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Erschienen in: International Archives of Occupational and Environmental Health 2/2010

01.02.2010 | Original Article

Effects of a health-educational and psychological intervention on socio-cognitive determinants of skin protection behaviour in individuals with occupational dermatoses

verfasst von: Uwe Matterne, Thomas L. Diepgen, Elke Weisshaar

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 2/2010

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Abstract

Purpose

Occupational skin diseases are a significant public health concern. Little is known about the cognitive representations individuals with occupational skin disease have towards measures of personal skin protection and occupational safety and whether they change during an intervention. We aimed to evaluate whether social cognitions as embodied by the theory of planned behaviour become more favourable during a tertiary inpatient individual prevention programme (TIP) and whether the model’s predictions hold in a setting to which the model has not been applied.

Methods

We used a longitudinal design. A questionnaire, assessing the theory of planned behaviour variables attitude, subjective and descriptive norm, perceived behavioural control and behavioural intention was developed and administered to 101 patients before (at admission) and after (at discharge) a 3-week inpatient TIP.

Results

The scales showed good internal consistency. Before the TIP, patients had favourable cognitions towards skin protection measures and these improved during the TIP. Attitude, perceived behavioural control and intention to perform skin protection significantly increased during TIP. Attitude and perceived behavioural control were significant predictors of behavioural intention in multiple regression analyses with perceived behavioural control being the strongest predictor in the equations. Descriptive norm was a significant predictor of intention only at admission but not at discharge.

Conclusion

This is the first study attempting to explain the motivation to perform skin protection measures in patients with occupational skin disease by applying an otherwise well established health-behaviour theory. The results emphasise the importance of health-educational and psychological interventions for patients with occupational skin disease. Promoting personal control over and attitudes towards skin protection measures may enhance the occupational health of individuals with occupational skin disease.
Literatur
Zurück zum Zitat Abraham C, Sheeran P (2004) Deciding to exercise: the role of anticipated regret. Br J Health Psychol 9:269–278CrossRef Abraham C, Sheeran P (2004) Deciding to exercise: the role of anticipated regret. Br J Health Psychol 9:269–278CrossRef
Zurück zum Zitat Ajzen I (1991) The theory of planned behavior. Organ Behav Hum Decis Process 50:179–211CrossRef Ajzen I (1991) The theory of planned behavior. Organ Behav Hum Decis Process 50:179–211CrossRef
Zurück zum Zitat Ajzen I (2002a) Perceived behavioral control, self-efficacy, locus of control, and the theory of planned behavior. J Appl Soc Psychol 32:665–683CrossRef Ajzen I (2002a) Perceived behavioral control, self-efficacy, locus of control, and the theory of planned behavior. J Appl Soc Psychol 32:665–683CrossRef
Zurück zum Zitat Armitage CJ (2005) Can the theory of planned behavior predict the maintenance of physical activity? Health Psychol 24:235–245CrossRef Armitage CJ (2005) Can the theory of planned behavior predict the maintenance of physical activity? Health Psychol 24:235–245CrossRef
Zurück zum Zitat Armitage CJ, Conner M (2001) Efficacy of the theory of planned behaviour: a meta-analytic review. Br J Soc Psychol 40:471–499CrossRef Armitage CJ, Conner M (2001) Efficacy of the theory of planned behaviour: a meta-analytic review. Br J Soc Psychol 40:471–499CrossRef
Zurück zum Zitat Bandura A (1986) Social foundations of thought and action: a social cognitive theory. Prentice Hall, Englewood Cliffs, NJ Bandura A (1986) Social foundations of thought and action: a social cognitive theory. Prentice Hall, Englewood Cliffs, NJ
Zurück zum Zitat Bandura A (1997) Self-efficacy: the exercise of control. W. H. Freeman, New York Bandura A (1997) Self-efficacy: the exercise of control. W. H. Freeman, New York
Zurück zum Zitat Blome O, Diepgen TL, Gobrecht E et al (2003) Das Bamberger Merkblatt (The Bamberg document). Trauma Berufskrankh 5:397–399CrossRef Blome O, Diepgen TL, Gobrecht E et al (2003) Das Bamberger Merkblatt (The Bamberg document). Trauma Berufskrankh 5:397–399CrossRef
Zurück zum Zitat Cialdini RB, Reno RR, Kallgren CA (1990) A focus theory of normative conduct: recycling the concept of norms to reduce littering in public places. J Pers Soc Psychol 58:1015–1026CrossRef Cialdini RB, Reno RR, Kallgren CA (1990) A focus theory of normative conduct: recycling the concept of norms to reduce littering in public places. J Pers Soc Psychol 58:1015–1026CrossRef
Zurück zum Zitat Coenraads PJ, Goncalo M (2007) Skin diseases with high public health impact. Contact dermatitis. Eur J Dermatol 17:564–565 Coenraads PJ, Goncalo M (2007) Skin diseases with high public health impact. Contact dermatitis. Eur J Dermatol 17:564–565
Zurück zum Zitat Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum, Hillsdale, NJ Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum, Hillsdale, NJ
Zurück zum Zitat Conner M, Sparks P (2005) Theory of planned behaviour and health behaviours. In: Conner M, Norman P (eds) Predicting health behaviour: research and practice with social cognition models, 2nd edn. Open University Press, Buckingham, pp 171–222 Conner M, Sparks P (2005) Theory of planned behaviour and health behaviours. In: Conner M, Norman P (eds) Predicting health behaviour: research and practice with social cognition models, 2nd edn. Open University Press, Buckingham, pp 171–222
Zurück zum Zitat Conner M, Lawton R, Parker D et al (2007) Application of the theory of planned behaviour to the prediction of objectively assessed breaking of posted speed limits. Br J Psychol 98:429–453CrossRef Conner M, Lawton R, Parker D et al (2007) Application of the theory of planned behaviour to the prediction of objectively assessed breaking of posted speed limits. Br J Psychol 98:429–453CrossRef
Zurück zum Zitat Dickel H, Kuss O, Schmidt A et al (2002) Impact of preventive strategies on trend of occupational skin disease in hairdressers: population based register study. BMJ 324:1422–1423CrossRef Dickel H, Kuss O, Schmidt A et al (2002) Impact of preventive strategies on trend of occupational skin disease in hairdressers: population based register study. BMJ 324:1422–1423CrossRef
Zurück zum Zitat Diepgen TL (2003) Occupational skin-disease data in Europe. Int Arch Occup Environ Health 76:331–338CrossRef Diepgen TL (2003) Occupational skin-disease data in Europe. Int Arch Occup Environ Health 76:331–338CrossRef
Zurück zum Zitat Diepgen TL, Coenraads PJ (1999) The epidemiology of occupational contact dermatitis. Int Arch Occup Environ Health 72:496–506CrossRef Diepgen TL, Coenraads PJ (1999) The epidemiology of occupational contact dermatitis. Int Arch Occup Environ Health 72:496–506CrossRef
Zurück zum Zitat Diepgen TL, Fartasch M, Hornstein OP (1989) Evaluation and relevance of atopic basic and minor features in patients with atopic dermatitis and in the general population. Acta Derm Venereol Suppl (Stockh) 144:50–54 Diepgen TL, Fartasch M, Hornstein OP (1989) Evaluation and relevance of atopic basic and minor features in patients with atopic dermatitis and in the general population. Acta Derm Venereol Suppl (Stockh) 144:50–54
Zurück zum Zitat Diepgen TL, Sauerbrei W, Fartasch M (1996) Development and validation of diagnostic scores for atopic dermatitis incorporating criteria of data quality and practical usefulness. J Clin Epidemiol 49:1031–1038CrossRef Diepgen TL, Sauerbrei W, Fartasch M (1996) Development and validation of diagnostic scores for atopic dermatitis incorporating criteria of data quality and practical usefulness. J Clin Epidemiol 49:1031–1038CrossRef
Zurück zum Zitat Diepgen TL, Radulescu M, Bock M et al (2005) Rehabilitation von berufsbedingten Hauterkrankungen. Der Hautarzt 56:637–643CrossRef Diepgen TL, Radulescu M, Bock M et al (2005) Rehabilitation von berufsbedingten Hauterkrankungen. Der Hautarzt 56:637–643CrossRef
Zurück zum Zitat Fife-Schaw C, Sheeran P, Norman P (2007) Simulating behaviour change interventions based on the theory of planned behaviour: impacts on intention and action. Br J Soc Psychol 46:43–68CrossRef Fife-Schaw C, Sheeran P, Norman P (2007) Simulating behaviour change interventions based on the theory of planned behaviour: impacts on intention and action. Br J Soc Psychol 46:43–68CrossRef
Zurück zum Zitat Foley L, Prapavessis H, Maddison R et al (2008) Predicting physical activity intention and behavior in school-age children. Pediatr Exerc Sci 20:342–356 Foley L, Prapavessis H, Maddison R et al (2008) Predicting physical activity intention and behavior in school-age children. Pediatr Exerc Sci 20:342–356
Zurück zum Zitat Godin G, Kok G (1996) The theory of planned behavior: a review of its applications to health-related behaviors. Am J Health Promot 11:87–98 Godin G, Kok G (1996) The theory of planned behavior: a review of its applications to health-related behaviors. Am J Health Promot 11:87–98
Zurück zum Zitat Goldstein NJ, Cialdini RB (2007) Using social norms as a lever of social influence. In: Pratkanis AR (ed) The science of social influence: advances and future progress. Psychology Press, New York, pp 167–191 Goldstein NJ, Cialdini RB (2007) Using social norms as a lever of social influence. In: Pratkanis AR (ed) The science of social influence: advances and future progress. Psychology Press, New York, pp 167–191
Zurück zum Zitat Hagger MS, Chatzisarantis NLD, Biddle SJH (2002) A meta-analytic review of the theories of reasoned action and planned behavior in physical activity: predictive validity and the contribution of additional variables. J Sport Exerc Psychol 24:3–32 Hagger MS, Chatzisarantis NLD, Biddle SJH (2002) A meta-analytic review of the theories of reasoned action and planned behavior in physical activity: predictive validity and the contribution of additional variables. J Sport Exerc Psychol 24:3–32
Zurück zum Zitat Hardeman W, Johnston M, Johnston DW et al (2002) Application of the theory of planned behaviour in behaviour change interventions: a systematic review. Psychol Health 17:123–158 Hardeman W, Johnston M, Johnston DW et al (2002) Application of the theory of planned behaviour in behaviour change interventions: a systematic review. Psychol Health 17:123–158
Zurück zum Zitat Hudon C, Fortin M, Soubhi H (2008) Single risk factor interventions to promote physical activity among patients with chronic diseases: systematic review. Can Fam Physician 54:1130–1137 Hudon C, Fortin M, Soubhi H (2008) Single risk factor interventions to promote physical activity among patients with chronic diseases: systematic review. Can Fam Physician 54:1130–1137
Zurück zum Zitat Kosmidou E, Theodorakis Y (2007) Differences in smoking attitudes of adolescents and young adults. Psychol Rep 101:475–481CrossRef Kosmidou E, Theodorakis Y (2007) Differences in smoking attitudes of adolescents and young adults. Psychol Rep 101:475–481CrossRef
Zurück zum Zitat Lan CC, Feng WW, Lu YW et al (2008) Hand eczema among University Hospital nursing staff: identification of high-risk sector and impact on quality of life. Contact Dermatitis 59:301–306 Lan CC, Feng WW, Lu YW et al (2008) Hand eczema among University Hospital nursing staff: identification of high-risk sector and impact on quality of life. Contact Dermatitis 59:301–306
Zurück zum Zitat Little P, Dorward M, Gralton S et al (2004) A randomised controlled trial of three pragmatic approaches to initiate increased physical activity in sedentary patients with risk factors for cardiovascular disease. Br J Gen Pract 54:189–195 Little P, Dorward M, Gralton S et al (2004) A randomised controlled trial of three pragmatic approaches to initiate increased physical activity in sedentary patients with risk factors for cardiovascular disease. Br J Gen Pract 54:189–195
Zurück zum Zitat Niedner R (2008) Occupational burden of the skin: the example of hands. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 51:334–339CrossRef Niedner R (2008) Occupational burden of the skin: the example of hands. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 51:334–339CrossRef
Zurück zum Zitat Nienhaus A, Rojahn K, Skudlik C et al (2004) Secondary individual prevention and rehabilitation in female hairdressers suffering from skin diseases. Gesundheitswesen 66:759–764CrossRef Nienhaus A, Rojahn K, Skudlik C et al (2004) Secondary individual prevention and rehabilitation in female hairdressers suffering from skin diseases. Gesundheitswesen 66:759–764CrossRef
Zurück zum Zitat Noar SM, Zimmerman RS (2005) Health behavior theory and cumulative knowledge regarding health behaviors: are we moving in the right direction? Health Educ Res 20:275–290CrossRef Noar SM, Zimmerman RS (2005) Health behavior theory and cumulative knowledge regarding health behaviors: are we moving in the right direction? Health Educ Res 20:275–290CrossRef
Zurück zum Zitat Norman P, Conner M (2006) The theory of planned behaviour and binge drinking: assessing the moderating role of past behaviour within the theory of planned behaviour. Br J Health Psychol 11:55–70CrossRef Norman P, Conner M (2006) The theory of planned behaviour and binge drinking: assessing the moderating role of past behaviour within the theory of planned behaviour. Br J Health Psychol 11:55–70CrossRef
Zurück zum Zitat Reno RR, Cialdini RB, Kallgren CA (1993) The transsituational influence of social norms. J Pers Soc Psychol 64:104–112CrossRef Reno RR, Cialdini RB, Kallgren CA (1993) The transsituational influence of social norms. J Pers Soc Psychol 64:104–112CrossRef
Zurück zum Zitat Rise J, Kovac V, Kraft P et al (2008) Predicting the intention to quit smoking and quitting behaviour: extending the theory of planned behaviour. Br J Health Psychol 13:291–310CrossRef Rise J, Kovac V, Kraft P et al (2008) Predicting the intention to quit smoking and quitting behaviour: extending the theory of planned behaviour. Br J Health Psychol 13:291–310CrossRef
Zurück zum Zitat Rivis A, Sheeran P (2003) Descriptive norms as an additional predictor in the theory of planned behaviour: a meta-analysis. Curr Psychol 22:218–233CrossRef Rivis A, Sheeran P (2003) Descriptive norms as an additional predictor in the theory of planned behaviour: a meta-analysis. Curr Psychol 22:218–233CrossRef
Zurück zum Zitat Schürer NY, Schwanitz HJ (2004) Prevention and regeneration of barrier disturbances in occupational dermatology. JDDG 2:895–904CrossRef Schürer NY, Schwanitz HJ (2004) Prevention and regeneration of barrier disturbances in occupational dermatology. JDDG 2:895–904CrossRef
Zurück zum Zitat Schwanitz HJ (2002) Tertiäre Prävention von Berufsdermatosen. (Tertiary prevention of occupational dermatoses). Dermatol Beruf Umwelt/Occup Environ Dermatol 50:212–217 Schwanitz HJ (2002) Tertiäre Prävention von Berufsdermatosen. (Tertiary prevention of occupational dermatoses). Dermatol Beruf Umwelt/Occup Environ Dermatol 50:212–217
Zurück zum Zitat Sheeran P, Orbell S (1999) Augmenting the theory of planned behavior: roles for anticipated regret and descriptive norms. J Appl Soc Psychol 29:2107–2142CrossRef Sheeran P, Orbell S (1999) Augmenting the theory of planned behavior: roles for anticipated regret and descriptive norms. J Appl Soc Psychol 29:2107–2142CrossRef
Zurück zum Zitat Skudlik C, Schwanitz HJ (2004) Tertiäre Prävention von Berufsdermatosen. (Tertiary prevention of occupational skin diseases). JDDG 2:424–433 Skudlik C, Schwanitz HJ (2004) Tertiäre Prävention von Berufsdermatosen. (Tertiary prevention of occupational skin diseases). JDDG 2:424–433
Zurück zum Zitat Skudlik C, Wulfhorst B, Gediga G et al (2008) Tertiary individual prevention of occupational skin diseases: a decade’s experience with recalcitrant occupational dermatitis. Int Arch Occup Environ Health 81:1059–1064CrossRef Skudlik C, Wulfhorst B, Gediga G et al (2008) Tertiary individual prevention of occupational skin diseases: a decade’s experience with recalcitrant occupational dermatitis. Int Arch Occup Environ Health 81:1059–1064CrossRef
Zurück zum Zitat Smith BN, Stasson MF (2000) A comparison of health behavior constructs: social psychological predictors of AIDS-preventive behavioral intentions. J Appl Soc Psychol 30:443–462CrossRef Smith BN, Stasson MF (2000) A comparison of health behavior constructs: social psychological predictors of AIDS-preventive behavioral intentions. J Appl Soc Psychol 30:443–462CrossRef
Zurück zum Zitat Smith-McLallen A, Fishbein M (2008) Predictors of intentions to perform six cancer-related behaviours: roles for injunctive and descriptive norms. Psychol Health Med 13:389–401CrossRef Smith-McLallen A, Fishbein M (2008) Predictors of intentions to perform six cancer-related behaviours: roles for injunctive and descriptive norms. Psychol Health Med 13:389–401CrossRef
Zurück zum Zitat Soder S, Diepgen TL, Radulescu M et al (2007) Occupational skin diseases in cleaning and kitchen employees: course and quality of life after measures of secondary individual prevention. JDDG 5:670–676CrossRef Soder S, Diepgen TL, Radulescu M et al (2007) Occupational skin diseases in cleaning and kitchen employees: course and quality of life after measures of secondary individual prevention. JDDG 5:670–676CrossRef
Zurück zum Zitat Soost S, Graupner I, Morch-Roder A et al (2007) A 7-step consultation plan for health care workers and hairdressers. JDDG 5:756–760CrossRef Soost S, Graupner I, Morch-Roder A et al (2007) A 7-step consultation plan for health care workers and hairdressers. JDDG 5:756–760CrossRef
Zurück zum Zitat Stead M, Tagg S, MacKintosh AM et al (2005) Development and evaluation of a mass media theory of planned behaviour intervention to reduce speeding. Health Educ Res 20:36–50CrossRef Stead M, Tagg S, MacKintosh AM et al (2005) Development and evaluation of a mass media theory of planned behaviour intervention to reduce speeding. Health Educ Res 20:36–50CrossRef
Zurück zum Zitat Trafimow D, Finlay KA (1996) The importance of subjective norms for a minority of people: between-subjects and within-subjects analyses. Pers Soc Psychol Bull 22:820–828CrossRef Trafimow D, Finlay KA (1996) The importance of subjective norms for a minority of people: between-subjects and within-subjects analyses. Pers Soc Psychol Bull 22:820–828CrossRef
Zurück zum Zitat Weisshaar E, Radulescu M, Soder S et al (2007) Secondary individual prevention of occupational skin diseases in health care workers, cleaners and kitchen employees: aims, experiences and descriptive results. Int Arch Occup Environ Health 80:477–484CrossRef Weisshaar E, Radulescu M, Soder S et al (2007) Secondary individual prevention of occupational skin diseases in health care workers, cleaners and kitchen employees: aims, experiences and descriptive results. Int Arch Occup Environ Health 80:477–484CrossRef
Metadaten
Titel
Effects of a health-educational and psychological intervention on socio-cognitive determinants of skin protection behaviour in individuals with occupational dermatoses
verfasst von
Uwe Matterne
Thomas L. Diepgen
Elke Weisshaar
Publikationsdatum
01.02.2010
Verlag
Springer-Verlag
Erschienen in
International Archives of Occupational and Environmental Health / Ausgabe 2/2010
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-009-0448-z

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