scholarly journals A Meta Analysis of the Health Action Process Approach

2018 ◽  
Author(s):  
Chun-Qing Zhang ◽  
Ru Zhang ◽  
Ralf Schwarzer ◽  
Martin S Hagger
Keyword(s):  
Health Behavior ◽  
Self Efficacy ◽  
Meta Analysis ◽  
Process Approach ◽  
Outcome Expectancies ◽  
Health Action Process Approach ◽  
Past Behavior ◽  
Model Predictions ◽  
Health Action ◽  
Action Process

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.

Psychological Factors Associated With Episodic Oral Chelation Adherence In Thalassaemia

Blood ◽  
2013 ◽  
Vol 122 (21) ◽  
pp. 4706-4706
Author(s):  
Vosper Jane ◽  
D Clin Psy ◽  
Michael Evangeli ◽  
Clin Psy D ◽  
John Porter ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Process Approach ◽  
Outcome Expectancies ◽  
Thalassaemia Major ◽  
Health Action Process Approach ◽  
Beta Thalassaemia ◽  
Situational Variables ◽  
Cognitive Behavioural ◽  
Health Action ◽  
Action Process

Objectives Beta-Thalassaemia-Major is a life-long genetic haemoglobin disorder where patients require intensive regimens, including frequent blood transfusions and daily chelation therapy. Despite the introduction of oral chelators, non-adherence continues to be prevalent. Understanding psychosocial correlates of chelation adherence is important when considering potential interventions to improve adherence as they may be potentially modifiable. Previous studies of the relationships between psychosocial factors and chelation adherence have neither been theory driven nor assessed theoretically important variables such as self-efficacy and outcome expectancies. In addition, there has been little investigation of situational determinants of adherence (cognitive, behavioural or affective). This study, informed by the Health Action Process Approach, investigated within-participant correlates of oral chelation adherence on a daily (episodic) basis. Design The study used a within-participant cross sectional design. Thirty seven adult participants with Beta-Thalassaemia Major were recruited from clinics at two hospitals, of which 31 were able to identify an adherent and non-adherent episode within the last two months. Sampling was systematic. Main outcome measures A structured interview was developed to assess cognitive, behavioural and affective situational variables related to recent adherent and non-adherent episodes. The main cognitive variables (situational self-efficacy and outcome expectancies) were derived from The Health Action Process Approach (HAPA). Behavioural situation variables included substance use, day of the week, activity, location, access to medication, reminder cues and social context. Affective situational variables were mood and bodily pain. Results Positive outcome expectancies and higher self-efficacy together significantly predicted adherent episodes (p<0.001), however, only self-efficacy independently predicted adherent episodes (β=-.0.26, SE=0.11, p=0.018). This relationship persisted when potentially confounding behavioural factors were controlled (difficulty in accessing medication, location and whether alone) (See Table 1). Conclusion Findings were consistent with the HAPA and suggested the importance of situational cognitive factors, particularly self-efficacy, to chelation adherence. These findings add to the evidence of the effect of self-efficacy on medication adherence across medical conditions and extend previous work in emphasising situational variation in self-efficacy. Adherence interventions should consider situational variables (cognitive and behavioural) that are potentially modifiable. Disclosures: No relevant conflicts of interest to declare.

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)

Health action process approach

2008 ◽  
Vol 16 (3) ◽  
pp. 157-160 ◽  
Author(s):  
Ralf Schwarzer ◽  
Sonia Lippke ◽  
Jochen P. Ziegelmann
Keyword(s):  
Health Psychology ◽  
Health Behavior ◽  
Behavior Change ◽  
Old Age ◽  
Experimental Studies ◽  
Health Behavior Change ◽  
Process Approach ◽  
Health Action Process Approach ◽  
Health Action ◽  
Action Process

Abstract. Health Psychology at the Freie Universität Berlin is devoted to research and teaching in the entire field of health psychology, including stress, coping, social support, self-efficacy, personality, quality of life, and health behavior change. In this article, we briefly describe one theory that represents our line of thinking (the Health Action Process Approach), followed by examples of longitudinal and experimental studies on health behavior change. A major finding is that interventions to improve physical activity, healthy nutrition, and dental hygiene are most effective when matched to three stages of change. Moreover, we address the field of health self-regulation across the life span: We are involved in the consortium Autonomy Despite Multimorbidity in Old Age (AMA), co-investigating the project Health Behaviors and Multiple Illnesses in Old Age (PREFER), and we are the home institution of the project Fostering Lifelong Autonomy and Resources in Europe: Behaviour and Successful Aging (FLARE-BSA).

scholarly journals A meta-analysis of the health action process approach.

2019 ◽  
Vol 38 (7) ◽  
pp. 623-637 ◽  
Author(s):  
Chun-Qing Zhang ◽  
Ru Zhang ◽  
Ralf Schwarzer ◽  
Martin S. Hagger
Keyword(s):  
Meta Analysis ◽  
Process Approach ◽  
Health Action Process Approach ◽  
Health Action ◽  
Action Process

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 Application of the health action process approach model for reducing excessive internet use behaviors among rural adolescents in China: a school-based intervention pilot study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chengmeng Tang ◽  
Hein Raat ◽  
Mingxia Yan ◽  
Qiang Zhang ◽  
Kehan Li ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Structural Equation ◽  
Internet Use ◽  
Process Approach ◽  
Outcome Expectancy ◽  
Rural Adolescents ◽  
Health Action Process Approach ◽  
Health Action ◽  
Excessive Internet Use ◽  
Action Process

Abstract Objective There are few studies regarding Internet use behaviors of Chinese rural adolescents based on behavioral theory. The aim of this study is to examine the applicability and effectiveness of the health action process approach model (HAPA) in the intervention of excessive Internet use behaviors among rural adolescents in China. Methods Three hundred twenty-seven participants who met the excessive Internet use criteria were involved in this study. Four interventions based on the HAPA model were conducted during 2015–2017. The structural equation model (SEM) was applied to fit the HAPA model. Results The rate of average daily time spent online on weekends more than 4 h dropped from 57.2 to 39.1% (P < 0.001). The rate of daily game time more than 2 h decreased from 51.1 to 35.2% (P < 0.001). The result of SEM showed that both the applicability and effectiveness of the HAPA model were well in the intervention of excessive Internet use behaviors with good fitted indicators (χ2/df = 2.066, GFI = 0.889, CFI = 0.938, TLI = 0.928, IFI = 0.938, RMSEA = 0.057). The direct and indirect effects of the main pathways in the HAPA model were statistically significant (P < 0.05). The comparison analysis of HAPA model variables identified that outcome expectancy, intention, maintenance self-efficacy had been improved significantly after interventions. Conclusion The intervention measures based on the HAPA model can effectively reduce excessive Internet use behaviors of Chinese rural adolescents, mainly through strengthen outcome expectancy, intention, and maintenance self-efficacy.

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