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April 12, 2026Frontiers in Public HealthOpen Access

The interplay between knowledge and self-efficacy in hypertension management: a cross-sectional analysis of lifestyle factors among Saudi patients

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Why the study?

Hypertension control is low in Saudi adults, and the relationship between knowledge of lifestyle factors and self-efficacy in hypertension management remains underexplored in Middle Eastern populations.

Population

180 hypertensive patients from specialized cardiac centers in Northern Saudi Arabia

Design

Cross-sectional analytical study

Authors

FMFathia Ahmed MersalNMNahed Ahmed MersalAAAbdulkarim Awayd H Alenezi

Discussion

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Overview

May warrant education-tailored lifestyle interventions for hypertension self-efficacy; extends observational data but leaves causality open.

Key Points

  • This study aims to explore the relationship between knowledge of lifestyle factors and self-efficacy in managing hypertension among Saudi patients.
  • Conducted a cross-sectional analytical study with 180 hypertensive patients from cardiac centers in Northern Saudi Arabia.
  • Utilized validated Arabic instruments: the Hypertension Knowledge Assessment Tool (HKAT) and the Hypertension Self-Efficacy Scale (HSES).
  • Employed hierarchical multiple regression to identify predictors of self-efficacy and examined moderating factors through subgroup analyses.
  • Only 30% of participants achieved satisfactory knowledge scores regarding hypertension management.
  • 52.2% of participants showed adequate self-efficacy, with varying levels across behaviors like exercise and medication adherence.
  • Lifestyle management knowledge was identified as the strongest predictor of self-efficacy, explaining 25.4% of variance in the regression model.

Structured PICO

P
Population
180 hypertensive patients recruited from specialized cardiac centers in Northern Saudi Arabia, mean age 52.8±12.4 years, 67.8% female.
O
Outcome
Association between knowledge of lifestyle factors (measured by Hypertension Knowledge Assessment Tool) and self-efficacy (measured by Hypertension Self-Efficacy Scale) in hypertension managementpatient reported

Disease-specific knowledge is a strong predictor of self-efficacy in hypertension management among Saudi patients, with the relationship being stronger in those with higher educational attainment.

Cite This Study

Mersal et al. (2026) studied this question.

synapsesocial.com/papers/69db35be4fe01fead37c447ehttps://doi.org/10.3389/fpubh.2026.1794111
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Global strategies for hypertension prevention: evidence from lifestyle and policy interventions (2010–2025)2026 · 3 citations
  2. 2Prevalence, Awareness, Treatment and Control of Hypertension in Indonesian Adults Aged ≥40 Years: Findings from the Indonesia Family Life Survey (IFLS)2016 · 127 citations
  3. 3The impact of psychological factors on hypertension and its psychological intervention in pilot selection candidates2025 · 4 citations
  4. 4Evaluation of hypertension knowledge and its association with medication adherence among hypertensive patients attending primary health centers: a cross-sectional study from eastern Saudi Arabia2025 · 14 citations
  5. 5The Dynamic Interplay of Lifestyle, Dietary Factors, and Cardiometabolic Risk in Hypertension: A Cross-Sectional Investigation Among Saudi Adults2025 · 4 citations