation in FH self-management behaviors.
Collapse
Affiliation(s)
- Rabia Majeed
- Department of Psychological Sciences, University of California, Merced, United States
| | - Kyra Hamilton
- School of Applied Psychology, Griffith University, Mt. Gravatt, Australia; Health Sciences Research Institute, University of California, Merced, United States; Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Gerald F Watts
- School of Medicine, University of Western Australia, Perth, Australia; Cardiometabolic Service, Department of Cardiology, Royal Perth Hospital, Perth, Australia
| | - Martin S Hagger
- Department of Psychological Sciences, University of California, Merced, United States; School of Applied Psychology, Griffith University, Mt. Gravatt, Australia; Health Sciences Research Institute, University of California, Merced, United States; Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
| |
Collapse
|
3
|
Fernández-Calderón F, Lozano-Rojas ÓM, Sanchez-Garcia M. The theory of planned behavior and alcohol protective behavioral strategies: a prospective study examining the role of habit and gender invariance. Psychol Health 2023:1-20. [PMID: 38156463 DOI: 10.1080/08870446.2023.2300029] [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: 07/07/2023] [Accepted: 12/21/2023] [Indexed: 12/30/2023]
Abstract
OBJECTIVES Alcohol Protective Behavioral Strategies (PBS) have consistently shown to be effective in reducing alcohol use and its associated consequences. We aimed to examine the explanatory value of the Theory of Planned Behavior (TPB) for using five PBS, studying the role of habit, and its potential variation across genders. METHODS Targeted sampling was used to recruit 339 young adults in the community (women = 50.7%; mean age = 2.21[SD = 2.21]), who completed baseline and 2-month follow-up questionnaires. RESULTS The explained variance of the TPB ranged from 58-68% for intention to use PBS, and 18-50% for behavior. The inclusion of habit produced increases of 17-26% in explained variance in intention, while explained variance in behavior remained similar. Habit was the strongest predictor of intention to use PBS, followed by attitude. Except for one behavior (drinking slowly), habits did not moderate the intention-behavior relationship, and the explanatory value of the TPB did not differ across genders. CONCLUSIONS Our findings support the utility of the TPB as an explanatory model of alcohol PBS, along with the need to include habits within the framework of dual-process models. Interventions aimed at promoting alcohol PBS could be optimized by targeting attitudes towards PBS and habits.
Collapse
Affiliation(s)
- Fermín Fernández-Calderón
- Department of Clinical and Experimental Psychology, University of Huelva, Huelva, Spain
- Research Center on Natural Resources, Health and the Environment, University of Huelva, Huelva, Spain
| | - Óscar M Lozano-Rojas
- Department of Clinical and Experimental Psychology, University of Huelva, Huelva, Spain
- Research Center on Natural Resources, Health and the Environment, University of Huelva, Huelva, Spain
| | - Manuel Sanchez-Garcia
- Department of Clinical and Experimental Psychology, University of Huelva, Huelva, Spain
- Research Center on Natural Resources, Health and the Environment, University of Huelva, Huelva, Spain
| |
Collapse
|
4
|
Tan L, Wang QY, Zhang QJ. Anti-stigma narratives and emotional comfort against health crisis: a context analysis of UGC short videos from patients with COVID-19 infections. Sci Rep 2023; 13:14744. [PMID: 37679399 PMCID: PMC10484933 DOI: 10.1038/s41598-023-41184-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 08/23/2023] [Indexed: 09/09/2023] Open
Abstract
Patients narratives are being recorded increasingly frequently and spontaneously in short user produced content (UGC) films, which may have an impact on the vlogger's health as well as the public's comprehension of the relevant health concerns. This paper addressed three research questions regarding the population characteristics of UGC video publishers, the narrative theme of the videos, and the emotional orientation of the commenters. This study aimed to deepen our understanding of COVID-19 patients' narrative intentions and emotional needs through the theoretical frameworks of theory of planned behavior (TPB) and negative dominance theory (NDT). We collected 335 videos from 28 COVID-19 patients and 572,052 comments as samples on Douyin platform, the largest short-video website in China. Using Latent Semantic Analysis, we analyzed the descriptive information of the video blogs, the narrative textual information of the videos, and the emotional orientation of the comments. Our findings revealled seven categories of narrative themes, with 52.1% of video comments exhibiting a positive emotional orientation. Within a framework integrating TPB and NDT theories, we analyzed the behavioral intentions of vloggers and viewers during COVID-19 epidemic, and interpreted the persistent posting of videos and the active posting of comments as positive actions that counteracted the multiple effects of negative messages. This study contributes to the understanding of individual narratives in macro-risk communication, both theoretically and empirically, and offers policy recommendations in relevant fields.
Collapse
Affiliation(s)
- Lin Tan
- School of Marxism, Xi'an Jiaotong University, Xi'an, 710049, China.
- College of Basic Medical, Fourth Military Medical University, Xi'an, 710032, China.
| | - Qing-Yi Wang
- College of Basic Medical, Fourth Military Medical University, Xi'an, 710032, China
| | - Qiu-Ju Zhang
- College of Basic Medical, Fourth Military Medical University, Xi'an, 710032, China
| |
Collapse
|
5
|
Pei D, Kreps G, Zhao X. The Role of Uncertainty and Negative Emotion in Chinese Parents' Self-Medication of Children with Antibiotics. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6603. [PMID: 37623186 PMCID: PMC10454897 DOI: 10.3390/ijerph20166603] [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: 06/30/2023] [Revised: 08/07/2023] [Accepted: 08/16/2023] [Indexed: 08/26/2023]
Abstract
Parents self-medicating their children with antibiotics (SMA) without consulting healthcare professionals is a common practice in China. Previous research has focused primarily on examining the socioeconomic factors that contribute to the prevalence of SMA. This study adopts and extends the theory of planned behavior to understand the cognitive and emotional factors that are associated with parental SMA in China. The responses to an online survey were collected from 961 parents of children aged 6-12 years old, primarily from Gansu, Shandong, and Shaanxi provinces. More than half of the participants (66.5%) engaged in parental SMA. Amoxicillin, Cephradine, and Azithromycin were the most frequently selected antibiotics used for children. Structural equation modeling showed that uncertainty was positively associated with negative emotions, which were in turn positively associated with attitude toward SMA. Uncertainty was also negatively associated with perceived behavioral control (PBC), but the association between PBC and SMA behavior was not significant. Attitude and subjective norm were both positively associated with SMA behavior. The relationship between subjective norm and attitude was also positive. Understanding the psychological factors driving parental SMA may inform tailored interventions to promote responsible antibiotic use among parents.
Collapse
Affiliation(s)
- Di Pei
- School of Public Health, Georgia State University, Atlanta, GA 30302, USA;
| | - Gary Kreps
- Department of Communication, George Mason University, Fairfax, VA 22030, USA
| | - Xiaoquan Zhao
- Department of Communication, George Mason University, Fairfax, VA 22030, USA
| |
Collapse
|
6
|
Ma M, Raza SH, Yousaf M, Zaman U, Jin Q. Investigating the Psychological, Social, Cultural, and Religious Predictors of COVID-19 Vaccine Uptake Intention in Digital Age: A Media Dependency Theory Perspective. Vaccines (Basel) 2023; 11:1338. [PMID: 37631906 PMCID: PMC10459558 DOI: 10.3390/vaccines11081338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Revised: 07/24/2023] [Accepted: 08/04/2023] [Indexed: 08/29/2023] Open
Abstract
Media exposure to health communication contents related to the COVID-19 pandemic alone is inadequate to measure the influence of media on individuals in adopting precautionary behaviors against COVID-19, such as vaccine uptake. Certain individuals may pay attention to and be influenced by communication content. However, literature has suggested other instrumental determinants in developing and adopting health precautionary measures, such as culture or religion, especially regarding vaccination. In times of crisis, such as the COVID-19 pandemic, it is valuable to examine the interrelationships among psychological, sociocultural, and informational factors. This can provide valuable insights for policymakers in developing effective communication strategies. Drawing an analogy between the Media dependency theory (MDT) and the Theory of Planned Behavior (TPB) model, this study unravels the factors underpinning the COVID-19 vaccine uptake intention among Pakistanis. The study utilized a cross-sectional research design and employed a survey method to gather data from a sample of 993 participants. The findings obtained from the PLS-SEM analysis confirmed that individuals relied on both traditional and social media to cope with the COVID-19 pandemic. The findings show that individuals rely more on the informational content disseminated through conventional media channels. The findings also suggest that individuals from Asian countries, such as Pakistan, tend to be more inclined toward collectivism. The findings about the moderating role of religiosity suggest that religious beliefs significantly shape individuals' reliance on traditional media. Hence, this study has uniquely contributed to public health and media management by providing a strategy for managers to address disseminating misinformation related to religion and its impact on vaccination-related health issues. The study has theoretically confirmed the principles of media dependency theory. As a result, it is recommended that various information sources be utilized to cultivate resilience among individuals to manage health crises effectively.
Collapse
Affiliation(s)
- Mengyao Ma
- School of Journalism and Communication, Hebei University, Baoding 071000, China;
| | - Syed Hassan Raza
- Institute of Media and Communication Studies, Bahauddin Zakariya University, Multan 66000, Pakistan
| | - Muhammad Yousaf
- Centre for Media and Communication Studies, University of Gujrat, Gujrat 50700, Pakistan;
| | - Umer Zaman
- Endicott College of International Studies, Woosong University, Daejeon 34606, Republic of Korea
| | - Qiang Jin
- Intercultural Communication Research Center, Hebei University, Baoding 071000, China;
| |
Collapse
|
7
|
El Khoury D, Tabakos M, Dwyer JJM, Mountjoy M. Determinants of supplementation among Canadian university students: a theory of planned behavior perspective. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:1957-1965. [PMID: 34398710 DOI: 10.1080/07448481.2021.1951276] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Revised: 04/14/2021] [Accepted: 06/25/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE The purpose of this study was to identify the psychosocial determinants of (1) intention to use dietary supplements (DS) and (2) the behavior of engaging in supplementation by testing the fit of the Theory of Planned Behavior (TPB). METHODS A total of 778 students at a Canadian university in Ontario completed a cross-sectional survey assessing participants' attitude, injunctive norm, descriptive norm, perceived behavioral control and intention toward DS use. Data were analyzed using independent sample t-tests and linear and logistic regressions. RESULTS Attitude, injunctive norm and perceived behavioral control were significant predictors of intention to use DS. Attitude, injunctive norm and intention were significant predictors of engaging in supplementation. The model explained 75.5% of the variance and correctly classified 89.6% of cases. The odds of using DS doubled with every one-unit increase in intention. CONCLUSIONS This study confirms the utility of the TPB in predicting university students' supplementation habits.
Collapse
Affiliation(s)
- Dalia El Khoury
- Department of Family Relations and Applied Nutrition, College of Social and Applied Human Sciences, University of Guelph, Guelph, Ontario, Canada
| | - Madelyn Tabakos
- Department of Family Relations and Applied Nutrition, College of Social and Applied Human Sciences, University of Guelph, Guelph, Ontario, Canada
| | - John J M Dwyer
- Department of Family Relations and Applied Nutrition, College of Social and Applied Human Sciences, University of Guelph, Guelph, Ontario, Canada
| | - Margo Mountjoy
- Health and Performance Center, John T. Powell Building, University of Guelph, Guelph, Ontario, Canada
| |
Collapse
|
8
|
Fletcher TMD, Mullan B, Finlay-Jones A. Intention to Engage in Alcohol Use during Pregnancy: The Role of Attitudes and Prototypes. Subst Use Misuse 2023; 58:1333-1342. [PMID: 37249357 DOI: 10.1080/10826084.2023.2215292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Background: There is no known risk-free level of alcohol use in pregnancy. Despite this, many still believe that occasional drinking is safe. To-date, there is limited evidence of the influences on women's decisions about low to moderate alcohol use in pregnancy. The aim of this study was to explore alcohol use intentions during pregnancy, using variables from the theory of planned behavior, the prototype/willingness model and personality variables. The study also investigated whether priming participants with exposure to prototypes describing different alcohol use behaviors had an impact on intentions.Methods: Participants, 746 women aged 20 to 45 years, were randomized to be prompted to think of one of two different "types" of behaviors, i.e., small level of alcohol use in pregnancy and ambiguous level of alcohol use in pregnancy. They then completed measures of theoretical variables, impulsivity, venturesomeness, and self-efficacy. Participants then answered whether they intended to use alcohol during a future pregnancy.Results: Over half of the variance in intentions to consume alcohol while pregnant were predicted by the final model (R2= .527, F (1, 438) = 13.201, p < .001). Positive attitudes toward alcohol use in pregnancy, from the theory of planned behavior, were the most significant predictor of intentions and intentions did not differ between groups according to prototype exposure.Conclusions: Future research should aim to explore the efficacy of interventions to reduce low to moderate alcohol use in pregnancy that utilize both the theory of planned behavior and prototype/willingness model to target determinants of intentions.
Collapse
Affiliation(s)
- Tess M D Fletcher
- Enable Institute, Curtin University, Perth, Australia
- FASD Research Australia Centre for Research Excellence, Telethon Kids Institute, Perth, Australia
| | | | - Amy Finlay-Jones
- FASD Research Australia Centre for Research Excellence, Telethon Kids Institute, Perth, Australia
| |
Collapse
|
9
|
Jang SY, Kim HS, Jeong SH, Kim YM. [Factors Affecting Radiation Protective Behaviors in Perioperative Nurses Applying the Theory of Planned Behavior: Path Analysis]. J Korean Acad Nurs 2023; 53:222-235. [PMID: 37164349 DOI: 10.4040/jkan.22099] [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: 08/25/2022] [Revised: 02/27/2023] [Accepted: 03/30/2023] [Indexed: 05/12/2023]
Abstract
PURPOSE The aim of this study was to identify the factors explaining protective behaviors against radiation exposure in perioperative nurses based on the theory of planned behavior. METHODS This was a cross-sectional study. A total of 229 perioperative nurses participated between October 3 and October 20, 2021. Data were analyzed using SPSS/WIN 23.0 and AMOS 23.0 software. The three exogenous variables (attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control) and two endogenous variables (radiation protective intention and radiation protective behaviors) were surveyed. RESULTS The hypothetical model fit the data (χ²/df = 1.18, SRMR = .02, TLI = .98, CFI = .99, RMSEA = .03). Radiation protective intention (β = .24, p = .001) and attitude toward radiation protective behaviors (β = .32, p = .002) had direct effects on radiation protective behaviors. Subjective norm (β = .43, p = .002) and perceived behavior control (β = .24, p = .003) had direct effects on radiation protective intention, which explained 38.0% of the variance. Subjective norm (β = .10, p = .001) and perceived behavior control (β = .06, p = .002) had indirect effects via radiation protective intention on radiation protective behaviors. Attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control were the significant factors explaining 49.0% of the variance in radiation protective behaviors. CONCLUSION This study shows that the theory of planned behavior can be used to effectively predict radiation protective behaviors in perioperative nurses. Radiation safety guidelines or education programs to enhance perioperative nurses' protective behaviors should focus on radiation protective intention, attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control.
Collapse
Affiliation(s)
- Se Young Jang
- Department of Nursing, Jeonbuk National University Hospital, Jeonju, Korea
| | - Hee Sun Kim
- College of Nursing·Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Korea.
| | - Seok Hee Jeong
- College of Nursing·Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Korea
| | - Young Man Kim
- College of Nursing·Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Korea
| |
Collapse
|
10
|
Hovick SR, Rhodes N, Bigsby E, Thomas S, Freiberger N. Exploring direct and indirect predictors of heart disease information seeking. JOURNAL OF COMMUNICATION IN HEALTHCARE 2023; 16:21-29. [PMID: 36919807 DOI: 10.1080/17538068.2022.2076549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND Based on the integrative model of behavioral prediction, we examined predictors of heart disease information seeking. We also examined demographic and individual factors associated with seeking-related perceived norms, attitudes, and perceived behavioral control. METHODS Non-Hispanic White and Black participants, aged 45 and older, completed a cross sectional online survey (N = 383). Stepwise logistic and multiple linear regression models were tested to assess study hypotheses, as well as tests of indirect effects. RESULTS Perceived norms, attitudes and perceived behavioral control were positively associated with heart disease information seeking, but when controlling for distal variables only the perceived norm-behavior association remained significant (p <.05). Indirect effects of distal variables (race, heart disease risk, perceived heart disease susceptibility and information engagement orientation) on information seeking were also detected via perceived norms. CONCLUSIONS Our results provide support for the integrative model as a framework for predicting information seeking, but further highlight the important role of distal predictors and perceived norms on heart disease seeking intentions. When communicating to promote heart disease information acquisition, communicators should pay particular attention to promoting information seeking as a normative behavior, particularly among those who perceive a lower risk of heart disease and who may be less engaged with health information more generally.
Collapse
Affiliation(s)
- S R Hovick
- School of Communication, The Ohio State University, Columbus, Ohio
| | - N Rhodes
- Department of Advertising and Public Relations, Michigan State University, East Lansing, Michigan
| | - E Bigsby
- Department of Communication, University of Illinois, Urbana, Illinois
| | - S Thomas
- School of Communication, The Ohio State University, Columbus, Ohio
| | - N Freiberger
- School of Communication, The Ohio State University, Columbus, Ohio
| |
Collapse
|
11
|
Shanka MS, Gebremariam Kotecho M. Combining rationality with morality - integrating theory of planned behavior with norm activation theory to explain compliance with COVID-19 prevention guidelines. PSYCHOL HEALTH MED 2023; 28:305-315. [PMID: 34193002 DOI: 10.1080/13548506.2021.1946571] [Citation(s) in RCA: 11] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
As COVID-19 cases surge around the world, public health authorities are looking for effective strategies to influence individuals to follow COVID-19 prevention guidelines. However, limited empirical research was conducted to identify the factors behind individuals' compliance with COVID-19 prevention guidelines. This research proposed an integrated model based on the theory of planned behavior and norm activation theory to explain compliance towards COVID-19 prevention guidelines. Data from a survey of 652 individuals were used to test the proposed integrated model. Results showed that three factors: personal norms, attitude towards compliance- behavior, and perceived behavior control, directly influence compliance with COVID-19 prevention guidelines. Awareness of the risk of the COVID-19 pandemic and feelings of responsibility in the COVID-19 fight drives social and moral obligations, respectively, and also influences compliance behavior. The findings of this study not only contribute to theory development in health compliance behavior but also provide practical guidance to health authorities and policymakers on how to enhance compliance behavior with COVID-19 prevention measures.
Collapse
Affiliation(s)
- Mesay Sata Shanka
- Rabat Business School, International University of Rabat, Salé, Morocco
| | - Messay Gebremariam Kotecho
- School of Social Work, Addis Ababa University, Addis Ababa, Ethiopia.,Department of Social Work, University of Johannesburg, Johannesburg, South Africa
| |
Collapse
|
12
|
Al Zaidi SM, Iyanna S, Jabeen F, Mehmood K. Understanding employees’ voluntary pro-environmental behavior in public organizations – an integrative theory approach. SOCIAL RESPONSIBILITY JOURNAL 2023. [DOI: 10.1108/srj-04-2022-0176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
Purpose
This paper aims to investigate the impact of situational factors and internal psychological states on employees’ decisions to perform voluntary pro-environmental behavior. This study used a model combining the theory of planned behavior, norm activation model and comprehensive action determination model. This stud also explored the moderating role of habit (HAB) on the relationship between intention and actual voluntary pro-environmental behavior.
Design/methodology/approach
Data were collected through three waves of time-lagged survey questionnaires from 519 employees of public organizations in Abu Dhabi, United Arab Emirates.
Findings
Employees’ perceptions of corporate social responsibility (CSR) had a significant impact on intention to perform voluntary pro-environmental behavior, as did all other variables except perceived behavioral control. HABs related to pro-environmental behavior enhanced the relationship between intention and actual behavior.
Practical implications
The main factors influencing employees’ voluntary pro-environmental behavioral intentions were perceived CSR, personal moral norms, organizational citizenship behaviors toward the environment and attitude. Public organization planners, managers and practitioners can use these findings to improve their organization’s environmental performance, leveraging nonmandated actions.
Social implications
Employees can achieve a better work–life balance in organizations with flexible CSR policies and which sponsor social activities to improve public well-being and individuals’ life quality. Positive sense-making of corporate social activity helps employees develop social interactions with stakeholders, increasing their involvement in society and decreasing work stress.
Originality/value
This study sheds light on the factors influencing employees’ voluntary pro-environmental behavior. To the best of the authors’ knowledge, this is the first study of its kind to combine these three models to explain the variables affecting intent to perform voluntary pro-environmental behavior in the workplace.
Collapse
|
13
|
Record RA, Groznik M, Sussman MA. Using the Theory of Planned Behavior to Anticipate DIY E-juice Mixing among Young Adult International E-cigarette Users. ADDICTION & HEALTH 2023; 15:23-30. [PMID: 37560077 PMCID: PMC10408742 DOI: 10.34172/ahj.2023.1385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Accepted: 08/30/2022] [Indexed: 08/11/2023]
Abstract
BACKGROUND Trends in young adult use of electronic nicotine delivery systems (ENDS) and experimentation with do-it-yourself (DIY) e-juice mixing are growing around the world. Theoretical frameworks for examining secondary behaviors (i.e., mixing) embedded within a primary behavior (i.e., vaping) are limited, leading to challenges in scholarly understanding of behavioral performance. This study explored the theoretically driven factors surrounding ENDS users' decision to mix DIY e-juice through a multiple behavior test of the theory of planned behavior (TPB). METHODS An international sample of young adult participants aged 18-19 (n=203) was recruited from Prolific for an online crosssectional survey. Path modeling tested four theoretically driven models to explore behavioral performance of mixing. FINDINGS The data supported TPB expectations and revealed new paths for secondary behavior. Primary perceptions of attitudes, norms, and intention were predictive of the same secondary perceptions. In addition, for both primary and secondary behaviors, perceived norms were a function of perceived attitudes. For the secondary behavior, normative influence was experienced indirectly through perceived attitudes. CONCLUSION DIY e-juice mixing is a product of perceived attitudes and behavioral control surrounding mixing as well as perceived attitudes, norms, and intention surrounding general ENDS use. While unregulated DIY experimentation increases among youth, these findings provide a lens for public health efforts seeking to reach and reduce use. Understanding DIY e-juice behaviors is essential to anticipate stockpiling behaviors and negative outcomes from amateur experimentation.
Collapse
Affiliation(s)
- Rachael A. Record
- School of Communication, San Diego State University, 5500 Campanile Dr., San Diego, CA 92182, USA
| | - Maxwell Groznik
- Department of Communication, University of Kentucky, 308 Lucille Little Library, Lexington, KY 40506, USA
| | - Mark A. Sussman
- Department of Biology, San Diego State University, 5500 Campanile Dr., San Diego, CA 92182, USA
| |
Collapse
|
14
|
Reinhardt A, Weber W, Rossmann C. Drivers of young adults' voluntary compliance with COVID-19 protective measures: results from a multi-method study. BMC Public Health 2022; 22:2401. [PMID: 36544123 PMCID: PMC9768790 DOI: 10.1186/s12889-022-14752-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2022] [Accepted: 11/28/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND With the easing of governmental COVID-19 restrictions, promoting voluntary public compliance with protective measures becomes essential for the pandemic evolution. A highly relevant target group for such health promotion are adolescents and young adults since they showed a strong decline in compliance throughout the pandemic. Building on an extended version of the Theory of Planned Behavior, this article investigates drivers of young people's intentions to engage in voluntary COVID-19 measures in phases of re-opening. METHODS We conducted a sequential multi-method study among 14- to 29-year-olds in Germany: (1) a semi-standardized online survey (N = 88) to examine underlying beliefs and (2) a standardized online survey (N = 979) to identify influencing factors of compliance. The pre-study addressed the respondents' perceptions about wearing a mask, social distancing, and avoiding crowded locations (open-ended questions). Responses for all protective measures were aggregated to identify general behavioral, normative, and control beliefs about COVID-19 protective measures. In order to gain generalizable insights into the factors determining voluntary compliance intentions in younger adults, we conceptualized the model constructs in the subsequent standardized online survey as formative measures based on their underlying beliefs. PLS-SEM was used to examine the effects of attitudes, subjective norms, perceived behavioral control, risk perceptions, and knowledge on young people's intentions to comply (main study). Furthermore, a multi-group analysis was conducted to investigate differences between compliers and non-compliers. RESULTS The pre-study revealed that young people's instrumental attitudes not only cover reasons of protection but also aspects of self-presentation (e.g., being a role model). The main study showed that besides knowledge and perceived severity of illness, instrumental attitude is the strongest predictor of intention to comply. The influence is even stronger in the group of non-compliers. CONCLUSION This article highlights the importance of theory-based campaign planning and provides practical guidance to health communicators on how to increase voluntary compliance with COVID-19 protective measures in adolescents and young adults. The findings demonstrate the great potential of combining the Theory of Planned Behavior with risk perception and knowledge to gain deeper insights into the feelings and thoughts of younger target groups during a health crisis.
Collapse
Affiliation(s)
- Anne Reinhardt
- grid.10420.370000 0001 2286 1424Department of Communication, University of Vienna, Waehringer Str. 29, 1090 Vienna, Austria
| | - Winja Weber
- grid.7497.d0000 0004 0492 0584German Cancer Research Center, Im Neuenheimer Feld 280, 69120 Heidelberg, Germany
| | - Constanze Rossmann
- grid.5252.00000 0004 1936 973XDepartment of Media and Communication, Ludwig Maximilian University of Munich, Oettingenstr. 67, 80538 Munich, Germany
| |
Collapse
|
15
|
Xia Y, Chen Q, Zeng L, Guo Q, Liu H, Fan S, Huang H. Factors associated with the patient privacy protection behaviours of nursing interns in China: A cross-sectional study. Nurse Educ Pract 2022; 65:103479. [DOI: 10.1016/j.nepr.2022.103479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Revised: 10/10/2022] [Accepted: 10/21/2022] [Indexed: 11/24/2022]
|
16
|
Liang W, Duan Y, Li F, Rhodes RE, Wang X, Peiris DLIHK, Zhou L, Shang B, Yang Y, Baker JS, Jiao J, Han W. Psychosocial Determinants of Hand Hygiene, Facemask Wearing, and Physical Distancing During the COVID-19 Pandemic: A Systematic Review and Meta-analysis. Ann Behav Med 2022; 56:1174-1187. [PMID: 36074717 DOI: 10.1093/abm/kaac049] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Hand hygiene, facemask wearing, and physical distancing play a crucial role in the prevention of the COVID-19 pandemic. Identifying the key psychosocial determinants of these precautionary behaviors contributes to effective intervention and policymaking for COVID-19 and future pandemics. PURPOSE This study aimed to systematically review and meta-analyze available evidence on psychosocial determinants of the general population's practice of three precautionary behaviors, based on the Risk, Attitudes, Norms, Abilities, and Self-regulation (RANAS) framework. METHODS Literature was identified by searching seven databases and relevant review papers. Observational and experimental studies targeting the general population (≥18 years) published between January 2020 to September 2021 were included. Pooled effect sizes were calculated with the inverse-variance method using random-effects models. RESULTS A total of 51 studies (64 samples) were included in the qualitative synthesis, of which 30 studies (42 samples) were included in the meta-analysis. RANAS-based constructs including knowledge, pros attitudes, and perceived norms were identified as significant determinants of all three behaviors in the meta-analysis. Perceived susceptibility and cons attitudes showed no significant associations with any behaviors. Perceived severity, perceived control, self-efficacy, and behavioral intention were significantly associated with one or two behaviors. Country (western vs. eastern hemispheres) significantly moderated the effects of certain risk and ability factors. CONCLUSIONS More research is needed with respect to the intention-behavior relationship, self-regulatory and reflexive factors of precautionary behaviors, as well as the exploration of the potential moderating effect of sociodemographic factors.
Collapse
Affiliation(s)
- Wei Liang
- School of Competitive Sport, Shandong Sport University, Shandong, China.,Center for Health and Exercise Science Research, Hong Kong Baptist University, Hong Kong, China
| | - Yanping Duan
- Center for Health and Exercise Science Research, Hong Kong Baptist University, Hong Kong, China
| | - Feifei Li
- Center for Health and Exercise Science Research, Hong Kong Baptist University, Hong Kong, China
| | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, Canada
| | - Xiang Wang
- Department of Curriculum and Instruction, the Education University of Hong Kong, Hong Kong, China
| | | | - Lin Zhou
- Lab of Measurement and Evaluation in Health Sciences, Hebei Normal University, Hebei, China
| | - Borui Shang
- Department of Social Sciences, Hebei Sport University, Hebei, China
| | - Yide Yang
- School of Medicine, Hunan Normal University, Hunan, China
| | - Julien S Baker
- Center for Health and Exercise Science Research, Hong Kong Baptist University, Hong Kong, China
| | - Jiao Jiao
- Center for Health and Exercise Science Research, Hong Kong Baptist University, Hong Kong, China
| | - Wei Han
- School of Competitive Sport, Shandong Sport University, Shandong, China
| |
Collapse
|
17
|
Galli F, Chirico A, Mallia L, Alivernini F, Manganelli S, Zelli A, Hagger MS, Lucidi F. Identifying Determinants of Neuro-Enchancement Substance Use in Students. EUROPEAN JOURNAL OF HEALTH PSYCHOLOGY 2022. [DOI: 10.1027/2512-8442/a000115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Abstract. Background: Use of Neuro-Enhancement Substances (NES) such as prescription drugs, illicit drugs, or alcohol to improve cognition, prosocial behavior, and performance is increasing among students. Aims: The study applied a multi-theory, integrated theoretical model to identify motivational and social cognition determinants of NES use among students. Methods: A prospective longitudinal design was adopted with 306 high school (66.8% female; Mage = 17.31 years, SD = 0.93) and 692 university (70.5% female; Mage = 24.97 years, SD = 6.64) students. They completed measures of motivation, social cognition constructs, and planning with respect to studying behavior and NES use. Results: Well-fitting structural equation models indicated the pervasive influence of autonomous motivation, attitudes, subjective norms, and perceived behavioral control for studying, as well as of attitudes, subjective norms, and perceived behavioral control for NES use. Inclusion of past NES use increased explained variance in NES use and attenuated model effects, but the pattern of effects remained. Multi-group analyses indicated consistency in the pattern model effects across high school and university students. Limitations: The study findings might not be generalizable, as student samples were not randomly recruited. Furthermore, NES use only relied on self-report, and its assessment did not consider different NES substances. Finally, there was no assessment of implicit attitudes and habits toward studying and NES use. Conclusions: Findings extend prior literature by demonstrating the integrated guiding view that students’ motivation and beliefs about studying influence their beliefs about and use of NES. Furthermore, the findings provide starting points for interventions targeting the reduction in NES use.
Collapse
Affiliation(s)
- Federica Galli
- Department of Psychology of Development and Socialization Processes, Sapienza, University of Rome, Italy
| | - Andrea Chirico
- Department of Psychology of Development and Socialization Processes, Sapienza, University of Rome, Italy
| | - Luca Mallia
- Department of Movement, Human and Health Sciences, University of Rome, Foro Italico, Rome, Italy
| | - Fabio Alivernini
- Department of Psychology of Development and Socialization Processes, Sapienza, University of Rome, Italy
| | - Sara Manganelli
- National Institute for the Evaluation of the Education System (INVALSI), Rome, Italy
| | - Arnaldo Zelli
- Department of Movement, Human and Health Sciences, University of Rome, Foro Italico, Rome, Italy
| | - Martin S. Hagger
- Department of Psychological Sciences, University of California, Merced, CA, USA
- Faculty of Sport and Health Sciences, University of Jyväskylä, Finland
| | - Fabio Lucidi
- Department of Psychology of Development and Socialization Processes, Sapienza, University of Rome, Italy
| |
Collapse
|
18
|
Hovick SR, Coduto KD, Medero K, Moyer-Gusé E, Senter-Jamieson L. Effects of Exposure to an Entertainment-Based Genetic Testing Narrative on Genetic Testing Knowledge, Attitudes and Counseling Discussion Intentions. JOURNAL OF HEALTH COMMUNICATION 2022; 27:510-519. [PMID: 36281694 DOI: 10.1080/10810730.2022.2131941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
This study explores the effects of exposure to a reality television narrative depicting genetic testing on attitudes and intentions, looking particularly at the effects of narratives containing elements of misinformation on genetics-related knowledge accuracy. In an experiment, participants completed a baseline survey, viewed a high versus low-accuracy narrative, then completed a follow-up survey. Exposure to a low-accuracy narrative was associated with lower knowledge accuracy. Indirect effects of identification and transportation on intentions to talk to a doctor about genetic testing also were detected via attitudes and reduced message counterarguing. Results illustrate the negative implications of inaccurate narratives on knowledge, which is concerning given the public's low level of genetic literacy, as well as the critical role narrative engagement may play in shaping public attitudes and intentions regarding genetic testing.
Collapse
Affiliation(s)
- Shelly R Hovick
- School of Communication, The Ohio State University, Columbus, Ohio, USA
| | - Kathryn D Coduto
- Department of Mass Communication, Advertising & Public Relations, Boston University, Boston, Massachusetts, USA
| | - Kristina Medero
- School of Communication, The Ohio State University, Columbus, Ohio, USA
| | - Emily Moyer-Gusé
- School of Communication, The Ohio State University, Columbus, Ohio, USA
| | | |
Collapse
|
19
|
St Quinton T. The impact of past behaviour on social cognitive factors and sports participation in university students. PSYCHOL HEALTH MED 2022; 27:1193-1204. [DOI: 10.1080/13548506.2020.1847304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Tom St Quinton
- School of Social and Health Sciences, Leeds Trinity University, Leeds, UK
| |
Collapse
|
20
|
Herbas-Torrico BC, Frank B. Explaining interpersonal differences in COVID-19 disease prevention behavior based on the health belief model and collective resilience theory: a cross-sectional study from Bolivia. BMC Public Health 2022; 22:1077. [PMID: 35641948 PMCID: PMC9153240 DOI: 10.1186/s12889-022-13068-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 03/21/2022] [Indexed: 01/09/2023] Open
Abstract
Background Governments have attempted to combat the COVID-19 pandemic by issuing guidelines for disease prevention behavior (e.g., wearing masks, social distancing, etc.) and by enforcing these guidelines. However, while some citizens have complied with these guidelines, others have ignored them or have even participated in large-scale protests. This research aims both to understand the causes of such variation in citizens’ adherence to government guidelines on disease prevention behavior and to extend the scientific literature on disease prevention to account for the collective resilience of a society to diseases. Thus, this research draws on the health belief model and collective resilience theory to develop hypotheses about the determinants of a citizen’s disease prevention behavior. These hypotheses deal with how citizens’ vulnerability, attitudes toward disease prevention, and social orientation are associated with COVID-19 prevention behaviors. Methods From March 24 to April 4, 2020, a cross-sectional online survey was conducted in Bolivia. It included questions on demographic characteristics, chronic health problems, emotional burden, attitudes towards preventive behaviors, trust in public institutions, and culture. Among 5265 participants who clicked on the survey, 1857 at least partially filled it out. After removing data with missing responses to any variable, the final sample consists of 1231 respondents. The collected data were analyzed using hierarchical linear modeling. Results Regarding a citizen’s vulnerability, chronic health problems have a U-shaped association with disease prevention behavior. Moreover, age, female gender, and worries have positive associations with disease prevention behavior, whereas depression showed a negative association. Regarding attitudes toward disease prevention, trust in public institutions, and attitudes toward social distancing, a government-imposed lockdown and the enforcement of this lockdown showed positive associations with disease prevention behavior. Regarding social orientation, individualism and collectivism both have positive relationships with disease prevention behavior. Conclusions In the COVID-19 pandemic, a citizen’s low vulnerability, weak social orientation, and beliefs about low benefits of disease prevention behavior are associated with poor compliance with guidelines on disease prevention behavior. More research on these associations would help generalize these findings to other populations and other public health crises. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13068-1.
Collapse
Affiliation(s)
- Boris Christian Herbas-Torrico
- Exact Sciences and Engineering Research Center (CICEI), Bolivian Catholic University San Pablo, M. Marquez Street and Jorge Trigo Andia Park - Tupuraya, Cochabamba, Bolivia.
| | - Björn Frank
- Faculty of Commerce, Waseda University, 1-6-1 Nishi-Waseda, Shinjuku-ku, Tokyo, 169-8050, Japan
| |
Collapse
|
21
|
Kaiser T, Mögling I, Feldmann M, Hamm A, Brakemeier EL. Fostering compliance with physical distancing by interactive feedback in the context of the COVID-19 pandemic: A web-based randomized controlled trial. Internet Interv 2022; 28:100545. [PMID: 35578655 PMCID: PMC9095499 DOI: 10.1016/j.invent.2022.100545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 04/29/2022] [Accepted: 05/04/2022] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND To slow down the spread of COVID-19, the observance of basic hygiene measures, and physical distancing is recommended. Initial findings suggest that physical distancing in particular can prevent the spread of COVID-19. OBJECTIVES To investigate how information to prevent the spread of infectious diseases should be presented to increase willingness to comply with preventive measures. METHODS In a preregistered online experiment, 817 subjects were presented with either interactively controllable graphics on the spread of COVID-19 and information that enable them to recognize how much the spread of COVID-19 is reduced by physical distancing (experimental group) or text-based information about quantitative evidence (control group). It was hypothesized that participants receiving interactive information on the prevention of COVID-19 infections show a significantly higher willingness to comply with future containment measures than participants reading the text-based information. Explorative analyses were conducted to examine whether other factors influence compliance. RESULTS As predicted, we found a small effect (d = 0.22, 95% CI: 0.11; 0.23, p < .001) for the tested intervention. The exploratory analysis suggests a decline in compliance later in the study (r = -0.10, 95% CI: -0.15; -0.07). Another significant predictor of change in compliance was health-related anxiety, but the effect was trivial. CONCLUSIONS When presented interactively, information on how the own behavior can help prevent infectious diseases can lead to slightly stronger changes in attitude towards behavioral prevention measures than just text-based information. Given the scalability of this simple internet-based intervention, it could play a role in fostering compliance during a pandemic within universal prevention strategies. Future work on the predictive validity of self-reported compliance and the real-world effects on the intervention is needed.
Collapse
Affiliation(s)
- Tim Kaiser
- University of Greifswald, Germany
- Corresponding author at: Universität Greifswald, Institut für Psychologie, Franz-Mehring-Straße 47, 17489 Greifswald, Germany.
| | | | | | | | | |
Collapse
|
22
|
Predictors of the intention to use traditional Chinese medicine (TCM) using extended theory of planned behavior: a cross-sectional study among TCM users in Hong Kong. BMC Complement Med Ther 2022; 22:113. [PMID: 35459198 PMCID: PMC9028891 DOI: 10.1186/s12906-022-03598-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 04/18/2022] [Indexed: 12/16/2022] Open
Abstract
Background Traditional Chinese medicine (TCM) and Western medicine are available and have a long history in Hong Kong. Little is known on the intention to use TCM in Hong Kong. In this study, the intention to use TCM was examined by the extended theory of planned behavior. Methods An online cross-sectional survey was conducted from 15 and 29 November 2021. Respondents’ attitude towards using TCM, intention to use TCM, knowledge, perceived behavioral control, perceived service quality, satisfaction, subjective norms and demographic characteristics were collected from the survey. To examine the conceptual framework in this study, partial least square structural equation model (PLS-SEM) was adopted. Results In total, 446 responses (completion rate = 74.3%) were analysed. Attitude towards TCM was the strongest predictor to the intention to use TCM followed by satisfaction and subjective norms. Attitude had a partial mediating effect on the relationship between subjective norms, perceived behavioral control and intention to use TCM. Attitude had a full mediating effect on the relationship between knowledge and intention to use TCM. Satisfaction had a full mediating effect on the relationship between perceived service quality and intention to use TCM. Conclusions This is the first study to investigate the predictors of the intention to use TCM in Hong Kong by using TPB. Individuals’ attitude towards TCM has showed stronger effect to the intention to use TCM than other predictors, such as satisfaction, perceived behavioral control and subjective norms. To enhance the intention to use TCM in Hong Kong, key stakeholders, including TCM professional organisations, health professionals and policymakers, should develop a positive attitude towards TCM among Hong Kong population. Supplementary Information The online version contains supplementary material available at 10.1186/s12906-022-03598-x.
Collapse
|
23
|
Shamlou Z, Saberi MK, Amiri MR. Application of theory of planned behavior in identifying factors affecting online health information seeking intention and behavior of women. ASLIB J INFORM MANAG 2022. [DOI: 10.1108/ajim-07-2021-0209] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
PurposeToday, the Internet has become an attractive source for obtaining health information. Since women play an important role in maintaining the health of the family and community and since they are active seekers of health information through the Internet, it is essential to examine their online health information seeking behavior. Therefore, the main purpose of this article is to identify the factors affecting the online health information seeking intention and behavior of women.Design/methodology/approachThe theoretical framework of this quantitative study was based on the theory of planned behavior. A total of five hypothesized relationships were formulated to develop a conceptual model. The study approach was quantitative. Using simple random sampling, 400 women referred to specialized and sub-specialized clinics of Hamadan University of Medical Sciences, Iran participated in the study and responded to the survey. Descriptive and inferential data analysis was performed using SPSS 21 and Smart PLS 3 software.FindingsThe results showed that the intention to find health information online is a function of psychological variables. These variables include attitude, subjective norms and perceived behavioral control. Findings showed that attitude is the most important factor affecting online health information seeking intention. It was also found that online health information seeking intention has a positive and significant effect on women's information seeking behavior.Originality/valueThis study is the first attempt to use an important and universally accepted theory to identify the factors affecting the online health information seeking behavior of women referring to specialized and sub-specialized clinics and provides important practical concepts for health officials and managers to improve and develop online health information seeking behavior.
Collapse
|
24
|
Kaushal N, Berlin K, Hagger MS. Determinants of Virtual Exercise Equipment Use: An Integrated Model Investigation. JOURNAL OF SPORT & EXERCISE PSYCHOLOGY 2022; 44:42-51. [PMID: 34920413 DOI: 10.1123/jsep.2021-0143] [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: 05/07/2021] [Revised: 07/30/2021] [Accepted: 10/03/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND Given the limited research on behavioral determinants of using virtual exercise machines to engage in exercise during the COVID-19 pandemic, this study applied an integrated behavior change model to identify behavioral determinants using these machines. METHOD Adult owners of livestreaming virtual exercise equipment (N = 123) completed measures of social cognition, planning, motivation, virtual exercise machine features, and sociostructural variables at an initial occasion (T1) and 4 weeks later (T2). Hypothesized relations among model constructs were tested using a cross-lagged structural equation model with past behavior and sociostructural variables as covariates. RESULTS Autonomous motivation predicted intentions and habit indirectly via attitudes and perceived behavioral control at T1; virtual exercise machine features predicted intention and habit indirectly via social cognition constructs at T1; and intention and habit at T1 predicted exercise behavior at T2. CONCLUSIONS This study supports social cognition constructs and virtual features as predictors of exercise using virtual exercise machines.
Collapse
Affiliation(s)
- Navin Kaushal
- Department of Health Sciences, School of Health & Human Sciences, Indiana University, Indianapolis, IN,USA
| | - Kathy Berlin
- Department of Health Sciences, School of Health & Human Sciences, Indiana University, Indianapolis, IN,USA
| | - Martin S Hagger
- Department of Psychological Sciences, University of California, Merced, Merced, CA,USA
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä,Finland
| |
Collapse
|
25
|
Jalambadani Z, Hosseini ZS. Predictors of pearl vitamin D3 consumption in pregnant women: application of the theory of planned behaviour. J OBSTET GYNAECOL 2022; 42:1512-1517. [PMID: 34996317 DOI: 10.1080/01443615.2021.2010184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
This study aimed at determining the applicability planned-behaviour theory to predict the consumption of pearl vitamin D3 (1000 IU) among pregnant women in Iran in 2020. The participants of the present study were 200 pregnant women who were selected through random cluster sampling. In addition, data collection was done through the use of questionnaire and the proceeding analyses including correlation and linear regression were conducted using SPSS (version 20) (SPSS Inc., Chicago, IL) statistical software package.The findings showed that all three structure attitudes (r = 0.69, p<.001), subjective norms (r = 0.58, p<.001) and perceived behavioural control (PBC) (r = 0.52, p<.001) had significant correlations with consumption. Among the variables entered into the regression model, attitude, subjective norms and PBC were able to predict a total of 65% of pearl vitamin D3 (1000 IU) consumption variance among participants (F = 60.75, R = 0.66, R2=0.65). According to the findings, TPB and its constructs were used to predict pearl vitamin D3 consumption in pregnant women in Iran. This outcome indicates that efforts to promote behavioural intentions through targeting subjective norms, attitude and PBC may promote pearl vitamin D3 consumption.Impact StatementWhat is already known on this subject? The results of this study showed predictors of pearl vitamin D3 consumption in pregnant women based on the theory of planned behaviour (TPB). Women receive adequate and proper knowledge, along with a positive attitude towards taking pearl vitamin D3, and feel that taking pearl vitamin D3 is at their discretion in terms of environmental factors (facilities and barriers), increases intend to use pearl vitamin D3.What do the results of this study add? The results of this study also showed that the amount of pearl vitamin D3 intake during pregnancy increased by pregnant women and decreased risk of foetal growth retardation, low birth weight, decreased risk of respiratory infections in infants, decreased asthma and eczema in infants.What are the implications of these findings for clinical practice and/or further research? The study showed the importance of the role of education based on TPB in consumption promoting pearl vitamin D3.
Collapse
Affiliation(s)
- Zeinab Jalambadani
- Department of Public Health, Torbat Jam Faculty of Medical Sciences, Torbat Jam, Iran
| | - Zakie Sadat Hosseini
- Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| |
Collapse
|
26
|
Buckley C, Field M, Vu TM, Brennan A, Greenfield TK, Meier PS, Nielsen A, Probst C, Shuper PA, Purshouse RC. An integrated dual process simulation model of alcohol use behaviours in individuals, with application to US population-level consumption, 1984-2012. Addict Behav 2022; 124:107094. [PMID: 34530207 PMCID: PMC8529781 DOI: 10.1016/j.addbeh.2021.107094] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 06/29/2021] [Accepted: 08/18/2021] [Indexed: 01/03/2023]
Abstract
INTRODUCTION The Theory of Planned Behaviour (TPB) describes how attitudes, norms and perceived behavioural control guide health behaviour, including alcohol consumption. Dual Process Theories (DPT) suggest that alongside these reasoned pathways, behaviour is influenced by automatic processes that are determined by the frequency of engagement in the health behaviour in the past. We present a computational model integrating TPB and DPT to determine drinking decisions for simulated individuals. We explore whether this model can reproduce historical patterns in US population alcohol use and simulate a hypothetical scenario, "Dry January", to demonstrate the utility of the model for appraising the impact of policy interventions on population alcohol use. METHOD Constructs from the TPB pathway were computed using equations from an existing individual-level dynamic simulation model of alcohol use. The DPT pathway was initialised by simulating individuals' past drinking using data from a large US survey. Individuals in the model were from a US population microsimulation that accounts for births, deaths and migration (1984-2015). On each modelled day, for each individual, we calculated standard drinks consumed using the TPB or DPT pathway. In each year we computed total population alcohol use prevalence, frequency and quantity. The model was calibrated to alcohol use data from the Behavioral Risk Factor Surveillance System (1984-2004). RESULTS The model was a good fit to prevalence and frequency but a poorer fit to quantity of alcohol consumption, particularly in males. Simulating Dry January in each year led to a small to moderate reduction in annual population drinking. CONCLUSION This study provides further evidence, at the whole population level, that a combination of reasoned and implicit processes are important for alcohol use. Alcohol misuse interventions should target both processes. The integrated TPB-DPT simulation model is a useful tool for estimating changes in alcohol consumption following hypothetical population interventions.
Collapse
Affiliation(s)
- Charlotte Buckley
- Department of Automatic Control and Systems Engineering, University of Sheffield, Mappin Street, Sheffield S1 3DA, UK.
| | - Matt Field
- Department of Psychology, University of Sheffield, Cathedral Court, 1 Vicar Lane, Sheffield S1 2LT, UK
| | - Tuong Manh Vu
- School of Health and Related Research, University of Sheffield, 30 Regent Street, Sheffield S1 4DA, UK
| | - Alan Brennan
- School of Health and Related Research, University of Sheffield, 30 Regent Street, Sheffield S1 4DA, UK
| | - Thomas K Greenfield
- Alcohol Research Group (ARG), Public Health Institute, 6001 Shellmound St, Emeryville, CA 94608, USA
| | - Petra S Meier
- MRC/CSO Social and Public Health Sciences Unit, Berkeley Square, 99 Berkeley Street, Glasgow G3 7HR, UK
| | - Alexandra Nielsen
- Alcohol Research Group (ARG), Public Health Institute, 6001 Shellmound St, Emeryville, CA 94608, USA
| | - Charlotte Probst
- Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 33 Ursula Franklin Street, Toronto, On M5S 2S1, Canada; Heidelberg Institute of Global Health, Medical Faculty and University Hospital, Heidelberg University, Im Neuenheimer Feld, 130.3 69120 Heidelberg, Germany
| | - Paul A Shuper
- Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 33 Ursula Franklin Street, Toronto, On M5S 2S1, Canada
| | - Robin C Purshouse
- Department of Automatic Control and Systems Engineering, University of Sheffield, Mappin Street, Sheffield S1 3DA, UK
| |
Collapse
|
27
|
Farias J, Pilati R. Violating social distancing amid the COVID‐19 pandemic: Psychological factors to improve compliance. JOURNAL OF APPLIED SOCIAL PSYCHOLOGY 2021. [DOI: 10.1111/jasp.12853] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- Jéssica Farias
- Laboratory of Social Psychology, Institute of Psychology, Department of Social and Work Psychology University of Brasilia Brasília Brazil
| | - Ronaldo Pilati
- Laboratory of Social Psychology, Institute of Psychology, Department of Social and Work Psychology University of Brasilia Brasília Brazil
| |
Collapse
|
28
|
Hagger MS. Developing an open science 'mindset'. Health Psychol Behav Med 2021; 10:1-21. [PMID: 34993003 PMCID: PMC8725925 DOI: 10.1080/21642850.2021.2012474] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Accepted: 11/24/2021] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Identification of widespread biases present in reported research findings in many scientific disciplines, including psychology, such as failures to replicate and the likely extensive application of questionable research practices, has raised serious concerns over the reliability and trustworthiness of scientific research. This has led to the development of, and advocacy for, 'open science' practices, including data, materials, analysis, and output sharing, pre-registration of study predictions and analysis plans, and increased access to published research findings. Implementation of such practices has been enthusiastic in some quarters, but literacy in, and adoption of, these practices has lagged behind among many researchers in the scientific community. ADVANCES In the current article I propose that researchers adopt an open science 'mindset', a comprehensive approach to open science predicated on researchers' operating under the basic assumption that, wherever possible, open science practices will be a central component of all steps of their research projects. The primary, defining feature of the mindset is a commitment to open science principles in all research projects from inception to dissemination. Other features of the mindset include the assumption that all components of research projects (e.g. pre-registered hypotheses, protocols, materials, analysis plans, data, and output) will be accessible broadly; pro-active selection of open fora to disseminate research components and findings; open and transparent dissemination of reports of the research findings in advance of, and after, formal publication; and active promotion of open science practices through education, modeling, and advocacy. CONCLUSION The open science mindset is a 'farm to fork' approach to open science aimed at promoting comprehensive quality in application of open science, and widening participation in open science practices so that they become the norm in research in health psychology and behavioral medicine going forward.
Collapse
Affiliation(s)
- Martin S. Hagger
- Department of Psychological Sciences and Health Sciences Research Institute, University of California, Merced, CA, USA
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
- School of Applied Psychology, Griffith University, Mt. Gravatt, Australia
| |
Collapse
|
29
|
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.
Collapse
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:
| |
Collapse
|
30
|
Pakpour AH, Lin CK, Safdari M, Lin CY, Chen SH, Hamilton K. Using an Integrated Social Cognition Model to Explain Green Purchasing Behavior among Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312663. [PMID: 34886395 PMCID: PMC8656670 DOI: 10.3390/ijerph182312663] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Revised: 11/27/2021] [Accepted: 11/29/2021] [Indexed: 01/03/2023]
Abstract
Strengthening pro-environmental behaviors such as green purchasing behavior is important for environmental sustainability. An integrated social cognition model which incorporates constructs from habit theory, health action process approach (HAPA), and theory of planned behavior (TPB) is adopted to understand Iranian adolescents’ green purchasing behavior. Using a correlational-prospective design, the study recruited Iranian adolescents aged between 14 and 19 years (N = 2374, n = 1362 (57.4%) females, n = 1012 (42.6%) males; Mean (SD) age = 15.56 (1.22)). At baseline (T1), participants self-reported on the following constructs: past behavior; habit strength (from habit theory); action planning and coping planning (from HAPA); and intention, perceived behavioral control, subjective norm, and attitude (from TPB) with respect to green purchasing behavior. Six months later (T2), participants self-reported on their actions in terms of purchasing green goods. Our findings reported direct effects of perceived behavioral control, subjective norms, attitude, and past behavior on intention; intention and perceived behavioral control on green purchase behavior; intention on two types of planning (i.e., action and coping planning); both types of planning on green purchase behavior; and past green purchase behavior and habits on prospectively measured green purchase behavior. These results indicate that adolescent green purchasing behavior is underpinned by constructs representing motivational, volitional, and automatic processes. This knowledge can help inform the development of theory-based behavior change interventions to improve green purchasing in adolescents, a key developmental period where climate change issues are salient and increased independence and demands in making self-guided decisions are needed.
Collapse
Affiliation(s)
- Amir H. Pakpour
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin 3419759811, Iran;
- Department of Nursing, School of Health and Welfare, Jönköping University, 55111 Jönköping, Sweden
| | - Cheng-Kuan Lin
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA;
| | - Mahdi Safdari
- Department of Environmental Health Engineering, School of Medical Sciences, Tarbiat Modares University, Tehran 1411713116, Iran;
| | - Chung-Ying Lin
- Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan
- Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan
- Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan
- Department of Public Health, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan
- Correspondence: (C.-Y.L.); (S.-H.C.)
| | - Shun-Hua Chen
- School of Nursing, Fooyin University, Kaohsiung 83102, Taiwan
- Correspondence: (C.-Y.L.); (S.-H.C.)
| | - Kyra Hamilton
- School of Applied Psychology, Menzies Health Institute Queensland, Griffith University, Brisbane, QLD 4122, Australia;
- Health Sciences Research Institute, University of California, Merced, CA 95343, USA
| |
Collapse
|
31
|
Willingness to Take the COVID-19 Vaccine as Reported Nine Months after the Pandemic Outbreak: A Cross-National Study. SOCIAL SCIENCES-BASEL 2021. [DOI: 10.3390/socsci10110442] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Although vaccination has been identified as an effective measure of reducing the spread of COVID-19, hesitancy to obtain a vaccine for COVID-19 has been shared. The aim of this cross-national study was to examine (i) the willingness in the general population to take the COVID-19 vaccine nine months after the pandemic outbreak and (ii) the willingness to take the vaccine in relation to sociodemographic variables, whether one has experienced COVID-19 infection, concerns about health and family, and trust in the authorities’ information about the pandemic. A cross-sectional survey design was used to collect data online in Norway, the UK, the USA, and Australia. Chi-Square tests or Fisher’s Exact test were used to analyze the data. Logistic regression analysis was used to assess direct associations between the independent variables and the outcome. Within the total sample (n = 3474), living in a city, having a college education, being concerned about your own health and the health of next of kin, and trusting information provided by authorities increased the likelihood of reporting willingness to take the COVID-19 vaccine. Across all countries, participants who reported trust in the authorities’ information about COVID-19 demonstrated a significantly higher plausibility of taking the COVID-19 vaccine.
Collapse
|
32
|
Jang D, Kim I, Kwon S. Motivation and Intention Toward Physical Activity During the COVID-19 Pandemic: Perspectives From Integrated Model of Self-Determination and Planned Behavior Theories. Front Psychol 2021; 12:714865. [PMID: 34393954 PMCID: PMC8358808 DOI: 10.3389/fpsyg.2021.714865] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 07/01/2021] [Indexed: 01/23/2023] Open
Abstract
Background: In attempts to hinder the spread of the Coronavirus disease 2019 (COVID-19), many countries have continued distancing, isolation, and quarantine measures, which has led to limited opportunity of physical activity. This study provides empirical support for a motivational process behind physical activity during the COVID-19 pandemic by testing the influence of psychosocial variables derived from the integrated model of self-determination theory (SDT) and the theory of planned behavior (TPB). Methods: A cross-sectional survey was conducted among Korean adults (N = 248). Participants completed the measures of SDT and TPB constructs modified to reflect their participation in physical activity during the COVID-19 pandemic. A sample size of 243 participants was employed, and the integrated model was tested using serial multiple mediation analysis to check the hypothesized relationships. Results: Findings indicated that in the COVID-19 context, the satisfaction of basic psychological needs positively predicts the level of self-determined motivations for physical activity, which is partially related to the level of social cognitive beliefs and intentions. The findings also demonstrated that attitude toward physical activity during COVID-19 was a major variable explaining the serial multiple relationships between the SDT and TPB constructs. The potential influence of demographics (gender, age, marital status, and past physical activity) was controlled as a covariate, and no significant effects were identified. Conclusion: The current study identified the psychosocial mechanisms of intention of South Koreans' physical activity during the COVID-19 pandemic, which could be used as an empirical basis for the development of interventions to maintain or strengthen physical activity in unprecedented situations.
Collapse
Affiliation(s)
- Dojin Jang
- Department of Physical Education, College of Education, Seoul National University, Seoul, South Korea
| | - Inwoo Kim
- Department of Sports Culture, College of the Arts, Dongguk University, Seoul, South Korea
| | - Sungho Kwon
- Department of Physical Education, College of Education, Seoul National University, Seoul, South Korea
| |
Collapse
|
33
|
Linardon J, Tylka TL, Fuller-Tyszkiewicz M. Intuitive eating and its psychological correlates: A meta-analysis. Int J Eat Disord 2021; 54:1073-1098. [PMID: 33786858 DOI: 10.1002/eat.23509] [Citation(s) in RCA: 85] [Impact Index Per Article: 28.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 03/16/2021] [Accepted: 03/17/2021] [Indexed: 12/17/2022]
Abstract
OBJECTIVE Intuitive eating is an adaptive style of eating that has generated significant research attention. Theoretically, intuitive eating is a core construct that features prominently in the Acceptance Model of Intuitive Eating, a framework that explains how positive environmental influences can foster intuitive eating practices via body appreciation. Empirically, intuitive eating has been connected to a broad range of adaptive mental health indices. At present, a quantitative synthesis of intuitive eating and its correlates has yet to be conducted. This was the objective of the current meta-analysis. METHOD Ninety-seven studies (89% cross-sectional) were included. Random effects meta-analyses were conducted on 23 psychological correlates, divided into three clusters: eating behavior and body image disturbances, positive body image and other adaptive factors, and general psychopathology. Meta-analytic path analyses were also computed to test the validity of the Acceptance Model. RESULTS Intuitive eating was inversely associated with multiple indices of eating pathology, body image disturbances, and psychopathology (rs = -.23 to -.58). Intuitive eating was positively associated with numerous positive psychological constructs, such as positive body image, self-esteem, and wellbeing (rs = .20 to .58). Men reported higher levels of intuitive eating than women (d = 0.39), with differences being largest in Caucasian samples. Meta-analytic path analyses strongly supported the hypothesized pathways specified in the Acceptance Model of Intuitive Eating. CONCLUSIONS There is a strong evidence base for intuitive eating's connection to numerous adaptive psychological constructs. Attention should now shift toward prospective and experimental designs so that the temporal nature of these relationships can be identified.
Collapse
Affiliation(s)
- Jake Linardon
- School of Psychology, Deakin University, Geelong, Victoria, Australia
| | - Tracy L Tylka
- Department of Psychology, The Ohio State University, Columbus, Ohio, USA
| | - Matthew Fuller-Tyszkiewicz
- School of Psychology, Deakin University, Geelong, Victoria, Australia.,Center for Social and Early Emotional Development, Deakin University, Burwood, Victoria, Australia
| |
Collapse
|
34
|
St Quinton T. Student participation in gambling: the role of social cognition, past behaviour, and habit. PSYCHOL HEALTH MED 2021; 27:1774-1781. [PMID: 34190662 DOI: 10.1080/13548506.2021.1944657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
The study examined the relationship between Theory of Planned Behaviour constructs, past behaviour, habit, and future behaviour relating to students' participation in gambling. Using a cross-sectional design, theory constructs, past behaviour, and habit were examined at T1 (N = 250), and gambling behaviour was assessed four weeks later at T2 (N = 180). Results showed attitude and perceived behavioural control (PBC) predicted intention, and intention and PBC predicted behaviour. The inclusion of past behaviour and habit attenuated the effects of attitude and PBC on intention and rendered the impact of intention on behaviour non-significant. The relationship between past behaviour and future behaviour was mediated by habit and PBC. Interventions should focus on attitude and PBC to attend to gambling intentions in addition to automatic processes to attend to student gambling behaviour.
Collapse
Affiliation(s)
- Tom St Quinton
- School of Social and Health Sciences, Leeds Trinity University, Leeds, UK
| |
Collapse
|
35
|
Li J, Liu X, Zou Y, Deng Y, Zhang M, Yu M, Wu D, Zheng H, Zhao X. Factors Affecting COVID-19 Preventive Behaviors among University Students in Beijing, China: An Empirical Study Based on the Extended Theory of Planned Behavior. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18137009. [PMID: 34209072 PMCID: PMC8297113 DOI: 10.3390/ijerph18137009] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 06/28/2021] [Accepted: 06/28/2021] [Indexed: 12/23/2022]
Abstract
Higher education institutions (HEIs), among other social systems, have an irreplaceable role in combating COVID-19. However, we know little about institutional and individual factors that might facilitate university students’ beliefs and behaviors toward preventive behaviors for COVID-19 within the higher education context. Our study applies an extended theory of planned behavior (TPB) model to investigate the structural relationships among the institutional climate, attitudes, subjective norms, perceived behavioral control and preventive behaviors of university students and to detect the moderating impacts of perceived risk on the structural model. Data were collected from 3693 university students at 18 universities in Beijing, China through an online survey. Structural equation modeling (SEM) and multigroup analysis were performed to examine the empirical model. The results reveal that (1) the institutional climate has a significant, direct effect on preventive behaviors for COVID-19 among university students, (2) the TPB components, namely attitudes, subjective norms and perceived behavioral control, partially mediate the relationship between the institutional climate and preventive behaviors for COVID-19, and (3) perceived risk moderates several paths in the model. Theoretical and practical implications are offered, and recommendations for future research are outlined.
Collapse
Affiliation(s)
- Jiabin Li
- Advising Center for Student Development, Beijing University of Technology, Beijing 100124, China;
| | - Xianwei Liu
- Institute of Higher Education, Research Centre for Capital Engineering Education Development, Beijing University of Technology, Beijing 100124, China
- Correspondence: ; Tel.: +86-010-6739-2673
| | - Yang Zou
- College of Business Administration, Capital University of Economics and Business, Beijing 100070, China;
| | - Yichu Deng
- Publicity Department, Beijing University of Technology, Beijing 100124, China;
| | - Meng Zhang
- School of Civil and Transportation Engineering, Beijing University of Civil Engineering and Architecture, Beijing 102616, China;
| | - Miaomiao Yu
- Institute of Education Economics and Management, University of Science and Technology Beijing, Beijing 100083, China;
| | - Dongjiao Wu
- School of Marxism, Beihang University, Beijing 100191, China;
| | - Hao Zheng
- China Youth & Children Research Center, Beijing 100089, China;
| | - Xinliang Zhao
- Beijing Academy of Educational Sciences, Beijing 100045, China;
| |
Collapse
|
36
|
Kim NY, Jeong SY. Perioperative patient safety management activities: A modified theory of planned behavior. PLoS One 2021; 16:e0252648. [PMID: 34170919 PMCID: PMC8232430 DOI: 10.1371/journal.pone.0252648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2020] [Accepted: 05/20/2021] [Indexed: 11/18/2022] Open
Abstract
Patient safety is an important healthcare issue worldwide, and patient accidents in the operating room can lead to serious problems. Accordingly, we investigated the explanatory ability of a modified theory of planned behavior to improve patient safety activities in the operating room. Questionnaires were distributed to perioperative nurses working in 12 large hospitals in Korea. The modified theory of planned behavior data from a total of 330 nurses were analyzed. The conceptual model was based on the theory of planned behavior data, with two additional organizational factors—job factors and safety management system. Individual factors included attitude, subjective norms, perceived behavioral control, behavioral intention, and patient safety management activities. Results indicated that job factors were negatively associated with perceived behavioral control. The patient safety management system was positively associated with attitude, subjective norm, and perceived behavioral control. Attitude, subjective norm, and perceived behavioral control were positively associated with behavioral intention. Behavioral intention was positively associated with patient safety management activities. The modified theory of planned behavior effectively explained patient safety management activities in the operating room. Both organizations and individuals are required to improve patient safety management activities.
Collapse
Affiliation(s)
- Nam Yi Kim
- Department of Nursing, Daejeon Institute of Science and Technology, Daejeon, Republic of Korea
| | - Sun Young Jeong
- College of Nursing, Konyang University, Daejeon, Republic of Korea
- * E-mail:
| |
Collapse
|
37
|
Kaushal N, Bérubé B, Hagger MS, Bherer L. Investigating the role of self-control beliefs in predicting exercise behaviour: A longitudinal study. Br J Health Psychol 2021; 26:1155-1175. [PMID: 33870633 DOI: 10.1111/bjhp.12525] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 01/23/2021] [Indexed: 12/27/2022]
Abstract
BACKGROUND Engaging in exercise behaviour regularly requires a repeated investment of resources to reap the health benefits. An individual's self-control resources, when performing a behaviour can be perceived as being recharged or depleted. The investigation on how self-control beliefs resources predict exercise behaviour is very limited in the literature. The purpose of this study was to understand how self-control beliefs predict exercise behaviour across time in a physical activity model. METHODS Participants (N = 161) were a sample of adults recruited across twelve gyms and recreation centres in a large city. Participants completed surveys across five months. Data were analysed using a multilevel structural equation model with participants (level 2) nested within time (level 1). RESULTS Behaviour was found to be a function of intention, habit, and planning. Specifically, planning moderated the intention-behaviour relationship, where those who scored higher on planning engaged in more exercise. Self-control beliefs functioned as a proximal predictor of autonomous motivation and predicted habit, and intention when accounting for total effects. CONCLUSIONS Self-control beliefs played a pivotal role in supporting recognized exercise determinants. Exercise-focussed interventions that help participants strengthen their beliefs as recharging and reduce depletion beliefs could be beneficial for promoting regular exercise.
Collapse
Affiliation(s)
- Navin Kaushal
- Department of Health Sciences, School of Health & Human Sciences, Indiana University, Indianapolis, Indiana, USA
| | - Béatrice Bérubé
- Department of Medicine, University of Montréal, Québec, Canada.,Research Center, Montréal Heart Institute, Québec, Canada.,Centre de Recherche de l'Institut, Universitaire de Gériatrie de Montréal, Québec, Canada
| | - Martin S Hagger
- Department of Psychological Sciences, University of California, Merced, California, USA.,Faculty of Sport and Health Sciences, University of Jyväskylä, Finland
| | - Louis Bherer
- Department of Medicine, University of Montréal, Québec, Canada.,Research Center, Montréal Heart Institute, Québec, Canada.,Centre de Recherche de l'Institut, Universitaire de Gériatrie de Montréal, Québec, Canada
| |
Collapse
|
38
|
Social Psychological Predictors of Sleep Hygiene Behaviors in Australian and Hong Kong University Students. Int J Behav Med 2021; 28:214-226. [PMID: 32130683 DOI: 10.1007/s12529-020-09859-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
BACKGROUND Sleep hygiene behaviors in undergraduate students are associated with night-time sleep duration and quality, daytime sleepiness, and psychological distress. This study aimed to identify the social psychological factors that impact on university students' sleep hygiene behaviors in samples from two countries. METHOD Participants were undergraduate students from Australia (N = 201, MAge = 22.82, SDAge = 8.89; 165 female) and Hong Kong (N = 161, MAge = 20.47, SDAge = 7.80; 84 female). The study used a correlational-prospective design. Individuals self-reported their intention, attitude, subjective norms, perceived behavioral control, and past behavior with respect to sleep hygiene behaviors. Four weeks later, the students self-reported their action plans and participation in sleep hygiene behaviors. RESULTS Analysis indicated acceptable model fit to data for both the Australian and Hong Kong samples. Results showed significant direct effects of attitude, subjective norms, perceived behavioral control, and past behavior on intention, and significant direct effects of action planning and past behavior on prospectively measured sleep hygiene behavior. There were also significant indirect effects of attitude, subjective norms (Hong Kong sample only), and perceived behavioral control on behavior mediated by intention and action planning. Overall, the model predicted a large portion of the variance in sleep hygiene behavior for both the Australian (R2 = .524) and Hong Kong (R2 = .483) samples. Schenker and Gentleman t tests found no parameters significantly differed between samples. CONCLUSION Results indicate that university students' sleep hygiene behaviors are a function of both motivational and volitional processes. This formative data can inform future interventions to improve the sleep hygiene practices of university students.
Collapse
|
39
|
Li JY, Wen TJ, McKeever R, Kim JK. Uncertainty and Negative Emotions in Parental Decision-making on Childhood Vaccinations: Extending the Theory of Planned Behavior to the Context of Conflicting Health Information. JOURNAL OF HEALTH COMMUNICATION 2021; 26:215-224. [PMID: 33908834 DOI: 10.1080/10810730.2021.1913677] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Delaying childhood vaccinations has become a public health threat. Numerous studies have shown that the proliferation of conflicting information about the health effects of childhood vaccinations leads parents to believe misinformation about the outcomes of these vaccinations. To build upon the limited understanding of how conflicting information affects decision-making of health protective behaviors, this study extends and applies the theory of planned behavior (TPB) in the context of childhood vaccinations. This study integrates perceived uncertainty as an antecedent of the TPB model, and incudes the negative emotions resulting from the uncertainty as a parallel predictor for the model to examine parents' acceptance of and engagement in childhood vaccinations. Drawing from a survey of with parents in the United States (N = 405), we found that both perceived uncertainty and subjective norms are strong predictors of parents' attitudes and perceived control regarding childhood vaccinations. Additionally, our study also proved that affective factors and the other three cognitive components in TPB are equally important on the formation of parents' intentions of childhood vaccinations. Theoretical and practical implications are discussed in this study.
Collapse
Affiliation(s)
- Jo-Yun Li
- Department of Strategic Communication, University of Miami, Coral Gables, Florida, USA
| | - Taylor Jing Wen
- School of Journalism and Mass Communication, University of South Carolina, Columbia, South Carolina, USA
| | - Robert McKeever
- School of Journalism and Mass Communication, University of South Carolina, Columbia, South Carolina, USA
| | - Joon Kyoung Kim
- Harrington School of Communication and Media, The University of Rhode Island, Kingston, Rhode Island, USA
| |
Collapse
|
40
|
Montanaro EA, Magnan R. A latent profile analysis using the theory of planned behavior to predict alcohol use. Psychol Health 2021; 37:799-810. [PMID: 33775196 DOI: 10.1080/08870446.2021.1903462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE The current study sought to identify subgroups of adult drinkers who differ in their level of association between alcohol-related Theory of Planned Behavior (TPB) constructs (attitudes, perceived norms, self-efficacy, and intentions), and explore if distinct subgroup profiles relate to alcohol use two weeks later. DESIGN Participants (N = 121) were recruited to participate in a two-week study about daily experiences with exercise and alcohol (Mage = 30.93; SDage = 9.88; 59.2% female; 71.1% Caucasian). MAIN OUTCOME MEASURES Alcohol attitudes, subjective norms, alcohol refusal self-efficacy, and intentions were used to create class membership. Behavioral outcomes included (1) drinking frequency, (2) drinking quantity, and (3) drinking to get drunk. RESULTS Two classes of drinkers were determined - Class 1 was categorized by moderate scores on all constructs, whereas Class 2 was categorized by moderate scores on attitudes and high scores on norms, alcohol refusal self-efficacy, and intentions. Class designation was associated with frequency, but not quantity of use. CONCLUSION The current study suggests that a minority of individuals who score moderately across all constructs should receive intervention efforts that focus on just those included in the TPB, while the vast majority may require additional constructs to be addressed.
Collapse
Affiliation(s)
- Erika A Montanaro
- Department of Psychological Sciences, University of North Carolina at Charlotte, Charlotte, NC, USA
| | - Renee Magnan
- Department of Psychology, Washington State University, Vancouver, WA, USA
| |
Collapse
|
41
|
Pasi H, Lintunen T, Leskinen E, Hagger MS. Predicting school students' physical activity intentions in leisure-time and school recess contexts: Testing an integrated model based on self-determination theory and theory of planned behavior. PLoS One 2021; 16:e0249019. [PMID: 33770119 PMCID: PMC7997014 DOI: 10.1371/journal.pone.0249019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Accepted: 03/10/2021] [Indexed: 12/01/2022] Open
Abstract
Background Identifying psychological correlates of children’s physical activity intentions may signpost potentially modifiable targets for interventions aimed at promoting physical activity participation. School recess and leisure-time outside of school are appropriate contexts in which such interventions may be delivered. However, few studies have identified correlates of physical activity intentions in these environments. Examining correlates in these contexts may provide formative evidence on which to base interventions to promote physical activity. Purpose The current study adopted an integrated theoretical model to test relations between motivational constructs from self-determination theory, social cognition constructs from the theory of planned behavior, and physical activity intentions in leisure-time and school recess contexts. Methods Finnish school children (N = 845, M age = 13.93, SD = 0.99) from three lower-secondary schools completed self-report measures of perceived autonomy support by peers, autonomous and controlled motivation, attitudes, subjective norms, perceived behavioral control, and physical activity intentions for both contexts. Results Well-fitting structural equation models controlling for past behavior indicated that autonomous motivation in the school recess context and attitude in both contexts were the most pervasive predictors of physical activity intentions, and mediated the relationship between perceived autonomy support and intentions. Multi-group analyses supported invariance of the models in both contexts across gender, grades, and school, with few variations. Conclusions The current study supports relations between motivational and social cognition correlates of children’s physical activity intentions in school recess and leisure-time contexts. Future research should extend these findings to the prediction of follow-up participation in physical activity.
Collapse
Affiliation(s)
- Heidi Pasi
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
- * E-mail:
| | - Taru Lintunen
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Esko Leskinen
- Department of Mathematics and Statistics, University of Jyväskylä, Jyväskylä, Finland
| | - Martin S. Hagger
- Psychological Sciences, University of California, Merced, California, United States of America
| |
Collapse
|
42
|
Lareyre O, Gourlan M, Stoebner-Delbarre A, Cousson-Gélie F. Characteristics and impact of theory of planned behavior interventions on smoking behavior: A systematic review of the literature. Prev Med 2021; 143:106327. [PMID: 33227344 DOI: 10.1016/j.ypmed.2020.106327] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Revised: 10/14/2020] [Accepted: 11/15/2020] [Indexed: 12/16/2022]
Abstract
Theoretical frameworks such as the theory of planned behavior (TPB) can be applied to design and evaluate smoking behavior interventions. The present systematic review aimed to: (i) determine the characteristics of TPB-based interventions and their reported impact on smoking behavior and TPB variables, (ii) evaluate the level of methodological quality in the included studies, and (iii) assess the quality of the theoretical implementation. Studies were eligible for inclusion if the intervention targeted smoking behavior, was explicitly based on the TPB, and if smoking behavior or intention was measured at least at post-intervention. Relevant articles were identified through searches on databases and internet search engines, responses to messages sent on thematic forums, consultation of prominent authors, and manual searches on key websites and key TPB-publications. Seventeen studies met the inclusion criteria. A majority of studies (65%) targeted the student population (i.e., elementary school, high school, university). Interventions minimally included the provision of health messages. The proportion of studies that reported a significant impact on smoking behavior, intention, attitude, subjective norm, or PBC ranged between 42% and 50%. Regarding methodological quality, unclear or high risks of bias were notably found regarding the selection of participants, data collection methods, withdrawal and drop-outs, and blinding. Regarding theoretical implementation, the reciprocal link between intervention techniques and TPB variables targeted remain unclear for a majority of studies. To better inform tobacco prevention and TPB research, future studies should more systematically use rigorous methods when designing, implementing, and reporting TPB-based interventions.
Collapse
Affiliation(s)
- Olivier Lareyre
- Univ. Paul Valéry Montpellier 3, Univ. Montpellier, EPSYLON EA 4556, F34000, Montpellier, France; Epidaure-Prevention Department of the Montpellier Cancer Institute, 208 Avenue des Apothicaires, 34298 Montpellier cedex 5, France.
| | - Mathieu Gourlan
- Univ. Paul Valéry Montpellier 3, Univ. Montpellier, EPSYLON EA 4556, F34000, Montpellier, France; Epidaure-Prevention Department of the Montpellier Cancer Institute, 208 Avenue des Apothicaires, 34298 Montpellier cedex 5, France.
| | - Anne Stoebner-Delbarre
- Onco-Addiction and Patient Education Unit - Supportive Care Department, Montpellier Cancer Institute (ICM), 208 Avenue des Apothicaires, 34298 Montpellier cedex 5, France.
| | - Florence Cousson-Gélie
- Univ. Paul Valéry Montpellier 3, Univ. Montpellier, EPSYLON EA 4556, F34000, Montpellier, France; Epidaure-Prevention Department of the Montpellier Cancer Institute, 208 Avenue des Apothicaires, 34298 Montpellier cedex 5, France.
| |
Collapse
|
43
|
La Barbera F, Ajzen I. Moderating role of perceived behavioral control in the theory of planned behavior: A preregistered study. JOURNAL OF THEORETICAL SOCIAL PSYCHOLOGY 2021. [DOI: 10.1002/jts5.83] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
| | - Icek Ajzen
- Department of Brain and Psychological Sciences University of Massachusetts Amherst Amherst MA USA
| |
Collapse
|
44
|
Hagger MS, Hamilton K. General causality orientations in self-determination theory: Meta-analysis and test of a process model. EUROPEAN JOURNAL OF PERSONALITY 2020. [DOI: 10.1177/0890207020962330] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Causality orientations theory, a key sub-theory of self-determination theory, identifies three distinct causality orientations: autonomy, control, and impersonal orientation. The theory proposes generalized effects of the orientations on motivation and behavior. We meta-analyzed studies ( k = 83) testing relations between causality orientations, forms of motivation from self-determination theory, and behavior. Pooled data were used to test a process model in which autonomous and controlled forms of motivation mediated relations between causality orientations and behavior. Results revealed that autonomy and control orientations were positively correlated with autonomous and controlled forms of motivation, respectively. Impersonal orientation was correlated negatively with autonomy orientation and autonomous forms of motivation, and positively with control orientation and controlled forms of motivation. Process model tests revealed total effects of autonomy orientation on behavior, comprising direct and indirect effects through autonomous motivation, and a positive direct effect of control orientation on behavior and a negative indirect effect through controlled motivation, resulting in a zero total effect. Analysis of age, gender, behavior type, study design, and study quality revealed few moderator effects on model relations. Findings support effects of autonomy orientation on motivation and behavior, and the processes involved, and identify constructs that could be targeted, or circumvented, in behavioral interventions.
Collapse
Affiliation(s)
- Martin S Hagger
- Department of Psychological Sciences, University of California, Merced, CA, USA
- Faculty of Sport and Health Sciences, University of Jyväskylä, Finland
| | - Kyra Hamilton
- School of Applied Psychology, Griffith University, Queensland, Australia
| |
Collapse
|
45
|
Prasetyo YT, Castillo AM, Salonga LJ, Sia JA, Seneta JA. Factors affecting perceived effectiveness of COVID-19 prevention measures among Filipinos during Enhanced Community Quarantine in Luzon, Philippines: Integrating Protection Motivation Theory and extended Theory of Planned Behavior. Int J Infect Dis 2020; 99:312-323. [PMID: 32768695 PMCID: PMC7406473 DOI: 10.1016/j.ijid.2020.07.074] [Citation(s) in RCA: 144] [Impact Index Per Article: 36.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2020] [Revised: 07/20/2020] [Accepted: 07/26/2020] [Indexed: 12/12/2022] Open
Abstract
OBJECTIVE The current study integrated Protection Motivation Theory (PMT) and extended Theory of Planned Behavior (TPB) to evaluate factors affecting the perceived effectiveness of COVID-19 prevention measures among Filipinos during Enhanced Community Quarantine (ECQ) in Luzon, Philippines. METHODS A total of 649 Filipinos answered an online questionnaire, which contained 63 questions. Structural Equation Modeling (SEM) was utilized to derive the causal relationships of the latent variables construct. RESULTS SEM showed that understanding of COVID-19 had significant direct effects on perceived vulnerability and perceived severity. Also, perceived vulnerability and perceived severity had significant indirect effects on intention to follow. Intention to follow had significant direct effects on actual behavior and adapted behavior, which subsequently led to perceived effectiveness. Of note, an understanding of COVID-19 was found to have a significant indirect effect on perceived effectiveness. CONCLUSIONS The current study is one of the first studies to analyze factors affecting the perceived effectiveness of COVID-19 prevention measures during the global pandemic. It is proposed that the integrated PMT and extended TPB of this study can be applied and extended to evaluate the perceived effectiveness of COVID-19 measures in other countries that are currently dealing with COVID-19 pandemic.
Collapse
Affiliation(s)
- Yogi Tri Prasetyo
- School of Industrial Engineering and Engineering Management, Mapúa University, 658 Muralla St., Intramuros, Manila 1002, Philippines.
| | - Allysa Mae Castillo
- School of Industrial Engineering and Engineering Management, Mapúa University, 658 Muralla St., Intramuros, Manila 1002, Philippines.
| | - Louie John Salonga
- School of Industrial Engineering and Engineering Management, Mapúa University, 658 Muralla St., Intramuros, Manila 1002, Philippines.
| | - John Allen Sia
- School of Industrial Engineering and Engineering Management, Mapúa University, 658 Muralla St., Intramuros, Manila 1002, Philippines.
| | - Joshua Adam Seneta
- School of Industrial Engineering and Engineering Management, Mapúa University, 658 Muralla St., Intramuros, Manila 1002, Philippines.
| |
Collapse
|
46
|
Differences and similarities of physical activity determinants between older adults who have and have not experienced a fall: Testing an extended health belief model. Arch Gerontol Geriatr 2020; 92:104247. [PMID: 32977114 DOI: 10.1016/j.archger.2020.104247] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Revised: 08/26/2020] [Accepted: 08/29/2020] [Indexed: 11/21/2022]
Abstract
PURPOSE Experiencing a fall can be a detrimental experience for older adults and may affect an individual's beliefs about participating in future physical activity (PA) behavior. The purpose of this study was to identify if determinants of PA differ between older adults who have a history of a fall (HF) and those with no history of a fall (NHF) within the Health Belief Model (HBM), expanded through the constructs of intention and habit. MATERIALS AND METHODS Participants (N = 667) were community-dwelling older adults who completed online measures of original HBM determinants (beliefs, barriers, self-efficacy, cues, and perceived threat variables) related to participating in PA in addition to past PA behavior and intention. RESULTS Novel findings include perceived barriers significantly predicted intention to participate in PA among those with a HF but not among those with NHF, and past PA behavior predicted decreased perceived threat of falling among both groups. The model also supported cues to predict physical activity habit. CONCLUSIONS Perceived barriers (time constraints and bodily pain) deterred PA intentions among those with a HF, suggesting the importance of intervention planning to reduce/resolve these barriers for this group. Past PA was negatively associated with perceived threat of falling, which signposts the importance of providing a safe environment for older adults to engage in PA. The study also provides formative notes for interpreting and further investigating perceived threat and its antecedents (susceptibility and seriousness) in addition to cues, which generally have been omitted in previous studies that employ the HBM.
Collapse
|
47
|
Kaushal N, Keith N, Aguiñaga S, Hagger MS. Social Cognition and Socioecological Predictors of Home-Based Physical Activity Intentions, Planning, and Habits during the COVID-19 Pandemic. Behav Sci (Basel) 2020; 10:E133. [PMID: 32878142 PMCID: PMC7551445 DOI: 10.3390/bs10090133] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Revised: 08/26/2020] [Accepted: 08/28/2020] [Indexed: 01/23/2023] Open
Abstract
'Shelter in place' and 'lockdown' orders implemented to minimize the spread of COVID-19 have reduced opportunities to be physically active. For many, the home environment emerged as the only viable option to participate in physical activity. Previous research suggests that availability of exercise equipment functions as a determinant of home-based physical activity participation among the general adult population. The purpose of this study was to use a socioecological framework to investigate how the availability of exercise equipment at home predicts behavioral decisions, namely, intention, planning, and habits with respect to participation in physical activity. Participants (n = 429) were adults recruited in U.S. states subject to lockdown orders during the pandemic who completed measures online. A structural equation model indicated that availability of cardiovascular and strength training equipment predicted physical activity planning. Social cognition constructs mediated the relationship between each type of exercise equipment and intentions. Autonomous motivation and perceived behavioral control were found to mediate the relationship between each type of exercise equipment and habit. The availability of large cardiovascular and strength training equipment demonstrated significant predictive effects with intention, planning, habit, and autonomous motivation. Facilitating these constructs for home-based physical activity interventions could be efficacious for promoting physical activity.
Collapse
Affiliation(s)
- Navin Kaushal
- School of Health & Human Sciences, Department of Health Sciences, Indiana University, Indianapolis, IN 47405, USA
| | - NiCole Keith
- School of Health & Human Sciences, Department of Kinesiology, Indiana University, Indianapolis, IN 47405, USA;
| | - Susan Aguiñaga
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, IL 61820, USA;
| | - Martin S. Hagger
- Psychological Sciences, University of California, Merced, CA 95343, USA;
- Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyväskylä, Finland
| |
Collapse
|
48
|
Peterson AL, Monahan MF, Bender AM, Gryglewicz K, Karver MS. Don’t Invite Everyone! Training Variables Impacting the Effectiveness of QPR Trainings. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2020; 48:343-353. [DOI: 10.1007/s10488-020-01078-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
|
49
|
Lin CY, Imani V, Majd NR, Ghasemi Z, Griffiths MD, Hamilton K, Hagger MS, Pakpour AH. Using an integrated social cognition model to predict COVID-19 preventive behaviours. Br J Health Psychol 2020; 25:981-1005. [PMID: 32780891 PMCID: PMC7436576 DOI: 10.1111/bjhp.12465] [Citation(s) in RCA: 98] [Impact Index Per Article: 24.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 07/21/2020] [Indexed: 12/20/2022]
Abstract
Objectives Rates of novel coronavirus disease 2019 (COVID‐19) infections have rapidly increased worldwide and reached pandemic proportions. A suite of preventive behaviours have been recommended to minimize risk of COVID‐19 infection in the general population. The present study utilized an integrated social cognition model to explain COVID‐19 preventive behaviours in a sample from the Iranian general population. Design The study adopted a three‐wave prospective correlational design. Methods Members of the general public (N = 1,718, Mage = 33.34, SD = 15.77, male = 796, female = 922) agreed to participate in the study. Participants completed self‐report measures of demographic characteristics, intention, attitude, subjective norm, perceived behavioural control, and action self‐efficacy at an initial data collection occasion. One week later, participants completed self‐report measures of maintenance self‐efficacy, action planning and coping planning, and, a further week later, measures of COVID‐19 preventive behaviours. Hypothesized relationships among social cognition constructs and COVID‐19 preventive behaviours according to the proposed integrated model were estimated using structural equation modelling. Results The proposed model fitted the data well according to multiple goodness‐of‐fit criteria. All proposed relationships among model constructs were statistically significant. The social cognition constructs with the largest effects on COVID‐19 preventive behaviours were coping planning (β = .575, p < .001) and action planning (β = .267, p < .001). Conclusions Current findings may inform the development of behavioural interventions in health care contexts by identifying intervention targets. In particular, findings suggest targeting change in coping planning and action planning may be most effective in promoting participation in COVID‐19 preventive behaviours. Statement of contribution What is already known on this subject?Curbing COVID‐19 infections globally is vital to reduce severe cases and deaths in at‐risk groups. Preventive behaviours like handwashing and social distancing can stem contagion of the coronavirus. Identifying modifiable correlates of COVID‐19 preventive behaviours is needed to inform intervention.
What does this study add?An integrated model identified predictors of COVID‐19 preventive behaviours in Iranian residents. Prominent predictors were intentions, planning, self‐efficacy, and perceived behavioural control. Findings provide insight into potentially modifiable constructs that interventions can target. Research should examine if targeting these factors lead to changes in COVID‐19 behaviours over time.
Collapse
Affiliation(s)
- Chung-Ying Lin
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Vida Imani
- Pediatric Health Research Center, Tabriz University of Medical Sciences, Iran
| | - Nilofar Rajabi Majd
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Iran
| | - Zahra Ghasemi
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Iran
| | - Mark D Griffiths
- International Gaming Research Unit, Psychology Department, Nottingham Trent University, UK
| | - Kyra Hamilton
- School of Applied Psychology, Menzies Health Institute Queensland, Griffith University, Mt Gravatt, Queensland, Australia
| | - Martin S Hagger
- School of Applied Psychology, Menzies Health Institute Queensland, Griffith University, Mt Gravatt, Queensland, Australia.,Psychological Sciences and Health Sciences Research Institute, University of California, Merced, California, USA.,Faculty of Sport and Health Sciences, University of Jyväskylä, Finland
| | - Amir H Pakpour
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Iran.,Department of Nursing, School of Health and Welfare, Jönköping University, Sweden
| |
Collapse
|
50
|
Brown DJ, Hagger MS, Hamilton K. The mediating role of constructs representing reasoned-action and automatic processes on the past behavior-future behavior relationship. Soc Sci Med 2020; 258:113085. [DOI: 10.1016/j.socscimed.2020.113085] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 02/18/2020] [Accepted: 05/22/2020] [Indexed: 11/28/2022]
|