ArticleRisk management and healthcare policy2025
Influence of Negative Attentional Bias on Self-Management and Health-Promoting Behaviors in Orthopedic Patients with Chronic Refractory Wounds: A Structural Equation Modeling Approach.
Article in Risk management and healthcare policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: This study aimed to investigate the status of negative information attentional bias, self-management, and health-promoting behaviors among patients with chronic refractory wounds receiving orthopedic care. Additionally, the study sought to construct a structural equation model (SEM) to evaluate the influence of negative attentional bias on self-management and health-promoting behaviors, with the intent of informing the clinical implementation of evidence-based health behavior education programs. Methods: A total of 226 patients with chronic refractory wounds under orthopedic treatment at a single institution between January 2020 and December 2022 were enrolled in this study. Data were collected using a general information questionnaire, the Negative Cognitive Processing Bias Questionnaire, the Chronic Disease Self-Management Scale (CDSMS), and the Health-Promoting Lifestyle Profile II (HPLP-II). Pearson's correlation analysis was conducted to assess associations among negative attentional bias, self-management, and health-promoting behaviors. SEM using Amos 21.0 was conducted to examine potential mediating effects. Results: Health-promoting behaviors demonstrated a positive correlation with self-management and a negative correlation with negative attentional bias. Furthermore, self-management was negatively correlated with negative attentional bias (all Conclusion: Negative attentional bias mediates the association between self-management and health-promoting behaviors among patients with chronic refractory wounds receiving orthopedic care. These findings suggest that enhancing self-management may improve engagement in health-promoting behaviors by reducing the influence of negative attentional bias.
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