Predicting Health Behavior Using the Theory of Planned Behavior: Lessons Learned from the COVID-19 Pandemic

https://doi.org/10.22146/gamajop.91214

Alphonsus Rachmad Djati Winarno(1), Bartolomeus Yofana Adiwena(2*)

(1) Faculty of Psychology, Soegijapranata Catholic University
(2) Faculty of Psychology, Soegijapranata Catholic University
(*) Corresponding Author

Abstract


Clean and healthy living behavior (CHLB) is one of the fundamental aspects of life. However, public awareness of health behaviors in Indonesia is still relatively low. This research aimed to predict health behaviors using the Theory of Planned Behavior (TPB) framework, which has the components of attitude, subjective norms, behavioral control, behavioral intention, and behavior, in the context of the COVID-19 pandemic. An incidental sampling technique was used to select 118 participants aged 20-40. Data were collected online using 17 questions about TPB. Path analysis showed that attitude and behavioral control predict health behavior indirectly through behavioral intention (partial mediation). On the other hand, subjective norms do not significantly predict intention but are directly related to health behavior. The implications of this study for policy and public health are discussed further.


Keywords


theory of planned behavior; health behavior; COVID-19; Indonesia

Full Text:

PDF


References

Aditya, N. R., & Krisiandi. (2020, November 10). Satgas Covid-19: Masyarakat paling sulit terapkan jaga jarak dan hindari kerumunan. Kompas. https://nasional.kompas.com/read/2020/11/10/23453501/satgas-covid-19-masyarakat-paling-sulit-terapkan-jaga-jarak-dan-hindari

Afzal, A., Jabeen, T., & Javed, M. (2023). Behavior change interventions regarding WASH and its impacts on sustainable community development: A study of district Gujrat, Pakistan. Journal of Human Behavior in the Social Environment, 33(8), 1160–1177. https://doi.org/10.1080/10911359.2022.2131023

Ahmad, M., Iram, K., & Jabeen, G. (2020). Perception-based influence factors of intention to adopt COVID-19 epidemic prevention in China. Environmental Research, 190, 109995. https://doi.org/10.1016/j.envres.2020.109995

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T

Ajzen, I. (2020). The theory of planned behavior: Frequently asked questions. Human Behavior and Emerging Technologies, 2(4), 314–324. https://doi.org/10.1002/hbe2.195

Al Hamasy, A. I. (2023, August 24). Sebagian besar warga Jakarta belum inisiatif melindungi diri dari polusi. Kompas. https://www.kompas.id/baca/metro/2023/08/24/sebagian-besar-warga-jakarta-belum-inisiatif-melindungi-diri-dari-polusi

Arlinta, D. (2019, September 20). Hanya 20 persen penduduk Indonesia yang mengerti gaya hidup sehat. Kompas. https://www.kompas.id/baca/utama/2019/09/20/kesehatan-germas-jangan-hanya-jargon

Arlinta, D. (2024, July 13). Risiko penyakit makin tinggi, tetapi banyak orang malas cek kesehatan. Kompas. https://www.kompas.id/baca/humaniora/2024/07/13/kesadaran-untuk-pemeriksaan-kesehatan-dasar-masih-rendah

Asare, M. (2015). Using the theory of planned behavior to determine the condom use behavior among college students. American Journal of Health Studies, 30(1), 43–50.

Aschwanden, D., Strickhouser, J. E., Sesker, A. A., Lee, J. H., Luchetti, M., Terracciano, A., & Sutin, A. R. (2021). Preventive behaviors during the COVID-19 pandemic: Associations with perceived behavioral control, attitudes, and subjective norm. Frontiers in Public Health, 9, Article 662835. https://doi.org/10.3389/fpubh.2021.662835

Badan Pusat Statistik. (2020). Perilaku masyarakat di masa pandemi COVID-19.

Beck, L., & Ajzen, I. (1991). Predicting dishonest actions using the theory of planned behavior. Journal of Research in Personality, 25(3), 285–301. https://doi.org/10.1016/0092-6566(91)90021-H

Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88(3), 588–606. https://doi.org/10.1037/0033-2909.88.3.588

Brouwer, A. M., & Mosack, K. E. (2015). Expanding the theory of planned behavior to predict healthy eating behaviors. Nutrition & Food Science, 45(1), 39–53. https://doi.org/10.1108/NFS-06-2014-0055

Chan, D. K. C., Zhang, C.-Q., & Weman-Josefsson, K. (2021). Why did people fail to adhere to COVID-19 preventive behaviors? Perspectives from an integrated behavior change model. Infection Control & Hospital Epidemiology, 42(3), 375–376. https://doi.org/10.1017/ice.2020.245

Conner, M., & Sparks, P. (2005). Theory of planned behaviour and health behaviour. In M. Conner & P. Norman (Eds.), Predicting health behaviour (2nd ed.). Open University Press.

Das, A. K., Abdul Kader Jilani, M. M., Uddin, M. S., Uddin, M. A., & Ghosh, A. K. (2021). Fighting ahead: Adoption of social distancing in COVID-19 outbreak through the lens of theory of planned behavior. Journal of Human Behavior in the Social Environment, 31(1–4), 373–393. https://doi.org/10.1080/10911359.2020.1833804

Fiandari, Y. R., & Andharini, S. N. (2024). Purchase intention of halal toiletries: The role of mediating and moderating effects. Jurnal Manajemen Bisnis, 15(2), 332–346. https://doi.org/10.18196/mb.v15i2.21073

Frounfelker, R. L., Santavicca, T., Li, Z. Y., Miconi, D., Venkatesh, V., & Rousseau, C. (2021). COVID-19 experiences and social distancing: Insights from the theory of planned behavior. American Journal of Health Promotion, 35(8), 1095–1104. https://doi.org/10.1177/08901171211020997

Greisel, M., Wekerle, C., Wilkes, T., Stark, R., & Kollar, I. (2023). Pre-service teachers’ evidence-informed reasoning: Do attitudes, subjective norms, and self-efficacy facilitate the use of scientific theories to analyze teaching problems? Psychology Learning & Teaching, 22(1), 20–38. https://doi.org/10.1177/14757257221113942

Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis: A global perspective (7th ed.). Pearson Education.

Hasibuan, L. (2021, March 23). Covid-19 masih menggila, orang RI masih susah jaga jarak. CNBC Indonesia. https://www.cnbcindonesia.com/tech/20210323130953-37-232200/covid-19-masih-menggila-orang-ri-masih-susah-jaga-jarak

Iwaya, G. H., Cardoso, J. G., Sousa Júnior, J. H. de, & Steil, A. V. (2020). Predictors of the intention to maintain social distancing. Revista de Administração Pública, 54(4), 714–734. https://doi.org/10.1590/0034-761220200177x

Jackson, D. L. (2003). Revisiting sample size and number of parameter estimates: Some support for the hypothesis. Structural Equation Modeling: A Multidisciplinary Journal, 10(1), 128–141. https://doi.org/10.1207/S15328007SEM1001_6

Kemenkes. (2023). Survei kesehatan Indonesia.

Kenny, D. A. (2024, September 14). Introduction of mediation analysis. https://davidakenny.net/cm/mediate.htm

Kholisdinuka, A. (2021, Juli 15). Tingkat kepatuhan prokes di daerah masih ada yang rendah, ini datanya. https://news.detik.com/berita/d-5643657/tingkat-kepatuhan-prokes-di-daerah-

Liao, T., Tang, S., & Shim, Y. (2022). The development of a model to predict sports participation among college students in Central China. International Journal of Environmental Research and Public Health, 19(3), 1806. https://doi.org/10.3390/ijerph19031806

Nadlifatin, R., Miraja, B. A., Persada, S. F., Belgiawan, P. F., Redi, A. A. N. P., & Lin, S.-C. (2020). The measurement of university students’ intention to use blended learning system through technology acceptance model (TAM) and theory of planned behavior (TPB) at developed and developing regions: Lessons learned from Taiwan and Indonesia. International Journal of Emerging Technologies in Learning (iJET), 15(09), 219. https://doi.org/10.3991/ijet.v15i09.11517

Nivette, A., Ribeaud, D., Murray, A., Steinhoff, A., Bechtiger, L., Hepp, U., Shanahan, L., & Eisner, M. (2021). Non-compliance with COVID-19-related public health measures among young adults in Switzerland: Insights from a longitudinal cohort study. Social Science & Medicine, 268, 113370. https://doi.org/10.1016/j.socscimed.2020.113370

Norman, P., & Conner, M. (2005). The theory of planned behavior and exercise: Evidence for the mediating and moderating roles of planning on intention-behavior relationships. Journal of Sport and Exercise Psychology, 27(4), 488–504. https://doi.org/10.1123/jsep.27.4.488

Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). McGraw-Hill.

Ogden, J. (2007). Health psychology (4th ed.). McGraw Hill.

PBB. (2023). The sustainable development goals report.

Packer, D. J., Ungson, N. D., & Marsh, J. K. (2021). Conformity and reactions to deviance in the time of COVID-19. Group Processes & Intergroup Relations, 24(2), 311–317. https://doi.org/10.1177/1368430220981419

Prasetyo, Y. T., Castillo, A. M., Salonga, L. J., Sia, J. A., & Seneta, J. A. (2020). Factors affecting perceived effectiveness of COVID-19 prevention measures among Filipinos during enhanced community quarantine in Luzon, Philippines: Integrating protection motivation theory and extended theory of planned behavior. International Journal of Infectious Diseases, 99, 312–323. https://doi.org/10.1016/j.ijid.2020.07.074

Ramdhani, N. (2011). Penyusunan alat pengukur berbasis theory of planned behavior. Buletin Psikologi, 19(2), 55–69.

Ryan, R. M., & Deci, E. L. (2001). On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52(1), 141–166. https://doi.org/10.1146/annurev.psych.52.1.141

Sarafino, E. P., & Smith, T. W. (2017). Health psychology: Biopsychosocial interactions (9th ed.). Wiley.

Seong, M., & Bae, K. (2022). A study of pandemic prevention health behavior in adults. International Journal of Environmental Research and Public Health, 19(13), 8181. https://doi.org/10.3390/ijerph19138181

Sturman, D., Auton, J. C., & Thacker, J. (2021). Knowledge of social distancing measures and adherence to restrictions during the COVID‐19 pandemic. Health Promotion Journal of Australia, 32(2), 344–351. https://doi.org/10.1002/hpja.443

Tapera, R., Mbongwe, B., Mhaka-Mutepfa, M., Lord, A., Phaladze, N. A., & Zetola, N. M. (2020). The theory of planned behavior as a behavior change model for tobacco control strategies among adolescents in Botswana. PLOS ONE, 15(6), e0233462. https://doi.org/10.1371/journal.pone.0233462

Taylor, S. E. (2018). Health psychology (10th ed.). McGraw-Hill.

Terry, D. J., & Hogg, M. A. (1996). Group norms and the attitude-behavior relationship: A role for group identification. Personality and Social Psychology Bulletin, 22(8), 776–793. https://doi.org/10.1177/0146167296228002

Utami, F. A., & Sani, F. (2021). Gambaran perilaku hidup bersih dan sehat (PHBS) di era pandemi corona virus disease (COVID-19) di Indonesia. Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan, 1(3), 197–209.

Wati, P. D., & Ridlo, I. A. (2020). Perilaku hidup bersih dan sehat pada masyarakat di Kelurahan Rangkah Kota Surabaya. Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education, 8(1), 47–58.

Webster, R. K., Brooks, S. K., Smith, L. E., Woodland, L., Wessely, S., & Rubin, G. J. (2020). How to improve adherence with quarantine: Rapid review of the evidence. Public Health, 182, 163–169. https://doi.org/10.1016/j.puhe.2020.03.007

World Health Organization. (2020, Oktober 1). Coronavirus disease (COVID-19) advice for the public. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public

Xia, Y., Shi, L., Chang, J., Miao, H., & Wang, D. (2021). Impact of the COVID-19 pandemic on intention to use traditional Chinese medicine: A cross-sectional study based on the theory of planned behavior. Journal of Integrative Medicine, 19(3), 219–225. https://doi.org/10.1016/j.joim.2021.01.013

Yu, Y., Lau, J. T. F., & Lau, M. M. C. (2021). Levels and factors of social and physical distancing based on the theory of planned behavior during the COVID-19 pandemic among Chinese adults. Translational Behavioral Medicine, 11(5), 1179–1186. https://doi.org/10.1093/tbm/ibaa146



DOI: https://doi.org/10.22146/gamajop.91214

Article Metrics

Abstract views : 4736 | views : 2457

Refbacks

  • There are currently no refbacks.


Copyright (c) 2025 Gadjah Mada Journal of Psychology (GamaJoP)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Recent Issues:

Buku 1 Buku 1 Buku 1 Buku 1 
Vol 11 Issue 1 (2025)
Page 1-69
 Vol 10 Issue 2 (2024)
Page 79-161
 Vol 10 Issue 1 (2024)
Page 1-78
 Vol 9 Issue 2 (2023)
Page 163-292
 


Address:

Building D 6th Floor (606), Faculty of Psychology, Universitas Gadjah Mada, Yogyakarta, Indonesia, Jl. Sosio Humaniora No. 1, Bulaksumur Yogyakarta, 55781

Contact:

Whatsapp: +6281125210175
Email: gamajop.psikologi@ugm.ac.id

Creative Commons License