title: Explaining the intention-behaviour gap in gluten-free diet adherence: The moderating roles of habit and perceived behavioural control.
abstract: Adherence to a strict gluten-free diet is the only treatment for coeliac disease. Nonetheless, many individuals with the disease struggle to achieve and maintain strict adherence. While the theory of planned behaviour is useful for predicting gluten-free diet adherence, an intention-behaviour gap remains. The aim of this study was to investigate the roles of habit and perceived behavioural control in moderating the intention-behaviour relationship in gluten-free diet adherence. A significant three-way interaction was found such that the association between intention and adherence was dependent on both perceived behavioural control and habit. Implications for both theory and intervention design are discussed.
authors.affiliation: Deakin University, Australia emily.kothe@deakin.edu.au.
authors.forename: Emily J
authors.initials: EJ
authors.lastname: Kothe
authors.affiliation: The University of Sydney, Australia.
authors.forename: Kirby
authors.initials: K
authors.lastname: Sainsbury
authors.affiliation: The University of Sydney, Australia.
authors.forename: Lauren
authors.initials: L
authors.lastname: Smith
authors.affiliation: Curtin University, Australia.
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Mullan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002446:Celiac Disease / Q000178:diet therapy / Q000523:psychology; D055050:Diet, Gluten-Free / Q000523:psychology*; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: adherence; eating behaviour; gluten-free diet; habit strength; moderator; theory of planned behaviour