Swipe om te navigeren naar een ander artikel
A better understanding of women’s perceptions of weight gain and related behaviors during pregnancy is necessary to inform behavioral interventions. We used the Theory of Planned Behavior (TPB) to examine pregnant women’s perceptions and intentions toward weight gain, physical activity (PA), and nutrition using a mixed methods study design. Women between 20 and 30 weeks gestation (n = 189) were recruited to complete an Internet-based survey. Salient beliefs toward weight gain, PA, and nutrition were captured through open-ended responses and content analyzed into themes. TPB constructs (attitude, subjective norm, perceived behavioral control, intentions) were examined using Pearson correlations and hierarchical linear regression models. Salient beliefs were consistent with the existing literature in non-pregnant populations, with the addition of many pregnancy-specific beliefs. TPB constructs accounted for 23–39 % of the variance in weight gain, PA, and nutrition intentions, and made varying contributions across outcomes. The TPB is a useful framework for examining women’s weight-related intentions during pregnancy. Study implications for intervention development are discussed.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Ajzen, I. (1985). From intentions to actions: A theory of planned behavior. In J. Kuhl & J. Beckmann (Eds.), Action control: From cognition to behavior (pp. 11–39). Berlin Heidelberg: Springer. CrossRef
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211. CrossRef
Ajzen, I. (2002). Construction of a standard questionnaire for the theory of planned behavior. Retrieved June 10, 2014, from http://people.umass.edu/aizen/pdf/tpb.measurement.pdf.
American College of Obstetricians and Gynecologists. (2013). ACOG Committee opinion no. 548: weight gain during pregnancy. Obstetrics and Gynecology, 121, 210–212. CrossRef
Bassett-Gunter, R. L., Levy-Milne, R., Naylor, P. J., Downs, D. S., Benoit, C., Warburton, D. E., & Rhodes, R. E. (2013). Oh baby! Motivation for healthy eating during parenthood transitions: A longitudinal examination with a theory of planned behavior perspective. International Journal of Behavioral Nutrition and Physical Activity, 10, 88. PubMedPubMedCentralCrossRef
Downs, D. S., & Hausenblas, H. A. (2004). Women’s exercise beliefs and behaviors during their pregnancy and postpartum. Journal of Midwifery & Women’s Health, 49, 138–144.
Downs, D. S., & Hausenblas, H. A. (2005a). Elicitation studies and the theory of planned behavior: A systematic review of exercise beliefs. Psychology of Sport and Exercise, 6, 1–31. CrossRef
Downs, D. S., & Hausenblas, H. (2005b). The theories of reasoned action and planned behavior applied to exercise: A meta-analytic update. Journal of Physical Activity and Health, 2, 76–97.
Hausenblas, H., & Downs, D. S. (2004). Prospective examination of the theory of planned behavior applied to exercise behavior during women’s first trimester of pregnancy. Journal of Reproductive and Infant Psychology, 22, 199–210. CrossRef
Health Canada. (2009). Prenatal nutrition guidelines for health professionals: Background on Canada’s food guide. Retrieved August 10, 2015, from http://www.hc-sc.gc.ca/fn-an/pubs/nutrition/guide-prenatal-eng.php.
Institute of Medicine. (2007). Influence of pregnancy weight on maternal and child health: Workshop report. Washington DC.
Institute of Medicine. (2009). Weight gain during pregnancy: Reexamining the guidelines. Washington DC.
Mattran, K., Mudd, L. M., Rudey, R. A., & Kelly, J. S. (2011). Leisure-time physical activity during pregnancy and offspring size at 18 to 24 months. Journal of Physical Activity and Health, 8, 655–662. PubMed
McConnon, A., Raats, M., Astrup, A., Bajzova, M., Handjieva-Darlenska, T., Lindroos, A. K., & Shepherd, R. (2012). Application of the Theory of Planned Behaviour to weight control in an overweight cohort. Results from a pan-European dietary intervention trial (DiOGenes). Appetite, 58, 313–318. PubMedCrossRef
McEachan, R. R. C., Conner, M., Taylor, N. J., & Lawton, R. J. (2011). Prospective prediction of health-related behaviours with the Theory of Planned Behaviour: A meta-analysis. Health Psychology Review, 5, 97–144. CrossRef
Montano, D. E., & Kasprzyk, D. (2002). The theory of reasoned action and the theory of planned behavior. In K. Glanz, B. K. Rimer, & M. C. Lewis (Eds.), Health behavior and health education: Theory, research, and practice (3rd ed., pp. 67–97). San Francisco, CA: Jossey-Bass.
Simas, T. A., Liao, X., Garrison, A., Sullivan, G. M., Howard, A. E., & Hardy, J. R. (2011). Impact of updated Institute of Medicine guidelines on prepregnancy body mass index categorization, gestational weight gain recommendations, and needed counseling. Journal of Women’s Health, 20, 837–844. PubMedCrossRef
Thornton, P. L., Kieffer, E. C., Salabarria-Pena, Y., Odoms-Young, A., Willis, S. K., Kim, H., & Salinas, M. A. (2006). Weight, diet, and physical activity-related beliefs and practices among pregnant and postpartum Latino women: The role of social support. Maternal and Child Health Journal, 10, 95–104. PubMedCrossRef
Tremblay, M. S., Warburton, D. E., Janssen, I., Paterson, D. H., Latimer, A. E., Rhodes, R. E., Duggan, M. (2011). New Canadian physical activity guidelines. Applied Physiology, Nutrition, and Metabolism, 36(1), 36–46; 47–58.
U.S. Department of Agriculture and U.S. Department of Health and Human Services. (2010). Dietary guidelines for Americans, 2010 (7th ed.). Washington, D.C.: U.S. Government Printing Office.
U.S. Department of Health and Human Services. (2008). 2008 Physical activity guidelines for Americans. Washington, D.C.: U.S. Department of Health and Human Services.
- Pregnant women’s perceptions of weight gain, physical activity, and nutrition using Theory of Planned Behavior constructs
Kara M. Whitaker
Steven N. Blair
Russell R. Pate
- Springer US