International Research Journal of Public Health


Transtheoretical model as a framework for promoting cardiovascular health through behaviour change: a systematic review

Review Article of International Research Journal of Public Health Transtheoretical model as a framework for promoting cardiovascular health through behaviour change: a systematic review PhD, Ejiofor A. Ezika1* , MBBS, Adaobi Nwankwo-Ezika2 1School of Health and Life Sciences, University of the West of Scotland. 2Emergency Medicine Department, Southend University Hospital. Introduction: Cardiovascular disease (CVD) remains the single leading cause of death around the globe. The Transtheoretical model (TTM) is a successful framework for guiding behaviour change programmes for several health behaviours, yet there are limited reviews on how TTM has been used to facilitate behaviour change associated with reduced CVD. Therefore, the aims of this systematic review are to determine (i) how TTM has been used in promoting physical activity, fruit and vegetable consumption, and smoking cessation and (ii) gaps in knowledge in the use of stage-based model to improve physical activity, intake of fruit and vegetables, and smoking cessation. Materials and Methods: The approach to this systematic review was informed by current recommendations known as Preferred Reporting Items for Systematic Reviews and Meta-analysis Approach (PRISMA). Results: Constructs of TTM were used in the design of studies, facilitation of health behaviour change, monitoring of change in the movement of the participants across the change continuum, and evaluation of the effectiveness of health behaviour programmes. TTM was incorporated with other models, including Health Belief Model (HBM), social-ecological model, and social cognitive theory to facilitate behaviour change. There were limited studies that used all the four constructs of TTM to promote health behaviour change. Conclusion: TTM is a promising tool for designing, facilitating, monitoring, and evaluating behaviour change associated with reduced cardiovascular disease (CVD). TTM may be incorporated with other models, including HBM, social-ecological model, and social cognitive theory to facilitate behaviour change. Keywords: Behaviour change; Transtheoretical model; Systematic review; Cardiovascular health ...

Effect of Aerobic Exercise Training Programme on Blood Cholesterol Profile in Prevention of Cardiovascular Diseases among Young Adults

Research Article of International Research Journal of Public Health Effect of Aerobic Exercise Training Programme on Blood Cholesterol Profile in Prevention of Cardiovascular Diseases among Young Adults D.I. Adeagbo1, A .O Awosusi1, O.M Bolarinwa1, B. G. Agboola2 1Department of Human Kinetics and Health Education, Faculty of Education, Ekiti State University, Ado Ekiti, Nigeria. 2Department ofAdult Education and Community Development, Faculty of Education, Ekiti State University, Ado- Ekiti, Nigeria. This study investigated the effects of aerobic exercise training programme on blood cholesterol profile as cardiovascular disease risk factor among adolescents. The study employed the true experimental of pretest post test design with one experimental and control group. The population consisted of 745 students of Ekiti State University, Ado-Ekiti. The participants for the study were 32 students comprising 22 participants for the experimental and 10 for the control groups with equal number of male and female in each case. The instruments used for sample and data collection for the study were; stadiometer, vacutainer needles, plastic vacuum tubes, vacutainer holder, tourniquet, disinfection swabs, microspore tape, adhesive dressing, rubber gloves, lithium heparin bottles and spectrophotometer. The training programme consisted of graded activities lasting for 25-40 minutes, administered three times a week for 12 weeks. The blood samples collected were subjected to chemical analysis generated for the study. The data were subjected to descriptive statistics of mean, standard deviation and range and inferential statistics of Analysis of Covariance (ANCOVA). Multiple Classification Analysis (MCA) was employed to determine how much effect the treatment had on the cholesterol profile of the students. Statistical analysis showed significant reduction of total cholesterol, low density lipoproteincholesterol, and increase high density lipoprotein cholesterol. Aerobic exercise training programme had positive effects on total cholesterol, low density lipoprotein cholesterol, and high density lipoprotein cholesterol levels of the adolescents. It is therefore recommended that ...

Diabetes Mellitus: General aspects

Review Article of International Research Journal of Public Health Diabetes Mellitus: General aspects Francisco Henrique da Silva1, Matheus Alves Siqueira de Assunção2, Alamisne Gomes da Silva3, Hellencléia Pereira Cunha3, Adriana Maria Costa Marques da Silva3, Aline Fernanda Carneiro Cardoso3, Fálba Bernadete Ramos dos Anjos2 1Department of Biochemistry, Federal University of Pernambuco, Recife, Pernambuco, Brazil 2Department of Histology and Embryology, Federal University of Pernambuco,  Recife, Pernambuco, Brazil 3Pharmaceutical Federal University of Pernambuco, Recife, Pernambuco, Brazil Knowing Diabetes Mellitus, as well as its main characteristics is a means of prevention. From this perspective, this chapter aims to analyze the main characteristics about Diabetes Mellitus, taking as an approach the general aspects that involve epidemiology, costs, correlation with arterial hypertension, in addition to Gestational Diabetes. Keywords: Classification, Epidemiology, Gestational Diabetes ...

Health seeking behaviour for Buruli Ulcer disease in the Obom sub-district of the Ga south Municipality of Ghana

Research Article of International Research Journal of Public Health Health seeking behaviour for Buruli Ulcer disease in the Obom sub-district of the Ga south Municipality of Ghana Eric Koka Department of Sociology and Anthropology, University of Cape Coast, Cape Coast, Ghana The current biomedical Buruli ulcer case management strategies emphasise the importance of early reporting and appropriate medical treatment of nodules before they ulcerate and give rise to deformities and disabilities. However, there are a wide range of factors that influence health seeking behaviour for Buruli ulcer case management. The purpose of the study was to determine health seeking behaviour for Buruli ulcer by affected persons and their families. This was a descriptive study involving both qualitative and quantitative data collection. Thirty (30) in-depth interviews were conducted for Buruli ulcer patients and their corresponding caregivers on barriers and facilitators to health seeking. Three (3) Focus Group Discussions (FGDs) were also conducted among elderly community members. Survey questionnaire interviews were conducted with 300 community respondents in Ga, Akan and Ewe languages in the study area. Systematic sampling was used to select 300 respondents for the survey. The study revealed that most respondents (41.0%) would resort to self-medication as their first treatment option when infected with Buruli ulcer. However, the health seeking of self-medication before seeking biomedical treatment was alarming since it leads to delays in reporting. This is a serious public health concern since delay in reporting could lead to category three lesions. Keywords: Buruli Ulcer; Health seeking behaviour; treatment; health care utilization; Ghana ...

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International Research Journal of Public Health

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