Send to

Choose Destination
J Res Health Sci. 2017 Feb 25;17(1):e00370.

Applying Multi-Theory Model (MTM) of Health Behavior Change to Predict Water Consumption Instead of Sugar-Sweetened Beverages.

Author information

Behavioral & Environmental Health, School of Public Health, Jackson State University, Jackson, MS, USA.
Public Health Studies, School of Health and Applied Human Sciences, University of North Carolina Wilmington, Wilmington, NC, USA.
Department of Health, Physical Education, and Exercise Science, Lincoln Memorial University, Harrogate, TN, USA.
Department of Management, School of Business Administration, University of Mississippi, MS, USA.
Department of Health, Exercise Science & Recreation Management, School of Applied Sciences, University of Mississippi, MS, USA.



A substantial proportion of college students to not drink enough water and consume sugar-sweetened beverages (SSBs). Consumption of SSBs is associated with weight gain, obesity, type 2 diabetes mellitus, dental carries, and increased risk for cardiovascular disease. Hence, the purpose of this study was to use the multi-theory model (MTM) in predicting initiation and sustenance of plain water consumption instead of sugar-sweetened beverages among college students.


A cross-sectional study.


In this cross-sectional study, a 37-item valid and reliable MTM-based survey was administered to college students in 2016 via Qualtrics at a large public university in the Southeastern United States. Overall, 410 students responded to the survey; of those, 174 were eligible for the study and completed it.


Stepwise multiple regression analysis revealed that 61.8% of the variance in the initiation of drinking plain water instead of SSBs was explained by behavioral confidence (P<0.001) and changes in the physical environment (P<0.001). Further, 58.3% of the variance in the sustenance of drinking plain water instead of SSBs was explained by emotional transformation (P<0.001) and practice for change (P=0.001).


Multi-theory model of health behavior change is a robust theory for predicting plain water consumption instead of SSBs in college students. Interventions should be developed based on this theory for this target population.


Health behavior; Theoretical model; Water consumption; Water intake

[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Hamadan University of Medical Sciences, School of Public Health
Loading ...
Support Center