Constructs for Health Behaviors Health Action Process Approach Stage-Based Interventions. Theory of Planned Behavior.

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1 I will change The ieion-behavior gap Constructs for Health s Health Process Approach Stage-Based Ierveions Change Theory of Planned Ajzen

2 Self- How confide are you that you can engage in more physical activity?... even when I have to force myself to start doing this right now. Self- In spite of good ieions minor or major setbacks might occur. Imagine you have not been exercising for a while. How certain are you that you will be able to resume your physical activity after such a break? I am confide that I can restart engaging in physical activity again, even when I haven t engaged in physical activity for several times....even when I wasn t able to pull myself together on one occasion. not at all hardly moderately I am confide that I can start engaging in not at all hardly exactly physical activities immediately, even if I have to pull myself together. moderately exactly Perceived self-efficacy is influeial for motivation as well as for volition Task A Research Example Predicting Dietary s in South Korea: A Longitudinal Study Exploring Moderators Health Process Approach Britta Renner, Sunkyo Kwon & Ralf Schwarzer 14% Self- Self- Self Self s Dietary s Dietary Objective Objective risk feedback: blood pressure, cholesterol, BMI 6 mohs later.19 28% 38% 40%.43 Objective Standardized parameter estimates for 358 South Korean healthy women 6 mohs later The Health Process Approach (HAPA) is a health behavior change framework with an open architecture. 2

3 HAPA is a Set of 5 Principles See the 10 minute video at HAPA Principle 1: change can be divided io 2 phases HAPA Principle 2: Volition phase can be subdivided, resulting in 3 stage groups: Non Ienders, Ienders, and Actors HAPA Principle 3: In the volitional pre actional stage, planning operates as a mediator HAPA Principle 4: can be divided io action planning and coping planning Inactive Active Inactive HAPA Principle 4: can be divided io action planning and coping planning When, where, and how to act How to cope with aicipated barriers HAPA Principle 5: differs across phases Task Motivation:Goal Setting Volition: Goal Pursuit 3

4 Non-ieional al al Constructs for Health s Health Process Approach Stage-Based Ierveions Health Promotion based on the stage version of the Health Process Approach (HAPA) Meta Theories: Stage Models vs. Coinuum Models Coinuum Models Ei Raupe Puppe Schmetterling From Thoughts to : pupa butterfly Stage Models larva pre-ieional ieional actional egg 4

5 How do we iervene on the basis of a coinuum model? Selbstwirksamkeit Selbstwirksamkeit Handlungsergebniserwartung Planungsstrategien Risikowahrnehmung Handlungskorolle & Resource Communication Strategic Relapse Preveion Coinuum-Layer of the Health Process Approach Turn all the screws for an undiffereiated audience: Increase ieions of those who already iend, increase behavior of those who are not yet ready. pre-ieional ieional actional 3-Stage-Layer of the Health Process Approach 5