Help-seeking for mental health problems among older adults with chronic disease: an application of the theory of planned behaviour

Adams, Claire; Gringart, Eyal; Strobel, Natalie; Masterman, Paul W.

doi:10.1080/00049530.2021.1952850

Cited by 11 publications

(9 citation statements)

References 81 publications

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“…A large meta-analysis [ 15 ] of applications of theory of planned behavior showed that subjective norms were weak predictors of intention and behavior. Recent studies [ 33 , 34 ] that have used the theory of planned behavior empirically for health behavior have suggested that subjective norms are not the most critical predictor. In contrast, some argued that subjective norms are strong predictors [ 35 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

Vaccination Intention and Behavior of the General Public in China: Cross-sectional Survey and Moderated Mediation Model Analysis

Yang¹,

Ji²,

Wang³

et al. 2022

JMIR Public Health Surveill

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Background Promoting vaccination and eliminating vaccine hesitancy are key measures for controlling vaccine-preventable diseases. Objective We aimed to understand the beliefs surrounding and drivers of vaccination behavior, and their relationships with and influence on vaccination intention and practices. Methods We conducted a web-based survey in 31 provinces in mainland China from May 24, 2021 to June 15, 2021, with questions pertaining to vaccination in 5 dimensions: attitude, subjective norms, perceived behavioral control, intention, and behavior. We performed hierarchical regression analysis and structural equation modeling based on the theory of planned behavior—in which, the variables attitude, subjective norms, and intention each affect the variable intention; the variable intention mediates the relationships of attitude and subjective norms with behavior, and the variable perceived behavioral control moderates the strength of this mediation—to test the validity of the theoretical framework. Results A total of 9924 participants, aged 18 to 59 years, were included in this study. Vaccination intention mediated the relationships of attitude and subjective norms with vaccination behavior. The indirect effect of attitude on vaccination behavior was 0.164 and that of subjective norms was 0.255, and the difference was statistically significant (P<.001). The moderated mediation analysis further indicated that perceived behavioral control would affect the mediation when used as moderator, and the interaction terms for attitude (β=–0.052, P<.001) and subjective norms (β=–0.028, P=.006) with perceived behavioral control were significant. Conclusions Subjective norms have stronger positive influences on vaccination practices than attitudes. Perceived behavioral control, as a moderator, has a substitution relationship with attitudes and subjective norms and weakens their positive effects on vaccination behavior.

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Section: Discussionmentioning

confidence: 99%

Vaccination Intention and Behavior of the General Public in China: Cross-sectional Survey and Moderated Mediation Model Analysis

Yang¹,

Ji²,

Wang³

et al. 2022

JMIR Public Health Surveill

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“…Help-seeking is an important coping behavior and mechanism by which to find formal and informal support, information, and resources ( 28 ). Studies have examined help-seeking for mental health disorders ( 29 , 30 ), such as depression and anxiety; however, limited research has focused on help-seeking behavior for suicide risk, especially among aging populations. The small body of literature that does exist suggests help-seeking for preventing suicide is low, and services are underutilized ( 22 , 31–33 ).…”

Section: Background and Objectivesmentioning

confidence: 99%

Suicide Risk Help-Seeking Among Middle- to Old-Age Adults: A Systematic Review

Wang

Beltran

Burns

et al. 2023

Innovation in Aging

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Background and Objectives Suicide has become a major public health concern worldwide and in the United States. Rates of suicide increase during the life course and are highest among middle- to old-age adults. Help-seeking represents a crucial coping mechanism that can mitigate suicide risk. Yet, less is known about suicide risk help-seeking, especially among these age groups. To address this knowledge gap, a systematic review of existing literature was performed to obtain a refined understanding of help-seeking for suicide risk among middle- to old-age adults. Research Design and Methods Using PRISMA guidelines, electronic databases, and key journals with suicide and/or gerontology focuses were searched to identify peer-reviewed publications in English between 2010-2020. A total of 4,732 unduplicated publications were screened for relevance based on titles and abstracts and of which, 52 were reviewed in full text. Results 24 articles met inclusion criteria and were included in qualitative synthesis. These articles discussed a range of topics, including prevalence of service utilization, service use prior to suicide death, and correlates of help-seeking. In general, prevalence of service utilization was low and varied by suicidal history (e.g., higher prevalence among individuals with a history of suicide attempt than those with suicide ideation only). Key facilitators (e.g., current or history of suicidal thoughts, plan, or attempt) and barriers (e.g., stigma) for service use and help-seeking were also identified. Discussion and Implications Findings highlight the need for future studies and tailored services to improve age-appropriate and culturally responsive suicide prevention and intervention strategies for middle- to old-age adults.

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“…This is consistent with an early intervention approach to mental health care, which has been shown to improve health outcomes (McGorry et al, 2018). Nevertheless, help-seeking is often delayed, and many older adults have low intentions to seek help for mental health concerns and low use of mental health-related services (Adams et al, 2021;Chai et al, 2021).…”

Section: Introductionmentioning

confidence: 56%

“…The questionnaire was based on the TPB manual for health service researchers and Ajzen's sample TPB questionnaire in addition to previous studies (Ajzen, 2006;Francis et al, 2004). Reliability testing demonstrated acceptable internal consistency for each construct (α ranging from .69 to .87) (Adams et al, 2021). Barriers were rated on 7-point Likert type scales (1-7) from unlikely to likely.…”

Section: Barriers To Seeking Professional Helpmentioning

confidence: 99%

“…Further, whilst clinical samples have already been, by de nition, diagnosed, the larger, non-clinical, portion of the population of older adults with chronic illnesses are unlikely to engage mental health support regardless of their needs (Adams et al, 2021). The research questions posed by the current study are: What are the most common barriers to seeking professional help for mental health concerns among older adults with chronic diseases?…”

Section: Introductionmentioning

confidence: 99%

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Barriers to seeking professional mental health support among older adults with chronic diseases

Adams

Gringart

Strobel

2022

Preprint

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Objective: Help-seeking for mental health problems among older adults is often delayed. This is particularly concerning among older adults with chronic diseases, who are at risk of mental health declines. This study explored barriers to help-seeking among older adults with chronic diseases and identified factors that influence older adults’ perceptions of such barriers. Method: This was a cross-sectional study with 107 adults ≥65 years, diagnosed with cardiovascular disease, respiratory disease, and/or type 2 diabetes. Demographic variables and barriers to help-seeking were measured using self-report questionnaires. Results: The most common barriers to help-seeking were wondering whether the mental health problem is significant enough to warrant treatment (51.9%) and not having a regular primary health care provider to speak with (39.6%). Participants who had sought help in the past had less endorsement of these barriers than those who had never sought help. Conclusions: Many older adults with chronic diseases have difficulties knowing when to seek help, and apprehensions about disclosing mental health concerns. Integrated intervention is needed involving the community (e.g., reduce stigma), older adults with chronic diseases (e.g., increase mental health literacy), and physicians (e.g., increase training in ageing and mental health) to alleviate common barriers to help-seeking in this population.

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Help-seeking for mental health problems among older adults with chronic disease: an application of the theory of planned behaviour

Cited by 11 publications

References 81 publications

Vaccination Intention and Behavior of the General Public in China: Cross-sectional Survey and Moderated Mediation Model Analysis

Vaccination Intention and Behavior of the General Public in China: Cross-sectional Survey and Moderated Mediation Model Analysis

Suicide Risk Help-Seeking Among Middle- to Old-Age Adults: A Systematic Review

Barriers to seeking professional mental health support among older adults with chronic diseases

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