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Effect of Health-Promoting Lifestyle Modification Education on Knowledge, Attitude, and Quality of Life of Postmenopausal Women.

ABSTRACT: Limited knowledge and negative attitudes about menopause among postmenopausal women (PMW) create a multitude of health-related issues leading to impaired quality of life (QOL) among them. This study evaluated the impact of a health-promoting lifestyle education intervention (HPLEI) on knowledge, attitude, and QOL in a group of PMW in Sri Lanka. A quasi-experimental study was conducted with 72 PMW, matched for sociodemographic status of the community from two geographically separated areas in Galle, and they were allocated to intervention (n = 37) and control (n = 35) groups. HPLEI is comprised of health education sessions focused on postmenopausal health management with lifestyle modifications provided only for the intervention group for 8 weeks and follow-up for 6 months. The control group was not given any planned education programme and was allowed to proceed with the usual lifestyle during this period. Knowledge, attitude, menopause-specific QOL (MENQOL), and overall QOL were evaluated in both groups with self-administered questionnaires at the baseline, after 8 weeks of education sessions and at the end of 6 months of follow-up. The mean (SD) ages of the intervention and control groups were 54.6 (4.5) and 56.5 (3.4) (p = 0.06) years, respectively. All evaluated variable scores were not different between the intervention and control groups (p > 0.05) at the baseline. In the intervention group, knowledge (mean ± SD; 21.70 ± 1.05) and attitude (mean ± SD; 44.02 ± 5.33) scores increased at the end (p < 0.001). In the control group, a marginal increase in all dimensions of knowledge scores (mean ± SD; 9.71 ± 2.21) and unchanged attitude scores (mean ± SD; 23.91 ± 7.56) were seen. All MENQOL scores decreased during the follow-up in the intervention group (mean ± SD; 138.51 ± 18.47) (p < 0.001) except the sexual domain (p = 0.32). MENQOL scores were increased in the control group (mean ± SD; 92.05 ± 28.87) (p < 0.001) with time. Overall QOL scores increased (mean ± SD; 74.85 ± 9.71) (p < 0.001) in the intervention group during the study period and in the control group overall QOL (mean ± SD; 51.03 ± 13.61) showed a reduction (p < 0.001) at the end. Health education focused on health-promoting lifestyle modifications was effective in improving knowledge, attitude, MENQOL, and overall QOL of PMW.

SUBMITTER: Rathnayake N

PROVIDER: S-EPMC7256760 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Project description:Cognitive variables such as knowledge, attitude, and self-efficacy affect asthma patients' abilities to be effective self-managers.The objective of this cross-sectional analysis was to determine what patient and clinical factors were associated with these cognitive variables and to assess the contributions of these cognitive variables to clinical status.Primary care asthma patients were interviewed using the three domains of the Knowledge, Attitude, and Self-Efficacy Asthma Questionnaire (KASE), as well as established scales to measure social support, depressive symptoms, and ratings of asthma care. Clinical asthma status was measured with the Asthma Quality of Life Questionnaire (AQLQ).In total, 180 patients were enrolled, with a mean age of 43 years and 84% were women. Knowledge was low, with only 50% of patients answering half or more questions correctly (mean score = 52, possible range 0-100, higher is more knowledge). Attitude toward asthma was generally positive (mean score = 82, possible range 20-100, higher is more positive attitude) and self-efficacy was moderate (mean score = 76, possible range 20-100, higher is more self-efficacy). In separate multivariate analyses, younger age and higher education level were associated with more knowledge (p ? .005); more social support, fewer depressive symptoms, and more favorable prior results of asthma care were associated with more positive attitude (p ? .05); and favorable prior results, more satisfaction with asthma status, not having stress-related triggers, and not having had a recent emergency department visit for asthma were associated with more self-efficacy (p ? .07 for all variables). In additional multivariate analyses, more knowledge (p = .0005), more positive attitude (p = .02), and more self-efficacy (p = .01) were associated with better AQLQ scores.Different patient and clinical characteristics were associated with cognitive variables pertinent to self-management. These variables, in turn, were independently associated with asthma status. Thus, although fostering improvement in all three variables would be desirable, interventions that improve any of these variables potentially could be beneficial.

Project description:BackgroundDiabetic was the eighth leading cause of death among both sexes and the fifth leading cause of death in women in 2012{WHO, 2016}. The main objective of this study is to identify the knowledge, attitude, and practice regarding lifestyle modification among type 2 DM with CVD at Mogadıshu Somali Turkish Training and research hospital in Mogadishu, Somalia.MethodThis study was hospital-based cross-sectional study conducted from type 2 Diabetic Mellitus patients with cardiovascular disease attended to Mogadishu Somali Turkish Training and Research Hospital for medical check-ups and regular medical treatments between September 2020 to August 2,0221.ResultsA total of 384 patients were enrolled in the study. Out of 384 participants 221(57.6%) were females, while 163(42.4%) were males. The majority of the repondents, 261 (68%) fell within the age group of 60 years and above. Most of the participants (29.4%, n = 113) had no formal education. Interestingly, more than half 228(59.4%) of participants were employed, while near one-third of the respondents (34.1%, n = 131) belonged to the low-income group (<2,000,000SH).Concerning knowledge of the patients towards LSM of diabetic; the majority of the participants 68% (n = 261) had poor knowledge regarding knowledge questions, while 32% (n = 123) had good knowledge. Regarding to the level of attitude, 71.9% of respondents had a negative attitude toward the lifestyle modification of diabetics and the remaining 28.1% (n = 108) had negative attitude. More than two-thirds of participants 61.2% (n = 235) had a poor practice, while 38.8%(n = 149) respondents had a good practice regarding lifestyle modification.Finally A significant relationship was evaluated between Knowledge and Attitude (0.007*) and between Knowledge and Practices (P = 0.000**) suggesting that most participants had good knowledge associated with good attitude and practices correspondingly.ConclusionThe result of this study revealed, majority of type2 DM patients with CVD had poor knowledge, negative attitude and poor practices towards LSM. So, we recommend to all stake holders (Ministry of health, Health institution, health professionals, and national and international NGO) to improve KAP of the patients towards LSM.

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Effect of Health-Promoting Lifestyle Modification Education on Knowledge, Attitude, and Quality of Life of Postmenopausal Women.

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