scholarly journals Predicting physical activity change in cancer survivors: an application of the Health Action Process Approach

2021 ◽  
Author(s):  
Sarah J. Hardcastle ◽  
Chloe Maxwell-Smith ◽  
Martin S. Hagger
Keyword(s):  
Physical Activity ◽  
Cancer Survivors ◽  
Self Efficacy ◽  
Risk Perceptions ◽  
Action Planning ◽  
Process Approach ◽  
Equation Modeling ◽  
Health Action Process Approach ◽  
Health Action ◽  
Action Process

Abstract Purpose Previous research has not examined the utility of the Health Action Process Approach (HAPA) to predict physical activity (PA) change in cancer survivors. The aim of the study was to investigate the efficacy of a HAPA-based model in predicting temporal change in moderate-to-vigorous physical activity (MVPA) in cancer survivors. Methods Participants enrolled in the Wearable Activity Technology and Action Planning (WATAAP) trial completed validated questionnaires (n = 64) to assess HAPA constructs (action and maintenance self-efficacy, outcome expectancies, action planning, risk perceptions, and intention) and wore an ActiGraph to measure PA at baseline, 12 weeks, and 24 weeks later. Data were analyzed using variance-based structural equation modeling with residualized change scores for model variables. Results Consistent with predictions, changes in action self-efficacy (β = 0.490, p < 0.001, ES = 0.258) and risk perceptions (β = 0.312, p = 0.003, ES = 0.099) were statistically significant predictors of intention change over time. Changes in intention (β = 0.217, p = 0.029, ES = 0.040) and action planning (β = 0.234, p = 0.068, ES = 0.068) predicted changes in MVPA. Overall, the model accounted for significant variance in intention (R2 = 0.380) and MVPA (R2 = 0.228) change. Conclusions Changes in intention and action planning were important correlates of MVPA change over 24 weeks. Further, changes in action self-efficacy and risk perceptions predicted changes in intention. Implications for cancer survivors: interventions that foster risk perceptions and self-efficacy, strengthen intentions, and promote action planning may be effective in promoting sustained PA change in cancer survivors.

Determinants of effective nurse-patient communication based on the health action process approach in Yazd hospitals

2019 ◽  
Vol 40 (3) ◽  
Author(s):  
Mohammad Ali Morowati Sharifabad ◽  
Mohammad Rafati Fard ◽  
Mojtaba Fattahi Ardakani ◽  
Ali Dehghani Ahmadabad ◽  
Ahmad Sotudeh
Keyword(s):  
Self Efficacy ◽  
Effective Communication ◽  
Process Approach ◽  
Patient Communication ◽  
Public Hospitals ◽  
Equation Modeling ◽  
Health Action Process Approach ◽  
Significant Difference ◽  
Health Action ◽  
Action Process

Abstract Background Nurse-patient communication is one of the most important care relationships that affects the treatment process. The health action process approach (HAPA) has been used to explain a number of behaviors. However, this approach has not been used to explain nurse-patient communication. Therefore, this study was conducted to investigate effective nurse-patient communication using this approach. Materials and methods In this cross-sectional study, 300 nurses from public hospitals in the center of Iran were enrolled in the study. A researcher-developed questionnaire was used to measure the HAPA constructs. The data were analyzed using Pearson’s correlation coefficient and one-way analysis of variance with least significant difference (LSD) post hoc tests in SPSS as well as structural equation modeling using AMOUS software. Results In the motivation phase, risk perception, outcome expectancies and task self-efficacy predicted 19% of variance in intention to communicate effectively. In the volitional phase, planning and action self-efficacy predicted 22% of variance in effective communication. The scores of HAPA constructs were different depending on the levels of effective communication. Conclusions The model can serve as a reference framework to promote effective nurse-patient communication.

scholarly journals A predictive model of the sunscreen use in the paddy workers based on the health action process approach model: a path analysis

2020 ◽  
Vol 95 (1) ◽  
Author(s):  
Hadiseh Panahi ◽  
Leili Salehi ◽  
Zohreh Mahmoodi
Keyword(s):  
Predictive Model ◽  
Self Efficacy ◽  
Action Planning ◽  
Process Approach ◽  
Outcome Expectation ◽  
Health Action Process Approach ◽  
Coping Planning ◽  
Sunscreen Use ◽  
Health Action ◽  
Action Process

Abstract Background Skin cancer is considered as one of the most common cancers in the world. There is little information about identifying factors affecting sunscreen use among paddy workers and their protective behavior. The present study aimed to determine a predictive model of the sunscreen use in the paddy workers based on the health action process approach model (HAPA). Methods This cross-sectional study was conducted on 177 paddy workers who engaged in agricultural work in the north of Iran in 2018. Convenience sampling methods was used. Inclusion criteria were being a farmer for 5 years, working under the sunshine more than 2 h per day, and above the age of 30 years. A multi-sectional questionnaire (intention, risk perception (RP), outcome expectation (OE), action self-efficacy (ASE), action planning (AP), coping planning (CP), coping SE (CSE), self-monitoring (SM), and sunscreen use) was used for data collection. Data were analyzed with SPSS-21 and Lisrel-8.8 software. Results The mean age of participants was 47.78 ± 12.66 years. The final path model fitted well (comparative fit index (CFI) = 0.98, RMSEA = 0.000), only coping self-efficacy (CSE) from both direct and indirect paths had an impact on sunscreen use (B = 0.73). Among the variables which are influenced only in one direction, coping planning (CP) had the most direct influence (B = 0.30) on behavior, and action planning had the lowest influence (B = 0.24). Conclusion Coping self-efficacy was the most important factor which had influence on the use of sunscreen, and it should be considered when designing interventional programs related to sunscreen use among paddy workers.

scholarly journals Implementation of Health Action Process Approach to Improve Dietary Adherence in Type 2 Diabetic Patient

Jurnal NERS ◽  
2016 ◽  
Vol 10 (2) ◽  
pp. 272
Author(s):  
Kusnanto Kusnanto ◽  
Iqlima Dwi Kurnia ◽  
Dwi Indah Prasetia
Keyword(s):  
Blood Sugar ◽  
Self Efficacy ◽  
Process Approach ◽  
Diabetic Patients ◽  
Dietary Adherence ◽  
Health Action Process Approach ◽  
Health Action ◽  
Action Process ◽  
Type 2 Diabetic

Introduction: Type 2 diabetic patients usually unsuccessful to follow the diet recommendation due to lack of motivation, memory and intention. This study attempts to increase the motivation and also to improve intention in dietary adherence through the implementation of Health Action Process Approach (HAPA). Method: This study was a quasy-experiment. The population were type 2 diabetic patients in Puskesmas Krian Sidoarjo in March-April 2015. Respondents were only 16 and had been divided into experiment and control group. The independent variable was the implementation of HAPA. The dependent variable were self-efficacy, dietary adherence and blood sugar levels. The instruments in this study were questionnaires and blood sugar monitoring devices. Data were analyzed using statistical wilcoxon sign rank test and mann whitney u  test with significance level α ≤ 0.05. Result: Wilcoxon sign rank test showed there were differences between pre and post test significantly on self-efficacy (p=0.014), dietary adherence  (p=0.025), blood sugar levels (p=0.009) in  experiment group, while no significant differences in control group. Mann Witney U test showed that there was significant difference on dietary adherence (p=0.002) between two groups. Discussion: In conclusion, the implementation of HAPA can improve dietary adherence in type 2 diabetic patient. Further, following studies are expected with large number respondents and identify the whole variables in the HAPA theory.Keywords: Health Action Process Approach (HAPA), self efficacy, dietary adherence, blood glucose, Diabetes Mellitus (DM)

Sign in / Sign up

Export Citation Format

Share Document