Effects of a HAPA-based multicomponent intervention to improve self-management precursors of older adults with tuberculosis: A community-based randomised controlled trial

Chen, Yanshu; Tan, Dixin; Xu, Yu; Wang, Bin; Li, Xuhui; Cai, Xiaonan; Li, Mengyu; Tang, Cong; Wu, Yun; Shu, Wen; Zhang, Guoliang; Huang, Jiayu; Zhang, Ying; Yan, Yunjun; Liang, Xunchang; Yu, Songlin

doi:10.1016/j.pec.2019.09.007

Cited by 20 publications

(11 citation statements)

References 40 publications

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“…Alternatively, improved intention and task self-efficacy may have been the cumulative effect of all intervention components-which would be consistent with literature finding in support of multicomponent theory-based interventions for promoting health behaviour change (Y. Chen et al, 2020;Evans et al, 2012;Makvandi et al, 2015;. However, improvements in psychological constructs did not translate into behaviour change in the present study, consistent with the findings of a recent HAPA-based intervention study that targeted influenza prevention behaviour among older adults (C.-Q.…”

Section: Hapa-based Intervention Effectssupporting

confidence: 84%

Promoting regular parental supervised toothbrushing: An additive intervention design adopting the Health Action Process Approach

Smith,

Kroon,

Schwarzer

et al. 2023

Applied Psych Health & Well

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The study aimed to test the efficacy of the core elements of the Health Action Process Approach (HAPA) in an intervention among parents to promote regular supervised toothbrushing of preschool‐aged children. The pre‐registered study (https://osf.io/fyzh3/) tested the effects of an intervention employing information provision, behavioural instruction, implementation intention and mental imagery techniques, adopting a randomised controlled design in a sample of Australian parents of preschoolers (N = 254). The intervention used an additive design with four conditions—education, self‐efficacy, planning and action control—progressively layered to show the cumulative impact of incorporating self‐efficacy, planning and action control strategies with a foundational education component. The intervention was delivered online, and participants completed self‐report measures of parental supervised toothbrushing and HAPA‐based social cognition constructs pre‐intervention and 4 weeks post‐intervention. Although no significant intervention effects on behaviour were observed, mixed‐model analyses of variance (ANOVAs) revealed an increase in intention and task self‐efficacy within the action control condition and an increase in action planning in both the action control and planning conditions from pre‐intervention to follow‐up. Despite no anticipated changes in behaviour, these findings endorse the use of theory‐ and evidence‐based behaviour change strategies to inspire change in HAPA‐based determinants of parental supervised toothbrushing: intention, action planning and task self‐efficacy.

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Section: Hapa-based Intervention Effectssupporting

confidence: 84%

Promoting regular parental supervised toothbrushing: An additive intervention design adopting the Health Action Process Approach

Smith,

Kroon,

Schwarzer

et al. 2023

Applied Psych Health & Well

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“…The magnitude of the intervention to increase behavior could not be compared with each other, but more factors were adopted, leading to a better result. Multicomponent intervention is effective to improve self-management precursor, behavior belief, plan, and self-efficacy among adults with TB (Chen et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

The Implementation of Comprehensive Health Education to Improve Household Contacts’ Participation in Early Detection of Tuberculosis

Putra

Dewi²,

Probandari

et al. 2021

Health Educ Behav

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Lack of participation of household contacts is the main problem of early detection of tuberculosis (TB) in Indonesia. A comprehensive health education (CHE) program has been developed to encourage the participation of household contacts. This study aimed to assess the implementation of the CHE to improve participation of household contacts in early detection of TB. This was a quasi-experimental study conducted between November 2018 and June 2019 in Badung District, Bali, Indonesia. Twelve public health centers (PHCs) were randomly allocated to six PHCs implementing the CHE and six PHCs implementing standard health education (SHE). The CHE was developed through a pilot study using the health belief model supplemented with perceived stigma and social support to identify the factors that influence participation. The participation was measured using a TB register with a cross-check to the health care officer until 2 months after health education was provided. Four hundred and twenty-eight household contacts enrolled in this study—216 in the CHE group and 212 in the SHE group. The CHE group’s participation was 28.2%, with 10 new TB cases found; in the SHE group, the participation was 15.6%, with 3 new TB cases found. The CHE increased the household contact participation by 1.83-fold (95% confidence interval [1.19, 2.81]) and case findings by 3.13-fold (95% confidence interval [0.85, 11.56]). The CHE implementation should be scaled up to other areas with a high level of TB transmission. The content and technique of the CHE could also be incorporated in contact investigation guidelines and materials for the TB campaign.

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“…DOT cannot cover all kind of TB patients anywhere [ 38 , 39 ]. Evidence has indicated that STMP as a patient-centered disease management strategy can effectively promote patient adherence to TB treatment [ 40 , 41 ]. This study identified the determinants of STMP for treatment adherence including the predisposing factors (TB knowledge), enabling factors (health education and medical staff support), and reinforcing factors (social support).…”

Section: Discussionmentioning

confidence: 99%

Determinants of self-management behaviors among pulmonary tuberculosis patients: a path analysis

Liu

et al. 2021

Infect Dis Poverty

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Background Tuberculosis (TB) is one of the top 10 causes of death in the world. Since Directly Observed Therapy (DOT) as a core strategy for the global TB control are not applicable to all types of TB patients, and self-management of TB patients (SMTP) as a patient-centered supervision type is a supplement to DOT and can improve TB case management. However, the factors related to SMTP are complex and need more study. This study aimed at identifying the determinants of SMTP and examining the direct/indirect effects of these determinants. Methods The purposive sampling technique was used to select study sites and participants were recruited from the study sites by the consecutive sampling method. The PRECEDE model was used as the framework to analyze the determinants of SMTP. The responses of TB patients were acquired via a questionnaire survey for data collection. A Pearson correlation analysis was used to define the relationship between the predisposing, enabling, reinforcing factors with SMTP behaviors. A regression-based path analysis was used to determine the action paths of the predisposing, enabling, and reinforcing factors on SMTP behaviors. Results The predisposing (TB knowledge), enabling [health education and healthcare workers (HCWs) support], reinforcing factors (family support) had significant positive correlations with SMTP behaviors (P < 0.05). The predisposing, enabling, reinforcing factors were positively correlated with each other (r = 0.123‒0.918, P < 0.05), except for family support and HCWs support. The predisposing factors (TB knowledge, β = 0.330) and the enabling factors (HCWs support, β = 0.437) had direct effects on SMTP behaviors. The enabling factors (health education and HCWs support) and the reinforcing factors (family support) had indirect effects on SMTP behaviors. Conclusions This study revealed the effects and action path of TB knowledge, health education, HCWs support, and family support on SMTP behaviors via a path analysis. Assessing patient’s needs for SMTP along with promoting effective TB health education and providing firm support from HCWs and family members are potential strategies to promote SMTP behaviors. Graphic abstract

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Effects of a HAPA-based multicomponent intervention to improve self-management precursors of older adults with tuberculosis: A community-based randomised controlled trial

Cited by 20 publications

References 40 publications

Promoting regular parental supervised toothbrushing: An additive intervention design adopting the Health Action Process Approach

Promoting regular parental supervised toothbrushing: An additive intervention design adopting the Health Action Process Approach

The Implementation of Comprehensive Health Education to Improve Household Contacts’ Participation in Early Detection of Tuberculosis

Determinants of self-management behaviors among pulmonary tuberculosis patients: a path analysis

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