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

Mariana MacPhail,1 Barbara Mullan,2 Louise Sharpe,1 Carolyn MacCann,1 Jemma Todd1 1School of Psychology, University of Sydney, Sydney, NSW, Australia; 2School of Psychology and Speech Pathology, Curtin University, Bentley, WA, Australia Background: The purpose of this study was to explore the pred...

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Autores principales:	MacPhail M, Mullan B, Sharpe L, MacCann C, Todd J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/e2ca022f18b44299b25f2074d8a5c8f4
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spelling	oai:doaj.org-article:e2ca022f18b44299b25f2074d8a5c8f42021-12-02T05:11:42ZUsing the health action process approach to predict and improve health outcomes in individuals with type 2 diabetes mellitus1178-7007https://doaj.org/article/e2ca022f18b44299b25f2074d8a5c8f42014-10-01T00:00:00Zhttp://www.dovepress.com/using-the-health-action-process-approach-to-predict-and-improve-health-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007 Mariana MacPhail,1 Barbara Mullan,2 Louise Sharpe,1 Carolyn MacCann,1 Jemma Todd1 1School of Psychology, University of Sydney, Sydney, NSW, Australia; 2School of Psychology and Speech Pathology, Curtin University, Bentley, WA, Australia 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. Keywords: intervention, healthy eating, theory, risk awareness, self-efficacyMacPhail MMullan BSharpe LMacCann CTodd JDove Medical PressarticleSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2014, Iss default, Pp 469-479 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Specialties of internal medicine RC581-951
spellingShingle	Specialties of internal medicine RC581-951 MacPhail M Mullan B Sharpe L MacCann C Todd J Using the health action process approach to predict and improve health outcomes in individuals with type 2 diabetes mellitus
description	Mariana MacPhail,1 Barbara Mullan,2 Louise Sharpe,1 Carolyn MacCann,1 Jemma Todd1 1School of Psychology, University of Sydney, Sydney, NSW, Australia; 2School of Psychology and Speech Pathology, Curtin University, Bentley, WA, Australia 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. Keywords: intervention, healthy eating, theory, risk awareness, self-efficacy
format	article
author	MacPhail M Mullan B Sharpe L MacCann C Todd J
author_facet	MacPhail M Mullan B Sharpe L MacCann C Todd J
author_sort	MacPhail M
title	Using the health action process approach to predict and improve health outcomes in individuals with type 2 diabetes mellitus
title_short	Using the health action process approach to predict and improve health outcomes in individuals with type 2 diabetes mellitus
title_full	Using the health action process approach to predict and improve health outcomes in individuals with type 2 diabetes mellitus
title_fullStr	Using the health action process approach to predict and improve health outcomes in individuals with type 2 diabetes mellitus
title_full_unstemmed	Using the health action process approach to predict and improve health outcomes in individuals with type 2 diabetes mellitus
title_sort	using the health action process approach to predict and improve health outcomes in individuals with type 2 diabetes mellitus
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/e2ca022f18b44299b25f2074d8a5c8f4
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Using the health action process approach to predict and improve health outcomes in individuals with type 2 diabetes mellitus

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