Effects of a HAPA-based multicomponent intervention to improve self-management precursors of older adults with tuberculosis: A community-based randomised controlled trial |
| |
| Institution: | 1. Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China;2. Ministry of Education (MOE) Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China;3. Enshi Tujia and Miao Autonomous Prefecture Centers for Disease Prevention and Control, Department of Infectious Disease, Prevention and Control, Enshi, China;4. Wuhan Municipal Center for Disease Control and Prevention, Wuhan, China;1. Wayne State University School of Medicine, Department of Psychiatry, Detroit, MI, United States;2. Wayne State University School of Medicine, Department of Oncology, Detroit, MI, United States;3. Barbara Ann Karmanos Cancer Institute, Population Studies and Disparities Research Program, Detroit, MI, United States;1. Medical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands;2. Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, USA;1. CATALYST – The Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Columbus, OH, USA;2. Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, OH, USA;3. Department of Family Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA;1. Athena Institute, Faculty of Beta Sciences, Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV Amsterdam, The Netherlands;2. Institute of Communication & Health, Faculty of Communication Sciences, Università della Svizzera italiana, Via Giuseppe Buffi 6, 6900 Lugano, Switzerland;1. Anthroposophic Healthcare, University of Applied Sciences Leiden, Leiden, the Netherlands;2. Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, the Netherlands |
| |
| Abstract: | ObjectiveTo evaluate the effectiveness of a multicomponent intervention based on the Health Action Process Approach (HAPA) model to improve the self-management precursors of older adults with tuberculosis (TB).MethodsA cluster-randomised controlled trial was conducted. Older adults with TB in the intervention communities received HAPA-based multicomponent interventions at the beginning of treatment and in the first and sixth months after treatment initiation, and those in the control communities received health education alone. Self-management precursors were measured at baseline and 1 week after each intervention.ResultsAmong 262 randomized patients, 244 (93%) completed the trial. Compared with the control group, self-management precursor scores for the intervention group increased significantly over time (βgroup*time = 2.92, p < 0.001) in the following 3 precursors: behaviour belief (βgroup*time = 0.35, p < 0.001), behaviour plan (βgroup*time = 0.72, p < 0.001), and self-efficacy (βgroup*time = 1.85, p < 0.001). Education was significantly associated with behaviour belief (β = 0.18, p < 0.05). Chronic comorbidity was significantly associated with behaviour plan (β=?0.26, p < 0.05).ConclusionCompared with single health education, the HAPA-based multicomponent interventions significantly improved the self-management precursor of older adults with TB.Practice implicationsThis HAPA-based multicomponent intervention strategy may be a promising self-management mode for the routine health care of TB patients. |
| |
| Keywords: | Self-management precursors Tuberculosis Older adults Health action process approach (HAPA) Intervention |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
