Use of the multi-theory model (MTM) in explaining initiation and sustenance of indoor tanning cessation among college students

Wilkerson, Amanda H.; Davis, Robert E.; Sharma, Manoj; Harmon, Mallory B; McCowan, Hannah K; Mockbee, Chelsea S.; Ford, M. Allison; Nahar, Vinayak K.

doi:10.1007/s00403-022-02338-y

Cited by 3 publications

(5 citation statements)

References 29 publications

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“…The third initiation construct in MTM is changes in the physical environment which has been corroborated as a significant construct with several behaviors and found to be statistically significant in this study [25,30,32,34,35,46]. For influencing changes in the physical environment related to quitting vaping, getting rid of all vaping devices from the environment, not buying any vaping devices, substituting vaping time with something else, avoiding social media that triggers vaping behavior, and increasing the ability to overcome marketing pressures at the individual level can be helpful.…”

Section: Discussionsupporting

confidence: 69%

“…Behavioral confidence emerged as the largest contributor to the model. This construct has been found to be a strong predictor in many MTM-based studies with different behaviors [25,26,30,32,34,44]. It is important to build this construct by helping young adults who already vape start quitting in small steps that may entail (1) setting a future quit date; (2) breaking down the process of quitting into manageable stages; (3) exploring all possible sources that would build the confidence for quitting such as self-sureness, from powerful others, from Almighty, from a deity as appropriate in some cultural groups, etc.…”

Section: Discussionmentioning

confidence: 99%

“…The construct of participatory dialogue is also crucial in motivating and keeping the motivation levels high for quitting vaping and was supported by this study. This construct has been found to be a strong predictor in many MTM studies [26,32]. In interventions, this may require emphasizing benefits to health, saving money, improving image, especially in front of peers and others, not becoming dependent, and enjoying life more.…”

Section: Discussionmentioning

confidence: 99%

“…The emotional transformation was the largest contributor to the model. This construct has also been found to be a significant predictor in many MTM studies with different behaviors [25,30,32,44,45]. For modifying emotional transformation, it is important to direct feelings toward the goal of quitting vaping, developing self-motivation, and overcoming self-doubt.…”

Section: Discussionmentioning

confidence: 99%

“…The theory has assessed factors affecting the behaviors of young adults including college students. Based on the results obtained from several cross-sectional studies [25][26][27][28][29][30][31][32][33] and health behavior interventions [34,35], applying the MTM to behaviors such as binge drinking, physical activity, stress management, meditative practices, and vaccine acceptance, the MTM seems efficacious in determining the likelihood of starting and maintaining a myriad of health behaviors. The MTM framework (Figure 1) has two main constructs of "initiation" and "sustenance."…”

Section: Introductionmentioning

confidence: 99%

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Assessing the Testability of the Multi-Theory Model (MTM) in Predicting Vaping Quitting Behavior among Young Adults in the United States: A Cross-Sectional Survey

Sharma

Batra²,

Batra³

et al. 2022

IJERPH

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Purpose: Given the increased exposure to e-cigarettes and nicotine among young adults, difficulty in quitting vaping is likely, which supports the need for effective behavioral interventions. Therefore, this cross-sectional study aims to assess the testability of the contemporary multi-theory model of health behavior change in predicting the vaping quitting behavior among young adults in the United States. Methods: A nationally representative sample of 619 young adults engaged in vaping behavior and aged 18–24 years was recruited to complete a 49-item web-based survey. A structural equation model was used to test relationships between MTM constructs. Hierarchical multiple regression was utilized to predict the variance in the initiation and sustenance of vaping quitting behavior by predictor variables, such as demographic characteristics, history of behaviors, and MTM constructs. Results: Of 619 respondents, over 75% were White and nearly 70% had educational attainment equal to high school or some college. In total, 62% of respondents were using nicotine, followed by 33.3% were using cannabis. About 80% of the respondents reported being engaged in drinking alcohol, and nearly 45% were engaged in cigarette smoking. The predictive effect of all MTM constructs on vaping quitting initiation (adjusted R2 = 0.417, F (23, 595) = 20.215, p < 0.001) and sustenance (adjusted R2 = 0.366, F (23, 595) = 16.533, p < 0.001) was statistically significant. Conclusions: The findings of this study point to the usability and applicability of MTM in operationalizing and developing vaping quitting behavior interventions targeting young adults.

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Section: Discussionsupporting

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessing the Testability of the Multi-Theory Model (MTM) in Predicting Vaping Quitting Behavior among Young Adults in the United States: A Cross-Sectional Survey

Sharma

Batra²,

Batra³

et al. 2022

IJERPH

Self Cite

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A Fourth-Generation Multi-Theory Model (MTM) of Health Behavior Change

Sharma,

Awan,

Kapukotuwa

et al. 2024

Handbook of Concepts in Health, Health Behavior and Environmental Health

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Utilization of the multi-theory model (MTM) of health behavior change to explain health behaviors: A systematic review

Kapukotuwa,

Nerida,

Batra

et al. 2024

Health Promot Perspect

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Background: The utilization of a theoretical framework is vital in health promotion research, particularly when endeavoring to modify health behaviors. This systematic review aimed at evaluating and synthesizing evidence through studies conducted using the fourth-generation multi-theory model (MTM) of health behavior change for its effectiveness. Methods: A comprehensive article search was performed across MEDLINE, CINAHL, and Academic Search Premier. The search focused on studies utilizing MTM from 2016 to December 2023, following the PRISMA guidelines for systemic reviews. Results: An initial pool of 7583 articles was narrowed down through screening of titles, abstracts, and full texts. A total of 69 articles met the inclusion criteria. These studies, encompassing a global range of diverse target groups and health behaviors, were categorized as qualitative, cross-sectional, or experimental. The six qualitative studies revealed MTM themes for diverse health behaviors. The fifty-six cross-sectional studies showed MTM constructs effectively predicting behavior change, albeit with varying statistical significance. The seven experiments demonstrated MTM’s role in initiating and sustaining change. For the initiation model, operationalized by 49 studies, the mean adjusted R2 was 38.4% (SD=16.4%). For the sustenance model, operationalized by 45 studies, the mean adjusted R2 was 38.9% (SD=15.5%). Conclusion: This systematic review corroborates the MTM as a potent framework for understanding, predicting, and facilitating health behavior changes. Its universal applicability and effectiveness underscore the model’s potential as a foundational tool in designing future health promotion strategies and interventions aimed at positive and enduring behavior modifications.

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Use of the multi-theory model (MTM) in explaining initiation and sustenance of indoor tanning cessation among college students

Cited by 3 publications

References 29 publications

Assessing the Testability of the Multi-Theory Model (MTM) in Predicting Vaping Quitting Behavior among Young Adults in the United States: A Cross-Sectional Survey

Assessing the Testability of the Multi-Theory Model (MTM) in Predicting Vaping Quitting Behavior among Young Adults in the United States: A Cross-Sectional Survey

A Fourth-Generation Multi-Theory Model (MTM) of Health Behavior Change

Utilization of the multi-theory model (MTM) of health behavior change to explain health behaviors: A systematic review

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