Barriers to health education in adolescents: health care providers’ perspectives compared to high school adolescents

2015 ◽  
Vol 27 (4) ◽  
pp. 433-436 ◽  
Author(s):  
Kobra Abedian ◽  
Zohreh Shahhosseini
Keyword(s):  
High School ◽  
Health Care ◽  
Health Education ◽  
Adolescent Health ◽  
Health Care Providers ◽  
Care Providers ◽  
Northern Iran ◽  
Major Barrier ◽  
Study Population ◽  
Barriers To Health

Abstract Aim: Although adolescence is marked by profound and dynamic changes, it is virtually neglected by health care providers, by society, and even by most parents, teachers, and health professionals. The aim of this study was to investigate barriers to health education in adolescents from health care providers’ views compared to teens. Materials and methods: The study population consisted of 72 health care providers and 402 high school female students in Northern Iran in 2012. They completed a self-administered questionnaire about their views on barriers to adolescents’ health education. Results: It is revealed that the major barrier to adolescents’ health education from a health care providers’ perspective is “Lack of private room for adolescents’ health education”, while “Lack of adolescents’ interest to content of educational programs” is a significantly greater barrier to health education among adolescents. Conclusion: The results suggest that for adolescent health education, specific strategies should be used in adolescent health promotion programs.

Health care providers and adolescents’ perspectives towards adolescents’ health education needs: a need assessment based on comparative approach

2015 ◽  
Vol 27 (1) ◽  
pp. 73-77 ◽  
Author(s):  
Zohreh Shahhosseini ◽  
Kobra Abedian
Keyword(s):  
Health Care ◽  
Health Education ◽  
Health Care Providers ◽  
Health Needs ◽  
Comparative Approach ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Northern Iran ◽  
Cross Sectional ◽  
Education Needs

Abstract Aim: Health care providers have considerable influence on adolescents’ health promotion. Thus, it is important to focus on the views of this group as one of the most reliable sources in the evaluation of teenagers’ health needs. The aim of this study was to compare the attitudes of Iranian health care providers and adolescents towards the latter’s health education needs. Materials and methods: A quantitative cross-sectional survey, including 72 health care providers and 402 female students from 14 high schools in northern Iran, was carried out in 2011. Topics in a self-administrated questionnaire covered the participants’ perspectives towards the educational health needs of adolescents in a five-point Likert scale. Results: Findings revealed from health care providers’ views indicate that the highest mean score was assigned to “Education about prevention of sexual high risk behavior”, which was significantly different from adolescents’ perspective (t=8.42, p<0.05). Results showed that health care providers and adolescents both emphasized on the mothers’ role as the most reliable source of adolescents’ education (t=1.85, p>0.05). Conclusion: Provision of health education programs for adolescents, which are based on integration of health care providers’ perspectives and the adolescents’ views, are essential in meeting adolescents’ educational health needs.

How do Iranian female adolescents express their health education needs? A needs assessment with qualitative thematic analysis

2014 ◽  
Vol 26 (1) ◽  
pp. 123-129 ◽  
Author(s):  
Zohreh Shahhosseini ◽  
Zeinab Hamzehgardeshi
Keyword(s):  
Health Education ◽  
Health Care Providers ◽  
Thematic Analysis ◽  
Health Knowledge ◽  
Health Needs ◽  
Female Adolescents ◽  
Care Providers ◽  
Northern Iran ◽  
Qualitative Thematic Analysis ◽  
Education Needs

Abstract Background: Adolescent girls have little knowledge about health information, especially about more sensitive issues. We know little about the perspectives of adolescents about their educational health needs. Objective: The aim of this study is to explore the perceptions of Iranian female adolescents about their educational health needs. Subjects: The study participants were 67 female adolescents aged 12–19 years currently in junior high and high schools in the city of Sari, located in northern Iran. Methods: The present study is a qualitative study of thematic analysis. The 67 female adolescents participated in eight focus group discussions (FGDs). The participants were selected from schools in Mazandaran, Iran. The sampling methods were purposeful sampling and a maximum variance sampling method. All tape-recorded data was fully transcribed, and thematic analysis was performed to identify key themes. Results: The findings of this research around adolescent health education needs emphasized four overarching themes, including appropriate content, suitable method, well-informed sources and an appropriate age for education. Conclusion: Our results show that the promotion of reproductive health knowledge and life skills are the most important health education needs. Education about these issues via parents, schools and health care providers could promote the health status of adolescents.

scholarly journals Factors Influencing Sustained Engagement with ECG Self-Monitoring: Perspectives from Patients and Health Care Providers

2018 ◽  
Vol 09 (04) ◽  
pp. 772-781 ◽  
Author(s):  
Meghan Reading ◽  
Dawon Baik ◽  
Melissa Beauchemin ◽  
Kathleen Hickey ◽  
Jacqueline Merrill
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Care Providers ◽  
Self Monitoring ◽  
Major Barrier ◽  
Utaut Model ◽  
History Of ◽  
Mhealth Technology

Background Patient-generated health data (PGHD) collected digitally with mobile health (mHealth) technology has garnered recent excitement for its potential to improve precision management of chronic conditions such as atrial fibrillation (AF), a common cardiac arrhythmia. However, sustained engagement is a major barrier to collection of PGHD. Little is known about barriers to sustained engagement or strategies to intervene upon engagement through application design. Objective This article investigates individual patient differences in sustained engagement among individuals with a history of AF who are self-monitoring using mHealth technology. Methods This qualitative study involved patients, health care providers, and research coordinators previously involved in a randomized, controlled trial involving electrocardiogram (ECG) self-monitoring of AF. Patients were adults with a history of AF randomized to the intervention arm of this trial who self-monitored using ECG mHealth technology for 6 months. Semistructured interviews and focus groups were conducted separately with health care providers and research coordinators, engaged patients, and unengaged patients. A validated model of sustained engagement, an adapted unified theory of acceptance and use of technology (UTAUT), guided data collection, and analysis through directed content analysis. Results We interviewed 13 patients (7 engaged, 6 unengaged), 6 providers, and 2 research coordinators. In addition to finding differences between engaged and unengaged patients within each predictor in the adapted UTAUT model (perceived ease of use, perceived usefulness, facilitating conditions), four additional factors were identified as being related to sustained engagement in this population. These are: (1) internal motivation to manage health, (2) relationship with health care provider, (3) supportive environments, and (4) feedback and guidance. Conclusion Although it required some modification, the adapted UTAUT model was useful in understanding of the parameters of sustained engagement. The findings of this study provide initial requirement specifications for the design of applications that engage patients in this unique population of adults with AF.

scholarly journals A Needs Assessment of Latino Men’s Health Concerns

2008 ◽  
Vol 4 (1) ◽  
pp. 22-32 ◽  
Author(s):  
Terry Peak ◽  
Julie Gast ◽  
Denice Ahlstrom
Keyword(s):  
Health Care ◽  
Health Education ◽  
Health Information ◽  
Health Care Providers ◽  
Low Cost ◽  
Care Providers ◽  
Latino Men ◽  
Health Concerns ◽  
Traditional Health ◽  
The Impact

Historically, Latino men are an understudied group. Researchers know little about the impact of culture or gender on health concerns. In this study, focus groups with Latino men were held that investigated their health concerns, barriers, motivators, and access to health information and health services. Additionally, the researchers wished to determine if a church-based design might help reach men who might not be responsive to more traditional health education or public health routes. Results included that the Latino male participants in this study wanted health information but wanted it to be more specific and in an accessible format. They also desired more Spanish-speaking health care providers and were acutely interested in low-cost health care. Prevention was not of much interest to these participants. Church-attending participants were interested in church-based health education.

scholarly journals Health Education Serious Games Targeting Health Care Providers, Patients, and Public Health Users: Scoping Review (Preprint)

2019 ◽  
Author(s):  
Nahid Sharifzadeh ◽  
Hadi Kharrazi ◽  
Elham Nazari ◽  
Hamed Tabesh ◽  
Maryam Edalati Khodabandeh ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Education ◽  
Health Care Providers ◽  
Scoping Review ◽  
Serious Games ◽  
Educational Games ◽  
Care Providers ◽  
Serious Educational Games

BACKGROUND Serious educational games have shown effectiveness in improving various health outcomes. Previous reviews of health education games have focused on specific diseases, certain medical subjects, fixed target groups, or limited outcomes of interest. Given the recent surge in health game studies, a scoping review of health education games is needed to provide an updated overview of various aspects of such serious games. OBJECTIVE This study aimed to conduct a scoping review of the design and evaluation of serious educational games for health targeting health care providers, patients, and public (health) users. METHODS We identified 2313 studies using a unique combination of keywords in the PubMed and ScienceDirect databases. A total of 161 studies were included in this review after removing duplicates (n=55) and excluding studies not meeting our inclusion criteria (1917 based on title and abstract and 180 after reviewing the full text). The results were stratified based on games targeting health care providers, patients, and public users. RESULTS Most health education games were developed and evaluated in America (82/161, 50.9%) and Europe (64/161, 39.8%), with a considerable number of studies published after 2012. We discovered 58.4% (94/161) of studies aiming to improve knowledge learning and 41.6% (67/161) to enhance skill development. The studies targeted various categories of end users: health care providers (42/161, 26.1%), patients (38/161, 23.6%), public users (75/161, 46.6%), and a mix of users (6/161, 3.7%). Among games targeting patients, only 13% (6/44) targeted a specific disease, whereas a growing majority targeted lifestyle behaviors, social interactions, cognition, and generic health issues (eg, safety and nutrition). Among 101 studies reporting gameplay specifications, the most common gameplay duration was 30 to 45 min. Of the 61 studies reporting game repetition, only 14% (9/61) of the games allowed the users to play the game with unlimited repetitions. From 32 studies that measured follow-up duration after the game intervention, only 1 study reported a 2-year postintervention follow-up. More than 57.7% (93/161) of the games did not have a multidisciplinary team to design, develop, or assess the game. CONCLUSIONS Serious games are increasingly used for health education targeting a variety of end users. This study offers an updated scoping review of the studies assessing the value of serious games in improving health education. The results showed a promising trend in diversifying the application of health education games that go beyond a specific medical condition. However, our findings indicate the need for health education game development and adoption in developing countries and the need to focus on multidisciplinary teamwork in designing effective health education games. Furthermore, future health games should expand the duration and repetition of games and increase the length of the follow-up assessments to provide evidence on long-term effectiveness.

scholarly journals Maternal perceptions of paediatric cancer and diabetes in Cameroon

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Wamba ◽  
M Matchika Mégaptché ◽  
J-P Mambou Nouemssi ◽  
P Koki Ndombo ◽  
A-H Pondy Ongotsoyi
Keyword(s):  
Health Care ◽  
Health Education ◽  
Health Care Providers ◽  
Care Service ◽  
Caregiver Training ◽  
Care Providers ◽  
Paediatric Cancer ◽  
Maternal Perceptions ◽  
Early Screening ◽  
Therapeutic Care

Abstract Background Maternal perceptions of paediatric cancer and diabetes are still poorly studied in Cameroon, while they are considered as an inevitable part of the chronic diseases. Little is known to what maternal representations of paediatric cancer or diabetes refer to. Their contents remain unknown; and they are rarely taken into account in training programs for health care providers and educators. Yet, when ignored, they can have consequences impacting the relational dimension of care, prevention of relapses, disease complications, health education and behaviour change. Methods Based on a critique of the psychosocial conceptual models used in prevention, this study combines a qualitative approach aimed at identifying and describing mothers’ perceptions about paediatric cancer and diabetes, transforming them into educational content that can be reused for the training of health care providers and educators; and a quantitative component, obtaining their impact on the therapeutic relationship and therapeutic compliance. Results The results show that caregivers (healers, physicians), children, mothers and their close family are involved in the relational component of care; the Cameroonian mother expects that the therapist consulted should be a psycho-oncologist or a psycho-diabetologist, who can (power) and knows (knowdlege). Maternal perceptions determine the techno-therapeutic dimension, and may, if ignored, threaten therapeutic adherence, leading to abandonment. Conclusions This study suggests integrating maternal perceptions of cancer and diabetes with the messages used to elaborate languages for health education and caregiver training, to associate the healers to the early screening of cancer and diabetes, and to their educational, preventive and therapeutic care. Also suggested by this research is consideration of the relational dimension as a care service, and maternal perceptions as an illness that will need to be treated like cancer and diabetes. Key messages Associate the healers to the early screening of cancer and diabetes, and to their educational, preventive and therapeutic care. Considering relational dimension as a care service, and maternal perceptions as an illness that will need to be treated like cancer and diabetes.

scholarly journals 4476 Association between socioeconomic status and comorbid conditions in a population of diabetes patients

2020 ◽  
Vol 4 (s1) ◽  
pp. 22-23
Author(s):  
Riza Li ◽  
Kevin Ndura ◽  
Claudine Jurkovitz
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Census Tract ◽  
Census Data ◽  
Multivariable Analysis ◽  
Income Poverty ◽  
Median Income ◽  
Care Providers ◽  
Poverty Level ◽  
Study Population

OBJECTIVES/GOALS: To reduce hospitalizations, health care systems are studying ways of improving social determinants of health (SDoH) in patients with chronic disease such as diabetes (DM). Our goal was to better characterize the SDoH of a cohort of DM patients by using socio-economic information from census data. METHODS/STUDY POPULATION: Our study population included DM patients seen in primary care practices of a large health care system in 2013-2017. We integrated socio-economic status (SES) information from the American Factfinder to data extracted from the electronic health record (EHR). Addresses for the cohort were geocoded using ArcMap to obtain the census tract information for median income, poverty status, educational level, and supplemental food benefits using American Community Survey 5-Year estimates. We used multivariable logistic regression to calculate odds ratio (OR) and 95% confidence intervals [], with 3+ comorbidities as the dependent variable and demographic and SES variables as independent variables. RESULTS/ANTICIPATED RESULTS: Our study population included 13,782 patients: 53% were female, 65% white, 28% Black, 27% were on Medicare, 3% on Medicaid, median age was 60, 53% had 3+ comorbidities. Median income was $66,243, poverty level 6%, receiving food benefits 8%, no high school degree 8%, and bachelor’s degree or higher 30%. After evaluating collinearity, our multivariable analysis showed that patients with 3+ comorbidities were more likely to have income < $52,000 (lower quartile) versus $84,001 (upper quartile), OR = 1.2 [1.0-1.4]; be female, OR = 1.6 [1.4-1.7]; divorced or widowed versus married, OR = 1.5 [1.3-1.7], 1.4 [1.3-1.6]; and be on Medicare, Medicaid or both, OR = 2.4 [2.2-2.6], 2.2 [1.8-2.6], 6.0 [4.5-8.3]. DISCUSSION/SIGNIFICANCE OF IMPACT: Census tract-based SES could provide invaluable information to health care providers when associated to the EHR. We found that median income, which is not collected in the EHR, was significantly associated with a higher burden of disease. Census tract SES could serve as a proxy for evaluating SDoH.

Sign in / Sign up

Export Citation Format

Share Document