Changes in Dietary Behavior among Coronary and Hypertensive Patients: A Longitudinal Investigation Using the Health Action Process Approach
| Autor: | Francesco Fattirolli, Andrea Greco, Francesca Cesana, Renzo Zanettini, Luca Pancani, Cristina Giannattasio, Patrizia Steca, Maria Elena Magrin, Marcello Sarini, Marta Scrignaro, Massimo Miglioretti, Marco D’Addario, Luca Vecchio |
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| Přispěvatelé: | Steca, P, Pancani, L, Cesana, F, Fattirolli, F, Giannattasio, C, Greco, A, D'Addario, M, Magrin, M, Miglioretti, M, Sarini, M, Scrignaro, M, Vecchio, L, Zanettini, R |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Settore M-PSI/01 - Psicologia Generale
Male Essential arterial hypertension Acute coronary syndrome medicine.medical_specialty Longitudinal study Time Factors Health Behavior Risk Assessment Dietary change Statistical analyses Internal medicine medicine Dietary change Health Action Process Approach Acute coronary syndrome Essential arterial hypertension Humans Longitudinal Studies Health Action Process Approach Applied Psychology Analysis of Variance Coronary event business.industry Health action process approach Repeated measures design Middle Aged medicine.disease Dietary behavior Self Efficacy Diet Hypertension Physical therapy Female Essential Hypertension business Tertiary Prevention |
| Popis: | Background: Cardiovascular diseases (CVDs) are a major cause of worldwide morbidity and mortality. Nutrition plays an important role in the primary, secondary, and tertiary prevention of CVDs. The present longitudinal study used the Health Action Process Approach (HAPA) to investigate changes in dietary behavior in coronary patients (CPs) affected by acute coronary syndrome and hypertensive patients (HPs) affected by essential arterial hypertension. Methods: CPs (N = 250) and HPs (N = 246) completed a questionnaire during three measurement points (baseline, 6‐month follow‐up, and 12‐month follow‐up). Statistical analyses included a repeated measures ANOVA and a multi‐sample structural equation model. Results: HPs showed no changes in dietary behavior, whereas CPs improved their nutrition at 6 months and then maintained the healthier diet. The multi‐sample analysis indicated equivalence of the HAPA model for both patient populations. Conclusions: These findings provide further evidence for the generalisability of the HAPA model, shedding light on dietary behavior among CVD patients and particularly on hypertensive patients which has received little attention. Moreover, the equivalence of the model suggests that the process of change is almost identical for individuals who are at high risk for a coronary event (i.e. HPs) and individuals who have already had the event (i.e. CPs). |
| Databáze: | OpenAIRE |
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