Effects of a theory of planned behavior-based intervention on breastfeeding behaviors after cesarean section:A randomized controlled trial

Objectives:To examine the efficacy of an intervention based on the theory of planned behavior(TPB)in improving breastfeeding behavior among women with cesarean sections(C-sections).Methods:This research was a randomized controlled trial.Women with planned elective C-sections were recruited to participate in a randomized controlled trial between June and September 2020.One hundred thirty-two women were divided randomly into the intervention(n=66)and control group(n=66)by systematic random sampling.In the intervention group,an intervention project was implemented after Keywords:Breastfeeding Cesarean section Intervention studies Theory of planned behavior the C-section to establish positive breastfeeding attitudes,cultivate supportive subjective norms,enhance perceived behavioral control,and strengthen breastfeeding intention to change behaviors.Those in the control group received routine pre-and post-delivery care.Exclusive breastfeeding rate and breast problem were collected at 5 days,2 weeks,and 1 month after C-section.The modified Breastfeeding Attrition Prediction Tool(BAPT)on the first day in the hospital,two weeks,and one month after C-section and Numerical Rating Scale(NRS)24 h postoperatively were used to compare the intervention effect between the two groups.Results:After the intervention,the intervention group had significantly higher exclusive breastfeeding rates than the control group at five days(86.4%vs.60.6%),two weeks(77.3%vs.57.6%),and one month(74.2%vs.50.0%)after the C-section.Besides,the intervention group was less likely to have sore nipples at five days(6.1%vs.18.2%in the control group,P<0.05)and two weeks(9.1%vs.12.1%in the control group,P<0.05).After two weeks of intervention,attitude scores(90.64±8.31 vs.87.20±8.15,P<0.05),subjective norm scores(88.07±24.65 vs.79.42±19.47,P<0.05)and behavior control scores in the intervention group were significantly higher than those in the control group.After one month of intervention,attitude scores(90.34±10.35 vs.84.22±10.51,P<0.05)and behavior control scores(43.13±5.02 vs.39.15±4.69,P<0.05)in the intervention group were significantly higher than those in the control group,which resulted in the higher breastfeeding intention in the intervention group.Conclusion:This study indicated that the TPB-based interventions effectively improved women's breastfeeding behaviors after C-sections.

The role of forest culture in green construction and management of forest parks:merging knowledge-attitude-practice and theory of planned behavior

As a cultural concept refl ecting the relationship between humans and forests,forest culture plays an active role in sustainable forest management.Forest parks provide a wide range of ecosystem services essential for the sustainable development of society,and the relationships between forest culture,green construction and management of forest parks have practical signifi cance.This study aimed to understand the interaction and process of forest culture infl uencing green construction and management in forest parks with the models Knowledge-Attitude-Practice(KAP)and Theory of Planned Behavior(TPB)by proposing a theoretical model.Four hypotheses were tested using data collected from 193 forest park employees in Heilongjiang Province,China.Our results show that forest culture had a signifi cant infl uence on green construction and forest management.In addition,subjective norm and perceived behavioral control directly impacted behavior in green construction and management of the forest park,whereas attitude did not have an impact.Subjective norm had a direct eff ect on attitude.Results between constructs show that forest culture had an indirect eff ect on planning and construction,and on ecological and economic management.Consequently,it supported three of four hypotheses within the proposed model in determining the infl uence of forest culture on green construction and management.

Research on Influence Factors of Pig Farmers' Ecological Farming Behavior: Based on the TPB and SEM

China's extensive development model of pig industry gives rise to serious resource and environment bottleneck restriction,it is urgent to transform the existing development model into ecological farming model. In this process,farmers' behavior will play a key role. On the basis of summarizing development connotation and characteristics of ecological agriculture,using survey data of 323 pig farmers in 6 provinces,based on the Theory of Planned Behavior( TPB) it introduced individual characteristics and external environment constraint variables,and made an empirical analysis on factors influencing intention and behavior of pig farmers' ecological farming using the Structural Equation Model( SEM). Results indicate:( i) ecological farming intention of pig farmers has the largest direct effect on their ecological farming behavior;( ii)ecological farming cognition of pig farmers has significant positive effect on their ecological farming behavior;( iii) external environment has the largest indirect effect on their ecological farming behavior,followed by the overall effect,and external environment has significant positive effect on ecological farming attitude and cognition of pig farmers;( iv) individual characteristics( educational level and income level) of pig farmers influence ecological farming behavior of pig farmers through their ecological farming attitude and intention,but the degree of influence is limited.

An exploration of the breastfeeding behaviors of women aftercesarean section: A qualitative study

Objectives:To explore the factors affecting breastfeeding behaviors in women after cesarean section.Methods:This is a qualitative study that used a phenomenological approach.This study used individual face-to-face interviews with 19 women who underwent a cesarean section in a Women and Children’s Hospital in China between July to September 2019.Information saturationwas used to determine sample size.Data were analyzed using a thematic content analysis method.Themes were developed based on the theory of planned behavior.Results:Thirteen(68.42%)had a planned cesarean section,and six(31.58%)cesarean sections were unplanned or emergent.Three major themes emerged:ambivalent attitude about breastfeeding,motivation to comply with the traditional cultural norms,and barriers and challenges.The motivating factors for breastfeeding after cesarean sections included perceived benefits of human milk,support from healthcare professionals,and responsibility for breastfeeding.The challenges for breastfeeding after cesarean sections included physical discomfort,knowledge and skills deficit of breastfeeding,lactation deficiency,and lack of knowledge and coping skills in managing their depressive mood after cesarean sections.There were a couple of neutral factors,such as the influences of family and peers.These factors could influence women either positively as facilitators or negatively as barriers.Conclusions:The findings can offer valuable information for healthcare professionals to help women breastfeed after cesarean sections.To promote women’s breastfeeding behaviors after cesarean sections,it is necessary to change women’s attitudes,belief systems,and the external environments and help them become more confident.

Study on Antibiotic Prophylactic Use Behavior and Influencing Factors of Livestock and Poultry Breeding Farms and Households from Risk Cognitive Perspective

Based on the theory of planned behavior( TPB),Taking 399 livestock and poultry farms and households in Shandong Province as samples,risk cognitive variables were introduced. Besides,with the aid of the structural equation model( SEM) and partial least squares method( PLS),through an empirical analysis on antibiotic prophylactic behavior of livestock and poultry breeding farms and households in the context of " antibiotic free" production,the response mechanism of " antibiotic free" production was explored. Results indicated that the use of antibiotic prophylaxis by livestock and poultry farms and households is still very common. In the observation samples,61. 4% clearly expressed they would use antibiotic prophylaxis; the understanding of hazard of improper antibiotic prophylaxis was inadequate,only 32. 3% breeding households believed that the overuse of antibiotic prophylaxis is the main reason leading to excessive drug residue in animal products. This study was in line with the process of deduction of TPB. The breeding households' reduction of antibiotic prophylaxis is influenced by their intentions,while the intention is influenced by the attitude,subjective norms and perceptual behavior control; different risks have different influences,but most risks have greater influence on perceptual behavior control,because the perceptual behavior control determines whether breeding households have the ability of implementing the corresponding behavior.

Community Residents' Heritage Preservation Intentions and Influencing Factors Based on the Extended Theory of Planned Behavior: A Case Study of Historic Districts in Tianjin

Community residents are important stakeholders in preserving historic districts. This paper introduces the extended theory of planned behavior to explore the intentions of residents to participate in heritage preservation, and further explains the influencing factors. Seven historic districts in Tianjin are selected as case studies. The results show that the residents' intentions to preserve heritage are positively influenced by three subjective perception factors of heritage preservation attitude, subjective norms, and perceived behavioral control, as well as two objective situational factors of environmental quality of historic district and policy guidance for heritage preservation. Furthermore, the objective situational factors indirectly influence heritage preservation intentions through the subjective perception factors. Based on these findings, this paper puts forward corresponding suggestions to enhance the heritage preservation intentions of community residents.

Impact mechanism of perception on the protection intention of tourist heritage sites:Taking the Hangzhou section of the Grand Canal as an example

Heritage tourism is a hot research topic in the academic field,and most scholars focus on the development model of heritage tourism and heritage conservation theory and methods,but less on the heritage tourists themselves.Based on the theory of planned behavior,the study introduces the variable of“perception”,and takes the Hangzhou section of the Grand Canal as a case study,and investigates tourists through literature,fieldwork and questionnaires.The study constructs a“perception-subjective norm-willingness to protect”model to explore the influence of tourists’“perception”and“subjective norm”on“willingness to protect”.The study found that:first,heritage tourists’perceptions significantly affect attitudes,subjective norms,perceptual behavior control and willingness to conserve.Second,tourists’attitudes,subjective norms and perceptual behavior control significantly affect their willingness to conserve.Third,heritage tourists’economic perceptions,social perceptions and emotional perceptions can affect willingness to conserve.The study provides references for relevant governments and tourism enterprises to conserve and develop the Grand Canal section.

Organizational Psychology Revisited: Recent Applications of Goal-Setting Theory

Purpose:Goal Setting Theory(GST)created by Edwin Locke and Gary Latham has proven to be an incredibly versatile theory.Its widespread utilization has proven it to be a valuable theory to further explore and understand.The purpose of this paper is to examine current approaches to and practices of GST.Methodology:This systematic literature review is based on 12 recent articles using GST and examining their collective findings.The articles were a mix of theory description,quantitative experiments,empirical experiments,and literature review.Findings:Most of the reviewed literature agreed that further and more defined research would be greatly beneficial for future applications of this theory.Given the broad nature of this theory,a more defined approach would likely prove useful for future utilization.Value:Exploring the multitude of ways this theory has already been applied gives an understanding of shortcomings as well as successes.Reviewing the current available literature allows GST to be utilized in a more precise way in the future.

Impact of the COVID-19 pandemic on intention to use traditional Chinese medicine:A cross-sectional study based on the theory of planned behavior

Objective:Coronavirus disease 2019(COVID-19)has become an increasingly severe public health emergency.Although traditional Chinese medicine(TCM)has helped to combat COVID-19,public perception of TCM remains controversial.We used the theory of planned behavior(TPB)to identify factors that affect the intention to use TCM.Methods:A cross-sectional web-based survey of 10,824 individuals from the general public was conducted between March 16 and April 2,2020.The participants were recruited using a snowball sampling method.Data were collected using a self-administered questionnaire,based on the TPB.The questionnaire consisted of demographic characteristics and TPB structures.Structural equation modeling was used to identify predictors of intention.Results:The results indicated the model explained 77.5%and 71.9%of intention and attitude variance.Intention to use TCM had the strongest relationship with attitude(P<0.001),followed by past behavior(P<0.001),subjective norms(P<0.001)and perceived behavioral control(P<0.001).Attitudes toward TCM were significantly affected by perceived behavioral control(P<0.001),subjective norms(P<0.001)and cognition of TCM(P<0.001).Conclusion:Attitude is a key factor in determining the intention to use TCM,followed by past behaviors,subjective norms and perceived behavioral control.Our results offer important implications for health policy makers to promote the use of TCM.

Predicting Fintech Innovation Adoption:the Mediator Role of Social Norms and Attitudes

Digital innovation is challenging the traditional way of offering financial services to companies;the so-called Fintech phenomenon refers to startups that use the latest technologies to offer innovative financial services.Within the framework of the Theory of Planned Behavior(TPB)and the Theory of Reasoned Action(TRA),the primary purpose of this paper is to develop a causal-predictive analysis of the relationship between Subjective Norms,Attitudes,and Perceived Behavioral Control with the Intention to Use and Behavioral Use of the Fintech services by companies.Partial Least Squares Structural Equation Modeling methodology was used with data collected from a survey of 300 companies.Our findings support the TRA and TPB models and confirm their robustness in predicting companies’intention and use of Fintech services.Financial technology innovators must understand the processes involved in users’adoption to design sound strategies that increase the viability of their services.Studying the antecedents of behavioral intention to adopt Fintech services can greatly help understand the pace of adoption,allowing these players to attract and retain customers better.This study contributes to the literature by formulating and validating TPB to predict Fintech adoption,and its findings provide useful information for banks and Fintech companies and lead to an improvement in organizational performance management in formulating marketing strategies.

Concept analysis of adherence

Objective: To explore the concept of adherence in the context of rehabilitation of patients with chronic illnesses. This concept analysis is helpful in predicting health behaviors and intentions including physical activity and dietary behaviors in patients with chronic illnesses. Methods: The framework of Walker and Avant was used to analyze the concept of adherence. Results: Adherence is defined as the extent to which a person’s behavior, such as taking medication, following a diet, and/or executing lifestyle changes, corresponds to agreed recommendations from a health-care provider. The antecedents of adherence are the biomedical status of the individual, social support, self-efficacy, and education. Self-report questionnaires and patient self-reporting are the most common measurement tools of adherence. Thus, the reliable and valid instrument of monitoring adherence in the clinical settings is challenging. Conclusions: Analyzing the concept of adherence is necessary to help understand how best to promote adherence to improve healthrelated outcomes.

Modeling and gender difference analysis of acceptance of autonomous driving technology

In order to deeply analyze the differences in the acceptance of autonomous driving technology among different gender groups,a multiple indicators and multiple causes model was constructed by integrating a technology acceptance model and theory of planned behavior to comprehensively reveal the gender differences in the influence mechanisms of subjective and objective factors.The analysis is based on data collected from Chinese urban residents.Among objective factors,age has a significant negative impact on women's perceived behavior control and a significant positive impact on perceived ease of use.Education has a significant positive impact on men's perceived behavior control,and has a strong positive impact on women's perceived usefulness(PU).For men,income and education are found to have strong positive impacts on perceived behavior control.Among subjective factors,perceived ease of use(PEU)has the greatest influence on women's behavior intention,and it is the only influential factor for women's intention to use autonomous driving technology,with an influence coefficient of 0.72.The influencing path of men's intention to use autonomous driving technology is more complex.It is not only directly affected by the significant and positive joint effects of attitude and PU,but also indirectly affected by perceived behavior controls,subjective norms,and PEU.

Awareness and knowledge of human papillomavirus vaccination and their influential factors among Chinese women: a systematic review

Objectives: To systematically review the knowledge attitudes and the influential factors on human papillomavirus(HPV) vaccination among Chinese women.Methods: Published studies on knowledge and attitudes of HPV vaccination for preventing cervical cancer among Chinese female population were retrieved using the major Chinese and English databases. Meanwhile, handwork retrieval was also conducted and the references including in the literature were retrieved. The quality of the literature was rigorously evaluated and extracted independently by two researchers and the data were analyzed and described by review manager 5.3(RevMan5.3) software.Results: In all, 19 articles including 8 articles in Chinese and 11 in English were chosen. A total of 30,176 participants were included and the sample size ranged from 64 to 6,024. The overall awareness of HPV and HPV vaccine among Chinese women was at a low level. Chinese women generally showed poor knowledge about HPV and HPV vaccine. Acceptance of HPV vaccination among Chinese women was at a high level. Vaccination intentions were influenced by the theory of planned behavior(TPB) and measured by attitudes subjective norms and perceived behavioral control.Conclusions: The health authorities may evaluate and develop TPB-based interventions to increase HPV vaccination intentions of Chinese women. HPV vaccination programs should focus on carrying out multi-level and targeted health education and developing effective public health strategies after balancing the cost and benefit of HPV vaccine program. Medical staff should play the positive role in promoting the use of HPV vaccines in China. Integration of policy and community perspectives and multi-level interventions are essential to maximize the public health benefits of HPV vaccination.

Prediction of Adherence to a 9-Week Corporate Wellness Walking Program

The health and economic benefits of workplace wellness programs are well founded, but the favorable results only occur when employees choose to participate and adhere to these programs. The objective of this study was to use the Theory of Planned Behavior and Self-Efficacy Theory to predict whether participants adhered to a corporate wellness walking program. The sample consisted of 110 faculty and staff at a private university who enrolled in a walking program through the university’s wellness center. Participants completed surveys at the beginning of the program. The surveys measured self-reported physical activity, as well as theoretical construct of self-efficacy and those related to the Theory of Planned Behavior—attitude, social norms, perceived behavioral control and intention. Sixty percent of participants were found to meet the program’s goals. Self-reported physical activity (p = 0.036), barrier self-efficacy (p = 0.016), walking self-efficacy (p = 0.002), and intention (p < 0.001) were greater in those who met the goals than those who did not meet the goals of the program. Walking self-efficacy (p < 0.001), attitude (p < 0.001) and perceived behavioral control (p = 0.024) were all found to predict intention to walk and intention was a significant predictor of whether or not the participants met goals of the program (p = 0.022). This suggests behavioral interventions aimed at increasing participant self-efficacy and intentions could positively affect program adherence and the successfulness of a workplace wellness program.

Comparison of characteristics among Korean American male smokers between survey and cessation studies

This study compared characteristics of Korean American men in two studies: a telephone survey with a random sample of Korean American men who reported daily smoking versus a smoking cessation clinical trial with a convenience sample of Korean American men who reported smoking at least 10 cigarettes a day. Guided by the Theory of Planned Behavior (TPB), both studies attempted to explain how much its theoretical variables (attitudes, perceived social norms, and self-efficacy) would explain quit intentions in Korean American men. Participants in the cessation study were less likely to have health insurance coverage (χ2 [2, 271] = 138.31, p = 0.001) than those in the survey study. The cessation group was more likely to smoke in indoor offices (χ2 [1, 231] = 18.09, p = 0.003) and had higher nicotine dependence than the survey group (t269 = 3.32, p = 0.001) but these differences became insignificant when only those who smoked 10 or more cigarettes were compared. Participants in the cessation study had more positive attitudes towards quitting (t267 = 4.99, p < 0.001), stronger perceived social norms favoring quitting (t269 = 5.63, p t268 = 9.86, p < 0.001) at baseline than those in the survey study. Korean American men are more likely to have a quit intention and make a quit attempt when they have more positive and fewer negative attitudes towards quitting and perceive stronger social norms favoring quitting. To motivate Korean American men to quit smoking, clinicians should underscore the immediate health benefits of quitting, promote quitting with cessation aids to reduce perceived risks of quitting in anticipation of withdrawal symptoms, and encourage family members to relate firm anti-smoking messages.

Attitudes and Intentions of Greek Athletes and Coaches Regarding Doping

The aim of this study was to examine athletes’ and coaches’ attitudes and intentions with regard to doping, using the theory of planned behavior (TPB) model. This model [1], explains all the behaviors which are related to self-control, based to the theory that intentions are influenced by attitude, perceived behavioral control and subjective norms. The variable “morality” was added to the original model. One hundred and forty-three athletes (mean age = 20.93 ± 2.90) who were involved in competitive sports and 50 coaches (mean age = 35.74 ± 7.80) participated in the study. A questionnaire was administered to assess the demographics (age, gender, sport type, competitive level, years of sport participation and education), attitudes, subjective norms, perceived behavioral control, intentions, morality and doping choices of athletes and coaches with regard to doping. The results showed that attitudes (62%), perceived behavioral control (3%), and morality (4%) were significant predictors of athletes’ intentions to engage in doping choices but that coaches’ only attitudes were the most important predictor of intentions to engage in doping choices (72%). The most important predictors of 1st and 2nd doping choices were intentions (78% and 68%) and perceived behavioral control (1%) for athletes and intentions (84% and 79%) for coaches.

FACTORS INFLUENCING FOOD-WASTE BEHAVIORS AT UNIVERSITY CANTEENS IN BEIJING,CHINA:AN INVESTIGATION BASED ON THE THEORY OF PLANNED BEHAVIOR

Food waste is a major social problem that contributes to the overutilization of natural resources,affecting economic progress and environmental protection.Food waste occurs throughout the whole process of the food supply chain,especially during the consumption stage.As a special group of consumers,the emerging adults at university may have unique food consumption patterns and their food waste behavior in university canteens deserves more attention.To understand the influential factors of the food-waste behavior of students in university canteens,a field survey was conducted at China Agricultural University canteen with 705 respondents.Based on the theory of planned behavior,this paper examines the influencing factors of student food-waste behavior from three dimensions:sociopsychological factors,individual characteristics and dining factors.The results indicate that the percentage of students who waste food is relatively low,at roughly 27%.Perceived behavior control,gender,monthly living expenses,BMI,mealtime,meal expectations and food portion were significantly correlated with student food-waste behavior,among which perceived behavior control had the most prominent correlation,followed by food portion.Behavioral intention,household location and palatability were not significantly correlated with student food-waste behavior.Therefore,it is necessary to promote publicity and education on reducing food waste on campus,reinforce the administration of the department of support service,and optimize the food portion in the canteen.

On-Line Privacy Behavior: Using User Interfaces for Salient Factors

The problem of privacy in social networks is well documented within literature;users have pri- vacy concerns however, they consistently disclose their sensitive information and leave it open to unintended third parties. While numerous causes of poor behaviour have been suggested by re- search the role of the User Interface (UI) and the system itself is underexplored. The field of Per- suasive Technology would suggest that Social Network Systems persuade users to deviate from their normal or habitual behaviour. This paper makes the case that the UI can be used as the basis for user empowerment by informing them of their privacy at the point of interaction and remind- ing them of their privacy needs. The Theory of Planned Behaviour is introduced as a potential theoretical foundation for exploring the psychology behind privacy behaviour as it describes the salient factors that influence intention and action. Based on these factors of personal attitude, subjective norms and perceived control, a series of UIs are presented and implemented in con- trolled experiments examining their effect on personal information disclosure. This is combined with observations and interviews with the participants. Results from this initial, pilot experiment suggest groups with privacy salient information embedded exhibit less disclosure than the control group. This work reviews this approach as a method for exploring privacy behaviour and propos- es further work required.

Optimal Configuration Method for the Installed Capacity of the Solar-Thermal Power Stations

Because of the randomness of wind power and photovoltaic(PV)output of new energy bases,the problem of peak regulation capability and voltage stability of ultra-high voltage direct current(UHVDC)transmission lines,we proposed an optimum allocation method of installed capacity of the solar-thermal power station based on chance constrained programming in this work.Firstly,we established the uncertainty model of wind power and PV based on the chance constrained planning theory.Then we used the K-medoids clusteringmethod to cluster the scenarios considering the actual operation scenarios throughout the year.Secondly,we established the optimal configuration model based on the objective function of the strongest transient voltage stability and the lowest overall cost of operation.Finally,by quantitative analysis of actual wind power and photovoltaic new energy base,this work verified the feasibility of the proposed method.As a result of the simulations,we found that using the optimal configuration method of solar-thermal power stations could ensure an accurate allocation of installed capacity.When the installed capacity of the solar-thermal power station is 1×106 kW,the transient voltage recovery index(TVRI)is 0.359,which has a strong voltage support capacity for the system.Based on the results of this work,the optimal configuration of the installed capacity of the solar-thermal power plant can improve peak shaving performance,transient voltage support capability,and new energy consumption while satisfying the Direct Current(DC)outgoing transmission premise.