Social Cognition Correlates of Self-Management Behaviors in Patients with Familial Hypercholesterolemia (FH) : A Meta-Analytic Review
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
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Social Science and MedicineDate
2024Copyright
© 2024 the Authors
Objective
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.
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Publisher
ElsevierISSN Search the Publication Forum
0277-9536Keywords
Publication in research information system
https://converis.jyu.fi/converis/portal/detail/Publication/213669235
Metadata
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- Liikuntatieteiden tiedekunta [3092]
Additional information about funding
Rabia Majeed’s contribution was supported by the Fulbright U.S. Student program, which is sponsored by the U.S. Department of State and the United States Educational Foundation in Pakistan. Gerald F. Watts reports receiving research grants and lecturing fees from Amgen, Sanofi and Regeneron.License
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