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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

1
Behavioral & Environmental Health, School of Public Health, Jackson State University, Jackson, MS, USA.
2
Public Health Studies, School of Health and Applied Human Sciences, University of North Carolina Wilmington, Wilmington, NC, USA.
3
Department of Health, Physical Education, and Exercise Science, Lincoln Memorial University, Harrogate, TN, USA. vknahar@go.olemiss.edu.
4
Department of Management, School of Business Administration, University of Mississippi, MS, USA.
5
Department of Health, Exercise Science & Recreation Management, School of Applied Sciences, University of Mississippi, MS, USA.

Abstract

BACKGROUND:

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.

STUDY DESIGN:

A cross-sectional study.

METHODS:

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.

RESULTS:

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).

CONCLUSIONS:

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.

KEYWORDS:

Health behavior; Theoretical model; Water consumption; Water intake

PMID:
28413165
[Indexed for MEDLINE]
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