An Information-Motivation-Behavioral Skills Analysis of Diet and Exercise Behavior in Puerto Ricans with Diabetes
Open accessAbstract
Frameworks are needed to inform diabetes self-care programs for diverse populations. We tested the Information—Motivation—Behavioral Skills (IMB) model in a sample of Puerto Ricans with Type 2 diabetes ( N = 118). Structural equation models evaluated model fit and interrelations between IMB constructs. For diet behavior, information and motivation related to behavioral skills ( r = 0.19, p < .05 and r = 0.39, p < .01, respectively); behavioral skills related to behavior ( r = 0.42, p < .01 and r = 0.32, p < .05); and behavior related to glycemic control ( r = —0.26, p < .05). For exercise, personal motivation related to behavioral skills ( r = 0.53, p < .001), and behavioral skills related to behavior ( r = 0.45, p < .001). The IMB model could inform interventions targeting these behaviors in diabetes.
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The information-motivation-behavioral skills model promotes increasing information/knowledge in order to motivate behavioral change.
“IMB promotes increasing information/ knowledge in order to motivate behavioral change.”
From Growing from Our Roots: Strategies for Developing Culturally Grounded Health Promotion Interventions in American Indian, Alaska Native, and Native Hawaiian Communities (2020) · cites this paper as Osborn, Amico, Fisher et al., 2010
The model description in the passage labeled Abstract identifies information and motivation as determinants of behavior, and the Discussion says interventions could target both. But the paper treats them as distinct: information is necessary but insufficient, and it does not say that increasing knowledge motivates behavioral change. (LLM, conf=0.85)
Experimental — accuracy not yet measuredWhile Yappalli centers on Native Original Instructions, traditions, and culture, it also incorporates evidence-based prevention models including the information-motivation-behavioral skills model.
“While the Yappalli intervention centers on Native OI, traditions and culture, it also incorporates evidence-based prevention models including the information-motivation-behavioral skills (IMB) model (Osborn, Amico, Fisher et al., 2010).”
From Growing from Our Roots: Strategies for Developing Culturally Grounded Health Promotion Interventions in American Indian, Alaska Native, and Native Hawaiian Communities (2020) · cites this paper as Osborn, Amico, Fisher et al., 2010
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Cites
The summary of diabetes self-care activities measure: results from 7 studies and a revised scale.
Toobert, D. J., Hampson, S. E., & Glasgow, R. E. (2000) · Diabetes Care · doi:10.2337/diacare.23.7.943 · Cited by 2,561 · see citing works
Tudor-Locke, C., Bell, R. C., Myers, A. M., Harris, S. B., Ecclestone, N. A., Lauzon, N., & Rodger, N. W. (2004) · International Journal of Obesity · doi:10.1038/sj.ijo.0802485 · Cited by 321 · see citing works
Araiza, P., Hewes, H., Gashetewa, C., Vella, C. A., & Burge, M. R. (2006) · Metabolism · doi:10.1016/j.metabol.2006.06.009 · Cited by 183 · see citing works
Flagged first, then by citations
Research works printed but not linked: 35
- Aman J Skinner TC de Beaufort CE Swift PG Aanstoot HJ Cameron F 2009 Associations between physical activity, sedentary behavior, and glycemic control in a large cohort of adolescents with type 1 diabetes: the Hvidoere Study Group on Childhood Diabetes Pediatric Diabetes 10 4 234 239 19140898
- Amico KR Barta W Konkle-Parker DJ Fisher JD Cornman DH Shuper PA 2009 The information-motivation-behavioral skills model of ART adherence in a deep south HIV+ clinic sample AIDS and Behavior 13 1 66 75 17876697 PMC3018830
- Amico KR Toro-Alfonso J Fisher JD 2005 An empirical test of the information, motivation and behavioral skills model of antiretroviral therapy adherence AIDS Care 17 6 661 673 16036253
- Bonow RO Gheorghiade M 2004 The diabetes epidemic: a national and global crisis The American Journal of Medicine 116 Suppl 5A 2S 10S 15019858
- Borgermans LA Goderis G Ouwens M Wens J Heyrman J Grol RP 2008 Diversity in diabetes care programmes and views on high quality diabetes care: are we in need of a standardized framework? International Journal of Integrated Care 8 e07 18493592 PMC2387191
- Cleghorn GD Nguyen M Roberts B Duran G Tellez T Alecon M 2004 Practice-based interventions to improve health care for Latinos with diabetes Ethnicity & Disease 14 3 Suppl 1 S117 121 15682780
- Coffman MJ 2008 Effects of tangible social support and depression on diabetes self- efficacy Journal of Gerontological Nursing 34 4 32 39 18429377
- Elder JP Ayala GX Harris S 1999 Theories and intervention approaches to health-behavior change in primary care American Journal of Preventive Medicine 17 4 275 284 10606196
- Fishbein M Ajzen I 1975 Belief, attitude, intention and behavior: An introduction to theory and research Reading, MA Addison-Wesley
- Fisher JD Amico KR Fisher WA Harman JJ 2008 The information-motivation-behavioral skills model of antiretroviral adherence and its applications Current HIV/AIDS Reports 5 4 193 203 18838059
- Fisher JD Cornman DH Osborn CY Amico KR Fisher WA Friedland GA 2004 Clinician-initiated HIV risk reduction intervention for HIV-positive persons: Formative Research, Acceptability, and Fidelity of the Options Project Journal of Acquired Immune Deficiency Syndrome 37 Suppl 2 S78 87 15385903
- Fisher JD Fisher WA 1992 Changing AIDS-risk behavior Psychological Bulletin 111 3 455 474 1594721
- Fisher JD Fisher WA Amico KR Harman JJ 2006 An information-motivation-behavioral skills model of adherence to antiretroviral therapy Health Psychology 25 4 462 473 16846321
- Fisher JD Fisher WA Bryan AD Misovich SJ 2002 Information-motivation-behavioral skills model-based HIV risk behavior change intervention for inner-city high school youth Health Psychology 21 2 177 186 11950108
- Fisher JD Fisher WA Cornman DH Amico RK Bryan A Friedland GH 2006 Clinician-delivered intervention during routine clinical care reduces unprotected sexual behavior among HIV-infected patients Journal of Acquired Immune Deficiency Syndrome 41 1 44 52 16340472
- Fisher JD Fisher WA Williams SS Malloy TE 1994 Empirical tests of an information-motivation-behavioral skills model of AIDS-preventive behavior with gay men and heterosexual university students Health Psychology 13 3 238 250 8055859
- Fisher WA Fisher JD Rye BJ 1995 Understanding and promoting AIDS-preventive behavior: Insights from the theory of reasoned action Health Psychology 14 3 255 264 7641667
- Fisher WA Schachner H in press Self-monitoring of blood glucose in diabetic children and adolescents--barriers, behaviors, and the search for solutions US Endocrinology
- Gollenberg A Pekow P Markenson G Tucker KL Chasan-Taber L 2008 Dietary behaviors, physical activity, and cigarette smoking among pregnant Puerto Rican women The American Journal of Clinical Nutrition 87 6 1844 1851 18541576
- Kennedy L Herman WH 2005 Glycated hemoglobin assessment in clinical practice: comparison of the A1cNow point-of-care device with central laboratory testing (GOAL A1C Study) Diabetes Technology and Therapeutics 7 6 907 912 16386096
- Kirk A Mutrie N MacIntyre P Fisher M 2003 Increasing physical activity in people with type 2 diabetes Diabetes Care 26 4 1186 1192 12663595
- Ligtenberg PC Blans M Hoekstra JB van der Tweel I Erkelens DW 1999 No effect of long-term physical activity on the glycemic control in type 1 diabetes patients: a cross-sectional study The Netherlands Journal of Medicine 55 2 59 63 10474273
- Lipton RB Losey L Giachello AL Corral M Girotti MH Mendez JJ 1996 Factors affecting diabetes treatment and patient education among Latinos: results of a preliminary study in Chicago Journal of Medical Systems 20 5 267 276 9001994
- Melnik TA Hosler AS Sekhobo JP Duffy TP Tierney EF Engelgau MM 2004 Diabetes prevalence among Puerto Rican adults in New York City, NY, 2000 American Journal of Public Health 94 3 434 437 14998808 PMC1448270
- Misovich SJ Martinez T Fisher JD Bryan A Catapano N 2003 Predicting breast self-examination: A test of the information-motivation-behavioral skills model Journal of Applied Social Psychology 33 4 775 790
- Murray DM 2001 Exploring motorcycle safety gear use: A theoretical approach Unpublished Master's Thesis University of Connecticut Storrs, CT
- Osborn CY 2006 Using the IMB model of health behavior change to promote self-management behaviors in Puerto Ricans with diabetes Dissertation Abstracts International Section A: Humanities and Social Sciences 67 6-A 2064
- Osborn CY Egede LE 2009 Validation of an Information-Motivation-Behavioral Skills model of diabetes self-care (IMB-DSC) Patient Education and Counseling PMC3042801 19699601
- Pender NJ Pender AR 1986 Attitudes, subjective norms, and intentions to engage in health behaviors Nursing Research 35 1 15 18 3632840
- Sheard NF Clark NG Brand-Miller JC Franz MJ Pi-Sunyer FX Mayer-Davis E 2004 Dietary carbohydrate (amount and type) in the prevention and management of diabetes: a statement by the american diabetes association Diabetes Care 27 9 2266 2271 15333500
- Smith CA Barnett E 2005 Diabetes-related mortality among Mexican Americans, Puerto Ricans, and Cuban Americans in the United States Pan American Journal of Public Health 18 6 381 387 16536924
- Starace F Wagner TM Luzi AM Cafaro L Gallo P Rezza G 2006 Knowledge and attitudes regarding preventative HIV vaccine clinical trials in Italy: results of a national survey AIDS Care 18 1 66 72 16282079
- Vazquez IM Millen B Bissett L Levenson SM Chipkin SR 1998 Buena Alimentacion, Buena Salud: a preventive nutrition intervention in Caribbean Latinos with type 2 diabetes American Journal of Health Promotion 13 2 116 119 10346658
- Whitman S Silva A Shah AM 2006 Disproportionate impact of diabetes in a Puerto Rican community of Chicago Journal of Community Health 31 6 521 531 17186644
- Whittemore R 2000 Strategies to facilitate lifestyle change associated with diabetes mellitus Journal of Nursing Scholarship 32 3 225 232 12462815
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Global aetiology and epidemiology of type 2 diabetes mellitus and its complications
Zheng, Y., Ley, S. H., & Hu, F. B. (2018) · Nature Reviews Endocrinology · doi:10.1038/nrendo.2017.151 · Cited by 5,697 · see citing works
Walters, K. L., Johnson-Jennings, M., Stroud, S., Rasmus, S., Charles, B., John, S., Allen, J., Kaholokula, J. K., Look, M. A., de Silva, M., et al. (2020) · Prevention Science · doi:10.1007/s11121-018-0952-z · Cited by 263 · see citing works
Aminuddin, H. B., Jiao, N., Jiang, Y., Hong, J., & Wang, W. (2021) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2019.02.003 · Cited by 157 · see citing works
Orsama, A.-L., Lähteenmäki, J., Harno, K., Kulju, M., Wintergerst, E., Schachner, H., Stenger, P., Leppänen, J., Kaijanranta, H., Salaspuro, V., et al. (2013) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2013.0056 · Cited by 117 · see citing works
Self-citation
- Authors
- Osborn, C. Y., Rivet Amico, K., Fisher, W. A., Egede, L. E., & Fisher, J. D.
- Affiliations
- Vanderbilt University (US)
- University of Connecticut, USA
- Western University (CA)
- Medical University of South Carolina (US)
- University of Connecticut (US)
- Corresponding author
- Osborn, Chandra Y.
- Venue
- Journal of Health Psychology
- Publisher
- SAGE Publications
- Published
- 2010-05-07
- Volume
- 15
- Issue
- 8
- Pages
- 1201-1213
- ISSN
- 1359-1053 (ISSN-L)
- 1461-7277
- PMC
- PMC3086815
- OpenAlex
- W2142210580
- Cited by
- 107
- References
- 3
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 2 · 2023: 8 · 2022: 9 · 2021: 15 · 2020: 10 · 2019: 10 · 2018: 9 · 2017: 9 · 2016: 4 · 2015: 4 · 2014: 4 · 2013: 7 · 2012: 4
- FWCI
- 2.90
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5p60dk020593-31)
- National Institute of Diabetes and Digestive and Kidney Diseases (P60-DK020593, F31DK067022, P30DK020593)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
- Keywords
- information-motivation-behavioral skills model, type 2 diabetes, diabetes self-care, dietary habits, exercise behavior, behavioral skills, motivation, glycemic control, Puerto Ricans, health behavior interventions
- MeSH terms
- Aged, Blood Glucose, Diabetes Mellitus, Type 2, Exercise Therapy, Female, Hispanic or Latino, Humans, Male, Middle Aged, Motivation, Puerto Rico, Self Care, United States, Information Dissemination, Risk Reduction Behavior
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