The intention to undertake physical activity in pregnant women using the theory of planned behaviour

Zhu, Gangjiao; Qian, Xiangzi; Ling, Qi; Xia, Chang; Ming, Yu; Zeng, Zhi; Liu, Yuanxia; Yang, Yan; Zhang, Mengtian; Zhang, Hongling

doi:10.1111/jan.14347

Cited by 13 publications

(14 citation statements)

References 44 publications

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“…This study explored the correlation between TPB constructs and PA, and the moderating role of MT in PA the intention-behavior gap among college students and wage earners. The TPB constructs could be relevant in explaining the variance of PA intentions, with 46.5% among college students and 38.3% among wage earners, respectively, which was consistent with previous studies (Armitage, 2005;Conner et al, 2011;Rhodes and Bruijn, 2013;Gucciardi, 2015;Hannan et al, 2015;Stolte et al, 2017;Xu et al, 2018;Wang and Zheng, 2020;Zhu et al, 2020). This study also found the different contribution of TPB constructs on intention among college students and wage earners.…”

Section: Discussionsupporting

confidence: 91%

“…Many international studies (Ajzen, 2001;Armitage, 2005;Rhodes and Bruijn, 2013;Maccann et al, 2015;Stolte et al, 2017;Cheng et al, 2019), as well as studies in China (Xu et al, 2018;Wang and Zheng, 2020;Zhu et al, 2020) found that TPB variables could explain the variation of behavioral intention, with attitudes and PBC making a greater contribution than SN to the PA intention of an individual (Li, 1999;Feng and Mao, 2014;Gucciardi, 2015;Hannan et al, 2015;Wang and Zheng, 2020). Some studies also used TPB to promote PA (Valerie et al, 2019;Marashi et al, 2020;Sanaeinasab et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

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From Physical Activity Intention to Behavior: The Moderation Role of Mental Toughness Among College Students and Wage Earners

et al. 2021

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This study explored the correlation between mental toughness (MT) and physical activity (PA), and the moderation role between PA intention and subsequent behavior among college students and wage earners. Five hundred ninety-one college students (251 male, 340 female) aged from 19 to 24 and 285 (157 male, 127 female) wage earners aged from 27 to 58 recruited from seven colleges and five cities in China. A Theory of Planned Behavior (TPB) questionnaire, MT Inventory, and the International PA Questionnaire was completed online. Results showed that attitudes, subjective norms, and perceived behavioral control explained 46.5 and 38.3% variance in PA intention among college students and wage earners separately. Intention predicted PA behavior significantly among college students and wage earners. Structural equation modeling indicated that the TPB model and the moderation model have an adequate to good fit except the TPB model among wage earners. MT was positively correlated with PA among college students and wage earners and had a significant moderation role in intention-behavior gap among college students and partially affected the transfer of PA intention to behavior among college students. Individuals with high MT had high levels of PA regardless of intention, while PA of those with low MT was low and unstable. Future research should further explore the correlation between intention and PA and the moderation role of MT in different populations using a longitudinal study in order to better understand the correlation between intention and PA, and the transition from intention to PA and better guidance PA intervention to promote PA.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

From Physical Activity Intention to Behavior: The Moderation Role of Mental Toughness Among College Students and Wage Earners

et al. 2021

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“…In general, MTM accounted for a moderate amount of variance, which indicates that it is a useful theory to explain PA behavior in Chinese pregnant women. The percentage variance predicted by both models is similar to what has been observed in earlier studies conducted with the theory of planned behavior, social cognitive theory, and the health belief model [ 31 , 32 , 33 ].…”

Section: Discussionsupporting

confidence: 85%

Predicting Physical Activity in Chinese Pregnant Women Using Multi-Theory Model: A Cross-Sectional Study

Zhang

Jin

Liu

et al. 2022

IJERPH

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Background: Physical activity (PA) brings many benefits to pregnant women and fetuses; however, the majority of pregnant women do not participate actively in PA during pregnancy. Objectives: This study aimed to: (1) assess the utility of Multi-Theory Model (MTM) to explain the intentions of PA behavior in Chinese pregnant women; (2) analyze the predictors in initiating and maintaining PA behavior based on MTM. Methods: A cross-sectional study including pregnant women was conducted from March to June 2022 at a university hospital in Hangzhou, Zhejiang Province, China. Participants completed measures that included a self-developed demographic questionnaire and a 29-item MTM questionnaire. Descriptive statistics and stepwise multiple regression were used to analyze the data. The reliability was assessed by Cronbach’s alpha and test-retest stability. The construct validity was evaluated by using exploratory factor (EFA) analysis and confirmatory factor analysis (CFA). Results: A total of 450 pregnant women participated in this study. The score of the magnitude of intention to initiate and maintain PA behavior during pregnancy was 2.30 (1.08) and 2.24 (1.09). The overall Cronbach’s alpha value was 0.857. A four-factor structure for initiation model and a three-factor structure for maintenance model were determined. Results of the CFA confirmed construct validity of subscales (initiation model: χ2 = 206.123, df = 140, p < 0.001, χ2/df = 1.472, RMSEA = 0.046, SRMR = 0.0432, GFI = 0.913, CFI = 0.982; maintenance model: χ2 = 49.742, df = 29, p < 0.001, χ2/df = 1.715, RMSEA = 0.057, SRMR = 0.0432, GFI = 0.958, CFI 0.985). The result of regression indicated that participatory dialogue (β = 0.030; p = 0.002), behavioral confidence (β = 0.128; p < 0.001), changes in physical environment (β = 0.041; p = 0.005), trimester (β = −0.192; p = 0.001), and Gestational Diabetes Mellitus (GDM) (β = 0.408; p < 0.001) explained 52.1% variance in initiating PA behavior. Emotional transformation (β = 0.197; p < 0.001), practice for change (β = 0.083; p = 0.001), changes in social environment (β = 0.063; p < 0.001), pre-pregnancy exercise habit (β = −0.251; p = 0.001), and GDM (β = 0.298; p = 0.003) were significantly associated with pregnant women’s intentions to maintain PA behavior and explained 49.1% variance. Conclusions: The constructs of MTM were effective in explaining the intention to initiate and maintain PA behavior among Chinese pregnant women.

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“…Furthermore, we found no differences for vigorous PA, which can be explained by the almost total absence of records of vigorous PA in our sample. Physiological changes in pregnancy often make vigorous PA unviable [46]. In addition, clinicians usually recommend light aerobic activities for pregnant women such as light walking.…”

Section: Discussionmentioning

confidence: 99%

Movement Behavior during Pregnancy and Adverse Maternal–Fetal Outcomes in Women with Gestational Diabetes: A Pilot Case-Control Study

Camargo

Schwade

et al. 2021

IJERPH

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Gestational diabetes mellitus (GDM) is a major complication in pregnancy. GDM is associated with a higher risk for adverse maternal–fetal outcomes. Associations between movement behavior, including physical activity (PA) and sedentary behavior (SB), and maternal–fetal outcomes are still unclear. The objective of this study was to investigate associations between movement behavior and adverse maternal–fetal outcomes in women with GDM. A total of 68 women with GDM (20–35 weeks, 32.1 ± 5.8 years) were included in this pilot case-control study. The cases were defined by the presence of an adverse composite maternal–fetal outcome (preterm birth, newborn large for gestational age, and neonatal hypoglycemia). Controls were defined as no adverse maternal–fetal outcome. PA intensities and domains, steps/day (pedometer), and SB were analyzed. A total of 35.3% of participants showed adverse maternal–fetal outcomes (n = 24). The controls showed a higher moderate-intensity PA level than the cases (7.5, 95%CI 3.6–22.9 vs. 3.1, 95%CI 0.4–10.3 MET-h/week; p = 0.04). The moderate-intensity PA level was associated with a lower risk for adverse maternal–fetal outcomes (OR 0.21, 95%CI 0.05–0.91). No significant associations were observed for other PA and SB measures (p > 0.05). In conclusion, moderate-intensity PA during pregnancy seems to have a protective role against adverse maternal–fetal outcomes in women with GDM.

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The intention to undertake physical activity in pregnant women using the theory of planned behaviour

Cited by 13 publications

References 44 publications

From Physical Activity Intention to Behavior: The Moderation Role of Mental Toughness Among College Students and Wage Earners

From Physical Activity Intention to Behavior: The Moderation Role of Mental Toughness Among College Students and Wage Earners

Predicting Physical Activity in Chinese Pregnant Women Using Multi-Theory Model: A Cross-Sectional Study

Movement Behavior during Pregnancy and Adverse Maternal–Fetal Outcomes in Women with Gestational Diabetes: A Pilot Case-Control Study

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