Self-care behavior: a new insight of the role of impulsivity into decision making process in persons with heart failure.

Al-Hammouri, MM; Rababah, JA; Hall, LA; Moser, DK; Dawood, Z; Jawhar, W; Alawawdeh, A

Self-care behavior: a new insight of the role of impulsivity into decision making process in persons with heart failure.

Al-Hammouri, MM Rababah, JA Hall, LA Moser, DK Dawood, Z Jawhar, W Alawawdeh, A

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Publisher:: Springer Science and Business Media LLC
Publication Type:: Journal Article
Citation:: BMC cardiovascular disorders, 2020, 20, (1)
Issue Date:: 2020-07-27

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Field	Value	Language
dc.contributor.author	Al-Hammouri, MM
dc.contributor.author	Rababah, JA
dc.contributor.author	Hall, LA
dc.contributor.author	Moser, DK
dc.contributor.author	Dawood, Z
dc.contributor.author	Jawhar, W
dc.contributor.author	Alawawdeh, A
dc.date.accessioned	2020-09-16T05:35:13Z
dc.date.available	2020-07-09
dc.date.available	2020-09-16T05:35:13Z
dc.date.issued	2020-07-27
dc.identifier.citation	BMC cardiovascular disorders, 2020, 20, (1)
dc.identifier.issn	1471-2261
dc.identifier.issn	1471-2261
dc.identifier.uri	http://hdl.handle.net/10453/142705
dc.description.abstract	BACKGROUND:Self-care behavior has been reported to be below optimum in persons with heart failure, while the underlying decision making is not well understood. The Hot/Cool System model is a psychological model that may have potential applications in decision making process in persons with heart failure. The aim of this study was to examine the decision making process in self-care behavior in persons with heart failure in the light of the Hot/Cool System model. METHODS:We used the Hoot/Cool System Model to guide this study. Participants with heart failure from in-patients setting (N = 107) were recruited. Data were collected using self-report questionnaires. Moderated mediation analysis was used to study complex relationships among study variables. RESULTS:The current study showed that impulsivity and perceived stress were negatively associated with self-care behavior. The results also showed that self-care confidence and impulsivity significantly predict self-care maintenance. The moderated mediation analysis revealed that self-care confidence mediated the relationship between impulsivity and self-care maintenance at lower levels of perceived stress, but not at higher levels of perceived stress. CONCLUSION:Our findings revealed that persons with heart failure tend to make impulsive choices that may negatively affect disease progression under higher levels of perceived stress. This study provides foundational knowledge regarding the decision making process in persons with heart failure.
dc.format	Electronic
dc.language	eng
dc.publisher	Springer Science and Business Media LLC
dc.relation.ispartof	BMC cardiovascular disorders
dc.relation.isbasedon	10.1186/s12872-020-01617-8
dc.rights	info:eu-repo/semantics/openAccess
dc.rights	This is a post-peer-review, pre-copyedit version of an article published in BMC cardiovascular disorders. The final authenticated version is available online at: https://dx.doi.org/10.1186/s12872-020-01617-8.	en_US
dc.subject	1102 Cardiorespiratory Medicine and Haematology
dc.subject.classification	Cardiovascular System & Hematology
dc.title	Self-care behavior: a new insight of the role of impulsivity into decision making process in persons with heart failure.
dc.type	Journal Article
utslib.citation.volume	20
utslib.location.activity	England
utslib.for	1102 Cardiorespiratory Medicine and Haematology
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2020-09-16T05:34:50Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	20
utslib.citation.issue	1

Abstract:

BACKGROUND:Self-care behavior has been reported to be below optimum in persons with heart failure, while the underlying decision making is not well understood. The Hot/Cool System model is a psychological model that may have potential applications in decision making process in persons with heart failure. The aim of this study was to examine the decision making process in self-care behavior in persons with heart failure in the light of the Hot/Cool System model. METHODS:We used the Hoot/Cool System Model to guide this study. Participants with heart failure from in-patients setting (N = 107) were recruited. Data were collected using self-report questionnaires. Moderated mediation analysis was used to study complex relationships among study variables. RESULTS:The current study showed that impulsivity and perceived stress were negatively associated with self-care behavior. The results also showed that self-care confidence and impulsivity significantly predict self-care maintenance. The moderated mediation analysis revealed that self-care confidence mediated the relationship between impulsivity and self-care maintenance at lower levels of perceived stress, but not at higher levels of perceived stress. CONCLUSION:Our findings revealed that persons with heart failure tend to make impulsive choices that may negatively affect disease progression under higher levels of perceived stress. This study provides foundational knowledge regarding the decision making process in persons with heart failure.

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http://hdl.handle.net/10453/142705