J Korean Acad Community Health Nurs.  2018 Sep;29(3):359-370. 10.12799/jkachn.2018.29.3.359.

Effects of the Variables related to the Health Action Process Approach Model on Physical Activity: A Systematic Literature Review and Meta-analysis

• Choi Y
• Yang SJ
• Song HY

• KMID: 2429990
• DOI: http://doi.org/10.12799/jkachn.2018.29.3.359

Abstract

PURPOSE
The purpose of this study is to identify effects of the variables of Health Action Process Approach (HAPA) Model on physical activity.
METHODS
This study has conducted a systematic literature review and meta-analysis. Sixteen articles were searched through electronic databases (PsycINFO, PubMed, CINAHL, Web of science, Science Direct, RISS, KMBASE, KoreaMed, KISS, DBpia) and additional journals from 2000 to July, 2017. To estimate the effect size (ES), the meta-analysis of the studies was performed by using Comprehensive Meta-Analysis programs.
RESULTS
The overall effect size of the variables of HAPA on physical activity was median (ES=.28). Of the core variables of HAPA model, action control (ES=.43) showed the largest effect size, followed by coping self-efficacy (ES=.31) and planning (ES=.31).Additional variables were identified as preparatory behavior (ES=.39) and past physical activity (ES=.24). Through the moderator effect analysis, the effect size was higher in the volitional phase than in the motivational phase, and higher in the healthy group than in the patient group. The higher the proportion of males and the lower the age, the larger the effect size.
CONCLUSION
This finding shows empirical evidence that all core variables of the HAPA model are useful for predicting physical activity. We propose the use of the HAPA model to develop physical activity promotion intervention.

Keyword

Exercise; Health behavior; Meta-analysis; Review

MeSH Terms

Health Behavior
Humans
Male
Motor Activity*

Figure

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  Figure 1 HAPA model & the flow diagram.

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  Figure 2 Funnel plot of standard error by Fisher's Z.

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  Figure 3 Forest plot of overall HAPA variables.

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