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Published on: March 7, 2019
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.
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.
Aim:
The aim of this study was to determine the factors affecting the behaviour of regular physical activity in patients with hypertension using the health action process approach (HAPA) model.
Design:
This cross-sectional study was conducted on 176 hypertension patients, in Astaneh-e-Ashrafiyeh, Guilan, Iran, 2018-2019.
Methods:
Data collection tools included demographic characteristics, medical history, the short form of International Physical Activity Questionnaire (IPAQ) and scales related to the HAPA model. The data were analysed using chi-square, independent t test, one-way ANOVA, Pearson's correlation coefficient and path analysis on AMOS, version 23.0.
Results:
Action self-efficacy (β = 0.59), outcome expectancy (β = 0.20) and risk perception (β = 0.18) had a statistically significant effect on intention. Moreover, the path coefficient between intention (β = 0.35) and coping self-efficacy (β = 0.29) with physical activity was statistically significant. The results revealed that HAPA constructs were able to describe 45% of the variance in intention and 31% of the variance in physical activity behaviour.
Conclusion:
The HAPA model is a useful framework for describing the factors affecting physical activity in hypertension patients.
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