Facilitators and barriers to PrEP use among straight and LGB young adults experiencing homelessness

2021 ◽  
pp. 1-17
Author(s):  
Jarrod Call ◽  
Donny Gerke ◽  
Anamika Barman-Adhikari
Keyword(s):  
Young Adults ◽  
Facilitators And Barriers

Facilitators and Barriers Related to Voluntary Counseling and Testing for HIV Among Young Adults in Bo, Sierra Leone

2013 ◽  
Vol 39 (3) ◽  
pp. 514-520 ◽  
Author(s):  
Shalinee Bhoobun ◽  
Anuradha Jetty ◽  
Mohamed A. Koroma ◽  
Mohamed J. Kamara ◽  
Mohamed Kabia ◽  
...  
Keyword(s):  
Young Adults ◽  
Sierra Leone ◽  
Voluntary Counseling ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Facilitators And Barriers

scholarly journals Facilitators and Barriers of Sleep in Young Adults With Type 1 Diabetes

2020 ◽  
Vol 46 (3) ◽  
pp. 242-251
Author(s):  
Stephanie Griggs ◽  
Robin Whittemore ◽  
Nancy S. Redeker ◽  
Margaret Grey
Keyword(s):  
Type 1 Diabetes ◽  
Young Adults ◽  
Complex Disease ◽  
Electronic Device ◽  
Adult Population ◽  
Structured Interviews ◽  
Facilitators And Barriers ◽  
Device Use ◽  
Specific Barriers

Purpose The purpose of this study was to explore the perceived facilitators and barriers for obtaining sufficient sleep in young adults with type 1 diabetes (T1D). Methods A qualitative descriptive approach was used to generate data. In-depth semi-structured interviews with 30 young adults with T1D (66.7% female, mean age = 22.1 years) were conducted. Interviews were transcribed verbatim and coded using NVivo. Results Young adults with T1D reported feeling challenged at bedtime and overnight by the demands of a complex disease management regimen. General and diabetes-specific barriers and facilitators to obtaining sufficient sleep were the overarching themes in the present study. Young adults perceived that electronic device use was a facilitator for relaxation before bed and a barrier to sleep by some participants. Delays in bedtime or disruptions in sleep were common diabetes-specific barriers. Conclusions When designing sleep-promoting interventions for young adults with T1D, researchers should consider diabetes-specific challenges and solutions in addition to those present in the general young adult population.

Facilitators and Barriers to Self-Management for Adolescents and Young Adults Following a Hematopoietic Stem Cell Transplant

2017 ◽  
Vol 35 (1) ◽  
pp. 36-42 ◽  
Author(s):  
Caroline F. Morrison ◽  
Ahna L. H. Pai ◽  
Donna Martsolf
Keyword(s):  
Young Adults ◽  
Stem Cell ◽  
Hematopoietic Stem Cell ◽  
Hematopoietic Stem Cell Transplant ◽  
Stem Cell Transplant ◽  
Adolescents And Young Adults ◽  
Self Management ◽  
Cell Transplant ◽  
Hematopoietic Stem ◽  
Facilitators And Barriers

Adolescents and young adults who experience hematopoietic stem cell transplant are at risk for self-management difficulties based on development, psychological comorbidities, and the complexity of the care regimen. Recommendations for practice change were designed to address facilitators and barriers to self-management for adolescents and young adults following hematopoietic stem cell transplant. As part of a grounded theory research study, 30 participants (17 adolescents and young adults and 13 of their caregivers) were individually interviewed and asked about facilitators and barriers to managing care and advice for health care providers. Participant responses were coded into categories, which were named with terms used by the participants. The number of participants who provided data per category was recorded. Self-management is generally characterized only in the ability to follow a prescribed care regimen. Participants indicated mental and emotional experiences as a result of treatment were indistinguishable from self-management activities. Facilitators included having a positive attitude, social support, organization, motivation, and information. Barriers included physical and psychological symptoms, isolation, difficulties with the medication regimen, single parenting, and having a bad attitude. Advice for health care providers included communicating effectively, treating patients holistically, and providing social support.

scholarly journals Factors influencing physical distancing compliance among young adults during COVID-19 pandemic in Indonesia: A photovoice mixed methods study

2022 ◽  
Vol 2 (1) ◽  
pp. e0000035
Author(s):  
Ahmad Junaedi ◽  
Ken Ing Cherng Ong ◽  
Fauzan Rachmatullah ◽  
Akira Shibanuma ◽  
Junko Kiriya ◽  
...  
Keyword(s):  
Young Adults ◽  
Mixed Methods ◽  
Metropolitan Area ◽  
Social Pressure ◽  
Group Discussions ◽  
Slowing Down ◽  
Workplace Policies ◽  
Facilitators And Barriers ◽  
Using Data ◽  
Mean Compliance

The spreading of the coronavirus disease (COVID-19) is growing out of control in Indonesia since the first two confirmed cases were announced in March 2020. Physical distancing measures are key to slowing down COVID-19 transmission. This study investigated factors associated with physical distancing compliance among young adults in the Jakarta Metropolitan Area, Indonesia. A convergent photovoice mixed methods design was used. Quantitatively, using data from 330 young adults in Jakarta Metropolitan Area, Indonesia, physical distancing compliance scores and its associated factors were analyzed with hierarchical linear regression. Responses from 18 young adults in online focus group discussions and 29 young adults in photovoice were analyzed with thematic analysis. Then, the findings were integrated using joint displays. The mean compliance score of young adults was 23.2 out of 27.0. The physical distancing compliance score was higher among those who worked or studied from home (β = 0.14, p <0.05), compared with those who resumed work at an office or study at school. Celebrating religious days (β = −0.15, p <0.05) and having hometown in the Jakarta Metropolitan Area (β = −0.12, p <0.05) were negatively associated with higher physical distancing compliance scores. Joint displays expanded the reasons for workplace policy, awareness, and social pressure as facilitators and barriers to compliance. Young adults’ physical distancing compliance scores were high, but they are at risk of not complying due to religious events and changes in workplace policies. Beyond individual efforts, external factors, such as workplace policies and social pressure, play a major role to influence their physical distancing compliance.

scholarly journals Environmental Factors that Impact the Workplace Participation of Transition-Aged Young Adults with Brain-Based Disabilities: A Scoping Review

2020 ◽  
Vol 17 (7) ◽  
pp. 2378 ◽  
Author(s):  
Saeideh Shahin ◽  
Meaghan Reitzel ◽  
Briano Di Rezze ◽  
Sara Ahmed ◽  
Dana Anaby
Keyword(s):  
Young Adults ◽  
Scoping Review ◽  
Organizational Level ◽  
International Classification Of Functioning ◽  
Life Domains ◽  
Disability And Health ◽  
Organization Level ◽  
Facilitators And Barriers ◽  
Physical Accessibility

Workplace participation of individuals with disabilities continues to be a challenge. The International Classification of Functioning, Disability and Health (ICF) places importance on the environment in explaining participation in different life domains, including work. A scoping review was conducted to investigate environmental facilitators and barriers relevant to workplace participation for transition-aged young adults aged 18–35 with brain-based disabilities. Studies published between 1995 and 2018 were screened by two reviewers. Findings were categorized into the ICF’s environmental domains: Products and technology/Natural environment and human-made changes to environment, Support and relationships, Attitudes, and Services, systems and policies. Out of 11,515 articles screened, 31 were retained. All environmental domains of the ICF influenced workplace participation. The majority of the studies (77%) highlighted factors in the Services, systems and policies domain such as inclusive and flexible systems, and well-defined policies exercised at the organizational level. Social support mainly from family, friends, employers and colleagues was reported as a facilitator (68%), followed by physical accessibility and finally, the availability of assistive technology (55%). Attitudes of colleagues and employers were mostly seen as a barrier to workplace participation (48%). Findings can inform the development of guidelines and processes for implementing and reinforcing policies, regulations and support at the organization level.

scholarly journals An App to Improve Eating Habits of Adolescents and Young Adults (Challenge to Go): Systematic Development of a Theory-Based and Target Group–Adapted Mobile App Intervention

10.2196/11575 ◽  
2019 ◽  
Vol 7 (8) ◽  
pp. e11575 ◽  
Author(s):  
Anna Rohde ◽  
Anja Duensing ◽  
Christine Dawczynski ◽  
Jasmin Godemann ◽  
Stefan Lorkowski ◽  
...  
Keyword(s):  
Young Adults ◽  
Eating Habits ◽  
Mobile App ◽  
Target Group ◽  
Adolescents And Young Adults ◽  
Target Behavior ◽  
Drinking Habits ◽  
Group Preferences ◽  
Facilitators And Barriers ◽  
Stage 1

Background Due to the widespread use of mobile phones, dietary mobile apps are promising tools for preventing diet-related noncommunicable diseases early in life. However, most of the currently available nutrition apps lack scientific evaluation and user acceptance. Objective The objective of this study was the systematic design of a theory-driven and target group–adapted dietary mobile app concept to promote healthy eating habits with a focus on drinking habits as well as consumption of fruits and vegetables in adolescents and young adults, especially from disadvantaged backgrounds. Methods The design process was guided by the behavior change wheel (BCW). The development process comprised 3 stages. In stage 1, the target behavior was specified, and facilitators and barriers were identified. Furthermore, important insights into target group interests, needs, and values in the field of nutrition and apps were revealed. To this end, 2 empirical studies were conducted with the target group. In stage 2, results of stage 1 were translated into behavior change techniques (BCTs) and, finally, into app functionalities and features. Consequently, in stage 3, the concept was evaluated and optimized through expert interviews. Results Facilitators and barriers for achieving the target behavior were psychological capabilities (eg, self-efficacy), reflective motivation (eg, fitness), automatic motivation, social support, and physical opportunity (eg, time). Target group interests, needs, and values in the field of nutrition were translated into target group preferences for app usage, for example, low usage effort, visual feedback, or recipes. Education, training, incentives, persuasion, and enablement were identified as relevant intervention functions. Together with the target group preferences, these were translated via 14 BCTs, such as rewards, graded tasks, or self-monitoring into the app concept Challenge to go (C2go). The expert evaluation suggested changes of some app features for improving adherence, positive health effects, and technical feasibility. The C2go concept comprises 3 worlds: the (1) drinking, (2) vegetable, and (3) fruit worlds. In each world, the users are faced with challenges including feedback and a quiz. Tips were developed based on the health action process approach and to help users gain challenges and, thereby, achieve the target behavior. Challenges can be played alone or against someone in the community. Due to different activities, points can be collected, and levels can be achieved. Collected points open access to an Infothek (information section), where users can choose content that interests them. An avatar guides user through the app. Conclusions C2go is aimed at adolescents and young adults and aims to improve their fruit and vegetable consumption as well as drinking habits. It is a theory-driven and target group–adapted dietary mobile intervention concept that uses gamification and was systematically developed using the BCW.

scholarly journals An App to Improve Eating Habits of Adolescents and Young Adults (Challenge to Go): Systematic Development of a Theory-Based and Target Group–Adapted Mobile App Intervention (Preprint)

2018 ◽  
Author(s):  
Anna Rohde ◽  
Anja Duensing ◽  
Christine Dawczynski ◽  
Jasmin Godemann ◽  
Stefan Lorkowski ◽  
...  
Keyword(s):  
Young Adults ◽  
Eating Habits ◽  
Mobile App ◽  
Target Group ◽  
Adolescents And Young Adults ◽  
Target Behavior ◽  
Drinking Habits ◽  
Group Preferences ◽  
Facilitators And Barriers ◽  
Stage 1

BACKGROUND Due to the widespread use of mobile phones, dietary mobile apps are promising tools for preventing diet-related noncommunicable diseases early in life. However, most of the currently available nutrition apps lack scientific evaluation and user acceptance. OBJECTIVE The objective of this study was the systematic design of a theory-driven and target group–adapted dietary mobile app concept to promote healthy eating habits with a focus on drinking habits as well as consumption of fruits and vegetables in adolescents and young adults, especially from disadvantaged backgrounds. METHODS The design process was guided by the behavior change wheel (BCW). The development process comprised 3 stages. In stage 1, the target behavior was specified, and facilitators and barriers were identified. Furthermore, important insights into target group interests, needs, and values in the field of nutrition and apps were revealed. To this end, 2 empirical studies were conducted with the target group. In stage 2, results of stage 1 were translated into behavior change techniques (BCTs) and, finally, into app functionalities and features. Consequently, in stage 3, the concept was evaluated and optimized through expert interviews. RESULTS Facilitators and barriers for achieving the target behavior were psychological capabilities (eg, self-efficacy), reflective motivation (eg, fitness), automatic motivation, social support, and physical opportunity (eg, time). Target group interests, needs, and values in the field of nutrition were translated into target group preferences for app usage, for example, low usage effort, visual feedback, or recipes. Education, training, incentives, persuasion, and enablement were identified as relevant intervention functions. Together with the target group preferences, these were translated via 14 BCTs, such as rewards, graded tasks, or self-monitoring into the app concept Challenge to go (C2go). The expert evaluation suggested changes of some app features for improving adherence, positive health effects, and technical feasibility. The C2go concept comprises 3 worlds: the (1) drinking, (2) vegetable, and (3) fruit worlds. In each world, the users are faced with challenges including feedback and a quiz. Tips were developed based on the health action process approach and to help users gain challenges and, thereby, achieve the target behavior. Challenges can be played alone or against someone in the community. Due to different activities, points can be collected, and levels can be achieved. Collected points open access to an Infothek (information section), where users can choose content that interests them. An avatar guides user through the app. CONCLUSIONS C2go is aimed at adolescents and young adults and aims to improve their fruit and vegetable consumption as well as drinking habits. It is a theory-driven and target group–adapted dietary mobile intervention concept that uses gamification and was systematically developed using the BCW.

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