Health action process approach and its application progress at home and abroad
SHI Yan-hua1, LI Shuai-tong2, XU Ting3, LU Hao3, LI Yi-ke1
1. School of Nursing, Lanzhou University, Lanzhou, Gansu 730000, China; 2. The First Affiliated Hospital of Lanzhou University, Lanzhou, Gansu 730000, China; 3. The 940th Hospital of the Joint Logistics Support Force, Lanzhou, Gansu 730050, China
Abstract：This article briefly outlines the formation, principles, theoretical assumptions and limitations of the health action process approach (HAPA) model, and discusses the current status of the model’s application in different populations and fields at home and abroad. It aims to provide a scientific and feasible behavior prediction theoretical model and intervention guidance framework for the promotion of national health management and healthy behavior.
师艳花, 李帅彤, 许婷, 陆皓, 李一珂. 健康行为程式模型及其在国内外的应用进展[J]. 实用预防医学, 2023, 30(2): 252-257.
SHI Yan-hua, LI Shuai-tong, XU Ting, LU Hao, LI Yi-ke. Health action process approach and its application progress at home and abroad. , 2023, 30(2): 252-257.
[1] Askew DA, Togni SJ, Egert S, et al. Quantitative evaluation of an outreach case management model of care for urban Aboriginal and Torres Strait Islander adults living with complex chronic disease: a longitudinal study[J].BMC Health Serv Res,2020,20(1):917. [2] Dash D, Schumacher C, Jones A, et al. Lessons learned implementing and managing the DIVERT-CARE trial: practice recommendations for a community-based chronic disease self-management model[J].BMC Geriatr,2021,21(1):303. [3] 刘凤,张振香,林蓓蕾,等.预先适应过程模型在促进健康行为中的应用进展[J]. 解放军护理杂志,2020,37(12):65-67. [4] Dye C,Willoughby D,Aybar-Damali B,et al. Improving chronic disease self-management by older home health patients through community health coaching[J].Int J Environ Res Public Health,2018,15(4):660. [5] Schwarzer R. Some burning issues in research on health behavior change[J]. Appl Psychol,2008,57:84-93. [6] Schwarzer R. Modeling health behavior change: how to predict and modifythe adoption and maintenance of health behaviors[J].Appl Psychol,2008,57:1-29. [7] Zhang CQ, Zhang R, Schwarzer R, et al. A meta-analysis of the health action process approach[J].Health Psychol,2019,38(7):623-637. [8] 李柳.基于HAPA理论的健康行为干预方案在中青年2型糖尿病患者中的应用研究[D].衡阳:南华大学,2021. [9] 高雯,杨丽珠,李晓溪.健康行动过程取向模型的发展与前景[J].心理科学进展,2012,20(10):1651-1662. [10] Schwarzer R,Lippke S,Luszczynska A. Mechanisms of health behavior change in persons with chronic illness or disability: the health action process approach(HAPA)[J].Rehabil Psychol,2011,56(3):161-170. [11] Scholz U,Nagy G,Göhner W,et al. Changes in self-regulatory cognitions as predictors of changes in smoking and nutrition behavior[J].Psychol Health,2009,24(5):545-561. [12] Norouzi S,Moghaddam MH,Morowatisharifabad MA,et al. Examining social-cognitive predictors of parenting skills among mothers with preschool and early elementary school-aged children[J].J Educ Health Promot,2015,4:96. [13] Schwarzer R. Health action process approach (HAPA) as a theoretical framework to understand behavior change[J]. Actual En Psicología,2016,30(121):119-130. [14] Gollwitzer PM, Sheeran P. Implementation intentions and goal achievement: ameta-analysis of effects and processes. Advances in experimental social psychology[J].Elsevier Academic Press,2006,38:69-119. [15] Sniehotta FF, Schwarzer R, Scholz U, et al. Action planning and coping planning for long-term lifestyle change: theory and assessment[J]. Eur J Soc Psychol,2010,35:565-576. [16] 王志琳,姜飞月.健康行为改变中的社会认知因素:HAPA模型述评[J]. 医学与哲学(人文社会医学版),2006,27(13):16-18. [17] Scholz U, Keller R, Perren S. Predicting behavioral intentions and physical exercise : a test of the health action process approach at the intrapersonal level[J].Health Psychol,2009,28(6):702-708. [18] Schwarzer R,Schuz B,Ziegelmann JP,et al. Adoption and maintenance of four health behaviors: theory-guided longitudinal studies on dental flossing, seat belt use, dietary behavior, and physical activity[J]. Ann Behav Med,2007 (2):156-166. [19] 杨瑞鹏.健康行为促进理论:HAPA模型评述[J].生物技术世界,2013,23(12):149. [20] von Lengerke T, Ebadi E, Schock B, et al. Impact of psychologically tailored hand hygiene interventions on nosocomial infections with multidrug-resistant organisms: results of the cluster-randomized controlled trial PSYGINE[J].Antimicrob Resist Infect Control,2019,8(1):56. [21] Knoll N, Hohl DH, Motter S, et al. Facilitating physical activity and reducing symptoms in patients with knee osteoarthritis: study protocol of a randomized controlled trial to test a theory-based PrevOP-psychological adherence Program (PrevOP-PAP)[J].BMC Musculoskelet Disord,2018,19(1):221. [22] Platter M,Hofer M,Holzl C,et al. Supporting cardiac patient physical activity: a brief health psychological intervention[J].Wien Klin Wochenschr,2016,128(5/6):175-181. [23] Hinrichs T,Moschny A,Brach M,et al. Effects of an exercise programme for chronically ill and mobility-restricted elderly with structured support by the general practitioner's practice (HOMEfit)-study protocol of a randomied controlled trial[J]. Trials, 2011,12:263. [24] Whittemore R,Vilar-Compte M,Burrola-Méndez S,et al. Development of a diabetes self-management + mHealth program: tailoring the intervention for a pilot study in a low-income setting in Mexico[J].Pilot Feasibility Stud,2020,6:25. [25] Asgari S, Abbasi M, Hamilton K, et al. A theory-based intervention to promote medication adherence in patients with rheumatoid arthritis: a randomized controlled trial[J].Clin Rheumatol,2021,40(1):101-111. [26] Gaube S, Fischer P, Lermer E. Hand(y) hygiene insights: applying three theoretical models to investigate hospital patients' and visitors' hand hygiene behavior[J].PLoS One,2021,16(1):e0245543. [27] 曹佃省.青少年锻炼行为影响因素及干预概评[J].健康教育与健康促进,2014,9(1):30-35. [28] 曹佃省. 理论导向的青少年健康锻炼行为干预促进[D].长沙:中南大学,2010. [29] 韦臻,郭雅,阮中强.青少年网络成瘾对亚健康的影响:消极应对方式的中介作用[J].实用预防医学,2022,29(2):165-168. [30] Throuvala MA, Griffiths MD, Rennoldson M, et al. School-based prevention for adolescent Internet addiction: prevention is the key. A systematic literature review[J].Curr Neuropharmacol,2019,17(6):507-525. [31] Tang C, Raat H, Yan M, et al. Application of the health action process approach model for reducing excessive Internet use behaviors among rural adolescents in China: a school-based intervention pilot study[J].BMC Public Health,2021,21(1):986. [32] 张向京,岳建华,林锐.健康行为HAPA模型为指导提高老年高血压患者自我效能、心理健康和服药依从性的影响[J].中国健康心理学杂志,2021,29(8):1199-1204. [33] 邹洁琼.基于HAPA模型的菜单式护理在脑卒中偏瘫患者中的应用[D]. 衡阳:南华大学,2019. [34] 柏乐,颜琬华.基于HAPA模型的哮喘患者认知—行为评价量表的研制与信效度检验[J].现代预防医学,2020,47(1):110-114. [35] 温鑫. 基于HAPA理论慢性肾病健康饮食认知信念问卷的编制及应用研究[D].长春:吉林大学,2020. [36] Jácome C, Cruz J, Oliveira A, et al. Validity, reliability, and ability to identify fall status of the berg balance scale, BESTest, mini-BESTest, and brief-BESTest in patients with COPD[J].Phys Ther,2016,96(11):1807-1815.
2023, Vol. 30 
