Background: Type D personality is a combination of 2 traits which are negative affectivity and social inhibition. In health care situation, type D patients are more likely to have non-medication adherence, pessimistic about their ability to cope with illness and believe that it will be long-lasting which lead them to present worse health outcomes. This study aimed to examine the prevalence of type D personality and associations among medication self-efficacy and self-care behaviors in patients with hypertension. Methods: This is a descriptive cross-sectional study. Patients with hypertension (n = 383) who attended a primary care unit were recruited. Volunteering participants completed the Type D-Scale (DS14) questionnaire for the evaluation of the prevalence of type D personality. To evaluate medication self-efficacy and self-care behavior, Self-efficacy for Appropriate Medication Use Scale Thai version and Self-care behaviors scale for patients with hypertension were employed. Descriptive statistics, t-test, and Pearson’s correlations were used in data analysis. Results: Fifty-six participants (14.6%) were classified with type D personality (26 males and 30 females). A positive relationship between medication self-efficacy and self-care behavior was found (r = 0.294, p < 0.01). In contrast, type D personality had a negative association with medication self-efficacy and self-care behavior (r = -0.251, r = -0.138, p < 0.01). Conclusion: Compare to the previous studies, the present study illustrated quite lower prevalence of type D personality. Type D personality is a psychological health risk factor which negatively affects health both directly and indirectly, especially self-efficacy and self-care behavior. Even just one of the two type D personality traits can lead to a similar detrimental result. Positive relationship between medication self-efficacy and self-care behavior can be applied to develop health promotion programs for patient with hypertension.
In Thailand, 9% of people with disabilities are visually impaired (VI). VI children are vulnerable when disasters occur. This study investigates risk situations and disaster risk reduction (DRR) methods in VI schools to identify present and potential ways that students can be provided skills. An interview was administered in two schools to schoolteachers and administrators. Content analysis was used to analyze qualitative data based on core keywords. DRR for daily risk exposure and fires is the priority. Concerns over VI students are based on the difficulty in orientation. Support is considered crucial for student safety. Supervisory means to limit risk among the VI is uncertain in times of disaster. Students are capable of learning about DRR and, combined with assistive techniques, can limit their risk. DRR policies in VI schools are primarily reactive. Uncomplicated risk awareness information and training could foster an appropriate approach to bringing self-efficacy to deal with risk.
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