Using the health action process approach to predict and improve health outcomesin individuals with type 2 diabetes mellitus

Background: The purpose of this study was to explore the predictive utility of the Health Action Process Approach (HAPA) and test a HAPA-based healthy eating intervention, in adults with type 2 diabetes mellitus. Materials and methods: The study employed a prospective, randomized, controlled trial d...

Full description

Bibliographic Details
Main Authors:	MacPhail, M., Mullan, Barbara, Sharpe, L., MacCann, C., Todd, J.
Format:	Journal Article
Published:	Dove Medical Press Ltd. 2014
Subjects:	self-efficacy risk awareness intervention healthy eating theory
Online Access:	http://hdl.handle.net/20.500.11937/9976

id	curtin-20.500.11937-9976
recordtype	eprints
spelling	curtin-20.500.11937-99762017-09-13T14:53:53Z Using the health action process approach to predict and improve health outcomesin individuals with type 2 diabetes mellitus MacPhail, M. Mullan, Barbara Sharpe, L. MacCann, C. Todd, J. self-efficacy risk awareness intervention healthy eating theory Background: The purpose of this study was to explore the predictive utility of the Health Action Process Approach (HAPA) and test a HAPA-based healthy eating intervention, in adults with type 2 diabetes mellitus. Materials and methods: The study employed a prospective, randomized, controlled trial design. The 4-month intervention consisted of self-guided HAPA-based workbooks in addition to two telephone calls to assist participants with the program implementation, and was compared to “treatment as usual”. Participants (n=87) completed health measures (diet, body mass index [BMI], waist circumference, blood pressure, blood glucose levels, lipid levels, and diabetes distress) and HAPA measures prior to the intervention and again upon completion 4 months later. Results: The overall HAPA model predicted BMI, although only risk awareness and recovery self-efficacy were significant independent contributors. Risk awareness, intentions, and self-efficacy were also independent predictors of health outcomes; however, the HAPA did not predict healthy eating. No significant time × condition interaction effects were found for diet or any HAPA outcome measures. Conclusion: Despite the success of HAPA in predicting health outcomes for those with type 2 diabetes mellitus, the intervention was unsuccessful in changing healthy eating or any of the other measured variables, and alternative low-cost health interventions for those with type 2 diabetes mellitus should be explored. 2014 Journal Article http://hdl.handle.net/20.500.11937/9976 10.2147/DMSO.S68428 Dove Medical Press Ltd. fulltext
repository_type	Digital Repository
institution_category	Local University
institution	Curtin University Malaysia
building	Curtin Institutional Repository
collection	Online Access
topic	self-efficacy risk awareness intervention healthy eating theory
spellingShingle	self-efficacy risk awareness intervention healthy eating theory MacPhail, M. Mullan, Barbara Sharpe, L. MacCann, C. Todd, J. Using the health action process approach to predict and improve health outcomesin individuals with type 2 diabetes mellitus
description	Background: The purpose of this study was to explore the predictive utility of the Health Action Process Approach (HAPA) and test a HAPA-based healthy eating intervention, in adults with type 2 diabetes mellitus. Materials and methods: The study employed a prospective, randomized, controlled trial design. The 4-month intervention consisted of self-guided HAPA-based workbooks in addition to two telephone calls to assist participants with the program implementation, and was compared to “treatment as usual”. Participants (n=87) completed health measures (diet, body mass index [BMI], waist circumference, blood pressure, blood glucose levels, lipid levels, and diabetes distress) and HAPA measures prior to the intervention and again upon completion 4 months later. Results: The overall HAPA model predicted BMI, although only risk awareness and recovery self-efficacy were significant independent contributors. Risk awareness, intentions, and self-efficacy were also independent predictors of health outcomes; however, the HAPA did not predict healthy eating. No significant time × condition interaction effects were found for diet or any HAPA outcome measures. Conclusion: Despite the success of HAPA in predicting health outcomes for those with type 2 diabetes mellitus, the intervention was unsuccessful in changing healthy eating or any of the other measured variables, and alternative low-cost health interventions for those with type 2 diabetes mellitus should be explored.
format	Journal Article
author	MacPhail, M. Mullan, Barbara Sharpe, L. MacCann, C. Todd, J.
author_facet	MacPhail, M. Mullan, Barbara Sharpe, L. MacCann, C. Todd, J.
author_sort	MacPhail, M.
title	Using the health action process approach to predict and improve health outcomesin individuals with type 2 diabetes mellitus
title_short	Using the health action process approach to predict and improve health outcomesin individuals with type 2 diabetes mellitus
title_full	Using the health action process approach to predict and improve health outcomesin individuals with type 2 diabetes mellitus
title_fullStr	Using the health action process approach to predict and improve health outcomesin individuals with type 2 diabetes mellitus
title_full_unstemmed	Using the health action process approach to predict and improve health outcomesin individuals with type 2 diabetes mellitus
title_sort	using the health action process approach to predict and improve health outcomesin individuals with type 2 diabetes mellitus
publisher	Dove Medical Press Ltd.
publishDate	2014
url	http://hdl.handle.net/20.500.11937/9976
first_indexed	2018-09-06T18:39:34Z
last_indexed	2018-09-06T18:39:34Z
_version_	1610884500323041280

Using the health action process approach to predict and improve health outcomesin individuals with type 2 diabetes mellitus

Similar Items