Exploring the adaptive experiences of children with parents of myocardial infarction
A Qualitative Study
Keywords:
Directed content analysis, Adaptive experience, Heart diseaseAbstract
Background: Cardiovascular diseases are the world’s leading cause of mortality. These diseases are rooted in an unhealthy lifestyle. In order to confront this subject, it is essential to identify several risk factors that contribute to heart disease (HD) in people with different attitudes, values, beliefs, expectations and motivations. This study was therefore an attempt to explain the adaptive experiences of children whose parents were involved in myocardial infarction since they were more likely subjected to get the so-called disease.
Objective: To identify the risk factors and to clear ambiguity using a qualitative research method from the experiences of people at risk of the above mentioned disease.
Methods: This qualitative study was a directed content analysis. Eighteen children (above 18 years old) of parents with a history of myocardial infarction participated, and were chosen with purposive sampling and the highest diversity. Data were collected through deep and semi structure interviews based on Protection Motivation Theory (PMT) from March to November 2015, and were analyzed along with their data collection and with usage of Lundman and Graneheim method. Interviews were conducted in non-stressful conditions with a place and time agreement.
Results: During content analysis process, 220 codes were extracted. After reviewing several times and summarizing, the codes were categorized based on similarity and proportion, and finally 12 subcategories and three categories were elicited including efforts to perform self-care in order to prevent HD, poor life style as a factor not to do preventive HD and health continuation with positive changes in life style.
Conclusions: Most participants, despite intending to do self-care behaviors to prevent HD, due to factors such as time constraint, high costs, laziness, impatience and prioritizing other life affairs, did not pay attention to their health. Therefore, providing the training programs with an emphasis on life skills can play an important role in reducing perceived response cost and promoting health.
References
Gaziano TA, Bitton A, Anand S, Abrahams-Gessel S, Murphy A. Growing epidemic of coronary heart
disease in low-and middle-income countries. Curr Probl Cardiol. 2010; 35(2): 72-115. doi:
1016/j.cpcardiol.2009.10.002. PMID: 20109979, PMCID: PMC2864143.
Samiee Rad F, Ziaee A, Qambarian A, Mirmiran P, Momenan A, Azizi F. Association between risk factors
of cardiovascular diseases and obesity among Tehranian women: Tehran Lipid and Glucose Study. Iran J
Endocrinol Metab. 2012; 14(2): 101-8.
McMahan CA, Gidding SS, McGill HC. Coronary heart disease risk factors and atherosclerosis in young
people. J Clin Lipidol. 2008; 2(3): 118-26. doi: 10.1016/j.jacl.2008.02.006. PMID: 21291730.
Hazavei MM, Shahbadi S, Hashemi SZ. The role of health education in reducing cardiovascular diseases
risk factors: a sysytematic review. Knowledege and Health. 2014; 9)1): 30-42.
Heydar Nia AR. Issues in the health education process. Tehran: Zamani publisher; 2002.
Morowatisharifabad MA, Jowzi F, Barkhordari Firozabad A, Falahzadeh H. Related factors to workers' use
of hearing protection device in knitting & ppinning factories of Yazd city based on Protection Motivation
Theory. Int J Occup Hyg. 2009; 6(3): 47-54.
Cismaru M, Dshpande S, Thurmeier R, Lavak AM, Agrey N. Prevention fetal alcohol Spectrum disorder:
The role of protection motivation. Health Mark Q. 2010; 27(1): 66-85. doi: 10.1080/07359680903519776.
PMID: 20155551.
Lindberg C, Lewis-Spruill C, Crownover R. Barriers to sexual and reproductive health care: urban male
adolescents speak out. Issues Compr Pediatr Nurs. 2006; 29(2): 73-88. doi: 10.1080/01460860600677577.
PMID: 16772237.
Adib Hajbagheri M, Parvizi S, Salsali M. Qualitative research methods. Tehran: Booshra Publication;
Spannagel C, Gläser Zikuda M, Schroeder U. Application of qualitative content analysis in user-program
interaction research. Forum Qual Soc Res. 2005; 6(2): 29.
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and
measures to achieve trustworthiness. Nurse Educ Today. 2004; 24(2): 105-12. doi:
1016/j.nedt.2003.10.001. PMID: 14769454.
Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005; 15(9):
-88. doi: 10.1177/1049732305276687. PMID: 16204405.
Stys AM, Kulkarni K. Identification of self-care behaviors and adoption of lifestyle changes result in
sustained glucose control and reduction of comorbidities in type 2 diabetes. Diabetes Spectrum. 2007;
(1): 55-8. doi: 10.2337/diaspect.20.1.55.
Hoseinzadeh T, Paryad A, Asiri Sh, Kazemnezhad L. Relationship between perception of illness and
general self-efficacy in coronary artery disease patients. Holist Nurs Midwifery J. 2012; 22(1(67)): 1-8.
Sung K. The Effects of Elderly Diabetes Mellitus Patients' Self-care Behavior and Health Conservation on
Cardiovascular Risk Factors. J Korean Acad Community Health Nurs. 2015; 26(2): 150-9. doi:
12799/jkachn.2015.26.2.150.
Chen AM, Yehle KS, Albert NM, Ferraro KF, Mason HL, Murawski MM, et al. Relationships between
health literacy and heart failure knowledge, self-efficacy, and self-care adherence. Res Social Adm Pharm.
; 10(2): 378-86. doi: 10.1016/j.sapharm.2013.07.001. PMID: 23953756, PMCID: PMC3923851.
Al-Khawaldeh OA, Al-Hassan MA, Froelicher ES. Self-efficacy, self-management, and glycemic control
in adults with type 2 diabetes mellitus. J Diabetes Complications. 2012; 26(1): 10-6. doi:
1016/j.jdiacomp.2011.11.002. PMID: 22226484.
Khosravizade A, Hassanzadeh A, Mostafavi F. The impact of self-efficacy education on self-care
behaviours of low salt and weight setting diets in hypertensive women covered by health-care centers of
Dehaghan in 2013. J Pak Med Assoc. 2015; 65(5): 506-11. PMID: 26028385.
Chandola T, Britton A, Brunner E, Hemingway H, Malik M, Kumari M, et al. Work stress and coronary
heart disease: what are the mechanisms? Eur Heart J. 2008; 29(5): 640-8. doi: 10.1093/eurheartj/ehm584.
PMID: 18216031.
Daubenmier JJ, Weidner G, Sumner MD, Mendell N, Merritt-Worden T, Studley J, et al. The contribution
of changes in diet, exercise, and stress management to changes in coronary risk in women and men in the
multisite cardiac lifestyle intervention program. Ann Behav Med. 2007; 33(1): 57-68. doi:
1207/s15324796abm3301_7. PMID: 17291171.
Kang Y, Yang IS. Cardiac self-efficacy and its predictors in patients with coronary artery diseases. J Clin
Nurs. 2013; 22(17-18): 2465-73. doi: 10.1111/jocn.12142. PMID: 23441807.
Hatami H, Razavi S, Eftekhar H, Majlesi F. Comprehensive book of public health. Tehran: Arjemand
Publications. 2007; 45-7.
Mendis K, Forster T, Paxton K, Hyland K, Yelverton J, McLean R, et al. Large and forgotten in rural
Australia: assessment, attitudes and possible approaches to losing weight in young adult males. BMC
public health. 2014; 14: 243. doi: 10.1186/1471-2458-14-243. PMID: 24612872, PMCID: PMC4008138.
Cole JA, Smith SM, Hart N, Cupples ME. Do practitioners and friends support patients with coronary heart
disease in lifestyle change? A qualitative study. BMC Fam Pract. 2013; 14: 126. doi: 10.1186/1471-2296- 14-126. PMID: 23984815, PMCID: PMC3765931.
Kamrani Rad Z, Attarian F, Ebrahimi pour H. Health-promoting lifestyle among Mashhad School of Health
Students, Mashhad, Iran, 2014. J midwife Reprod Health. 2014; 2(3): 195-204. doi:
22038/JMRH.2014.2918.
Khaw KT, Wareham N, Bingham S, Welch A, Luben R, Day N. Combined impact of health behaviours
and mortality in men and women: the EPIC-Norfolk prospective population study. PLoS Med. 2008; 5(1):
e12. doi: 10.1371/journal.pmed.0050012. PMID: 18184033, PMCID: PMC2174962.
Ramezani Tehrani F, Farahmand M, Amiri P, Paikari N, Azizi F. Women’s Perception Regarding to
Healthy Nutrition Inhibitors: A Qualitative Research in Tehran Lipid and Glucose Study (TLGS). Iran J
Endocrinol Metab. 2011; 13(1): 48-57.
Keeler LA, Clifford DE, August B, Kowalski P, Morris MN. Examination of a peer-led, non-diet nutrition
and exercise adherence pilot program on a college campus: FitU. Manuscript submitted for publication.
; 11(1): 84.
Korkiakangas EE, Alahuhta MA, Husman PM, Keinänen‐Kiukaanniemi S, Taanila AM, Laitinen JH.
Motivators and barriers to exercise among adults with a high risk of type 2 diabetes–a qualitative study.
Scand J Caring Sci. 2011; 25(1): 62-9. doi: 10.1111/j.1471-6712.2010.00791.x. PMID: 20384973.
Ashton LM, Hutchesson MJ, Rollo ME, Morgan PJ, Thompson DI, Collins CE. Young adult males’
motivators and perceived barriers towards eating healthily and being active: a qualitative study. Int J Behav
Nutr Phys Act. 2015; 12(1). doi: 10.1186/s12966-015-0257-6.
Salahshuri A, Sharifirad G, Hassanzadeh A, Mostafavi F. Physical activity patterns and its influencing
factors among high school students of Izeh city: Application of some constructs of health belief model. J
Educ Health Promot. 2014; 3: 25. doi: 10.4103/2277-9531.127618. PMID: 24741665, PMCID:
PMC3977392.
Stephens T, Troutman A, Johnson L, Taylor T. Barriers to Fresh Fruit and Vegetable intake among African
Americans in a Southeastern City: Preventive Implications for Cardiovascular Disease. J Fam Med Dis
Prev. 2015; 1: 1. doi: 10.23937/2469-5793/1510003.
Kaai SC, Manske SR, Leatherdale ST, Brown KS, Murnaghan D. Are experimental smokers different from
their never-smoking classmates? A multilevel analysis of Canadian youth in grades 9 to 12. Chronic Dis Inj
Can. 2014; 34(2-3): 121-31. PMID: 24991775.
Mohammadnezhad M, Tsourtos G, Wilson C, Ratcliffe J, Ward P. “I have never experienced any problem
with my health. So far, it hasn’t been harmful”: older Greek-Australian smokers’ views on smoking: a
qualitative study. BMC public health. 2015; 15: 304. doi: 10.1186/s12889-015-1677-6. PMID: 25885899,
PMCID: PMC4391085.
Kumar J. Identifying barriers to healthy eating and physical activity in a low-income community in south- western Kansas: Kansas State University; 2014.
Spring B, Moller AC, Colangelo LA, Siddique J, Roehrig M, Daviglus ML, et al. Healthy lifestyle change
and subclinical atherosclerosis in young adults: Coronary Artery Risk Development in Young Adults
(CARDIA) study. Circulation. 2014; 130(1): 10-7. doi: 10.1161/Circulation.113.005445. PMID: 24982115,
PMCID: PMC4615574.
Kulshreshtha A, Vaccarino V, Judd SE, Howard VJ, McClellan WM, Muntner P, et al. Life’s Simple 7
and Risk of Incident Stroke The Reasons for Geographic and Racial Differences in Stroke Study. Stroke.
; 44(7): 1909-14. doi: 10.1161/STROKEAHA.111.000352. PMID: 23743971, PMCID: PMC3816734.
Reiner M, Nierman C, Jekauc D, Woll A. Long-term health benefits of physical activity–a systematic
review of longitudinal studies. BMC Public Health. 2013; 13(1): 813. doi: 10.1186/1471-2458-13-813.
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