The Effect of Educational Intervention based on health action process approach (HAPA) model on Physical Activity status in hypertensive Patients

Shkoohi, Abdoullah and Morshedi, Hadi and Mohammadi Zeidi, Isa (2020) The Effect of Educational Intervention based on health action process approach (HAPA) model on Physical Activity status in hypertensive Patients. Masters thesis, Qazvin University of Medical Sciences, Qazvin, Iran.

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Background and aim: The high burden of cardiovascular diseases, in particular, high blood pressure, and the associated health-related and economic consequences have become one of the main concerns of the healthcare systems worldwide. Improved lifestyle such as increasing physical activities have shown to be one potential way to tackle the elevated burden of hypertension. This study aimed to examine the impact of the Health Action Process Approach (HAPA) model intervention on physical activity among patients with hypertension. Materials and methods: this was an experimental study conducted in 2019 in Astaneh, Gilan. The study population consisted of patients with high blood pressure who were under the coverage of the Astaneh’s healthcare centers. The study participants were randomly assigned into either experimental group or control group. Data were collected using a demographic questionnaire, physical activity scale, perceived risk scale, self-efficacy scale, and outcome expectation scale. Educational intervention included perceived risk, self-efficacy for regular physical activity, and personal counseling. Data were analyzed by using Chi–Square test, one-way analysis of variance, paired t- test, and independent t-test after data collection in two stages of baseline and 3 months after intervention. The level of significant was ≤ 0.05. Results: The mean (SD) age of the participants in the study was 49.60 (8.88). Almost 40% of the participants were house-keeper and 28.3% were classified as having moderate socioeconomic status. The predicted model showed that the HAPA-based intervention explained 31% of the variation in physical activities and 45% of the variation in behaviour-change intention among patients with high blood pressure. Self-efficacy constructs (β =0.59), outcome expectation (β =0.20) and perceived risk (β = 0.18) were significantly associated with the intention in conducting physical activity. These three variables overall explained 45% of the variation in the intention in conducting physical activity. The results also showed that there was no significant difference between the two study groups before the HAPA intervention. However, after implementing the intervention, a significant difference was observed in the improvement of the constructs of the HAPA model (P ˂0.001).also, the result of ANCOVA showed that after controlling the pretest effect, mean score of constructs such as perceived risk, intention, action self efficacy, outcome expectancy, maintenance self efficacy, action and coping plan, and finally, physical activity level of paients in experimental group increased after theory based intervention (P<0.05). Conclusion: The findings of this study show the positive impacts of model-based educational interventions on changing the lifestyle of patients with hypertension. The implementation of such interventions and programs are recommended to be considered in the healthcare services. Key words:Hypertension, Physical Activity,Self-Efficacy, Perceived Risk, Healthy Lifestyle.

Item Type: Thesis (Masters)
Subjects: R Medicine > RN Health > RN1001 Public Health
Divisions: University Thesis > Faculty of Health
Depositing User: Health School Students
Date Deposited: 15 Nov 2020 07:02
Last Modified: 15 Nov 2020 07:02
URI: http://eprints.qums.ac.ir/id/eprint/10207

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