Social cognitive theories used to explain physical activity behavior in adolescents: a systematic review and meta-analysis.

PURPOSE To systematically review and examine the explanatory power of key social-cognitive theories used to explain physical activity (PA) intention and behavior, among adolescents. METHODS A systematic review and meta-analysis of the literature was performed using the electronic databases Medline, Cumulative Index to Nursing and Allied Health Literature, SPORTdiscus, EBSCO and Education Resources Information Center, Proquest Education Journals Collection, Science Direct, Web of Science and Scopus for social-cognitive theories (i.e., Health Promotion Model, Theory of Planned Behavior, Theory of Reasoned Action, Protection Motivation Theory, Social Cognitive Theory/Self-Efficacy Theory, Health Belief Model, Self-Determination Theory, Transtheoretical Model) used to explain PA intention and behavior. Related keywords in titles, abstracts, or indexing fields were searched. RESULTS Twenty-three studies satisfied the inclusion criteria and were retained for data extraction and analysis; 16 were cross-sectional studies and seven were longitudinal studies. Most studies employed self-report measures. In general, the models explained greater proportions of variance for intention compared to behavior. The meta-analyses revealed 33% and 48% of the variance respectively for PA and intention were explained by social cognitive models. CONCLUSIONS Few studies have tested the predictive capacity of social cognitive theories to explain objectively measured PA. The majority of PA variance remains unexplained and more theoretical research is needed.

[1]  J. Prochaska,et al.  A review of correlates of physical activity of children and adolescents. , 2000, Medicine and science in sports and exercise.

[2]  D. Warburton,et al.  Health benefits of physical activity: the evidence , 2006, Canadian Medical Association Journal.

[3]  Predicting Physical Activity of First-Year University Students: An Application of the Theory of Planned Behavior , 2009, Journal of American college health : J of ACH.

[4]  Mark Conner,et al.  The impact of theory on the effectiveness of worksite physical activity interventions: a meta-analysis and meta-regression , 2012 .

[5]  D. Moher,et al.  CONSORT 2010 Explanation and Elaboration: updated guidelines for reporting parallel group randomised trials , 2010, BMJ : British Medical Journal.

[6]  S. Michie,et al.  Using the Internet to Promote Health Behavior Change: A Systematic Review and Meta-analysis of the Impact of Theoretical Basis, Use of Behavior Change Techniques, and Mode of Delivery on Efficacy , 2010, Journal of medical Internet research.

[7]  R. Maddison,et al.  Exercise Behavior Among New Zealand Adolescents: A Test of the Transtheoretical Model , 2006 .

[8]  S. Biddle,et al.  The influence of self-efficacy and past behaviour on the physical activity intentions of young people , 2001, Journal of sports sciences.

[9]  Darin J Erickson,et al.  Physical activity and sedentary activity patterns among children and adolescents: a latent class analysis approach. , 2011, Journal of physical activity & health.

[10]  R. Rhodes,et al.  Advancing Physical Activity Theory: A Review and Future Directions , 2011, Exercise and sport sciences reviews.

[11]  L. Hedges,et al.  Fixed- and random-effects models in meta-analysis. , 1998 .

[12]  Martin S. Hagger,et al.  The Processes by Which Perceived Autonomy Support in Physical Education Promotes Leisure-Time Physical Activity Intentions and Behavior: A Trans-Contextual Model , 2003 .

[13]  Young-Ho Kim.  Korean adolescents' exercise behavior and its relationship with psychological variables based on stages of change model. , 2004, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[14]  Katherine M White,et al.  Extending the theory of planned behavior: the role of self and social influences in predicting adolescent regular moderate-to-vigorous physical activity. , 2008, Journal of sport & exercise psychology.

[15]  Stewart Trost,et al.  Evidence based physical activity for school-age youth. , 2005, The Journal of pediatrics.

[16]  Crystal Whitney Nicol.  Health benefits of physical activity: the evidence Review , 2006 .

[17]  Chery Smith,et al.  Social cognitive theory in an after-school nutrition intervention for urban Native American youth. , 2004, Journal of nutrition education and behavior.

[18]  J. R. Landis,et al.  The measurement of observer agreement for categorical data. , 1977, Biometrics.

[19]  S. Pocock,et al.  The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies , 2007, The Lancet.

[20]  S. Pocock,et al.  The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. , 2008, Journal of clinical epidemiology.

[21]  Martin Eccles,et al.  Implementation Science Healthcare Professionals' Intentions and Behaviours: a Systematic Review of Studies Based on Social Cognitive Theories , 2008 .

[22]  Andy P Field,et al.  How to do a meta-analysis. , 2010, The British journal of mathematical and statistical psychology.

[23]  D. Ingledew,et al.  The relationships between body mass and body image and relative autonomy for exercise among adolescent males and females , 2007 .

[24]  N. Ntoumanis,et al.  Institutional Repository Motivational predictors of physical education students ' effort , exercise intentions , and leisure-time physical activity : a multilevel linear growth analysis , 2019 .

[25]  A. Okely,et al.  Description and evaluation of a social cognitive model of physical activity behaviour tailored for adolescent girls. , 2012, Health education research.

[26]  I. Karsai,et al.  Teacher, peer and parent autonomy support in physical education and leisure-time physical activity: A trans-contextual model of motivation in four nations , 2009, Psychology & health.

[27]  L. Aiken.  Three Coefficients for Analyzing the Reliability and Validity of Ratings , 1985 .

[28]  Evaluation of the Health Promotion Model to Predict Physical Activity in Iranian Adolescent Boys , 2010, Health education & behavior : the official publication of the Society for Public Health Education.

[29]  W. K. Mummery,et al.  Understanding Physical Activity Intention in Canadian School Children and Youth: An Application of the Theory of Planned Behavior , 2000, Research quarterly for exercise and sport.

[30]  M Standage,et al.  Relationships among adolescents' weight perceptions, exercise goals, exercise motivation, quality of life and leisure-time exercise behaviour: a self-determination theory approach. , 2006, Health education research.

[31]  Peter J Hannan,et al.  New Moves: a school-based obesity prevention program for adolescent girls. , 2003, Preventive medicine.

[32]  R. Winett,et al.  Social Cognitive Determinants of Nutrition and Physical Activity Among Web-Health Users Enrolling in an Online Intervention: The Influence of Social Support, Self-Efficacy, Outcome Expectations, and Self-Regulation , 2011, Journal of medical Internet research.

[33]  K. Courneya,et al.  Understanding physical activity in adolescent cancer survivors: an application of the theory of planned behavior , 2007, Psycho-oncology.

[34]  P. Sarrazin,et al.  Self-determination of contextual motivation, inter-context dynamics and adolescents’ patterns of sport participation over time , 2007 .

[35]  S. Trost,et al.  Psychosocial correlates of physical activity in white and African-American girls. , 2002, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[36]  M. Conner,et al.  Predicting health behaviour : research and practice with social cognition models , 2005 .

[37]  J. Twisk,et al.  A brief review on correlates of physical activity and sedentariness in youth. , 2007, Medicine and science in sports and exercise.

[38]  T. Baranowski,et al.  Mediating variable framework in physical activity interventions. How are we doing? How might we do better? , 1998, American journal of preventive medicine.

[39]  Y. Wang,et al.  How active are American adolescents and have they become less active? , 2010, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[40]  Ruth P Saunders,et al.  Examining social-cognitive determinants of intention and physical activity among black and white adolescent girls using structural equation modeling. , 2002, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[41]  Kimberlydawn Wisdom,et al.  Using Social Cognitive Theory to Predict Physical Activity and Fitness in Underserved Middle School Children , 2011, Research quarterly for exercise and sport.

[42]  Bo Shen,et al.  The Influence of Self-Determination in Physical Education on Leisure-Time Physical Activity Behavior , 2007, Research quarterly for exercise and sport.

[43]  C. Abraham,et al.  Interventions to change health behaviours: evidence-based or evidence-inspired? , 2004 .

[44]  W. Mechelen,et al.  Physical Activity Questionnaires for Youth , 2010, Sports medicine.

[45]  S. Noar,et al.  Applying health behavior theory to multiple behavior change: considerations and approaches. , 2008, Preventive medicine.

[46]  Gerty J. L. M. Lensvelt-Mulders,et al.  Modeling individual and physical environmental factors with adolescent physical activity. , 2006, American journal of preventive medicine.

[47]  P. Freedson,et al.  Using objective physical activity measures with youth: how many days of monitoring are needed? , 2000, Medicine and science in sports and exercise.

[48]  R. Strauss,et al.  Psychosocial correlates of physical activity in healthy children. , 2001, Archives of pediatrics & adolescent medicine.

[49]  W H Dietz,et al.  Psychosocial correlates of physical activity among fifth and eighth graders. , 1996, Preventive medicine.

[50]  D. Downs,et al.  Youth Exercise Intention and Past Exercise Behavior , 2006, Research quarterly for exercise and sport.

[51]  I. Karsai,et al.  Cross-cultural generalizability of the theory of planned behavior among young people in a physical activity context. , 2007, Journal of sport & exercise psychology.

[52]  Peter T Katzmarzyk,et al.  Screen time, physical activity, and overweight in U.S. youth: national survey of children's health 2003. , 2010, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[53]  N. I. Tak,et al.  Availability of sports facilities as moderator of the intention-sports participation relationship among adolescents. , 2010, Health education research.

[54]  A. Daley,et al.  Brief report: the theory of planned behaviour applied to physical activity in young people who smoke. , 2007, Journal of adolescence.

[55]  R. Motl,et al.  Comparison of social variables for understanding physical activity in adolescent girls. , 2004, American journal of health behavior.

[56]  K. Khunti,et al.  Physical activity and sedentary behaviours of South Asian and white European children in inner city secondary schools in the UK. , 2007, Family practice.

[57]  Gösta Samuelson,et al.  Global strategy on diet, physical activity and health , 2004 .

[58]  C. Bullen,et al.  The environment and physical activity: The influence of psychosocial, perceived and built environmental factors , 2009, The international journal of behavioral nutrition and physical activity.

[59]  Penny Gordon-Larsen,et al.  Ethnic differences in physical activity and inactivity patterns and overweight status. , 2002, Obesity research.

[60]  J. Spence,et al.  A test of the theory of planned behavior to explain physical activity in a large population sample of adolescents from Alberta, Canada. , 2011, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[61]  S. Marshall,et al.  The prevalence of leisure time sedentary behaviour and physical activity in adolescent boys: an ecological momentary assessment approach. , 2009, International journal of pediatric obesity : IJPO : an official journal of the International Association for the Study of Obesity.

[62]  Tsu-Yin Wu,et al.  Determinants of physical activity among Taiwanese adolescents: an application of the health promotion model. , 2002, Research in nursing & health.

[63]  R. Rhodes,et al.  Application of a social cognitive model in explaining physical activity in Iranian female adolescents. , 2010, Health education research.

[64]  S. Biddle,et al.  Correlates of physical activity in youth: a review of quantitative systematic reviews , 2011 .

[65]  Andrew Steptoe,et al.  Trends in physical activity and sedentary behaviour in adolescence: ethnic and socioeconomic differences , 2006, British Journal of Sports Medicine.