Do Patient Perceptions Influence Compliance with Outpatient HIV Testing Referrals from the Emergency Department? An Application of the Health Belief Model

2004 ◽  
Vol 11 (5) ◽  
pp. 553-553
Author(s):  
J. S. Haukoos
2019 ◽  
Vol 47 (1) ◽  
pp. 18-22 ◽  
Author(s):  
Teresa Caya ◽  
Mary Jo Knobloch ◽  
Jackson Musuuza ◽  
Emily Wilhelmson ◽  
Nasia Safdar

2016 ◽  
Vol 37 (9) ◽  
pp. 1098-1100 ◽  
Author(s):  
Joshua Quast ◽  
Mary Jo Knobloch ◽  
Erin Patterson ◽  
Suzanne Purvis ◽  
Daniel Shirley ◽  
...  

Patient interviews using the Health Belief Model framework identified thematic patient perceptions of indwelling urinary catheters and catheter-associated urinary tract infections. Generally, patients perceived catheters as convenient and were unaware of catheter alternatives and risks for infection. Better patient education is needed to reduce urinary catheter use and infections.Infect Control Hosp Epidemiol 2016;37:1098–1100


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leila Katirayi ◽  
Job Akuno ◽  
Bright Kulukulu ◽  
Rose Masaba

Abstract Background HIV testing among adolescents is significantly lower than among adults and many adolescents living with HIV do not know their status. Adolescent perceptions of HIV testing are poorly understood and may negatively affect testing uptake. Using a qualitative design, this study sought to explore perceptions about HIV testing and treatment among adolescents living with HIV and adolescents of unknown HIV status in Lusaka, Zambia and Kenya. Methods Study participants were adolescents aged 15–19 years old. The adolescents living with HIV were recruited from HIV support groups at health facilities. Adolescents of unknown HIV status were recruited from existing adolescent groups within the community. In both Zambia and Kenya, four focus group discussions (FGDs) were conducted with adolescents living with HIV and four FGDs were conducted with adolescents whose HIV status was unknown, for a total of 16 FDGs. FGDs consisted of 6–12 participants, a moderator, and a note-taker. FGDs were audio-recorded, transcribed, and translated into transcripts. Transcripts were coded in the qualitative analysis software program MAXQDA v. 12. Data reduction and summary tables were generated to help identify themes across the two study population groups. Data were interpreted within the health belief model. Results Adolescents discussed the challenges of facing a positive HIV test result, including fear of a positive result and need to change their lifestyle, fear of social isolation, and perception of the lost opportunity to achieve future dreams. Most adolescents of unknown status were not as aware of the benefits of learning their HIV status, nor were they aware of the ability to live a long and healthy life on ART. HIV-positive adolescents reported that the messages targeted towards adolescents focus on the need to remain HIV-negative, as opposed to the benefits of knowing one’s status. Adolescents described age and requirements for parental permission as a significant limitation in their ability to access HIV testing. Conclusions Adolescents require more information about the benefits of testing early and the ability to live a long and healthy life on ART. Educating adolescents that HIV testing is a normative behavior among their peers could strengthen HIV testing among adolescents.


2016 ◽  
Vol 37 (5) ◽  
pp. 576-582 ◽  
Author(s):  
Cydney Heid ◽  
Mary Jo Knobloch ◽  
Lucas T. Schulz ◽  
Nasia Safdar

OBJECTIVETo identify themes associated with patient perceptions of antibiotic use and the role of patients in inpatient antimicrobial stewardship.DESIGNWe conducted semi-structured interviews with 30 hospitalized patients using the Health Belief Model as the framework for questions and analysis.SETTINGAn academic tertiary care hospital in Madison, Wisconsin.PARTICIPANTSA total of 30 general medicine inpatients receiving at least 1 anti-infective medication were interviewed.RESULTSParticipants recognized antibiotic resistance as a serious public health threat but expressed low perceived susceptibility to being personally affected by antibiotic resistance. Views of susceptibility were influenced by a high degree of trust in physicians and misperceptions regarding the mechanisms underlying resistance. Participants expressed high self-efficacy and a desire to be involved in their health care. Perceived roles for patients in preventing the inappropriate use of antibiotics ranged from asking questions and speaking up about concerns to active involvement in decision making regarding antibiotic treatments. Few participants reported being offered the opportunity to engage in such shared decision making while hospitalized.CONCLUSIONSOur findings suggest an important role for patients in improving antibiotic use in hospitals. However, patient engagement has not been recognized as a critical component of antimicrobial stewardship programs. Our study suggests that the likelihood of patient engagement in stewardship practices is currently limited by low perceived susceptibility and lack of cues to act. Further investigation into how patients may be engaged as good stewards of antibiotics may reveal new ways to improve antibiotic prescribing practices in the inpatient setting.Infect Control Hosp Epidemiol 2016;37:576–582


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