Stability of and Associations Between Social-Cognitive Determinants Over Time
This study reports on the stability of social-cognitive determinants, and on associations between social-cognitive determinants to show insight in the theory of planned behavior (TPB). In all, 278 health professionals who encourage patients to become physically active completed online TPB-based surv...
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doaj-3f249ce701b94410b413c776373b9d862020-11-25T03:34:21ZengSAGE PublishingSAGE Open2158-24402015-08-01510.1177/215824401559245310.1177_2158244015592453Stability of and Associations Between Social-Cognitive Determinants Over TimeBarbara Sassen0Gerjo Kok1Jan Schepers2Luc Vanhees3University of Applied Sciences, Utrecht, The NetherlandsMaastricht University, The NetherlandsMaastricht University, The NetherlandsUniversity of Leuven, BelgiumThis study reports on the stability of social-cognitive determinants, and on associations between social-cognitive determinants to show insight in the theory of planned behavior (TPB). In all, 278 health professionals who encourage patients to become physically active completed online TPB-based surveys at baseline (Time 1 [T1]) and six months later (Time 2 [T2]). No intervention took place. No differences were found for all social-cognitive determinants measured at T1 compared with T2 (6 months later), except for intention ( t test = 5.18, p < .001). Structural equation modeling—χ 2 (5, N = 278) = 2.35, p = .80, root mean square error of approximation = 0.00—showed that behavior T1 and attitude T1 predicted intention T1 ( R 2 = .57, p = <.001); that behavior T1 and barriers T1 predicted behavior T2 ( R 2 = .38, p = <.001); and that behavior T2, intention T1, and attitude T1 predicted intention T2 ( R 2 =.60, p = <.001). Intention T1 did not predict behavior T2. The model achieved a good fit with the data. Findings revealed that social-cognitive determinants remained stable over time, with intention being instable. Without intervention, the intention decreased, while the social-cognitive determinants (attitudes, perceived behavioral control, and subjective norms) for intention and the corresponding behavior remained unchanged. For intervention development it seems important to value health professionals’ previous or past encouraging behavior (T1), this to change intention and behavior, or to initiate new behavior. Behavior T1 showed a predictive variable and predicted attitude T1, intention T1, barriers T1, and behavior T2. Barriers that obstruct health professionals’ encouraging behavior are encountered, and barriers influence attitudes T1 and the behavior T2 to encourage patients.https://doi.org/10.1177/2158244015592453 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Barbara Sassen Gerjo Kok Jan Schepers Luc Vanhees |
spellingShingle |
Barbara Sassen Gerjo Kok Jan Schepers Luc Vanhees Stability of and Associations Between Social-Cognitive Determinants Over Time SAGE Open |
author_facet |
Barbara Sassen Gerjo Kok Jan Schepers Luc Vanhees |
author_sort |
Barbara Sassen |
title |
Stability of and Associations Between Social-Cognitive Determinants Over Time |
title_short |
Stability of and Associations Between Social-Cognitive Determinants Over Time |
title_full |
Stability of and Associations Between Social-Cognitive Determinants Over Time |
title_fullStr |
Stability of and Associations Between Social-Cognitive Determinants Over Time |
title_full_unstemmed |
Stability of and Associations Between Social-Cognitive Determinants Over Time |
title_sort |
stability of and associations between social-cognitive determinants over time |
publisher |
SAGE Publishing |
series |
SAGE Open |
issn |
2158-2440 |
publishDate |
2015-08-01 |
description |
This study reports on the stability of social-cognitive determinants, and on associations between social-cognitive determinants to show insight in the theory of planned behavior (TPB). In all, 278 health professionals who encourage patients to become physically active completed online TPB-based surveys at baseline (Time 1 [T1]) and six months later (Time 2 [T2]). No intervention took place. No differences were found for all social-cognitive determinants measured at T1 compared with T2 (6 months later), except for intention ( t test = 5.18, p < .001). Structural equation modeling—χ 2 (5, N = 278) = 2.35, p = .80, root mean square error of approximation = 0.00—showed that behavior T1 and attitude T1 predicted intention T1 ( R 2 = .57, p = <.001); that behavior T1 and barriers T1 predicted behavior T2 ( R 2 = .38, p = <.001); and that behavior T2, intention T1, and attitude T1 predicted intention T2 ( R 2 =.60, p = <.001). Intention T1 did not predict behavior T2. The model achieved a good fit with the data. Findings revealed that social-cognitive determinants remained stable over time, with intention being instable. Without intervention, the intention decreased, while the social-cognitive determinants (attitudes, perceived behavioral control, and subjective norms) for intention and the corresponding behavior remained unchanged. For intervention development it seems important to value health professionals’ previous or past encouraging behavior (T1), this to change intention and behavior, or to initiate new behavior. Behavior T1 showed a predictive variable and predicted attitude T1, intention T1, barriers T1, and behavior T2. Barriers that obstruct health professionals’ encouraging behavior are encountered, and barriers influence attitudes T1 and the behavior T2 to encourage patients. |
url |
https://doi.org/10.1177/2158244015592453 |
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