{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T12:59:19Z","timestamp":1791377959895,"version":"4.3.2"},"reference-count":62,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2022,1,3]],"date-time":"2022-01-03T00:00:00Z","timestamp":1641168000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["71673168"],"award-info":[{"award-number":["71673168"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To explore the association between self\u2010efficacy and self\u2010management by modelling three types of social support as mediators among stroke high\u2010risk populations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Self\u2010efficacy and social support (i.e. objective support, subjective support and support utilisation) are important for self\u2010management among stroke high\u2010risk populations. Self\u2010efficacy activates three types of social support, and the effect of social support on self\u2010management varies by types among chronic patients. Therefore, social support may act as a mediator between self\u2010efficacy and self\u2010management, and the mediating role may vary by types of social support. Disentangling the role of these different types of social support can guide tailored interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study was conducted among 448 Chinese adults at high risk for stroke. Self\u2010efficacy, self\u2010management and social support were assessed using the Self\u2010Efficacy Scale, the Stroke Self\u2010management Scale and the Social Support Rating Scale respectively. The PROCESS SPSS Macro version 3.3, model 4 was used to explore the mediating role of different types of social support in the relationship between self\u2010efficacy and self\u2010management. This study followed STROBE checklist for cross\u2010sectional studies (Appendix <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#jocn16191-sup-0001\">S1<\/jats:ext-link>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Self\u2010efficacy improved three types of social support, and subjective support and support utilisation promoted self\u2010management, but objective support hindered self\u2010management. The specific indirect effect of objective support and subjective support was significant but not that of support utilisation. Objective support, subjective support and support utilisation attenuated the total effect of self\u2010efficacy on self\u2010management by \u221223.8%, 23.8% and 7.7% respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Mediating effect of social support in the relationship between self\u2010efficacy and self\u2010management varies by type, and the positive effect of subjective support is offset by the detrimental effect of objective support.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Among stroke high\u2010risk populations, interventions should target objective support and subjective support as well as self\u2010efficacy to efficiently improve their self\u2010management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16191","type":"journal-article","created":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T04:39:05Z","timestamp":1641271145000},"page":"71-82","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Association between self\u2010efficacy and self\u2010management behaviours among individuals at high risk for stroke: Social support acting as a mediator"],"prefix":"10.1111","volume":"32","author":[{"given":"Qinqin","family":"Liu","sequence":"first","affiliation":[{"name":"School of Nursing Peking University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaru","family":"Jin","sequence":"additional","affiliation":[{"name":"School of Nursing Peking University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Wang","sequence":"additional","affiliation":[{"name":"Liaocheng 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