Cardiovascular

Analysis of the potential profile and influencing factors of health behavior protection motivation in patients with unruptured intracranial aneurysms based on protection motivation theory.

TL;DR

Health behavior protection motivation among UIA patients was generally moderate and heterogeneous, falling into three latent profiles (low 21.0%, moderate 53.0%, high 26.0%), with educational level, sleep quality, smoking, alcohol consumption and health-promoting lifestyle (HPLP-II) score influencing profile membership.

Key Findings

UIA patients had moderate overall levels of health behavior protection motivation and health-promoting lifestyle.

  • Total protection motivation score was 81.96 ± 15.41 points.
  • Total HPLP-II (health promotion) score was 126.83 ± 30.78 points.
  • Convenience sample of 300 UIA patients from a Grade A tertiary hospital in Jiangxi Province, surveyed July–December 2025.

Protection motivation was strongly positively correlated with health-promoting lifestyle.

  • Pearson correlation between total protection motivation score and total HPLP-II score was r = 0.73, p < 0.001.
  • Total scores of each protection motivation dimension were also positively correlated with the HPLP-II total score (p < 0.001).

Latent profile analysis identified three distinct profiles of protection motivation among UIA patients.

  • Low protective motivation group: 21.0%.
  • Moderate protective motivation group: 53.0%.
  • High protective motivation group: 26.0%.
  • The authors conclude that protection motivation exhibits population heterogeneity.

HPLP-II scores differed significantly across the three latent profiles.

  • One-way ANOVA: F(2, 297) = 136.459, p < 0.001.

Several demographic and lifestyle characteristics differed significantly across profiles.

  • Chi-square tests showed significant differences in educational level, sleep quality, smoking, alcohol consumption, and comorbid chronic diseases.
  • Reported χ² = 7.693–60.171, df = 2–4, all p < 0.05.

For membership in the moderate versus (reference) group, higher education, better sleep quality and higher HPLP-II score were facilitators, whereas smoking and alcohol consumption were barriers.

  • Educational level: OR = 6.997, 95% CI 2.053–23.850.
  • Sleep quality: OR = 5.069, 95% CI 1.644–15.626.
  • HPLP-II total score: OR = 1.078, 95% CI 1.051–1.105.
  • Smoking: OR = 0.357, 95% CI 0.138–0.928; alcohol consumption: OR = 0.103, 95% CI 0.053–0.201.
  • Analysis used multinomial logistic regression.

For the high protection motivation group, educational level and HPLP-II score were facilitators and alcohol consumption was a barrier.

  • Educational level: OR = 8.010, 95% CI 1.855–34.597.
  • HPLP-II total score: OR = 1.147, 95% CI 1.113–1.183.
  • Alcohol consumption: OR = 0.101, 95% CI 0.047–0.218.

The authors propose that stratified, personalized interventions based on latent profile characteristics could enhance protection motivation and health-promoting behaviors in UIA patients.

  • Goal is to reduce aneurysm rupture risk and improve long-term prognosis.
  • Rupture of UIA is described as the third leading cause of cerebrovascular morbidity and mortality, with a disability rate of 36–58%.

What This Means

This study surveyed 300 people with unruptured brain aneurysms at one hospital in China to see how motivated they were to protect their health through healthy behaviors. Using Protection Motivation Theory, which looks at how people respond to perceived threats, the researchers found that motivation and healthy lifestyle scores were generally moderate. People who were more motivated also tended to have healthier lifestyles (a strong correlation of 0.73). Statistical grouping showed that patients did not all look alike: about 21% had low motivation, 53% moderate, and 26% high. Higher education, better sleep and a healthier lifestyle score were linked with being in the moderate or high motivation groups, while smoking and drinking alcohol were linked with lower motivation. This research suggests that patients with unruptured aneurysms may benefit from care tailored to their motivation level rather than a one-size-fits-all approach. However, the study was a single-hospital convenience sample and a cross-sectional survey, so it shows associations rather than cause and effect, and it cannot show whether changing motivation would reduce rupture risk.

Have a question about this study?

Citation

Huang S, Liu Y, Xie W, Zhang C, Li X, Liu S, et al.. (2026). Analysis of the potential profile and influencing factors of health behavior protection motivation in patients with unruptured intracranial aneurysms based on protection motivation theory.. Frontiers in public health. https://doi.org/10.3389/fpubh.2026.1942155