Examining the effectiveness of the theory of planned behaviour in explaining exercise intention and behaviour during pregnancy: a meta-analysis
Journal article
De Vivo, M., Hulbert, S., Mills, H. and Uphill, M. 2016. Examining the effectiveness of the theory of planned behaviour in explaining exercise intention and behaviour during pregnancy: a meta-analysis. Journal of Reproductive and Infant Psychology. https://doi.org/10.1080/02646838.2015.1118022
Authors | De Vivo, M., Hulbert, S., Mills, H. and Uphill, M. |
---|---|
Abstract | Background: Several studies have supported the efficacy and predictive utility of the Theory of Planned Behaviour (TPB; Ajzen 1991) in explaining a variety of behaviours including physical activity. However, the relative contribution of the theory’s components in describing intention and behaviour may differ depending on the context, time and population being studied. Such evidence is necessary to inform exercise advice and interventions aimed at pregnant women. Purpose: The purpose of this study was therefore to review the existing literature surrounding the application of the TPB in explaining exercise intentions and behaviour during pregnancy and to evaluate the magnitude of relationships between TPB constructs within this context. Method: Multiple search strategies yielded 99 potentially relevant studies of which 47 were assessed against the inclusion criteria. Finally, 7 studies, involving 777 pregnant women, were included in the analysis. Relationships identified among TPB constructs were subjected to a random-effects meta-analytic review using the Comprehensive Meta-Analysis (version 3.0) computer software package. Results: Results confirmed the existence of a medium to strong relationship between intention and behaviour (r = 0.44, P < 0.05, R2 = 19.36) and also supported the existence of a direct relationship between behaviour and perceived behavioural control (PBC; r = 0.45, P < 0.05, R2 = 20.25). Pregnant women’s attitude (r = 0.48, P < 0.05, R2 = 23.04) had the strongest association with their intention to be physically active. However, both PBC (r = 0.47, P < 0.05, R2 = 22.09) and subjective norm (r = 0.42, P < 0.05, R2 = 17.64) revealed similar relationships with intention. Conclusion: The study supports the TPB as a relevant conceptual framework for the investigation of exercise intentions and behaviours during pregnancy. PBC carried slightly more weight in explaining behaviour than did intention thereby suggesting that exercise during pregnancy is not a behaviour that is under women’s complete volitional control. Intention to exercise was influenced primarily by expectant mothers’ beliefs about the positive and negative consequences of doing so. Contrary to previous meta-analytic reports in the exercise domain, this study supported the relevance of subjective norm as a construct to investigate exercise intentions and behaviour in a pregnant population. The perceived social pressure to conform to other people’s opinion about physical activity during pregnancy may well be an important consideration for pregnant women. These findings present both researchers and practitioners with an opportunity for intervention and further research. |
Year | 2016 |
Journal | Journal of Reproductive and Infant Psychology |
Publisher | Taylor & Francis |
ISSN | 0264-6838 |
Digital Object Identifier (DOI) | https://doi.org/10.1080/02646838.2015.1118022 |
Publication dates | |
01 Feb 2016 | |
Publication process dates | |
Deposited | 13 Nov 2015 |
Accepted | 25 Sep 2015 |
Accepted author manuscript | |
Output status | Published |
Page range | 1-7 |
https://repository.canterbury.ac.uk/item/878x7/examining-the-effectiveness-of-the-theory-of-planned-behaviour-in-explaining-exercise-intention-and-behaviour-during-pregnancy-a-meta-analysis
Download files
169
total views194
total downloads6
views this month4
downloads this month
Export as
Related outputs
Community areas of sustainable care and dementia excellence in Europe (CASCADE) - Final report findings from the evaluation study of the CASCADE model at two implementation sites in Belgium
Sangeorzan, I., Martin, A., Hatzidimitriadou, E., Smith, R., Hulbert, S. and Wright, T. 2023. Community areas of sustainable care and dementia excellence in Europe (CASCADE) - Final report findings from the evaluation study of the CASCADE model at two implementation sites in Belgium. Canterbury Canterbury Christ Church University.Community areas of sustainable care and dementia excellence in Europe (CASCADE) - Executive report: A retrospective analysis of the ZorgSaam model of long-term home and residential care for older adults
Martin, A., Smith, R., Hatzidimitriadou, E., Sangeorzan, I., Hulbert, S. and Wright, T. 2023. Community areas of sustainable care and dementia excellence in Europe (CASCADE) - Executive report: A retrospective analysis of the ZorgSaam model of long-term home and residential care for older adults. Canterbury Canterbury Christ Church University.Evaluation study of diabetes and wellbeing (DWELL) - Report 4: Workforce training and cost effectiveness
Hatzidimitriadou, E., Manship, S., Thompson, T., Morris, R., Moore, J., Hulbert, S. and Saloniki, E.-C. 2023. Evaluation study of diabetes and wellbeing (DWELL) - Report 4: Workforce training and cost effectiveness. Canterbury. UK Canterbury Christ Church University.Evaluation study of diabetes and wellbeing (DWELL) - Report 2: Participant outcomes
Hatzidimitriadou, E., Manship, S., Thompson, T., Morris, R., Moore, J., Hulbert, S. and Saloniki, E.-C. 2023. Evaluation study of diabetes and wellbeing (DWELL) - Report 2: Participant outcomes. Canterbury, UK Canterbury Christ Church University.Evalatuation study of the diabetes and welbeing (DWELL) - Report 1: Evaluation methodology
Hatzidimitriadou, E., Manship, S., Thompson, T., Morris, R., Moore, J. and Hulbert, S. 2023. Evalatuation study of the diabetes and welbeing (DWELL) - Report 1: Evaluation methodology. Canterbury, UK Canterbury Christ Church University.Recommending swimming to people with low back pain: a scoping review
Oakes, H., DeVivo, M., Mills, H. and Stephensen, D. 2023. Recommending swimming to people with low back pain: a scoping review. Journal of Bodywork and Movement Therapies. 36, pp. 274-281. https://doi.org/10.1016/j.jbmt.2023.05.012Embedding physical activity guidance during pregnancy and in postpartum care: ‘This Mum Moves’ enhances professional practice of midwives and health visitors
Taylor, K., De Vivo, Marlize, Mills, Hayley, Hurst, Phil, Draper, S. and Foad, Abby 2023. Embedding physical activity guidance during pregnancy and in postpartum care: ‘This Mum Moves’ enhances professional practice of midwives and health visitors. Journal of Midwifery & Women's Health. https://doi.org/10.1111/jmwh.13547Science and RE teachers' perspectives on the purpose of RE on the secondary school curriculum in England
Woolley, M., Bowie, R. A., Hulbert, S., Thomas, C., Riordan, J. and Revell, L. 2022. Science and RE teachers' perspectives on the purpose of RE on the secondary school curriculum in England. The Curriculum Journal. 34 (3), pp. 487-504. https://doi.org/10.1002/curj.191Nexus Teachers' Action Pack
Casson, A., Bowie, B., Hulbert, S., Pittaway, A. and Woolley, M. 2022. Nexus Teachers' Action Pack.Faith in the nexus
Casson, A., Hulbert, S., Woolley, M. and Bowie, R. A. 2022. Faith in the nexus. National Institute for Christian Education Research (NICER).
Exploring faith in the nexus
Casson, A., Hulbert, S., Pittaway, A., Woolley, M. and Bowie, R. A. 2021. Exploring faith in the nexus .Managing flare-ups: The experience of a group of swimmers with persistent low back pain
Oakes, H., DeVivo, M., Stephensen, D. and Mills, H. 2021. Managing flare-ups: The experience of a group of swimmers with persistent low back pain. Physiotherapy. 114 (S1), pp. E220-E221. https://doi.org/10.1016/j.physio.2021.12.208The Physical Activity Messaging Framework (PAMF) and Checklist (PAMC): International consensus statement and user guide
Williamson, C., Baker, Graham, Tomasone, Jennifer R, Bauman, Adrian, Mutrie, Nanette, Niven, Ailsa, Richards, Justin, Oyeyemi, Adewale, Baxter, Beelin, Rigby, Benjamin, Cullen, Benny, Paddy, Brendan, Smith, Brett, Foster, Charlie, Drummy, Clare, Vandelanotte, Corneel, Oliver, Emily, Dewi, Fatwa Sari Tetra, McEwen, Fran, Bain, Frances, Faulkner, Guy, McEwen, Hamish, Mills, Hayley, Brazier, Jack, Nobles, James, Hall, Jennifer, Maclaren, Kaleigh, Milton, Karen, Olscamp, Kate, Campos, Lisseth Villalobos, Bursle, Louise, Murphy, Marie, Cavill, Nick, Johnston, Nora J, McCrorie, Paul, Wibowo, Rakhmat Ari, Bassett-Gunter, Rebecca, Jones, Rebecca, Ruane, Sarah, Shilton, Trevor and Kelly, Paul 2021. The Physical Activity Messaging Framework (PAMF) and Checklist (PAMC): International consensus statement and user guide. The International Journal of Behavioral Nutrition and Physical Activity. 18 (1), p. 164. https://doi.org/10.1186/s12966-021-01230-8The Physical Activity Messaging Framework (PAMF) and Checklist (PAMC): International consensus statement and user guide
Williamson, C, Baker, G, Tomasone, J.R, Bauman, A, Mutrie, N, Niven, A, Richards, J, Oyeyemi, A, Baxter, B, Rigby, B, Cullen, B, Paddy, B, Smith, B, Foster, C, Drummy, C, Vandelanotte, C, Oliver, E, Sari Tetra Dewi, F, McEwen, F, Bain, F, Faulkner, G, McEwen, H, Mills, H., Brazier, J, Nobles, J, Hall, J, Maclaren, K, Milton, K, Olscamp, K, Villalobos Campos, L, Bursle, L, Murphy, M, Cavill, N, Johnston, N.J., Crorie, P, Ari Wibowo, R, Bassett-Gunter, R, Jones, R, Ruane, S, Shilton, T and Kelly, P 2021. The Physical Activity Messaging Framework (PAMF) and Checklist (PAMC): International consensus statement and user guide. International Journal of Behavioral Nutrition and Physical Activity.Do people with long-term pain swim? Understanding participation using the active lives survey
Oakes, H., De Vivo, M., Stephensen, D. and Mills, H. 2021. Do people with long-term pain swim? Understanding participation using the active lives survey. Physiotherapy. 113, p. e11. https://doi.org/10.1016/j.physio.2021.10.235Integrated dementia care: A qualitative evidence synthesis of the experiences of people living with dementia, informal carers and healthcare professionals.
Smith, R., Martin, A., Wright, T., Hulbert, S. and Hatzidimitriadou, E. 2021. Integrated dementia care: A qualitative evidence synthesis of the experiences of people living with dementia, informal carers and healthcare professionals. Archives of Gerontology and Geriatrics. 97, p. 104471. https://doi.org/S0167-4943(21)00134-5Risk of atrial fibrillation in athletes: a systematic review and meta-analysis.
Newman, William, Parry-Williams, Gemma, Wiles, Jonathan, Edwards, Jamie, Hulbert, Sabina, Kipourou, Konstantina, Papadakis, Michael, Sharma, Rajan and O'Driscoll, Jamie 2021. Risk of atrial fibrillation in athletes: a systematic review and meta-analysis. British Journal of Sports Medicine. https://doi.org/bjsports-2021-103994Faith in the Nexus: pupil spiritual leadership In school
Casson, A., Hulbert, S., Pittaway, A., Woolley, M. and Bowie, R. A. 2021. Faith in the Nexus: pupil spiritual leadership In school.Faith in the Nexus and the domestic Church
Casson, A., Hulbert, S., Pittaway, A., Woolley, M. and Bowie, R. A. 2021. Faith in the Nexus and the domestic Church.Faith in the Nexus: Let’s talk about death (School and Church)
Casson, A., Hulbert, S., Pittaway, A., Woolley, M. and Bowie, R. A. 2021. Faith in the Nexus: Let’s talk about death (School and Church).Let’s talk about death (Home)
Casson, A., Hulbert, S., Pittaway, A., Woolley, M. and Bowie, R. A. 2021. Let’s talk about death (Home).Faith in the Nexus and Sacraments (Parish Catechists)
Casson, A., Hulbert, S., Pittaway, A., Woolley, M. and Bowie, R. A. 2021. Faith in the Nexus and Sacraments (Parish Catechists).Exploring faith in the Nexus: resource to use with the parent's animation
Casson, A., Hulbert, S., Pittaway, A., Woolley, M. and Bowie, R. A. 2021. Exploring faith in the Nexus: resource to use with the parent's animation.Faith in the Nexus: A sense of belonging
Casson, A., Hulbert, S., Pittaway, A., Woolley, M. and Bowie, R. A. 2021. Faith in the Nexus: A sense of belonging.Faith in the Nexus: spiritual wellbeing and the implications for spiritual leadership
Casson, A., Hulbert, S., Pittaway, A., Woolley, M. and Bowie, R. A. 2021. Faith in the Nexus: spiritual wellbeing and the implications for spiritual leadership.Faith in the Nexus: children's conversations about faith and spirituality (school and church)
Casson, A., Hulbert, S., Pittaway, A., Woolley, M. and Bowie, R. A. 2021. Faith in the Nexus: children's conversations about faith and spirituality (school and church).Faith in the Nexus: How are we providing reflection time and space
Casson, A., Hulbert, S., Pittaway, A., Woolley, M. and Bowie, R. A. 2021. Faith in the Nexus: How are we providing reflection time and space.Faith in the Nexus: children's encounters with the Bible
Casson, A., Hulbert, S., Pittaway, A., Woolley, M. and Bowie, R. A. 2021. Faith in the Nexus: children's encounters with the Bible.Children’s conversations about faith and spirituality (family)
Casson, A., Hulbert, S., Pittaway, A., Woolley, M. and Bowie, R. A. 2021. Children’s conversations about faith and spirituality (family) .Laying the foundation for pregnancy physical activity profiling: A framework for providing tailored physical Activity advice and guidance to pregnant women
DeVivo, M. and Mills, H. 2021. Laying the foundation for pregnancy physical activity profiling: A framework for providing tailored physical Activity advice and guidance to pregnant women. International Journal of Environmental Research and Public Health. 18 (11). https://doi.org/ijerph18115996A rapid review of communication strategies for physical activity guidelines and physical activity promotion: A review of worldwide strategies
Budzynski-Seymour, E., Milton, K., Mills, H., Wade, M., Foster, C., Vishnubala, D., Baxter, B., Williamson, C. and Steele, J. 2021. A rapid review of communication strategies for physical activity guidelines and physical activity promotion: A review of worldwide strategies. Journal of Physical Activity and Health. 18 (8), pp. 1014-1027. https://doi.org/10.1123/jpah.2020-0832Arts-based interventions for people living with dementia: Measuring ‘in the moment’ wellbeing with the Canterbury Wellbeing Scales
Strohmaier, S., Homans, K., Hulbert, S., Crutch, S. J., Brotherhood, E. V., Harding, E. and Camic, P. 2021. Arts-based interventions for people living with dementia: Measuring ‘in the moment’ wellbeing with the Canterbury Wellbeing Scales. Wellcome Open Research. 6 (59). https://doi.org/10.12688/wellcomeopenres.16596.1Pool closures during the COVID-19 pandemic and the impact on low back pain management
Oakes, H., DeVivo, M., Stephensen, D. and Mills, H. 2021. Pool closures during the COVID-19 pandemic and the impact on low back pain management.An online intervention to support student-athlete mental health: Implementation, evaluation, and critical reflection
Laslett, B. and Uphill, M. 2020. An online intervention to support student-athlete mental health: Implementation, evaluation, and critical reflection. Case Studies in Sport and Exercise Psychology. 4 (S1), pp. S1-54–S1-61. https://doi.org/10.1123/cssep.2019-0048Pregnancy in the female athlete - Part 1: antenatal
Pitchers, G., Elliot-Sale, K., DeVivo, M., Donelon, T., Mills, H., Brockwell, E. and Donnelly, G. 2020. Pregnancy in the female athlete - Part 1: antenatal. Professional Strength & Conditioning. 58, pp. 15-22.Scoping review: should physiotherapists recommend swimming to patients with low back pain and is further research indicated
Oakes, H., Mills, H., DeVivo, M. and Stephensen, D. 2020. Scoping review: should physiotherapists recommend swimming to patients with low back pain and is further research indicated. Physiotherapy. 107 (S1), p. e190. https://doi.org/10.1016/j.physio.2020.03.278Faith in the nexus: Church schools and children’s exploration of faith in the home: A NICER research study of twenty church primary schools in England
Casson, A., Hulbert, S., Woolley, M. and Bowie, R. A. 2020. Faith in the nexus: Church schools and children’s exploration of faith in the home: A NICER research study of twenty church primary schools in England. Canterbury Canterbury Christ Church University.Measuring the effectiveness of virtuous pedagogy: a quantitative study of the What if Learning approach in Church of England schools
Hulbert, S., Cooling, T. and Bowie, R. A. 2020. Measuring the effectiveness of virtuous pedagogy: a quantitative study of the What if Learning approach in Church of England schools. Education Sciences. 10 (11), p. 315. https://doi.org/10.3390/educsci10110315Participant experiences of the DWELL programme: focus group findings on motivation, experiences, facilitators and barriers
Manship, S., Hatzidimitriadou, E., Morris, R., Hulbert, S., Webster, J., Belmas, N. and Best, A. 2020. Participant experiences of the DWELL programme: focus group findings on motivation, experiences, facilitators and barriers. European Journal of Public Health. 30 (Supplement 5), p. v509. https://doi.org/10.1093/eurpub/ckaa165.1390Patient empowerment, eating behaviours and illness control: pre-post outcomes from DWELL delivery in UK and France
Morris, R., Hatzidimitriadou, E., Manship, S., Hulbert, S., Webster, J., Teke, J., Belmas, N., Best, A., Averous, V. and Cazier. J. 2020. Patient empowerment, eating behaviours and illness control: pre-post outcomes from DWELL delivery in UK and France. European Journal of Public Health. 30 (Supplement 5), p. v509. https://doi.org/10.1093/eurpub/ckaa165.1389The Diabetes and WELLbeing programme: protocol of a multi-site European complex intervention study
Hatzidimitriadou, E., Manship, S., Morris, R., Hulbert, S., Webster, J., Belmas, N., Best, A., Averous, V., Vanbosseghem, R. and Gijssel, M. 2020. The Diabetes and WELLbeing programme: protocol of a multi-site European complex intervention study. European Journal of Public Health. 30 (Supplement 5), p. v509. https://doi.org/10.1093/eurpub/ckaa165.1388Encouraging physical activity during and after pregnancy in the COVID-19 era, and beyond
Atkinson, L., DeVivo, M., Hayes, L., Hesketh, K. R., Mills, H., Newham, J. J., Olander, E. K. and Smith, D. M. 2020. Encouraging physical activity during and after pregnancy in the COVID-19 era, and beyond. International Journal of Environmental Research and Public Health. 17 (7304), pp. 1-9. https://doi.org/10.3390/ijerph17197304Evaluating Mums’ Zone: a combined intervention of physical activity and social support for new mums.
DeVivo, M. and Mills, H. 2020. Evaluating Mums’ Zone: a combined intervention of physical activity and social support for new mums.Physical fitness and activity levels among Chinese people with schizophrenia: A cross-sectional study with matched case-control comparison
Bressington, D., Li, Y., Hulbert, S. and Wah Mak, L. 2020. Physical fitness and activity levels among Chinese people with schizophrenia: A cross-sectional study with matched case-control comparison. International Journal of Environmental Research and Public Health. 17 (10), p. 3564. https://doi.org/10.3390/ijerph171035642019 Women in Sport and Exercise Conference abstracts: Introducing This Mum Moves: an educational campaign to support pregnant women and new mothers in enjoying and benefiting from an active lifestyle
DeVivo, M. and Mills, H. 2020. 2019 Women in Sport and Exercise Conference abstracts: Introducing This Mum Moves: an educational campaign to support pregnant women and new mothers in enjoying and benefiting from an active lifestyle. Women in Sport and Physical Activity Journal. 28 (1), pp. 55-65. https://doi.org/10.1123/wspaj.2020-0011Infographic. Guidance for medical, health and fitness professionals to support women in returning to running postnatally
Donnelly, G. M., Rankin, A., Mills, H., DeVivo, M., Goom, T. and Brockwell, E 2020. Infographic. Guidance for medical, health and fitness professionals to support women in returning to running postnatally. British Journal of Sports Medicine.Exercise professionals' confidence in engaging women to be physically active during pregnancy
Draper, S., DeVivo, M. and Mills, H. 2020. Exercise professionals' confidence in engaging women to be physically active during pregnancy.Challenge and threat: a critical review of the literature and an alternative conceptualization
Uphill, M., Rossato, C., Swain, J. and O'Driscoll, J. 2019. Challenge and threat: a critical review of the literature and an alternative conceptualization. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2019.01255
#Greatcoaching within sport
Howells, K., Gubby, L., Dray, K. and Mills, H. 2019. #Greatcoaching within sport. Expert Comments