Cited by 326Behavioral Health and InterventionsNutrition, Health and Food BehaviorMedia Influence and Health

A systematic literature review and meta-analysis: The Theory of Planned Behavior's application to understand and predict nutrition-related behaviors in youth

Riebl, Shaun K., Estabrooks, Paul A., Dunsmore, Julie C., Savla, Jyoti, Frisard, Madlyn I., Dietrich, Andrea M., Peng, Yiming, Zhang, Xiang +1 more·2015·Eating Behaviors

Abstract

Background Efforts to reduce unhealthy dietary intake behaviors in youth are urgently needed. Theory-based interventions can be effective in promoting behavior change; one promising model is the Theory of Planned Behavior (TPB).Purpose The aim of this study was to determine, using a systematic literature review, how the TPB has been applied to investigate dietary behaviors, and to evaluate which constructs are associated with dietary behavioral intentions and behaviors in youth.Methods Publications were identified by searching electronic databases, contacting experts in the field, and examining an evolving Internet-based TPB-specific bibliography. Studies including participants aged 2-18years, all TPB constructs discernible and measured with a description of how the variables were assessed and analyzed, were published in English and peer-reviewed journals, and focused on nutrition-related behaviors in youth were identified. Accompanying a descriptive statistical analysis was the calculation of effect sizes where possible, a two-stage meta-analysis, and a quality assessment using tenants from the Consolidated Standards of Reporting Trials (CONSORT) and Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statements.Results Thirty-four articles, including three intervention studies, were reviewed. The TPB was most often used to evaluate healthy eating and sugary snack and beverage consumption. Attitude had the strongest relationship with dietary behavioral intention (mean r=0.52), while intention was the most common predictor of behavior performance (mean r=0.38; both p<0.001). All three interventions revealed beneficial outcomes when using the TPB (e.g. η(2)=0.51 and ds=0.91, 0.89, and 0.79); extending the Theory with implementation intentions may enhance its effectiveness (e.g. η(2)=0.76).Conclusions Overall, the TPB may be an effective framework to identify and understand child and adolescent nutrition-related behaviors, allowing for the development of tailored initiatives targeting poor dietary practices in youth. However, support from the literature is primarily from observational studies and a greater effort towards examining these relationships within intervention studies is needed.

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Crossref · 10.1016/j.eatbeh.2015.05.016

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  • A systematic review of TPB applications to nutrition found that attitude had the strongest relationship with dietary behavioral intention, intention was the most common predictor of behavior, and TPB-based interventions had clear beneficial outcomes.

    “Another systematic review of applications of TPB to nutrition-related behaviors found that, of the constructs, attitude had the strongest relationship with dietary behavioral intention, intention was the most common predictor of behavior, and TPB-based interventions had clear beneficial outcomes (Riebl et al., 2015).”

    From Waste watchers: A food waste reduction intervention among households in Arizona (2021) · cites this paper as Riebl et al., 2015

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Authors
Riebl, S. K., Estabrooks, P. A., Dunsmore, J. C., Savla, J., Frisard, M. I., Dietrich, A. M., Peng, Y., Zhang, X., & Davy, B. M.
Affiliations
  • Virginia Tech (US)
  • Carilion Clinic (US)
Corresponding author
Riebl, Shaun K.
Venue
Eating Behaviors
Publisher
Elsevier BV
Published
2015-08
Volume
18
Pages
160-178
ISSN
1471-0153 (ISSN-L)
OpenAlex
W596194208
Cited by
326
References
93
Citations by year
2026: 17 · 2025: 21 · 2024: 25 · 2023: 22 · 2022: 30 · 2021: 25 · 2020: 71 · 2019: 62 · 2018: 18 · 2017: 14 · 2016: 19 · 2015: 1 · 2012: 1
FWCI
2.39
Type
journal article
Language
en
Open access
closed
Locations
  • Eating Behaviors (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Social Sciences › Arts and Humanities › Literature and Literary Theory › Media Influence and Health
Keywords
theory of planned behavior, youth, dietary behavior, healthy eating, attitudes, behavioral intention, implementation intentions, child and adolescent nutrition, behaviour change interventions
MeSH terms
Adolescent, Attitude, Child, Child, Preschool, Diet, Humans, Psychological Theory, Health Behavior, Randomized Controlled Trials as Topic, Intention, Observational Studies as Topic

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