Application of an integrated behaviour-change model on grandparental adherence towards childhood domestic injury prevention in Hong Kong: a longitudinal study
Background/purpose Every year, unintentional injury claims thousands of children’s lives and causes disabilities in many more. For very young children, these injuries often occur at home. The risks of domestic injury can be reduced through proper implementation of injury preventive measures. In this...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-07-01
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| Series: | BMJ Public Health |
| Online Access: | https://bmjpublichealth.bmj.com/content/2/1/e000213.full |
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| author | Martin S Hagger Patrick Ip Derwin King Chung Chan Roni Man Ying Chiu Catherine M Capio Patrick S H Yung Agnes Y K Lai |
| author_facet | Martin S Hagger Patrick Ip Derwin King Chung Chan Roni Man Ying Chiu Catherine M Capio Patrick S H Yung Agnes Y K Lai |
| author_sort | Martin S Hagger |
| collection | DOAJ |
| description | Background/purpose Every year, unintentional injury claims thousands of children’s lives and causes disabilities in many more. For very young children, these injuries often occur at home. The risks of domestic injury can be reduced through proper implementation of injury preventive measures. In this study, we investigated the motivational and belief processes underlying childhood domestic injury prevention in grandparent caregivers based on the integrated model of self-determination theory and theory of planned behaviour.Method Grandparents (n=299, mean age=62.61 years, SD=5.91, men=20.07%) of 0–2-year-old infants and toddlers self-reported their perceived psychological need support, autonomous motivation, perceived behavioural control (PBC), subjective norms, attitude, intention and adherence with regard to domestic injury prevention for their children at two time points (T1: baseline, T2: 4-month follow-up).Results/outcomes Data were analysed with structural equation modelling, and the proposed model yielded an acceptable fit with the data: χ2=905.09 (df=531), Comparative Fit Index=0.94, Tucker-Lewis Index=0.93, root mean square error of approximation=0.05 and standardised root mean square residual=0.078. Our results supported our hypothesis, demonstrating significant and positive associations between the following key constructs: (1) psychological need support from family and autonomous motivation; (2) autonomous motivation and social-cognitive beliefs; (3) social-cognitive beliefs and intentions; and (4) intention and behavioural adherence. Subjective norms and PBC, but not attitudes, were also found to significantly mediate the indirect effects of psychological need support and autonomous motivation on intention and behavioural adherence.Conclusions Overall, the integrated model seems to be a feasible framework for explaining grandparents’ domestic injury prevention behaviour. |
| format | Article |
| id | doaj-art-bde378d39fb84b20aa7f9fb65bb9bdfa |
| institution | Kabale University |
| issn | 2753-4294 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Public Health |
| spelling | doaj-art-bde378d39fb84b20aa7f9fb65bb9bdfa2025-01-28T15:55:10ZengBMJ Publishing GroupBMJ Public Health2753-42942024-07-012110.1136/bmjph-2023-000213Application of an integrated behaviour-change model on grandparental adherence towards childhood domestic injury prevention in Hong Kong: a longitudinal studyMartin S Hagger0Patrick Ip1Derwin King Chung Chan2Roni Man Ying Chiu3Catherine M Capio4Patrick S H Yung5Agnes Y K Lai6University of California Merced, Merced, California, USADepartment of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong KongThe Education University of Hong Kong, Hong Kong, Hong KongThe Education University of Hong Kong, Hong Kong, Hong KongThe Education University of Hong Kong, Hong Kong, Hong KongThe Chinese University of Hong Kong, Hong Kong, Hong KongHong Kong Metropolitan University, Hong Kong, Hong KongBackground/purpose Every year, unintentional injury claims thousands of children’s lives and causes disabilities in many more. For very young children, these injuries often occur at home. The risks of domestic injury can be reduced through proper implementation of injury preventive measures. In this study, we investigated the motivational and belief processes underlying childhood domestic injury prevention in grandparent caregivers based on the integrated model of self-determination theory and theory of planned behaviour.Method Grandparents (n=299, mean age=62.61 years, SD=5.91, men=20.07%) of 0–2-year-old infants and toddlers self-reported their perceived psychological need support, autonomous motivation, perceived behavioural control (PBC), subjective norms, attitude, intention and adherence with regard to domestic injury prevention for their children at two time points (T1: baseline, T2: 4-month follow-up).Results/outcomes Data were analysed with structural equation modelling, and the proposed model yielded an acceptable fit with the data: χ2=905.09 (df=531), Comparative Fit Index=0.94, Tucker-Lewis Index=0.93, root mean square error of approximation=0.05 and standardised root mean square residual=0.078. Our results supported our hypothesis, demonstrating significant and positive associations between the following key constructs: (1) psychological need support from family and autonomous motivation; (2) autonomous motivation and social-cognitive beliefs; (3) social-cognitive beliefs and intentions; and (4) intention and behavioural adherence. Subjective norms and PBC, but not attitudes, were also found to significantly mediate the indirect effects of psychological need support and autonomous motivation on intention and behavioural adherence.Conclusions Overall, the integrated model seems to be a feasible framework for explaining grandparents’ domestic injury prevention behaviour.https://bmjpublichealth.bmj.com/content/2/1/e000213.full |
| spellingShingle | Martin S Hagger Patrick Ip Derwin King Chung Chan Roni Man Ying Chiu Catherine M Capio Patrick S H Yung Agnes Y K Lai Application of an integrated behaviour-change model on grandparental adherence towards childhood domestic injury prevention in Hong Kong: a longitudinal study BMJ Public Health |
| title | Application of an integrated behaviour-change model on grandparental adherence towards childhood domestic injury prevention in Hong Kong: a longitudinal study |
| title_full | Application of an integrated behaviour-change model on grandparental adherence towards childhood domestic injury prevention in Hong Kong: a longitudinal study |
| title_fullStr | Application of an integrated behaviour-change model on grandparental adherence towards childhood domestic injury prevention in Hong Kong: a longitudinal study |
| title_full_unstemmed | Application of an integrated behaviour-change model on grandparental adherence towards childhood domestic injury prevention in Hong Kong: a longitudinal study |
| title_short | Application of an integrated behaviour-change model on grandparental adherence towards childhood domestic injury prevention in Hong Kong: a longitudinal study |
| title_sort | application of an integrated behaviour change model on grandparental adherence towards childhood domestic injury prevention in hong kong a longitudinal study |
| url | https://bmjpublichealth.bmj.com/content/2/1/e000213.full |
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