Improving health outcomes in diabetes: the role of knowledge, skills and beliefs in behavioural change

2002 ◽  
Author(s):  
N. van der Ven ◽  
H. van der Ploeg ◽  
R. Heine ◽  
F. Snoek
Keyword(s):  
Health Outcomes ◽  
Behavioural Change

scholarly journals Behavioural and social sciences to enhance the efficacy of health promotion interventions: redesigning the role of professionals and people

2019 ◽  
pp. 1-21 ◽  
Author(s):  
FRANCESCA PENNUCCI ◽  
SABINA DE ROSIS ◽  
ANNA MARIA MURANTE ◽  
SABINA NUTI
Keyword(s):  
Social Sciences ◽  
Health Promotion ◽  
Health Outcomes ◽  
Behavioural Change ◽  
Comprehensive Approach ◽  
Social Mechanisms ◽  
Health Promotion Interventions ◽  
Levers And Barriers

AbstractEvidence on the effectiveness of health promotion interventions is mixed, especially in terms of the magnitude of their impact and long-term adherence. This paper proposes a comprehensive approach informed by behavioural economics of developing behavioural change programmes, which is designed to educate, activate, engage and empower people by taking into consideration individual and social mechanisms. Three applied pilots and their results are presented in order to illustrate the approach using cognitive and social mechanisms to lead to better health outcomes, individually and community-wide. More research is needed to explore levers and barriers for the systemic adoption of this framework in implementing health promotion interventions.

Chronic Pain: Fundamental Scientific Considerations, Specifically for Legal Claims

2013 ◽  
Vol 18 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Robert J. Barth
Keyword(s):  
Health Outcomes ◽  
Pain Perception ◽  
Driving Forces ◽  
Psychological Treatment ◽  
Dominant Role ◽  
Meta Analysis ◽  
General Medicine ◽  
Pain Syndrome ◽  
Problematic Relationship

Abstract Scientific findings have indicated that psychological and social factors are the driving forces behind most chronic benign pain presentations, especially in a claim context, and are relevant to at least three of the AMA Guides publications: AMA Guides to Evaluation of Disease and Injury Causation, AMA Guides to Work Ability and Return to Work, and AMA Guides to the Evaluation of Permanent Impairment. The author reviews and summarizes studies that have identified the dominant role of financial, psychological, and other non–general medicine factors in patients who report low back pain. For example, one meta-analysis found that compensation results in an increase in pain perception and a reduction in the ability to benefit from medical and psychological treatment. Other studies have found a correlation between the level of compensation and health outcomes (greater compensation is associated with worse outcomes), and legal systems that discourage compensation for pain produce better health outcomes. One study found that, among persons with carpal tunnel syndrome, claimants had worse outcomes than nonclaimants despite receiving more treatment; another examined the problematic relationship between complex regional pain syndrome (CRPS) and compensation and found that cases of CRPS are dominated by legal claims, a disparity that highlights the dominant role of compensation. Workers’ compensation claimants are almost never evaluated for personality disorders or mental illness. The article concludes with recommendations that evaluators can consider in individual cases.

Medic Interaction Modes and Hospitalized Children Health

2019 ◽  
Author(s):  
Naveed Shibli ◽  
Miss Shehrish Farooq
Keyword(s):  
Experimental Study ◽  
Health Outcomes ◽  
Block Design ◽  
Pain Scale ◽  
Hospitalized Children ◽  
Face Pain ◽  
Children Health ◽  
Face Pain Scale

<p></p><p>In the present experimental study different interaction ‘modes’ those took place between a psychologist and a child were tested for the role of these towards health recovery of the child? Following were the interaction modes, a) presenting a flower with smile plus inquiring about health, b) offering a blessing plus inquiring about health, c) making an indifferent presence plus inquiring about health with flat tone, d) inquiring about health with providing precautions about prognosis. It was assumed that all modes would differently influence health outcomes? 100 hospitalized children located in child wards of different hospitals with randomized pre-post block design interacted. One each from four interaction modes was used for a group of 25 participants each. Actual ward discharge was compared with anticipatory estimated by each ward in-charge to calculate effect of mode on outcome. Face Pain Scale, The Children Happiness Scale and a Demographic Sheet were also used. Results reflected ‘modes’ relationship with outcomes. More studies would clarify further.</p><br><p></p>

Outcomes of a digitally delivered, culturally-sensitive behaviour change platform for BAME adults with type 2 diabetes: 1 year health and engagement outcomes (Preprint)

2020 ◽  
Author(s):  
Charlotte Summers
Keyword(s):  
Type 2 Diabetes ◽  
Body Weight ◽  
Health Outcomes ◽  
Behavioural Change ◽  
Culturally Sensitive ◽  
Lifestyle Changes ◽  
Haemoglobin A1c ◽  
Central Asian ◽  
Increased Risk

BACKGROUND People from Black, Asian and Minority Ethnic (BAME) groups are known to have an increased risk of developing type 2 diabetes and face greater barriers to accessing healthcare resources compared to their “white British” counterparts. The main mediators of lifestyle behavioural change are gender, generation, geography, genes, God/religion, and gaps in knowledge and economic resources. Dietary and cultural practices of these individuals significantly vary according to gender, generation, geographical origin and religion. Recognition of these factors and implementing culturally sensitive interventions for type 2 diabetes prevention and management is essential in increasing knowledge of healthy eating, engagement in physical activity and improving health outcomes in BAME communities. Few health apps are tailored for BAME populations, and BAME communities are considered hard-to-reach. OBJECTIVE Our objective was to establish whether the Low Carb Program is a viable scalable solution that can be used as an effective tailored type 2 diabetes intervention for BAME communities. We hypothesized that by taking into account cultural sensitivities, providing the platform in native languages and personalising the platform in accordance with known barriers to health disparities including gender, generation, dietary preferences and religion, the app would engage BAME communities and improve type 2 diabetes related health outcomes. METHODS The study used a quasi-experimental research design comprised of an open-label, single-arm, pre-post intervention using a sample of convenience. All 705 adults with type 2 diabetes who had activated their referral to the Low Carb Program as a result of an NHS consultation between September 2018 and March 2019 were followed for a period of 12 months; mean age 54.61 (SD 16.69) years; 58.2% (410/705) women; 45.1% (318/705) white, 28.5% (201/705) Indian/Pakistani/Bangladeshi/Other Central Asian, 10.8% (76/705) Arab, 6.2% (44/705) Mixed/Multiple ethnic groups, 6% (43/705) black, 1.8% (13/705) other, (7/705) 1% Chinese/Japanese/Other East Asian. Mean starting glycated haemoglobin A1c (HbA1c) 7.99% (SD 2.05%); mean body weight 88.96kg (SD 23.25kg). RESULTS Of the 705 study participants, 513 (72.76%) had completed the Low Carb Program at 12 months. There were statistically significant reductions in body weight and HbA1c in white, Indian/Pakistani/Bangladeshi/Other Central Asian, Arabic and black participants with the most significant differences in the Indian/Pakistani/Bangladeshi/Other Central Asian population HbA1c -1.18% (SD 1.49%) and weight 8.03kg (SD 10.65kg). 82.9% of all participants (419/705) of all participants lost at least 5% of their body weight. CONCLUSIONS Offering the culturally tailored Low Carb Program that empowers members to make dietary and lifestyle changes to different BAME groups is an effective and engaging tool in the management of type 2 diabetes. Most importantly, BAME populations in particular people from Indian/Pakistani/Bangladeshi and Arabic groups who achieve better health outcomes than their white counterparts.

Health outcomes among detoxification patients: The role of chronic pain

2021 ◽  
Author(s):  
Erin L. Woodhead ◽  
Deborah Brief ◽  
Maureen Below ◽  
Christine Timko
Keyword(s):  
Chronic Pain ◽  
Health Outcomes

An experimental approach to communal coping

2021 ◽  
pp. 026540752199246
Author(s):  
Melissa Zajdel ◽  
Vicki S. Helgeson
Keyword(s):  
Health Outcomes ◽  
Positive Relationship ◽  
Experimental Approach ◽  
Positive Mood ◽  
Self Report ◽  
Communal Coping ◽  
Observational Measures ◽  
Relationship Outcomes ◽  
The Individual

Communal coping has been linked to better psychological and physical health across a variety of stressful contexts. However, there has been no experimental work causally linking communal coping to relationship and health outcomes. In addition, research has emphasized the collaboration over the shared appraisal component of communal coping. The present study sought to isolate the role of appraisal by manipulating whether dyads viewed a stressor as shared or individual. Friend dyads (n = 64 dyads; 128 participants) were randomly assigned to view a stressor as either a shared or an individual problem, but both groups were allowed to work together. Across self-report and observational measures dyads reported more collaboration and support, better relationship outcomes, and more positive mood after the stressor in the shared than the individual appraisal group. This is the first laboratory evidence to establish causal links of communal coping—specifically shared appraisal—to positive relationship and health outcomes.

scholarly journals Being a Patient Representative Is More Work Than Being a Patient Advocate—Done Right, It Is Also Likely to Be More Effective

2021 ◽  
Vol 28 (2) ◽  
pp. 1017-1019
Author(s):  
Richard Wassersug
Keyword(s):  
Health Outcomes ◽  
Background Knowledge ◽  
Positive Influence ◽  
Patient Advocate ◽  
Different Types ◽  
Health Related ◽  
Patient Representative

For a patient to be effective as a “patient representative” within a health-related organization, work and more than just accepting an honorific title is required. I argue that for a patient to be most effective as a patient representative requires different types of background knowledge and commitment than being a “patient advocate”. Patients need to be cautious about how, when, and where they take on an official role of either an “advocate” or “representative”, if they truly want to be a positive influence on health outcomes.

The Role of Coping in the Relationship Between Endorsement of the Strong Black Woman Schema and Depressive Symptoms Among Black Women

2021 ◽  
pp. 009579842110212
Author(s):  
Martinque K. Jones ◽  
Tanisha G. Hill-Jarrett ◽  
Kyjeila Latimer ◽  
Akilah Reynolds ◽  
Nekya Garrett ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Black Women ◽  
Health Outcomes ◽  
Black Woman ◽  
Coping Styles ◽  
Mental Health Outcomes ◽  
Multiple Mediation ◽  
Strong Black Woman

The Strong Black Woman (SBW) schema has been consistently linked to negative mental health outcomes among Black women. However, few have begun to explicate the mechanisms by which the endorsement of the SBW schema may influence mental health outcomes. Accordingly, the current study examined coping styles (social support, disengagement, spirituality, and problem-oriented/engagement) as mediators in the association between endorsement of the SBW schema and depressive symptoms in a sample of Black women. Data from 240 Black women ( Mage = 22.0, SD = 4.0 years) were collected assessing SBW schema endorsement, coping styles, and depressive symptoms. Parallel multiple mediation analysis was conducted using PROCESS Macro. Of the four coping styles examined, disengagement coping partially mediated the association between greater endorsement of the SBW schema and greater depressive symptoms. Study findings add depth to our understanding of the association between the SBW schema and mental health outcomes and lend themselves to research and clinical implications.

Racial Discrimination Predicts Mental Health Outcomes Beyond the Role of Personality Traits in a Community Sample of African Americans

2021 ◽  
pp. 216770262095731
Author(s):  
Yara Mekawi ◽  
Courtland S. Hyatt ◽  
Jessica Maples-Keller ◽  
Sierra Carter ◽  
Vasiliki Michopoulos ◽  
...  
Keyword(s):  
Mental Health ◽  
African Americans ◽  
Health Outcomes ◽  
Personality Traits ◽  
Posttraumatic Stress ◽  
Racial Discrimination ◽  
Community Sample ◽  
Mental Health Outcomes ◽  
Hierarchical Regression

Despite a consistent body of work documenting associations between racial discrimination and negative mental health outcomes, the utility and validity of these findings have recently been questioned because some authors have posited that personality traits may account for these associations. To test this hypothesis in a community sample of African Americans ( n = 419, age: M = 43.96 years), we used bivariate relations and hierarchical regression analyses to determine whether racial discrimination accounted for additional variance in depression, anxiety, and posttraumatic stress symptoms beyond the role of personality. Bivariate relations between personality traits and racial discrimination were small and positive (i.e., rs ≈ .10). Regression results demonstrated that racial discrimination accounted for variance in depression, anxiety, and posttraumatic stress independent of personality traits ( ps < .01). These results suggest that personality traits do not fully explain associations between racial discrimination and negative mental health outcomes, further supporting the detrimental impact of racial discrimination on the mental health of African Americans.

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