Theory 14: Ecological Model for Preventing Type 2 Diabetes

Number of Constructs: 22
Number of Triples: 22

Theory triples

• Beliefs and knowledge influences Attitudes
• Environmental factors influences Normative beliefs
• Behavioural intention influences Behaviour
• External incentives influences Behaviour
• Normative beliefs influences Behavioural intention
• Attitudes influences Behavioural intention
• Self-efficacy influences the 'Behavioural intention' to 'Behaviour' Influences relationship
• Community factors / neighbourhood surroundings part of Environmental factors
• Institutions / corporate interests / media part of Environmental factors
• Public policy part of Environmental factors
• Social norms part of Normative beliefs
• Social influences: peers / family / community part of Normative beliefs
• Interpersonal factors part of Normative beliefs
• Outcome expectations part of Beliefs and knowledge
• Perceived benefits / costs part of Beliefs and knowledge
• Perceived susceptibility part of Beliefs and knowledge
• Perceived severity part of Beliefs and knowledge
• Internal incentive part of Beliefs and knowledge
• Beliefs and knowledge part of Cognitive factors (intrapersonal) / cognitive arm of the model
• Attitudes part of Cognitive factors (intrapersonal) / cognitive arm of the model
• Environmental factors part of Community and environmental factors (environmental arm of the model)
• Normative beliefs part of Community and environmental factors (environmental arm of the model)

Theory constructs and annotations

• Beliefs and knowledge [ MF:0000041 (belief) 14 , BCIO:006052 (knowledge) 14 72 33 34 73 52 60 9 1 64 3 28 30 31 35 42 54 67 79 ]
• Attitudes [ BCIO:006038 (evaluative belief) 14 53 64 55 1 12 ]
• Environmental factors [ ENVO:01000254 (environmental system) 14 2 56 47 76 49 72 60 58 67 63 46 4 17 5 66 9 3 10 ]
• Normative beliefs [ BCIO:006042 (normative belief) 14 79 73 35 81 1 3 ]
• Behavioural intention A conscious decision to perform a behaviour [ BCIO:006016 (behavioural intention) 14 1 66 59 73 72 23 77 69 52 81 74 79 80 3 24 18 ]
• Behaviour Anything one does in response to internal/external events [ BCIO:036000 (individual human behaviour) 14 70 8 5 62 63 64 78 81 65 77 13 55 74 79 24 18 53 54 57 69 71 ]
• External incentives The extent to which perceived consequences of behaviour change are personally valued
• Self-efficacy Beliefs about whether one is capable of carrying out a behaviour or making a behaviour change [ BCIO:006154 (self-efficacy belief for a behaviour) 14 56 54 66 60 81 82 73 16 17 4 57 42 80 78 ]
• Community factors / neighbourhood surroundings Characteristics of the social group - wider than family, friend and workmate networks - to which one belongs [ BCIO:006001 (social environment system) 14 62 13 68 10 69 72 33 60 28 80 41 64 4 65 77 3 57 ]
• Institutions / corporate interests / media Established practices, traditions, behaviours or systems of roles and relationships (such as marriage) that are considered normative within a society [ BCIO:006095 (normative behaviour) 14 13 71 ]
• Public policy Factors related to public or politic practice (e.g. governmental policy to reduce smoking) that influence preventive behaviours [ ADDICTO:0001273 (public health promotion policy) 14 ]
• Social norms Perceptions of whether important others are supportive of one's behaviour/behaviour change [ BCIO:050600 (Belief about social support for a behaviour) 14 ]
• "Social influences: peers / family / community" The influence of others on one's behaviour (e.g. influence of family or peers) [ BCIO:006099 (social influence behaviour) 14 60 10 4 72 9 54 ]
• Interpersonal factors The influence of others on one's behaviour (e.g. influence of family or peers) [ BCIO:006099 (social influence behaviour) 14 60 10 4 72 9 54 ]
• Outcome expectations Beliefs about the impact of current behaviour on health, and beliefs about whether behaviour change would be personally beneficial to one’s health [ BCIO:050219 (Belief about the health consequences of a behaviour) 14 80 29 ]
• Perceived benefits / costs Beliefs about the benefits of a behaviour or behaviour change Beliefs about the costs of a behaviour or behaviour change [ BCIO:006032 (belief about the desirability of consequences of behaviour) 14 , BCIO:006147 (evaluative belief about behaviour) 14 66 3 81 30 76 ]
• Perceived susceptibility A subjective estimate of the likelihood of personally contracting the disease [ BCIO:006031 (belief about personal susceptibility) 14 72 16 ]
• Perceived severity Perceptions about the severity of the consequences and/or experience of the disease [ BCIO:050597 (belief about severity of health condition) 14 27 45 32 ]
• Internal incentive The extent to which perceived consequences of behaviour change are personally valued
• Cognitive factors (intrapersonal) / cognitive arm of the model Range of intrapersonal determinants of behaviour; includes outcome expectations, self-efficacy, incentive, perceived susceptibility and severity and perceived benefits and costs
• Community and environmental factors (environmental arm of the model) Broad environmental factors influencing behaviour such as a person's social networks and support systems, social institutions and community structures

Theory illustration

Theory Reference

• Burnet, D., Plaut, A., Courtney, R. & Chin, M.H. (2002). A Practical Model for Preventing Type 2 Diabetes in Minority Youth. The Diabetes Educator, 28(5), 779-795.