Evidence map›Paper›PMID 40753205›Full record

ArticleBMC public health2025

Knowledge, attitudes, and practices regarding heart failure among Chinese patients: a cross-sectional study.

Ping Jin, Zhisong Shu, Kun Cui, Zhenhong Ou, Hongping Li, Yuhui Luo

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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ping JinChongqing General Hospital, Chongqing, 401147, China.
Zhisong ShuChongqing General Hospital, Chongqing, 401147, China.
Kun CuiChongqing General Hospital, Chongqing, 401147, China. doccuikun1108@163.com.
Zhenhong OuChongqing General Hospital, Chongqing, 401147, China.
Hongping LiChongqing General Hospital, Chongqing, 401147, China.
Yuhui LuoChongqing General Hospital, Chongqing, 401147, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding patients’ knowledge, attitudes, and practices is essential for effective heart failure (HF) management, as these factors significantly influence self-care behaviors, treatment adherence, and clinical outcomes. This study aimed to investigate the knowledge, attitudes, and practices (KAP) of patients with heart failure.

methodsA web-based cross-sectional study was conducted from April to May 2023 among 483 heart failure patients recruited through convenience sampling. Inclusion criteria encompassed a confirmed HF diagnosis and the ability to independently use mobile devices. The research employed a self-administered questionnaire, validated through expert review and pilot testing, to assess knowledge, attitudes, and practices. The overall reliability was robust (Cronbach’s α = 0.875), with subscale alphas of 0.819 for knowledge, 0.582 for attitudes, and 0.846 for practices.

resultsThe findings from 483 HF patients revealed limited knowledge (mean score: 10.75 out of 20), moderately negative attitudes (mean score: 22.93 out of 40), and relatively proactive practices (mean score: 32.21 out of 45). Higher knowledge levels and having mid-range ejection fraction emerged as significant predictors of proactive health behaviors (all P < 0.05). Structural equation modeling further demonstrated that education and marital status positively influenced knowledge, while attitudes unexpectedly showed a negative association with practices (all P < 0.05).

conclusionThis study highlights critical gaps in knowledge and attitudes among HF patients, despite some proactive practices. By leveraging a web-based platform, this research contributes to the growing literature on digital health approaches in chronic disease management, suggesting that scalable, technology-enabled education and support strategies should be integrated into HF care. Additionally, this study provides novel insights into the unexpected negative relationship between attitudes and practices, underscoring the complexity of behavioral change in HF management. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Health Knowledge, Attitudes, PracticeHeart FailureAdultAgedChinaCross-Sectional StudiesEast Asian PeopleFemaleHumansMaleMiddle AgedSelf CareSurveys and QuestionnairesAttitudeCross-sectional studyHeart failureKnowledgePatientsPractice

Identifiers

PMID40753205
PMCPMC12317643

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.