The theory of planned behaviour and binge drinking: Assessing the moderating role of past behaviour within the theory of planned behaviour

A sample of 398 undergraduate students completed questionnaires assessing the main constructs of the theory of planned behaviour (TPB) in relation to binge drinking, as well as past binge drinking behaviour. Of these, 273 were followed up at 1 week. Regression analyses revealed attitude, self‐efficacy, and perceived control (negative relationship) to be predictive of binge drinking intentions. Intention and self‐efficacy were, in turn, predictive of binge drinking at 1‐week follow‐up. Past behaviour was found to explain additional variance in intention and behaviour. In addition, past behaviour was found to moderate the attitude–intention and intention–behaviour relationships, such that weaker relationships were observed with increasing frequency of past behaviour. The results are discussed in relation to the need to develop and test alternative measures of habit. The implications of the findings for interventions to encourage more appropriate drinking behaviour are outlined.     

Autonomy and control: augmenting the validity of the theory of planned behaviour in predicting exercise

This study examined the utility of the theory of planned behaviour (TPB) along with additional constructs in predicting exercise, and explored the motivational antecedents of exercise intentions. Participants included 162 Canadian University College students (61% females). Measures of TPB, autonomous and controlling intention, perceived autonomy support and core autonomous intention were completed during phase 1 of data collection. Two and three weeks later behaviour was assessed. Hierarchical regression analyses revealed that: (a) attitude and perceived behavioural control significantly predicted TPB intention and core autonomous intention; (b) subjective norm predicted controlling intention; and (c) perceived autonomy support predicted autonomous and core autonomous intention. TPB intention significantly predicted behaviour. TPB is a fairly useful model for predicting behaviour and important information can be gained when other measures of intention are explored.     

The impact of job strain on the predictive validity of the theory of planned behaviour: An investigation of exercise and healthy eating

Objectives. This study examined the impact of the job strain model on exercise and healthy eating within the framework of the Theory of Planned Behaviour. Design. Participants completed a questionnaire measuring the components of the Theory of Planned Behaviour and the job strain model. A follow‐up questionnaire a week later measured behaviour. Method. The questionnaires were completed by e‐mail. The initial questionnaire was completed by 331 employees, and 286 follow‐up questionnaires were returned. Results. Job demands affected exercise indirectly by lowering perceptions of behavioural control over exercise. However, variables from the job strain model were not related to exercise intentions or behaviour. In contrast, employees in passive jobs intended to eat more sweets and snack foods and employees in low strain jobs were more likely to realize their intentions to eat more sweets and snack foods. However, variables from the job strain model did not influence consumption of fruit and vegetables. Conclusions. While people may consider the impact of job strain on exercise whilst making decisions about whether or not to exercise, job strain has a more direct impact on healthy eating. However, job strain may only affect consumption of so‐called ‘high density’ foods, rather than foods such as fruit and vegetables.     

The theory of planned behaviour as predictor of exercise: the moderating influence of beliefs and personality variables

In a test of the predictive utility of the theory of planned behaviour alone and in conjunction with a number of additional variables, 114 participants completed questionnaires measuring predictor variables and, three weeks later, reported exercise. The results of the present study provide partial support for the theory. Past behaviour was the most predictive variable. Subjective norm was not a significant predictor of intention to exercise. Attitude towards exercise was also not a predictor of exercise intention. Self-monitoring acted as a moderator of the attitude-intention relationship. Perceived behavioural control was not a significant predictor of exercise behaviour, while exercise intentions were only weak predictors. The results also suggested that perceived behavioural control and perceived barriers are not equivalent, and should be treated as separate variables that contribute independently to the predictive ability of the model. The implications of the findings are discussed.     

Using past behaviour and spontaneous implementation intentions to enhance the utility of the theory of planned behaviour in predicting exercise

Objectives. This study examined the utility of the theory of planned behaviour (TPB), past behaviour, and spontaneous implementation intentions in predicting exercise behaviour. The psychological correlates of spontaneous implementation intentions and the moderating effects of intention, perceived behavioural control, past behaviour, and implementation intentions at various time points were also examined. Design. Data collection occurred over three phases with a 2‐ and 3‐week interval. The attrition rate was 35.97% leaving a total of 162 participants (63 males, 99 females). In the first wave, participants completed measures of TPB, spontaneous implementation intentions, and past behaviour. Behaviour was assessed in the second and third waves, and a follow‐up measure of spontaneous implementation intentions was completed in Phase 3. Results. Several regression analyses were conducted. Attitude towards exercise and perceived behavioural control made a significant contribution to the prediction of intention. Intention made a significant contribution to the prediction of implementation intentions. Spontaneous implementation intentions reduced the effect of intention and past behaviour for behaviour at 2 weeks and when indexed over a 5‐week period. When behaviour was measured for a 3‐week period (following an initial 2‐week period), the variance that intention and past behaviour accounted for in exercise behaviour decreased, and spontaneous implementation intentions were no longer a significant predictor of behaviour. Spontaneous implementation intentions were found to interact with past behaviour, such that implementation intentions predicted exercise behaviour only among participants who did not exercise frequently in the past. Conclusions. Implications and future research directions are discussed.     

Predicting breakfast consumption: An application of the theory of planned behaviour and the investigation of past behaviour and executive function

Objectives . The objective of the current study is to examine the determinants of breakfast consumption with the application of the Theory of Planned Behaviour (TPB; 1991) and investigate the additional variables of past behaviour and executive function. Design . A prospective 1‐week study investigating the predictive ability of TPB variables, past behaviour and executive function was utilized. Methods . Ninety‐six participants were administered two measures of executive function (response inhibition and planning) and completed self‐report questionnaires regarding their attitudes, subjective norms, perceived control, intentions and past behaviour of breakfast consumption. One week later, participants returned a follow‐up questionnaire on their behaviour. Results . The result of the study showed that the TPB significantly predicted intentions and prospective behaviour of breakfast consumption, however, past behaviour was found to be the strongest predictor of future behaviour. Considering executive function, response inhibition was not found to predict behaviour, however, planning ability explained unique variance in behaviour and moderated the association between intention and behaviour. Conclusions . The findings support the use of the TPB in explaining breakfast eating habits, and suggest that executive function of planning may be somewhat useful to predict this behaviour. The significance of past behaviour also suggests that breakfast consumption may commonly be a stable, habitual behaviour that may undermine the need for self‐regulation. Implications for creating behavioural‐change interventions are discussed.     

The role of perceived need within the theory of planned behaviour: A comparison of exercise and healthy eating

Objectives: This study examined the effect of perceived need on exercise and healthy eating using the theory of planned behaviour (TPB). In addition, it investigated the determinants of perceived need. Method: Participants completed a questionnaire measuring components of TPB and perceived need. A follow‐up questionnaire 1 week later measured behaviour. The questionnaires were completed by e‐mail. The initial questionnaire was completed by 331 adults, and 286 follow‐up questionnaires were returned. Results: Perceived behavioural control was the main predictor of exercise intention and affective attitude was the main predictor of healthy eating intention. Perceived need significantly contributed to the prediction of healthy eating intention but not to exercise intention. Intention and perceived behavioural control predicted actual behaviour but perceived need did not. Reasons reported for the perception of needing to engage in both behaviours mainly focused on physical health and weight control. Conclusions: Reasons reported for low perceived need suggest that the concept of perceived need may be rather ambiguous, particularly in the case of exercise. Therefore, further research is needed to elucidate the role of perceived need in relation to a variety of health behaviours.     

A practitioner’s guide to persuasion: An overview of 15 selected persuasion theories,models and frameworks

Objective

To provide a brief overview of 15 selected persuasion theories and models, and to present examples of their use in health communication research.

Results

The theories are categorized as message effects models, attitude–behavior approaches, cognitive processing theories and models, consistency theories, inoculation theory, and functional approaches.

Conclusions

As it is often the intent of a practitioner to shape, reinforce, or change a patient’s behavior, familiarity with theories of persuasion may lead to the development of novel communication approaches with existing patients.

Practice Implications

This article serves as an introductory primer to theories of persuasion with applications to health communication research. Understanding key constructs and general formulations of persuasive theories may allow practitioners to employ useful theoretical frameworks when interacting with patients.     

Integrating the theory of planned behaviour and self‐determination theory in health behaviour: A meta‐analysis

Purpose A meta‐analysis of studies integrating the theory of planned behaviour (TPB) and self‐determination theory (SDT) in health contexts is presented. The analysis aimed to provide cumulative empirical support for a motivational sequence in which self‐determined motivation from SDT predicts the proximal predictors of intentions and behaviour from the TPB. Methods A literature search identified 36 integrated studies providing 45 tests of effects between TPB and SDT variables. Hunter and Schmidt's (1994) methods of meta‐analysis were used to correct the effect sizes across the studies for statistical artifacts. Age (old versus young), publication status (published versus unpublished), study design (correlational versus experimental/intervention), and behaviour type (physical activity versus other health‐related behaviours) were evaluated as moderators of the effects. A path‐analysis using the meta‐analytically derived correlations was conducted to examine the proposed motivational sequence. Results Statistically significant corrected correlations were evident among the perceived autonomy support and self‐determined motivation constructs from SDT and the attitude, subjective norms, perceived behavioural control, intention, and health‐related behaviour constructs from the TPB. Only six of the 28 effect sizes were moderated by the proposed moderators. Path analysis revealed that the significant effects of self‐determined motivation on intentions and behaviour were partially mediated by the proximal predictors from the TPB. Conclusions Evidence from this synthesis supported the theoretical integration and proposed motivational sequence. Results are discussed with reference to the complementary aspects of the TPB and SDT and the need for integrated experimental or intervention studies on a broader range of health behaviours.     

Predicting alcohol consumption and binge drinking in company employees: an application of planned behaviour and self-determination theories

Objectives. This study tested an integrated model of the psychosocial determinants of alcohol‐related behaviour among company employees from four nations. A motivational sequence was proposed in which motivational orientations from self‐determination theory influenced intentions to consume alcohol within guideline limits and alcohol‐related behaviour via the mediation of the theory of planned behaviour variables of attitude, subjective norms, and perceived behavioural control (PBC). Design. A three‐wave prospective design using self‐reported psychological and behavioural measures. Methods. Company employees (N= 486, males = 225, females = 261; M age = 30.41, SD= 8.31) from four nations (Estonia, Finland, Sweden, and UK) completed measures of autonomous and controlled motivation from self‐determination theory, attitudes, subjective norms, PBC, intentions from the theory of planned behaviour, and self‐reported measures of past alcohol consumption and binge‐drinking occasions at the first time point (time 1). Follow‐up psychological and behavioural measures were taken one month later (time 2) and follow‐up behavioural measures taken a further 2 months later (time 3). Results. Path analyses supported the motivational sequence with identified regulation (time 1), predicting intentions (time 1), and alcohol units consumed (time 2). The effects were indirect via the mediation of attitudes and PBC (time 1). A similar pattern of effects was found for the effect of time 2 psychological variables on time 3 units of alcohol consumed. There was little support for the effects of the psychological variables on binge‐drinking behaviour. Conclusions. Findings provide new information on the psychosocial determinants of alcohol behaviour in company employees and the processes involved. Results may provide impetus for the development of interventions to reduce alcohol consumption.     

Evaluating the impact of method bias in health behaviour research: a meta-analytic examination of studies utilising the theories of reasoned action and planned behaviour

The methods employed to measure behaviour in research testing the theories of reasoned action/planned behaviour (TRA/TPB) within the context of health behaviours have the potential to significantly bias findings. One bias yet to be examined in that literature is that due to common method variance (CMV). CMV introduces a variance in scores attributable to the method used to measure a construct, rather than the construct it represents. The primary aim of this study was to evaluate the impact of method bias on the associations of health behaviours with TRA/TPB variables. Data were sourced from four meta-analyses (177 studies). The method used to measure behaviour for each effect size was coded for susceptibility to bias. The moderating impact of method type was assessed using meta-regression. Method type significantly moderated the associations of intentions, attitudes and social norms with behaviour, but not that between perceived behavioural control and behaviour. The magnitude of the moderating effect of method type appeared consistent between cross-sectional and prospective studies, but varied across behaviours. The current findings strongly suggest that method bias significantly inflates associations in TRA/TPB research, and poses a potentially serious validity threat to the cumulative findings reported in that field.     

Use of mental simulations to change theory of planned behaviour variables

Objectives The predictive validity of the theory of planned behaviour is well established, but much less is known about: (a) whether there are causal relationships between key components of the model and (b) how to go about changing the theory of planned behaviour variables. This study tested the ability of outcome and process simulations to change variables specified in the theory of planned behaviour in relation to blood donation. Design Participants (N = 146) were randomized to one of four conditions: outcome simulation only, process simulation only, process‐plus‐outcome simulation and a distractor control condition. The dependent variables were state anxiety, and intention attitude, subjective norm and perceived control from the theory of planned behaviour. Methods Participants were asked to empty their mind and visualize themselves: (a) after donating blood (outcome manipulation), (b) preparing to donate blood (process manipulation), (c) both preparing to donate blood and after having donated blood (process‐plus‐outcome manipulation) or (d) both preparing to get a high mark and after having got a high mark on their course (control condition). Following mental rehearsal, participants completed the dependent variables. Results There were no main effects of outcome simulation, but process simulation successfully increased intention, subjective norm and perceived control. There was also a significant outcome simulation × process simulation interaction for attitude. The effect of the process manipulation on intention was mediated by subjective norm and perceived control. Conclusions The findings show promise for the use of mental simulations in changing cognitions and further research is required to extend the present findings to other health behaviours.     

Applying an extended model of the theory of planned behaviour to breast self-examination

Few studies have examined the predictors of breast self-examination in younger women, where it is the primary method for the early detection of breast cancer. Female college students (N = 253, aged 17 to 50 years) completed items related to breast self-examination assessing theory of planned behaviour (TPB) constructs (intentions, attitude, subjective norm, perceived behavioural control), social influence variables of self-identity and group norm, and demographic characteristics. One month later, breast self-examination behaviour was assessed. Results supported this application of the TPB model and highlight the importance of group norms for strategies to increase breast self-examination in younger women.     

A meta-analysis of the effects of measuring theory of planned behaviour constructs on behaviour within prospective studies

Measurement reactivity effects, such as the mere measurement effect, have been proposed as a reason for behavioural changes in a number of theory of planned behaviour intervention studies. However, it is unclear whether such changes are the result of the mere measurement effect or of other artefacts of intervention study design. The aim of this study is to determine the size and direction of changes in health behaviours from baseline to follow-up in prospective studies using the theory of planned behaviour. Electronic databases were searched for the theory of planned behaviour studies which measured health behaviours at two or more time points. Change in behaviour was calculated for all studies. Sixty-six studies were included. Mean effect sizes across all studies were small and negative (d = ?.03). Effect size was moderated by behaviour, behaviour type and follow-up length. Subgroup analyses showed significant decreases in socially undesirable behaviour (d = ?.28), binge drinking (d = ?.17), risk driving (d = ?.20), sugar snack consumption (d = ?.43) and sun-protective behaviour (d = ?.18). Measurement of intention at baseline resulted in significant decreases in undesirable behaviour. Changes in undesirable behaviours reported in other studies may be the result of the mere measurement effect.