Reconciliation of Two Cognitive Models in Obsessive-Compulsive Disorder: An fMRI Study

Objective Although cognitive models of obsessive-compulsive disorder (OCD) fall into two categories: cognitive deficit models and dysfunctional belief models, these approaches have their own ways and have hardly been reconciled. Therefore, this study aimed to investigate the potential relationships between cognitive deficit (using the Wisconsin Card Sorting Task, WCST) and dysfunctional belief (measured by scales of dysfunctional beliefs) mediated by neural activity in OCD patients. Methods Thirty OCD patients and 30 healthy participants performed the WCST condition and a baseline MATCH condition during the 3T-functional magnetic resonance imaging (fMRI) acquisition. Results Engagement of additional frontoparietal networks with poorer performance of WCST was found during the fMRI scan in OCD patients. Selected regions of interest from activated regions have positive relationships with dysfunctional beliefs and with the unacceptable thoughts symptom dimension in the OCD group. Conclusion Findings suggest that alteration in frontoparietal networks related to cognitive deficits can be associated with dysfunctional beliefs while performing conventional neurocognitive tasks and this association with dysfunctional beliefs may be pronounced in the unacceptable thoughts domain-dominant OCD patients.

Influence of Health Belief Model and Motivation with Prevention of Pulmonary Tuberculosis Transmission in Public Health Center Gurah Kediri Regency

Tuberculosis is a health problem, both in terms of mortality or mortality, and the incidence rate of disease or morbidity. This infectious disease is mostly caused by the germ mycobacterium tuberculosis. The purpose of this study is to find out the influence of health belief models and motivation with the prevention of pulmonary tuberculosis transmission. The design used in the study is correlational analytics with a cross sectional method approach. While the sample in this study which is Some people with pulmonary tuberculosis (TB) in Gurah Health Center with BTA (+) as many as 22 respondents. The research instrument used is a questionnaire. Spearman Rhodengan test analysis of the level of significanceα=0.05, so as to be able to answer the purpose of the study. Based on Spearman Rho correlation statistical test, obtained p 0.001 result for health belief model and p 0.021, which means that the values p 0.001 and 0.021 < 0.05. From the results obtained that H1 received which means there is an influence of health belief model and motivation with the prevention of pulmonary tuberculosis transmission in Gurah Health Center Kediri Year 2020. It was concluded that the prevention of transmission of Pulmonary TB disease can be improved reciprocal relationship between health workers, families and sufferers with self-awareness of the adverse effects of Pulmonary TB disease.

Physical Activities and Construct of Health Belief Models in the Special Region of Yogyakarta in the Era of Pandemy Covid-19

This study aims to determine (1) the pattern, level and status of physical activity, (2) differences in the level of physical activity based on the construct status of the health belief model and (3) the relationship between physical activity status and the construct status of the health belief model in the people of the Special Region of Yogyakarta. This research is a cross-sectional observational survey research on the DIY community as many as 390 people using convenience sampling technique with online questionnaire. Physical activity is measured using the Global Physical activity Questionnaire (GPAQ) which calculates the metabolic equivalent of task (MetS) per week, while the health belief model construct is measured using the adaptation instrument from the COVID-19 snapshoot and monitoring (COSMO-WHO). The pattern of physical activity is seen by the level of physical activity in three domains (work, transport and leisure or recreation). The difference in the level of total physical activity in the construct of health belief model uses kruskall-wallis, while the relationship between physical activity status and constructs in health belief is tested by using chi square with a confidence level of 5%. The results of this study indicate that the physical activity pattern of the DIY community is dominated by recreational activities, with an average of 868.37 Mets / week, followed by the work domain with an average of 521.28 Mets / week and the transport domain with an average of 233.54 Mets / week. People who fall into the category of moderate physical activity status are 71%. DIY people who have a high level of HBM status tend to have sufficient physical activity status with a sig value of 0,000 in all constructs. It can be concluded that there is a relationship between the HBM construct and the physical activity status in the new normal era in the DIY community with high HBM status, so they will have a better level of physical activity status than those who have low HBM status, with a correlation value of 0.89 which meaning very strong.

EFEKTIFITAS EDUKASI HEALTH BELIEF MODELS DALAM PERUBAHAN PERILAKU PASIEN HIPERTENSI: LITERATUR REVIEW

Hipertensi adalah keadaan dimana tekanan darah meningkat secara kronis karena jatung memompa darah lebih kuat untuk memenuhi kebutuhan tubuh. Hipertensi dikatakan sebagai penyakit silent killer dikarenakan hipertensi ini merupakan penyakit yang terkadang tidak menunjukkan gejala namun dapat menimbulkan komplikasi yang membahayakan bahkan secara tiba-tiba dapat mengakibatkan kematian. Health Belief Model (HBM) merupakan salah satu pendekatan promosi kesehatan yang digunakan dalam perubahan perilaku yang berorientasi terhadap persepsi pasien. HBM telah lama dikembangkan, namun tampaknya hanya sampai dengan penelitian, sementara implementasi di lapangan masih jarang dilakukan. Tujuan penelitian adalah untuk mengetahui efektifitas edukasi health belief models dalam perubahan perilaku pasien hipertensi. Metode penelitian yang digunakan aadalah penelitian sekunder dengan literature reviews. Populasi sebanyak 168 artikel jurnal dengan sampel yang memenuhi kriteria inklusi sebanyak 15 artikel jurnal dan prosiding nasional dan internasional dengan search engine proquest dan Google Schoolar. Hasil penelitian menunjukkan bahwa edukasi HBM efektif dalam meningkatkan perilaku sehat pasien hipertensi. Disarankan hasil penelitian sekunder ini dapat dijadikan dasar teori bagi penelitian yang akan datang untuk dilanjutkan sebagai penelitian primer.

Exploring Herbal Medicine Use during Palliative Cancer Care: The Integrative Physician as a Facilitator of Pharmacist–Patient–Oncologist Communication

Oncology patients frequently use herbal and other forms of complementary medicine, often without the knowledge of oncologists, pharmacists, and other healthcare professionals responsible for their care. Oncology healthcare professionals may lack the knowledge needed to guide their patients on the safe and effective use of herbal medicinal products, a number of which have potentially harmful effects, which include direct toxicity and negative herb–drug interactions. The current review addresses the prevalence and expectations of oncology patients from herbal medicine, as well as evidence for the beneficial or harmful effects of this practice (potential and actual), especially when the herbal products are used in conjunction with anticancer agents. Models of integrative oncology care are described, in which open and effective communication among oncologists, pharmacists, and integrative physicians on the use of herbal medicine by their patients occurs. This collaboration provides patients with a nonjudgmental and multidisciplinary approach to integrative medicine, echoing their own health-belief models of care during conventional cancer treatments. The role of the integrative physician is to facilitate this process, working with oncologists and pharmacists in the fostering of patient-centered palliative care, while ensuring a safe and effective treatment environment. Case scenario: W. is a 56 year old female artist who was recently diagnosed with localized hormone receptor-positive breast cancer. Following lumpectomy and sentinel node dissection, she is scheduled to begin adjuvant chemotherapy with a regimen which will include adriamycin, cyclophosphamide, and paclitaxel (AC-T protocol). She is worried about developing peripheral neuropathy and its impact on her ability to paint, and she asks about a number of dietary supplements which she heard could prevent this from happening: omega-3, vitamin E, alpha-lipoic acid, and acetyl-l-carnithine. She is concerned, however, that the supplements may negatively interact with her chemotherapy regimen.

The Effectiveness of an Educational Intervention Based on Theories and Models on Diabetes Outcomes: A Systematic Review

Background & Introduction: Patient’s self-management behaviors are essential to control diabetes. Studies have demonstrated that health educational interventions can improve some aspects of glycemic control and clinical outcomes, however, it is unclear which education theories underlying these interventions improve effectiveness. In this review of the literature, we aimed to assess the efficacy of health education and promotion theories, or models, to improve self-care and self- management behaviors among patients with type 2 diabetes (T2D). Methods & Results: Eight scientific databases (Web of Science, PubMed, Scopus, Magiran, Google Scholar, Medlib, ProQuest and Scientific Information Database) were searched to identify a published academic article from 2010 to 2019. We included quasi-experimental, clinical trial and randomized clinical trial studies. A total of 26 studies including data from 3879 patients with T2D met the inclusion criteria. We found that the PRECEDE (7/26, 26.92%) and Health Belief Models (7/26, 26.92%) were the most common models used to assess the efficacy of health education and health promotion models. Conclusion: Overall, health promotion and education theories and models have been used as a useful instrument for improving the self-care behaviors and self-management behaviors among patients with T2D.

Optimal Online Learning for Nonlinear Belief Models Using Discrete Priors

Online Learning with Multiperiod Lookaheads