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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board Member: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

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2191-0278
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Volume 27, Issue 3 (Aug 2015)

Issues

Substance use avoidance among Iranian male adolescents: a comparison of three versions of the theory of reasoned action

Mahmoud Tavousi
  • Corresponding author
  • Health Education and Promotion Research Group, Health Metrics Research Centre, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran
  • Email:
/ Ali Montazeri
  • Mental Health Research Group, Health Metrics Research Centre, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran
/ Alireza Hidarnia
  • Department of Health Education, Tarbiat Modares University, Tehran, Iran
/ Ebrahim Hajizadeh
  • Statistics Department, Tarbiat Modares University, Tehran, Iran
/ Farhad Taremian
  • Psychology Department, Zanjan Medical University, Zanjan, Iran
/ Aliasghar Haerimehrizi
  • Health Education and Promotion Research Group, Health Metrics Research Centre, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran
Published Online: 2014-11-26 | DOI: https://doi.org/10.1515/ijamh-2014-0034

Abstract

The theory of reasoned action (TRA) is one of the most common models in predicting health-related behaviors and is used more often in health education studies. This study aimed to add two control constructs (perceived behavioral control – PBC and self-efficacy – SE) to the TRA and compare them using the structural equation modeling (SEM) for substance use avoidance among Iranian male adolescents in order to find out which model was a better fit in predicting the intention. This was a cross-sectional study carried out in Tehran, Iran. Data were collected from a random sample of high school male students (15–19 years of age) using a questionnaire containing items related to the TRA plus items reflecting two additional constructs (SE and PBC). In all, 433 students completed the questionnaires. The results obtained from SEM indicated a better fit to the data for the TRA with SE compared to the TPB (TRA with PBC) and TRA (χ2/df=2.55, RMSEA=0.072, CFI=0.96, NFI=0.94, NNFI=0.95, SRMR=0.058). Comparing SE and PBC, the results showed that self-efficacy was a better control construct in improving the TRA and predicting substance use avoidance intention (41%). The TRA with SE had a better model fit than TPB and the original version of the TRA.

Keywords: adolescent; perceived behavioral control; self-efficacy; structural equation modeling; substance use; theory of reasoned action

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About the article

Corresponding author: Mahmoud Tavousi, Health Education and Promotion Research Group, Health Metrics Research Centre, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran, E-mail:


Received: 2014-06-05

Accepted: 2014-08-12

Published Online: 2014-11-26

Published in Print: 2015-08-01


Citation Information: International Journal of Adolescent Medicine and Health, ISSN (Online) 2191-0278, ISSN (Print) 0334-0139, DOI: https://doi.org/10.1515/ijamh-2014-0034. Export Citation

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