Predictors of Responsible Drinking or Abstinence Among College Students Who Binge Drink: A Multitheory Model Approach

Sharma, Manoj; Anyimukwu, Chizoba; Kim, Richard W.; Nahar, Vinayak K.; Ford, M. Allison

doi:10.7556/jaoa.2018.120

Cited by 23 publications

(44 citation statements)

References 23 publications

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“…In behavioral and social sciences, such magnitude is of practical significance. Behavioral confidence [ 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ] and changes in the physical environment [ 31 , 35 , 36 , 37 ] have been found to be significant and substantial predictors of other health behaviors in several studies based on MTM with US college students. Participatory dialogue was not found to contribute to initiating intentional outdoor nature contact behavior.…”

Section: Discussionmentioning

confidence: 99%

Using the Multi-Theory Model (MTM) of Health Behavior Change to Explain Intentional Outdoor Nature Contact Behavior among College Students

Sharma

Largo-Wight

Kanekar

et al. 2020

IJERPH

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Nature contact is an emerging health behavior and is defined as the interaction between human beings and animals, plants, natural scenic views, or outdoor activities. Studies have shown that exposure to the outdoors (as a means of contact with nature) reduces perceived stress and promotes health and wellbeing among varying populations in many settings. To date, however, there are few studies exploring the impact of nature contact among college students, especially in the United States. In addition, the determinants of nature contact behavior have not adequately been explored using behavioral theories. The purpose of this study was to use the multi-theory model (MTM) of health behavior change, a contemporary fourth-generation behavioral theory in explaining intentional outdoor nature contact behavior among college students. Using a cross-sectional design, 401 students completed the validated survey based on MTM. Of these, 281 met the inclusion criteria. The mean score for perceived stress based on the Perceived Stress Scale (PSS-10) in the sample was 21.60 (7.08) units, with a possible minimum and maximum scores ranging from 0 to 40 units. Constructs of behavioral confidence (standardized coefficient = 0.591, p < 0.001) and changes in the physical environment (standardized coefficient = 0.271, p < 0.001) from MTM accounted for 57.5% of the variance in the initiation for intentional outdoor nature contact behavior. All the three constructs of MTM—namely, emotional transformation (standardized coefficient = 0.173, p = 0.021), practice for change (standardized coefficient = 0.317, p < 0.001), and changes in the social environment (standardized coefficient = 0.204, p = 0.002)—were statistically significant and contributed substantively toward the variance (31.0%) in sustenance. MTM provides a useful and pragmatic framework for designing interventions to promote intentional nature contact behavior among college students.

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Section: Discussionmentioning

confidence: 99%

Using the Multi-Theory Model (MTM) of Health Behavior Change to Explain Intentional Outdoor Nature Contact Behavior among College Students

Sharma

Largo-Wight

Kanekar

et al. 2020

IJERPH

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“…It focuses on one's confidence to initiate a health behavior change despite opposition, a busy schedule, or not enjoying the behavior. Behavioral confidence has been identified as a significant construct in prior MTM studies on different health behavior changes [17][18][19]. One important concept regarding behavioral confidence is that it includes confidence gathered from both internal and external sources, meaning sources such as counselors and mentors are equally as important as inner dialogue and self-regulation.…”

Section: Discussionmentioning

confidence: 99%

“…The MTM model incorporates multiple different socio-behavioral theories, highlighting the strengths of each and bringing them together into a model of two components-initiation and sustenance of health behavior change. This model has already been tested on college student populations regarding the prediction of initiation and sustenance of health behavior changes such as a reduction in binge-drinking, increase in eating fruits and vegetables, improvement in sleep behaviors, increased physical activity, and portion size control [17][18][19][20][21]. Ideally, the MTM should work well among veterinary students for predicting initiation and sustenance of health behavior change because it is both specific for health education and sustainable for long-term change.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Initiation and Sustenance of Stress Management Behaviors in Veterinary Students: Testing of Multi-Theory Model (MTM)

Nahar

Wells

Davis

et al. 2020

IJERPH

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Veterinary students across the United States face the challenge of stress during school every day. When managed improperly, stress can become chronic and manifest in physical and emotional consequences. The purpose of this study was to examine the utility of the multi-theory model (MTM) of health behavior change in predicting the initiation and sustenance of stress management behaviors among veterinary students. A cross-sectional design was used to study the efficacy of the MTM in predicting initiation and sustenance of stress management behaviors among veterinary students at a private College of Veterinary Medicine in the Southeast United States. Researchers collected data using a 54-item valid and reliable survey. Only students who did not already engage in daily stress management behaviors were included in the study. After recruitment and exclusion, a total of 140 students remained and participated in the study. Hierarchical multiple regression revealed that, for initiation of stress management behaviors, 49.5% of the variance was explained by depression, academic classification, and behavioral confidence. Regarding sustenance of stress management behaviors, 50.4% of the variance was explained by perceived stress, depression, academic classification, and emotional transformation. MTM serves as a promising framework for predicting initiation and sustenance of health behavior change. Based on the results of this study, interventions aimed to promote stress management behaviors in veterinary students should focus on the MTM constructs of behavioral confidence and emotional transformation.

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“…This study used a fourth-generation framework to apply the multitheory model (MTM) for health behav-ior change with individual empirically tested variables. [13][14][15][16][17][18][19] The MTM is a theory for health behavior change unique for its ability to determine one-time and long-term modification that provides health care professionals a quick reference for addressing at-risk health behaviors. 20 The constructs are adaptable from one health behavior to the next and precise because there are no moderating variables.…”

mentioning

confidence: 99%

“…20 The MTM is a new and evolving theory that has shown promising evidence in predicting a variety of health behaviors. [14][15][16][17][18][19][20] The MTM is a unique tool for understanding the diverse factors that must be considered when designing and implementing PA interventions that target osteopathic medical students. This study aims to examine the utility of the MTM in predicting initiation and sustenance of PA behavior among osteopathic medical students.…”

mentioning

confidence: 99%

Using the Multitheory Model to Predict Initiation and Sustenance of Physical Activity Behavior Among Osteopathic Medical Students

Nahar¹,

Wilkerson²,

Stephens³

et al. 2019

Journal of Osteopathic Medicine

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Context: The multitheory model (MTM) is a newly developed fourth-generation theoretical framework that addresses both initiation and sustenance of health behavior change. Studies have shown that the MTM is efficacious in predicting a range of health behaviors. Objective: To assess the utility of the MTM in predicting initiation and sustenance of physical activity behavior among osteopathic medical students. Methods: In this cross-sectional study, a volunteer convenience sample was recruited from an osteopathic medical school student population at a university in the southeastern region of the United States. An online survey was used to collect self-reported data on sociodemographic information and MTM constructs. Multiple linear regression using the enter method for modeling was performed to determine the predictive ability of the MTM constructs. Results: Of the 135 participants, 52.6% were women and 67.7% were white. The initiation model explained 25.8% of the variance (adjusted R 2 =0.238). Behavioral confidence was a statistically significant predictor of initiation of physical activity behavior change. The sustenance model explained 41.7% of the variance (adjusted R 2 =0.402). Changes in social environment and emotional transformation were statistically significant predictors of sustenance of physical activity behavior change. Conclusion: The MTM appears to be a robust theoretical framework for designing behavior change interventions to increase physical activity among osteopathic medical students.

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Predictors of Responsible Drinking or Abstinence Among College Students Who Binge Drink: A Multitheory Model Approach

Cited by 23 publications

References 23 publications

Using the Multi-Theory Model (MTM) of Health Behavior Change to Explain Intentional Outdoor Nature Contact Behavior among College Students

Using the Multi-Theory Model (MTM) of Health Behavior Change to Explain Intentional Outdoor Nature Contact Behavior among College Students

Factors Associated with Initiation and Sustenance of Stress Management Behaviors in Veterinary Students: Testing of Multi-Theory Model (MTM)

Using the Multitheory Model to Predict Initiation and Sustenance of Physical Activity Behavior Among Osteopathic Medical Students

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