scholarly journals Self-Efficacy of Exercise in Older Adults with Diabetes: A Concept Analysis

Jurnal NERS ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 105
Author(s):  
Somsak Thojampa ◽  
Chawapon Sarnkhaowkhom ◽  
Sirikanok Khankhajhon ◽  
Roongtiva Boonpracom ◽  
Amaraporn Puraya ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Behavior ◽  
Self Efficacy ◽  
Healthcare Professionals ◽  
Specific Activity ◽  
Concept Analysis ◽  
Clinical Usefulness ◽  
Behavior Changes ◽  
Thai People ◽  
Health Behavior Changes

Introduction: Self-efficacy is defined as a person’s own judgment of their capabilities to perform a specific activity to attain a particular outcome. The concept of self-efficacy of exercise in older adults with diabetes may still be unclear, so it is essential to elucidate its meaning for better understanding in this concept. This paper aims to explore the meaning of self-efficacy with regard to exercise in older adults with diabetes.Methods: Using the Walker and Avant concept analysis, it discusses cases showing diabetic Thai people and how they manage their health behavior changes, such as with exercise.Results: Analysis of the concept of self-efficacy in terms of its defining attributes, antecedents, consequences, and empirical referents provides information related to clinical usefulness. It helps healthcare professionals communicate the same notion when discussing self-efficacy and can distinguish this concept from other related concepts.Conclusion: Analysis of the concept of self-efficacy provides information related to exercise in older adults and can assist healthcare professionals in communicating the same notion when discussing the concept. 

scholarly journals Motivational Strategies to Prevent Frailty in Older Adults with Diabetes: A Focused Review

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
J. A. Vaccaro ◽  
T. Gaillard ◽  
F. G. Huffman ◽  
E. R. Vieira
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Health Behavior ◽  
Lifestyle Changes ◽  
Health Care Use ◽  
Behavior Changes ◽  
Motivational Strategies ◽  
Frail Older Adults ◽  
Health Behavior Changes

The prevalence of diabetes among Americans aged 65 years and older is greater than 25%. Medical expenditures for persons with diabetes are more than twice as high as those for patients without diabetes. Diabetes in older adults often times coexists with frailty, resulting in reduced quality of life and increased health-care use. Many older adults with type 2 diabetes have mobility impairments and experience falls, which contributes to increased frailty. Exercise has a protective effect for frailty and falls, yet less than half of persons with diabetes exercise and approximately one-quarter meet exercise recommendations. In addition to exercise, nutrition may help reduce the risk for falls; however, nutritional interventions have not been tested as a fall-prevention intervention. According to a review, there is insufficient evidence to create nutritional guidelines specific for frail older adults with type 2 diabetes. There is a need to motivate and empower older adults with type 2 diabetes to make lifestyle changes to prevent frailty. The purpose of this review was to identify and integrate what is known and what still needs to be done for this population to be successful in making health behavior changes to reduce frailty. There is some evidence that motivational approaches have worked for older adults with various chronic disease conditions. However, studies applying motivational strategies are lacking for frail older adults with type 2 diabetes. A novel motivational approach was described; it combines aspects of the Health Belief Model and Motivational Interviewing. Intervention studies incorporating this model are needed to determine whether this client-driven strategy can help various racial/ethnic populations make the sustainable health behavior changes of increasing exercise and healthy eating while taking into consideration physiological, psychological, and economic barriers.

scholarly journals Diabetes Diagnosis, Social Support, and Health Behavior Changes in Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 108-108
Author(s):  
Weidi Qin
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Older Adults ◽  
Alcohol Consumption ◽  
Health Behavior ◽  
Behavior Changes ◽  
Diabetes Diagnosis ◽  
Health Promoting Behaviors ◽  
Health Promoting ◽  
Health Behavior Changes

Abstract The growing disease burden of diabetes in older adults highlights the importance of health-promoting behaviors in this population. A new diagnosis of diabetes can be a teachable moment that motivates older adults to engage in health behavior changes. Guided by the convoy model of social relations, social support from family and friends may influence health behaviors, and moderate the effects of a diabetes diagnosis on health behaviors. The current study investigates health behavior changes in drinking, smoking, and physical activity before and after a diabetes diagnosis, and whether social support moderates the relationships. A sample of 13,143 older adults without diabetes at baseline were selected from the Health and Retirement Study, and followed up for six waves. Social support from family and friends were measured separately. Mixed-effects regression models were performed. Sampling weights were adjusted to generate population estimates. After a diabetes diagnosis, older adults reduced alcohol consumption and were more likely to quit smoking. More social support from family was associated with decreased alcohol consumption, and more social support from friends was associated with increased physical activity. Significant interaction between social support from family and diabetes diagnosis was found. Specifically, among older adults with a diabetes diagnosis, more social support from family was associated with less drinking and smoking cessation. The study findings suggest that health practitioners can consider the timing of diabetes diagnosis to facilitate health behavior changes. Furthermore, diabetes educators can help older adults mobilize support from family and friends to better engage in health-promoting behaviors.

scholarly journals Utilization of preconception care and its impacts on health behavior changes among expectant couples in Shanghai, China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Li Du ◽  
Xuena La ◽  
Liping Zhu ◽  
Hong Jiang ◽  
Biao Xu ◽  
...  
Keyword(s):  
Folic Acid ◽  
Child Health ◽  
Health Behavior ◽  
Pregnant Women ◽  
Preconception Care ◽  
Behavior Changes ◽  
Care Services ◽  
Folic Acid Supplements ◽  
Health Behavior Changes ◽  
And Child Health

Abstract Background Preconception care is an opportunity for detecting potential health risks in future parents and providing health behavior education to reduce morbidity and mortality for women and their offspring. Preconception care has been established in maternal and child health hospitals in Shanghai, China, which consists of health checkups, health education and counseling. This study investigated factors associated with the utilization of preconception care, and the role of preconception care on health behavior changes before conception among pregnant women and their partners. Methods A cross-sectional study was conducted among pregnant women at three maternal and child health hospitals in Shanghai. The participants were invited to complete a self-administered questionnaire on the utilization of preconception care and health behavioral changes before conception. Results Of the 948 recruited pregnant women, less than half (42.2%) reported that they had utilized preconception care before the current pregnancy. Unplanned pregnancy, unawareness of preconception care and already having a general physical examination were the main reasons for not attending preconception care. The two main sources of information about preconception care were local community workers and health professionals. Younger women and the multipara were less likely to utilize preconception care. Women who utilized preconception care were more likely to take folic acid supplements before conception [Adjusted Odds Ration (aOR) 3.27, 95% Confidence Interval (CI) 2.45–4.36, P < 0.0001]. The partners of pregnant women who had attended preconception care services were more likely to stop smoking [aOR 2.76, 95%CI 1.48–5.17, P = 0.002] and to stop drinking [aOR 2.13, 95%CI 1.03–4.39, P = 0.041] before conception. Conclusions Utilization of preconception care was demonstrated to be positively associated with preconception health behavior changes such as women taking folic acid supplements before pregnancy, their male partner stopping smoking and drinking before conception. Future studies are needed to explore barriers to utilizing preconception care services and understand the quality of the services. Strategies of promoting preconception care to expectant couples, especially to young and multipara women, should be developed to further improve the utilization of the services at the community level.

scholarly journals Employee Wellness Program in a Small Rural Industry: Employee Evaluation

AAOHN Journal ◽  
2005 ◽  
Vol 53 (6) ◽  
pp. 244-248 ◽  
Author(s):  
Melondie Carter ◽  
Susan Gaskins ◽  
Lynda Shaw
Keyword(s):  
Health Behavior ◽  
Structured Interview ◽  
Behavior Changes ◽  
Employee Wellness ◽  
Wellness Program ◽  
Rural Industry ◽  
Group Methods ◽  
Interview Guide ◽  
College Of Nursing ◽  
Health Behavior Changes

The primary purpose of this study was to determine employees' perceptions of a wellness program resulting from collaboration between a small rural industry and a College of Nursing. Focus group methods were used to elicit evaluative data from 27 employees. A semi-structured interview guide of open-ended questions was used to elicit information. The employees readily identified the screenings and information they had received related to hypertension, blood sugar, and cholesterol to be helpful. Health behavior changes the employees identified based on the health promotion activities and screenings included diet changes, different food preparations, and exercise. The screenings were found to be beneficial because they helped them to understand the significance of the results and how they could alter them with health behaviors. The repeated screenings provided an opportunity for them to see how health behavior changes had affected their results.

Health Behavior Changes Measure

2016 ◽  
Author(s):  
Covadonga Chaves ◽  
Crystal L. Park
Keyword(s):  
Health Behavior ◽  
Behavior Changes ◽  
Health Behavior Changes

Health Behaviors and Breast Cancer: Experiences of Urban African American Women

2006 ◽  
Vol 33 (5) ◽  
pp. 604-624 ◽  
Author(s):  
Melinda R. Stolley ◽  
Lisa K. Sharp ◽  
Anita M. Wells ◽  
Nolanna Simon ◽  
Linda Schiffer
Keyword(s):  
Breast Cancer ◽  
African American ◽  
Health Behavior ◽  
Health Behaviors ◽  
Cancer Survivors ◽  
African American Women ◽  
Breast Cancer Survivors ◽  
Behavior Changes ◽  
American Women ◽  
Health Behavior Changes

Breast-cancer survival rates are lower among African American women compared to White women. Obesity may contribute to this disparity. More than 77% of African American women are overweight or obese. Adopting health behaviors that promote a healthy weight status may be beneficial because obesity increases risk for recurrence. Studies among White breast-cancer survivors indicate that many make health behavior changes after diagnosis. This cross-sectional pilot study collected quantitative and qualitative data on the attitudes, beliefs, barriers, and facilitators related to health behavior changes in 27 overweight/obese African American breast-cancer survivors. Results indicated that most participants reported making dietary changes since their diagnosis, and some had increased their physical activity. Focus groups provided rich details on the barriers and facilitators for behavior change. These results begin to address the significant gap in our knowledge of African American breast-cancer survivors' health behaviors and underscore the need for culturally competent health behavior interventions.

Self-Efficacy and Health Behavior Among Older Adults

1993 ◽  
Vol 34 (2) ◽  
pp. 89 ◽  
Author(s):  
David Grembowski ◽  
Donald Patrick ◽  
Paula Diehr ◽  
Mary Durham ◽  
Shirley Beresford ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Behavior ◽  
Self Efficacy
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