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The moderating effect of self-efficacy in the risk awareness and treatment compliance of hypertensive patients

Journal of Human Hypertension (2024)Cite this article

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Abstract

The WHO reported that 46% of adults with HT in the global statistics were unaware of the disease.The aim of this study was to examine the moderating role of self-efficacy in risk awareness and treatment compliance of hypertensive patients. Data for this descriptive and correlational study were collected between 22.08.2023 and 22.02.2024. A personal information form was used for data collection together with a risk awareness scale, self-efficacy scale, and antihypertensive treatment compliance scale. The data were collected from 169 patients in face-to-face intterviews. Multiple linear regression and PROCESS macro-Model vn.3.5 were used in the analyses. The STROBE control list was followed in the study. A moderate level of risk awareness (40.03 ± 7.98) and self-awareness (56.11 ± 10.18) of the study participants was determined, and there was seen to be treatment compliance (6.53 ± 2.34). Risk awareness was seen to be positively correlated with both treatment compliance and self-efficacy (p < 0.05). The moderating effect of the treatment points between risk awareness and self-efficacy was analyzed and the model formed was found to be statistically significant (F = 1.942, p = 0.006). Independent variables in the model explained 28% of the change in the dependent variable. Self-efficacy points were not found to have a moderating effect on the effect of cardiovascular risk awareness on antihypertensive treatment compliance (p = 0.144). Treatment compliance can increase with an increase in the self-efficacy and risk awareness of an individual. Increased self-efficacy may affect the moderating role.

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Fig. 1: Conceptual framework.

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Data availability

The data supporting the results of this study are available from the corresponding author on reasonable request. For reasons of ethics and confidentiality, the data are not publicly available.

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Acknowledgements

The authors thank all the patients with hypertension for their participation in the study.

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Authors and Affiliations

  1. Kahramanmaraş Sütçü İmam University, Vocational School of Health Services, Kahramanmaraş, Turkey

    Ayşe Soylu

  2. Mardin Artuklu University, Faculty of Health Sciences, Department of Nursing, Mardin, Turkey

    Ömer Tanrıverdi

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Contributions

Conceptualization: Ayşe Soylu and Ömer Tanrıverdi. Formal analysis: Ayşe Soylu and Ömer Tanrıverdi. Investigation: Ayşe Soylu. Resources: Ayşe Soylu and Ömer Tanrıverdi. Data curation: Ayşe Soylu and Ömer Tanrıverdi. Writing—original draft preparation: Ayşe Soylu and Ömer Tanrıverdi. Writing—review and editing: Ayşe Soylu and Ömer Tanrıverdi.

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Correspondence to Ayşe Soylu.

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The authors declare no competing interests.

Ethical approval

Approval for the study was granted by the ethics committee of a Mardin Artuklu University (decision no: 2023/7-11, session no: 7, dated: 10.07.2023). All the study participants providedinformed consent. Permission for use was obtained from the owners of the scales used. Permission to conduct the study was obtained from the institution. All the study procedures were in compliance with the Helsinki Declaration.

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Soylu, A., Tanrıverdi, Ö. The moderating effect of self-efficacy in the risk awareness and treatment compliance of hypertensive patients. J Hum Hypertens (2024). https://doi.org/10.1038/s41371-024-00949-8

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