scholarly journals Factors Influencing Physical Activity in Cancer Patients During Oncological Treatments: A Qualitative Study

2020 ◽  
Vol 19 ◽  
pp. 153473542097136
Author(s):  
Alice Avancini ◽  
Daniela Tregnago ◽  
Laura Rigatti ◽  
Giulia Sartori ◽  
Lin Yang ◽  
...  

Introduction: Although the literature supports the importance of physical activity in the oncological context, in Italy a large number of patients are not sufficiently active. Methods: The present study aimed to explore factors influencing an active lifestyle in cancer patients during oncological treatments. Semi-structured focus groups, including 18 patients with different cancer types, were conducted at the Oncology Unit in the University Hospital Trust of Verona (Italy). The interviews were audio-recorded, transcribed verbatim, and analyzed with content analysis. Results: According to the Health Belief Model, transcripts were categorized into the following themes: benefits, barriers, and cues to action. Patients reported a series of physical, physiological, and psychological benefits deriving from an active lifestyle. The main barriers hampering the physical activity participation were represented by treatment-related side effects, advanced disease, and some medical procedures, for example, ileostomy. Several strategies that can trigger patients to exercise were identified. Medical advice, social support from family and friends, features such as enjoyment, setting goals, and owning an animal can motivate patients to perform physical activity. At the same time, an individualized program based on patients’ characteristics, an available physical activity specialist to consult, more detailed information regarding physical activity in the oncological setting, and having accessible structures were found important facilitators to implementing active behavior. Conclusions: Overall, patients have a positive view regarding physical activity, and a variety of obstacles and cues to action were recognized. Considering this information may help to improve adherence to a physical activity program over time, consequently increasing the expected benefits.

2019 ◽  
Vol 2 (1) ◽  
pp. 72-80
Author(s):  
Sardaniah Sardaniah ◽  
Rosita Erawati ◽  
Ririn Zuhriati Oktavia

Kepatuhan pada jadwal pemberian imunisasi dasar merupakan salah satu faktor untuk mencapai UCI (Universal Child Immunization). Selain itu, apabila ibu tidak mematuhi jadwal pemberian imunisasi dasar, maka akan berpengaruh terhadap kekebalan dan kerentanan bayi dari suatu penyakit. Faktor penentu yang mempengaruhi pemberian imunisasi di masyarakat adalah perilaku masyarakat tersebut. Salah satu teori perilaku dalam pelayanan kesehatan adalah HBM (Health Belief Model). HBM terdiri dari 3 kategori utama yaitu persepsi individu, faktor modifikasi (terdiri dari usia, pendidikan, sosial-budaya-agama, dan cues to action), dan kemungkinan tindakan (terdiri dari manfaat dan hambatan). HBM masuk dalam salah satu faktor konseptual pengambilan keputusan orang tua dalam pemberian imunisasi pada anaknya. Tujuannya adalah Untuk mengetahui Gambaran Kepatuhan Ibu Membawa Anak Imunisasi Diwilayah Kerja UPTD Puskesmas Sidumulyo Kota Bengkulu. Desain Penelitian yang digunakan yaitu deskriptif analitik dengan menggunakan rancangan cross sectional. Subjek dalam penelitian yang dilakukan adalah accidental sampling. Populasinya ibu yang mempunyai bayi usia 1-12 bulan di Wilayah Kerja Puskesmas Sidomulyo yang datang untuk imunisasi pada bulan Mei Tahun 2018. sebanyak 20 ibu. Pengambilan sampel dilakukan dengan total sampling yang memenuhi kriteria inklusi sebanyak 20 ibu dan yang tereksklusi adalah 3, sehingga tersisa sampel 17 ibu. Instrumen penelitian menggunakan kuesioner lembar observasi. Hasil penelitian ini, terdapat sebanyak 3 dari 17 (17.6%) ibu tidak patuh dalam pemberian imunisasi dasar pada bayinya. Faktor yang mempengaruhi kepatuhan ibu dalam pemberian imunisasi dasar pada bayi yaitu kondisi bayi karena 1 bayi sakit dan 2 jarak tempat tinggal dan tempat pelayanan imunisasi jauh (lagi ada acara keluarga) sejalan dengan penelitian yang telah dilakukan oleh Rachmawati (2016), tentang Faktor – faktor yang mempengaruhi Kepatuhan ibu dalam pemberian imunisasi Dasar pada Balita di dukuh Pilangbangau Desa sepat masaran Sragen, antara lain pengaruh oleh usia ibu, Pendidikan dan Keputusan orang tua dan jarak ketempat pelayanan Kesehatan. Dari penelitian ini dapat disimpulkan bahwa kepatuhan ibu membawa bayinya untuk imunisasi dipengaruhi oleh Usia ibu, pendidikan orang tua dan Keputusan orang tua untuk itu perlu kerjasam yang baik antara orang tua dan petugas Imunisasi Pusat kesehatan masyarakat (PKM) Sidomulyo Bengkulu. 


2021 ◽  
Vol 15 (6) ◽  
pp. 155798832110633
Author(s):  
Jean-Etienne Terrier ◽  
Alain Ruffion ◽  
Chloé Hamant ◽  
Vanessa Rousset ◽  
Julie Kalecinski ◽  
...  

In all, 30% to 90% of prostate cancer patients undergoing radical prostatectomy (RP) recover their erectile capacity. No effective post RP erectile rehabilitation program exists to date. The aim of this exploratory qualitative study is to explore the needs of these patients and to develop a patient education program (PEP) which meets these needs. Interviews were carried out by a socio-anthropologist with prostate cancer patients treated by RP within the 6 previous months. The needs and expectations identified led to the choice of a logical model of change for the construction of the PEP. Nineteen patients were included in the study; 17 of them were living with a partner. Two categories of patients appeared during the interviews: informed patients resigned to lose their sexuality and patients misinformed about the consequences of the surgery. The tailored program was built on the Health Belief Model and provides six individual sessions, including one with the partner, to meet the needs identified. This study designed the first program to target comprehensively the overall sexuality of the patient and his partner, and not only erection issues. To demonstrate the effectiveness of this program, a controlled, multicentric clinical trial is currently ongoing.


2019 ◽  
Author(s):  
Triana Kesuma Dewi ◽  
Karlijn Massar ◽  
Robert A.C. Ruiter ◽  
Tino Leonardi

Background. Breast cancer has become one of the most prevalent causes of mortality among Indonesian women. Better prognosis of breast cancer will be achieved if it is diagnosed in an earlier stage, thus efforts to detect breast cancer earlier are important. Breast Self-Examination (BSE) is considered as an important first step to encourage women to actively be responsible for their own health, especially for women in developing countries with limited resources and access to other forms of preventive healthcare. The present study aimed to predict BSE behavior among women in Surabaya, Indonesia using the HBM. Methods. This investigation was a cross-sectional survey which was distributed among 1,967 women aged 20-60 years. The Indonesian version of Champion’s Health Belief Model Scale (I-CHBMS) was used to explain self-reported BSE practice. Logistic regression analysis was used to examine the association of HBM variables with BSE practice.Results Almost half of the sample (44.4%) had performed BSE. Further, the results indicated that the HBM variables were significantly associated with BSE practice. Specifically, higher perceived benefits and self-efficacy, lower perceived barriers and less cues to action were unique correlates of BSE behavior. The result also showed that perceived severity and susceptibility were not associated with BSE behavior. Conclusion. This study indicated that several HBM constructs significantly associated with BSE behavior among Indonesian women, suggesting that BSE health education programs should emphasize the perceived benefits of BSE, focus on increasing women’s self-efficacy to address and overcome perceived barriers in performing BSE, and help them in identifying personally relevant cues to action.


Author(s):  
◽  
Eti Poncorini Pamungkasari ◽  
Bhisma Murti ◽  
◽  

ABSTRACT Background: In the field of health-care education, theories and models help us to explain and predict behaviors to conduct effective health-care educational programs for changing behaviors. The Health Belief Model (HBM) contains several primary concepts by which individuals evaluate themselves to take action to change their behaviors, including antenatal care uptake in pregnant women. This study aimed to examine factors affecting the use of antenatal care. Subjects and Method: A cross sectional study was carried out in Semarang, Central Java, from June to August 2020. A sample of 250 pregnant women was selected by simple random sampling. The dependent variable was antenatal care. The independent variables were attitude, knowledge, information, self-efficacy, perceived seriousness, perceived susceptibility, perceived barrier, perceived benefit, cues to action, husband support, and facilities. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Complete antenatal care increased with strong support (OR= 38.97; 95% CI= 3.19 to 476.53; p= 0.004), high knowledge (OR= 16.44; 95% CI= 2.54 to 106.60; p= 0.003), positive attitude (OR= 29.88; 95% CI= 2.88 to 309.92; p= 0.004), high information toward antenatal care (OR= 31.42; 95% CI= 4.07 to 242.41; p= 0.001), strong self-efficacy (OR= 7.85; 95% CI= 1.50 40.99; p= 0.015), strong cues to action (OR= 11.97; 95% CI= 2.01 to 71.36; p= 0.006), high perceived seriousness (OR= 32.99; 95% CI= 3.93 to 276.98; p= 0.001), high perceived susceptibility (OR= 24.29; 95% CI= 2.50 to 235.78; p= 0.006), high perceived benefit (OR= 30.43; 95% CI= 2.99 to 308.80; p= 0.004), high perceived barrier (OR= 0.07; 95% CI= 0.01 to 0.57; p= 0.013) and complete facilities (OR= 63.52; 95% CI= 3.62 to 1115.08; p= 0.005). Conclusion: Complete antenatal care increases with strong support, high knowledge, positive attitude, high information toward antenatal care, strong self-efficacy, strong cues to action, high perceived seriousness, high perceived susceptibility, high perceived benefit, high perceived barrier and complete facilities. Keywords: antenatal care, health facility, Health Belief Model Correspondence: Widyawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285742919076. DOI: https://doi.org/10.26911/the7thicph.03.117


2019 ◽  
Vol 18 ◽  
pp. 153473541989406
Author(s):  
Hao Luo ◽  
Daniel A. Galvão ◽  
Robert U. Newton ◽  
Ciaran M. Fairman ◽  
Dennis R. Taaffe

Physical inactivity is a major concern in cancer patients despite the established preventative and therapeutic effects of regular physical exercise for this patient group. Sport not only plays an important role in supporting the development and maintenance of a physically active lifestyle but also is increasingly used as a health promotion activity in various populations. Nevertheless, the potential of sport as an effective strategy in the prevention and management of cancer has gained little attention. Based on the scant evidence to date, participation of cancer patients in supervised, well-tailored sport programs appears to be safe and feasible and is associated with an array of physical and psychological benefits. We propose that sport participation may serve as an alternative strategy in the prevention of cancer and sport medicine in the management of cancer. As with the traditional exercise modes, benefits derived from sport participation will be dependent on the sport undertaken and the physical/physiological, motor, and cognitive demands required. To this end, further work is required to develop a solid evidence base in this field so that targeted sport participation can be recommended for cancer patients.


BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e026772 ◽  
Author(s):  
Qiong Liu ◽  
Wanli Chen ◽  
Renjie Qi ◽  
Yang Geng ◽  
Ya Liu ◽  
...  

ObjectivesCoal workers’ pneumoconiosis is caused by exposure to respirable coal mine dust. The self-protection of underground coal miners (UCM) plays an irreplaceable role against this threat. The purpose of this study was to evaluate the predictors of self-protective behaviour (SPB) in Chinese UCM based on the health belief model (HBM).MethodsA cross-sectional study was conducted among 341 UCM in January 2016 in Pingdingshan City, Henan Province, People’s Republic of China. Data was collected using a self-reported questionnaire, which included questions on sociodemographic characteristics, HBM variables and SPB. An exploratory factor analysis of the principal components with varimax rotation was carried out on the HBM-related items. Pearson’s correlation and multiple linear regression analysis were used to assess the relationship between sociodemographic characteristics, HBM variables and SPB.ResultsMultiple regression analysis demonstrated the monthly income (B=0.403, p=0.001), the internal cues to action (B=0.380, p<0.001) and external cues to action (B=0.401, p<0.001) as the predictors of UCM’s SPB, accounting for 24.8% of total variance (F=34.96, p<0.001), while the cognition variables of HBM were not significantly associated with SPB.ConclusionThe results suggested that both internal and external cues to action were powerful predictors for SPB. These findings highlight that further efforts are required to provide the UCM with periodic health check-up reports and promote the active role of doctors and family members in miners’ decision-making to simulate them for better SPB.Ethics approvalAll data collection procedures received ethical approval from the Ethics Committee of Xuhui District Centre for Disease Control and Prevention (XHHEC-2016–7).


2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Yuling Huang ◽  
Bin Yu ◽  
Peng Jia ◽  
Zixin Wang ◽  
Shifan Yang ◽  
...  

Objective. The Chinese men who have sex with men (MSM) population is suffering from a high HIV infection rate owing to unprotected anal sex. The Health Belief Model (HBM) has been proven to be an effective frame associated with behavior maintenance. Based on HBM, we analyzed the beliefs associated with consistent condom use behavior with regular and nonregular partners among MSM to better provide targeted interventions and services. Methods. A study was conducted in Sichuan Province, China, from November 2018 to April 2019, and 801 eligible participants were recruited by snowball sampling. Sociodemographic characteristics, AIDS-related characteristics, sexual behaviors, condom use behavior, and dimensions of HBM were investigated. Univariate, single multivariate, and summary multivariate models were employed to analyze the factors associated with consistent condom use. Results. Of all participants, 39.1% and 53.6% had had anal sex with regular and nonregular partners in the last six months, respectively. Only 56.5% of them had used condoms consistently with regular partners, and only 60% of them had used condoms consistently with nonregular partners. When taking consistent condoms use with regular partners as the dependent variable, the dimensions of perceived threats ( ORM = 1.28 , 95% CI: 1.10, 1.49), perceived barriers ( ORM = 0.70 , 95% CI: 0.60, 0.82), self-efficacy ( ORM = 1.23 , 95% CI: 1.14, 1.32), and cues to action ( ORM = 1.21 , 95% CI: 1.02, 1.43) showed significant associations with the dependent variable. When taking consistent condoms use with nonregular partners as the dependent variable, the dimensions of perceived barriers ( ORM = 0.77 , 95% CI: 0.67, 0.89), self-efficacy ( ORM = 1.22 , 95% CI: 1.13, 1.32), and cues to action ( ORM = 1.53 , 95% CI: 1.30, 1.80) showed significant associations with the dependent variable. Conclusions. More attention should be focused on how to decrease the obstructive factors of condom use, how to improve the confidence of condom use, and how to layout more cues to action to promote consistent condom use behavior with regular and nonregular partners during anal sex among Chinese MSM.


2018 ◽  
Vol 13 (2) ◽  
pp. 114
Author(s):  
Liyasda Amalis Sahr ◽  
Tanjung Anitasari Indah Kusumaningrum

Latar Belakang: Kabupaten Sukoharjo menempati sebagai salah satu kabupaten tertinggi positif IVA di Jawa Tengah dengan presentase sebesar 19.35%. Jumlah tersebut melampaui ambang batas yang ditetapkan oleh Kementerian Kesehatan RI yaitu sebesar 3%. Kunjungan tes IVA terendah terdapat di Puskesmas Kecamatan Sukoharjo yaitu hanya 47 (0,19%) wanita usia subur (WUS) yang telah tes IVA. Penelitian ini bertujuan untuk memahami perilaku WUS yang telah bersedia dan tidak bersedia melakukan tes IVA berdasarkan teori Health Belief Model. Metode: Jenis penelitian ini merupakan penelitian kualitatif dengan pendekatan studi kasus WUS yang bersedia dan tidak bersedia melakukan tes. Sebanyak 14 WUS terlibat dalam penelitian ini dan disertai dengan 14 suami WUS yang bersedia dilakukan wawancara mendalam sebagai teknik pengumpulan data.  Satu orang bidan sebagai pelaksana program IVA tes juga di wawancara mendalam sebagai informan triangulasi. Hasil: Hasil penelitian menunjukkan bahwa sebagian besar WUS belum melakukan tes IVA. Persepsi hambatan yang dirasakan oleh WUS merupakan persepsi yang paling melatarbelakangi WUS tidak melakukan tes IVA. Alasan WUS enggan melakukan tes IVA karena kurangnya informasi tentang tes IVA sehingga WUS merasa tidak faham tentang IVA, selain kesibukan, perasaan takut, dan malu. Persepsi yang paling berkaitan dengan WUS melakukan tes IVA adalah cues to action. Alasan WUS melakukan tes IVA adalah karena mendapat sosialisasi lengkap sehingga faham manfaatnya, selain juga dukungan dari suami serta adanya contoh dari teman yang telah melakukan tes IVA.Kata Kunci: Kanker Serviks, Wanita Usia Subur, IVA, persepsi, Health Belief Model 


1999 ◽  
Vol 16 (4) ◽  
pp. 237-245 ◽  
Author(s):  
Gary A. Munley ◽  
Angus McLoughlin ◽  
Jeremy J. Foster

AbstractHealth-check attendance intention and behaviour in young men and women was compared, and the data used to determine whether health belief model constructs were able to predict such intentions and behaviour. Sixty male and sixty female respondents completed questionnaires asking about past health-check attendance behaviour, future attendance intention, and health beliefs. More females than males had previously attended a general health check, and females had stronger intentions to do so in the future. Regression analyses indicated that health-check attendance intention was predicted for both males and females by responses to cues to action. For females, previous health-check attendance was related to responses to cues to action and perceptions of barriers to attendance. None of the health belief model constructs was found to account for previous attendance behaviour of males. The results of the study support recent calls for health promotion initiatives aimed at men, but suggest that they should target cognitions other than those included within the health belief model.


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