Journal of Health Research最新文献_第10页

Healthcare utilisation: a mixed-method study among tea garden workers in Indian context 医疗保健利用:印度茶园工人的混合方法研究

IF 1.7

Journal of Health Research Pub Date : 2021-06-11 DOI: 10.1108/jhr-02-2021-0101

Sonalee Rajput, Sibasis Hense, K. Thankappan

{"title":"Healthcare utilisation: a mixed-method study among tea garden workers in Indian context","authors":"Sonalee Rajput, Sibasis Hense, K. Thankappan","doi":"10.1108/jhr-02-2021-0101","DOIUrl":"https://doi.org/10.1108/jhr-02-2021-0101","url":null,"abstract":"PurposeThe study examined the utilisation patterns of healthcare services among tea garden workers and analysed the factors influencing utilisation in an Indian context.Design/methodology/approachThe authors employed a mixed-method approach and an explanatory sequential design for the study. A survey was conducted in the beginning followed by in-depth interviews in a north-eastern state of India (Assam). Andersen health behaviour model was used to explore the factors influencing healthcare utilisation. The sample size for the survey and in-depth interviews were 300 and 19, respectively, recruited employing multistage random and purposive sampling techniques.FindingsOut of 300 workers surveyed, 169 (56.3%) were females, 257 (85.7%) were married, 77 (25.7%) were illiterates and 229 (76.3%) had monthly household income less than 100 US$. The survey also found that 47.3% and 15.3% had non-communicable and communicable disease respectively. Most of the workers (67.3%) utilised government facilities, and close to one third (28.7%) utilised tea garden hospitals. About 63.3% had health insurance, but a majority (78.9%) did not use it previously. The analyses of interviews explored the need, enabling, predisposing factors under three important themes influencing utilisation of healthcare services among the workers.Practical implicationsThe study generates evidence to strengthen the Indian Plantation Labour Act, 1951 for tea garden worker's welfare protection and warrants transition from colonial-era policies to contemporary industry realities in order to improve their living, employment, nutritional and health conditions.Originality/valueThe research adds to the existing literature on overall healthcare services utilisation (including coverage and utilisation of health insurance) among blue collar workers who usually lack access to healthcare facilities and explores important factors that determine utilisation in the Indian context.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2021-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48215205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Prescribing pattern of proton pump inhibitors among patients visiting the outpatient general medicine clinic in a tertiary care teaching hospital in Nepal 尼泊尔某三级护理教学医院普通内科门诊患者质子泵抑制剂的处方模式

IF 1.7

Journal of Health Research Pub Date : 2021-06-08 DOI: 10.1108/JHR-09-2020-0420

B. Basyal, N. Marasine, S. Sankhi, Rajendra Lamichhane, B. N. Uprety

{"title":"Prescribing pattern of proton pump inhibitors among patients visiting the outpatient general medicine clinic in a tertiary care teaching hospital in Nepal","authors":"B. Basyal, N. Marasine, S. Sankhi, Rajendra Lamichhane, B. N. Uprety","doi":"10.1108/JHR-09-2020-0420","DOIUrl":"https://doi.org/10.1108/JHR-09-2020-0420","url":null,"abstract":"PurposeThe purpose of this study is to evaluate the prescribing pattern of proton pump inhibitors (PPIs) in patients visiting the outpatient general medical clinic in a Tertiary Care Teaching Hospital.Design/methodology/approachA hospital-based cross-sectional study was conducted in 419 patients aged ≥18 years, visiting the outpatient general medicine clinic of a tertiary hospital and prescribed with at least one PPI, from July to September 2016 using a purposive sampling technique. Descriptive statistics were performed using IBM-SPSS 20.0 (IBM Corporation, Armonk, NY, USA).FindingsPatients were mostly less than 30 years (30.78%) and female (58.95%). Pantoprazole was the most frequently prescribed PPIs (57.04%). The majority of PPIs were prescribed for acid peptic disorder (APD) (33.65%), followed by non-steroidal anti-inflammatory drugs (NSAIDs) prophylaxis (30.79%). Most of the PPIs were prescribed for twice-daily administration (68.26%). Nearly one-fourth (21.72%) of the patients presented with at least one additional medical condition, and almost all (99%) patients were receiving at least one additional drug along with PPIs.Originality/valueThe study suggests that PPIs are frequently prescribed and their use has been extended to other conditions that in fact do not require acid anti-secretory therapy. Result has highlighted the need for an interdisciplinary collaboration between pharmacists and medical professionals for the rational use of PPIs and promotion of PPIs prescription from the National List of Essential Medicines.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2021-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44849482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea patients receiving continuous positive airway pressure therapy 接受持续气道正压治疗的泰国阻塞性睡眠呼吸暂停患者的睡眠质量、日间嗜睡和日间功能

IF 1.7

Journal of Health Research Pub Date : 2021-06-08 DOI: 10.1108/JHR-07-2020-0260

Theerakorn Theerakittikul, J. Chaiard, Jirawan Deeluea

{"title":"Sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea patients receiving continuous positive airway pressure therapy","authors":"Theerakorn Theerakittikul, J. Chaiard, Jirawan Deeluea","doi":"10.1108/JHR-07-2020-0260","DOIUrl":"https://doi.org/10.1108/JHR-07-2020-0260","url":null,"abstract":"Purpose –The purpose is to assess the effectiveness of continuous positive airway pressure (CPAP) treatment on sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea (OSA) patients. Design/methodology/approach – A repeated measures clinical intervention design was implemented. Participants were 50 patients first time diagnosed with OSA and prescribed CPAP treatment. The intervention composed of CPAP health education, and follow-up evaluation. Data on CPAP adherence were downloaded from Smartcards of the CPAP device. The Thai PSQI, ESS and FSAQ-10 questionnaires were administered at baseline, 1-month, and 3-months. Descriptive statistics and repeated measure analysis with multilevel mixedeffects modeling approach were used. Findings –Thirty-nine participants completed the study. Approximately 53% (n5 25) and 71.1% (n5 27) of the patients adhered to CPAP treatment by the end of the 1and 3-months, respectively. After controlling for patients’ adherence, at 1-month follow-up, the intervention improved quality of sleep (β 5 2.65, 95% CI 5 1.60, 4.13), daytime functioning (β 5 3.24, 95% CI 5 1.87, 4.61) and decreased daytime sleepiness (β5 3.29, 95% CI5 1.85, 4.73). At 3 months, the intervention still improved quality of sleep (β5 3.53, 95% CI 5 2.05, 5.01), and daytime functioning (β 5 4.34, 95% CI 5 2.76, 5.92), and decreased daytime sleepiness (β 5 4.82, 95% CI 5 3.16, 6.49). Originality/value – Adherence to CPAP treatment is effective in improving sleep quality, daytime functioning and reducing daytime sleepiness. Patient-oriented strategies for enhancing CPAP adherence should be developed and implemented as a standard care in sleep clinics.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2021-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42047584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Malaysian Enhanced Movement Control Order (EMCO): a unique and impactful approach to combating pandemic COVID-19 马来西亚加强行动管制令(EMCO):对抗COVID-19大流行的独特而有效的方法

IF 1.7

Journal of Health Research Pub Date : 2021-06-04 DOI: 10.1108/JHR-01-2021-0037

M. R. Hassan, Mohd Nizam Subahir, Linayanti Rosli, Shaharom Nor Azian Che Mat Din, N. Ismail, Nor Hana Ahmad Bahuri, Farhan Ibrahim, Naffisah Othman, Zulfikri Abas, A. Nawi

{"title":"Malaysian Enhanced Movement Control Order (EMCO): a unique and impactful approach to combating pandemic COVID-19","authors":"M. R. Hassan, Mohd Nizam Subahir, Linayanti Rosli, Shaharom Nor Azian Che Mat Din, N. Ismail, Nor Hana Ahmad Bahuri, Farhan Ibrahim, Naffisah Othman, Zulfikri Abas, A. Nawi","doi":"10.1108/JHR-01-2021-0037","DOIUrl":"https://doi.org/10.1108/JHR-01-2021-0037","url":null,"abstract":"PurposeThe paper highlights the process-handling during the Enhanced Movement Control Order (EMCO) in combating pandemic COVID-19 in Malaysia.Design/methodology/approachMalaysia first issued an EMCO following a cluster that involved a religious gathering. The EMCO was issued to lockdown the area, undertake screening, treat positive cases and quarantine their close contacts. Active case detection and mass sampling were the main activities involving the population in both zones.FindingsOne hundred ninety-three confirmed COVID-19 cases were identified from the total population of 2,599. Of these cases, 99.5% were Malaysians, 31.7% were aged >60 years and all four deaths (Case Fatality Rate, 2.1%) were elderly people with comorbidities. One hundred and one cases (52.3%) were asymptomatic, of which 77 (77%) were detected during mass sampling. The risk factors contributing to the outbreak were contacts that had attended the religious gathering, regular mosque congregants, wedding ceremony attendees and close household contacts. Malaysia implemented an effective measure in the form of the EMCO to contain the COVID-19 outbreak, where the last cases were reported 16 days before the EMCO was lifted.Originality/valueThe residents’ compliance and inter-agency cooperation were essential elements to the success of the EMCO. A targeted approach using an EMCO should be implemented in a future pandemic.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2021-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47024107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Development of a child-rearing promotion of sexual abstinence scale (CPSAS) in Thai female adolescents at two Thai universities 泰国两所大学的泰国女性青少年性节制量表(CPSAS)

IF 1.7

Journal of Health Research Pub Date : 2021-06-04 DOI: 10.1108/JHR-07-2020-0243

La-Ongdao Wannarit, Waraporn Chaiyawat, J. Yunibhand

{"title":"Development of a child-rearing promotion of sexual abstinence scale (CPSAS) in Thai female adolescents at two Thai universities","authors":"La-Ongdao Wannarit, Waraporn Chaiyawat, J. Yunibhand","doi":"10.1108/JHR-07-2020-0243","DOIUrl":"https://doi.org/10.1108/JHR-07-2020-0243","url":null,"abstract":"Child-rearing promoting sexual abstinence has strongly predicted sexual abstinence in Thai female adolescents, and it requires a valid and reliable measurement. However, no such instrument exists. This study aimed to develop a child-rearing promotion of sexual abstinence scale (CPSAS) and assess its validity and reliability., The scale development consisted of two phases; scale construction and psychometric testing. Phase I included item generation extracted from a literature review and existing measurements. Items were reviewed by five-panel experts and were then selected by considering an inter-item correlation, corrected item-total correlation, factor loading and communality value from the exploratory factor analysis (n = 299). Phase II involved confirmatory factor analysis (CFA) for construct validity and scale reliability (n = 300)., The CPSAS, first, contained 25 items with four dimensions; assuring daughter to recognize parental love, teaching daughter sexual abstinence, convincing daughter to recognize parent's expectations of sexual abstinence and encouraging daughter sexual abstinence. Two items were then deleted after the experts reviewed, and six items were removed after item analysis. The CPSAS finally contained 17 items with a 4-point Likert scale. Psychometric testing provided acceptable results. CFA reported the fit indices; χ2 = 98.06 p = 0.083, df = 80, χ2/df ratio = 1.220, CFI = 0.996, TLI = 0.992, RMSEA = 0.027 and SRMR = 0.030. The standardized factor loadings were 0.499 to 0.908 (p < 0.05). The S-CVI was 0.96, and Cronbach's alpha coefficient was 0.93., The CPSAS is a reliable and valid instrument for evaluating child-rearing promoting sexual abstinence in Thai female adolescents.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2021-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43563876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The impact of resiliency on mental health and quality of life among older adults in Thailand 复原力对泰国老年人心理健康和生活质量的影响

IF 1.7

Journal of Health Research Pub Date : 2021-06-02 DOI: 10.1108/JHR-02-2021-0099

Paul Ratanasiripong, Nop T. Ratanasiripong, Monpanee Khamwong, Sarinya Jingmark, Udon Thani, P. Thaniwattananon, Pennapa Pisaipan, L. Sanseeha, W. Songprakun, A. Tonkuriman, Mae Fah Luang, Suchart Bunyapakorn

{"title":"The impact of resiliency on mental health and quality of life among older adults in Thailand","authors":"Paul Ratanasiripong, Nop T. Ratanasiripong, Monpanee Khamwong, Sarinya Jingmark, Udon Thani, P. Thaniwattananon, Pennapa Pisaipan, L. Sanseeha, W. Songprakun, A. Tonkuriman, Mae Fah Luang, Suchart Bunyapakorn","doi":"10.1108/JHR-02-2021-0099","DOIUrl":"https://doi.org/10.1108/JHR-02-2021-0099","url":null,"abstract":"The aim of this study was to examine the impact of resiliency and associated factors on the mental health and quality of life among older adults in Thailand.,This cross-sectional study was conducted with 1,800 older adults (M = 69.3, SD = 7.2) from nine provinces across all regions of Thailand. Each participant completed an anonymous paper-based survey that included demographic data, work activities, health behaviors, social support, Connor-Davidson Resilience Scale (CD-RISC), Depression, Anxiety, Stress Scale (DASS) and World Health Organization Quality of Life Assessment for Older Adults (WHOQOL-OLD).,Through hierarchical multiple regression, resiliency, social support, exercise and work hours per week were found to be significant predictors of mental health: depression (F (6, 520) = 19.38, p < 0.001, adjusted R2 = 0.17); anxiety (F (6, 520) = 18.64, p < 0.001, adjusted R2 = 0.17); stress (F (6, 521) = 12.91, p < .001, adjusted R2 = 0.12). Five predictors of quality of life were identified through hierarchical multiple regression: resiliency, social support, exercise, age and family economic status. These predictors explained 35% of the variance, F (5, 1655) = 178.44, p < 0.001, adjusted R2 = 0.35.,Based on the results of this study, a comprehensive Wellness Program was designed to improve the mental health and quality of life of older adults in Thailand. This Wellness Program included five components: Volunteer Program, Resiliency Building Program, Social Support Program, Exercise Program, and Financial Education Program.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2021-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48902428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Comparison of mental burden across different types of cancer patients in Nepal: a special focus on cervical cancer patients 尼泊尔不同类型癌症患者精神负担的比较：特别关注癌症宫颈癌患者

IF 1.7

Journal of Health Research Pub Date : 2021-06-02 DOI: 10.1108/JHR-01-2021-0034

S. Roy Chowdhury, A. Bohara, J. Drope

{"title":"Comparison of mental burden across different types of cancer patients in Nepal: a special focus on cervical cancer patients","authors":"S. Roy Chowdhury, A. Bohara, J. Drope","doi":"10.1108/JHR-01-2021-0034","DOIUrl":"https://doi.org/10.1108/JHR-01-2021-0034","url":null,"abstract":"PurposeThe purpose of the study is to assess the differential impact of gender and cancer sites on mental burden across different types of cancer and control patients.Design/methodology/approachThe paper is based on a primary survey undertaken in 2015–2016 of 600 cancer and 200 control patients across five hospitals of Nepal. The data was analyzed using propensity score matching methods and treatment effect weighting estimators.FindingsThe authors find that of all the types of patients covered under this study, cervical cancer patients suffered from a greater intensity of anxiety and lack of functional wellbeing. On an average, all other female, male cancer patients, and control patients experience significantly lower intensity of mental burden in the range of 1.83, 2.63 and 3.31, respectively when compared to patients of cervical cancer. The results are robust across all the four treatment effect estimators and through all the measures of mental burden. The implications of suffering from cervical cancer, as a unique gynecological cancer was studied in-depth. An effect size analysis pointed out to the dysfunctional familial relationship as additional causes of concern for cervical cancer patients.Originality/valueAn important finding that emerged is that female cancer patients especially those who have cervical cancer should be given special attention because they appear to be the most vulnerable group. Further work is needed to delineate the reasons behind a cervical cancer patient facing higher amount of stress.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2021-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46669017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Influencing factors and gaps of blood donation knowledge among university and college students in Myanmar: a cross-sectional study 缅甸大学生献血知识的影响因素及差距:横断面研究

IF 1.7

Journal of Health Research Pub Date : 2021-06-02 DOI: 10.1108/JHR-10-2020-0500

P. Viwattanakulvanid, Aye Chan Oo

{"title":"Influencing factors and gaps of blood donation knowledge among university and college students in Myanmar: a cross-sectional study","authors":"P. Viwattanakulvanid, Aye Chan Oo","doi":"10.1108/JHR-10-2020-0500","DOIUrl":"https://doi.org/10.1108/JHR-10-2020-0500","url":null,"abstract":"Purpose – Blood donation knowledge of healthy young students is crucial to donate blood voluntarily and regularly in long-term. This study aimed to determine the influencing factors on the blood donation knowledge, to identify gaps of blood donation knowledge and reasons for not donating blood among university and college students in Yangon, Myanmar. Design/methodology/approach – Cross-section survey (May 2019) was conducted in students of Yangon Technological University (YTU) and National Management Degree College (NMDC) with the use of quota and convenience sampling method. The questionnaires covered sociodemographic characteristics, blood donation knowledge and reasons for not donating blood. Findings –Total 320 students (129males and 191 females) with age of 18 to 23 years old participated. Previous blood donation had statistically significant influence on blood donation knowledge scores (ß5 0.396, p<0.001). Gaps of knowledge between nondonors and blood donors were recorded, especially in universal recipient blood groups, Rh blood groups, blood donation interval, eligibility criteria, transfusion-transmitted infections (TTIs), amount of blood removed in donation, benefits of blood donations and misbelief of infections from blood donation. Top three reasons for not donating blood among nondonorswere (1) no opportunity, (2) fear to donate and (3) still underage to donate. Originality/value – Blood donations programs should extend awareness-raising programs in academic society and population at large. Raising awareness should focus on the knowledge gaps such as donor eligibility, interval of blood donations, TTIs and benefits of donating blood to recipients.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2021-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47318878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

A causal model for health-related quality of life among Thai adolescents with congenital heart disease 泰国先天性心脏病青少年健康相关生活质量的因果模型

IF 1.7

Journal of Health Research Pub Date : 2021-05-31 DOI: 10.1108/JHR-11-2020-0520

Sathima Suratham, Tassanee Prasopkittikun, Arunrat Srichantaranit, Nopporn Vongsirimas

{"title":"A causal model for health-related quality of life among Thai adolescents with congenital heart disease","authors":"Sathima Suratham, Tassanee Prasopkittikun, Arunrat Srichantaranit, Nopporn Vongsirimas","doi":"10.1108/JHR-11-2020-0520","DOIUrl":"https://doi.org/10.1108/JHR-11-2020-0520","url":null,"abstract":"Purpose – The objective of this study was to examine the causal relationships among sex, social support, disease severity, symptoms, physical activity, general health perception and health-related quality of life (HRQOL) in Thai adolescents with congenital heart disease (CHD). Design/methodology/approach – A cross-sectional study was conducted using convenience sampling to recruit 200 Thai adolescents with CHD aged between 13 and18 years from four tertiary university hospitals in Bangkok. Interview method and self-administered questionnaires were used for data collection held between November 2018 and February 2019. Data were analyzed using path analysis to test the hypothesized model of the relationships. Findings – The causal model of HRQOL revealed a good fit with the data. This model of relationship could explain 48% of the variances in HRQOL. Only direct effects of disease severity, symptoms and social support on HRQOL were found while indirect effects were not. Originality/value –Due to the lack of study focusing on factors influencing HRQOL in Thai adolescents with CHD, this empirical study provides the evidence in Thai literature. The modifiable influencing factors for HRQOL found in this study can be manipulated through psycho-educational intervention given to the adolescents and significant others, especially parents, to help increase quality of life in adolescents with CHD.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47181711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of a mobile health diabetes self-management program on HbA1C, self-management and patient satisfaction in adults with uncontrolled type 2 diabetes: a randomized controlled trial 移动健康糖尿病自我管理计划对未控制2型糖尿病成年人HbA1C、自我管理和患者满意度的影响：一项随机对照试验

IF 1.7

Journal of Health Research Pub Date : 2021-05-28 DOI: 10.1108/JHR-02-2021-0126

Chontira Riangkam, Aurawamon Sriyuktasuth, K. Pongthavornkamol, Worapan Kusakunniran, Apiradee Sriwijitkamol

{"title":"Effects of a mobile health diabetes self-management program on HbA1C, self-management and patient satisfaction in adults with uncontrolled type 2 diabetes: a randomized controlled trial","authors":"Chontira Riangkam, Aurawamon Sriyuktasuth, K. Pongthavornkamol, Worapan Kusakunniran, Apiradee Sriwijitkamol","doi":"10.1108/JHR-02-2021-0126","DOIUrl":"https://doi.org/10.1108/JHR-02-2021-0126","url":null,"abstract":"This study aimed to examine the effects of a three-month mobile health diabetes self-management program (MHDSMP) on glycemic control, diabetes self-management (DSM) behaviors and patient satisfaction in adults with uncontrolled type 2 diabetes (T2DM) in Thailand.,This was a three-arm, parallel-group, randomized controlled trial among 129 adults with uncontrolled T2DM who attended the medical outpatient department in a medical center. The participants were randomly assigned to the three study groups (n = 43 per group), including MHDSMP, telephone follow-up (TF) and usual care (UC). MHDSMP encompassed four components, including DSM engagement, DSM mobile application, motivational text messages and telephone coaching. Outcomes were evaluated at three-month end-of-study by using HbA1C and response to the Summary of Diabetes Self-Care Activities (SDSCA) and the Client Satisfaction Questionnaire (CSQ-8). Data were analyzed by using descriptive statistics and multivariate analysis of covariance (MANCOVA).,The findings revealed that at the end-of-study, HbA1C decreased from 7.80 to 7.17% (p < 0.001) in MHDSMP group, from 7.72 to 7.65% (p = 0.468) in TF group, and from 7.89 to 7.72% (p = 0.074) in UC group. Significantly higher SDSCA and CSQ-8 scores were also observed in MHDSMP compared to TF and UC groups (F = 12.283, F = 19.541, F = 8.552, p < 0.001, respectively).,This study demonstrated that MHDSMP adjunct with usual care is beneficial for patient outcomes in adults with uncontrolled T2DM in Thailand, compared to TF and UC groups.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2021-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49399709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4