Role of received social support in the physical activity of coronary heart patients: The Health Action Process Approach

Abstract

Physical activity (PA) plays a crucial role in the management of coronary artery disease (CAD). The Health Action Process Approach provides a useful framework for understanding and predicting the process of health behaviors. The aim of the current study was to unveil the role of received social support in the HAPA model, concerning the physical activity of CAD patients. A longitudinal sample of 117 CAD patients filled out a questionnaire during three measurement points (baseline, 2 months, and 6 months later). The constructs within the model were measured by the previously validated HAPA scales. PA was assessed with four items, which were also included in the HAPA questionnaire. To test the direct and indirect associations between the variables, structural equation modeling with latent variables was employed. Received social support was proven to have a significant and strong effect on both action planning and action control, suggesting a synergistic effect on the individual factors, as well as increasing the explained variance of PA. Results confirmed the important role of received social support in the PA of CAD patients.It could be presumed that strengthening the social support

Association between Social Support and Physical Activity in Patients with Coronary Artery Disease: Multiple Mediating Roles of Self-Efficacy and Autonomous Motivation

“…In parallel multiple mediated analyses, first, the social support of patients with CAD had a significant positive correlation with physical activity. This finding was similar to those of previous studies on CAD, which revealed that patients with higher social support from health-care providers showed higher levels of physical activity [ 14 , 17 ]. This finding is supported by previous studies demonstrating that social support is a strong factor affecting physical activity within the CAD population [ 14 , 26 ].…”

“…This finding was similar to those of previous studies on CAD, which revealed that patients with higher social support from health-care providers showed higher levels of physical activity [ 14 , 17 ]. This finding is supported by previous studies demonstrating that social support is a strong factor affecting physical activity within the CAD population [ 14 , 26 ]. These results indicate that social support, such as information provision and encouragement by health-care providers, is the driving force behind maintaining and promoting physical activity.…”

“…Social support is an essential predictor of physical activity in patients with CAD [ 14 ]. Recently, social support has been suggested as a means to decrease adverse health-related outcomes, including morbidity and mortality, because it promotes physical activity in patients with CAD [ 15 ].…”

“…Thus, social support is a contributing factor to correcting the perception of lifestyle modifications, including physical activity, and implementing health behaviors in patients with CAD [ 18 ]. Consequently, for patients with CAD to adhere to a physical activity program, tailoring of education and support from health-care providers is required in consideration of their interest in physical activity and their process regarding their recovery [ 14 , 18 ]. Self-efficacy is defined as individuals’ ability to organize their beliefs, which is demonstrated to be one of the predictors of physical activity in patients with chronic diseases [ 19 , 20 ].…”

Feasibility and Potential Effectiveness of a Smartphone Zero-Time Exercise Intervention for Promoting Physical Activity and Fitness in Patients With Coronary Heart Disease: A Pilot Randomized Controlled Trial

“…The volitional phase mainly includes planning and maintaining health behavior changes ( 31 ). This framework has been applied in some studies for CHD patients ( 32 , 33 ). Besides, based on the concept of a care bundle to maximize the intervention effect, the combination of several simple interventions could achieve some measurable effects ( 34 ).…”