An Application of the Theory of Planned Behavior to Self-Care in Patients With Hypertension

An Application of the Theory of Planned Behavior to Self-Care in Patients With Hypertension Publisher Pubmed

Pourmand G¹ ; Doshmangir L^{2, 3, 4} ; Ahmadi A⁵ ; Noori M¹ ; Rezaeifar A⁶ ; Mashhadi R¹ ; Aziminia R¹ ; Pourmand A¹ ; Gordeev VS^{7, 8}

Show Affiliations

1. Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran
2. Department of Health Policy and Management, Tabriz Health Services Management Research Center, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
3. Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
4. Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
5. Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran
6. Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
7. Institute of Population Health Sciences, Queen Mary University of London, London, United Kingdom
8. Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom

Source: BMC Public Health Published:2020

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. © 2020 The Author(s).

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Style	Citing Format
MLA	Pourmand G, et al.. "An Application of the Theory of Planned Behavior to Self-Care in Patients With Hypertension." BMC Public Health, vol. 20, no. 1, 2020, pp. -.
APA	Pourmand G, Doshmangir L, Ahmadi A, Noori M, Rezaeifar A, Mashhadi R, Aziminia R, Pourmand A, Gordeev VS (2020). An Application of the Theory of Planned Behavior to Self-Care in Patients With Hypertension. BMC Public Health, 20(1), -.
Chicago	Pourmand G, Doshmangir L, Ahmadi A, Noori M, Rezaeifar A, Mashhadi R, Aziminia R, Pourmand A, Gordeev VS. "An Application of the Theory of Planned Behavior to Self-Care in Patients With Hypertension." BMC Public Health 20, no. 1 (2020): -.
Harvard	Pourmand G et al. (2020) 'An Application of the Theory of Planned Behavior to Self-Care in Patients With Hypertension', BMC Public Health, 20(1), pp. -.
Vancouver	Pourmand G, Doshmangir L, Ahmadi A, Noori M, Rezaeifar A, Mashhadi R, et al.. An Application of the Theory of Planned Behavior to Self-Care in Patients With Hypertension. BMC Public Health. 2020;20(1):-.
BibTex	@article{ author = {Pourmand G and Doshmangir L and Ahmadi A and Noori M and Rezaeifar A and Mashhadi R and Aziminia R and Pourmand A and Gordeev VS}, title = {An Application of the Theory of Planned Behavior to Self-Care in Patients With Hypertension}, journal = {BMC Public Health}, volume = {20}, number = {1}, pages = {-}, year = {2020} }
RIS	TY - JOUR AU - Pourmand G AU - Doshmangir L AU - Ahmadi A AU - Noori M AU - Rezaeifar A AU - Mashhadi R AU - Aziminia R AU - Pourmand A AU - Gordeev VS TI - An Application of the Theory of Planned Behavior to Self-Care in Patients With Hypertension JO - BMC Public Health VL - 20 IS - 1 SP - EP - PY - 2020 ER -

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