Healthcare Empowerment and Decisional Self-efficacy among African-American Men

2018 ◽  
Vol 5 (5) ◽  
pp. 13-27
Author(s):  
Sabrina L. Dickey ◽  
Christine Ouma ◽  
James Whyte IV ◽  
Aurellia Whitmore
Keyword(s):  
African American ◽  
Self Efficacy ◽  
African American Men ◽  
Healthcare Empowerment

Acceptability, Feasibility, and Preliminary Efficacy of a Theory-Based Relational Embodied Conversational Agent Mobile Phone Intervention to Promote HIV Medication Adherence in Young HIV-Positive African American MSM

2019 ◽  
Vol 31 (1) ◽  
pp. 17-37 ◽  
Author(s):  
Mark S. Dworkin ◽  
Sangyoon Lee ◽  
Apurba Chakraborty ◽  
Colleen Monahan ◽  
Lisa Hightow-Weidman ◽  
...  
Keyword(s):  
African American ◽  
Health Literacy ◽  
Pilot Study ◽  
Self Efficacy ◽  
African American Men ◽  
Personal Health ◽  
Conversational Agent ◽  
Embodied Conversational Agent ◽  
African American Msm

An embodied conversational agent can serve as a relational agent and provide information, motivation, and behavioral skills. To evaluate the feasibility, acceptability, and preliminary efficacy of My Personal Health Guide, a theory-based mobile-delivered embodied conversational agent intervention to improve adherence to antiretroviral therapy in young African American men who have sex with men, we conducted this prospective pilot study using a 3-month pre–post design. Outcome measures included adherence, acceptability, feasibility, pre versus post health literacy, and pre versus post self-efficacy. There were 43 participants. Pill count adherence > 80% improved from 62% at baseline to 88% at follow-up (p = .05). The acceptability of the app was high. Feasibility issues identified included loss of usage data from unplanned participant app deletion. Health literacy improved whereas self-efficacy was high at baseline and follow-up. This pilot study of My Personal Health Guide demonstrated acceptability and preliminary efficacy in improving adherence in this important population.

scholarly journals Associations of psychosocial factors with fruit and vegetable intake among African-Americans

2007 ◽  
Vol 10 (7) ◽  
pp. 701-711 ◽  
Author(s):  
Joanne L Watters ◽  
Jessie A Satia ◽  
Joseph A Galanko
Keyword(s):  
African American ◽  
African Americans ◽  
Psychosocial Factors ◽  
Self Efficacy ◽  
Vegetable Intake ◽  
African American Men ◽  
Predisposing Factors ◽  
Fruit And Vegetable Intake ◽  
Fruit And Vegetable ◽  
Enabling Factors

AbstractObjectiveTo examine associations of various psychosocial factors with fruit and vegetable intake in African-American adults.MethodsA cross-sectional survey of a population-based sample of 658 African-Americans, aged 18–70 years, in North Carolina. Information was collected on diet-related psychosocial (predisposing, reinforcing and enabling) factors based on the PRECEDE (Predisposing, Reinforcing, and Enabling Constructs in Educational Diagnosis and Evaluation) planning framework; demographic, lifestyle and behavioural characteristics, and fruit and vegetable intake.ResultsThe mean participant age was 43.9 years (standard deviation 11.6), 57% were female and 76% were overweight/obese. Participants expressed healthy beliefs regarding many of, but not all, the psychosocial factors. For example, although half of the respondents believed it is important to eat a diet high in fruits/vegetables, only 26% knew that ≥ 5 daily servings are recommended. The strongest associations of the psychosocial factors with fruit/vegetable intake were for predisposing factors (e.g. belief in the importance of a high fruit/vegetable diet and knowledge of fruit/vegetable recommendations) and one reinforcing factor (social support), with differences between the healthiest and least healthy responses of 0.5–1.0 servings per day. There was evidence of effect modification by gender in associations between psychosocial factors and fruit/vegetable consumption (e.g. self-efficacy was only significant in women), with higher intakes and generally healthier responses to the psychosocial variables in women than men.ConclusionsInterventions to increase fruit/vegetable intake in African-Americans may be more effective if they focus primarily on predisposing factors, such as knowledge, self-efficacy and attitudes, but not to the exclusion of reinforcing and enabling factors. The psychosocial factors that are targeted may also need to be somewhat different for African-American men and women.

Prostate Cancer in African American Men: Increasing Knowledge and Self-Efficacy

1995 ◽  
Vol 12 (3) ◽  
pp. 161-169 ◽  
Author(s):  
Susan Boehm ◽  
Patricia Coleman-Burns ◽  
Elizabeth A. Schlenk ◽  
Martha M. Funnell ◽  
Jeanne Parzuchowski ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
Self Efficacy ◽  
African American Men ◽  
Increasing Knowledge

scholarly journals Self-Rated Health and Health Care Access Associated With African American Men’s Health Self-Efficacy

2015 ◽  
Vol 11 (5) ◽  
pp. 1385-1387 ◽  
Author(s):  
Terry Thompson ◽  
Jamie A. Mitchell ◽  
Vicki Johnson-Lawrence ◽  
Daphne C. Watkins ◽  
Charles S. Modlin
Keyword(s):  
Health Care ◽  
African American ◽  
Health Insurance ◽  
Health Care Access ◽  
Self Efficacy ◽  
African American Men ◽  
Good Care ◽  
Cross Sectional ◽  
Self Rated Health ◽  
Care Access

Health self-efficacy, a measure of one’s self-assurance in taking care of their own health, is known to contribute to a range of health outcomes that has been under examined among African American men. The purpose of this investigation was to identify and contextualize predictors of general health self-efficacy in this population. A cross-sectional sample of surveys from 558 African American was examined. These men were older than 18 years, could read and write English, and attended a hospital-based community health fair targeting minority men in 2011. The outcome of interest was health self-efficacy, which was assessed by asking, “Overall, how confident are you in your ability to take good care of your health?” Responses ranged from 1 ( not confident at all) to 5 ( completely confident). Covariates included age, self-rated health, health insurance status, having a regular physician, and being a smoker. The mean age of participants was 54.4 years, and 61.3% of participants indicated confidence in their ability to take good care of their health. Older age and being a smoker were inversely associated with the outcome. Good self-rated health, having health insurance, and having a regular doctor were positively associated with reports of health self-efficacy. Findings suggest that multiple points of connection to the health care system increase the likelihood of health self-efficacy for this sample and interventions to support older African American men who may evaluate their own health status as poor and who may face barriers to health care access are implicated.

Evaluation of a Computer-Based Decision Aid for Promoting Informed Prostate Cancer Screening Decisions Among African American Men: iDecide

2018 ◽  
Vol 33 (2) ◽  
pp. 267-278 ◽  
Author(s):  
Otis L. Owens ◽  
Tisha Felder ◽  
Abbas S. Tavakoli ◽  
Asa A. Revels ◽  
Daniela B. Friedman ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
African American ◽  
Cancer Screening ◽  
Technology Use ◽  
Self Efficacy ◽  
African American Men ◽  
Prostate Cancer Screening ◽  
Informed Decision ◽  
Informed Decision Making

Purpose: To evaluate the effects of iDecide on prostate cancer knowledge, informed decision-making self-efficacy, technology use self-efficacy, and intention to engage in informed decision-making among African American men. Design: One-group, pretest/posttest. Setting: Community settings in South Carolina. Participants: African American men, ages 40 years +, without a prior prostate cancer diagnosis (n = 354). Intervention: iDecide, an embodied conversational agent-led, computer-based prostate cancer screening decision aid. Measures: Prostate cancer knowledge, informed decision-making self-efficacy, technology use self-efficacy, and intention to engage in informed decision-making. Analysis: Descriptive statistics, paired t tests, general linear modeling, Spearman correlations. Results: On average, participants experienced significant improvements in their prostate cancer knowledge ( P ≤ .001), informed decision-making self-efficacy ( P ≤ .001), and technology use self-efficacy ( P ≤ .001), postintervention. Additionally, 67% of participants reported an intention to engage in informed decision-making. Conclusion: Given the significant improvements across all measures, this research demonstrates that embodied conversational agent-led decision aids can be used to enhance the capacity for making informed prostate cancer screening decisions among African American men and increase their technology use self-efficacy. One critical limitation of this study is that most men had received prostate cancer screening prior to engaging in our intervention, so the implications of this intervention may be different for men who do not have a history of screening. Additionally, actual engagement in informed decision-making postintervention was not assessed.

scholarly journals Financial Hardship, Unmet Medical Need, and Health Self-Efficacy Among African American Men

2014 ◽  
Vol 42 (3) ◽  
pp. 285-292 ◽  
Author(s):  
Reginald D. Tucker-Seeley ◽  
Jamie A. Mitchell ◽  
Deirdre A. Shires ◽  
Charles S. Modlin
Keyword(s):  
African American ◽  
Self Efficacy ◽  
African American Men ◽  
Financial Hardship ◽  
Medical Need

Reasoned Action Approach Correlates of Fruit and Vegetable Diet Among African American Men Living With HIV: A Cross-Sectional Study

2021 ◽  
pp. 109019812110119
Author(s):  
Terri-Ann Kelly ◽  
Soojong Kim ◽  
Loretta S. Jemmott ◽  
Larry D. Icard ◽  
Deepti Chittamuru ◽  
...  
Keyword(s):  
African American ◽  
Self Efficacy ◽  
Fruits And Vegetables ◽  
Reasoned Action ◽  
Vegetable Intake ◽  
African American Men ◽  
Reasoned Action Approach ◽  
Fruit And Vegetable ◽  
Positive Attitudes ◽  
Living With Hiv

Epidemiological evidence of the protective role of fruits and vegetables for a host of chronic health conditions is well-documented. However, there is a dearth of studies examining predictors of fruit and vegetable intake among African American men living with HIV. We report secondary analyses—multiple regression and logistic regression models fitted to examine the strength of the relationships between the reasoned action approach constructs; namely, attitudes, subjective norms, descriptive norms, self-efficacy and intention to consume fruits and vegetables, and self-reported adherence to 5-A-DAY guidelines. We used baseline data from a randomized controlled trial of a physical activity intervention trial with 302 African American men aged 40 years or older ( M = 53.9; SD = 7.2) living with HIV. Attitudes, subjective norms, descriptive norms, and self-efficacy were positively associated with intention to meet 5-A-DAY guidelines. More positive attitudes toward 5-A-DAY guidelines were associated with higher odds of meeting 5-A-DAY guidelines. More positive attitudes and self-efficacy were also positively associated with meeting the guidelines for intake of vegetable servings and fruit-and-vegetable servings combined. To increase fruit and vegetable intake among African American men living with HIV, interventions should be tailored to address the perceived benefits of consumption.

Masculinity, condom use self-efficacy and abusive responses to condom negotiation: the case for HIV prevention for heterosexual African-American men

Sexual Health ◽  
2013 ◽  
Vol 10 (5) ◽  
pp. 467 ◽  
Author(s):  
Jerris L. Raiford ◽  
Puja Seth ◽  
Nikia D. Braxton ◽  
Ralph J. DiClemente
Keyword(s):  
African American ◽  
Condom Use ◽  
Self Efficacy ◽  
African American Men ◽  
Masculine Norms ◽  
Hiv Interventions ◽  
Female Partners ◽  
Condom Negotiation ◽  
Sexually Transmissible Infections ◽  
Condom Use Skills

Background This study explored the role of masculinity and perceived condom use skills in African-American men’s abusive response to female partners’ condom requests. Methods: Eighty African-American men aged 18–29 years completed measures on sexual behaviour, responses to condom requests, condom use self-efficacy and other masculine constructs. Men also were tested for sexually transmissible infections. Results: Men’s condom use self-efficacy explained 16.5% of the variance in abusive response to condom requests, beyond demographics and masculine constructs. The full model accounted for 63% of the variance. Conclusions: Many HIV interventions with women encourage condom negotiation. Findings highlight the need to address men’s condom use skills and masculine norms.

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