Using an integrated model of the theory of planned behavior and the temporal self-regulation theory to explain physical activity in patients with coronary heart disease

Frontiers in Psychology

Psychology

Wenqin Wang¹  Yun Hua¹  Minjuan Wu²  Xingwei Zhang³  Guohe Feng³ 

[1] School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang Province, China;School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang Province, China;The Affiliated Hospital of Hangzhou Normal University, Hangzhou, Zhejiang Province, China;

关键词: physical activity;    coronary heart disease;    theory of planned behavior;    temporal self-regulation theory;    consideration of future consequences;    habit;    self-control;   

DOI  :  10.3389/fpsyg.2023.1049358

 received in 2022-09-20, accepted in 2023-01-13,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundThis study aimed to explore the psychosocial determinants of the physical activity (PA) levels in patients with coronary heart disease (CHD) using an integrated theoretical model based on the theory of planned behavior (TPB) and the temporal self-regulation theory (TST).MethodThis was a prospective study conducted at the Affiliated Hospital of Hangzhou Normal University, Zhejiang, China. A total of 279 patients with CHD [176 men aged 26–89 years, mean (M) = 64.69, standard deviation (SD) = 13.17] were selected under the study inclusion criteria by convenience sampling. The data on attitude, subjective norm (SN), perceived behavioral control (PBC), and intention variables for the TPB model and consideration of future consequences (CFC), habit, and self-control (SC) variables for the TST model were collected 1–2 days before the discharge (Time 1, T1) of the participants, and a telephone follow-up was made to assess the participants' self-reported PA levels 1 week after their discharge (Time 2, T2).ResultsThe results revealed that only 39.8% of the patients with CHD met the guidelines' recommendations on PA. The data analyses using structural equation modeling (SEM) in the Mplus 8.3 modeling program showed that, in the simple mediation model, attitude, PBC, and CFC were positively related to the intention to practice guideline-recommended levels of PA but SN was not. In addition, intention was shown to mediate the relationships between attitude, PBC, CFC, and PA levels. Furthermore, based on the moderated mediating model, intention and habit were shown to be positively associated with PA levels but SC was not. Moreover, SC played a significant moderating role between intention and PA levels. However, habit strength did not moderate the relationship between intention and PA levels.ConclusionAn integration of the TPB and TST models offers a good theoretical tool for understanding PA levels in patients with CHD.

【 授权许可】

Unknown   
Copyright © 2023 Wang, Wu, Hua, Zhang and Feng.