Cervical cancer is the leading cause of death among women in Thailand. A significant number of Thai women have never received cervical cancer screening. This study examined the perceived susceptibility, benefits, and barriers that influence Papanicolaou testing and examined the relationships between socioeconomic factors and obtaining a Papanicolaou test among women working in 1 government agency and 3 private sector companies in Bangkok, Thailand. The Health Belief Model was used to guide the cross-sectional design of the study. The Susceptibility, Benefits, and Barriers Scale was mailed to 300 working women. The response rate to the survey was 63% (N = 189). Logistic regression analysis showed that perceived barriers were significant predictors of Papanicolaou testing (beta = -.13, P < .001). Women who reported barriers were significantly less likely to obtain a Papanicolaou test (odds ratio, 0.88; P < .001). The specific barriers to engaging in Papanicolaou testing were embarrassment, fear, time constraints, knowledge deficits, and cost. Marital status, age, education, and family income were other factors related to Papanicolaou testing. Findings suggest that screening rates may be improved by addressing a combination of research, health policy, and cultural factors in these women through a nationwide campaign.
She completed her bachelor degree from Mahidol University, Thailand. She pursued her Master degree and doctoral degree from Case Western Reserve University, the United States. She is an expert in the area of promoting health behaviors in communities. She was recipient of Excellent Researcher award in the year 2009. She is also interested in conducting research to improve quality of teaching and learning. She is now the head of Division of Community Nurse Practitioner, Faculty of Nursing,
Background: Technology-based intervention showed a promising approach to health promotion strategies. There had been limited knowledge of the existing program for technology-based intervention in promoting foot care and dietary behavior modification. Thus, a mobile app was developed as an alternative strategy for promoting foot care and dietary behavior modification. Objective: This paper aims to elaborate on the process of developing, validating, and examining the Diabetic Care Self-Management Mobile Health Application (Diabetic Care). Methods: There are two phases conducted. The first phase is the process of developing and validating Diabetic Care. Intervention Mapping (IM) Framework was used to guide the process of developing Diabetic Care, while in assessing validity, guidance from Kassam-Adams et al. was used. A team of experts was appointed to validate the mobile app developed. Next, the usability of Diabetic Care was conducted among ten conveniently chosen patients with diabetes in a governmental primary care clinic. Results: The process of developing Diabetic Care was clearly explained. The Diabetic Care app showed a good I-CVI score (1.00) and general CVI score (1.00) after the expert team assessed. During the trial, two drawbacks were identified and explored to find solutions. Conclusion: The Diabetic Care app is proven appropriate to be employed in the study. Even though there were two drawbacks encountered, however, possible solutions were able to be explored in addressing the issues. Further research should be conducted to examine the effectiveness of this mobile app in modifying foot care behavior and dietary behavior. Hence, it will assist in the translation of advanced technology in nursing care.
Background: Parenting talented youths is a challenging task since most talented youths experience role complexities in their lives. Thus, raising talented youths can lead to increased challenges of parenting.Purpose: This study aimed to explore the challenges faced by Javanese Muslim parents in promoting the well-being of talented youths.Methods: A descriptive phenomenological approach was chosen to guide this study. Thirteen Javanese Muslim parents of talented youth (nine men and three women) were recruited using snowball and purposive sampling techniques. The data were obtained by conducting semi-structured interviews and field notes. The collected data were transcribed using verbatim transcription and analyzed using Giorgi’s method of analysis.Results: Three themes were found after data analysis, i.e., challenges coming from the youths, challenges from the community, and the existence of financial constraints in the family. Challenges coming from the youth were related to the oppositional behavior of talented youths and difficulties in managing children’s activities as students and as talented youths. Challenges from the community included low commitment and belittling behavior from teachers or lecturers, ridicule from their neighbors, gender-based discrimination, and the absence of support from the organization. Another theme was related to financial constraints in the family which made it difficult for parents to finance their youth’s education and talent activities.Conclusion: Identifying the actual problems experienced by the talented youths’ parents could help nurses develop appropriate family programs, consider, and incorporate holistic aspects into the programs to obtain optimal results.
Background: Fulfilling the role of a family caregiver has a substantial effect on the lives of those involved. However, existing information on family caregivers of patients receiving peritoneal dialysis is insufficient-especially Muslim caregivers, whose practice is unique.Objectives: The aim of this study was to understand the experiences of Muslim family caregivers looking after patients receiving peritoneal dialysis in an Islamic context.Design: A descriptive qualitative approach was employed.Participants: Thirteen Muslim family caregivers who have cared for patients undergoing peritoneal dialysis for at least 1 month.Approach: Data were collected through face-to-face in-depth interviews and a focus group discussion. Content analysis was used to analyse the data with initial codes grouped into sub-categories, generic categories, and main categories. Findings:The experiences of Muslim family caregivers looking after patients receiving peritoneal dialysis generated two main categories: overwhelmed with suffering and learning to live as a caregiver.Conclusions: Caregiving has a substantial impact on Muslim family caregivers. They need to be cared for holistically. The recognition of Islamic beliefs, doctrine of Allah, and religious practices are clear spiritual anchors for caregiving. The findings provide a deeper understanding of the experiences of Muslim family caregivers looking after patients receiving peritoneal dialysis. These findings could serve as the basis for developing a specific nursing intervention for such caregivers.
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