A systematic literature review and meta-analysis: The Theory of Planned Behavior's application to understand and predict nutrition-related behaviors in youth

Riebl, Shaun K.; Estabrooks, Paul A.; Dunsmore, Julie C.; Savla, Jyoti; Frisard, Madlyn I.; Dietrich, Andrea M.; Peng, Yiming; Zhang, Xiang; Davy, Brenda M.

doi:10.1016/j.eatbeh.2015.05.016

Cited by 267 publications

(153 citation statements)

References 81 publications

(168 reference statements)

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“…48,49 Adolescents' attitude towards SSB and intention to limit sugary beverage intake to less than one cup per day were chosen as moderators because these constructs were found to be the most consistently associated with adolescents' dietary intentions and behaviors, respectively. 27,50 …”

Section: Methodsmentioning

confidence: 99%

“…25 A recent review of the TPB’s use in predicting and understanding youth’s diet-related behaviors identified eight publications that investigated sugary drink intake; however, many were conducted outside the United States, have limitations on SSB consumption assessment, and did not directly measure parents’ responses to their child’s sugary beverage consumption. 27 …”

Section: Introductionmentioning

confidence: 99%

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Beverage Choices of Adolescents and Their Parents Using the Theory of Planned Behavior: A Mixed Methods Analysis

Riebl¹,

MacDougal²,

Hill³

et al. 2016

Journal of the Academy of Nutrition and Dietetics

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Background Added sugar intake in the form of sugar-sweetened beverages (SSB) has been considered a contributor to weight gain and cardiometabolic dysfunction in adults and youth. Adolescents are some of the highest consumers of added sugars, taking in ~16% of their total calories from added sugars with ~40% of these calories coming from SSB. Youth’s food preferences and self-regulation of dietary intake can be influenced by parents. Objective To evaluate the Theory of Planned Behavior’s (TPB) effectiveness in understanding and predicting adolescents' SSB consumption, identify which constructs are the most important when evaluating SSB consumption in adolescents, and determine if and how adolescents' beverage choices are influenced by parents' reactions to their beverage choices. Design Measurements for this cross-sectional study included four record-assisted 24-hour dietary recalls and responses to a SSB-specific TPB questionnaire from 100 adolescents. Consenting parents completed a beverage intake questionnaire, a TPB questionnaire, and Parent Response to Beverage Choice Questionnaire. Results The TPB explained 34% of the variance in adolescents' and parents' intention to limit SSB to less than one cup per day. Parents' perceived behavioral control (b=1.35, p=0.002) and adolescents' subjective norms (b=0.57, p=0.001) were the strongest predictors of intention, and intention was the strongest predictor of SSB consumption in both adolescents and parents (b=−37, p=0.026, b=−49, p=0.003). The TPB explained more variance in parent SSB consumption (R2=0.38) than adolescents (R2=0.22). Parents did more discouraging of SSB and encouraging of non-SSB. Adolescents' intention to limit SSB moderated the relationship between parents' reactions encouraging SSB and adolescents' predicted SSB consumption (p=0.021). Conclusions The TPB explained a small, but significant amount of variance in adolescents' SSB consumption. When addressing adolescent SSB intake, people in addition to parents may influence their intentions and SSB consumption.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Beverage Choices of Adolescents and Their Parents Using the Theory of Planned Behavior: A Mixed Methods Analysis

Riebl¹,

MacDougal²,

Hill³

et al. 2016

Journal of the Academy of Nutrition and Dietetics

Self Cite

View full text Add to dashboard Cite

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“…This framework includes attitudes, subjective norms and perceived behavioural control as determinants of behaviour. Riebl et al (2015) conducted a review and meta-analysis on the application of this theory on eating behaviour in children. Although 34 studies were included, only three reported on actual interventions.…”

Section: Reflective Influencesmentioning

confidence: 99%

Healthy diet: Health impact, prevalence, correlates, and interventions

Ridder

Kroese

Evers

et al. 2017

Psychology & Health

226

146

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Objective: To discuss healthy diet from a psychological perspective by considering definitions of healthy diet in terms of consumer understanding; the health effects of specific dietary elements in terms of overweight and (chronic) illness; the prevalence of healthy diet; the psychological and environmental determinants of healthy diet; and the psychological interventions that have been designed to promote healthy diet. Design: A systematic review of the psychological literature on healthy diet. Results: Our findings suggest that consumers have a relatively poor understanding of a healthy diet. The literature also demonstrates that there is poor evidence on the health protective effects of single foods or nutrients. We further show that low SES is the single consistent risk factor for not adhering to a healthy diet. Our review of the literature on determinants demonstrates that intentions, habits, self-regulatory skills, and the social and physical environment are the most important determinants of a healthy diet, which are in turn amenable to change by intervention strategies with varying levels of effectiveness. Educational interventions generally show a limited effect on practising a healthy diet whereas interventions targeting habitual behaviour and/or the physical environment seem more promising. Conclusions: In view of the large number of people who are concerned about their diets and make attempts to change their dietary patterns, we conclude that it is crucial to gain a better understanding of both the automatic and environmental influences that are responsible for people not acting upon their good intentions for diet change.

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“…-Attitude: attitude through creating behavioral intention leads to formation of nutritional behaviors (28). The value of health for a teenager is directly and indirectly effective on the attitude towards nutrition (29).…”

Section: Intrapersonal Determinant Factors Of Nutritional Behaviorsmentioning

confidence: 99%

A Review on Determinants of Nutritional Behavior in Teenagers

et al. 2017

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Context: Adolescence is associated with important physical, mental, and social changes leading to rapid changes in behavioral patterns including nutritional behaviors. The nutritional behaviors of individuals as well as changing those behaviors should be recognized to design an effective program. The present study sets to recognize determinants of the adolescents' nutritional behaviors based on the social-ecological model. Evidence Acquisition: In an extensive literature review, all Farsi and English articles adopted quantitative studies, which were either cross-sectional, longitudinal, or clinical trials. Furthermore, all Farsi and English qualitative studies published from 1990 to 2016 were reviewed. For this purpose, Scopus, Medline, Embase, Cochrane central register of controlled trials and Cochrane database systematic review databases, as well as Farsi databases including Iranmedex, SID, and Magiran were searched. Keywords included nutritional behaviors of teenagers (eating breakfast, fruits, and vegetables, fast foods, unhealthy snacks) and determinant factors. After extracting the effective factors, they were categorized into social-ecological mode. Results: Since ecological models are focused on individuals' interactions with cultural, environmental, and social factors, applying them to determine the effective factors, and designing interventions based on these factors could enhance the programs for improvement of teenagers' nutritional behaviors. Conclusions: Changes in intrapersonal and environmental factors could have a more effective role in making changes in teenagers' nutritional behaviors. Since some of these factors become key factors in different social-cultural contexts, nutritional changes in societies have a decisive role in their significance. The significance level of factors and their effect on the target society must be considered for designing more effective interventions.

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A systematic literature review and meta-analysis: The Theory of Planned Behavior's application to understand and predict nutrition-related behaviors in youth

Cited by 267 publications

References 81 publications

Beverage Choices of Adolescents and Their Parents Using the Theory of Planned Behavior: A Mixed Methods Analysis

Beverage Choices of Adolescents and Their Parents Using the Theory of Planned Behavior: A Mixed Methods Analysis

Healthy diet: Health impact, prevalence, correlates, and interventions

A Review on Determinants of Nutritional Behavior in Teenagers

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