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

Mohammed Munther Al-Hammouri, Jehad A. Rababah, Lynne A. Hall, Debra K. Moser, Zainab Dawood, Wa'Ed Jawhar, Ayat Alawawdeh

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

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.

Original languageEnglish
Article number349
JournalBMC Cardiovascular Disorders
Volume20
Issue number1
DOIs
StatePublished - Jul 27 2020

Bibliographical note

Publisher Copyright:
© 2020 The Author(s).

Keywords

  • Decision making
  • Heart failure
  • Impulsivity
  • Nursing
  • Self-care behavior

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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