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Armitage 1999
Armitage 1999
J. ARM IT AGE^
CHRLSTOPHER MARKCONNER
University of Essex University of Lee&
Colchester, Uniied Kingdom Lee&. United Kingdom
The aims of the present study are fourfold: to apply the theory of planned behavior
(TPB) to eating a low-fat diet; to consider differences between self-efficacy and per-
ceived control over behavior (PCB); to examine self-identity as a potential addition to
the model; and to identify beliefs which may provide useful targets for interventions.
Findings support the efficacy of the TPB as a predictor of low-fat diet. Evidence for
the distinction between self-efficacy and PCB was provided by principal components
analysis, patterns in prediction of intention, and the control beliefs associated with the
two consbucts. Self-identity was found to independently predict intention and may
prove a useful addition to the TPB. Finally, specific beliefs distinguished intenders
from nonintenders, providing potential targets for health interventions. The findings
are discussed in the context of previous TPB research and the need for multimethod
assessments of behavior.
Extensive research has suggested a link between fat consumption and can-
cer and coronary heart disease (e.g., Greenwald, Sondik, & Lynch, 1986;
Keys, 1980; Turpeinen, 1979). These conditions represent the leading causes
of death in most industrialized countries, prompting several governments to
introduce specific targets aimed at reducing morbidity and mortality. For
example, in the United Kingdom, government recommendations are that no
more than 35% of food energy should be derived from fat. Over the past 20
years, changes in lifestyle (e.g., reduction in total energy intake) have not
resulted in a reduction in fat intake: The average proportion of total energy
derived from fat has remained stable (42% in 1970, 43% in 1980, 40% in
1992; Ministry of Agriculture, Fisheries, and Food, 1992). This is despite a
number of high-profile health campaigns. However, it is rare for such cam-
paigns to be theoretically based, and models of social cognition may prove
useful for intervening in health behaviors (e.g., Conner & Norman, 1996). By
'The authors wish to thank Paul Sparks for his helpful comments on an earlier draft of this paper.
2Correspondenceconcerning this article should be addressed to Christopher J. Armitage, Depart-
ment of Psychology, University of Essex, Wivenhoe Park, Colchester CO4 3SQ, United Kingdom. e-
mail: chrisja@essex.ac.uk.
72
Method
Measures
Intention. Intention to eat a low-fat diet was assessed using three items,
each on a 7-point bipolar (-3 to +3) scale. These were: “I intend to eat a low-
fat diet over the next month (definitely do noddefinitely do),” “I plan to eat a
3Note that of the 292 potential respondents, 20 questionnaires were not completed and 51 were
not distributed
4Because of the relatively low response rate, analyses were canied out on responders versus non-
responders. No significant differences were found when regressions on intention were carried out for
responders and nonresponders separately. The implication is that responders at Time 2 did not differ
systematically from nonresponders.
PREDICTING LOW-FAT DIET 77
low-fat diet over the next month (definitely do notidefinitely do),” and “I
want to eat a low-fat diet over the next month (definitely do not/definitely
do).” The mean of these items produced a composite scale with a Cronbach’s
alpha coefficient of 3 6 .
Attitude. Both direct and indirect measures of attitude were taken. The
direct measure of attitude was assessed using a semantic differential scale.
Respondents were presented with the sentence, “My eating a low-fat diet in
the next month is . . .” Six pairs of adjectives were rated, each on a 7-point
bipolar (-3 to +3) scale: bad/good, harmfulheneficial, unpleasant/pleasant,
unenjoyable/enjoyable, foolish/wise, and unnecessarylnecessary. The mean
of the six scales was taken as a composite score, with a Cronbach’s alpha
coefficient of .75.
The indirect measure of attitude was derived from the product of the per-
ceived likelihood of modal outcomes and the evaluation of those outcomes.
Both likelihood and outcome were measured on bipolar (-3 to +3) scales,
anchored by unlikelyAike1y and bad/good, respectively. Phrased with respect
to eating a low-fat diet, these beliefs are presented in Table 1. Cronbach’s
alpha coefficient of the summed scale was .63.
Subjective norm. A global measure of subjective norm was measured with a
composite score, derived from four items: “People who are important to me
think I (should not eat a low-fat diet/should eat a low-fat diet),” “People who are
important to me would (disapprove of my eating a low-fat dietlapprove of my
eating a low-fat diet),” “People who are important to me want me to eat a low-fat
diet (strongly disagreehtrongly agree),” and “I feel under social pressure to eat a
low-fat diet (strongly disagreehtrongly agree).” All were measured on 7-point
unipolar (+1 to +7) scales. Cronbach’s alpha coefficient for the scale was .76.
The specific measure of normative pressure was assessed by statements
related to the extent to which individuals perceived social pressure from six ref-
erents (health experts, friends, parents, people who report in the media, partner,
and family), multiplied by the motivation to comply with those individuals. For
example, “Health experts think I (should not eat a low-fat diet/should eat a low-
fat diet)” was multiplied by “With regard to eating a low-fat diet, how much do
you want to do what health experts think you should? (not at all/very much).”
The mean of these items provided a measure of normative beliefs (Cronbach’s
a = .74). Both components were measured on 7-point (+1 to +7) Likert scales.
Self-eficucy/PCB. Direct measures of perceptions of control were derived
from a review of the TPB literature. The seven items chosen to reflect our
definitions of self-efficacy and PCB were assessed on 7-point unipolar scales
and are presented in Table 2. Principal components analysis with varimax
rotation produced two factors, which accounted for 66.8% of the variance
(Table 2). This analysis provided evidence for discriminant validity between
78 ARMITAGE AND CONNER
Table 1
Analysis of the Association Between Beliefs and Attitudes, and Means and
Standard Deviations of Behavioral Belief Components
Means (standard deviations)
Outcome belief Evaluation
Non- Non-
Behavioral beliefs SP Intenders intenders Intenders intenders
Eating a low-fat diet makes me .12* 1.53** -0.24 2.59 2.40
feel good about myself (1.29) (2.01) (0.81) (1.14)
Eating a low-fat diet means .04 -0.87** -0.01 -2.14 -2.27
eating boring food (1.70) (1.91) (1.18) (1.17)
By eating a low-fat die: I will .10 2.29 2.12 2.77 2.63
reduce the risk of heart (0.93) ( I . 13) (0.68) (0.92)
disease
Food which is low in fat does -.06 -1.08** -0.39 -2.17** -2.51
not taste nice (1.61) (1.82) (1.03) (0.79)
Eating a low-fat diet makes me .06 1.95** 0.59 2.61 2.43
feel healthier (1.16) (1.75) (0.76) (0.98)
Eating a low-fat diet reduces .25** -0.59** 0.21 -2.21 -2.48
my enjoyment of food (1.78) (1.86) (1.07) (0.89)
Eating a low-fat diet helps to .15** 1.93** 1.27 1.88** 0.67
maintain lower weight (1.28) (1.65) (1.36) (2.04)
Not eating a low-fat diet would -.1 1* -0.24** -0.24 -1.97 -2.07
make me feel guilty (1.97) (1.97) (1.24) (1.40)
Note. SP = semipartial correlation coefficient of outcome belief multiplied by evaluation compo-
nents on attitude. Intenders, n = 122; nonintenden, n = 96.
*p< . 0 5 . * * p < . OI .
Table 2
summed control belief scale was not utilized in further analyses (see Table 3
for analysis of individual control beliefs).
SeFidentiv. Self-identity was measured in our study as it was by Sparks
and Shepherd (1 992), with respect to eating healthily. The four self-identity
items were: “I think of myself as a healthy eater”; “I think of myself as some-
one who is concerned with healthy. eating”; “I think of myself as someone
who is concerned with the health consequences of what I eat”; and “I think of
myself as someone who enjoys the pleasures of eating.” All were measured
on 7-point Likert scales ranging from 1 (strongly disagree) to 7 (strongly
agree).Cronbach’s alpha for this scale was .66.
Behavior. Two behavior measures were included in a second question-
naire to assess the extent to which eating a low-fat diet may be susceptible to
reporting biases. The first was a two-item self-perception of behavior
80 ARMITAGE AND CONNER
Table 3
measure: “I have eaten a low-fat diet in the last month (strongly disagree1
strongly agree),” and “HOWoften did you eat a low-fat diet in the last month?
(never/@equently).”The correlations between the two items was r = .95. The
second behavior measure was a validated FFQ (Cade & Margetts, 1988;
Margetts et al., 1989), which was regarded as a relatively more objective
measure of dietary intake than the simple self-perception measure which is
typically used in TPB studies. From analysis of the FFQ, participants were
found to derive a mean of 36.22% (SD = 6.01%) of food energy from fat in
the diet (Table 4).
Table 4
Results
Overall Findings
SNote that PCB is not correlated with intention ( r = .08,ns) and alone adds only 1% to the per-
centage of variance explained in intention (R’ change = .01, p < .05). The correlation between PCB
and self-efficacy (r = .42, p < .01) suggests a suppressor effect (see Tabachnick & Fidell, 1989, for a
discussion of suppressor effects).
PREDICTING LOW-FAT DIET 83
Table 5
%tenders (n = 122) were defined as those who scored above 0 on the intention scale; those
defined as nonintenders (n = 96) scored I0 on the scale. Three respondents failed to provide corn-
plete intention measures.
84 ARMITAGE AND CONNER
Table 6
Increment
Step Predictor R RZ to RZ F for change Final p
1 Attitude .36***
Subjectivenorm .70 .49 .49 99.16*** .16***
2 Self-efficacy .33***
PCB .78 .60 .12 31.34*** -.14**
3 Self-identity .80 .65 .04 25.50*** .24***
* p < .Ol.-*p < .MI.
Discussion
The aims of the present study were fourfold: to apply the TPB to low-fat
eating intentions and a measure of future behavior; to consider evidence for a
distinction between self-efficacy and PCB; to examine self-identity as a
potential addition to the model; and to identify beliefs which may provide
usefkl targets for interventions. Findings from the present study indicate that
the TPB usefully predicts both low-fat eating intentions and behavior. The
present study also compares favorably with Godin and Kok’s ( 1996) meta-
analysis of health-related TPB studies, accounting for a similar amount of the
variance in behavior (34% vs. 39%, in the present study, for self-perception
of behavior) and considerably more in intention (41% vs. 60% in the present
study). Specifically in terms of eating behavior, no previous studies have
looked at actual behavior, but the correlations with intention were consider-
ably stronger (e.g., R = .57vs. .78in the present study). Low-fat diet is there-
fore a behavior which is particularly suited to assessment by the TPB.
86 ARMITAGE AND CONNER
Intentions were the only predictor of behavior, suggesting that this type of
behavior is relatively volitional and that intention may prove to be a useful
target for intervention. Contrary to expectations, there were no interactions
between intention and either of the perceived control items. Although this lat-
ter finding is supported by the majority of previous research (Terry &
O’Leary, 1995), it apparently contradicts Terry and O’Leary’s assertion that
previous lack of evidence for perceived-behavioral-control-intention interac-
tions is a h c t i o n of the confound between internal and external perceptions
of control. However, given that the present study found no direct effect of
control on behavior, and the behavior may be regarded as relatively voli-
tional, lack of interaction might be expected. Self-efficacy and attitude were
the main predictors of intention to eat a low-fat diet, and when self-identity
was added to the model, it explained significantly more of the variance in
intention, suggesting that self-identity may be a useful addition to the TPB.
The present study fiuther supports the work of Terry and colleagues (e.g.,
Terry & O’Leary, 1995) by providing evidence for a distinction between self-
efficacy and PCB. First, the principal components analysis of the global con-
trol items produced separate self-efficacy and PCB factors. Second, the
regression of control beliefs on self-efficacy and PCB suggested that this dis-
tinction extended to the underlying beliefs associated with each construct.
Third, self-efficacy and PCB differed in terms of their influence on intention
and their intercorrelations with other TPB variables. We therefore concur
with the need for separate measures of internal and external perceptions of
control. In terms of Sparks et al.’s (1997) argument for use of perceived diffi-
culty and perceived control, our findings are not incongruent: their partici-
pants may have interpreted the perceived difficulty measures as relating to
internal control factors. In addition, the present study furthers the work of
Terry and colleagues by providing a tighter definition of self-efficacy and
avoiding the ambiguity of ease/difficulty items. However, neither PCB nor
self-efficacy were significantly associated with behavior. The implication is
that either low-fat dietary behavior in the United Kingdom is under volitional
control, or that perceptions of control (particularly over external factors) may
be inaccurate. Further study of behaviors that differ in volitional control, or
experimental manipulations of perceived control should provide further evi-
dence for the proposed distinction between self-efficacy and PCB.
Behavioral and control beliefs were identified which may provide useful
bases for interventions. However, with the exception of availability, the
dominant predictors of attitude, self-efficacy, and PCB were those beliefs
associated with emotions (e.g., resisting, guilt) or weight loss, all of which
are only amenable to intensive intervention. Further, these beliefs are multi-
plicative terms, which are notoriously difficult to interpret (Evans, 1991).
Those beliefs which discriminated intenders from nonintenders may prove
PREDICTING LOW-FAT DIET 87
the most usehl for future intervention studies. From the present study, these
beliefs included perceptions of having to eat a “boring” diet and feelings of
health. However, more research is required to assess the efficacy of the TPB
as a tool for intervening in behavior. To date, research has provided only lim-
ited support for use of the TPB in interventions (e.g., Brubaker & Fowler,
1990; Parker, Stradling, & Manstead, 1996), but there is much scope for
future research. The present study has highlighted target beliefs which could
potentially be strengthened or challenged in those who do not intend to eat a
low-fat diet. In particular, these data are encouraging for health promotion
researchers. There are no differences in perception of likelihood or evaluation
of eating a low-fat diet with regard to reducing the risk of heart disease. This
implies that both intenders and nonintenders recognize and accept the link
between fat consumption and heart disease (the outcome is seen as likely and
evaluated positively). However, it also suggests that attempting to change
people’s behavior by referring to the risks of coronary heart disease may not
provide an effective target for such interventions.
The self-perception behavior measure was better predicted by TPB vari-
ables than the FFQ. Given that comparison of the FFQ measure with 24-hr
diet records suggests adequate validity and reliability (Margetts et al., 1989),
there are a number of implications that require hrther investigation. First, it
may be that the self-perception of behavior measure actually assessed the
extent to which participants tried to perform the behavior. As such, the self-
perception measure may represent attempts to eat a low-fat diet, whereas the
FFQ data reveal the extent to which these attempts have actually paid off.
This links to the work of Bagozzi (e.g., Bagozzi, 1992; Bagozzi & Edwards,
in press), who argues that intention predicts trying rather than actual behav-
ior. Our data are congruent with this idea: The correlation between intention
and self-perception of behavior was significantly greater than the prediction
of diet from the FFQ measure. Therefore, the implication is that intention can
predict trying to a greater extent than actual behavior. Second, unrealistic
optimism (Weinstein, 1987) may represent the difference between the FFQ
and self-perception measures of behavior. Participants may have overesti-
mated the extent to which they had eaten a low-fat diet, in the face of serious
health risks, such as coronary heart disease or cancer. Therefore, to the extent
that the FFQ is a more objective measure of diet, the data show a trend
toward unrealistic optimism in eating a low-fat diet.
More generally, the problems of self-report data are well documented (e.g.,
Nederhof, 1985). The self-report measures are a clear limitation of the present
study, which suggests that the TPB is weaker at predicting relatively objective
behavior, as opposed to self-perceptionsof behavior. Predicting large amounts
of variance in objective behavior from verbal reports of cognitions (e.g., inten-
tions and attitudes) is clearly the ideal. However, individuals’ perceptions of
88 ARMITAGE AND CONNER
their own behavior may actually be more important for study, given the ten-
dency for individuals to selectively process attitude-relevant information (e.g.,
Fazio & Williams, 1986). The difference between objective and self-perceived
behavior represents devices such as unrealistic optimism (Weinstein, 1987) or
behavioral attempts (trying; Bagozzi, 1992). Further direct comparisons of
objective and subjective measures are required, both to aid understanding of the
cognitions underlying behavior and to acknowledge that multiple measurement
of behavior represents good research practice (e.g., Fishbein & Ajzen, 1975).
In summary, the present study found support for the use of the TPB to pre-
dict intentions and behavior with regard to eating a low-fat diet. There was con-
siderable evidence for the distinction between self-efficacy and PCB from
principal components analysis; patterns of intercorrelations and prediction of
intention; and the control beliefs associated with the two constructs. Regres-
sions on intention support Sparks and Shepherd’s (1 992) argument that the self-
identity construct may prove to be a useful addition to the TPB. Analysis of
individual beliefs highlighted those which distinguished intenders from nonin-
tenders and may represent useful targets for interventions. However, problems
of self-report require that more studies consider multiple measures of behavior.
References