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Few studies have adopted social psychology theories to understand the medical tourism decision-making process. The purpose of this study is to fill the said gap by suggesting the adoption of two social cognition models: the theory of planned behaviour (TPB) and protection motivation theory (PMT), to predict medical tourism behavioural intention, as well as compare their predictive power by integrating TBP and PMT in a single model.

A quantitative method has been adopted. There were 265 international tourists from various regions who visited Malaysia (one of the main medical tourism players in Asia), who were asked to complete the survey questionnaire. Data was analysed using the partial least squares structural equation modelling technique.

The results of this study provided support and validated the well-developed research models of TPB and PMT. Although PMT appears to be a more concrete and specific framework, the TPB model results have a slight advantage. TPB results emphasised the important roles of attitude, subjective norms and perceived behavioural control in developing behavioural intentions, and thus directly linked to the development of pull marketing strategies. PMT results emphasised the important roles of perceived threats and coping appraisal of health care in developing push strategies for medical tourism.

The research illustrates the need for rigorous examination of the ability of behavioural theories. The findings can aid in scrutinising their shortcomings and their readiness to modify, integrate and enhance in a more constructive manner when they address the health-education interventions, especially in a medical tourism context.

很少有研究采用社会心理学理论来理解医疗旅游的决策过程。这项研究的目的是通过建议采用两种社会认知模型（计划行为理论（TPB）和保护动机理论（PMT））来填补上述空白。通过将TBP和PMT集成到一个模型中, 预测医疗旅游行为意愿并比较其预测能力。

采用定量方法。样本包括265名访问了马来西亚（亚洲主要的医疗旅游公司之一）的国际游客, 他们被邀请填写调查问卷。研究使用偏最小二乘结构方程建模技术分析数据。

这项研究的结果支持并验证了TPB和PMT完善的研究模型。尽管PMT似乎是一个更具体的框架, 但TPB模型结果却有一点优势。TPB模型的结果强调了态度, 主观规范和感知的行为控制在形成行为意愿中的重要作用, 因此直接与拉动式营销策略的发展相关。 PMT结果强调了感知到的威胁和对医疗保健的应对评估在制定医疗旅游推动策略中的重要作用。

该研究阐述了严格检验行为理论能力的必要性。当研究结果针对健康教育干预措施时, 尤其是在医疗旅游领域, 这些发现可以帮助审查它们的缺点以及它们是否准备好以更具建设性的方式进行修改, 整合和改善。

医疗旅游, 游客的行为意愿, 保护动机理论, 计划行为理论, 模型比较, 马来西亚

研究论文

Pocos estudios han adoptado teorías de psicología social para comprender el proceso de toma de decisiones de turismo médico. El objetivo de esta investigación es llenar dicho vacío sugiriendo la adopción de dos modelos de cognición social: la teoría del comportamiento planificado (TPB) y la teoría de la motivación de protección (PMT), para predecir la intención conductual del turismo médico y comparar su poder predictivo integrando TBP y PMT en un solo modelo.

se ha adoptado un método cuantitativo. Hubo 265 turistas internacionales de diversas regiones que visitaron Malasia (uno de los principales actores del turismo médico en Asia) a quienes se les pidió que completaran el cuestionario de la encuesta. Los datos se analizaron utilizando la técnica de modelado de ecuaciones estructurales de mínimos cuadrados parciales.

Los resultados de este estudio brindaron apoyo y validaron los modelos de investigación bien desarrollados de TPB y PMT. Aunque PMT parece ser un marco más concreto y específico, los resultados del modelo TPB tienen una ligera ventaja. Los resultados del TPB enfatizaron los roles importantes de las actitudes, las normas subjetivas y el control conductual percibido en el desarrollo de las intenciones conductuales y, por lo tanto, directamente vinculados con el desarrollo de estrategias de marketing pull. Los resultados de PMT enfatizaron los roles importantes de las amenazas percibidas y la evaluación de la atención médica en el desarrollo de estrategias de empuje para el turismo médico.

La investigación ilustra la necesidad de un examen riguroso de la capacidad de las teorías conductuales. Los hallazgos pueden ayudar a analizar sus deficiencias y su disposición a modificar, integrar y mejorar de una manera más constructiva cuando abordan las intervenciones de educación sanitaria, especialmente en un contexto de turismo médico.

Collaborative consumption (CC), a unique business model, provides several monetary and non-monetary benefits to customers. Several adapted theory of planned behaviour (TPB)-based models were developed and tested to understand this consumption behaviour with the findings inconsistent and fragmented. Thus, this study aims to develop a general and consistent TPB model using a meta-analytic path analysis to better understand customers’ CC adoption behaviour.

Using 37 studies, a meta-analysis was performed adopting several analytical methods; bivariate analysis, moderation analysis and path analysis.

The universal TPB model shows that factors, that is, trust, attitude, perceived environmental responsibility and communication facilities, drive both perceived usefulness and CC. However, subjective norms, such as perceived behavioural control and emotional value, drive only perceived usefulness. Moderation analysis shows that the relationships between variables used in the proposed TPB model tends to vary depending on five moderators, that is, countries’ economic development level, type of CC, sample size, sample type and survey administration method.

The consideration of only quantitative papers and papers written in English language in this meta-analysis may bias the study’s findings.

Based on the findings regarding important factors that consumers consider when adopting CC, this study provides insightful recommendations to companies facilitating CC.

By developing the universal TPB model, this study theoretically contributes to the TPB model, and by conducting the moderation test, the study contextually contributes to the TPB literature in the CC context.

This science mapping analysis aims to discern current, emerging and future trends of pro-environmental behavior and the theory of planned behavior (TPB).

Bibliometric analysis through bibliographic coupling and co-word analysis were used to reveal the progress of this phenomenon. Of the 1,120 documents search in Web of Science (WoS) database, 1,031 were used in this analysis after restricting to journal publications and studies after the year 2000.

The results show that four themes emerged, namely the fundamentals of TPB for pro-environmental behavior, antecedents of pro-environmental behavior, integration of TPB with the norm activation model and value belief theory and studies of pro-environmental behavior in developing countries. Environmental concern, environmental awareness, environmental knowledge and environmental education were the most commonly integrated variables.

This research is unique in the sense that the integration between TPB and other prominent theories of pro-environmental behavior is vital to predict individual pro-environmental behavior and understand the fundamental scientific importance of the domain. The norm activation model has been integrated with TPB in many pro-environmental behaviors. Mainstream media stakeholders should design and implement a plan for strategic communication and awareness campaigns in the community to encourage consumers to engage in many behaviors that lead to environmental sustainability.

This study presents a science mapping approach to uncover crucial knowledge structure related to pro-environmental behavior and the theory of planned behavior.

The purpose of this paper is to investigate the extent to which the three constructs associated with the theory of planned behaviour (TPB) can explain student banking intentions and assist in understanding their bank satisfaction.

This research issue was investigated using a mixed methods approach, incorporating both qualitative and quantitative methods. Convenience sampling was used. Factor analysis and logistic regression were used to ascertain the relevance of the TPB in explaining student banking intentions.

Using factor analysis, perceived behavioural control was shown to be the key determinant in explaining student banking intentions. Using a logistic regression, the TPB was shown to have strong application in predicting customer satisfaction with all three of its constructs significant, but weaker application for predicting the likelihood of a bank switch, with subjective norms and attitude significant, and even less for the likelihood of recommending the bank to a friend, with only perceived behavioural control significant.

The use of an online survey which limits the pool of respondents to internet users, together with the sample size, limit the generalisability of findings.

Banks can better target and understand the drivers that influence both student banking intentions and customer satisfaction. This knowledge will allow banks to better attract and retain student customers.

Provides insight to and a better understanding of how the TPB can explain and predict student banking intentions. This study fills a gap in the literature by concentrating on student banking behaviour in Australia, a substantial segment of bank customers that has received little research.

The purpose of this study is to identify the factors that influence the willingness of Saudi Arabian students from four universities in Saudi Arabia, to adopt learning management systems (LMSs). This will be accomplished by using two popular technology acceptance models unified theory of acceptance and use of technology (UTAUT) and theory of planned behavior (TPB).

In total, 445 undergraduates from four Saudi educational institutions participate in filling out the study questionnaire. To investigate the correlations between the variables, the study used structural equation modeling for data analysis.

The results of the study show that effort expectancy (EE), subjective norm (SN), attitude toward behavior (ATB) and perceived behavioral control (PBC) are found to be substantially connected with their intentions to use (ITU) LMSs. The findings also show that there is a strong relationship between students’ intentions and their actual use of LMSs.

Like many studies, this research has some limitations. The primary limitation is that the findings of the study cannot be extrapolated to other settings since the report’s analysis and investigation were limited to four Saudi universities. Therefore, to generalize the study’s findings, similar research needs to be conducted in other Gulf and similar cultural universities.

The integrated model identifies key factors that influence the intent of Saudi Arabian students to use LMS, including EEs, social influence, ATB and PBC. This model can help develop solutions for the obstacles that prevent students from using LMS. The findings can be used to provide assistance to increase the likelihood of LMS acceptance as part of the educational experience. The model may also inspire further research on this topic in the Gulf nations, particularly in Saudi Arabia.

As none of the relevant studies conducted previously in Saudi Arabia has integrated the two models to study the students’ ITU LMSs, this study combines two major theories, TPB and UTAUT, in the context of Saudi Arabia, contributing to the field of technology use in education by expanding empirical research and providing a thorough understanding of the challenges associated with the use of LMS in Saudi universities. This study should be viewed as filling a crucial gap in the field. Moreover, this integrated model, using more than one theoretical perspective, brings a thorough comprehension of the barriers that hinder students’ adoption of LMSs in the academic context in Saudi Arabia and thus assists in making effective decisions and reaching viable solutions.

The purpose of this paper is to propose and test an extended theory of planned behavior model (TPB) to explain how following destination Facebook pages impacts travelers’ visit intention.

The study asked 252 participants to follow a destination’s Facebook page for three months before they completed the survey. An integrative model combining theory of planned behavior, social influence theory and attitude toward the ad was proposed. Partial least squares structural equation model (PLS-SEM) was used in testing the proposed model.

The findings indicated that the three social influences (compliance, identification and internalization) all significantly impacted visit intention both directly and mediated by subjective norm. Facebook page experience also significantly influenced visit intention mediated by perceived behavioral control. However, both attitude toward the destination and attitude toward messages were not significantly associated with visit intention.

The findings of this study revealed important practical implications for destination marketing organizations (DMOs) to leverage Facebook marketing. Specifically, DMOs should pay extra attention to the social influence of Facebook pages, especially identification, and also use Facebook pages to reduce perceived behavioral control of potential visitors.

This study was one of the first attempts to explore the factors influencing visit intention of destination Facebook fans based on an extended TPB model. The study also contributed to the literature of using PLS-SEM in predicting behavioral intention through a reflective-formative higher-order model.

本论文旨在建立和验证一个扩展的计划行为模型, 用来解释旅游目的地Facebook如何影响游客旅游意图。

252人参与本研究项目, 他们实际关注了一个旅游目的地Facebook三个月, 然后填写了问卷。本论文以计划行为模型、社会影响理论、以及广告认知理论等为基础, 建立一体化模型。本论文采用偏最小二乘回归结构方程模型（PLS-SEM）验证这个一体化模型。

三种社会影响因素（从众、认同、内化）均对旅游意图有直接和间接的影响。Facebook体验也对于旅游意图, 通过知觉行为控制的中间调解作用, 有显著影响。然而, 目的地态度和信息的态度并未显著地与旅游意图有关。

本论文结果对于旅游目的地管理机构（DMOs）如何使用Facebook营销有着实际启示作用。特别的是, DMOs应该更加关注Facebook的社会影响方面, 比如认同, 以及使用Facebook来减少潜在游客的知觉行为控制。

本论文是首先几篇以TPB模型为基础, 探索目的地Facebook粉丝效应的旅游意图的文章。本论文还对于使用PLS-SEM技术通过反应性-形成性多阶模型来预测行为意图的文献有着理论贡献。

关键词：广告认知, 、目的地Facebook, 、社会影响理论, 、计划行为理论, 、旅游意图

研究论文

This chapter discusses Icek Ajzen’s contribution of Theory of Planned Behaviour (TPB) to understandings of teacher attitudes and actions in relation to inclusive practices. The discussion explores why some educators are successful in including students with disabilities in regular classrooms and others are not and considers the role of educators’ attitudes in determining their actions when they teach. The chapter proceeds to discuss the role of TPB in teacher education that supports inclusive practices and also identifies some of the drawbacks of the existing research on attitudes within the field of inclusive education. The chapter highlights how TPB theory continues to have significant relevance in a range of areas related to teacher and inclusive education.

The purpose of this paper is to investigate factors affecting Vietnamese farmer's intention toward organic agricultural production based on research model integrating theories: theory of planned behavior (TPB) and norm activation model (NAM).

After in-depth interviews with 5 agricultural researchers and 5 farmers, the authors determined the official research model and built a complete survey. Data were collected from 318 farmers in the Hanoi, Vietnam by directly survey. Statistical methods, such as Cronbach's alpha analysis, exploratory factor analysis (EFA), confirmatory factor analysis (CFA) and structural equation modeling (SEM), were used to analyze the data.

This paper shows that attitude, subjective norms, perceived behavioral control and personal norm were significantly related to intention of the farmers; awareness of consequences was positively related to ascription of responsibility, personal norm, attitude and subjective norms; ascription of responsibility has a positive relationship with personal norm. The TPB-NAM integration model is proven to be superior to the original TPB model when studying factors affecting Vietnamese farmer's intention toward organic agricultural production.

The main limitation of this paper is that the sampling method is not representative for the whole country and just stops at researching the intentions of farmers without understanding the practices of organic agricultural production.

The findings indicate that state management agencies in Vietnam need to pay attention to raise awareness among farmers about the role of organic farming, communicate to farmers through different channels about the benefits of organic farming compared to conventional agriculture and form information spillover groups between farmers who have produced organic agriculture and have not yet produced organic agriculture.

This paper contributes to the existing literature by focusing on integrating TPB and NAM when understanding farmers' intention toward organic agricultural production in Vietnam. This integrated model has proven the suitability of combining two approaches, a rational approach and an ethical approach, when studying farmer intentions.

The purpose of this paper is to investigate factors affecting Vietnamese consumers’ intention and behavior toward “bringing your own shopping bags” (BYOB) instead of using plastic bags based on integrating theories: theory of planned behavior (TPB) and norm activation model (NAM).

The study used a combination of in-depth interviews and large-scale surveys. Data were collected from 536 Vietnamese consumers to explore the relationship among eight factors in the research model, including behavior, intention, attitude (AT), subjective norms (SN), perceived behavioral control, the ascription of responsibility, awareness of consequences and personal norm (PN). The data collected went through quantitative analysis steps, including Cronbach’s alpha reliability test, exploratory factor analysis, confirmatory factor analysis and structural equation modeling for scales and hypotheses testing by using SPSS and AMOS data analysis tools.

The results show that in a developing country like Vietnam, attitude and PNs have a stronger impact on intention toward BYOB than other factors, and the study also reveals the moderate relationship between intention with actual behavior toward BYOB. The proposed hypotheses are all accepted except the hypothesis about the relationship between SN and PNs.

The main limitation of this paper is that the integrative model of TPB and NAM only explains 57% of the variance of the intention toward BYOB.

Based on the results of the study, the author makes some suggestions for Vietnamese state management agencies to promote BYOB.

To the best of the authors’ knowledge, this study represents for the first time the application of an integrated model of TPB and NAM to learn about the intention and behavior toward BYOB.

This study aims to develop and empirically test a comprehensive framework in which to understand the determinants of guests’ behavior to use green peer-to-peer (P2P) accommodation in the UK P2P context by emerging the theory of planed behavior, environmental commitment theory and the value-belief-norm (VBN) theory into one model.

Adopting a quantitative approach, the present study proposes an integrated model integrating theory of planed behavior, environmental commitment theory and the VBN theory and subsequently tests the model using structural equation modeling data analysis. Data collected from 721 respondents were analyzed through (AMOS) to test the proposed model.

The results indicate that our integrated framework demonstrates a favorable level of prediction power for guests’ behavior, which verified the superiority of the suggested framework. Furthermore, the findings verified the moderating impact of guest attributes on guests decision regarding the booking process.

This study contributes to the existing theory and practice by offering important insights about determinants of guests’ behavior to use green P2P accommodation in the UK P2P context.

This research was the first to explore the determinants of guests’ behavior to use green P2P accommodation in the UK P2P context.