Strengths of the Health Action Process Approach: a Structured Review

Fein, Erich C. ORCID: https://orcid.org/0000-0003-4119-0130 and Cassimatis, Mandy and Jakovickis, Dharmashakti and Mullens, Amy B. (2019) Strengths of the Health Action Process Approach: a Structured Review. In: 2019 Australian Psychological Society College of Health Psychologists Conference, 25-27 April, 2019, Adelaide, Australia.


Abstract

Background
Models of health behaviour change have historically focused on the proximal predictors of behaviour. However, people do not always act in accordance with their intentions and fail to take action under multiple and conflicting demands. The Health Action Process Approach (HAPA) is a model of health behaviour that attempts to provide a parsimonious explanation of health promoting behaviours that endeavours to bridge the intention-behaviour gap. Towards this end, the model distinguishes between motivational and volitional factors that contribute to behavioural engagement. Action self-efficacy, outcome expectancies and risk perception are motivational factors, whilst action planning, coping planning, maintenance self-efficacy, and recovery self-efficacy are volitional factors.

Aims/objectives
Our objective was to complete a systematic literature review of the HAPA model, with was undertaken with a particular focus to synthesise and analyse the current empirical evidence attesting to the effectiveness of the planning and self-efficacy components within the model.

Method
Using the PRIMSA method for systematic literature review we searched over 12 academic databases and Google Scholar. This search resulted in a detailed review of 47 articles from 1999 to 2015 across eight different behavioural outcome groups with 17,350 participants.

Conclusion
Our results indicate that Intention remains a strong predictor of behaviour but strengthening intentions through action self-efficacy and implementing plans increases the likelihood that behaviour will occur. As a set, these variables were found to provide the most parsimonious and consistent model of health promoting behaviour across various outcomes in 47 samples of healthy adults.


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Item Type: Conference or Workshop Item (Commonwealth Reporting Category E) (Poster)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling (1 Jan 2015 -)
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling (1 Jan 2015 -)
Date Deposited: 07 Aug 2020 01:41
Last Modified: 01 Oct 2020 00:23
Uncontrolled Keywords: systematic literature review; PRISMA; health behaviour; adults; self-efficacy; Health Action Process Approach; HAPA
Fields of Research (2008): 17 Psychology and Cognitive Sciences > 1701 Psychology > 170106 Health, Clinical and Counselling Psychology
URI: http://eprints.usq.edu.au/id/eprint/36347

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