Nudging Resisters Toward Change: Self-Persuasion Interventions for Reducing Attitude Certainty

2017 ◽  
Vol 32 (4) ◽  
pp. 997-1009
Author(s):  
Spencer Greenberg ◽  
Danielle Brand ◽  
Aislinn Pluta ◽  
Douglas Moore ◽  
Kirsten DeConti

Purpose: To identify effective self-persuasion protocols that could easily be adapted to face-to-face clinical sessions or health-related computer applications as a first step in breaking patient resistance. Design: Two self-persuasion interventions were tested against 2 controls in a between-subject randomized control experiment. Setting: GuidedTrack—a web-based platform for social science experiments. Participants: Six hundred seventeen adult participants recruited via Mechanical Turk. Intervention: The experimental interventions prompted participants for self-referenced pro- and counterattitudinal arguments to elicit attitude-related thought (ART) and subsequent doubt about the attitude. The hypothesis was that the self-persuasion interventions would elicit larger and more frequent attitude certainty decreases than the controls. In the experimental groups, we also predicted a correlation between the amount of ART and attitude certainty decreases. Measures: Changes in attitude certainty were measured by participants’ pre- and post-ratio scale ratings; ART was measured by the number of words participants used to respond to the interventions. Analysis: Analysis of variance (ANOVA), χ2, and correlation. Results: A goodness-of-fit χ2 showed that the number of participants who decreased their attitude certainty was not equally distributed between the combined experimental groups (n = 104) and the combined control groups (n = 39), χ2(1, n = 143) = 28.64, P < .001. Within each intervention, goodness-of-fit χ2 with a Bonferroni correction ( P = .01 or .05/4) indicated there were significantly more “decreasers” than “increasers” in intervention 1, χ2(1, n = 86) = 6.16, P = .01, but not intervention 2, χ2(1, n = 84) = 2.02, P = .16, the nonsense control, χ2(1, n = 42) = .22, P = .64), or the distraction control, χ2(1, n = 34) = .02, P = .89. A 1-way ANOVA revealed a significant main effect for intervention on mean certainty change ( F3,613 = 4.62, P = .003). Five post hoc comparisons using Tukey’s honest significant difference (HSD) test indicated that the mean decrease in attitude certainty resulting from intervention 1 (M = −3.29) was significantly larger than the mean decrease in attitude certainty resulting from the nonsense control (M = −0.62, t = −2.72, P = .03), the distraction control (M = 0.11, t = 3.48, P = .003), but not intervention 2 (M = −0.87, t = −2.54, P = .06). Attitude-related thought was significantly correlated with attitude certainty change in intervention 1, r(158) = −.17, t = −4.28, P = .02, but not intervention 2, r(161) = −.002, t = −.03, P = .98. Conclusion: The implication for clinical practitioners and designers of health applications is that it may be worthwhile to let patients elaborate on their personal reasons for initially forming an unhealthy attitude to increase doubt about the strongly held attitude.

2021 ◽  
pp. 1357633X2110241
Author(s):  
Zari Doaltabadi ◽  
Leila Amiri-Farahani ◽  
Seyedeh Batool Hasanpoor-Azghady ◽  
Shima Haghani

Introduction The spouse has a special role in promoting the health of mothers and infants during pregnancy, childbirth, and postpartum. Women's health during pregnancy requires the participation and cooperation of their spouses. Therefore, this study was conducted to determine the effect of face-to-face and virtual prenatal care training of spouses on the pregnancy experience and fear of childbirth of primiparous women. Methods This is a quasi-experimental clinical trial that was conducted on primiparous pregnant women referring to three prenatal clinics in Tehran, Iran. Sampling was done by available method and pregnant women were divided into three groups of face-to-face training ( n = 35), virtual training ( n = 35), and control ( n = 33). The content of training program in the virtual and face-to-face groups was similar and included; nutrition during pregnancy, emotional support, fetal growth and development, advantages and disadvantages of vaginal delivery, planning for delivery, infant care, and danger signs for infants, which were presented in four sessions. The samples in the control group did not receive any training. In the 18th and 20th weeks of pregnancy, the demographic information form, pregnancy experience scale, and version A of the Wijma delivery expectancy/experience questionnaires were completed, and once again in the 37th and 38th weeks of pregnancy, the pregnancy experience scale and version A of the Wijma delivery expectancy/experience questionnaires were completed. Results There was a statistically significant difference in the mean score of pregnancy experience after the intervention between the face-to-face training and control groups ( p = 0.001). There was a statistically significant difference in the mean score of uplifts between the two groups of face-to-face training and control ( p = 0.01), and also between virtual training and control groups ( p = 0.02). There was a statistically significant difference between the two groups of face-to-face training and control in terms of and hassles score after the intervention ( p = 0.04). There was a statistically significant difference between the two groups of face-to-face training and control ( p = 0.02) and also between virtual training and control ( p = 0.04) in terms of the mean score of fear of childbirth after the intervention. Conclusion The results of this study showed that teaching prenatal care to spouses of primiparous women by face-to-face and virtual methods can be a useful intervention in improving the pregnancy experience and reducing the fear of childbirth among primiparous women.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Julia Colombijn ◽  
Anna Bonenkamp ◽  
Anita Van Eck van der Sluijs ◽  
Alferso C Abrahams ◽  
Joost Bijlsma ◽  
...  

Abstract Background and Aims Dialysis patients are often prescribed a large number of medications to improve metabolic control and manage co-existing comorbidities. However, several studies suggest that a large number of medications can also detrimentally affect their health-related quality of life (HRQoL). Therefore, this study aims to provide insight in the association between the number of medications and various aspects of HRQoL in dialysis patients. Method A multicentre study was conducted among dialysis patients from Dutch dialysis centres three months after initiation of dialysis as part of the ongoing prospective DOMESTICO study. The number of medications, defined as the number of concomitantly prescribed types of drugs, was obtained from electronic patient records. Primary outcome was HRQoL measured with the Physical Component Summary (PCS) score and Mental Component Summary (MCS) score (range 0-100) of the Short Form 12. Secondary outcomes were number of symptoms (range 0-30) measured with the Dialysis Symptoms Index and self-rated health (range 0-100) measured with the visual analogue scale of the EuroQol-5D-5L. Data were analysed using linear regression and adjusted for possible confounders, including age, sex, dialysis modality, and comorbidity. Analyses for MCS and number of symptoms were performed after categorising patients in tertiles according to their number of medications because assumptions of linearity were violated for these outcomes. Results A total of 162 patients were included. Mean age of patients was 58 ± 17 years, 35% were female, and 80% underwent haemodialysis. The mean number of medications was 12.2 ± 4.5. Mean PCS and MCS were 36.6 ± 10.2 and 46.8 ± 10.0, respectively. The mean number of symptoms was 12.3 ± 6.9 and mean self-rated health 60.1 ± 20.6. In adjusted analyses, PCS was 0.6 point lower for each additional medication (95%CI -0.9 – -0.2; p=0.002). MCS was 4.9 point lower (95%CI -8.8 – -1.0; p=0.01) and 1.0 point lower (95%CI -5.1 – 3.1; p=0.63) for the highest and middle tertiles of medications, respectively, compared to the lowest tertile. Patients in the highest tertile of medications reported 4.1 more symptoms compared to the lowest tertile (95%CI 1.5 – 6.6; p=0.002) but no significant difference in the number of symptoms was observed between the middle and lowest tertile. Self-rated health was 1.5 point lower for each medication (95%CI -2.2 – -0.7; p&lt;0.001). Conclusion After adjustment for comorbidity and other confounders, a higher number of medications was associated with a lower PCS, MCS, and self-rated health in dialysis patients and with more symptoms. This suggests that it may be relevant to weigh expected therapeutic benefits of medication against their possible harmful effects on HRQoL. An unfavourable balance between expected benefits and impact on HRQoL might be ground to deviate from clinical guidelines, especially for patients with a limited life-expectancy and for whom a kidney transplant is unattainable.


2014 ◽  
Vol 39 (2) ◽  
pp. 61-64 ◽  
Author(s):  
Z Akhter ◽  
MLA Banu ◽  
MM Alam ◽  
S Hossain ◽  
M Nazneen

Facial anthropometry has well-known implications in health-related fields. Measurement of human face is used in identification of person in Forensic medicine, Plastic surgery, Orthodontics, Archeology, Hairstyle design and examination of the differences between races and ethnicities. Facial anthropometry provides an indication of the variations in facial shape in a specified population. Bangladesh harbours many cultures and people of different races because of the colonial rules of the past regimes. Standards based on ethnic or racial data are desirable because these standards reflect the potentially different patterns of craniofacial growth resulting from racial, ethnic and sexual differences. In the above context, the present study was attempted to establish ethnic specific anthropometric data for the Christian Garo adult females of Bangladesh. The study was an observational, cross-sectional and primarily descriptive in nature with some analytical components and it was carried out with a total number of 100 Christian Garo adult females aged between 25-45 years. Three vertical facial dimensions such as facial height from ‘trichion’ to ‘gnathion’, nasal length and total vermilion height were measured by photographic method. Though these measurements were taken by photographic method but they were converted into actual size using one of the physically measured variables between two angles of the mouth (chilion to chilion). The data were then statistically analyzed by computation to find out its normatic value. The study also observed the possible ‘correlation’ between the facial height from ‘trichion’ to ‘gnathion’ with nasal length and total vermilion height. Multiplication factors were estimated for estimating facial height from nasal length and total vermilion height. Comparison were made between ‘estimated’ values with the ‘measured’ values by using‘t’ test. The mean (±SD) of nasal length and total vermilion height were 4.53±0.36 cm and 1.63±0.23 cm respectively and the mean (±SD) of facial height from ‘trichion’ to ‘gnathion’ was 16.88±1.11 cm. Nasal length and total vermilion height showed also a significant positive correlation with facial height from ‘trichion’ to ‘gnathion’. No significant difference was found between the ‘measured’ and ‘estimated’ facial height from ‘trichion’ to ‘gnathion’ for nasal length and total vermilion height. DOI: http://dx.doi.org/10.3329/bmrcb.v39i2.19643 Bangladesh Med Res Counc Bull 2013; 39: 61-64


2005 ◽  
Vol 11 (4) ◽  
pp. 211-214 ◽  
Author(s):  
Sanjeev Sharma ◽  
Ravi Shah ◽  
Kingsley Paul Draviraj ◽  
M S Bhamra

We studied the feasibility of telephone interviews to assess hip function in patients who had had a total hip replacement. One hundred patients attending the orthopaedic clinic for follow-up after undergoing total hip replacement were studied. A modified Harris hip score was used. Since range of motion and deformity cannot be assessed by telephone, only pain and function were assessed. The maximum possible score was 100. Patients attending follow-up clinics were contacted by telephone one to two weeks prior to their appointment and a telephone assessment was completed. This was then compared with a face-to-face assessment in the subsequent clinic. The mean hip score obtained with the telephone interview was 85.2 and the mean hip score at face-to-face assessment was 86.1. The mean of the differences between the individual scores was −0.9 (SD 5.5). This difference was not significant ( P=0.11). Only three patients had a clinically significant difference (>20 points) between the two methods. Telephone questionnaires may be a useful adjunct to face-to-face assessment for patient follow-up after total hip replacement.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Britta Müller ◽  
Peter Kropp ◽  
Maria Isabel Cardona ◽  
Bernhard Michalowsky ◽  
Nanja van den Berg ◽  
...  

Abstract Background To (a) describe the pattern of leisure time physical activities (LTPA) in community-dwelling persons who have been screened positive for dementia and (b) determine the health-related and sociodemographic factors associated with LTPA. Methods Data of the general practitioner-based, randomized, controlled intervention trial, DelpHi-MV (Dementia: life- and person-centered help in Mecklenburg-Western Pomerania) were used. Patients aged 70 years or older, who lived at home and had a DemTect< 9 were informed about the study by their General practitioners and invited to participate. Data from 436 participants with complete baseline data were used. Standardized, computer-assisted assessments were made during face-to-face interviews at the participants’ homes. Results Two hundred thirty-eight patients (54.6%) carried out LTPA (men 58.4%, women 51.8%). Physically active patients mentioned one to two different activities; diversity of LTPA was higher for men than for women. The most-frequently mentioned types of activity were gardening (35.3%), cycling (24.1%) and mobility training (12.4%); there was only a statistically significant difference between men and women in cycling, χ2(1) = 21.47, p < .001. The odds of LTPA increased with increasing quality of life (OR = 2.41), lower impairments in activities of daily living (OR = 0.85), and living in a rural environment (OR = 2.02). Conclusions Our findings suggest that people who have been screened positive for dementia living in a rural area are more likely to be active than people living in an urban area. Following studies should investigate whether this difference has an effect on the progression of dementia. Trial registration ClinicalTrial.gov Identifier NCT01401582.


2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Emriye Hilal Yayan ◽  
Yeliz Suna Dağ ◽  
Mehmet Emin Düken ◽  
Ayşegül Ulutaş

Aim:  The aim of the study was conducted to examine the relationship between smartphone addiction and internet addiction of working children in industry.Material and Method: This research was carried out with 183 children working at various work places in Diyarbakır province center between January and March 2017 as a descriptive relational. Child Information Form, Young Internet Addiction Scale and Smart Phone Dependence Scale were used in the study. The data were collected by face-to-face interview technique.Results: According to the statistical results of the study group, the average age of the students participating in the study was 14.53 ± 2.08. The average Internet and smartphone addiction scores of children whose mother were not alive (p = 0.000) or whose father (p = 0.000) were not alive and whose internet use was not supported (p = 0.000) were found to be higher. The mean scores of the groups were found to be significantly different. The mean internet and smart phone addiction scores of the children who worked well with the master at work (p = 0.000, p = 0.035) were found to be low and there was a significant difference between the groups. Children who were exposed to violence in the work environment (p=0.000) are quite high internet and smart phone addiction scores and the difference between the groups was found to be significant. It had founded that the children who use smart phone and internet for fun (p = 0.001, p = 0.002), chatting (p = 0.005) and browsing sites (p = 0.038, p = 0.001) was higher phone addiction and internet addiction scores. It was determined that there was a meaningful difference between the average scoresConclusion: Working children showed high internet and smart phone addiction behaviors, this resulted from originated family and social environment.


2021 ◽  
Author(s):  
Fatemh Saki ◽  
Hashem Mohamadian ◽  
Fataneh GhorbanyJavadpour ◽  
Maria Cheraghi

Abstract Backgrounds: Quality of life related to oral health impact profile-14 (OHIP-14) is one of the important dimensions of quality of life. Since using narcotics or stimulants increases the incidence of periodontal diseases, we aimed to determine impact of Oral health-related quality of life in narcotic or stimulant addicts who referred to maintenance methadone therapy (MMT) centers in Ahvaz City, Iran.Methods: It was descriptive-analytical cross-sectional study which has conducted on 187 narcotic and stimulant addicts who referred to MMT centers in Ahvaz city; 2020. The data collection tools included the demographic variables and the standard OHIP-14 questionnaires. Descriptive statistics, independent t-test, one-way analysis of variance, and LMS test were run at the significance level of less than 0.05. Results: The mean and standard deviation of the participants' age was 36.03 ± 8.98 years. The quality-of-life scores related to oral health were 34.89 ± 6.50 totally as well as 37.37 and 33.96 in narcotic and stimulant addicts, respectively. The total quality of life related to OHIP-14 did not have a significant relationship with variables of age, life companions, level of education, number of children, economic status, employment status, insurance status, underlying disease, toothbrush use status, last dentist visit, and number of missing teeth (P> 0.05). However, a significant difference was found between the quality of life related to oral health based on the type of substance used (narcotic or stimulant), so that the mean quality of life related to oral health was higher in narcotic addicts than stimulant users (P <0.05). Conclusion: The quality of life related to OHIP-14 was more unfavorable in stimulant users than narcotic users. So, policy makers and authorities are required to focus their interventions and research programs to improve health-related quality of life in addicts, especially stimulant users.


2017 ◽  
Vol 5 (1) ◽  
Author(s):  
M. Khoiruddin

The objectives of this research are (1) to find out the speaking ability of SMA Negeri 2 Rembang students before being taught using series pictures of storytelling, (2) to find out the speaking ability of SMA Negeri 2 Purwodadi students after being taught using series pictures of storytelling, and (3) to find out whether or not there is a significant difference of speaking ability of SMA Negeri 2 Purwodadi students before and after being taught using series pictures of storytelling.This study uses Experimental method. The number of populations in this research is30 students. The method of data collection is spoken test. First the writer gives pre-test to the students and scores. Second the writer gives a treatment for two meetings at this time, the writer implements the series pictures in classroom activities. At last, the writer gives the students a post test. The data analysis reveals that the mean of pre-test score is 61,03 ; it is at fair level. The mean of post-test score is 76,1 ; it is at good level. Then the result of t-test is9,71, and the t-table of 30 students is2,04. The result of t-test is higher than t-table. Based on research analysis, the writer takes conclusions: first the speaking ability of the students before being taught using series pictures of storytelling is fair, second the speaking ability of the students after being taught using series pictures of storytelling is good, and last there is significant improvement of English speaking ability of the students taught by using series pictures of storytelling. The writer also suggests to all of teachers of senior high school. It is better for them to use the media of series pictures of storytelling to improve the students’ speaking ability. It is for the simple reason that a series pictures are a media to improve the speaking ability at storytelling. The writer also suggests to the students that the study is as recommendation to motivate the students in improving the students’ speaking ability. The students are encouraged to give their opinions, ideas and imagination about the presented pictures. Definition of key terms (1) series picture A picture is an illustration of pictures that can be used as a two dimensional visual representation of percent, place, or things. (2) Media is any extension of man which allows him to affect other people who are not in face to face with him. (3) Story telling is In this research storytelling is used to improve the students’ speaking ability. It caused that storytelling can improve the ideas and imagines their story and express it by telling the story. It helps the students to speak and talk active.


Author(s):  
Sevcihan Gunen Yilmaz ◽  
munevver kilic

Objective: Chemotherapy and radiotherapy, used to treat childhood hematological malignancies (HM), can negatively impact oral tissues and organs. This study aimed to evaluate oral health-related quality of life in children with HM. Material and Methods: A total of 59 children, including 29 undergoing HM (21 for acute lymphocytic leukemia, 2 for acute myelocytic leukemia, 4 for Hodgkin lymphoma, and 2 for non-Hodgkin lymphoma) and 30 healthy volunteers, were included in this cross-sectional study. The mean age of the entire study group was 78.63 ± 34.41 months. The mean age of the HM and control groups was 87.12 ± 35.04 and 70.95 ± 34.85 months, respectively. The Simplified Oral Hygiene Index (SOHI), Decayed, Missing, and Filled Teeth (DMFT) index, and Turkish version of the Early Childhood Oral Health Impact Scale (ECOHIS-T) were administered to all children. The data were analyzed using SPSS software (version 22.0). Results: The age and gender distributions of the two groups were similar. The SOHI was significantly higher in the HM group, whereas the DMFT score was similar between the groups. No significant difference in the total ECOHIS-T score was observed between the two groups, but there was a group difference in the responses to questions on pain and psychological processes. Conclusions: Oral health and self-care were negatively affected by childhood HM and the treatment thereof. Close clinical dental follow-up of such patients is required. Keywords: Hematological malignancies, DMFT, Oral health-related quality of life


2021 ◽  
Vol 7 (4) ◽  
pp. 303-310
Author(s):  
Sajjad Pirooz-arjmandi ◽  
◽  
Mahbobeh Sajadi ◽  
Akram Bayati ◽  
Nooshin Sajadei ◽  
...  

Background: Constipation is a common problem among children. The aim of this study was to compare the effect of face-to-face and multimedia education on the severity of functional constipation in children. Methods: It was a two-group pre-test post-test quasi-experimental study that was carried out at the Specialized Clinics of Pediatrics affiliated with the Arak University of Medical Sciences, Arak, Iran. The sample consisted of 96 eligible children in the age range of 6 to 12 years that were randomly assigned to face-to-face (n=48) and multimedia (n=48) groups. Functional constipation was detected by Rome ΙΙΙ criteria. Data were collected by a demographic characteristics form and the Constipation Assessment Scale (CAS) before intervention and one month later in both groups. In the face-to-face group, education was provided using two 15-min training sessions in the form of a lecture in the presence of the mother. The multimedia training group received a 15-min training video. Both groups were given a pamphlet. The data were analyzed by Fisher’s exact test, independent t-test, and paired t-test using SPSS version 16. Results: There was no significant difference between the groups’ constipation severity before the intervention (P=0.12). There was a significant difference between the mean score of constipation severity between the face-to-face (P=0.01) and multimedia (P=0.001) groups before and after the intervention. However, the mean±SD score of constipation severity after the intervention was 7.05±1.79 in the face-to-face group and 5.91±1.69 in the multimedia group (p=0.001). Conclusion: The results of this study showed that both educational interventions reduced the severity of constipation in children. However, multimedia training was more effective than face-to-face education so that it reduced the severity of constipation to a greater extent.


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