Test of the health promotion model as a causal model of commitment to a plan for exercise among Korean adults with chronic disease

Abstract

The purpose of this study was to test seven constructs (prior experience of exercise, perceived health status, exercise benefits, exercise barriers, exercise self-efficacy, social support for exercise, and options for exercise) from the health promotion model (HPM) as a causal model of commitment to a plan for exercise in a sample of 400 Korean adults with chronic disease. Using structural equation modeling (SEM), we found that all fit indices indicated a good fit. The final model accounted for 54% of the variance in commitment to a plan for exercise. Prior experience with exercise and exercise benefits were the factors most highly related. Health professionals can assess prior experience and emphasize personally relevant benefits of exercise in designing intervention programs to help Korean adults with chronic disease become more physically active.

Does age make a difference? Predicting physical activity of South Koreans.

“…In the context of physical activity, the first studies have yielded supporting evidence for this contention. Shin, Yung, Pender, and Jang (2005) found in a sample of South Korean adults suffering from a chronic disease that there was a positive relationship between the commitment to an exercise plan and the perceived benefits and barriers of exercise and perceived exercise self-efficacy. Similar results have been reported for South Korean adolescents (Y. H. Kim, 2004) and Chinese undergraduate students (Callaghan, Eves, Norman, Chang, & Lung, 2002).…”

Clinical critics in the management of diabetes mellitus

“…These findings' validity is supported by researchers who also reported that self-efficacy and family supports are important predictors for performing physical exercise [76,[93][94][95][96]. Another survey (n = 375) reported that only 38% of the subjects were given advice by their healthcare providers on exercise in comparison to 90% being advised on diet and weight loss.…”

Factores de necesidad asociados al uso adecuado del control prenatal

“…En especial, el modelo destaca las cogniciones y afectos relativos a la conducta, que engloban los beneficios y barreras percibidas, las experiencias anteriores y las influencias del entorno que la mujer puede tener para comprometerse con un mayor cuidado durante la gestación, que pueden ser potenciadas o no por las necesidades en salud que la gestante percibe 5,6 . Algunos autores han estudiado los beneficios, barreras y experiencias, como factores influyentes en las conductas promotoras de salud; en este sentido YunHee et al encontraron que la experiencia anterior y los beneficios percibidos se relacionan de manera positiva con el compromiso de una conducta favorecedora de la salud 7 ; y Hanson et al dan cuenta de las barreras y facilitadores para la realización de pruebas de tamizaje, por ejemplo, la mamografía en mujeres 8 . Sin embargo, en la ciudad de Sincelejo no se han encontrado estudios que den cuenta del análisis de estos factores y ayuden a la comprensión de las relaciones de estos con la adecuada adherencia al control prenatal.…”

“…Este indaga sobre los beneficios y barreras del control prenatal; y además la gestante señala las personas que influían positivamente en la asistencia al control o si la decisión había sido propia. De igual manera, si habían tenido embarazos anteriores y si califican la experiencia anterior como buena, regular o mala 6,7 .…”