PMID- 29881527
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220317
IS  - 2008-5842 (Print)
IS  - 2008-5842 (Electronic)
IS  - 2008-5842 (Linking)
VI  - 10
IP  - 4
DP  - 2018 Apr
TI  - Psychological factors of healthful diet promotion among diabetics: an application 
      of health action process approach.
PG  - 6647-6654
LID - 10.19082/6647 [doi]
AB  - BACKGROUND AND AIM: Worldwide, type 2 diabetes mellitus (T2DM) prevalence has 
      increased. Non-healthful diet is one of the main reasons to T2DM growth. This 
      study aims to determine the efficacy of the health action process approach (HAPA) 
      in explaining healthful diet (HD) in T2DM patients. METHODS: This cross-sectional 
      study was conducted based on HAPA in Isfahan, Iran between July and December 
      2015. Participants were recruited by convenience sampling method. HAPA inventory 
      was administered to 203 Isfahan diabetics. Intentions, outcome expectancies, risk 
      perception, action self-efficacy, action and coping planning, maintenance and 
      recovery self-efficacy, and dietary style were the constructs measured. 
      Structural equation modeling (SEM) in AMOS 21 was used to test the hypothesis. 
      RESULTS: The results based on the common fit indices revealed that the HAPA 
      fitted the data acceptably well among the T2DM patients and within dietary 
      behavior (p<0.001), RMSEA=0.082, CFI=0.903, NFI=0.899). Action self-efficacy was 
      the best predictor of intention (beta=2.49, p<0.001). Result revealed action and 
      coping planning (beta=5.36, p=0.027) and recovery self-efficacy (beta=5.67, p=0.021) 
      significantly predicted behavior. CONCLUSIONS: Our findings provide preliminary 
      support for the practical usage of the HAPA model for predicting HD intention and 
      behavior among T2DM patients. Randomized controlled trials should be performed in 
      the future in order to involve causality.
FAU - Rohani, Hosein
AU  - Rohani H
AD  - Ph.D. of Health Education and Promotion, Assistant Professor, Student Research 
      Committee, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran.
FAU - Bidkhori, Mohammad
AU  - Bidkhori M
AD  - M.Sc. of Epidemiology, Department of Public health, Neyshabur University of 
      Medical Sciences, Neyshabur, Iran.
FAU - Eslami, Ahmad Ali
AU  - Eslami AA
AD  - Ph.D. of Health Education, Associate Professor, Isfahan University of Medical 
      Sciences, Isfahan, Iran.
FAU - Sadeghi, Erfan
AU  - Sadeghi E
AD  - Department of Biostatistics and Epidemiology, Kermanshah University of Medical 
      Sciences, Kermanshah, Iran.
FAU - Sadeghi, Ahmad
AU  - Sadeghi A
AD  - Ph.D. of Health Services Management, Assistant Professor, Department of Public 
      Health, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran.
LA  - eng
PT  - Journal Article
DEP - 20180425
PL  - Iran
TA  - Electron Physician
JT  - Electronic physician
JID - 101645099
PMC - PMC5984019
OTO - NOTNLM
OT  - Diabetes mellitus
OT  - Diet
OT  - Health
OT  - Health action process approach
COIS- Conflict of Interest: There is no conflict of interest to be declared.
EDAT- 2018/06/09 06:00
MHDA- 2018/06/09 06:01
PMCR- 2018/04/25
CRDT- 2018/06/09 06:00
PHST- 2017/05/09 00:00 [received]
PHST- 2018/03/01 00:00 [accepted]
PHST- 2018/06/09 06:00 [entrez]
PHST- 2018/06/09 06:00 [pubmed]
PHST- 2018/06/09 06:01 [medline]
PHST- 2018/04/25 00:00 [pmc-release]
AID - epj-10-6647 [pii]
AID - 10.19082/6647 [doi]
PST - epublish
SO  - Electron Physician. 2018 Apr 25;10(4):6647-6654. doi: 10.19082/6647. eCollection 
      2018 Apr.