Mean Self-efficacy Scores Research Articles

Palliative care knowledge and self-efficacy: a comparative study between intensive care units and general units nurses

Background and objectivesThe growing number of terminally ill patients has underscored the importance of equipping healthcare workers with adequate palliative care knowledge and self-efficacy. This study aimed to compare the palliative care knowledge and self-efficacy of nurses in intensive care units (ICUs) with those in general wards at hospitals affiliated with Kerman University of Medical Sciences in 2023.MethodsThis descriptive-comparative cross-sectional study involved nurses from intensive care units and general wards of three hospitals affiliated with Kerman University of Medical Sciences, for a total sample size of 300 nurses (150 in each group). The samples were selected using convenience sampling. The data collection tools included a demographic information questionnaire, the Palliative Care Knowledge Test (PCKT), and the Palliative Care Self-Efficacy Scale (PCSES). Convenience Sampling method was used. The data were analyzed using SPSS 23. Descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (independent t-test, Mann-Whitney U test and multivariate stepwise regression) were employed. Statistical significance was determined by a p-value of ≤ 0.05.FindingsThe mean score for palliative care knowledge was 10.59 (± 2.10) for nurses in intensive care units and 10.43 (± 2.33) for nurses in general wards, with no significant difference between the two groups (P = 0.53). Similarly, the mean score for palliative care self-efficacy was 28.01 (± 10.29) for nurses in intensive care units and 27.98 (± 10.33) for nurses in general wards, with no significant difference between the groups (P = 0.98). Variables such as the history of caring for dying patients in the hospital (P = 0.004) or at home (P = 0.01), workplace (P = 0.002), and work experience (P = 0.03) were identified as the main predictors of palliative care knowledge and palliative care self-efficacy was affected by age (P < 0.001), history of participation in palliative care training courses (P = 0.008), and palliative care knowledge score (P = 0.01).Discussion and conclusionThis study revealed no significant difference in total scores of palliative care knowledge or self-efficacy between nurses in intensive care units and general wards It is suggested that more efforts be made to increase the knowledge and self-efficacy of all nurses, especially nurses in ICU departments, till providing a standard palliative care setting.

Evaluation of the Effects of Educational Interventions on the Modification of High-Risk Job Behaviors in Patients with Brucellosis in Rural Areas of Arak County based on the Family-Centered Empowerment Model (FCEM)

Background and Objectives: Brucellosis is a common disease worldwide. Family-centered empowerment model is a model for empowering patients to modify high-risk behaviors. Given the wide range of health and economic complications caused by the prevalence of brucellosis in society, we sought to evaluate the effect of this model in modifying the high-risk behaviors of patients with brucellosis. Methods: The present study was a quasi-experimental interventional study that examined 88 patients with Brucellosis in Arak County in 2021. Data were collected using a standardized questionnaire based on the family-centered empowerment model in six constructs, namely knowledge, attitude, perceived severity, self-esteem, self-efficacy, and behavior at two stages before and two months after the educational intervention. Independent t-test, paired t-test, and chi-square test at a significance level of 0.05 were used to analyze the data. Results: The mean of patients' age was 42.19±19.79. The results of the paired t-test indicated that the mean scores of knowledge (P&lt;0.001), attitude (P&lt;0.001), perceived severity (P&lt;0.001), self-esteem (P&lt;0.001), self-efficacy (P&lt;0.001), and behavior (P&lt;0.001) significantly increased in the intervention group after education. but changes in mean scores of knowledge (P=0.71), attitude (P= 0.53), perceived severity (P=0.26), self-esteem (P=0.18), self-efficacy (P=0.21), and behavior (P=0.41) were not significant in the control group. Conclusion: The results indicated that educational intervention based on the family-centered empowerment model could be effective in increasing knowledge, thereby improving Brucellosis prevention behaviors.

간호대학생의 문화지능이 문화적 역량에 미치는 영향: 다문화 자기효능감의 매개효과 중심으로

Objectives The purpose of this study was to determine the relationship between cultural intelligence, cultural competence and multicultural self-efficacy in nursing students and to examine the mediating effect of multicultural self-efficacy on the relationship between cultural intelligence and cultural competence in nursing students. Methods Data were collected through an online survey from 1 to 15 August 2022 from 190 first to fourth year nursing students in two nursing schools in city D. The collected data were analysed by descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, stepwise multiple regression and Sobel's test using SPSS/23.0 program. Results The mean scores of cultural intelligence, multicultural self-efficacy and cultural competence of the nursing students were 92.29, 74.74 and 96.66 respectively. Cultural competence was significantly positively correlated with cultural intelligence (r=.54 p&lt;.001) and multicultural self-efficacy (r=.47 p&lt;.001). In addition, multicultural self-efficacy played a partial mediating role in the relationship between cultural intelligence and cultural competence among nursing students (Z=5.98, p&lt;.001), with an explanatory power of 55%. Conclusions In order to strengthen the cultural competence of nursing students, it is necessary to activate curricular and non-curricular training programs that enhance cultural intelligence and multicultural self-efficacy, and when applying the programs, it is necessary to provide intensive training and operational strategies in a small group format in a friendly environment.

The Effectiveness of an Intervention Based on the Information, Motivation, and Behavioral Skills Model on Treatment Adherence and Self-Efficacy in Patients with Coronary Artery Diseases: An Explanatory Mixed Method Study

Background: Promoting adherence to treatment and self-efficacy in patients with coronary artery diseases helps to improve patient outcomes. The present study was conducted to explain the effectiveness of interventions based on information, motivation, and behavioral skills model on treatment adherence and self-efficacy in patients with coronary artery diseases. Methods: This explanatory-sequential study was conducted on patients with coronary artery diseases in Shiraz, Iran. First, a quasi-experimental study was conducted on 112 patients who were randomly assigned to two intervention and control groups. The intervention consisted of ten motivational training sessions that were designed based on Information, Motivation, and Behavioral Skills (IMBS) model and continued with six months of telephone follow-up and counseling. Data were collected before, three months, and six months after the end of the intervention. Then, in the second phase, a qualitative study including 20 in-depth interviews with 18 participants from the intervention group was conducted. The data were analyzed by deductive and inductive qualitative content analysis. Finally, quantitative findings were explained with the help of qualitative findings. Results: The findings showed that the mean score of treatment adherence, medication adherence, and self-efficacy in the intervention group was significantly higher than the control group 3 and 6 months after the intervention (p&lt;0.001). The results of the qualitative phase of the study also showed that the four main categories include receiving targeted information, encouragement to care, gained self-efficacy/doubt in care, and improvement/non-improvement of treatment adherence behaviors can explain quantitative phase results. Conclusion: The results showed that receiving training with effective methods, strengthening the support system, self-confidence and positive attitudes about care, and promoting self-management and proper management of emotional distress contributed to the effectiveness of the interventions. However, receiving conflicting information, limited financial resources, and the inability to face challenges were among the obstacles to strengthening self-efficacy and adherence to treatment.

Ethical self-efficacy among healthcare professionals caring for people with dementia: a brief pre- and post-report on the CARE intervention

BackgroundInterventions targeting healthcare professionals’ confidence in managing ethical issues in dementia care are limited despite documented positive effects of educational programs on staff knowledge and self-efficacy. However, inconsistencies in the literature regarding the impact of educational programs underscore the need for targeted interventions. The CARE intervention, specifically designed to enhance confidence in ethical decision-making, aims to address this gap. This study evaluates the effectiveness of the CARE intervention in enhancing the ethical self-efficacy of healthcare professionals caring for people with dementia, particularly those with initially low levels of self-efficacy.MethodsUsing a non-experimental pre-post evaluation design, the CARE intervention was administered to healthcare professionals (n = 86), measuring ethical self-efficacy pre-and post-intervention. We hypothesized significant differences in ethical self-efficacy mean scores pre- and post-intervention for all participants, particularly those with low pre-measurement scores, whom we expected to benefit most from the intervention. Statistical analysis included paired t-tests and Wilcoxon tests for the low pre-measurement subgroup analysis.ResultsWhile no significant change was observed in the entire sample, participants with low initial self-efficacy showed a statistically significant improvement post-intervention.ConclusionsThe CARE intervention holds promise in improving ethical self-efficacy among healthcare professionals with initial low confidence levels. Targeted interventions are essential in addressing confidence gaps in managing ethical challenges in dementia care, with implications for professional well-being and quality of care. Further research should explore long-term effects and expand sample size to enhance generalizability and sustainability of findings.

Investigating the effect of peer-led educational intervention on behaviors related to pubertal health and its determinants in high school girls of Genaveh, Iran: Application of social cognitive theory

Background Empowering adolescents in the field of puberty health is one of the important goals of public health programs. The present study was carried out with the aim of determining the effect of peer-led training on puberty-related behavior and its determinants using social cognitive theory. Methods: A total of 245 teenage girls were randomly divided into two groups: the intervention group and the comparison group. The questionnaire measuring puberty-related behavior and its determinants was self-administered and completed before and 2 months after training in the two groups. One session for parents, four sessions for peer educators, and four sessions for participants were conducted for 1 month. Results: In the intervention group, unlike the comparison group, the mean scores of knowledge, outcome expectations, self-efficacy, self-control, social support, and behavior increased significantly after training (p <0.05). Based on regression analysis, outcome expectations and social support were the main determinants of puberty-related behavior (adjusted R2 = 0.464). Conclusion: The findings of this study support the effectiveness of the peer-led educational intervention based on social cognitive theory in the improvement of puberty-related behavior and its determinants, which can be used in the design of puberty-related health promotion programs. Further research to assess the longer-term outcomes and to examine other theories of behavior change are suggested.

The Mediating Role of Resilience in the Relationship Between Self-Efficacy and Demographic Variables in Parents of Children with Cystic Fibrosis

Objective: In genetic diseases such as Cystic Fibrosis, parental self-efficacy is an important variable that increases the child’s compliance with treatment. The aim of this study is to determine the mediating role of resilience in the relationship between self-efficacy and demographic variables in parents of children with Cystic Fibrosis. Methods: The participants of the research were 269 children with Cystic Fibrosis and their parents living in Turkey. Parents were reached via WhatsApp communication tools of the Cystic Fibrosis Association (KIFDER). The data of the research were gathered online between September 1 and December 20, 2020. Child with Cystic Fibrosis and Parent Identification Form, General Self-Efficacy Scale and Resilience Scale for Adults were used as data collection tools. Descriptive statistics and linear regression were utilized to analyze the data, while Hayes’ PROCESS was utilized to analyze the mediating role. Results: Demographic variables that predict parents’ self-efficacy; It was determined as the number of children, maternal income level, gender and the need for information about Cystic Fibrosis. Parents’ mean self-efficacy score was 30.00±.62. Self-perception (β=.252,SE=.054,95%Cl [0.144-0.360],p

Perceived social support on objective measured sedentary behavior of stroke patients: the mediating role of exercise self-efficacy.

As stroke patients may have impaired motor function, there may have increased sedentary behavior. Factors associated with sedentary behavior need to be explored to develop targeted interventions. Although studies explore the effects of exercise self-efficacy and perceived social support on sedentary behavior, the relationship is not clear. The aim of this study was to explore the mediating effect of exercise self-efficacy on perceived social support and objective measured sedentary behavior in stroke patients. The random sampling method was adopted to select 275 stroke patients from the neurology department of a third-grade hospital of Henan Province from June 2023 to March 2024 in a cross-sectional descriptive study. A general data questionnaire, exercise self-efficacy scale, perceived social support scale, and ActiGraph GT3X accelerometer were used to investigate. The structural equation model was used to analyze the mediating effect of exercise self-efficacy between perceived social support and sedentary behavior. The mean sedentary behavior time in stroke patients in this study was (479.65 ± 112.65) min, the mean score of perceived social support was (47.53 ± 17.16), and the mean score of exercise self-efficacy was (24.19 ± 6.25). The correlation analysis revealed that, the sedentary behavior of stroke patients was negatively correlated with exercise self-efficacy and perceived social support. The results of the mediation analysis showed that exercise self-efficacy played a partial mediating role between perceived social support and sedentary behavior. Perceived social support and exercise self-efficacy were influential factors in sedentary behavior. Moreover, the impact of perceived social support on sedentary behavior was partially mediated by exercise self-efficacy. Therefore, to decrease the sedentary behavior, it is crucial to improve the level of perceived social support in stroke patients. Patients with less perceived social support can improve their exercise self-efficacy and thus perceive more social support.

Educational Intervention to Promote Parent/Caregiver Self-Efficacy in the Management and Control of Childhood Asthma: A Randomized Clinical Trial.

Asthma is a leading cause of pediatric hospitalization and morbidity, necessitating the development of educational interventions for its management and control. To evaluate the effectiveness of an educational intervention in promoting parent/caregiver self-efficacy in the management and control of their children's asthma. A clinical trial was conducted in Fortaleza, Ceará, Brazil, involving two randomized groups of parents/caregivers of children: the comparison group (CG) (n = 42) and the intervention group (IG) (n = 42). Data collection took place in two phases: the first included face-to-face sessions followed by the educational intervention in the IG, and the second included telephone follow-up. The educational intervention included the use of an educational booklet and a brief motivational interview. The groups were homogeneous at baseline. After the intervention, the mean self-efficacy scores of the IG were significantly higher than those of the CG (p < 0.05), and children whose parents/caregivers were in the CG were 1.43 times more likely to experience an asthma crisis than those in the IG. The educational intervention proved effective in increasing parent/caregiver self-efficacy in asthma management and control. Furthermore, children whose parents/caregivers did not receive the educational intervention were more likely to experience an asthma crisis.

Abstract B017: Kick Vaping: Feasibility, acceptability, and preliminary impact of a vaping cessation text messaging intervention for Latino young adults

Abstract Objective: The purpose of this study was to assess the feasibility, acceptability, and preliminary impact of Kick Vaping among Latino young adults. Methods: Forty Latino young adults (ages 18 to 25) who were currently vaping received Kick Vaping, a vaping cessation text messaging intervention available in English and Spanish. Feasibility was measured by the eligibility rate (defined as the proportion of individuals screened who were eligible), enrollment rate (the proportion of eligible individuals who enrolled), and follow-up rate (the proportion of participants who completed the follow-up assessment at Month 3). Acceptability was measured by overall satisfaction with the intervention and perceived helpfulness. Preliminary impact was measured by self-reported 7-day point prevalence abstinence (not vaping, even a single puff, in the past seven days) and changes in self-efficacy. Results: A total of 203 individuals were identified, 61 completed the eligibility assessment, and 55 were eligible to participate in the study. Forty individuals consented to participate in the study and enrolled in Kick Vaping. The eligibility and enrollment rates were 30.0% (61/203) and 72.7% (40/55), respectively. At baseline, participants’ mean age was 22.3 years old (SD 2.1), 45.0% of participants were female, and 45.0% were heterosexual or straight. Half of the participants had a high school education or less (50.0%) and were currently employed. Fourteen (35.0%) participants reported speaking English and Spanish equally. Most participants used disposable devices (70%), vaped daily (97.5%), had low (37.5%) or medium (35.0%) e-cigarette dependence, and had attempted to quit in the past year (72.5%). At Month 3, the follow-up rate was 90% (36/40). Treating those lost to follow-up as participants who continued vaping, 75% (30/40) of participants self-reported 7-day point prevalence abstinence. Self-efficacy mean scores significantly increased from 30.65 (SD 8.07) at baseline to 50.11 (SD 10.57) at follow-up (p&amp;lt;0.01). Moreover, most participants (88.9%, 32/36) reported being satisfied/extremely satisfied with Kick Vaping. Additionally, most participants (83.3%, 30/36) reported that the intervention included “just the right amount of messages”. Lastly, most participants (86.1%, 31/16) reported that Kick Vaping helped them quit vaping “a lot”. Conclusion: It is feasible to recruit and retain Latino young adults in a vaping cessation text messaging intervention. Moreover, Kick Vaping generated high satisfaction and perceived helpfulness among Latino young adults, significantly increased self-efficacy, and resulted in a notable vaping cessation rate at Month 3. Additional testing in a randomized clinical trial is warranted to assess the efficacy of the intervention. Citation Format: Rafael H. Orfin, Jeffrey Wilmer Ramos Santiago, Ritsel Decena Soriano, Eliany Romero Acosta, Diana Bermudez, Yaneth L. Rodriguez, Dongmei Li, Irfan Rahman, Scott McIntosh, Deborah J. Ossip, Ana Paula Cupertino, Francisco Cartujano-Barrera. Kick Vaping: Feasibility, acceptability, and preliminary impact of a vaping cessation text messaging intervention for Latino young adults [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B017.

The Effect of Reiki on the Self-Efficacy, Death Anxiety, and Sleep Quality of Patients Diagnosed With Chronic Obstructive Pulmonary Disease: A Randomized-Controlled Study.

Reiki has been used for various medical problems. The present study aims to determine the effects of Reiki therapy on the self-efficacy, death anxiety, and sleep quality of patients diagnosed with COPD. The present used a quasi-experimental model with a pretest-posttest control group. The subjects (n=75) were recruited from a hospital in Turkey, between February and June 2019. Subjects were then assigned to Reiki (n=39) and placebo (n=36) groups. In this study, it was determined that there was a statistically significant difference in the mean scores of self-efficacy, death anxiety, and sleep quality between the Reiki and placebo groups (P <.05).These results suggest that Reiki exercise increased the self-efficacy and sleep quality levels and decreased the death anxiety.

Kick Vaping: Feasibility, acceptability, and preliminary impact of a vaping cessation text messaging intervention for Latino young adults

Objective To assess the feasibility, acceptability, and preliminary impact of Kick Vaping among Latino young adults. Methods Forty Latino young adults (ages 18 to 25) who were currently vaping received Kick Vaping, a vaping cessation text messaging intervention available in English and Spanish. Feasibility was measured by the eligibility, enrollment, and follow-up rates. Acceptability was measured by overall satisfaction with the intervention. Preliminary impact was measured by self-reported 7-day point prevalence abstinence and changes in self-efficacy. Results Two hundred three individuals were identified, 61 were assessed for eligibility, and 55 were eligible. Forty individuals consented to participate and were enrolled in Kick Vaping. At baseline, most participants used disposable devices (70%), vaped daily (97.5%), had low (37.5%) or medium (35.0%) e-cigarette dependence, and had attempted to quit in the past year (72.5%). At Month 3, the follow-up rate was 90% (36/40). Treating those lost to follow-up as participants who continued vaping, 75% (30/40) of participants self-reported 7-day point prevalence abstinence. Self-efficacy mean scores significantly increased from 30.65 (SD 8.07) at baseline to 50.11 (SD 10.57) at follow-up (p < 0.01). Most participants (88.9%, 32/36) reported being satisfied/extremely satisfied with Kick Vaping. Conclusion It is feasible to recruit and retain Latino young adults in a vaping cessation text messaging intervention. Kick Vaping generated high satisfaction among Latino young adults, significantly increased self-efficacy, and resulted in a notable vaping cessation rate at Month 3. Additional testing in a randomized controlled trial is warranted to assess the efficacy of the intervention.

Disaster preparedness perceptions and psychological first-aid competencies of psychiatric nurses.

This study aimed to determine the disaster preparedness perceptions and psychological first-aid competencies of psychiatric nurses. Nurses must recognize the risks before a disaster occurs and have an action plan for providing effective physical and psychological care to patients and other affected individuals during and after the disaster. It is especially important for psychiatric nurses caring for a high-risk group, such as psychiatric patients, to be prepared for disasters and be able to support patients by recognizing the psychological reactions that may occur after a disaster and managing their care accordingly. For this cross-sectional and correlational study, data on 122 nurses were collected using a personal information form, the preparedness perception scale of disaster in nurses, and the psychological first-aid application self-efficacy scale. The mean score for the participants' perception of overall disaster preparedness was 76.70±8.30, the mean score for the preparation stage was 27.02±2.82, the mean score for the intervention stage was 30.40±5.15, the mean score for the post-disaster stage was 19.27±2.88, and the mean score for psychological first-aid application self-efficacy was 140.28±19.17. The findings showed that psychiatric nurses were above the medium level in terms of disaster preparedness perceptions and psychological first-aid application self-efficacy. It is important for nurses caring for high-risk groups, such as psychiatric patients, to be aware of disaster preparedness, to recognize psychological reactions that may be observed after a disaster, and to be aware of psychological first-aid practices that can be used to intervene in a disaster.

Effect of using gamification and augmented reality in mechanical ventilation unit of critical care nursing on nurse students' knowledge, motivation, and self-efficacy: A randomized controlled trial

BackgroundGamification and augmented reality (AR) are innovative teaching modalities. Research on the effects of combining these two strategies in nursing education is scarce. ObjectivesTo examine the effect of the combined use of gamification and AR in teaching mechanical ventilation (MV) on nurse students' knowledge, motivation, self-efficacy, and satisfaction. DesignRandomized controlled trial. SettingA conveniently selected faculty of nursing in Egypt. ParticipantsA total of 410 nurse students. MethodsParticipants were randomly assigned to the intervention or control group (205 in each). Kahoot games and AR were used in the intervention group, whereas a traditional lecture was applied in the control group. The outcomes included levels of students' knowledge, learning motivation, self-efficacy, and satisfaction. ResultsMixed design repeated-measures ANOVA test revealed a statistically significant difference in knowledge test scores within-subject over time (p-value [effect size]: <0.001 [0.515]), between-subject due to the main effect of interventions (<0.001 [0.146]), and within-between interaction effect of group and time (<0.001 [0.515]). After using Kahoot and AR, the total mean self-efficacy score was significantly higher in the intervention group than in the control group (<0.001 [0.662]). The total median motivation score was significantly higher for the Kahoot and the AR groups compared with the traditional lecture (<0.001 [0.558]). ConclusionKahoot games and AR significantly increased nurse students' knowledge, motivation, and self-efficacy compared with traditional MV learning classes. Nursing educators need to incorporate Kahoot and AR in their pedagogies to enhance nurse students' satisfaction and development.

Relationships of Psychosocial Factors to Diabetes Self-efficacy: A Cross-sectional, Correlational Study.

Self-care in people with diabetes is poor, which could be influenced by positive and negative psychosocial factors. Self-efficacy is an important factor affecting self-care, and depressive symptoms and diabetes distress may directly and indirectly affect self-efficacy. The aim of this study was to examine the relationships of depressive symptoms, diabetes distress, age, sex, self-compassion, resilience, self-esteem, and social support to diabetes self-efficacy and the mediating roles of diabetes distress and depressive symptoms in the relationships among people with diabetes. In this cross-sectional, correlational study, data on all the psychosocial and demographic factors were collected (N = 148; 57.6 years old) through Research Electronic Data Capture in 2023. The PROCESS macro for SPSS was used to address the purpose. The mean score of diabetes self-efficacy was 28.6 (range, 8-40). In 1 model, depressive symptoms were directly and indirectly associated with diabetes self-efficacy through diabetes distress (direct effect, -3.524; t = -3.020, P = .003; indirect effect, -2.089; 95% bootstrap confidence interval, -3.494 to -0.911). In another model, diabetes distress was directly and indirectly associated with diabetes self-efficacy through depressive symptoms (direct effect, -3.778; t = -3.638, P < .001; indirect effect, -0.785; 95% bootstrap confidence interval, -1.868 to -0.089). In addition, self-esteem was associated with both depressive symptoms and diabetes distress. Resilience was associated with diabetes self-efficacy in 1 model. Negative psychological factors were directly and indirectly associated with diabetes self-efficacy. Depressive symptoms, diabetes distress, self-esteem, and resilience can be important targets of interventions to improve diabetes self-efficacy.

Using a community-engaged research process to plan, implement, and evaluate a cancer education program to improve knowledge and screening intentions among African American men

Objective We assessed acceptability, feasibility, and preliminary efficacy of a culturally appropriate, cancer education program to improve cancer knowledge, attitudes, subjective norms, and screening intentions for oropharynx, colon, and prostate cancers among African American men. We detailed the community-engaged research process used for African American men to design, implement, and evaluate the program. Materials and Methods We recruited 84 (61 in-person, 23 online) African American men over 2-months across 4 churches in Middle Tennessee in 2021. A single group, pre-post-test design was used to evaluate the 2.5-h hybrid program. Scales used were: General self-efficacy for cancer screening; attitudes toward cancer; general cancer knowledge; and subjective norms related to cancer. One-item measured cancer screening intention. Taba robust partial correlation measured the degree of association between changes in means of each explanatory variable with changes in means of each outcome variable. IBM SPSS version 28 and R/RStudio version 3.6.0 was used for data analysis. We conducted three focus groups (n = 17) to assess program acceptability. Microsoft Excel version 26 was used to conduct thematic analysis for this data. Findings Quantitative Significant differences were found in the pre/post comparisons of knowledge (mean difference: 0.22; p-value = 0.015), self-efficacy (mean difference: 0.23; p-value < 0.001), and prostate cancer screening intention (mean difference: 0.19; p-value = 0.049) scores. This indicates the mean score for knowledge, self-efficacy, and prostate cancer screening intention was significantly higher post-intervention. Qualitative Focus group themes were: (1) Impact of Program on Participants Psychosocial Health (2) Perspectives on Life after the program. (3) Views on Programmatic Components; (4) Recommendations for Program Improvement. Conclusions Results demonstrate our program is feasible, acceptable, and could increase cancer screening intentions and behavior. Psychosocial providers should demonstrate cultural awareness and humility when providing services to address the psychological and social needs for cancer screening among African American men.

Comparison of the effect of telephone follow-up with social network follow-up program on self-efficacy and depression in patients undergoing coronary artery bypass graft surgery: A randomized controlled trial

IntroductionCoronary artery bypass graft (CABG) surgery is a common procedure to improve blood flow to the heart muscles, but patients often face challenges during the recovery period. Self-efficacy and depression play crucial roles in patient outcomes. Telephone follow-up and social network follow-up have been introduced as interventions to enhance self-efficacy. This study aims to compare the effectiveness of telephone follow-up and social network follow-up on self-efficacy and depression in CABG patients. MethodThe study is a single-blinded, randomized controlled trial conducted at Shahid Rajaee Heart Hospital in Tehran, Iran. The sample size was determined to be 99 patients who met the inclusion criteria. Data were collected using a demographic questionnaire, Sullivan's cardiac self-efficacy questionnaire, and the Beck Depression Inventory (BDI). Participants were assigned to three groups: control, telephone follow-up, and WhatsApp follow-up using randomization. Data were analyzed using IBM SPSS Statistics for Windows, version 25 (IBM Corp., Armonk, N.Y., USA). ResultsThe results revealed significant improvements in self-efficacy and reductions in depression scores for both the telephone and WhatsApp follow-up groups compared to the control group following the intervention (p < 0.001). Additionally, the mean self-efficacy score was higher and the mean depression score was lower in the WhatsApp follow-up group than in the telephone follow-up group after the intervention (p < 0.001). DiscussionThe findings provide valuable insights for healthcare professionals in choosing appropriate interventions to enhance patients' self-efficacy levels and improve mental health outcomes. Both telephone follow-up and social network follow-up interventions have their own advantages and can be effective in supporting patients' recovery after CABG surgery.

The effect of neurolinguistic programming and progressive muscle relaxation exercises on breastfeeding success and breastfeeding self-efficacy: A randomized controlled trial

IntroductionThis research was to determine the effect of neurolinguistic programming (NLP) and progressive muscle relaxation exercises (PMRE) on breastfeeding success and breastfeeding self-efficacy in primiparous women after cesarean section. Material and methodsThis is a single-blind, three-arm, parallel-group, randomized controlled trial. Data were collected between 01 October 2023, and 18 December 2023. The sample of the study consisted of 99 primiparous women who gave birth by cesarean section (NLP=33, PMRE=33, and control=33). Women were randomly assigned to the groups. Starting from the first mobilization time after cesarean section, NLP was applied to the NLP group and PMRE was applied to the PMRE group every eight hours for 48 h. In the control group, NLP or PMRE was not applied and the women were allowed to rest on their backs. The primary outcomes of the study were breastfeeding success and breastfeeding self-efficacy. ResultsThe mean scores of breastfeeding success and breastfeeding self-efficacy measured over time were highest in the NLP group and lowest in the control group (p<.05). The mean scores of breastfeeding success and breastfeeding self-efficacy measured over time increased by 78.4 %, and 97.7 %, respectively, in the NLP group compared to the control group, 74.7 %, and 88.1 %, in the PMRE group compared to the control group, and 13.5 %, and 90.2 %, respectively, in the NLP group compared to the PMRE group (p<.05). ConclusionNLP intervention may have a more positive effect on breastfeeding success and breastfeeding self-efficacy than PMRE intervention. Trial and protocol registrationClinicalTrials.gov, NCT06070792.

Effect of Educational Guidelines on Diabetic Patients' Knowledge, Attitude, and Self-Efficacy Regarding Use of Artificial Pancreas

Context: Artificial pancreas has a beneficial effect on controlling blood glucose levels. Nurses play a crucial role in helping diabetic patients through educational guidelines that increase their knowledge and improve their attitude and self-efficacy regarding the use of artificial pancreas as a new technology to help continuously control blood glucose levels. Aim: to evaluate the effect of educational guidelines on diabetic patients' knowledge, attitude, and self-efficacy regarding using artificial pancreas. Methods: A quasi-experimental study design (pre/post-test) was used to achieve the aim of this study. The study was conducted in the medical department and outpatient medical clinic at Benha University Hospital. A purposive sample of 100 adult patients with type 1 diabetes mellitus were admitted to the mentioned setting during the study period. Three tools were used. Patients' Assessment Questionnaire comprises two parts: Patients' personal data and health history of the disease and patients' knowledge assessment. Patients' attitude Rating Scale regarding the use of the artificial pancreas, and Self-Efficacy Scale. Results: The result reported a significant difference in the satisfactory knowledge level of patients from 15% pre-educational guidelines to 57% post-educational guidelines. Significant differences in the total level of positive attitude increased from 22.0% pre-educational guidelines to 63.0% post-guidelines, and significant differences between the mean self-efficacy scores of the studied patients regarding their perception and confidence in the ability to use the artificial pancreas as it increased from 1.8±0.7 pre to 3.1±0.4 post the educational guidelines implementation. Conclusion: Educational guidelines have a positive effect on improving diabetic patients' knowledge, attitude, and self-efficacy regarding the use of artificial pancreas. The study recommends implementing ongoing educational programs and workshops for diabetic patients on artificial pancreas.

Effectiveness of Educational Program on Self-efficacy Behaviors of Asthmatic Patients

Asthma is a common chronic respiratory disease that affects around 300 million people of all ages worldwide so that it has an impact on patients both physically, activity restrictions, and psychosocially, in terms of quality of life. Objective: This study aims to assess the effectiveness of Educational Program on Self-efficacy Behaviors of Asthmatic Patients. Study was based on quasi experimental with experimental and control design; by adopting purposive sampling technique sample were selected and data was collected by Asthma Self-efficacy Behavior measures Questionnaire (ASQ). Findings showed Self-efficacy scores in pre and post-test. The overall pre-Self-efficacy mean scores were 17.26 and post-test Self-efficacy mean scores was 18.58 and mean difference of Self-efficacy scores was 1.320. The obtained t- test value was 3.146 which shows statistical significance at p&lt;0.05. The educational intervention appears to be an effective method to improve asthma control self-management behaviors and self-efficacy in asthma patients. Keywords: Asthma, Patients, Asthma Self-efficacy Questionnaire (ASQ)