The association of education level with autonomy support, self-efficacy and health behaviour in patients with cardiovascular risk factors
© 2021 John Wiley & Sons Ltd..
AIM AND OBJECTIVES: The study aimed to investigate whether the patients' education level affected the mediation effect of self-efficacy on the relationship between the autonomy-supportive healthcare climate and health behaviour among patients with cardiovascular risk factors.
BACKGROUND: Autonomy and self-efficacy are identified as influential factors related to the behaviours of individuals with health problems. However, it is unclear whether autonomy support from healthcare providers affects health behaviour through self-efficacy and if patients' education level affects the association.
DESIGN: A cross-sectional study.
METHODS: A convenience sample of 207 individuals with one or more cardiovascular diseases completed self-administered surveys including the healthcare climate questionnaire, self-efficacy scale and the engagement in health behaviour scale. Data were analysed using descriptive statistics, t test, Pearson's correlation coefficients and hierarchical regression analysis. All procedures of the study adhered to the STROBE guidelines.
RESULTS: The influence of autonomy support from healthcare providers on self-efficacy differed by individuals' education level. Self-efficacy in less educated, but not highly educated individuals, tended to depend on the autonomy-supportive climate. Additionally, the autonomy-supportive healthcare climate affected health behaviour through self-efficacy only in less educated individuals.
CONCLUSION: The relationship between autonomy support from healthcare providers and self-efficacy was more evident in the relatively less educated individuals. The associations among autonomy support, self-efficacy and health behaviour differed by patient education level, and the mediating role of self-efficacy on the relationship between autonomy-supportive climate and health behaviour was found only in those less educated.
RELEVANCE TO CLINICAL PRACTICE: Healthcare providers should recognise the importance of supporting patients' need for autonomy to improve self-efficacy and healthy behaviour, particularly in less educated patients. Additionally, healthcare providers' support tailored to patients' needs and educational status should be highlighted.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:31 |
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| Enthalten in: |
Journal of clinical nursing - 31(2022), 11-12 vom: 25. Juni, Seite 1547-1556 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Yeom, Hyun-E [VerfasserIn] |
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| Links: |
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| Themen: |
Chronic disease |
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| Anmerkungen: |
Date Completed 19.05.2022 Date Revised 19.05.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1111/jocn.16008 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM329962000 |
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| 500 | |a Date Revised 19.05.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2021 John Wiley & Sons Ltd. | ||
| 520 | |a AIM AND OBJECTIVES: The study aimed to investigate whether the patients' education level affected the mediation effect of self-efficacy on the relationship between the autonomy-supportive healthcare climate and health behaviour among patients with cardiovascular risk factors | ||
| 520 | |a BACKGROUND: Autonomy and self-efficacy are identified as influential factors related to the behaviours of individuals with health problems. However, it is unclear whether autonomy support from healthcare providers affects health behaviour through self-efficacy and if patients' education level affects the association | ||
| 520 | |a DESIGN: A cross-sectional study | ||
| 520 | |a METHODS: A convenience sample of 207 individuals with one or more cardiovascular diseases completed self-administered surveys including the healthcare climate questionnaire, self-efficacy scale and the engagement in health behaviour scale. Data were analysed using descriptive statistics, t test, Pearson's correlation coefficients and hierarchical regression analysis. All procedures of the study adhered to the STROBE guidelines | ||
| 520 | |a RESULTS: The influence of autonomy support from healthcare providers on self-efficacy differed by individuals' education level. Self-efficacy in less educated, but not highly educated individuals, tended to depend on the autonomy-supportive climate. Additionally, the autonomy-supportive healthcare climate affected health behaviour through self-efficacy only in less educated individuals | ||
| 520 | |a CONCLUSION: The relationship between autonomy support from healthcare providers and self-efficacy was more evident in the relatively less educated individuals. The associations among autonomy support, self-efficacy and health behaviour differed by patient education level, and the mediating role of self-efficacy on the relationship between autonomy-supportive climate and health behaviour was found only in those less educated | ||
| 520 | |a RELEVANCE TO CLINICAL PRACTICE: Healthcare providers should recognise the importance of supporting patients' need for autonomy to improve self-efficacy and healthy behaviour, particularly in less educated patients. Additionally, healthcare providers' support tailored to patients' needs and educational status should be highlighted | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a health behaviour | |
| 650 | 4 | |a health personnel | |
| 650 | 4 | |a nurse-patient relations | |
| 650 | 4 | |a personal autonomy | |
| 650 | 4 | |a self-efficacy | |
| 700 | 1 | |a Lee, Jungmin |e verfasserin |4 aut | |
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