Factors Influencing Stages of Change for Contraceptive Use in College Students: A Path Analysis

Choi, Myung Sook; Shin, Hyunjeong

doi:10.13189/nh.2015.030102

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…TTM has been used extensively in alcohol reduction research, but mainly on a quantitative level (Campbell, 1997;Chang, McNamara, Wilkins-Haug, & Orav, 2007;Heather, McCambridge, Research, & Team, 2013;Hernandez-Avila, Burleson, & Kranzler, 1998;Hunter-Reel, McCrady, Hildebrandt, & Epstein, 2010;Reed et al, 2005;Velasquez, von Sternberg, Dodrill, Kan, & Parsons, 2005). In addition, several exploratory studies with wide ranges of participant demographics have used TTM as a framework for understanding and examining contraceptive use on a quantitative level (Choi & Shin, 2015;Emmett & Ferguson, 1999;Ha, Jayasuriya, & Owen, 2003, 2005. A number of studies looking to increase contraception use and initiation used TTM as a basis to develop an intervention, and then evaluate its effectiveness (Chung-Park, 2008;Davidson et al, 2015;Lee, Tsai, Tsou, & Chen, 2011;Peipert et al, 2008;Wang, Wang, Cheng, Hsu, & Lin, 2007).…”

Section: Discussionmentioning

confidence: 99%

Utilization of the Transtheoretical Model to Determine the Qualitative Impact of a Tribal FASD Prevention Program

et al. 2019

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Alcohol consumption during pregnancy can lead to damaging effects on an infant’s health, including fetal alcohol spectrum disorders. Project Changing High-risk alcOhol use and Increasing Contraception Effectiveness Study (CHOICES), a program developed to reduce alcohol-exposed pregnancies through decreased alcohol consumption and increased birth control use, has been implemented with success in a variety of populations. The CHOICES program was structured to align with the transtheoretical model (Stages of Change), a popular public health model. Although studies have described the Stages of Change in the context of a variety of health behaviors, none have addressed the qualitatively distinct characteristics of each stage in the context of American Indian (AI) women’s alcohol and birth control use. A framework analysis of 203 participants’ written responses during their experience in the Oglala Sioux Tribe (OST) CHOICES Program was conducted. As a conceptual framework, the transtheoretical model of behavior change was applied to the participants’ experiences, with two staff reading the open-ended responses and coding based on the stage of change. Participants’ responses suggest qualitatively distinct stages as well as a progression through the stages for both behaviors during the course of the program. Many participants mentioned their children, education, and work as inspiration to decrease their unhealthy behaviors. Common barriers to behavior change were found across both behaviors. The open-ended responses uncover common themes in the experiences of the participants. These results can help inform future programs which hope to address the needs of AI communities.

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Section: Discussionmentioning

confidence: 99%

Utilization of the Transtheoretical Model to Determine the Qualitative Impact of a Tribal FASD Prevention Program

et al. 2019

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Sexually Transmitted Infections and First Sexual Intercourse Age in Adolescents: The Nationwide Retrospective Cross-Sectional Study

Lee

Kim

et al. 2015

The Journal of Sexual Medicine

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Introduction Sexually transmitted infections (STIs) are major causes of medical and psychological problems globally, while adolescents in South Korea have recently shown rapid changes in sexual behaviors. Aims We aimed to examine the association between the age of first sexual intercourse and the experience of STIs among adolescents. Additionally, in which specific time period would more likely to get infected from sexual intercourse. Methods We used data from the 2007–2013 Korea Youth Risk Behavior Web-based Survey. Only adolescents with sexual intercourse experience (N = 22,381) were included, and multiple logistic regression analysis was performed. Main Outcome Measures One dichotomized measure and one continuous measure were assessed: (i) STIs experience (defined as having had STIs); and (ii) association between STIs experience and absolute age gap (defined as temporal differences between secondary sexual character emergence age and first sexual intercourse age). Results Approximately 7.4% of boys and 7.5% of girls reported had STI. For both boys and girls, the chance of experiencing STIs increased as the age of first sexual intercourse decreased (boys: before elementary school [age 7 or under]: odds ratio [OR] = 10.81, first grade [age 7 or 8]: OR = 4.44, second grade [age 8 or 9]: OR = 8.90, fourth grade [age 10 or 11]: OR = 7.20, ninth grade [age 15 or 16]: OR = 2.31; girls: before elementary school: OR = 18.09, first grade: OR = 7.26, second grade: OR = 7.12, fourth grade: OR = 8.93, ninth grade: OR = 2.74). The association between the absolute age gap and STI experience was examined additionally (boys: OR = 0.93, girls: OR = 0.87). Conclusions This study shows that earlier initiation of sexual intercourse increases the odds of experiencing STIs. Also as the age gap gets shorter, the odds of experiencing STIs increase. Our study suggests that it is important to consider the time period of first sexual intercourse and to reinforce a monitoring system along with the development of other preventive strategies.

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A New Consistent Concept Between the I-change Model and the Transtheoretical Outcome to Imply the Leading Guideline of Depression Behavior Health Change Using Social Media

Nusawat,

Leelasantitham

2024

TOPHJ

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Introduction The number of patients suffering from depression is growing. It has become a serious global public health issue affecting individuals of all ages, contributing to the primary causes of disabilities and suicides. Therefore, proper care and treatment for patients with depression have become unprecedentedly important. Objective The main objective of this study was to present a new, consistent conceptual model for changing the health behavior of patients with depression using social media by combining factors from the I-change model theory with the transtheoretical outcome of behavioral health change and to present guidelines that have implications for practice. Methods The research design is quantitative, in which data are collected from a questionnaire according to the proposed conceptual model. One hundred and eighty patients with mild and moderate depression who were aged 18 years and over were recruited using simple random sampling, and the data were analyzed using structural equation modelling. Results The results of the study from the perspective of patients with depression found that all elements of the I-change model information, awareness, motivation, intention, and action can explain the consistent relationship between the I-change model factors and the transtheoretical outcome, which represents a related relationship in terms of theory. Conclusion Based on the transtheoretical model, the results can be translated into practice for changing health behavior in patients with depression, which may lead to guidelines for designing and implementing treatments targeting behavior modifications in such patients, their caregivers, and other parties involved. Guidelines based on the findings of this study can help reduce the risks of the use of social media in such patients and provide psychiatric knowledge to those involved in the treatment processes. Such guidelines may improve the effectiveness of treatment programs targeting behavior change in patient care.

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Factors Influencing Stages of Change for Contraceptive Use in College Students: A Path Analysis

Cited by 3 publications

References 25 publications

Utilization of the Transtheoretical Model to Determine the Qualitative Impact of a Tribal FASD Prevention Program

Utilization of the Transtheoretical Model to Determine the Qualitative Impact of a Tribal FASD Prevention Program

Sexually Transmitted Infections and First Sexual Intercourse Age in Adolescents: The Nationwide Retrospective Cross-Sectional Study

A New Consistent Concept Between the I-change Model and the Transtheoretical Outcome to Imply the Leading Guideline of Depression Behavior Health Change Using Social Media

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