scholarly journals A reasoned action approach to understand vaccination intention among healthcare professions students

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F De Nard ◽  
S Rivolta ◽  
M Letzgus ◽  
M Gaiazzi ◽  
D Carnevali ◽  
...  

Abstract Background Understanding the predictors of vaccination intention among healthcare workers, including students in healthcare professions (SHPs), is crucial for policy making and for the development of evidence-driven training programs. The reasoned action approach (RAA) model includes three components to predict intention: attitude (experiential/instrumental), perceived norm (injunctive/descriptive), and perceived behavioral control (capacity/autonomy). We aimed to investigate the predictors of seasonal Flu vaccination intention among SHPs of the University of Milan. Methods We spread an e-survey to all medical residents and first- and last-year SHPs (medicine, nursery, midwifery, healthcare assistance and prevention techniques). The strength of association between measures of RAA components (as well as sociodemographic data, past vaccination behavior, vaccination knowledge, and perceived vaccination facilitation strategies), and vaccination intention was estimated using uni- and multivariate logistic regression models. Results Among 5743 invited SHPs, 884 participated in the survey and were included in the descriptive analyses (52,3% medical residents, 19,9% medicine, 21,1% nursing, 3,6% healthcare assistance, 2,7% prevention techniques and 0,5% midwifery students). Twenty-nine psycho-attitudinal items with an overall Cronbach alpha >0.7 were included in the analyses. The regression analyses were performed on 751 subjects who filled in completely the survey. Past vaccination behavior, vaccination knowledge, experiential attitudes, and perceived vaccination facilitation strategies were positive predictors of Flu vaccination intention (OR 8.16, 2.42, 1.96 and 1.15 respectively, p < 0.05). Conclusions Our results indicated knowledge, experiential attitudes and facilitation strategies as modifiable predictors of vaccination intention among SHPs. Targeted and lasting interventions are needed in order to pursue a change in the strongest predictor, past vaccination behavior. Key messages Past vaccination is the strongest predictor of vaccination intention among students in healthcare professions. Knowledge, attitudes and perceived facilitators predict vaccine propensity among students in healthcare professions.

2019 ◽  
Vol 10 (3) ◽  
pp. 781-791 ◽  
Author(s):  
Grace Fairchild Saidi ◽  
Paul Branscum

Abstract Researchers and practitioners have primarily focused on understanding and promoting aerobic forms of physical activity (PA), while leaving muscle-strengthening forms of PA less understood. There are also stark gender disparities for muscle-strengthening PA but not aerobic PA. The purpose of this study was to apply the reasoned action approach (RAA) toward understanding theory-based determinants of muscle-strengthening PA and to explore gender differences. Female (n = 272) and male (n = 120) college students completed a valid and reliable survey evaluating their participation in muscle-strengthening PA and the constructs of the RAA (intentions, attitudes, perceived norms, and perceived behavioral control [PBC]). Results showed that attitudes, perceived norms, and PBC explained a substantial amount of the variance of intentions for both female (53.8%) and male (54.7%) participants; however, when predicting participation in muscle-strengthening PA, PBC moderated the relationship between intentions and muscle-strengthening PA participation for female participants but not for male participants. Results from this study showed that for women, implementational processes are likely needed for public health interventions to promote muscle-strengthening PA to build capability, skills, and self-efficacy, while for men, motivational interventions are warranted to create favorable attitudes.


Author(s):  
Martin S. Hagger

Since the inception of the theory of reasoned action in late 1970s by Martin Fishbein and Icek Ajzen, the theories of reasoned action and planned behavior and, in its more recent incarnation, the reasoned action approach, have been among the most influential approaches to predicting and understanding intentional behavior. The theories have been widely applied across multiple behaviors, contexts, and populations. With their roots in attitude theory and the social cognitive tradition, the theories focus on individuals’ beliefs with respect to future performance of a given behavior. The theory of reasoned action was the earliest version of the theory. The central construct of the theory is intention, a motivational construct that is considered the most proximal determinant of behavior. Intention reflects the extent to which an individual is likely to plan to do, and invest effort in pursuing, a given behavior. Intention is conceptualized as a function of two belief-based constructs: attitudes and subjective norms. Attitudes are positive or negative evaluations of performing the behavior in future, while subjective norms reflect beliefs that significant others would want them to perform the behavior. The theory of reasoned action demonstrated effectiveness in predicting variability in people’s behavior across many contexts, populations, and behaviors. Ajzen modified the theory of reasoned action to account for behaviors that were not under the complete control of the individual. The theory of planned behavior introduced perceived behavioral control as an additional predictor of intentions. In circumstances where individuals’ perceptions of control closely reflect actual control, perceived behavioral control would determine the strength of the Intention-Behavior Relationship. When their perceived behavioral control was high, individuals would be more likely to act on their intentions. Ajzen also proposed that when perceived behavioral control closely reflects actual control, it will directly predict behavior. Fishbein and Ajzen proposed the reasoned action approach as a further development in their theory based on research. The reasoned action approach extends the theory of planned behavior by differentiating between different subcomponents of the attitude, subjective norm, and perceived behavioral control constructs in the theory of planned behavior. The popularity of the theories is due to their relative simplicity and flexibility, as well as their effectiveness in accounting for substantive variance in behavior. The theories have also served as the basis for extended theories that encompass new constructs toward developing more comprehensive explanations of behavior, and to test salient processes that determine action such as the relationship between intentions and behavior. This annotated bibliography outlines key books, chapters, and articles that chart the progress of these theories from their origins and development to their application and extension. The list of readings offered in this bibliography is not exhaustive, but aims to provide readers with a representative overview of the origins of the theories, key theoretical assumptions and debates, the empirical evidence testing the theories, and research on extensions and practical application of the theories.


2019 ◽  
Author(s):  
Martin S Hagger

Since the inception of the theory of reasoned action in late 1970s by Martin Fishbein and Icek Ajzen, the theories of reasoned action and planned behavior and, in its more recent incarnation, the reasoned action approach, have been among the most influential approaches to predicting and understanding intentional behavior. The theories have been widely applied across multiple behaviors, contexts, and populations. With their roots in attitude theory and the social cognitive tradition, the theories focus on individuals’ beliefs with respect to future performance of a given behavior. The theory of reasoned action was the earliest version of the theory. The central construct of the theory is intention, a motivational construct that is considered the most proximal determinant of behavior. Intention reflects the extent to which an individual is likely to plan to do, and invest effort in pursuing, a given behavior. Intention is conceptualized as a function of two belief-based constructs: attitudes and subjective norms. Attitudes are positive or negative evaluations of performing the behavior in future, while subjective norms reflect beliefs that significant others would want them to perform the behavior. The theory of reasoned action demonstrated effectiveness in predicting variability in people’s behavior across many contexts, populations, and behaviors. Ajzen modified the theory of reasoned action to account for behaviors that were not under the complete control of the individual. The theory of planned behavior introduced perceived behavioral control as an additional predictor of intentions. In circumstances where individuals’ perceptions of control closely reflect actual control, perceived behavioral control would determine the strength of the Intention-Behavior Relationship. When their perceived behavioral control was high, individuals would be more likely to act on their intentions. Ajzen also proposed that when perceived behavioral control closely reflects actual control, it will directly predict behavior. Fishbein and Ajzen proposed the reasoned action approach as a further development in their theory based on research. The reasoned action approach extends the theory of planned behavior by differentiating between different subcomponents of the attitude, subjective norm, and perceived behavioral control constructs in the theory of planned behavior. The popularity of the theories is due to their relative simplicity and flexibility, as well as their effectiveness in accounting for substantive variance in behavior. The theories have also served as the basis for extended theories that encompass new constructs toward developing more comprehensive explanations of behavior, and to test salient processes that determine action such as the relationship between intentions and behavior. This annotated bibliography outlines key books, chapters, and articles that chart the progress of these theories from their origins and development to their application and extension. The list of readings offered in this bibliography is not exhaustive, but aims to provide readers with a representative overview of the origins of the theories, key theoretical assumptions and debates, the empirical evidence testing the theories, and research on extensions and practical application of the theories.


2012 ◽  
Vol 640 (1) ◽  
pp. 136-149 ◽  
Author(s):  
Brenda Curtis

Although message tailoring has been shown to produce experimental effects in previous studies, the cognitive mechanisms through which tailoring works have not been sufficiently studied. Using the integrative model to predict intentions to use the nicotine replacement patch among adult smokers, this study examines how tailoring theoretical elements of the integrative model is effective in changing the theoretical mediators. Participants were randomized into one of two conditions. In the experimental condition, participants received messages tailored to some or all of the underlying behavioral, injunctive normative, or self-efficacy beliefs with the expectation that changing the underlying beliefs would result in experimental differences in the integrative model’s direct measures. This expectation was confirmed. The integrative model also worked well in predicting intentions to perform the target behavior; attitude, perceived normative pressure, and perceived behavioral control accounted for 53 percent of the variance in intentions. Attitude and normative pressure were the strongest predictors of intention. These results provide support for tailoring messages using a reasoned action approach and provide insight into the mechanism through which message tailoring operates.


2021 ◽  
Author(s):  
Paul W. Branscum ◽  
Karly S. Geller ◽  
Olivia A. Branson

Abstract Background: The purpose of this study was to utilize the Reasoned Action Approach (RAA) to evaluate the impact of COVID-19 on the physical activity (PA) behaviors of college student athletes, including aerobic, muscle strengthening, and sport-specific conditioning PA. Theory-based determinants of intentions to all three PA behaviors were assessed using multiple regression analyses.Results: Outcomes demonstrated that perceived norms, perceived behavioral control, and attitudes predicted a significant amount of the variance of intentions for muscle strengthening PA (44.8%) and a moderate amount for aerobic PA (28.5%) and conditioning PA (35.2%). Additionally, intentions, attitudes, perceived norms, and perceived behavioral control were compared between PA type using a repeated measures ANOVA, and results showed there were significant differences. Conclusion: These findings can assist public health practitioners, coaches, and trainers to develop and implement more effective interventions and training sessions for all types of PA with college athletes.


2021 ◽  
Author(s):  
Johannes Wichmann ◽  
Michael Leyer

BACKGROUND Indoor positioning systems (IPS) have become increasingly important for several branches of the economy (eg, in shopping malls) but are relatively new to hospitals and underinvestigated in that context. This research analyzes the intention of actors within a hospital to use an IPS to address this gap. OBJECTIVE To investigate the intentions of hospital visitors and employees (as the main actors in a hospital) to use an IPS in a hospital. METHODS The reasoned action approach was used, according to which the behavior of an individual is caused by behavioral intentions that are affected by (1) a persuasion that represents the individual’s attitude toward the behavior, (2) perceived norms that describe the influence of other individuals, and (3) perceived norms that reflect the possibility of the individual influencing the behavior. RESULTS The survey responses of 323 hospital visitors and 304 hospital employees were examined separately using SmartPLS 3.3.3. Bootstrapping procedures with 5000 subsamples were used to test the models (one-tailed test with a significance level of .05). The results show that attitude (<i>β</i>=.536; <i>P</i>&lt;.001; <i>f²</i>=.381) and perceived norms (<i>β</i>=.236; <i>P</i>&lt;.001; <i>f²</i>=.087) are predictors of hospital visitors’ intention to use an IPS. In addition, attitude (<i>β</i>=.283; <i>P</i>&lt;.001; <i>f²</i>=.114), perceived norms (<i>β</i>=.301; <i>P</i>&lt;.001; <i>f²</i>=.126), and perceived behavioral control (<i>β</i>=.178; <i>P</i>=.005; <i>f²</i>=.062) are predictors of hospital employees’ intention to use an IPS. CONCLUSIONS This study has two major implications: (1) our extended reasoned action approach model, which takes into account spatial abilities and personal innovativeness, is appropriate for determining hospital visitors’ and employees’ intention to use an IPS; and (2) hospitals should invest in implementing IPS with a focus on (a) navigational services for hospital visitors and (b) asset tracking for hospital employees.


2019 ◽  
Vol 36 (5) ◽  
pp. 376-385
Author(s):  
Fernando Ruiz-Dodobara ◽  
Peter Busse

This cross-sectional study examined the mediating role of three reasoned action approach (RAA) constructs—attitudes, perceived social pressure, and perceived behavioral control—on the relationship between peer networks and intention to consume unhealthy food. The authors examined self-reported data of a sample of 277 adolescents from public and private schools in Lima, Peru. Results revealed a total mediating effect of the reasoned action constructs; yet attitudes and perceived behavioral control, but not perceived social pressure (injunctive and descriptive norms), mediated the relationship between peer network and intention to consume unhealthy food. Explanations for these results are discussed in light of social cognitive theory and Ajzen and Fishbein’s postulates about specific attitudes. Finally, we discuss how school nurses can take advantage of RAA variables to influence food environments, use peer networks for reducing unhealthy food consumption, and organize workshops to inform parents about the mechanisms that promote junk food intake.


2020 ◽  
Vol 35 (1) ◽  
Author(s):  
Amir Bhochhibhoya ◽  
Paul Branscum

Abstract: The “one-size-fits-all” approach to design interventions to reduce drinking behaviors appears to be problematic since there are significant differences in motives and attitudes for binge drinkers compared to social drinkers. The purpose of the study was to identify psychosocial determinants of drinking behaviors among drinkers based on the Reasoned Action Approach. Attitudes, perceived norms, and perceived behavioral control predicted 44.5% variance for behavioral intentions ‘to stop binge drinking’ for binge drinkers, and 46.5% variance for behavioral intentions ‘to continue not to binge drink’ for social drinkers.   This study highlighted the need for tailoring interventions based on drinking status


Author(s):  
Icek Ajzen

The reasoned action approach that Martin Fishbein pioneered has emerged as the dominant conceptual framework for predicting, explaining, and changing human social behavior. The most popular model in this tradition, the theory of planned behavior, has generated a great deal of empirical research supporting the premises of this approach. It has been shown that behavioral, normative, and control beliefs provide the basis, respectively, for attitudes toward the behavior, subjective norms, and perceived behavioral control; that these three factors jointly account for a great deal of variance in behavioral intentions; and that intentions and perceived control can be used to predict actual behavior. Based on these insights, investigators have been able to design effective behavior change interventions.


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