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SOCIAL-COGNITIVE PREDICTORS OF PHYSICAL ACTIVITY INITIATION IN TYPE 2 DIABETES FOLLOWING DIABETES SELF-MANAGEMENT EDUCATION: APPLICATION OF THE HEALTH ACTION PROCESS APPROACH Jason E. Bonner September 1, 2010 Type 2 diabetes presents a public health crisis and a global pandemic. Successful management of diabetes requires engagement in a daily regimen of self-care behaviors to achieve optimal glycemic control and to reduce the severity of diabetes-related complications. Regular engagement in physical activity has been demonstrated to improve glycemic control and overall quality of life among patients with diabetes. Diabetes self-management education (DSME) has become the hallmark for instructing patients with diabetes to engage in physical activity, yet physical activity patterns of DSME patients remains largely unknown. Further, it is unclear what factors could account for such behavior change in the DSME setting. Social-cognitive models of health behavior have attempted to explain behavior change such as physical activity initiation. One model, the Health Action Process Approach (HAPA), provides a parsimonious framework for understanding this process. The HAP A organizes key social-cognitive factors into a motivational stage, where a behavioral intention is formed, and a volitional stage,. where self-regulatory processes such as action planning mediate the intention-behavior relationship, thereby translating

Social-cognitive predictors of physical activity initiation in type 2 diabetes following diabetes self-management education : application of the health action process approach.