Contextualizing motivations and perceived barriers of healthy nutrition and lifestyle behaviours among Malaysian adults with metabolic syndrome

Abstract Background Nutrition and lifestyle behaviour of individuals have been associated with the risk of metabolic syndrome (MetS). In order to better control the prevalence of MetS nationwide, an effective health promotion program must provide age-appropriate care information that addresses critical factors such as physiological function, social psychology, and emotional and health literacy in order to empower these patients to self-manage their condition and to enhance their self-care-related motivation and confidence. This study qualitatively analysed FGD involving Malaysian adults with MetS to explore their understanding of MetS and their perceived motivation and barriers of healthy nutrition and lifestyle behaviour. Methods A qualitative study with four focus groups (21 purposively sampled respondents) was conducted with adults diagnosed with MetS whom attending MONASH Medical Precinct in 2018. An interview protocol consolidating both responsive interviewing model and health belief model were prepared. The focus groups were audio recorded and transcribed. The data were analysed by emergent themes analysis. Data saturation was achieved in the fourth focus group. Results Seven main themes; three motivations and three perceived barriers and one subtheme on healthy nutrition and lifestyle behaviour were identified in the analysis of FGD. Motivations for healthy nutrition and lifestyles behaviour were (i) weight gain and physical appearances; (ii)personal experience of adverse complications and (iii) good family and social support. The identified perceived barriers were (i) healthcare as a business model; (ii) healthy change is difficult and expensive and (iii) cultural influence on food intake. Inadequate knowledge on MetS as most respondents were unaware of MetS as a clustering of risk factors but were able to identify the components individually was also a strong theme identified in this study. Conclusion Nutrition and lifestyle behaviours of adults with MetS were highly affected by the several potent motivations and perceived barriers among individuals. Information delivery and lifestyle promotion should address these aspects to increase program adoption and adherence, ensuring success of a community-based lifestyle intervention.

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Determinants of Breast Self-Examination Practice among Women in Surabaya, Indonesia: An Application of the Health Belief Model

10.31234/osf.io/hp6nj ◽

2019 ◽

Author(s):

Triana Kesuma Dewi ◽

Karlijn Massar ◽

Robert A.C. Ruiter ◽

Tino Leonardi

Keyword(s):

Breast Cancer ◽

Health Belief Model ◽

Self Efficacy ◽

Health Belief ◽

Perceived Barriers ◽

Perceived Benefits ◽

Breast Self Examination ◽

Cues To Action ◽

Belief Model ◽

Self Examination

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.

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Analisis Faktor Perilaku Lansia Dengan Penyakit Kronis Berdasarkan Health Belief Model Di Puskesmas

Jurnal Ilmu Kesehatan MAKIA ◽

10.37413/jmakia.v11i1.153 ◽

2021 ◽

Vol 11 (1) ◽

pp. 71-79

Author(s):

Ellia Ariesti ◽

Felisitas A. Sri S ◽

Elizabeth Y. Y. Vinsur ◽

Kristianto D. N

Keyword(s):

Health Belief Model ◽

Health Belief ◽

Perceived Barriers ◽

Perceived Benefits ◽

Chi Square ◽

Cross Sectional ◽

Perceived Susceptibility ◽

Perceived Severity ◽

Belief Model

ABSTRAK Proses menua sering dikaitkan dengan insiden penyakit kronik seiring dengan penurunan kondisi fisik, psikologis, maupun sosial serta berkurangnya daya tahan tubuh dalam menghadapi pengaruh luar dari ketahanan tubuhnya. Banyak permasalahan timbul dari kondisi kronis di lansia karena meningkatnya jumlah lansia. Pengontrolan maupun pencegahan menuju kondisi lebih parah dapat dilakukan melalui gaya hidup sehat. Salah satu model yang dikembangkan untuk melihat faktor-faktor yang mempengaruhi tindakan seseorang untuk mencari upaya hidup sehat adalah model kepercayaan kesehatan atau Health Belief Model. Tujuan penelitian mengetahui faktor-faktor yang mempengaruhi perilaku lansia dengan penyakit kronis dalam mengatasi penyakitnya berdasarkan Health Belief Model di Puskesmas. Jenis penelitian deskriptif analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah lansia yang mengalami penyakit kronis di Puskesmas Bareng Kota Malang. Jumlah sampel sebanyak 76 responden. Hasil analisis menggunakan uji chi-square menunjukkan bahwa variabel perceived susceptibility, perceived severity, perceived benefits, perceived barriers yang berhubungan dengan perilaku lansia (p<0.05). Hasil model akhir analisis multivariat, variabel perceived barriers merupakan variabel yang berhubungan dengan perilaku lansia yang menderita penyakit kronis. Dukungan individu lain terhadap lansia mulai dari mereka yang tinggal bersama maupun oleh aparat penduduk setempat untuk meminimalkan atau menghilangkan rintangan mesti dilakukan agar kualitas hidup lansia dengan penyakit kronis dapat optimal. Kata Kunci : Health Belief Model, Penyakit Kronis, Perilaku Lansia

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Use of the Health Belief Model for Weight Control Promotion Using Vegetarian Meal Plans

Current Topics in Nutraceutical Research ◽

10.37290/ctnr2641-452x.20:219-228 ◽

2021 ◽

Vol 20 (2) ◽

pp. 219-228

Author(s):

Yi-Cheng Hou ◽

Jing-Hui Wu ◽

Ching-Feng Cheng ◽

Chan-Yen Kuo ◽

I-Shiang Tzeng

Keyword(s):

Body Composition ◽

Health Belief Model ◽

Body Fat ◽

Fat Body ◽

Health Belief ◽

Body Water ◽

Perceived Barriers ◽

Perceived Benefits ◽

Belief Model ◽

The Health Belief Model

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.

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Reasons for cervical cancer screening participation among Turkish- and Moroccan-Dutch: focus groups

European Journal of Public Health ◽

10.1093/eurpub/ckz186.375 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

E Marchena ◽

N Hamdiui ◽

M L Stein ◽

J E van Steenbergen ◽

M van den Muijsenbergh ◽

...

Keyword(s):

Cervical Cancer ◽

Focus Groups ◽

Health Belief ◽

Participation Rate ◽

Barriers And Facilitators ◽

Screening Participation ◽

Dutch Language ◽

Moroccan Women ◽

Information Materials ◽

Belief Model

Abstract Background Cervical cancer (CC) is ranked fourth most frequently diagnosed cancer in women worldwide. Compared to the 79% CC screening participation rate of native Dutch women, the rate of 64% among Turkish- and 53% among Moroccan-Dutch women is considerably lower. Our aim was to explore reasons for CC screening (non)participation of Turkish- and Moroccan-Dutch women, and their attitude towards self-sampling. Methods Six focus groups were conducted in March and April 2019 with Turkish (n = 25) and Moroccan (n = 20) women in the Netherlands, aged 30-60 years. Questions were based on an extended Health Belief Model. Discussions were transcribed verbatim and thematically analysed. Results We found that women lack knowledge and awareness about CC. Barriers for screening were lack of a good command of the Dutch language, having a male as general practitioner, fatalism, shame and taboo related to the intimate procedure, and the association of CC with lack of femininity and infertility. Other barriers were fears of the test result, cancer, suffering, death, and leaving their children behind after death. Facilitators were perceived severity of disease, social support, and short procedure time. Additional religious facilitators included the responsibility to take care of one’s own health using medical facilities that God provided. Differences were found between Turkish and Moroccan women, such as lack of a good command of the Dutch language. Conflicting attitudes were found regarding self-sampling. Although perceived easy and accessible, women were hesitant whether they could sample correctly. Overall, women preferred a physician-taken smear to a self-sample. Conclusions Several barriers and facilitators for CC screening participation were identified that can be used to design tailored information materials. Women’s doubts about incorrect self-sampling should be taken into account to encourage self-sampling among nonparticipating Turkish and Moroccan women. Key messages Important barriers and facilitators were identified that can be used to well-inform Turkish and Moroccan women. To promote self-sampling, women’s attitudes on their self-efficacy should be explored.

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Association between Psychological Factors and Condom Use with Regular and Nonregular Male Sexual Partners among Chinese MSM: A Quantitative Study Based on the Health Belief Model

BioMed Research International ◽

10.1155/2020/5807162 ◽

2020 ◽

Vol 2020 ◽

pp. 1-10

Author(s):

Yuling Huang ◽

Bin Yu ◽

Peng Jia ◽

Zixin Wang ◽

Shifan Yang ◽

...

Keyword(s):

Condom Use ◽

Health Belief ◽

Perceived Barriers ◽

Consistent Condom ◽

Anal Sex ◽

Consistent Condom Use ◽

Cues To Action ◽

Belief Model ◽

Use Behavior ◽

The Health Belief Model

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.

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LGB Tobacco Control: Do Health Belief Model Constructs Predict Tobacco Use Intentions Differently between LGB and Heterosexual Individuals?

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18137008 ◽

2021 ◽

Vol 18 (13) ◽

pp. 7008

Author(s):

Yachao Li ◽

Bo Yang ◽

Bryan Chen

Keyword(s):

Health Belief Model ◽

Tobacco Use ◽

Negative Relationship ◽

Health Belief ◽

Perceived Health ◽

Perceived Barriers ◽

Perceived Benefits ◽

Health Threat ◽

And Bisexual ◽

Belief Model

This research includes two studies testing whether the Health Belief Model (HBM) constructs predict tobacco use intentions differently between heterosexual and lesbian, gay, and bisexual (LGB) people. Focusing on cigarette smoking, Study 1 (n = 1808 U.S. adult current smokers) found that the perceived health threat and perceived benefits of smoking differently predicted intentions to continue smoking between heterosexual and LGB smokers. The perceived health threat of smoking had a weaker negative relationship and perceived benefits of smoking had a stronger positive relationship with smoking intentions among LGB smokers than heterosexual smokers. Focusing on vaping, Study 2 (n = 2801 U.S. adults) found that the perceived health threat and perceived barriers of vaping differentially predicted vaping intentions between heterosexual and LGB individuals. The perceived health threat of vaping only negatively predicted vaping intentions among heterosexual people. Perceived barriers to vaping had a stronger negative relationship with intentions to vape among LGB people than among heterosexual people. Our finding suggests that compared to perceptions of tobacco-related health consequences (perceived heath threat), behavioral perceptions (perceived benefits and barriers) may have stronger impacts on tobacco use intentions among LGB people. Thus, efforts focusing on reducing tobacco-related disparities among the LGB community should address perceived benefits and barriers of tobacco use.

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Applying the Health Belief Model in Explaining the Stages of Exercise Change in Older Adults

Polish Journal of Sport and Tourism ◽

10.1515/pjst-2016-0029 ◽

2016 ◽

Vol 23 (4) ◽

pp. 221-225 ◽

Cited By ~ 1

Author(s):

Krzysztof Sas-Nowosielski ◽

Andrzej Hadzik ◽

Joanna Górna ◽

Małgorzata Grabara

Keyword(s):

Physical Activity ◽

Older Adults ◽

Health Belief Model ◽

Self Efficacy ◽

Sedentary Lifestyle ◽

Health Belief ◽

Health Behaviours ◽

Perceived Barriers ◽

Belief Model ◽

The Health Belief Model

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.

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Sexually Transmitted Diseases Among Residents in Nursing Homes: The Nurses' Perspective

Ohio Journal of Public Health ◽

10.18061/ojph.v4i1.8069 ◽

2021 ◽

Vol 4 (1) ◽

pp. 23-30

Author(s):

Lauren N. Maziarz ◽

Nikki Sorgi ◽

Nicole Fischer

Keyword(s):

Older Adults ◽

Nursing Homes ◽

Transmitted Disease ◽

Strong Support ◽

Health Belief ◽

Target Population ◽

Sexual Relationships ◽

Perceived Barriers ◽

Sexually Transmitted ◽

Belief Model

Background: Examining registered nurses' perceptions of sexually transmitted disease (STD) education among residents in nursing homes allows for broader insight into why STDs continue to increase among older adults. Methods: A 4-page pilot survey was mailed to nursing home directors of nursing in Northwest Ohio (n=99) with a response rate of 32%. Directors of nursing were the target population as they are the most likely employee to hold registered nurse licensure. The health belief model formed the basis for the survey. Results: Most nurses did not see STDs or human immunodeficiency virus (HIV) as problems among their residents (100% and 96%, respectively) yet support for sex among residents was high. All (100%) agreed sex among married residents should be supported, while 77% agreed sex among nonmarried residents should be supported. Most nurses stated they were comfortable discussing HIV risk (84%), STD risk (84%), erectile dysfunction (75%), sexual desire and intimacy (72%), and correct condom use (66%). The most commonly reported perceived barriers to STD education were family opposition (63%), resident embarrassment (56%), and lack of education regarding the prevalence of STDs in older adults (53%). The most commonly reported perceived benefits to STD education were being seen as a leading facility for healthy initiatives (66%) and promotion of healthy sexual relationships among residents (56%). Conclusion: There was strong support for STD education among nurses though implementation remains rare. Addressing the most commonly perceived barriers and benefits may prove beneficial in increasing the number of LTCFs that provide STD education to residents.

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Exploring COVID-19 Vaccine Hesitancy Among Stakeholders in African American and Latinx Communities in the Deep South Through the Lens of the Health Belief Model

American Journal of Health Promotion ◽

10.1177/08901171211045038 ◽

2021 ◽

pp. 089011712110450

Author(s):

Lori B. Bateman ◽

Allyson G. Hall ◽

William A. Anderson ◽

Andrea L. Cherrington ◽

Anna Helova ◽

...

Keyword(s):

African American ◽

Focus Groups ◽

Health Belief Model ◽

Race And Ethnicity ◽

Health Belief ◽

Vaccine Uptake ◽

Vaccine Hesitancy ◽

Virtual Focus Groups ◽

Belief Model ◽

The Health Belief Model

Purpose The purpose of this study was to qualitatively explore perceptions related to COVID-19 vaccination intention among African American and Latinx participants and suggest intervention strategies. Approach Ninety minute virtual focus groups (N = 8), segmented by county, race and ethnicity were conducted with stakeholders from 3 vulnerable Alabama counties. Participants Participants (N = 67) were primarily African American and Latinx, at least 19 years, and residents or stakeholders in Jefferson, Mobile, and Dallas counties. Setting Focus groups took place virtually over Zoom. Methods The semi-structured guide explored perceptions of COVID-19, with an emphasis on barriers and facilitators to vaccine uptake. Focus groups lasted approximately 90 minutes and were audio recorded, transcribed, and analyzed by a team of 3 investigators, according to the guidelines of Thematic Analysis using NVivo 12. To provide guidance in the development of interventions to decrease vaccine hesitancy, we examined how themes fit with the constructs of the Health Belief Model. Results We found that primary themes driving COVID-19 vaccine hesitancy, ordered from most to least discussed, are mistrust, fear, and lack of information. Additionally, interventions to decrease vaccine hesitancy should be multi-modal, community engaged, and provide consistent, comprehensive messages delivered by trusted sources.

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Health Belief Model and Determinants of Breast Self-Examination Performance

International Journal of Cancer Management ◽

10.5812/ijcm.111509 ◽

2021 ◽

Vol 14 (10) ◽

Author(s):

Fatemeh Mousavi ◽

Parisa Shojaei ◽

Azadeh Nazemi ◽

Sepideh Babania ◽

Ehsan Aliniagerdroudbari

Keyword(s):

Path Analysis ◽

Health Belief Model ◽

Care Center ◽

Health Belief ◽

Perceived Barriers ◽

Cancer Knowledge ◽

Cross Sectional ◽

Health Care Center ◽

Significant Difference ◽

Belief Model

Objectives: This study aimed at performing a path analysis to assess the parameters of the health belief model concerning BSE. Methods: The present descriptive cross-sectional study at a health care center, affiliated with Islamic Azad University Tehran, Faculty of Medicine in the northwest of Tehran, Iran was conducted from May to June 2018. The champion’s HBM scale, breast cancer knowledge test was assessed in all participants. The SPSS-22 and Lisrel-8.8 software, using statistical path analysis, were used for analyzing the data. Results: Totally, 225 women took part in this study. The mean of the BSE performance was 0.53 ± 0.52. The score of BCKT had a significant difference between women, who performed and did not perform BSE (P = 0.001). The final model was a good fit for the data collection. As a result, self-effectiveness improved HBM parameters. Also, perceived barriers, knowledge, and educational level had an association with BSE. Conclusions: According to the results of this study, self-care behaviors could be increased by eliminating perceived barriers and increasing the level of education and as a result of women's knowledge.

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