Can the theory of planned behavior explain patterns of health behavior change?

This article tested the ability of the theory of planned behavior (TPB) to predict patterns of behavior change associated with health screening. Attitudes, subjective norms, perceived behavioral control, and intentions were used to predict objective measures of attendance 1 month and 13 months later among participants who had never previously been screened (N = 389). Findings showed that the TPB predicted attendance on each occasion and also predicted frequency of attendance. However, the model was unable to reliably distinguish among consistent attendees, participants who delayed attending, and participants who initially attended but relapsed. Thus, the TPB needs to be extended to understand behaviors that must be performed promptly and repeatedly for health benefits to accrue.     

Predicting Health-Check Attendance Among Prior Attenders and Nonattenders: The Role of Prior Behavior in the Theory of Planned Behavior

A prospective study applying the theory of planned behavior (TPB) to the prediction of attendance at health checks is reported. Conducted in a single general practice, 307 patients completed questionnaires based on the TPB, and were invited to attend a health check. The role of prior behavior in the TPB was assessed in 2 ways. First, it was used to assess the sufficiency of the TPB. The addition of prior attendance behavior led to a significant increase in the prediction of current behavior. Second, its role as a moderator variable was assessed. While the TPB was unsuccessful in predicting attendance behavior among prior attenders, it was able to do so among prior nonattenders. The results are discussed in relation to recent work on decision-making processes.     

Feel good now or regret it later? The respective roles of affective attitudes and anticipated affective reactions for explaining health‐promoting and health risk behavioral intentions

Evidence supporting the incorporation of affective constructs, such as affective attitudes and anticipated regret, into theoretical models of health behavior has been mounting in recent years; however, the role of positive anticipated affective reactions (e.g., pride) has been largely unexplored. The purpose of the present investigation was to assess how affective attitudes and anticipated affective reactions (both pride and regret for performing a behavior or not) may provide distinct utility for understanding intentions to perform health‐promoting and health risk behaviors over and above cognitive attitudes and other established theoretical constructs from the theory of planned behavior (TPB). Participants (N = 210) were recruited via Amazon’s Mechanical Turk to complete a one‐time online battery assessing TPB and affective constructs. Self‐reported intentions served as the main outcome measure, and hierarchical linear modeling was used to examine the effects of TPB and affective constructs across behaviors. Controlling for TPB constructs, more positive affective attitudes and greater anticipated regret, but not anticipated pride, predicted intentions to engage in future health behaviors. Anticipated affective reactions contributed explanatory variance for intentions to perform health risk behaviors, but anticipated pride and regret were not associated with intentions to perform health risk behaviors. Contributions made via the inclusion of both positively and negatively valence anticipated affective reactions for both action and inaction (performing a behavior or not) across a range of health promoting and health risk behaviors are discussed, as well as implications for future intervention work.     

The Theory of Planned Behavior Without Compatibility? Beyond Method Bias and Past Trivial Associations1

Overreliance on one measurement approach can challenge accurate statements about reality, as findings can represent by‐products of the compulsory measurement paradigm. Within the theory of planned behavior (TPB), the compatibility principle represents one such strictly imposed paradigm. Using 2 cross‐sectional surveys of 1,394 volunteers and involving structural equation models, we demonstrate that the widely employed practice of measuring TPB constructs is confounded with method‐implied bias. This means the theory cannot conclusively reveal origins of a behavior. Our results also suggest that on an aggregated level, when method bias is eliminated, its constructs are linked in hypothesized ways. Adopting a more general model—thus, adopting a more traitlike conceptualization of attitudes—has interesting implications for social psychology and its current trends.     

Adoption of community-based cardiac rehabilitation programs and physical activity following phase III cardiac rehabilitation in Scotland: A prospective and predictive study

Little is known about levels of physical activity and attendance at phase IV community-based Cardiac Rehabilitation (CR) programs following completion of exercise-focussed, hospital-based phase III CR. This study aims to test, compare and combine the predictive utility of the Common-Sense Self-Regulation Model (CS-SRM) and the extended Theory of Planned Behaviour (TPB) with action planning for two rehabilitation behaviours: physical activity and phase IV CR attendance. Individuals diagnosed with coronary heart disease (n = 103) completed baseline measures of illness perceptions, intentions, perceived behavioural control (PBC), action planning and past physical activity in the last week of a phase III CR program, and 95 participants completed follow-up measures of physical activity and attended phase IV CR (objectively confirmed) 2 months later. Only one predictor (PBC/cyclical timeline) significantly predicted levels and change of physical activity. While illness perceptions were not predictive of phase IV CR attendance, the extended TPB model showed good predictive power with action planning and intention as the most powerful predictors. Amongst participants who planned when and where to attend phase IV CR at the end of phase III rehabilitation, 65.9% subsequently attended a phase IV CR program compared to only 18.5% of those who had not made a plan. This study adds to our understanding of cardiac rehabilitation behaviour after completion of health service delivered programs. Comparing theoretical models and rehabilitation behaviours contributes to the development of behaviour theory.     

Distinctions Between Worry and Perceived Risk in the Context of the Theory of Planned Behavior

Worry and risk perception were integrated into the theory of planned behavior (TPB) within health and non-health domains (flossing and academic coursework, respectively). Models were estimated and replicated in 2 undergraduate samples ( n s = 191 and 309), with effects of worry and risk on intentions expected to occur primarily through attitudes. Past behavior was modeled through effects on all TPB constructs and through interactions with worry and risk. Worry positively predicted intentions and attitudes (and norms in the non-health domain) for those at the lowest levels of prior behavior. Risk perceptions negatively predicted intentions and self-efficacy (and attitudes in the health context) also for those at low levels of prior behavior. Implications for further theory development are discussed.     

A test of theory of planned behavior in Korea: participation in alcohol-related social gatherings

Two studies are reported using the theory of planned behavior (TPB) to predict and explain joining and not joining alcohol-related social gatherings among Korean undergraduates in various engineering majors. Specifically, considering that the attitudinal component of TPB is behavioral-outcome-based, the current study investigated whether the outcomes of engaging in a behavior and of not engaging in a behavior would similarly predict intentions to engage in a behavior and intentions to not engage in a behavior. The current study also examined whether intentions to engage and intentions to not engage would be significantly related to self-reported behavior a week later. Participants in Study 1 reported TPB components (attitudes toward behavior, subjective norms, perceived behavioral control, and behavioral intentions) concerning joining alcohol-related social gatherings. Participants in Study 2 reported TPB components concerning not joining alcohol-related social gatherings. Additionally, a week later, the participants in both studies reported their participation in alcohol-related social gatherings from the past week. Generally, the results showed that the TPB components were significantly associated with undergraduates' intentions to join and intentions to not join. Specifically, conversation-related attitudes and senior-junior relationship-related attitudes were significantly related to intentions to join, and only group-related attitudes were significantly related to intentions to not join. Intentions to join and intentions to not join were not significantly related to self-reported behavior of joining alcohol-related social gatherings a week later. The findings from the current research provide some evidence that joining or not joining alcohol-related social gatherings may not be mere behavioral opposites, predictable by the presence or absence of the same behavioral outcomes. These two aspects of the behavior may require assessment of different behavioral outcomes or different assessments of the same behavioral outcomes.     

General Beliefs and the Theory of Planned Behavior: The Role of Environmental Concerns in the TPB

This study tested whether the theory of planned behavior (TPB; Ajzen, 1985 ) could explain people's intention to use a park-and-ride facility (transferium) in Groningen, The Netherlands. We extended the TPB by including egoistic, altruistic, and biospheric concerns. A questionnaire study was conducted among 218 respondents who regularly visit the center of Groningen for work or shopping. Environmental concerns were directly related to attitudes toward using the transferium. However, the 3 types of concerns were not directly related to intention to use the transferium. Furthermore, positive attitudes, positive subjective norms, and high perceived behavioral control toward the use of the transferium were related to stronger intention to use the transferium. Limitations and practical implications of the study are discussed.     

计划行为理论述评

计划行为理论是社会心理学中最著名的态度行为关系理论,该理论认为行为意向是影响行为最直接的因素,行为意向反过来受态度、主观规范和知觉行为控制的影响。计划行为理论在国外已被广泛应用于多个行为领域的研究,并被证实能显著提高研究对行为的解释力和预测力。文章对这一理论进行了全面概述,包括理论的提出、内涵、测量方法以及理论研究的新进展,并指出了理论仍存在的问题和今后的研究方向     

Studying, Practicing, and Mastering: A Test of the Model of Goal-Directed Behavior (MGB) in the Software Learning Domain

The present study tested the model of goal-directed behavior (MGB). The model proposes that behavioral intentions to perform instrumental behaviors are primarily motivated by desires to perform the acts. In turn, desires mediate the effects of attitudes, subjective norms, perceived control, and anticipated emotions on intentions. Construct validity for MGB variables is assessed, and the predictive utility of the MGB is compared with that of the theory of planned behavior (TPB). College students ( N = 102) provided measures for MGB and TPB variables while participating in a training program to use statistical software. We focused on two goal-related instrumental behaviors: studying handbooks and practicing with the package. The results show that the MGB accounts for a greater proportion of variance in intentions and instrumental behaviors than does TPB. Although desires mediate most of the effects of other predictors on intentions to perform the instrumental behaviors, it is proposed that when the behavior is normatively relevant, or when self-efficacy appraisals play a major role, subjective norms and perceived behavioral control may directly affect intentions.     

The theory of planned behavior and healthy eating.

Application of the theory of planned behavior (TPB) to healthy eating in 144 health promotion clinic attendees is reported. Respondents completed self-report TPB measures after the clinic (Time 1) and 6 months later (Time 2) with a measure of perceived past behavior. Intention stability was assessed on Time 1-2 differences. Six years later (Time 3), respondents completed measures of healthy eating intentions and behavior. Intentions were predicted by attitudes, perceived behavioral control, and perceived past behavior (cross-sectionally). Healthy eating behavior (Time 3) was predicted from intentions (Time 2). As intention stability increased, intentions and perceived past behavior became stronger and weaker predictors of behavior, respectively. Implications for understanding health cognitions in long-term performance of health behavior are discussed.     

Theory‐Driven Subgroup‐Specific Evaluation of an Intervention to Reduce Private Car Use1

In the context of a 2‐wave panel study, we used Ajzen's (1991) theory of planned behavior (TPB) as the theoretical framework for deriving and systematically testing hypotheses as to how an intervention (a “free” ticket for public transportation) influences the travelmode choice of students. The empirical results show that this intervention caused a drastic decrease in students' car use. The effect of the intervention on behavior is mediated by the causal chain postulated by the TPB. In the second step, we analyzed whether there were subgroup‐specific reactions to the intervention. Surprisingly, the subgroup analysis shows that students with more negative attitudes toward policy measures restricting car use reacted more strongly to the intervention than did students with a more positive attitude.     

Effects of workshop trainings on evidence-based practice knowledge and attitudes among youth community mental health providers

Enhancing the public health impact of evidence-based practices (EBPs) in usual care settings is a key priority of the National Institute of Mental Health. Longitudinal data from community mental health providers (N = 268) participating in a series of state-sponsored workshops in modular approaches to EBPs for youth are presented. EBP workshop attendance for youth anxiety resulted in increased knowledge for EBPs for anxiety (and not other conditions) and EBP workshop attendance for youth disruptive behaviors resulted in increased knowledge for EBPs for disruptive behaviors (and not other conditions). Providers' tendencies toward incorrectly classifying non-EBP therapies as evidence-based increased over time, suggesting that providers over-generalize the EBP label as a result of attending these types of workshops. Regarding EBP attitudes, most measures of attitudes improved when providers attended a workshop. Additionally, an overly inclusive view of what constitutes an EBP at intake was related to significant decreases in openness to trying EBPs over time, whereas more positive attitudes at intake was related to achieving a more refined view of what constitutes an EBP over the course of attending trainings. Study limitations and implications for implementation of EBPs in usual care settings are discussed.     

The role of affect in the decision to exercise: Does being happy lead to a more active lifestyle?

ObjectiveThis study investigated the influence of affect on individuals' intentions to engage in physical activities such as exercise. Behavior intentions were examined through the Theory of Planned Behavior (TPB).MethodAn experimental survey was conducted among 153 undergraduates randomly assigned to three conditions – positive affect, neutral, and negative affect. Key variables from the TPB were assessed across these conditions.ResultsAnalyses showed that participants in the positive affect and the negative affect conditions reported lower intentions to exercise than those in the neutral condition. Participants in the negative affect condition also reported more unfavorable attitudes toward exercise than their positive or neutral counterparts. Other TPB measures remained stable across the three conditions. In particular, perceived behavioral control and attitude were significant predictors of behavior intention in the pooled sample.ConclusionThese results underline the important role that affect, especially negative affect, plays in individuals' decision to exercise. Rational models for health behavior change, such as the TPB, should take into account the impact of affect.     

Examining and Predicting Under‐the‐Table Payments for Health Care in Albania: An Application of the Theory of Planned Behavior1

The World Bank and the Albanian Ministry of Health report that the majority of Albanian citizens make illegal, under‐the‐table payments for health care. Qualitative studies have identified some factors associated with these informal payments, but the problem has not been systematically examined using established theoretical models. The purpose of this study was to examine and predict under‐the‐table payments using the theory of planned behavior (TPB). Self‐administered surveys were completed by 222 Albanian citizens. The constructs of the theory explained 34% of the variance in intentions to make under‐the‐table payments, with attitude toward the behavior making the strongest contribution. Using the TPB to examine the practice of making under‐the‐table payments has indicated specific areas that can be targeted by policy interventions.     

Alcohol Consumption and the Theory of Planned Behavior: An Examination of the Cognitive Mediation of Past Behaviorid

This study examined the predictive power of the theory of planned behavior (TPB) in explaining alcohol consumption in 3 prospective samples of students ( Ns = 178. 176. and 159). Generally, the TPB performed well. with attitudes, subjective norms and perceived behavioral control (PBC) explaining between 28% and 46% of the variability in intentions. Intentions and PBC explained between 12% and 50% of the variability in behavior. Measures of self-identity as a "drinker" and past behavior contributed to predictions of intentions over and above the contribution of attitudes. subjective norms. and PBC. Measures of past behavior but not self-identity consistently contributed to predictions of behavior over and above the contributions from intentions and PBC. The direct relationship between past behavior and intention and between past behavior and behavior (independent of the TPB variables or self-identity) could not be attributed to common method variance.     

The role of self-efficacy in predicting rule-following behaviors in shelters for homeless youth: a test of the theory of planned behavior

Through a prospective study of 70 youths staying at homeless-youth shelters, the authors tested the utility of I. Ajzen's (1991) theory of planned behavior (TPB), by comparing the constructs of self-efficacy with perceived behavioral control (PBC), in predicting people's rule-following behavior during shelter stays. They performed the 1st wave of data collection through a questionnaire assessing the standard TPB components of attitudes, subjective norms, PBC, and behavioral intentions in relation to following the set rules at youth shelters. Further, they distinguished between items assessing PBC (or perceived control) and those reflecting self-efficacy (or perceived difficulty). At the completion of each youth's stay at the shelter, shelter staff rated the rule adherence for that participant. Regression analyses revealed some support for the TPB in that subjective norm was a significant predictor of intentions. However, self-efficacy emerged as the strongest predictor of intentions and was the only significant predictor of rule-following behavior. Thus, the results of the present study indicate the possibility that self-efficacy is integral to predicting rule adherence within this context and reaffirm the importance of incorporating notions of people's perceived ease or difficulty in performing actions in models of attitude-behavior prediction.     

The theory of planned behavior as a model of heavy episodic drinking among college students.

This study provided a simultaneous confirmatory test of the theory of planned behavior (TPB) in predicting heavy episodic drinking (HED) among college students. It was hypothesized that past HED, drinking attitudes, subjective norms, and drinking refusal self-efficacy would predict intention, which would, in turn, predict future HED. Participants consisted of 131 college drinkers (63% women) who reported having engaged in HED in the previous 2 weeks. Participants were recruited and completed questionnaires within the context of a larger intervention study (see Collins & Carey, 2005). Latent factor structural equation modeling was used to test the ability of the TPB to predict HED. Chi-square tests and fit indices indicated good fit for the final structural models. Self-efficacy and attitudes but not subjective norms significantly predicted baseline intention, and intention and past HED predicted future HED. Contrary to hypotheses, however, a structural model excluding past HED provided a better fit than a model including it. Although further studies must be conducted before a definitive conclusion is reached, a TPB model excluding past behavior, which is arguably more parsimonious and theory driven, may predict HED among college drinkers better than a model including past behavior.     

Modifying Beliefs and Attitudes to Exceeding the Speed Limit: An Intervention Study Based on the Theory of Planned Behavior1

This study builds on previous theory of planned behavior (TPB) studies in which we identified the beliefs and values which predict intention to commit driving violations. Four short experimental videos were developed in order to assess the effectiveness of an intervention grounded in the TPB. Three of the videos featured the major constructs of the TPB model. The fourth video featured anticipated regret, an addition to the TPB model which had previously been shown to add significantly to its predictive performance (Parker, Manstead, & Stradling, 1995). Results indicated that two of the videos brought about statistically significant belief changes with respect to scores on TPB items, and significant changes in general attitudes toward speeding. Discussion centers on the problems encountered in operationalizing the TPB constructs and on the potential of theory-based interventions to induce attitude change.     

The Theory of Planned Behavior as a model for understanding sedentary behavior

ObjectivesSedentary time has emerged as an independent risk factor for numerous adverse health outcomes. However, little is known about the social-cognitive correlates of sedentary behavior. The purpose of this study was to provide preliminary evidence for the factor structure and composition of sedentary derived Theory of Planned Behavior (TPB) constructs and to determine the utility of these constructs in predicting sedentary intention and sedentary time.MethodTwenty-three items were created to assess attitudes, subjective norms (SN), perceived behavioral control (PBC), and intention with respect to time spent being sedentary. Using a web-based survey, 372 adults completed a modified Sedentary Behavior Questionnaire and were then randomised to one of three TPB questionnaire packages: general, weekday, and weekend. Weekday and weekend participants completed items for work/school (less-volitional) and leisure/recreation (volitional) activities separately, resulting in five TPB models being analyzed: general, weekday work/school, weekday leisure/recreation, weekend work/school, and weekend leisure/recreation.ResultsIrrespective of model, items grouped into coherent factors consistent with TPB and explained 9–58% and 8–43% of the variance in intention and behavior, respectively. The strongest and most consistent predictor of intention and behavior were SN and intentions, respectively. Mediation analyses indicated that attitudes consistently affected sedentary time through intention.ConclusionsThere is growing evidence that the TPB is a useful framework for understanding sedentarism.