scholarly journals A Pantheoretical Framework to Optimize Adherence to Healthy Lifestyle Behaviors and Medication Adherence: The Use of Personalized Approaches to Overcome Barriers and Optimize Facilitators to Achieve Adherence

10.2196/16429 ◽  
2020 ◽  
Vol 8 (6) ◽  
pp. e16429
Author(s):  
Azizi Seixas ◽  
Colleen Connors ◽  
Alicia Chung ◽  
Tiffany Donley ◽  
Girardin Jean-Louis
Keyword(s):  
Medication Adherence ◽  
Behavioral Interventions ◽  
Healthy Lifestyle ◽  
Lifestyle Behaviors ◽  
Medical Treatments ◽  
Healthy Lifestyle Behaviors ◽  
Patient Nonadherence ◽  
Short And Long Term ◽  
Chronic Disease Burden

Patient nonadherence to healthy lifestyle behaviors and medical treatments (like medication adherence) accounts for a significant portion of chronic disease burden. Despite the plethora of behavioral interventions to overcome key modifiable/nonmodifiable barriers and enable facilitators to adherence, short- and long-term adherence to healthy lifestyle behaviors and medical treatments is still poor. To optimize adherence, we aimed to provide a novel mobile health solution steeped in precision and personalized population health and a pantheoretical approach that increases the likelihood of adherence. We have described the stages of a pantheoretical approach utilizing tailoring, clustering/profiling, personalizing, and optimizing interventions/strategies to obtain adherence and highlight the minimal engineering needed to build such a solution.

scholarly journals A Pantheoretical Framework to Optimize Adherence to Healthy Lifestyle Behaviors and Medication Adherence: The Use of Personalized Approaches to Overcome Barriers and Optimize Facilitators to Achieve Adherence (Preprint)

2019 ◽  
Author(s):  
Azizi Seixas ◽  
Colleen Conners ◽  
Alicia Chung ◽  
Tiffany Donley ◽  
Girardin Jean-Louis
Keyword(s):  
Medication Adherence ◽  
Behavioral Interventions ◽  
Healthy Lifestyle ◽  
Lifestyle Behaviors ◽  
Medical Treatments ◽  
Healthy Lifestyle Behaviors ◽  
Patient Nonadherence ◽  
Short And Long Term ◽  
Chronic Disease Burden

UNSTRUCTURED Patient nonadherence to healthy lifestyle behaviors and medical treatments (like medication adherence) accounts for a significant portion of chronic disease burden. Despite the plethora of behavioral interventions to overcome key modifiable/nonmodifiable barriers and enable facilitators to adherence, short- and long-term adherence to healthy lifestyle behaviors and medical treatments is still poor. To optimize adherence, we aimed to provide a novel mobile health solution steeped in precision and personalized population health and a pantheoretical approach that increases the likelihood of adherence. We have described the stages of a pantheoretical approach utilizing tailoring, clustering/profiling, personalizing, and optimizing interventions/strategies to obtain adherence and highlight the minimal engineering needed to build such a solution.

scholarly journals Older Hypertensive Patients’ Adherence to Healthy Lifestyle Behaviors

2018 ◽  
Vol 19 (1) ◽  
pp. 51-56 ◽  
Author(s):  
Marija Andjelkovic ◽  
Marina Mitrovic ◽  
Ivana Nikolic ◽  
Danica Bacanin Jovanovic ◽  
Ivanka Zelen ◽  
...  
Keyword(s):  
Healthy Lifestyle ◽  
Care Center ◽  
Lifestyle Behaviors ◽  
Hypertensive Patients ◽  
Lifestyle Behavior ◽  
Health Care Center ◽  
Body Weight Reduction ◽  
Healthy Lifestyle Behaviors ◽  
Elderly Hypertensive

Abstract Non-pharmacological treatment including diet, body weight reduction, smoking cessation and physical activity, is very important part of hypertension treatment. The objective of this study was to investigate the adherence to healthy lifestyle behavior in the representative sample of the older hypertensive patients, and to investigate factors associated with adherence in the studied older population. The study was conducted on random sample of 362 long term hypertensive (> five years) patients older than 65 years of age, at Health Care Center of Kragujevac. Adherence was assessed using the structured questionnaire for the analysis of the implementation of both hypertension and diabetes guidelines in the primary care. Both bivariate and multivariate analyses were conducted. Nearly 35% of examined patients were highly adherent; they exercised regularly, avoided smoking for at least five years and consumed special healthy diet prescribed for hypertension. Another 35.6% of the cases reported exercising regularly, 39.5% followed the recommended diet for the hypertension, while 23.4% of the patients have still consumed cigarettes. Multivariate logistic regression demonstrated that received counseling on healthy lifestyle behaviors by physicians and lack of education predicted high adherence to healthy lifestyle behavior. In order to improve adherence of elderly hypertensive patients to healthy lifestyle, strengthening patient-physician relationships through efforts to enhance communication may be a promising strategy to enhance patients’ engagement in healthy lifestyle behaviors for hypertension. Such an improvement could be achieved through the education of both the physicians and patients.

scholarly journals Workplace Healthy Lifestyle Determinants and Wellbeing Needs across the Preconception and Pregnancy Periods: A Qualitative Study Informed by the COM-B Model

2021 ◽  
Vol 18 (8) ◽  
pp. 4154
Author(s):  
Seonad K. Madden ◽  
Claire A. Blewitt ◽  
Kiran D. K. Ahuja ◽  
Helen Skouteris ◽  
Cate M. Bailey ◽  
...  
Keyword(s):  
Healthy Lifestyle ◽  
Intervention Development ◽  
Health Behavior Change ◽  
Overweight And Obesity ◽  
Specific Reference ◽  
Lifestyle Behaviors ◽  
Policy Makers ◽  
Health And Wellbeing ◽  
Healthy Lifestyle Behaviors ◽  
And Control

Overweight and obesity present health risks for mothers and their children. Reaching women during the key life stages of preconception and pregnancy in community settings, such as workplaces, is an ideal opportunity to enable health behavior change. We conducted five focus groups with 25 women aged between 25 and 62 years in order to investigate the determinants of healthy lifestyle behaviors, weight management, and wellbeing needs during the preconception and pregnancy periods in an Australian university workplace. Discussions explored women’s health and wellbeing needs with specific reference to workplace impact. An abductive analytical approach incorporated the capability, opportunity, and motivation of behavior (COM-B) model, and four themes were identified: hierarchy of needs and values, social interactions, a support scaffold, and control. Findings highlight the requirement for greater organization-level support, including top-down coordination of wellbeing opportunities and facilitation of education and support for preconception healthy lifestyle behaviors in the workplace. Interventionists and organizational policy makers could incorporate these higher-level changes into workplace processes and intervention development, which may increase intervention capacity for success.

scholarly journals Individual-Level Determinants of Lifestyle Behavioral Changes during COVID-19 Lockdown in the United States: Results of an Online Survey

2021 ◽  
Vol 18 (8) ◽  
pp. 4364
Author(s):  
Xiaotao Zhang ◽  
Abiodun Oluyomi ◽  
LeChauncy Woodard ◽  
Syed Ahsan Raza ◽  
Maral Adel Fahmideh ◽  
...  
Keyword(s):  
Physical Activity ◽  
Alcohol Use ◽  
Online Survey ◽  
Healthy Lifestyle ◽  
The United States ◽  
Lifestyle Changes ◽  
Lifestyle Behaviors ◽  
Individual Level ◽  
Diet And Physical Activity ◽  
Healthy Lifestyle Behaviors

This study examined individual-level determinants of self-reported changes in healthy (diet and physical activity) and addictive (alcohol use, smoking, and vaping) lifestyle behaviors during the initial COVID-19 lockdown period in the USA. A national online survey was administered between May and June 2020 that targeted a representative U.S. sample and yielded data from 1276 respondents, including 58% male and 50% racial/ethnic minorities. We used univariate and multivariable linear regression models to examine the associations of sociodemographic, mental health, and behavioral determinants with self-reported changes in lifestyle behaviors. Some study participants reported increases in healthy lifestyle behaviors since the pandemic (i.e., 36% increased healthy eating behaviors, and 33% increased physical activity). However, they also reported increases in addictive lifestyle behaviors including alcohol use (40%), tobacco use (41%), and vaping (46%). With regard to individual-level determinants, individuals who reported adhering to social distancing guidelines were also more likely to report increases in healthy lifestyle behaviors (β = 0.12, 95% CI 0.04 to 0.21). Conversely, women (β = −0.37, 95% CI −0.62 to −0.12), and unemployed individuals (β = −0.33, 95% CI −0.64 to −0.02) were less likely to report increases in healthy lifestyle behaviors. In addition, individuals reporting anxiety were more likely to report increases in addictive behaviors (β = 0.26, 95% CI 0.09 to 0.43). Taken together, these findings suggest that women and unemployed individuals may benefit from interventions targeting diet and physical activity, and that individuals reporting anxiety may benefit from interventions targeting smoking and alcohol cessation to address lifestyle changes during the pandemic.

scholarly journals Couplesʼ Experiences With Healthy Lifestyle Behaviors After Cardiac Rehabilitation

2018 ◽  
Vol 38 (3) ◽  
pp. 170-174 ◽  
Author(s):  
Sheri A. Rowland ◽  
Karen L. Schumacher ◽  
Dee Dee Leinen ◽  
Brenda G. Phillips ◽  
Paula S. Schulz ◽  
...  
Keyword(s):  
Cardiac Rehabilitation ◽  
Healthy Lifestyle ◽  
Lifestyle Behaviors ◽  
Healthy Lifestyle Behaviors

scholarly journals Healthy-lifestyle behaviors associated with overweight and obesity in US rural children

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Alison Tovar ◽  
Kenneth Chui ◽  
Raymond R Hyatt ◽  
Julia Kuder ◽  
Vivica I Kraak ◽  
...  
Keyword(s):  
Healthy Lifestyle ◽  
Overweight And Obesity ◽  
Rural Children ◽  
Lifestyle Behaviors ◽  
Healthy Lifestyle Behaviors

scholarly journals Healthy lifestyle behaviors and all-cause mortality among adults in the United States

2012 ◽  
Vol 55 (1) ◽  
pp. 23-27 ◽  
Author(s):  
Earl S. Ford ◽  
Manuela M. Bergmann ◽  
Heiner Boeing ◽  
Chaoyang Li ◽  
Simon Capewell
Keyword(s):  
United States ◽  
Healthy Lifestyle ◽  
The United States ◽  
Lifestyle Behaviors ◽  
Healthy Lifestyle Behaviors ◽  
All Cause Mortality

scholarly journals Clustering of healthy lifestyle behaviors is associated with a lower incidence of adverse events in patients with newly diagnosed atrial fibrillation: a nationwide cohort study

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
S R Lee ◽  
E K Choi ◽  
K D Han ◽  
S Oh ◽  
G Y H Lip
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Ischemic Stroke ◽  
Adverse Events ◽  
Healthy Lifestyle ◽  
Health Screening ◽  
Major Adverse Cardiovascular Events ◽  
Lifestyle Behaviors ◽  
Newly Diagnosed ◽  
Healthy Lifestyle Behaviors

Abstract Background Although unhealthy or healthy lifestyle behaviors tend to be clustered, studies on the risk of clinical outcomes depending on how the lifestyle behaviors are managed after atrial fibrillation (AF) diagnosis remain limited. Purpose We aimed to evaluate the association between a cluster of healthy lifestyle behaviors and the risk of adverse outcomes in patients with AF. Methods Using the Korean National Insurance Service database, patients who were newly diagnosed as nonvalvular AF between 2009 and 2016 and received national health screening examination within 2-year after AF diagnosis were included. A healthy lifestyle behavior score (HLS) was calculated by assigning 1 point each for “non-current” smoking, for non-drinking, and for performing regular exercise from the self-reported questionnaire in health screening examinations. The primary outcome was defined as major adverse cardiovascular events (MACE), including ischemic stroke, myocardial infarction, and hospitalization for heart failure. The secondary outcomes included individual components of the primary composite outcome and all-cause death. Results A total of 208,662 patients were included and 7.1%, 22.7%, 58.6%, and 11.6% were HLS 0, 1, 2, and 3 group, respectively. After multivariable adjustment, patients with HLS 1, 2, and 3 were associated with lower risks of MACE compared to those with HLS 0 (adjusted hazard ratio [95% confidence interval]: 0.788 [0.762–0.855], 0.654 [0.604–0.708], and 0.579 [0.527–0.636], respectively) (Figure). Increased number of healthy lifestyle behaviors were associated with lower risks of ischemic stroke, hospitalization for heart failure, and all-cause death. The risk reduction of healthy lifestyle combinations was consistently observed in various subgroups, regardless of CHA2DS2-VASc score and oral anticoagulant use. Conclusion Increased number of healthy lifestyle behaviors were significantly associated with lower MACE and all-cause death risks in patients with new-onset AF. These findings support the promotion of a healthy lifestyle to reduce the risk of adverse events in AF patients. FUNDunding Acknowledgement Type of funding sources: None.

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