Open Access. Powered by Scholars. Published by Universities.®

Education Commons

Open Access. Powered by Scholars. Published by Universities.®

Articles 1 - 4 of 4

Full-Text Articles in Education

Predictors Of Adherence To A Publicly Available Self-Guided Digital Mental Health Intervention, Mercedes G. Woolley, Korena S. Klimczak, Carter H. Davis, Michael E. Levin Apr 2024

Predictors Of Adherence To A Publicly Available Self-Guided Digital Mental Health Intervention, Mercedes G. Woolley, Korena S. Klimczak, Carter H. Davis, Michael E. Levin

Psychology Faculty Publications

Low adherence to self-guided digital mental health interventions (DMHIs) have raised concerns about their real-world effectiveness. Naturalistic data from self-guided DMHIs are often not available, hindering our ability to assess adherence among real-world users. This study aimed to analyze 3 years of user data from the public launch of an empirically supported 12-session self-guided DMHI, to assess overall program adherence rates and explore predictors of adherence. Data from 984 registered users were analyzed. Results showed that only 14.8% of users completed all 12 modules and 68.6% completed less than half of the modules. Users who were younger, had milder depression, …


Putting The Patient Back In Patient Care: Health Decision-Making From The Patient’S Perspective, Bill R. Garris, Amy Weber Feb 2018

Putting The Patient Back In Patient Care: Health Decision-Making From The Patient’S Perspective, Bill R. Garris, Amy Weber

ETSU Faculty Works

This research explored health decision-making processes among people recently diagnosed with type 2 diabetes. Our analysis suggested that diagnosis with type 2 was followed by a period of intense emotional and cognitive disequilibrium. Subsequently, the informants were observed to proceed to health decision-making which was affected by three separate and interrelated factors: knowledge, self-efficacy, and purpose. Knowledge included cognitive or factual components and emotional elements. Knowledge influenced the degree of upset or disequilibrium the patient experienced, and affected a second category, agency: the informants’ confidence in their ability to enact lifestyle changes. The third factor, purpose, summarized the personal and …


The Mediating Role Of Self-Efficacy Beliefs, Perceptions Of Diabetes Responsibility, And Their Impact On Treatment Adherence Among Adolescents With Type 1 Diabetes, Richard Wayne Wooten Jan 2014

The Mediating Role Of Self-Efficacy Beliefs, Perceptions Of Diabetes Responsibility, And Their Impact On Treatment Adherence Among Adolescents With Type 1 Diabetes, Richard Wayne Wooten

Wayne State University Dissertations

Treatment non-adherence for Type 1 patients; especially during adolescence, is viewed as the precursor for healthy, or unhealthy patterns of self-care in adulthood. The risk for long-term health problems such as blindness, renal failure, heart attack, lower limb amputations, and stroke are exacerbated if healthy monitoring of the condition is not adhered to consistently, and early after diagnosis. The present study sought to examine theoretical constructs which are important to overall treatment adherence among adolescents with Type 1 diabetes and their maternal caregivers. Self-efficacy and perceptions of diabetes self care between child and mother were disseminated through the inclusion of …


An Exploratory Model Of Medication Refill Adherence Behavior, Gayle Holmes Payne Oct 2009

An Exploratory Model Of Medication Refill Adherence Behavior, Gayle Holmes Payne

Communication Sciences and Disorders Dissertations

AN EXPLORATORY MODEL OF MEDICATION REFILL ADHERENCE BEHAVIOR by Gayle Holmes Payne Coronary heart disease (CHD) is the leading cause of death in the United States with over 15.8 million Americans suffering from the chronic disease (U.S. Department of Health and Human Services, 2007). Adherence to medication regimens has been identified as a key mediator between medical practice and patient outcomes (Kravitz & Melnikow, 2004). In this study, participants (N = 355) with CHD completed a questionnaire measuring their background characteristics, cognitive status, health literacy skills, self-efficacy levels, their perceived concerns and necessity beliefs about medication use, and enablers and …