Health Education Research最新文献

In the digital age, cyberchondria, a pattern of excessive online health information seeking accompanied by heightened health-related distress, has emerged as a growing concern. While previous research has largely focused on its psychological effects in the general population, limited attention has been paid to how cyberchondria influences patient-provider dynamics. This study aims to examine how cyberchondria is associated with trust in doctors, patient commitment, and patient satisfaction. An online survey was conducted among 1805 Chinese patients who had recently visited hospitals for medical consultations and had searched online for information related to their illness or symptoms. Results suggested that cyberchondria was negatively associated with both trust in doctors and patient satisfaction, but positively associated with patient commitment. A significant negative indirect association was found between cyberchondria and satisfaction via trust and commitment in sequence. Conversely, cyberchondria also showed a positive indirect relationship with satisfaction through patient commitment alone. These findings highlight the need for healthcare providers to engage with patients' online health behaviors and for public health systems to promote digital literacy and trustworthy health communication strategies.

Teachers play a pivotal role as implementers in school-based obesity prevention interventions. Given the influence of teachers' perceptions on the implementation process, the aim of this pilot study was to investigate the delivery of, ratings on, and influencing factors for the implementation of the school-based Familie+ intervention delivered in low socioeconomic regions in Germany. Building upon the Consolidated Framework for Implementation Research and the Implementation Outcomes by Proctor, we conducted a sequential mixed-methods study design. Delivery of the intervention activities, their ratings, and influencing factors were assessed using questionnaires and interviews at two time points. Deductive qualitative content analysis using Consolidated Framework for Implementation Research was applied to the interview data to support the questionnaire data. Mixed-methods data are jointly presented. Overall, delivery of the intervention varied, with the nutrition activities most often delivered. Teachers valued the intervention activities overall positively. The main factors influencing implementation were related to the intervention materials themselves (e.g. high complexity and limited adaptability) and procedures within the school (e.g. mixed compatibility with workflows). School-based interventions should incorporate principal engagement and strengthen cooperation within the school team. Flexible interventions with multiple options for adaptations should be provided.

Patients with multiple myeloma (MM) experience various symptoms throughout their treatment and have psychosocial needs that must be addressed. This study aims to develop and evaluate a psychoeducation program for MM patients, assessing its impact on supportive care needs, health-promoting lifestyle, and quality of life. A quasi-experimental design with a non-equivalent control group was used. The experimental group received individual weekly 90-minute psychoeducation sessions for 5 weeks, while the control group received routine care. Supportive care needs, health-promoting lifestyle, and quality of life (QOL) were evaluated before, immediately after, and 4 weeks after the program. Supportive care needs decreased in the experimental group after the intervention; no significant change occurred in the control group. Health-promoting behaviours improved in the experimental group, while the control group showed no significant change. Physical and emotional functioning improved in the experimental group, but declined in the control group. MM-related QOL domains, such as symptoms and treatment side effects, improved in the experimental group, while they worsened in the control group. The psychoeducation program developed and applied in this study improved health-promoting behaviours and QOL for MM patients, providing a foundation for developing tailored programs in the future.

Glaucoma is a chronic eye disease that requires consistent and timely eye drop medication management. However, suboptimal treatment outcomes of glaucoma patients were attributed to poor medication compliance. To address this problem, the study proposed to assess the effectiveness of influencing the Knowledge, Attitude, and Practice (KAP) of the patients with the use of a smartphone application (app) to improve the medication compliance of glaucoma patients. The smartphone app feature includes a 'reminder' function that reminds the study participants to apply eye drop medication on time, while also provides information and articles about glaucoma to enhance the knowledge and understanding of the study participants about glaucoma. A total of 181 participants were recruited and three questionnaire tools were used to assess the KAP of the patients towards medication compliance across three time points (baseline, 3-month, and 6-month) after using the proposed smartphone app. Compared to the control, the proposed intervention had an effect on improving the glaucoma knowledge, but showed no significant effect on the confidence and adherence of glaucoma medication of the participants. The findings suggested that integrating digital technology with educational strategies can have potential in enhancing participant compliance with glaucoma medication, ultimately improving their health outcomes.

Young people from key priority communities, represent an important focus for enhancing sexual and reproductive health (SRH). There is an abundance of literature indicating that sexual health programs designed to improve sexual health literacy (SHL) for young people from culturally and linguistically diverse (CALD) backgrounds are often developed using established health behaviour models and community involvement models. However, little evidence exists on the processes or standards used to evaluate program effectiveness or update content to remain relevant and appealing. This scoping review of academic literature, and government and not-for-profit organizations reports in Australia, Canada, New Zealand, and the United Kingdom (countries with similar healthcare systems, immigration patterns and socioeconomic status), was conducted to determine if and how program content was reviewed and evaluated for currency and effectiveness. No academic or grey literature reports were identified that described the assessment of SHL program content or resources targeting young people from CALD backgrounds. Organizations and authors were contacted for further details of program content assessment with little success. This suggests a gap in the literature and lack of program evaluation or processes for updating of program content. This review highlights recommendations regarding advancing future research and enhancing program content evaluation.

A diet self-management plan aligning with patients' culture, beliefs, and values is essential to the success of diabetes self-management education (DSME), which requires candid communication between patients and providers. However, in a Confucianism-dominated culture, the emphasis on social hierarchy, respect for authority, and harmony may hinder patients from communicating openly with healthcare teams. This qualitative study was conducted in accordance with the guidelines of the Consolidated Criteria for Reporting Qualitative Research to explore the experiences of participants with poor diabetes control, focusing on the challenges they face in diet self-management and how they communicate these challenges to their providers during DSME encounters. The present study revealed that the 'fear of being judged' reflects the Confucian culture, which inhibits open dialogue between patients and healthcare teams about the difficulties patients face in managing their diet. Given the high prevalence of poor diabetes control in Confucianism-dominated societies, it is strongly recommended to modify the approach of DSME, such as using patients' food diary as the base for the DSME discussion to avoid requiring patients to ask questions to the healthcare team, to fit the Confucian culture dominating in Eastern Asian societies.

The aim of this study was to assess the effectiveness of web-based health education on symptoms and quality of life of university students with premenstrual syndrome. This was a single-blind, parallel-group randomized controlled trial. The study was completed by 67 participants: 33 in the intervention group and 34 in the control group. The intervention group received web-based health education for 4 weeks, while the control group had no special intervention. Data were collected between three menstrual cycles using the Premenstrual Syndrome Scale, Premenstrual Symptoms Impact Scale, System Usability Scale, and a personal information form. Following web-based health education, the intervention group showed significant improvements compared to the control group, and this difference remained significant after two menstrual cycles. Notably, the intervention group experienced significant reductions in psychological symptoms, such as depressive affect, anxiety, fatigue, irritability, and depressive thoughts. The intervention group reported that the website was usable. The results indicate that a web-based health education has the potential to be an effective strategy for managing premenstrual syndrome. This approach also underscores the important role of healthcare professionals in providing accessible digital interventions that address women's health needs.

The aim of this study was to explore the challenges and strategies for improving health information delivery by healthcare professionals (HCPs) on lifestyle behaviours using social media. Using a phenomenological qualitative study design, data were gathered through semi-structured interviews with 22 HCPs who use social media to deliver health information, and three focus group discussions with 16 active users of social media. All participants were based in Malaysia. The sessions were audiotaped and transcribed verbatim. Data were analysed using constant comparative approach and thematic analysis. Five themes emerged: (i) credibility of health information, (ii) accessibility, and timeliness of health information, (iii) attitudes and motivation of HCPs, (iv) users' receptiveness to health information, and (v) availability of resources for HCPs. HCPs were encouraged to show commitment when delivering information, ensuring users receive information in the most engaging way. It was also suggested that HCPs access resources through collaboration with HCPs and non-HCP individuals, including digital content creators and health advocates. In conclusion, this qualitative study provides insights into the perspectives of HCPs and social media users regarding the use of social media by HCPs to deliver health information on lifestyle behaviours. These insights can be used to improve health communication on social media.

Black gay, bisexual, and other Black sexual minority men (SMM) continue to experience significant Human Immunodificiency Virus (HIV) pre-exposure prophylaxis (PrEP) barriers, including stigma, medical mistrust, and low risk perceptions. Peer change agents (PCAs) are effective interventionists but are costly to scale. Therefore, we designed a culturally responsive web-based decision aid designed to improve perceived risk for HIV (PRH) and PrEP use among Black SMM modelled after a PCA-based intervention called POSSIBLE. The key domains of the PCA script in POSSIBLE were transposed into the online format of the decision aid and included interactive features to simulate peer-based interactions, encourage user reflection, and guide decision-making in a culturally resonant manner. Visual aids were also incorporated to approximate the peer-based approach in POSSIBLE. Content analysis of PCA-participant conversations among 12 participants from POSSIBLE who decided to use PrEP was conducted to identify common concerns among Black SMM and the persuasive language used by the PCA. Those concerns and communications collectively informed the response options and information of the online tool. This prototype offers a scalable, culturally responsive approach to addressing key multilevel PrEP barriers among Black SMM, including stigma, medical mistrust, and PRH. This tool could be a valuable resource in clinical and community-based settings, providing a cost-effective alternative to peer-based interventions. Future research will assess its impact on multilevel barriers, PrEP use, and HIV prevention behaviours in real-world settings.