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September 18, 2026HealthcareOpen Access

Assessment of Lifestyle Self-Efficacy and Knowledge of Myocardial Infarction Symptoms Among Hypertensive Adults in Saudi Arabia: A Cross-Sectional Study

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Population

523 adult hypertensive patients recruited from community and outpatient settings across Saudi Arabia

Design

Cross-sectional

Key result

Hypertensive adults demonstrated moderate lifestyle self-efficacy (score 50.33 ± 12.24) but limited knowledge of MI symptoms (score 3.47 ± 3.84 out of 12).

Authors

FAFahad Beshr AlmughirahAAAseel Abdulhafitd AlharbiKAKhalid Mohammed Aloufi

Discussion

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Overview

Hypertensive adults may need targeted MI symptom education; leaves open whether addressing knowledge gaps improves outcomes or self-efficacy.

Key Points

  • To evaluate lifestyle modification self-efficacy and myocardial infarction symptom knowledge among adults diagnosed with hypertension.
  • Conducted a cross-sectional study from February to December 2025 among hypertensive adults recruited via convenience sampling from community and outpatient clinics in Saudi Arabia (N=523).
  • Administered the Self-Efficacy subscale from the Hypertension Self-Care Profile and a 12-item myocardial infarction symptom knowledge questionnaire.
  • Analyzed associations and predictive factors using nonparametric statistical tests and multivariable linear regression.
  • Participants exhibited moderate lifestyle self-efficacy (mean score: 50.33 ± 12.24) but limited knowledge of myocardial infarction symptoms (mean score: 3.47 ± 3.84 out of 12).
  • Higher symptom knowledge was significantly associated with female sex and the presence of comorbidities (p < 0.05), whereas older age correlated with higher lifestyle self-efficacy (p < 0.05).
  • Multivariable linear regression models revealed limited overall explanatory power for determining symptom knowledge and lifestyle self-efficacy levels.

Study Design

Type

Cross-Sectional (n=523)

Multicenter

Yes

Structured PICO

P
Population
523 adult hypertensive patients from community and outpatient settings across Saudi Arabia.
O
Outcome
Lifestyle self-efficacy score (Self-Efficacy subscale from the Hypertension Self-Care Profile) and knowledge of MI symptoms (12-item scale)patient reported

Hypertensive patients in Saudi Arabia demonstrate moderate confidence in lifestyle management but limited awareness of MI symptoms, indicating a need for targeted educational interventions.

Cite This Study

Almughirah et al. (2026) conducted a cross-sectional in Hypertension (n=523). Demographic and clinical factors was evaluated on Lifestyle self-efficacy and knowledge of MI symptoms. Hypertensive adults demonstrated moderate lifestyle self-efficacy (score 50.33 ± 12.24) but limited knowledge of MI symptoms (score 3.47 ± 3.84 out of 12).

synapsesocial.com/papers/6aad0afede0393d728b89477https://doi.org/10.3390/healthcare14183049
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