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ORIGINAL RESEARCH article

Front. Psychiatry
Sec. Public Mental Health
Volume 15 - 2024 | doi: 10.3389/fpsyt.2024.1497872
This article is part of the Research Topic The Intersection of Psychology, Healthy Behaviors, and its Outcomes View all 42 articles

Explain the behavior change and maintenance in diabetic patients using MTM-HAPA Framework

Provisionally accepted
Yibo Wu Yibo Wu 1*Jie Zhen Yu Jie Zhen Yu 2,3Qiu Xiao Yin Qiu Xiao Yin 4Miao Yi Li Miao Yi Li 2Yang Jiang Yang Jiang 5Li Gong Liu Li Gong Liu 6Ying Xin Sun Ying Xin Sun 1*
  • 1 Peking University, Beijing, Beijing Municipality, China
  • 2 Tianjin Medical University, Tianjin, China
  • 3 City University of Hong Kong, Kowloon, Hong Kong, SAR China
  • 4 Beihang University, Beijing, Beijing Municipality, China
  • 5 North China University of Science and Technology, Tangshan, Hebei Province, China
  • 6 Qingdao University, Qingdao, Shandong Province, China

The final, formatted version of the article will be published soon.

    The aim of the study was to to uncover the factors influencing the initiation and maintenance of health behaviors indiabetes mellitus (DM) patients, utilizing baseline data from a randomized controlled trial to construct a structural equation model based on the Multi-Theory Model (MTM) and Health Action Process Approach (HAPA) scales.The study recruited participants with type 2 diabetes, aged between 18 and 75 years, from 45 distinct locations in Beijing, China.Patients (N = 406, n = 232 (57.1%) females, n = 232 (42.9%) males; Mean (SD) age = 56.7(10.9)) completed self-reported questionnaire about constructs from integrated theories concerning health behavior. To test the associations between the variables, structural equation modeling with latent variables was employed. Based on the path coefficients of Structural Equation Modeling(SEM), we verified all the hypotheses.Results: Disadvantages, Advantages, Self-efficacy for Initiating Behavior, and Changes in Physical Environment are all prove to have an effect on intention, with the effect of Disadvantages being negative. Intention positively influenced Action Planning and Coping Planning , both of which in turn significantly predicted Initiation of Behavior Change. Practice for change, Emotional Transformation, Changes in Social Environment, and Self-efficacy for Sustaining Behavior were all affected by Outcome Expectancies and Risk Perception positively. Meanwhile, Practice for change, Emotional Transformation, Changes in Social Environment and Self-efficacy for Sustaining Behavior-would have a significant predictive effect on Maintenance of Behavioral Change.The empirical evidence from this study robustly validates the majority of its theoretical constructs, affirming that MTM-HAPA possess significant explanatory capability in delineating the factors that underpin both the Maintenance of health-related behaviors and the Initiation of Behavior Changes in individuals suffering from DM.

    Keywords: Health Behavior, Diabetes Mellitus, Multi-Theory Model of Health Behavior Change, Health Action Process Approach, Psychology

    Received: 18 Sep 2024; Accepted: 12 Nov 2024.

    Copyright: © 2024 Wu, Yu, Yin, Li, Jiang, Liu and Sun. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Yibo Wu, Peking University, Beijing, 100871, Beijing Municipality, China
    Ying Xin Sun, Peking University, Beijing, 100871, Beijing Municipality, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.