{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T04:53:44Z","timestamp":1791176024821,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100021771","name":"Student Research Committee, Tabriz University of Medical Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100021771","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine the mediating role of cardiac self\u2010efficacy in the relationship between patient empowerment and medication adherence among patients with coronary artery disease (CAD) and to identify which empowerment sub\u2010dimensions are most prominent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional correlational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A convenience sample of adults attending a cardiology clinic completed validated versions of the Coronary Artery Disease Empowerment Scale (CADES), Cardiac Self\u2010Efficacy Scale and Morisky Medication Adherence Scale. Data were analysed using Spearman's correlations, ordinal logistic regression and path analysis with bootstrap mediation testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Positive correlations were found among empowerment, self\u2010efficacy and adherence. Regression analysis showed that cardiac self\u2010efficacy predicted adherence, while empowerment did not directly predict adherence. Path analysis confirmed that self\u2010efficacy mediates the empowerment\u2010adherence relationship. The self\u2010determination subscale of empowerment was the strongest predictor of self\u2010efficacy, whereas personal competence was not significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patient empowerment enhances medication adherence indirectly by building cardiac self\u2010efficacy, primarily through fostering patient autonomy rather than merely providing knowledge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>Nurse\u2010led strategies should target cardiac self\u2010efficacy. Motivational interviewing and autonomy\u2010supportive interventions may be more effective than traditional education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>What problem did the study address? The study addressed the gap in understanding the nurse\u2010led interventions that translate patient empowerment into actual medication adherence behaviours.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>What were the main findings? Self\u2010efficacy acts as the essential bridge between empowerment and adherence and this bridge is built most effectively through self\u2010determination rather than personal competence.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Where and on whom will the research have an impact? These results will impact clinical nurses, nurse educators and healthcare professionals involved in cardiac care by highlighting that nurse\u2010led counselling strategies and autonomy\u2010supportive interventions may be more effective for improving medication.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>We adhered to the STROBE guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No Patient or Public Contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70837","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T04:46:53Z","timestamp":1791175613000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cardiac Self\u2010Efficacy Mediates the Relationship Between Patient Empowerment and Medication Adherence: A Path Analysis in Patients With Coronary Artery Disease \u2010 Empirical Research Quantitative"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2367-3577","authenticated-orcid":false,"given":"Atefeh","family":"Allahbakhshian","sequence":"first","affiliation":[{"name":"Department of Medical Surgical Nursing Tabriz University of Medical Sciences  Tabriz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatemeh","family":"Hashempour","sequence":"additional","affiliation":[{"name":"Student Research Committee Tabriz University of Medical Sciences  Tabriz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8565-3532","authenticated-orcid":false,"given":"Samin","family":"Saiyadani","sequence":"additional","affiliation":[{"name":"Student Research Committee Tabriz University of Medical Sciences  Tabriz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4213-5152","authenticated-orcid":false,"given":"Parvin","family":"Sarbakhsh","sequence":"additional","affiliation":[{"name":"Department of Statistic and Epidemiology Tabriz University of Medical Sciences  Tabriz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7905-3962","authenticated-orcid":false,"given":"Masood","family":"Mohammadnezhad","sequence":"additional","affiliation":[{"name":"Education and Life Sciences Birmingham City University  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0867-9996","authenticated-orcid":false,"given":"Fatemeh","family":"Radimaher","sequence":"additional","affiliation":[{"name":"Student Research Committee Tabriz University of Medical Sciences  Tabriz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,4]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2020.06.014"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2021.06.014"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.11.034"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15328007SEM0901_5"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.52.1.1"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.23942"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0033805"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1214\/ss\/1177011136"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.632"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010023\u201001308\u20107"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.870"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2020.02.017"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2018.06.010"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40200\u2010022\u201001047\u20107"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872\u2010024\u201004369\u2010x"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/life13051153"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875\u2010018\u20100749\u2010y"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/10547738211003387"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/18\u2010033"},{"key":"e_1_2_14_21_1","volume-title":"Principles and Practice of Structural Equation Modeling","author":"Kline R. 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