A Qualitative Study of Pregnant Women’s Perspectives on Antibiotic Use for Mom and Child: Implications for Developing Tailored Health Education Interventions

The overutilization of antibiotics during pregnancy and early life are associated with adverse health outcomes for mothers and infants. In this study, we explored pregnant women’s opinions and concerns of antibiotics and how perceptions may affect their health-related decision-making. We conducted 18 in-depth, semi-structured interviews with pregnant women and used the Health Belief Model (HBM) as a framework to analyze the data. We found that mothers generally understood the benefits of antibiotics and were aware that antibiotics are clinically effective for treating bacterial infections. Importantly, perceived barriers related to antibiotic use included concerns regarding the impact of antibiotics on breastfeeding efficacy, microbial health, and societal factors such as antimicrobial resistance. The prescription of antibiotics by a healthcare provider was a cue to action for women, as they trusted providers to recommend medications that were safe for them and their infants. Overall, mothers shared that receiving education on the effects of antibiotics would improve their self-efficacy and decision-making surrounding the use of antibiotics for treating illness. Implications for tailored perinatal health education interventions to enhance antibiotic use, knowledge, and decision-making are discussed.

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Sustaining health education research programs in Aboriginal communities

Global Health Promotion ◽

10.1177/1757975915622950 ◽

2016 ◽

Vol 24 (3) ◽

pp. 49-58 ◽

Cited By ~ 4

Author(s):

Katherine Wisener ◽

Jennifer Shapka ◽

Sandra Jarvis-Selinger

Keyword(s):

Health Education ◽

First Nations ◽

Research Question ◽

Research Approach ◽

Long Term Effects ◽

Structured Interviews ◽

Community Based ◽

Community Based Research ◽

Education Interventions ◽

Health Education Interventions

Despite evidence supporting the ongoing provision of health education interventions in First Nations communities, there is a paucity of research that specifically addresses how these programs should be designed to ensure sustainability and long-term effects. Using a Community-Based Research approach, a collective case study was completed with three Canadian First Nations communities to address the following research question: What factors are related to sustainable health education programs, and how do they contribute to and/or inhibit program success in an Aboriginal context? Semi-structured interviews and a sharing circle were completed with 19 participants, including members of community leadership, external partners, and program staff and users. Seven factors were identified to either promote or inhibit program sustainability, including: 1) community uptake; 2) environmental factors; 3) stakeholder awareness and support; 4) presence of a champion; 5) availability of funding; 6) fit and flexibility; and 7) capacity and capacity building. Each factor is provided with a working definition, influential moderators, and key evaluation questions. This study is grounded in, and builds on existing research, and can be used by First Nations communities and universities to support effective sustainability planning for community-based health education interventions.

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The impact of health education on nutritional behaviors in female students: an application of health belief model

International Journal of Health Promotion and Education ◽

10.1080/14635240.2019.1696219 ◽

2019 ◽

pp. 1-13 ◽

Cited By ~ 5

Author(s):

Mohammad Vahedian-Shahroodi ◽

Hadi Tehrani ◽

Davood Robat-Sarpooshi ◽

Mehdi GHolian – Aval ◽

Alireza Jafari ◽

...

Keyword(s):

Health Education ◽

Health Belief Model ◽

Health Belief ◽

Female Students ◽

Belief Model ◽

The Impact

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Use of the Health Belief Model to Study Patient Perceptions of Antimicrobial Stewardship in the Acute Care Setting

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2015.342 ◽

2016 ◽

Vol 37 (5) ◽

pp. 576-582 ◽

Cited By ~ 19

Author(s):

Cydney Heid ◽

Mary Jo Knobloch ◽

Lucas T. Schulz ◽

Nasia Safdar

Keyword(s):

Decision Making ◽

Antibiotic Resistance ◽

Health Belief Model ◽

Antimicrobial Stewardship ◽

Patient Engagement ◽

Health Belief ◽

Antibiotic Use ◽

Patient Perceptions ◽

Belief Model ◽

The Health Belief Model

OBJECTIVETo identify themes associated with patient perceptions of antibiotic use and the role of patients in inpatient antimicrobial stewardship.DESIGNWe conducted semi-structured interviews with 30 hospitalized patients using the Health Belief Model as the framework for questions and analysis.SETTINGAn academic tertiary care hospital in Madison, Wisconsin.PARTICIPANTSA total of 30 general medicine inpatients receiving at least 1 anti-infective medication were interviewed.RESULTSParticipants recognized antibiotic resistance as a serious public health threat but expressed low perceived susceptibility to being personally affected by antibiotic resistance. Views of susceptibility were influenced by a high degree of trust in physicians and misperceptions regarding the mechanisms underlying resistance. Participants expressed high self-efficacy and a desire to be involved in their health care. Perceived roles for patients in preventing the inappropriate use of antibiotics ranged from asking questions and speaking up about concerns to active involvement in decision making regarding antibiotic treatments. Few participants reported being offered the opportunity to engage in such shared decision making while hospitalized.CONCLUSIONSOur findings suggest an important role for patients in improving antibiotic use in hospitals. However, patient engagement has not been recognized as a critical component of antimicrobial stewardship programs. Our study suggests that the likelihood of patient engagement in stewardship practices is currently limited by low perceived susceptibility and lack of cues to act. Further investigation into how patients may be engaged as good stewards of antibiotics may reveal new ways to improve antibiotic prescribing practices in the inpatient setting.Infect Control Hosp Epidemiol 2016;37:576–582

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Assessing the Impact of Online Health Education Interventions From 2010-2020: A Systematic Review of the Evidence

American Journal of Health Promotion ◽

10.1177/08901171211039308 ◽

2021 ◽

pp. 089011712110393

Author(s):

Suzi B. Claflin ◽

Shannon Klekociuk ◽

Hannah Fair ◽

Emmanuelle Bostock ◽

Maree Farrow ◽

...

Keyword(s):

Health Education ◽

Data Extraction ◽

Data Synthesis ◽

The Public ◽

Health Education Intervention ◽

Study Population ◽

Education Interventions ◽

Online Health Education ◽

The Impact ◽

Health Education Interventions

Objective: Systematically review the evaluation and impact of online health education interventions: assess approaches used, summarize main findings, and identify knowledge gaps. Data Source: We searched the following databases: EMBASE, ERIC, MEDLINE, and Web of Science. Study Inclusion and Exclusion Criteria: Studies were included if (a) published in English between 2010-2020 in a peer-reviewed journal (b) reported an online health education intervention aimed at consumers, caregivers, and the public (c) evaluated implementation OR participant outcomes (d) included ≥ 100 participants per study arm. Data Extraction: Two authors extracted data using a standardized form. Data Synthesis: Data synthesis was structured around the primary outcomes of the included studies. Results: 26 studies met the inclusion criteria. We found substantial heterogeneity in study population, design, intervention, and primary outcomes, and significant methodological issues that resulted in moderate to high risk of bias. Overall, interventions that were available to all (e.g., on YouTube) consistently attained a large global reach, and knowledge was consistently improved. However, the impact on other outcomes of interest (e.g., health literacy, health behaviors) remains unclear. Conclusion: Evidence around the impacts of the type of online health education interventions assessed in this review is sparse. A greater understanding of who online interventions work for and what outcomes can be achieved is crucial to determine, and potentially expand, their place in health education.

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Application of the Health Belief Model to Help-Seeking Behaviors of Working Men With Hearing Impairment Living in Deprivation in New Zealand

Perspectives of the ASHA Special Interest Groups ◽

10.1044/persp2.sig7.39 ◽

2017 ◽

Vol 2 (7) ◽

pp. 39-47

Author(s):

Phillip Luey ◽

Kim Wise

Keyword(s):

New Zealand ◽

Health Belief Model ◽

Hearing Impairment ◽

Help Seeking ◽

Relative Deprivation ◽

Health Belief ◽

Structured Interviews ◽

Belief Model ◽

The Impact ◽

The Health Belief Model

There is a growing area of research investigating the relationship between hearing impairment and deprivation; However, this has not been investigated in New Zealand. This study used the Health Belief Model as a framework to investigate if men of high relative deprivation had barriers to seeking hearing services. Twelve participants were recruited and semi-structured interviews were conducted using the Hearing Beliefs Questionnaire. Overall, participants thought they were susceptible to hearing impairment and the impact of hearing impairment could be severe. All participants identified barriers to help-seeking for hearing services and amplification. Most participants believed that amplification would be beneficial, but only under certain conditions.

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Effectiveness of a health education intervention based on the Health Belief Model to improve oral health behaviours among adolescents

Asian Pacific Journal of Health Sciences ◽

10.21276/apjhs.2017.4.1.10 ◽

2017 ◽

Vol 4 (1) ◽

pp. 48-55 ◽

Cited By ~ 3

Author(s):

W.M.P.N.R. Wickremasinghe ◽

◽

L. Ekanayake ◽

Keyword(s):

Oral Health ◽

Health Education ◽

Health Belief Model ◽

Health Belief ◽

Health Behaviours ◽

Education Intervention ◽

Health Education Intervention ◽

Oral Health Behaviours ◽

Belief Model ◽

The Health Belief Model

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Using the Health Belief Model to Explore the Impact of Environmental Empathy on Behavioral Intentions to Protect Ocean Health

Environment and Behavior ◽

10.1177/0013916520932637 ◽

2020 ◽

pp. 001391652093263

Author(s):

Sojung Claire Kim ◽

Sandra L. Cooke

Keyword(s):

Health Belief Model ◽

Behavioral Intentions ◽

Health Belief ◽

Positive Behaviors ◽

Mediating Mechanisms ◽

Emotional Aspects ◽

The Media ◽

Belief Model ◽

The Impact ◽

The Health Belief Model

We examine psychological mediating mechanisms to promote ocean health among the U.S. public. Ocean acidification (OA) was chosen as the focus, as experts consider it as important as climate change with the same cause of humanity’s excessive carbon dioxide (CO2) emissions, but it is lesser known. Empathy is a multi-dimensional concept that includes cognitive and emotional aspects. Previous literature argues that environmental empathy can facilitate positive behaviors. We tested the hypothesis that empathy affects beliefs and behavioral intentions regarding ocean health using the Health Belief Model. We found that higher empathy toward ocean health led to higher perceived susceptibility and severity from OA, greater perceived benefits of CO2 emissions reduction, greater perceived barriers, and keener attention to the media. Beliefs and media attention positively influenced behavioral intentions (e.g., willingness to buy a fuel efficient car). Theoretical and practical implications regarding audience targeting and intervention design are discussed.

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The Impact of Social Media Use on Consumers’ Restaurant Consumption Experiences: A Qualitative Study

Sustainability ◽

10.3390/su13126581 ◽

2021 ◽

Vol 13 (12) ◽

pp. 6581

Author(s):

Jooyoung Hwang ◽

Anita Eves ◽

Jason L. Stienmetz

Keyword(s):

Decision Making ◽

Social Media ◽

Selection Process ◽

Decision Making Process ◽

Structured Interviews ◽

High Standards ◽

Tourism And Hospitality Industry ◽

Tourism And Hospitality ◽

Search For Information ◽

The Impact

Travellers have high standards and regard restaurants as important travel attributes. In the tourism and hospitality industry, the use of developed tools (e.g., smartphones and location-based tablets) has been popularised as a way for travellers to easily search for information and to book venues. Qualitative research using semi-structured interviews based on the face-to-face approach was adopted for this study to examine how consumers’ restaurant selection processes are performed with the utilisation of social media on smartphones. Then, thematic analysis was adopted. The findings of this research show that the adoption of social media on smartphones is positively related with consumers’ gratification. More specifically, when consumers regard that process, content and social gratification are satisfied, their intention to adopt social media is fulfilled. It is suggested by this study that consumers’ restaurant decision-making process needs to be understood, as each stage of the decision-making process is not independent; all the stages of the restaurant selection process are organically connected and influence one another.

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Qualitative Analysis of the Cognition and Flow (CoGFlowS) Study: An Individualized Approach to Cognitive Training for Dementia Is Needed

Journal of Alzheimer s Disease ◽

10.3233/jad-210428 ◽

2021 ◽

pp. 1-17

Author(s):

Lucy Beishon ◽

Victoria Haunton ◽

Hari Subramaniam ◽

Elizabeta B. Mukaetova-Ladinska ◽

Ronney B. Panerai ◽

...

Keyword(s):

Cognitive Training ◽

Controlled Trial ◽

Cognitive Disorders ◽

Health Belief ◽

Analytical Framework ◽

Structured Interviews ◽

Home Based ◽

Individualized Approach ◽

Belief Model ◽

Severity Of Dementia

Background: Cognitive training (CT) may have benefits for both healthy older adults (HC) and those with early cognitive disorders [mild cognitive impairment (MCI) and dementia]. However, few studies have qualitatively evaluated home-based, computerized CT programs. Objective: We present the qualitative arm of a feasibility randomized controlled trial evaluating a CT program for HC and people living with MCI or dementia. Methods: Participants underwent semi-structured interviews after 12 weeks of CT. Where possible, participants were interviewed with their carers. The interview schedule and analysis were underpinned by the health belief model. Interviews were audio-recorded, transcribed, open-coded, and categorized into themes. The analytical framework was developed, and themes were condensed under five major categories: benefits, barriers, threat, self-efficacy, and cues to action. Results: 37 participants underwent interviews. CT was feasible and acceptable to participants. Benefits included: enjoyment, improved awareness, benchmarking cognitive function, reassurance of abilities and giving back control. Barriers were more prevalent among those with dementia: problems with technology, frustration, conflict between patients and carers, apathy and lack of insight, anxiety or low mood, and lack of portability. HC and MCI perceived the severity of dementia risk as high, partially mitigated by CT. Participants living with dementia valued a more individualized approach to training, accounting for baseline characteristics. Conclusion: CT was a feasible intervention for HC and people living with dementia and MCI. Benefits were present, but the identified barriers need to be addressed for CT to be implemented successfully.

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