scholarly journals Acceptability of a Mobile-Health Living Kidney Donor Advocacy Program for Black Wait-Listed Patients

2021 ◽  
Vol 18 (16) ◽  
pp. 8239
Author(s):  
John C. Sieverdes ◽  
Lynne S. Nemeth ◽  
Martina Mueller ◽  
Vivik Rohan ◽  
Prabhakar K. Baliga ◽  
...  
Keyword(s):  
Mobile Health ◽  
Program Implementation ◽  
Living Donor ◽  
Behavior Changes ◽  
Living Kidney Donor ◽  
Participant Satisfaction ◽  
Care Groups ◽  
Video Chat ◽  
Advocacy Program ◽  
Health Behavior Changes

Marked racial disparities exist in rates of living donor kidney transplantation (LDKT). The Living Organ Video Educated Donors (LOVED) program is a distance-based, mobile health program designed to help Black kidney transplant wait-list patients advocate for a living donor. This study reported on the acceptability outcomes to aid in future refinements. Participants were randomized to LOVED (n = 24, mean age = 50.9 SD (9.2) years), male = 50%) and usual care groups (n = 24 (mean age 47.9 SD (10.0), male 50%). Four LOVED groups completed an eight-week intervention that consisted of six online video education modules and eight group video chat sessions led by a Black navigator. Qualitative analysis from post-study focus groups resulted in six themes: (1) video chat sessions provided essential support and encouragement, (2) videos motivated and made participants more knowledgeable, (3) connectivity with tablets was acceptable in most areas, (4) material was culturally sensitive, (5) participation was overall a positive experience and (6) participants were more willing to ask for a kidney now. The video chat sessions were pertinent in participant satisfaction, though technology concerns limited program implementation. Results showed that the LOVED program was acceptable to engage minorities in health behavior changes for living donor advocacy but barriers exist that require future refinement.

scholarly journals Making Mobile Health Information Advice Persuasive

2022 ◽  
Vol 34 (4) ◽  
pp. 1-22
Author(s):  
Jinjin Song ◽  
Yan Li ◽  
Xitong Guo ◽  
Kathy Ning Shen ◽  
Xiaofeng Ju
Keyword(s):  
Health Information ◽  
Mobile Health ◽  
Health Concern ◽  
Behavior Changes ◽  
Elaboration Likelihood ◽  
Positive Effects ◽  
Peripheral Cues ◽  
Information Matching ◽  
Likelihood Model ◽  
Health Behavior Changes

As M-Health apps become more popular, users can access more mobile health information (MHI) through these platforms. Yet one preeminent question among both researchers and practitioners is how to bridge the gap between simply providing MHI and persuading users to buy into the MHI for health self-management. To solve this challenge, this study extends the Elaboration Likelihood Model to explore how to make MHI advice persuasive by identifying the important central and peripheral cues of MHI under individual difference. The proposed research model was validated through a survey. The results confirm that (1) both information matching and platform credibility, as central and peripheral cues, respectively, have significant positive effects on attitudes toward MHI, but only information matching could directly affect health behavior changes; (2) health concern significantly moderates the link between information matching and cognitive attitude and only marginally moderates the link between platform credibility and attitudes. Theoretical and practical implications are also discussed.

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.

Mental health comorbidity and youth onset type 2 diabetes: A systematic review of the literature

2022 ◽  
pp. 009121742110673
Author(s):  
Molly McVoy ◽  
Heather Hardin ◽  
Erin Fulchiero ◽  
Kate Caforio ◽  
Farren Briggs ◽  
...  
Keyword(s):  
Mental Health ◽  
Type 2 Diabetes ◽  
Depressive Symptoms ◽  
Treatment Options ◽  
Study Data ◽  
Behavior Changes ◽  
Previous Diagnosis ◽  
Health Behavior Changes ◽  
The Impact

Background Type 2 diabetes (T2D) is a burgeoning epidemic in children and adolescents. Adult T2D doubles the risk of depression and mental health comorbidity makes it more difficult to make the lifestyle, medication adherence and health behavior changes needed to optimize outcomes. There is limited research on the impact of depression and depressive symptoms on youth T2D. Methods A search of the literature in the last 10 years regarding youth with depression and T2D was conducted. Abstracts were screened by 2 randomly assigned authors for inclusion, and disagreement was resolved by a third author. Selected full-text articles were divided among all authors for review. Results 13 publications from 8 studies (N=2244, age 6–17) were included. 6 of 13 publications utilized Treatment Options for Type 2 Diabetes in Youth (TODAY) study data. While studies included evaluation of depressive symptoms, most did not formally assess for major depressive disorder (MDD) and excluded participants with a previous diagnosis of MDD. Depressive symptoms were common in this population and were associated with negative T2D outcomes. Conclusions While there is a growing body of adult literature highlighting the extensive relationship between T2D and mental health, there is a dearth of data in youth. Future studies are needed that include, 1.) youth with diagnosed MDD, 2.) treatment studies of both T2D and MDD, 3.) larger, more racially diverse samples of youth with T2D, and 4.) studies that evaluate the impact of social determinants of health, including mental health comorbidity on outcomes of T2D.

Health Behavior Changes Measure

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

Living Kidney Donor Advocacy Program

2012 ◽  
Vol 14 (1) ◽  
pp. 19-26 ◽  
Author(s):  
Marcia Sue DeWolf Bosek ◽  
Isabelle L. Sargeant
Keyword(s):  
Kidney Donor ◽  
Living Kidney Donor ◽  
Advocacy Program

scholarly journals Evaluation of the Medically Complex Living Kidney Donor

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Yasar Caliskan ◽  
Alaattin Yildiz
Keyword(s):  
Living Donor ◽  
Viral Infections ◽  
Evaluation Process ◽  
Living Donors ◽  
Stone Disease ◽  
Organ Shortage ◽  
Kidney Donor ◽  
Living Kidney Donor ◽  
Living Donor Transplantation ◽  
History Of

Due to organ shortage and difficulties for availability of cadaveric donors, living donor transplantation is an important choice for having allograft. Live donor surgery is elective and easier to organize prior to starting dialysis thereby permitting preemptive transplantation as compared to cadaveric transplantation. Because of superior results with living kidney transplantation, efforts including the usage of “Medically complex living donors” are made to increase the availability of organs for donation. The term “Complex living donor” is probably preferred for all suboptimal donors where decision-making is a problem due to lack of sound medical data or consensus guidelines. Donors with advanced age, obesity, asymptomatic microhematuria, proteinuria, hypertension, renal stone disease, history of malignancy and with chronic viral infections consist of this complex living donors. This medical complex living donors requires careful evaluation for future renal risk. In this review we would like to present the major issues in the evaluation process of medically complex living kidney donor.

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