A1 Journal article (refereed)
Predicting intention to participate in self-management behaviors in patients with Familial Hypercholesterolemia : a cross-national study (2019)
Hagger, M. S., Hamilton, K., Hardcastle, S. J., Hu, M., Kwok, S., Lin, J., Nawawi, H. M., Pang, J., Santos, R. D., Soran, H., Su, T.-C., Tomlinson, B., & Watts, G. F. (2019). Predicting intention to participate in self-management behaviors in patients with Familial Hypercholesterolemia : a cross-national study. Social Science and Medicine, 242, Article 112591. https://doi.org/10.1016/j.socscimed.2019.112591
JYU authors or editors
Publication details
All authors or editors: Hagger, Martin S.; Hamilton, Kyra; Hardcastle, Sarah J.; Hu, Miao; Kwok, See; Lin, Jie; Nawawi, Hapizah M.; Pang, Jing; Santos, Raul D.; Soran, Handrean; et al.
Journal or series: Social Science and Medicine
ISSN: 0277-9536
eISSN: 1873-5347
Publication year: 2019
Volume: 242
Article number: 112591
Publisher: Elsevier Ltd
Publication country: United Kingdom
Publication language: English
DOI: https://doi.org/10.1016/j.socscimed.2019.112591
Publication open access: Not open
Publication channel open access:
Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/66018
Abstract
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.
Keywords: health behaviour; social cognition; hereditary diseases; hypercholesterolemia
Free keywords: illness perceptions; hyperlipidaemia; theoretical integration; common sense model; theory of planned behavior; theories of social cognition; attitudes
Contributing organizations
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Ministry reporting: Yes
Reporting Year: 2019
JUFO rating: 3