Abstract:
Background:Health education can benefit people with chronic diseases. However, in previous research those benefits were small, and reinforcement to maintain them was not effective. A possible explanation is that the benefits appeared to be small and reinforcement appeared to be ineffective because those analyses mixed data from two latent groups: one group of people who needed reinforcement and one group of people who did not. The hypothesis is that mixing the data from those two different groups caused the true effects to be "diluted." Methods:To test that hypothesis we used data from the Chronic Disease Self-Management Program in Japan, focusing on anxiety, depression, and patient-physician communication. To identify latent trajectories of change after the program, we used growth-mixture modeling. Then, to find out which baseline factors were associated with trajectory-group membership, we used logistic regression. Results:Growth-mixture modeling revealed two trajectories-two groups that were defined by distinct patterns of change after the program. One of those patterns was improvement followed by backsliding: decay of impact. On anxiety and depression the decay of impact was large enough to be clinically important, and its prevalence was as high as 50%. Next, logistic regression analysis revealed that being in the decay-of-impact group could be predicted from multimorbidity, low self-efficacy, and high scores on anxiety or depression at baseline. In addition, one unexpected finding was an association between multimorbidity and better patient-physician communication. Conclusions:These results support the hypothesis that previous findings (i.e., apparently small effect sizes and apparently ineffective reinforcement) actually reflect "dilution" of large effects, which was caused by mixing of data from distinct groups. Specifically, there was one group with decay of impact and one without. Thus, evaluations of health education should include analyses of trajectory-defined groups. These results show how the group of people who are most likely to need reinforcement can be identified even before the educational program begins. Extra attention and reinforcement can then be tailored. They can be focused specifically to benefit the people with the greatest need.
journal_name
PeerJjournal_title
PeerJauthors
Park MJ,Green J,Jung HS,Park YSdoi
10.7717/peerj.7229subject
Has Abstractpub_date
2019-07-15 00:00:00pages
e7229issn
2167-8359pii
7229journal_volume
7pub_type
杂志文章相关文献
PeerJ文献大全abstract::Although neonicotinoids are targeted at insects, their predominant use as a seed dressing and their long persistence in soils mean that non-target soil organisms such as earthworms are likely to be chronically exposed to them. Chronic exposure may pose risks that are not evaluated in most toxicity tests. We experiment...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.3177
更新日期:2017-04-11 00:00:00
abstract::Transmissible gastroenteritis virus (TGEV), belonging to the coronaviridae family, is the key cause of the fatal diarrhea of piglets and results in many pathological processes. microRNAs (miRNAs) play a key role in the regulation of virus-induced apoptosis. During the process of apoptosis induced by TGEV infection in ...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.1635
更新日期:2016-02-04 00:00:00
abstract::Marine biodiversity and derived ecosystem services are critical to the healthy functioning of marine ecosystems, and to human economic and societal well-being. Thus, an understanding of marine biodiversity in different ecosystems is necessary for their conservation and management. Coral reefs in particular are noted f...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.6532
更新日期:2019-04-12 00:00:00
abstract::The common bottlenose dolphin, Tursiops truncatus, is widely distributed along the western coast of South America. In Ecuador, a resident population of bottlenose dolphins inhabits the inner estuarine area of the Gulf of Guayaquil located in the southwestern part of the country and is under threat from different human...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.4589
更新日期:2018-04-09 00:00:00
abstract::The emergence of herbicide-resistant weeds is a major threat facing modern agriculture. Over 470 weedy-plant populations have developed resistance to herbicides. Traditional evolutionary mechanisms are not always sufficient to explain the rapidity with which certain weed populations adapt in response to herbicide expo...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.3560
更新日期:2017-07-20 00:00:00
abstract:Background:Methylenetetrahydrofolate reductase (MTHFR) is indispensable for the conversion of homocysteine (Hcy) to methionine. The single nucleotide polymorphism (SNP) of MTHFR gene (rs1801133, C667T) is correlated with decreased enzyme activity that eventually results in elevated plasma Hcy levels. Hyperhomocysteinem...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.8627
更新日期:2020-02-20 00:00:00
abstract::[This corrects the article DOI: 10.7717/peerj.2869.]. ...
journal_title:PeerJ
pub_type: 杂志文章,已发布勘误
doi:10.7717/peerj.2869/correction-1
更新日期:2017-12-07 00:00:00
abstract:Background:The exoskeleton of an insect could be an important factor in the success of its evolutionary process. This reaches its maximum expression in beetles, which constitute the most diversified animal taxon. The involvement in the management of environmental radiation could be one of the most important functions o...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.8104
更新日期:2019-11-25 00:00:00
abstract::Here we review the systematics of the threadsnakes of the Epictia goudotii Species complex in Middle and northern South America using external morphology and molecular data. Two species, Epictia goudotii and E. magnamaculata, are currently recognized from that region, but we provide evidence for recognizing, as specie...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.1551
更新日期:2016-01-12 00:00:00
abstract::Purpose. People with stroke living in the community have an increased prevalence of depression and lower quality of life than healthy older adults. This cross-sectional observational study investigated whether participation in regular exercise was associated with improved mood and quality of life. Methods. We recruite...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.331
更新日期:2014-03-27 00:00:00
abstract::Here we present the first two complete plastid genomes for Brunelliaceae, a Neotropical family with a single genus, Brunellia. We surveyed the entire plastid genome in order to find variable cpDNA regions for further phylogenetic analyses across the family. We sampled morphologically different species, B. antioquensis...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.8392
更新日期:2020-01-28 00:00:00
abstract:Purpose:Pterygium results from a variety of biological pathways that are involved in the formation of ocular surface diseases. However, the exact pathogenesis of pterygium is still unclear. Our study focused on gene expression profiles to better understand the potential mechanisms of pterygium. Methods:RNA sequencing ...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.9056
更新日期:2020-05-04 00:00:00
abstract:Background:Forest ecosystems are considered among the largest terrestrial carbon sinks. The dynamics of forest carbon depend on where the carbon is stored and its responses to environmental factors, as well as the physiology of the trees. Thus, threatened forest regions with high biodiversity have great scientific impo...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.7085
更新日期:2019-06-11 00:00:00
abstract:Background:Laminitis is a common equine disease characterized by foot pain, and is commonly diagnosed using a five-grade Obel system developed in 1948 using sepsis-related cases. However, endocrinopathic laminitis is now the most common form of the disease and clinical signs may be mild, or spread across two Obel grade...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.7084
更新日期:2019-06-07 00:00:00
abstract::We documented significantly increasing trends in atmospheric loading of ammonium (NH4) and nitrate/nitrite (NO2/3) and decreasing trends in total phosphorus (P) and sulfate (SO4) to Flathead Lake, Montana, from 1985 to 2004. Atmospheric loading of NO2/3 and NH4 increased by 48 and 198% and total P and SO4 decreased by...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.841
更新日期:2015-03-19 00:00:00
abstract:Purpose:To explore whether unilateral relapse of Bechet's disease-associated uveitis (BDU) causes differences in the tear proteome between the diseased and the contralateral quiescent eye and potential tear biomarkers for uveitis recurrence and disease monitoring. Method:To minimize interindividual variations, bilater...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.9250
更新日期:2020-06-19 00:00:00
abstract::The octopus fauna from the southern Caribbean is an understudied field. However, recent taxonomic work in the Colombian Caribbean has led to the discovery of several new species in the family Octopodidae. To provide molecular evidence for recent descriptions in the area (i.e., Octopus taganga, O. tayrona and Macrotrit...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.7300
更新日期:2019-07-29 00:00:00
abstract::Metoposaurids are representatives of the extinct amphibian clade Temnospondyli, found on almost every continent exclusively in the Late Triassic deposits. Osteohistologically, it is one of the best-known temnospondyl groups, analyzed with a wide spectrum of methods, such as morphology, morphometry, bone histology or c...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.9868
更新日期:2020-09-08 00:00:00
abstract::In agricultural landscape, there are thousands of young wild animals killed every year. Their deaths are caused mostly by agricultural fieldworks during spring harvest. Among the affected animals there are also fawns of roe deer (Capreolus capreolus), which react to danger by pressing themselves against the ground in ...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.6923
更新日期:2019-05-10 00:00:00
abstract::A period of starvation is regarded as a sound practice in aquaculture prior to handling, transportation and harvest, to minimise impacts on welfare and ensure proper hygiene after harvest. However, documentation of welfare issues such as stress following starvation and handling in adult Atlantic salmon are lacking. Th...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.3273
更新日期:2017-04-27 00:00:00
abstract:BACKGROUND:Because etomidate induces prolonged adrenal suppression, even following a single bolus, its use as an infused anesthetic is limited. Our previous study indicated that a single administration of the novel etomidate analog methoxyethyletomidate hydrochloride (ET-26-HCl) shows little suppression of adrenocortic...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.3693
更新日期:2017-09-04 00:00:00
abstract::The proportion of females calving (PFC) each year has been employed as an indicator of population reproductive performance in ungulates, especially for species that breed annually, because it requires less detailed population data than inter-birthing intervals and age at first reproduction. For asynchronous breeders w...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.5430
更新日期:2018-08-15 00:00:00
abstract::Global warming can significantly affect many aspects of the biology of animal species, including their thermal physiology and physiological performance. Thermal performance curves provide a heuristic model to evaluate the impacts of temperature on the ecophysiology of ectotherms. When integrated with other thermal bio...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.7437
更新日期:2019-08-09 00:00:00
abstract:Background:Ecosystem engineers are species that transform habitats in ways that influence other species.While the impacts of many engineers have been well described, our understanding of how their impact varies along environmental gradients remains limited. Although disentangling the effects of gradients and engineers ...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.5612
更新日期:2018-10-09 00:00:00
abstract::Researchers often need to consider the practical significance of a relationship. For example, interpreting the magnitude of an effect size or establishing bounds in equivalence testing requires knowledge of the meaningfulness of a relationship. However, there has been little research exploring the degree of relationsh...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.6853
更新日期:2019-05-14 00:00:00
abstract::Background. Massively parallel sequencing technology is being used to sequence highly diverse populations of DNA such as that derived from heterogeneous cell mixtures containing both wild-type and disease-related states. At the core of such molecule tagging techniques is the tagging and identification of sequence read...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.2074
更新日期:2016-05-24 00:00:00
abstract::Maternal thyroid hormones (THs) are known to be crucial in embryonic development in humans, but their influence on other, especially wild, animals remains poorly understood. So far, the studies that experimentally investigated the consequences of maternal THs focused on short-term effects, while early organisational e...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.10175
更新日期:2020-10-16 00:00:00
abstract:BACKGROUND:Individuals with mental illness often experience stigmatization and encounter stereotypes such as being dangerous or unpredictable. To further improve measures against psychiatric stigma, it is of importance to understand its components. In this study, we attend to the step of separation between "us" and "th...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.2360
更新日期:2016-09-27 00:00:00
abstract:Background:Cities face rapid changes leading to increasing inequalities and emerging public health issues that require cost-effective interventions. The urban exposome concept refers to the continuous monitoring of urban environmental and health indicators using the city and smaller intra-city areas as measurement unit...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.6851
更新日期:2019-05-24 00:00:00
abstract::We describe a new species of Oligodon from the highlands of the Langbian Plateau, southern Truong Son Mountains, Vietnam, based on morphological and molecular phylogenetic analyses. The new species, Oligodon rostralissp. nov is distinguished from its congeners by the following morphological characters: medium size in ...
journal_title:PeerJ
pub_type: 杂志文章
doi:10.7717/peerj.8332
更新日期:2020-01-06 00:00:00