Predicting lymphedema self‐management behaviours in breast cancer patients: A structural equation model with the Integrated Theory of Health Behaviour Change

• DOI: 10.1111/jan.15759
• Publication Date: 2023-06-26T11:43:22Z
• Authors: Aomei Shen; Peipei Wu; Wanmin Qiang; Xin Fu; Fangfang Wang; Fei Zhu; Lisha Pang; Lichuan Zhang; Qian Lu
• Keywords: Cross-Sectional Studies; Self-Management; Health Behavior; 1. No poverty; Humans; Female; Breast Neoplasms; Life Course Perspective; Lymphedema; 3. Good health

Abstract Aims To explore predictors of lymphedema self‐management behaviours among Chinese breast cancer survivors based on the Integrated Theory Health Behaviour Change, and to clarify interrelationship these variables. Design Further analysis a multicentre cross‐sectional survey‐based study. Methods A total 586 participants with were recruited from December 2021 April 2022 in different cities China. We used self‐reported questionnaires collect data. Descriptive analysis, bivariate structural equation model performed. Results The Change is suitable for predicting behaviours. final showed good fit. Social support, self‐efficacy knowledge positively affected behaviours, directly indirectly. Self‐regulation acted as crucial mediator between variables self‐management. direct path social support self‐regulation was not significant. Lymphedema also influenced via illness perception, self‐regulation, sequentially. These explained 55.9% variance Conclusions modified fitted well patients. knowledge, self‐efficacy, indirectly Impact This study provides theoretical basis assessment interventions should be assessed regularly comprehensively, taking into consideration identify potential barriers. research needed effective integrating significant predictors. Reporting Method reported following Strengthening Observational Studies Epidemiology (STROBE) checklist studies. Patient or Public Contribution No patient public contributed design conduct study, interpretation data, preparation manuscript. What Does Paper Contribute Wider Global Clinical Community? focused identifying mechanism theory behaviour change. results can applied patients other chronic diseases high‐risk populations, inspire facilitating Study Registration registered an observational at Trial Registry: http://www.chictr.org.cn (ChiCTR2200057084). Implications Profession and/or Care For poor behaviour, attention raised nurses involved healthcare staffs that multi‐faced. Strategies targeted improving perception addressed programs, facilitate more improvement