Interaction Model Of Client Health Behavior Research Articles

Interaction Model of Client Health Behavior for Informal Caregivers: A Theoretical Analysis.

Background: Reliance on informal caregivers is expected to increase, yet there are not many studies examining their characteristics and behaviors. Purpose: The aim of this review is to relate the interaction model of client health behavior (IMCHB) to informal caregiver outcomes. Methods: The literature associated with the IMCHB was examined for current usage to determine use in guiding theories related to informal caregiver outcomes. Cumulative Index to Nursing and Allied Health Literature, Cochrane, EBSCO, Google Scholar, Journals@Ovid, Medical Literature Analysis and Retrieval System Online, and ScienceDirect databases were searched for peer-reviewed literature. Walker and Avant's method guided this theoretical analysis. Results: Seven articles were retained for discussion in this theoretical analysis. Implications: The IMCHB has been used in past health promotion research and can guide future nursing research that supports interventions for informal caregivers. The model's inclusion of the client-professional interaction component allows for further caregiver behavioral associations and relationships that influence optimal outcomes.

Theoretical evaluation of Cox's interaction model of client health behavior for health promotion in adult women.

This study aimed to evaluate Cox’s interaction model of client health behavior (IMCHB) as used in studies on women’s health. Using keyword combinations of “women” and “IMCHB” or “interaction model of client health behavior,” we searched the PubMed, MEDLINE, Embase, and RISS databases for studies on the promotion of women’s health published from January 2009 to April 2019. Finally, 11 studies were selected and evaluated according to seven criteria for theory evaluation, which combined Fawcett’s theory evaluation criteria and Chinn and Kramer’s criteria. We found that the IMCHB corresponds to a verifiable practical level of a middle-range theory, although it may be partially abstract. It contains all four concepts of the metaparadigm of nursing, in terms of a holistic philosophical approach. A theoretical evaluation demonstrated that the IMCHB has significance, generality, testability, empirical adequacy, and pragmatic adequacy for nursing practice and research. However, the lack of clear conceptual definitions and the presence of complex relationships among concepts resulted in a lack of internal consistency and parsimony. According to an in-depth verification through a review of the literature, the IMCHB has been used as a health promotion intervention strategy for various populations of women and has led to useful results in nursing practice. The IMCHB was confirmed to be a suitable theory for experimental and clinical research. Future research can build on this middle-range theory for women’s health research and practice.

Effect of interaction model of client health behavior on self-management ability and quality of life in patients with ulcerative colitis

Objective To explore the effect of interaction model of client health behavior (IMCHB) on self-management ability and quality of life in patients with ulcerative colitis (UC) . Methods A total of 84 UC patients hospitalized from June 2016 to January 2018 were enrolled by convenience sampling method. They were randomly divided into observation group and control group with 42 cases in each group. Based on routine drug treatment, the control group received routine nursing intervention, while the observation group applied IMCHB to guide nursing intervention. Before intervention and 3 months after the intervention, the patients' self-management ability was assessed with the Inflammatory Bowel Disease Self-efficacy Scale (IBD-SES) and self-designed Self-Management Behavior Questionnaire, and the patients' quality of life was assessed with the Inflammatory Bowel Disease Questionnaire (IBDQ) . Results At the end, 40 cases in the observation group and 41 cases in the control group were included in the study. There was no statistically significant difference in IBD-SES and IBDQ scores between the two groups before intervention (P>0.05) . After intervention, the scores of stress and emotional in IBD-SES scale and maintenance management in remission period in observation group were (78.83±10.37) , (46.83±3.58) respectively, higher than those in control group [ (70.27±10.82) , (44.27±3.61) ], the scores of systemic symptoms and emotional ability in observation group were (20.25 ±2.68) , (60.65±4.24) respectively, higher than those in control group [ (18.32±3.01) and (58.37±4.82) ]and the differences were statistically significant (P<0.05) . After intervention, the qualified rates of dietary records and exercise records in the observation group were 80.00% (32/40) and 85.00% (34/40) , respectively, which were higher than those in the control group [51.22% (31/40) and 60.98% (25/40) ] with statistical significance (P<0.05) . Conclusions IMCHB can promote the self-management ability and quality of life of UC patients. Key words: Colitis, ulcerative; Cox interaction model of client health behavior; Self-management ability; Quality of life

Measuring Patient Satisfaction With Postpartum Teaching Methods Used by Nurses Within the Interaction Model of Client Health Behavior

The purpose of this study was to determine the relationship between new mothers' interaction with nurses using different teaching methods to provide postpartum discharge teaching and their satisfaction with nursing care. Cox's Interaction Model of Client Health Behavior (IMCHB) provided the framework for this study. This study used a quasi-experimental posttest design with two groups to examine patient satisfaction with different teaching methods used by nurses to provide postpartum education. The Modified Client Satisfaction Tool measured satisfaction with discharge teaching. Data were analyzed with descriptive statistics, chi-square, Kendall's tau, and Mann-Whitney U tests. The data showed high satisfaction scores for new mothers receiving both methods of discharge teaching, indicating that new mothers who received the traditional method of discharge instruction provided by nurses were just as satisfied as those who received the demonstration/return demonstration method of discharge instructions provided by nurses. Providing individualized care, based on the expressed needs of the patient, was demonstrated in this study to result in high satisfaction with nursing care using both methods of providing postpartum discharge teaching.

Interactive Model of Client Health Behavior and Cervical Cancer Screening of African-American Women

Explore inductively African American women's use of Pap smear screening services and consider how well the data did or did not affirm the usefulness of the interaction model of client health behavior (IMCHB). The IMCHB guided this qualitative study designed to explore women's social influence and previous health care experience and their influence on the women's cognitive appraisal associated with Pap smears and cervical cancer. Interviews were conducted with 24 women, resulting in 2 groups: routine-use (n = 11) (Pap smears every 1-3 years) and non-routine-use (n = 13). Content analysis approach to data analysis was used, where interview data were considered in relation to elements of IMCHB. Analysis revealed that the IMCHB was useful for framing cervical cancer screening health behavior research. Both groups' data fit well onto the framework. The routine-use group fit the entire model, with iterative (repeat) behavior in cervical cancer screening. The non-routine-use group also fit the model, but their iterative behavior in cervical cancer screening was intermittent due to negative personal influences. This model can provide a focus to the delivery of gynecological care based on a client's unique characteristics that can be addressed with individualized nursing interventions designed to promote positive health outcomes.

The interaction model of client health behavior: A model for advanced practice nurses

To present the Interaction Model of Client Health Behavior (IMCHB) as a model to guide nurse practitioners (NPs) in their practice. Selected research-based articles on Cox's IMCHB and selected text and writings on the NP movement and nursing practice models. Many NPs practice in a medical setting where the boundaries between medicine and nursing are blurred. The IMCHB offers a nursing model to guide NPs in their practice. A nursing model that examines the elements of client uniqueness and assesses the interaction between NP and client can achieve positive health outcomes.

FACTORS THAT INFLUENCE VULNERABILITY TO STDS AND HIV/AIDS AMONG HISPANIC WOMEN

Self-esteem, motivation for sexual health, and sexual risk behaviors as indicated by condom use and number of sex partners was explored in a sample of 140 Hispanic women of childbearing age (18–44 years). The researchers used Cox's Interaction Model of Client Health Behavior (IMCHB) as the conceptual framework for the study. They found that 70% (n = 79) of single women reported condom use with their most recent sexual partner, and 49% (n = 55) of single women reported more than one sexual partner in the last 12 months. Self-esteem and motivation for sexual health were significantly associated (r =. 42, p =.001), although only the latter was related to condom use among single women (r =. 29, p =. 01). Women who reported higher self-esteem were less likely to worry about acquiring sexually transmitted diseases (STDs) and human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS). Despite public information about STDs, including HIV/AIDS, a proportion of these women and their partners are vulnerable to these diseases. Health promotion implications are discussed.

Medication decision-making by persons with serious mental illness

The Interaction Model of Client Health Behavior (IMCHB) has been established as a useful model in guiding research and development of individually tailored clinical interventions. The constructs of client singularity, client-provider interaction, and health outcomes guided an examination of medication decision-making by persons with serious mental illness (SMI). Client motivation is discussed as it relates to participation in the client-provider interaction and subsequent medication adherence and quality of life. Decisional control, the specific element of the client-provider interaction that affects medication decision-making, is considered in relation to consumer roles and responsibility for medication management. As psychotropic medications remain the single most effective treatment for reducing the active symptoms of psychosis, this look at medication decision-making may have significant implications for nursing.

The Interaction Model of Client Health Behavior as a conceptual guide in the explanation of children's health behaviors.

This study used the Interaction Model of Client Health Behavior (IMCHB) as a conceptual guide to explain the correlates of children's diet and physical activity and explore the relationships of sex with their diet and physical activity of the school-aged child. A descriptive correlational study was conducted on 371 fifth-grade students and their parents. Information on the family's demographics, health experience, social influence, and environmental resources was collected, as well as data on the children's intrinsic motivation, cognitive appraisal, and affective response to food/physical activity. Children's self-reports on diet and physical activity were collected, as were parents' self-reports on health habits. Food preferences and diet self-efficacy explained the most variance in diet behavior for girls and boys. Girls scored healthier on food preferences and diet self-efficacy than did boys, but no difference was detected in their diet behavior. Girls participated in more low-intensity physical activity, but boys participated in more high-intensity physical activity than did girls. Findings provide strong support for the use of the IMCHB to explain children's diet but weak support for the explanation of children's physical activity. Further study of additional factors predictive of physical activity is indicated.

Online exclusive: a model of health behavior to guide studies of childhood cancer survivors.

To describe the Interaction Model of Client Health Behavior (IMCHB) and its application to health promotion in childhood cancer survivors. Periodical literature about cancer survivors, health behavior models, and the IMCHB. Childhood cancer survivors are at risk for various late complications of treatment. The primary goal of intervention is the modification of health-related behavior. Conceptual models that extend beyond health beliefs are needed to guide explanatory and intervention studies in this group. The IMCHB identifies background, cognitive, affective, motivational, and contextual variables that explain health-related behaviors. The model defines the interactive and collective contributions of a survivor, family, and provider to adherence to protocols, reduction of risk behavior, and promotion of health-protective behavior. This model may identify new determinants of health-related behavior that can be targeted by specific inter- or intrapersonal interventions to protect the health of childhood cancer survivors and reduce their risk of late sequelae.

Reproductive decisions of parents of children with metabolic disorders.

The Interaction Model of Client Health Behavior (IMCHB) served as a guide for variable selection and instrument development for telephone interviews with 230 parents of children with metabolic disorders. Sociodemographic, psycho-affective and client-professional interaction variables were examined in relation to three outcomes: (1) receptivity to future prenatal diagnosis (56% were receptive); (2) likelihood of terminating an affected pregnancy (10% would); and (3) whether or not the parent had taken measures to prevent another affected pregnancy (41% had). All three outcomes were significantly correlated with higher scores on the Parent Stress Index, lower scores on the Vineland Adaptive Behavior Scales, fewer persons in the parent's social support network, greater worry about the living child's future and greater perceived difficulty meeting the child's extra care needs. A regression model constructed to explain taking measures to prevent a future affected pregnancy illustrated the usefulness of the IMCHB in research that involves multiple interacting variables on health outcomes. Few of the parents (7.4%) reported an interaction with a genetic counsellor, highlighting the need for practitioners from multiple disciplines to be adequately educated in principles of genetics, especially the psychological and affective aspects of counselling.

Using Focus Groups to Evaluate the Patient's Involvement in Decision-Making: Associated with Their Vascular Access Device

T he traditional paternalistic model of medical decisionmaking, in which doctors make decisions on behalf of their patients, increasingly has come to be outdated.' Patient-centered care, patient-focused care or client-centered care describes professional health care interventions targeted at addressing the patient's needs.' Cox3.' proposed the Interaction Model of Client Health Behavior (IMCHB), which proposed that consumers of heald1 care have d1e need to be competent and self-determining in their health outcomes. This model also proposed d1at consumers of health care should be allowed d1e maximal opportunity to choose between intervention alternatives and health behaviors. This model was based upon information sharing and collaboration between the provider of health care and the consumer. Recently, health care practitioners have tried to promote patient autonomy and palticipation in clinical This trend is based on the assumption that patient palticipation in decisions has been associated with improved patient outcomes. A model of shared decision-making is based upon the assumption d1at the patient is willing to take part in the decision-making process. A study by Mansell et at. demonstrated that although patients want their physicians to be involved in d1e decisions, almost all patients want at least some personal involvement in decisionmaking for major interventions.; However, other studies show that patients prefer that physicians have most of the control over decisions.6-10 In one study, a focus group methodology was used to determine the cancer patient's point of view concerning palticipation in decision-making. The results indicated that active participation of patients in care decision-making requires an environment that encourages patients to participate in their care. Also this study noted that much more attention has to be given to cancer patient participation in decision-making. Previous studies have demonstrated that the majority of cancer patients fail to achieve their desired level of participation during treatment decision-making. Purpose

A synthesis of qualitative home visiting research.

Over the past decade, a body of qualitative research has been developed which describes the home visiting practice of public health nurses (PHNs) to maternal-child clients. This article reports a synthesis of these studies. The purpose of the synthesis was to identify common elements and differences between the research reports that would lead to theory development or support of existing theories. Methods were based on Miles and Huberman's (1994) text on qualitative data analysis. Results of the synthesis indicated that building and preserving relationships with the client is the central focus of home visiting and provides a foundation for problem identification and problem solving. Clients control access to their homes as well as the information they are willing to share with the nurse. The goals of home visiting relate to empowering mothers, supporting their independence and decision making. Similarities to Peplau's theory of Interpersonal Relations and Cox's Interaction Model of Client Health Behavior (IMCHB) are noted.

Condom use and fertility among divorced and separated women.

Sexually active divorced and separated women constitute a significant population at risk for sexually transmitted diseases. With components of the Interaction Model of Client Health Behavior (IMCHB) used as the conceptual framework, a convenience sample (N=254) of women--mostly educated, White, and in their 30s (20 to 49 years)--was examined relative to condom use and individual and social context characteristics. To explore the effect of fertility on condom use, the sample was divided into fertile and infertile subsamples. The IMCHB explained 49% of the variance in infrequent condom use by the fertile women (n=93) and 21% of the variance in less frequent condom use by the infertile women (n=161).

The interaction model of client health behavior: application to the study of community-based elders.

The Interaction Model of Client Health Behavior (IMCHB) was used to direct a systematic and comprehensive description of community-based elders. The abstract concepts, constructs, factors, and variables described by one element of the model were able to account for 54% of the variance in elders' health status and 47% of the variance in their well-being. The model, as operationalized in this study, pointed to clear demographic, social, and health profiles that identified the elder at risk for decreased health, well-being, and self-care potential. The IMCHB would appear to be a useful framework with which to establish an empirical base on which nursing interventions could be developed.

Empirical test of the interaction model of client health behavior.

The general concepts, variables, and relationships described by the Interaction Model of Client Health Behavior (IMCHB) were used to guide a secondary data analysis of 203 women's decisions to request an amniocentesis. Step-wise multiple regression explained 58% of the variance in these decisions by jointly examining the factors which define the client as unique in her responses to an at-risk pregnancy, as well as factors describing the client-provider interaction. The women could be correctly classified as users or nonusers of prenatal diagnosis with 87% accuracy in a discriminant analysis based on the variables derived from the conceptual model. Finally, structural equation modeling was used to estimate the causal paths described by the general model. While the relationships proposed in the model need further empirical evaluation, this first application serves to demonstrate the testability of the IMCHB and its potential to direct nursing inquiries.