Evidence mapPaperPMID 41527148Full record

ArticleBMC psychology2026

Factors influencing a health-promoting lifestyle in participants after undergoing repeat percutaneous coronary intervention based on the Capability, Opportunity, Motivation-Behaviour model: a qualitative study.

Zhijie Cao, Fang Hou, Lina Ma, Xiaoyu Zhang, Xuefei Lu, Li Zhang

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Article in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Zhijie CaoNursing School, Xinjiang Medical University, Urumqi, 830000, China.
Fang HouThe First Affiliated Hospital of Xinjiang Medical University, Urumqi, 830000, China.
Lina MaNursing School, Xinjiang Medical University, Urumqi, 830000, China.
Xiaoyu ZhangNursing School, Xinjiang Medical University, Urumqi, 830000, China.
Xuefei LuNursing School, Xinjiang Medical University, Urumqi, 830000, China.
Li ZhangDepartment of Nursing, The First Affiliated Hospital of Xinjiang Medical University,State Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, No. 393, Liyue Mountain Avenue, Urumqi, 830000, China. meilirenshengicu@163.com.

Funding

State Key Laboratory ofPathogenesis, Prevention and Treatment of High Incidence Diseases in CentralAsia Fund (SKL-HIDCA-2023-HL4)The Project of Cultivation of Excellence Talents and Innovative Teams of the First Affiliated Hospital of Xinjiang Medical University (cxtd202414)
6 · The paper itself

Abstract

backgroundCoronary heart disease is a leading cause of global mortality, for which percutaneous coronary intervention serves as a critical revascularization strategy. Despite the recognized importance of health-promoting behaviors, participants face significant challenges in adopting and sustaining these behaviors post-procedurally. Current research predominantly focuses on primary PCI participants, leaving a gap in the systematic investigation of unique factors influencing health-promoting lifestyles specifically within the higher-risk population undergoing repeat PCI. This distinct subgroup often presents with a history of behavioral relapse, greater psychological distress, and altered risk perception, which may not be adequately addressed in standard care. Therefore, this study employs the (Capability, Opportunity, Motivation-Behaviour) model to elucidate the multifaceted barriers affecting the maintenance of a health-promoting lifestyle in this distinct participants cohort.

objectiveTo explore the factors influencing whether participants adopt a healthy lifestyle after repeat percutaneous coronary intervention, to provide healthcare professionals with a theoretical basis from which they can develop targeted intervention programmes.

methodsA descriptive phenomenological research method was used to develop an interview outline, using the Capability, Opportunity, Motivation-Behaviour model as a guide. Sixteen participants who underwent repeat coronary intervention were selected to participate in semi-structured interviews. Data were analysed using Colaizzi’s seven-step method to summarise and extract themes.

resultsCapability-related factors included inaccurate knowledge of the disease, inadequate skills to manage medication, lack of physical strength and health limitations, and poor skills for psychological and emotional adjustment. Opportunity-related factors included insufficient family and environmental support, limited access to medical resources, conflicts with regional dietary habits, and the influence of work habits. Motivation-related factors included a willingness to proactively manage health, psychological and emotional regulation, behavioural relapse, and inertia.

conclusionMultiple factors influence the adoption of health-promoting lifestyles in participants undergoing repeat percutaneous coronary intervention. Healthcare professionals need to consider several perspectives to improve participants’ knowledge of how to promote their health after surgery and reduce barriers to health-promoting behaviours. This will help improve the overall health of participants in this population.

Indexed as

Health BehaviorHealth PromotionHealthy LifestyleMotivationPercutaneous Coronary InterventionAgedFemaleHumansMaleMiddle AgedModels, PsychologicalQualitative ResearchCOM-B modelHealth-promoting lifestyleInfluencing factorsPost percutaneous coronary interventionQualitative research

Identifiers

PMID41527148
PMCPMC12879438

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.