OBJECTIVE To examine the relationship between health belief model (HBM; i.e., perceived threat, benefits, costs, and self-efficacy) and theory of planned behavior (TPB; i.e., attitudes, social norms, and perceived behavioral control) constructs and parents' intention to participate and initial engagement (i.e., recruitment, enrollment, and first attendance) with a parenting intervention. METHOD Participants were parents (n = 699, mean age = 38.29 years, 90.4% mothers) of 2-12-year-old children. The study conducted secondary analysis of cross-sectional data collected for an experimental study of engagement strategies. Participants provided self-report data on HBM constructs, TPB constructs, and intention to participate. Measures of initial parent engagement were also collected (i.e., recruitment, enrollment, and first attendance). Logistic regressions evaluated the impact of HBM and TPB constructs, and their combination, on intention to participate and initial parent engagement. RESULTS Analyses indicated that all HBM constructs increased the odds of parents' intention to participate and enrollment. In terms of TPB, parents' attitudes and subjective norms, but not perceived behavioral control, were significant predictors of intention to participate and enrollment. When combined in one model, parents' perceived costs, self-efficacy, attitudes, and subjective norms predicted intention to participate, whereas perceived threat, costs, attitudes, and subjective norms increased odds of enrolling in the intervention. Regression models for first attendance were not significant and those for recruitment could not be conducted due to lack of variance. CONCLUSIONS The findings demonstrate the relevance of using both HBM and TPB constructs when enhancing parent intention to participate and enrollment. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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健康行为理论在父母最初参与育儿干预中的作用。

目的 检验健康信念模型（HBM；即感知威胁、收益、成本和自我效能）和计划行为理论（TPB；即态度、社会规范和感知行为控制）结构与父母的关系之间的关系。参与育儿干预的意向和初步参与（即招募、注册和首次出席）。方法 参与者是 2-12 岁儿童的父母（n = 699，平均年龄 = 38.29 岁，90.4% 是母亲）。该研究对为参与策略的实验研究而收集的横截面数据进行了二次分析。参与者提供了有关 HBM 构建、TPB 构建和参与意向的自我报告数据。还收集了家长最初参与度的衡量标准（即招募、入学和首次出勤）。逻辑回归评估了 HBM 和 TPB 结构及其组合对参与意愿和初始家长参与度的影响。结果 分析表明，所有 HBM 构建都增加了家长参与和入学的意愿。就 TPB 而言，家长的态度和主观规范（而非感知的行为控制）是参与意向和入学的重要预测因素。当结合在一个模型中时，父母的感知成本、自我效能、态度和主观规范预测了参与意愿，而感知到的威胁、成本、态度和主观规范则增加了参与干预的几率。首次出勤的回归模型并不显着，而招聘的回归模型由于缺乏方差而无法进行。结论 研究结果表明，在增强家长参与和入学意愿时，使用 HBM 和 TPB 结构具有相关性。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。