Utility of Multi-Theory Model (MTM) to Explain the Intention for PAP Adherence in Newly Diagnosed Sleep Apnea Patients

Sharma, Manoj; Chandra, Anuj; Toth, Ryan; Nahar, Vinayak K.

doi:10.2147/nss.s294183

Cited by 5 publications

(3 citation statements)

References 33 publications

(49 reference statements)

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“…For initiation, the MTM suggests that three constructs: participatory dialogue (i.e., whereby the advantages of a behavior change are seen as being more than disadvantages), behavioral confidence (i.e., whereby the person becomes sure in performing any given behavior), and changes in the physical environment (i.e., whereby the person has necessary resources for performing a given behavior) will lead to initiation in a behavior change [ 17 , 18 ]. The MTM is unique in that the constructs can be applied across different health behaviors, and the theory has been used to explain a diverse range of health behaviors [ 19 , 20 , 21 , 22 , 23 , 24 ]. The MTM has advantages over previous health behavior theoretical models, which have yielded mixed findings about behavior change, are shown to lack substantive predictive power, and typically are not situated around long-term behavior change [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Vaccine Acceptance among College Students: A Theory-Based Analysis

Sharma

Davis

Wilkerson

2021

IJERPH

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The severity and pervasiveness of the COVID-19 pandemic have necessitated the emergency use of COVID-19 vaccines. Three vaccines have been approved in the United States (USA). However, there is still some hesitancy in COVID-19 vaccine acceptability among some subgroups, including college students. While research is limited on vaccine acceptability behavior among college students, preliminary data suggests hesitancy as being high. This study aimed to explain the correlates of COVID-19 vaccine acceptance among college students who reported hesitancy toward the COVID-19 vaccine and those who did not using the initiation component of the multi-theory model (MTM) of health behavior change. Using a cross-sectional study design, data were collected from a Southern USA University (n = 282) utilizing a valid and reliable 27-item questionnaire in February and March 2021. Almost half (47.5%) of participants reported hesitancy to receive the COVID-19 vaccine. The three constructs of MTM’s initiation model, behavioral confidence (b = 0.089, p < 0.001), participatory dialogue (b = 0.056, p < 0.001), and changes in the physical environment (b = 0.066, p = 0.001) were significantly associated with COVID-19 vaccine acceptance among those who were not hesitant to take the vaccine and accounted for 54.8% of the variance. Among those who were hesitant to take the COVID-19 vaccine, the MTM construct of behavioral confidence (b = 0.022, p < 0.001) was significant along with Republican Party political affiliation (b = −0.464, p = 0.004), which was negatively associated with vaccine acceptance. The model accounted for 60.6% of the variance in intention to take the COVID-19 vaccine. This study provides evidence for the utility of MTM as a timely intervention to design messages for college students to enhance COVID-19 vaccine acceptability.

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Section: Introductionmentioning

confidence: 99%

COVID-19 Vaccine Acceptance among College Students: A Theory-Based Analysis

Sharma

Davis

Wilkerson

2021

IJERPH

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“…Theoretical models of health behaviors are important for disease prevention and detection, treatment and rehabilitation, and the promotion and maintenance of physical and mental health, but no intervention studies related to DTC have used theoretical models of health as a guide. Therefore, we aimed to evaluate a mHealth intervention study based on the Multi-theory model of health behavior change (MTM) ( 44–46 ) in anticipation of improving self-management in postoperative patients with differentiated thyroid cancer. The MTM divides behavioral change into two components: (1) initiation of behavior change (2) maintenance of behavior change.…”

Section: Introductionmentioning

confidence: 99%

Impact of a mobile health intervention based on multi-theory model of health behavior change on self-management in patients with differentiated thyroid cancer: protocol for a randomized controlled trial

Jiang,

Sun,

Jiang

et al. 2024

Front. Public Health

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IntroductionTheoretical models of health behavior are important guides for disease prevention and detection, treatment and rehabilitation, and promotion and maintenance of physical and mental health, but there are no intervention studies related to differentiated thyroid cancer (DTC) that use theoretical models of health as a guide. In this study, we used a microblogging platform as an intervention vehicle and mobile patient-doctor interactive health education as a means of intervention, with the aim of improving the health behaviors of DTC patients as well as the corresponding clinical outcomes.MethodsThis research project is a quantitative methodological study, and the trial will be a single-blind, single-center randomized controlled trial conducted at the Fourth Hospital of Harbin Medical University in Harbin, Heilongjiang Province. The study subjects are patients over 18 years of age with differentiated thyroid cancer who were given radioactive iodine-131 therapy as well as endocrine therapy after radical surgery for thyroid cancer. The intervention group will receive MTM-mhealth, and the realization of health education will rely on the smart terminal WeChat platform. Routine discharge education will be given to the control group at discharge. The primary outcome will be change in thyroid-stimulating hormone (TSH) from baseline and at 3 and 6 months of follow-up, and secondary outcomes will include change in self-management behavior, social cognitive and psychological, and metabolic control.DiscussionThis study will explore a feasible mHealth intervention program applied to a population of DTC patients using the Multi-theory model of health behavior change (MTM) as a guide, with the aim of evaluating the MTM-based intervention program for clinical outcome improvement in DTC patients, as well as determining the effectiveness of the MTM-based intervention program in improving self-management skills in DTC patients. The results of this study will indicate the feasibility as well as the effectiveness of the application of health theoretical modeling combined with mHealth applications in disease prognostic health management models, and provide policy recommendations and technological translations for the development of mobility-based health management applications in the field of health management.

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“…Theoretical models of health behaviors are important for disease prevention and detection, treatment and rehabilitation, and the promotion and maintenance of physical and mental health, but no intervention studies related to DTC have used theoretical models of health as a guide. Therefore, we aimed to evaluate a mHealth intervention study based on the Multi-theory model of health behavior change (MTM) [43,44,45] 1). Its role as a fourthgeneration theoretical model used for health education [46,47,48] has been demonstrated to play an important role in health behavior change, such as smoking cessation [49], promotion of HPV vaccination behaviors [50], and promotion of physical activity practice [51,52].…”

Section: Introductionmentioning

confidence: 99%

Impact of a mobile health intervention based on Multi-theory model of health behavior change (MTM) on self-management in patients with differentiated thyroid cancer: protocol for a randomized controlled trial

Jiang,

Sun,

Min

et al. 2023

Preprint

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Introduction: The rapid development of modern network technology has led to the gradual popularization of online social software such as WeChat, and communication between patients and physicians has gradually shifted from offline to online, which has made the application of mHealth possible. Moreover, is evidence shown the use of mHealth interventions with patients can play an important role in the self-management of patients' diseases. Theoretical models of health behavior are important guides for disease prevention, detection, treatment, rehabilitation, as well as the promotion and maintenance of both physical and mental health, but there are no intervention studies related to DTC that use theoretical models of health as a guiding framework. This study aimed to MTM model to construct a health education intervention model for DTC patients, using a micro-letter platform as the intervention vehicle and mobile doctor-patient interactive health education as the means of intervention, to improve the health behaviors of DTC patients as well as the corresponding clinical outcomes. Methods This research project is a quantitative methodological study, and the trial will be a single-blind, single-center randomized controlled trial conducted at the Fourth Hospital of Harbin Medical University in Harbin, Heilongjiang Province. The study subjects are patients over 18 years of age with differentiated thyroid cancer who were given radioactive iodine-131 therapy as well as endocrine therapy after radical surgery for thyroid cancer. The intervention group received MTM-mHealth, and the realization of health education will rely on the smart terminal WeChat platform. Through the WeChat platform, physicians or professional nurses can realize timely health education interventions for patients, including daily reminders of taking medication, and popularization of science related to thyroid cancer. Routine discharge education will be given to the control group at discharge. Sociodemographic variables of patients will be collected at baseline, while clinical reagent tests and questionnaires will be completed at baseline as well as at 3 and 6 months of follow-up. The primary outcome will be change in TSH from baseline as well as 3 and 6 months of follow-up, and secondary outcomes will include change in self-management behavior, social cognitive and psychological, and metabolic control. Discussion This study will explore a feasible mHealth intervention program applied to a DTC patient population using the MTM theoretical model as a guide, with the goal of evaluating the MTM-based intervention program for clinical outcome improvement in DTC patients, as well as determining the effectiveness of the MTM-based intervention program in improving the self-management capabilities of DTC patients. The results of this study will indicate the feasibility as well as the effectiveness of the application of health theory model-based combined with mHealth application in disease prognostic health management model, provide a clinical basis for the mHealth intervention to assist the treatment plan related to the prognostic rehabilitation of oncology patients, and at the same time, provide policy recommendations and technology translation for the development of the application of mHealth management in the field of health management. Trial registration: Ethics Committee of the Fourth Affiliated Hospital of Harbin Medical University: 2022-WZYSLLSC-20; Clinical Trials: ChiCTR2200054321

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Utility of Multi-Theory Model (MTM) to Explain the Intention for PAP Adherence in Newly Diagnosed Sleep Apnea Patients

Cited by 5 publications

References 33 publications

COVID-19 Vaccine Acceptance among College Students: A Theory-Based Analysis

COVID-19 Vaccine Acceptance among College Students: A Theory-Based Analysis

Impact of a mobile health intervention based on multi-theory model of health behavior change on self-management in patients with differentiated thyroid cancer: protocol for a randomized controlled trial

Impact of a mobile health intervention based on Multi-theory model of health behavior change (MTM) on self-management in patients with differentiated thyroid cancer: protocol for a randomized controlled trial

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