Perceived behavioral control as a potential precursor of walking three times a week: Patient's perspectives

Abstract

BackgroundBehavior change theories can identify people’s main motivations to engage in recommended health practices and thus provide better tools to design interventions, particularly human centered design interventions.ObjectivesThis study had two objectives: (a) to identify salient beliefs about walking three times a week for 30 minutes nonstop among patients with hypertension in a low-resource setting and, (b) to measure the relationships among intentions, attitudes, perceived social pressure and perceived behavioral control about this behavior.MethodsFace-to-face interviews with 34 people living with hypertension were conducted in September-October 2011 in Lima, Peru, and data analysis was performed in 2015. The Reasoned Action Approach was used to study the people’s decisions to walk. We elicited people’s salient beliefs and measured the theoretical constructs associated with this behavior.ResultsResults pointed at salient key behavioral, normative and control beliefs. In particular, perceived behavioral control appeared as an important determinant of walking and a small set of control beliefs were identified as potential targets of health communication campaigns, including (not) having someone to walk with, having work or responsibilities, or having no time.ConclusionsThis theory-based study with a focus on end-users provides elements to inform the design of an intervention that would motivate people living with hypertension to walk on a regular basis in low-resource settings.

Physical Activity in the Workplace – Making the Healthy Choice the Easy Choice

“…Perceived behavioral control was a significant predictor of employee intention to get up and do "The Big 3" and had the highest regression weight. This finding supports previous researchers who also reported that out of the three global constructs in the RAA, perceived behavioral control has the highest regression weight for predicting PA behavior intention (Busse & Miranda, 2018;Conner et al, 2017). This study observed a low average number of days employees got up and did three separate light intensity neuromotor PA movements at work regardless of their enrollment status in a worksite wellness PA program.…”

“…The statistical significance of perceived norm in predicting employee intention to get up and do "The Big 3" at work complements the previous finding of sub-study 1. This "popular" variable was a significant predictor of employee intention, which supports previous studies that show this construct as significant in predicting intention (Busse & Miranda, 2018;Hagger et al, 2002;Kerner & Grossman, 1998). Since intention is the most proximal factor that leads to behavior, university wellness programs can practically apply this finding by increasing efforts to make getting up and doing light intensity neuromotor PA at work a more popular and normative behavior.…”

Determinant Factors of Diabetes Prevention Behavior in Students with Diabetes Mellitus Risk

“…Meanwhile, motivation can be increased by establishing a supportive environment (Hill-Briggs et al, 2021). Social support can be done by involving the community in forming attractive health promotions and activities, as well as involving policy makers in making rules and providing awards (Busse & Miranda, 2018;Kristjansson et al, 2020). The low perceived behavior control in this study is estimated to be related to the respondent's age.…”

Percepción de la enfermedad, hábitos y estilos de vida saludables: un desafío para el control de la hipertensión arterial en Latinoamérica

“…El método más utilizado para recolectar la información en los estudios cualitativos fue la entrevista semiestructurada [20][21][22][23][24] , otras herramientas empleadas fueron la entrevista estructurada [25][26][27] , grupos focales 22,23,28 y entrevistas en profundidad 19 ; para la elaboración del componente cuantitativo se realizaron encuestas y revisión de historia clínica 27,29,31 . Figura 1.…”

“…Respecto a las barreras y facilitadores para realizar actividad física, Busse et al 26 identificaron las creencias de pacientes hipertensos peruanos de bajos recursos sobre caminar tres veces a la semana durante treinta minutos sin parar, encontrando la creencia de que puede ser dañino para la salud (sensación de fatiga, dolor de miembros inferiores), pereza, falta de tiempo, no compañía y tener que lidiar con malas condiciones temporales, urbanas y/o de tráfico. Oliveira et al 19 encontraron que tanto para pacientes adherentes como no adherentes a los medicamentos, la realización de ejercicios resulta desagradable; o que los espacios como parques o canchas son ocupados en muchas ocasiones para el desarrollo de prácticas ilícitas como lo menciona Mejía et al 24 .…”