Nutrition guidance in Dutch family practice: behavioral determinants of reduction of fat consumption

M.W. Verheijden, J.E. van der Veen, W.M. van der Zadelhoff, C. van Bakx, M.A. Koelen, H.J.M. van den Hoogen, C. van Weel, W.A. van Staveren

Research output: Contribution to journalArticleAcademicpeer-review

11 Citations (Scopus)

Abstract

Background: Studies have shown that the psychosocial determinants attitude, self-efficacy, subjective norm, and health threat are important in predicting intention to change fat consumption. However, the role of habit in relation to these determinants is still largely unknown. Objective: We aimed to assess whether and how habit influences intention in relation to attitude, self-efficacy, subjective norm, and health threat. Design: Cross-sectionally, we studied the self-reported psychosocial determinants and intention of 105 (52 intervention, 53 control) patients who participated in a family practice-based tailored nutrition counseling intervention study for lowering cardiovascular risk. Fat intake 15 mo before the assessment of psychosocial determinants was used as a measure of habit. We used logistic regression analyses to develop a model predicting intention to change fat consumption. Results: Our regression model explained 43% of the variance in intention. Patients who perceived higher subjective norm or more social support had a higher intention. Habit was a significant predictor of intention in interaction with self-efficacy and health threat. Attitude, health threat, age, and group membership (ie, whether patients had been in the intervention group or the control group of the intervention study) were also included in the regression model. Conclusions: The results suggest that habit in addition to subjective norm and the other more frequently investigated psychosocial determinants are important in predicting intention to change fat consumption. To achieve sustainable health improvement through nutrition education programs, these programs should therefore start focusing more on subjective norm and habit.
Original languageEnglish
Pages (from-to)1058S-1064S
JournalAmerican Journal of Clinical Nutrition
Volume77
Issue number4
DOIs
Publication statusPublished - 2003

Keywords

  • coronary heart-disease
  • transtheoretical model
  • self-efficacy
  • dietary intervention
  • cardiovascular risk
  • planned behavior
  • randomized trial
  • field experiment
  • general-practice
  • saturated fat

Fingerprint Dive into the research topics of 'Nutrition guidance in Dutch family practice: behavioral determinants of reduction of fat consumption'. Together they form a unique fingerprint.

Cite this