Theory Of Planned Behavior Constructs Research Articles

The Effect of a Theory-Based Educational Intervention on Reducing Aggressive Behavior among Male Students: A Randomized Controlled Trial Study.

Introduction One of the most challenging issues in public health is preventing aggression and violent behavior, generally in the adolescent population. Intervention studies in this field, especially in Iran, were few. Moreover, their findings are controversial. Therefore, this study was conducted to investigate the effect of educational intervention based on the theory of planned behavior (TPB) on reducing aggression among male students. Method This study used a randomized controlled trial design. The sample comprised 98 middle school students aged between 13 and 16 years (14.28 ± 0.7). Educational intervention for the experimental group consisted of five sessions of 45-60 minutes. Data were collected using two self-administered questionnaires to measure aggression and constructs of TPB. Data were analyzed using paired t-test, independent t-test, and chi-square test at a significance level of 0.05. Results After the intervention, the experimental group showed a significant increase in all TPB constructs except the subjective norms, compared to the control group (p < 0.001). After two months of intervention, the mean score of the aggression behaviors in students in the experimental group showed a remarkable improvement in the experimental group, while the control group showed no significant difference. Conclusion The findings of this study showed that the theory-based educational intervention was effective on the improvement of aggressive behavior. To achieve a significant change in perceived mental norms, more training sessions are recommended, and emphasis is placed on educating parents, peers, and school staff.

A cross-sectional survey: Exploring future healthcare workers' intention to use cannabis through extended theory of planned behavior.

Cannabis is the most extensively abused drug, leading to multiple health burdens such as traffic accidents and psychosis. There is a global wave of legalization of recreational and medical cannabis. This study aimed to understand future healthcare workers' intention to use cannabis through extended Theory of Planned Behavior (TPB). An online cross-sectional survey on cannabis, including validated survey tools and questions on demographics, knowledge, and constructs of the TPB was designed, and distributed during virtual classes in late 2020. Responses were obtained from the Faculty of Medicine of a local university. Nine hundred ninety-six responses were collected, of which 629 were complete and analysed. Age was the only demographic variable associated with cannabis use intention (p = 0.029). Respondents with intention had better knowledge of cannabis. All TPB and additional constructs, including perceived behavioral control (COR = 3.44, 95% CI 2.72–4.35, p < 0.001), descriptive norm (COR = 2.24, 95% CI 1.81–2.77, p < 0.001), injunctive norm (COR = 0.51, 95% CI 0.42–0.61, p < 0.001), attitude (COR = 1.23, 95% CI 1.18–1.28, p < 0.001), knowledge (COR = 1.08, 95% CI 1.03–1.14), and perceived availability (COR = 2.75, 95% CI 2.22–3.40, p < 0.001) were individually associated with intention. In the final multiple logistic regression model adjusted for age, only attitude (AOR = 1.19, 95% CI 1.13–1.25, p < 0.001) and perceived availability (p = 0.004) showed statistically significant associations with intention. Descriptive norm (standardized coefficient = 0.570) had better explanatory power than the injunctive norm (standardized coefficient = −0.143) in the model. Perceived behavioral control was associated with intention among respondents with negative to neutral attitudes towards cannabis (AOR = 2.48, 95% CI 1.63–3.77, p < 0.001), but not among those with positive attitudes. All TPB constructs positively correlated with the intention to use cannabis. Changing the attitudes and perceived control on cannabis use may be useful in preventing cannabis use.

Protecting children from COVID-19: examining U.S. parents motivation and behaviour using an integrated model of self-determination theory and the theory of planned behaviour

Objectives This longitudinal study applied the integrated model of self-determination theory (SDT) and the theory of planned behaviour (TPB) to explain COVID-19 preventive behaviours among parents of young children in the United States. Design The study adopted a two-wave longitudinal study design. Parents (N = 681) completed self-report questionnaires related to measures of SDT and the TPB constructs and behavioural adherence at baseline and after one month. We used standardised residual change scores to test the structural relationships of the integrated model. Results The parameter estimates of the model (CFI > .96, TLI > .86, RMSEA = .05, SRMR = .03) fit acceptably well to the data. Psychological need support was positively and significantly linked to autonomous and controlled motivation and amotivation. Autonomous motivation was positively and significantly correlated with TPB factors, and intention. Intention was a significant and positive predictor of behavioural adherence. Conclusion The integrated model of SDT and the TPB appeared to be applicable to the explanation of COVID-19 prevention among the U.S. parents. Longitudinal data showed that a psychological need supportive social environment was related to favourable motivation, social cognition beliefs, intention and behavioural adherence to the preventive behaviours of parents protecting their young children from COVID-19.

Health education using the theory of planned behavior to modify ergonomic posture in hospital computer users: a randomized controlled trial.

Work-related musculoskeletal disorders are prevalent in those who use computers, and education using ergonomic principles may be helpful to prevent such conditions. The present study sought to identify how an educational intervention based on the theory of planned behavior (TPB) may be effective for adopting healthy ergonomic postures. A convenience sample of 162 computer users working in a hospital setting in Iran were randomly assigned to intervention or control groups. The intervention group (n = 81) received six weekly educational sessions based on TPB principles, whereas the control group received no intervention during the study period. Both groups were assessed at baseline and 3 months after the intervention using a TPB questionnaire, rapid office strain assessment (ROSA), and Nordic musculoskeletal questionnaire. Data were analyzed using the independent/paired Student's t test, chi-square, and analysis of covariance. All TPB constructs in the intervention group improved from baseline to follow-up, indicating considerable progress compared to the control group (p < 0.001). More than 60% of intervention and control groups were categorized as high risk at baseline in terms of ergonomic posture measured by ROSA. This percentage was reduced to 21% for intervention group and increased to 65% in the control group at follow-up. Symptom relief was obtained for wrist/hands, lower back, neck, shoulders and upper back in the intervention group (all p < 0.05). The number of affected areas also significantly decreased in the intervention group compared to the control group three months after the intervention. Educational programs based on TPB principles may be helpful in correcting ergonomic postures among computer users. Such interventions are recommended for worksite health promotion in that they may prevent the development of musculoskeletal disorders in staff.

Testing the Relationship Between Entrepreneurial Intention and its Antecedents on University Students Using PLS-SEM

The concept of entrepreneurial intention serves as an emerging area of interest for researchers due to its close association with psychological models and theories. One of the leading theories in this field is the theory of planned behavior (TPB) (Ajzen, 1991), which considers the social and cultural environment affecting human behavior. Taking cues from the theory, the relationships between entrepreneurial intention and its three antecedents, that is, attitude towards the behavior (personal attitude), subjective norms, and perceived behavioral control, were tested in this paper. Students pursuing post-graduation in business and commerce stream across several universities in Kamrup (Metro) district of the state of Assam were considered as the sample for this study. To test the hypotheses, partial least squares structural equation modeling (PLS-SEM) was carried out using SmartPLS Version 3.3.3. The results confirmed the existence of significant relationships between the four constructs of TPB. It also revealed the existence of partial mediation across the several paths of the research model. As such, the study validated the applicability of the TPB on the said sample. Moreover, the moderating effect of gender as a categorical variable was tested for the sample. The results from the multi-group analysis showed that gender exerted no significant influence on the relationship between EI and its three antecedents.

Modeling the theory of planned behavior to predict adults’ intentions to improve oral health behaviors

BackgroundThe present study aimed to apply the theory of planned behavior (TPB) to identify predictors of adults’ intentions to improve oral health behaviors.MethodsThis cross-sectional study was conducted with 1,328 adults living in the Jeddah city, Saudi Arabia. A 64-item questionnaire that evaluated behavioral intention, oral health knowledge (OHK) and TPB constructs (attitudes, perceived behavioral control, and subjective norms) was distributed. Descriptive statistics and structural equation modeling (SEM) were used to describe the data and examine the associations among the variables. A p-value of < 0.05 was considered significant.ResultsThe analysis revealed that the TPB model explained 72% of the variance in oral health behavioral intentions (OHBI), indicating a good model fit. The TPB constructs of attitudes (β = 0.299), subjective norms (β = 0.035), and perceived behavioral control (β = 0.144) were significant predictors of OHBI, whereas OHK was not. Attitude was the strongest predictor of intentions to improve oral health behaviors.ConclusionsThe findings suggest that this model could be a helpful framework for designing oral health promotion and intervention programs. Such programs should focus on changing adults’ attitudes, positive influences from close relationships, and improving self-efficacy of OHB to improve their oral health behavior.

Using the Theory of Planned Behavior to assess community pharmacists’ intention to prescribe using the Formulary and Protocol Compendia

BackgroundOregon pharmacists can autonomously prescribe hormonal contraception, naloxone, and various medications and devices from a Formulary and Protocol Compendia (FPC). Prescribing using the FPC has seen limited uptake. Objectives(1) Assess Oregon community pharmacists' intention to prescribe using the FPC; (2) Determine the impact that attitudes, subjective norms (SN), perceived behavioral control (PBC), perceived obligation, and past prescribing behavior have on pharmacists' intention to prescribe; (3) Examine the relationship between beliefs and pharmacists’ attitudes, subjective norms, and perceived behavioral control. MethodsThis study was conducted as a cross sectional survey, which was developed based on the results of a previously conducted research project. A modified version of the Theory of Planned Behavior (TPB) was the study framework. All Oregon community pharmacists with a public email address were invited to participate. The questionnaire collected information on TPB constructs as well as demographic and practice information. TPB constructs were measured directly (intention, attitudes, SN, PBC, perceived obligation, and past prescribing behavior) and indirectly (attitudes, SN, and PBC). Descriptive statistics were used for all items. Multiple linear regression was used to assess Objectives 2 and 3. ResultsThere were 175 useable responses included in the analysis of the estimated 1015 community pharmacists that received the survey invitation (17%). Respondents had 16.5 ± 13.3 years in practice, 60% held a PharmD degree, and 69% had prescribed in some manner before. Mean intention to prescribe using the FPC was 5.0 ± 1.5 (7-point scale with 7 indicating higher intention). Attitudes, SN, PBC, and PO were significant predictors of intention to prescribe, while past prescribing behavior was not (Adj R2 = 0.741, p < .0001). Attitudes were explained by beliefs about increasing patient access (p = .0179). PBC was explained by beliefs about having policies and procedures in place (p = .004) and feeling comfortable prescribing (p = .008). ConclusionsOregon community pharmacists have a positive intention to prescribe using the FPC, but actual uptake remains low. Efforts to increase uptake should focus on the beliefs that contribute most strongly to pharmacist intention.

Predicting physical activity among adults with visual impairments using the theory of planned behavior

BackgroundUsing the theory of planned behavior (TPB), Haegele et al.1 created the beliefs of individuals with visual impairments about physical activity scale (BIVIPA-1) to examine individuals with visual impairments’ (VI) motivation toward physical activity (PA). The overall factorial tenability of the BIVIPA-1 remains unclear due to its item configuration. Objective/hypothesisThe purposes of this cross-sectional study were to: (a) use confirmatory factor analysis to explore the structure of the expanded BIVIPA-2 and (b) test the predictive utility of TPB constructs on PA among adults with VI. MethodsAdults with VI (n = 236) completed the BIVIPA-2 and a multi-item PA recall instrument. A CFA was performed on the BIVIPA-2, and structural equation modeling was used to explore the relationship between theory constructs and PA. ResultsThe CFA results showed that the underlying structure of BIVIPA-2 was tenable for adults with VI based on TPB. Structural equation modeling showed limited support for the theorized predictive roles of theory variables on PA, as attitude predicted physical activity intention. Interestingly, subjective norm was a direct predictor for PA among adults with VI (β = 0.145). ConclusionsTPB had limited predictive utility for physical activity among individuals with VI. The predictive relationship of subjective norms on PA may be somewhat unique to this population. Researchers may consider expanding the model to examine social support and subjective norms constructs and PA among individuals with VI.

Adherence to Adjuvant Therapy in Patients with Resected Melanoma: An Application of the Theory of Planned Behavior.

IntroductionAdherence to adjuvant therapy is crucial for effective disease management in patients with resected melanoma. This study assessed patient-reported adherence to adjuvant therapy and identified behavioral/belief constructs associated with adherence in patients with resected melanoma.MethodsPatients with resected stage III/IV melanoma were recruited through the Melanoma Research Foundation and a patient panel to complete an online survey. Patient characteristics, medical history, and adherence to therapy were captured. In accordance with the theory of planned behavior (TPB), the survey measured behavioral, normative, and control beliefs, and intention to adhere to therapy. Structural equation modeling (SEM) examined their relationships with adherence.ResultsAmong all patients who received adjuvant therapy and completed the survey (n = 184), 69% received intravenous and 31% received oral therapy; the majority (85.3%) were somewhat involved in deciding to start therapy. Mean age was 45 years, 44% of patients were female, and 83% had stage III/IV disease at diagnosis. Patients had a mean disease duration of 1.5 years, a time since complete resection of 10 months, and an adjuvant therapy duration of 8 months. Adherence to adjuvant therapy was high overall and higher with intravenous than with oral therapy (98.4% versus 91.2%, P = 0.002). All underlying TPB constructs were significant in the SEM model, which explained 60.3% of the variance in intention to adhere. Control beliefs had the strongest association with intention to adhere (standardized estimate = 0.47, P < 0.001) and intravenous therapy was associated with greater adherence than oral therapy (standardized estimate = 0.26, P < 0.001).ConclusionsThis study found that patients with resected melanoma are highly engaged in the decision to initiate systemic adjuvant therapy, with an overall high adherence rate to prescribed adjuvant treatment. Enhancing patients’ view of their capability to adhere to treatments may further improve the adherence rate to melanoma adjuvant therapy.

The Application of the Theory of Planned Behavior in Preventing Osteoporosis in Women Referring to Comprehensive Health Service Center in Tehran City, 2019-2020

Introduction: Osteoporosis is one of the most common metabolic bone diseases. Given most health problems are closely related to human behavior, theories and patterns of behavior are used to prevent health problems. All constructs of the theory of planned behavior (TPB) are belief-based, examining different factors. Therefore, the present study aims to investigate the application of the TPB in the prevention of osteoporosis in women referring to comprehensive health service centers in Tehran in 2019-2020.&#x0D; Methods: This quasi-experimental interventional study was conducted in 2019on 80 women aged 18-29 years referring to Tehran comprehensive health service centers. The participants were divided into two groups of control (40 people) and intervention (40 people). The data were collected before and one month after the intervention using demographic questionnaires and the TPB constructs. The data were analyzed by SPSS software version 22 using descriptive and analytical statistics.&#x0D; Results: The results showed that there was a significant difference in the mean scores of attitude, abstract norm, behavioral intention, and behavior of the intervention group after the educational intervention compared to the control group (p &lt;0.05). However, the mean score of perceived behavior control was not significantly different before and after the intervention (P = 0.15).&#x0D; Conclusion: Based on the results of this study, the educational intervention of this theory can be used as a suitable theoretical framework for designing and implementing interventions for the prevention of osteoporosis.

Theory of planned behaviour-based interventions in chronic diseases among low health-literacy population: protocol for a systematic review

BackgroundHealth behaviour can change outcomes in both healthy and unhealthy populations and are particularly useful in promoting compliance to treatment and maintaining fidelity to care seeking and follow-up options in chronic diseases. Interventions to change health behaviour based on psychological theory are more often successful than those without any underlying theory. The theory of planned behaviour (TPB) is one such psychological theory which had been found to predict human behaviour with respect to disease prevention and when applied to interventions can change the outcomes of diseases. Most of the research evidence of TPB-based interventions have been from developed world. Evidence is required whether TPB-based interventions can be applied and works in low-resource, low health-literacy settings of low- and middle-income countries (LMICs).MethodsThe protocol has been developed as per PRISMA-P guidelines and incorporates PICO (population, intervention, comparison, outcomes) framework for describing the methodology. Population above 18 years of age and having any chronic disease (as defined for this systematic review) will be selected, while any health or educational intervention based on constructs of TPB will be included. Comparison will be with non-TPB-based interventions or treatment as usual without any intervention, and the primary outcome will be the behaviour change effected by the TPB-based intervention. Intervention studies will be considered, and relevant databases like MEDLINE, Embase, Cochrane Library and ProQuest will be explored. Data extraction will done in a standardised form, and risk-of-bias assessment will be done using the Cochrane Collaboration’s tools for such assessment. Narrative synthesis of the selected studies will be done to draw the conclusions, and meta-analysis will be done to calculate the effect estimates with I-squared statistics to describe the heterogeneity.DiscussionThis systematic review will provide new evidence on fidelity and effectiveness of the TPB-based interventions among chronic disease patients from low health literacy, resource-poor background. It will inform of how to plan and use such interventions to change health behaviour in chronic disease patients, particularly in LMIC settings.Systematic review registrationPROSPERO CRD42018104890.

Behavioral Intention and Its Predictors toward COVID-19 Booster Vaccination among Chinese Parents: Applying Two Behavioral Theories.

The booster vaccination of COVID-19 is being implemented in most parts of the world. This study used behavioral psychology to investigate the predictors of parents’ intentions regarding the COVID-19 booster vaccination for their children. This is a cross-sectional study with a self-designed questionnaire based on two behavioral theories—protective motivation theory (PMT) and theory of planned behavior (TPB). A stratified multi-stage sampling procedure was conducted in Nanjing, China, and multivariable regression analyses were applied to examine the parents’ intentions. The intention rate was 87.3%. The response efficacy (ORa = 2.238, 95% CI: 1.360–3.682) and response cost (ORa = 0.484, 95% CI: 0.319–0.732) in the PMT, were significant psychological predictors of parents’ intentions, and so were the attitude (ORa = 2.619, 95% CI: 1.480–4.636) and behavioral control (ORa = 3.743, 95% CI: 2.165–6.471) in the TPB. The findings of crucial independent predictors in the PMT and TPB constructs inform the evidence-based formulation and implementation of strategies for booster vaccination in children.

Comparing Predictors of Intention for Physical Activity Participation between Normal and Overweight Military Spouses

ABSTRACT Background The Department of Defense (DOD) annually spends billions in medical care for military beneficiaries. Overweight and obesity are top concerns for dependents. Only 44% of military spouses (86% female, ages 25 to 34) meet Healthy People 2020 weight/BMI goals. Physical activity (PA) is an important modifiable behavior for preventing and treating obesity. The Theory of Planned Behavior (TPB) is a behavior change model that has been used in predicting PA behaviors. Purpose The purpose was to evaluate theory-based determinants of aerobic and muscle-strengthening PA among female military spouses. Methods Participants were recruited via social media to complete a modified version of an online survey measuring TPB constructs for aerobic and muscle strengthening PA. Results Regression models showed TPB constructs predicted significant variance of intentions to engage in PA (44.9% to 52.1%) for normal weight and obese/overweight military spouses. Discussion Results indicate interventions should differ by normal weight and overweight/obese due to differences in predictors of PA. Translation to Health Education Practice Future research should test these findings in experimental studies evaluating the effectiveness of intervention to create PA adherence based on weight status of military spouses and at multiple levels of the ecological to understand how the environment influences. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars

The role of moral norms as a determinant of intentions to engage in bystander intervention to prevent sexual assault.

Bystander interventions (BIs) primarily focus on increasing a sense of community and responsibility among students. This study examined moral norms as a determinant of intentions towards BI, within the Theory of Planned Behavior (TPB). College students at two universities (n = 291) completed an online survey measuring TPB constructs (e.g., intentions, perceived norms) and moral norms.Results indicated that moral norms were significantly associated with intentions towardBI, and appeared to be a valuable addition to the overall perceived norms construct. In addition, the law, parents, peers, and religion were identified as significant determinants of moral norms.Promoting collective responsibility to engage in BI and including a moral imperative to act in message development could increase the impact of BI.

What attracts young talents? Understanding the migration intention of university students to first-tier cities in China

In recent years, China has witnessed fierce competition for talents among cities. There is evidence that China's first-tier cities are losing their appeal for young talents due to the soaring housing prices and high living costs in first-tier cities, as well as the catch-up of next-tier cities. Therefore, uncovering what factors drive young talents to develop in first-tier cities is important for policymakers to maintain and enhance the attractiveness of first-tier cities. Most previous research on talent migration has focused on demographic and socioeconomic factors, while little research has examined the influence of psychological factors. By adopting the Theory of Planned Behavior (TPB), this paper aims to explore what beliefs and background factors influence university students' intention to develop in first-tier cities after graduation. Using the data we collected from 1242 university students across China, we found that two-thirds of university students have the intention to develop in a first-tier city after graduation. The Structural Equation Modeling (SEM) results show that students' migration intentions were most influenced by their attitudes, followed by subjective norms and perceived behavioral control (PBC). Specifically, beliefs such as realizing future dreams, better job opportunities, and higher wages shape students' positive attitudes towards developing in first-tier cities. The supports from family, friends, teachers, and classmates contribute to positive subjective norms of developing in first-tier cities. In contrast, perceptions of high housing prices, high living costs, and family ties discourage students from developing in first-tier cities. Furthermore, being male, being a non-only child, studying in first-tier cities, and attending higher-ranking universities have positive influences on migration intention through the mediating effects of the TPB constructs. Policy implications were discussed to help first-tier cities attract graduates.

Insights into the effectiveness of messaging promoting intentions to use connected vehicle technology

Connected vehicles offer considerable promise for reducing congestion, pollution, and crashes. Nonetheless, less than a third of road users are aware of the potential for connected vehicles to transform transport systems. This study examined the effectiveness of messaging aimed to increase the public’s knowledge of connected vehicle technologies using a short, animated video and its effects as assessed via a survey. Participants were assigned to either a control group, who were not exposed to the messaging, or an intervention group, who were exposed to the messaging, within a pre-post design. Participants (in the intervention group) answered questions about their knowledge of and experience with connected vehicle technologies prior to seeing the messaging and again following being exposed to such messaging together with their intentions to use these technologies in the future. As a theoretically informed investigation, the Theory of Planned Behaviour (TPB) constructs of attitudes, subjective norms, and perceived behavioural control were also measured. The results showed that the messaging increased knowledge about and intention to use connected vehicle technologies. Furthermore, changes in how the TPB constructs predicted intentions were found between the control and intervention groups which may help to explain how the messaging influenced participants’ intentions to use such technology in the future.

Examining Primary Care Physicians' Intention to Perform Cervical Cancer Screening Services Using a Theory of Planned Behavior: A Structural Equation Modeling Approach

BackgroundPromoting cervical cancer screening (CCS) is undoubtedly effective in combating severe public health problems in developing countries, but there are challenges to its implementation. Understanding the factors influencing primary care physicians' intentions to provide CCSs to rural women is crucial for the future implementation of screening programs. The aim of this study was to assess the intentions of primary care physicians to provide cervical cancer screening services (CCSSs) to rural women and their determinants.MethodsThis cross-sectional study included 1,308 primary care physicians in rural primary health care, and the data collection tool was developed based on the theory of planned behavior (TPB), which included demographic characteristics, the basic constructs of TPB, and the degree of knowledge of CCSSs as an extended variable of the TPB model. Structural equation modeling was used to analyze the relationships between each factor.ResultsPathway analysis found that TPB is an appropriate theoretical basis for predicting primary care physicians' intent to provide CCSSs (χ2/df = 2.234 < 3, RMSEA = 0.035, and SRMR = 0.034). Meanwhile, the structural equation model showed that attitude (β = 0.251, p < 0.001), subjective norm (β = 0.311, p < 0.001), perceived behavioral control (β = 0.162, p < 0.001), and knowledge level (β = 0.152, p < 0.01) positively predicted primary care physicians' intention to provide CCSSs.ConclusionsTPB model, with the addition of knowledge, was useful in predicting primary care physicians' intention to provide CCSSs for rural Chinese women. The findings of this study provide a reference for the government and hospitals to develop strategies to improve the intent of primary care physicians to provide CCSSs.

Determinants of Low-Income Women's Participation in Self-Collected Samples for Cervical Cancer Detection: Application of the Theory of Planned Behavior.

Low-income women (LIW) are underrepresented in physician-provided cervical cancer screening. Providing women with an option for Human Papillomavirus (HPV) self-sampling would increase cervical cancer screening. However, little is known about LIW's attitude towards self-sampling for cervical cancer. We determined the associations between the Theory of Planned Behavior (TPB) constructs and LIW intention for participation in the HPV self-sampling. A 44-item survey was administered among women receiving food from a food pantry in central Texas. Independent variables included TPB constructs (i.e., attitudes, subjective norms, and perceived control). The outcome variables were intentions and preference for self-sampling. Both variables were measured on a 5-point scale. Hierarchical linear regression models were used to analyze the data. A sample of 241 participants (age 50.13 ± 9.60years) comprising non-Hispanic White (40%), Black/African American (27%), and Hispanic (30%) participated in the study. The participants were current with a pap test (54.8%) and preferred self-sampling (42%). The participant's attitudes and subjective norms were significantly associated with their intention for self-sampling, accounting for 38.7% of the variance (p < .001). Women who were overdue for pap testing versus current with pap testing had increased odds of preferring self-sampling (OR = 1.72, 95% CI: 1.27, 6.04). The key predictors for LIW's intention for self-sampling included attitudes and subjective norms. Future research should use the TPB as a framework to examine whether intention predicts self-sampling behavior among LIW.

Predicting the intention of distracted pedestrians at road crossings

Despite improvements to road safety, accidents involving pedestrians are still numerous, for example in the UK there were over 20,000 pedestrian casualties on public roads in 2019. One of the potential causal factors is pedestrian distraction. Therefore, this study aimed to predict pedestrian intention to cross the road under conditions of distraction (using phone maps, talking to another pedestrian, listening to music through headphones), by applying the Theory of Planned Behaviour (TPB) using an online survey. This also involved investigation of the impact of selected traffic characteristics (traffic density, vehicle speed) and crossing type (pelican, zebra, unmarked). The survey consisted of 72 questions and took approximately 15 min to complete. The results (N = 81) revealed that the TPB construct of perceived behavioural control (PBC) was a significant predictor of intention to cross the road while distracted across all scenarios. Furthermore, crossing type was a significant predictor of PBC across all scenarios, with marked crossings facilitating feelings of PBC. Findings suggest that high feelings of PBC, as measured through ease and confidence, are linked with stronger intention to cross the road while distracted. This understanding of pedestrian motivation can be used to help design interventions (such as auditory and visual pedestrian warnings) that prevent conflict between distracted pedestrians and vehicles. These interventions should target marked crossing types, whereby pedestrians are more likely to cross while distracted.

Pharmacists' intention to prescribe under new legislation.

In 2017, Oregon passed legislation that authorized pharmacists to autonomously prescribe specified medications or devices that were included on the Formulary and Protocol Compendia (FPC). Factors that impact pharmacists' intention to prescribe from the FPC are not currently known. Identify factors that influence pharmacists' intention to prescribe. The Theory of Planned Behavior (TPB) served as the framework. Three focus groups were conducted with Oregon pharmacists between May and June 2019 to elicit salient beliefs about prescribing related to TPB constructs, including attitudes, subjective norms, perceived behavioral control, and perceived obligation. Two investigators conducted a qualitative content analysis and reached agreement on names of categories during consensus meetings. A codebook was created after analysis of the first focus group and used to guide the remaining analysis. Participants reported background information and awareness of prescribing rules via a questionnaire; descriptive statistics were used to report background information and the prescribing awareness summary score. Thirteen participants had 14.1±10.8 years of pharmacist experience. Most earned a Doctor of Pharmacy degree (84.6%) and worked in a community pharmacy setting (61.5%). The mean score on the awareness assessment was 6.3±0.9 (7=highest awareness). The majority (76.9%) had previous prescribing experience. Attitudes were found to be shaped by behavioral beliefs related to the impact of pharmacist prescribing on patient-centered care and on practice transformation. Normative beliefs were primarily driven by outside groups past experiences with pharmacists and pharmacies. Control beliefs included the following categories: operational readiness; the relationships between comfort, competence, and confidence; and Board of Pharmacy requirements. TPB was useful for exploring pharmacists' beliefs related to their intention to prescribe using the FPC. Determining the relative importance of these factors in a broader population will enable stakeholders to develop interventions to improve uptake of prescribing via the FPC.