scholarly journals Exploring Self-Efficacy in Australian General Practitioners Managing Patient Obesity: A Qualitative Survey Study

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Freya Ashman ◽  
Elizabeth Sturgiss ◽  
Emily Haesler

Background. Obesity is a leading cause of morbidity and mortality in the Australian community, and general practitioners (GPs) are commonly approached by patients for assistance in losing weight. Previous studies have shown that GPs have low self-efficacy and low outcome expectation when it comes to managing overweight and obese patients, which affects their willingness to initiate and continue with weight counselling. This qualitative survey study aimed to explore the factors influencing confidence and behaviour in obesity management in GPs. Method. Twelve GPs recruited to deliver a pilot of an obesity management program participated in semistructured interviews, and interpretive analysis underpinned by social cognitive theory was performed on the transcripts. Results. Analysis identified five main themes: (1) perceived knowledge and skills, (2) structure to management approach, (3) the GP-patient relationship, (4) acknowledged barriers to weight loss and lifestyle change, and (5) prior experience and outcome expectation. Conclusions. GPs are likely to welcome tools which provide a more structured approach to obesity management. Shifting away from weight and BMI as sole yardsticks for success or failure and emphasising positive lifestyle changes for their own sake may improve GP self-efficacy and allow for a more authentic GP-patient interaction.

1997 ◽  
Vol 24 (5) ◽  
pp. 652-666 ◽  
Author(s):  
L. Kay Bartholomew ◽  
Danita I. Czyzewski ◽  
Guy S. Parcel ◽  
Paul R. Swank ◽  
Marianna M. Sockrider ◽  
...  

This study tested the efficacy of the Cystic Fibrosis Family Education Program, a cystic fibrosis self-management program, on improving participants' knowledge, self-efficacy, self-management behavior, health, and quality of life. A quasi-experimental pretest-posttest nonequivalent comparison group design was employed. Participants made up 104 patient-primary caregiver dyads from the intervention site cystic fibrosis center and 95 from the usual care comparison center. The intervention, a self-paced print curriculum based on social cognitive theory, targeted behavioral capability, self-efficacy, and outcome expectations and was implemented as an integral part of medical care. Parents, early childhood, middle childhood, and adolescents received separate materials on respiratory, nutrition and malabsorption, communication, and coping issues. Significant intervention effects were found on the knowledge scores for caregivers, adolescents, and children; caregiver and adolescent total self-management scores; Child Behavior Checklist total score; one parent coping scale score; the modified NIH score; NIH pulmonary factor 1; and the Brasfield total score. Significant interaction effects were evident in the self-efficacy scores for caregivers and children.


2015 ◽  
Vol 4 (3) ◽  
pp. 199 ◽  
Author(s):  
Phyrom Eam

<p>Social-Cognitive Theory has been used in a number of previous studies centered on research interest. A key angle of this theory seeks to test if faculty who believe they have ability and skills to accomplish research tasks effectively (i.e. having high research self-efficacy) and those who anticipate meaningful outputs from engaging in those research activities (i.e. having high research outcome expectation) are more likely to hold persistent interest in research works. Based on this theoretical framework and with the purpose to bring the current research practices in a developing context of higher education into discussion, this study set out to examine to what extent research self-efficacy and research outcome expectation predict research interest of Cambodian faculty. Participants in the study were 453 faculty members from ten major universities in the country. The main analyses were conducted using Hierarchical Multiple Linear Regression. The study detected that three blocks of independent variables (i.e. controlled personal and professional background variables, research self-efficacy, and research outcome expectation) explained about 37% of variances in research interest, with research self-efficacy accounting for the highest percentage of the total explained variances. Yet, the interaction effect of the research self-efficacy and research outcome expectation on research interest was not statistically significant. With terminal degree countries and disciplines as moderators, further moderation analyses indicated that the effect of research self-efficacy and research outcome expectation on research interest did not vary across disciplines and across places where participants obtained their terminal degree. Through these empirical analyses, this article offered some constructive thoughts on the current practices and policies of research culture building in the studied context. </p>


Author(s):  
Mubarak Alruwaie

The increasing use of the Internet over recent years has forced governments and individuals to utilise Information & Communication Technology (ICT) in the form of electronic government (e-government). However, the success of e-government delivery is dependent on usage generally but also on growing concerns about perceived social influence and prior experience of e-government service usage; this is in order to ensure better utilisation of ICT investments by retaining current users. Few studies have investigated the influences of perceived social influence and prior experience on personal factors, such as self-efficacy, personal outcome expectation and satisfaction, towards intention to the continual use of e-government systems. To fill this gap, the present research develops a conceptual framework by associating it with citizens' prior experience. A conceptual framework of six constructs is developed by integrating Social Cognitive Theory (SCT) and Expectation Confirmation Theory (ECT). Theoretically, the present study extends the roles of pre-adoption and post-adoption by offering a self-regulating process through self-efficacy as a physical ability. Further, the study reveals the importance of social influence and prior experience as well as personal outcome expectation and satisfaction as cognitive factors that represent personal goal assessments.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 805-805
Author(s):  
Abby Hellem ◽  
Kexin Zhou ◽  
Xi Chen ◽  
Jirakate Madiloggovit ◽  
Jennifer Nguyen ◽  
...  

Abstract Individuals with dementia increasingly rely on caregivers for daily oral care over time. This study explored the experience of family caregivers of community-dwelling individuals with dementia in providing oral care and their interest in caregiver oral education using the concepts of Social Cognitive Theory. Twenty-three caregivers ages 19-80 participated in a semi-structured qualitative interview that also included a structured questionnaire. Majority of caregivers were female (83%) with an average age of 56 years; 29% were spouses. Fifty-four percent of care recipients had natural teeth only, 42% had teeth and dentures, and 4% had dentures only. Caregivers were generally knowledgeable about the importance of oral health, but some expressed a lack of knowledge in how to perform oral care for others. Caregivers reported high levels of outcome expectation, agreeing that providing oral care would improve care recipient’s oral health. Caregivers expressed mixed levels of self-efficacy; many cited reduced self-efficacy due to resistance or refusal of care. Quantitative data showed that higher confidence in knowledge and oral care skills was associated with greater confidence in providing oral care (r=0.726, p&lt;0.001). Intent to participate in a caregiver oral health education program was associated with positive outcome expectations (r=0.73, p=0.007) and desire to learn the signs and symptoms of mouth pain and infection (r=0.72, p=0.009). Increasing family caregiver’s oral health knowledge and skills, outcome expectations, and self-efficacy to provide care may help improve the oral health of persons with dementia. Additional qualitative and quantitative data and implications for practice will be presented.


2020 ◽  
Vol 34 (7) ◽  
pp. 917-924 ◽  
Author(s):  
Joni Gilissen ◽  
Lara Pivodic ◽  
Annelien Wendrich-van Dael ◽  
Wilfried Cools ◽  
Robert Vander Stichele ◽  
...  

Background: Considering social cognitive theory and current literature about successful advance care planning in nursing homes, sufficient knowledge and self-efficacy are important preconditions for staff to be able to carry out advance care planning in practice. Aim: Exploring to what extent nurses’ knowledge about and self-efficacy is associated with their engagement in advance care planning in nursing homes. Design: Survey study as part of a baseline measurement of a randomised controlled cluster trial (NCT03521206). Setting/participants: Nurses in a purposive sample of 14 nursing homes in Belgium. Methods: A survey was distributed among nurses, evaluating knowledge (11 true/false items), self-efficacy (12 roles and tasks on 10-point Likert-type scale) and six advance care planning practices (yes/no), ranging from performing advance care planning conversations to completing advance directives. Results: A total of 196 nurses participated (66% response rate). While knowledge was not significantly associated with advance care planning practices, self-efficacy was. One unit’s increase in self-efficacy was statistically associated with an estimated 32% increase in the number of practices having carried out. Conclusions: Nurses’ engagement in advance care planning practices is mainly associated with their self-efficacy rather than their knowledge. Further research is necessary to improve the evidence regarding the causal relationship between constructs. However, these results suggest that educational programmes that focus solely on knowledge might not lead to increasing uptake of advance care planning in nurses.


2014 ◽  
Vol 10 (4) ◽  
pp. 1-20 ◽  
Author(s):  
Mubarak Alruwaie

The increasing use of the Internet over recent years has forced governments and individuals to utilise Information & Communication Technology (ICT) in the form of electronic government (e-government). However, the success of e-government delivery is dependent on usage generally but also on growing concerns about perceived social influence and prior experience of e-government service usage; this is in order to ensure better utilisation of ICT investments by retaining current users. Few studies have investigated the influences of perceived social influence and prior experience on personal factors, such as self-efficacy, personal outcome expectation and satisfaction, towards intention to the continual use of e-government systems. To fill this gap, the present research develops a conceptual framework by associating it with citizens' prior experience. A conceptual framework of six constructs is developed by integrating Social Cognitive Theory (SCT) and Expectation Confirmation Theory (ECT). Theoretically, the present study extends the roles of pre-adoption and post-adoption by offering a self-regulating process through self-efficacy as a physical ability. Further, the study reveals the importance of social influence and prior experience as well as personal outcome expectation and satisfaction as cognitive factors that represent personal goal assessments.


Author(s):  
Rezyana Budi Syahputri ◽  
◽  
Pawito Pawito ◽  
Bhisma Murti ◽  
◽  
...  

Background: Exclusive breastfeeding can reduce child mortality. The achievement of exclusive breastfeeding has not reached the expected number due to various factors. This study aims to examine the determinants of exclusive breastfeeding practice in Madiun, East Java. Subjects and Method: A cross-sectional study was carried out in Madiun, from February to May 2020. A sample of 200 lactating mothers was selected randomly. The dependent was exclusive breastfeeding. The independent variables were health promotion program, observational learning, role model, vicarious learning, imitation, positive attitude, outcome expectation, self-regulation, self-efficacy, and reinforcing. The data were collected by questionnaire and analyzed by a multiple logistic regression run on Stata 13. Results: Exclusive breastfeeding increased with following health promotion in exclusive breastfeeding program (OR= 2.76; 95% CI= 1.05 to 7.25; p= 0.039), high observational learning (OR= 3.33; 95% CI= 1.27 to 8.71; p= 0.014), strong role model (OR= 3.43; 95% CI= 1.10 to 10.67; p= 0.033), high vicarious learning (OR= 3.83; 95% CI= 1.31 to 11.12; p= 0.014), strong imitation (OR= 2.98; 95% CI= 1.19 to 7.48; p= 0.020), positive attitude (OR= 3.14; 95% CI= 1.03 to 9.60; p= 0.044), positive outcome expectation (OR= 3.56; 95% CI= 1.30 to 9.79; p= 0.014), strong self-regulation (OR= 2.59; 95% CI= 1.10 to 6.07; p= 0.028), strong self-efficacy (OR= 4.91; 95% CI= 1.84 to 13.11; p= 0.001), and reinforcing (OR=3.42; 95% CI= 1.17 to 10.01; p= 0.024). Conclusion: Exclusive breastfeeding increases with following health promotion in exclusive breastfeeding program, high observational learning, strong role model, high vicarious learning, strong imitation, positive attitude, positive outcome expectation, strong self-regulation, strong self-efficacy, and reinforcing. Keywords: exclusive breastfeeding, health promotion, social cognitive theory Correspondence: Rezyana Budi Syahputri. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6282325750134 DOI: https://doi.org/10.26911/the7thicph.02.58


Author(s):  
Puspita Mayangsari Prabowo ◽  
◽  
Setyo Sri Rahardjo ◽  
Eti Poncorini Pamungkasari ◽  
◽  
...  

ABSTRACT Background: Every infant is required to receive complete basic immunization before the age of one year. According to UNICEF, around 19.4 million infants do not receive complete basic immunization. The purpose of this study was to examine factors affecting completeness of child immunization using Social Cognitive Theory. Subjects and Method: A cross sectional study was carried out at 25 integrated health posts (posyandu) in Pacitan, East Java, Indonesia. A sample of 200 infants aged 12-23 months was selected by simple random sampling. The dependent variable was basic immunization completeness. The independent variables were intention, knowledge, self-efficacy, outcome expectation, vicarious learning, family support, health personnel support, and social capital. The data were analyzed by a multiple logistic regression rin on Stata 13. Results: Complete immunization status increased with high knowledge (OR= 13.39; 95% CI= 2.12 to 84.39; p= 0.006), strong self-efficacy (OR= 6.05; 95% CI= 1.29 to 28.35; p= 0.022), positive outcome expectation (OR= 15.20; 95% CI= 2.75 to 83.89; p= 0.002), vicarious learning (OR= 4.30; 95% CI= 0.81 to 22.67; p= 0.085), strong family support (OR= 6.36; 95% CI= 1.30 to 31.11; p= 0.022), strong health personnel support (OR= 20.38; 95% CI= 3.16 to 131.36; p= 0.002), strong intention (OR= 43.52; 95% CI= 4.20 to 450.515; p= 0.002), and strong social capital (OR= 4.41; 95% CI=0.98 to 19.85; p= 0.053). Conclusion: Complete immunization status increases with high knowledge, strong self-efficacy, positive outcome expectation, vicarious learning, strong family support, strong health personnel support, strong intention, and strong social capital. Keywords: complete immunization status, social capital, Social Cognitive Theory Correspondence: Puspita Mayangsari Prabowo. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6287859294881. DOI: https://doi.org/10.26911/the7thicph.03.118


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