ArticleWomen's health nursing (Seoul, Korea)2026
Structural model of health-promoting behavior in middle-aged Korean women with hypertension based on the Information-Motivation-Behavioral Skills model: a cross sectional study.
Article in Women's health nursing (Seoul, Korea), 2026. 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
purposeThis study aimed to develop and evaluate a hypothetical model of health-promoting behaviors among middle-aged women with hypertension, guided by the Information-Motivation-Behavioral Skills (IMB) framework. The endogenous variables were self-efficacy in chronic disease management and health-promoting behaviors, and the exogenous variables were hypertension-related knowledge, eHealth literacy, health attitudes, and social support.
methodsThis cross-sectional study used an online structured questionnaire. A total of 331 middle-aged women diagnosed with hypertension participated. Data were analyzed using IBM SPSS ver. 25.0 and IBM SPSS AMOS ver. 25.0 to test the hypothesized model and evaluate model fit.
resultsThe proposed model showed satisfactory fit to the data. Of the nine hypothesized pathways, six were statistically significant. Hypertension-related knowledge, social support, and self-efficacy in chronic disease management had significant direct effects on health-promoting behaviors. In contrast, eHealth literacy and health attitudes did not have statistically significant direct effects on health-promoting behaviors. Health attitudes and social support had significant indirect and total effects on health-promoting behaviors. The model explained 60.4% of the variance in health-promoting behaviors, indicating the importance of hypertension-related knowledge, health attitudes, social support, and self-efficacy in chronic disease management.
conclusionThe findings suggest that the proposed IMB-based model may help explain health-promoting behaviors among middle-aged women with hypertension. The results indicate that self-efficacy in chronic disease management may link motivational factors to behavioral outcomes and may inform future intervention research aimed at promoting health behavior change in this population.
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