Academic Journal
Adherence to a Heart-Healthy Lifestyle: Testing of the Information-Motivation-Behavioral Skills Model.
| Τίτλος: | Adherence to a Heart-Healthy Lifestyle: Testing of the Information-Motivation-Behavioral Skills Model. |
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| Συγγραφείς: | Shin Y; Yura Shin, MSN, RN PhD, student, College of Nursing, and Transdisciplinary Major in Learning Health Systems, Graduate School, Korea University, Seoul, South Korea., Choo J; Jina Choo, PhD, DrPH, RN, Professor of Community Health Nursing, College of Nursing, and Adjunct Professor, Transdisciplinary Major in Learning Health Systems, Graduate School, Korea University, Seoul, South Korea., Noh S; Songwhi Noh, MSN, RN PhD, candidate, College of Nursing, and Transdisciplinary Major in Learning Health Systems, Graduate School, Korea University, Seoul, South Korea. |
| Πηγή: | The Journal of cardiovascular nursing [J Cardiovasc Nurs] 2026 Mar-Apr 01; Vol. 41 (2), pp. 125-132. Date of Electronic Publication: 2025 Sep 11. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8703516 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-5049 (Electronic) Linking ISSN: 08894655 NLM ISO Abbreviation: J Cardiovasc Nurs Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: [Frederick, MD : Aspen Publishers, c1986- |
| Ιατρικοί όροι (MeSH): | Patient Compliance*/psychology , Cardiovascular Diseases*/prevention & control , Motivation* , Healthy Lifestyle* , Health Behavior*, Humans ; Male ; Female ; Cross-Sectional Studies ; Middle Aged ; Self Efficacy ; Republic of Korea ; Adult ; Exercise ; Aged ; Surveys and Questionnaires ; Models, Psychological ; Information Motivation Behavioral Skills Model |
| Περίληψη: | Background: Adherence to a heart-healthy lifestyle is essential for the prevention of cardiovascular disease. Although recent preventive strategies have shifted from targeting individual behaviors to addressing multiple behaviors simultaneously, empirical evidence on the determinants of such adherence remains limited. Objective: The aims of this study were to assess adherence to a heart-healthy lifestyle encompassing multiple behaviors and to identify its determinants through path analysis guided by the information-motivation-behavioral skills model. Methods: A cross-sectional design was used with 500 community-dwelling adults in South Korea who had no history of cardiovascular disease. Data were collected through an online survey. Behavioral determinants derived from the information-motivation-behavioral skills model-specifically, heart-healthy information, motivation, and self-efficacy for diet and exercise-were operationalized and measured as key predictors of adherence. Results: The mean adherence was 2.5 on a 1-to-4 scale. Heart-healthy information exhibited no significant total effect on adherence. Heart-healthy intrinsic motivation exerted a significant total effect on adherence (β = 0.593, P < .001), comprising both a significant direct effect and an indirect effect mediated by self-efficacy. Heart-healthy self-efficacy for both diet (β = 0.232, P = .001) and exercise (β = 0.304, P = .001) were found to have significant direct effects on adherence. The final path model demonstrated an excellent fit to the data, accounting for 50.0% of the variance in adherence. Conclusions: These findings underscore heart-healthy intrinsic motivation as an initial intervention target for enhancing adherence to a heart-healthy lifestyle in the context of cardiovascular disease prevention. (Copyright © 2025 The Authors. Published by Wolters Kluwer Health, Inc.) |
| Competing Interests: | The authors have no conflicts of interest to disclose. |
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| Contributed Indexing: | Keywords: adherence; cardiovascular diseases; healthy lifestyle; motivation; primary prevention |
| Entry Date(s): | Date Created: 20250911 Date Completed: 20260206 Latest Revision: 20260225 |
| Update Code: | 20260225 |
| PubMed Central ID: | PMC12875618 |
| DOI: | 10.1097/JCN.0000000000001265 |
| PMID: | 40934336 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1550-5049 |
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| DOI: | 10.1097/JCN.0000000000001265 |