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4 results on '"Determinants of health behaviour"'

1. Barriers and enablers to medication adherence in glaucoma: A systematic review of modifiable factors using the Theoretical Domains Framework.

Author

Bott, Deborah, Subramanian, Ahalya, Edgar, David, Lawrenson, John G., and Campbell, Peter

Abstract

Purpose: Nonadherence to medication reduces treatment effectiveness, and in chronic conditions it can significantly reduce health outcomes. In glaucoma, suboptimal adherence can lead to sight loss, which places a greater financial burden on society and reduces patients' quality of life. Interventions to improve adherence have so far had limited success and lack robust theoretical underpinnings. A better understanding of the determinants of medication adherence behaviour is needed in order to develop interventions that can target these factors more effectively. This systematic review aims to identify modifiable barriers and enablers to glaucoma medication adherence and identify factors most likely to influence adherence behaviour. Recent Findings: We searched CINAHL, MEDLINE, PsycINFO, EMBASE, the Cochrane Library and sources of grey literature up to August 2022 for studies reporting determinants of glaucoma medication adherence. Data describing modifiable barriers/enablers to adherence were extracted and analysed using the Theoretical Domains Framework (TDF), a behavioural framework consisting of 14 domains representing theoretical factors that most likely influence behaviour. Data were deductively coded into one of the TDF domains and inductively analysed to generate themes. Key behavioural domains influencing medication adherence were identified by frequency of study coding, level of elaboration and expressed importance. Eighty‐three studies were included in the final synthesis. Four key domains influencing glaucoma medication adherence were identified: 'Environmental Context and Resources', 'Knowledge', 'Skills' and 'Memory, Attention and decision processes'. Frequently reported barriers included complex eyedrop regimens, lack of patient understanding of their condition, forgetfulness and difficulties administering eyedrops. Whereas simplified treatments, knowledgeable educated patients and good patient–practitioner relationships were enablers to adherence. Summary: We identified multiple barriers and enablers affecting glaucoma medication adherence. Four theoretical domains were found to be key in influencing adherence behaviour. These findings can be used to underpin the development of behaviour change interventions that aim to improve medication adherence. [ABSTRACT FROM AUTHOR]

Published
2024
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2. Determinants of late diagnosis of HIV infection in Spain.

Author

Fuster-Ruiz de Apodaca, María José, Molero, Fernando, Nouvilas, Encarnación, Arazo, Piedad, and Dalmau, David

Subjects
*DIAGNOSIS of HIV infections, *SPANIARDS, *HEALTH behavior, *EARLY diagnosis, *NONGOVERNMENTAL organizations, *MEDICAL care, *HEALTH
Abstract

The main goal of this study was to analyse the determinants of late diagnosis of HIV infection. Secondly, we studied the role of the perception of risk and sexual orientation in HIV testing. Twenty-five people with late HIV diagnosis were interviewed. They were contacted through hospitals and non-governmental organizations (NGOs). To design the interview, we integrated the variables considered in the main models of health-related behaviour. We followed a mixed strategy of analysis. Firstly, we carried out thematic analysis of the interviews, followed by quantitative analysis of the initially qualitative data. The results revealed that the most relevant determinants were the appraisal of the threat of HIV and the low perception of HIV risk. Also, the study found many missed opportunities for diagnosis in health-care setting. Low perception of HIV risk was related to unrealistic optimism, low levels of information about HIV, and the presence of stereotypes about people with HIV. High perception of HIV risk was related to strategies to avoid testing. Homosexuals reported a more positive balance between the benefits of knowing their diagnosis and having the disease. The results provide clues that can guide the design of future strategies to promote early diagnosis. [ABSTRACT FROM AUTHOR]

Published
2014
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3. Determinants of diet and physical Activity (DEDIPAC): a summary of findings

Author

Matthias B. Schulze, Massimo Lanza, Jürgen M. Steinacker, Hidde P. van der Ploeg, Ulf Ekelund, Nanna Lien, Lene Frost Andersen, Mario Mazzocchi, Johannes Brug, Sebastien F. M. Chastin, Britta Renner, Matthijs van den Berg, Anne Loyen, Oliver Allais, Marie H. Murphy, Gun Roos, Donal J. O’Gorman, Pablo Monsivais, Marieke De Craemer, Antje Hebestreit, Paul Finglas, Karien Stronks, Ciaran MacDonncha, Dorothee Volkert, Marion Flechtner-Mors, Ilse De Bourdeaudhuij, Jeroen Lakerveld, Greet Cardon, Wolfgang Ahrens, Laura Capranica, Alan E. Donnelly, Mary Nicolaou, Thomas Kubiak, Ute Nöthlings, Persuasive Communication (ASCoR, FMG), ASCoR (FMG), Brug, Johanne, van der Ploeg, Hidde P., Loyen, Anne, Ahrens, Wolfgang, Allais, Oliver, Andersen, Lene F., Cardon, Greet, Capranica, Laura, Chastin, Sebastien, De Bourdeaudhuij, Ilse, De Craemer, Marieke, Donnelly, Alan, Ekelund, Ulf, Finglas, Paul, Flechtner-Mors, Marion, Hebestreit, Antje, Kubiak, Thoma, Lanza, Massimo, Lien, Nanna, MacDonncha, Ciaran, Mazzocchi, Mario, Monsivais, Pablo, Murphy, Marie, Nicolaou, Mary, Nöthlings, Ute, O'Gorman, Donal J., Renner, Britta, Roos, Gun, van den Berg, Matthij, Schulze, Matthias B., Steinacker, Jürgen M., Stronks, Karien, Volkert, Dorothee, Lakerveld, Jeroen, University of Amsterdam [Amsterdam] (UvA), VU University Medical Center [Amsterdam], Sydney School of Public Health, The University of Sydney, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Leibniz Association, Alimentation et sciences sociales (ALISS), Institut National de la Recherche Agronomique (INRA), Department of Nutrition [Oslo], Institute of Basic Medical Sciences [Oslo], Faculty of Medicine [Oslo], University of Oslo (UiO)-University of Oslo (UiO)-Faculty of Medicine [Oslo], University of Oslo (UiO)-University of Oslo (UiO), Department of Movement and Sports Sciences, Universiteit Gent = Ghent University [Belgium] (UGENT), Department of Movement, Human and Health Sciences, Università degli Studi di Roma 'Foro Italico', Glasgow Caledonian University (GCU), Centre for Physical Activity and Health Research, University of Limerick (UL), Norwegian institute for public health, Institute of Food Research, Universität Ulm - Ulm University [Ulm, Allemagne], Johannes Gutenberg - Universität Mainz (JGU), University of Verona (UNIVR), Health Research Institute, Department of Statistical Sciences, Alma Mater Studiorum Università di Bologna [Bologna] (UNIBO), University of Cambridge [UK] (CAM), Ulster University, Department of Nutrition and Food Science, Rheinische Friedrich-Wilhelms-Universität Bonn, Dublin City University, Department of Psychology, University of Konstanz, Akershus University College, National Institute for Public Health and the Environment [Bilthoven] (RIVM), Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg (FAU), Joint Programming Initiative 'Healthy Diet for a Healthy Life', Austria: Austrian Federal Ministry of Science and Research, Belgium: Research Foundation - Flanders, France: Institut National de la Recherche Agronomique (INRA), Germany: Federal Ministry of Education and Research, Italy: Ministry of Education, University and Research/ Ministry of Agriculture Food and Forestry Policies, Ireland: The Health Research Board (HRB), Netherlands: The Netherlands Organisation for Health Research and Development (ZonMw), Norway: The Research Council of Norway, Division for Society and Health, Poland: The National Centre for Research and Development, Spain: Carlos III Institute of Health (ISCIII), United Kingdom: The Medical Research Council (MRC), APH - Methodology, APH - Health Behaviors & Chronic Diseases, Public and occupational health, Other departments, ACS - Heart failure & arrhythmias, Lakerveld , Jeroen, Epidemiology and Data Science, Lakerveld, Jeroen [0000-0002-8551-6748], Apollo - University of Cambridge Repository, Brug, Johannes [0000-0002-1904-7349], van der Ploeg, Hidde P [0000-0002-3719-5249], Ahrens, Wolfgang [0000-0003-3777-570X], Allais, Oliver [0000-0002-4849-5255], Cardon, Greet [0000-0003-4983-6557], Capranica, Laura [0000-0003-3073-7655], De Craemer, Marieke [0000-0002-5220-7850], Donnelly, Alan [0000-0002-6874-0991], Kubiak, Thomas [0000-0003-0095-9265], MacDonncha, Ciaran [0000-0001-7999-4930], Mazzocchi, Mario [0000-0002-0498-8031], Monsivais, Pablo [0000-0002-7088-6674], O'Gorman, Donal J [0000-0002-8228-1488], Renner, Britta [0000-0001-8385-2839], Roos, Gun [0000-0001-8551-2491], Schulze, Matthias B [0000-0002-0830-5277], and Steinacker, Jürgen M [0000-0001-8901-9450]

Subjects
0301 basic medicine, Gerontology, Debate, Health Behavior, Psychological intervention, Medicine (miscellaneous), Disease, determinants of health behaviours, dietary behaviour, Europe, interventions, physical activity, policy evaluation, sedentary behaviour, [SHS]Humanities and Social Sciences, Cohort Studies, 0302 clinical medicine, ddc:150, Medizinische Fakultät, Medicine, 030212 general & internal medicine, lcsh:RC620-627, Interventions, Nutrition and Dietetics, lcsh:Public aspects of medicine, Benchmarking, Public relations, Dietary behaviour, Physical activity, Sedentary behaviour, Determinants of health behaviours, Policy evaluation, lcsh:Nutritional diseases. Deficiency diseases, Work (electrical), Life course approach, Diet, Healthy, Behavioural sciences, Intervention, Physical Therapy, Sports Therapy and Rehabilitation, 03 medical and health sciences, Humans, ddc:610, Exercise, 030109 nutrition & dietetics, business.industry, Research, lcsh:RA1-1270, Diet, Action (philosophy), Determinants of health behaviour, Sedentary Behavior, business, DEDIPAC consortium
Abstract

The establishment of the Determinants of Diet and Physical Activity (DEDIPAC) Knowledge Hub, 2013 – 2016, was the first action taken by the ‘ Healthy Diet for a Healthy Life ’ European Joint Programming Initiative. DEDIPAC aimed to provide better insight into the determinants of diet, physical activity and sedentary behaviour across the life course, i.e. insight into the causes of the causes of important, non-commu nicable diseases across Europe and beyond. DEDIPAC was launched in late 2013, and delivered its final report in late 2016. In this paper we give an overview of what was achieved in terms of furthering measurement and monitoring, providing overviews of the state-of-the-art in the field, and building toolboxes for further research and pr actice. Additionally, we propose some of the next steps that are now required to move forward in this field, arguing in favour of 1) sustaining the Knowledge Hub and developing it into a European virtual research institute and knowledge cen tre for determinants of behavi oural nutrition and physical activity with close links to other parts of the world; 2) establi shing a cohort study of families across all regions of Europe focusing specifically on the individual and contextual determinants of major, non-communicable disease; and 3) furthering DEDIPAC ’ s work on nutrition, physical activity, and sedentary behaviour policy evaluation and benchmarking across Europe by aligning with other international initiatives and by supporting harmonisation of pan-European surveillance. Norges forskningsråd 236215 Norges forskningsråd 236216

Published
2017
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4. Determinants of late diagnosis of HIV infection in Spain

Author

Fernando Molero, David Dalmau, María José Fuster-Ruiz de Apodaca, Piedad Arazo, and Encarnación Nouvilas

Subjects
medicine.medical_specialty, Social Psychology, media_common.quotation_subject, lcsh:BF1-990, Qualitative property, Disease, Developmental psychology, Determinants of health behaviour Qualitative study, Optimism, Perception, Developmental and Educational Psychology, medicine, Applied Psychology, media_common, virus diseases, HIV, VIH, Diagnóstico tardío, Late diagnosis, Risk perception, lcsh:Psychology, Family medicine, Sexual orientation, Determinants of health behaviour, Thematic analysis, Qualitative study, Psychology, Determinantes de conductas de salud Estudio cualitativo
Abstract

The main goal of this study was to analyse the determinants of late diagnosis of HIV infection. Secondly, we studied the role of the perception of risk and sexual orientation in HIV testing. Twenty-five people with late HIV diagnosis were interviewed. They were contacted through hospitals and non-governmental organizations (NGOs). To design the interview, we integrated the variables considered in the main models of health-related behaviour. We followed a mixed strategy of analysis. Firstly, we carried out thematic analysis of the interviews, followed by quantitative analysis of the initially qualitative data. The results revealed that the most relevant determinants were the appraisal of the threat of HIV and the low perception of HIV risk. Also, the study found many missed opportunities for diagnosis in health-care setting. Low perception of HIV risk was related to unrealistic optimism, low levels of information about HIV, and the presence of stereotypes about people with HIV. High perception of HIV risk was related to strategies to avoid testing. Homosexuals reported a more positive balance between the benefits of knowing their diagnosis and having the disease. The results provide clues that can guide the design of future strategies to promote early diagnosis.

Published
2014
Full Text
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