Predicting intention and behaviour following participation in a theory-based intervention to improve gluten free diet adherence in coeliac disease

© 2015 Taylor & Francis. Objective: To determine whether changes in theory of planned behaviour (TPB) constructs could predict intention and gluten-free diet (GFD) adherence following participation in an online theory-based intervention designed to improve adherence in coeliac disease. Design: T...

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Main Authors: Sainsbury, K., Mullan, Barbara, Sharpe, L.
Format: Journal Article
Published: 2015
Online Access:http://hdl.handle.net/20.500.11937/24941
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author Sainsbury, K.
Mullan, Barbara
Sharpe, L.
author_facet Sainsbury, K.
Mullan, Barbara
Sharpe, L.
author_sort Sainsbury, K.
building Curtin Institutional Repository
collection Online Access
description © 2015 Taylor & Francis. Objective: To determine whether changes in theory of planned behaviour (TPB) constructs could predict intention and gluten-free diet (GFD) adherence following participation in an online theory-based intervention designed to improve adherence in coeliac disease. Design: Theory-based process evaluation of the mechanisms of change over the course of a six-week online intervention. Measures of GFD adherence and TPB variables were administered at baseline and follow-up (immediate post-intervention: n = 74; three-month: n = 68; six-month: n = 65). Hierarchical regression analyses using residualised change scores were conducted at each time point (dependent variables: intention and adherence). Results: Baseline intention and GFD adherence were the strongest predictors of follow-up intention and adherence, respectively. Change in attitude accounted for significant variance in intention. Change in intention accounted for significant variance in GFD adherence immediately post-intervention; by the six-month follow-up change in perceived behavioural control was the stronger predictor. Conclusions: Partial support for the hypotheses suggests that, for certain behaviours, the TPB may be relevant in explaining the mechanism of action responsible for changes in intention and behaviour following participation in a behaviour change intervention. Additional predictive pathways are also likely to exist and, in the area of GFD adherence, may include habit strength and actual behavioural control.
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spelling curtin-20.500.11937-249412017-09-13T15:10:44Z Predicting intention and behaviour following participation in a theory-based intervention to improve gluten free diet adherence in coeliac disease Sainsbury, K. Mullan, Barbara Sharpe, L. © 2015 Taylor & Francis. Objective: To determine whether changes in theory of planned behaviour (TPB) constructs could predict intention and gluten-free diet (GFD) adherence following participation in an online theory-based intervention designed to improve adherence in coeliac disease. Design: Theory-based process evaluation of the mechanisms of change over the course of a six-week online intervention. Measures of GFD adherence and TPB variables were administered at baseline and follow-up (immediate post-intervention: n = 74; three-month: n = 68; six-month: n = 65). Hierarchical regression analyses using residualised change scores were conducted at each time point (dependent variables: intention and adherence). Results: Baseline intention and GFD adherence were the strongest predictors of follow-up intention and adherence, respectively. Change in attitude accounted for significant variance in intention. Change in intention accounted for significant variance in GFD adherence immediately post-intervention; by the six-month follow-up change in perceived behavioural control was the stronger predictor. Conclusions: Partial support for the hypotheses suggests that, for certain behaviours, the TPB may be relevant in explaining the mechanism of action responsible for changes in intention and behaviour following participation in a behaviour change intervention. Additional predictive pathways are also likely to exist and, in the area of GFD adherence, may include habit strength and actual behavioural control. 2015 Journal Article http://hdl.handle.net/20.500.11937/24941 10.1080/08870446.2015.1022548 fulltext
spellingShingle Sainsbury, K.
Mullan, Barbara
Sharpe, L.
Predicting intention and behaviour following participation in a theory-based intervention to improve gluten free diet adherence in coeliac disease
title Predicting intention and behaviour following participation in a theory-based intervention to improve gluten free diet adherence in coeliac disease
title_full Predicting intention and behaviour following participation in a theory-based intervention to improve gluten free diet adherence in coeliac disease
title_fullStr Predicting intention and behaviour following participation in a theory-based intervention to improve gluten free diet adherence in coeliac disease
title_full_unstemmed Predicting intention and behaviour following participation in a theory-based intervention to improve gluten free diet adherence in coeliac disease
title_short Predicting intention and behaviour following participation in a theory-based intervention to improve gluten free diet adherence in coeliac disease
title_sort predicting intention and behaviour following participation in a theory-based intervention to improve gluten free diet adherence in coeliac disease
url http://hdl.handle.net/20.500.11937/24941