American journal of health behavior最新文献

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Effect of Oral Health and Toothbrushing Performance on Halitosis among People with Intellectual Disabilities 口腔健康及刷牙习惯对智力障碍者口臭的影响
4区 医学
American journal of health behavior Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.6
Sung-Min Son, Byung-O Ahn
{"title":"Effect of Oral Health and Toothbrushing Performance on Halitosis among People with Intellectual Disabilities","authors":"Sung-Min Son, Byung-O Ahn","doi":"10.5993/ajhb.47.4.6","DOIUrl":"https://doi.org/10.5993/ajhb.47.4.6","url":null,"abstract":"Background: Halitosis is considered unpleasant in social settings, including among family members and close friends. The level of halitosis acts as a negative factor in personal relationships and social activities and causes psychological and emotional problems such as discouragement by affecting isolation, and a sense of pride. We aimed to analyze the factors affecting halitosis, focusing on oral health and toothbrushing performance of people with intellectual disabilities. Methods: Study participants were 20 people with intellectual disabilities residing in a residential care facility. We assessed halitosis level using a 6-point Likert scale. We assessed oral pain using the Wong-Baker Faces Pain Rating Scale. Debris and calculus level was assessed with the simplified oral hygiene index. The assessment of toothbrushing performance level performed using the Korean version of the Modified Barthel Index; performance time was measured with a stopwatch. Results: There was a statistically significant correlation between the level of halitosis and calculus (+), and toothbrushing performance level (−). As a result of casual relationship analysis, toothbrushing performance (−) was the only effect factor influencing halitosis level. Conclusions: To manage the halitosis level of people with intellectual disabilities, education and training for toothbrushing performance, as well as comprehensive assessment of performance are needed. Also, active interventions and approaches should be used to teach and maintain performance as a habit.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136241731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Collaborative Improvement Mechanism of Preschool Children's Music Appreciation Ability and Mental Health Level 学龄前儿童音乐欣赏能力与心理健康水平的协同提升机制
4区 医学
American journal of health behavior Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.9
Yanan Wang, Fei Yang, Yinghan Wang
{"title":"Collaborative Improvement Mechanism of Preschool Children's Music Appreciation Ability and Mental Health Level","authors":"Yanan Wang, Fei Yang, Yinghan Wang","doi":"10.5993/ajhb.47.4.9","DOIUrl":"https://doi.org/10.5993/ajhb.47.4.9","url":null,"abstract":"Objectives: Our aim was to explore the collaborative improvement of children's music appreciation ability and mental health level, so as to promote the application of music education in preschool children's mental health education activities. Methods: We first established a mathematical model for the degree of order and degree of collaboration of the complex system for the collaborative improvement of preschool children's music appreciation ability and mental health level; and then, based on the evolutionary game theory, we analyzed the choices of strategy in the 2 subsystems‐music appreciation ability cultivation and mental health improvement‐in the process of collaborative cultivation; finally, we investigated the preschool children's music appreciation ability and mental health level before and after the implementation of the collaborative improvement mechanism, and conducted regression analysis and correlation analysis on preschool children's music appreciation ability and mental health level. Results: We found that with the improvement of music appreciation ability, the mental health level of preschool children also improved. After the implementation of the collaborative improvement mechanism, all indicators of the music appreciation ability and mental health level of the preschool children were higher than those before the implementation of the mechanism. Conclusions: There is a positive correlation between preschool children's music appreciation ability and their mental health level, and the collaborative improvement mechanism proposed is effective.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136241734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes In the Activation of Supra-hyoid Muscles and Heart Rate of College Students During Food Intake According to Watching Mukbang 从看《吃早饭》看大学生进食过程中舌骨上肌活动和心率的变化
4区 医学
American journal of health behavior Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.18
Byung-OAhn snm, Sung-Min Son, Hyeong-Min Kim
{"title":"Changes In the Activation of Supra-hyoid Muscles and Heart Rate of College Students During Food Intake According to Watching Mukbang","authors":"Byung-OAhn snm, Sung-Min Son, Hyeong-Min Kim","doi":"10.5993/ajhb.47.4.18","DOIUrl":"https://doi.org/10.5993/ajhb.47.4.18","url":null,"abstract":"Objectives: Watching mukbang contributes to changes in eating habits and related behaviors. In this study, we aimed to analyze the changes in supra-hyoid muscles′ activation and heart rate of college students according to watching mukbang. Methods: The study participants were 30 college students. During the watching of mukbang, water, and yogurt were allowed to be consumed, and then the changes in suprahyoid muscles′ activation and heart rate were analyzed. Surface EMG of VatalStim Plus was used to measure the supra-hyoid muscles′ activation and the average, maximum, and minimum values were measured. An Apple Watch measured heart rate and average heart rate was determined. Results: Through watching mukbang, the average and maximum values of the supra-hyoid muscles′ activation showed a statistically significant increase in the case of both food intakes. Conclusions: During food intake, watching mukbang induces changes in the supra-hyoid muscles′ activation. Therefore, the changes in food intake should be considered according to the increase in the supra-hyoid muscles′ activation due to the influence of watching mukbang. Follow-up studies to verify effects on eating behavior and intake should be conducted.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136242611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does Gender Inequality Lead to Increased Burnout in Female Healthcare Workers in Saudi Arabia? Linking Managerial Role and Internal Relationship with Reduced Burnout 性别不平等是否导致沙特阿拉伯女性医护人员职业倦怠增加?管理角色、内部关系与职业倦怠的关联
4区 医学
American journal of health behavior Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.4
Muhammad Awais Bhatti
{"title":"Does Gender Inequality Lead to Increased Burnout in Female Healthcare Workers in Saudi Arabia? Linking Managerial Role and Internal Relationship with Reduced Burnout","authors":"Muhammad Awais Bhatti","doi":"10.5993/ajhb.47.4.4","DOIUrl":"https://doi.org/10.5993/ajhb.47.4.4","url":null,"abstract":"Objectives: To evaluate the impact of gender inequality (GIQ) on burnout (BR) among female healthcare workers in Saudi Arabia by incorporating the moderation effect of managerial role (MR) and internal relationship (IR). Methods: Survey-based research was conducted through non-probability sampling and a sample of 112 participants was utilized for analysis. Using AMOS, data were analyzed using confirmatory factor analysis and structural equation modeling. Results: The findings showed that a positive and significant relationship existed between GIQ and BR in female healthcare workers in Saudi Arabia. Similarly, the moderating impact of MR and IR was found to be significant. However, while the MR strengthened the positive association between GIQ and BR, the IR suppressed the positive association between the two. Conclusion: The study provides implications for managers, healthcare workers, and policymakers to put greater efforts into reducing GIQ for an improved work environment and reduced burnout for female healthcare workers.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136242453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Willingness to Co-receive COVID-19 and Influenza Vaccines among Outpatients 门诊患者联合接种COVID-19和流感疫苗的意愿
4区 医学
American journal of health behavior Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.8
Krissy Moehling Geffel, Mary Patricia Nowalk, Theresa M. Sax, Louise Taylor, Karen Clarke, Michael Susick, G.K. Balasubramani, Richard K. Zimmerman
{"title":"Willingness to Co-receive COVID-19 and Influenza Vaccines among Outpatients","authors":"Krissy Moehling Geffel, Mary Patricia Nowalk, Theresa M. Sax, Louise Taylor, Karen Clarke, Michael Susick, G.K. Balasubramani, Richard K. Zimmerman","doi":"10.5993/ajhb.47.4.8","DOIUrl":"https://doi.org/10.5993/ajhb.47.4.8","url":null,"abstract":"Objectives: This study was designed to examine future willingness to co-receive COVID-19 and influenza vaccines and factors associated with that willingness among outpatients with acute respiratory illness (ARI). Methods: Outpatients ≥15 years with respiratory symptoms for ≤10 days were surveyed about vaccination behaviors and intentions. We used multinomial logistic regression to assess associations between demographic, behavioral and health-related variables and willingness to co-receive future COVID-19 and influenza vaccines. Results: Among 856 patients, 41% had received ≥1 COVID-19 vaccines plus booster and 42% had received seasonal influenza vaccine; 47% reported willingness to co-receive COVID-19 and influenza vaccines with 25% unsure and 28% unwilling. Higher educational attainment (OR=1.80, p=.009), receipt of ≥1 COVID-19 vaccines (OR=4.29, p<.001), greater 5-year influenza vaccine uptake (annually OR=8.54, p<.001; sometimes OR=5.38, p<.001) and lower likelihood of testing COVID-19 positive (OR=0.68, p=.033) were significantly associated with willingness to co-receive compared to those decidedly opposed. Conclusions: Prior vaccination behavior predicted willingness to co-receive future COVID-19 and influenza vaccines. Efforts to encourage co-receipt are more likely to succeed among routine vaccine recipients. Vaccination promotion efforts for those hesitant or unwilling to co-receive these vaccines may need to focus on improving uptake of each vaccine individually.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136242606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of Insomnia among Medical Staff during the Epidemic Prevention and Control: A Perspective on Health Behavior 疫情防控过程中医务人员失眠症患病率:健康行为视角
4区 医学
American journal of health behavior Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.7
Jinhua Sun, Xiaoqing Wang, Liman Jian, Bo Dong
{"title":"Prevalence of Insomnia among Medical Staff during the Epidemic Prevention and Control: A Perspective on Health Behavior","authors":"Jinhua Sun, Xiaoqing Wang, Liman Jian, Bo Dong","doi":"10.5993/ajhb.47.4.7","DOIUrl":"https://doi.org/10.5993/ajhb.47.4.7","url":null,"abstract":"Objectives: In this study, we investigated the sleep status of medical personnel in selected regions of China during the pandemic years of 2020 to 2022; we also considered their health behavior (HB). Methods: We used a random sampling method to select medical personnel for data collection in Shandong Province and its surrounding areas. For assessment instruments we used the General Situation Questionnaire, Pittsburgh Sleep Quality Index Inventory (PSQI), Self-Assessment Scale for Anxiety (SAS), and Self-Assessment Scale for Depression (SDS). Results: A total of 621 medical personnel participated, with a mean PSQI score of 11.37±3.79. The overall detection rate of insomnia was 88.73%, with 16.79% indicating severe insomnia. The primary sleep disorder among medical staff was daytime dysfunction, followed by difficulty falling asleep, poor sleep quality, and sleep efficiency. Various factors including age, education, position/title, abnormal menstruation, working age, income, night shift, and work intensity significantly influenced sleep quality. Advanced age, higher education, higher position/title, abnormal menstruation, working night shift, and higher work intensity emerged as risk factors; having longer working years was protective. Income was a compound factor affecting sleep. Conclusion: Increasing attention to the sleep situation of medical personnel is crucial, as these factors may impact their HB.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136241733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Cluster Nursing Methods Following Laparoscopic Partial Nephrectomy 腹腔镜肾部分切除术后集群式护理方法的作用
4区 医学
American journal of health behavior Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.3
Li Zou, Weihong Wang, Qiaoping Wang, Lanlan Zhang, Yichao Hu, Haofen Xie, Zejun Yan
{"title":"The Role of Cluster Nursing Methods Following Laparoscopic Partial Nephrectomy","authors":"Li Zou, Weihong Wang, Qiaoping Wang, Lanlan Zhang, Yichao Hu, Haofen Xie, Zejun Yan","doi":"10.5993/ajhb.47.4.3","DOIUrl":"https://doi.org/10.5993/ajhb.47.4.3","url":null,"abstract":"Objective : Laparoscopic partial nephrectomy has become an important treatment method for patients with limited renal tumors; however, its most common complication is postoperative bleeding and, until now, little has been known about the use of enhanced recovery after surgery following the use of laparoscopic partial nephrectomy for kidney tumors in China. In the present study, we assessed the efficacy of cluster nursing methods in the recovery of patients after laparoscopic partial nephrectomy. Methods: We included 96 patients were in the study and separated them into an observation group and a control group. The control group received traditional oral and written education as well as routine care; the observation group received the cluster nursing methods of a dissociate hemorrhage risk classification and position plan, performed by doctors and nurses, respectively. We used the Kolcaba General Comfort Questionnaire (GCQ), Digital Pain Scoring, and Hamilton Anxiety Scale to evaluate the patients′ conditions. Results: We compared the durations of absolute bedrest, Kolcaba GCQ scores, flank pain scores, psychological anxiety scores and hospitalization indicators between the 2 groups; the differences were statistically significant (p<.05). No bleeding or lower extremity venous thrombosis occurred in either of the 2 groups. Conclusions: Position management and diversified health education may enhance post-surgery recovery, shorten the hospitalization time, and improve inpatient comfort.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136241865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Post-COVID-19 Total and Domain-specific Sedentary Behaviors in Saudi Adults covid -19后沙特成年人的总体和特定领域久坐行为
4区 医学
American journal of health behavior Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.12
Abdullah B. Alansare
{"title":"Post-COVID-19 Total and Domain-specific Sedentary Behaviors in Saudi Adults","authors":"Abdullah B. Alansare","doi":"10.5993/ajhb.47.4.12","DOIUrl":"https://doi.org/10.5993/ajhb.47.4.12","url":null,"abstract":"Objectives: Although previous research reported prevalence of sedentary behavior (SB) during the COVID-19 pandemic, the prevalence of SB in the post-COVID-19 era remains unexplored. Prevalence, patterns, and determinants of post-COVID-19 total SB, and domain-specific SB in Saudi adults was examined. Methods: Participants (N=1,255; 55% females; 50% aged 20 to 29 years old) completed a Web-based survey (December 2, 2022 ‐ January 25, 2023). The Arabic version of the Sedentary Behavior Questionnaire estimated SBs (hours/day) during weekdays and weekend days. Respondents self-reported personal, anthropometric, and socioeconomical variables. Wilcoxon signed-rank tests assessed patterns of total and domain-specific SB and Kruskal-Wallis tests evaluated its determinants. Results: Most participants (54.7%) spent excessive time (≥8 hours/day) in total SB especially during weekdays (p<.001). Leisure-time SB was higher compared to other domain-specific SB (p<.001). Occupational-time SB was higher on weekdays while leisure-time SB was higher during weekends days (p<.001). No statistically significant differences were found for transportational-time SB. Age and occupation were the main determinants of SB (p<.005) while other correlates had more complex associations. Conclusions: Current efforts to reduce SB and suggest that Saudi policymakers, physicians, and researchers target not only daily total SB, but also domain-specific SB, especially in the post-COVID-19 era.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136242608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health Needs Assessment: Comparison of Applications of All-in-One AI Platform during the COVID-19 Pandemic between Mainland China and Hong Kong 健康需求评估:新冠肺炎疫情期间内地与香港一体化AI平台应用比较
4区 医学
American journal of health behavior Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.13
Chuhan Miao, Yan Bo, Jingyu Xu, Yuqian Wu, Jiayue Shen, Jun Fan, Yingli Wang, Wang Tin Li
{"title":"Health Needs Assessment: Comparison of Applications of All-in-One AI Platform during the COVID-19 Pandemic between Mainland China and Hong Kong","authors":"Chuhan Miao, Yan Bo, Jingyu Xu, Yuqian Wu, Jiayue Shen, Jun Fan, Yingli Wang, Wang Tin Li","doi":"10.5993/ajhb.47.4.13","DOIUrl":"https://doi.org/10.5993/ajhb.47.4.13","url":null,"abstract":"Objectives: The COVID-19 pandemic has been a public health hazard since 2020. Preventive measures taken in mainland China and Hong Kong to control the spread of COVID-19, including quarantine, could potentially affect people's physical and mental health. Methods: We used a snowball sampling method to investigate the experience of people in mainland China and Hong Kong using AI chatbots during the COVID-19 pandemic to obtain information on mental health related to COVID-19, the current situation, and the multi-dimensional experience of using AI chatbots. The people who participated in the survey were residents aged 18-75 in the 2 areas. Results: The effective response rate of the questionnaire was 98%. Concerning demographics, 91.1% of the target group were 18-55 years old. The most important sources of information for the respondents were WeChat and Web pages. There was no difference between Hong Kong and mainland China in terms of access to COVID-19-related mental health information (☓ 2 =0.59, p=.444), and no difference shown in access to information by gender (☓ 2 =0.01, p=.942). There was no difference in age group (☓ 2 =2.97, p=.594) and was not related to whether respondents were in the provincial capital city area (☓ 2 =0.62, p=.429). Age groups “<18 years old” and “56-65 years old” were related to giving a higher (4 or 5) score to AI text questions answering chatbot (p=.030), and there is a positive relationship between the satisfactory of AI text question answering chatbot and that of AI voice question answering chatbot (R 2 =0.8074, p=.038). Conclusion: There is no significant difference in the use of all-in-one AI platforms in mainland China and Hong Kong, and both have large market potential in the field of AI services for mental health. This platform is suitable for people of all ages in both regions. The results of this study provide forward-looking guidance for our team to develop robots based on an all-in-one AI platform.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136242610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of the SystemCHANGETM Intervention on Systems Thinking in a Randomized Controlled Trial of Adult Kidney Transplant Recipients: A Secondary Data Analysis 在一项成人肾移植受者随机对照试验中,SystemCHANGETM干预对系统思维的影响:二次数据分析
4区 医学
American journal of health behavior Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.16
Angela M. Andrews, Cynthia L. Russell, Steven Chesnut
{"title":"The Effect of the SystemCHANGETM Intervention on Systems Thinking in a Randomized Controlled Trial of Adult Kidney Transplant Recipients: A Secondary Data Analysis","authors":"Angela M. Andrews, Cynthia L. Russell, Steven Chesnut","doi":"10.5993/ajhb.47.4.16","DOIUrl":"https://doi.org/10.5993/ajhb.47.4.16","url":null,"abstract":"Objective: The SystemCHANGE™ intervention is an approach that harnesses patients′ recurring personal systems of established routines of daily living, environments, and important others as reliable ′personalized system solutions′ to support habitual medication-taking and improve medication adherence. In a secondary data analysis, we (1) analyzed the association between the longitudinal trajectories of systems thinking and medication adherence, and (2) examined the extent that demographic characteristics and the SystemCHANGE™ intervention influenced these trajectories. Methods: Participants were ≥ 18 years of age who had received a kidney‐only transplant, self‐administered at least one prescribed immunosuppressive medication twice daily, had a functioning kidney transplant, were not in the hospital, and had no diagnosis that would immediately shorten the lifespan. We conducted a single‐blinded (participants), 2‐arm randomized controlled trial (RCT). An intervention group received the 6-month SystemCHANGETM intervention, and the attention-control group received the 6-month education intervention. Systems thinking was measured using the Systems Thinking Scale (adapted for patients). Results: The parallel process growth curve model with time-invariant predictors suggested that participants with higher levels of systems thinking at baseline demonstrated greater gains in systems thinking over time (r=0.407). White participants exhibited greater baseline levels of systems thinking than African-American participants (d=0.76). Participants assigned to the SystemCHANGE™ group maintained their medication adherence rates over time, whereas control counterparts demonstrated significantly different, declining trajectories of medication adherence (d=−0.41). Conclusion: We found shared co-variance between systems thinking and medication adherence and the SystemCHANGE™ intervention. The SystemCHANGE™ intervention was efficacious in improving and sustaining medication adherence in adult kidney transplant recipients.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136242609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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