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Self-efficacy in increasing physical activity of coronary heart disease patients: a cross-sectional study

Mon, 01 Jan 2024 00:00:00 GMT

Title: Self-efficacy in increasing physical activity of coronary heart disease patients: a cross-sectional study Authors: Roberto Muliantino, Mulyanti; Zumratul Qadri, Nindy; Afriyanti, Esi; Sarfika, Rika Abstract: Introduction: Patients with coronary heart disease who engage in low physical activity are at an increased risk of morbidity and mortality. Self-efficacy, a key determinant of physical activity adherence, may hinder or enable engagement in exercise, particularly in patients with low self-efficacy. This study aimed to determine the association of physical activity and self-efficacy in patients with coronary heart disease. Methods: A cross-sectional study was conducted among outpatients of coronary heart disease at a cardiovascular center. A total of 238 coronary heart disease patients were included in the study using a purposive sampling technique. The self-efficacy was measured using the cardiac self-efficacy scales (CSE), and the physical activity was measured using the long form International Physical Activity Questionnaire (IPAQ). Data analysis used the Chi-square test, Spearman correlation test and multivariate linear regression. Results: Self-efficacy was strongly positively correlated with physical activity in coronary heart disease patients (r = 0.956; p = 0.001). Domain-specific correlations included domestic (r=0.419, p<0.001), work (r=0.383, p<0.001), leisure time (r=0.296, p<0.001), and transport (r=0.247, p<0.001). Multiple linear regression analysis showed that employment status had the most significant negative impact on physical activity (B = -246.477), while age (B = 123. 889)and self-efficacy (B = 93.513) were positively associated with physical activity. These results indicate that higher self-efficacy and older age are linked to increased physical activity, whereas employment status is associated withdecreased physical activity.Conclusions: In this population, self-efficacy, remaining working status and age are important factors of physical activity in coronary heart disease patients.

Factors influencing modern contraceptive usage among women aged 15-49 years: a cross-sectional study

Mon, 01 Jan 2024 00:00:00 GMT

Title: Factors influencing modern contraceptive usage among women aged 15-49 years: a cross-sectional study Authors: Yaba Mohammed-Amen, Hawri; Mohammed Ali, Suhailah Abstract: Introduction: Modern contraceptives are hormonal or non-hormonal medicines and medical procedures that prevent sexual reproduction. However, millions of reproductive-aged women globally cannot afford modern contraception, leading to unwanted pregnancies and unsafe abortions. This study aimed to examine the factors that influence modern contraceptive use among married women of reproductive age in Kirkuk City, Iraq. Methods: A cross-sectional study was conducted to gather data from a convenience sample of 500 married women of reproductive age attending family planning units at 10 healthcare facilities, Azadi, Kirkuk Teaching Hospital, and private gynecological and obstetric clinics. Data were collected using a structured questionnaire from October 1st, 2023, to February 1st, 2024. The statistical analysis involved descriptive and inferential techniques. Results: The prevalence of contraceptive use among participants was 74.6%, with about (21%) reporting condom use and (16.0%) withdrawal usage. However, intrauterine devices were reported in (12.6%). Side effects were significantly (p<0.001) associated with contraceptive method choices, with 52% of the users experiencing adverse effects. External pressures to have additional children or become pregnant significantly (p=0.037) influenced contraceptive method choices. There were fewer modern contraceptive methods due to unsafety (30.9%), discomfort (23.6%), and side effects, such as headache (18%), weight gain (16%), and irregular bleeding (14%). Conclusions: Modern contraceptive use is affected by healthcare, safety, side effects, reproductive health, and personal choices. Providing complete knowledge and access to modern contraceptives helps couples make informed reproductive health decisions, empowers women to regulate their fertility, supports their personal and reproductive objectives, and promotes their health and well-being

Determinants of parents’ readiness for face-to-face learning among elementary school children during the new normal

Mon, 01 Jan 2024 00:00:00 GMT

Title: Determinants of parents’ readiness for face-to-face learning among elementary school children during the new normal Authors: Dwi Kurnia, Iqlima; Sufyanti Arief, Yuni; Diyan Rachmawati, Praba; Krisnana, Ilya; Istiqomah, Yutri; Dwi Ananta, Syafira; Rithpho, Pratuma Abstract: Introduction: The education field has undergone major changes as a result of the COVID-19 outbreak. Schools have had to quickly modify the way they teach, moving away from traditional face-to-face learning and toward a variety of models, such as fully online and hybrid courses. As things change, many schools are now thinking about going back to face-to-face learning. However, there are difficulties with this shift, particularly for parents of elementary school-aged children. This study aimed to determine the factors related to the readiness of parents who have elementary school-age children in regard to face-to-face learning using the Health Promotion Model (HPM) theoretical approach. Methods: This was a cross-sectional study. The study population consisted of parents of elementary school students in Surabaya. A purposive sampling method was used to select 395 respondents. The independent variables included motivation, parental knowledge, perceived benefits, perceptions of barriers, self-efficacy, interpersonal factors, situational factors, and commitment, while the dependent variable was parental behavior in face-to-face learning readiness. Data were collected using a validated and reliable questionnaire. Data analysis was conducted using a logistic regression test, with a significance level of α ≤ 0.05. Results: Most parents were 37 years old, and children in the 5th grade of elementary school. Most of the parents' motivation was in the sufficient category (57%). The parents’ knowledge of COVID-19 was good (66.8%). Most parents had a good perception of benefits (68.4%), and the perception of barriers was sufficient (59.7%). Good self-efficacy was observed in only 49% of cases, and interpersonal and situational factors accounted for 99.7% and 100%, respectively. Meanwhile, regarding parental readiness for face-to-face learning, the majority exhibited good behavior (96.2%). The factors that influenced parental behavior in face-to-face learning readiness were parental knowledge (0.010), perceived benefits (0.019), and commitment (0.029). Conclusions: Good knowledge, perceived benefits, and parental commitment are factors that influence parents' readiness to participate in face-to-face learning. To ensure children's safe return to school, parents must stay up-to-date on safety measures and learning options, and each parent must be prepared to adapt to changes if necessary, while also encouraging vaccination to protect against COVID-19

Changes in paternal perinatal depression and its predictors from third trimester of pregnancy to one-year post-partum: a longitudinal study

Mon, 01 Jan 2024 00:00:00 GMT

Title: Changes in paternal perinatal depression and its predictors from third trimester of pregnancy to one-year post-partum: a longitudinal study Authors: Kido, Kumiko Abstract: Introduction: Paternal depression is not as widely recognized as maternal depression. Studies in Japan have examined the factors associated with paternal depression, but these have been limited to specific regions rather than conducted on a nationwide scale. This study aimed to examine changes in paternal perinatal depression from the last trimester of pregnancy to one year postpartum. Additionally, we explored the relationship between paternal perinatal depression and fathers' feelings toward their infants. Methods: This study used a longitudinal design. We initially planned to collect data from over 384 cases based on sample size calculations, and successfully collected data from 494 men in the first survey. However, more than half of the participants dropped out in the second and subsequent surveys, resulting in 201 men completing the longitudinal survey over a one-year period. Results: The mean Edinburgh Postnatal Depression Scale, Japanese version (EPDS-J) score in the last trimester of pregnancy was 9.274 (95% confidence interval [CI] 8.413-10.134), which was the highest throughout the study period. The mean EPDS-J score was lowest at 3-5 months postpartum, with a score of 7.682 (95% CI 6.816-8.547). At all time points, occupational stress and partner relationships were associated with EPDS-J scores. Conclusions: Reducing paternal perinatal depression requires controlling for occupational stress and maintaining good marital relationships. The findings suggest that addressing work-life balance is crucial for Japanese fathers to enhance their whole-family well-being.