Characteristics and impact of theory of planned behavior interventions on smoking behavior: A systematic review of the literature

Lareyre, Olivier; Gourlan, Mathieu; Stoebner-Delbarre, Anne; Cousson‐Gélie, Florence

doi:10.1016/j.ypmed.2020.106327

Cited by 48 publications

(30 citation statements)

References 56 publications

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“…Meanwhile, attitude, subjective norm, and perceived control have a relationship with intention. This result is in line with the systematic study conducted by Lareyre et al ( 23 ), which shows that the TPB-based interventions have an impact on intentions, attitudes, subjective norms, and perceived behavioral control by 42–50%. A previous study also reported that behavior change interventions based on theory have more promise than interventions without theory ( 53 ).…”

Section: Discussionsupporting

confidence: 92%

“…Smoke-free workplaces have been indicated to encourage employees to stop smoking; however, the mechanism of behavior change is not well-understood. A theoretical framework such as the theory of planned behavior (TPB) can be applied to evaluate a smoking intervention ( 23 ), as reported by Ajzen that the TPB has been widely used in health research and cited more than 4,000 times by google scholar in 2010 ( 24 ). The TPB consists of three main constructs: attitude toward behavior, subjective norm, and perceived control, which contribute to intention to perform the behavior ( 25 ).…”

Section: Introductionmentioning

confidence: 99%

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A Comprehensive Tobacco Control Policy Program in a Mining Industry in Indonesia: Did It Work?

Prabandari

Bintoro

Purwanta

2022

Front. Public Health

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BackgroundRisk factor controls, including smoking cessation and prevention, impact health costs. This study aimed to describe the Kaltim Prima Coal (KPC), one of Indonesia's largest coal mining operations, comprehensive tobacco control policy program in 2015 and its impact on smoking behavior among the employees.MethodA survey among 404 employees was conducted to assess the impact of the smoke-free KPC programs. In addition to the descriptive analysis, logistic regression was used to measure the association of intention to the smoking behavior change and the association between intention and the determinants using the Theory of Planned Behavior in 102 smokers.ResultsA series of tobacco control programs: advocacy, health education, brief interventions for smoking cessation, peer counselor training, media campaigns, and policy regulations were implemented. About 95.5% of the respondents attended the KPC Smoke-Free 2015 programs, and 97.8% reported they already knew that KPC is a total smoke-free area. Nearly 50% of the respondents expressed that the staff complied with the rules and no longer smoked in KPC. Majority of smokers (76.6%) reduced their consumption, and 5.6% of them quit smoking. Among smokers, we found that attitude toward smoking cessation, subjective norm, and perceived control for quitting were related to the intention to stop smoking.ConclusionsThe KPC smoke-free policy has been comprehensively implemented. Regulations on smoking and tobacco controls should be maintained, and monitoring should be consistently done. Media campaigns on the regulations and the availability of trained peer educators for smoking cessation help need to be applied continuously.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

A Comprehensive Tobacco Control Policy Program in a Mining Industry in Indonesia: Did It Work?

Prabandari

Bintoro

Purwanta

2022

Front. Public Health

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“…The theory adds the construct of perceived behavioural control as an additional predictor of intention and behaviour [ 13 ]. A meta-analysis of 17 studies found that although the TPB has been proven to be an effective theoretical framework for designing health behaviour interventions, the reciprocal link between intervention techniques and TPB variables targeted remains unclear [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Protection motivation theory and smoking quitting intention: findings based on structural equation modelling and mediation analysis

et al. 2022

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Objective Although many smoking cessation strategies have been implemented, only a few strategies at the population level are grounded in theory. Even in those interventions based on specific theories, most studies have focused only on the outcome. The main objective of this study was to demonstrate the utility of protection motivation theory (PMT) in explaining smoking quitting behaviour among adults, with the goal of providing valuable evidence for further intervention strategies. Method This was a cross-sectional study. Participants were randomly selected on the street from 26 provinces in mainland China. Data were collected via face-to-face interviews. Cronbach’s alpha coefficient and the interclass correlation coefficient (ICC) were used to assess the reliability of the individual PMT constructs. We applied structural equation modelling (SEM) to test how well the PMT constructs predicted intention. A bootstrap test was performed to test the potential mediators. Results The Cronbach’s alpha coefficients of all the subscales ranged from 0.71 to 0.74. Greater intentions were significantly associated with higher threat appraisal (Coef. = 0.18, P < 0.01) and coping appraisal (Coef. = 0.24, P < 0.01). Threat appraisal was significantly associated with higher perceived severity and vulnerability but inversely associated with extrinsic rewards and intrinsic rewards. Coping appraisal was significantly associated with higher self-efficacy and response efficacy but inversely associated with response cost. The R2 of quitting intention was 0.12, which means that 12% of quitting intention was predicted by PMT constructs. For threat appraisal, approximately 19.8% of the effects on lower threat appraisal were mediated by higher extrinsic rewards. For coping appraisal, approximately 42.8% of the effects on higher coping appraisal were mediated by higher response efficacy. Conclusion This study finds that PMT is a sound theoretical framework for predicting smoking quitting intention among adults. Coping appraisal has a stronger effect than threat appraisal for predicting quitting intention. Mediation analyses confirmed that extrinsic rewards and response efficacy mediated the relationship between PMT constructs and quitting intention. Our findings are essential for understanding quitting behaviour among adults and support more effective smoking cessation activities.

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“…Another framework—the health belief model—is also widely used in behavioral health fields; however, studies [ 18 - 20 ] have shown that the health belief model is more suited to description rather than explanation of health behavior and has weak predictive validity. Although Webb et al [ 21 ] found that theory of planned behavior–based interventions were more effective than those based on other theories, existing studies on theory of planned behavior have not been in-depth—a systematic review [ 22 ] demonstrated that most researchers did not address adaptive feedback, merely focused on intention as the outcome, and ignored mediating effects between intentions and behaviors. Yet, the purpose of the theory of planned behavior was to account for perceived behavioral control, which, as a representative of actual behavioral control, should have an impact on the overall model [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Vaccination Intention and Behavior of the General Public in China: Cross-sectional Survey and Moderated Mediation Model Analysis

Yang¹,

Ji²,

Wang³

et al. 2022

JMIR Public Health Surveill

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Background Promoting vaccination and eliminating vaccine hesitancy are key measures for controlling vaccine-preventable diseases. Objective We aimed to understand the beliefs surrounding and drivers of vaccination behavior, and their relationships with and influence on vaccination intention and practices. Methods We conducted a web-based survey in 31 provinces in mainland China from May 24, 2021 to June 15, 2021, with questions pertaining to vaccination in 5 dimensions: attitude, subjective norms, perceived behavioral control, intention, and behavior. We performed hierarchical regression analysis and structural equation modeling based on the theory of planned behavior—in which, the variables attitude, subjective norms, and intention each affect the variable intention; the variable intention mediates the relationships of attitude and subjective norms with behavior, and the variable perceived behavioral control moderates the strength of this mediation—to test the validity of the theoretical framework. Results A total of 9924 participants, aged 18 to 59 years, were included in this study. Vaccination intention mediated the relationships of attitude and subjective norms with vaccination behavior. The indirect effect of attitude on vaccination behavior was 0.164 and that of subjective norms was 0.255, and the difference was statistically significant (P<.001). The moderated mediation analysis further indicated that perceived behavioral control would affect the mediation when used as moderator, and the interaction terms for attitude (β=–0.052, P<.001) and subjective norms (β=–0.028, P=.006) with perceived behavioral control were significant. Conclusions Subjective norms have stronger positive influences on vaccination practices than attitudes. Perceived behavioral control, as a moderator, has a substitution relationship with attitudes and subjective norms and weakens their positive effects on vaccination behavior.

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Characteristics and impact of theory of planned behavior interventions on smoking behavior: A systematic review of the literature

Cited by 48 publications

References 56 publications

A Comprehensive Tobacco Control Policy Program in a Mining Industry in Indonesia: Did It Work?

A Comprehensive Tobacco Control Policy Program in a Mining Industry in Indonesia: Did It Work?

Protection motivation theory and smoking quitting intention: findings based on structural equation modelling and mediation analysis

Vaccination Intention and Behavior of the General Public in China: Cross-sectional Survey and Moderated Mediation Model Analysis

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