title: Perceived benefits and barriers and self-efficacy affecting the attendance of health education programs among uninsured primary care patients.
abstract: Lifestyle interventions have shown to be effective in improving health status, health behaviors, and self-efficacy. However, recruiting participants to health education programs and ensuring the continuity of health education for underserved populations is often challenging. The goals of this study are: to describe the attendance of health education programs; to identify stages of change to a healthy lifestyle; to determine cues to action; and to specify factors affecting perceived benefits and barriers to healthy food choices and physical activity among uninsured primary care patients. Uninsured primary care patients utilizing a free clinic (N=621) completed a self-administered survey from September to December of 2015. US born English speakers, non-US born English speakers, and Spanish speakers reported different kinds of cues to action in attending health education programs. While self-efficacy increases perceived benefits and decreases perceived barriers for physical activity, it increases both perceived benefits and perceived barriers for healthy food choices. The participants who had attended health education programs did not believe that there were benefits for healthy food choices and physical activity. This study adds to the body of literature on health education for underserved populations.
authors: Department of Sociology, University of Utah, Salt Lake City, UT, USA. Electronic address: akiko.kamimura@utah.edu.
authors: Akiko
authors: A
authors: Kamimura
authors: School of Medicine, University of Utah, Salt Lake City, UT, USA. Electronic address: maziarnourian@gmail.com.
authors: Maziar M
authors: MM
authors: Nourian
authors: Maliheh Free Clinic, Salt Lake City, UT, USA. Electronic address: aerjess24@gmail.com.
authors: Allison
authors: A
authors: Jess
authors: Department of Sociology, University of Utah, Salt Lake City, UT, USA. Electronic address: alla.cherinenko@soc.utah.edu.
authors: Alla
authors: A
authors: Chernenko
authors: Health, Society and Policy, University of Utah, Salt Lake City, UT, USA. Electronic address: Nushean.Assasnik@hsc.utah.edu.
authors: Nushean
authors: N
authors: Assasnik
authors: Maliheh Free Clinic, Salt Lake City, UT, USA. Electronic address: jashby@malihehfreeclinic.org.
authors: Jeanie
authors: J
authors: Ashby
mesh_terms: D000328:Adult; D000072001:Diet, Healthy / Q000523:psychology; D015444:Exercise / Q000523:psychology; D005260:Female; D015438:Health Behavior; D006266:Health Education / Q000458:organization & administration*; D006801:Humans; D008019:Life Style; D008297:Male; D017057:Medically Uninsured / Q000523:psychology*; D008875:Middle Aged; D008960:Models, Psychological; D010465:Perception; D011320:Primary Health Care; D015397:Program Evaluation; D020377:Self Efficacy; D012959:Socioeconomic Factors
keywords: Health Belief Model; Health education; Lifestyle interventions; Medically uninsured; Stages of Change Model