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Assessing intentions to eat low-glycemic index foods by adults with diabetes using a new questionnaire based on the theory of planned behaviour.

Canadian journal of diabetes
April 1, 2015
Tomoe Watanabe et al. (4 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tHuman Study
Study Details

Study Goal

The researchers aimed to understand which Theory of Planned Behaviour constructs, demographic characteristics, and diabetes-related variables best predict intention to consume a low-glycemic-index diet among people with diabetes.

Results Summary

The study found that instrumental attitude, subjective norms, and perceived behavioral control significantly predicted intentions to eat a low-GI diet. Older age, higher income, female gender, type 2 diabetes, diet-only treatment, and understanding of the GI were positively associated with intention to consume a low-GI diet.

Population

369 adults (30-75 years) with type 1 or type 2 diabetes.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low-GI diet
decrease
blood glucose levels
adults with type 1 or type 2 diabetes
-
reduction and maintenance of healthy blood glucose levels
#1
low-GI diet
increase
intention to eat a low-GI diet
older age adults with diabetes
-
positively associated with intention to eat
#2
low-GI diet
increase
intention to eat a low-GI diet
higher income adults with diabetes
-
positively associated with intention to eat
#3
low-GI diet
increase
intention to eat a low-GI diet
female adults with diabetes
-
positively associated with intention to eat
#4
low-GI diet
increase
intention to eat a low-GI diet
adults with type 2 diabetes
-
positively associated with intention to eat
#5
low-GI diet
increase
intention to eat a low-GI diet
adults with diabetes treatment (diet only)
-
positively associated with intention to eat
#6
low-GI diet
increase
intention to eat a low-GI diet
adults with understanding of the GI
-
positively associated with intention to eat
#7
instrumental attitude
increase
intentions to eat a low-GI diet
adults with type 1 or type 2 diabetes
beta = 0.24
significantly predicted intentions to eat
#8
subjective norms
increase
intentions to eat a low-GI diet
adults with type 1 or type 2 diabetes
beta = 0.13
significantly predicted intentions to eat
#9
perceived behavioural control
increase
intentions to eat a low-GI diet
adults with type 1 or type 2 diabetes
beta = 0.55
significantly predicted intentions to eat
#10
Abstract

OBJECTIVE: The Canadian Diabetes Association recommends that people with diabetes choose foods with low-glycemic index (GI). This study developed a questionnaire measuring Theory of Planned Behaviour (TPB) constructs relative to consuming a low-GI diet by people with diabetes so as to achieve a better understanding of which TPB constructs, demographic characteristics and diabetes-related variables best predict intention to consume a low-GI diet. METHOD: A questionnaire to measure intentions to consume a low-GI diet was developed based on TPB constructs and was administered to 369 adults (30 to 75 years) with type 1 or type 2 diabetes. Responses were analyzed using multiple linear regression. RESULTS: More than 90% of participants (mean age, 56.5±10.8 years; mean body mass index, 30.5±7.2 kg/m(2)) cited reduction and maintenance of healthy blood glucose levels as an advantage of eating low-GI foods. Older age, higher income, female gender, having type 2 diabetes, diabetes treatment (diet only) and understanding of the GI were positively associated with intention to eat a low-GI diet. TPB constructs that significantly predicted intentions to eat a low-GI diet were instrumental attitude (beta = 0.24, p<0.001); subjective norms (beta = 0.13, p=0.007); and perceived behavioural control (beta = 0.55, p<0.001). CONCLUSIONS: This new questionnaire is a valid tool to assess TPB constructs contributing to intentions to eat a low-GI diet by people with diabetes. Future studies that use this questionnaire can shed light on how TPB concepts in clinical practice can help people with diabetes to change their dietary intake.

Medical Subject Headings (MeSH)
AdultAgedDiabetes MellitusEpidemiologic Research DesignFeeding BehaviorGlycemic IndexHealth BehaviorHumansMiddle AgedRegression AnalysisSurveys and Questionnaires
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations8
Citations/Year0.8
Relative Citation Ratio0.44
NIH Percentile23.9%
Research Impact Scores
APT Score0.50
Weight Score1.63
Normalized Score0.66
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