scholarly journals Psychological and Educational Intervention to Improve Tuberculosis Treatment Adherence in Ethiopia Based on Health Belief Model: A Cluster Randomized Control Trial

PLoS ONE ◽  
2016 ◽  
Vol 11 (5) ◽  
pp. e0155147 ◽  
Author(s):  
Habteyes Hailu Tola ◽  
Davoud Shojaeizadeh ◽  
Azar Tol ◽  
Gholamreza Garmaroudi ◽  
Mir Saeed Yekaninejad ◽  
...  
Keyword(s):  
Health Belief Model ◽  
Treatment Adherence ◽  
Educational Intervention ◽  
Randomized Control Trial ◽  
Health Belief ◽  
Tuberculosis Treatment ◽  
Cluster Randomized Control Trial ◽  
Randomized Control ◽  
Cluster Randomized ◽  
Belief Model

scholarly journals Determinants of adherence to anti-TB treatment and associated factors among adult TB patients in Gondar city administration, Northwest, Ethiopia: based on health belief model perspective

2021 ◽  
Vol 40 (1) ◽  
Author(s):  
Resom Berhe Gebremariam ◽  
Maereg Wolde ◽  
Aykerem Beyene
Keyword(s):  
Health Belief Model ◽  
Treatment Adherence ◽  
Associated Factors ◽  
Health Belief ◽  
Northwest Ethiopia ◽  
Tuberculosis Treatment ◽  
Tuberculosis Patients ◽  
Tb Treatment ◽  
Perceived Benefit ◽  
Belief Model

Abstract Background Adherence is crucial in treating Tuberculosis to achieve the required treatment success rate. However, due to the longer treatment duration, adherence to Tuberculosis treatment is the most challenging factor affecting Tuberculosis control. Furthermore, although several studies have reported the determinants of Tuberculosis treatment adherence, few of them have used Health Belief Model (HBM) as the guiding principle to determine the individual perception of health-related decisions as much or more than medical concerns with Tuberculosis treatment adherence. Therefore, this study aims to assess adherence to anti-Tuberculosis treatment and associated factors among adult Tuberculosis patients in Gondar city, Northwest Ethiopia, in 2020. Methods Institution-based cross-sectional study was conducted among Tuberculosis patients following anti-Tuberculosis treatment in Gondar city health facilities from February 20 to March 26, 2020. A total of 265 Tuberculosis patients were selected by systematic random sampling techniques that include patients who were on treatment follow up for ≥ 1 month and whose age is ≥ 18 years. Data were collected by trained data collectors using interviewer administer and structured questionnaires. EPI DATA version 4.2 was used for data entry and SPSS version 24 for analysis. The logistic regression model was used to indicate the association between independent variables with adherence to anti Tuberculosis treatment. Results The overall rate of adherence to anti-Tuberculosis treatment was 90.6% within the last 4 weeks and 96.6% within the last 4 days. Multivariable analysis revealed that having treatment supporter [AOR = 3.51, 95% CI (1.15, 10.75)], difficulties in taking TB drugs regularly [AOR = 0.07, 95% CI (0.01, 0.31)], perceived benefit [AOR = 3.45, 95% CI (1.07, 11.08)] and perceived self-efficacy [AOR = 0.22, 95% CI (0.07, 0.63)] were independently associated with adherence to anti-Tuberculosis treatment. Conclusion The treatment adherence rate of the patients was low in the last month before the data survey. Treatment supporters, difficulties in taking anti Tuberculosis drugs regularly, perceived benefit, and perceived self-efficacy were identified as affecting adherence to anti-TB treatment.

scholarly journals The Effect of Health Belief-Based Education on Physical Activates of Nulliparous Women: A Randomized Control Trial

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Safoura Taheri ◽  
Zohre Momenimovahed ◽  
Ashraf Direkvand-Moghadam ◽  
Nasibe Sharifi ◽  
Saba Farzi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Pregnant Women ◽  
Health Belief Model ◽  
Randomized Control Trial ◽  
Intervention Group ◽  
Health Belief ◽  
Nulliparous Women ◽  
Randomized Control ◽  
Belief Model ◽  
The Health Belief Model

Background: Regular physical activity during pregnancy is known to have positive effects on the health of the mother and fetus. However, reports indicate that more than half of pregnant women in Iran do not have adequate physical activity. This study was conducted in order to change the behavior of pregnant women in regard to physical activity and also to develop suitable educational/interventional measures. Objectives: This study was conducted to investigate the effects of health belief-based education on the physical activity of nulliparous women. Methods: This triple blinded randomized control trial was conducted among 64 nulliparous women attending the health centers of Ilam, Iran, in 2018. Participants were selected randomly by the cluster sampling method and were allocated to the two groups of control and intervention. Participants in the intervention groups received education and theoretical training based on the health belief model for at least 45 minutes, and then individual practical training was provided. Samples in the control group received routine pregnancy training. Data were collected in two pre-test and post-test stages by a valid questionnaire and were analyzed by SPSS, version 19, using statistical tests, including Chi-square, paired t-test, and independent t-test. Results: The results showed that the levels of perceived sensitivity (-4.750 ± 2.119), (t = 12.215, P ≤ 0.001), perceived severity of threat (-5.312 ± 1.874), (t = -16.036, P < 0.001), perceived benefits (-2.750 ± 1.502), (P < 0.001, t = -10.352), and self-efficacy (-3.656 ± 1.405), (P < 0.001, t = -14.708) in the intervention group significantly increased after the training compared to pre-training. Also, the level of perceived barriers (4.093 ± 1.444), (P < 0.001, t = 16.027) after the training was significantly less than pre-training level. In the intervention group, the total physical activity with the intensity of moderate/severe (2049/000 ± 963.342), (P < 0.001, t = -12.032) was significantly higher than pre-training. Conclusions: The results of this study indicated that training based on the health belief model can increase the physical activity of pregnant women with moderate/severe intensity and bring it to the optimal level of 150 minutes per week by increasing the health beliefs of pregnant women. Therefore, it is suggested that training based on this model should be appropriately incorporated into the routine education of pregnant women.

scholarly journals A feasibility trial of Power Up: A smartphone app to support patient activation and shared decision making for mental health in young people (Preprint)

2018 ◽  
Author(s):  
Julian Edbrooke-Childs ◽  
Chloe Edridge ◽  
Phoebe Averill ◽  
Louise Delane ◽  
Michael P Craven ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Young People ◽  
Shared Decision Making ◽  
Randomized Control Trial ◽  
Patient Activation ◽  
Shared Decision ◽  
Cluster Randomized Control Trial ◽  
Randomized Control ◽  
Cluster Randomized

BACKGROUND Digital tools have the potential to support patient activation and shared decision making in the face of increasing levels of mental health problems in young people. There is a need for feasibility trials of digital interventions to determine the usage and acceptability of interventions. In addition, there is a need to determine the ability to recruit and retain research participants to plan rigorous effectiveness trials and therefore, develop evidence-based recommendations for practice. OBJECTIVE To determine the feasibility of undertaking a cluster randomized control trial to test the effectiveness of a smartphone app, Power Up, co-designed with young people to support patient activation and shared decision making for mental health. METHODS Overall, 270 young people were screened for participation and 53% (N = 142) were recruited and completed baseline measures across eight specialist child mental health services (n = 62, mean (SD) age = 14.66 (1.99) years, 52% female) and two mainstream secondary schools (n = 80; mean (SD) age = 16.88 (0.68) years, 46% female). Young people received Power Up in addition to management as usual or received management as usual only. Post-trial interviews were conducted with 11 young people from the intervention arms (specialist services n = 6; schools n = 5). RESULTS Usage data showed that there were an estimated 50 (out of 64) users of Power Up in the intervention arms. Findings from the interviews indicated that young people found Power Up to be acceptable. Young people reported: 1) their motivation for use of Power Up, 2) the impact of use, and 3) barriers to use. Out of the 142 recruited participants, 45% (64/142) completed follow up measures, and the approaches to increase retention agreed by the steering group are discussed. CONCLUSIONS The findings of the present research indicate that the app is acceptable and it is feasible to examine the effectiveness of Power Up in a prospective cluster randomized control trial. CLINICALTRIAL ISRCTN: ISRCTN77194423, ClinicalTrials.gov NCT02552797

scholarly journals Theoretically designed interventions for colorectal cancer prevention: A Case of the Health Belief Model

2020 ◽  
Author(s):  
Sakineh Rakhshanderou ◽  
Maryam Maghsoudloo ◽  
Ali Safari-Moradabadi ◽  
Mohtasham Ghaffari
Keyword(s):  
Colorectal Cancer ◽  
Health Belief Model ◽  
Educational Intervention ◽  
Health Belief ◽  
Text Messages ◽  
Analysis Of Covariance ◽  
Automation System ◽  
Significant Difference ◽  
The Mean ◽  
Belief Model

Abstract Background: According to the WHO, most chronic diseases, including cancer, can be prevented by identifying their risk factors such as unhealthy diet, smoking and physical inactivity. This research examined the effectiveness of a theory-based educational intervention on colorectal cancer-related preventive nutritional behaviors among a sample of organizational staff. Methods: In this interventional study, 110 employees of Shahid Beheshti University of Medical Sciences were randomly divided into two groups (intervention and control) with cluster sampling. The data gathering tool was a researcher-made questionnaire containing two parts of 10-dimensional information and health belief model constructs. The educational intervention was conducted for one month and in four sessions in the form of classroom lecture, pamphlet, educational text messages via mobile phones and educational pamphlets through the office automation system. Two groups were evaluated in two stages, pre-test and post-test. Data were analyzed using SPSS-18 software, analysis of Covariance (ANCOVA) and independent t-test (intergroup comparisons). Results: Two groups were evaluated for variables such as age, sex, education level and family history of colorectal cancer, and there was no significant difference between the two groups (P < 0.05). After the two months since intervention, except for the mean score of perceived barriers, which was not significant after intervention, the mean scores of knowledge, perceived susceptibility, perceived severity, perceived benefits, perceived self-efficacy, behavioral intention, and preventive behaviors were significantly increased after the intervention in the intervention group compared to the control group (P > 0.05). Conclusion: Implementation of educational intervention based on health belief model was effective for the personnel, and can enhance the preventative nutritional behaviors related to colorectal cancer.

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