Adoption and Maintenance of Four Health Behaviours: Theory-Guided Longitudinal Studies on Dental Flossing, Seatbelt Use, Dietary Behaviour, and Physical Activity

  • Published: Annals of Behavioural Medicine (2007)
  • Authors: Schwarzer, R., Schuz, B., Ziegelmann, J., and Lippke, S.
  • Date Added: 01 Feb 2013
  • Last Update: 01 Feb 2013
  • Format: pdf


To examine the role of self-efficacy and planning in translating intentions into action


Longitudinal survey of students at six randomly selected high schools inPoland. Data analysed by structural equation modelling.

Key Findings:

  • 42% of seatbelt use variance explained jointly by planning and recovery self-efficacy.

  • Risk perception was not significantly related to any of the four health behaviours.

  • The findings suggest that risk communication interventions are not the most suitable for preventive health behaviours.

  • Recommend instead making people aware of their own skills and strategies to change behaviour.

  • Planning and recovery self-efficacy, not intention, are the best direct predictors of various health behaviours.