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- Publisher Website: 10.1097/JCN.0000000000000355
- Scopus: eid_2-s2.0-84973527042
- PMID: 27281057
- WOS: WOS:000403557300016
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Article: Testing a model to reveal the predictive mechanism of care-seeking decisions among patients with acute myocardial infarction
Title | Testing a model to reveal the predictive mechanism of care-seeking decisions among patients with acute myocardial infarction |
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Authors | |
Keywords | Myocardial infarction Nursing Time-to-treatment Acute coronary syndrome Models |
Issue Date | 2017 |
Citation | Journal of Cardiovascular Nursing, 2017, v. 32, n. 4, p. 393-400 How to Cite? |
Abstract | Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. Background: Extensive research has been conducted to examine the factors affecting care-seeking decisions in patients with acute myocardial infarction (AMI). Such a decision-making process is multifactorial, and its underlying mechanism is yet to be determined. Objectives: Our aim was to test a theoretically integrated model to identify the mechanisms underlying patients' care-seeking decisions in the context of AMI. Methods: On the basis of both empirical and theoretical evidence, we proposed that patients' care-seeking decisions are driven by 2 sequential perceptual-cognitive processes concerned with illness labeling and interpretation, as well as the contextual influences of perceived barriers to care seeking and cues from others. A sample of 301 patients was recruited to test this model using structural equation modeling. Results: The model testing revealed good fit with the data (#2 = 38.48, df = 30, P = .72; root-mean-square error of approximation = 0.03, normed fit index = 0.96, nonnormed fit index = 0.98, and comparative fit index = 0.99) and explained 46% of the variance in AMI care-seeking delay. Successful action relied on whether patients could correctly attribute the symptom experience to AMI, were aware of their own susceptibility to the condition, and had a good understanding of how the disease manifested itself. Lowering perceived barriers and positive cues from others in advising care seeking played favorable roles to promote care-seeking behaviors. Conclusions: This integrative theoretical model is shown to be valid in explaining care-seeking delay among AMI patients and can guide the development of interventions to promote appropriate care-seeking behaviors among high-risk individuals. |
Persistent Identifier | http://hdl.handle.net/10722/280583 |
ISSN | 2023 Impact Factor: 1.7 2023 SCImago Journal Rankings: 0.574 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Li, Polly W.C. | - |
dc.contributor.author | Yu, Doris S.F. | - |
dc.date.accessioned | 2020-02-17T14:34:24Z | - |
dc.date.available | 2020-02-17T14:34:24Z | - |
dc.date.issued | 2017 | - |
dc.identifier.citation | Journal of Cardiovascular Nursing, 2017, v. 32, n. 4, p. 393-400 | - |
dc.identifier.issn | 0889-4655 | - |
dc.identifier.uri | http://hdl.handle.net/10722/280583 | - |
dc.description.abstract | Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. Background: Extensive research has been conducted to examine the factors affecting care-seeking decisions in patients with acute myocardial infarction (AMI). Such a decision-making process is multifactorial, and its underlying mechanism is yet to be determined. Objectives: Our aim was to test a theoretically integrated model to identify the mechanisms underlying patients' care-seeking decisions in the context of AMI. Methods: On the basis of both empirical and theoretical evidence, we proposed that patients' care-seeking decisions are driven by 2 sequential perceptual-cognitive processes concerned with illness labeling and interpretation, as well as the contextual influences of perceived barriers to care seeking and cues from others. A sample of 301 patients was recruited to test this model using structural equation modeling. Results: The model testing revealed good fit with the data (#2 = 38.48, df = 30, P = .72; root-mean-square error of approximation = 0.03, normed fit index = 0.96, nonnormed fit index = 0.98, and comparative fit index = 0.99) and explained 46% of the variance in AMI care-seeking delay. Successful action relied on whether patients could correctly attribute the symptom experience to AMI, were aware of their own susceptibility to the condition, and had a good understanding of how the disease manifested itself. Lowering perceived barriers and positive cues from others in advising care seeking played favorable roles to promote care-seeking behaviors. Conclusions: This integrative theoretical model is shown to be valid in explaining care-seeking delay among AMI patients and can guide the development of interventions to promote appropriate care-seeking behaviors among high-risk individuals. | - |
dc.language | eng | - |
dc.relation.ispartof | Journal of Cardiovascular Nursing | - |
dc.subject | Myocardial infarction | - |
dc.subject | Nursing | - |
dc.subject | Time-to-treatment | - |
dc.subject | Acute coronary syndrome | - |
dc.subject | Models | - |
dc.title | Testing a model to reveal the predictive mechanism of care-seeking decisions among patients with acute myocardial infarction | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1097/JCN.0000000000000355 | - |
dc.identifier.pmid | 27281057 | - |
dc.identifier.scopus | eid_2-s2.0-84973527042 | - |
dc.identifier.volume | 32 | - |
dc.identifier.issue | 4 | - |
dc.identifier.spage | 393 | - |
dc.identifier.epage | 400 | - |
dc.identifier.eissn | 1550-5049 | - |
dc.identifier.isi | WOS:000403557300016 | - |
dc.identifier.issnl | 0889-4655 | - |