Test of the health promotion model as a causal model of commitment to a plan for exercise among Korean adults with chronic disease

Authors

  • YunHee Shin,

    Corresponding author
    1. Yonsei University, Wonju College of Medicine, Department of Nursing, 162 Il San-Dong, Wonju, Kangwon-Do 220-701, South Korea
    • Yonsei University, Wonju College of Medicine, Department of Nursing, 162 Il San-Dong, Wonju, Kangwon-Do 220-701, South Korea.
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    • Associate Professor.

  • SangKyun Yun,

    1. Yonsei University, Department of Information Technology, 162 Il San-Dong, Wonju, Kangwon-Do 220-701, South Korea
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    • Associate Professor.

  • Nola J. Pender,

    1. University of Michigan, School of Nursing, Ann Arbor, MI
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    • Professor Emerita.

  • HeeJung Jang

    1. Hallym University, Department of Nursing, Chunchon, South Korea
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    • Associate Professor.


Abstract

The purpose of this study was to test seven constructs (prior experience of exercise, perceived health status, exercise benefits, exercise barriers, exercise self-efficacy, social support for exercise, and options for exercise) from the health promotion model (HPM) as a causal model of commitment to a plan for exercise in a sample of 400 Korean adults with chronic disease. Using structural equation modeling (SEM), we found that all fit indices indicated a good fit. The final model accounted for 54% of the variance in commitment to a plan for exercise. Prior experience with exercise and exercise benefits were the factors most highly related. Health professionals can assess prior experience and emphasize personally relevant benefits of exercise in designing intervention programs to help Korean adults with chronic disease become more physically active. © 2005 Wiley Periodicals, Inc. Res Nurs Health 28:117–125, 2005

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