Theories of reasoned action and planned behavior as models of condom use: a meta-analysis

To examine how well the theories of reasoned action and planned behavior predict condom use, the authors synthesized 96 data sets (N = 22,594) containing associations between the models' key variables. Consistent with the theory of reasoned action's predictions, (a) condom use was related to intentions (weighted mean r. = .45), (b) intentions were based on attitudes (r. = .58) and subjective norms (r. = .39), and (c) attitudes were associated with behavioral beliefs (r. = .56) and norms were associated with normative beliefs (r. = .46). Consistent with the theory of planned behavior's predictions, perceived behavioral control was related to condom use intentions (r. = .45) and condom use (r. = .25), but in contrast to the theory, it did not contribute significantly to condom use. The strength of these associations, however, was influenced by the consideration of past behavior. Implications of these results for HIV prevention efforts are discussed.     

Prediction of goal-directed behavior: Attitudes,intentions, and perceived behavioral control

A proposed theory of planned behavior, an extension of Ajzen and Fishbein's (1980, Understanding attitudes and predicting social behavior. Englewood-Cliffs, NJ: Prentice-Hall) theory of reasoned action, was tested in two experiments. The extended theory incorporates perceived control over behavioral achievement as a determinant of intention (Version 1) as well as behavior (Version 2). In Experiment 1, college students' attendance of class lectures was recorded over a 6-week period; in Experiment 2, the behavioral goal was getting an “A” in a course. Attitudes, subjective norms, perceived behavioral control, and intentions were assessed halfway through the period of observation in the first experiment, and at two points in time in the second experiment. The results were evaluated by means of hierarchical regression analyses. As expected, the theory of planned behavior permitted more accurate prediction of intentions and goal attainment than did the theory of reasoned action. In both experiments, perceived behavioral control added significantly to the prediction of intentions. Its contribution to the prediction of behavior was significant in the second wave of Experiment 2, at which time the students' perceptions of behavioral control had become quite accurate. Contrary to expectations, there was little evidence for interactions between perceived behavioral control and the theory's other independent variables.     

Negative Beliefs as a Moderator of the Intention–Behavior Relationship: Decisions to Use Performance-Enhancing Substances

The theory of reasoned action framework was used to examine performance-enhancing substance use among a sample of college athletes in a prospective longitudinal design. Results indicate that attitudes and subjective norms predicted intention to use the substances, and these intentions predicted actual substance use 6 weeks later. A statistically significant interaction emerged between negative beliefs and intentions predicting behavior such that as negative beliefs grew increasingly negative, the intention–behavior relationship became stronger. Practical and theoretical implications of the influence of negative information on the intention–behavior relationship are discussed.     

The Nature and Predictive Value of Mothers' Beliefs Regarding Infants' and Toddlers' TV/Video Viewing: Applying the Integrative Model of Behavioral Prediction

Viewing television and video programming has become a normative behavior among U.S. infants and toddlers. Little is understood about the extent of parents' decision making regarding their young children's viewing, although numerous organizations are interested in reducing time spent viewing among infants and toddlers. Prior research has examined parents' belief in the educational value of TV/videos for young children and the predictive value of this belief for understanding infant and toddler viewing rates, although other possible salient beliefs remain largely unexplored. This study employs the integrative model of behavioral prediction to examine 30 maternal beliefs about infants' and toddlers' TV/video viewing, which were elicited from a prior sample of mothers. Results indicate that mothers tend to hold more positive than negative beliefs about the outcomes associated with young children's TV/video viewing and that the nature of the aggregate set of beliefs is predictive of their general attitudes and intentions to allow their children to view, as well as children's estimated viewing rates. Analyses also uncover multiple dimensions within the full set of beliefs, which explain more variance in mothers' attitudes and intentions and children's viewing than the uni-dimensional index. The theoretical and practical implications of the findings are discussed.     

Predicting Intentions to Use Condoms: A Meta-Analysis and Comparison of the Theories of Reasoned Action and Planned Behavior1

A meta-analysis was conducted on 23 psychosocial predictors of intentions to use condoms. Data from 67 independent samples were included in the review. Findings demonstrated that demographic, sexual experience, and personality variables had small average correlations with intentions. Knowledge about HIV/AIDS and perceptions of the threat of disease were also weakly related to decisions about using condoms. Attitudes and subjective norms from the theory of reasoned action, on the other hand, demonstrated medium to strong effect sizes. Two components of social influence not specified by the theory of reasoned action also received support. Evidence suggested that perceived behavioral control from the theory of planned behavior was a reliable predictor of behavioral intentions and explained variance over and above the effects of attitudes and subjective norms.     

The Role of Desires,Self-Predictions,and Perceived Control in the Prediction of Training Session Attendance1

Employee attendance at a training session was examined using the theory of reasoned action (Fishbein & Ajzen, 1975). In addition, based on Audi (1973a, b) and Warshaw and Davis (1985), a distinction was made between desires (I want) and behavioral self-predictions (I will), and as in Ajzen (1985, 1987), the role of perceived control as a determinant of these desires, self-predictions, and attendance behavior, per se, was investigated. The results indicated that the best predictors of attendance at the training session were one's desire or motivation to attend the training session and the extent to which one perceived pressure from his or her supervisor to do so. Consistent with the theory of reasoned action, the motivation to attend training was predicted accurately from attitudes and subjective norms (R=.76, p < .001). Moreover, these attitudes and subjective norms were themselves predicted from a consideration of behavioral and normative beliefs, and key beliefs underlying one's desire to attend were identified. However, a consideration of perceived control did not improve the prediction of one's desire to attend training, and neither perceived control nor behavioral self-predictions improved prediction of actual attendance. The discussion focused on the roles of perceived control and different measures of intention in behavioral prediction.     

A connectionist implementation of the theory of planned behavior: association of beliefs with exercise intention.

The theory of planned behavior suggests attitudes are a product of salient beliefs. This study examined whether aggregating salient beliefs was plausible within a more biologically centered information-processing environment. A neural network was used to examine associations among beliefs relating to exercise intention. Data on intentions and behavioral, normative, and control beliefs from 114 respondents were used to train (by error backpropagation) a neural network to associate beliefs with intention. The R-sup-2 between the network's estimated and self-reported intention was.66. The network's representation comprised 6 belief profiles associated with high, moderate, or low behavioral intention. The neural network accommodated complex relationships among beliefs and belief-intention associations and indicated how high-level constructs such as attitudes may be viewed as the best fit (compromise state) between aroused beliefs.     

A Comparison of Health Behavior Constructs: Social Psychological Predictors of AIDS-Preventive Behavioral Intentions

The present study focused on predicting AIDS-preventive behavioral intentions (i. e., intentions to discuss AIDS-related information and to use condoms) from constructs taken from the health belief model, the theory of reasoned action/planned behavior, and social cognitive theory. Questionnaire data were collected from 124 undergraduates using scales from previously published work as well as some new measures designed for this study. Perceived behavioral control, perceived risk, attitudes, self-efficacy, subjective norms, negative expected outcomes, and perceived severity of HIV infection were correlated with at least one intention measure; but regression analyses showed that perceived behavioral control was the strongest independent predictor of condom use intentions and of intentions to discuss AIDS information with a partner. Implications for theory and application are discussed.     

Seeking medical care for a breast cancer symptom: determinants of intentions to engage in prompt or delay behavior

This study examined the cognitive structures underlying women's intentions to delay or not delay seeking medical care for a breast cancer symptom. Middle-aged women imagined that they had just discovered a particular change in their breast, and they completed a questionnaire that assessed variables specified by Ajzen and Fishbein's theory of reasoned action with respect to two alternative courses of action: immediately calling the doctor (i.e., prompt behavior) and monitoring the breast change on one's own (i.e., delay behavior). Also assessed were variables external to the theory that were drawn from previous research on cancer delay. Results showed that intentions to delay were positively associated with having favorable attitudes toward delay and with perceived social pressure to delay; the attitudinal factor, however, was more influential than the social factor in determining intentions. Underlying favorable attitudes toward delay were beliefs that delay would be likely to result in maintaining control over and avoiding the disruption of one's own and others' lives but would be unlikely to result in negative health outcomes. No external variable was found to contribute to intentions to delay above and beyond attitudinal and normative considerations.     

Factors Influencing Ethical Intentions Among Future Accounting Professionals in the Caribbean

Ethical decision-making is an important function among accountants. This paper sought to determine the factors influencing the ethical intentions of future accounting professionals. Specifically, this study tested the applicability of the theory of reasoned action (TRA), theory of planned behavior (TPB) and the extended model of the theory of planned behavior (ETPB) in predicting accounting students’ intentions to act unethically (breaching confidentiality and charging expenses). Data was collected via a survey questionnaire from 298 accounting students at a Caribbean university. Results revealed that the independent variables (attitudes, subjective norms, perceived behavioral control and moral obligation) significantly predicted students’ intentions to breach confidentiality and charge personal expenses. Our findings show that the ETPB is a good predictor of ethical intentions among future accounting professionals.     

Safer Sex Behavior: The Role of Attitudes, Norms, and Control Factors

A study was undertaken to assess the utility of revisions to the theories of reasoned action/planned behavior in the context of HIV-preventive behaviors. Revisions to the models incorporated the addition of group norm (behavioral norm and group attitude) to the nonnative component of the reasoned action model and the distinction among three aspects (self-efficacy, perceived behavioral control, and planning) of the control component of the theory of planned behavior. Respondents were 211 sexually experienced heterosexual undergraduates. The study employed a longitudinal design, with the proposed predictors of performing the behaviors under consideration (using a condom every time you have sexual intercourse during the next month and discussing whether to use a condom with any new partners during the next month) assessed prior to the measures of reported behavior. Consistent with expectations, group norm emerged as a distinctive predictor (in addition to attitude and subjective norm) of intentions to practice both safer sex behaviors. The data also revealed some support for the distinction among the different measures of control. The results of the study suggest that the normative component of the theories of reasoned action and planned behavior should be revised to incorporate more subtle influences of the referent group and that tests of theory of planned behavior should distinguish among the different aspects of behavioral control.     

Attitudes, Intentions, and Behavior: A Study of Women's Participation in Collective Action

The present study tests the theories of reasoned action and planned behavior in the context of women's participation in collective action. Participants were 387 women who completed two questionnaires with an interval of 1 year. In the first questionnaire, participants were asked to provide measures of attitudinal, normative, and control factors, as well as measures of intention to participate in 4 group-related activities over the coming year. One year later in the second questionnaire, the same women provided measures of the degree to which they had actually participated in these behaviors during the course of the year. Findings showed strong relationships between attitudinal factors and intentions, and between intentions and behavior. The addition of perceived behavioral control, as specified by the theory of planned behavior, made little difference in regression analyses. Further analyses focused on the mediating role of identification as an activist. This revealed that attitudinal considerations were only important in the prediction of intention for those individuals with a weaker sense of themselves as activists. It is suggested that expectancy-value calculations may be less important in predicting the intentions of strongly committed individuals to engage in group-relevant acts.     

Examining attitudes,beliefs, and intentions regarding the use of exercise as punishment in physical education and sport: an application of the theory of reasoned action

Although the use of exercise as punishment appears to be pervasive among physical education teachers and coaches, it has not been systematically examined. The purpose of this study was to examine the experiences, attitudes, intentions, and beliefs of college physical education majors regarding the use of exercise as punishment, using the framework of the theory of reasoned action. Surveys were completed by 345 students enrolled in 35 physical education classes. More than 90% of the study participants reported that their coaches used exercise as punishment, and 43% indicated their physical education teachers used exercise to punish or manage behavior. The constructs of the theory of reasoned action explained nearly 70% of the variance in participants' intentions to use exercise as punishment.     

The Theory of Planned Behavior and Ecstasy Use: Roles for Habit and Perceived Control Over Taking Versus Obtaining Substances

Despite increasing use of the illicit substance known as ecstasy , there is a paucity of research concerning psychosocial correlates of its use. A prospective study examined the ability of variables specified by the theory of planned behavior (TPB) to predict ecstasyuse intentions and behavior. Regression analyses showed that theory of reasoned action and TPB variables provided good prediction of intentions to use the substance. Moreover, support was obtained for a distinction between perceptions of behavioral control over taking ecstasy vs. control over obtaining the substance in the prediction of intentions. Habit contributed additional variance to the prediction of intentions, and reduced the effects of perceived behavioral control over taking ecstasy to nonsignificance. Ecstasy use over 2 months was directly predicted from intentions to use the substance.     

Application of the Theory of Planned Behavior in Academic Cheating Research–Cross-Cultural Comparison

The study is an intercultural comparison of the theory of reasoned action and the theory of planned behavior (original and modified versions) to predict students’ intentions for academic cheating. The sample included university students from 7 countries: Poland, Ukraine, Romania, Turkey, Switzerland, United States, and New Zealand. Across countries, results show that attitudes, perceived behavioral control, and moral obligation predict students’ intentions to engage in academic dishonesty in the form of cheating. The extended modified version of the theory of planned behavior emerged as the best explanatory model predicting intentions to cheat. Significant cross-cultural differences were found and discussed.     

An Examination of the Individual‐Difference Approach to the Role of Norms in the Theory of Reasoned Action1

The relationship between subjective norm and behavioral intentions is the weakest link of the theory of reasoned action. Numerous approaches have addressed this issue, including the assertion that the weak contribution is a result of a small number of individuals who are under normative control. The present research examines this individual‐difference approach in the domain of health behaviors. Respondents were 287 students who rated their intentions, attitudes, and subjective norms in relation to 32 health behaviors and 5 substance‐use behaviors. Regression analyses, between subjects and within subjects, demonstrated that both behaviors and people can be under attitudinal or normative control. Support for an individual‐difference approach was less conclusive when findings were examined separately for specific health behaviors.     

Understanding the attitudes and intentions of future professionals toward self-help

Examined the attitudes, beliefs, and intentions toward self-help groups of 168 graduate students in clinical psychology and social work from five universities using the theory of reasoned action as a model (Fishbein, 1979). Participants held positive attitudes and beliefs regarding self-help and intended to collaborate. Participants who were members of self-help groups had significantly greater intentions to collaborate and had more positive beliefs vs. nonmembers. There were no differences between social work and psychology students. Path analysis showed that students who held positive attitudes and beliefs and perceived that their faculty were positive regarding self-help had intentions to collaborate with self-help groups. Involving self-help groups as partners in professional training was considered empowering and a wise use of the expert resources that groups can provide.     

The theory of "truth": how counterindustry campaigns affect smoking behavior among teens.

This study used structural equation modeling to test a theory-based model of the pathways by which exposure to the "truth" counterindustry media campaign influenced beliefs, attitudes, and smoking behavior in national random-digit-dial telephone surveys of 16,000 12- to 17-year-olds before, 8 months after, and 15 months after campaign launch. Consistent with concepts from the theory of reasoned action, youth in markets with higher levels of campaign exposure had more negative beliefs about tobacco industry practices and more negative attitudes toward the tobacco industry. Models also provided support for a social inoculation effect, because negative industry attitudes were associated with lower receptivity to protobacco advertising and with less progression along a continuum of smoking intentions and behavior.     

Predicting Mothers' Intentions to Limit Frequency of Infants' Sugar Intake: Testing the Theory of Planned Behavior1

This study examines the ability of the Theory of Planned Behavior to account for mothers' intentions to limit the frequency of their infants' sugar consumption. One group of mothers (experimental) was exposed to a dental health education program designed to promote this behavior, the other (control) group was not. Each group of mothers was interviewed twice; the intervention was delivered to mothers in the experimental group immediately after their first interview. The interviews incorporated measures of the key constructs in the Theory of Planned Behavior (attitudes to behavior, subjective norms, perceived behavioral control, and behavioral intentions). Results indicated that the addition of perceived behavioral control resulted in small but significant increments in the amount of explained variance in intentions, thereby supporting the theory. Although the change in intentions to perform the advocated behavior was not significantly greater in the experimental group than in the control group, there was a significant change in attitudes to the behavior in the experimental group but no such change in the control group. Moreover, amount of change in behavioral intentions was significantly correlated with amount of change in attitudes, but not with amount of change in subjective norms or perceived behavioral control. Analysis of behavioral beliefs indicated that the attitude change reflected a change in a specific behavioral belief that was targeted in the intervention. Further analyses focused on the role played by direct experience of the behavior and show that such experience tended to enhance the role of perceived behavioral control in intention formation, apparently because mothers who have older children have discovered that they have relatively little control over frequency of child's sugar consumption. The implication of these results for the Theory of Planned Behavior are discussed.     

Determinants of College Women's Intentions to Tell Their Partners to Use Condoms1

In assessing college women's intentions to tell their partners to use condoms every time they have sexual intercourse, the present study examined the applicability of the theory of reasoned action (TORA, Fishbein & Ajzen, 1975), and the additional prediction contributed by Ajzen's (1985) perceived behavioral control and Triandis’(1977) emotional reaction variables. Three hundred and twelve female college students completed a questionnaire designed to measure the aforementioned constructs. Consistent with TORA, the results suggested that these women's intentions were significantly predicted from attitudes and subjective norms. Regarding the effects of the two additional variables, only emotional reaction increased the prediction of intentions beyond that explained by TORA, whereas perceived behavioral control did not improve the prediction. Both conceptual and applied implications of these findings for health interventions to increase condom use were discussed.