scholarly journals Mental Model Based Repeated Multifaceted (MRM) Intervention Design: A Conceptual Framework for Improving Preventive Health Behaviors and Outcomes

Author(s):  
Mazbahul G Ahamad ◽  
Fahian Tanin

Improving the effectiveness of health interventions is a major challenge in public health research and program development. A large body of literature has found low or no impact of health education and promotional interventions. We aim to develop a conceptual framework in support of intervention designs for preventive health behavior improvement programs and outcomes. The proposed approach is based on a narrative review of empirical literature assessing the limitations of less effective or ineffective field experiments regarding preventive health education and promotion interventions. We found three major limitations regarding the mental model’s balance of treatment and comparison groups, treatment groups’ willingness to adopt suggested behaviors, and the type, length, frequency, intensity, and sequence of treatments. To minimize the influence of these concerns, we propose a mental model-based repeated multifaceted (MRM) intervention design framework to provide an intervention design for improving health education and promotional programs.

2020 ◽  
Author(s):  
Mazbahul G Ahamad ◽  
Fahian Tanin

Improving the effectiveness of health interventions is a major challenge in public health research and program development. A large body of literature has found low or no impact of health education and promotional interventions. We aim to develop a conceptual framework in support of intervention designs for preventive health behavior improvement programs and outcomes. The proposed approach is based on a narrative review of empirical literature assessing the limitations of less effective or ineffective field experiments regarding preventive health education and promotion interventions. We found three major limitations regarding the mental model’s balance of treatment and comparison groups, treatment groups’ willingness to adopt suggested behaviors, and the type, length, frequency, intensity, and sequence of treatments. To minimize the influence of these concerns, we propose a mental model-based repeated multifaceted (MRM) intervention design framework to provide an intervention design for improving health education and promotional programs.


2020 ◽  
Author(s):  
Mazbahul G Ahamad ◽  
Fahian Tanin

Abstract Background: Improving the effectiveness of health interventions is a major challenge in public health research and program development. A large body of literature found low or no impact of health education and promotional interventions, especially in low- and middle-income countries.Objectives: To develop a conceptual framework in support of intervention designs of preventive health behavior improvement programs and outcomes.Methods: An overview of systematic and scoping reviews along with empirical literature was conducted to assess the limitations of preventive health education and promotion interventions using water, sanitation, and hygiene (WASH) programs and outcomes as examples.Results: We analyzed the limitations of the less effective or ineffective field interventions cited in peer-reviewed articles. We found three major limitations regarding the mental model’s balance of treatment and comparison groups, treatment groups’ willingness to adopt suggested behaviors, and the type, length, frequency, intensity, and sequence of treatments. To minimize the influence of these concerns, we proposed a mental model-based repeated multifaceted (MRM) intervention design framework.Conclusions: Our proposed framework aims to provide an intervention design for improving health education and promotional programs. Further studies using this framework are essential to examine our hypotheses and advance the understanding of how MRM design can improve preventive health behaviors and outcomes.


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Mazbahul G. Ahamad ◽  
Fahian Tanin

Abstract Objective Field interventions employed to improve preventive health behaviors and outcomes generally use well-established approaches; however, recent studies have reported that health education and promotional interventions have little to no impact on health behaviors, especially in low- and middle-income countries. We aimed to develop a conceptual framework to improve intervention designs that would internalize these concerns and limitations. Results We identified three major experimental design- and implementation-related concerns associated with mental models, including the balance between the treatment and control groups, the treatment group’s willingness to adopt suggested behaviors, and the type, length, frequency, intensity, and sequence of treatments. To minimize the influence of these aspects of an experimental design, we proposed a mental model-based repeated multifaceted (MRM) intervention design framework, which represents a supportive intervention design for the improvement of health education and promotional programs. The framework offers a step-by-step method that can be used for experimental and treatment design and outcome analysis, and that addresses potential implementation challenges.


2019 ◽  
Vol 4 (13) ◽  
pp. 14-26
Author(s):  
Norimah Said ◽  
Norazmir Md Nor ◽  
Siti Sabariah Buhari ◽  
Siti Khuzaimah Ahmad Sharoni

In developing an effective Chidhood weight management, it needs to be based on a theory. The Social Cognitive theory (SCT) and Urie Bronfenbrenner model with integrated Kolb's model of Learning Styles and Experiential Learning is used in this study to modify and make changes to the personal factor influences such as knowledge, attitude and expectations, behavior modification and environmental influences among overweight and obese school children. The aim of this study is to provide a new model for the professional development role of the nurses in the School Health Program (SHP) and health education promotion towards obese school children to improve their quality of life. Furthermore, in this study SHP and future health education and promotion are integrated with the role of SHN to facilitate the effective management of childhood obesity. Keywords: obesity; school children; school nurses; conceptual framework;weight management eISSN 2514-7528 © 2019. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.DOI: https://doi.org/10.21834/jabs.v4i13.331


2018 ◽  
Vol 21 (1) ◽  
pp. 44-69 ◽  
Author(s):  
Prodromos Chatzoglou ◽  
Dimitrios Chatzoudes

Purpose Nowadays, innovation appears as one of the main driving forces of organisational success. Despite the above fact, its impact on the propensity of an organisation to develop and sustain a competitive advantage has not yet received sufficient empirical investigation. The purpose of this paper is to enhance the existing empirical literature by focusing on the antecedents of innovation and its impact on competitive advantage. It proposes a newly developed conceptual framework that adopts a three-step approach, highlighting areas that have rarely been simultaneously examined before. Design/methodology/approach The examination of the proposed conceptual framework was performed with the use of a newly developed structured questionnaire that was distributed to a group of Greek manufacturing companies. The questionnaire has been successfully completed by chief executive officers (CEOs) from 189 different companies. CEOs were used as key respondents due to their knowledge and experience. The reliability and the validity of the questionnaire were thoroughly examined. Empirical data were analysed using the structural equation modelling technique. The study is empirical (based on primary data), explanatory (examines cause and effect relationships), deductive (tests research hypotheses) and quantitative (includes the analysis of quantitative data collected with the use of a structured questionnaire). Findings Results indicate that knowledge management, intellectual capital, organisational capabilities and organisational culture have significant direct and indirect effects on innovation, underlining the importance of their simultaneous enhancement. Finally, the positive effect of innovation on the creation of competitive advantages is empirically validated, bridging the gap in the relevant literature and offering avenues for additional future research. Originality/value The causal relationship between innovation and competitive advantage, despite its significant theoretical support, has not been empirically validated. The present paper aspires to bridge this gap, investigating the impact of innovation on the development of competitive advantages. Moreover, the present study adopts a multidimensional approach that has never been explored in the existing innovation literature, making the examination of the proposed conceptual framework an interesting research topic.


2019 ◽  
Vol 34 (7) ◽  
pp. 1298-1298
Author(s):  
M Forte ◽  
P Nestor

Abstract Objective Develop a cross-cultural conceptual framework for the validation of the Advanced Clinical Solutions (ACS) Social Perception subtest to effectively assess Latinx populations. Method The framework serves to examine and evaluate the composition of the normative sample of the ACS-SP using eight key variables taken from the ECLECTIC framework, specifically education (e.g., literacy), acculturation levels (e.g., race, ethnicity), language (e.g., proficiency), economics (e.g., SES), communication styles, testing comfort, intelligence conceptualization, and context of immigration (Fujii, 2018). In addition, the model assesses the normative sample in reference to the intersectionality of identities (Cole, 2009; Wadsworth et al., 2016) across cultural and demographic variables that may influence the expression of emotion, and consequently, the interpretation of ACS-SP results. The model applies an Etic-Emic approach to address the question of cross-cultural validity of the ACS-SP (Cheung, van de Vijver & Leong, 2011). Finally, the model can be applied to examine the ACS-SP in relation to cultural intelligence (CQ), a more recently established construct defined as an individual’s ability to function effectively inter-culturally (Ang, Rockstuhl, & Tan, 2015). Discussion A large body of research has shown that the expression and measurement of social cognitive abilities are greatly influenced by cultural factors (Elfenbein & Ambady, 2002). For example, studies have shown that the expression of these abilities may be greatly influenced by cultural differences in display rules. Likewise, it is equally important to consider key cultural variables such as those related to socioeconomic status (SES), demographics, and identity in the neuropsychological assessment of social perception in Latinx populations. Therefore, the model conducts a cross-cultural analysis of the ACS-SP. References Ang, S., Rockstuhl, T., & Tan, M. L. (2015). Cultural intelligence and competencies. International Encyclopedia of Social and Behavioral Sciences, 2, 433-439. Cheung, F. M., Leung, K., Fan, R. M., Song, W. Z., Zhang, J. X., & Zhang, J. P. (1996). Development of the Chinese personality assessment inventory. Journal of Cross-Cultural Psychology, 27(2), 181-199. Cole, E. R. (2009). Intersectionality and research in psychology. American psychologist, 64(3), 170. Elfenbein, H. A., & Ambady, N. (2002). On the universality and cultural specificity of emotion recognition: a meta-analysis. Psychological Bulletin, 128(2), 203. Fujii, D. E. M. (2018) Developing a cultural context for conducting a neuropsychological evaluation with a culturally diverse client: The ECLECTIC framework. The Clinical Neuropsychologist, 32(8), 1356-1392, DOI: 10.1080/13854046.2018.1435826. Wadsworth, L. P., Morgan, L. P., Hayes-Skelton, S. A., Roemer, L., & Suyemoto, K. L. (2016). Ways to boost your research rigor through increasing your cultural competence (part 1 of 2). The Behavior Therapist.


2019 ◽  
Vol 7 (8) ◽  
pp. 1-5
Author(s):  
Pamorn Darun ◽  
Nittaya Klongkayun ◽  
Rattikan Darun ◽  
Arwut Boontien

People in Si Samran subdistrict, Porncharoen district, Bueng Kan province have little awareness and perception of risk and severity of cholangiocarcinoma (CCA). They still eat raw fish or other menu cooked with raw fish. Therefore, CCA prevention campaign should be done to enhance awareness and perception of this disease in order to reduce raw fish consuming behaviours. This study aimed to evaluate the effect of health education to populations at risk of CCA in Si Samran subdistrict by comparing health perception and preventive health behaviours before and after receiving health education. This study recruited 76 participants by purposive sampling technique to attend the health education for stop eating raw fish workshop. The workshop was applied based on the theory of Health Belief Model (HBM) and the activities comprised lecture of 1) signs and symptoms of CCA, 2) risk factors of CCA, 3) benefits of CCA prevention and group discussion about CCA preventive behaviours and barriers of behaviour modification. Data were collected with the questionnaire before and 3 months after the workshop. The questionnaire was adopted from Sangprach’s questionnaire which had been already tested for reliability (overall Cronbach’s alpha coefficient = 0.89). Descriptive statistics were used to describe personal demographic data, level of health perception regarding CCA and level of CCA preventive behaviours. Inferential statistics (paired samples t-test) were used to compare the level of health perception regarding CCA and level of CCA preventive behaviours before and after attending the workshop. The results showed that a majority of 76 participants were female (68.4%), age group 40-50 years old (51.3%), married (89.5%), finished primary school (76.3%), employed in agriculture (61.8%), and had income more than 10,000 bath/month (40.8%). Participants had a higher level of 3 parts of health perception regarding CCA after the workshop, including perceived susceptibility, perceived severity and perceived barriers but demonstrated a lower level of many CCA preventive behaviours except the behaviour “You do not eat mouldy food” level that was higher after attending the workshop. The recommendation for CCA preventive behaviour improvement is that health education should be focused on the elimination of obstacles or barriers in the community which obstructed the behaviour modification.


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