Health Behavior Associated with Quality of Life among Elderly with Hypertension

Background: The quality of life of elderly people has become increasingly important with the demographic shift to greying population. Quality of life is defined by personal feelings, details, outlook, and day to day experiences, which include how happy and positive one feels, how comfortable and secure, how productive and desired, how healthy and free an individual considers themselves, etc. This study aimed to determine health behavior associated with quality of life among elderly with hypertension. Subjects and Method: This was a cross sectional study conducted at Puskesmas (community health center) Rowosari, Semarang, Central Java. A sample of 62 elderly with hypertension was selected for this study by simple random sampling. The dependent variable was quality of life. The independent variables were adherence to treatment, physical exercise, diet, and smoking. Quality of life was measured by Short Form-36. Dietary pattern was measured by food recall. The other data were collected by questionnaire. The data were analyzed by chi square with prevalence ratio (PR) as the measure of association. Results: Adherence to treatment (PR= 10.27; CI 95%= 2.85 to 36.94; p<0.001), physical exercise (PR= 12.00; CI 95%= 2.26 to 63.86; p= 0.001), good diet (PR= 1.80; CI 95%= 1.40 to 2.34; p= 0.001), and smoking abstinence (PR= 3.36; CI 95%= 1.04 to 10.90; p= 0.038) were associated with better quality of life in elderly with hypertension. Conclusion: Adherence to treatment, physical exercise, good diet, and smoking abstinence are associated with good quality of life in elderly with hypertension

Health Behavior Assessments Lacking in Primary Care Settings

Outlines findings on existing health behavior questionnaires and the need to develop brief, broadly applicable, self-administrable, age- and culture-appropriate tools in order to deliver effective behavior change counseling in primary care settings

Stages of health behavior change and factors associated with physical activity in patients with intermittent claudication

OBJECTIVE: To analyze, in people with intermittent claudication, the frequency of individuals who are in each of stages of health behavior change to practice physical activity, and analyze the association of these stages with the walking capacity. METHODS: We recruited 150 patients with intermittent claudication treated at a tertiary center, being included those > 30-year-old-individuals and who had ankle-arm index < 0.90. We obtained socio-demographic information, presence of comorbidities and cardiovascular risk factors and stages of health behavior change to practice physical activity through a questionnaire, they being pre-contemplation, contemplation, preparation, action and maintenance. Moreover, the walking capacity was measured in a treadmill test (Gardner protocol). RESULTS: Most individuals were in the maintenance stage (42.7%), however, when the stages of health behavior change were categorized into active (action and maintenance) and inactive (pre-contemplation, contemplation and preparation), 51.3% of the individuals were classified as inactive behavior. There was no association between stages of health behavior change, sociodemographic factors and cardiovascular risk factors. However, patients with intermittent claudication who had lower total walking distance were three times more likely to have inactive behavior. CONCLUSION: Most patients with intermittent claudication showed an inactive behavior and, in this population, lower walking capacity was associated with this behavior

Social support, social control and health behavior change in spouses

Our work on support processes in intimate relationships has focused on how partners in committed relationships help one another contend with personal difficulties, and how partners elicit and provide support in their day-to-day interactions. We are particularly interested in how these support skills relate to marital outcomes (Pasch & Bradbury, 1998; Pasch, Harris, Sullivan, & Bradbury, 2004; Sullivan, Pasch, Eldridge, & Bradbury, 1998) and how they relate to behavior change in spouses (Sullivan, Pasch, Johnson, & Bradbury, 2006), especially health behavior changes. In this chapter, we review research examining the effects of social support and social control on spouses\u27 health behaviors, propose a theory to account for discrepancies in these findings, and report initial data examining the usefulness of this theory in understanding the relationship between social support, social control, and partner health behavior

Motivational interviewing and efficacy in reduction of alcohol use

Health behavior change is a topic that has been heavily researched by professionals in both the mental health and medical fields. Particularly, change related to alcohol behaviors has been extensively researched, likely due to the pervasiveness of alcohol-related deaths in the United States. Nearly 88,000 people die from alcohol-related causes annually, making it the fourth leading preventable cause of death in the United States (CDC, 2014). While there is a lack of a clear definition in the literature, health behavior change can be defined as the shift from risky behaviors to the initiation and maintenance of healthy behaviors and functional activities, and the self-management of chronic health conditions (Epsten, Miner, Nieuwenhujisen,& Zemper, 2006).. There are a large number of factors that affect the outcome of health behavior change, including, but not limited to, patients’ readiness and motivation to change, their environment, their physical and mental capabilities/limitations, and the specific technique taken to attempt to change behaviors. Given the difficulty that comes along with changing instilled behaviors, it is important to consider the different theoretical models of change and the steps people go through in the change process. One such technique used by professionals to facilitate health behavior change is called motivational interviewing. MI is a person-centered counseling style for addressing the common problem of ambivalence about change. MI works by activating patients’ own motivation for change and adherence to treatment and has yielded many positive trials in the areas of management and prevention of diseases ranging from cardiovascular disease, diabetes, hypertension, and pathological gambling (Butler, Miller, & Rollnick, 2008). Since 2002, more than 25,000 articles citing MI and 200 randomized clinical trials of MI have appeared in print (Miller & Rollnick, 2013). The clinical method of MI, first described in 1983, was initially developed as a brief intervention for problem drinking, in which patient motivation is a common obstacle to change (Butler, Miller, & Rollnick, 2008). Because of MI’s original purpose to help patients reduce alcohol consumption, the end of this paper will focus on a meta-analysis of the efficacy of MI for that particular health behavior. This paper will first discuss three different theoretical models of change to provide an understanding of the constructs and variables involved in the change process. Following this an analysis of the definition of motivational interviewing, the broad principles, core interviewing skills, and key concepts will be presented. Then, the aforementioned meta-analysis regarding the efficacy of MI in reduction of alcohol consumption, limitations, conclusions, and directions for future research will be discussed.Educational Psycholog

Patient Education and Consumer Activation in Chronic Disease

Presents suggestions from experts on patient and provider education, health behavior change, and information technologies for strategies, tactics, and activities for helping the chronically ill become active participants in their health and health care

Ecological Social Development Model of Health Behavior of Conduct Achievement MDGs 5

Behavior of pregnant women who support the achievement of MDG 5 has not been fully achieved, one antenatal visit, shows there are still pregnant women who do not perform pregnancy tests regularly. The research aims to develop a model with Social Ecological Approach Model of Health Behavior in order to achieve the Millennium Development Goals by objective 5 with indicator of antenatal visits as well as aid delivery plan both place of birth and birth attendant. Observational study design, analytic, cross-sectional sample of 100 pregnant women who visit antenatal care at the health center Krembangan South Surabaya, simple random sampling, instruments using questionnaires, data analysis descriptive and inferential, using structural equation modeling (Structural Equation Modelling). The development of the social model of ecological models of health behavior to the behavior of the achievement of MDG 5 by the dominant factor is the construction of models intrapersonal factors include knowledge, attitude and self-efficacy, interpersonal factors include the support of family and community factors include health result support model testing goodness of fit note that the resulting model is an appropriate model used in the interpretation of the model because it has a model fit the criteria of empirical data generated by the study. The model can be used to strategize interventions in antenatal care is increasing knowledge, forming attitudes and self-efficacy through various activities such as prenatal classes or groups in pregnancy exercise as well as the involvement of family and health volunteers in assisting pregnant women to childbed