Alcohol Consumption During Pregnancy
The cardboard to be advised is an assay by Duncan, Forbes-McKay and Henderson (2012)
into the appliance of the access of planned behaviour (TPB, Ajzen, 1988, 1991) and its capability in admiration ambition to backpack out bloom accompanying behaviours. The TPB is a amusing acknowledgment model, acceptation that it seeks to adumbrate ambition to backpack out a behaviour and to accept why individuals may abort to attach to a behaviour to which they were already committed. The access claims that three variables can be acclimated to adumbrate an individual’s behaviour: the individual’s attitude against the behaviour, the attitude of cogent others against the behaviour and the individual’s perceived ascendancy over a behaviour. Perceived ascendancy over behaviour is absolute by both centralized factors such as an individual’s abilities or accessible resources, and alien factors such as absolute opportunities to backpack out the behaviour. Unlike the individual’s attitude against the behaviour and the attitude of others, perceived ascendancy over the behaviour is believed to access both the ambition to backpack out the behaviour and the behaviour itself. In particular, the authors were investigating whether the TPB could be acclimated to adumbrate ambition to absorb booze during pregnancy. Antecedent assay has begin the TPB to be advantageous for admiration a ambit of alternative bloom accompanying behaviours (Godin and Kok, 1996) and booze burning behaviours in accurate (Marcoux & Shope, 1997; McMillan & Conner, 2003). The authors focused on the role of TPB in actuality able to adumbrate the burning of booze during pregnancy. Bubbler during abundance is a aloft bloom issue. It has been begin to access a cardinal of outcomes for the boyish including maladaptive behaviours (Sood et al., 2001) and weight at bearing (Mariscal et al., 2006). Despite its affiliation to abrogating outcomes for the child, up to 54% of women in the UK accept claimed to accept captivated booze during their abundance (Bolling et al., 2007).
130 women based in the Aberdeenshire breadth alternate a analysis that was broadcast to them at their 20-week abundance scan. Of these, assay was agitated out on 116 women. The analysis included questions advised to accumulate advice on demographic details, accomplished and present booze consumption, and TPB variables. The TPB variables included barometer the participants’ ambition to appoint in the behaviour, their attitude against the behaviour, their behavior about the abstract barometer and their perceived behavioural control. The abstraction begin that the majority of participants fabricated changes to their bubbler behaviour already they begin out that they were pregnant, with these changes demography the anatomy of a abridgement in booze consumption. 64.7% abstained from booze altogether during their pregnancy, 34.5% connected to booze to some akin and 0.9% did not answer. Of those women who connected to booze during their pregnancy, 13.4% were bubbler aloft the recommended best levels admitting the blow were bubbler one to two units amid two and four times per month. It was additionally begin that although best participants accustomed advice about bubbler during their pregnancy, 12.9% accustomed no information.
In affiliation to the TPB theory, it was begin that women who abstained from bubbler afterwards award out they were abundant had decidedly college array on the ambition scale, suggesting that they had a decidedly greater ambition to abdicate booze burning during pregnancy. Abnegation participants additionally had decidedly college array on the abstract barometer scale, advertence that they acquainted added burden from what others anticipation about bubbler during pregnancy. Abstainers were additionally begin to accept decidedly lower array on the attitude scale, suggesting a abundant beneath absolute attitude against the behaviour of bubbler during pregnancy. In contrast,, the calibration that abstinent perceived behaviour ascendancy did not appearance any cogent differences amid those women who abstained and those who connected to booze during their pregnancy.
Attitude against the behaviour and the access of what others anticipation of the behaviour were begin to be acerb and decidedly activated with ambition to backpack out the behaviour of abnegation from booze during pregnancy. TPB was able to explain 59.3% of about-face in ambition to booze during pregnancy. Furthermore, the access was able to accurately allocate 91.8% of cases and as a result, was statistically able to analyze amid drinkers and abstainers. The authors assured that as attitude was begin to accept the greatest statistically cogent addition to admiration ambition and to accord decidedly to admiration absolute behaviour, it would be an ideal applicant for action focus. As perceived behaviour ascendancy was the alone TPB basic begin not to contribute, the authors advance that the archetypal after this basic would be adapted for admiration ambition to absorb booze during pregnancy.
The advised commodity addressed an important bloom issue, namely investigating how bubbler booze during abundance could be bargain by compassionate what drives or stops women from accepting the ambition to backpack out this behaviour. The award that attitude against bubbler whilst abundant has a cogent appulse on both ambition to booze during abundance and absolute bubbler during abundance could accept added analytic and educational applications. Nevertheless, the authors are ambiguous in how their allegation could be activated in the absolute apple and abort to accomplish advantageous suggestions based on their data. The award that some women were not provided with advice pertaining to the burning of booze during abundance is additionally an important one because it highlights that some bloom trusts are declining to advice women accomplish abreast decisions about this subject. However, it is not afflicted aloft in the discussion.
The study’s addition is a little anemic in that it does not accomplish an ever acceptable altercation as to why their called affair is important and annual investigating. It makes alone a abrupt advertence to the abrogating appulse that booze burning can accept on both mother and baby, and the abstract to which it refers is absolutely outdated. This suggests that a absolute and contempo abstract analysis may not accept been agitated out. Furthermore, the abstraction could present a abundant stronger altercation as to why the TPB may be applicative to this bloom behaviour in particular. There is some absolution in that the authors of the cardboard chose this accurate access on the apriorism that a socially-based access such as TPB could highlight accident factors for the burning of booze during abundance that could be added calmly afflicted than antecedent accident factors that accept been articular such as bubbler habits afore abundance and socioeconomic cachet (Stewart & Streiner, 1994; Yamamoto et al., 2008). Accident factors such as these cannot be calmly changed. In contrast, accident factors based on attitudes against a behaviour can be added calmly adapted through apprenticeship or government interventions. The altercation does not breeze decidedly able-bodied and the all-embracing abstracts of the abstraction are not absolutely clear. An advantage of the TPB is its holistic approach. It attempts to accept the behaviour of an alone in the ambience of both an individual’s attitude against a behaviour, their perceived ascendancy over that behaviour and how they apperceive others to adjudicator the behaviour. However, our intentions to backpack out a behaviour or not are the aftereffect of an abundantly circuitous action during which abounding variables are taken into account. Although the limitations of the study’s alignment are afflicted aloft in the discussion, the authors abort to analyze the limitations of the TPB and how these may affect their findings. For example, McKeown (1979) argued that abrogating bloom behaviours are bent on the alone akin by the choices we accomplish to behave in a assertive way. Therefore, the access may abode too abundant accent on the accent of what others anticipate of a behaviour. Indeed, in the accepted study, alone attitudes against a behaviour were begin to be added affecting than abstract norms.
One criticism of this abstraction is its abeyant abridgement of representativeness, both culturally and geographically. Indigenous minorities fabricated up alone 6.9% of the sample, acceptation that the after-effects may not be generalisable to indigenous minorities. Furthermore, the sample was calm from alone one geographic area, although the authors altercate that their allegation are in befitting with antecedent studies that acclimated samples from a abundant added bounded breadth (Anderson et al., 2007; Bolling et al., 2007). There may additionally accept been a bent in the way in which participants were recruited. Women were approached by the advisers whilst apprehension their 20 anniversary antenatal scans in hospital. The scans are advised to awning for any anomalies in the babyish and to analysis that development is normal. These scans are not compulsory, potentially creating a bent in the sample. For example, Alderdice et al. (2007) begin that women after abilities or women from areas of aerial denial were decidedly beneath acceptable to uptake an action of a 20 anniversary awning for Downs Syndrome than women from flush areas or women with degree-level qualification. This suggests that the women who were approached by the advisers in the accepted abstraction may accept been under-representative of women from lower socio-economic backgrounds. Furthermore, the abstraction does not accommodate detail on the demographic advice of the women who responded to the questionnaire, which would accept been advantageous in evaluating generalisability.
The admeasurement acclimated to ascertain TPB variables was developed appliance guidelines for the development of questionnaires advised to admeasurement TPB behaviours (Francis et al., 2004). However, the altitude acclimated was not a accurate questionnaire. Furthermore, the authors do not accommodate examples of how they abstinent the three variables of intention, abstract barometer and perceived behaviour control. This agency that the admeasurement cannot be opened up for analysis or re-used in after studies to appraise its authority and reliability. Afore the capital study, a baby pilot abstraction was agitated out with seven abundant women to ensure that the analysis was accessible to understand. Pilot studies are capital for establishing a complete abstraction architecture (van Teijilngen & Hundley, 2001). Although, it should be acclaimed that the authors did not address the after-effects of any believability or authority tests. As allotment of the analysis battery, the abstraction did use the Booze Use Disorders Identification Test, a reliable and accurate admeasurement for acquisition advice on booze burning that was developed by the Apple Bloom Organisation (Saunders et al., 1993, Scottish Intercollegiate Guidelines Network, 2004). This altitude has been appear to be above to alternative measures advised to aggregate abstracts on the aforementioned accountable (Reinert & Allen, 2002).
Self-report measures in themselves accept a cardinal of limitations. Firstly, they are accountable to amusing agreeableness bias. Amusing agreeableness bent acknowledges that participants may address accustomed out behaviours that are socially adorable or may awning up actuality complex in behaviours that are frowned on. Based on the award that abstract norms had a cogent appulse on both ambition and behaviour, amusing agreeableness bent may accept afflicted the after-effects of this study. If participants were so afflicted by what others anticipation of booze burning during pregnancy, again they may accept been acceptable to awning up occasions on which they did booze during their pregnancy. This agency that the cardinal of participants who did booze during abundance may accept been college than the abstraction reported.
Recommendations for Improvement and Approaching Research
If this abstraction is to be replicated, it could be bigger in a cardinal of ways. Firstly, indigenous minorities charge be bigger represented. Great Britain is now a multi-cultural country and assay charge reflect this. The authors charge accommodate added advice or a archetype of the analysis advised to admeasurement TPB variables so that believability and authority can be assessed. A advantageous approaching abstraction would be to appraise the appulse of an action advised to change the attitude of women who do not apperceive bubbler booze during abundance to be an issue. As attitude was begin to be the best important agency in ambition to backpack out this behaviour, the currently advised abstraction would be adequate if an action based about attitude was begin to change behaviour.
Ajzen, I. (1988). Attitudes, personality, and behavior. Milton Keynes, UK: Open University Press.
Ajzen, I. (1991). The access of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179-211.
Alderdice, F., McNeill, J., Rowe, R., Martin, D. & Dornan, J. (2008). Inequalities in the appear action and uptake of antenatal screening. Public Health, 122(1), 42-52.
Anderson, S., Bradshaw, P., Cunningham-Burley, S., Hayes, F. Jamieson, L., MacGregor, A. et al. (2007). Growing up in Scotland: A abstraction afterward the lives of Scotland’s children. Edinburgh, Scotland: Scottish Executive.
Bolling, K., Grant, C., Hamlyn, B. & Thornton, A. (2007). Infant Feeding Survey, 2005. Leeds, UK: The Advice Centre.
Duncan, E.M., Forbes-McKay, K.E. & Henderson, S.E. (2012). Booze use during pregnancy: An appliance of the access of planned behaviour. Journal of Activated Amusing Psychology, 42(8), 1887-1903.
Francis, J.J., Eccles, M.P., Johnstone, M., Walker, A., Grimshaw, J., Foy, R. et al. (2004). Constructing questionnaires based on the access of planned behaviour: A chiral for bloom account researchers. Newcastle Aloft Tyne, UK: Centre for Bloom Services Research.
Godin, G. & Kok, G. (1996). The access of planned behaviour: A analysis of its applications to health-related behaviors. American Journal of Bloom Promotion, 11, 87-98.
Marcoux, B.C. & Shope, J.T. (1997). Appliance of the access of planned behaviour to boyish use and abusage of alcohol. Bloom Apprenticeship Research, 12, 323-331.
Mariscal, M., Palma, S., Llorca, J., Perez-Iglesias, R., Pardo-Crespo, R. & Delgado-Rodriguez, M. (2006). Pattern of booze burning during abundance and accident for low bearing weight. Annals of Epidemiology, 16, 432-438.
McKeown, T. (1979). The role of medicine. Dream, delusion or nemesisOxford, UK: Blackwell Publisher Ltd.
McMillan, B. & Conner, M. (2003). Appliance the access of planned behaviour to accept booze and tobacco use in students. Psychology, Health, and Medicine, 8, 317-328.
Reinert, D. & Allen, J.P. (2002). The Booze Use Disorders Identification Analysis (AUDIT): A analysis of contempo research. Alcoholism: Analytic and Experimental Research, 26(2), 272-279.
Saunders, J.B., Aasland, O.G., Babor, T.F., de la Fuente, J.R. & Grant, M. (1993). Development of the Booze Use Disorders Identification Analysis (AUDIT): WHO collaborative activity on aboriginal apprehension of bodies with adverse booze consumption. Addiction, 88, 791-804.
Scottish Intercollegiate Guidelines Network. (2004). The administration of adverse bubbler and booze assurance in primary care: A civic analytic guideline. Edinburgh, Scotland: Scottish Intercollegiate Guidelines Network.
Sood, B., Delaney-Black, V., Covington, C., Nordstrom-Klee, B., Ager, J., Templin, T., et al. (2001). Prenatal booze acknowledgment and adolescence behaviour at age 6 to 7 years: I. Does- acknowledgment effect. Pediatrics, 108(2), 34-43.
Steward, D.E. & Streiner, D. (1994). Booze bubbler in pregnancy. General Hospital Psychiatry, 16, 406-412.
van Teijilngen, E. & Hundley, V. (2001). The accent of pilot studies. Amusing Assay Update, 35, 1-4.
Yamamoto, Y., Kanieta, Y., Yokoyama, E., Sone, T., Takemura, S., Suzuki, K. et al. (2008). Booze burning and abnegation amid abundant Japanese women. Journal of Epidemiology, 18, 173-182.
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