scholarly journals The Explanatory Roles of Habit and Intention on Alcohol Consumption by Adults at Home

Author(s):  
Daniel Aplin ◽  
Sandra Kuntsche ◽  
Megan Cook ◽  
Sarah Callinan

Aims:  The aim of this paper is to investigate the role of intention and habit in predicting adults’ drinking behaviour within the home setting. Measures:  A convenience sample of 414 Australians aged between 35 and 60 were recruited through targeted Facebook advertising. Eligibility criteria for study participation included reporting consuming alcohol at least once a week at home. Participants completed self-report measures of alcohol consumption, habit strength regarding home drinking behaviour, and intentions to consume alcohol. Differences in home drinking controlling for age and gender, by level of habit, and intention were examined using ANCOVA. Results:  Increases in intention were associated with an increase in home drinking. However, with habit and intention entered in the same model, only habit was a significant predictor of the amount of alcohol consumed in the home. For Australians, habit is a stronger predictor of alcohol consumption than intention. Conclusions:  Given that a large proportion of people are doing the majority of their drinking when at home, home-based interventions which target the habitual nature of home consumption may help to reduce consumption and related harm.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 195-196
Author(s):  
Deirdre Johnston ◽  
Melissa Reuland ◽  
Kelly Marshall ◽  
Inga Antonsdottir ◽  
Morgan Bunting ◽  
...  

Abstract In the coming decades, greater numbers of people will either have Alzheimer’s Disease or a related dementia or will take care of a family member with dementia. The dementia syndromes are associated with increased risk of medical, social, and behavioral complications in both the person with dementia (PWD) and the caregiver (CG), many of which are preventable. These complications, and the dementia itself, can impede access to care and ultimately hasten residential care placement, which can be both undesirable and costly. A nearly universal unmet need in PWD/CG dyads is dementia-specific education. Therefore, it is vital we find ways to support and provide education to CG/PWD dyads to manage dementia in the community and home setting. MIND at Home is a dementia-care model developed and tested at Johns Hopkins University School of Medicine to minimize dementia complications and delay institutionalization by training non-clinical Memory Care Coordinators (MCCs) working under clinical supervision to support and guide PWD/CG dyads in the community. MCCs collaborate with CGs and PWDs in the community using an individualized care plan structured around the dyads’ specific dementia-related needs. This presentation will describe how the MIND at Home team used handheld tablets to connect MCCs to clinicians from participants’ homes, and will report on challenges encountered, strategies to address them, and participant and caregiver satisfaction with the telehealth experience.


2003 ◽  
Vol 19 (1) ◽  
pp. 27-35 ◽  
Author(s):  
Kelli I. Stajduhar

This ethnographic study examined the social context of home-based palliative caregiving. Data were composed of observation field notes, interviews, and textual documents, and were analyzed using constant comparative methods. Findings show that home-based palliative caregiving resulted in life-enriching experiences for many caregivers. However, assumptions about dying at home and health care reforms resulted in some caregivers feeling “pressured” to provide home care, and consequently, left them feeling their obligations to care were exploited by the health care system. Shifts toward providing care closer to home not only changed caregivers, but also changed the home setting where palliative care was provided. Findings indicate a need for interventions designed to improve support for caregivers at home, and to explore how assumptions influence and sometimes drive the provision of home health care.


1999 ◽  
Vol 33 (5) ◽  
pp. 740-747 ◽  
Author(s):  
Gerard J. A. Byrne ◽  
Beverley Raphael ◽  
Elizabeth Arnold

Objective: The relationship between severe adverse life events and subsequent health-related behaviour is not well established for older people. To address this issue, we studied self-reported alcohol consumption in recently widowed older men and matched married men. Method: We carried out a double cohort study in community-residing men aged 65 years and over. Recently widowed men (n = 57; mean age = 74.5 years) were identified from the death records of their wives and assessed at 6 weeks, 6 months and 13 months post-bereavement. Matched married men (n = 57; mean age = 75.4 years) were identified from the electoral roll and assessed at similar intervals. Self-report measures of alcohol consumption, grief and state anxiety were employed. Results: Similar proportions of older widowers and married men reported that they consumed some alcohol, although recently widowed older men reported significantly greater frequency (χ2 = 4.64, df = 1, p = 0.031) and quantity (χ2 = 7.75, df = 1, p = 0.005) of alcohol consumption than matched married men. A significant minority of subjects reported hazardous levels of alcohol consumption with 18.9% of widowers and 8.3% of married men reporting that they drank five or more standard drinks per drinking day. However, among widowers, self-reported alcohol consumption was not significantly correlated with levels of either self-reported grief or state anxiety. Conclusions: Hazardous alcohol consumption occurs commonly among recently widowed older men, but is not related to their levels of self-reported grief or psychological distress. Loss of spousal care and control may be an alternative explanation for this drinking behaviour. Older widowers should be regarded as a high-risk group for hazardous alcohol consumption and would be a suitable target group for preventive interventions.


2007 ◽  
Vol 34 (3) ◽  
pp. 411-426 ◽  
Author(s):  
Martha Romero Mendoza

The aim of this article is to show the results of alcohol consumption in a sample of female inmates and to reflect on the gaps existing regarding the issue of women with alcohol problems from a public policy and gender perspective in Mexico. A descriptive retrospective study was carried out in a non-probabilistic convenience sample of 213 women. Ninety-one percent of the women reported having tried alcohol at some time in their lives and 19.7% qualified for alcohol dependence on three or more criteria. Women had important health problems associated with alcohol consumption: gastritis, malnutrition, and blood pressure problems. One-third of the sampled women used alcohol while pregnant. More than a half were experiencing a major depressive episode. It is important to modify public policies so that women in general and marginalized women in particular have access to mental health services and addictions.


2013 ◽  
Vol 04 (02) ◽  
pp. 276-292 ◽  
Author(s):  
D. B. Herrick ◽  
A. Nakhasi ◽  
B. Nelson ◽  
S. Rice ◽  
P. A. Abbott ◽  
...  

SummaryObjective: Self-administered computer-assisted interviewing (SACAI) gathers accurate information from patients and could facilitate Emergency Department (ED) diagnosis. As part of an ongoing research effort whose long-range goal is to develop automated medical interviewing for diagnostic decision support, we explored usability attributes of SACAI in the ED.Methods: Cross-sectional study at two urban, academic EDs. Convenience sample recruited daily over six weeks. Adult, non-level I trauma patients were eligible. We collected data on ease of use (self-reported difficulty, researcher documented need for help), efficiency (mean time-per-click on a standardized interview segment), and error (self-report age mismatched with age derived from electronic health records) when using SACAI on three different instruments: Elo TouchSystems ESY15A2 (finger touch), Toshiba M200 (with digitizer pen), and Motion C5 (with digitizer pen). We calculated descriptive statistics and used regression analysis to evaluate the impact of patient and computer factors on time-per-click.Results: 841 participants completed all SACAI questions. Few (<1%) thought using the touch computer to ascertain medical information was difficult. Most (86%) required no assistance. Participants needing help were older (54 ± 19 vs. 40 ± 15 years, p<0.001) and more often lacked internet at home (13.4% vs. 7.3%, p = 0.004). On multivariate analysis, female sex (p<0.001), White (p<0.001) and other (p = 0.05) race (vs. Black race), younger age (p<0.001), internet access at home (p<0.001), high school graduation (p = 0.04), and touch screen entry (vs. digitizer pen) (p = 0.01) were independent predictors of decreased time-per-click. Participant misclick errors were infrequent, but, in our sample, occurred only during interviews using a digitizer pen rather than a finger touch-screen interface (1.9% vs. 0%, p = 0.09).Discussion: Our results support the facility of interactions between ED patients and SACAI. Demographic factors associated with need for assistance or slower interviews could serve as important triggers to offering human support for SACAI interviews during implementation.Conclusion: Understanding human-computer interactions in real-world clinical settings is essential to implementing automated interviewing as means to a larger long-term goal of enhancing clinical care, diagnostic accuracy, and patient safety.Citation: Herrick DB, Nakhasi A, Nelson B, Rice S, Abbott PA, Tehrani ASS, Rothman RE, Lehmann HP, NewmanToker DE. Usability characteristics of self-administered computer-assisted interviewing in the emergency department. Factors affecting ease of use, efficiency, and entry error.


2021 ◽  
pp. 1-6
Author(s):  
Yaira Hamama-Raz ◽  
Yael Cohen ◽  
Menachem Ben-Ezra

Abstract Objective Preferences for end-of-life (EoL) care settings is of considerable interest for developing public health policy and EoL care strategies. Culture, the cause of illness, and background characteristics may impact preferences. The present study aimed to explore preferences for EoL care settings: homes, hospitals, and inpatient hospice units among the general healthy population in Israel. Possible associations between the setting preferences and socio-demographic characteristics were also examined. Method A cross-sectional survey was conducted among 311 healthy adults who were recruited through a representative internet panel of the Israeli population using the Israeli census sampling method. The sex ratio was almost 1:1 with 158 women (50.8%) and 153 men (49.2%). All participants completed self-report measures using an online survey system. The questionnaires assessed sociodemographics and preferences for EoL care settings. Results This survey revealed that 52.1% of the participants expressed preference for being cared for at home rather than in an inpatient hospice unit, 40.8% expressed being cared for at home rather than in a hospital, while 36.7% had no preference regarding being cared for in hospital or in a hospice unit. Among the socio-demographic variables, only age and gender were found to be significantly associated with preferences for EoL care settings. Significance of results The present study highlights the need to be cautious when regarding home as the preferred EoL care setting, as some individuals declared that they would prefer EoL hospice/hospital care. Age and gender should be considered when discussing and tailoring strategies regarding EoL preferences.


Pharmacy ◽  
2018 ◽  
Vol 6 (3) ◽  
pp. 74 ◽  
Author(s):  
Lore Janssen ◽  
Luc Pieters ◽  
Hans De Loof

The storage at home of medicines is a poorly researched topic, but it can be a major source of medication errors and other unsafe practices. In this pilot-study, we wanted to get an idea of the scope of the problem and research the feasibility and acceptability of a home-based intervention by a pharmacist. In a convenience sample of 48 households, we encountered numerous problems in a sizable percentage of households. Medicines were frequently not stored out of reach of children, usage instructions and indications were unknown, organization was absent, and there were a plethora of expired medicines present. Refrigeration was less of a problem. Acceptability and perception of utility of the intervention were generally very high. We developed a protocol-based intervention to be used in future research to increase the safe use of medicines at home.


2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Claudia Ziegler ◽  
Alon Liberman ◽  
Revital Nimri ◽  
Ido Muller ◽  
Simona Klemenčič ◽  
...  

Aims.This study assesses the impact of using an AP-system at home on fear of hypoglycaemia. In addition, satisfaction and acceptance of the new technology are evaluated.Methods.In a multicentre, multinational study of 75 patients using the MD-Logic AP during four consecutive nights in home setting 59 of them (aged 10–54 years, 54% male, HbA1c 7.89 ± 0.69% [62.72 ± 7.51 mmol/mol], diabetes duration 11.6 ± 8.4 yrs) answered standardized questionnaires (HFS, adapted TAM, and AP satisfaction) before and after using the AP.Results.After experiencing the AP in home setting worries of hypoglycaemia were significantly reduced (before 1.04 ± 0.53 versus after 0.90 ± 0.63;P=0.017). Perceived ease of use as a measure of acceptance with the AP significantly increased after personal experience (before 4.64 ± 0.94 versus after 5.06 ± 1.09;P=0.002). The overall satisfaction mean score after using the AP was 3.02 ± 0.54 (range 0–4), demonstrating a high level of satisfaction with this technology.Conclusions.The four-night home-based experience of using MD Logic AP was associated with reduced worries of hypoglycaemia, high level of satisfaction, and increased perceived ease of use of the new technology in children, adolescents, and adults.


2018 ◽  
Author(s):  
Daniel McDuff ◽  
Jeffrey M. Girard ◽  
Rana el Kaliouby

Self-report studies have found evidence that cultures differ in the display rules they have for facial expressions (i.e., for what is appropriate for different people at different times). However, observational studies of actual patterns of facial behavior have been rare and typically limited to the analysis of dozens of participants from two or three regions. We present the first large-scale evidence of cultural differences in observed facial behavior, including 740,984 participants from 12 countries around the world. We used an Internet-based framework to collect video data of participants in two different settings: in their homes and in market research facilities. Using computer vision algorithms designed for this dataset, we measured smiling and brow furrowing expressions as participants watched television ads. Our results reveal novel findings and provide empirical evidence to support theories about cultural and gender differences in display rules. Participants from more individualist cultures displayed more brow furrowing overall, whereas smiling depended on both culture and setting. Specifically, participants from more individualist countries were more expressive in the facility setting, while participants from more collectivist countries were more expressive in the home setting. Female participants displayed more smiling and less brow furrowing than male participants overall, with the latter difference being more pronounced in more individualist countries. This is the first study to leverage advances in computer science to enable large-scale observational research that would not have been possible using traditional methods.


2013 ◽  
Vol 3 (2) ◽  
pp. 41-43
Author(s):  
Lyn Tindall

Telepractice is an exciting addition to the arsenal of speech-language pathologists for delivering services. Efficacy data continues to emerge proving the benefit of using available technology to provide assessment and treatment for persons with a variety of communication disorders, ages, and gender. In addition to providing assessment and treatment using telepractice technology, several professional issues have arisen which must be addressed before implementation of this service delivery system. Licensure and reimbursement have been at the forefront, as well they should. However, client safety is another issue that should also be addressed. Providing speech pathology services in a safe environment is a concept which may not have been considered before technological advances made it possible to provide services to someone while not being physically present.


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