Use of the Precaution Adoption Process Model to examine predictors of osteoprotective behavior in epilepsy

被引:22
作者
Elliott, John O.
Seals, Brenda F.
Jacobson, Mercedes P.
机构
[1] Ohio State Univ, Dept Neurol, Columbus, OH 43210 USA
[2] Temple Univ, Dept Publ Hlth, Philadelphia, PA 19122 USA
[3] Temple Univ, Sch Med, Dept Neurol, Philadelphia, PA 19140 USA
来源
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY | 2007年 / 16卷 / 05期
关键词
osteoporosis; osteopenia; health behavior; precaution adoption; process Model Health Belief Model; self-efficacy;
D O I
10.1016/j.seizure.2007.02.016
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In the neurology literature it is well established that anti-epileptic drugs (AEDs) lead to bone toss (osteopenia and osteoporosis). Several Large epidemiologic studies have found twice the fracture rate in persons with epilepsy compared to the non-epilepsy population. White an increasing level of awareness for preventative measures and screening by neurologists and primary care physicians are recommended, so far no one has attempted to address how knowledge related to calcium and exercise, health beliefs (based on the Health Belief Model.) and self-efficacy (confidence in abilities) impact osteoprotective behaviors in epilepsy, based on the Precaution Adoption Process Model (PAPM). The seven-stage PAPM, unlike other health behavior theories where a person is either practicing or not practicing the behavior, conceptualizes behavior change as dynamic and occurring over time. Validated instruments were used to assess knowledge, health beliefs, self-efficacy and stages of the precaution adoption process for four osteoprotective behaviors. For dietary calcium; exercise knowledge and calcium self-efficacy predicted higher stages of precaution adoption. For calcium supplements; age perceived susceptibility for osteoporosis and perceived benefits of calcium predicted higher stages. Exercise adoption stage was most predicted by exercise knowledge and health motivation. For DEXA screening adoption; age and perceived susceptibility predicted higher stages. This study provides hints how persons with epilepsy could be influenced to move from the unaware/ unengaged positions into to the stages of adoption and maintenance for osteoprotective behaviors. (C) 2007 British Epilepsy Association. Published by Elsevier Ltd. AR rights reserved.
引用
收藏
页码:424 / 437
页数:14
相关论文
共 73 条
  • [1] Antiepileptic drug-induced bone loss in young male patients who have seizures
    Andress, DL
    Ozuna, J
    Tirschwell, D
    Grande, L
    Johnson, M
    Jacobson, AF
    Spain, W
    [J]. ARCHIVES OF NEUROLOGY, 2002, 59 (05) : 781 - 786
  • [2] Evaluation of physical exercise habits in Brazilian patients with epilepsy
    Arida, RM
    Scorza, FA
    de Albuquerque, M
    Cysneiros, RM
    de Oliveira, RJ
    Cavalheiro, EA
    [J]. EPILEPSY & BEHAVIOR, 2003, 4 (05) : 507 - 510
  • [3] Bandura A, 1994, ENCY HUMAN BEHAV, P71, DOI DOI 10.1108/13665620810871097
  • [4] Blalock SJ, 2005, J REPROD MED, V50, P901
  • [5] Effects of educational materials concerning osteoporosis on women's knowledge, beliefs, and behavior
    Blalock, SJ
    Currey, SS
    DeVellis, RF
    DeVellis, BM
    Giorgino, KB
    Anderson, JJB
    Dooley, MA
    Gold, DT
    [J]. AMERICAN JOURNAL OF HEALTH PROMOTION, 2000, 14 (03) : 161 - 169
  • [6] Osteoporosis prevention in premenopausal women: Using a stage model approach to examine the predictors of behavior
    Blalock, SJ
    DeVellis, RF
    Giorgino, KB
    DeVellis, BM
    Gold, DT
    Dooley, MA
    Anderson, JJB
    Smith, SL
    [J]. HEALTH PSYCHOLOGY, 1996, 15 (02) : 84 - 93
  • [7] Blalock Susan J, 2003, J Am Pharm Assoc (2003), V43, P685, DOI 10.1331/154434503322642615
  • [8] Models for nutrition education to increase consumption of calcium and dairy products among African Americans
    Bronner, YI
    Hawkins, AS
    Holt, ML
    Hossain, MB
    Rowel, RH
    Sydnor, KL
    Divers, SP
    [J]. JOURNAL OF NUTRITION, 2006, 136 (04) : 1103 - 1106
  • [9] EFFECTS OF ANTIEPILEPTIC DRUG-THERAPY ON BONE-MINERAL DENSITY IN AMBULATORY EPILEPTIC CHILDREN
    CHUNG, SJ
    AHN, C
    [J]. BRAIN & DEVELOPMENT, 1994, 16 (05) : 382 - 385
  • [10] Underutilizers of mammography screening today: Characteristics of women planning, undecided about, and not planning a mammogram
    Clemow, L
    Costanza, ME
    Haddad, WP
    Luckmann, R
    White, MJ
    Klaus, D
    Stoddard, AM
    [J]. ANNALS OF BEHAVIORAL MEDICINE, 2000, 22 (01) : 80 - 88