A2 Review article, Literature review, Systematic review
Social Cognition Correlates of Self-Management Behaviors in Patients with Familial Hypercholesterolemia (FH) : A Meta-Analytic Review (2024)
Majeed, R., Hamilton, K., Watts, G., & Hagger, M. (2024). Social Cognition Correlates of Self-Management Behaviors in Patients with Familial Hypercholesterolemia (FH) : A Meta-Analytic Review. Social Science and Medicine, 351, Article 116968. https://doi.org/10.1016/j.socscimed.2024.116968
JYU authors or editors
Publication details
All authors or editors: Majeed, Rabia; Hamilton, Kyra; Watts, Gerald, F.; Hagger, Martin, S.
Journal or series: Social Science and Medicine
ISSN: 0277-9536
eISSN: 1873-5347
Publication year: 2024
Publication date: 11/05/2024
Volume: 351
Article number: 116968
Publisher: Elsevier
Publication country: United States
Publication language: English
DOI: https://doi.org/10.1016/j.socscimed.2024.116968
Research data link: https://osf.io/rkjw5/
Publication open access: Openly available
Publication channel open access: Partially open access channel
Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/95065
Abstract
Familial Hypercholesterolemia (FH) is an inherited disorder leading to increased risk of premature atherosclerotic cardiovascular disease. This risk can be ameliorated through adherence to pharmacological treatment and salient lifestyle behaviors (e.g., physical activity participation, healthy eating). Identifying theory-based, modifiable determinants of these behaviors may inform behavioral interventions promoting participation in FH self-management behaviors. We aimed to identify the belief-based social cognition constructs uniquely associated with intentions to perform, and actual participation in, FH self-management behaviors in the extant research.
Method
A systematic database search identified studies (k=10, N=1505) reporting relations between social cognition theory constructs and intention toward, or actual participation in, self-management behaviors in FH patients. As no studies examining prospectively-measured behaviors were identified, we tested relations among social cognition constructs, intentions, and past FH-self-management behavior using random effects multi-level meta-analysis and meta-analytic structural equation modelling.
Results
We found non-zero averaged correlations among the key social cognition constructs (attitudes, norms, risk perceptions, self-efficacy), intentions, and past behavior. Structural equation modelling indicated non-zero averaged direct effects of attitudes, norms, self-efficacy, and past behavior on FH self-management behavioral intentions. There were also non-zero averaged indirect effects of past behavior on intentions mediated by the social cognition constructs.
Conclusion
Findings provide evidence to support the proposed model and highlight the importance of personal, normative, and capacity related beliefs and past experience as unique correlates of intentions to perform FH self-management behaviors. The model may signal potential constructs that should be targeted in behavioral interventions to promote participation in FH self-management behaviors.
Keywords: hypercholesterolemia; social cognition; cardiovascular diseases; cholesterol; pharmacotherapy; treatment methods; patient compliance; self-control; meta-analysis
Free keywords: social cognition constructs; management behaviors; familial hypercholesterolemia; meta-analytic structural equation modelling
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Ministry reporting: Yes
Preliminary JUFO rating: 3
