AI Article Synopsis

  • The study investigates the effectiveness of the Health Action Process Approach (HAPA) in promoting health behavior change among older adults, focusing on both individual and group levels.
  • The research included two longitudinal studies on physical activity and medication adherence, assessing various HAPA components over time.
  • While HAPA was mostly effective at the group level, individual-level findings showed only action control as a reliable predictor for behavior change.

Article Abstract

Background: Health behavior change theories usually claim to be universally and individually applicable. Most research has tested behavior change theories at the interindividual level and within young-to-middle-aged populations. However, associations at the interindividual level can differ substantially from associations at the intraindividual level. This study examines the applicability of the Health Action Process Approach (HAPA) at the inter- and the intraindividual level among older adults.

Methods: Two intensive longitudinal studies examined the HAPA model covering two different health behaviors and two different time spans: Study 1 (physical activity, N = 52 × 6 monthly observations) and Study 2 (medication adherence, N = 64 × 30 daily observations). The HAPA constructs (risk awareness, outcome expectancy, self-efficacy, intention, action planning, action control), and self-reported behaviors were assessed.

Results: Overall, at the interindividual level, results of both studies largely confirmed the associations specified by the HAPA. At the intraindividual level, results were less in line with the HAPA. Only action control emerged as consistent predictor of behavior.

Conclusions: This study emphasises the importance of examining health behavior change theories at both, the inter- and the intraindividual level.

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Source
http://dx.doi.org/10.1111/aphw.12094DOI Listing

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