Actions must be taken to reconfigure effort allocations with careful consideration of existing university and institutional bylaws.
Background: Immunization is a vital public health service that reduces transmission of communicable diseases among population groups. In the Philippines, reports of adverse reaction from the dengue vaccine raised doubts about its safety and efficacy. This in turn can bring about a decline in vaccine acceptability among mothers and later on result to reduced vaccine coverage in the country. Methods: Descriptive cross-sectional correlational design were used to explicate the influence of dengue vaccine controversy awareness and vaccine health literacy on vaccine acceptability among mothers. Data were collected among 200 mothers from August – November 2018 in rural communities of Bulacan. Stepwise forward and backward multiple linear regression were done to determine the relationships between the variables of interest. Results: Majority of the mothers who participated belong to 26-35 year old age bracket and received basic education. Mothers’ functional health literacy (B=0.189, p=0.006) and critical health literacy (B=0.247, p=0.000) revealed a significant relationship to vaccine acceptability. However, the communicative health literacy (B=0.008, p=0.917) showed no significant relationship to vaccine acceptability. Moreover, the dengue vaccine controversy awareness (B=0.057, p=0.415) had no significant relationships to the mothers’ vaccine acceptability. Conclusion: Health literacy favorably influences vaccine acceptability. Likewise, awareness of controversies surrounding dengue vaccination is not a deterrent to the decision of mothers to continue submitting their children to immunization. Hence, nurses should invest more in educational interventions to promote compliance of communities to the national immunization program and engage stakeholders to support its implementation.
Objectives: Although the importance of home caregivers of chronic kidney disease patients has been increasingly recognized, their perceived caregiving difficulties and requisites remain underexplored. This study investigated the challenges and needs of home caregivers of hemodialysis patients in the Philippines. Methods:We utilized a mixed-method (QUAN + qual), explanatory sequential design. Data were collected from July 2017 to May 2018 from 46 home caregivers of hemodialysis patients. A three-part researcher-made survey were developed from literature search, personal values and cultural context, while some items were generated from a standardized tool that measures caregiver infrastructure and needs of those caring from frail US veterans. The tool developed gathered the participants' profile, caregiving characteristics, and related needs. The tool was validated and pretested for reliability. Fifteen participants were also interviewed to explore caregiving challenges and needs. Descriptive and χ 2 statistics were used for quantitative outcomes, while thematic analysis was employed for qualitative data.Results: Participants provided moderate assistance to patients, spending an average of 10.65 h/day and 5.08 days/week in caregiving. The most difficult caregiving circumstances were having costly expenses (78.26%); missing work (50.00%); and experiencing negative feelings (47.83%), stress (43.48%), and physical difficulties (34.78%). They also had the lowest confidence in deciding when to contact health providers (x̅ = 3.31, SD = 0.94) and finding patient care services (x̅ = 2.93, SD = 1.08).Qualitative findings further revealed caregiving needs and challenges in cost management, physical and psychological health, assumption of multiple roles, lifestyle adjustment, and reinforcement of carer knowledge, skills, and attitudes. Conclusion:Supportive strategies are needed to address the challenges encountered by home caregivers of hemodialysis patients. Findings can be utilized in developing appropriate interventions for home caregivers in low-resource settings
Background and Objectives Integrating mental activities with physical exercises (e.g., dual-tasking) may potentially improve cognition in older adults and people with mild cognitive impairment (MCI). This study investigated the preliminary efficacy of a new intervention called dual-task Zumba Gold (DTZ) on people with MCI to guide an adequately-powered full-scale trial. Research Design and Methods This is a two-arm pilot randomized controlled trial with 60 people with MCI assigned to a 12-week DTZ intervention or control group (health education). We hypothesized that DTZ would facilitate significant improvements in global cognition (primary outcome) and other psychological/physical measures at post-intervention (T1) and 6-week follow-up (T2). Generalized estimating equations with intention-to-treat approach were used to evaluate intervention effects. Post-intervention qualitative interviews explored the participants’ program perceptions. Results Fifty-one participants completed the study, with no adverse events reported. DTZ participants showed significant improvements in global cognition (p < .001, d = 0.75-0.78), executive function (p < .001, d = 0.28-0.33), immediate recall (p < .001, d = 0.50-0.54), delayed recall (p = .003, d = 0.66-0.71), quality of life (p = .027, d = 0.59-0.63) and mobility (p = .005, d = 0.53-0.56) at T1 and T2. There were non-significant changes in working memory, depressive symptoms, blood pressure, body mass index, and waist circumference. Participants conveyed intervention acceptability, including challenges/barriers, enablers, and future recommendations. Discussion and Implications DTZ is a potentially feasible intervention for people with MCI that may improve cognition, quality of life, and mobility. A full-scale trial is recommended for confirmatory evaluation.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.