The role of supportive networks in shaping health behavior after acute myocardial infarction

The role of supportive networks in shaping health behavior after acute myocardial infarction | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Article The role of supportive networks in shaping health behavior after acute myocardial infarction György Jóna, Anita Rusinné Fedor, Sarafat Hossain, Ágota Barabás, and 2 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-6821947/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 8 You are reading this latest preprint version Abstract This study investigated how perceived social support (PSS) influences six key health behaviors (smoking cessation, alcohol reduction, healthy eating, regular physical activity, effective stress management, and adherence to prescribed medication) one year after acute myocardial infarction (AMI). It also examined which types of PSS and which network members most effectively promote these health behavior changes. Primary data were collected in Hungary (n=151) using snowball sampling. Results showed that smoking cessation was significantly associated with spousal presence (OR=7.68, p=0.03, 95% CI [4.94–11.61]) and appraisal support (4.88 [2.21–9.33]). Alcohol reduction was linked to spousal presence (3.17 [1.78–6.03]) and informational support (6.38 [4.02–10.03]). Healthy nutrition was associated with spousal presence (6.38 [3.28–11.52]) and appraisal support (8.43 [5.04–16.30]). Regular physical activity correlated with the presence of a companion animal (6.28 [3.54–13.39]) and emotional support (4.37 [3.11–9.56]). Stress management was associated with companion animal presence (7.89 [3.23–14.52]) and emotional support (8.69 [5.38–17.29]). Medication adherence was linked to physician presence (9.32 [5.66–18.50]) and informational support (6.95 [4.29–15.07]). These findings highlighted the multifaceted role of PSS and specific social ties, particularly spouses, physicians, companion animals, and children in shaping health behavior following AMI. Health sciences/Health care/Public health Health sciences/Health care/Quality of life acute myocardial infarction perceived social support supportive social network health behavior change companion animals psychosocial determinants Full Text Additional Declarations No competing interests reported. Table 1 and 2 are available in the Supplementary Files section. Supplementary Files Table1.docx Table2AMIregressionanalysis.xlsx Cite Share Download PDF Status: Under Review Version 1 posted Reviews received at journal 26 Oct, 2025 Reviewers agreed at journal 16 Oct, 2025 Reviewers agreed at journal 16 Oct, 2025 Reviewers invited by journal 09 Oct, 2025 Editor invited by journal 11 Jun, 2025 Editor assigned by journal 09 Jun, 2025 Submission checks completed at journal 07 Jun, 2025 First submitted to journal 04 Jun, 2025 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-6821947","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Article","associatedPublications":[],"authors":[{"id":532875990,"identity":"6e4e8784-1b47-4f75-8ea3-88884feda18d","order_by":0,"name":"György Jóna","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAABEElEQVRIiWNgGAWjYBACxgYk9gMGhgSwmARQOIEYLcwGDAlEaEEGbBIQLQwMeLUwt/ce/MDw67Ccef8as4qPP9IYDG43N974uIMhz+AADof1nEuWYOw7bCxz443ZzRkJOQwGdw42W848w1CMU8uMHAMJxp7DiTMkzpjd5kmoYDC4kdgmzdvGkLgBtxbjHzAtxX9gWv7i12ImwfADqIW/x4yZAeQwkBZGfFp6zphZJDakG0tIsBVL9qSl8UjeSGy27D0jkTgThxbD9h7jGx/+WMtJ8B/e+OGHTbIc3430hzd+7rBJ7MOlpQFIJLY1A+MiwwAkwAOVkMCuHgjkweSfOgYG/uMPcKoaBaNgFIyCkQ0AwUpmdMcQcXYAAAAASUVORK5CYII=","orcid":"","institution":"University of Debrecen","correspondingAuthor":true,"prefix":"","firstName":"György","middleName":"","lastName":"Jóna","suffix":""},{"id":532875991,"identity":"8b6f9027-672f-4cef-80e0-43cc5d2d8b4b","order_by":1,"name":"Anita Rusinné Fedor","email":"","orcid":"","institution":"University of Debrecen","correspondingAuthor":false,"prefix":"","firstName":"Anita","middleName":"Rusinné","lastName":"Fedor","suffix":""},{"id":532875992,"identity":"223ddcb2-a7ab-436c-9d1e-e73465395764","order_by":2,"name":"Sarafat Hossain","email":"","orcid":"","institution":"University of Alabama","correspondingAuthor":false,"prefix":"","firstName":"Sarafat","middleName":"","lastName":"Hossain","suffix":""},{"id":532875994,"identity":"7ca486c6-3ed2-45d6-892e-24c4e25e4803","order_by":3,"name":"Ágota Barabás","email":"","orcid":"","institution":"University of Debrecen","correspondingAuthor":false,"prefix":"","firstName":"Ágota","middleName":"","lastName":"Barabás","suffix":""},{"id":532875996,"identity":"65ca54a8-9d32-4a9b-96ef-3e95882ccc71","order_by":4,"name":"Anita K. 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