scholarly journals Self-care self-efficacy, religious participation and depression as predictors of poststroke self-care among underserved ethnic minorities

2013 ◽  
Vol 1 (1) ◽  
pp. 13 ◽  
Author(s):  
Suzanne M. Robertson ◽  
Cashuna Huddleston ◽  
Ben Porter ◽  
Amber B. Amspoker ◽  
Gina L. Evans-Hudnall

Underserved ethnic minorities have multiple chronic disease risk factors, including tobacco, alcohol and substance use, which contribute to increased incidence of stroke. Self-efficacy (self-care self-efficacy), religious participation and depression may directly and indirectly influence engagement in post stroke self-care behaviors. The primary aim of the present study was to investigate the effects of self-care self-efficacy, religious participation and depression, on tobacco, alcohol and substance use in a sample of largely ethnic minority, underserved stroke survivors (n=52). Participants previously recruited for a culturally tailored secondary stroke prevention self-care intervention were included. The treatment group received three stroke self-care sessions. The usual care group completed assessments only. Both groups were included in these analyses. Main outcome measures included tobacco, alcohol and substance use. Self-care self-efficacy, religious participation and depression were also assessed. Logistic regression analyses, using self-efficacy, religious practice and depression as the referents, were used to predict binary outcomes of tobacco, alcohol and substance use at 4-weeks post-stroke. Higher depression and self-care self-efficacy were associated with reduced odds of smoking and substance use. Greater participation in religious activities was associated with lower odds of alcohol use. We can conclude that incorporating depression treatment and techniques to increase self-care self-efficacy, and encouraging religious participation may help to improve stroke self-care behaviors for underserved and low socioeconomic status individuals. Results are discussed in the context of stroke self-management.

2017 ◽  
Author(s):  
Mary Metcalf ◽  
Karen Rossie ◽  
Katie Stokes ◽  
Christina Tallman ◽  
Bradley Tanner

BACKGROUND New technologies such as virtual reality, augmented reality, and video games hold promise to support and enhance individuals in addiction treatment and recovery. Quitting or decreasing cigarette or alcohol use can lead to significant health improvements for individuals, decreasing heart disease risk and cancer risks (for both nicotine and alcohol use), among others. However, remaining in recovery from use is a significant challenge for most individuals. OBJECTIVE We developed and assessed the Take Control game, a partially immersive Kinect for Windows platform game that allows users to counter substance cues through active movements (hitting, kicking, etc). METHODS Formative analysis during phase I and phase II guided development. We conducted a small wait-list control trial using a quasi-random sampling technique (systematic) with 61 participants in recovery from addiction to alcohol or tobacco. Participants used the game 3 times and reported on substance use, cravings, satisfaction with the game experience, self-efficacy related to recovery, and side effects from exposure to a virtual reality intervention and substance cues. RESULTS Participants found the game engaging and fun and felt playing the game would support recovery efforts. On average, reported substance use decreased for participants during the intervention period. Participants in recovery for alcohol use saw more benefit than those in recovery for tobacco use, with a statistically significant increase in self-efficacy, attitude, and behavior during the intervention. Side effects from the use of a virtual reality intervention were minor and decreased over time; cravings and side effects also decreased during the study. CONCLUSIONS The preliminary results suggest the intervention holds promise as an adjunct to standard treatment for those in recovery, particularly from alcohol use.


2018 ◽  
Vol 7 (2) ◽  
pp. 179-184
Author(s):  
Ernani Setyawati

Background:Breastfeeding is not always easy. Mother should have high confidence to breastfeed the infant to get positive response in facing difficulties of breastfeeding. Objective: The purpose of this study was to compare the methods of self-care and home visit as the efforts to increase mothers’ brestfeeding self- efficacy. Methods: A comparative analytical study using quasy experimental design including 23 subject selected in the home visit group and 23  subjects in the self-care group by using consecutive sampling technique was taken place in  two hospital at Balikpapan, Indonesia. The data were then analyzed by using Wilcoxon and Mann Whitney test. Results: The results  showed that mothers’ breastfeeding self-efficacy score before treatment in both groups ( self care =65.52; home visit =63.65) while self-efficacy score after treatment in both groups ( self care =73.39; home visit =74.91). The self-efficacy score in self care groups before and after treatment (ZW = 5.317, p>.05) in home visit groups were Zw=3.564 (p>.05). Mothers’ breastfeeding self-efficacy score in home visit and self care groups before treatment was ZMW = .231 (p>.05). as compared to self-efficacy score in home visit and self care groups after treatment  was ZMW = .793 (p>.05). Conclusion: The study showed that home visit method and self-care method are equally good in increasing mothers’ self-efficacy.                                                                                               Keywords: breastfeeding, home visit, self-efficacy, self care.


2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Ismatika Ismatika ◽  
Umdatus Soleha

The post-stroke can be regarded as the most difficult time for patients with post-stroke, they will experience a disability and inability to move as usual so that they will have difficulty in self care. The research was purposed to analyze the relationship of self-efficacy with self-care behavior of patients with post-stroke Islamic Hospital A Yani Surabaya. This study design was analytic correlation with cross sectional approach. The population of 36 people and a large sample of 36 respondents using purposive sampling technique. The independent variable of this research is self-efficacy and the dependent variable was self care behaviors. Instruments of research using questionnaires. Data analysis using the chi square test, significance value of α = 0.05. The results showed that the majority of the 36 respondents, or 26 respondents (72.2%) had good self efficacy and mostly or 27 respondents (75%) had good self-care behaviors. The results of statistical test Chi Square ρ = 0.03 <α = 0.05 showed relationship between self-efficacy with self-care behavior of patients with post-stroke. The better self efficacy post-stroke patients, the better self-care behavior. Post-stroke patients should be able to prepare and improve the behavior of self care, so that patients can independently live aww life in the social environment well. The role of nurses in improving self-efficacy by preparing the skills, motivation and health education about self care.


2019 ◽  
Vol 7 (2) ◽  
pp. 179-184
Author(s):  
Ernani Setyawati

Background:Breastfeeding is not always easy. Mother should have high confidence to breastfeed the infant to get positive response in facing difficulties of breastfeeding. Objective: The purpose of this study was to compare the methods of self-care and home visit as the efforts to increase mothers’ brestfeeding self- efficacy. Methods: A comparative analytical study using quasy experimental design including 23 subject selected in the home visit group and 23  subjects in the self-care group by using consecutive sampling technique was taken place in  two hospital at Balikpapan, Indonesia. The data were then analyzed by using Wilcoxon and Mann Whitney test. Results: The results  showed that mothers’ breastfeeding self-efficacy score before treatment in both groups ( self care =65.52; home visit =63.65) while self-efficacy score after treatment in both groups ( self care =73.39; home visit =74.91). The self-efficacy score in self care groups before and after treatment (ZW = 5.317, p>.05) in home visit groups were Zw=3.564 (p>.05). Mothers’ breastfeeding self-efficacy score in home visit and self care groups before treatment was ZMW = .231 (p>.05). as compared to self-efficacy score in home visit and self care groups after treatment  was ZMW = .793 (p>.05). Conclusion: The study showed that home visit method and self-care method are equally good in increasing mothers’ self-efficacy.                                                                                         Keywords: Breastfeeding, home visit, self-efficacy, self care.


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