{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T20:08:20Z","timestamp":1789416500970,"version":"build-2803163510"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T00:00:00Z","timestamp":1731888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>This study, guided by the theory of planned behavior (TPB), aimed to investigate whether attitude, subjective norms, and perceived behavioral control can predict parents\u2019 intentions to reduce or stop adding sugar to their child\u2019s beverages, such as tea or milk. The research also seeks to determine the predictive power of the TPB on the actual behavior of parents in reducing or halting sugar intake in their children\u2019s drinks. A questionnaire was developed to assess sweetening beverage behavior variables by mothers of children aged 3\u20137 years attending Lebanese public schools, with 184 responses retained with no missing values for analysis. Regression analysis was utilized to examine determinants of self-reported practice and intentions regarding sweetening beverages. Results showed that attitude and perceived behavioral control were significant predictors of intention to reduce or stop adding sugar to a child's beverages. The perception of behavioral control was found to predict the behavior of adding sugar to a child\u2019s beverages, even though the intention to reduce or stop did not. The study findings suggest that individuals with low perceived behavioral control and strong habits would be more likely to be actual performers of the adding sugar behavior regardless of their intention level. When adding sugar to a child\u2019s beverages is a common parental habit in low-income Lebanese families, our findings offer valuable insights for developing culturally and socially tailored health promotion strategies to reduce or stop adding sugar to children\u2019s beverages and raise parental awareness about the health risks associated with excessive sugar consumption in children.<\/jats:p>","DOI":"10.1093\/heapro\/daae146","type":"journal-article","created":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T11:35:01Z","timestamp":1731929701000},"source":"Crossref","is-referenced-by-count":1,"title":["Adding sugar to children\u2019s beverages: a theory of planned behavior study of Lebanese mothers"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3358-3788","authenticated-orcid":false,"given":"Abir","family":"Abdel Rahman","sequence":"first","affiliation":[{"name":"Medical Laboratory Sciences (MLS) Department, University of Balamand , 55251 Dekouaneh, Sin El Fil ,","place":["Lebanon"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5403-7234","authenticated-orcid":false,"given":"Nada O F","family":"Kassem","sequence":"additional","affiliation":[{"name":"Health Promotion and Behavioral Science, San Diego State University , 5500 Campanile Drive San Diego, San Diego, CA 92182 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6213-2960","authenticated-orcid":false,"given":"Marc Lewis Emrys","family":"Edwards","sequence":"additional","affiliation":[{"name":"Centre for Dentistry, Queen's University , Grosvenor Road, Royal Victoria Hospital, Belfast, BT12 6BP,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3979-8094","authenticated-orcid":false,"given":"Bahia","family":"Abdallah","sequence":"additional","affiliation":[{"name":"Alice Ramez Chagoury School of Nursing, Lebanese American University , 36 Blat, Byblos ,","place":["Lebanon"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3615-774X","authenticated-orcid":false,"given":"Rana","family":"Abdel Malak","sequence":"additional","affiliation":[{"name":"Alice Ramez Chagoury School of Nursing, Lebanese American University , 36 Blat, Byblos ,","place":["Lebanon"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,11,18]]},"reference":[{"key":"2024111811252996100_CIT0001","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1007\/978-3-642-69746-3_2","article-title":"From intentions to actions: a theory of planned","volume-title":"Action Control: From Cognition to Behavior","author":"Ajzen","year":"1985"},{"key":"2024111811252996100_CIT0002","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/0749-5978(91)90020-T","article-title":"The theory of planned behavior","volume":"50","author":"Ajzen","year":"1991","journal-title":"Organizational Behavior and Human Decision Processes"},{"key":"2024111811252996100_CIT0004","author":"Ajzen","year":"2006"},{"key":"2024111811252996100_CIT0005","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1080\/08870446.2011.613995","article-title":"The theory of planned behaviour: reactions and reflections","volume":"26","author":"Ajzen","year":"2011","journal-title":"Psychology & Health"},{"key":"2024111811252996100_CIT0006","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1007\/s13668-014-0097-z","article-title":"Sugar: what are the current facts and where to now","volume":"3","author":"Ambrosini","year":"2014","journal-title":"Current Nutrition Reports"},{"key":"2024111811252996100_CIT0007","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1348\/014466601164939","article-title":"Efficacy of the theory of planned behaviour: a meta-analytic review","volume":"40","author":"Armitage","year":"2001","journal-title":"The British Journal of Social Psychology"},{"key":"2024111811252996100_CIT0043","article-title":"Influences On School-Age Children\u2019s Milk And Soft Drink Intake [Doctoral dissertation, Case Western Reserve University]","author":"Balian","year":"2008","journal-title":"OhioLINK Electronic Theses and Dissertations Center"},{"key":"2024111811252996100_CIT0008","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1479-5868-10-88","article-title":"Oh baby! 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