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dc.contributor.authorHagger, Martin S.
dc.contributor.authorHamilton, Kyra
dc.contributor.authorHardcastle, Sarah J.
dc.contributor.authorHu, Miao
dc.contributor.authorKwok, See
dc.contributor.authorLin, Jie
dc.contributor.authorNawawi, Hapizah M.
dc.contributor.authorPang, Jing
dc.contributor.authorSantos, Raul D.
dc.contributor.authorSoran, Handrean
dc.contributor.authorSu, Ta-Chen
dc.contributor.authorTomlinson, Brian
dc.contributor.authorWatts, Gerald F.
dc.date.accessioned2019-10-24T08:08:17Z
dc.date.available2019-10-24T08:08:17Z
dc.date.issued2019
dc.identifier.citationHagger, 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. <i>Social Science and Medicine</i>, <i>242</i>, Article 112591. <a href="https://doi.org/10.1016/j.socscimed.2019.112591" target="_blank">https://doi.org/10.1016/j.socscimed.2019.112591</a>
dc.identifier.otherCONVID_33173908
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/66018
dc.description.abstractRationale. 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.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.language.isoeng
dc.publisherElsevier Ltd
dc.relation.ispartofseriesSocial Science and Medicine
dc.rightsCC BY-NC-ND 4.0
dc.subject.otherillness perceptions
dc.subject.otherhyperlipidaemia
dc.subject.othertheoretical integration
dc.subject.othercommon sense model
dc.subject.othertheory of planned behavior
dc.subject.othertheories of social cognition
dc.subject.otherattitudes
dc.titlePredicting intention to participate in self-management behaviors in patients with Familial Hypercholesterolemia : a cross-national study
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201910244583
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineLiikuntapsykologiafi
dc.contributor.oppiaineSport and Exercise Psychologyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.relation.issn0277-9536
dc.relation.volume242
dc.type.versionacceptedVersion
dc.rights.copyright© 2019 Elsevier Ltd.
dc.rights.accesslevelopenAccessfi
dc.relation.grantnumber1801/31/2015
dc.subject.ysohyperkolesterolemia
dc.subject.ysoperinnölliset taudit
dc.subject.ysososiaalinen kognitio
dc.subject.ysoterveyskäyttäytyminen
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p10610
jyx.subject.urihttp://www.yso.fi/onto/yso/p19997
jyx.subject.urihttp://www.yso.fi/onto/yso/p12416
jyx.subject.urihttp://www.yso.fi/onto/yso/p11100
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1016/j.socscimed.2019.112591
dc.relation.funderTEKESfi
dc.relation.funderTEKESen
jyx.fundinginformationThis research was supported by a grant from the International Atherosclerosis Society and Pfizer (#10839501). Martin S. Hagger's contribution was supported by a Finland Distinguished Professor (FiDiPro) award from Business Finland (Dnro1801/31/2015).
dc.type.okmA1


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