Interpersonal Goals, Motivation, and Health-promotion Behaviors

This thesis placed third for health-promotion in the 25th Annual Denman ForumResearch shows that people's behaviors, and specifically their lack of health engagement behaviors, contributes to about 50% of all illness (Ryan 2009). Why are individuals not engaging in these health behaviors that could prevent serious illness? From the social psychological perspective, motivation is shown to be more predictive of health outcomes compared to beliefs, support, or self-efficacy (Kelly et al., 1991). Building upon the egosystem-ecosystem theory of social motivation (Crocker et al., 2017), the current research examines the association among interpersonal goals, health motivations, and health-promotion behaviors. Study 1 utilized Amazon Mechanical Turk in order to outsource surveys to 309 participants ages 22 to 70 (M = 37.78 years old). Participants completed surveys measuring interpersonal goals, health motivations, and health behaviors. Results show positive associations between both compassionate and self-image goals with motivation on health-promotion behaviors. Study 2 was an experimental design utilizing 207 participants from the student research pool at a large university (M = 19.32 years old). This study used a manipulation of compassionate and self-image goals, in which participants were assigned to either a control condition or a condition of statements designed to increase one's self-image goals or compassionate goals. The manipulation preceded the same questions from Study 1 as well as measures relating to the participant's future willingness to engage in health-promotion behaviors. The results of Study 2 replicated the correlational results from Study 1, but regression analysis showed positive associations only between compassionate goals and motivation on health-promotion behavior. The current research suggests that interpersonal motivations affect people's health behaviors and subsequent health outcomes. These results are relevant for the health field as it can aid in the understanding of how interpersonal relationships may motivate individuals to increase engagement in health-promotion behaviors.Arts and Sciences Undergraduate Research ScholarshipNo embargoAcademic Major: Psycholog

Cardiac Rehabilitation on Health Behaviors and Clinical Outcomes Among Myocardial Infarction Patients

The lack of adherence to health behaviors in cardiac rehabilitation (CR) is the leading cause of recurrent myocardial infarction (MI) in Indonesia. This randomized control trial (RCT) study was conducted to examine the effect of a family based self-efficacy enhancing cardiac rehabilitation program on self-efficacy in cardiac health behaviors, health behaviors, and clinical outcomes among MI patients in Indonesia. Sixty MI patients who met the inclusion criteria were randomized by the modified stratified-block method and assigned into either the control group or the experimental group. The patients in the experimental group received the program during phase I over two days and continued to phase II of CR with weekly follow-up sessions. Patients were asked to complete the Self-Efficacy in Cardiac Health Behaviors Scale (SECHBS) and the Modified Myocardial Infarction Health Behaviors Questionnaire (Modified MIHBQ). The results revealed that self-efficacy, health behaviors, and clinical outcomes such as fasting blood glucose, total cholesterol, LDL, triglyceride, and BMI of the patients after receiving the intervention were significantly better than before receiving the intervention, except for blood pressure, and HDL levels. Self-efficacy, health behaviors, and clinical outcomes such as total cholesterol, LDL, and triglyceride were significantly better in patients in the experimental group than those in the control group (p < .05), except for blood pressure, HDL, BMI, and blood glucose levels (p > .05). In conclusion, the family based self-efficacy enhancing cardiac rehabilitation program shows evidence of effectiveness in enhancing self-efficacy, health behaviors, and some clinical outcomes in MI patients

An Application of a Modified Health Belief Model: Assessing Health Beliefs and Health Protective Behaviors in Mining- Impacted Communities

Purpose/Background: Toxic metal contamination poses public health risks in many mining-impacted communities. Improved understanding of risk perception and health protective behaviors is important to sustaining public health awareness. We co-developed a research study based on the Health Belief Model (HBM; Figure 1) and facilitated through a partnership with the health district in our study area, the Silver Valley of northern Idaho. Lead contamination caused by historical mining practices continues to impact both ecological and human health and contributes to health disparities. For this study, we assess how health belief constructs (i.e., perceived threats, expectations of behavioral outcomes, and confidence in personal knowledge) influence self-reported health protective behaviors and behavioral intentions. Materials & Methods: We conducted a drop-off pick-up (DOPU) household survey (n~300; estimated response rate~60%) to assess risk perception and self-reported health behaviors among residents in three mining-impacted communities of the Silver Valley. Informational interviews and a pilot survey informed survey instrument development. Health protective behavior variables were modified from the health district’s existing public recommendations. We assessed the frequency of past health protective behaviors and likelihood of future behaviors (e.g., handwashing following contact with lead contamination). Health belief constructs were modified from other HBM studies. We performed validity and reliability tests on the survey instrument. Results: We will measure the impact of threats, expectations and confidence on health protective behaviors. We hypothesize that, overall, higher confidence in personal knowledge of lead contamination will be associated with higher likelihood of taking health protective behavior. Furthermore, confidence is mediated by perceived threat and expectations of behavioral outcomes. To test our hypothesis, we will use a structural equation model to test the relationships between constructs (Figure 1). Discussion/Conclusion: By conducting a DOPU survey, we captured a range of health beliefs and health protective behaviors that are present across the study area. The challenge in educating and protecting the health of communities impacted by a persistent but low visibility contaminant such as lead is understanding the relationship between health beliefs and health protective behaviors. Our study is an initial step in this region to identify the constructs that influence decisions and actions for health protection. We will apply these findings to continue developing tailored resources for community health interventions and communication, including a youth-oriented computer game and targeted signage

The Role of Internalized Homonegativity in the Faith and Psychological Health of Lesbians

Among lesbians, faith-based beliefs and behaviors may be associated with negative psychological health due to the interplay between religious and sexual identities. The present study examined health outcomes, faith-based beliefs (views of God as loving and controlling), faith-based behaviors (personal spiritual practices, religious activities), and internalized homonegativity in a sample of 225 self-identified lesbians. We hypothesized that internalized homonegativity would moderate the relationship between health outcomes and faith-based beliefs and behaviors among lesbians. Generally, results indicated that some faith-based beliefs and behaviors were related to negative health outcomes among lesbians with higher levels of internalized homonegativity, but among those with lower levels of internalized homonegativity, the negative associations with health were mitigated

Oral health beliefs and behaviors of nurse and nurse practitioner students using the HU-DBI inventory: An opportunity for oral health vicarious learning

Background: Oral health access to care issues are resulting in curricular changes to train nursing students as oral health educators and providers. However, little data are available concerning their personal oral health beliefs/behaviors. The study purpose was to gather information from nurse and nurse practitioner students regarding their oral health beliefs and behaviors. Methods: Using the Hiroshima University Dental Behavioural Inventory (HU-DBI), survey data were gathered from nurse and nurse practitioner students as well as dental hygiene students as controls concerning their oral health beliefs and behaviors. Results: Mean HU-DBI scores were higher among nurse practitioner than nursing students, indicating more positive beliefs/behaviors, but both were lower than dental hygiene students. Both nurse and nurse practitioner students reported significantly fewer dental visits and some poorer hygiene practices than controls. Additionally, nursing students were more likely to believe that their teeth were worsening despite brushing. Conclusions: Assessment of personal oral health beliefs/behaviors should occur early in nursing education with mentoring so that optimal modeling can positively impact patients’ oral health. Oral health education opportunities within and among disciplines are discussed

The Causal Effect of Education on Health: What is the Role of Health Behaviors?

We study the contribution of health-related behaviors to the health-education gradient by distinguishing between short-run and long-run mediating effects: while in the former only current or lagged behaviors are taken into account, in the latter we consider the entire history of behaviors. We use an empirical approach that addresses the endogeneity of education and behaviors in the health production function. Focusing on self-reported poor health as our health outcome, we find that education has a protective effect for European males and females aged 50+. We also find that the mediating effects of health behaviors - measured by smoking, drinking, exercising and the body mass index - account in the short run for 17% to 31% and in the long run for 23% to 45% of the entire effect of education on health, depending on gender.Health, education, health behaviors, Europe.

The Causal Effect of Education on Health

We study the contribution of health-related behaviors to the health-education gradient by distinguishing between short-run and long-run mediating effects:while in the former only current or lagged behaviors are taken into account, in the latter we consider the entire history of behaviors. We use an empirical approach that addresses the endogeneity of education and behaviors in the health production function. Focusing on self-reported poor health as our health out-come, we find that education has a protective effect for European males and females aged 50+. We also find that the mediating effects of health behaviors - measured by smoking, drinking, exercising and the body mass index – account in the short run for 17% to 31% and in the long run for 23% to 45% of the entire effect of education on health, depending on gender.Health, education, health behaviors, Europe

The Causal Effect of Education on Health: What is the Role of Health Behaviors?

We study the contribution of health-related behaviors to the health-education gradient by distinguishing between short-run and long-run mediating effects: while in the former only current or lagged behaviors are taken into account, in the latter we consider the entire history of behaviors. We use an empirical approach that addresses the endogeneity of education and behaviors in the health production function. Focusing on self-reported poor health as our health outcome, we find that education has a protective effect for European males and females aged 50+. We also find that the mediating effects of health behaviors - measured by smoking, drinking, exercising and the body mass index - account in the short run for 17% to 31% and in the long run for 23% to 45% of the entire effect of education on health, depending on gender.Health, education, health behaviors, Europe.

Children With Autism Spectrum Disorder at a Pediatric Hospital: A Systematic Review of the Literature

This review of literature describes the behaviors of hospitalized children with autism spectrum disorder (ASD) that health care providers find challenging. It also identifies strategies used to address these challenging behaviors. The systematic review of literature identified 34 articles from databases on health care of challenging behaviors of children with ASD. The review identified four categories of challenging behaviors (non-compliance, hyperactivity, sensory defensiveness, self-injury) and several strategies for reducing these behaviors. Partnering with parents to develop strategies is important for children with ASD to deliver timely and safe care