Moderators of the mediated effect of intentions, planning, and saturated-fat intake in obese individuals

Health Psychol. 2012 May;31(3):371-9. doi: 10.1037/a0026497. Epub 2011 Dec 5.

Abstract

Objective: The present study aimed to advance our understanding of health-related theory, that is, the alleged intention-behavior gap in an obese population. It examined the mediating effects of planning on the intention-behavior relationship and the moderated mediation effects of age, self-efficacy and intentions within this relationship.

Method: The study was conducted over a five-week period. Complete data from 571 obese participants were analyzed. The moderated mediation hypothesis was conducted using multiple-regression analysis. To test our theoretical model, intentions (Week 2), action self-efficacy (Week 2), maintenance self-efficacy (Week 5), planning (Week 5), and saturated-fat intake (Weeks 1 and 5) were measured by self-report.

Results: As hypothesized, planning mediated the intention-behavior relationship for perceived (two-item scale) and percentage-saturated-fat intake (measured by a food frequency questionnaire). Age, self-efficacy, and intention acted as moderators in the above mediation analysis. In specific, younger individuals, those with stronger intention, and people with higher levels of maintenance self-efficacy at higher levels of planning showed greater reductions in their perceived saturated-fat intake.

Conclusions: For successful behavior change, knowledge of its mediators and moderators is needed. Future interventions targeting planning to change saturated-fat intake should be guided by people's intentions, age, and self-efficacy levels.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Behavior Therapy
  • Cardiovascular Diseases / epidemiology
  • Dietary Fats*
  • Feeding Behavior*
  • Female
  • Health Behavior
  • Humans
  • Intention*
  • Male
  • Middle Aged
  • Negotiating
  • Obesity / psychology*
  • Patient Education as Topic
  • Perception
  • Risk
  • Self Efficacy*
  • Self Report

Substances

  • Dietary Fats