Self-efficacy and social support enable women to protect their pelvic floor health: A nonrandomized controlled trial in rural Nepal.

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Vica Marie Jelena Jonitz, Akina Shrestha, Helena Luginbuehl, Aastha Kasaju, Chiara Scarnato, Regula Meierhofer, Jennifer Inauen
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Abstract

Carrying heavy loads increases the risk of pelvic organ disorders, particularly in low-income countries. Low self-efficacy hampers adoption of pelvic-floor-protective behaviors. The enabling hypothesis suggests that social support may strengthen women's behavioral self-efficacy. A three-arm parallel non-randomized controlled trial with 300 women and their social partners experimentally examined whether self-efficacy and social support can enable women's pelvic-floor-protective behaviors in rural Nepal. Three villages received (1) self-efficacy (2) self-efficacy and social support promotion, or (3) information only control. The co-primary outcomes were reduced weight carried and using protective lifting techniques at 2-month follow-up. Self-efficacy promotion increased the use of protective lifting techniques 9% more than information only (d = 0.28). Weight was reduced by 3 kg more when additionally promoting social support compared to self-efficacy alone (d = 0.39). Self-efficacy and social support promotion enable women to better protect their pelvic floor health and may complement educational approaches to health behavior change in low-resource populations.

自我效能感和社会支持使妇女能够保护盆底健康:尼泊尔农村地区的非随机对照试验。
负重会增加罹患盆腔器官疾病的风险,尤其是在低收入国家。低自我效能感阻碍了盆底保护行为的采用。有利假说认为,社会支持可增强妇女的行为自我效能感。一项由 300 名妇女及其社会伙伴参加的三臂平行非随机对照试验对自我效能感和社会支持能否促进尼泊尔农村妇女的骨盆底保护行为进行了实验性研究。三个村庄分别接受了(1)自我效能(2)自我效能和社会支持促进(3)仅信息对照。随访 2 个月的共同主要结果是体重减轻和使用保护性提举技术。与只提供信息的对照组相比,提高自我效能的对照组使用保护性提举技术的比例高出 9% (d = 0.28)。与只宣传自我效能相比,如果额外宣传社会支持,体重会减少 3 公斤(d = 0.39)。自我效能感和社会支持的推广使妇女能够更好地保护其盆底健康,可作为教育方法的补充,帮助低收入人群改变健康行为。
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来源期刊
Journal of Health Psychology
Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
7.50
自引率
3.10%
发文量
81
期刊介绍: ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.
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