Validation of an Instrument to Measure Patients' Intentions and Ability to Change Attitudes and Behavior

2017 ◽  
Vol 24 (4) ◽  
pp. 246-254 ◽  
Author(s):  
Arndt Büssing ◽  
Désirée Poier ◽  
Romy Lauche ◽  
Gustav Dobos ◽  
Holger Cramer

Background: The efficacy of specific interventions also of mind-body medicine is also dependent on the patients' ability to engage in these interventions and to perceive and change health-affecting attitudes and behaviors. The aim was to validate a 13-item instrument to measure (1) the patients' perception of specific attitudes and behaviors that are assumed to have a negative influence on the health situation, (2) their intention to change them, and (3) the implementation of the intended changes in their life affairs. Patients and Methods: Anonymous cross-sectional survey among 512 patients with chronic pain conditions (mean age 42.6 ± 11.4 years; 58% women) using standardized instruments. Results: After the elimination of 4 items, an explorative factor analysis of the 9 remaining items indicated 2 factors that would explain 57% of the variance: Perceptions/Intentions (5 items; Cronbach's alpha = 0.75) and Ability/ Implementation (4 items; alpha = 0.77). Factor 2 correlated moderately to strongly with internal adaptive coping strategies (AKU) and situational awareness (CPSC), and weakly with mental health (SF-36), life satisfaction (BMLSS), and low depressive symptoms (BDI) and escape from illness (Escape). Factor 1 correlated weakly with age and adaptive coping strategies (AKU). Conclusions: The final 9-item Perception, Intention and Ability to Change (PIAC) scale was approved as a short, practicable and promising instrument, which should be further evaluated in the context of training and intervention programs, particularly with respect to its predictive relevance.

2018 ◽  
Vol 33 (7/8) ◽  
pp. 458-474
Author(s):  
Samantha Dubrow ◽  
Kyle J. Emich ◽  
Tara S. Behrend

PurposeThe purpose of this paper is to expand the nomological network of a relational efficacy construct, transpersonal efficacy, and examine its effect on attitudes and behaviors important for team performance. The authors identify several antecedents to transpersonal efficacy, including task interdependence, agreeableness and conscientiousness. The authors also find that transpersonal efficacy is related to relational attitudes and behaviors in teams.Design/methodology/approachThis study consists of an online cross-sectional survey completed by participants representing a wide range of occupations, team types, contexts and industries. Participants reported on their working relationships with team members and various behavioral outcomes. Participants used the Occupational Information Network (O*NET) to describe their teammates’ job requirements and to evaluate each teammate’s ability to complete required tasks. Confirmatory factor analysis and structural equation modeling were used to test hypotheses.FindingsFindings suggest that people in highly interdependent teams have more confidence in their teammates. Further, transpersonal efficacy predicts relationship, task and process conflict when controlling for team task interdependence and virtualness, along with individual differences including agreeableness and conscientiousness. Transpersonal efficacy also contributes to the prediction of relationship conflict beyond the explained variance of collective efficacy.Originality/valueThis paper contributes to our understanding of individuals in teams by using social cognitive theory, expectancy theory and uncertainty reduction theory as a base for predicting the value of transpersonal efficacy in driving relational team behaviors. The authors uniquely consider efficacy as an interpersonal construct that is related to individual behaviors and attitudes that target specific teammates, rather than the team as a whole.


Author(s):  
Gabrielle J. Adams ◽  
Elianna K. Goldstein ◽  
Beth G. Goldstein ◽  
Kristen L. Jarman ◽  
Adam O. Goldstein

Despite substantially higher skin cancer risks, little research has investigated men’s attitudes about skin cancer and how those attitudes relate to their risks of developing skin cancer. This study aims to close the gap in research, regarding men’s perceptions and behaviors about skin cancer, sun exposure, and tanning. This study utilized a cross-sectional survey of 705 men recruited from Amazon Mechanical Turk (MTurk), reporting attitudes and behaviors towards sun exposure, tanning, and sun protection. While the majority of men reported large daily outdoor activities, that their skin frequently burns with sun exposure, and riskier perceptions of tanning, only a minority reported daily use of sunscreen or most other sun protective behaviors. More sun protection methods were associated with more frequent use of sunscreen and less positive tanning perceptions. Men consistently engaged in high-risk behaviors for developing skin cancer, but they did not engage highly in protective behaviors to mitigate their risk. The findings can help improve clinical and public health interventions to lower men’s risk of skin cancer with strong messages about sunscreen use and sun protective methods.


Vaccines ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1109
Author(s):  
Lauren McAbee ◽  
Oscar Tapera ◽  
Mufaro Kanyangarara

Vaccines are one of the most effective public health strategies to protect against infectious diseases, yet vaccine hesitancy has emerged as a global health threat. Understanding COVID-19 knowledge and attitudes and their association with vaccine intentions can help the targeting of strategies to increase vaccination uptake and achieve herd immunity. The goal of this study was to assess COVID-19 knowledge, attitudes, and behaviors, and identify factors associated with COVID-19 vaccine intentions among heads of households in Manicaland Province, Zimbabwe. A cross-sectional survey was conducted in May 2021 among 551 randomly selected households. Data were collected on socio-demographic characteristics, and knowledge, attitudes, and behaviors regarding COVID-19 and the vaccines. More than half (55.7%) of the respondents reported intending to vaccinate themselves or their households. Multivariate logistic regression indicated that the likelihood of vaccine intentions was most strongly associated with confidence in vaccine safety. Additionally, the odds of intending to get vaccinated were significantly higher among heads of households who were male, had a higher level of education, and identified vaccination and face mask usage as prevention measures. Among perceived motivators to vaccinate, recommendations from the World Health Organization and availability of the vaccine free of charge increased the likelihood of vaccine intentions, while country of vaccine manufacturer posed a barrier to vaccine intentions. As the vaccine rollout in Zimbabwe continues, efforts to increase COVID-19 vaccination coverage and achieve herd immunity should target females and less educated populations and be tailored to address concerns about vaccine safety and country of manufacturer.


Author(s):  
Erin Speiser ◽  
Genevieve Pinto Zipp ◽  
Deborah A. DeLuca ◽  
Ana Paula Cupertino ◽  
Evelyn Arana-Chicas ◽  
...  

Abstract Background In the United States, 88.3% of all 1,163,000 maids and housekeeping cleaners are female, and approximately half of them Latinas. Latinas are understudied and underrepresented in health research, particularly involving chemical exposure in cleaning practices, lack of job training, and inadequate access to personal protective equipment. The purpose of this study is twofold: 1) to examine the knowledge (via training experiences), attitudes and behaviors of a heterogeneous group of Latinas who clean occupationally and 2) to assess their cleaning practices at work and at home. Methods This mixed-method study consisted of two phases: 1) three focus groups to explore knowledge (via training experiences), attitudes, and behaviors regarding cleaning practices (N = 15) and 2) a 43-question cross-sectional survey. Focus group audio recordings were analyzed using descriptive and in vivo coding and then coded inductively to explore thematic analysis. Statistical analysis of the survey evaluated means, frequency and percentage for each of the responses. Results Participants (n = 9) were women (mean age = 48.78 and SD = 6.72) from South America (n = 5), Mexico (n = 1), El Salvador (n = 1) and Dominican Republic (n = 2). The mean length of time living in the US was 18.78 years and over half (55.6%) worked in the cleaning industry for 10 or more years. Findings from the three focus groups (n = 15) included that training in cleaning often occurred informally at a very young age at home. Participants reported cleaning in groups where tasks are rotated and/or shared. Most were the primary person cleaning at home, suggesting increased exposure. Gloves and masks were the most frequently used PPE, but use was not consistent. For participants who purchase their own products, driving factors included price, smell and efficacy. Some participants used products supplied or preferred by the employer. Conclusions Latinas in cleaning occupations face a range of social and health barriers including lack of safety and health training, inadequate PPE and low literacy. To address these issues, the development of an intervention is warranted to provide training and resources for this critical population of essential workers.


2021 ◽  
Vol 9 (3) ◽  
pp. 197-205
Author(s):  
Asma Yunus ◽  
Shahzad Khaver Mushtaq ◽  
Fouzia Sadaf ◽  
Nadeem Arshad ◽  
Sehrish Batool

The purpose of this study is that healthcare professionals play the most significant role in tackling pandemic COVID-19 and are considered as the most vulnerable and at-risk population for infection. An effective response to a pandemic depends on the attitudes and behaviors of physicians, nursing, staff, lab technicians, and other support staff.  The study was conducted to explore the attitudes and behaviors of health care professionals towards preventive measures against COVID-19. The study was designed following the positivistic research paradigm hence cross-sectional survey research was selected as the most appropriate design. For the purpose of data collection, a self-administered structured questionnaire was developed and used. The survey was conducted during the month of March 2020 in Punjab through an online data collection method from 150 health care professionals working in various public sector hospitals in Punjab. The questionnaire was uploaded on the survey monkey website and shared on various social media platforms to collect data in order to get responses. Results show that self-reported anxiety level is high among physicians and nurses as compared to technical and support staff.  Data shows that there are significant differences in attitudes and behaviors towards preventive measures against pandemic COVID-19 between physicians and nurses especially about the adoption of various techniques for improving immunity.  It was also found that there are significant attitudinal and behavioral differences according to sex, region of residence, and marital status of health care professionals. 


2018 ◽  
Vol 11 (2) ◽  
pp. 196-204
Author(s):  
Asirotul Ma’rifah ◽  
Naning Puji Suryantini Suryantini ◽  
Rina Mardiyana

Autism is still a nightmare for most parents. Parents with autism can be very stressful when dealing with a hyperactive child's behavior, aggressive and passive. Stress experienced by parents of children with autism will affect the ability of parents in the parenting role, especially in relation to coping strategies have in dealing with problems of children. The participation of parents is crucial the success of socializing with children with autism in the general population. This study aims to determine the relationship of coping strategies parents of autistic children and parenting parents. This type of research is an analytic correlation with cross sectional approach. The population in this study were all parents of autistic children in SLB Muhammadiyah Mojokerto numbering 15 people. Samples in this study were all parents of autistic children in SLB Muhammadiyah Mojokerto which totaled 15 people by using total sampling technique. Collecting data using questionnaires. Data analized use cross tabulation, presented in a frequency distribution. On cross-tabulation obtained results tend to use maladaptive coping strategies permissive parenting that is 8 (53.3%), there are also respondents who use adaptive coping strategies using authoritarian parenting as much as one person (16.7%), and adaptive coping strategies tend using democratic parenting style as much as 5 people (33.3%). Expected parents still seeking information to broaden their parents on coping strategies of parents of autistic children and parenting parents as well as parents to give special attention for children with autism to the development and advancement of their lives because they have the same rights as any other normal child.


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