Structural model of health-promoting behavior in middle-aged Korean women with hypertension based on the Information-Motivation-Behavioral Skills model: a cross sectional study.
Eunju Mun, Jinhwa Park
PMID 42419906WHAT IT FOUND
For women with hypertension, social support and self-efficacy were linked to health-promoting behavior.
Knowledge was linked to behavior but not to self-efficacy. These are associations, not proof of effect.
Key findings
01Social support was associated with self-efficacy in chronic disease management and with health-promoting behavior.
02Self-efficacy in chronic disease management was associated with health-promoting behavior.
03Hypertension-related knowledge was associated with health-promoting behavior but not with self-efficacy.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was cross-sectional and used convenience sampling online, so it cannot show that any factor caused health-promoting behavior. Online recruitment may have overrepresented women familiar with digital environments and underrepresented those without adequate internet access or from socioeconomically disadvantaged backgrounds. The Hypertension Knowledge Scale had low reliability (KR-20=.51), which may have weakened or obscured associations involving knowledge. Model fit was acceptable but marginal (RMSEA=.08, AGFI=.82), so the structural model should be interpreted with caution. The sample was middle-aged Korean women with hypertension who were not hospitalized or living in long-term care, so findings may not apply to other groups.
Declared interests
The authors declared no conflict of interest and received no funding.
The easy way to misread this
Do not conclude that giving more hypertension information, improving eHealth literacy, or changing health attitudes will increase health-promoting behavior. The study is cross-sectional, the knowledge scale had low reliability (KR-20=.51), and eHealth literacy and attitudes were not directly associated with behavior in the model.