scholarly journals Self-Care Practices and Related Factors in Patients with Multiple Sclerosis (MS) Based on the Health Belief Model

2021 ◽  
Vol 10 (2) ◽  
pp. 77-83
Author(s):  
Hajar Habibi ◽  
Behnaz Sedighi ◽  
Yunes Jahani ◽  
Marzieh Hasani ◽  
Abedin Iranpour

Abstract Introduction: Self-care programs can raise health in patients with Multiple Sclerosis (MS). This study aimed to identify the self-care behaviors and determinants in patients with MS according to the Health Belief Model (HBM). Methods: In this cross-sectional study, we included 280 MS patients through convenience sampling method. The collection tool was a self-administered questionnaire based on HBM. The participants were the members of MS society in Kerman, Iran. The data were analyzed using descriptive statistics, path analysis, and multivariable linear regression in SPSS software Version 22. Results: The mean (SD) score for self-care practices was 2.86 (0.64), and medication adherence was the most conducted practice. The perceived benefits and cues to action exerted positive influence on self-care practices. The most frequent symptoms experienced by the participants were fatigue (82.5%), visual impairment (76.4%), headaches (72.1%), and muscle weakness (71.4%). The most important cues to action for self-care behavior were the physician (77%), media (52%), and other MS patients (32%). Conclusion: The quality of life (QOL) of MS patients is heavily influenced by self-care behaviors. In this study, only about half of the patients accomplished self-care behaviors, which seems to be insufficient. Since the perceived benefits and cues to action are the main predictors of self-care practices, intervention based on these two constructs can be utilized to promote self-care programs and QOL in MS patients. Health-care providers should pay more attention to these factors for promoting self-care behaviors.

Author(s):  
Safa Elkefi ◽  
Avishek Choudhury ◽  
Olga Strachna ◽  
Onur Asan

PURPOSE Early detection of cancer risk is essential as it is associated with a higher chance of survival, more successful treatment, and improved quality of life. Genetic testing helps at-risk patients estimate the likelihood of developing cancer in a lifetime. This study aims to indentify the factors (perceived susceptibility, severity, benefits, and self-efficacy) that impact one's decision to take the genetic test. METHODS We examined the impacts of different factors of the health belief model on the engagement of patients in genetic testing using data from the National Cancer Institute's 2020 cross-sectional nationally representative data published in 2021. Complete surveys were answered by 3,865 participants (weighted population size = 253,815,197). All estimates were weighted to be nationally representative of the US population using the jackknife weighting method for parameter estimation. We used multivariable logistic regression to test our hypotheses for patients who have taken the genetic test for cancer risk detection. We adjusted the multivariate model for age, education, income, race, sex, cancer history, familial cancer history, and education. RESULTS We tested five hypotheses using the health belief model. Respondents who had genetic testing were more likely to rely on their health care providers and genetic counselors to make their decisions. Respondents who had genetic tests also reported less reliability on other sources than doctors: for the internet and social media (odds ratio = 0.33; P < .001) and for journals and magazines (odds ratio = 0.48; P = .007). CONCLUSION The findings show that patients generally rely on suggestions from their health care providers and counselors in genetic testing decisions. These findings also indicate that health care providers play a critical role in helping patients decide whether to use genetic testing to detect cancer risk in the early stages.


2019 ◽  
Author(s):  
Triana Kesuma Dewi ◽  
Karlijn Massar ◽  
Robert A.C. Ruiter ◽  
Tino Leonardi

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.


2021 ◽  
Vol 20 (2) ◽  
pp. 219-228
Author(s):  
Yi-Cheng Hou ◽  
Jing-Hui Wu ◽  
Ching-Feng Cheng ◽  
Chan-Yen Kuo ◽  
I-Shiang Tzeng

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.


1999 ◽  
Vol 16 (4) ◽  
pp. 237-245 ◽  
Author(s):  
Gary A. Munley ◽  
Angus McLoughlin ◽  
Jeremy J. Foster

AbstractHealth-check attendance intention and behaviour in young men and women was compared, and the data used to determine whether health belief model constructs were able to predict such intentions and behaviour. Sixty male and sixty female respondents completed questionnaires asking about past health-check attendance behaviour, future attendance intention, and health beliefs. More females than males had previously attended a general health check, and females had stronger intentions to do so in the future. Regression analyses indicated that health-check attendance intention was predicted for both males and females by responses to cues to action. For females, previous health-check attendance was related to responses to cues to action and perceptions of barriers to attendance. None of the health belief model constructs was found to account for previous attendance behaviour of males. The results of the study support recent calls for health promotion initiatives aimed at men, but suggest that they should target cognitions other than those included within the health belief model.


Author(s):  
Tong Xia ◽  
Connor Grady ◽  
Michael Cacciatore ◽  
Glen Nowak

Based on previous studies about the Health Belief Model (HBM) and the reinforcing relationship between media selectivity or preference and individual’s behavior, this study used a national representative adult sample to assess flu vaccination as the result of an appraisal of relevant health beliefs, trust towards the authoritative entities (e.g. CDC & FDA) and vaccine-related media information, in addition to one’s existing behavior pattern. Results showed that not-vaccinated individuals differ significantly in their vaccine-related health believes and the trust towards the authoritative information sources. This group acquired less recommendation from health care providers and more negative sentiments about flu vaccine overall. After controlling for the existing behavior, media selectivity and perceived vaccine benefit are predicting individual’s vaccination hesitancy and intention in the coming flu season.


2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Venti Agustina ◽  
Rosiana Eva Rayanti ◽  
Nur Hidayah

AbstrakPrediabetes adalah kondisi di mana kadar gula darah seseorang melebihi batas normalnamun belum terlalu tinggi untuk masuk dalam kategori penyakit diabetes mellitus, untukmencegah terjadinya diabetes mellitus bagi pasien pre-DM adalah dengan menerapkanperilaku pengendalian untuk mencegah penyakit diabetes mellitus. Tujuan penelitian iniuntuk mendeskripsikan perilaku pencegahan pasien pre-DM terhadap diabetes mellitusberdasarkan teori Health Belief Model di Puskesmas Sidorejo Lor Salatiga. Desain penelitianadalah kualitatif dengan pendekatan observasi dan wawancara menggunakan panduanwawancara terkait Health Belief Model dengan menghubungkan faktor persepsi kerentanan,keseriusan, manfaat, hambatan dan isyarat untuk bertindak. Populasi dalam penelitian iniyakni pasien pre-DM teregistrasi 1 tahun terakhir di Puskesmas Sidorejo Lor. Jumlahpartisipan sebanyak lima orang dengan kriteria GDP 100-125 mg/dl dan atau keluargamemiliki riwayat penyakit DM. Hasil perilaku pencegahan diabetes mellitus dari persepsikerentanan (keturunan penyakit kelurga), persepsi keseriusan (respon psikis), persepsihambatan (kesibukan pekerjaan), persepsi cues to action (diet gula, olahraga, konsumsi obatherbal dan medis), persepsi manfaat (perilaku yang dilakukan dalam pencegahan diabetesmellitus). Kesimpulan terdapat hambatan perilaku pencegahan terutama pada aktivitas fisikolahraga hal ini disebabkan kesibukan pekerjaan sehingga partisipan belum teratur dalammelakukan olahraga.Kata kunci: Diabetes Mellitus, Health Belief Model, Pre-DMAbstractPrediabetes is a condition in which a person&#39;s blood sugar level exceeds the normallimit but is not yet too high to be categorized as diabetes mellitus. To prevent diabetesmellitus for pre-DM patients is to apply control behavior to prevent diabetes mellitus. Thepurpose of this study was to describe the prevention behavior of pre-DM patients againstdiabetes mellitus based on the theory of the Health Belief Model at Puskesmas Sidorejo LorSalatiga. The research design was qualitative with an observation and interview approachusing an interview guide related to the Health Belief Model by linking perceived factors ofvulnerability, seriousness, benefits, barriers and cues to action. The population in this studywere pre-DM patients registered in the last 1 year at Sidorejo Lor Health Center. Thenumber of participants as many as five people with the criteria for GDP 100-125 mg / dl and/ or their families have a history of DM disease. The results of diabetes mellitus preventionbehavior from perceptions of vulnerability (family disease), perceptions of seriousness(psychological response), perceptions of barriers (busy work), perceptions of cues to action(sugar diet, exercise, consumption of herbal and medical drugs), perceived benefits(behaviors that are carried out in the prevention of diabetes mellitus). The conclusion is thatthere are barriers to preventive behavior, especially in physical activity, this is due to busywork so that the participants are not regular in exercising.Keywords: Diabetes Mellitus, Health Belief Model, Pre-DM


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