Changes in physical activity among coronary and hypertensive patients: A longitudinal study using the Health Action Process Approach

被引：25

作者：

Steca, P. ^{[1
]}

Pancani, L. ^{[1
]}

Cesana, F. ^{[5
,6
]}

Fattirolli, F. ^{[2
,3
]}

Giannattasio, C. ^{[5
,6
]}

Greco, A. ^{[1
]}

D'Addario, M. ^{[1
]}

Monzani, D. ^{[1
]}

Cappelletti, E. R. ^{[1
]}

Magrin, M. E. ^{[1
]}

Miglioretti, M. ^{[1
]}

Sarini, M. ^{[1
]}

Scrignaro, M. ^{[1
]}

Vecchio, L. ^{[1
]}

Franzelli, C. ^{[4
]}

机构：

[1] Univ Milano Bicocca, Dept Psychol, Milan, Italy

[2] Univ Florence, Dept Med & Surg Crit Care, Cardiac Rehabil Unit, Florence, Italy

[3] Azienda Osped Univ Careggi, Florence, Italy

[4] Ist Clin Perfezionamento Hosp, Cardiac Rehabil Ctr, Milan, Italy

[5] Osped Niguarda Ca Granda, Cardiovasc A De Gasperis Dept, Cardiol 4, Milan, Italy

[6] Univ Milano Bicocca, Hlth Sci Dept, Milan, Italy

来源：

PSYCHOLOGY & HEALTH | 2017年 / 32卷 / 03期

关键词：

Physical activity; Health Action Process Approach; cardiovascular diseases; acute coronary syndrome; essential arterial hypertension; SOCIAL-COGNITIVE PREDICTORS; SELF-EFFICACY; ILLNESS PERCEPTION; CARDIAC REHABILITATION; CARDIOVASCULAR-DISEASE; DIETARY BEHAVIOR; ALL-CAUSE; EXERCISE; INTENTIONS; MANAGEMENT;

D O I：

10.1080/08870446.2016.1273353

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objectives: Physical activity (PA) is a key factor in cardiovascular disease prevention. Through the Health Action Process Approach (HAPA), the present study investigated the process of change in PA in coronary patients (CPs) and hypertensive patients (HPs). Design: Longitudinal survey study with two follow-up assessments at 6 and 12 months on 188 CPs and 169 HPs. Main outcome measures: Intensity and frequency of PA. Results: A multi-sample analysis indicated the equivalence of almost all the HAPA social cognitive patterns for both patient populations. A latent growth curve model showed strong interrelations among intercepts and slopes of PA, planning and maintenance self-efficacy, but change in planning was not associated with change in PA. Moreover, increase in PA was associated with the value of planning and maintenance self-efficacy reached at the last follow-up Conclusions: These findings shed light on mechanisms often neglected by the HAPA literature, suggesting reciprocal relationships between PA and its predictors that could define a plausible virtuous circle within the HAPA volitional phase. Moreover, the HAPA social cognitive patterns are essentially identical for patients who had a coronary event (i.e. CPs) and individuals who are at high risk for a coronary event (i.e. HPs).

引用

页码：361 / 380

页数：20

共 55 条

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