Explaining factors affecting help-seeking behaviors in women with urinary incontinence: a qualitative study

Background Urinary incontinence is widely accepted to be among the most important issues in the global health system. However, only a limited number of women are referred for treatment because different factors complicate help-seeking behaviors. The aim of this study was to explain the factors affecting help-seeking behaviors in women suffering from urinary incontinence. Methods This study was a qualitative study using the conventional content analysis approach. The study was conducted from December 2018 and August 2019 in Tehran, Iran. The participants were 34 women with urinary incontinence selected using a purposive sampling method. The content analysis approach was based on the Graneheim and Lundman method, and qualitative data management software was used for analysis. Results Data analysis illustrates two themes; “ facilitator “ and “ inhibitor “; the categories “not perceiving disease”, “shame”, “ negative support of important others”, and “non-optimal health care system” were among the inhibitors and the categories “ reduced quality of life “ and “ positive support of important others” were found to be facilitators of help-seeking behaviors. Conclusions The findings of the present study highlight the need for understanding the underlying facilitators and inhibitors of help-seeking behaviors in women with urinary incontinence. We suggest that healthcare providers consider an open dialogue with patients and consider their subjective beliefs and life context during routine visits to facilitate early diagnosis of the disease and ultimately lead to an improvement in the woman’s quality of life.

Explaining Factors Affecting Help-Seeking Behaviors in Women with Urinary Incontinence: A Qualitative Study

Background: Urinary incontinence is widely accepted to be among the most important issues in the global health system. However, only a limited number of women are referred for treatment because different factors complicate help-seeking behaviors. The aim of this study was to explain the factors affecting help-seeking behaviors in women suffering from urinary incontinence.Methods: This study was a qualitative study using the conventional content analysis approach. The study was conducted from December 2018 and August 2019 in Tehran, Iran. The participants were 34 women with urinary incontinence selected using a purposive sampling method. The content analysis approach was based on the Graneheim and Lundman method, and qualitative data management software was used for analysis. Results: Data analysis illustrates two themes; " facilitator " and " inhibitor "; the categories "not perceiving disease", "shame", " negative support of important others", and "non-optimal health care system" were among the inhibitors and the categories " reduced quality of life " and " positive support of important others" were found to be facilitators of help-seeking behaviors.Conclusions: The findings of the present study highlight the need for understanding the underlying facilitators and inhibitors of help-seeking behaviors in women with urinary incontinence. We suggest that healthcare providers consider an open dialogue with patients and consider their subjective beliefs and life context during routine visits to facilitate early diagnosis of the disease and ultimately lead to an improvement in the woman's quality of life.

Explaining Factors Affecting Help-Seeking Behaviors in Women with Urinary Incontinence: A Qualitative Study

Background: Urinary incontinence is widely accepted to be among the most important issues in the global health system. However, only a limited number of women refer for treatment as different factors make help-seeking behaviors more complicated than they initially seem to be. The aim of this study was to explain the factors affecting help-seeking behaviors in women suffering from urinary incontinence.Methods: The present study used a qualitative method, the conventional content analysis approach. The study was conducted between December 2018 and August 2019 in Tehran, Iran. The participants of the study included 34 women with urinary incontinence selected using purposive sampling method. The content analysis approach was based on the Graneheim and Lundman method, and qualitative data management software was used to analyze data. Results: Data analysis illustrates two themes; "nature of facilitator " and " nature of inhibitor "; the categories "not perceiving disease", "shame", " negative support of important others", and "non-optimal health care system" were among the deterrents and the categories "weakening the quality of life" and " positive support of important others" were found to be facilitators.Conclusions: The findings of the present study highlight the need for understanding the underlying facilitators and obstacles to help-seeking behaviors in women with urinary incontinence and suggest that healthcare providers consider an open dialogue with patients taking into account their subjective beliefs and life context during routine visits as to facilitate early diagnosis of the disease and ultimately lead to an improvement in the woman's quality of life.

Part I Summary

Using a developmental frame, we focused thus far on the innermost circles of adolescent musical identity development. In the chapter exploring “who I am,” we viewed adolescent self-concept, or traits and attributes they ascribed to their musicking; self-esteem, or a feeling of musical self-worth; and self-representation, or how adolescents viewed themselves musicking over time. In close interaction, we saw the critical role of important others and closest contexts, such as home, school, and community. Examining “how I think,” we discussed the importance of relatedness, mindset, autonomy, and building a sense of competency. While looking at adolescent feelings, we explored agency, perseverance, and vulnerability. In ...

Football Team Social Structure and Perceived Support for Reporting Concussion Symptoms: Insights from a Social Network Analysis

Social network analysis (SNA) is a uniquely situated methodology to examine the social connections between players on a team, and how team structure may be related to self-reported team cohesion and perceived support for reporting concussion symptoms. Team belonging was positively associated with number of friendship ties (degree; r = .23, p < .05), intermediate ties between teammates (betweenness; r = .21, p < .05), and support from both teammates (r = .21, p < .05) and important others (r = .21, p < .05) for reporting concussion symptoms. Additionally, an SNA-derived measure of social influence, eigenvector centrality, was associated with football identity (r = .34, p < .01), and less support from important others (r = –.24, p < .05) regarding symptom reporting. Discussion focuses on why consideration of social influence dynamics may help improve concussion-related education efforts.

Self-Management Support Needs From the Perspectives of Persons With Severe Mental Illness: A Systematic Review and Thematic Synthesis of Qualitative Research

BACKGROUND: The development of de-hospitalization policies in mental health has resulted in a growing emphasis on self-management. In the chronic care model, self-management support is an essential element. Because of the episodic nature of severe mental illness (SMI) and its high relapse rates, we assume that the extent of self-management support needs of individuals with an SMI is considerable. However, a clear overview of the nature of the self-management support needs of persons with SMI is missing. AIMS: This study aimed to identify self-management support needs from the perspective of individuals with SMI. METHOD: A systematic review was conducted using the method of thematic synthesis of qualitative studies. After searching the databases MEDLINE, PsycINFO, CINAHL, and EMBASE, we screened the papers for the eligibility criteria: individuals with an SMI, adequately representing the voice of persons with SMI and describing their self-management support needs. Thirty-one papers were included. RESULTS: The main findings showed that participants in the studies described the need for informational support, emotional support, acknowledgment, encouragement, and guidance to make sense of their illness experiences, ease suffering, obtain validation and recognition, execute self-management tasks, and be led through unfamiliar territory. CONCLUSION: The perspectives of persons with SMI can provide a road map for constructing a self-management support intervention for persons with SMI. Important others have an essential role in fulfilling support needs. Independently managing an SMI is difficult. Therefore, it is preferable to let important others participate in self-management interventions and to introduce peer support.

Who Helps Build Mexican-Origin Female College Students’ Self-Efficacy? The Role of Important Others in Student Success

The present study examined interrelations among sociocultural factors, communication, and academic support from mothers, fathers, sisters, brothers, professors, romantic partners, and close friends and Mexican-origin female college students’ ( n = 205) college self-efficacy. Findings revealed that students communicated the most with their close friends and perceived that mothers provided the most academic support. In general, students who espoused behaviors and values that closely aligned with the Mexican culture were more likely to communicate with others. In addition, higher levels of communication related to higher levels of academic support, but relations between academic support and college self-efficacy differed by source of support. Notably, while academic support from mothers, professors, and romantic partners were positively related to college self-efficacy, academic support from fathers, sisters, brothers, and close friends were not related to college self-efficacy. Findings confirm that a focus on the unique roles of important others is warranted.

The Situated Influence of Chronic Pain Perception on Chinese Older Adults’ Self-Management in Home Care

Background and objective: Worldwide, 26 million older adults die from chronic disease, and chronic pain is typically a part of the experience of chronic disease. This study explores the perception of chronic pain for home-dwelling Chinese older adults and its influence on (1) self-management ability and (2) management and reduction of chronic pain. Methods: Adopting a qualitative study design, we conducted in-depth interviews with 10 Chinese community-dwelling older adults who experience chronic pain. Half of our informants perceive chronic pain, whereas the other half, diagnosed with Alzheimer’s disease, do not report that they perceive chronic pain. Data were analyzed with inductive thematic analysis. Results: Chronic pain perception plays important roles in (1) defining the challenge of self-management, (2) connecting previous caretaking experience, (3) adjusting the identity of self-management, (4) acquiring support from important others and (5) re-planning self-management arrangements. Conclusion: Pain perception helps to motivate Chinese older adults to face health challenges and regain self-management capacity through adjustments in self-identity and care experience with the support of important others. Pain perception can consolidate the situation of independent living of older adults. It helps to motivate Chinese older adults to face health challenges and regain self-management capacity.

Cybernetic Approach of the “Κ’na” Dance: The Construction of Ethnic and National Identity in Nea Vyssa, Thrace , Greece

The research field of this project is the area if Greek Thrace, which is a great geopolitical-cultural unity that was divided - due to political process - in three subareas that were distributed to three different countries: Bulgaria, Turkey and Greece. A dance happening that took place before the lining of the boundaries to date in the Greek and Turkish Thrace is that of “K’na”. “K’na” is a female dance happening which is danced to date by the people of both areas in spite of their religious beliefs, social - economic and cultural development. The purpose of this project is to study the different expressions of this dance in Nea Vyssa and examine if these are related to matters of search and conformation of ethnic and national identity of this group under the terms of the social cybernetics. Data was gathered through the ethnographic method as this is applied to the study of dance and the interpretation of the data was based on the theoretical visuals of the social-cybernetic according to the inspection model of identity that Burke proposed. From the data analysis, we established that the dance of “K’na” in Nea Vyssa constructs and reconstructs not only the ethnic but the national identity of the groups who use them in order to react to the messages they receive via the communication with “the important others”.