Abstract WMP15: Health Belief And Exercise Adherence Of Young And Middle-aged Stroke Patients: A Moderated Mediation Model Of Planning And Exercise Self-efficacy

Abstract

Background: Health belief and exercise self-efficacy are meaningful protective factors that help individuals maintain health. However, few studies have explored their impact on planning and exercise adherence. Purpose: To explore the mediating role of planning in the impact of health beliefs on exercise compliance in young and middle-aged stroke patients, and the regulatory role of exercise self-efficacy in this mediating model. Method: Convenience sampling method was used to select 369 young and middle-aged patients with hemorrhagic stroke from 3 Grade A hospitals in China from July 2021 to May 2022. General data questionnaire, stroke health belief Scale, exercise self-efficacy scale, exercise plan scale and functional exercise compliance scale were used to investigate. Results: Health belief was positively correlated with exercise self-efficacy, planning and exercise compliance ( r =0.136, 0.531, 0.529, all P <0.01). The indirect effect of health belief on exercise compliance in young and middle-aged stroke patients was 0.206 (95% CI : 0.158-0.259), and the direct effect was 0.167 (95% CI : 0.106-0.229), indicating that planning played an intermediary role between health belief and exercise compliance, accounting for 55.23%. Using the PROCESS macro (model 8) test, it was found that sports self-efficacy had a regulating effect, and had a significant interaction between planning and sports compliance( β =0.009, 95% CI : 0.001-0.018; β =0.008, 95% CI : 0.001-0.014). Conclusion: Health beliefs and plans can improve the exercise compliance of young and middle-aged stroke patients, and this benefit is related to exercise self-efficacy. We should enhance the health beliefs of patients, improve their exercise self-efficacy, encourage them to make exercise plans, and then improve their exercise compliance.