{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T13:51:03Z","timestamp":1791899463244,"version":"4.3.4"},"reference-count":53,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T00:00:00Z","timestamp":1747699200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Stroke often leads to functional impairment in patients and carries a risk of recurrence. Therefore, it is crucial for post-stroke patients to proactively pursue self-management behaviors that foster functional recovery and prevent recurrent strokes, such as keeping a balanced diet or exercising. The implementation of self-management behaviors requires the combined influence of internal and external factors, which have not been fully explored. This study aimed to investigate the level of self-management behaviors in post-stroke patients and to explore the impact of chronic illness resources, fear of recurrence, hope, and health locus of control on these behaviors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross-sectional study was conducted among 262 post-stroke patients from a tertiary hospital in Sichuan, China. The scores of the Self-management Behavior Scale for Post-stroke patients, the Chronic Illness Resource Scale, the Fear of Recurrence Inventory Short Form, the Herth Hope Index, and the Multidimensional Health Locus of Control were collected. Multiple linear regression was ultimately used to determine the predictors of self-management behaviors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean score of the Self-management Behavior Scale for Post-stroke patients was 92.23 \u00b1 14.61, with the item mean score of 3.55 \u00b1 0.56. Approximately 56.2% of the variation in self-management behaviors in post-stroke patients could be explained by educational level (\u03b2 = 0.222, <jats:italic>P<\/jats:italic> &amp;lt; 0.001), rehabilitation training (\u03b2 = 0.444, <jats:italic>P<\/jats:italic> &amp;lt; 0.001), physician\/health care team resources (\u03b2 = 0.139, <jats:italic>P<\/jats:italic> = 0.007), family and friends resources (\u03b2 = 0.160, <jats:italic>P<\/jats:italic> = 0.003), personal resources (\u03b2 = 0.182, <jats:italic>P<\/jats:italic> = 0.002), fear of recurrence (\u03b2 = \u20130.145, <jats:italic>P<\/jats:italic> = 0.001), internal locus of control (\u03b2 = 0.181, <jats:italic>P<\/jats:italic> &amp;lt; 0.001), and chance health locus of control (\u03b2 = \u20130.141, <jats:italic>P<\/jats:italic> = 0.004).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The self-management of post-stroke patients was moderate, with emotional management and utilization of resources being the weaknesses. Patients\u2019 coping abilities, the establishment of a positive psychological locus of control, and the development of a realistic yet constructive recurrence risk perception were beneficial for their self-management. In addition, professional rehabilitation treatment and enhanced support from chronic illness resources such as medical staff and family and friends were also important.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2025.1598945","type":"journal-article","created":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T10:15:48Z","timestamp":1747736148000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":12,"title":["The impact of chronic illness resources, fear of recurrence, hope, and health locus of control on self-management behaviors in post-stroke patients: a cross-sectional study"],"prefix":"10.3389","volume":"12","author":[{"given":"Jingxia","family":"Cheng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaolian","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xi","family":"Liao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lili","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Qin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongying","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,5,20]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"973","DOI":"10.1016\/S1474-4422(24)00369-7","article-title":"Global, regional, and national burden of stroke and its risk factors, 1990\u20132021: A systematic analysis for the Global burden of disease study 2021.","volume":"23","author":"Feigin","year":"2024","journal-title":"Lancet Neurol."},{"key":"B2","doi-asserted-by":"publisher","first-page":"565","DOI":"10.3969\/j.issn.1672-5921.2024.08.009","article-title":"Brief report on stroke center in China, 2022.","volume":"21","year":"2024","journal-title":"Chinese J Cerebrovasc Dis."},{"key":"B3","doi-asserted-by":"publisher","first-page":"952","DOI":"10.1016\/S1474-4422(24)00363-6","article-title":"Global burden of stroke: Dynamic estimates to inform action.","volume":"23","author":"Wu","year":"2021","journal-title":"Lancet Neurol."},{"key":"B4","doi-asserted-by":"publisher","first-page":"441","DOI":"10.4103\/wjtcm.wjtcm_32_20","article-title":"Risk factors associated with recurrence within 90 days of ischemic stroke onset in Chinese medicine hospital: A national cross-sectional study in China.","volume":"6","author":"Gao","year":"2020","journal-title":"World J Traditional Chinese Med."},{"key":"B5","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1016\/j.brainresbull.2021.07.020","article-title":"Case-fatality, disability and recurrence rates after first-ever stroke: A study from bigdata observatory platform for stroke of China.","volume":"175","author":"Tu","year":"2021","journal-title":"Brain Res Bull."},{"key":"B6","doi-asserted-by":"publisher","first-page":"105935","DOI":"10.1016\/j.jstrokecerebrovasdis.2021.105935","article-title":"Recurrent ischemic stroke - A systematic review and meta-analysis.","volume":"30","author":"Kolmos","year":"2021","journal-title":"J Stroke Cerebrovasc Dis."},{"key":"B7","first-page":"226","article-title":"Behavioral contributions to rehabilitation and childhood asthma.","volume":"37","author":"Creer","year":"1976","journal-title":"Rehabil Lit."},{"key":"B8","first-page":"385","article-title":"Health care management strategies of long-term dialysis survivors.","volume":"28","author":"Curtin","year":"2001","journal-title":"Nephrol Nurs J."},{"key":"B9","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1016\/s0738-3991(02)00032-0","article-title":"Self-management approaches for people with chronic conditions: A review.","volume":"48","author":"Barlow","year":"2002","journal-title":"Patient Educ Couns."},{"key":"B10","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1177\/1090198104263660","article-title":"Health promotion by social cognitive means.","volume":"31","author":"Bandura","year":"2004","journal-title":"Health Educ Behav."},{"key":"B11","doi-asserted-by":"publisher","first-page":"223","DOI":"10.3109\/09638288.2014.918187","article-title":"How is self-management perceived by community living people after a stroke? 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