scholarly journals REHABILITATION GROUP: BENEFITS AND BARRIERS IN THE PERSPECTIVE OF WOMEN WITH BREAST CANCER

2017 ◽  
Vol 26 (1) ◽  
Author(s):  
Edilaine Assunção Caetano de Loyola ◽  
◽  
Mariana Lopes Borges ◽  
Paola Alexandria Pinto de Magalhães ◽  
Felipe de Souza Areco ◽  
...  

ABSTRACT Objective: to analyze the perceptions of women with breast cancer about the benefits and barriers to the participation in rehabilitation groups, according to the Health Belief Model. Method: a descriptive study with qualitative approach, conducted in 2011. Participants were eight women, aged from 54 to 67 years, after surgery for breast cancer, and members of a rehabilitation group. Data was collected through semi-structured interviews and focus groups. thematic Content analysis of the data was performed. Results: perceived benefits: physical improvement with possibility to return to daily activities; bond with multidisciplinary team; psychological support; opportunity to share experiences, clarify doubts and feel like “equals” Perceived barriers: appointment day and time; physical space; housework; time consuming and disposal. Conclusion: women saw benefits of having a preventive health behavior; however, they recognized significant barriers that must be faced in the rehabilitation process.

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Triana Kesuma Dewi ◽  
Karlijn Massar ◽  
Robert A. C. Ruiter ◽  
Tino Leonardi

Abstract Background Breast cancer has become one of the most common causes of mortality among Indonesian women. Many women in Indonesia present with late-stage breast cancer, negatively affecting prognosis and treatment outcomes. 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 low-and middle-income countries with limited resources and access to other forms of preventive healthcare (e.g., screening programs). The present study aimed to predict BSE practice among women in Surabaya, Indonesia using the Health Belief Model (HBM). Methods This investigation was a cross-sectional survey which was distributed among 1967 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 44.4% of the respondents indicated they 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 practice. The result also showed that perceived severity and susceptibility were not associated with BSE practice. Conclusion This study indicated that several HBM constructs significantly associated with BSE practice 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.


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.


2021 ◽  
Vol 20 (2) ◽  
pp. 219-228
Author(s):  
Yi-Cheng Hou ◽  
Jing-Hui Wu ◽  
Ching-Feng Cheng ◽  
Chan-Yen Kuo ◽  
I-Shiang Tzeng

A health belief model is used to evaluate people's beliefs about health problems and predict engagement in health-promoting behaviors. Overweight and obesity are health problems that could be corrected by healthier diet. Eighty-seven employees of the Taipei Tzu Chi Hospital participated in a month-long program that offered 500-calorie vegetarian meals. The health belief model questionnaire was designed and administered. Body composition (weight, body mass index, body fat, body water, and muscle mass) was measured weekly. Additionally, the number of meals taken and visits to nutrition consultants were analyzed. Overall, a higher perceived susceptibility was related to a decrease in weight, body fat, and muscle. Higher perceived benefits or higher perceived barriers were both related to a decrease in weight and body fat, but to an increase in body water and muscle. In the overweight or obese group, a significant correlation was found between perceived barriers and weight. No significant relationship was found between the health belief model and the total number of meals or number of visits to nutrition consultants. Perceived benefits and barriers were significantly related to changes in weight, body fat, body water, and muscle. With vegetarian meal plans as the cue for action, the health belief model can be utilized to predict changes in body composition.


Curationis ◽  
1992 ◽  
Vol 15 (3) ◽  
Author(s):  
R. Gcaba ◽  
H.B. Brookes

This paper examines the unbooked maternity patient in an academic hospital in Durban, Natal; This hospital is the biggest hospital serving the underprivileged population of this area. Of the 16000 annual deliveries in this hospital, about 12% are unbooked patients. The health belief model of Rosenstock, as interpreted by Mikhail and Cox’s interaction model of client health behaviour were used as a theoretical framework for this research. A qualitative case study methodology was undertaken and semi-structured interviews were conducted with unbooked mothers who had utilized appropriate health services in a previous pregnancy. The aim of such interviews was to explore reasons given by mothers for non-use of facilities in the current pregnancy. The basic trends reflected in the findings regarding non-utilization of health services were client instability, health service failure and socio-cultural constraints, The study is innovative and addresses the problem from a social-cultural and midwifery perspective.


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.


2016 ◽  
Vol 23 (4) ◽  
pp. 221-225 ◽  
Author(s):  
Krzysztof Sas-Nowosielski ◽  
Andrzej Hadzik ◽  
Joanna Górna ◽  
Małgorzata Grabara

Abstract Introduction. The benefits of physical activity (PA) have been so well documented that there is no doubt about the significance of PA for personal and social health. Several theoretical models have been proposed with a view to understanding the phenomenon of PA and other health behaviours. The purpose of this study was to evaluate if and how the variables suggested in the Health Belief Model (HBM) determine physical activity stages of change in older adults. Material and methods. A total of 172 students of Universities of the Third Age aged 54 to 75 (mean = 62.89 ± 4.83) years agreed to participate in the study, filling out an anonymous survey measuring their stage of exercise change and determinants of health behaviours proposed by the HBM, including: perceived benefits of physical activity, perceived barriers to physical activity, perceived severity of diseases associated with sedentary lifestyle, perceived susceptibility to these diseases, and self-efficacy. Results. The results only partially support the hypothesis that the HBM predicts intentions and behaviours related to the physical activity of older adults. Only two variables were moderately-to-strongly related to stages of exercise change, namely perceived barriers and self-efficacy. Conclusion. Interventions aimed at informing older adults about the benefits of physical activity and the threats associated with sedentary lifestyle can be expected to have rather a weak influence on their readiness for physical activity.


2020 ◽  
Author(s):  
Enmar Almazyad ◽  
Abeer Ahmad ◽  
Deema Jomar ◽  
Rajiv Khandekar ◽  
Samar Al-Swailem

Abstract Purpose:To assess ophthalmologists preparedness in such a critical period in the history of pandemics, a logical socio-psychological framework assessment using the health belief model (HBM) is essential to evaluate their risk perception, their willingness to actively participate in engaging in protective health behavior and acknowledge its benefits and their capability to perform adequate successful methods in limiting the spread of COVID-19 and overcome the barriers they might encounter while implementing such precautions.Methods:A cross-sectional study conducted in King Khaled Eye Specialist Hospital using a questionnaire-based (HBM) was distributed to 135 ophthalmologists in the institute to evaluate their risk perception on COVID-19, and determine which components of the HBM contribute to preventive health behavior related to the COVID-19 infection.Results:The questionnaire had a reasonable response rate ( 79.3%, 107 ophthalmologists including; 48 consultants, 51 fellows, and 36 residents). The study demonstrated that this model is useful and mapped how several components were significantly correlated to actions. Most significantly, perceived susceptibility was the most important predictor of action. The second most important determinant of action was the perceived benefit.Conclusion:Pandemics such as COVID-19 are more likely to happen again in the future. Explicit attention to factors influencing motivation, such as threat perception to adopt appropriate health-related behavior to limit the spread of communicable diseases, is necessary. This study has successfully represented preparedness and risk behavior perception of ophthalmologists to the novel COVID-19 pandemic in one of the largest tertiary eye hospitals in the middle east using the health belief model.


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