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Understanding the Self-Perceived Barriers and Enablers toward Adopting a Mediterranean Diet in Australia: An Application of the Theory of Planned Behaviour Framework
Journal article   Open access   Peer reviewed

Understanding the Self-Perceived Barriers and Enablers toward Adopting a Mediterranean Diet in Australia: An Application of the Theory of Planned Behaviour Framework

Nicole Scannell, Anthony Villani, Evangeline Mantzioris and Libby Swanepoel
International Journal of Environmental Research and Public Health, Vol.17(24), p.9321
2020
PMCID: PMC7764290
PMID: 33322111
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Understanding the Self-Perceived Barriers and Enablers toward Adopting a Mediterranean Diet in Australia - An Application of the Theory of Planned Behaviour Framework550.33 kBDownloadView
Published Version Open Access CC BY V4.0
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https://doi.org/10.3390/ijerph17249321View
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Abstract

barriers and enablers Australia Theory of Planned Behavior Mediterranean diet adherence
The transferability of a Mediterranean diet (MedDiet) in non-Mediterranean populations is appealing. However, little is known about the perceived enablers or barriers toward adherence, particularly in Australia. This study aimed to investigate the perceived beliefs, barriers, and enablers toward adherence to a MedDiet in Australian adults. Barriers and enablers were assessed using a self-administered online questionnaire, which included questions aligned with the Theory of Planned Behaviour (TPB). The survey was completed by n = 606 participants. Barriers and enablers toward adherence to MedDiet were grouped under the three core constructs of the TPB: attitudes (suitability, taste, restrictive, food waste); social norms (food culture); and perceived behavioural control (PBC) (motivation, affordability, time/effort, food access, knowledge, food outlets, natural conditions, cooking skills). PBC emerged as the most prominent construct influencing intention to follow a MedDiet. Perceived health benefits (n = 445; 76.5%) and improved diet quality (n = 224; 38.5%) were identified as major advantages. In contrast, dietary adherence (n = 147; 39.7%) was perceived as an important disadvantage. Future MedDiet interventions, in both research and clinical settings, should consider adopting strategies aimed at improving self-efficacy to reduce self-perceived barriers and facilitate dietary adherence.

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