Abstract
This study aims to identify the determinants associated with physical activity (PA) behavior in newly diagnosed obstructive sleep apnea (OSA) patients by applying the Health Action Process Approach (HAPA) with a longitudinal design. Anthropometric and clinical (OSA severity, subjective somnolence, use of continuous positive airway pressure (CPAP)) variables, the determinants of physical activity specified in the HAPA (motivational self-efficacy, outcome expectancies, risk perception, intention, maintenance self-efficacy, action planning, coping planning, social support), as well as physical activity behavior were assessed using a longitudinal (T1 and T2) design in a sample of 57 OSA patients in routine care. Applying regression analyses, regarding the motivation phase, the amount of explained variance in intention was 77% and 39% of the variance in physical activity. In the motivational phase, motivational self-efficacy, risk perception and outcome expectancies were associated with intention. In the volitional phase, physical activity at T1 and social support (family) were related with physical activity at T2. In conclusion, the assumptions of HAPA were partially found in the context of newly diagnosed OSA patients. This study provided additional evidence regarding the role of motivational self-efficacy, outcome expectancies and risk perception during motivational phase, and highlighted the important role of social support from the family in the PA in this population.
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Data availability
Data and study materials are available from the corresponding author upon request.
Code availability
The analytic code is available in the supplementary data #1 and #2.
References
Adolphs, M. W. (2020). The validity and reliability of the PAVS and IPAQ-SF as physical activity assessment tools in patients with obstructive sleep. Indiana University.
Aiguillard, R. N., Riedel, B. W., Lichstein, K. L., Grieve, F. G., Johnson, C. T., & Noe, S. L. (1998). Daytime functioning in obstructive sleep apnea patients: exercise tolerance, subjective fatigue, and sleepiness. Applied Psychophysiology and Biofeedback, 23, 207–217.
Araghi, M. H., Chen, Y.-F., Jagielski, A., Choudhury, S., Banerjee, D., Hussain, S., et al. (2013). Effectiveness of lifestyle interventions on obstructive sleep apnea (OSA): Systematic review and meta-analysis. Sleep, 36, 1553–1562. https://doi.org/10.5665/sleep.3056
Bakker, J. P., Weaver, T. E., Parthasarathy, S., & Aloia, M. S. (2019). Adherence to CPAP. Chest, 155, 1272–1287. https://doi.org/10.1016/j.chest.2019.01.012
Bauman, A. E., Reis, R. S., Sallis, J. F., Wells, J. C., Loos, R. J., & Martin, B. W. (2012). Correlates of physical activity: Why are some people physically active and others not? The Lancet, 380, 258–271. https://doi.org/10.1016/S0140-6736(12)60735-1
Bem, S., & Looren de Jong, H. (2013). Theoretical issues in psychology: An introduction (3rd ed.). SAGE.
Berkman, L. F., & Krishna, A. (2014). Social network epidemiology. In L. F. Berkman, I. Kawachi, & M. M. Glymour (Eds.), Social Epidemiology (pp. 234–289). Oxford University Press. https://doi.org/10.1093/med/9780195377903.003.0007
Bjorvatn, B., Lehmann, S., Gulati, S., Aurlien, H., Pallesen, S., & Saxvig, I. W. (2015). Prevalence of excessive sleepiness is higher whereas insomnia is lower with greater severity of obstructive sleep apnea. Sleep and Breathing, 19, 1387–1393. https://doi.org/10.1007/s11325-015-1155-5
Black, J. K., Whittaker, A. C., Tahrani, A. A., & Balanos, G. M. (2020). The implementation of a physical activity intervention in adults with obstructive sleep apnoea over the age of 50 years: A feasibility uncontrolled clinical trial. BMC Sports Science, Medicine and Rehabilitation, 12, 46. https://doi.org/10.1186/s13102-020-00195-8
Bollens, B., & Reychler, G. (2018). Efficacy of exercise as a treatment for obstructive sleep apnea syndrome: A systematic review. Complementary Therapies in Medicine, 41, 208–214. https://doi.org/10.1016/j.ctim.2018.10.002
Braakhuis, H., Berger, M., & Bussmann, J. (2019). Effectiveness of healthcare interventions using objective feedback on physical activity: A systematic review and meta-analysis. Journal of Rehabilitation Medicine, 51, 151–159. https://doi.org/10.2340/16501977-2522
Bradley, T. D., & Floras, J. S. (2009). Obstructive sleep apnoea and its cardiovascular consequences. The Lancet, 373, 82–93. https://doi.org/10.1016/S0140-6736(08)61622-0
Bughin, F., Desplan, M., Mestejanot, C., Picot, M. C., Roubille, F., Jaffuel, D., et al. (2020). Effects of an individualized exercise training program on severity markers of obstructive sleep apnea syndrome: A randomised controlled trial. Sleep Medicine, 70, 33–42. https://doi.org/10.1016/j.sleep.2020.02.008
Byaruhanga, J., Atorkey, P., McLaughlin, M., Brown, A., Byrnes, E., Paul, C., et al. (2020). Effectiveness of individual real-time video counseling on smoking, nutrition, alcohol, physical activity, and obesity health risks: Systematic review. Journal of Medical Internet Research, 22, e18621. https://doi.org/10.2196/18621
Carraro, N., & Gaudreau, P. (2013). Spontaneous and experimentally induced action planning and coping planning for physical activity: A meta-analysis. Psychology of Sport and Exercise, 14, 228–248. https://doi.org/10.1016/j.psychsport.2012.10.004
Chasens, E. R., Sereika, S. M., Houze, M. P., & Strollo, P. J. (2011). Subjective and objective appraisal of activity in adults with obstructive sleep apnea. Journal of Aging Research, 2011, 1–6. https://doi.org/10.4061/2011/751819
Choi, Y., Yang, S. J., & Song, H. Y. (2018). Effects of the variables related to the health action process approach model on physical activity: A systematic literature review and meta-analysis. Journal of Korean Academy of Community Health Nursing, 29, 359. https://doi.org/10.12799/jkachn.2018.29.3.359
Conn, V. S., Hafdahl, A. R., Brown, S. A., & Brown, L. M. (2008). Meta-analysis of patient education interventions to increase physical activity among chronically ill adults. Patient Education and Counseling, 70, 157–172. https://doi.org/10.1016/j.pec.2007.10.004
Craig, C. L., Marshall, A. L., SjöStröm, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., et al. (2003). International physical activity questionnaire: 12-Country reliability and validity. Medicine & Science in Sports & Exercise, 35, 1381–1395. https://doi.org/10.1249/01.MSS.0000078924.61453.FB
Davis, C., Patte, K., Curtis, C., & Reid, C. (2010). Immediate pleasures and future consequences. A neuropsychological study of binge eating and obesity. Appetite, 54, 208–213. https://doi.org/10.1016/j.appet.2009.11.002
DeLany, J. P., Kelley, D. E., Hames, K. C., Jakicic, J. M., & Goodpaster, B. H. (2013). High energy expenditure masks low physical activity in obesity. International Journal of Obesity, 37, 1006–1011. https://doi.org/10.1038/ijo.2012.172
Deng, T., Wang, Y., Sun, M., & Chen, B. (2013). Stage-matched intervention for adherence to CPAP in patients with obstructive sleep apnea: A randomized controlled trial. Sleep and Breathing, 17, 791–801. https://doi.org/10.1007/s11325-012-0766-3
Desplan, M., Mercier, J., Sabaté, M., Ninot, G., Prefaut, C., & Dauvilliers, Y. (2014). A comprehensive rehabilitation program improves disease severity in patients with obstructive sleep apnea syndrome: A pilot randomized controlled study. Sleep Medicine, 15, 906–912. https://doi.org/10.1016/j.sleep.2013.09.023
Ekelund, U., Sepp, H., Brage, S., Becker, W., Jakes, R., Hennings, M., & Wareham, N. J. (2006). Criterion-related validity of the last 7-day, short form of the international physical activity questionnaire in swedish adults. Public Health Nutrition, 9, 258–265. https://doi.org/10.1079/PHN2005840
Engleman, H. M., Asgari-Jirhandeh, N., McLeod, A. L., Ramsay, C. F., Deary, I. J., & Douglas, N. J. (1996). Self-reported use of CPAP and benefits of CPAP therapy. Chest, 109, 1470–1476. https://doi.org/10.1378/chest.109.6.1470
Fassier, P., Zelek, L., Partula, V., Srour, B., Bachmann, P., Touillaud, M., et al. (2016). Variations of physical activity and sedentary behavior between before and after cancer diagnosis: Results from the prospective population-based NutriNet-Santé cohort. Medicine, 95, e4629. https://doi.org/10.1097/MD.0000000000004629
Hardcastle, S. J., Maxwell-Smith, C., & Hagger, M. S. (2022). Predicting physical activity change in cancer survivors: An application of the health action process approach. Journal of Cancer Survivorship, 16, 1176–1183. https://doi.org/10.1007/s11764-021-01107-6
Hargens, T. A., Martin, R. A., Strosnider, C. L., Giersch, G. E. W., & Womack, C. J. (2019). Obstructive sleep apnea negatively impacts objectively measured physical activity. Sleep and Breathing, 23, 447–454. https://doi.org/10.1007/s11325-018-1700-0
HAS. (2014). Comment prescrire les dispositifs médicaux de traitement du syndrome d’apnées hypopnées obstructives du sommeil chez l’adulte (p. 3). Haute Aurorité de Santé.
Heinzer, R., Vat, S., Marques-Vidal, P., Marti-Soler, H., Andries, D., Tobback, N., et al. (2015). Prevalence of sleep-disordered breathing in the general population: The HypnoLaus study. The Lancet Respiratory Medicine, 3, 310–318. https://doi.org/10.1016/S2213-2600(15)00043-0
Heuzé, J.-P., Sarrazin, P., Masiero, M., Raimbault, N., & Thomas, J.-P. (2006). The relationships of perceived motivational climate to cohesion and collective efficacy in elite female teams. Journal of Applied Sport Psychology, 18, 201–218. https://doi.org/10.1080/10413200600830273
Hong, S., & Dimsdale, J. E. (2003). Physical activity and perception of energy and fatigue in obstructive sleep apnea. Medicine & Science in Sports & Exercise, 35, 1088–1092. https://doi.org/10.1249/01.MSS.0000074566.94791.24
Igelström, H., Åsenlöf, P., Emtner, M., & Lindberg, E. (2018). Improvement in obstructive sleep apnea after a tailored behavioural sleep medicine intervention targeting healthy eating and physical activity: A randomised controlled trial. Sleep and Breathing, 22, 653–661. https://doi.org/10.1007/s11325-017-1597-z
Igelström, H., Emtner, M., Lindberg, E., & Åsenlöf, P. (2013). Physical activity and sedentary time in persons with obstructive sleep apnea and overweight enrolled in a randomized controlled trial for enhanced physical activity and healthy eating. Sleep and Breathing, 17, 1257–1266. https://doi.org/10.1007/s11325-013-0831-6
Igelström, H., Margareta, E., Eva, L., & Pernilla, Å. (2014). Tailored behavioral medicine intervention for enhanced physical activity and healthy eating in patients with obstructive sleep apnea syndrome and overweight. Sleep and Breathing, 18, 655–668. https://doi.org/10.1007/s11325-013-0929-x
Igelström, H., Martin, C., Emtner, M., Lindberg, E., & Asenlöf, P. (2012). Physical activity in sleep apnea and obesity-personal incentives, challenges, and facilitators for success. Behavioral Sleep Medicine, 10, 122–137. https://doi.org/10.1080/15402002.2011.574763
Johns, M. W. (1991). A new method for measuring daytime sleepiness: The epworth sleepiness scale. Sleep, 14, 540–545. https://doi.org/10.1093/sleep/14.6.540
Joseph, K. L., Dagfinrud, H., Christie, A., Hagen, K. B., & Tveter, A. T. (2021). Criterion validity of the international physical activity questionnaire-short form (IPAQ-SF) for use in clinical practice in patients with osteoarthritis. BMC Musculoskeletal Disorders, 22, 232. https://doi.org/10.1186/s12891-021-04069-z
Kim, S., Xu, Y., Dore, K., Gewurtz, R., Larivière, N., & Letts, L. (2022). Fatigue self-management led by occupational therapists and/or physiotherapists for chronic conditions: A systematic review and meta-analysis. Chronic Illness, 18, 441–457. https://doi.org/10.1177/17423953211039783
Kline, C. E., Crowley, E. P., Ewing, G. B., Burch, J. B., Blair, S. N., Durstine, J. L., et al. (2011). The effect of exercise training on obstructive sleep apnea and sleep quality: A randomized controlled trial. Sleep, 34, 1631–1640. https://doi.org/10.5665/sleep.1422
Knittle, K., Nurmi, J., Crutzen, R., Hankonen, N., Beattie, M., & Dombrowski, S. U. (2018). How can interventions increase motivation for physical activity? A systematic review and meta-analysis. Health Psychology Review, 12, 211–230. https://doi.org/10.1080/17437199.2018.1435299
Kodama, S. (2009). Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women: A meta-analysis. JAMA, 301, 2024. https://doi.org/10.1001/jama.2009.681
Kok, G., Gottlieb, N. H., Peters, G.-J.Y., Mullen, P. D., Parcel, G. S., Ruiter, R. A. C., et al. (2016). A taxonomy of behaviour change methods: An intervention mapping approach. Health Psychology Review, 10, 297–312. https://doi.org/10.1080/17437199.2015.1077155
Kwan, M. Y. W., Brown, D. M. Y., Dutta, P., Haider, I., Cairney, J., & Rhodes, R. E. (2022). Application of the multi-process action control model to predict physical activity during late adolescence. Journal of Sport & Exercise Psychology, 44, 35–41. https://doi.org/10.1123/jsep.2021-0169
Larras, B., & Praznoczy, C. (2018). État des lieux de l’activité physique et de la sédentarité en France—Édition 2018—Personnes avançant en âge. (p. 100). Clermont-Ferrand: Observatoire national de l’activité physique et de la sédentarité.
Lee, K. J., & Carlin, J. B. (2010). Multiple imputation for missing data: Fully conditional specification versus multivariate normal imputation. American Journal of Epidemiology, 171, 624–632. https://doi.org/10.1093/aje/kwp425
Lee, P. H., Yu, Y., McDowell, I., Leung, G. M., Lam, T., & Stewart, S. M. (2011). Performance of the international physical activity questionnaire (short form) in subgroups of the Hong Kong chinese population. International Journal of Behavioral Nutrition and Physical Activity, 8, 81. https://doi.org/10.1186/1479-5868-8-81
Lévy, P., Kohler, M., McNicholas, W. T., Barbé, F., McEvoy, R. D., Somers, V. K., et al. (2015). Obstructive sleep apnoea syndrome. Nature Reviews Disease Primers, 1, 15015. https://doi.org/10.1038/nrdp.2015.15
Lippke, S., & Plotnikoff, R. C. (2014). Testing two principles of the health action process approach in individuals with type 2 diabetes. Health Psychology, 33, 77–84. https://doi.org/10.1037/a0030182
Little, R. J. A., & Rubin, D. B. (2020). Statistical analysis with missing data (3rd ed.). Wiley.
Luszczynska, A., & Sutton, S. (2006). Physical activity after cardiac rehabilitation: Evidence that different types of self-efficacy are important in maintainers and relapsers. Rehabilitation Psychology, 51, 314–321. https://doi.org/10.1037/0090-5550.51.4.314
McEvoy, R. D., Antic, N. A., Heeley, E., Luo, Y., Ou, Q., Zhang, X., et al. (2016). CPAP for prevention of cardiovascular events in obstructive sleep apnea. New England Journal of Medicine, 375, 919–931. https://doi.org/10.1056/NEJMoa1606599
Mendelson, M., Bailly, S., Marillier, M., Flore, P., Borel, J. C., Vivodtzev, I., et al. (2018a). Obstructive sleep apnea syndrome, objectively measured physical activity and exercise training interventions: A systematic review and meta-analysis. Frontiers in Neurology, 9, 73. https://doi.org/10.3389/fneur.2018.00073
Mendelson, M., Lyons, O. D., Yadollahi, A., Inami, T., Oh, P., & Bradley, T. D. (2016). Effects of exercise training on sleep apnoea in patients with coronary artery disease: A randomised trial. European Respiratory Journal, 48, 142–150. https://doi.org/10.1183/13993003.01897-2015
Mendelson, M., Marillier, M., Bailly, S., Flore, P., Borel, J.-C., Vivodtzev, I., et al. (2018b). Maximal exercise capacity in patients with obstructive sleep apnoea syndrome: A systematic review and meta-analysis. European Respiratory Journal, 51, 1702697. https://doi.org/10.1183/13993003.02697-2017
Nederkoorn, C., Smulders, F. T. Y., Havermans, R. C., Roefs, A., & Jansen, A. (2006). Impulsivity in obese women. Appetite, 47, 253–256. https://doi.org/10.1016/j.appet.2006.05.008
Nussbaum, R., Kelly, C., Quinby, E., Mac, A., Parmanto, B., & Dicianno, B. E. (2019). Systematic review of mobile health applications in rehabilitation. Archives of Physical Medicine and Rehabilitation, 100, 115–127. https://doi.org/10.1016/j.apmr.2018.07.439
Paluch, A. E., Bajpai, S., Bassett, D. R., Carnethon, M. R., Ekelund, U., Evenson, K. R., et al. (2022). Daily steps and all-cause mortality: A meta-analysis of 15 international cohorts. The Lancet Public Health, 7, e219–e228. https://doi.org/10.1016/S2468-2667(21)00302-9
Parschau, L., Barz, M., Richert, J., Knoll, N., Lippke, S., & Schwarzer, R. (2014). Physical activity among adults with obesity: Testing the health action process approach. Rehabilitation Psychology, 59, 42–49. https://doi.org/10.1037/a0035290
Patel, S. R. (2019). Obstructive sleep apnea. Annals of Internal Medicine, 171, ITC81. https://doi.org/10.7326/AITC201912030
Peppard, P. E., Young, T., Barnet, J. H., Palta, M., Hagen, E. W., & Hla, K. M. (2013). Increased prevalence of sleep-disordered breathing in adults. American Journal of Epidemiology, 177, 1006–1014. https://doi.org/10.1093/aje/kws342
Plotnikoff, R. C., Lippke, S., Trinh, L., Courneya, K. S., Birkett, N., & Sigal, R. J. (2010). Protection motivation theory and the prediction of physical activity among adults with type 1 or type 2 diabetes in a large population sample. British Journal of Health Psychology, 15, 643–661. https://doi.org/10.1348/135910709X478826
Polonsky, W. H., & Fisher, L. (2015). When does personalized feedback make a difference? A narrative review of recent findings and their implications for promoting better diabetes self-care. Current Diabetes Reports, 15, 50. https://doi.org/10.1007/s11892-015-0620-7
Rebar, A. L., & Rhodes, R. E. (2020). Progression of Motivation Models in Exercise Science: Where We Have Been and Where We Are Heading. In G. Tenenbaum & R. C. Eklund (Eds.), Handbook of Sport Psychology (1st ed., pp. 911–928). Wiley. https://doi.org/10.1002/9781119568124.ch44
Rebar, A. L., Alfrey, K.-L., & Gardner, B. (2021). Theories of physical activity motivation. In Z. Zenko & L. Jones (Eds.), Essentials of exercise and sport psychology: An open access textbook (pp. 15–36). Society for Transparency, Openness, and Replication in Kinesiology. https://doi.org/10.51224/B1002
Renner, B., Spivak, Y., Kwon, S., & Schwarzer, R. (2007). Does age make a difference? Predicting physical activity of South Koreans. Psychology and Aging, 22, 482–493. https://doi.org/10.1037/0882-7974.22.3.482
Rhodes, R. E. (2017). The Evolving Understanding of Physical Activity Behavior. In Advances in Motivation Science (Vol. 4, pp. 171–205). Elsevier. https://doi.org/10.1016/bs.adms.2016.11.001
Rhodes, R. E., Cox, A., & Sayar, R. (2022). What predicts the physical activity intention-behavior gap? A systematic review. Annals of Behavioral Medicine, 56, 1–20. https://doi.org/10.1093/abm/kaab044
Rolfe, I., Olson, L. G., & Saunders, N. A. (1991). Long-term acceptance of continuous positive airway pressure in obstructive sleep apnea. American Review of Respiratory Disease, 144, 1130–1133. https://doi.org/10.1164/ajrccm/144.5.1130
Rubin, D. B. (Ed.). (1987). Multiple Imputation for Nonresponse in Surveys. Hoboken, NJ, USA: John Wiley & Sons, Inc. https://doi.org/10.1002/9780470316696
Sallis, J. F., Grossman, R. M., Pinski, R. B., Patterson, T. L., & Nader, P. R. (1987). The development of scales to measure social support for diet and exercise behaviors. Preventive Medicine, 16, 825–836. https://doi.org/10.1016/0091-7435(87)90022-3
Sarason, I. G., Sarason, B. R., Shearin, E. N., & Pierce, G. R. (1987). A brief measure of social support: Practical and theoretical implications. Journal of Social and Personal Relationships, 4, 497–510. https://doi.org/10.1177/0265407587044007
Sawyer, A. M., Gooneratne, N. S., Marcus, C. L., Ofer, D., Richards, K. C., & Weaver, T. E. (2011). A systematic review of CPAP adherence across age groups: Clinical and empiric insights for developing CPAP adherence interventions. Sleep Medicine Reviews, 15, 343–356. https://doi.org/10.1016/j.smrv.2011.01.003
Scarapicchia, T. M. F., Amireault, S., Faulkner, G., & Sabiston, C. M. (2017). Social support and physical activity participation among healthy adults: A systematic review of prospective studies. International Review of Sport and Exercise Psychology, 10, 50–83. https://doi.org/10.1080/1750984X.2016.1183222
Scholz, U., Sniehotta, F. F., & Schwarzer, R. (2005). Predicting physical exercise in cardiac rehabilitation: The role of phase-specific self-efficacy beliefs. Journal of Sport and Exercise Psychology, 27, 135–151. https://doi.org/10.1123/jsep.27.2.135
Schwarzer, R. (Ed.). (1992). Self-efficacy in the adoption and maintenance of health behaviors: Theoretical approaches and a new model. In Self-efficacy: Thought control of action (pp. 217–243). Hemisphere Publishing Corp.
Schwarzer, R., Lippke, S., & Luszczynska, A. (2011). Mechanisms of health behavior change in persons with chronic illness or disability: The health action process approach (HAPA). Rehabilitation Psychology, 56, 161–170. https://doi.org/10.1037/a0024509
Schwarzer, R., & Luszczynska, A. (2015). Health Action Process Approach. In M. Conner & P. Norman (Eds.), Predicting health behaviours (3rd ed., pp. 252–278). McGraw Hill Open University Press.
Schwarzer, R., Luszczynska, A., Ziegelmann, J. P., Scholz, U., & Lippke, S. (2008). Social-cognitive predictors of physical exercise adherence: Three longitudinal studies in rehabilitation. Health Psychology, 27, S54–S63. https://doi.org/10.1037/0278-6133.27.1(Suppl.).S54
Schwarzer, R., & Renner, B. (2000). Social-cognitive predictors of health behavior: Action self-efficacy and coping self-efficacy. Health Psychology, 19, 487–495. https://doi.org/10.1037/0278-6133.19.5.487
Smith, S. S., Doyle, G., Pascoe, T., Douglas, J. A., & Jorgensen, G. (2007). Intention to exercise in patients with obstructive sleep apnea. Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine, 3, 689–694.
Sniehotta, F. F., Scholz, U., & Schwarzer, R. (2005a). Bridging the intention–behaviour gap: Planning, self-efficacy, and action control in the adoption and maintenance of physical exercise. Psychology & Health, 20, 143–160. https://doi.org/10.1080/08870440512331317670
Sniehotta, F. F., Scholz, U., & Schwarzer, R. (2006). Action plans and coping plans for physical exercise: A longitudinal intervention study in cardiac rehabilitation. British Journal of Health Psychology, 11, 23–37. https://doi.org/10.1348/135910705X43804
Sniehotta, F. F., Scholz, U., Schwarzer, R., Fuhrmann, B., Kiwus, U., & Völler, H. (2005b). Long-term effects of two psychological interventions on physical exercise and self-regulation following coronary rehabilitation. International Journal of Behavioral Medicine, 12, 244–255. https://doi.org/10.1207/s15327558ijbm1204_5
Steca, P., Pancani, L., Cesana, F., Fattirolli, F., Giannattasio, C., Greco, A., et al. (2017). Changes in physical activity among coronary and hypertensive patients: A longitudinal study using the health action process approach. Psychology & Health, 32, 361–380. https://doi.org/10.1080/08870446.2016.1273353
Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Allyn and Bacon.
Teleki, S., Zsidó, A. N., Lénárd, L., Komócsi, A., Kiss, E. C., & Tiringer, I. (2022). Role of received social support in the physical activity of coronary heart patients: The health action process approach. Applied Psychology: Health and Well-Being, 14, 44–63. https://doi.org/10.1111/aphw.12290
Tudor-Locke, C., Craig, C. L., Brown, W. J., Clemes, S. A., De Cocker, K., Giles-Corti, B., et al. (2011). How many steps/day are enough? for adults. International Journal of Behavioral Nutrition and Physical Activity, 8, 79. https://doi.org/10.1186/1479-5868-8-79
Tudor-Locke, C., Hatano, Y., Pangrazi, R. P., & Kang, M. (2008). Revisiting “How many steps are enough?” Medicine & Science in Sports & Exercise, 40, S537–S543. https://doi.org/10.1249/MSS.0b013e31817c7133
Tufik, S., Santos-Silva, R., Taddei, J. A., & Bittencourt, L. R. A. (2010). Obstructive sleep apnea syndrome in the sao paulo epidemiologic sleep study. Sleep Medicine, 11, 441–446. https://doi.org/10.1016/j.sleep.2009.10.005
Verwimp, J., Ameye, L., & Bruyneel, M. (2013). Correlation between sleep parameters, physical activity and quality of life in somnolent moderate to severe obstructive sleep apnea adult patients. Sleep and Breathing, 17, 1039–1046. https://doi.org/10.1007/s11325-012-0796-x
Yerrakalva, D., Yerrakalva, D., Hajna, S., & Griffin, S. (2019). Effects of mobile health app interventions on sedentary time, physical activity, and fitness in older adults: systematic review and meta-analysis. Journal of Medical Internet Research, 21, e14343. https://doi.org/10.2196/14343
Young, T. (2004). Risk factors for obstructive sleep apnea in adults. JAMA, 291, 2013. https://doi.org/10.1001/jama.291.16.2013
Young, T., Palta, M., Dempsey, J., Skatrud, J., Weber, S., & Badr, S. (1993). The occurrence of sleep-disordered breathing among middle-aged adults. New England Journal of Medicine, 328, 1230–1235. https://doi.org/10.1056/NEJM199304293281704
Zhang, C.-Q., Zhang, R., Schwarzer, R., & Hagger, M. S. (2018). A Meta Analysis of the Health Action Process Approach (preprint). PsyArXiv. https://doi.org/10.31234/osf.io/4pc27
Ziegelmann, J. P., Lippke, S., & Schwarzer, R. (2006). Adoption and maintenance of physical activity: Planning interventions in young, middle-aged, and older adults. Psychology & Health, 21, 145–163. https://doi.org/10.1080/1476832050018891
Acknowledgements
We would like to thank Dr François Bughin, Dr Jean-Frédéric Brun, Dr Gaspard Bui and Dr Quentin Lorber that made it possible to include the patients in this study, to the health providers (Agir à dom, APARD, Asten Santé, Bastide, ISIS Médical, Orkyn, Sos Oxygene, VitalAire) who made it possible to follow the patients at home and who responded to our requests for additional data or information, and thank you to the members of the scientific committee of the m-Rehab consortium for their feedback during the follow-up presentations.
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This review was funded by the European Regional Development Fund within the framework of the FEDER-FSE Operational Programme Languedoc-Roussillon 2014–2020 and the Occitanie Region.
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FB has received lecture fees or conference traveling grants from Lowenstein Medical, Bioprojet, Vitalaire, Sos Oxygene, Agir à dom, Bastide, ISIS Médical, Elivie. Other authors have no conflicts of interest to disclose
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Latrille, C., Hayot, M., Bosselut, G. et al. Determinants of physical activity in newly diagnosed obstructive sleep apnea patients: testing the health action process approach. J Behav Med (2024). https://doi.org/10.1007/s10865-024-00474-6
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DOI: https://doi.org/10.1007/s10865-024-00474-6