Predicting psychological factors affecting regular physical activity in hypertensive patients: Application of health

Isa Mohammadi Zeidi1, Hadi Morshedi1, Abdollah Shokohi2

  • 1Social Determinants of Health Research Center Research Institute for Prevention of Non-Communicable Diseases Qazvin University of Medical Sciences Qazvin Iran.

Nursing Open
|December 15, 2020
PubMed

Insights

Self-efficacy, outcome expectancy, and risk perception significantly influence intention for physical activity in hypertension patients. The Health Action Process Approach (HAPA) model effectively explains these behaviors.

Area of Science:

  • Behavioral Science
  • Health Psychology
  • Public Health

Background:

  • Hypertension management requires regular physical activity.
  • Understanding factors influencing physical activity is crucial for intervention development.
  • The Health Action Process Approach (HAPA) model provides a framework to explore behavioral determinants.

Purpose of the Study:

  • To identify factors influencing regular physical activity behavior in hypertension patients.
  • To apply the Health Action Process Approach (HAPA) model to hypertension patients.
  • To examine the predictive power of HAPA constructs on physical activity intention and behavior.

Main Methods:

  • Cross-sectional study involving 176 hypertension patients.
  • Data collected using demographic, medical history, International Physical Activity Questionnaire (IPAQ), and HAPA model scales.
  • Statistical analysis included chi-square, t-test, ANOVA, Pearson's correlation, and path analysis using AMOS.

Main Results:

  • Action self-efficacy (β=0.59), outcome expectancy (β=0.20), and risk perception (β=0.18) significantly predicted intention.
  • Intention (β=0.35) and coping self-efficacy (β=0.29) significantly predicted physical activity.
  • HAPA constructs explained 45% of the variance in intention and 31% in physical activity.

Conclusions:

  • The Health Action Process Approach (HAPA) model is a valuable framework for understanding physical activity determinants in hypertension.
  • Interventions targeting self-efficacy, outcome expectancy, and risk perception may enhance physical activity in hypertensive individuals.
Abstract

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