scholarly journals The Influence of Individualised Supports on the Self-Efficacy of Employed Diabetics in Hawai'i: Findings from a Mixed Method Study

2011 ◽  
Vol 5 (2) ◽  
pp. 65-74
Author(s):  
Denise L. Uehara ◽  
Christy M. Nishita ◽  
Tammy Tom ◽  
Landry Fukunaga

Self-management is a key component of diabetes care and enhancing patient self-efficacy is an important factor. Typical diabetes education programs include strategies to increase self-efficacy, but little information exists about the effectiveness of such programs within Asian and Pacific populations. The Hawai'i Demonstration to Maintain Independence and Employment was a federally funded, community-based randomised trial in which treatment group participants received individualised life coaching and pharmacist counselling over a 12-month period. The study measured changes in diabetes self-efficacy among treatment and control group participants using repeated measures analysis of covariance. Focus group findings provided a comprehensive picture of participants' perception of their experiences in the trial and more specifically the individualised intervention. There was a significant effect of the intervention on diabetes self-efficacy at the p < .01 level [F(1, 187) = 10.40, p = .002]. These findings demonstrate the efficacy of individually tailored approaches to diabetes self-management within a diverse, employed sample.

2020 ◽  
pp. 270-278

INTRODUCTION: The enhancement of nurses’ risk perception plays a significant role in their preparedness during disasters and emergencies. Therefore, this study aimed to investigate the effect of educational workshops on disaster risk perception in nurses METHODS: This randomized controlled field trial study included 62 nurses working at Razi Hospital, Birjand, Iran. The participants were divided into intervention and control groups. The intervention group was then requested to participate in a one-day intensive educational workshop based on the current national standards. The workshop content included a combination of lecturing methods, round-table exercises, and film display. The data were collected using the demographic characteristic form and researcher-made questionnaires measuring the nurses’ risk perception during disasters and emergencies. Subsequently, the data were analyzed using independent t-test, repeated measures analysis, and Bonferroni post hoc tests. FINDINGS: The mean total score of risk perception were significantly higher in the intervention group before, immediately, and two months after the workshop session, compared to those in the control group (P˂0.001). CONCLUSION: The implementation of nurses’ national preparation program during disasters and emergencies can result in an increase in the nurses’ risk perception during these events. Therefore, regarding the importance of nurses’ preparedness in confrontation with disasters and emergencies, it seems necessary to integrate the National Preparedness Program into the educational programs immediately after recruitment and in the form of in-service courses.


2017 ◽  
Vol 46 (1) ◽  
pp. 62-76 ◽  
Author(s):  
Lia D. Falco ◽  
Jessica J. Summers

This study evaluated whether a career group intervention that incorporates the four sources of self-efficacy and addresses perceived career barriers is effective at improving the career decision self-efficacy and science, technology, engineering, and mathematics (STEM) self-efficacy for adolescent girls. Of the 88 girls in our study, 42 students were Latina and 46 were White, 40 were freshman, and 48 were sophomores attending the same high school. From this sample, 44 of these girls participated in a 9-week treatment group. Using repeated measures analysis of covariance with ethnicity and grade as covariates, results indicated that, compared with the control group ( n = 44), participants in the treatment group improved significantly on variables of career decision self-efficacy and STEM self-efficacy and increased those gains at 3-month follow-up. The discussion focuses on implications for career counseling, limitations of the study, and future research.


Author(s):  
Leonardo De Sousa Fortes ◽  
Jeferson Macedo Vianna ◽  
Delton Manoel dos Santos Silva ◽  
Marcio André Gouvea ◽  
Edilson Serpeloni Cyrino

DOI: http://dx.doi.org/10.5007/1980-0037.2016v18n3p341 The aim of this study was to analyze the effect of tapering on maximum aerobic power (VO2max) in young male indoor soccer athletes. Participants were 78 athletes aged 12-17 years randomly divided into experimental (EG) and control group (CG). Both groups did the same training planning until the last three weeks (tapering phase). Only EG performed tapering. Tapering lasted three weeks adopting the linear tapering method. VO2max was estimated by Yo-Yo intermittent Recovery Level 1 early in the season and in the last week of each. Univariate analysis of covariance (ANCOVA) was conducted for repeated measures to compare VO2max among groups according to mesocycle. The results presented effect of time (F (4.74)= 42.02, p = 0.01) and group (F (2.76) = 35.87, p = 0.01). Overall, the findings of this study suggest that the implementation of the tapering strategy in the last weeks of training is more efficient to improve VO2max than the constant maintenance of loads.


1997 ◽  
Vol 16 (3) ◽  
pp. 312-323 ◽  
Author(s):  
B. Ann Boyce ◽  
Sarah M. Bingham

The present study investigated the effect of three goal-setting groups (self-set, assigned, and control) and three levels of self-efficacy (low, medium, and high) on bowling performance of college students (N = 288). The performance/retention trials were analyzed in a 3 × 2 × 10 (Goal Conditions × Self-Efficacy Levels × Trials) ANCOVA design, with repeated measures on the last factor and baseline performance as the covariate. Results of the data analysis revealed a significant main effect for self-efficacy (SE) levels for males and females. Individuals at high and medium SE levels performed significantly better than those at a low SE level. The nonsignificant main effect for goal groups was attributed to the spontaneous goal-setting behavior of the control group. Finally, there was a main effect for trials and planned comparisons indicated that as trials progressed female students improved. Evidence of a performance plateau was present for male students, as they showed marginal improvement across trials.


2019 ◽  
pp. 9-14

Background and Aims: Generalized anxiety and depression are prevalent in patients with type 2 diabetes. Type 2 diabetes is one of the most common chronic diseases leading to many complications. This study aimed to compare the effectiveness of metacognitive therapy and behavioral activation on depression in the elderly with type 2 diabetes. Materials and Methods: This quasi-experimental study was conducted based on a pretest-posttest design using a follow-up and control group. The study population consisted of elderly with type 2 diabetes who referred to five endocrine and metabolism clinics in region 11 of Tehran, Iran, during 2017. A total of 45 males and females were selected by purposive sampling method based on the inclusion criteria. Then they were assigned randomly to one control and two case groups. The Beck Depression Inventory (Second Edition) was utilized to measure the depression scale. In total, eight 90-min group intervention sessions were held weekly. The data were analyzed in SPSS software (version 25) through analysis of covariance and repeated measures ANOVA. Results: The results showed that metacognitive therapy (F=15.07, P<0.001) and behavioral activation (F=7.09, P<0.008) were significantly effective on depression in the elderly with type 2 diabetes, and there was a significant difference between the experimental and control groups in this regard (P<0.001). Conclusions: This study was conducted to compare the effectiveness of metacognitive therapy and behavioral activation on depression in the elderly with type 2 diabetes. The results showed that metacognitive therapy and behavioral activation were significantly effective on depression in this population with type 2 diabetes. Moreover, behavioral activation was more effective than metacognitive therapy on depression reduction.


2021 ◽  
pp. 105477382110596
Author(s):  
Eunhee Jo ◽  
Soon-jung Hwang ◽  
Eun- jin Jeong ◽  
Minsun Kim

In this non-equivalent control group, non-synchronized study, we assessed the effects of an education-counseling program for young prehypertensive adults. We included 40 and 47 prehypertensive individuals in the experimental and control groups, respectively. A structured questionnaire (pretest) was used to assess prehypertension-related knowledge, attitudes, health-promoting behavior, and self-efficacy. The experimental group underwent the 8-week program, while the control group received basic prehypertension and self-management education. Subsequently, blood pressure (BP) was measured, and prehypertension-related knowledge, attitudes, health-promoting behavior, and self-efficacy were evaluated using a questionnaire (posttest). There were significant intergroup differences in knowledge ( t = 3.04, p = .003), attitudes ( t = 6.41, p < .001), behavior ( t = 11.60, p < .001), self-efficacy ( t = 11.76, p < .001), and systolic BP ( t = −5.49, p < .001); however, diastolic BP was not significantly different ( t = −0.73, p = .473). Our findings demonstrated that the program is effective in improving knowledge, attitudes, behavior, self-efficacy, and systolic BP. Therefore, it can be used to prevent progression to hypertension.


2018 ◽  
Vol 55 (4) ◽  
pp. 334-353 ◽  
Author(s):  
Chibueze Tobias Orji ◽  
Theresa Chinyere Ogbuanya

The purpose of this study was to investigate the effectiveness of problem-based and lecture-based learning environments on students’ achievement in electronic works. The design was randomized subjects with pretest and posttest control group design. The participants ( N = 148) were randomized to treatment and control conditions. Repeated measures analysis of variance and univariate analysis of variance were conducted by the researchers to compare changes across the treatment and control group participants. To test for differences in categorical data representing characteristics of the participants, the researchers used Chi-square (χ2) statistic. Results show that the experimental group achieved higher achievement scores than the control group for electronic works achievement test at the posttest and follow-up test stages. Furthermore, the study found that there was no significant difference ( P > 0.05) in the achievement of students in the different ability levels and genders after the treatment. Hence, problem-based learning was advocated for teachers of electronic works in Nigeria.


2017 ◽  
Vol 43 (3) ◽  
pp. 272-285 ◽  
Author(s):  
Marylyn Morris McEwen ◽  
Alice Pasvogel ◽  
Carolyn Murdaugh ◽  
Joseph Hepworth

Purpose The purpose of the study was to investigate the effects of a family-based self-management support intervention for adults with type 2 diabetes (T2DM). Methods Using a 2-group, experimental repeated measures design, 157 dyads (participant with T2DM and family member) were randomly assigned to an intervention (education, social support, home visits, and telephone calls) or a wait list control group. Data were collected at baseline, postintervention (3 months), and 6 months postintervention. A series of 2 × 3 repeated measures ANOVAs were used to test the hypotheses with interaction contrasts to assess immediate and sustained intervention effects. Results Significant changes over time were reported in diet self-management, exercise self-management, total self-management, diabetes self-efficacy for general health and total diabetes self-efficacy, physician distress, regimen distress, interpersonal distress, and total distress. There were likewise sustained effects for diet self-management, total self-management, diabetes self-efficacy for general health, total self-efficacy, physician distress, regimen distress, and interpersonal distress. Conclusions Results support and extend prior research documenting the value of culturally relevant family-based interventions to improve diabetes self-management and substantiate the need for intensive, longer, tailored interventions to achieve glycemic control.


2020 ◽  
Vol 9 (6) ◽  
pp. 43
Author(s):  
Aglaia Zafeiroudi

Spending time outdoors fosters a sense of connectedness and empathy with nature and has a clear effect on attitudes and behaviour towards the environment. The purpose of this study was to examine the impact of an outdoor activities intervention program on adolescents’ sense of responsibility towards the environment. Participants included 262 adolescents (135 girls and 127 boys) aged 13-17 years who were divided into experimental (n = 141) and control groups (n = 121). The 15-day outdoor intervention program included trekking, mountain biking, orienteering, archery, ropes courses, canoeing on a lake, via ferrata rock climbing, night hiking, and overnight camping. Participants completed an Environmental Responsibility questionnaire (Zafeiroudi & Hatzigeorgiadis, 2013) before and after participation in the activities program. The questionnaire included five scales that focused on perceptions of information on environmental issues, environmental cognitive and affective beliefs, predisposition for environmental action, and environmentally responsible behaviour. Analysis of variance with repeated measures revealed improved scores amongst adolescents who participated in the intervention program, notably within the specific scales used to evaluate perceived information, affective beliefs, predisposition for individual action, and predisposition for encouraging others. A follow-up analysis of covariance revealed that participants in the experimental group scored higher overall than did those in the control group. Taken together, these findings add to the current literature focused on psychosocial and behavioural mechanisms associated with environmental awareness. Our findings also suggest that outdoor recreational activities may be an effective supplement and a more challenging alternative to programs currently provided by environmental and active leisure associations.


2020 ◽  
pp. 145-150

Background and Objective: Psychological factors possibly play a role in the process of cardiovascular disease and interact with biological agents to affect cardiovascular disease. Therefore, the present study aimed to determine the effectiveness of solution-focused therapy in mental health and hopefulness among patients with cardiovascular diseases. Materials and Methods: This was a quasi-experimental study with a pretest-posttest design, follow-up, and control group. The statistical population of this study included all cardiovascular patients referring to Isfahan Cardiovascular Research Center, Isfahan, Iran, within January to March 2018 with a history of heart attack or open-heart surgery in the last month. In this study, 30 patients with cardiovascular diseases willing to participate in the study were selected through convenience sampling. The patients met the study inclusion criteria and were randomly assigned to experimental (n=15) and control (n=15) groups. The data were collected by Snyderchr('39')s Hopefulness Scale and public health questionnaire and analyzed by repeated measures analysis of variance (ANOVA) and analysis of covariance in SPSS software (version 22). Results: The results of the present study indicated that the results of ANOVA was significant for within-group factor (i.e., time) and only for physical symptom variables among between-group factors. These results indicated that without considering the group influence, only the time effect was significant. However, the interaction between group and time was also significant (F=12.84; P<0.0001). Conclusion: Overall, the findings of this study showed that solution-focused therapy was effective in the mental health and hopefulness of patients with cardiovascular diseases and can be used in treatment centers to improve the status of patients with cardiovascular diseases


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