{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T13:31:36Z","timestamp":1790947896343,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,7,21]],"date-time":"2016-07-21T00:00:00Z","timestamp":1469059200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Swedish Heart and Lung Association","award":["E103\/13; E090\/14"],"award-info":[{"award-number":["E103\/13; E090\/14"]}]},{"name":"Region Ostergotland","award":["LIO-433801"],"award-info":[{"award-number":["LIO-433801"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Spousal concordance on risk factors and lifestyle habits exists and can partly be explained by patients' and spouses\u2019 health beliefs and underuse of cardiac rehabilitation. However, there have been very few qualitative comparisons of health beliefs between patients and spouses after a cardiac event.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To examine and qualitatively compare the health beliefs of patients with coronary heart disease and their spouses about lifestyle habits, 1 year after the cardiac event.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Explorative and descriptive.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Semi\u2010structured focus group interviews were conducted with patients (n = 14) 1 year after a cardiac event, as well as individual interviews with spouses (n = 8). The transcriptions underwent a deductive qualitative content analysis, within the framework of the Health Belief Model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Patients' and spouses\u2019 health beliefs about lifestyle habits qualitatively differed in most predetermined main analytical categories of the Health Belief Model. The patients relied more on their own capacity and the healthcare system than on collaboration with their spouses who instead emphasised the importance of mutual activities to establish lifestyle habits. The spouses therefore experienced problems with different family preferences compared to the patients' wishes. Moreover, only patients believed supervised exercise was <jats:italic>beneficial<\/jats:italic> for risk reduction of coronary heart disease and they related <jats:italic>barriers<\/jats:italic> for medication to a self\u2010healing body and a meaningless life without relatives and old habits. Patients and spouses agreed that despite the <jats:italic>severity of<\/jats:italic> illness, life was captured and that normalisation to a life as usual was possible.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The patients' and spouses\u2019 qualitatively different health beliefs regarding health\u2010related behaviours imply a new approach. Nurses and associated professionals need to follow\u2010up patients' and spouses\u2019 in primary health care to support them in a tailored way, for example in problem\u2010based sessions. Recognition and understanding of their different views and otherness could lead to compromises and goals to work with.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scs.12351","type":"journal-article","created":{"date-parts":[[2016,7,21]],"date-time":"2016-07-21T05:29:15Z","timestamp":1469078955000},"page":"332-341","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Health beliefs about lifestyle habits differ between patients and spouses 1 year after a cardiac event \u2013 a qualitative analysis based on the Health Belief Model"],"prefix":"10.1111","volume":"31","author":[{"given":"Anita K\u00e4rner","family":"K\u00f6hler","sequence":"first","affiliation":[{"name":"Department of Social and Welfare Studies Div. Nurs. Sci. 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