scholarly journals ‘You can’t walk with cramp!’ A qualitative exploration of individuals’ beliefs and experiences of walking as treatment for intermittent claudication

2016 ◽  
Vol 22 (2) ◽  
pp. 255-265 ◽  
Author(s):  
Melissa N Galea Holmes ◽  
John A Weinman ◽  
Lindsay M Bearne

Walking is an effective but underused treatment for intermittent claudication. This qualitative study explored people’s experiences of and beliefs about their illness and walking with intermittent claudication. Using the Framework method, semi-structured in-depth interviews included 19 individuals with intermittent claudication, and were informed by the Theory of Planned Behaviour and Common Sense Model of Illness Representations. Walking was overlooked as a self-management opportunity, regardless of perceptions of intermittent claudication as severe or benign. Participants desired tailored advice, including purposeful and vigorous exercise, and the potential outcome of walking. Uncertainties about their illness and treatment may explain low walking participation among people with intermittent claudication.

2014 ◽  
Vol 30 (5) ◽  
pp. 430-440 ◽  
Author(s):  
Aoife De Brún ◽  
Mary McCarthy ◽  
Kenneth McKenzie ◽  
Aileen McGloin

2020 ◽  
Author(s):  
Martin S Hagger ◽  
Sheina Orbell

The common sense model of illness self-regulation outlines the dynamic processes by which individuals perceive, interpret, respond, and adjust, psychologically and behaviorally, to health threats and illness-related information. An extended version of the model is presented, which formally operationalizes existing processes in the model and specifies additional constructs and processes to explain how lay perceptions of health threats and illnesses impact coping responses and health-related outcomes. The extended model provides detail on: (a) the mediating process by which individuals’ illness representations relate to illness outcomes through adoption of coping strategies; (b) representations of health threats and illnesses as schematically organized and activated by presentation of health-threatening stimuli; (c) behavioral and treatment beliefs as determinants of coping responses and illness outcomes independent of illness representations; and (d) effects of salient moderators (e.g., optimism, perfectionism, trait negative affectivity, emotional representations) of relations between cognitive representations, coping responses, and illness outcomes. The extended model is intended to set an agenda for future research that addresses knowledge gaps regarding how individuals represent and cope with illnesses and health threats, and augments the evidence base that may inform effective and optimally-efficient illness-management interventions. We also identify the specific kinds of research required to provide robust evidence for the revised model propositions. We call for research paradigms that employ incipient illness samples, utilize designs that better capture dynamic processes in the model such as cross-lagged panel and intervention designs, and adopt illness-specific measures of coping behaviors and self-management actions rather than reliance on generic instruments.


Vaccines ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 941
Author(s):  
Manja Vollmann ◽  
Christel Salewski

Mass vaccination is considered necessary to reduce the spread of COVID-19; however, vaccination willingness was found to be especially low among young adults. Therefore, based on the extended Common Sense Model, the unique effects and the interplay of illness representations about COVID-19 and perceptions about COVID-19 vaccination in explaining COVID-19 vaccination willingness was investigated using a cross-sectional design. An online survey measuring the relevant variables was filled in by 584 participants (69.9% female) between 18 and 34 years. Correlation analyses showed that all illness representation dimensions except from timeline and both dimensions of vaccination perceptions were related to vaccination willingness. The mediation analysis revealed that less personal control, more prevention control, more concerns about COVID-19 as well as more perceived necessity of and fewer concerns about the vaccination were directly related to higher vaccination willingness. Additionally, prevention control was indirectly related to higher vaccination willingness through stronger perceptions of necessity of the vaccination. The extended Common Sense Model proved to be useful in the context of illness prevention. Campaigns to improve vaccination rates should aim at increasing the perception that COVID-19 is preventable through vaccination and the personal need of the vaccination as well as at decreasing concerns about the vaccination.


2013 ◽  
Author(s):  
Kwartarini Wahyu Yuniarti ◽  
Howard Leventhal ◽  
Rosana Ika Pramitasari ◽  
Rizky Dandihatina Hajar ◽  
Krysti Wulandari Surya

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