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Published on: February 2, 2017
Examining Whether the Social Cognitive Theory Concepts Predict Childhood Obesity Prevention Outcome Expectations
Dayna S Alexander1, Chunhua Cao2, Moya L Alfonso1
1Department of Community Health Behavior and Education, Jiann-Ping Hsu College of Public Health, Georgia Southern University.
Insights
Social Cognitive Theory concepts did not fully predict childhood obesity outcome expectations in African American caregivers. Further research is needed to develop effective obesity prevention for these families.
Area of Science:
- Public Health
- Behavioral Science
- Childhood Obesity Research
Background:
- Social Cognitive Theory (SCT) is frequently applied to childhood obesity prevention.
- Understanding caregiver perceptions is crucial for effective interventions.
- African American families in rural areas require tailored obesity prevention strategies.
Purpose of the Study:
- To investigate the predictive power of SCT constructs on childhood obesity outcome expectations.
- To examine mediation effects of self-efficacy and behavioral capability.
- To inform culturally relevant childhood obesity prevention programs for African American families.
Main Methods:
- Cross-sectional survey of 128 African American caregivers.
- Multiple linear regression analysis to assess direct effects.
- Bootstrapping mediation analysis to test indirect effects.
Main Results:
- SCT relationships were not fully supported in this population.
- Moral disengagement and self-efficacy were reported at high levels.
- Behavioral capability and environment were at moderate levels; indirect effects were not significant.
Conclusions:
- Current SCT applications may need refinement for African American families in rural settings.
- Further investigation into SCT's applicability is warranted for obesity prevention.
- Culturally sensitive approaches are essential for addressing childhood obesity in this demographic.
Abstract:
The social cognitive theory (SCT) has been used to explain and promote childhood obesity prevention behaviors. We examined whether the SCT concepts predicted outcome expectations of childhood obesity among the children of African American caregivers. Caregivers (n = 128) completed the childhood obesity perceptions paper-based survey. A multiple linear regression was conducted to determine the direct effects of moral disengagement, environment, self-efficacy, and behavioral capability on outcome expectations (p < .05). A mediation analysis using a bootstrapping bias correction method was used to test whether self-efficacy and behavioral capability mediated the effect of moral disengagement and environment on outcome expectations. Caregivers reported high levels of moral disengagement (M = 4.13; standard deviation [SD] = 0.70) and self-efficacy (M = 4.26; SD = 0.64) and moderate levels of behavioral capability (M = 2.83; SD = 0.75) and environment (M = 2.92; SD = 0.74). Findings indicated the hypothesized relationships in the SCT were not fully supported. In addition, the indirect effects of environment on outcome expectations were not statistically significantly mediated by behavioral capability. This research warrants more attention in testing the SCT concepts for the development of childhood obesity prevention efforts that prioritize African American families in rural communities.
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