College Students with Diabetes: Using Focus Groups and Interviews to Determine Psychosocial Issues and Barriers to Control

1997 ◽  
Vol 23 (5) ◽  
pp. 558-562 ◽  
Author(s):  
Melissa J. Wdowik ◽  
Patricia A. Kendall ◽  
Mary A. Harris

College students with diabetes are at risk for improvised diabetes care due to their age, newly acquired independence, and erratic schedules. The purpose of this study was to employ focus groups and interviews to identity factors that affect the ability of these students to engage in appropriate self-care behaviors. Focus group and interview questions were developed to address variables of tlte Expanded Health Belief Model. Two focus groups and fifteen interviews were condcrcted. Barriers to successful diabetes management were time management, stress, hypoglycemic reactions, diet management constraints, and inadequate finances. Several psychosocial issues that affected successful management also were identified. These issues were grouped into three categories: (1) inconveniences of diabetes management, (2) motivators to managing diabetes, and (3) social support issues. The findings show the value of formative evaluation that can then be used to design diabetes education programs to meet clients' perceived needs,

Author(s):  
Dahui Wang ◽  
Chenhui Li ◽  
Yi Wang ◽  
Shichang Wang ◽  
Shuang Wu ◽  
...  

Young people, like college students, are at risk of hearing loss from prolonged and excessive exposure to loud sounds. However, behavioral interventional studies on them are inadequate. This study explored the application of a health belief model to the health education intervention on college students for improving hearing health knowledge, health belief, and hearing behaviors. From November 2017 to September 2018, a cluster randomized controlled trial was conducted, enrolling 830 college students, with 419 in the intervention group and 411 in the control group. The intervention group received a 3-month hearing health education, while the control group received no intervention. The information of hearing health knowledge, health belief, and hearing behaviors were collected using hearing health questionnaires before the intervention, after the intervention, and 3 months after the intervention cessation. The intervention significantly improved hearing health knowledge, health belief, perceived severity, and self-efficacy in female students, and effectively reduced the frequency of using headphones per day, duration of using headphones each time, and proportion of using headphones at high volume in female students, and reduced the behaviors of sleeping with headphones listening in females and males. Therefore, this study confirms the effectiveness of health belief model-based intervention for changing hearing loss-related risk behaviors.


2019 ◽  
Vol 3 (2) ◽  
pp. 42
Author(s):  
Andrea R. Van Beek ◽  
Megan E. Weier ◽  
Kassandra R. Williams ◽  
Samuel P. Abraham ◽  
Deborah R. Gillum

Background: Caffeine is a highly used stimulant on college campuses. The prevalence of energy drinks, especially among the younger generations is cause for concern. Purpose: The purpose of this study was to determine the caffeine intake habits of college students and the perception of its effects. Method: The method used was quantitative, cross-sectional, with a descriptive design. The two research questions were: (1) What are the caffeine intake habits of college students? (2) What are the perceptions of the effects of caffeine use among college students? This study was conducted at a college campus in northern Indiana, USA. Participants included 120 male and female students ages 18 years and older. The health belief model was used to guide this study. Results: The study indicated that while caffeine is a commonly used stimulant across campus, overuse was not revealed. Many students reported being able to go 48-72 hours without caffeine and not experiencing withdrawal symptoms when going without it. However, most students do report that they perceive a need to decrease their use of caffeine, as caffeine use has increased since attending college. Conclusion: The review of the literature indicated that the use of caffeine was higher in younger people. However, the research completed as a part of this study from college students indicated that caffeine overuse may not be as prevalent as previously thought.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
E Marchena ◽  
N Hamdiui ◽  
M L Stein ◽  
J E van Steenbergen ◽  
M van den Muijsenbergh ◽  
...  

Abstract Background Cervical cancer (CC) is ranked fourth most frequently diagnosed cancer in women worldwide. Compared to the 79% CC screening participation rate of native Dutch women, the rate of 64% among Turkish- and 53% among Moroccan-Dutch women is considerably lower. Our aim was to explore reasons for CC screening (non)participation of Turkish- and Moroccan-Dutch women, and their attitude towards self-sampling. Methods Six focus groups were conducted in March and April 2019 with Turkish (n = 25) and Moroccan (n = 20) women in the Netherlands, aged 30-60 years. Questions were based on an extended Health Belief Model. Discussions were transcribed verbatim and thematically analysed. Results We found that women lack knowledge and awareness about CC. Barriers for screening were lack of a good command of the Dutch language, having a male as general practitioner, fatalism, shame and taboo related to the intimate procedure, and the association of CC with lack of femininity and infertility. Other barriers were fears of the test result, cancer, suffering, death, and leaving their children behind after death. Facilitators were perceived severity of disease, social support, and short procedure time. Additional religious facilitators included the responsibility to take care of one’s own health using medical facilities that God provided. Differences were found between Turkish and Moroccan women, such as lack of a good command of the Dutch language. Conflicting attitudes were found regarding self-sampling. Although perceived easy and accessible, women were hesitant whether they could sample correctly. Overall, women preferred a physician-taken smear to a self-sample. Conclusions Several barriers and facilitators for CC screening participation were identified that can be used to design tailored information materials. Women’s doubts about incorrect self-sampling should be taken into account to encourage self-sampling among nonparticipating Turkish and Moroccan women. Key messages Important barriers and facilitators were identified that can be used to well-inform Turkish and Moroccan women. To promote self-sampling, women’s attitudes on their self-efficacy should be explored.


2020 ◽  
Author(s):  
MUHAMMAD DANIEL AZLAN MAHADZIR ◽  
Kia Fatt Quek ◽  
Amutha Ramadas

Abstract Background Nutrition and lifestyle behaviour of individuals have been associated with the risk of metabolic syndrome (MetS). In order to better control the prevalence of MetS nationwide, an effective health promotion program must provide age-appropriate care information that addresses critical factors such as physiological function, social psychology, and emotional and health literacy in order to empower these patients to self-manage their condition and to enhance their self-care-related motivation and confidence. This study qualitatively analysed FGD involving Malaysian adults with MetS to explore their understanding of MetS and their perceived motivation and barriers of healthy nutrition and lifestyle behaviour. Methods A qualitative study with four focus groups (21 purposively sampled respondents) was conducted with adults diagnosed with MetS whom attending MONASH Medical Precinct in 2018. An interview protocol consolidating both responsive interviewing model and health belief model were prepared. The focus groups were audio recorded and transcribed. The data were analysed by emergent themes analysis. Data saturation was achieved in the fourth focus group. Results Seven main themes; three motivations and three perceived barriers and one subtheme on healthy nutrition and lifestyle behaviour were identified in the analysis of FGD. Motivations for healthy nutrition and lifestyles behaviour were (i) weight gain and physical appearances; (ii)personal experience of adverse complications and (iii) good family and social support. The identified perceived barriers were (i) healthcare as a business model; (ii) healthy change is difficult and expensive and (iii) cultural influence on food intake. Inadequate knowledge on MetS as most respondents were unaware of MetS as a clustering of risk factors but were able to identify the components individually was also a strong theme identified in this study. Conclusion Nutrition and lifestyle behaviours of adults with MetS were highly affected by the several potent motivations and perceived barriers among individuals. Information delivery and lifestyle promotion should address these aspects to increase program adoption and adherence, ensuring success of a community-based lifestyle intervention.


2019 ◽  
Vol 4 (2) ◽  
pp. 66
Author(s):  
Samantha E. Czyz ◽  
Janelle Y. Miller ◽  
Hope M. Muniz ◽  
Samuel P. Abraham ◽  
Deborah R. Gillum

Background: After reviewing the literature on flu vaccinations and childhood immunizations, it was concluded that participation in these preventative measures is beneficial to health in increasing the chances of protection from specific diseases. Further studies show that not all college students receive them or plan to have their prospective children vaccinated. Purpose: The purpose of this study was to determine college students’ perception of influenza vaccination and childhood immunizations. Method: This was a quantitative, non-experimental study with a descriptive design using two open-ended questions to enhance data collection. A total of 120 college students were recruited to participate in this study. The research questions were: “What are college students’ perceptions of influenza vaccination?” and “What are college students’ perceptions of childhood immunizations?” The health belief model was used to guide the study. Results/Conclusion: Survey results showed that many students in a Christian college believe immunization is effective and plan to immunize their future children. However, a few students stated a desire to learn more about immunization.


2021 ◽  
pp. 089011712110450
Author(s):  
Lori B. Bateman ◽  
Allyson G. Hall ◽  
William A. Anderson ◽  
Andrea L. Cherrington ◽  
Anna Helova ◽  
...  

Purpose The purpose of this study was to qualitatively explore perceptions related to COVID-19 vaccination intention among African American and Latinx participants and suggest intervention strategies. Approach Ninety minute virtual focus groups (N = 8), segmented by county, race and ethnicity were conducted with stakeholders from 3 vulnerable Alabama counties. Participants Participants (N = 67) were primarily African American and Latinx, at least 19 years, and residents or stakeholders in Jefferson, Mobile, and Dallas counties. Setting Focus groups took place virtually over Zoom. Methods The semi-structured guide explored perceptions of COVID-19, with an emphasis on barriers and facilitators to vaccine uptake. Focus groups lasted approximately 90 minutes and were audio recorded, transcribed, and analyzed by a team of 3 investigators, according to the guidelines of Thematic Analysis using NVivo 12. To provide guidance in the development of interventions to decrease vaccine hesitancy, we examined how themes fit with the constructs of the Health Belief Model. Results We found that primary themes driving COVID-19 vaccine hesitancy, ordered from most to least discussed, are mistrust, fear, and lack of information. Additionally, interventions to decrease vaccine hesitancy should be multi-modal, community engaged, and provide consistent, comprehensive messages delivered by trusted sources.


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