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Physical Activity Interventions Framed by the Health Action Process Approach for Adults with Long-Term Conditions: A Scoping Review.
Silva-Smith, Amy L; Hanson, Coral L; Neubeck, Lis; Rowat, Anne; McHale, Sheona.
Afiliación
  • Silva-Smith AL; Helen and Arthur E. Johnson Beth-El College of Nursing and Health Sciences, University of Colorado at Colorado Spring, 1420 Austin Bluffs Parkway, Colorado Springs, CO, USA. asilvasm@uccs.edu.
  • Hanson CL; Centre for Cardiovascular Health, Edinburgh Napier University, Sighthill Campus, Edinburgh, EH11 4DN, UK.
  • Neubeck L; School of Health and Social Care, Edinburgh Napier University, Sighthill Campus, Edinburgh, EH11 4DN, UK.
  • Rowat A; Centre for Cardiovascular Health, Edinburgh Napier University, Sighthill Campus, Edinburgh, EH11 4DN, UK.
  • McHale S; School of Health and Social Care, Edinburgh Napier University, Sighthill Campus, Edinburgh, EH11 4DN, UK.
Int J Behav Med ; 2024 Jul 15.
Article en En | MEDLINE | ID: mdl-39009797
ABSTRACT

BACKGROUND:

Interventions that use the Health Action Process Approach (HAPA) model show promise for increasing PA frequency, duration, and intensity. However, there is limited understanding of how HAPA model variables have been operationalized for PA interventions in chronic disease to promote behavior change and sustained PA or whether the phase or continuous form of the HAPA model was used. The aim of this scoping review is to describe how the HAPA model variables for PA interventions were operationalized and provide details of implementation.

METHOD:

We searched five databases to identify studies published between January 1992 and March 2024. We aimed to describe (1) the characteristics of interventions including setting, delivery mode, duration, and content; (2) which HAPA variables were operationalized and the strategies used; and (3) the physical activity measures and outcome effects.

RESULTS:

The search identified 23 interventions in 30 papers (12 protocols, 3 quasi-experimental studies, and 15 randomized controlled trials (RCTs)). Seven of the 15 RCTs reported significant positive effects of the HAPA model on PA behavior outcomes. Interventions operationalized between three and nine HAPA constructs showed significant variability in how the HAPA model is used in intervention research. PA measures varied from self-report to validated objective instruments.

CONCLUSION:

We found a lack of clarity in decisions about which HAPA constructs were included in interventions. The wide variability in operationalized HAPA constructs made it challenging to compare interventions. Researchers should provide more detail about intervention design and implementation procedures to enhance transparency.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Behav Med Asunto de la revista: CIENCIAS DO COMPORTAMENTO Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Behav Med Asunto de la revista: CIENCIAS DO COMPORTAMENTO Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos
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