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Factors influencing self-management behavior during the “Blanking Period” in patients with atrial fibrillation : A cross-sectional study based on the information-motivation-behavioral skills model

Ding, Yunmei ; Li, Fan ; Fan, Zekai ; Zhang, Jingya ; Gu, Jiayun ; Li, Xue ; Wei, Lili ; Zhang, Yan ; Xu, Hongxuan LU and Cui, Yan (2023) In Heart and Lung 58. p.62-68
Abstract

Background: Atrial fibrillation (AF) is becoming increasingly common. Effective self-management during the “Blanking Period” is critical. The Information-Motivation-Behavioral skills (IMB) model can be used to study health behaviors in chronic disease patients, but it has not been studied in AF patients. Objective: The goal of this study was to explore the influencing factors and interaction pathways of self-management behavior in AF patients during the "Blanking Period" using the IMB model. Methods: From June to December 2021, a cross-sectional design was conducted. Patients with AF during the "Blanking Period" (N=220) were recruited. They filled out several quantitative questionnaires, including the Jessa Atrial Fibrillation Knowledge... (More)

Background: Atrial fibrillation (AF) is becoming increasingly common. Effective self-management during the “Blanking Period” is critical. The Information-Motivation-Behavioral skills (IMB) model can be used to study health behaviors in chronic disease patients, but it has not been studied in AF patients. Objective: The goal of this study was to explore the influencing factors and interaction pathways of self-management behavior in AF patients during the "Blanking Period" using the IMB model. Methods: From June to December 2021, a cross-sectional design was conducted. Patients with AF during the "Blanking Period" (N=220) were recruited. They filled out several quantitative questionnaires, including the Jessa Atrial Fibrillation Knowledge Questionnaire, the Confidence in Atrial Fibrillation Management Scale, the Perceived Social Support Scale, the All Aspects of Health Literacy Scale, and the Self-care Scale for Chronic Atrial Fibrillation Patients. Data were analyzed using correlation analysis, multiple regression analysis, and path analysis. Results: Total score of self-management behavior was (33.83 ± 10.66). AF knowledge (β = 0.252, P < 0.001), self-management confidence (β = 0.219, P < 0.001), social support (β = 0.291, P < 0.001), and health literacy (β = 0.262, P < 0.001) were all positively correlated with patients' self-management behavior, accounting for 66.50 percent of the total variance. Conclusions: During the "Blanking Period", the IMB model can be used to predict the factors that influence self-management behavior in AF patients. By using IMB model, interventions targeting patient-specific influencing factors could improve self-management behavior and quality of life in AF patients.

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author
; ; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
"Blanking Period", Atrial fibrillation, Information-motivation-behavioral skills (IMB) model, Self-management behavior
in
Heart and Lung
volume
58
pages
7 pages
publisher
Elsevier
external identifiers
  • scopus:85141940412
  • pmid:36403555
ISSN
0147-9563
DOI
10.1016/j.hrtlng.2022.11.006
language
English
LU publication?
yes
id
078a982b-1db1-4fd9-b0d0-fd553e21be13
date added to LUP
2023-02-09 13:53:52
date last changed
2024-06-11 13:24:19
@article{078a982b-1db1-4fd9-b0d0-fd553e21be13,
  abstract     = {{<p>Background: Atrial fibrillation (AF) is becoming increasingly common. Effective self-management during the “Blanking Period” is critical. The Information-Motivation-Behavioral skills (IMB) model can be used to study health behaviors in chronic disease patients, but it has not been studied in AF patients. Objective: The goal of this study was to explore the influencing factors and interaction pathways of self-management behavior in AF patients during the "Blanking Period" using the IMB model. Methods: From June to December 2021, a cross-sectional design was conducted. Patients with AF during the "Blanking Period" (N=220) were recruited. They filled out several quantitative questionnaires, including the Jessa Atrial Fibrillation Knowledge Questionnaire, the Confidence in Atrial Fibrillation Management Scale, the Perceived Social Support Scale, the All Aspects of Health Literacy Scale, and the Self-care Scale for Chronic Atrial Fibrillation Patients. Data were analyzed using correlation analysis, multiple regression analysis, and path analysis. Results: Total score of self-management behavior was (33.83 ± 10.66). AF knowledge (β = 0.252, P &lt; 0.001), self-management confidence (β = 0.219, P &lt; 0.001), social support (β = 0.291, P &lt; 0.001), and health literacy (β = 0.262, P &lt; 0.001) were all positively correlated with patients' self-management behavior, accounting for 66.50 percent of the total variance. Conclusions: During the "Blanking Period", the IMB model can be used to predict the factors that influence self-management behavior in AF patients. By using IMB model, interventions targeting patient-specific influencing factors could improve self-management behavior and quality of life in AF patients.</p>}},
  author       = {{Ding, Yunmei and Li, Fan and Fan, Zekai and Zhang, Jingya and Gu, Jiayun and Li, Xue and Wei, Lili and Zhang, Yan and Xu, Hongxuan and Cui, Yan}},
  issn         = {{0147-9563}},
  keywords     = {{"Blanking Period"; Atrial fibrillation; Information-motivation-behavioral skills (IMB) model; Self-management behavior}},
  language     = {{eng}},
  pages        = {{62--68}},
  publisher    = {{Elsevier}},
  series       = {{Heart and Lung}},
  title        = {{Factors influencing self-management behavior during the “Blanking Period” in patients with atrial fibrillation : A cross-sectional study based on the information-motivation-behavioral skills model}},
  url          = {{http://dx.doi.org/10.1016/j.hrtlng.2022.11.006}},
  doi          = {{10.1016/j.hrtlng.2022.11.006}},
  volume       = {{58}},
  year         = {{2023}},
}