scholarly journals Utilizing Multi-Theory Model in Determining Intentions to Smoking Cessation Among Smokers

2019 ◽  
Vol 12 ◽  
pp. 1179173X1984352 ◽  
Author(s):  
Vinayak K Nahar ◽  
Amanda H Wilkerson ◽  
Falguni C Patel ◽  
Richard W Kim ◽  
Philip M Stephens ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Behavior Change ◽  
Health Behavior Change ◽  
Cross Sectional Study ◽  
Theory Model ◽  
Shopping Mall ◽  
Fourth Generation ◽  
Moderate Amount ◽  
Cross Sectional ◽  
Convenience Sample

Background: Smoking is a risk factor for lung cancers, and a myriad of other acute and chronic ailments. The purpose of this study was to predict initiation and sustenance of smoking cessation among smokers using a fourth-generation behavioral framework, multi-theory model (MTM) of health behavior change. Methods: A convenience sample of smokers from a shopping mall in rural, Appalachian Kentucky county was invited to participate in this cross-sectional study. A 38-item, face and content validated, MTM-based survey instrument was administered to the participants. Results: A total of 148 participants completed the study. The mean age of the participants was 35.53 (SD = 14.52) years. Most were male (58.1%) and Caucasian (95.9%). Participants reported smoking for an average of 16.45 (SD = 13.12) years. Participatory dialogue (β = 0.235, P = .003) and behavioral confidence (β = 0.305, P = .005) were significant predictors of intention for initiation for smoking cessation behavior. Emotional transformation (β = 0.319, P = .001) was a significant predictor of intention for sustenance for smoking cessation behavior. Discussion: Two of the MTM constructs for initiation and one of the MTM constructs for sustenance of change accounted for a moderate amount of variance in initiation and sustenance of smoking cessation behavior among community members in a rural, Kentucky county. MTM has utility for predicting both initiation and sustenance of smoking cessation behavior. Future interventions using MTM constructs should be developed for smoking cessation behavior change.

scholarly journals Explaining Handwashing Behavior in a Sample of College Students during COVID-19 Pandemic Using the Multi-Theory Model (MTM) of Health Behavior Change: A Single Institutional Cross-Sectional Survey

Healthcare ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 55
Author(s):  
Manoj Sharma ◽  
Kavita Batra ◽  
Robert E. Davis ◽  
Amanda H. Wilkerson
Keyword(s):  
College Students ◽  
Health Behavior ◽  
Behavior Change ◽  
Pearson Correlation ◽  
Significant Proportion ◽  
Health Behavior Change ◽  
Theory Model ◽  
Fourth Generation ◽  
Cross Sectional ◽  
Behavior Change Interventions

Amidst the COVID-19 pandemic, handwashing offers a simple and effective hygienic measure for disease prevention. Reportedly, a significant proportion of college students did not follow handwashing recommendations provided by the Centers for Disease Control and Prevention (CDC) in the pre-COVID era. The purpose of this cross-sectional study was to explore and explain the handwashing behavior among college students during the COVID-19 pandemic using a contemporary fourth-generation multi-theory model (MTM) of health behavior change. Data were collected from 713 college students at a large public university in the Southern U.S. in October 2020 using a validated 36-item survey. Statistical analyses included independent samples t-tests, Pearson correlation, and hierarchical regression modeling. Among students not following handwashing recommendations, the constructs of participatory dialogue (β = 0.152; p < 0.05) and behavioral confidence (β = 0.474; p < 0.0001) were statistically significant and accounted for 27.2% of the variance in the likelihood of initiation of the behavior. Additionally, the constructs of emotional transformation (β = 0.330; p < 0.0001), practice for change (β = 0.296; p < 0.0001), and changes in the social environment (β = 0.180; p < 0.05) were statistically significant and accounted for 45.1% of the variance in the likelihood of sustaining handwashing behavior. This study highlights the applicability and usability of the MTM in designing and testing behavior change interventions and media messaging in campaigns targeting college students.

scholarly journals Hormonal, metabolic and nutritional alterations in smokers: emergency for smoking abstinence

2013 ◽  
Vol 62 (4) ◽  
pp. 261-267 ◽  
Author(s):  
Gláucia Renata Souza Rodrigues ◽  
Marcela Melquíades ◽  
Maria Alvim Leite ◽  
Maíra Barros Louro ◽  
Carmen Perches ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Cross Sectional Study ◽  
The Body ◽  
University Hospital ◽  
Anthropometric Parameters ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Fasting Glycemia ◽  
Increased Risk ◽  
The University

OBJECTIVE: To evaluate the biochemical and nutritional status of smokers in treatment for smoking cessation and its association with anthropometric parameters. METHODS: This is a cross-sectional study with convenience sample. Adult smokers were assessed at the start of treatment in the Interdisciplinary Center for Tobacco Research and Intervention of the University Hospital of the Federal University of Juiz de Fora (CIPIT/HU-UFJF). We evaluated the body mass index (BMI), conicity index (CI); waist circumference (WC), percentage of body fat (%BF), fasting glycemia, cortisol, insulin, total cholesterol (TC), LDL-c, HDL-c, triglycerides (TG) and metabolic syndrome (MS). RESULTS: Most participants (52.2%) had MS and high cardiovascular risk. The fasting glycemia was abnormal in 30.4%. There was a significant positive correlation between BMI and WC (r = 0.90; p = 0.0001), %BF (r = 0.79; p = 0.0001), CI (r = 0.65; p = 0.0001), glycemia (r = 0.42; p = 0.04) and TG (r = 0.47; p = 0.002). The CI presented positive correction with insulin (r = 0.60; p = 0.001), glycemia (r = 0.55; p = 0.007), TG (r = 0.54; p = 0.008) and %BF (r = 0.43; p = 0.004). Patients with longer duration of smoking had a higher risk of developing MS (OR = 9.6, p = 0.016). CONCLUSION: The smokers evaluated had increased risk for developing MS, especially those with longer duration of smoking, requiring urgent smoking cessation.

scholarly journals Factors Associated with Initiation and Sustenance of Stress Management Behaviors in Veterinary Students: Testing of Multi-Theory Model (MTM)

2020 ◽  
Vol 17 (2) ◽  
pp. 631 ◽  
Author(s):  
Vinayak K. Nahar ◽  
Julia K. Wells ◽  
Robert E. Davis ◽  
Elizabeth C. Johnson ◽  
Jason W. Johnson ◽  
...  
Keyword(s):  
United States ◽  
Health Behavior ◽  
Behavior Change ◽  
Stress Management ◽  
Health Behavior Change ◽  
The United States ◽  
Theory Model ◽  
Veterinary Students ◽  
Cross Sectional ◽  
Management Behaviors

Veterinary students across the United States face the challenge of stress during school every day. When managed improperly, stress can become chronic and manifest in physical and emotional consequences. The purpose of this study was to examine the utility of the multi-theory model (MTM) of health behavior change in predicting the initiation and sustenance of stress management behaviors among veterinary students. A cross-sectional design was used to study the efficacy of the MTM in predicting initiation and sustenance of stress management behaviors among veterinary students at a private College of Veterinary Medicine in the Southeast United States. Researchers collected data using a 54-item valid and reliable survey. Only students who did not already engage in daily stress management behaviors were included in the study. After recruitment and exclusion, a total of 140 students remained and participated in the study. Hierarchical multiple regression revealed that, for initiation of stress management behaviors, 49.5% of the variance was explained by depression, academic classification, and behavioral confidence. Regarding sustenance of stress management behaviors, 50.4% of the variance was explained by perceived stress, depression, academic classification, and emotional transformation. MTM serves as a promising framework for predicting initiation and sustenance of health behavior change. Based on the results of this study, interventions aimed to promote stress management behaviors in veterinary students should focus on the MTM constructs of behavioral confidence and emotional transformation.

scholarly journals COVID-19 Vaccine Acceptance among College Students: A Theory-Based Analysis

2021 ◽  
Vol 18 (9) ◽  
pp. 4617
Author(s):  
Manoj Sharma ◽  
Robert E. Davis ◽  
Amanda H. Wilkerson
Keyword(s):  
College Students ◽  
Republican Party ◽  
Health Behavior Change ◽  
The United States ◽  
Cross Sectional Study ◽  
Theory Model ◽  
Vaccine Acceptability ◽  
Design Data ◽  
Cross Sectional ◽  
Vaccine Acceptance

The severity and pervasiveness of the COVID-19 pandemic have necessitated the emergency use of COVID-19 vaccines. Three vaccines have been approved in the United States (USA). However, there is still some hesitancy in COVID-19 vaccine acceptability among some subgroups, including college students. While research is limited on vaccine acceptability behavior among college students, preliminary data suggests hesitancy as being high. This study aimed to explain the correlates of COVID-19 vaccine acceptance among college students who reported hesitancy toward the COVID-19 vaccine and those who did not using the initiation component of the multi-theory model (MTM) of health behavior change. Using a cross-sectional study design, data were collected from a Southern USA University (n = 282) utilizing a valid and reliable 27-item questionnaire in February and March 2021. Almost half (47.5%) of participants reported hesitancy to receive the COVID-19 vaccine. The three constructs of MTM’s initiation model, behavioral confidence (b = 0.089, p < 0.001), participatory dialogue (b = 0.056, p < 0.001), and changes in the physical environment (b = 0.066, p = 0.001) were significantly associated with COVID-19 vaccine acceptance among those who were not hesitant to take the vaccine and accounted for 54.8% of the variance. Among those who were hesitant to take the COVID-19 vaccine, the MTM construct of behavioral confidence (b = 0.022, p < 0.001) was significant along with Republican Party political affiliation (b = −0.464, p = 0.004), which was negatively associated with vaccine acceptance. The model accounted for 60.6% of the variance in intention to take the COVID-19 vaccine. This study provides evidence for the utility of MTM as a timely intervention to design messages for college students to enhance COVID-19 vaccine acceptability.

scholarly journals Can the Multi-Theory Model (MTM) of Health Behavior Change Explain the Intent for People to Practice Meditation?

2021 ◽  
Vol 26 ◽  
pp. 2515690X2110645
Author(s):  
Manoj Sharma ◽  
Matthew Asare ◽  
Ram Lakhan ◽  
Amar Kanekar ◽  
Vinayak K. Nahar ◽  
...  
Keyword(s):  
Behavior Change ◽  
Structural Equation ◽  
Online Survey ◽  
Well Being ◽  
Health Behavior Change ◽  
Theory Model ◽  
Fourth Generation ◽  
Equation Modeling ◽  
Behavior Change Interventions ◽  
Demographic Covariates

Meditation is gaining popularity as adjuvant therapy for many chronic ailments, mental well-being, and spiritual growth. Behavioral theories have been underutilized in understanding meditation behavior. This study aimed to test if a fourth-generation multi-theory model (MTM) could explain the intent for starting and maintaining meditation behavior in a sample of US adults. A face and content valid 48-item instrument based on MTM was administered in a cross-sectional design through an online survey (n = 330). Internal consistency (Cronbach's alpha > 0.70) and construct validation using structural equation modeling of the subscales were all acceptable. Hierarchical multiple regression revealed that, after controlling for demographic covariates, the MTM constructs of participatory dialogue (β  =  0.153; P  =  .002) and behavioral confidence (β  =  0.479; P < .001) were statistically significant in predicting intent for starting meditation behavior and accounted for 32.9% of the variance. Furthermore, after controlling for demographic covariates, the MTM constructs of emotional transformation (β  =  0.390; P < .001) and changes in the social environment (β  =  0.395; P < .001) were statistically significant and accounted for 52.9% of the variance in the intent for maintaining meditation behavior. Based on this study, it can be concluded that MTM offers a pragmatic framework to design, implement, and evaluate evidence-based (theory-based) meditation behavior change interventions.

scholarly journals Conceptualization of college students’ COVID-19 related mask-wearing behaviors using the Multi-Theory Model of health behavior change

2021 ◽  
Vol 11 (2) ◽  
pp. 194-201
Author(s):  
Robert E. Davis ◽  
Manoj Sharma ◽  
Kayla E. Simon ◽  
Amanda H. Wilkerson
Keyword(s):  
Behavior Change ◽  
Face Mask ◽  
Health Behavior Change ◽  
Theory Model ◽  
Multivariate Techniques ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Southeastern Us ◽  
Significant Relationships ◽  
The Social

Background: Recommendations and policies, regarding the use of face coverings, have been instituted to control transmission of coronavirus disease 2019 (COVID-19). Understanding of psychosocial factors related to the use of face coverings within the context of COVID-19 is needed. This study aimed to conceptualize mask-wearing behavior among students using the Multi-theory Model (MTM) of behavior change. Methods: In October 2020, students (n = 595) enrolled in a large public southeastern US university were recruited to participate in a cross-sectional survey, using a valid and reliable instrument. Univariate, bivariate, and multivariate techniques described mask-wearing behavior and differentiated theoretical drivers of mask-wearing between individuals compliant and non-compliant with guidelines. Results: Compliant individuals reported significantly higher scores (P<0.05) for initiation and sustenance of mask-wearing, participatory dialogue, behavioral confidence, emotional transformation, practice for change, changes in the social environment, and significantly lower scores for disadvantage. Among multivariable models, all theoretical predictors exhibited significant relationships to their respective outcomes (initiation and sustenance). Specifically, MTM constructs explained approximately 35% of variance in initiation (R2 = 0.346, F(3,526) = 94.32, P<0.001) and 33% of variance in sustenance of mask wearing (R2 = 0.328, F(3,529) = 87.71, P<0.001) for compliant individuals. Behavioral confidence and emotional transformation exhibited the strongest relationships to initiation (ß = 0.403, P<0.001) and sustenance (ß = 0.450, P<0.001), respectively. Conclusion: Findings suggest a need to design educational programming based on the MTM to promote mask-wearing behavior among laggards who defy face mask guidelines, recommendations, and mandates.

scholarly journals Electronic cigarettes’ withdrawal severity symptoms among users during intermittent fasting: a cross-sectional study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Muna M. Barakat ◽  
Raja’a A. Al-Qudah ◽  
Ibrahim Alfayoumi ◽  
Hala Jehad Al-Obaidi ◽  
Feras Jassim Jirjees ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Electronic Cigarettes ◽  
Cross Sectional Study ◽  
Withdrawal Symptoms ◽  
Intermittent Fasting ◽  
Sectional Study ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Good Opportunity ◽  
Severity Scores

Abstract Background Recently, electronic cigarette (e-cig) usage has increased significantly, making it a potentially effective smoking cessation tool. In Muslim countries, most people who use e-cigarettes fast the month of Ramadan, which results in intermittent fasting. This study aims to reveal the severity of e-cig withdrawal symptoms among users during this intermittent fasting period. Methods A self-administered survey was developed and validated to solicit anonymous responses from e-cig users living in Jordan, through a cross-sectional study design. Participants were recruited through social media resources. Severity scores of physical (out of 11) and psychological (out of 8) withdrawal symptoms for each participant were assessed and calculated for each participant, depending on the symptoms reported. Results A convenience sample (n = 523) of e-cig adult users were recruited. The majority of the participants were males (96.4%) aged between 18 and 40 years (86.4%). Many participants replaced tobacco smoking with e-cig (53.5%) in order to help them stop smoking. More than half of the participants experienced relatively weak physical (0.82 ± 1.78) and psychological (1.24 ± 1.89) withdrawal symptoms during the month of fasting. Most of the participants (63.2%) preferred to engage themselves with a busy schedule to tolerate the related withdrawal symptoms they experienced. Conclusion E-cigs could play a vital role in smoking cessation among tobacco smokers during intermittent fasting. Ramadan offers a good opportunity for smokers to quit, as the reported physical and psychological e-cig withdrawal symptoms were found to be relatively weak. Awareness and behavioral interventions would help clarify the effect of e-cigs and help determine alternative ways to cease smoking.

scholarly journals Perception of adults toward electronic cigarettes: a cross-sectional study from Jordan

2021 ◽  
Vol 22 ◽  
Author(s):  
Muna Barakat ◽  
Areej M. Assaf ◽  
Raja’a Al-Qudah ◽  
Samar Thiab ◽  
Manar Alhamed ◽  
...  
Keyword(s):  
Social Media ◽  
Smoking Cessation ◽  
Tobacco Smoking ◽  
Electronic Cigarettes ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Awareness Campaigns ◽  
Almost All

Abstract Introduction: The rate of Jordanian tobacco smokers has been reported to be one of the highest rates in the world. The electronic cigarette (E-cig) has become an option, or an alternative, to tobacco cigarette smoking. This study was aimed to measure the perception of Jordanian adults toward E-cig use. Methods: A cross-sectional study design was used. A self-administered survey was developed and validated to solicit anonymous responses from the study participants. A convenience sample (n = 984) was recruited electronically through social media platforms. Descriptive statistics and correlation analyses were completed using the Statistical Package for the Social Sciences (SPSS). Results: More than half of the participants (53%) were females, and almost all participants had heard about E-cig (99.2%), mainly from their friends (40%) and social media (34.5%). About half of the participants were nonsmokers and around one-third of them (33.1%) were current E-cig users. The majority of the participating E-cig users had replaced tobacco with E-cig (56.4%)/All the E-cig users reported positive beliefs toward the E-cig as a safer alternative for tobacco smoking. About 45% of participants believed that the E-cig is helpful in tobacco smoking cessation, but should be highly regulated. Conclusion: This study illustrated a significant prevalence of E-cig usage among Jordanian adults. E-cig users perceived E-cig as a safer and cheaper alternative to tobacco smoking and that it helps in tobacco smoking cessation. However, health awareness campaigns are needed for the entire Jordanian community about E-cig use, related emerging health findings, and how to promote tobacco smoking cessation.

scholarly journals Applications of the fourth-generation multi-theory model (MTM) of health behavior change toobesogenic behaviors in college students

2020 ◽  
Vol 10 (3) ◽  
pp. 65-69
Author(s):  
Manoj Sharma
Keyword(s):  
College Students ◽  
Health Behavior ◽  
Behavior Change ◽  
Health Behavior Change ◽  
Theory Model ◽  
Fourth Generation ◽  
Psychological Consequences ◽  
Long Term Effects ◽  
Health Crisis ◽  
Obesogenic Behaviors

Obesity is a public health crisis that has reached pandemic proportions. It has multifactorial etiology and multiple negative physical and psychological consequences. Controlling the problem by altering obesogenic behaviors among college students is especially important because there is growing prevalence in this subgroup, there are long term effects for this subgroup, they are in formative years for obesogenic behaviors, and these behaviors are widely prevalent in this subgroup. The multi-theory model (MTM) of health behavior change is a new fourth-generation behavioral theory that has been applied to study obesogenic behaviors among college students. The purpose of this review was to examine the robustness and utility of MTM in designing efficacious and effective interventions to address obesogenic behaviors among US college students. A total of five studies published in MEDLINE, CINAHL, or ERIC met the inclusion criteria.The mean adjusted R2 for the initiation model based on the five studies was 0.38 (s.d. 0.15) and the mean adjusted R2 for the sustenance model was 0.34 (s.d. 0.14). The construct of behavioral confidence in the initiation model and the construct of emotional transformation in the sustenance model were significant in all five studies. MTM offers a feasible and practical framework for designing health promotion interventions for college students to address obesogenic behaviors

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