The role of health behavior theories in parents’ initial engagement with parenting interventions

Article


Gonzalez, Carolina, Morawska, Alina and Haslam, Divna M.. 2023. "The role of health behavior theories in parents’ initial engagement with parenting interventions." Journal of Consulting and Clinical Psychology. 91 (8), p. 485–495. https://doi.org/https://10.1037/ccp0000816
Article Title

The role of health behavior theories in parents’ initial engagement with parenting interventions

ERA Journal ID6380
Article CategoryArticle
AuthorsGonzalez, Carolina, Morawska, Alina and Haslam, Divna M.
Journal TitleJournal of Consulting and Clinical Psychology
Journal Citation91 (8), p. 485–495
Number of Pages11
Year2023
PublisherAmerican Psychological Association
Place of PublicationUnited States
ISSN0022-006X
1939-2117
Digital Object Identifier (DOI)https://doi.org/https://10.1037/ccp0000816
Web Address (URL)https://psycnet.apa.org/record/2023-68602-001
Abstract

Objective: To examine the relationship between health belief model (HBM; i.e., perceived threat, benefits, costs, and self-efficacy) and theory of planned behavior (TPB; i.e., attitudes, social norms, and perceived behavioral control) constructs and parents’ intention to participate and initial engagement (i.e., recruitment, enrollment, and first attendance) with a parenting intervention. Method: Participants were parents (n = 699, mean age = 38.29 years, 90.4% mothers) of 2–12-year-old children. The study conducted secondary analysis of cross-sectional data collected for an experimental study of engagement strategies. Participants provided self-report data on HBM constructs, TPB constructs, and intention to participate. Measures of initial parent engagement were also collected (i.e., recruitment, enrollment, and first attendance). Logistic regressions evaluated the impact of HBM and TPB constructs, and their combination, on intention to participate and initial parent engagement. Results: Analyses indicated that all HBM constructs increased the odds of parents’ intention to participate and enrollment. In terms of TPB, parents’ attitudes and subjective norms, but not perceived behavioral control, were significant predictors of intention to participate and enrollment. When combined in one model, parents’ perceived costs, self-efficacy, attitudes, and subjective norms predicted intention to participate, whereas perceived threat, costs, attitudes, and subjective norms increased odds of enrolling in the intervention. Regression models for first attendance were not significant and those for recruitment could not be conducted due to lack of variance. Conclusions: The findings demonstrate the relevance of using both HBM and TPB constructs when enhancing parent intention to participate and enrollment.

Keywordsparents; initial parent engagement; parent training; health belief model; theory of planned behavior
ANZSRC Field of Research 2020520302. Clinical psychology
520101. Child and adolescent development
420603. Health promotion
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Byline AffiliationsUniversity of Queensland
School of Psychology and Wellbeing
Queensland University of Technology
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