Promoting Behaviors, the Transtheoretical Model, and Impoverished HIV-Positive Women

2.50
Hdl Handle:
http://hdl.handle.net/10755/161496
Type:
Presentation
Title:
Promoting Behaviors, the Transtheoretical Model, and Impoverished HIV-Positive Women
Abstract:
Promoting Behaviors, the Transtheoretical Model, and Impoverished HIV-Positive Women
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Riley , Tracy
Contact Address:CON, 201J Mary Gladwin Hall,, Akron, OH, 44325-3701, USA
Co-Authors:Brenda M. Weems
PURPOSE: This preliminary integrative study sought to examine health promoting behaviors and the Transtheoretical Model of Behavior Change (TTM) in impoverished HIV+ women. SUBJECTS: 42 HIV+ women aged 25 to 60 years (mean 38.44 + 8.08). 18 women were Euro American, 19 were African American, and 4 were Latino; 5 were asymptomatic, 14 were symptomatic, and 16 had AIDS. Most had children (81%) and a household income < $15,000 per year (90%); 31% were grandmothers. METHOD: Recruited from Northeast Ohio, all participants completed standardized research measures to assess TTM constructs (stage of change, decisional balance, self-efficacy, processes of change), the Health Promoting Lifestyle Profile II, and a sociodemographic form. Purposive sampling was used to select 7 participants for individual semistructured in-depth interviews. RESULTS: The majority were in the later stages of change for a health promoting behavior (66.7%). Those in the later stages of change reported higher self-efficacy; however, they also reported the cons outweighed the pros in the preparation and action stages of change. Unexpectedly, stage of change was not significantly correlated with the HPLP II or any of its domain scores. Qualitative data revealed the women were more likely to use health promoting behaviors when they acknowledged they must live with, not die from, HIV. The detrimental effects of stress were recognized and these women actively took steps to reduce it. Positive health behaviors were enhanced in ways congruent with the TTM’s cognitive and behavioral processes of change. Healthy behaviors were inhibited when women experienced negative interactions with health care providers and physical symptoms associated with being HIV+ and/or from taking HIV-related medications. CONCLUSION: This study yielded useful preliminary information to support a health promotion intervention for HIV+ women; however, more research is needed to determine behavior change constructs most predictive of facilitating actual healthy behavior for impoverished HIV+ women. AN: MN030188
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePromoting Behaviors, the Transtheoretical Model, and Impoverished HIV-Positive Womenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161496-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Promoting Behaviors, the Transtheoretical Model, and Impoverished HIV-Positive Women </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Riley , Tracy</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">CON, 201J Mary Gladwin Hall,, Akron, OH, 44325-3701, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Brenda M. Weems </td></tr><tr><td colspan="2" class="item-abstract">PURPOSE: This preliminary integrative study sought to examine health promoting behaviors and the Transtheoretical Model of Behavior Change (TTM) in impoverished HIV+ women. SUBJECTS: 42 HIV+ women aged 25 to 60 years (mean 38.44 + 8.08). 18 women were Euro American, 19 were African American, and 4 were Latino; 5 were asymptomatic, 14 were symptomatic, and 16 had AIDS. Most had children (81%) and a household income &lt; $15,000 per year (90%); 31% were grandmothers. METHOD: Recruited from Northeast Ohio, all participants completed standardized research measures to assess TTM constructs (stage of change, decisional balance, self-efficacy, processes of change), the Health Promoting Lifestyle Profile II, and a sociodemographic form. Purposive sampling was used to select 7 participants for individual semistructured in-depth interviews. RESULTS: The majority were in the later stages of change for a health promoting behavior (66.7%). Those in the later stages of change reported higher self-efficacy; however, they also reported the cons outweighed the pros in the preparation and action stages of change. Unexpectedly, stage of change was not significantly correlated with the HPLP II or any of its domain scores. Qualitative data revealed the women were more likely to use health promoting behaviors when they acknowledged they must live with, not die from, HIV. The detrimental effects of stress were recognized and these women actively took steps to reduce it. Positive health behaviors were enhanced in ways congruent with the TTM&rsquo;s cognitive and behavioral processes of change. Healthy behaviors were inhibited when women experienced negative interactions with health care providers and physical symptoms associated with being HIV+ and/or from taking HIV-related medications. CONCLUSION: This study yielded useful preliminary information to support a health promotion intervention for HIV+ women; however, more research is needed to determine behavior change constructs most predictive of facilitating actual healthy behavior for impoverished HIV+ women. AN: MN030188 </td></tr></table>en_GB
dc.date.available2011-10-26T23:22:18Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:22:18Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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