Brett A Wyker1, Kirsten K Davison. 1. Department of Health Policy, Management, and Behavior, University at Albany, State University of New York, Rensselaer, NY, USA. bxw06@health.state.ny.us
Abstract
OBJECTIVE: Drawing on the Theory of Planned Behavior (TPB) and the Transtheoretical Model (TTM), this study (1) examines links between stages of change for following a plant-based diet (PBD) and consuming more fruits and vegetables (FV); (2) tests an integrated theoretical model predicting intention to follow a PBD; and (3) identifies associated salient beliefs. DESIGN: Cross-sectional. SETTING: Large public university in the northeastern United States. PARTICIPANTS: 204 college students. MAIN OUTCOME MEASURES: TPB and TTM constructs were assessed using validated scales. Outcome, normative, and control beliefs were measured using open-ended questions. ANALYSIS: The overlap between stages of change for FV consumption and adopting a PBD was assessed using Spearman rank correlation analysis and cross-tab comparisons. The proposed model predicting adoption of a PBD was tested using structural equation modeling (SEM). Salient beliefs were coded using automatic response coding software. RESULTS: No association was found between stages of change for FV consumption and following a PBD. Results from SEM analyses provided support for the proposed model predicting intention to follow a PBD. Gender differences in salient beliefs for following a PBD were found. CONCLUSIONS AND IMPLICATIONS: Results demonstrate the potential for effective theory-driven and stage-tailored public health interventions to promote PBDs. Copyright 2010 Society for Nutrition Education. Published by Elsevier Inc. All rights reserved.
OBJECTIVE: Drawing on the Theory of Planned Behavior (TPB) and the Transtheoretical Model (TTM), this study (1) examines links between stages of change for following a plant-based diet (PBD) and consuming more fruits and vegetables (FV); (2) tests an integrated theoretical model predicting intention to follow a PBD; and (3) identifies associated salient beliefs. DESIGN: Cross-sectional. SETTING: Large public university in the northeastern United States. PARTICIPANTS: 204 college students. MAIN OUTCOME MEASURES: TPB and TTM constructs were assessed using validated scales. Outcome, normative, and control beliefs were measured using open-ended questions. ANALYSIS: The overlap between stages of change for FV consumption and adopting a PBD was assessed using Spearman rank correlation analysis and cross-tab comparisons. The proposed model predicting adoption of a PBD was tested using structural equation modeling (SEM). Salient beliefs were coded using automatic response coding software. RESULTS: No association was found between stages of change for FV consumption and following a PBD. Results from SEM analyses provided support for the proposed model predicting intention to follow a PBD. Gender differences in salient beliefs for following a PBD were found. CONCLUSIONS AND IMPLICATIONS: Results demonstrate the potential for effective theory-driven and stage-tailored public health interventions to promote PBDs. Copyright 2010 Society for Nutrition Education. Published by Elsevier Inc. All rights reserved.