Predicting intention to participate in self-management behaviors in patients with Familial Hypercholesterolemia: A cross-national study
Journal
Social Science and Medicine
Journal Volume
242
Pages
112591
Date Issued
2019
Author(s)
Hagger M.S.
Hamilton K.
Hardcastle S.J.
Hu M.
Kwok S.
Lin J.
Nawawi H.M.
Pang J.
Santos R.D.
Soran H.
Tomlinson B.
Watts G.F.
Abstract
Rationale: Familial Hypercholesterolemia (FH) is a genetic condition that predisposes patients to substantially increased risk of early-onset atherosclerotic cardiovascular disease. FH risks can be minimized through regular participation in three self-management. Behaviors: physical activity, healthy eating, and taking cholesterol lowering medication. Objective: The present study tested the effectiveness of an integrated social cognition model in predicting intention to participate in the self-management behaviors in FH patients from seven countries. Method: Consecutive patients in FH clinics from Australia, Hong Kong, Brazil, Malaysia, Taiwan, China, and UK (total N = 726) completed measures of social cognitive beliefs about illness from the common sense model of self-regulation, beliefs about behaviors from the theory of planned behavior, and past behavior for the three self-management behaviors. Results: Structural equation models indicated that beliefs about behaviors from the theory of planned behavior, namely, attitudes, subjective norms, and perceived behavioral control, were consistent predictors of intention across samples and behaviors. By comparison, effects of beliefs about illness from the common sense model were smaller and trivial in size. Beliefs partially mediated past behavior effects on intention, although indirect effects of past behavior on intention were larger for physical activity relative to taking medication and healthy eating. Model constructs did not fully account for past behavior effects on intentions. Variability in the strength of the beliefs about behaviors was observed across samples and behaviors. Conclusion: Current findings outline the importance of beliefs about behaviors as predictors of FH self-management behaviors. Variability in the relative contribution of the beliefs across samples and behaviors highlights the imperative of identifying sample- and behavior-specific correlates of FH self-management behaviors. ? 2019 Elsevier Ltd
Subjects
Attitudes; Common sense model; Hyperlipidaemia; Illness perceptions; Theoretical integration; Theories of social cognition; Theory of planned behavior
SDGs
Other Subjects
cognition; health impact; health risk; perception; physical activity; self assessment; social behavior; adult; Article; Australia; autoregulation; Brazil; China; controlled study; familial hypercholesterolemia; female; healthy diet; Hong Kong; human; major clinical study; Malaysia; male; middle aged; physical activity; prediction; self care; social belief; social cognition; structural equation modeling; Taiwan; Theory of Planned Behavior; United Kingdom; attitude to health; behavior; complication; cross-sectional study; familial hypercholesterolemia; patient participation; procedures; psychology; questionnaire; self care; Australia; Brazil; China; China; Hong Kong; Malaysia; Taiwan; United Kingdom; Australia; Brazil; China; Cross-Sectional Studies; Female; Health Knowledge, Attitudes, Practice; Hong Kong; Humans; Hyperlipoproteinemia Type II; Intention; Malaysia; Male; Patient Participation; Self-Management; Surveys and Questionnaires; Taiwan; United Kingdom
Publisher
Elsevier Ltd
Type
journal article