Mechanisms of Health Behavior Change in Persons With Chronic Illness or Disability: The Health Action Process Approach (HAPA)

Rehabilitation Psychology

Volumn 56, Issue 3, 2011, Pages 161-170

  Schwarzer, Ralf ^a   Lippke, Sonia ^b   Luszczynska, Aleksandra ^c,d  

^a FREIE UNIVERSITÄT BERLIN   (Germany)

^b JACOBS UNIVERSITY BREMEN   (Germany)

^c UNIVERSITY OF COLORADO   (United States)

^d SWPS UNIVERSITY OF SOCIAL SCIENCES AND HUMANITIES   (Poland)

Author keywords

Intention; Motivation; Rehabilitation; Risk perception; Self efficacy; Volition

Indexed keywords

ALGORITHM; ARTICLE; BEHAVIOR CHANGE; CHRONIC DISEASE; COGNITION; CONCEPT FORMATION; CONCEPTUAL FRAMEWORK; COPING BEHAVIOR; DISABILITY; EXPECTATION; GOAL ATTAINMENT; HEALTH ACTION PROCESS APPROACH; HEALTH BEHAVIOR; HEALTH CARE PLANNING; HEALTH PROMOTION; HUMAN; MOTIVATION; OUTCOME ASSESSMENT; PHYSICAL ACTIVITY; PREDICTION; REHABILITATION CARE; RISK FACTOR; SELF CONCEPT; SELF REGULATION MODEL; SOCIAL SUPPORT;

CHRONIC DISEASE; DISABLED PERSONS; EXERCISE; GOALS; HEALTH BEHAVIOR; HEALTH PROMOTION; HUMANS; INTENTION; MODELS, PSYCHOLOGICAL; MOTIVATION; PATIENT COMPLIANCE; RISK ASSESSMENT; SELF EFFICACY; SOCIAL CONTROL, INFORMAL; SOCIAL SUPPORT;

EID: 80051935657     PISSN: 00905550     EISSN: 19391544     Source Type: Journal    
DOI: 10.1037/a0024509     Document Type: Article

References (75)

1. Ajzen I. The theory of planned behavior. Organizational Behavior and Human Decision Processes 1991, 50:179-211.
2. Bandura A. Social foundations of thought and action 1986, Prentice Hall, Englewood Cliffs, NJ.
3. Bandura A. Health promotion by social cognitive means. Health Education & Behavior 2004, 31:143-164.
4. Conner M. Initiation and maintenance of health behaviors. Applied Psychology 2008, 57:42-50.
5. Courneya K.S. Predicting repeated behavior from intention: The issue of scale correspondence. Journal of Applied Social Psychology 1994, 24:580-594.
6. Cutrona S.L., Choudhry N.K., Stedman M., Servi A., Liberman J.N., Brennan T., Shrank W.H. Physician effectiveness in interventions to improve cardiovascular medication adherence: A systematic review. Journal of General Internal Medicine 2010, 25:1090-1096. 10.1007/s11606-010-1387-9.
7. Dean A.J., Walters J., Hall A. A systematic review of interventions to enhance medication adherence in children and adolescents with chronic illness. Archives of Disease in Childhood 2010, 95:717-723. 10.1136/adc.2009.175125.
8. Dixon D., Johnston M., Rowley D., Pollard B. Using the ICF and psychological models of behavior to predict mobility limitations. Rehabilitation Psychology 2008, 53:191-200.
9. Dunn D.S., Elliott T.R. The place and promise of theory in rehabilitation psychology research. Rehabilitation Psychology 2008, 53:254-267.
10. Eng J.J., Martin Ginis K.A. Using the theory of planned behavior to predict leisure time physical activity among people with chronic kidney disease. Rehabilitation Psychology 2007, 52:435-442.
11. Fiore N.A. Awaken your strongest self: Break free of stress, inner conflict, and self-sabotage 2007, McGraw-Hill, New York.
12. Flay B.R., Petraitis J. The Theory of Triadic Influence. Advances in Medical Sociology 1994, 4:19-44.
13. Fleig L., Lippke S., Pomp S., Schwarzer R. Exercise maintenance after rehabilitation: How experience can make a difference. Psychology of Sport & Exercise 2011, 12:293-299. 10.1016/j.psychsport.2011.01.003.
14. Galea M.N., Bray S.R. Predicting walking intentions and exercise in individuals with intermittent claudication: An application of the theory of planned behavior. Rehabilitation Psychology 2006, 51:299-305.
15. Gellert, P., Ziegelmann, J. P., Warner, L., & Schwarzer, R. (in press). Physical activity intervention in older adults: Does a participating partner make a difference?. European Journal of Ageing.
16. Godin G., Shephard R.J. A simple method to assess exercise behavior in the community. Canadian Journal of Applied Sport Sciences 1985, 10:141-146.
17. Gollwitzer P.M., Sheeran P. Implementation intentions and goal achievement: A meta-analysis of effects and processes. Advances in Experimental Social Psychology 2006, 38:69-119.
18. Gorczynski P., Faulkner G., Greening S., Cohn T. Exploring the construct validity of the Transtheoretical Model to structure physical activity interventions for individuals with serious mental illness. Psychiatric Rehabilitation Journal 2010, 34:61-64.
19. Gutiérrez-Doña B., Lippke S., Renner B., Kwon S., Schwarzer R. How self-efficacy and planning predict dietary behaviors in Costa Rican and South Korean women: A moderated mediation analysis. Applied Psychology: Health & Well-Being 2009, 1:91-104.
20. Heckhausen H., Gollwitzer P.M. Thought contents and cognitive functioning in motivational vs. volitional states of mind. Motivation and Emotion 1987, 11:101-120.
21. Iestra J.A., Kromhout D., van der Schouw Y.T., Grobbee D.E., Boshuizen H.C., van Staveren W.A. Effect size estimates of lifestyle and dietary changes on all-cause mortality in coronary artery disease patients: A systematic review. Circulation 2005, 112:924-934.
22. Jackson, J., Lippke, S., & Ziegelmann, J. (2010). Who is motivated how? Stage-specific prediction of physical activity in orthopaedic individuals after orthopaedic rehabilitation treatment. Manuscript submitted for publication.
23. Latimer A.E., Martin Ginis K.A., Arbour K.P. The efficacy of an implementation intention intervention for promoting physical activity among individuals with spinal cord injury: A randomized controlled trial. Rehabilitation Psychology 2006, 51:273-280.
24. Lippke S., Fleig L., Pomp S., Schwarzer R. Validity of a stage algorithm for physical activity in participants recruited from orthopedic and cardiac rehabilitation clinics. Rehabilitation Psychology 2010, 55:398-408. 10.1037/a0021563.
25. Lippke, S., Nigg, C. R., & Maddock, J. E. (in press). Multiple behavior change clusters into health-promoting behaviors and health-risk behaviors: Theory-driven analyses in three international samples. International Journal of Behavioral Medicine.
26. Lippke S., Schwarzer R., Ziegelmann J.P., Scholz U., Schüz B. Testing stage-specific effects of a stage-matched intervention: A randomized controlled trial targeting physical exercise and its predictors. Health Education & Behavior 2010, 37:533-546. 10.1177/1090198109359386.
27. Lippke S., Wiedemann A.U., Ziegelmann J.P., Reuter T., Schwarzer R. Self-efficacy moderates the mediation of intentions into behavior via plans. American Journal of Health Behavior 2009, 33:521-529.
28. Lippke S., Ziegelmann J.P., Schwarzer R. Initiation and maintenance of physical exercise: Stage-specific effects of a planning intervention. Research in Sports Medicine 2004, 12:221-240.
29. Lippke S., Ziegelmann J.P., Schwarzer R. Stage-specific adoption and maintenance of physical activity: Testing a three-stage model. Psychology of Sport & Exercise 2005, 6:585-603.
30. Lippke S., Ziegelmann J.P., Schwarzer R., Velicer W.F. Validity of stage assessment in the adoption and maintenance of physical activity and fruit and vegetable consumption. Health Psychology 2009, 28:183-193.
31. Luszczynska A. An implementation intentions intervention, the use of planning strategy, and physical activity after myocardial infarction. Social Science and Medicine 2006, 62:900-908.
32. Luszczynska A., Cieslak R. Mediated effects of social support for healthy nutrition: Fruit and vegetable intake across 8 months after myocardial infarction. Behavioral Medicine 2009, 35:30-38.
33. Luszczynska A., Gregajtys A., Abraham C. Effects of a self-efficacy intervention on initiation of recommended exercises in individuals with spondylosis. Journal of Aging and Physical Activity 2007, 15:26-40.
34. Luszczynska A., Scholz U., Sutton S. Planning to change diet: A controlled trial of an implementation intentions training intervention to reduce saturated fat intake among individuals after myocardial infarction. Journal of Psychosomatic Research 2007, 63:491-497.
35. Luszczynska A., Schwarzer R. Planning and self-efficacy in the adoption and maintenance of breast self-examination: A longitudinal study on self-regulatory cognitions. Psychology & Health 2003, 18:93-108.
36. Luszczynska A., Sutton S. Physical activity after cardiac rehabilitation: Evidence that different types of self-efficacy are important in maintainers and relapsers. Rehabilitation Psychology 2006, 51:314-321.
37. Luszczynska A., Tryburcy M., Schwarzer R. Improving fruit and vegetable consumption: A self-efficacy intervention compared to a combined self-efficacy and planning intervention. Health Education Research 2007, 22:630-638.
38. McLean S.M., Burton M., Bradley L., Littlewood C. Interventions for enhancing adherence with physiotherapy: A systematic review. Manual Therapy 2010, 15:514-521.
39. Michie S., Abraham C., Whittington C., McAteer J., Gupta S. Identifying effective techniques in interventions: A meta-analysis and meta-regression. Health Psychology 2009, 28:690-701.
40. Michie S., Rothman A.J., Sheeran P. Advancing the science of behaviour change. Psychology and Health 2007, 22:249-253.
41. Milne S., Sheeran P., Orbell S. Prediction and intervention in health-related behavior: A meta-analytic review of protection motivation theory. Journal of Applied Social Psychology 2000, 30:106-143.
42. Morabia A., Costanza M.C. Multiple health behavior change interventions: Tell us what you see. Preventive Medicine 2010, 50:1-2.
43. Nigg C.R. There is more to stages of exercise than just exercise. American College of Sports Medicine 2005, 33:32-35.
44. Noar S.M., Benac C., Harris M. Does tailoring matter? Meta-analytic review of tailored print health behavior change interventions. Psychological Bulletin 2007, 133:673-693.
45. Norman P., Conner M. The Theory of Planned Behavior and exercise: Evidence for the mediating and moderating roles of planning on intention-behavior relationships. Journal of Sport & Exercise Psychology 2005, 27:488-504.
46. Plotnikoff R.C., Lippke S., Courneya K.S., Birkett N., Sigal R.J. Physical activity and Social-Cognitive Theory: A test in a population sample of adults with type 1 or type 2 diabetes. Applied Psychology: International Review 2008, 57:628-643. 10.1111/j.1464-0597.2008.00344.x.
47. Plotnikoff R.C., Lippke S., Reinbold-Matthews M., Courneya K.S., Karunamuni N., Sigal R.J., Birkett N. Assessing the validity of a stage measure on physical activity in a population-based sample of individuals with type 1 or type 2 diabetes. Measurement in Physical Education and Exercise Science 2007, 11:73-91.
48. Prochaska J.J., Spring B., Nigg C.R. Multiple health behaviour change research: An introduction and overview. Preventive Medicine 2008, 46:181-188.
49. Prochaska J.O., DiClemente C.C. Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology 1983, 51:390-395.
50. Renner B., Kwon S., Yang B.-H., Paik K.-C., Kim S.H., Roh S., Song J., Schwarzer R. Social-cognitive predictors of dietary behaviors in South Korean men and women. International Journal of Behavioral Medicine 2008, 15:4-13.
51. Renner B., Spivak Y., Kwon S., Schwarzer R. Does age make a difference? Predicting physical activity of South Koreans. Psychology and Aging 2007, 22:482-493.
52. Reuter T., Ziegelmann J.P., Lippke S., Schwarzer R. Long-term relations between intentions, planning and exercise: A 3-year longitudinal study after orthopedic rehabilitation. Rehabilitation Psychology 2009, 54:363-371. 10.1037/a0017830.
53. Reuter T., Ziegelmann J.P., Wiedemann A.U., Lippke S. Dietary planning as a mediator of the intention-behavior relation: An experimental-causal-chain design. Applied Psychology: An International Review Special Issue: Health and Well-Being 2008, 57:194-297.
54. Richert J., Reuter T., Wiedemann A.U., Lippke S., Ziegelmann J., Schwarzer R. Differential effects of planning and self-efficacy on fruit and vegetable consumption. Appetite 2010, 54:611-614. 10.1016/j.appet.2010.03.006.
55. Rogers R.W. A protection motivation theory of fear appeals and attitude change. Journal of Psychology 1975, 91:93-114.
56. Scholz U., Knoll N., Sniehotta F.F., Schwarzer R. Physical activity and depressive symptoms in cardiac rehabilitation: Long-term effects of a self-management intervention. Social Science & Medicine 2006, 62:3109-3120.
57. Scholz U., Nagy G., Göhner W., Luszczynska A., Kliegel M. Changes in self-regulatory cognitions as predictors of changes in smoking and nutrition behaviour. Psychology & Health 2009, 24:545-561.
58. Scholz U., Schüz B., Ziegelmann J.P., Lippke S., Schwarzer R. Beyond behavioural intentions: Planning mediates between intentions and physical activity. British Journal of Health Psychology 2008, 13:479-494.
59. Scholz U., Sniehotta F.F., Burkert S., Schwarzer R. Increasing physical exercise levels: Age-specific benefits of planning. Journal of Aging and Health 2007, 19:851-866.
60. Scholz U., Sniehotta F.F., Schwarzer R. Predicting physical exercise in cardiac rehabilitation: The role of phase-specific self-efficacy beliefs. Journal of Sport & Exercise Psychology 2005, 27:135-151.
61. Schwarzer R. Self-efficacy in the adoption and maintenance of health behaviors: Theoretical approaches and a new model. Self-efficacy: Thought control of action 1992, 217-243. Hemisphere, Washington, DC. R. Schwarzer (Ed.).
62. Schwarzer R. Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Applied Psychology 2008, 57:1-29.
63. Schwarzer R., Luszczynska A., Ziegelmann J.P., Scholz U., Lippke S. Social-cognitive predictors of physical exercise adherence: Three longitudinal studies in rehabilitation. Health Psychology 2008, 27(Suppl.):S54-S63.
64. Schwarzer R., Schüz B., Ziegelmann J.P., Lippke S., Luszczynska A., Scholz U. Adoption and maintenance of four health behaviors: Theory-guided longitudinal studies on dental flossing, seat belt use, dietary behavior, and physical activity. Annals of Behavioral Medicine 2007, 33:156-166. 10.1007/BF02879897.
65. Sniehotta F.F., Scholz U., Schwarzer R. Action plans and coping plans for physical exercise: A longitudinal intervention study in cardiac rehabilitation. British Journal of Health Psychology 2006, 11:23-37.
66. Sniehotta F.F., Schwarzer R., Scholz U., Schüz B. Action planning and coping planning for long-term lifestyle change: Theory and assessment. European Journal of Social Psychology 2005, 35:565-576.
67. Sutton S. Interpreting cross-sectional data on stages of change. Psychology & Health 2000, 15:163-171.
68. Weinstein N.D., Lyon J.E., Sandman P.M., Cuite C.L. Experimental evidence for stages of health behavior change: The precaution adoption process model applied to home radon testing. Health Psychology 1998, 17:445-453.
69. Weinstein N.D., Rothman A.J., Sutton S.R. Stage theories of health behavior: Conceptual and methodological issues. Health Psychology 1998, 17:290-299.
70. Wiedemann A.U., Lippke S., Reuter T., Schüz B. The more the better? The number of plans predicts health behaviour. Applied Psychology: Health & Well-Being 2011, 3:87-106. 10.1111/j.1758-0854.2010.01042.x.
71. Wiedemann A.U., Schüz B., Sniehotta F.F., Scholz U., Schwarzer R. Disentangling the relation between intentions, planning, and behaviour: A moderated mediation analysis. Psychology & Health 2009, 24:67-79.
72. Yardley L., Donovan-Hall M. Predicting adherence to exercise-based therapy in rehabilitation. Rehabilitation Psychology 2007, 52:56-64.
73. Ziegelmann J.P., Lippke S. Planning and strategy use in health behavior change: A life span view. International Journal of Behavioral Medicine 2007, 14:30-39.
74. Ziegelmann J.P., Lippke S., Schwarzer R. Adoption and maintenance of physical activity: Planning interventions in young, middle-aged, and older adults. Psychology & Health 2006, 21:145-163.
75. Ziegelmann J.P., Luszczynska A., Lippke S., Schwarzer R. Are goal intentions or implementation intentions better predictors of health behavior? A longitudinal study in orthopedic rehabilitation. Rehabilitation Psychology 2007, 52:97-102.