General Self-efficacy Research Articles

The impact of regular workouts and fitness on psychological health and cognitive growth in adolescents

Adolescents' general Mental Health (MH), that involves factors like emotional stability, self-esteem, coping mechanisms, and the absence of MH conditions like depression and anxiety, is referred to as Psychological Health (PH). It includes elements that support resilient and healthy mental functioning. This study demonstrates exercise's role in fostering PH and Cognitive Growth (CG) throughout this critical development period. The beneficial effects of Regular Workouts (RW) on PH include decreased depressive and anxiety symptoms, better stress management, increased self-esteem, and body image, and better sleep. There are 163 adolescents aged 15 to 16 who took part in the study. This study assessed that a group of adolescents' Physical Activity (PA) and Physical Fitness (PF) correlated with their CG and psychosocial functioning. The research variables were measured using the General Self-Efficacy (GSE) Scale, the D2 Attention Test, the Form 5 Self-Concept Questionnaire (AF5), and the General Health Questionnaire (GHQ-28). The study findings suggested a beneficial association between PA and PF and the cognitive and psychosocial functioning of the investigated adolescents. Adolescents that exercised more, for instance, performed better on tests of Processing Speed, general self-efficacy (SE) and in selective attention, additionally, test results used to evaluate cognitive capacity and psychosocial factors were best predicted by cardio-respiratory fitness. Because of the consequences for different aspects of adolescent health and development, these results emphasize the need to encourage PA among adolescents.

Current status and factors influencing the work readiness of middle-aged and young postoperative lung cancer patients.

To identify the current status of return-to-work readiness and analyze its influencing factors among middle-aged and young postoperative lung cancer patients. From July 2022 to February 2023, a total of 144 middle-aged and young postoperative lung cancer patients who had been treated in the Department of Thoracic Surgery of West China Hospital, Sichuan University and had not returned to work were selected as the research subjects. A general information questionnaire, the Readiness for Return-To-Work (RRTW) Scale, the General Self-Efficacy Scale (GSES), and the Simplified Coping Style Questionnaire (SCSQ) were used for the survey. Univariate analysis and ordinal logistic regression analysis were used to assess the current status of work readiness and its influencing factors. The distribution of work readiness from high to low was as follows: behavioral preparation-self-assessment stage, intention stage, preintention stage, and behavioral preparation-action stage. Univariate analysis showed that age, place of residence, occupation, nature of work, average family income, scope of surgery, postoperative complications, surgical site, and primary coping strategies were statistically significant (P < .05). The ordinal logistic regression analysis revealed that patients engaged in mentally oriented work (odds ratio [OR] = 13.78, P < .001), with a monthly family income of ≥ 10,000¥ (OR = 6.28, P = .017), proactive coping strategies (OR = 4.84, P = .019), and higher self-efficacy (OR = 1.17, P < .001) had higher work readiness. Patients engaged in other industries (OR = 0.25, P = .028), agricultural, forestry, and fishing labor (OR = 0.08, P < .001), unemployed (OR = 0.12, P = .038), and with a monthly family income of < 1000¥ (OR = 0.07, P = .026) had lower work readiness. In overall, this study suggests that the work readiness of postoperative lung cancer patients needs improvement. Occupation, nature of work, average family income, primary coping strategies, and general self-efficacy are associated with return-to-work readiness among middle-aged and young postoperative lung cancer patients.

Moderating Effect of General Self-Efficacy on the Relationship between Pregnancy Stress, Daily Hassles Stress, and Preterm Birth Risk in Women Experiencing Preterm Labor: A Cross-Sectional Study.

This study investigated the moderating role of general self-efficacy (GSE) on how stress caused by pregnancy and daily hassle affect the risk of preterm birth (PTB) in women experiencing preterm labor. This cross-sectional study included 196 pregnant women experiencing preterm labor before 37 weeks of gestation. We used IBM SPSS Statistics 27 and employed Hayes process macro version 4 (model 1) and hierarchical regression to analyze the moderating effect of GSE on the relationship between pregnancy stress, daily hassle stress, and PTB risk. Stress caused by pregnancy and daily hassle was positively correlated to PTB risk (r = .54, p < .001; r = .25, p < .001, respectively). While GSE did not significantly correlate with pregnancy stress, it negatively correlated with daily hassle stress (r = - .19, p = .009). GSE significantly moderated the relationship between combined stressors and PTB risk. As GSE levels increased, escalation in PTB risk in response to increasing stress levels was a more pronounced, highlighting a complex interaction between higher GSE levels and response to escalating stress levels. This model accounted for 39.5% of the variance in the PTB risk. Higher GSE may amplify the impact of stress on PTB risk, rather than mitigate it, which suggests a more nuanced role of GSE in the stress response of pregnant women at risk of preterm labor. GSE should be considered in care strategies, and managing its impact on stress perception and responses in pregnant women is crucial.

The Influence of Identity Bubble Reinforcement on the Happiness Index among Chinese Medical Staff: The Mediating Role of General Self-Efficacy.

This study aimed to explore the mediating role of general self-efficacy in the influence of social media identity bubble reinforcement on the happiness index among Chinese medical staff. This study utilized data (n = 877) from the 2022 Psychological and Behavioral Investigation of Chinese Residents (PBICR) related to medical staff. Correlation analysis was performed using SPSS 26.0 software, and the relationships between general self-efficacy, social media identity bubble reinforcement, and the happiness index of Chinese medical staff were examined using AMOS 23.0 software. The happiness index of Chinese medical staff was scored at 2.93 ± 1.21 for each item. Social media identity bubble reinforcement among Chinese medical staff was positively correlated with general self-efficacy (r = 0.380, P < .001), as well as with the happiness index (r = 0.330, P < .001). General self-efficacy was positively correlated with the happiness index (r = 0.575, P < .001) and was found to mediate the relationship between social media identity bubble reinforcement and the happiness index of Chinese medical staff. In terms of the mediating effect of social media identity bubble reinforcement, the direct effect's 95% confidence interval (CI) was 0.031-0.142, accounting for 34.68% of the total effect, which is statistically significant (P = .015), while the 95% CI of the indirect effect was 0.125-0.212, representing 65.32% of the total effect, also statistically significant (P = .005). Social media identity bubble reinforcement and general self-efficacy were found to be important factors influencing the happiness index of medical staff. Hospital managers and policymakers can thus enhance the social media identity bubble reinforcement and general self-efficacy of Chinese medical staff through effective measures to improve their happiness indices.

Postoperative Kinesiophobia in Patients with Acute Type A Aortic Dissection: A Cross-Sectional Study.

This cross-sectional study explores postoperative kinesiophobia in patients with acute type A aortic dissection (AAAD), an understudied area. The occurrence of postoperative kinesiophobia and its relation to various factors were investigated. Patients diagnosed with AAAD and undergoing surgical treatment from January 2019 to December 2021 were selected through continuous sampling. Kinesiophobia levels were assessed using the Tampa Scale for Kinesiophobia Heart (TSK-SV-HEART). Univariate and multivariate regression analyses were employed to determine factors influencing kinesiophobia. Out of 264 included patients, the mean postoperative kinesiophobia score was 38.15 (6.66), with a prevalence of 46.2%. Multivariate logistic regression revealed that education level, general self-efficacy, family care index, and facing style reduced kinesiophobia, while avoidance style and yielding style increased it. Postoperative kinesiophobia prevalence in AAAD patients is high and associated with diverse factors. Medical staff should remain vigilant to potential kinesiophobia during postoperative rehabilitation.

How smartphone addiction disrupts the positive relationship between self-regulation, self-efficacy and student engagement in distance education

Given that students maintain a continuous connection with their smartphones in their daily lives and rely on them for participating in distance education, it becomes imperative to explore the factors associated with student engagement, considering the mediating role of smartphone addiction in distance education programs. Although extensive research has been carried out on smartphone addiction, very little is known about it in the context of distance education. This study aims to explore the relationship between student engagement, smartphone addiction, self-regulation, and self-efficacy among distance education students in online learning environments. This cross-sectional study was conducted in Türkiye. Data were collected via an online questionnaire from 1514 university students (n = 842 females, n = 672 males; Mage = 33.11, SD = 10.09) enrolled in various distance education programs in Turkey, specifically those undertaking synchronous online courses, through an online questionnaire distributed via e-mail. Path analysis modelling was used to test the hypothesised model. Maximum Likelihood Estimation was used as a method for estimating parameters in path analysis. The findings of this study indicate that self-regulation had a positive impact on student engagement, while smartphone addiction had a negative influence. Importantly, smartphone addiction acted as a mediating factor, weakening the relationship between self-regulation and student engagement. No significant correlation was found between general self-efficacy and smartphone addiction. These results highlight the significance of interventions focusing on self-regulation skills and promoting healthy digital habits to enhance student engagement and addressing smartphone addiction is crucial for enhancing student engagement in distance learning environments.

A Correlational Study on Professional Identity and Self-Efficacy Among Nursing Students.

Aim To conduct a correlational study on professional identity and self-efficacy among nursing students Background Professional identity, in simple terms, refers to how one perceives oneself in relation to one's profession. Self-efficacy is defined as people's self-confidence in facing challenges and breaking through difficulties. A well-developed level of self-efficacymay enhance professional identity. This study sought to assessthe professional identity and self-efficacy of student nurses enrolled at SRM College of Nursing, SRM Institute of Science and Technology, Kattankulathur, India, examine the relationship between professional identity and self-efficacy, and explore how self-efficacy and professional identity levels relate to demographic variables. Methodology A descriptive research design was utilized to assess the professional identity as well as the self-efficacy of 202 student nurses. The subjects were surveyed using the General Self-Efficacy Scale and Professional Identity Scale for Nursing Students questionnaires to analyze their levels of self-efficacy and professional identity, respectively. Result The results indicate that among the 202 students surveyed, 102 (50.5%) possess a moderate level of self-efficacy, and 71 (35.1%) possess a moderate level of professional identity. A strong positive correlation was found between professional identity and self-efficacy (r=0.489), implying that the student nurses with a prominent degree of self-efficacy have a compelling degree of professional identity and vice-versa. Conclusion In this investigation, most of the studentsdemonstrated moderate levels of self-efficacy as well as professional identity. Additionally, a robust correlation was observed between self-efficacy and professional identity.

Investigating the relationship between aging perception and self-efficacy in the older adults: a cross-sectional study in Eastern Iran

BackgroundWith the global increase in the older adults population, understanding factors that impact their quality of life is crucial. The perception of aging and self-efficacy are significant factors affecting older adults health outcomes. This descriptive cross-sectional study investigates the relationship between Aging Perception and self-efficacyamong older adults individuals in Birjand city, a demographic that is rapidly increasing but under-research.MethodsThis cross-sectional study was conducted from September 2022 to September 2023 on 400 older adults individuals in Birjand city. Participants were selected using a random sampling method from four regions, ensuring a representative sample. Data were collected through two main questionnaires: the Shortened Perceived Aging Questionnaire (SPAQ) and the General Self-Efficacy Questionnaire (GSE), both validated for the Persian-speaking population. Statistical analysis was performed using SPSS SOFTWARE. ARMONK, NY: IBM CORP. version 26, employing nonparametric tests due to the non-normal distribution of data.ResultsThe study found a strong positive correlation between Aging Perception and self-efficacy (Spearman’s R = 0.79, p < 0.001), indicating that a more positive perception of aging is associated with higher self-efficacy. The analysis also revealed that men generally reported a more positive perception of aging and higher self-efficacy compared to women. However, underlying diseases and marital status did not significantly affect the Aging Perception or self-efficacy scores.ConclusionsThe findings suggest that enhancing self-efficacy among the older adults could improve their perception of aging, potentially leading to better health outcomes and quality of life. This study underscores the need for targeted interventions that consider cultural and gender-specific factors. Further research using longitudinal designs is recommended to explore the causality between Aging Perception and self-efficacy and to confirm these findings across different regions and cultural backgrounds in Iran.

Gambaran Efikasi Diri dalam Pengelolaan Hipertensi pada Lansia di UPTD Puskesmas Baturetno 1 Wonogiri

Elderly is someone who has reached the age of &gt;60 years. The elderly will experience a gradual physical, mental and social decline. The aging process in the elderly is characterised by degenerative changes making them vulnerable to a disease, one of which is hypertension. Hypertension is a cardiovascular disease characterised by a blood pressure condition of 140/90 mmHg. The management of hypertension in the elderly is carried out pharmacologically and non-pharmacologically, this is influenced by high or low self-efficacy. Self-efficacy is a person's belief in the ability to take action in accordance with the goals to be achieved. Knowing the description of self-efficacy in managing hypertension in the elderly at UPTD Puskesmas Baturetno I Wonogiri. This type of research uses descriptive methods with a quantitative approach. The sampling method is simple random sampling with inclusion criteria (respondents who have blood pressure&gt; 140/90 mmHg, and the elderly&gt; 60 years), exclusion criteria are respondents who are not present on the spot. The instrument used was the GSES (General Self-Efficacy Scale) questionnaire. The results of this study were 53 respondents (72.6%) elderly people with hypertension had high self-efficacy, while 20 respondents (27.4%) had low self-efficacy. From this study the majority of elderly people with hypertension at UPTD Puskesmas Baturetno I Wonogiri have high self-efficacy in managing their hypertension.

Health Education Impact on Acute Coronary Syndrome (ACS) Patients' Self-Efficacy &amp; Self-Care

Acute Coronary Syndrome (ACS) is a life-threatening condition. Health education interventions are needed as secondary prevention efforts. This study aimed to analyze the effect of health education on self-efficacy and self-care for ACS patients. This study used a pre-experimental one-group pre-posttest design. The number of samples was 41 respondents taken by purposive sampling technique. Self-efficacy was measured using the General Self-Efficacy (GSE) questionnaire, Cardiac Diet Self-Efficacy (CDSE), and Cardiac Self-Efficacy (CSE). Self-Care Coronary Heart Disease Inventory (S-C CHDI) was used to measure self-care of the patients. Data were analyzed using a dependent t-test. The results showed an increase in the average score of self-efficacy before health education from 129.12 (SD = 16.65) to 142.49 (SD = 13.34) after health education. The self-care score before health education was 51.78 (SD = 11.51), which increased to 59.90 (SD = 10.25) after health education was performed. There was a significant increase in self-efficacy and self-care after health education was conducted, with a p-value = 0.001 &lt;0.05. There was a significant influence of health education intervention on self-efficacy and self-care of patients with ACS. Health education can be programmed as a nursing intervention for ACS patients who are receiving treatment in a hospital.

Testing the Validity and Reliability of the Greek Version of General Self-Efficacy (GSE) Scale

Self-efficacy is one of the cornerstone theories in Behavioral Medicine. One relevant self-reported questionnaire is the ‘General Self-efficacy (GSE) Scale’. Although this measure has been tested in many cultures, there might be a total absence of studies testing the validity and reliability of the Greek version over the last 30 years. As such, this study aimed to test and present both outcomes. A convenient sample of 192 Greeks from the general population was recruited through the snowball sampling method. The statistical analysis included Pearson’s r, Cronbach’s alpha, Exploratory Factor Analysis (EFA) with Varimax rotation and an Eigenvalue of 1.5 and regression analysis to test various types of validity. The results show a Cronbach’s alpha of .909, suggesting an ‘excellent’ level. The inter-item correlation matrix shows values between r= .297 and r= .673, and thus considered satisfying. Item-total statistics suggests that if item 2 is deleted then the Cronbach’s alpha will increase from .909 to .910. However, item 2 was not excluded from the analysis. The EFA illustrates that GSE has only one component. This finding suggests that there is only one factor in the case of the present study, which is probably related to the background theory of general self-efficacy. The linear regression analysis between GSE and resilience was found at high level confirming the background theory. The results of the present study show a high validity and reliability for the Greek version of GSE, while they are consistent to previous studies that tested GSE in other languages and different populations. It is recommended to clinicians and researcher to use in their practice the Greek version of GSE Scale. Keywords: General Self-Efficacy Scale, GSE, Psychometrics, Greece, Positive Psychology, Self-Reported Measures

A pilot study in narrative approach of an adolescent parenting program for enhancing parenting competency during the COVID-19 pandemic in Hong Kong

ABSTRACT Since 2019, Hong Kong has been experiencing a social and mental health crisis caused by social unrest and the COVID-19 Pandemic. As a result, there have been reports of increasing family conflicts among secondary students. With the understanding that family support and positive relationships are crucial for maintaining the mental well-being of young people, narrative therapy is a practical approach for helping families shift from problem-focused perspectives to empowering strategies for rebuilding positive relationships. The study aims to report on the effectiveness of a pilot group parent narrative therapy workshop for family relationship harmonisation and enhancing parenting competency using quantitative and qualitative methods. The study participants included 34 parents from five local schools. The results indicated a significantly increased sense of parental competency, general self-efficacy, adult hope, and decreased parental stress. Qualitative reports and participants’ narratives also demonstrated the positive effect of the narrative therapy workshop on their parent–adolescent relationships.

Facilitating and hindering factors for routine adaptations in manufacturing and effects on human performance- unexpected insights from three experimental studies in a special purpose setting

Consumer behaviour changes and strategic management decisions are driving adaptations in manufacturing routines. Based on the theory of situational strength, we investigated how contextual and person-related factors influence workers’ adaptation in a two-worker position routine. Contextual factors, like retrieval cues (Study 1), time pressure (Study 2), and convenience (Study 3), were varied. Person-related factors included retentivity, general and routine-specific self-efficacy, and perceived adaptation costs. Dependent variables included various error types and production time before and after adaptation. In each study, 148 participants were trained in a production routine at t1 and executed an adapted routine at t2, one week later. Repeated measures ANOVA for performance at t1 and t2, and MANOVA for performance at t2, revealed that time increased for all groups at t2. For participants in Studies 1 & 2, error rates remained consistent. Retentivity significantly impacted errors at both t1 and t2, emphasising that routine changes in a ‘running business’ take time, regardless of contextual factors. Workers with lower retentivity may require additional support.

The multiple mediating effects of self-efficacy and resilience on the relationship between social support and procrastination among vocational college students: a cross-sectional study

BackgroundPrevious research has revealed a negative association between social support and procrastination. However, few studies have investigated the mechanism underlying this relationship among vocational college students.ObjectiveBased on the social cognitive theory, this study was intended to investigate the multiple mediating effects of self-efficacy and resilience on the relationship between social support and procrastination among vocational college students.MethodsThis study employed a cross-sectional design involving a sample of 1,379 students from a vocational college in China. Data were collected using the General Procrastination Scale, the Multidimensional Scale of Perceived Social Support, the General Self-Efficacy Scale, and the Resilience Scale-14. The PROCESS macro for SPSS was used to examine the multiple mediation model.ResultsOur findings indicate significant negative correlations between social support, self-efficacy, resilience, and procrastination. The multiple mediation analysis showed that social support did not have a significant direct impact on procrastination. Instead, the relationship between social support and procrastination was fully mediated by self-efficacy (indirect effect: -0.017; 95% CI: -0.032, -0.004) and resilience (indirect effect: -0.047; 95% CI: -0.072, -0.025), and sequentially mediated by both factors (indirect effect: -0.013; 95% CI: -0.020, -0.007).ConclusionsThe results emphasise the importance of enhancing self-efficacy and resilience in initiatives aimed at preventing and intervening in case of procrastination among vocational college students. Additionally, strengthening social support may also be crucial to preventing or reducing procrastination among this population.

The relationship between self-efficacy, resilience, and job burnout in pediatric residents: a cross-sectional study in Western China

BackgroundBurnout is prevalent among pediatric residents. Self-efficacy and resilience, as concepts of positive psychology, may be protective factors for burnout. However, no current data demonstrates the mechanism of their interaction.ObjectivesTo investigate the pediatric residents’ status of self-efficacy, resilience, and job burnout in a university-affiliated hospital in western China. To explore relationships among them, especially the mediating effects of resilience.MethodsThe study was conducted with 190 pediatric residents from an A-Class women’s and children’s hospital in western China. Data included demographic characteristics, status of pediatric residents, measures of burnout (using the Physicians’ Career Burnout Questionnaire), self-efficacy (using the General Self-Efficacy Scale) and resilience (using the Connor-Davidson Resilience Scale). Multiple regression analysis and mediation analysis with bootstrapping were used to identify whether resilience mediates the relationship between self-efficacy and burnout.ResultsFemale pediatric residents exhibited significantly lower self-efficacy (t = 2.53, p<0.05) and higher levels of job burnout (t=-2.64, p<0.01) compared to male residents. Residents in the standardized training stage experienced higher levels of job burnout compared to those who had completed the training, as indicated by t-values of -3.21, -2.13, and − 2.80 (p<0.05). Significant correlations (p ≤ 0.01) were found among self-efficacy, resilience, and burnout. Additionally, our findings indicated that pediatric residents’ self-efficacy can positively predict job burnout and its three dimensions through a major mediating effect of resilience.ConclusionsThe findings regarding the mediating effect of resilience on the influence of self-efficacy on burnout, and their association with gender and residency status, have practical implications for interventions aimed at reducing burnout and improving the well-being of pediatric residents.

Promoting proactive helping behaviour: the role of positive psychological capital and emotional self-control

PurposeCustomers’ proactive helping behaviours involving personal initiative taking may present an effective solution for assisting other customers in avoiding harmful brands. Accordingly, this study aims to propose a model explaining the role of positive psychological capital (self-efficacy and optimism) in influencing customers’ proactive helping behaviours involving personal initiative taking. The study additionally provides greater clarity regarding the moderating effect of emotional self-control within the suggested model.Design/methodology/approachSurvey data were collected from 256 respondents in South Africa, who reported on their perceptions and the degree to which they engage in proactive helping behaviours to assist other customers in avoiding harmful brands. Hypotheses were tested using regression analysis.FindingsGeneral self-efficacy and social optimism influence customers’ proactive helping behaviours. Emotional self-control moderates the indirect effect of general self-efficacy on customers’ proactive helping behaviours through social optimism.Research limitations/implicationsGreater insight is obtained into the interplay between factors representing a positive psychological state and self-control of negative emotions and these factors’ effect on customers’ proactive helping behaviours involving personal initiative taking.Originality/valueThe research extends knowledge of proactive helping behaviours involving personal initiative taking to assist other customers in avoiding harmful brands and subsequently provides a baseline for further research in this regards. Practically, the research is useful to social agents of society concerned with promoting responsible purchasing practices.

Examining the Factors Affecting Psychological Well-Being in Certified Nurse Aides Working at Long-Term Care Institutions.

The demand for certified nurse aides (CNAs) in long-term care institutions is gradually increasing. Factors such as well-being that positively influence the work of CNAs have been inadequately explored in the literature. This study was designed to examine the relationships among social support, self-efficacy, demographics, and psychological well-being in CNAs during the recent COVID-19 pandemic and to assess the moderating role of social support on self-efficacy and well-being in this population. In this quantitative correlational study, CNAs from 24 legally registered long-term care institutions were recruited as participants. Data were collected using a demographic questionnaire, the General Self-Efficacy Scale, the Social Support Scale, and the Chinese Happiness Inventory. Partial least squares structural equation modeling was used to test the research hypotheses model. The Strengthening the Reporting of Observational Studies in Epidemiology checklist was followed in this cross-sectional study. A total of 148 CNAs were enrolled as participants. The mean age of the participants was 46.48 years. Social support and having children were identified as being significantly and positively correlated with well-being, and self-efficacy was identified as having no significant impact on well-being. Importantly, social support was found to moderate the relationship between self-efficacy and well-being. Overall, social support and having children were important predictors of well-being, with a combined explanatory power of 41.6% ( Q2 = .28, f2 = 0.40). Self-efficacy was found to be less predictive of well-being in the presence of higher levels of social support. Being a parent was also identified as an important factor affecting the well-being of CNAs under stress. Managers of long-term care institutions should intervene to improve the CNA's social support. Also, CNAs who do not have children should pay more attention to their well-being.

Study on the intervention effect of HCH integrated SMG health management model on community high-risk group of cardiovascular disease.

This study aimed to evaluate the integration of the Hospital-Community-Home (HCH) model with the Self-Mutual-Group (SMG) health management model for high-risk populations with cardiovascular disease in the Yuhua community of Shijiazhuang city. The study focused on implementing care interventions (HCH, SMG) with a specific emphasis on SMG to promote beneficial views/behaviors, enhance self-efficacy/agency, and address detrimental determinants of health, ultimately leading to durable changes and healthier lifestyles. Comparing the HCH model with the combined SMG model helps to comprehensively assess the strengths and weaknesses of different health management approaches. This comparison contributes to theoretical innovation and practical development in the field of health management, as well as improving patients' health outcomes and quality of life. This study employed a quasi-experimental design. Using stratified sampling, individuals who underwent health examinations in Community A and Community B from Shijiazhuang city between May 2023 and August 2023 were randomly selected. After informing the participants about the study and obtaining informed consent via telephone, high-risk patients with cardiovascular disease were screened based on their medical examination reports. Data on lifestyle behaviors, self-efficacy, medical responses, quality of life, and readmission rates were collected and compared before and after the intervention. A total of 526 eligible participants were included, with 241 in the control group and 285 in the study group. After the intervention, there was no significant change in the proportions of smokers, alcohol consumers, and individuals engaging in leisure exercises in the control group. However, in the study group, the proportions of smokers and alcohol consumers significantly decreased, while the proportion of individuals engaging in leisure exercises significantly increased. After the intervention, both the study group and the control group showed significant increases in scores on the General Self-Efficacy Scale-Schwarzer (GSES) and the Seattle Angina Questionnaire (SAQ), with the study group scoring significantly higher than the control group. Avoidance and surrender scores significantly increased after the intervention, with the study group scoring significantly lower than the control group. Confrontation scores significantly increased after the intervention, with the study group scoring significantly higher than the control group. During the follow-up period, the study group had a significantly lower readmission rate than the control group. The integration of HCH with SMG health management model can significantly improve lifestyle behaviors, optimize medical responses, enhance self-efficacy and quality of life, and significantly reduce readmission rates among high-risk populations with cardiovascular disease.

Diabetes misconceptions, seriousness, motivation, self-efficacy and stigma: A cross-sectional comparison of eight Australian diabetes communication campaign videos.

This study examines potential intended (attitudes, motivation and self-efficacy) and unintended (stigmatisation of diabetes) consequences of past Australian National Diabetes Week campaign videos. Further, outcomes are compared by the extent to which participants perceived their allocated video as stigmatising diabetes. In this cross-sectional, ten-arm study, participants (adults with or without diabetes; 1:2 ratio) were randomly allocated to view one of eight archival diabetes campaign videos (intervention), or either an active or passive control group. Post-exposure, study-specific scales measured diabetes Misconceptions and Seriousness, General and Diabetes Risk-Reduction Motivation and Self-efficacy, and perceptions of video Stigmatisation of diabetes. Scores were compared by condition (intervention vs. control) and by campaign Stigma (highest vs. lowest tertile score), separately by cohort (with or without diabetes). The sample included n = 1023 without diabetes; and n = 510 with diabetes (79% type 2 diabetes). No significant differences in outcomes were observed between conditions (intervention vs. control), with one exception: a modest effect on General Self-efficacy among those without diabetes only. Those perceiving high campaign Stigma (15%), relative to low Stigma (60%), reported significantly greater diabetes Misconceptions, lower perceived Seriousness and (among those without diabetes only) lower General Motivation but higher Diabetes Risk Reduction Motivation. Though limited to a single-exposure, we found little meaningful positive influence of past diabetes campaign videos on diabetes attitudes, behavioural intentions or self-efficacy. Further, campaign videos were perceived as stigmatising by a minority-a potential harmful impact. This novel study has implications for the design, implementation and evaluation of future diabetes campaigns.

The Relationship between Self-Efficacy and Adherence to Drug Therapy in Hypertension Patients at the Medan Freight Health Center

This study examines the relationship between self-efficacy and medication adherence among 83 hypertensive patients at the Sering Community Health Center in Medan. Using a cross-sectional design, self-efficacy was assessed using the General Self-Efficacy Scale, and adherence was measured through self-reported medication adherence. The findings reveal a significant positive correlation between self-efficacy and medication adherence, highlighting that patients with higher self-efficacy are more likely to adhere to prescribed treatment regimens. Duration of hypertension emerged as a significant predictor of adherence. These findings underscore the importance of psychological factors in chronic disease management and suggest that interventions aimed at enhancing self-efficacy could improve adherence and health outcomes among hypertensive patients. Future research should explore longitudinal designs to establish causal relationships and consider cultural factors in intervention strategies.