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An application of the theory of planned behavior to self-care in patients with hypertension
BACKGROUND: Self-care behaviors and positive changes in lifestyle are essential for successful hypertension control. We used a behavioral model based on the theory of planned behavior to assess which factors influence self-care behaviors for controlling hypertension. METHODS: In this cross-sectional...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7448508/ https://www.ncbi.nlm.nih.gov/pubmed/32847501 http://dx.doi.org/10.1186/s12889-020-09385-y |
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author | Pourmand, Gholamreza Doshmangir, Leila Ahmadi, Ayat Noori, Mohammad Rezaeifar, Atiyeh Mashhadi, Rahil Aziminia, Rezvan Pourmand, Amirhossein Gordeev, Vladimir S. |
author_facet | Pourmand, Gholamreza Doshmangir, Leila Ahmadi, Ayat Noori, Mohammad Rezaeifar, Atiyeh Mashhadi, Rahil Aziminia, Rezvan Pourmand, Amirhossein Gordeev, Vladimir S. |
author_sort | Pourmand, Gholamreza |
collection | PubMed |
description | BACKGROUND: Self-care behaviors and positive changes in lifestyle are essential for successful hypertension control. We used a behavioral model based on the theory of planned behavior to assess which factors influence self-care behaviors for controlling hypertension. METHODS: In this cross-sectional study, five hundred patients with at leastaone-year history of diagnosed hypertension participated in this study. The data collection tool was designed based on the theory of planned behavior. Structural equation modeling was used to estimate the main parameters. RESULTS: For self-care behaviors, ninety-six (19.2%) and forty-five (9.1%) participants had good knowledge and acceptable behavior(≥8 out of 10 points). Having perceived behavioral control regarding quitting smoking and alcohol intake was associated with the patient’s intention and behavior [b:1.283 ± .095 and b:1.59 ± .014 (p < .001)]. Having perceived behavioral control over the other self-care behaviors had a positive effect on the intention in female patients [b: .885 ± .442 (p = .045)]. Subjective norms had a positive effect on behavioral intention in younger patients [b:4.52 ± 2.24 (P = .04)]. CONCLUSIONS: Group-specific behavioral barriers are important when improving self-care behaviors in patients with hypertension. Perceived control over self-care behaviors is more important in vulnerable patients, such as the elderly and women. |
format | Online Article Text |
id | pubmed-7448508 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-74485082020-08-27 An application of the theory of planned behavior to self-care in patients with hypertension Pourmand, Gholamreza Doshmangir, Leila Ahmadi, Ayat Noori, Mohammad Rezaeifar, Atiyeh Mashhadi, Rahil Aziminia, Rezvan Pourmand, Amirhossein Gordeev, Vladimir S. BMC Public Health Research Article BACKGROUND: Self-care behaviors and positive changes in lifestyle are essential for successful hypertension control. We used a behavioral model based on the theory of planned behavior to assess which factors influence self-care behaviors for controlling hypertension. METHODS: In this cross-sectional study, five hundred patients with at leastaone-year history of diagnosed hypertension participated in this study. The data collection tool was designed based on the theory of planned behavior. Structural equation modeling was used to estimate the main parameters. RESULTS: For self-care behaviors, ninety-six (19.2%) and forty-five (9.1%) participants had good knowledge and acceptable behavior(≥8 out of 10 points). Having perceived behavioral control regarding quitting smoking and alcohol intake was associated with the patient’s intention and behavior [b:1.283 ± .095 and b:1.59 ± .014 (p < .001)]. Having perceived behavioral control over the other self-care behaviors had a positive effect on the intention in female patients [b: .885 ± .442 (p = .045)]. Subjective norms had a positive effect on behavioral intention in younger patients [b:4.52 ± 2.24 (P = .04)]. CONCLUSIONS: Group-specific behavioral barriers are important when improving self-care behaviors in patients with hypertension. Perceived control over self-care behaviors is more important in vulnerable patients, such as the elderly and women. BioMed Central 2020-08-26 /pmc/articles/PMC7448508/ /pubmed/32847501 http://dx.doi.org/10.1186/s12889-020-09385-y Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Pourmand, Gholamreza Doshmangir, Leila Ahmadi, Ayat Noori, Mohammad Rezaeifar, Atiyeh Mashhadi, Rahil Aziminia, Rezvan Pourmand, Amirhossein Gordeev, Vladimir S. An application of the theory of planned behavior to self-care in patients with hypertension |
title | An application of the theory of planned behavior to self-care in patients with hypertension |
title_full | An application of the theory of planned behavior to self-care in patients with hypertension |
title_fullStr | An application of the theory of planned behavior to self-care in patients with hypertension |
title_full_unstemmed | An application of the theory of planned behavior to self-care in patients with hypertension |
title_short | An application of the theory of planned behavior to self-care in patients with hypertension |
title_sort | application of the theory of planned behavior to self-care in patients with hypertension |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7448508/ https://www.ncbi.nlm.nih.gov/pubmed/32847501 http://dx.doi.org/10.1186/s12889-020-09385-y |
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