Psychological factors of healthful diet promotion among diabetics: an application of health action process approach

Rohani, Hosein; Bidkhori, Mohammad; Sadeghi, Erfan; Sadeghi, Ahmad

doi:10.19082/6647

Cited by 15 publications

(16 citation statements)

References 40 publications

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“…In the present study, action self-efficacy was the strongest predictor variable of intent. This finding was consistent with those of the research performed by Schwarzer in 2007 (32), Chiu in 2010 (33), Zhang in 2018 (15), Rouhani in 2018 (25), and Teleki in 2018 (34). This finding indicated that one's belief in her abilities is the most important factor in shaping intention.…”

Section: Discussionsupporting

confidence: 91%

“…These questions were obtained from the reviews of Ferranti (2014) ( 14), Ajzan (2006) (22), and Renner (2008) (23), respectively, and scored according to the five-point Likert scale ranging from 1 (strongly disagree) to five (strongly agree). Furthermore, six, three, and six items measured action self-efficacy constructs according to Ochsner's study (2013) (24), recovery self-efficacy according to Rouhani's study (2016) (25), and the maintenance self-efficacy construct based on the review of studies that addressed barriers of healthy nutrition in women with a history of gestational diabetes (12,26,27), respectively. The items of these three constructs scored according to the five-point Likert scale ranging from one (not sure at all) to five (completely sure).…”

Section: Self-report Researcher-made Questionnaire Encompassing Health Action Process Approach Constructsmentioning

confidence: 99%

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Investigation of the Psycho-Social Factors Affecting the Adoption of a Healthy Nutrition Style in Women with a History of Gestational Diabetes Using Structural Equation Modeling

mohamadi

Kariman

Kashi

et al. 2020

ircmj

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Background and aims: Women with a history of gestational diabetes mellitus are the main high-risk group for type 2 diabetes; however, a healthy nutrition style can reduce the risk of developing diabetes in this group. The present study aimed to determine the psycho-social factors that affect the adoption of a healthy nutrition style in women with a history of gestational diabetes. Materials and Methods: This cross-sectional study was conducted based on the Health Action Process Approach (HAPA) in the west of Mazandaran province, Iran in 2019. A total of 165 women with a history of gestational diabetes in a recent pregnancy were selected using the convenience sampling method. The required data were collected using a demographic characteristic form, a healthy nutrition style questionnaire, and a researcher-made questionnaire based on HAPA model constructs. Moreover, structural equation modeling was used for data analysis. Results: Based on the results, the data were fit to the model (Tucker–Lewis index=0.924, comparative fit index=0.928, root mean square error of approximation=0.045, χ2/degrees of freedom=1.332). The model constructs predicted 23% and 51% of intention variance and nutrition style variance, respectively. Action self-efficacy and risk perception were the most important predictors of intention. In addition, planning and recovery self-efficacy significantly predicted a healthy nutrition style. Conclusion: As the first step, using the HAPA for the prediction of the nutrition style of women with a history of gestational diabetes was confirmed. Therefore, this model can be used to design educational interventions to prevent diabetes.

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Section: Discussionsupporting

confidence: 91%

Section: Self-report Researcher-made Questionnaire Encompassing Health Action Process Approach Constructsmentioning

confidence: 99%

Investigation of the Psycho-Social Factors Affecting the Adoption of a Healthy Nutrition Style in Women with a History of Gestational Diabetes Using Structural Equation Modeling

mohamadi

Kariman

Kashi

et al. 2020

ircmj

View full text Add to dashboard Cite

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“…Recent studies in Iran have shown that the HAPA model can be used to predict students’ nutritional behaviour (Alinaghizadeh, Javadi, & Lesani, 2017), nutritional behaviour and physical activity in people with type 2 diabetes (Rohani, Bidkhori, Eslami, Sadeghi, & Sadeghi, 2018; Rohani, Sadeghi, Eslami, Raei, & Jafari‐Koshki, 2018), parenting skills in mothers (Norouzi et al, 2015) and breast self‐assessment (Ghofranipour, 2018). However, a theory should be tested to identify the factors that influence favourable behaviour change in the target group (Rohani et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Predictors of physical activity following gestational diabetes: Application of health action process approach

et al. 2020

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Aim Regular physical activity can reduce the chance of developing type 2 diabetes in women with a history of gestational diabetes. The present study investigated the relationship between the constructs of the health action process approach and regular physical activity in women with a history of gestational diabetes. Design This was a cross‐sectional study. Methods A total of 150 women who had given birth 6–24 months prior to the study and had experienced gestational diabetes in their recent pregnancy were selected using multistage cluster sampling. Data were collected from December 2018 to May 2019 using a researcher‐made questionnaire including constructs of health action process approach. Results The common fit indices revealed that health action process approach had an acceptable fit to the observations (root mean square error of approximation = 0.054, Tucker–Lewis index = 0.95, comparative fit index = 0.955). The model's constructs predicted 48% of intention variance and 35% of physical activity variance. Action self‐efficacy and coping planning were the most important predictors of intention and behaviour, respectively.

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“…the way content is presented), targeted according to the health literacy and media use of the population, as well as visualisation or the use of narratives are evidence-based communication strategies [23]. Communication campaigns have proven effective in improving disease-specific health literacy [24], persuading high-risk populations to take part in screenings [25], increasing patients' physical activity levels [26], promoting a healthy diet [27] and improving social support for patients with diabetes [28]. When used to accompany policy initiatives, communication strategies can reduce resistance and improve overall acceptance of the initiatives [29,30].…”

Section: Introductionmentioning

confidence: 99%

What should governments be doing to prevent diabetes throughout the life course?

et al. 2019

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Health systems and governments are increasingly required to implement measures that target at-risk populations to prevent noncommunicable diseases. In this review we lay out what governments should be doing to prevent diabetes throughout the life course. The following four target groups were used to structure the specific recommendations: (1) pregnant women and young families, (2) children and adolescents, (3) working age population, and (4) the elderly. The evidence to date supports the effectiveness of some known government policy measures, such as sugar taxes and regulatory measures in the (pre-)school setting for children and adolescents. Many of these appear to be more effective if they are part of a bundle of strategies and if they are supplemented by communication strategies. Although there is a current focus on strategies that target the individual, governments can make use of evidence-based population-level prevention strategies. More research and continuous evaluation of the overall and subgroup-specific effectiveness of policy strategies using high-quality longitudinal studies are needed.

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Psychological factors of healthful diet promotion among diabetics: an application of health action process approach

Cited by 15 publications

References 40 publications

Investigation of the Psycho-Social Factors Affecting the Adoption of a Healthy Nutrition Style in Women with a History of Gestational Diabetes Using Structural Equation Modeling

Investigation of the Psycho-Social Factors Affecting the Adoption of a Healthy Nutrition Style in Women with a History of Gestational Diabetes Using Structural Equation Modeling

Predictors of physical activity following gestational diabetes: Application of health action process approach

What should governments be doing to prevent diabetes throughout the life course?

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