The Association Of Education Level With Autonomy Support, Self-Efficacy And Health Behaviour In Patients With Cardiovascular Risk Factors
[Posted 14/Jun/2022]
AUDIENCE: Nursing
KEY FINDINGS: 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.
BACKGROUND: 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. 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.
DETAILS: 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. 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.
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Source: Yenom, H. and Lee, J. (2022). The Association Of Education Level With Autonomy Support, Self-Efficacy and Health Behaviour In Patients With Cardiovascular Risk Factors. J Clin Nurs. 2022; 31(11-12): 1547-1556. Published: June, 2022. DOI: 10.1111/jocn.16008.
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