Absence of social desirability bias in the evaluation of chronic disease self-management interventions

Nolte, Sandra; Elsworth, Gerald R; Osborne, Richard H.

doi:10.1186/1477-7525-11-114

Cited by 31 publications

(26 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Given that social norms are integral to children's experiences, there is the possibility that social desirability bias may have impacted on the results. Two potential motivations should be noted; one that relates to M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPT 13 children achieving the acceptance of the researcher through desirable responses 31 , and the second that is grounded in a preadolescent subculture that emphasises peer acceptance. Further work is certainly warranted to better understand children's attitudes, beliefs and practices related to discretionary food consumption.…”

Section: Limitationsmentioning

confidence: 99%

Australian children's perceptions of discretionary foods

Velardo

Drummond

2018

Appetite

View full text Add to dashboard Cite

Energy-dense nutrient poor foods and drinks, often referred to as discretionary choices, can contribute a significant amount of energy, fat, sodium and sugar to the diet if consumed in large quantities. Currently many Australian children are consuming a diet that is characterised by large quantities of discretionary items. We undertook a qualitative study to gain a descriptive account of preadolescent children's attitudes and perceptions towards health and nutrition. A series of 6 focus groups and 14 individual semi-structured interviews were conducted with thirty-eight children aged 11-12 years, across three state government schools in a socially disadvantaged region of metropolitan South Australia. The naturalistic manner of qualitative inquiry led to several unintended yet highly pertinent emergent themes, including children's perceptions and practices surrounding discretionary food consumption. Our results indicate that while Australian guidelines recommend that discretionary foods are consumed 'only sometimes and in small amounts', children generally held a different belief with respect to what constituted 'sometimes'. Many children identified that discretionary foods should be consumed in moderation to maintain a balanced diet, yet reported consuming these foods frequently. Self-reported discretionary food consumption was grounded in socially constructed experiences valued by the children, who made situational attributions to foods and legitimised discretionary food consumption in certain contexts, for example during the weekend. Overall, there is variability between children's opinions about the acceptable frequency of consumption of discretionary foods compared with national guidelines.

show abstract

Section: Limitationsmentioning

confidence: 99%

Australian children's perceptions of discretionary foods

Velardo

Drummond

2018

Appetite

View full text Add to dashboard Cite

show abstract

“…Health-education processes to improve literacy in users' health and / or relationships of trust between patient and health professionals, could be associated to combat low adherence to drug therapies. The importance of the control group's result in this study must be highlighted, which could identify a possible phenomenon known as 'social desirability bias', which refers to the fact that interviewees report behavior that they believe represents an acceptable social position (Nolte et al, 2013). This phenomenon may have influenced the interviewees to report greater adherence for both groups (the intervention and control groups).…”

Section: Resultsmentioning

confidence: 97%

Whatsapp: A Tool for Adherence to Asymptomatic Chronic-Disease Drug Therapies?

Sartori¹,

Sá²,

Bernuci³

et al. 2019

Proceedings of the 11th International Conference on E-Health 2019

View full text Add to dashboard Cite

Studies have shown that mobile health (mHealth) technologies are increasingly being successfully used in control programs for symptomatic diseases, such as cancer and HIV, as methods of behavioral intervention to enhance patient adherence to treatments. The objective of this research was to evaluate the potential of WhatsApp messages as an intervention method to improve adherence to the treatment of two asymptomatic diseases: hypertension and diabetes. A controlled trial was conducted with 499 participants from the basic health units of Maringá, Paraná, Brazil. They received 58 WhatApp messages over three months with information about the importance of adherence to drug therapy. Adherence to the therapy was assessed by the Morisky-Green test (MGT). The analysis of the efficacy of the intervention was performed by comparing the MGT test results before and after the messages were sent. The results showed an expressive difference in adherence to the drug therapy for the group that received the WhatsApp messages (67.5%) compared to those who did not receive them (58.5%). However, in contrast to our expectations, there was no significant association between adherence and the intervention group. WhatsApp can be used as a welfare technology in various health-related areas, however it was concluded that, for asymptomatic diseases, mHealth technology interventions can be useful if associated with other strategic processes.

show abstract

“…Seven studies examined the effect of SD in self‐reports of treatment variables and outcomes, and in most of them SD correlated negatively with certain undesirable self‐reports such as psychiatric symptoms or drug addiction severity and correlated positively with desirable characteristics such as parental happiness or treatment attendance. On the contrary, two studies found a negligible effect of SD on clinical outcomes such as therapeutic alliance (Reese et al., ) and self‐management of chronic disease (Nolte, Elsworth, & Osborne, ).…”

Section: Resultsmentioning

confidence: 99%