DSpace Repository :: Browsing by Author "Huang, Su-Fei"

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Likelihood of a fecal occult blood test uptake among older adults: comparisons between health professionals and healthcare volunteers based on the health belief model

(2019-02-21) Lin, Tsung-Yi; Chuang, Shu-Tzu; Huang, Su-Fei; Hsu, Hsiao-Pei; Lu, Li-Ting; Guo, Jong-Long

Abstract Background Health professionals and healthcare volunteers play a critical role in promoting uptake of the fecal occult blood test (FOBT), which is an effective screening method for colorectal cancer. However, previous studies paid less attention to investigating both groups regarding their intention to undergo the test. This study used the Health Belief Model (HBM) to explore the likelihood of an FOBT uptake among health professionals and healthcare volunteers aged 50 years or older. Methods A cross-sectional survey was conducted at public health centers in a county in northern Taiwan. Health professionals and healthcare volunteers were invited to complete the questionnaires. Overall, 391 valid questionnaires were obtained (response rate = 93.10%). Structural equation modeling was used to examine the associations among the variables based on the HBM. Results The HBM explained 45, 44, and 50% of the variance in the likelihood of undergoing an FOBT in all participants, health professionals, and healthcare volunteers, respectively. The explained variance in healthcare volunteers outweighed that of professionals by 6%. Perceived benefits and self-efficacy significantly affected the likelihood of undergoing an FOBT. Self-efficacy significantly mediated the effects of perceived severity, benefits, and barriers on the likelihood of an FOBT uptake. A borderline significant difference in structural coefficients was found across groups. Conclusions The HBM model was used to examine the likelihood of an FOBT uptake among health professionals and healthcare volunteers, and the results showed that self-efficacy was the optimal predictor of the likelihood of an FOBT uptake, followed by perceived benefits. Future multifactorial interventions to promote FOBT uptake among health professionals and healthcare volunteers aged 50–75 years could include these significant factors.

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New partnerships among single older adults: a Q methodology study

(2019-03-06) Huang, Su-Fei; Huang, Chiu-Mieh; Chen, Shueh-Fen; Lu, Li-Ting; Guo, Jong-Long

Abstract Background The social structure is changing with an increase in the ratio of the older population, resulting in a growing number of older people being faced with singlehood. This study identified and described single older adults’ differing perspectives on new relationships. Method We used a Q methodology approach for data collection and analysis, following in-depth interviews with 10 participants. Q statements were developed through content analysis of the interview data, which were then subjected to Q sorts performed by 49 older adults. A factor analysis was then completed on the collected data using PQ Method software. Results Five factors regarding common attitudes toward pursuing a new partner, which accounted for 53% of the total variance, were obtained in the final model: (1) being single, a companion, and already acquainted with the other person/potential partner; (2) high spiritual compatibility and a caring disposition; (3) an emphasis on physical intimacy and companionship; (4) easily influenced by others’ comments and highly concerned about being alone; and (5) physical and financial independence. Conclusions Clustering older adults according to their attitudes can help in acknowledging their expectations about new relationships in later life. Implications Practitioners can engage in successful consultations based on the recognition.

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Patterns of perspectives on fall-prevention beliefs by community-dwelling older adults: a Q method investigation

(2016-07-07) Chen, Shueh-Fen; Huang, Su-Fei; Lu, Li-Ting; Wang, Mei-Chuen; Liao, Jung-Yu; Guo, Jong-Long

Abstract Background Falling has high incidence and reoccurrence rates and is an essential factor contributing to accidental injury or death for older adults. Enhancing the participation of community-dwelling older adults in fall-prevention programs is crucial. Understanding fall-prevention beliefs will be beneficial for developing a community-based fall-prevention program. The aim of the present study was to identify the distinct types of subjective views on the fall-prevention beliefs of community-dwelling older adults aged 80 years and older by applying the Q method. Methods The Q method was adopted to investigate the pattern of perception on fall-prevention beliefs. Forty-two older adults aged 80 − 92 years from a community care center in Northern Taiwan were recruited and requested to complete a Q-sorting. A series of Q-sorts was performed by the participants to rank 30 statements into a normal distribution Q-sort grid. The Q-sorts were subjected to principal component analysis by using PQMethod software Version 2.35. Results Four statistically independent perspectives were derived from the analysis and reflected distinct viewpoints on beliefs related to fall prevention. Participants in the Considerate perspective believed that health problems caused by falling were serious and fall prevention could decrease the burden they place on their family. Participants in the Promising perspective believed that existing health problems could cause a fall and that fall prevention contributed to their well-being. Participants in the Adaptable perspective perceived low barriers to execute fall prevention and displayed self-confidence and independence in preventing falls. Participants in the Ignorance perspective believed that they could not prevent falls and perceived barriers to fall prevention. Conclusions By combining theoretical constructs and the Q methodology approach, this study identified four distinct perspectives on fall prevention among community-dwelling older adults. Critical reflection on older adult personal perspectives and interpretations of the required responsive approach is a key element for appropriating fall-prevention support.

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國小學童菸害防制多元計畫介入成效評估：整合行為改變模式之應用

(2018) 黃素妃; Huang, Su-Fei

背景：預防學童避免菸品危害是公共衛生優先議題，本研究應用整合行為改變模式評量國小學童菸害防制介入之成效。方法：採準實驗研究設計，立意取樣新北市2行政區8所偏遠國小3-6年級學童為研究對象，其中 4所學校進行菸害防制多元介入計畫，另4所學校對照組則持續常規活動。以自填式問卷蒐集介入前(T1)、介入後(T2)，並探討6個月後(T3)的延宕效果。結果：共510位參與研究，94.1%學童從未吸菸(即使一口都沒)，有64.5%學童暴露二手菸。以GEE分析菸害防制多元介入計畫之成效，結果顯示進步的有：學童的菸害知識(T2: β = 0.65, p< 0.001, T3:β = 0.41, p = 0.027)，不吸菸的行為意圖(T3: β =0.50, p = 0.045)，拒吸二手菸自我效能(T2: β =4.55, p = 0.010)。然而學童在吸菸決策利益、決策障礙、社會模範、社會壓力、不吸菸的自我效能、二手菸暴露、拒吸二手菸的行為意圖則無統計上顯著差異。結論：在幾乎所有學童不吸菸，但二手菸暴露仍高的情況下，本菸害防制多元介入計畫仍具部分成效，本研究有助於提供未來推動菸害預防教育多元介入計畫之參考。