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The effect of a theory-based intervention on promoting self-efficacy for childbirth among pregnant women in Hong Kong. / CUHK electronic theses & dissertations collectionJanuary 2005 (has links)
Confirmatory factor analysis provided empirical support for the existence of the hypothesized constructs assessed by the CBSEI-C32. Doubly MANOVA indicated that the experimental group was significantly more likely than the control group to demonstrate higher self-efficacy for childbirth and lower perceived anxiety and pain in the early and middle phase of labour. The effects of the programe on anxiety and pain during labour differed according to different phase of labour. Independent samples t test also demonstrated a significantly higher level of coping behaviour performed by the experimental group as compared with the control group. (Abstract shortened by UMI.) / The aim of this study was to test the effectiveness of an educational intervention, based on Self-efficacy theory (Bandura, 1989); to promote women's self-efficacy for childbirth and their coping ability for reducing anxiety and pain during labour. The study consisted of two phases: the 1st phase was to establish the validity and reliability of the primary outcome measure of the phase 2 study: a short form of the Chinese version of the Childbirth Self-efficacy Inventory (CBSEI-C32). The confirmatory factor analysis (CFA) was used to establish the construct validity of the CBSEI-C32. In the 2nd phase, the focus was to test the effectiveness of educational intervention to promote women's self-efficacy for childbirth and their coping behaviour during labour. The researcher used an experimental design with random assignment of eligible participants into experimental (n = 54) or control (n = 62) group that completed one pre-test (baseline at 32--34 weeks of gestation) and three posttest surveys (post-intervention at 37 weeks of gestation and within 48 hours and 6 weeks after delivery). The experimental group received two 90-minute sessions of an educational program offered at 33--35 weeks of gestation based on Bandura's (1986) self-efficacy theory. The primary outcome measures were the two subscales of the CBSEI-C32: outcome expectancy (OE-16) and efficacy expectancy (EE-16). The secondary measures included psychological morbidity (GHQ12), pain and anxiety during labour (VAS) and performance of coping behaviour during labour (CCB). Physiological labour outcomes in terms of mode of delivery, length of labour, types of analgesia used, Apgar scores of newborn and neonatal admission were also extracted from the participants' medical record. / Ip Wan Yim. / "June 2005." / Source: Dissertation Abstracts International, Volume: 67-07, Section: B, page: 3717. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2005. / Includes bibliographical references (p. 159-191). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / School code: 1307.
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Perceived control and health habits among elderly adults with chronic disease. / Control and health habitsJanuary 2001 (has links)
Wu Man Sze Anise. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2001. / Includes bibliographical references (leaves 72-84). / Abstracts in English and Chinese. / ACKNOWLEDGEMENTS --- p.ii / ABSTRACT --- p.iii / TABLE OF CONTENTS --- p.vi / LIST OF TABLES --- p.viii / Chapter CHAPTER 1 --- INTRODUCTION --- p.1 / Health Habits --- p.2 / Health Habits and Health Status of Elderly Adults --- p.2 / Health Habits among Chinese Elders with Diabetes --- p.3 / Measurement of Health Habits --- p.5 / Perceived Control --- p.6 / Perceived Control over Health --- p.6 / Health Locus of Control and Health Value --- p.7 / Self-efficacy --- p.15 / Previous Research Focus of Effect of Perceived Control on Chronic Illness --- p.16 / Perceived Control and Chinese Culture --- p.19 / Chapter CHAPTER 2 --- MAIN STUDY --- p.20 / Purpose of the Present Study --- p.20 / Method --- p.22 / Participants --- p.22 / Instruments --- p.24 / Health Habits --- p.24 / Health Locus of Control --- p.25 / Health Value --- p.26 / Self-efficacy --- p.26 / Health Status --- p.26 / Blood Glucose Control --- p.27 / Demographics --- p.27 / Procedure --- p.28 / Data Analysis --- p.28 / Results --- p.30 / Results for the First Wave Data --- p.30 / Analysis of Demographic Information --- p.30 / Analyses of Blood Glucose --- p.33 / Factor Analyses of Health Habits --- p.35 / Analysis of Demographic/ Medical Effects on Two Health Habits Dimensions --- p.36 / Correlations among Psychological Variables and Health Habits at Time1 --- p.38 / Regression Analyses of General Health Habits at Time1 --- p.40 / Regression Analyses of Diabetes-related and Preventive Health Habits at Time1 --- p.42 / Results for Second Wave Data --- p.45 / Correlations of Health Habits/Health Status at --- p.45 / Time 1 and Health Status at Time2 / Changes across Time --- p.46 / Stepwise Regression Analysis of Health Habits at Time2 --- p.47 / Discussion --- p.50 / Predictors of Health Habits at Time1 --- p.50 / Predictive Power of Psychological Constructs over --- p.57 / Habits at Time2 / Glycemic Control --- p.58 / Demographic and Medical Influences on Health --- p.60 / Status and Psychological Variables / Limitations --- p.61 / Research and Practical Implications --- p.63 / Conclusion / REFERENCES --- p.70 / FOOTNOTES --- p.72 / APPENDIX A Health Habits Checklist --- p.85 / APPENDIX B Self-efficacy (Toward Health Habits) and Health Value Scales --- p.103 / APPENDIX C Multidimensional Health Locus of Control Scales --- p.104
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