scholarly journals Intentional and unintentional medication non-adherence in hypertension: the role of health literacy, empowerment and medication beliefs

2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Lilla Náfrádi ◽  
Elisa Galimberti ◽  
Kent Nakamoto ◽  
Peter J. Schulz
Keyword(s):  
Medication Adherence ◽  
Health Literacy ◽  
Self Efficacy ◽  
Public Health Issue ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medication Beliefs ◽  
Psychological Determinants ◽  
Design And Methods

<em>Background</em>: Medication non-adherence is a major public health issue, creating obstacles to effective treatment of hypertension. Examining the underlying factors of deliberate and non-deliberate non-adherence is crucial to address this problem. Thus, the goal of the present study is to assess the socio-demographic, clinical and psychological determinants of intentional and unintentional non-adherence. <br /><em>Design and methods:</em> A cross-sectional survey was conducted between March, 2015 and April, 2016. The sample consisted of hypertension patients holding at least one medical prescription (N=109). Measurements assessed patients’ medication adherence, health literacy, empowerment, self-efficacy, medication beliefs, and patients’ acceptance of their doctor’s advice, socio-demographic and clinical characteristics. <br /><em>Results</em>: Patients who occasionally engaged in either intentional or unintentional non-adherence reported to have lower adherence selfefficacy, higher medication concern beliefs, lower meaningfulness scores and were less likely to accept the doctor’s treatment recommendations. Patients who occasionally engaged in unintentional nonadherence were younger and had experienced more side effects compared to completely adherent patients. Adherence self-efficacy was a mediator of the effect of health literacy on patients’ medication adherence and acceptance of the doctor’s advice was a covariate. <br /><em>Conclusions</em>: Regarding the research implications, health literacy and adherence self-efficacy should be assessed simultaneously when investigating the factors of non-adherence. Regarding the practical implications, adherence could be increased if physicians i) doublecheck whether their patients accept the treatment advice given and ii) if they address patients’ concerns about medications. These steps could be especially important for patients characterized with lower self-efficacy, as they are more likely to engage in occasional nonadherence.

Association of Health Literacy and Socioeconomic Status with Oral Health Among Older Adults in Ghana: A Moderation Analysis of Social Capital

2021 ◽  
pp. 073346482110283
Author(s):  
Padmore Adusei Amoah ◽  
Adwoa Owusuaa Koduah ◽  
Razak M. Gyasi ◽  
Kingsley Atta Nyamekye ◽  
David R. Phillips
Keyword(s):  
Social Capital ◽  
Socioeconomic Status ◽  
Health Status ◽  
Oral Health ◽  
Health Literacy ◽  
Oral Health Status ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Relationship

We examined the moderating role of social capital (SC) in the association of socioeconomic status (SES) and health literacy (HL) with oral health (OH) status and the intentions to use OH services (IUOHS) among older Ghanaians. Data were derived from a cross-sectional survey ( n = 522) and analyzed using ordinal and binary logistic regressions. Bridging SC moderated the relationship between HL and oral health status ( B = 0. 0.117, p < .05) and the association of SES with IUOHS (adjusted odds ratio [AOR] = 1.144; 95% confidence interval [CI] = [1.027, 3.599]). Trust modified the association between HL and IUOHS (AOR = 1.051; 95% CI = [1.014, 3.789]). Bonding SC moderated the association between SES and oral health status (B = 0.180, p < .05). However, bonding SC negatively modified the association between SES and IUOHS (AOR = 0.961; 95% CI = [0.727, 0.997]). Cognitive and structural SC modify the associations of SES and HL with OH and IUOHS.

scholarly journals A cross-sectional analysis of health literacy: patient- versus family doctor-reported and associations with self-efficacy and chronic disease

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Stephanie Stock ◽  
Sibel Altin ◽  
Farah Nawabi ◽  
Daniele Civello ◽  
Arim Shukri ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Health Literacy ◽  
Chronic Diseases ◽  
Self Efficacy ◽  
Family Doctor ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Family Doctors ◽  
Average Family ◽  
Patient Reported

Abstract Background Adequate health literacy (HL) levels contribute to good health outcomes and successful disease self-management in patients with chronic disease. Hence, it is essential that family doctors recognize patients with inadequate HL in need of additional support. This study had two aims: (1) to assess and compare patient self-reported versus family doctor-rated HL estimates, and (2) to explore associations between patient-reported HL, self-efficacy and chronic diseases. Methods Participants in this cross-sectional survey were recruited through general practices in North Rhine-Westphalia, Germany. Patient self-reported HL was measured using the European Health Literacy Survey-16. Family doctor-rated HL was measured with an adapted version of this instrument. Using crosstabulations patient-reported and family doctor-rated HL estimates were compared for 346 patient-family doctor pairs. Associations between HL, self-efficacy and chronic disease were investigated using regression analyses. Results Patient-reported and family doctor-rated HL estimates were concordant in 38% of all cases. On average family doctors rated their patients’ HL lower than patients rated their own HL. The lower average family doctor ratings were more pronounced when patients were older, male and had more than one chronic disease. Female family doctors rated HL of male patients lower than their male colleagues. Patient reported HL had a significant positive association with self-efficacy. Mediation analysis provided support that self-efficacy acts as mediator between HL and the number of chronic diseases. Conclusions Our study findings indicate a significant discrepancy between patients’ self-reported HL and externally rated HL by family doctors. A more systematic utilization of HL screeners might help reduce this discrepancy. At the same time, consideration should be given to enhancing communication training for family doctors and addressing critical HL skills in patient education.

scholarly journals Associations of Health Literacy, Social Media Use, Self-efficacy and Health Information Seeking Intentions among Chinese Social Media Users (Preprint)

2020 ◽  
Author(s):  
Zhaomeng Niu ◽  
Bo Li ◽  
Jessica Willoughby ◽  
Ze Li ◽  
Rongting Zhou
Keyword(s):  
Social Media ◽  
Health Literacy ◽  
Health Information ◽  
Self Efficacy ◽  
Behavioral Intentions ◽  
Media Use ◽  
Cross Sectional Survey ◽  
Social Media Use ◽  
Cross Sectional ◽  
Health Related

BACKGROUND Empirical research has demonstrated that people frequently use social media for gathering and sharing online health information. Health literacy, social media use, and self-efficacy are important factors that may influence people’s health behaviors online. OBJECTIVE This study aims to examine the associations between health literacy, health-related social media use, self-efficacy and health behavioral intentions online. METHODS We conducted a cross-sectional survey of Chinese adults aged 18 and above (N = 449) to examine predictors of health-related behavioral intentions online including health literacy, social media use, and self-efficacy. Hayes’ PROCESS macro was used to analyze the mediation and moderation models. RESULTS Two moderated mediation models were constructed. Self-efficacy mediated the effects of health literacy (Bindirect=0.213, 95% CI: 0.101 to 0.339) and social media use (Bindirect=0.023, 95% CI: 0.008 to 0.045) on health behavioral intentions on social media. Age moderated the effects of health literacy on self-efficacy (P=.029), while previous experience moderated the effects of social media use on self-efficacy (P<.001). CONCLUSIONS Health literacy and health-related social media use influenced health behavioral intentions on social media via their prior effects on self-efficacy. The association between health literacy and self-efficacy was stronger among younger respondents, whereas the association between health-related social media use and self-efficacy was stronger among those who previously had positive experiences with health information on social media. Health practitioners should target self-efficacy among older population and increase positive media experience related to health. CLINICALTRIAL

scholarly journals The effect of health literacy on health status among residents in Qingdao, China: a path analysis

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Yiqing Huang ◽  
Fei Qi ◽  
Rui Wang ◽  
Xiaorong Jia ◽  
Yani Wang ◽  
...  
Keyword(s):  
Health Status ◽  
Health Literacy ◽  
Health Behavior ◽  
Path Analysis ◽  
Self Efficacy ◽  
Health Knowledge ◽  
Critical Factor ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Positive Direct

Abstract Background Health literacy is a public health goal which can be used as an independent factor of health outcomes. This study aimed to assess the association between health literacy and health status, as well as the two mediating factors of behavior and self-efficacy among residents aged 15–69 years in Qingdao. Methods A cross-sectional survey was implemented among residents aged 15–69 years (N = 3793) in Qingdao, China. A combination of stratified cluster random and proportional probability sampling methods was used to select subjects for this study. Data were collected using “The Chinese Citizen Health Literacy Questionnaire (2019)”. We proposed a hypothetical model for the relationship between sociodemographic characteristics, health literacy, self-efficacy, health behavior, and health status, and used path analysis to validate the hypothesis. Results The path analysis showed that higher education (β = 0.293) and income (β = 0.135) are positively and directly associated with greater health literacy, which was positively associated with health status (β = 0.057). Health literacy is a direct influencing factor of health behavior (β = 0.070) and self-efficacy (β = 0.099). Health behavior (β = 0.041) and self-efficacy (β = 0.173) exerted a positive direct effect on health status. The model explained 14.1% of variance for health literacy, 3.8% for self-efficacy, 5.7% for health behavior, and 15.0% for health status. Conclusions Health literacy was identified to be a critical factor in health status. The results emphasized that the dissemination of health knowledge, development of healthy behavior, and cultivation of self-efficacy should be jointly promoted to reinforce the level of health status among residents in future work.

The Relationship Between Psychological Processes and Indices of Well-Being Among Adults With Hearing Loss

2020 ◽  
Vol 29 (4) ◽  
pp. 728-737
Author(s):  
John J. Whicker ◽  
Clarissa W. Ong ◽  
Karen Muñoz ◽  
Michael P. Twohig
Keyword(s):  
Hearing Loss ◽  
Self Efficacy ◽  
Well Being ◽  
Psychological Processes ◽  
Psychological Inflexibility ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Internalized Shame ◽  
Online Social Media

Purpose The purpose of this study was to explore the role of psychological processes (i.e., internalized shame, self-efficacy, psychological inflexibility) regarding hearing loss in the well-being of adults who have hearing loss. Method This study used a cross-sectional survey design. Two hundred sixty-four surveys were submitted for analysis. Data were collected using a survey posted to online social media support, in audiology clinics across the country, and through national organizations supporting individuals who have hearing loss. Regressions were used to determine whether internalized shame, self-efficacy, or psychological inflexibility held any predictive value over subjects' well-being. Results Shame, self-efficacy, and psychological inflexibility significantly predicted different aspects of well-being. Conclusion Audiologists should consider the role of internalized thoughts and emotions regarding patients' hearing loss on how patients understand and manage their hearing health.

scholarly journals Role of computer self-efficacy and gender in computer-based test anxiety among undergraduates in Nigeria

2016 ◽  
Vol 9 (1) ◽  
pp. 58-66 ◽  
Author(s):  
Anthony Gbenro Balogun ◽  
Adebayo Sulaiman Olanrewaju
Keyword(s):  
Test Anxiety ◽  
Self Efficacy ◽  
Survey Design ◽  
Sampling Technique ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Computer Based ◽  
And Gender ◽  
Computer Self Efficacy

This study examined the role of computer self-efficacy and gender in computer-based test (CBT) anxiety among a sample of Nigerian undergraduates. A cross-sectional survey design was adopted. Using a purposive sampling technique, 241 undergraduates (110 males and 131 females) were selected from a public university in Ondo State, Nigeria. Their ages ranged from 17 to 29 years with a Mean of 23.10 (SD = 5.10). Standardized questionnaires were used for data collection. Two hypotheses were tested using simple linear regression and independent t-test. The results showed that undergraduates who had higher level of computer self-efficacy were less likely to experience CBT anxiety (β = -.41; p < .01). Female undergraduates (M = 65.74) reported higher level of CBT anxiety than their male counterparts (M = 52.43). Therefore, to reduce computer-based test anxiety among undergraduates, we suggest that university managements should organize psychological training that would help enhance undergraduates (especially female undergraduates) computer self-efficacy.

Testing the Strain Theory of Suicide – The Moderating Role of Social Support

Crisis ◽  
2020 ◽  
Vol 41 (2) ◽  
pp. 82-88 ◽  
Author(s):  
Bob Lew ◽  
Ksenia Chistopolskaya ◽  
Yanzheng Liu ◽  
Mansor Abu Talib ◽  
Olga Mitina ◽  
...  
Keyword(s):  
Social Support ◽  
Suicidal Behavior ◽  
Online Survey ◽  
Perceived Social Support ◽  
Strain Theory ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Psychological Strains ◽  
Moderating Role

Abstract. Background: According to the strain theory of suicide, strains, resulting from conflicting and competing pressures in an individual's life, are hypothesized to precede suicide. But social support is an important factor that can mitigate strains and lessen their input in suicidal behavior. Aims: This study was designed to assess the moderating role of social support in the relation between strain and suicidality. Methods: A sample of 1,051 employees were recruited in Beijing, the capital of China, through an online survey. Moderation analysis was performed using SPSS PROCESS Macro. Social support was measured with the Multidimensional Scale of Perceived Social Support, and strains were assessed with the Psychological Strains Scale. Results: Psychological strains are a good predictor of suicidality, and social support, a basic need for each human being, moderates and decreases the effects of psychological strains on suicidality. Limitations: The cross-sectional survey limited the extent to which conclusions about causal relationships can be drawn. Furthermore, the results may not be generalized to the whole of China because of its diversity. Conclusion: Social support has a tendency to mitigate the effects of psychological strains on suicidality.

Sleep Reactivity and Psychological Health in Normal Sleepers: the moderating role of stress

2018 ◽  
Author(s):  
Jason G. Ellis ◽  
Sarah Allen ◽  
Michael Perlis ◽  
Michael Grandner ◽  
Maria Gardani ◽  
...  
Keyword(s):  
Life Events ◽  
Psychological Health ◽  
Public Health Campaign ◽  
Health Campaign ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Dysfunctional Cognitions ◽  
The Relationship ◽  
Moderating Role

The aim of the present study was to determine whether normal sleepers with vulnerability to insomnia, via high sleep reactivity, demonstrate more sleep-related dysfunctional cognitions and behaviours and poorer psychological health compared to those who are not vulnerable. Further, the influence of stress on the relationship between sleep reactivity and psychological health was also examined. A cross-sectional survey of 737 young adult ‘normal’ sleepers from the general population was undertaken. Results indicated normal sleepers vulnerable to insomnia demonstrated more sleep-related dysfunctional cognitions and behaviours as well as poorer psychological health compared to those not vulnerable. Furthermore, the relationship between sleep reactivity and psychological health was moderated by perceived stress over the previous month and life events over the previous year. Therefore, identifying and supporting those who are vulnerable to insomnia may be a fruitful avenue for preventative public health campaign to mitigate both insomnia and poor psychological health.

PERAN KELUARGA DALAM MEMANTAU KEPATUHAN MINUM OBAT PENDERITA HIPERTENSI PADA MASYARAKAT

2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Saiful Nurhidayat
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Rural Communities ◽  
Elementary Education ◽  
College Education ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Purposive Sampling ◽  
The Family

Abstract : Hypertension or high blood pressure is an abnormal increase in blood pressure in the arteries continuously over a period. The dangers of hypertension can lead to damage to various organs including kidneys, brain, heart, eye, causing vascular resistance and stroke. Hypertension takes care of the old and continuously. One effective way to lower blood pressure is to obediently take medicine so that it takes the role of families in monitoring patients taking the medication. With the participation of the family are expected to hypertension sufferers can be controlled. This study aims to determine the family's role in monitoring the adherence of hypertensive patients. The study was conducted in rural communities Slahung Ponorogo, a representative sample of 53 respondents taken by purposive sampling. Quantitative design with cross sectional design of the study the family's role in monitoring the adherence of hypertensive patients. Instruments in this study using questionnaires and observation sheets. The results of 53 respondents obtained the majority of the 29 respondents (55%) has the role of both families and 24 respondents (45%) families have a bad role in monitoring medication adherence. Age and education contribute to determining the role family. Intermediate (41-60 years old) and college education contribute to determining the role well. Conversely > 61 years of elementary education and contribute in a bad role.Keywords : the role of the family, medication adherence, hypertension. Abstrak : Hipertensi atau tekanan darah tinggi adalah suatu peningkatan abnormal tekanan darah dalam pembuluh darah arteri secara terus-menerus lebih dari suatu periode. Bahaya hipertensi dapat memicu rusaknya berbagai organ tubuh diantaranya: ginjal, otak, jantung, mata, menyebabkan resistensi pembuluh darah dan stroke. Penyakit hipertensi membutuhkan perawatan yang lama dan terus menerus. Salah satu cara yang efektif untuk menurunkan tekanan darah adalah dengan patuh minum obat sehingga dibutuhkan peran keluarga dalam memantau minum obat penderita. Dengan adanya peran serta keluarga diharapkan penyakit hipertensi penderita dapat terkontrol. Penelitian ini bertujuan untuk mengetahui peran keluarga dalam memantau kepatuhan minum obat penderita hipertensi. Penelitian dilakukan pada masyarakat desa Slahung Ponorogo,sampel representatif sejumlah 53 responden diambil secara Purposive Sampling. Desain kuantitatif dengan rancangan Cross sectional yang mempelajari peran keluarga dalam memantau kepatuhan minum obat penderita hipertensi. Instrumen pada penelitian ini menggunakan kuesioner dan lembar observasi. Hasil penelitian dari 53 responden didapatkan sebagian besar 29 responden (55 %) keluarga mempunyai peran baik dan 24 responden (45 %) keluarga mempunyai peran buruk dalam memantau kepatuhan minum obat. Faktor usia dan pendidikan berkontribusi dalam menentukan peran keluarga. Usia madya (41-60 tahun) dan jenjang pendidikan perguruan tinggi berkontribusi dalam menentukan peran baik. Sebaliknya > 61 tahun dan jenjang pendidikan SD berkontribusi dalam peran buruk.Kata Kunci : peran keluarga, kepatuhan minum obat, penyakit hipertensi.

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