The Theory of Planned Behaviour in Medical Tourism: International Comparison in the Young Consumer Segment

Boguszewicz-Kreft, Monika; Kuczamer-Kłopotowska, Sylwia; Kozłowski, Arkadiusz; Aycı, Ali; Abuhashesh, Mohammad

doi:10.3390/ijerph17051626

Cited by 29 publications

(28 citation statements)

References 65 publications

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“…TRA posits that behavioral intent is the most relevant predictor of person's behavior, while attitudes towards outcome and subjective social norm act as antecedents of behavioral intention [59]. TPB is an extended approach of TRA and tries to explain behavioral intentions through three groups of antecedents: attitudes, social norms and perceived behavioral control over behavior [60,61]. There are also models which attempt to explain tourist behavior through satisfaction which consists of image, attitude and motivation [31].…”

Section: Attitudes Behavior and The Environmentmentioning

confidence: 99%

Sustainable Travel Decision-Making of Europeans: Insights from a Household Survey

Nikolić

Pantić

Paunović³

et al. 2021

Sustainability

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The purpose of this study is to research the antecedents of the sustainable travel decision-making of European travelers and thereby identify important lessons for the transition towards sustainable travel and tourism. The study is based on data collected through a representative survey, conducted in five European countries, with a sample of n = 5024 respondents. The results of descriptive statistics, EFA (Exploratory Factor Analysis) and FA (Factor Analysis) are presented in order to explore sustainable travel decision-making through environmental (policy-related and personal) attitudes and travel mode decision priorities in the European context. Furthermore, the study provides new evidence regarding the under-researched phenomenon of the attitude–behavior gap by presenting a model for the sustainability-oriented decision-making of travelers, including attitudes and travel mode priorities as antecedents. The results confirm the existence of moral licensing in travel decision-making, thereby extending the relevance of this theory into travel and tourism, which has not been done before. The denial of environmental issues is also being researched as regards its interaction with positive environmental attitudes, environmental travel mode priorities and non-environmental travel priorities, thereby advancing our understanding of the interplay between these categories. The interplay between the four categories furthers our understanding of the perplexity of travelers in terms of sustainable travel decision-making.

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Section: Attitudes Behavior and The Environmentmentioning

confidence: 99%

Sustainable Travel Decision-Making of Europeans: Insights from a Household Survey

Nikolić

Pantić

Paunović³

et al. 2021

Sustainability

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show abstract

“…The health belief model includes perceptions of risk, severity, benefits, and barriers and emphasizes the individual's own perceptions and beliefs while ignoring the influence of external pressures such as subjective norms [ 18 ]. The theory of planned behavior emphasizes that behavioral attitudes, subjective norms, and perceived behavioral control predict behavioral intentions and behavior but, to some extent, ignores the influence of emotional feelings such as threat and fear on behavior [ 19 , 20 ]. It follows that a single behavior change theory can only analyze and predict behavior from one perspective, leading to shortcomings in its explanation of behavior.…”

Section: Introductionmentioning

confidence: 99%

Effects of Self-Management Intervention Programs Based on the Health Belief Model and Planned Behavior Theory on Self-Management Behavior and Quality of Life in Middle-Aged Stroke Patients

Zhang

Song

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Objectives. To study the effect of self-management intervention programs based on the health belief model and planned behavior theory on self-management behavior and quality of life in middle-aged stroke patients. Most of the intervention studies on the self-management of middle-aged stroke patients focus on traditional Chinese medicine nursing and continuous nursing, lacking theoretical support. In particular, there is a lack of interventions based on the integration of two or more theories. Method. The middle-aged stroke patients were divided into the control group and the intervention group according to the disease area. A total of 70 patients were included, and 35 patients were included in the control group and the intervention group, respectively. The control group received routine neurological treatment and health education during hospitalization and continued to receive routine health education for 3 months after discharge. On this basis, the intervention group received an intervention program based on an integrated model of health beliefs and planned behavior theory, including 3 health education sessions during hospitalization and 3 months of postdischarge health education. A self-administered stroke general information questionnaire was used to collect basic information on patients’ age, gender, and comorbidities. The Stroke Self-Management Behavior Rating Scale and Stroke-Specific Quality-of-Life Scale (SS-QOL) were used to evaluate the management behavior and quality of life of the patients in both groups before and after the intervention. Results. Before the intervention, there was no statistically significant difference between the two groups in terms of self-management score, quality of life total score, and scores of each dimension P > 0.05 . At different periods after the intervention, the total score of self-management, total score of quality of life, and scores of each dimension were significantly higher in both groups than before the intervention P < 0.05 . In particular, the self-management and quality of life scores of the intervention group were higher than those of the control group at 1 and 3 months after the intervention P < 0.05 . Conclusion. The self-management intervention scheme based on the integrated model of health belief and planned behavior theory is beneficial to improve the self-management ability and quality of life of stroke patients. It provides basis for clinical nurses to further improve the self-management ability and quality of life of stroke patients. Our findings may also serve as a reference for caregivers in other countries to improve the self-management and quality of life of stroke patients.

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“…Theory of planned behavior and its extensions are often used to illustrate the mechanism behind tourists’ behavior intentions, and exhibit good explanatory and predictive power. Boguszewicz-Kreft et al (2020) have verified the TPB model’s applicability to medical tourism and compared the differential willingness among consumers of different nationalities to use medical tourism services. Hu et al (2021) have found that attitudes, perceived behavioral control, environmental awareness, and perceived moral obligations are significantly and positively correlated with young people’s intent for low-carbon travel behavior, while subjective norms are not.…”

Section: Theoretical Background and Hypothetical Developmentmentioning

confidence: 93%

How Tourists’ Perception Affects Travel Intention: Mechanism Pathways and Boundary Conditions

et al. 2022

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Tourist subjectivities have an important effect on behavioral intentions. Under the background of normalization, tourism decision-making manifests primarily in tourists’ individual preferences, which has led much research to ignore the importance of other subjective factors, as well as objective environmental factors. In the COVID-19 era, tourism behavior’s social attributes have become more prominent; the effect of important others or organizations’ attitudes toward tourism behavior, as well as personal knowledge, ability, and experience in preventing and controlling tourism risks, are evident. This study integrates knowledge-attitude-behavior (KAB), Theory of Perceived Risk (TPR), Social Identity Theory (SIT), and Theory of Planned Behavior (TPB), along with a comprehensive framework method, to construct an integrated model exploring the impact of knowledge, identity, and perceived risk on travel intention, to analyze its pathways and effects, to resolve the issue of mechanism, to analyze the moderating effect of past travel experience, and to answer the problem of boundary conditions. It finds that knowledge, perceived risk, and identity have a significant positive impact on travel intention; travel attitudes, subjective norms, and perceived control mediate the influence of knowledge, perceived risk, and identity on travel intention; these mechanism pathways do not always exist. The positive adjustment of past travel experiences shows that repeat visitors have a greater impact than newcomers and potential tourists.

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The Theory of Planned Behaviour in Medical Tourism: International Comparison in the Young Consumer Segment

Cited by 29 publications

References 65 publications

Sustainable Travel Decision-Making of Europeans: Insights from a Household Survey

Sustainable Travel Decision-Making of Europeans: Insights from a Household Survey

Effects of Self-Management Intervention Programs Based on the Health Belief Model and Planned Behavior Theory on Self-Management Behavior and Quality of Life in Middle-Aged Stroke Patients

How Tourists’ Perception Affects Travel Intention: Mechanism Pathways and Boundary Conditions

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