Predictors of physical activity among adults with Type 2 diabetes mellitus, Isfahan, 2015: Structural equation modeling approach
Background: The prevalence of Type 2 diabetes mellitus (T2DM) has been increasing globally in the recent decades. Physical activity (PA) helps preventing diabetes complications by keeping the blood sugar of T2DM patients within the normal range. The objective of this study was to explore underlying...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | International Journal of Preventive Medicine |
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| Online Access: | http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2018;volume=9;issue=1;spage=66;epage=66;aulast=Rohani |
| _version_ | 1819116875876925440 |
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| author | Hosein Rohani Erfan Sadeghi Ahmadali Eslami Mehdi Raei Tohid Jafari-Koshki |
| author_facet | Hosein Rohani Erfan Sadeghi Ahmadali Eslami Mehdi Raei Tohid Jafari-Koshki |
| author_sort | Hosein Rohani |
| collection | DOAJ |
| description | Background: The prevalence of Type 2 diabetes mellitus (T2DM) has been increasing globally in the recent decades. Physical activity (PA) helps preventing diabetes complications by keeping the blood sugar of T2DM patients within the normal range. The objective of this study was to explore underlying beliefs corresponding to PA in T2DM patients using health action process approach (HAPA). Methods: This cross-sectional study was conducted in Isfahan, 2015. A convenience sample of 203 participants with T2DM was collected. Participants completed HAPA inventory containing the following constructs: Risk perception, outcome expectation, task self-efficacy, intention, action and coping planning, coping self-efficacy, recovery self-efficacy, and PA questionnaire. Structural equation modeling was used for statistical analysis. Results: The common fit indices revealed that the HAPA had an acceptable fit to the observations (CMIN/df = 2.36 [P < 0.001], root mean square error of approximation = 0.089, comparative fit index = 0.891, normal fit index = 0.902). Intention was associated with task self-efficacy (β = 0.92, P < 0.001), whereas risk perception (β = 0.16, P = 0.073) and outcome expectation (β = 0.32, P < 0.081) did not predict intention to participate in PA behavior. PA was well predicted by planning (β =0.84, P < 0.01) while it was not significantly associated to coping self-efficacy (β = 0.66, P = 0.73) and recovery self-efficacy (β = 0.6, P = 0.69). Conclusions: HAPA could be used as a proper framework to identify the beliefs of the patients with T2DM and guide for effective theory-based interventions regarding PA. |
| first_indexed | 2024-12-22T05:24:03Z |
| format | Article |
| id | doaj.art-e550a6a9aeb14059b2c7915566f47ea6 |
| institution | Directory Open Access Journal |
| issn | 2008-7802 2008-8213 |
| language | English |
| last_indexed | 2024-12-22T05:24:03Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Preventive Medicine |
| spelling | doaj.art-e550a6a9aeb14059b2c7915566f47ea62022-12-21T18:37:39ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132018-01-0191666610.4103/ijpvm.IJPVM_394_16Predictors of physical activity among adults with Type 2 diabetes mellitus, Isfahan, 2015: Structural equation modeling approachHosein RohaniErfan SadeghiAhmadali EslamiMehdi RaeiTohid Jafari-KoshkiBackground: The prevalence of Type 2 diabetes mellitus (T2DM) has been increasing globally in the recent decades. Physical activity (PA) helps preventing diabetes complications by keeping the blood sugar of T2DM patients within the normal range. The objective of this study was to explore underlying beliefs corresponding to PA in T2DM patients using health action process approach (HAPA). Methods: This cross-sectional study was conducted in Isfahan, 2015. A convenience sample of 203 participants with T2DM was collected. Participants completed HAPA inventory containing the following constructs: Risk perception, outcome expectation, task self-efficacy, intention, action and coping planning, coping self-efficacy, recovery self-efficacy, and PA questionnaire. Structural equation modeling was used for statistical analysis. Results: The common fit indices revealed that the HAPA had an acceptable fit to the observations (CMIN/df = 2.36 [P < 0.001], root mean square error of approximation = 0.089, comparative fit index = 0.891, normal fit index = 0.902). Intention was associated with task self-efficacy (β = 0.92, P < 0.001), whereas risk perception (β = 0.16, P = 0.073) and outcome expectation (β = 0.32, P < 0.081) did not predict intention to participate in PA behavior. PA was well predicted by planning (β =0.84, P < 0.01) while it was not significantly associated to coping self-efficacy (β = 0.66, P = 0.73) and recovery self-efficacy (β = 0.6, P = 0.69). Conclusions: HAPA could be used as a proper framework to identify the beliefs of the patients with T2DM and guide for effective theory-based interventions regarding PA.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2018;volume=9;issue=1;spage=66;epage=66;aulast=RohaniBehavior and behavior mechanismsdiabetes mellitusphysical activity |
| spellingShingle | Hosein Rohani Erfan Sadeghi Ahmadali Eslami Mehdi Raei Tohid Jafari-Koshki Predictors of physical activity among adults with Type 2 diabetes mellitus, Isfahan, 2015: Structural equation modeling approach International Journal of Preventive Medicine Behavior and behavior mechanisms diabetes mellitus physical activity |
| title | Predictors of physical activity among adults with Type 2 diabetes mellitus, Isfahan, 2015: Structural equation modeling approach |
| title_full | Predictors of physical activity among adults with Type 2 diabetes mellitus, Isfahan, 2015: Structural equation modeling approach |
| title_fullStr | Predictors of physical activity among adults with Type 2 diabetes mellitus, Isfahan, 2015: Structural equation modeling approach |
| title_full_unstemmed | Predictors of physical activity among adults with Type 2 diabetes mellitus, Isfahan, 2015: Structural equation modeling approach |
| title_short | Predictors of physical activity among adults with Type 2 diabetes mellitus, Isfahan, 2015: Structural equation modeling approach |
| title_sort | predictors of physical activity among adults with type 2 diabetes mellitus isfahan 2015 structural equation modeling approach |
| topic | Behavior and behavior mechanisms diabetes mellitus physical activity |
| url | http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2018;volume=9;issue=1;spage=66;epage=66;aulast=Rohani |
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