An application of the theory of planned behavior to self-care in patients with hypertension

Abstract 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-se...

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Published in:	BMC public health Vol. 20; no. 1; pp. 1 - 1290
Main Authors:	Pourmand, Gholamreza, Doshmangir, Leila, Ahmadi, Ayat, Noori, Mohammad, Rezaeifar, Atiyeh, Mashhadi, Rahil, Aziminia, Rezvan, Pourmand, Amirhossein, Gordeev, Vladimir S
Format:	Journal Article
Language:	English
Published:	London BioMed Central Ltd 26-08-2020 BioMed Central BMC
Subjects:	Activities of daily living Age Alcohol use Antihypertensives Attitudes Blood pressure Care and treatment Data collection Diet Health behavior Hypertension Knowledge Lifestyle Medical research Methods Multivariate statistical analysis Norms Parameter estimation Patients Perceptions Psychological aspects Public health Questionnaires Self care (Health) Self-care Smoking cessation Stress Theory of planned behavior Iran
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Abstract	Abstract 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.
AbstractList	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([greater than or equai to]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 [+ or -] .095 and b:1.59 [+ or -] .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 [+ or -] .442 (p = .045)]. Subjective norms had a positive effect on behavioral intention in younger patients [b:4.52 [+ or -] 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. Keywords: Theory of planned behavior, Self-care, Hypertension, Lifestyle Abstract 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. 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. 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. For self-care behaviors, ninety-six (19.2%) and forty-five (9.1%) participants had good knowledge and acceptable behavior([greater than or equai to]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 [+ or -] .095 and b:1.59 [+ or -] .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 [+ or -] .442 (p = .045)]. Subjective norms had a positive effect on behavioral intention in younger patients [b:4.52 [+ or -] 2.24 (P = .04)]. 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. BACKGROUNDSelf-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. METHODSIn 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. RESULTSFor 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)]. CONCLUSIONSGroup-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. Abstract 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. 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.
ArticleNumber	1290
Audience	Academic
Author	Mashhadi, Rahil Aziminia, Rezvan Pourmand, Amirhossein Rezaeifar, Atiyeh Gordeev, Vladimir S Pourmand, Gholamreza Noori, Mohammad Doshmangir, Leila Ahmadi, Ayat
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Cites_doi	10.1037/a0016136 10.1002/9781118619179 10.4103/2277-9531.171787 10.1681/ASN.2014040371 10.1016/0749-5978(91)90020-T 10.1111/jch.13753 10.1007/BF03086208 10.1155/2015/960263 10.3332/ecancer.2019.912 10.1002/14651858.CD013212.pub2 10.1016/j.pec.2019.10.007 10.1186/1471-2458-14-719 10.1016/S0140-6736(05)17741-1 10.1348/014466608X393136 10.1016/S0140-6736(12)60861-7 10.1001/jama.2013.284427 10.1097/HJH.0000000000000413 10.5005/ijopmr-24-1-2 10.1093/ageing/afw193 10.1016/j.outlook.2015.10.007 10.1016/j.socscimed.2015.09.026 10.1002/ijop.12261 10.1080/14792772143000003 10.1161/01.HYP.0000110061.06674.ca 10.1111/1552-6909.12265 10.1097/HCO.0000000000000067 10.2196/jmir.3020
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Snippet	Abstract Background Self-care behaviors and positive changes in lifestyle are essential for successful hypertension control. We used a behavioral model based... Background Self-care behaviors and positive changes in lifestyle are essential for successful hypertension control. We used a behavioral model based on the... Self-care behaviors and positive changes in lifestyle are essential for successful hypertension control. We used a behavioral model based on the theory of... BACKGROUNDSelf-care behaviors and positive changes in lifestyle are essential for successful hypertension control. We used a behavioral model based on the... Abstract Background Self-care behaviors and positive changes in lifestyle are essential for successful hypertension control. We used a behavioral model based...
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SubjectTerms	Activities of daily living Age Alcohol use Antihypertensives Attitudes Blood pressure Care and treatment Data collection Diet Health behavior Hypertension Knowledge Lifestyle Medical research Methods Multivariate statistical analysis Norms Parameter estimation Patients Perceptions Psychological aspects Public health Questionnaires Self care (Health) Self-care Smoking cessation Stress Theory of planned behavior
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Title	An application of the theory of planned behavior to self-care in patients with hypertension
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