Predictors of physical activity following gestational diabetes: Application of health action process approach

Abstract

Aim Regular physical activity can reduce the chance of developing type 2 diabetes in women with a history of gestational diabetes. The present study investigated the relationship between the constructs of the health action process approach and regular physical activity in women with a history of gestational diabetes. Design This was a cross‐sectional study. Methods A total of 150 women who had given birth 6–24 months prior to the study and had experienced gestational diabetes in their recent pregnancy were selected using multistage cluster sampling. Data were collected from December 2018 to May 2019 using a researcher‐made questionnaire including constructs of health action process approach. Results The common fit indices revealed that health action process approach had an acceptable fit to the observations (root mean square error of approximation = 0.054, Tucker–Lewis index = 0.95, comparative fit index = 0.955). The model's constructs predicted 48% of intention variance and 35% of physical activity variance. Action self‐efficacy and coping planning were the most important predictors of intention and behaviour, respectively.

Objectively-Measured Physical Activity and Sedentary Behaviors and Related Factors in Chinese Immigrants in the US with Prior Gestational Diabetes Mellitus

“…In addition, the average steps per day among the participants (5908 ± 2138 steps) were much lower than the average steps per day (9209 ± 3254steps) in another group of postpartum people [ 23 ]. In general, the low PA level among our participants was consistent with the suboptimal PA level reported among other populations with prior GDM [ 33 ] and other older Chinese immigrants in the US [ 16 ].…”

Effectiveness of an online application of the health action process approach (HAPA) theory on oral hygiene intervention in young adults with fixed orthodontic appliances: a randomized controlled trial

“…The HAPA model was first proposed by Schwarzer [ 8 ] and has been currently widely used in many fields, such as measuring social distancing behavior [ 17 ], physical activity [ 18 , 19 ], dieting [ 20 ], depression prevention [ 21 ], and oral hygiene [ 7 , 18 , 22 ]. This is due to the theoretical strengths and widespread use of the HAPA model.…”

Effectiveness of Theory-Based Intervention on Knowledge Level, Psychological Constructs, Metabolic Index and Physical Activity Status in Patients with Type 2 Diabetes: Application of the Health Action Process Approach (HAPA) Model

“…After the formation of behavioral intention, people enter the volitional stage, which consists of the constructs of action and coping plan, and maintenance and recovery self-efficacy [12,13]. The HAPA model has been used many times to describe variables affecting physical activity in different groups such as patients with diabetes [14][15][16].…”