Self-efficacy and planning strategies can improve physical activity levels in women with a recent history of gestational diabetes mellitus

Article

Pinidiyapathirage, Janani, Jayasuriya, Rohan, Cheung, N. Wah and Schwarzer, Ralf. 2018. "Self-efficacy and planning strategies can improve physical activity levels in women with a recent history of gestational diabetes mellitus." Psychology and Health: an international journal. 33 (8), pp. 1062-1077. https://doi.org/10.1080/08870446.2018.1458983
Article Title

Self-efficacy and planning strategies can improve physical activity levels in women with a recent history of gestational diabetes mellitus

ERA Journal ID6606
Article CategoryArticle
AuthorsPinidiyapathirage, Janani (Author), Jayasuriya, Rohan (Author), Cheung, N. Wah (Author) and Schwarzer, Ralf (Author)
Journal TitlePsychology and Health: an international journal
Journal Citation33 (8), pp. 1062-1077
Number of Pages16
Year2018
PublisherTaylor & Francis
Place of PublicationUnited Kingdom
ISSN0887-0446
1476-8321
Digital Object Identifier (DOI)https://doi.org/10.1080/08870446.2018.1458983
Web Address (URL)https://www.tandfonline.com/doi/full/10.1080/08870446.2018.1458983
Abstract

Introduction: Regular physical activity can reduce the risk of developing diabetes in high risk populations including in women with gestational diabetes mellitus (GDM). This study applied the Health Action Process Approach (HAPA) to determine the motivational and volitional factors important in increasing physical activity among women with previous GDM.

Methods: Women with GDM receiving obstetric care at a teaching hospital in Sri Lanka were invited to participate in a survey 6–36 months post-delivery. At baseline and 8 weeks later, 152 women completed postal and telephone surveys that collected socio-cognitive and physical activity data. The study hypotheses were tested using structural equation modelling.

Results: The modified model fit the data well (CFI = .95, TLI = .94,RMSEA = .057) and explained 11% of the variance in behaviour. Action self-efficacy was the only important predictor of intention to be physically active. Intention as well as maintenance self-efficacy predicted planning, which, in turn, predicted physical activity. Planning mediated the effect of intention and self-efficacy (maintenance and recovery) on physical activity.

Conclusion: This study has identified predictors of physical activity among women with previous GDM that can inform intervention studies. Interventions targeting this population need to include planning strategies and enhance
self-efficacy.

Keywordsplanning; self-efficacy; physical activity; gestational diabetes mellitus (GDM); Health Action Process Approach (HAPA)
ANZSRC Field of Research 2020420605. Preventative health care
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Byline AffiliationsInstitute for Agriculture and the Environment
University of New South Wales
Department of Health, New South Wales
Free University of Berlin, Germany
Institution of OriginUniversity of Southern Queensland
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