Intention to adopt a healthy diet among women with and without a history of gestational diabetes: Constructs and beliefs from the theory of planned behavior

Women with a history of gestational diabetes (GDM) have difficulty maintaining a healthy diet after delivery. The theory of planned behavior (TPB) is effective in identifying the determinants of adopting a healthy diet. The objectives were to identify the determinants of the intention to adopt a hea...

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Main Authors: Mélissa Bélanger, Camille Dugas, Julie Perron, Annie St-Yves, Maryka Rancourt-Bouchard, S. John Weisnagel, Julie Robitaille
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S221133552300219X
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author Mélissa Bélanger
Camille Dugas
Julie Perron
Annie St-Yves
Maryka Rancourt-Bouchard
S. John Weisnagel
Julie Robitaille
author_facet Mélissa Bélanger
Camille Dugas
Julie Perron
Annie St-Yves
Maryka Rancourt-Bouchard
S. John Weisnagel
Julie Robitaille
author_sort Mélissa Bélanger
collection DOAJ
description Women with a history of gestational diabetes (GDM) have difficulty maintaining a healthy diet after delivery. The theory of planned behavior (TPB) is effective in identifying the determinants of adopting a healthy diet. The objectives were to identify the determinants of the intention to adopt a healthy diet among the TPB constructs in women with (GDM+) and without (GDM−) a history of GDM, and to identify the beliefs associated with these constructs. The study was conducted in Québec (Canada) between 2009 and 2017. Data from 213 GDM+ and 91 GDM− women were analyzed. Women completed a questionnaire on the determinants of intention to adopt a healthy diet, defined as adherence to 2007 Canada's Food Guide. The subjective norm and perceived behavioral control (PBC) constructs were associated with the intention to adopt a healthy diet among GDM+ women (β = 2.21 and β = 4.37, respectively, p < 0.0001), whereas among GDM− women, PBC was the only construct associated with intention (β = 0.78; p < 0.0001). More specifically among GDM+ women, the disapproval of a family member other than the partner (β = 1.49; p = 0.0005), not feeling capable of adopting a healthy diet with access to food treats (β = 1.58; p < 0.0001), lack of free time (β = 1.31; p = 0.002), lack of information about healthy eating (β = 1.02; p = 0.015) or lack of easy recipes to prepare (β = 0.84; p = 0.042) was associated with a lower intention to adopt a healthy diet. Overall, among GDM+ women, different beliefs related to the subjective norm and PBC could be targeted to improve the eating habits of this specific population.
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spelling doaj.art-9ab5102a54b943c18e4547713bf60ef62023-09-20T04:21:03ZengElsevierPreventive Medicine Reports2211-33552023-10-0135102328Intention to adopt a healthy diet among women with and without a history of gestational diabetes: Constructs and beliefs from the theory of planned behaviorMélissa Bélanger0Camille Dugas1Julie Perron2Annie St-Yves3Maryka Rancourt-Bouchard4S. John Weisnagel5Julie Robitaille6School of Nutrition, Université Laval, 2425 rue de l’Agriculture, Québec, Québec G1V 0A6, Canada; Centre Nutrition, santé et société (NUTRISS), Institute of Nutrition and Functional Foods (INAF), Université Laval, 2440 Boulevard Hochelaga, Québec, Québec G1V 0A6, Canada; Endocrinology and Nephrology Axis, CHU de Quebec Research Center, 2705 Boulevard Laurier, Québec, Québec G1V 4G2, CanadaSchool of Nutrition, Université Laval, 2425 rue de l’Agriculture, Québec, Québec G1V 0A6, Canada; Centre Nutrition, santé et société (NUTRISS), Institute of Nutrition and Functional Foods (INAF), Université Laval, 2440 Boulevard Hochelaga, Québec, Québec G1V 0A6, Canada; Endocrinology and Nephrology Axis, CHU de Quebec Research Center, 2705 Boulevard Laurier, Québec, Québec G1V 4G2, CanadaCentre Nutrition, santé et société (NUTRISS), Institute of Nutrition and Functional Foods (INAF), Université Laval, 2440 Boulevard Hochelaga, Québec, Québec G1V 0A6, CanadaFaculty of Medicine and Health Sciences, Université de Sherbrooke, 3001 12e Avenue Nord, Sherbrooke, Québec J1H 5N4, CanadaCentre Nutrition, santé et société (NUTRISS), Institute of Nutrition and Functional Foods (INAF), Université Laval, 2440 Boulevard Hochelaga, Québec, Québec G1V 0A6, CanadaEndocrinology and Nephrology Axis, CHU de Quebec Research Center, 2705 Boulevard Laurier, Québec, Québec G1V 4G2, Canada; Diabetes Research Unit, Laval University Medical Research Center, 2705 boulevard Laurier, Québec, Québec G1V 4G2, CanadaSchool of Nutrition, Université Laval, 2425 rue de l’Agriculture, Québec, Québec G1V 0A6, Canada; Centre Nutrition, santé et société (NUTRISS), Institute of Nutrition and Functional Foods (INAF), Université Laval, 2440 Boulevard Hochelaga, Québec, Québec G1V 0A6, Canada; Endocrinology and Nephrology Axis, CHU de Quebec Research Center, 2705 Boulevard Laurier, Québec, Québec G1V 4G2, Canada; Corresponding author at: School of Nutrition, Institute of Nutrition and Functional Foods (INAF), Université Laval, 2440 Boulevard Hochelaga, Québec, Québec G1V 0A6, Canada.Women with a history of gestational diabetes (GDM) have difficulty maintaining a healthy diet after delivery. The theory of planned behavior (TPB) is effective in identifying the determinants of adopting a healthy diet. The objectives were to identify the determinants of the intention to adopt a healthy diet among the TPB constructs in women with (GDM+) and without (GDM−) a history of GDM, and to identify the beliefs associated with these constructs. The study was conducted in Québec (Canada) between 2009 and 2017. Data from 213 GDM+ and 91 GDM− women were analyzed. Women completed a questionnaire on the determinants of intention to adopt a healthy diet, defined as adherence to 2007 Canada's Food Guide. The subjective norm and perceived behavioral control (PBC) constructs were associated with the intention to adopt a healthy diet among GDM+ women (β = 2.21 and β = 4.37, respectively, p < 0.0001), whereas among GDM− women, PBC was the only construct associated with intention (β = 0.78; p < 0.0001). More specifically among GDM+ women, the disapproval of a family member other than the partner (β = 1.49; p = 0.0005), not feeling capable of adopting a healthy diet with access to food treats (β = 1.58; p < 0.0001), lack of free time (β = 1.31; p = 0.002), lack of information about healthy eating (β = 1.02; p = 0.015) or lack of easy recipes to prepare (β = 0.84; p = 0.042) was associated with a lower intention to adopt a healthy diet. Overall, among GDM+ women, different beliefs related to the subjective norm and PBC could be targeted to improve the eating habits of this specific population.http://www.sciencedirect.com/science/article/pii/S221133552300219XTheory of planned behaviorBeliefsDietPostpartum lifestyleDiabetesGestational
spellingShingle Mélissa Bélanger
Camille Dugas
Julie Perron
Annie St-Yves
Maryka Rancourt-Bouchard
S. John Weisnagel
Julie Robitaille
Intention to adopt a healthy diet among women with and without a history of gestational diabetes: Constructs and beliefs from the theory of planned behavior
Preventive Medicine Reports
Theory of planned behavior
Beliefs
Diet
Postpartum lifestyle
Diabetes
Gestational
title Intention to adopt a healthy diet among women with and without a history of gestational diabetes: Constructs and beliefs from the theory of planned behavior
title_full Intention to adopt a healthy diet among women with and without a history of gestational diabetes: Constructs and beliefs from the theory of planned behavior
title_fullStr Intention to adopt a healthy diet among women with and without a history of gestational diabetes: Constructs and beliefs from the theory of planned behavior
title_full_unstemmed Intention to adopt a healthy diet among women with and without a history of gestational diabetes: Constructs and beliefs from the theory of planned behavior
title_short Intention to adopt a healthy diet among women with and without a history of gestational diabetes: Constructs and beliefs from the theory of planned behavior
title_sort intention to adopt a healthy diet among women with and without a history of gestational diabetes constructs and beliefs from the theory of planned behavior
topic Theory of planned behavior
Beliefs
Diet
Postpartum lifestyle
Diabetes
Gestational
url http://www.sciencedirect.com/science/article/pii/S221133552300219X
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