Validating the Theory of Planned Behavior Model Extended to Social Marketing Behavioral Enhancers Using Structural Equation Modeling

2020 ◽  
Vol 26 (4) ◽  
pp. 276-296
Author(s):  
Lutete Christian Ayikwa ◽  
Johan W. De Jager ◽  
Dion Van Zyl

Background: This study addresses the HIV/AIDS epidemic that constitutes a major health issue in South Africa, the country most burdened by the virus in the world. Focus of the Article: It is an empirical study that investigates predictive behavioral patterns between traditional components of the theory of planned behavior and the previously identified social marketing behavioral enhancers and intentions to perform preventative sexual behaviors promoted under the Abstinence, Being faithful, and Condomize campaign. Research Question: The main question this study attempts to answer is: Is it relevant to increase the theory of planned behavior components by incorporating the social marketing behavioral enhancers’ variables to design programs that successfully influence individuals to adhere to the preventative sexual behaviors? Importance to the Social Marketing Field: Results will tell social marketers, through design programs fighting the spread of the HIV set within a theory of planned behavior theoretical framework, which of the social marketing behavioral enhancers are worth integrating into their model to induce behavioral change. Methods: Theory of planned behavior models extended to social marketing behavioral enhancers for abstinence, faithfulness, and condom use were used as theoretical frameworks to test how well they are good fits of the empirically manifested structural models. Gauteng was chosen, because three of the five metropolitan municipalities with a HIV prevalence greater than 10% are located in this province. Data were collected by means of questionnaires administered to a sample chosen randomly, using a multi-stage stratification method. A quota was determined for each suburb or city considered according to the size of its population compared to the overall Gauteng population to ensure representativeness of the study’s sample. Results: The study’s theoretical frameworks fitted the data well, but results also revealed insignificant causal relationships between HIV/AIDS knowledge and all Abstinence–Being faithful–Condomize intentions. Similarly, no predictive relationships were found between accessibility to HIV/AIDS information and intention to use condoms, while attitudes toward abstinence and condom use were insignificant with their respective intentions. However, their positive correlations with predictive variables suggest that they influence intentions indirectly. Recommendation for Research: Researchers are invited to conduct further studies to test the model in a different context. Indeed, this study does not investigate whether relationships between HIV/AIDS knowledge, accessibility to HIV/AIDS information, and attitudes toward abstinence and condom use would remain insignificant or that it could not change over time in a research ground other than Gauteng. Opportunities should be explored to augment the traditional theory of planned behavior components by variables other than the social marketing behavioral enhancers, in order to build a more robust model that will incorporate more significant factors to design successful programs. Limitations: Collecting data from only one province constitutes a limitation in terms of drawing conclusions for the whole South African population.

1993 ◽  
Vol 52 (3) ◽  
pp. 260-268 ◽  
Author(s):  
John Vincke ◽  
Rudolf Mak ◽  
Ralph Bolton ◽  
Paul Jurica

Most studies to date that have attempted to explain the absence of a relationship between AIDS knowledge and behavioral change have used social psychological variables from diverse theoretical frameworks. The study reported in this article builds further on that research by simultaneously considering aspects of the health belief model, the fear reduction model, and the social support model. It is argued that the variables in these models not only complement each other but that they also interact. Using data gathered from a computerized questionnaire self-administered in a sample of Flemish gay men, the investigators employed multiple regression analysis with backward elimination to determine concurrently those factors from the indicated models that contributed to AIDS-related sexual behavior. The results confirm that components of the three models interact and that none alone can explain behavior change. The most important factor in inducing change was belief in the efficacy of safer sex practices. AIDS knowledge also proved to be significant. The combination of high perceived susceptibility and high self-efficacy was associated with safer sexual behaviors. High visibility of AIDS interacting with a high level of denial did not prevent subjects from adopting safer sex practices. Subjects experiencing social isolation were prone to change their behaviors. The authors interpret these findings within the context of the characteristics of the social situation of gay men in Flanders.


2020 ◽  
Vol 26 (3) ◽  
pp. 244-258
Author(s):  
Budi Setiawan ◽  
Adi Zakaria Afiff ◽  
Ignatius Heruwasto

Background: The theory of planned behavior (TPB) is one of the famous theories used to predict a person’s intentions in various contexts, using the subjective normative component. This article, therefore, focused on proposing a conceptual model to fill the existing gaps related to the pro-environmental context, based on the TPB, with the normative aspects supplemented by incorporating the norm activation theory (NAT). Focus of the Article: The interaction between subjective and personal norms needs to be considered in order to acquire empirical data support from social marketing scholars. The awareness of consequences is used to form personal norms that function as an “instrumental attitude” in predicting intention. The existence of attitude needs to be distinguished between the experiential and instrumental, reflected in the awareness of consequences. Program Design/Approach: Pro-environmental behavior (PEB) in the context of waste sorting is a shared function of intentions, personal norm, and perceived control. It plays an important role in mediating the influence of motivational factors of TPB and personal norm of NAT, on waste sorting. Communication strategies in promoting waste sorting activity have to integrate social pressure with a feeling of moral obligation. Importance to the Social Marketing Field: The conceptual model shows that the integration of TPB and NAT contributes a more comprehensive perspective for social marketers to promote the waste sorting behavior of the targeted society. Methods: Five essential stages are systematically arranged to integrate TPB and NAT. The first stage explains the basic equation of TPB and NAT. The second proposes three essential propositions. The third provides logical thinking of the integrated equation model, while the fourth stage creates the visual form and explains it in detail. The fifth stage provides a clear and concise managerial implication and limitation of the model, accompanied by the possibility to expand it in future studies. Recommendations for Research or Practice: The social marketing practitioners and academicians interested in the issue of PEB context from the community, need to consider the integration of TPB and NAT in their activities. Social pressure within the community is strengthened by the formation of a sense of moral obligation with the simultaneous strengthening of the experiential and instrumental attitude. Limitations: The proposed conceptual model is limited to the utilization of a cultural approach as the central premise. It is also limited to the use of the fundamental theory in predicting humans’ behavior in a waste sorting context.


2010 ◽  
Vol 5 (1) ◽  
pp. 135
Author(s):  
Kate Kelly

A Review of: Veinot, T., Harris, R., Bella, L., Rootman, I., & Krajnak, J. (2006). HIV/AIDS Information exchange in rural communities: Preliminary findings from a three-province study. Canadian Journal of Information and Library Science, 30(3/4), 271-290. Objective –To explore and analyze, against three theoretical frameworks of information behaviours, how people with HIV/AIDS, their friends, and their family living in rural communities find information on HIV/AIDS. Design – Qualitative, individual, in-depth, semi-structured interviews. Setting – Two rural regions in Ontario, Canada. Subjects – Sixteen participants; 10 people with HIV/AIDS (PHAs) and 6 family members or friends. Methods – Participants were recruited through health care providers, social service agencies and through snowball sampling. Semi-structure interviews were conducted focusing on participants’ experience with HIV/AIDS, how they find and use information on HIV/AIDS, networks for information exchange and the effect of technology on information exchange. Interviews were taped, transcribed, analyzed qualitatively using NVivo software. Results were compared to three theoretical frameworks for information behaviour: 1. purposeful information seeking (i.e., the idea that people purposefully seek information to bridge perceived knowledge gaps); 2. non-purposeful or incidental information acquisition (i.e., the idea that people absorb information from going about daily activities); and 3. information gate keeping (i.e., the concept of private individuals who act as community links and filters for information gathering and dissemination). Main Results – Consistent with the theories: • PHAs prefer to receive information from people they have a personal relationship with, particularly their physician and especially other PHAs. • PHAs’ friends and families rely on their friends and family for information, and are particularly reliant upon the PHA in their lives. • Fear of stigma and discrimination cause some to avoid seeking information or to prefer certain sources of information, such as healthcare providers, who are bound by codes of professional conduct. • Emotional support is important in information provision and its presence supersedes the professional role of the provider (social workers and counsellors were identified as key information sources over medical professionals in this instance). Participants responded negatively to the perceived lack of support from providers including doubting the information provided. • PHAs monitor their worlds and keep up to date about HIV/AIDS. Inconsistent with theories: • Reliance on caregivers for information is not solely explained by fear of stigma or exposure. Rather, it is the specialized knowledge and immersion in HIV/AIDS which is valued. • The distinction between peer or kin sources of information and institutional information sources is less clear and relationships with professionals can turn personal over time. • Inter-personal connections include organisations, not just individuals, particularly AIDS Service Organizations and HIV specialist clinics. • Relatively few incidents of finding useful information about HIV/AIDS incidentally were described. The concept of information just being “out there” was not really applicable to rural settings, likely due to the lack of discussion within participant communities and local media. When it was discussed, participants reported being more likely to gain misinformation through their personal networks. • Incidental information acquisition originates mostly from professional and organisational sources. Participants identified posters, leaflets, and, for those who interacted with organisations, information via mail as contributing to current awareness. • The gate keeping concept does not capture all the information sharing activities undertaken by “gate keepers” in rural areas, and neither does it include formal providers of information, yet all PHAs interviewed identified formal providers as key sources. Conclusion – The findings reinforce some of the existing analytical framework theories, particularly the importance of affective components (i.e. emotional supports) of information seeking, the presence of monitoring behaviours, and of interpersonal sources of information. However, alternate theories may need to be explored as the role of institutional information sources in the lives of PHAs doesn’t match the theoretical predication and the “gate keeper” concept doesn’t capture a significant portion of that role in rural HIV/AIDS information exchange.


Libri ◽  
2018 ◽  
Vol 68 (2) ◽  
pp. 149-164
Author(s):  
Olubanke Mofoluwaso Bankole ◽  
Abiola Abioye

Abstract Information and knowledge are the foremost tools in fighting the scourge of HIV/AIDS. Previous studies have focused more on HIV/AIDS and Nigerian undergraduates’ attitudes, beliefs and protective practices than how information factors influence their knowledge of the pandemic. This study, therefore, investigated the influence of access to HIV/AIDS information on its knowledge among undergraduates of federal universities in Nigeria. The study adopted the descriptive survey research design, with a combination of the purposive, proportionate and stratified random sampling technique used to select 1,679 undergraduates from five universities across five geopolitical zones of Nigeria. Questionnaire was the instrument used for collecting data, which were analyzed using Pearson’s product moment correlation and multiple regression. The most accessible sources of HIV/AIDS information among undergraduates were television (94.5 %), radio (93.0 %) and the Internet/ICT centers (90.5 %). The types of HIV/AIDS information frequently assessed were information on how to refuse sex (Mean=3.15), how to be faithful to one partner (Mean=3.12), sharing of sharp objects (Mean=3.12), blood transfusion (Mean=3.11), unprotected sexual intercourse (Mean=3.10) and how to use condoms correctly (Mean=3.09). Access to HIV/AIDS information (r=0.15) resulted in positive significant relationships with HIV/AIDS knowledge, thus access to HIV/AIDS information has a positive influence on the promotion of knowledge of HIV/AIDS among undergraduates. The level of study was also a predictor of HIV/AIDS knowledge, which was not the case for factors of age, discipline, gender, marital status, tribe and religion. The AIDS service organizations and program developers should come up with strategies that would strengthen and improve the content, accuracy and ease of understanding of HIV/AIDS information that students have access to in order to facilitate its use.


2017 ◽  
Vol 22 (5) ◽  
pp. 511-515 ◽  
Author(s):  
Babak Moeini ◽  
Majid Barati ◽  
Seyed Mohammad Mehdi Hazavehei ◽  
Ali Reza Soltanian ◽  
Iraj Zareban ◽  
...  

2018 ◽  
Vol 9 (1) ◽  
pp. 84-102
Author(s):  
Sam Erevbenagie Usadolo ◽  
◽  
Queen Usadolo ◽  

The present study examined the constructs of the theory of planned behaviour regarding their predictability of intentions to use a condom among Xhosa-speaking adolescents in Eastern Cape, South Africa, using HIV/AIDS information as a moderator. Design: Quantitative data were collected from 196 adolescents in Eastern Cape, South Africa. A regression analysis was used to test the hypotheses. Results: A regression analysis showed that attitude and perceived behavioural control were significantly related to the intention to use a condom, but subjective norm was not. However, due to the moderating effect of HIV/AIDS information, attitude, perceived behavioural control and subjective norm predicted intention to use a condom. Conclusion: The findings show that HIV/AIDS information plays an important role in increasing the effect of the theory of planned behaviour on intention to use a condom. Thus, more emphasis should be on beliefs about the adverse effects of condom use, the ability to negotiate condom use, and the importance of other significant others in increasing awareness about HIV/AIDS in order to increase intention to use a condom.


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