scholarly journals Reproducing fear: the effect of birth stories on nulligravid women’s birth preferences

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yvette D. Miller ◽  
Marion Danoy-Monet
Keyword(s):  
Self Efficacy ◽  
Vaginal Birth ◽  
Analysis Of Covariance ◽  
Hierarchical Regression ◽  
Vicarious Experience ◽  
Birth Stories ◽  
Caesarean Birth ◽  
Before And After ◽  
Vicarious Experiences ◽  
Childbirth Preferences

Abstract Objective Preference for caesarean birth is associated with higher fear and lower self-efficacy for vaginal birth. Vicarious experience is a strong factor influencing self-efficacy in nulligravid women, and is increasingly accessible via digital and general media. This study assessed the effect of exposure to different birth stories on nulligravid women’s childbirth preferences and the factors mediating these effects. Methods Nulligravid women (N = 426) were randomly allocated to one of four conditions exposing them to written birth stories. Stories varied by type of birth (vaginal/caesarean) and storyteller evaluation (positive/negative) in a 2 × 2 design. Childbirth preference, fear of labour and vaginal birth, and self-efficacy for vaginal birth were measured before and after exposure via a two-way between groups analysis of covariance. Hierarchical regression models were used to determine the mediating effects of change in childbirth fear and childbirth self-efficacy. Results Variations in type of birth and storyteller evaluation significantly influenced childbirth preferences (F (1, 421) = 44.78, p < 0.001). The effect of vaginal birth stories on preference was significantly mediated by fear of labour and vaginal birth and self-efficacy. Effects of exposure to caesarean birth stories were not explained by changes in fear or self-efficacy. Conclusions Childbirth preferences in nulligravid women can be significantly influenced by vicarious experiences. For stories about vaginal birth, the influence of birth stories on women’s fear and self-efficacy expectancy are partly responsible for this influence. The findings highlight the importance of monitoring bias in vicarious experiences, and may inform novel strategies to promote healthy childbirth.

scholarly journals Mitigating the mistreatment of childbearing women: evaluation of respectful maternity care intervention in Ethiopian hospitals

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e038871
Author(s):  
Anteneh Asefa ◽  
Alison Morgan ◽  
Samson Gebremedhin ◽  
Ephrem Tekle ◽  
Sintayehu Abebe ◽  
...  
Keyword(s):  
Maternity Care ◽  
Intervention Group ◽  
Vaginal Birth ◽  
Outcome Variable ◽  
Respectful Maternity Care ◽  
Post Intervention ◽  
Caesarean Birth ◽  
Care Intervention ◽  
Before And After ◽  
Childbearing Women

ObjectivesThere is a lack of evidence on approaches to mitigating mistreatment during facility-based childbirth. This study compares the experiences of mistreatment reported by childbearing women before and after implementation of a respectful maternity care intervention.DesignA pre–post study design was undertaken to quantify changes in women’s experiences of mistreatment during facility-based childbirth before and after the respectful maternity care intervention.InterventionA respectful maternity care intervention was implemented in three hospitals in southern Ethiopia between December 2017 and September 2018 and it included training of service providers, placement of wall posters in labour rooms and post-training supportive visits for quality improvement.Outcome measuresA 25-item questionnaire asking women about mistreatment experiences was administered to 388 women (198 in the pre-intervention, 190 in the post-intervention). The outcome variable was the number of mistreatment components experienced by women, expressed as a score out of 25. Multilevel mixed-effects Poisson modelling was used to assess the change in mistreatment score from pre-intervention to post-intervention periods.ResultsThe number of mistreatment components experienced by women was reduced by 18% when the post-intervention group was compared with the pre-intervention group (adjusted regression coefficient (Aβ)=0.82, 95% CI 0.74 to 0.91). Women who had a complication during pregnancy (Aβ=1.17, 95% CI 1.01 to 1.34) and childbirth (Aβ=1.16, 95% CI 1.03 to 1.32) experienced a greater number of mistreatment components. On the other hand, women who gave birth by caesarean birth after trial of vaginal birth (Aβ=0.76, 95% CI 0.63 to 0.92) and caesarean birth without trial of vaginal birth (Aβ=0.68, 95% CI 0.47 to 0.98) experienced a lesser number of mistreatment components compared with those who had vaginal birth.ConclusionsWomen reported significantly fewer mistreatment experiences during childbirth following implementation of the intervention. Given the variety of factors that lead to mistreatment in health facilities, interventions designed to mitigate mistreatment need to involve structural changes.

scholarly journals Impact of Informal Experiences: Changes in Mathematics Motivation for Middle Schoolers

2020 ◽  
Vol 10 (3) ◽  
pp. 88
Author(s):  
Suzanne F Lindt ◽  
Dittika Gupta
Keyword(s):  
Middle School ◽  
Middle School Students ◽  
Self Efficacy ◽  
Learning Goals ◽  
School Students ◽  
Middle Schoolers ◽  
Before And After ◽  
Efficacy Measure ◽  
Vicarious Experiences ◽  
The Impact

The current research sought to examine the impact of a week-long mathematics camp on motivation and self-efficacy beliefs of participating middle school students. Middle school students participated in a one-week mathematics camp on a college campus, where they worked on authentic mathematics activities that were applied to real world concepts. The activities were developed by a mathematics educator and were facilitated by trained college students. Middle school students responded to the Sources of Self-Efficacy measure before and after the mathematics camp to determine whether changes occurred in various motivational variables resulting from their participation in the camp. Parallel t-tests indicated significant positive changes in students’ vicarious experiences and mastery goals to suggest that participation in the camp may have caused students to feel more confident in their ability to work through math problems and to adopt learning goals for mastering mathematics content. Providing middle school students with informal learning experiences in mathematics may help them in creating long-term goals for their learning.

Abstract MP18: Vicarious Experience Trumps Neighborhood Characteristics in Predicting Leisure-time Physical Activity in the Multi-ethnic Study of Atherosclerosis Dataset

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Jacob K Kariuki ◽  
Bonny Rockette-Wagner ◽  
Jessica Cheng ◽  
Lora E Burke ◽  
Kirk Erickson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Self Efficacy ◽  
Leisure Time ◽  
Community Dwelling ◽  
Neighborhood Characteristics ◽  
Vicarious Experience ◽  
Neighborhood Factors ◽  
Perceived Safety ◽  
Ethnic Study ◽  
Vicarious Experiences

Background: Social cognitive theory (SCT) postulates that observing similar others succeed (vicarious experience) can improve self-efficacy and motivate action. The utility of vicarious experience has been demonstrated in controlled laboratory and clinical settings, but its operationalization and applicability for promoting physical activity (PA) in community settings remains unknown. Characterizing vicarious experiences and other neighborhood factors that are associated with improved PA in the community could help enhance exercise self-efficacy and PA. This secondary analysis examines neighborhood factors that predict leisure-time PA during exam 5 of the Multi-Ethnic Study of Atherosclerosis (MESA). Methods: The sample included MESA subjects who participated in exam 5 (N= 4,716). Leisure-time PA was assessed using the MESA Typical Week PA Survey. Neighborhood behaviors and characteristics, including vicarious experiences (operationalized as observing others “exercise” or “walk”), perceived safety, crime, and walkability, were self-reported. Group comparative analyses were used to evaluate differences in categorical and continuous variables. The relationships between neighborhood characteristics and optimal leisure-time PA (≥10 MET-hrs/wk) were assessed using logistic regression adjusting for age, gender, race, income, body mass index (BMI), and depression, and including interactions between race, BMI and age. Adjusted odds ratios with 95% confidence intervals (CI) are reported. Results: Participants with complete data on variables of interest (n=4,417) were elderly (age 69.8 ± 9.4 yrs), predominantly female (53%), and diverse (40% white, 12% Chinese, 26% black, 22% Hispanic). Participants who saw people exercise in their neighborhood were 44% (OR 1.44, 95% CI; 1.22 - 1.69) more likely to engage in optimal leisure-time PA compared to those who did not. Observing other people walk in the neighborhood did not impact leisure-time PA (OR 0.84, 95% CI; 0.68 - 1.04). Older age, female gender, obesity, minority status, and high-risk for depression were associated with lower odds of engaging in optimal leisure-time PA controlling for vicarious experience. Race had significant interactions with BMI and age. Other neighborhood characteristics including perceived safety, crime, and walkability did not influence the association between seeing similar others engage in PA and their own engagement in PA. Conclusions: Developing PA programs that expose community-dwelling adults to their peers who engage in PA could improve exercise self-efficacy and adherence to PA guidelines.

Effects of a 6-Week Straw Phonation in Water Exercise Program on the Aging Voice

2020 ◽  
Vol 63 (4) ◽  
pp. 1018-1032
Author(s):  
Chia-Hsin Wu ◽  
Roger W. Chan
Keyword(s):  
Acoustic Analysis ◽  
Vocal Tract ◽  
Exercise Program ◽  
Analysis Of Covariance ◽  
Elderly Subjects ◽  
Control Group ◽  
Perceptual Evaluation ◽  
Positive Effects ◽  
Aging Voice ◽  
Before And After

Purpose Semi-occluded vocal tract (SOVT) exercises with tubes or straws have been widely used for a variety of voice disorders. Yet, the effects of longer periods of SOVT exercises (lasting for weeks) on the aging voice are not well understood. This study investigated the effects of a 6-week straw phonation in water (SPW) exercise program. Method Thirty-seven elderly subjects with self-perceived voice problems were assigned into two groups: (a) SPW exercises with six weekly sessions and home practice (experimental group) and (b) vocal hygiene education (control group). Before and after intervention (2 weeks after the completion of the exercise program), acoustic analysis, auditory–perceptual evaluation, and self-assessment of vocal impairment were conducted. Results Analysis of covariance revealed significant differences between the two groups in smoothed cepstral peak prominence measures, harmonics-to-noise ratio, the auditory–perceptual parameter of breathiness, and Voice Handicap Index-10 scores postintervention. No significant differences between the two groups were found for other measures. Conclusions Our results supported the positive effects of SOVT exercises for the aging voice, with a 6-week SPW exercise program being a clinical option. Future studies should involve long-term follow-up and additional outcome measures to better understand the efficacy of SOVT exercises, particularly SPW exercises, for the aging voice.

Institutional Environment, Entrepreneurial Self-Efficacy and Entrepreneurial Intention of Company Employees

1970 ◽  
Vol 3 (1) ◽  
pp. 1-9
Author(s):  
Devi Angrahini Anni Lembana ◽  
Yu Yu Chang ◽  
Wen Ke Liang
Keyword(s):  
Self Efficacy ◽  
Institutional Environment ◽  
Practical Experience ◽  
Entrepreneurial Intention ◽  
Entrepreneurial Intentions ◽  
New Venture ◽  
Hierarchical Regression ◽  
Market Demand ◽  
Extrinsic Factors ◽  
Intrinsic Factors

From the intentionality-based view, individuals' actual behaviors to initiate a new venture is driven by their entrepreneurial intentions. Company employees have accumulated professionalism and practical experience, which both enable them to discover some unmet market demand and industrial gaps. However, in establishing a new business, not everyone with certain knowledge or expertise has the desire to become an entrepreneur. Prior research has shown that entrepreneurial intentions are under the profound influences of intrinsic factors and extrinsic factors. On the one hand, entrepreneurial self-efficacy is one of the key psychological states that makes someone dare to initiate entrepreneurial activities. Institutional environment, on the other hand, can either enhance and hinder an individuals' entrepreneurial motivation by offering incentives or causing barriers. Little work has been done to understand how the institutional environment and entrepreneurial self-efficacy jointly affect company employees' intention to quit their job and start an enterprising career. By using hierarchical regression on a sample of 325 Indonesian company employees, this paper shows that the entrepreneurial cognition and entrepreneurial self-efficacy are positively related to employees' entrepreneurial intentions. Also, entrepreneurial self-efficacy strengthens the effect of normative Approval on entrepreneurial intention, whereas the regulatory Support from Government is detrimental to company employees' intention to start a new venture regardless the entrepreneurial self-efficacy is high or low.

Outcomes of Community-Based Youth Empowerment Programs Adopting Design Thinking: A Quasi-Experimental Study

2021 ◽  
pp. 104973152110014
Author(s):  
Siu-ming To ◽  
Xiaoyu Liu
Keyword(s):  
Self Efficacy ◽  
Design Thinking ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Youth Empowerment ◽  
Control Groups ◽  
Community Based ◽  
Quasi Experimental ◽  
Creative Self ◽  
Experimental Group

Purpose: Using a nonrandomized control group pretest–posttest assessment, this study aimed to examine the outcomes of community-based youth empowerment initiatives that were informed by design thinking. Method: A total of 553 youth living in Hong Kong were recruited to participate in this study. Among them, 213 youth self-selected to join the experimental group, and 340 youth joined the two control groups. Multivariate analysis of covariance and post hoc group comparisons were used to examine the differences among the three groups at the posttest assessment. Results: The results indicate a positive improvement in creative self-efficacy among participants of the experimental group compared to the two control groups. Significant differences were also found between the experimental group and the second control group in terms of youth–adult partnerships and youth empowerment in the community. Conclusion: Youth empowerment programs informed by design thinking may reinforce self-efficacy beliefs by encouraging youth to bring about innovations in their community.

Effects of a Low-Element Challenge Course on Abstinence Self-Efficacy and Group Cohesion

2011 ◽  
Vol 22 (2) ◽  
pp. 151-158 ◽  
Author(s):  
Jamie M. Clem ◽  
Thomas E. Smith ◽  
Kristin V. Richards
Keyword(s):  
Outcome Measures ◽  
Self Efficacy ◽  
Group Cohesion ◽  
Future Research ◽  
Chemically Dependent ◽  
Challenge Course ◽  
Self Confidence ◽  
Therapeutic Value ◽  
Before And After ◽  
Group Unity

Substance abuse researchers identify self-efficacy and group cohesion as important components in alcohol and other drug-dependency treatment. Objectives: The purpose of this single-group, pretest–posttest study is to explore the therapeutic value of a challenge course intervention on the self-efficacy and group cohesion of nine chemically dependent, adult females. Methods: Data were collected using two validated outcome measures administered before and after the intervention. Focus groups provided insight into the experiences of participants and were examined using manifest and latent theme analysis. Results: Findings indicate statistically significant improvements on both outcome measures with medium to large effect sizes. Several themes were identified including group unity, trust, interpersonal growth, and self-confidence. Conclusions: Suggestions for practice and future research are provided.

Abstract 448: Impact of Novel Healthcare Facility First Responder Training on Resuscitation Task Self-Efficacy Measures

Circulation ◽  
2019 ◽  
Vol 140 (Suppl_2) ◽  
Author(s):  
Les R Becker ◽  
Cheryl Camacho ◽  
Sheryl J Titus ◽  
Janet L Thorne ◽  
Munish Goyal
Keyword(s):  
Ambulatory Care ◽  
Self Efficacy ◽  
Repeated Measures ◽  
Care Center ◽  
Tertiary Care ◽  
Sudden Cardiac Arrest ◽  
Healthcare Facility ◽  
Care Hospital ◽  
Ambulatory Care Setting ◽  
Before And After

Introduction: When sudden cardiac arrest occurs in non-resuscitation focused care settings, bedside clinicians may not intervene prior to dedicated resuscitation team arrival. As perceived self-efficacy (SE) contributes to cognitive functioning, facilitating effective intervention, we developed and evaluated a mock code training approach, First Five (FF) , to enhance bedside responders’ resuscitation task SE using an entity’s defibrillator and manikin. Self-efficacy is knowing that one can perform actions in principle and envision performing the steps to reach a goal. Hypotheses: Participants’ resuscitation SE will improve after FF training; 2) Inpatient (IP) and Ambulatory Care Center (ACC) providers will differ in their pre-SE and post-SE in response to FF training. Methods: Participants enrolled from ACCs and medical-surgical IP units at a large, urban tertiary care hospital from May 2018 to April 2019 completed a de-identified 10-point Likert-scale SE survey before and after they were trained to perform initial bedside resuscitation tasks (Figure 1 x-axis labels). Matched, complete, pre/post data for 85 in-hospital and 107 ACC participants were analyzed via repeated measures multivariate analysis of variance. Results: Patterns of reported change in the seven resuscitation task SE measures of IP personnel differed significantly from those of ACC personnel [Pillai’s Trace = .222, F(7,184)=7.483, p=.0005, partial η 2 = .222]. In both settings, post-session SE measures increased significantly from pre-session SE measures [Pillai’s Trace = .588, F(7,184)=37.438, p=.0005, partial η 2 = .588]. Moreover, though ACC providers consistently reported lower pre-training SE resuscitation task scores, post-training scores from both settings were comparable (Figure 1). Conclusions: First Five training is effective in enhancing resuscitation task SE among inpatient and ambulatory care setting providers that are not resuscitation-focused.

Promoting the Sexual Self-efficacy of Sexual and Gender Minority Youth through a Group Intervention

Groupwork ◽  
2020 ◽  
Vol 29 (2) ◽  
pp. 35-57
Author(s):  
Shelley L Craig ◽  
Wook Yang ◽  
Ashley Austin
Keyword(s):  
Self Efficacy ◽  
Group Intervention ◽  
Behavioral Therapy ◽  
Minority Youth ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Intervention ◽  
Gender Minority ◽  
Before And After ◽  
Sexual And Gender Minority ◽  
And Gender

The current study examined the efficacy of an affirmative group cognitive behavioral intervention on the sexual self-efficacy level of sexual and gender minority youths (SGMY). SGMY (n=30) between the age of 15 and 18 participated in a series of eight cognitive behavioral-focused groups. They also completed measures on sexual self-efficacy before and after the intervention. Paired sample t-test was chosen as method of analysis. The results indicated a statistically significant increase in protection sexual self-efficacy but not in abstinence sexual self-efficacy post intervention.The current study concluded that affirmative groups that utilize cognitive behavioral therapy show promise for SGMY. Group content and process is detailed, and key components of groups designed to improve the sexual health of SGMY are discussed.

Examining Advocacy Activity and Self-Efficacy Among Health Educators

2020 ◽  
Vol 30 (4) ◽  
Author(s):  
Kadi Bliss ◽  
Madeline Dressner
Keyword(s):  
Health Education ◽  
Self Efficacy ◽  
Professional Responsibility ◽  
National Commission ◽  
Health Educators ◽  
Critical Factors ◽  
Professional Responsibilities ◽  
Depth Interview ◽  
Advocacy Activity ◽  
Vicarious Experiences

A professional responsibility for health education specialists is “communicate, promote, and advocate for health, health education/promotion, and the profession” as described by the National Commission for Health Education Credentialing, Inc. The purpose of this study was to examine the extent to which health educators incorporate advocacy into their professional responsibilities. Additionally, this study looked at factors that impede or foster advocacy self-efficacy among health educators. Eight participants completed a 30-45 minute in-depth interview about their advocacy experiences and self-efficacy levels/influencers. Results indicated performance accomplishments and vicarious experiences were the most critical factors leading to participants’ self-reported increase in self-efficacy. Recommendations for increasing advocacy self-efficacy are described.

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