ArticleBMJ open2024
Mediation role of perceived social support between recurrence risk perception and health behaviour among patients with stroke in China: a cross-sectional study.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Consistency between recurrent risk perception and objective recurrence risk in patients after atrial fibrillation ablation: a cross-sectional study.BMC cardiovascular disorders · 2026Article
- The status and influencing factors of health behavior with first-ever ischemic stroke in young adults: a structural equation model.BMC neurology · 2026Article
- Influence of recurrence risk perception on depressive mood in first-time stroke patients and the mediating effect of coping styles and perceived discrimination.Scientific reports · 2026Article
- Exploring the multifactorial reasons for treatment-seeking delays among young and middle-aged stroke patients: a qualitative study.BMJ open · 2026Article
- Illness perception and psychosocial adjustment in young and middle-aged liver transplant recipients during the early postoperative period: the serial mediating roles of perceived social support and quality of life.Frontiers in psychology · 2026Article
- Mediating effects between social capital and health care utilization in Italy-a structural equation model analysis.Population health metrics · 2025Article
- Community-dwelling stroke survivors' physical activity experiences: a qualitative systematic review protocol.Systematic reviews · 2025Article
- Relationship between social support, functional outcomes and health-related quality of life in working-aged adults at three months after ischemic stroke: results from the FRAILTY study.Health and quality of life outcomes · 2025Observational
- Association between recurrence risk perception and health behavior in patients with recurrent ischemic stroke in China: the mediation effect of self-efficacy.Frontiers in psychology · 2025Article
- Self-efficacy and implementation intentions in home rehabilitation of stroke patients: the parallel mediating role of recurrence risk perception and outcome expectations.Frontiers in psychology · 2025Article
- Potential categories of perceived recurrence risk in stroke patients and their relationship with self-management ability.Frontiers in public health · 2025Article
- How perceived risk of recurrence strengthens health management awareness in stroke patients: the chain mediating role of risk fear and health literacy.Frontiers in public health · 2025Article
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Authors and funding
9 authors.
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Abstract
objectivesTo examine whether patients who had a stroke with high recurrence risk perception would have healthier behaviour and to explore whether perceived social support would function as a mediator.
designA cross-sectional study.
settingThe study was conducted in a public tertiary hospital in China.
participantsA total of 254 patients with stroke were invited to participate, and 250 patients with stroke completed questionnaires validly. PRIMARY AND SECONDARY OUTCOME MEASURES: Questionnaires were administered offline to collect data, consisting of four parts: general demographics and scales related to recurrence risk perception, perceived social support, and health behaviour. A path analysis and correlation analysis were used to analyse the data.
resultsOut of 250 patients with stroke, 78.4% had moderately low health behaviour. The majority (70.8%) of these patients were elderly. High recurrence risk perception and high perceived social support were significantly associated with better health behaviour (all p<0.001). Perceived social support mediated the relationship between recurrence risk perception and health behaviour after controlling for age, gender, education and monthly income in the regression model (95% CI 0.263 to 0.460) and the effect value was 0.360. It was also confirmed that perceived social support had the highest mediation effect with a proportion of mediation up to 59.31%.
conclusionsRecurrence risk perception and perceived social support were influential factors in promoting health behaviour. Moreover, the impact of recurrence risk perception on health behaviour was partially mediated by perceived social support. Therefore, to enhance the sustainability of health behaviour, it is crucial to inform patients with stroke about the risk of recurrence. Patients with more perception of recurrence risk can improve their recovery confidence and thus perceive more social support.
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