Browsing by Author "Lu, Li-Ting"

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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.
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.
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.
中文語意透明度對再認記憶裡清晰回憶以及熟悉度判斷歷程的影響：一般與自閉症學童的比較研究
(2017) 呂俐葶; Lu, Li-Ting
本研究旨在比較國小自閉症與一般學童於再認記憶的發展異同，並探討中文語意透明度及詞頻對兩組學童再認記憶裡清晰回憶以及熟悉度判斷歷程的影響。實驗一中以二階段記得/知道實驗任務測量一般學童再認記憶裡清晰回憶以及熟悉度判斷歷程，研究結果顯示中、高年級學童的再認記憶無年齡差異，但高年級清晰回憶大於中年級，熟悉度判斷歷程小於中年級的現象。實驗二以同樣的實驗任務測量中年級與高年級自閉症學童的再認記憶，兩個年段的再認記憶及其雙歷程並無明顯的差異。綜合分析比較一般與自閉症學童再認記憶的表現，顯示一般與自閉症學童並無明顯的發展差異。本研究同時操弄中文語意透明度及詞頻以檢視兩種詞性對再認記憶中清晰回憶以及熟悉度判斷歷程的影響。研究結果顯示中文語意透明度在一般與自閉症學童組的比較上並無組別間的交互作用，且兩組都有語意不透明詞的正確再認率大於透明詞，而錯誤再認率小於透明詞的鏡像效應。此外，在實驗一對詞頻的分析並未發現詞頻對一般學童的再認記憶有明顯的影響，但在實驗二的分析則顯示在校正後的知道反應中，自閉症學童對高頻詞的熟悉度判斷歷程大於低頻詞。綜合分析比較亦發現在校正後的知道反應中詞頻對一般學童及自閉症學童再認記憶的影響有差異，顯示自閉症學童對高頻詞的熟悉度判斷歷程大於低頻詞，但一般學童的再認記憶沒有詞頻上的差異。整體而言，一般學童與自閉症學童的組間差異不明顯，兩組在再認記憶的發展上都有整體正確再認率無年齡差異，但在雙歷程的清晰回憶歷程上有高年級大於中年級，熟悉度判斷歷程中年級大於高年級的現象。此外，語意透明度的鏡像效應並不受年齡及樣本族群影響，在整體再認率上都有正確再認率不透明詞大於透明詞且錯誤再認率小於透明詞的現象。
社區長者參與失智預防課程之看法與6C行銷模式對長者未來參與課程之模式驗證
(2021) 呂莉婷; Lu, Li-Ting
目的：本研究運用6C行銷模式探討社區長者參加預防失智症課程意圖。透過可靠且有效的方式測量臺灣社區長者參加預防失智症課程之可能性。並發展適用於臺灣社區長者參加預防失智症課程可能性之預測模式。方法：本研究共分三階段進行，第一階段採用深度訪談，以6C行銷模式為架構設計訪談大綱，訪談逐字稿以直接內容分析法進行分析；第二階段採用Q方法，Q分類排序所得之資料以主成份分析（Principle Components Analysis）及最大變異轉軸法（Varimax Rotation）進行因素抽取及類型區分；第三階段採用量性問卷調查，以深度訪談資料為基礎及參考相關文獻，建構量化測量工具及進行資料收集，再以結構方程模式（Structure Equation Modeling, SEM）進行預測模式驗證分析。結果：第一階段研究邀請30位社區長者進行深度訪談，以逐字稿方式進行彙整，找出32個關鍵詞，再依據6C行銷模式進行歸類，結果如下：記憶衰退、腦部空白、表達障礙、家人照顧負擔及年紀增長等5個關鍵詞歸類「老化影響」；認識新朋友、朋友在一起互動、增進身心健康、增加身體活動量、增加知識、利用時間及保持獨立等7個關鍵詞歸納「消費者本身」；交通便利與否、上課學費多寡、上課次數多寡、上課時間長短及生病醫療費用等5個關鍵詞歸納「成本考量」；團體上課方式、線上上課方式、學習負荷及體力負荷等4個關鍵詞歸納「方便採用」；失智症相關資料、危險因子（跌倒、三高、憂鬱、社會互動）、朋友建議、媒體、老人機構人員介紹及醫護人員建議等6個關鍵詞歸納「溝通管道」；子女期待、朋友邀約、實際接觸、家人生病及造成別人困擾等5個關鍵詞歸納「人際影響」。第二階段研究共招募33位社區長者參與Q-分類排序，根據Q分類結果之分析共歸納出四種因素類型社區長者，各因子如下：因子 1：認同參加課程能認識新朋友並善用時間、因子2：擔心自己會因為失智而造成別人的負擔、因子 3：考量風險、成本及專家建議、因子 4：多種需求綜合考量。第三階段研究共收回282份有效問卷，根據SEM分析整體模式適配性良好，路徑分析顯示以老化影響的影響力最大，其次為消費者本身的想法，整體模式對於行為意圖解釋力為60.4%，表示當社區長者自覺老化，以及消費者本身的想法越認同預防失智症課程時，其採取參加預防失智症課程的意圖就越高。結論：本研究同時結合6C行銷模式與被介入者（社區長者）的觀點來探討老人參與預防失智症課程意圖，並以Q方法成功的將社區長者區分為四種不同類型，也發展出適合於社區長者參與預防失智症課程可能性之測量工具，可提供未來在設計參與預防失智症課程行銷方案之應用，使方案內容更能符合社區長者的心理與實際需求，以促進社區長者對參與預防失智症課程的參與率。