ArticleElectronic physician2018
Psychological factors of healthful diet promotion among diabetics: an application of health action process approach.
Article in Electronic physician, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- [Analyzing the influential factors of dietary patterns and blood glucose control in type 2 diabetes patients based on the model of health action process approach model].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2025Article
- The Effectiveness of Theory Based Educational Intervention on Health Literacy, Medication Adherence and Self-Manag.Journal of preventive medicine and hygiene · 2025Article
- Physical Activity Interventions Framed by the Health Action Process Approach for Adults with Long-Term Conditions: A Scoping Review.International journal of behavioral medicine · 2024Article
- Chinese Residents' Healthy Eating Intentions and Behaviors: Based on an Extended Health Belief Model.International journal of environmental research and public health · 2022Article
- Diabetes mellitus and inequalities in the equipment and use of information technologies as a socioeconomic determinant of health in Spain.Frontiers in public health · 2022Article
- Article
- Predictors of physical activity following gestational diabetes: Application of health action process approach.Nursing open · 2020Article
- Review
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5 authors.
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Abstract
BACKGROUND AND
aimWorldwide, type 2 diabetes mellitus (T2DM) prevalence has increased. Non-healthful diet is one of the main reasons to T2DM growth. This study aims to determine the efficacy of the health action process approach (HAPA) in explaining healthful diet (HD) in T2DM patients.
methodsThis cross-sectional study was conducted based on HAPA in Isfahan, Iran between July and December 2015. Participants were recruited by convenience sampling method. HAPA inventory was administered to 203 Isfahan diabetics. Intentions, outcome expectancies, risk perception, action self-efficacy, action and coping planning, maintenance and recovery self-efficacy, and dietary style were the constructs measured. Structural equation modeling (SEM) in AMOS 21 was used to test the hypothesis.
resultsThe results based on the common fit indices revealed that the HAPA fitted the data acceptably well among the T2DM patients and within dietary behavior (p<0.001), RMSEA=0.082, CFI=0.903, NFI=0.899). Action self-efficacy was the best predictor of intention (β=2.49, p<0.001). Result revealed action and coping planning (β=5.36, p=0.027) and recovery self-efficacy (β=5.67, p=0.021) significantly predicted behavior.
conclusionsOur findings provide preliminary support for the practical usage of the HAPA model for predicting HD intention and behavior among T2DM patients. Randomized controlled trials should be performed in the future in order to involve causality.
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