Promoting influenza prevention for elderly people in Hong Kong using health action process approach : study protocol
Zhang, C.-Q., Zhang, R., Chung, P.-K., Duan, Y., Lau, J. T. f., Chan, D. K. C., & Hagger, M. (2018). Promoting influenza prevention for elderly people in Hong Kong using health action process approach : study protocol. BMC Public Health, 18, 1230. doi:10.1186/s12889-018-6146-6
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BMC Public HealthAuthors
Date
2018Discipline
LiikuntapsykologiaCopyright
© The Author(s) 2018.
Background: People 65 years or older are at greater risk of serious complications from the seasonal influenza
compared with young. To promote elderly people’s behavioral compliance toward influenza prevention, the aim of the
current project is to develop, implement, and evaluate a theory-based low-administration-cost intervention building on
a leading psychological theory, the Health Action Process Approach (HAPA).
Methods: The target group is Hong Kong Chinese elderly people aged 65 or older who rarely or never adopt any
preventive actions. This project will be conducted in three phases over 24 months. In phase 1, intervention program
will be developed building on the HAPA theoretical framework which comprises both the initiation and maintenance
of influenza prevention behaviors. In phase 2, intervention will be implemented and evaluated using a randomized
controlled trial, including: (a) behavior initiation only, (b) behavior initiation + behavior maintenance, and (c) control
group. Both the initiation and maintenance components will comprise weekly-delivered telephone-based individual
intervention sessions in 3 months. In phase 3, outcome evaluation of behavioral and psychological variables and
process evaluation will be conducted. The effectiveness of the intervention will be analyzed using a series of linear
mixed models on each behavioral and psychological outcome variable. Structural equation modelling will be used to
test the hypothesized theoretical sequence in the HAPA model.
Discussion: The proposed project is expected to design theory-based intervention materials to promote the influenza
prevention behaviors in Hong Kong elderly people and provide information on its effectiveness and the potential
changing mechanism of behavior initiation and maintenance.
...


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