The Structural Equation Model of Decomposed Theory of Planned Behavior to Visit Thailand as Holistic Wellness Destination Via Life Quality & Well-Being

Main Article Content

Lalida Arphawatthansakul
Sangkae Punyasiri

บทคัดย่อ

          According to Global Wellness Economy Monitor reports in 2018, report that there are a variety of growing healthcare businesses in the global industry including mental and physical health, nutrition, weight loss, diet, Anti-aging, spa, hot springs, personal beauty care, dietary supplements, preventive medicine, and traditional medicine. Wellness tourism generates chances for wellness enterprises. The expenditures of wellness travelers are beneficial to all areas of the tourism business. Based on its importance to the Thai economy combined with the increasing interest in wellness tourist destinations, there is an increasing amount of research aimed at identifying potential opportunities for wellness tourism in Thailand. (Pathomsirikul, 2019). Therefore, the study aimed at examining the intention of European tourists to visit Phuket, Thailand as Holistic wellness destination by applying the decomposed theory of planned behavior (DTPB). The study investigated the additional variables: health consciousness and eWOM in this model whereby it is predicted to be predictor of the DTPB and also examined mediator effect of life quality & well-being towards behavior intention. A total of 600 respondents by purposive sampling as a minimum subject-to-item ratio of 10:1 (Hair Jr, Babin, and Anderson, 2010) and were analyzed via structural equation modeling to test the model. The results show that Health consciousness is significantly related to attitude but eWOM is found to be insignificant to subjective norms. Attitude and Subjective norms are significantly related to behavioral intention for holistic wellness tourism. Moreover, life quality & well-being was also found to serve as mediator effect towards behavior intention. The results of this study can theoretically be used as a framework for future research aimed at enhancing and refining the theoretical expansion of the decomposed theory of planned behavior, life quality & well-being towards behavior intention for holistic wellness tourism.

Article Details

บท
บทความวิจัย

References

Ajzen, I. (1991). The Theory of Planned Behavior. Organizational Behavior and Human Decision Processes, (50), 179-211.

Aleksijevits, K. (2020). Consumer motivation and behaviour when selecting a wellness holiday destination. International Journal of Spa and Wellness, 2 (2), 78-97.

Ali-Knight, J., & Ensor, J. (2017). Salute to the sun: an exploration of UK Yoga tourist profiles. Tourism Recreation Research, 42 (4), 484-497.

Anderson, J. C., & Gerbing, D. W. (1988). Structural equation modeling in practice: A review and recommended two-step approach. Psychological Bulletin, 103 (3), 411.

Aristotle. (1985). Nicomachean ethics. Indianapolis, IN: Hackett.

Baker, D. A., & Crompton, J. L. (2000). Quality, Satisfaction and behavioral intentions. Annals of tourism research, 27 (3), 785-804.

Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51 (6), 1173.

Blesic, I., Kovacic, S., Syromiatnikova, Y., & Freinkina, I. (2020). Recreation, relaxation or something else?- Exploring the motives for visiting the wellness hotels in Serbia. Advances in Health Sciences Research, (17), 23-27.

Boulay, R., Hritz, N. M., & Ashton, C. (2013). An Exploratory Study of Wellness Travel: Differences Between U.S. and Non-U.S. Travelers. Journal of Tourism Insights, 4 (1).

Chen, J. S., Prebensen, N., & Huan, T. C. (2008). Determining the Motivation of Wellness Travelers. Anatolia, 19 (1), 103-115.

Chen, M. F., & Tung, P. J. (2014). Developing an extended theory of planned behavior model to predict consumers' intention to visit green hotels. International Journal of Hospitality Management, (36), 221-230.

Clark-Kennedy, J., & Cohen, M. (2017). Indulgence or therapy? Exploring the characteristics, motivations and experiences of hot springs bathers in Victoria, Australia. Asia Pacific Journal of Tourism Research, 22 (5), 501-511.

Crompton, J. L. (1979). Motivations for pleasure vacation. Annals of tourism research, 6 (4), 408-424.

Dalziel, R. C., & De Klerk, N. (2021). Media and group influence on Generation Y consumers’ attitudes towards beauty products. Spanish Journal of Marketing - ESIC, 25 (1), 115-136.

de Bloom, J., Geurts, S. A., Sonnentag, S., Taris, T., de Weerth, C., & Kompier, M. A. (2011). How does a vacation from work affect employee health and well-being? Psychol Health, 26 (12), 1606-1622.

Dean, D., & Suhartanto, D. (2019). The formation of visitor behavioral intention to creative tourism: the role of push–Pull motivation. Asia Pacific Journal of Tourism Research, 24 (5), 393-403.

Deci, E. L., & Ryan, R. M. (2006). Hedonia, eudaimonia, and well-being: an introduction. Journal of Happiness Studies, 9 (1), 1-11.

Diener, E. (1984). Subjective Well-being. Psychological Bulletin, 95 (3), 542-575.

Diener, E., Heliwell, J. F., & Kahneman, D. (2010). International Differences in Well-being. Oxford: Oxford University Press.

Dolnicar, S., Yanamandram, V., & Cliff, K. (2012). The contribution of vacations to quality of life. Annals of tourism research, 39 (1), 59-83.

Etzion, D. (2003). Annual Vacation: Duration of Relief from Job Stressors and Burnout. Anxiety, Stress & Coping, 16 (2), 213-226.

Fu, J. R., Ju, P. H., & Hsu, C. W. (2015). Understanding why consumers engage in electronic word-of-mouth communication: Perspectives from theory of planned behavior and justice theory. Electronic Commerce Research and Applications, 14 (6), 616-630.

Gilbert, D., & Abdullah, J. (2002). A Study of the Impact of the Expectation of a Holiday on an Individual's sense of well-being Journal of Vacation Marketing, 8 (4), 352-361.

Gould, S. J. (1988). Consumer attitudes toward health and health care: A differential perspective. Journal of Consumer Affairs, 22 (1), 96-118.

GWI. (2018). GWIWellnessEconomyMonitor2018. Online. Retrieved 12 March 2021. From: https://globalwellnessinstitute.org/what-is-wellness/wellness-economy-definitions/

Hair, J. F., Black WC, Babin BJ, Anderson RE. (2014). Multivariate data analysis: Pearon new international edition. Essex: Pearson Education Limited.

Hosany, S., & Gilbert, D. (2009). Measuring Tourists’ Emotional Experiences toward Hedonic Holiday Destinations. Journal of Travel Research, 49 (4), 513-526.

Hudson, S., Thal, K., Cárdenas, D., & Meng, F. (2017). Wellness tourism: stress alleviation or indulging healthful habits? International Journal of Culture, Tourism and Hospitality Research, 11 (1), 35-52.

Husin, M. M., & Rahman, A. A. (2016). Predicting intention to participate in family takaful scheme using decomposed theory of planned behavior. International Journal of Social Economics, 43 (12), 1351-1366.

Jalil, N. A. A., Fikry, A., & Zainuddin, A. (2016). The Impact of Store Atmospherics, Perceived Value, and Customer Satisfaction on Behavioural Intention. Procedia Economics and Finance, 37, 538-544.

Joseph, S., & Linley, P. A. (2005). Positive adjustment to threatening events: An organismic valuing theory of growth through adversity. Review of general psychology, 9 (3), 262-280.

Karn, S., Amarkantak, A. M., & Swain, S. K. (2017). Health consciousness through wellnesstourism: a new dimension to new age travelers. African Journal of Hospitality, Tourism and Leisure, 6 (3), 1-9.

Kelly, C. (2015). Wellness Tourism: Retreat Visitor Motivations and Experiences. Tourism Recreation Research, 37 (3), 205-213.

Kessler, D., Lee, J.-H., & Whittingham, N. (2020). The wellness tourist motivation scale: a new statistical tool for measuring wellness tourist motivation. International Journal of Spa and Wellness, 3 (1), 24-39.

Khunnasup, J., & Kurahong, C. (2008). Thailand's Health Tourism Situation and Trends [Press release]

Konu, H., & Laukkanen, Y. (2009). Roles of Motivation Factors in Predicting Tourists intention to make wellbeing. Paper presented at the ANZMAC 2009 conference proceeding.

Koskinen, V., & Wilska, T.-A. (2019). Identifying and understanding spa tourists’ wellness attitudes. Scandinavian Journal of Hospitality and Tourism, 19 (3), 259-277.

Kraft, F. B., & Goodell, P. W. (1993). Identifying the health conscious consumer. Journal of Health Care Marketing, 13, 18-25.

Kucukusta, D., & Denizci Guillet, B. (2015). Lifestyle Segmentation of Spa Users: A Study of Inbound Travelers to Hong Kong. Asia Pacific Journal of Tourism Research, 21 (3), 239-258.

Laesser, C., & Hall, C. M. (2011). Health travel motivation and activities: insights from a mature market – Switzerland. Tourism Review, 66 (1/2), 83-89.

Lam, T., & Hsu, C. H. (2006). Predicting behavioral intention of choosing a travel destination. Tourism Management, 27, 589-599.

Laohawanit, M. M. (2014). Critical Success Factors of Health service providers to develop model of Holistic wellness centers in Thailand for the ASEAN market.

Lee, M., Han, H., & Lockyer, T. (2012). Medical Tourism—Attracting Japanese Tourists For Medical Tourism Experience. Journal of Travel & Tourism Marketing, 29 (1), 69-86.

Lehto, X. Y., Brown, S., Chen, Y., & Morrison, A. M. (2015). Yoga Tourism as a Niche Within the Wellness Tourism Market. Tourism Recreation Research, 31 (1), 25-35.

Litvin, S. W., Goldsmith, R. E., & Pan, B. (2018). A retrospective view of electronic word-of-mouth in hospitality and tourism management. International Journal of Contemporary Hospitality Management, 30 (1), 313-325.

Mai, R., & Hoffmann, S. (2012). Taste lovers versus nutrition fact seekers: How health consciousness and self-efficacy determine the way consumers choose food products. Journal of Consumer Behaviour, 11 (4), 316-328.

Mak, A. H. N., Wong, K. K. F., & Chang, R. C. Y. (2009). Health or self-indulgence? The motivations and characteristics of spa-goers. International Journal of Tourism Research, 11 (2), 185-199.

Mannan, M., Ahamed, R., & Zaman, S. B. (2019). Consumers' willingness to purchase online mental health services. Journal of Services Marketing, 33 (5), 557-571.

Meera, S., & Vinodan, A. (2019). Attitude towards alternative medicinal practices in wellness tourism market. Journal of Hospitality and Tourism Insights, 2 (3), 278-295.

MOPH. (2016). Empowering a Seamless Medical Hub Policy towards a Healthy City to Promote excellence in health services. Online. Retrieved 20 December 2021: https://www.thailandmedicalhub.net/news

Moscardo, G. (2011). Searching for Well-being: Exploring Change in Tourist Motivation. Tourism Recreation Research, 36 (1), 15-26.

Murphy, L., Mascardo, G., & Benckendorff, P. (2007). Exploring word-of-mouth influences on travel decisions: friends and relatives vs. other travellers. International Journal of Consumer Studies, 31 (5), 517-527.

Nawijn, J., & Damen, Y. (2014). Work During Vacation: Not So Bad After All. Tourism Analysis, 19 (6), 759-767.

Nawijn, J., Marchand, M. A., Veenhoven, R., & Vingerhoets, A. J. (2010). Vacationers Happier, but Most not Happier After a Holiday. Appl Res Qual Life, 5 (1), 35-47.

Neal, J. D., Sirgy, M. J., & Uysal, M. (1999). The role of satisfaction with leisure travel/tourism services and experience in satisfaction with leisure and overall life. Journal of Business Research, 44 (3), 153-163.

Neal, J. D., Uysal, M., & Sirgy, M. J. (2007). The Effect of Tourism Services on Travelers' Quality of Life. Journal of Travel Research, 46 (2), 154-163.

Newsom, J. T., McFarland, B. H., Kaplan, M. S., Huguet, N., & Zani, B. (2005). The health consciousness myth: implications of the near independence of major health behaviors in the North American population. Social Science & Medicine, 60 (2), 433-437.

Park, C., Wang, Y., Yao, Y., & Kang, Y. R. (2011). Factors Influencing eWOM Effects: Using Experience, Credibility, and Susceptibility. International Journal of Social Science and Humanity, 74-79.

Parsaei, F., Rezaei, M., & ArabJafari, M. (2014). Evaluating Behavioral Intentions of Tourists in e-Tourism. Journal of Computing Security, 1 (2), 95-109.

Pathomsirikul, Y. (2019). Marketing Strategies Affecting Chinese Tourists’ Decision Making and Loyalty toward Medical and Wellness Tourism in Thailand. UTCC International Journal of Business and Economics, 11 (2).

Plank, R. E., & Gould, S. J. (1990). Health Consciousness, scientific orientation and wellnes: an examination of the determinants of wellness attitudes and behaviors. Health Marketing Quarterly, 7 (3-4), 65-82.

Poomarpinun, P., & Weerakrit, N. (2018). Behavior and motivation of Chinese wellness tourists in Phuket. Human Resource and Organization Development Journal, 10 (2), 89-109.

Reza Jalilvand, M., & Samiei, N. (2012). The impact of electronic word of mouth on a tourism destination choice. Internet Research, 22 (5), 591-612. doi:10.1108/1066 2241211271563

Ruangkanjanases, A., You, J. J., Chien, S. W., Ma, Y., Chen, S. C., & Chao, L. C. (2020). Elucidating the Effect of Antecedents on Consumers' Green Purchase Intention: An Extension of the Theory of Planned Behavior. Front Psychol, 11, 1433.

Russell, R. C., Wesley, F., & Sutherland, P. (2008). Going where the Joneses go: Understanding how others influence travel decision-making. International Journal of Culture, Tourism and Hospitality Research, 2 (1), 12-24.

Ryan, C. (2015). Ways of Conceptualizing the Tourist Experience A Review of Literature. Tourism Recreation Research, 35 (1), 37-46.

Ryan, R. M., & Deci, E. L. (2001). On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52, 141-166.

Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychology well-being. Journal of Personality and Social Psychology, 57 (6), 1069-1081.

Ryu, K., & Jang, S. (2016). Intention to Experience Local Cuisine in a Travel Destination: The Modified Theory of Reasoned Action. Journal of Hospitality & Tourism Research, 30 (4), 507-516.

Sahli, A. B., & Legoherel, P. (2016). Decomposed thoery of planned Intention to book online product. Journal of Vacation Marketing, 22 (2), 179-194.

SCB. (2017). Insight Thai Tourism: Sustaining success. Online. Retrieved 20 December 2021. From: https://www.scbeic.com/en/detail/file/product/2953/ekn1rppsq7/EIC_Insight _ENG_Tourism_2016.pdf.

Schumacker, R. E., and Richard G. Lomax. (2010). A beginner's guide to structural equation modeling. New York: Psychology Press.

Seow, A. N., Choong, Y. O., Choong, C. K., & Moorthy, K. (2021). Health tourism: behavioural intention and protection motivation theory. Tourism Review, 77 (2), 376-393.

Sirgy, M. J., Kruger, P. S., Lee, D.-J., & Yu, G. B. (2010). How Does a Travel Trip Affect Tourists’ Life Satisfaction? Journal of Travel Research, 50 (3), 261-275.

Skevington, S. M., & Bohnke, J. R. (2018). How is subjective well-being related to quality of life? Do we need two concepts and both measures? Soc Sci Med, 206, 22-30.

Skevington, S. M., Gunson, K. S., & O'Connell, K. A. (2013). Introducing the WHOQOL-SRPB BREF: developing a short-form instrument for assessing spiritual, religious and personal beliefs within quality of life. Qual Life Res, 22 (5), 1073-1083.

Southeast, A. (2019). wellness spa tourism in Thailand. Online. Retrieved 20 December 2021. From: https://www.visitsoutheastasia.travel/guides/wellness-spa-tourism-in-thailand/

Sparks, B., & Pan, G. W. (2009). Chinese outbound tourists: Understanding their attitudes, constraints use of information sources. Tourism Management, 30 (4), 483-494.

TAT. (2017). Twelfth National Economic Plan - 2017-2021. Online. Retrieved 10 September 2022. from https://www.nesdc.go.th/nesdb_en/ewt_w3c/ewt_dl_link.php?nid=4345.

Taylor, S., & Todd, P. A. (1995). Understanding information technology usage: A test of completing models. Information systems research, 6 (2), 144-176.

Težak Damijanić, A. (2019). Wellness and healthy lifestyle in tourism settings. Tourism Review, 74 (4), 978-989.

the Office of National Higher Education Science Research and Innovation, N. (2022). Enhancing Phuket as Health and Wellness Hub. Online. Retrieved 10 September 2022. From: https://www.nxpo.or.th/th/11759

Triandis, H. C. (2000). Cultural Syndromes and Subjective well-being. Massachusetts, USA: Diener, E., Suh, E.M. (Eds.).

Tuzunkan, D. (2018). Wellness tourism- What motivates tourists to participate. International Journal of Applied Engineering Research, 13 (1), 651-661.

Velayuthan, S. K., Hashim, N. A. A. N., Yusoff, A. B. M., Awang, Z., & Ramlee, S. I. F. B. (2019). A Proposed Framework on Urban Vacationers Motivation in Visiting Spa and Wellness Centre. International Journal of Academic Research in Business and Social Sciences, 9 (5).

Verschuren, F. (2004). Spa health and wellness tourism: A new product portfolio at the Canadian Tourism Commission. Ottawa: Canadian Tourism Commission.

Wang, P. (2015). Exploring influence of electronic word-of-mouth on tourists' visit intention: A dual process approach. Journal of Systems and Information Technology, 17 (4), 381-395.

Wu, L., & Chen, J. L. (2005). An extension of trust and TAM model with TPB in the initial adoption of online tax: An empirical study. International Journal of Human-Computer Stuides, 62 (6), 784-808.

Yoon, Y., & Uysal, M. (2005). An examination of the effects of motivation and satisfaction on destination loyalty: a structural model. Tourism Management, 26 (1), 45-56.

Yusoff, A. M., & Hashim, N. A. A. N. (2019). Validating the Measuring Instrument for Motivation Factors towards Visiting Spa and Wellness Tourism Destinations in Kuala Lumpur. International Journal of Innovative Technology and Exploring Engineering, 8 (9S), 1106-1108.