Analysis of the status quo of exercise behavior in type 2 diabetic patients and the influencing factors analysis based on the health action process approach model

GUO Yi; SUN Xin; LI Ze-ming; CHEN Ping; GAO Min; CHEN Xue-ying; SUN Xin-ying

doi:10.16462/j.cnki.zhjbkz.2022.01.010

Volume 26 Issue 1

Jan. 2022

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GUO Yi, SUN Xin, LI Ze-ming, CHEN Ping, GAO Min, CHEN Xue-ying, SUN Xin-ying. Analysis of the status quo of exercise behavior in type 2 diabetic patients and the influencing factors analysis based on the health action process approach model[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(1): 56-60, 98. doi: 10.16462/j.cnki.zhjbkz.2022.01.010

Citation:

GUO Yi, SUN Xin, LI Ze-ming, CHEN Ping, GAO Min, CHEN Xue-ying, SUN Xin-ying. Analysis of the status quo of exercise behavior in type 2 diabetic patients and the influencing factors analysis based on the health action process approach model[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(1): 56-60, 98. doi: 10.16462/j.cnki.zhjbkz.2022.01.010

Citation:

GUO Yi, SUN Xin, LI Ze-ming, CHEN Ping, GAO Min, CHEN Xue-ying, SUN Xin-ying. Analysis of the status quo of exercise behavior in type 2 diabetic patients and the influencing factors analysis based on the health action process approach model[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(1): 56-60, 98. doi: 10.16462/j.cnki.zhjbkz.2022.01.010

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Analysis of the status quo of exercise behavior in type 2 diabetic patients and the influencing factors analysis based on the health action process approach model

doi: 10.16462/j.cnki.zhjbkz.2022.01.010

Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing 100191, China

Funds:

National Natural Science Foundation of China 72174008

More Information

Corresponding author: SUN Xin-ying, E-mail: xysun@bjmu.edu.cn
Received Date: 2021-04-07
Rev Recd Date: 2021-08-22

Available Online: 2022-01-16

Publish Date: 2022-01-10

Abstract

Abstract

Objective The purpose of this study is to use the health action process approach (HAPA) and structural equation model to explore the influencing factors of exercise behavior in patients with type 2 diabetes, and to provide references for future interventions. Methods Totally 819 patients with type 2 diabetes mellitus in four community health service centers in Beijing were investigated using a self-compiled questionnaire. The reliability and validity of the questionnaire were good. The structural equation model was used to analyze the influencing factors and potential mediating effects of exercise behavior. Results 53.7% of patients were over 60 years old, and 77.2% of patients were in the action or maintenance phase of exercise behavior. HAPA can effectively explain the exercise behavior of patients (R²=0.466). Behavioral intentions was affected by task self-efficacy (β=0.645) and result expectation (β=0.153). Behavioral intention (β=0.783) and maintenance self-efficacy (β=0.177) had direct effects on implementation intention, while implementation intention (β=0.340) and restoration of self-efficacy (β=0.403) directly affected exercise behavior. Task self-efficacy also affected Maintenance Self-efficacy (β=0.802). Maintenance self-efficacy affected recovery self-efficacy (β=0.450), and behavioral intentions also had a positive effect on maintenance self-efficacy (β=0.483). Conclusions The exercise status of T2DM patients is good, but it still needs to be further improved. HAPA can well explain the patients' exercise behavior. Promoting patients' exercise should focus on interventions that improve their self-efficacy.
- Health action process approach,
- Exercise,
- Type 2 diabetes mellitus,
- Self-efficacy,
- Structural equation model

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References(16)

References

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