PMID- 30147855
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220408
IS  - 2008-7802 (Print)
IS  - 2008-8213 (Electronic)
IS  - 2008-7802 (Linking)
VI  - 9
DP  - 2018
TI  - Predictors of Physical Activity among Adults with Type 2 Diabetes Mellitus, 
      Isfahan, 2015: Structural Equation Modeling Approach.
PG  - 66
LID - 10.4103/ijpvm.IJPVM_394_16 [doi]
LID - 66
AB  - BACKGROUND: The prevalence of Type 2 diabetes mellitus (T2DM) has been increasing 
      globally in the recent decades. Physical activity (PA) helps preventing diabetes 
      complications by keeping the blood sugar of T2DM patients within the normal 
      range. The objective of this study was to explore underlying beliefs 
      corresponding to PA in T2DM patients using health action process approach (HAPA). 
      METHODS: This cross-sectional study was conducted in Isfahan, 2015. A convenience 
      sample of 203 participants with T2DM was collected. Participants completed HAPA 
      inventory containing the following constructs: Risk perception, outcome 
      expectation, task self-efficacy, intention, action and coping planning, coping 
      self-efficacy, recovery self-efficacy, and PA questionnaire. Structural equation 
      modeling was used for statistical analysis. RESULTS: The common fit indices 
      revealed that the HAPA had an acceptable fit to the observations (CMIN/df = 2.36 
      [P < 0.001], root mean square error of approximation = 0.089, comparative fit 
      index = 0.891, normal fit index = 0.902). Intention was associated with task 
      self-efficacy (beta = 0.92, P < 0.001), whereas risk perception (beta = 0.16, P = 
      0.073) and outcome expectation (beta = 0.32, P < 0.081) did not predict intention to 
      participate in PA behavior. PA was well predicted by planning (beta =0.84, P < 0.01) 
      while it was not significantly associated to coping self-efficacy (beta = 0.66, P = 
      0.73) and recovery self-efficacy (beta = 0.6, P = 0.69). CONCLUSIONS: HAPA could be 
      used as a proper framework to identify the beliefs of the patients with T2DM and 
      guide for effective theory-based interventions regarding PA.
FAU - Rohani, Hosein
AU  - Rohani H
AD  - Department of Public Health, Esfarayen Faculty of Medical Sciences, Esfarayen, 
      Iran.
FAU - Sadeghi, Erfan
AU  - Sadeghi E
AD  - Department of Biostatistics and Epidemiology, Kermanshah University of Medical 
      Sciences, Kermanshah, Iran.
FAU - Eslami, Ahmadali
AU  - Eslami A
AD  - Department of Health Education and Promotion, Faculty of Health, Isfahan 
      University of Medical Sciences, Isfahan, Iran.
FAU - Raei, Mehdi
AU  - Raei M
AD  - Department of Basic sciences, Qom University of Medical Sciences, Qom, Iran.
FAU - Jafari-Koshki, Tohid
AU  - Jafari-Koshki T
AD  - Department of Biostatistics and Epidemiology, Tabriz University of Medical 
      Sciences, Tabriz, Iran.
LA  - eng
PT  - Journal Article
DEP - 20180730
PL  - Iran
TA  - Int J Prev Med
JT  - International journal of preventive medicine
JID - 101535380
PMC - PMC6085833
OTO - NOTNLM
OT  - Behavior and behavior mechanisms
OT  - diabetes mellitus
OT  - physical activity
COIS- There are no conflicts of interest.
EDAT- 2018/08/28 06:00
MHDA- 2018/08/28 06:01
PMCR- 2018/07/30
CRDT- 2018/08/28 06:00
PHST- 2016/12/03 00:00 [received]
PHST- 2017/02/19 00:00 [accepted]
PHST- 2018/08/28 06:00 [entrez]
PHST- 2018/08/28 06:00 [pubmed]
PHST- 2018/08/28 06:01 [medline]
PHST- 2018/07/30 00:00 [pmc-release]
AID - IJPVM-9-66 [pii]
AID - 10.4103/ijpvm.IJPVM_394_16 [doi]
PST - epublish
SO  - Int J Prev Med. 2018 Jul 30;9:66. doi: 10.4103/ijpvm.IJPVM_394_16. eCollection 
      2018.