Stage of Change and Other Predictors of Participant Retention in a Behavioral Weight Management Program in Primary Care

Toth-Capelli, Katie M.; Brawer, Rickie; Plumb, James; Daskalakis, Constantine

doi:10.1177/1524839912460871

Cited by 18 publications

(51 citation statements)

References 29 publications

(76 reference statements)

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“…Sixty-eight percent of men agreed strongly that they delay/avoid visiting a doctor at least some of the time. As reported in other studies [31, 32], work and family commitments were common reasons for delaying doctor’s visits, and expectedly, young healthy men rated these as reasons more strongly than young sick and older men. Not only were younger men more likely to self-monitor than older men, but those who scored higher on delay/avoidance behaviour, reported a higher likelihood of attending a DMHS.…”

Section: Discussionsupporting

confidence: 67%

Health behaviours of Australian men and the likelihood of attending a dedicated men’s health service

Vincent

Drioli‐Phillips

et al. 2018

BMC Public Health

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BackgroundRedesigning primary health services may enhance timely and effective uptake by men. The primary aim of this study was to assess the likelihood of Australian men attending a dedicated men’s health service (DMHS). The further aims were to better understand the reasons for their preferences and determine how health behaviours influence likelihood.MethodsA survey on health service use and preferences, health help-seeking behaviours, and the likelihood of attending a DMHS was administered by telephone to 1506 randomly selected men (median age 56 years, range 19–95). Likelihood of attending a DMHS was rated using a single item Likert scale where 0 was not at all likely and 10 highly likely. Respondents were classified by age (< or > = 65 years) and health status. Principal component analyses were used to define health behaviours, specifically help-seeking and delay/avoidance regarding visiting a doctor. Multivariable linear and logistic regression analyses were used to examine predictors of likelihood of attending a DMHS.ResultsThe mean likelihood of attending a DMHS was 5.8 (SD 3.3, median 6, moderate likelihood) and 21%, 26% and 23% of men rated likelihood as moderate, high and very high respectively. Being happy with their existing doctor was the most common reason (52%) for being less likely to attend a DMHS. In unadjusted analyses, younger men reported being more likely to attend a DMHS (p < 0.001) with older-sick men reporting being least likely (p < 0.001). Younger men were more likely than older men to score higher on delay/avoidance and were more likely to self-monitor. In the full model, men with current health concerns (p ≤ 0.01), who scored higher on delay/avoidance (p ≤ 0.0006), who were more likely to be information-seekers (p < 0.0001) and/or were motivated to change their health (p ≤ 0.0001) reported a higher likelihood of attending a DMHS irrespective of age and health status.ConclusionsSeventy percent of men reported a moderate or higher likelihood of attending a DMHS. As young healthy men are more likely than older men to display health behaviours that are associated with a higher likelihood of attending a DHMS, such as delay/avoidance, marketing a DMHS to such men may be of value.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5992-6) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 67%

Health behaviours of Australian men and the likelihood of attending a dedicated men’s health service

Vincent

Drioli‐Phillips

et al. 2018

BMC Public Health

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“…10,11 Previous research has identified that program characteristics (such as frequency of contact), healthy behaviour changes made during the program, the participant's health status, lack of motivation and life events during program engagement can all influence participant retention and withdrawal. [12][13][14] It is important to understand the contributing factors that make a health coaching program appealing and engaging for some, but not for others. Elaborating on the reasons for attrition from the GHS will inform ongoing service improvement and future 'real-world' programs.…”

Section: Introductionmentioning

confidence: 99%

Participant perspectives of a 6-month telephone-based lifestyle coaching program

McGill¹,

O’Hara²,

Phongsavan³

2018

Public Health Res Pr

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Key points •This research adds to limited qualitative research relating to participant expectations and experiences of a telephonebased lifestyle intervention in a real-world context• Coach support was the most valued aspect of the participants' experience and, despite high attrition rates, participants were primarily positive about their coaching experience• Redesigning the service to increase flexibility in follow-up and using alternative communication methods such as text messaging to arrange follow-up calls could improve participant completion rates AbstractObjectives and importance of study: Low program completion rates can undermine the public health impact of even the most effective program. Participant experiences with lifestyle programs are not well reported, but are important for program improvement and retention. The purpose of this study was to understand participant perceptions of the Get Healthy Information and Coaching Service (GHS), a 6-month telephone-based health coaching program to promote lifestyle change. We were particularly interested in participants' initial expectations, their actual experience, and, for those who did not complete the program, what influenced their withdrawal. Study type:The study included qualitative semistructured interviews and a quantitative sociodemographic survey.Methods: A random sample of GHS participants (n = 59) was recruited to take part in semistructured interviews about their perceptions and experiences of the coaching program. Researchers conducted independent thematic analysis of the interview transcripts. Sociodemographic details were obtained from a quantitative survey of all GHS participants. experience. Service structure or individual circumstances, rather than the program itself, were the main reasons for withdrawal. ResultsDiscussion: A positive coaching experience was underpinned by good participant-coach rapport, which facilitated participant adherence and motivation to achieve their goals and complete the program. It is possible that participants who start to achieve their goals are motivated to continue with the program, and that their motivation moves from relying on their coach to being more intrinsically motivated. Reasons for high attrition provide insights into the coaching structure and process, and suggest that ensuring an individualised coaching approach and flexibility with follow-up calls (including alternative communication methods) are changes that could be used to improve practice and retain more participants for the duration of the program.Conclusions: Notwithstanding high attrition rates, participants were mostly positive about their coaching experience. Barriers to participants completing the program could be used to shape service redesign.

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“…For instance, teaching and wisdom for the young people the way to conduct themselves in the community circle, especially personal; cognitive; behavior; psychological; moral; social and spiritual. At the same time, the leader employs the opportunity to conduct general counseling for those who have problems (Toth-Capelli et al, 2013;Mistry et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…The culture was a historically transmitted pattern of meanings embodied in symbols. Soares et al, (2017) confirm Eleganaboi is one of most classical ceremony existed among Luro society. This conducted in the group by six and more adolescent, adult or elderly people.…”

Section: Introductionmentioning

confidence: 99%

Investigating The Values of Guidance and Counseling in Eleganaboi

Costa

Gonçalves

et al. 2019

JKBK

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Eleganaboi was a traditional ceremony in Luro society which contained essential elements of local wisdom. This study aimed to investigating the values of guidance and counseling in Eleganaboi. To investigate the values of guidance and counseling, we use phenomenology qualitative descriptive method. To collect the data, we implemented observation and interview. The observations were carried out during a cultural ceremony in the Luro community. Furthermore, interview was conducted on four traditional leaders. Edicts and transcendental reduction were used to analyze data. The results show eleven fundamental values of guidance and counseling in Eleganaboi. Those values are: gratitude; genuine; humble; honest; discipline; coherent; respect; care; trust; inclusive and togetherness. The community utilized Eleganaboi as a method to guide and counsel each member, including who faced problems in their life.Abstrak: Eleganaboi adalah upacara tradisional masyarakat Luro yang berisi unsur-unsur penting kearifan lokal. Penelitian ini bertujuan untuk mengeksplorasi nilai-nilai bimbingan dan konseling di Eleganaboi. Penelitian deskriptif kualitatif ini menggunakan pendekatan fenomenologi. Untuk mengumpulkan data, dilakukan observasi dan wawancara. Observasi dilakukan pada saat upacara budaya di masyarakat Luro berlangsung. Selanjutnya, dilakukan wawancara pada empat pemimpin tradisional. Reduksi eiditis dan reduksi transendental digunakan untuk menganalisis data. Hasil menunjukkan ada sebelas nilai dasar bimbingan dan konseling di Eleganaboi. Nilai-nilai itu adalah: rasa terima kasih; tulus; rendah hati; jujur; disiplin; koheren; hormat; peduli; percaya; inklusif; dan kebersamaan. Masyarakat Luro menggunakan Eleganaboi sebagai metode untuk membimbing dan menasihati setiap anggota mereka, termasuk mereka yang sedang menghadapi masalah dalam hidup.

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Stage of Change and Other Predictors of Participant Retention in a Behavioral Weight Management Program in Primary Care

Cited by 18 publications

References 29 publications

Health behaviours of Australian men and the likelihood of attending a dedicated men’s health service

Health behaviours of Australian men and the likelihood of attending a dedicated men’s health service

Participant perspectives of a 6-month telephone-based lifestyle coaching program

Investigating The Values of Guidance and Counseling in Eleganaboi

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