Health action process approach : Promoting physical activity, and fruit and vegetable intake among Australian adults

Journal article

Parkinson, Joy, Hannan, Thomas, McDonald, Nicole, Moriarty, Stephanie, Nguyen, Tuyet-Mai and Hamilton, Kyra. (2023). Health action process approach : Promoting physical activity, and fruit and vegetable intake among Australian adults. Health Promotion International. 38(4), pp. 1-12. https://doi.org/10.1093/heapro/daad095
AuthorsParkinson, Joy, Hannan, Thomas, McDonald, Nicole, Moriarty, Stephanie, Nguyen, Tuyet-Mai and Hamilton, Kyra
Abstract

Based on the health action process approach (HAPA) this study examined whether changes in social cognition constructs could predict change in physical activity and fruit and vegetable intake for adult participants in My health for life, an Australian health promotion behaviour change program. Variance-based structural equation modelling was used to analyse data obtained from Australian adult program participants (n = 167) at baseline (T1), week 14 (T2), week 26 (T2), and 6-month post-program (T4). Change scores were calculated for the social cognition constructs and behaviour. Changes in action self-efficacy and outcome expectancies positively predicted changes in intentions. Action self-efficacy changes also predicted changes in maintenance self-efficacy which, in turn, mediated the effect of action self-efficacy on recovery self-efficacy and planning. Planning was predicted by changes in intentions and maintenance self-efficacy. Findings support the use of the HAPA model in designing complex health behaviour change interventions to achieve sustained behaviour change.

Keywordsbehaviour change; health promotion; health action process approach; non-communicable disease
Year2023
JournalHealth Promotion International
Journal citation38 (4), pp. 1-12
PublisherOxford University Press
ISSN1460-2245
Digital Object Identifier (DOI)https://doi.org/10.1093/heapro/daad095
PubMed ID37647521
Scopus EID2-s2.0-85169230529
PubMed Central IDPMC10468016
Open accessPublished as ‘gold’ (paid) open access
Page range1-12
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online30 Aug 2023
Publication process dates
Deposited29 Nov 2023
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