Social-cognitive predictors of physical activity initiation in type 2 diabetes following diabetes self-management education : application of the health action process approach.

Bonner, Jason E.

doi:10.18297/etd/126

Cited by 2 publications

(1 citation statement)

References 83 publications

(227 reference statements)

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“…This difference is due to the fact that during the group training, having been provided with educational booklets and videos, the patients understood the risks of not following the diet and realized the consequent risks in the rst month, and continued to do so until the end of the educational intervention. Other studies such as Bonner (20), Bluo et al (21), and Zhou et al (22) were consistent with our study and showed an increase in risk perception after the intervention. In Schwarzer's study the construct of risk perception did not have a signi cant relationship with behavioral intention hence it was not consistent with the results of the present study (23).…”

Section: Discussionsupporting

confidence: 93%

The Effect of Educational Intervention on Dietary Adherence among Type 2 Diabetics in Zahedan: Using the Health Action Process Approach

moghimi

Payandeh

Ranjbaran³

et al. 2023

Preprint

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Objective: Type 2 diabetes is the most common type of diabetes, accounting for the majority of cases. Self-care practices among type II diabetics improve the quality of life and reduce treatment costs. Dietary adherence is one of the self-care practices. This research was conducted with the aim of using the HAPA model to improve dietary adherence among type 2 diabetics in Zahedan. Methods: In this cross-sectional study, 210 type-2 diabetic patients admitted to hospital clinics in Zahedan during the summer of 2022 were selected (code: IR.ZAUMS.SPH.REC.1400.392). The clinics were selected by coin flipping. The intervention group (105 people) was from the diabetes clinic at Bu Ali Hospital, and the control group (105 people) was from the diabetes clinic at Khatam Al-Anbia Hospital in Zahedan. Sampling was done by simple random sampling among the diabetic patients. After collecting the data using the demographic characteristics questionnaire and the standard questionnaires, i.e., the Dietary Adherence Questionnaire and HAPA model constructs questionnaire, the pre-test analysis was done. Then the four-session educational intervention was conducted in the form of lectures, educational booklets, and behavior self-report booklets. One and three months after the educational intervention, the questionnaires on HAPA model constructs and self-care behavior were filled out by the patients and collected for analysis. Data were analyzed using independent t, chi-square, and Shapiro-Wilk tests in SPSS version 23 software. Findings: The results showed that all the HAPA model constructs, including risk perception, outcome expectancies, behavioral intention, action self-efficacy, coping self-efficacy, recovery self-efficacy, action planning and coping planning, perceived barriers, perceived benefits, and self-care behavior had significant differences in one month and three months after the educational intervention (P = 0.001), which indicated the effectiveness of education in the intervention group. However, there was no significant difference in the control group (P = 0.009). Discussion and conclusion:The intervention using the HAPA model showed that after the training, the model constructs had a significant impact on the patients' self-care regarding dietary adherence. Appropriate programs with details on action planning and coping planning should be developed to promote dietary adherence among patients with type 2 diabetes.

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Section: Discussionsupporting

confidence: 93%

The Effect of Educational Intervention on Dietary Adherence among Type 2 Diabetics in Zahedan: Using the Health Action Process Approach

moghimi

Payandeh

Ranjbaran³

et al. 2023

Preprint

View full text Add to dashboard Cite

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A meta-analysis of the health action process approach.

Zhang¹,

Zhang²,

Schwarzer³

et al. 2019

Health Psychology

339

251

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Objective: The Health Action Process Approach (HAPA) is a social-cognitive model specifying motivational and volitional determinants of health behavior. A meta-analysis of studies applying the HAPA in health behavior contexts was conducted to estimate the size and variability of correlations among model constructs, test model predictions, and test effects of past behavior and moderators (behavior type, sample type, measurement lag, study quality) on model relations. Methods: A literature search identified 95 studies meeting inclusion criteria with 108 independent samples. Averaged corrected correlations among HAPA constructs and multivariate tests of model predictions were computed using conventional meta-analysis and meta-analytic structural equation modeling, with separate models estimated in each moderator group. Results: Action and maintenance self-efficacy and outcome expectancies had small-to-medium sized effects on health behavior, with effects of outcome expectancies and action self-efficacy mediated by intentions, and action and coping planning. Effects of risk perceptions and recovery self-efficacy were small by comparison. Past behavior attenuated the intention-behavior relationship. Few variations in model effects were observed across moderator groups. Effects of action self-efficacy on intentions and behavior were larger in studies on physical activity compared to studies on dietary behaviors, whereas effects of volitional self-efficacy on behavior were larger in studies on dietary behaviors. Conclusions: Findings highlight the importance of self-efficacy in predicting health behavior in motivational and volitional action phases. The analysis is expected to catalyze future research including experimental studies targeting change in individual HAPA constructs, and longitudinal research to examine change and reciprocal effects among constructs in the model.

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Social-cognitive predictors of physical activity initiation in type 2 diabetes following diabetes self-management education : application of the health action process approach.

Cited by 2 publications

References 83 publications

The Effect of Educational Intervention on Dietary Adherence among Type 2 Diabetics in Zahedan: Using the Health Action Process Approach

The Effect of Educational Intervention on Dietary Adherence among Type 2 Diabetics in Zahedan: Using the Health Action Process Approach

A meta-analysis of the health action process approach.

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