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Volume 13, Issue 2 (2025)                   Health Educ Health Promot 2025, 13(2): 357-362 | Back to browse issues page

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Faryabi R, Pournarani R, Movahed E. Adherence of Hypertension Patients to Self-Care Behaviors Based on the Health Action Process Approach in Southern Iran. Health Educ Health Promot 2025; 13 (2) :357-362
URL: http://hehp.modares.ac.ir/article-4-80536-en.html
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1- Department of Public Health, Faculty of Health, Jiroft University of Medical Sciences, Jiroft, Iran
* Corresponding Author Address: Department of Public Health, Faculty of Health, Jiroft University of Medical Sciences, Shahid Hajj Qasem Soleimani Square, Jiroft, Iran. Postal Code: 7861634131 (rezanarani732@gmail.com)
Abstract   (540 Views)
Aims: Patients with hypertension must engage in self-care behaviors to control their condition and prevent complications throughout their lives. This study aimed to determine the predictive factors of adherence to self-care behaviors in patients with hypertension.
Instrument & Methods: This descriptive-analytical study was conducted in 2024 on 451 patients with hypertension, selected using a multi-stage cluster sampling method. Data were collected using a researcher-developed questionnaire based on the constructs of the Health Action Process Approach (HAPA). The data were analyzed using SPSS 26 and descriptive statistical tests, Pearson correlation, and multiple regression analysis, with a significance level of 0.05.
Findings: The mean score of the motivational phase constructs was higher than that of the volitional phase constructs. The risk perception (β=0.048), outcome expectations (β=0.602), and action self-efficacy (β=0.617) predicted 98% of the variance in the intention to perform self-care behaviors. Coping planning (β=0.038) and action planning (β=0.509) predicted 90% of the variance in self-care behavior. Maintenance self-efficacy (β=0.309) and recovery self-care behavior predicted 77% of the continuation of self-care behavior in patients.
Conclusion: The HAPA-based multi-component intervention strategy can be a promising self-management mode for the routine healthcare of patients with hypertension.
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