scholarly journals Theoretical Explanation of Upper Limb Functional Exercise and Its Maintenance in Postoperative Patients With Breast Cancer

2022 ◽  
Vol 12 ◽  
Author(s):  
Chi Zhang ◽  
Ningning Lu ◽  
Shimeng Qin ◽  
Wei Wu ◽  
Fang Cheng ◽  
...  

Background: Upper limb functional exercise (ULFE) has a positive effect on promoting the rehabilitation of upper limb function. However, little is known, about what drives postoperative patients to engage in and even maintain the advised exercises. This study integrated the health action process approach (HAPA) and the theory of planned behavior theory (TPB) to investigate the psychosocial determinants on the initiation and maintenance of ULFE in breast cancer patients. In addition, this study also tests key hypotheses relating to reasoned and implicit pathways to ULFE and its maintenance among postoperative patients with breast cancer.Methods: Purposive sampling was used to recruit patients from two breast cancer wards in a provincial hospital in Jiangsu, China. Patients (N = 430) completed self-reported questionnaire about constructs from integrated theories concerning ULFE at an initial time point (T1): task self-efficacy, positive outcome expectations, negative outcome expectations, risk perception, attitude behavior, subjective norm, perceived behavioral control, behavioral intention, and ULFE-in hospital (ULFE-IH). Three months later (T2), patients self-reported: maintenance self-efficacy, action planning, coping planning, recovery self-efficacy, and ULFE-maintenance (ULFE-M).Results: The model has a good fit (GoF = 0.48). For behavioral intention of ULFE, subjective norm (β = 0.35) and perceived behavioral control (β = 0.61) were positively directly related to behavioral intention. Regarding the initiation of ULFE, perceived behavioral control (β = 0.47) and behavioral intention (β = 0.42) had a direct positive relation to ULFE-IH. In the maintenance of ULFE, action planning (β = 0.30), coping planning (β = 0.21), maintenance self-efficacy (β = 0.32), and recovery self-efficacy (β = 0.09) all had significant positive relation on ULFE-M. In addition, maintenance self-efficacy had a significant positive association on action planning (β = 0.80), coping planning (β = 0.74), and recovery self-efficacy (β = 0.67). Coping planning was significantly predicted by behavioral intention (β = 0.07). Additionally, behavioral intention is a mediator of subjective norm (β = 0.14) and perceived behavioral control (β = 0.25) to ULFE-IH. Action planning, coping planning, and recovery self-efficacy are mediators of maintaining self-efficacy to ULFE-M (β = 0.46).Conclusions: This study presents the first attempt to integrate the health behavior model in ULFE in postoperative patients with breast cancer. The study has shown that the HAPA-TPB integrated model has good applicability and effectiveness to explain and predict ULFE initiation and maintenance. Future work can be considered to develop appropriate intervention strategies based on this integrated behavioral theory.

Author(s):  
Chun-Qing Zhang ◽  
Rongyu Fang ◽  
Ru Zhang ◽  
Martin S. Hagger ◽  
Kyra Hamilton

Objective: Hand washing and sleep hygiene are two important health behaviors. The purpose of the current study was to identify the motivational and volitional antecedents of college students’ hand washing and sleep hygiene behaviors based on an integrated model of behavior that combined social-cognition constructs from the Theory of Planned Behavior (TPB) and Health Action Process Approach (HAPA). Methods: Using a prospective design, college students (N = 1106) completed a survey assessing the motivational constructs of action self-efficacy, attitudes, subjective norm, perceived behavioral control, intentions, and behaviors of hand washing and sleep hygiene at Time 1. Demographic variables were also collected. One month later, at Time 2, college students (N = 524) self-reported on their volitional factors of maintenance self-efficacy, action planning, coping planning, and behaviors of hand washing and sleep hygiene. A further 2 months later, at Time 3, college students (N = 297) were asked to self-report on their hand washing and sleep hygiene behaviors over the past month. Findings: Data were analyzed using variance-based structural equation modelling. Results showed significant direct effects of attitudes, subjective norm, and perceived behavioral control on intentions; significant direct effects of action self-efficacy on maintenance self-efficacy; and significant direct effects of maintenance self-efficacy on action planning and coping planning. Significant direct effects of intention on action planning (sleep hygiene only), and significant direct effects of intention, maintenance self-efficacy (hand washing only), action and coping planning on behavior were also observed. Action planning also moderated the intention–behavior relationship, but only for hand washing. There were also significant total indirect effects of action self-efficacy on behavior mediated by maintenance self-efficacy, action planning, and coping planning for both behaviors, and significant total indirect effects of subjective norm and perceived behavioral control on behavior mediated by intention for sleep hygiene. When past behavior was included in the integrated model predicting all the psychological variables and behavior, all of the structural relations were attenuated. Discussion: Current findings indicate that college students’ hand washing and sleep hygiene behaviors are a function of both motivational and volitional factors. Findings also indicate that the TPB and HAPA pathways might differ for the two health behaviors. Implications of the current findings for future health interventions aimed at improving college students’ hand washing and sleep hygiene are discussed.


2017 ◽  
Vol 31 (1) ◽  
pp. 325
Author(s):  
Markus Surkamta Eric Santosa

The way consumers think about the products they will buy determines their buying behavior. The decision to buy a particular product is obviously in accordance with the buyer’s attitude. The buyers will also feel more comfortable if their behavior meets with the approval and expectations of the people close to them. While the development of a certain attitude has no effect on subjective judgment, the effect of compromise is likely to make a contribution to its development. Since it is still unclear, this study’s main purposed is to clarify this. In addition, while an attitude is theorized as being a predictor of behavior, through behavioral intention, the study’s secondary purpose is to boost the earlier findings. Likewise, in accordance with the theory of planned behavior, the study will also examine the other predictors of behavioral intention, in relation to the behavioral intention itself. A sample consisting of a 100 respondents was compiled by using the convenience and judgment technique. The data were analyzed using Amos 16.0 and SPSS 16.0. As expected, the compromise effect had a significant influence on whether the customers’ attitude or the subjective norm was the main determinant. Likewise, the customers’ attitude, the subjective norm and perceived behavioral control were confirmed as good predictors of customers’ behavioral intentions.


2020 ◽  
Vol 66 (3) ◽  
pp. 1-9
Author(s):  
Waiss Ali Aden ◽  
Shengchuan Zhao ◽  
Fazal Subhan ◽  
Hongmei Zhou ◽  
Irfan Ullah

Crashes involving pedestrians account for a higher proportion of all road traffic crashes. So, in order to develop more effective safety measures, it is important to determine the causes of the crashes that involve pedestrians. This paper adopts an extended Theory of Planned Behavior (TPB) to predict and explain pedestrians’ intention to violate traffic rules when crossing the road. In addition to the three traditional determinants of intention (instrumental attitude, Subjective norm and perceived behavioral control), this paper analyzes the effects of sensation seeking and conformity tendency on the intention to violate traffic rules while crossing the road. In order to analyze the relationships among the aforementioned variables, a survey was conducted in Dalian City (China) and Djibouti City (Djibouti), 452 participants from Dalian City and 828 participants from Djibouti City were interviewed. Structural Equation Modeling (SEM) was employed to analyze the collected data. The results indicated that the instrumental attitude, the subjective norm, and perceived behavioral control positively affected the behavioral intention to violate traffic rules when crossing the road for both cities except for perceived behavioral control which was not significant for Dalian City. Conformity tendency and sensation seeking had a significant and positive impact on behavioral intention for Djibouti City. However, for Dalian City, conformity tendency significantly and positively affected the behavioral intention, but sensation seeking did not. Several empirical and practical implications were also discussed.


2015 ◽  
Vol 21 (4) ◽  
pp. 918-921
Author(s):  
Ishak Ismail ◽  
Hasnah Haron ◽  
Shaikh Hamzah Abdul Razak ◽  
Nurul Khair Ishak ◽  
Nor Azah Abdul Jalil

This paper contributes to existing research on ethical behavior by identifying the factors that leads to the intention to commit the unethical behavior. The study used a questionnaire method that was sent to 1,200 insurance agents across peninsular Malaysia, 300 copies were returned of which only 246 were useful. Results of the study exhibited that there is a significant relationship between attitudes, perceived behavioral control, and subjective norm among insurance agents on the intention to commit unethical behavior. Attitude and moral obligation provide a positive relationship, while perceived behavioral control and norm provide a negative relationship. It also reflected that agents committing the unethical behavior are being influence by attitudes, moral obligation then perceived behavioral control and subjective norm. The study also reflected that ethics among insurance agents in Malaysia are low due to the fact that there is no documented evidence of any form of severe punishment meted out for unethical behavioral intention. While the results in this study are by no means conclusive, it is felt that this study has contributed to the research done in identifying unethical behavioral intention of insurance agents in Malaysia.


2020 ◽  
Vol 12 (18) ◽  
pp. 7831 ◽  
Author(s):  
Mei-lan Jin ◽  
Youngjoon Choi ◽  
Choong-Ki Lee ◽  
Muhammad Shakil Ahmad

This study explores the decision-making process of tourists visiting Guilin, China as an ecotourism destination. An extended model of goal-directed behavior with the inclusion of place attachment and destination image is employed to understand tourists’ revisit intention. This study finds several substantial variables that contribute to leading the behavioral intention of tourists. Results reveal that tourist attitude, positive anticipated emotion, and perceived behavioral control positively influence desire. Tourist desire to visit a destination is an important predictor of behavioral intention, and desire plays a substantial mediating role between attitude, positive anticipated emotion, perceived behavioral control, and behavioral intention. The image of an ecotourism destination is an important antecedent of attitude, perceived behavioral control, and subjective norm. The destination image indirectly influences behavioral intention through attitude, subjective norm, and perceived behavioral control. Destination image also has a direct effect on place attachment, which in turn influences behavioral intention. Findings provide a theoretical framework of understanding tourist behavior and contribute guidelines for developing sustainable ecotourism for central and local governments.


2017 ◽  
Vol 47 (2) ◽  
pp. 172-193 ◽  
Author(s):  
Samuel Mafabi ◽  
Sentrine Nasiima ◽  
Edgar Mutakirwa Muhimbise ◽  
Francis Kasekende ◽  
Caroline Nakiyonga

Purpose This paper aims to examine the mediation role of behavioral intention in the relationship between attitude, subjective norm, perceived behavioral control and knowledge sharing behavior. Design/methodology/approach The study adopted a cross-sectional design to collect data used to carry out mediation analysis. Structural equation modeling was used to test for the mediation effect based on the theory of planned behavior. Findings The results reveal positive and significant relationships between attitude, subjective norm, perceived behavioral control and behavioral intention. There is a full mediation effect of behavioral intention between attitude, subjective norm, perceived behavioral control and knowledge sharing behavior. This implies that behavioral intention wholly processes planned behavior prediction. Research limitations/implications The sample size was small, covering only two referral hospitals which affects the generalization of findings across all the hospitals in Uganda. The study was cross-sectional focusing on a one-off perception, which does not examine knowledge sharing behavior over time. This may necessitate follow-up studies in a longitudinal design to capture the trend of results. Practical implications Managers in referral hospitals should create opportunities for health professionals to enhance knowledge sharing behavior. Knowledge sharing practices should be embedded in the performance appraisal and reward systems which should promote positive knowledge sharing attitudes and norms and develop self-efficacy. Originality/value The study generates empirical evidence on less studied phenomena in the health sector focusing on behavioral intention mediation in predicting knowledge sharing behavior.


2001 ◽  
Vol 20 (2) ◽  
pp. 129-143 ◽  
Author(s):  
Jeffrey J. Martin ◽  
Pamela Hodges Kulinna ◽  
Robert C. Eklund ◽  
Brett Reed

The purpose of the present investigation was to examine determinants of teachers’ intentions to teach physically active physical education classes (i.e., spend at least 50% of class time with the students engaged in moderate to vigorous physical activity). Based on the theories of reasoned action, planned behavior, and self-efficacy, a model was examined hypothesizing that teachers’ intentions were determined by subjective norm, attitude, perceived behavioral control, and self-efficacy. Using hierarchical regression analyses, the theories of reasoned action and planned behavior were supported by accounting for 65% of the variance in intention due to the main effects of attitude and subjective norm, as well as their interaction effects. The role of perceived behavioral control and self-efficacy theory were not supported.


2021 ◽  
Vol 12 ◽  
Author(s):  
Angel Nga Man Leung

Cyberbullying has become a serious concern among Internet users worldwide. However, relatively little is known about individuals who witness cyberbullying and how they behave. A bystander is someone who sees bullying or other forms of aggressive or violent behavior that targets someone else and who may choose to respond by either being part of the problem (a hurtful bystander), or part of the solution (a helpful bystander). Few studies examined the phenomena of cyber-bystanders in Chinese populations. Guided by the five-step bystander theoretical model and the theory of planned behavior, this study, addressed this gap to understand how the characteristics of cyber-bystanders explained their intervention in cyberbullying in a Chinese population. This study tested two preregistered hypotheses: (1) controlling for age and gender, awareness of cyberbullying, attitudes, subjective norm and perceived behavioral control to intervene; plus past experience with cyberbullying (measured as past experience in cyberbullying perpetration and victimization), felt responsibility, and self-efficacy to intervene with regard to cyberbullying would explain the intention of cyber-bystanders to intervene in cyberbullying, and (2) the intention of cyber-bystanders to intervene cyberbullying would positively explain their intervening behavior. A total of 581 college students with experience of witnessing cyberbullying were included in the analysis. Applying structural equation modeling with observed variables, a path analysis model was built to test the hypotheses; this study also conducted exploratory analyses by including direct paths from the characteristics of cyber-bystanders to explain intervening behavior. Results found that only awareness of cyberbullying, a subjective norm, and self-efficacy to intervene positively explained intention to intervene cyberbullying; therefore, hypothesis 1 was partly supported. Also, intention to intervene cyberbullying positively explained intervening behavior; therefore, hypothesis 2 was supported. For the exploratory analysis, intention to intervene partially mediated the relation between a subjective norm to intervene and intervening behavior; and intention to intervene also partially mediated the relation between self-efficacy to intervene and intervening behavior. In addition, past experience in cyberbullying victimization also positively and directly predicted intervening behavior. Findings provided a foundation for designing future intervention programs to mobilize cyber-bystanders to become “upstanders.”


2021 ◽  
Author(s):  
Briandy Putra ◽  
Tony Antonio

Entrepreneurship education is one of the national programs to boost the number of entrepreneurs in the country. The success of creating educated entrepreneurs depends on several factors such as the curriculum, mentors, the method and the readiness of the participant. The intention to become an entrepreneur cannot be separated from the individual’s self-efficacy. This research examined the effect of master’s students’ self-efficacy on their entrepreneurial intention, with the mediation of the Planned Behavior Theory variables. The sample included 134 master’s students out of the total of 203. All had been conducting business for at least six months and were recruited through purposive sampling. A 1-5 Likert scale questionnaire was given to the respondents in print and through Google Forms. Quantitative data analysis was done using smart-PLS version 3. Two of the three variables of the Planned Behavior Theory were significant as mediators of self-efficacy, namely attitude toward behavior and subjective norm. Perceived behavioral control did not have an effect on self-efficacy and entrepreneurial intent through mediation. Keywords: self-efficacy, theory of planned behavior, attitude toward behavior, perceived behavioral control, subjective norm, entrepreneurial intention


2022 ◽  
Vol 8 (12) ◽  
pp. 346-365
Author(s):  
LI-AN WU

This research aims at the relationships between the subjective norm, attitude, personal norm, perceived behavioral control, and behavioral intention. The interviewees consist of the body painting learners, who have undergone the survey of the print questionnaire. After deleting 20 ineffective questionnaires, the remaining 300 questionnaires yield the effective response rate of 93.7%. The conclusions based on this research are listed as follow: (1) The subjective norm places positive impact on the attitude. (2) The intention is positively influenced by the attitude. (3) The subjective norm positively impacts on the personal norm of the intention. (4) The intention is positively influenced by the personal norm. (5) The perceived behavioral control is positively influenced by the subjective norm. (6) The perceived control positively effects on the intention. (7) The subjective norm positively influences the intention. (8) The attitude fully places the mediation effects between the subjective norm and the behavioral intention. (9) The personal norms partially place the mediation effect between the subjective norm and the behavioral intention. (10) The perceived behavioral control partially places the mediation effect between the subjective norm and the behavioral intention.  


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