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Alibudbud R. Empowering Nurses to Engage in Self-Care Practices During and Beyond the COVID-19 Pandemic in the Philippines. Workplace Health Saf 2024; 72:46-47. [PMID: 37317897 PMCID: PMC10273044 DOI: 10.1177/21650799231178645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Affiliation(s)
- Rowalt Alibudbud
- Department of Sociology and Behavioral Sciences, De La Salle University
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Jalaghonia N, Kwamie A. Making progress in early-career publishing: evolutions of the women's publication mentorship programme. Health Policy Plan 2023; 38:ii72-ii76. [PMID: 37995263 PMCID: PMC10666911 DOI: 10.1093/heapol/czad047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Revised: 04/20/2023] [Accepted: 07/19/2023] [Indexed: 11/25/2023] Open
Abstract
Mentorship is vital for early-career researchers, especially women from low- and middle-income countries seeking to publish their work. This paper explores the evolution of the Women's Publication Mentorship Programme, a collaborative initiative pioneered by the Alliance for Health Policy and Systems Research, further strengthened through the partnership of Health Systems Global, and Health Policy and Planning. Over a span of five years and encompassing three cohorts, the program supported 45 early-career researchers from 24 countries, resulting in insightful papers on equity-oriented health system topics. Beyond the direct outcomes of strengthening the writing skills of first-time women authors and facilitating paper publications, the Programme has also influenced Health System Global's strategic approach and conceptual framework for systemic capacity strengthening in health policy and systems research. It has also played a pivotal role in addressing the longstanding gender imbalance in global health authorship. Amid these achievements, our program consistently evolved, drawing from lessons of the past cohort. Challenges, such as the need for extended paper development timelines, addressing language barriers, and strengthening methodological rigor in initial manuscripts, were met with solutions. Insights and experiences from previous participants translated into tangible results, notably elevating the quality of journal supplement publications. This commentary explores key lessons from the second cohort's journey and its evolving nature. It also highlights persistent challenges and provides practical recommendations for organizations to enhance their mentorship programs, ultimately fostering the career growth of early-career researchers in health policy and systems research.
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Affiliation(s)
- Nanuka Jalaghonia
- Programme Manager, Health Systems Global, Canadian Association for Global Health, 75 Albert Street, Suite 1003, Ottawa, ON K1P 5E7, Canada
| | - Aku Kwamie
- Technical Officer, Alliance for Health Policy and Systems Research, World Health Organization, 20 Avenue Appia, Geneva 27 1211, Switzerland
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Rababah JA, Al-Hammouri MM, Luciani M. Psychometric properties and measurement invariance of the Arabic Self-Care Inventory. PLoS One 2023; 18:e0291904. [PMID: 37729155 PMCID: PMC10511066 DOI: 10.1371/journal.pone.0291904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Accepted: 09/07/2023] [Indexed: 09/22/2023] Open
Abstract
BACKGROUND Self-care is a fundamental aspect of health and well-being for healthy individuals and those with chronic illnesses. However, the available self-care measurement instruments have limited support regarding their psychometric properties. Research about the validation of comprehensive, theory-based self-care tools in the Arabic language and culture is also limited. In addition, many self-care measurement tools are available only for people with chronic illnesses. OBJECTIVE To examine the psychometric properties of the Arabic version of the Self-care Inventory (SCI) in the general adult population in Jordan. METHODS This study was conducted using a cross-sectional design. Data collection was performed using a demographics questionnaire, and Arabic versions of the SCI, Self-care Self-Efficacy, and the Center for Epidemiologic Studies Depression Scale-revised. SPSS and AMOS were used to analyze the data. Data analysis was conducted by performing confirmatory factor analysis, measurement invariance, internal consistency, and bivariate correlations. RESULTS The results revealed that the SCI comprises three scales: self-care maintenance, self-care monitoring, and self-care management. The goodness of mode fit indices showed that the models of these scales fit the data well by meeting the following set a priori criteria: (RMSEA < .07, CFI > .95, and X2/df < 5). The factor loadings of the individual items of the SCI provided further evidence about the factor structure of the three scales. Regarding measurement invariance, the results indicated that partial invariance across participants' sex is assumed. The values of both Cronbach's α and composite reliability showed that the internal consistency of the SCI is supported. Cronbach's α of the self-care maintenance, self-care monitoring, and self-care management were .82, .86, and .83, respectively. CONCLUSION The psychometric properties of the Arabic version of the SCI demonstrate its validity and reliability as a robust assessment tool for measuring self-care in the general adult population.
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Affiliation(s)
- Jehad A. Rababah
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | | | - Michela Luciani
- Postdoctoral Fellow in Nursing, Department of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy
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Knowledge, attitudes, and practices of primary healthcare providers with assessing and supporting older informal caregivers. Geriatr Nurs 2022; 44:159-166. [PMID: 35182804 DOI: 10.1016/j.gerinurse.2022.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Revised: 01/31/2022] [Accepted: 02/01/2022] [Indexed: 11/23/2022]
Abstract
A time burden, financial strain, and prioritizing care recipient needs over their own are key barriers preventing informal caregivers from engaging in health-promoting self-care. Primary healthcare providers are well positioned to assess and support informal caregivers. A cross sectional descriptive, correlational study was used to examine the knowledge, attitudes, and practices of healthcare providers regarding assessment and support of older informal caregivers. The Healthcare Professional Facilitated Health Promotion (HPFHP) Model guides this study by depicting the collaborative patient-healthcare professional relationship. The Caregiver Self-Care Survey for Healthcare Providers measured the knowledge, attitudes, and practices of 80 healthcare providers on assessing and supporting older informal caregivers. Descriptive and inferential statistics were calculated using IBM Statistical Package for the Social Sciences (SPSS) 28.0 software. Results indicated that despite positive attitudes, knowledge deficit and system level barriers prevented integration of caregiver assessment in practice. A caregiver identification process, user-friendly assessment tool, and system level changes are overdue.
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Gavurova B, Popesko B, Ivankova V, Rigelsky M. The Role of Self-Care Activities (SASS-14) in Depression (PHQ-9): Evidence From Slovakia During the COVID-19 Pandemic. Front Public Health 2022; 9:803815. [PMID: 35111721 PMCID: PMC8801882 DOI: 10.3389/fpubh.2021.803815] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 12/24/2021] [Indexed: 12/12/2022] Open
Abstract
In the ongoing situation, when the world is dominated by coronavirus disease 2019 (COVID-19), the development of self-care programs appears to be insufficient, while their role in mental health may be crucial. The aim of the study was to evaluate the associations between self-care activities and depression in the general Slovak population, but also in its individual gender and age categories. This was achieved by validating the self-care screening instrument, assessing differences, and evaluating the associations using quantile regression analysis. The final research sample consisted of 806 participants [males: 314 (39%), females: 492 (61%)] and data were collected through an online questionnaire from February 12, 2021 to February 23, 2021. Patient Health Questionnaire (PHQ-9) for depression (α = 0.89) and Self-Care Activities Screening Scale (SASS-14) [health consciousness (HC) (α = 0.82), nutrition and physical activity (NPA) (α = 0.75), sleep quality (SLP) (α = 0.82), and interpersonal and intrapersonal coping strategies (IICS) (α = 0.58)] were used as screening measures. Mild depressive symptoms were found in 229 participants (28.41%), moderate depressive symptoms in 154 participants (19.11%), moderately severe depressive symptoms in 60 participants (7.44%) and severe depressive symptoms in 43 participants (5.33%). The main findings revealed the fact that individual self-care activities were associated with depression. This supported the idea that well-practiced self-care activities should be an immediate part of an individual's life in order to reduce depressive symptoms. Sleep quality played an important role, while HC indicated the need for increased attention. Other dimensions of self-care also showed significant results that should not be overlooked. In terms of depression, females and younger individuals need targeted interventions. The supportive educational intervention developed based on the self-care theory can help manage and maintain mental health during a stressful period, such as the COVID-19 pandemic. Health policy leaders should focus on health-promoting preventive self-care interventions, as the demand for them increases even more during the pandemic.
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Affiliation(s)
- Beata Gavurova
- Center for Applied Economic Research, Faculty of Management and Economics, Tomas Bata University in Zlín, Zlín, Czechia
| | - Boris Popesko
- Department of Business Administration, Faculty of Management and Economics, Tomas Bata University in Zlín, Zlín, Czechia
| | - Viera Ivankova
- Institute of Earth Resources, Faculty of Mining, Ecology, Process Control and Geotechnologies, Technical University of Košice, Košice, Slovakia
| | - Martin Rigelsky
- Department of Marketing and International Trade, Faculty of Management and Business, University of Prešov, Prešov, Slovakia
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Ferguson L, Narasimhan M, Gutierrez J, Jardell W, Gruskin S. Law, human rights and gender in practice: an analysis of lessons from implementation of self-care interventions for sexual and reproductive health. Sex Reprod Health Matters 2022; 29:2105284. [PMID: 35975874 PMCID: PMC9387312 DOI: 10.1080/26410397.2022.2105284] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Self-care interventions for health are becoming increasingly available, and among the preferred options, including during the COVID-19 pandemic. This research assessed the extent of attention to laws and policies, human rights and gender in the implementation of self-care interventions for sexual and reproductive health (SRH), to identify where additional efforts to ensure an enabling environment for their use and uptake will be useful. A literature review of relevant studies published between 2010 and 2020 was conducted using PubMed, Scopus and Web of Science. Relevant data were systematically abstracted from 61 articles. In March–April 2021, semi-structured interviews were conducted with 10 key informants, selected for their experience implementing self-care interventions for SRH, and thematically analysed. Laws and policies, rights and gender are not being systematically addressed in the implementation of self-care interventions for SRH. Within countries, there is varied attention to the enabling environment including the acceptability of interventions, privacy, informed consent and gender concerns as they impact both access and use of specific self-care interventions, while other legal considerations appear to have been under-prioritised. Operational guidance is needed to develop and implement supportive laws and policies, as well as to ensure the incorporation of rights and gender concerns in implementing self-care interventions for SRH.
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Affiliation(s)
- Laura Ferguson
- Associate Professor of Population and Public Health Sciences, Director of Research, USC Institute on Inequalities in Global Health, University of Southern California, Los Angeles, CA, USA. Correspondence:
| | - Manjulaa Narasimhan
- Scientist, Department of Sexual and Reproductive Health and Research, World Health Organization, includes the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction – HRP, Geneva, Switzerland
| | - Jose Gutierrez
- Student, University of Southern California, Los Angeles, CA, USA
| | - William Jardell
- Project Specialist, USC Institute on Inequalities in Global Health, University of Southern California, Los Angeles, CA, USA
| | - Sofia Gruskin
- Professor of Population and Public Health Sciences and Law, Director, USC Institute on Inequalities in Global Health, University of Southern California, Los Angeles, CA, USA
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Tusubira AK, Nalwadda CK, Akiteng AR, Hsieh E, Ngaruiya C, Rabin TL, Katahoire A, Hawley NL, Kalyesubula R, Ssinabulya I, Schwartz JI, Armstrong-Hough M. Social Support for Self-Care: Patient Strategies for Managing Diabetes and Hypertension in Rural Uganda. Ann Glob Health 2021; 87:86. [PMID: 34458110 PMCID: PMC8378074 DOI: 10.5334/aogh.3308] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Background Low-income countries suffer a growing burden of non-communicable diseases (NCDs). Self-care practices are crucial for successfully managing NCDs to prevent complications. However, little is known about how patients practice self-care in resource-limited settings. Objective We sought to understand self-care efforts and their facilitators among patients with diabetes and hypertension in rural Uganda. Methods Between April and June 2019, we conducted a cross-sectional qualitative study among adult patients from outpatient NCD clinics at three health facilities in Uganda. We conducted in-depth interviews exploring self-care practices for hypertension and/or diabetes and used content analysis to identify emergent themes. Results Nineteen patients participated. Patients said they preferred conventional medicines as their first resort, but often used traditional medicines to mitigate the impact of inconsistent access to prescribed medicines or as a supplement to those medicines. Patients adopted a wide range of vernacular practices to supplement treatment or replace unavailable diagnostic tests, such as tasting urine to gauge blood-sugar level. Finally, patients sought and received both instrumental and emotional support for self-care activities from networks of family and peers. Patients saw their children as their most reliable source of support facilitating self-care, especially as a source of money for medicines, transport and home necessities. Conclusion Patients valued conventional medicines but engaged in varied self-care practices. They depended upon networks of social support from family and peers to facilitate self-care. Interventions to improve self-care may be more effective if they improve access to prescribed medicines and engage or enhance patients' social support networks.
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Affiliation(s)
- Andrew K. Tusubira
- Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda
| | - Christine K. Nalwadda
- Department of Community Health and Behavioural Sciences, Makerere University, College of Health Sciences, Kampala, Uganda
| | - Ann R. Akiteng
- Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda
| | - Evelyn Hsieh
- Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA
- Yale Network for Global Non-Communicable Diseases, Yale University, New Haven, CT, USA
| | - Christine Ngaruiya
- Yale Network for Global Non-Communicable Diseases, Yale University, New Haven, CT, USA
- Department of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA
| | - Tracy L. Rabin
- Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda
- Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA
- Yale Network for Global Non-Communicable Diseases, Yale University, New Haven, CT, USA
| | - Anne Katahoire
- Child Health and Development Centre, Makerere University, Kampala, Uganda
| | - Nicola L. Hawley
- Yale Network for Global Non-Communicable Diseases, Yale University, New Haven, CT, USA
- Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, USA
| | - Robert Kalyesubula
- Departments of Physiology and Internal Medicine, Makerere College of Health Sciences, Kampala, Uganda
- African Community Center for Social Sustainability (ACCESS), Nakaseke, Uganda
| | - Isaac Ssinabulya
- Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda
- Uganda Heart Institute, Mulago Hospital Complex, Kampala, Uganda
- Department of Internal Medicine, Makerere College of Health Sciences, Kampala, Uganda
| | - Jeremy I. Schwartz
- Uganda Initiative for Integrated Management of Non-Communicable Diseases, Kampala, Uganda
- Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA
- Yale Network for Global Non-Communicable Diseases, Yale University, New Haven, CT, USA
| | - Mari Armstrong-Hough
- Department of Social & Behavioral Sciences, School of Global Public Health, New York University, New York, NY, USA
- Department of Epidemiology, School of Global Public Health, New York University, New York, NY USA
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Ansari A, Fahimfar N, Noruzi A, Fahimifar S, Hajivalizadeh F, Ostovar A, Larijani B, Sanjari M. Health information-seeking behavior and self-care in women with osteoporosis: a qualitative study. Arch Osteoporos 2021; 16:78. [PMID: 33954873 DOI: 10.1007/s11657-021-00923-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Accepted: 03/08/2021] [Indexed: 02/03/2023]
Abstract
UNLABELLED The main findings of this study on the self-care behaviors contain "identification of knowledge gaps," "established networking for seeking information," "information from trust-to-distrust," "information-seeking inhibiting factors," "information-seeking facilitating factors," and "self-care behaviors based on required knowledge." PURPOSE Health information-seeking behavior affects self-care and could promote quality of life and life expectancy. This study aimed at assessing health information-seeking and self-care behaviors of women with osteoporosis in Iran. METHODS This study was conducted using a content analysis approach. Data were collected through semi-structured interviews with 15 women with osteoporosis aged above 50 years. The participants were selected by purposeful sampling. The data were analyzed by the conventional content analysis method using MAXQdata software version 10. RESULTS From in-depth descriptions of the participants' experiences, 246 primary codes were extracted. Subsequently, constant comparison analysis was done and 35 sub-categories and 6 main categories have appeared from the data. DISCUSSION Based on the experiences of women with osteoporosis, they received limited information from the health care providers, so they were seeking reliable information sources to meet their information needs. They obtained most of their information from other patients, family members, and network of friends. In the process of seeking information, they face various barriers such as lack of time in the health care team that affect their ability to self-care. CONCLUSION The results can guide health policymakers, patient educators, health care providers, information specialists, and patients and their families.
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Affiliation(s)
- Ameneh Ansari
- Department of Information Science and Knowledge Studies, Faculty of Management, University of Tehran, Crossroad of Chamran and Jalal Al Ahmad Highway, Next to Tarbiat Modarres Metro Station, Tehran, 1411713114, Iran
| | - Noushin Fahimfar
- Osteoporosis Research Center, Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Jalal Al Ahmad Highway, Next to Shariati Hospital, Tehran, 1411713137, Iran
| | - Alireza Noruzi
- Department of Information Science and Knowledge Studies, Faculty of Management, University of Tehran, Crossroad of Chamran and Jalal Al Ahmad Highway, Next to Tarbiat Modarres Metro Station, Tehran, 1411713114, Iran
| | - Sepideh Fahimifar
- Department of Information Science and Knowledge Studies, Faculty of Management, University of Tehran, Crossroad of Chamran and Jalal Al Ahmad Highway, Next to Tarbiat Modarres Metro Station, Tehran, 1411713114, Iran
| | - Fatemeh Hajivalizadeh
- Musculoskeletal Disease Department, Center for Non-Communicable Diseases Prevention and Control, Ministry of Health of Iran, Ministry of Health & Medical Education, Tehran, 14199943471, Iran
| | - Afshin Ostovar
- Osteoporosis Research Center, Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Jalal Al Ahmad Highway, Next to Shariati Hospital, Tehran, 1411713137, Iran
| | - Bagher Larijani
- Endocrinology and Metabolism Research Center, Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Jalal Al Ahmad Highway, Next to Shariati Hospital, Tehran, 1411713137, Iran
| | - Mahnaz Sanjari
- Osteoporosis Research Center, Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Jalal Al Ahmad Highway, Next to Shariati Hospital, Tehran, 1411713137, Iran. .,Endocrinology and Metabolism Research Center, Endocrinology & Metabolism Research Institute, Tehran University of Medical Sciences, Jalal Al Ahmad Highway, Next to Shariati Hospital, Tehran, 1411713137, Iran.
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Information or Habit: What Health Policy Makers Should Know about the Drivers of Self-Medication among Romanians. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18020689. [PMID: 33466957 PMCID: PMC7830883 DOI: 10.3390/ijerph18020689] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Revised: 12/28/2020] [Accepted: 01/09/2021] [Indexed: 02/06/2023]
Abstract
We use the Knowledge, Perceptions and Practices framework to analyze determinants of three types of self-medication practices in Romania: (1) self-medication in the case of cold/flu/viral infections; (2) taking non-prescribed medicine in general; and (3) self-medication based on recommendations by others. We analyzed 706 responses to an online survey and used a factor-based Partial Least Squares algorithm (PLSF) to estimate the relationships between each type of self-medication and possible predictors. Our results show that self–medication is strongly predicted by non-cognitive behavioral factors such as habits and similarity of symptoms, while cognitive determinants such as knowledge and understanding of potential risks are not significantly associated with self-medication behaviors. This paper identifies nonlinear relationships among self-medication practices and its predictors and discusses how our results can help policymakers calibrate interventions with better accuracy.
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Masheder J, Fjorback L, Parsons CE. "I am getting something out of this, so I am going to stick with it": supporting participants' home practice in Mindfulness-Based Programmes. BMC Psychol 2020; 8:91. [PMID: 32867834 PMCID: PMC7457766 DOI: 10.1186/s40359-020-00453-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2019] [Accepted: 07/27/2020] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND The practice of mindfulness at home is a core component of standard eight-week mindfulness-based programmes (MBP). Teachers of mindfulness courses require an understanding of the factors that need to be addressed to support participants in establishing and maintaining a mindfulness practice. METHOD Here, we present a review of seven factors that we argue are important for participants' practice of mindfulness. We use the well-established model of Behaviour Change, the COM-B model (Capability, Opportunity, Motivation and Behaviour) to organise and consider these factors. For each factor, we first present a definition and then a discussion in relation to psychological, health and Buddhist literature. We illustrate the importance of each factor with quotes from MBP participant interviews. RESULTS We discuss participants' Capability (planning/commitment, physical space), Opportunity (social support, the relationship with the teacher) and Motivation (readiness for self-care, beliefs about practice, self-efficacy, experiencing the rewards of practice), and how these lead to the target Behaviour (mindfulness practice). CONCLUSIONS Our understanding, as teachers and researchers, of how best to support and guide participants during MBPs is at an early stage. We draw out practical lessons around each of the seven factors for mindfulness teachers in supporting participants' home practice.
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Affiliation(s)
| | | | - Christine E Parsons
- Danish Center for Mindfulness, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
- Interacting Minds Center, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
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Bloem S, Stalpers J, Groenland EAG, van Montfort K, van Raaij WF, de Rooij K. Segmentation of health-care consumers: psychological determinants of subjective health and other person-related variables. BMC Health Serv Res 2020; 20:726. [PMID: 32771005 PMCID: PMC7414542 DOI: 10.1186/s12913-020-05560-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Accepted: 07/20/2020] [Indexed: 11/10/2022] Open
Abstract
Background There is an observable, growing trend toward tailoring support programs – in addition to medical treatment – more closely to individuals to help improve patients’ health status. The segmentation model developed by Bloem & Stalpers [Nyenrode Research Papers Series 12:1–22, 2012] may serve as a solid basis for such an approach. The model is focused on individuals’ ‘health experience’ and is therefore a ‘cross-disease’ model. The model is based on the main psychological determinants of subjective health: acceptance and perceived control. The model identifies four segments of health-care consumers, based on high or low values on these determinants. The goal of the present study is twofold: the identification of criteria for differentiating between segments, and profiling of the segments in terms of socio-demographic and socio-economic variables. Methods The data (acceptance, perceived control, socio-economic, and socio-demographic variables) for this study were obtained by using an online survey (a questionnaire design), that was given (random sample N = 2500) to a large panel of Dutch citizens. The final sample consisted of 2465 participants – age distribution and education level distribution in the sample were similar to those in the Dutch population; there was an overrepresentation of females. To analyze the data factor analyses, reliability tests, descriptive statistics and t-tests were used. Results Cut-off scores, criteria to differentiate between the segments, were defined as the medians of the distributions of control and acceptance. Based on the outcomes, unique profiles have been formed for the four segments: 1. ‘Importance of self-management’ – relatively young, high social class, support programs: high-quality information. 2. ‘Importance of personal control’ – relatively old, living in rural areas, high in homeownership; supportive programs: developing personal control skills. 3. ‘Importance of acceptance’ – relatively young male; supportive programs: help by physicians and nurses. 4. ‘Importance of perspective and direction’ – female, low social class, receiving informal care; support programs: counseling and personal care. Conclusions The profiles describe four segments of individuals/patients that are clearly distinct from each other, each with its own description. The enriched descriptions provide a better basis for the allocation and developing of supportive programs and interventions across individuals.
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Affiliation(s)
- Sjaak Bloem
- Center for Marketing & Supply Chain Management, Nyenrode Business University, P.O. Box 130, 3620, AC, Breukelen, The Netherlands
| | - Joost Stalpers
- Center for Marketing & Supply Chain Management, Nyenrode Business University, P.O. Box 130, 3620, AC, Breukelen, The Netherlands
| | - Edward A G Groenland
- Center for Marketing & Supply Chain Management, Nyenrode Business University, P.O. Box 130, 3620, AC, Breukelen, The Netherlands
| | - Kees van Montfort
- Center for Marketing & Supply Chain Management, Nyenrode Business University, P.O. Box 130, 3620, AC, Breukelen, The Netherlands.,Department of Biostatistics, Erasmus Medical Center Rotterdam, P.O. Box 2040, 3000, CA, Rotterdam, The Netherlands
| | - W Fred van Raaij
- Tilburg School of Social and Behavioral Sciences, Tilburg University, P.O. Box 90153, 5000, LE, Tilburg, The Netherlands
| | - Karla de Rooij
- Janssen-Cilag B.V, PO Box 4928, 4803, EX, Breda, The Netherlands.
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