Volume 13, Issue 2 (2025)
Health Educ Health Promot 2025, 13(2): 1001-1008 |
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Faryabi R, Pournarani R, Movahed E. Predictive Factors of Adherence to Self-Care Behaviors Based on the Health Action Process Approach in Patients with Hypertension in Southern Iran. Health Educ Health Promot 2025; 13 (2) :1001-1008
URL: http://hehp.modares.ac.ir/article-5-80536-en.html
URL: http://hehp.modares.ac.ir/article-5-80536-en.html
1- , rezanarani732@gmail.com
Abstract: (47 Views)
Aims: Patients with hypertension must engage in self-care behaviors to control their condition and prevent complications throughout their lives. This study aimed to determine the predictive factors of adherence to self-care behaviors in patients with hypertension.
Materials & Methods: This descriptive-analytical study was conducted on 451 patients with hypertension in 2024, selected using a multi-stage cluster sampling method. Data were collected using a researcher-developed questionnaire based on the constructs of the Health Action Process Approach (HAPA). The data were analyzed using SPSS 26 and descriptive statistical tests, Pearson correlation, and multiple regression analysis, with a significance level of 0.05.
Findings: The mean score of the motivational phase constructs was higher than that of the volitional phase constructs. In the motivational phase, the constructs of risk perception, outcome expectations, and task self-efficacy predicted 98% of the intention to engage in self-care behaviors. In the volitional phase, the constructs of action planning and coping planning predicted 90% of the self-care behavior. Finally, in the behavior continuation phase, maintenance, and recovery self-efficacy predicted 77% of the self-care behavior.
Conclusion: The results of this study demonstrated that the HAPA explains self-care behavior in patients with hypertension. Therefore, it is recommended that planners and experts incorporate these constructs into the design of effective educational interventions. In addition, enhancing HAPA constructs, especially risk perception, outcome expectations, task self-efficacy, action planning, and maintenance self-efficacy, in patients with hypertension can strengthen their self-care behaviors, encouraging both the adoption and sustained practice of these behaviors.
Materials & Methods: This descriptive-analytical study was conducted on 451 patients with hypertension in 2024, selected using a multi-stage cluster sampling method. Data were collected using a researcher-developed questionnaire based on the constructs of the Health Action Process Approach (HAPA). The data were analyzed using SPSS 26 and descriptive statistical tests, Pearson correlation, and multiple regression analysis, with a significance level of 0.05.
Findings: The mean score of the motivational phase constructs was higher than that of the volitional phase constructs. In the motivational phase, the constructs of risk perception, outcome expectations, and task self-efficacy predicted 98% of the intention to engage in self-care behaviors. In the volitional phase, the constructs of action planning and coping planning predicted 90% of the self-care behavior. Finally, in the behavior continuation phase, maintenance, and recovery self-efficacy predicted 77% of the self-care behavior.
Conclusion: The results of this study demonstrated that the HAPA explains self-care behavior in patients with hypertension. Therefore, it is recommended that planners and experts incorporate these constructs into the design of effective educational interventions. In addition, enhancing HAPA constructs, especially risk perception, outcome expectations, task self-efficacy, action planning, and maintenance self-efficacy, in patients with hypertension can strengthen their self-care behaviors, encouraging both the adoption and sustained practice of these behaviors.
Article Type: Original Research |
Subject:
Health Education and Health Behavior
Received: 2025/04/25 | Accepted: 2025/07/3
Received: 2025/04/25 | Accepted: 2025/07/3
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