Evaluation of the effects of health education interventions for hypertensive patients based on the health belief model

BACKGROUND Hypertension is a major risk factor for cardiovascular disease and stroke,and its prevalence is increasing worldwide.Health education interventions based on the health belief model(HBM)can improve the knowledge,attitudes,and behaviors of patients with hypertension and help them control their blood pressure.AIM To evaluate the effects of health education interventions based on the HBM in patients with hypertension in China.METHODS Between 2021 and 2023,140 patients with hypertension were randomly assigned to either the intervention or control group.The intervention group received health education based on the HBM,including lectures,brochures,videos,and counseling sessions,whereas the control group received routine care.Outcomes were measured at baseline,three months,and six months after the intervention and included blood pressure,medication adherence,self-efficacy,and perceived benefits,barriers,susceptibility,and severity.RESULTS The intervention group had significantly lower systolic blood pressure[mean difference(MD):-8.2 mmHg,P<0.001]and diastolic blood pressure(MD:-5.1 mmHg,P=0.002)compared to the control group at six months.The intervention group also had higher medication adherence(MD:1.8,P<0.001),self-efficacy(MD:12.4,P<0.001),perceived benefits(MD:3.2,P<0.001),lower perceived barriers(MD:-2.6,P=0.001),higher perceived susceptibility(MD:2.8,P=0.002),and higher perceived severity(MD:3.1,P<0.001)than the control group at six months.CONCLUSION Health education interventions based on the HBM effectively improve blood pressure control and health beliefs in patients with hypertension and should be implemented in clinical practice and community settings.

Assessment of public perspectives and barriers towards dengue preventive practices using the Health Belief Model in Puducherry,India:A cross-sectional study

Objective:To assess the perspectives and barriers towards dengue preventive practices among the residents of Puducherry,India.Methods:A cross-sectional survey was conducted in 300 households in Puducherry,using a population-proportionate(7:3)distribution from urban and rural areas by grid sampling.One adult interview per household was conducted and the participants were selected using a KISH grid.A semi-structured questionnaire based on the Health Belief Model(HBM)with additional questions on knowledge assessment was used.Knowledge was assessed based on the correctness of answers and the HBM scores were calculated on a 5-point Likert scale.Participants were categorized based on the median score under each domain.Logistic regression was used for adjusted analysis and models were built to predict the performances in each domain.Results:Four percent of the participants lacked basic knowledge regarding dengue transmission.While 208(69.3%)participants did not consider themselves at risk of contracting dengue within the next year,majority perceived dengue as a disease with low severity.Around 49.3%(148)were skeptical about the benefit of time and money spent on dengue prevention.Inadequate government efforts were stated as the major barrier(47.0%)and frequent reminders(142,47.3%)as the major cue to action.Age above 50 years(aOR 1.78,95%CI 1.04-3.06,P=0.037)and rural locality(aOR 2.68,95%CI 1.52-4.71,P=0.001)were found to be significantly associated with poor knowledge scores.Urban participants had a significantly higher chance to perceive low susceptibility as compared to the rural counterparts(aOR 1.74,95%CI 1.05-2.9,P=0.03).Participants with less than a high school education had low perceived benefits(aOR 2.46,95%CI 1.52-3.96,P<0.001)and low self-efficacy scores(aOR 2.66,95%CI 1.61-4.39,P<0.001).Conclusions:This study identifies key gaps in dengue prevention,including low perceived susceptibility,mild disease perception,limited knowledge of breeding sites,and overreliance on government efforts.Tailoring interventions to community needs,stratified to factors influencing the community perspectives can significantly improve dengue prevention efforts.

Belief reliability:a scientific exploration of reliability engineering

This paper systematically introduces and reviews a scientific exploration of reliability called the belief reliability.Beginning with the origin of reliability engineering,the problems of present theories for reliability engineering are summarized as a query,a dilemma,and a puzzle.Then,through philosophical reflection,we introduce the theoretical solutions given by belief reliability theory,including scientific principles,basic equations,reliability science experiments,and mathematical measures.The basic methods and technologies of belief reliability,namely,belief reliability analysis,function-oriented belief reliability design,belief reliability evaluation,and several newly developed methods and technologies are sequentially elaborated and overviewed.Based on the above investigations,we summarize the significance of belief reliability theory and make some prospects about future research,aiming to promote the development of reliability science and engineering.

Improved Belief Propagation Decoder for LDPC-CRC-Polar Codes with Bit-Freezing

Though belief propagation bit-flip(BPBF)decoding improves the error correction performance of polar codes,it uses the exhaustive flips method to achieve the error correction performance of CA-SCL decoding,thus resulting in high decoding complexity and latency.To alleviate this issue,we incorporate the LDPC-CRC-Polar coding scheme with BPBF and propose an improved belief propagation decoder for LDPC-CRC-Polar codes with bit-freezing(LDPCCRC-Polar codes BPBFz).The proposed LDPCCRC-Polar codes BPBFz employs the LDPC code to ensure the reliability of the flipping set,i.e.,critical set(CS),and dynamically update it.The modified CS is further utilized for the identification of error-prone bits.The proposed LDPC-CRC-Polar codes BPBFz obtains remarkable error correction performance and is comparable to that of the CA-SCL(L=16)decoder under medium-to-high signal-to-noise ratio(SNR)regions.It gains up to 1.2dB and 0.9dB at a fixed BLER=10-4compared with BP and BPBF(CS-1),respectively.In addition,the proposed LDPC-CRC-Polar codes BPBFz has lower decoding latency compared with CA-SCL and BPBF,i.e.,it is 15 times faster than CA-SCL(L=16)at high SNR regions.

Heterogeneous information fusion recognition method based on belief rule structure

To solve the problem that the existing situation awareness research focuses on multi-sensor data fusion,but the expert knowledge is not fully utilized,a heterogeneous informa-tion fusion recognition method based on belief rule structure is proposed.By defining the continuous probabilistic hesitation fuzzy linguistic term sets(CPHFLTS)and establishing CPHFLTS distance measure,the belief rule base of the relationship between feature space and category space is constructed through information integration,and the evidence reasoning of the input samples is carried out.The experimental results show that the proposed method can make full use of sensor data and expert knowledge for recognition.Compared with the other methods,the proposed method has a higher correct recognition rate under different noise levels.

Improved Segmented Belief Propagation List Decoding for Polar Codes with Bit-Flipping

Belief propagation list(BPL) decoding for polar codes has attracted more attention due to its inherent parallel nature. However, a large gap still exists with CRC-aided SCL(CA-SCL) decoding.In this work, an improved segmented belief propagation list decoding based on bit flipping(SBPL-BF) is proposed. On the one hand, the proposed algorithm makes use of the cooperative characteristic in BPL decoding such that the codeword is decoded in different BP decoders. Based on this characteristic, the unreliable bits for flipping could be split into multiple subblocks and could be flipped in different decoders simultaneously. On the other hand, a more flexible and effective processing strategy for the priori information of the unfrozen bits that do not need to be flipped is designed to improve the decoding convergence. In addition, this is the first proposal in BPL decoding which jointly optimizes the bit flipping of the information bits and the code bits. In particular, for bit flipping of the code bits, a H-matrix aided bit-flipping algorithm is designed to enhance the accuracy in identifying erroneous code bits. The simulation results show that the proposed algorithm significantly improves the errorcorrection performance of BPL decoding for medium and long codes. It is more than 0.25 d B better than the state-of-the-art BPL decoding at a block error rate(BLER) of 10^(-5), and outperforms CA-SCL decoding in the low signal-to-noise(SNR) region for(1024, 0.5)polar codes.

Integrating the health belief model into health education programs in a clinical setting

The article demonstrates that health belief model(HBM)-based health education in hypertensive patients effectively improves blood pressure control and medication adherence at 3 months and 6 months.The HBM addresses perceived barriers,benefits,susceptibility,severity,and self-efficacy,leading to better health behaviors.HBM-based education has been effective in various contexts,including managing chronic diseases,promoting cancer screenings,and preventing infectious diseases.However,the model has limitations,such as cultural applicability and addressing complex health behaviors influenced by environmental factors.Future research should integrate HBM with other theories and conduct longitudinal studies to assess long-term impacts.Despite these limitations,HBM-based education significantly improves patient outcomes,highlighting its potential in health education and promotion when appropriately adapted and implemented.This reinforces the model's value in designing effective health interventions and advancing public health.

Accountable capability improvement based on interpretable capability evaluation using belief rule base

A new approach is proposed in this study for accountable capability improvement based on interpretable capability evaluation using the belief rule base(BRB).Firstly,a capability evaluation model is constructed and optimized.Then,the key sub-capabilities are identified by quantitatively calculating the contributions made by each sub-capability to the overall capability.Finally,the overall capability is improved by optimizing the identified key sub-capabilities.The theoretical contributions of the proposed approach are as follows.(i)An interpretable capability evaluation model is constructed by employing BRB which can provide complete access to decision-makers.(ii)Key sub-capabilities are identified according to the quantitative contribution analysis results.(iii)Accountable capability improvement is carried out by only optimizing the identified key sub-capabilities.Case study results show that“Surveillance”,“Positioning”,and“Identification”are identified as key sub-capabilities with a summed contribution of 75.55%in an analytical and deducible fashion based on the interpretable capability evaluation model.As a result,the overall capability is improved by optimizing only the identified key sub-capabilities.The overall capability can be greatly improved from 59.20%to 81.80%with a minimum cost of 397.Furthermore,this paper also investigates how optimizing the BRB with more collected data would affect the evaluation results:only optimizing“Surveillance”and“Positioning”can also improve the overall capability to 81.34%with a cost of 370,which thus validates the efficiency of the proposed approach.

Chinese Adaptation and Psychometric Properties of the Belief in a Just World Scale for College Students

This study aims to revise the Belief in a Just World Scale(BJWS)for Chinese college students and test its reliability and validity(construct validity,convergent and divergent validity).Two samples of 546 and 595 college students were selected,respectively,using stratified cluster random sampling.Item analysis,exploratory factor analysis(EFA),confirmatory factor analysis(CFA),reliability analysis and convergent and divergent validity tests were carried out.The results showed that the 13 items of the BJWS have good item discrimination.The corrected item–total correlation in the general belief in a just world subscale was found to range from 0.464 to 0.655,and that in the personal belief in a just world subscale was 0.553 to 0.715.The internal consistency coefficients of the revised version of the BJWS and its subscales are good.The EFA and CFA results show that the structure and items of the revised scale are the same as those of the original scale.Belief in a just world was found to have significant positive correlations with gratitude and empathy,and has a significant negative correlation with anxiety,thereby exhibiting good convergent and divergent validity.Therefore,the Chinese revised version of the BJWS has good reliability and validity.

Exploring the Intersection of Spirituality and Religion:Transcendence,Secularism,and Personal Beliefs in Contemporary Society

This paper explores the intersection of spirituality and religion,focusing on how transcendence,secularism,and personal beliefs shape contemporary spiritual practices.It examines the philosophical foundations of transcendence,the rise of existentialism,and the distinction between spirituality and religion.Secularism's role in fostering personal spirituality and reducing religious authority is discussed,alongside the psychological and societal impacts of spiritual transcendence.The paper also critiques the limitations of spirituality,emphasizing the need for a balanced approach that integrates cognitive development and mental health perspectives.

Faith and Belief in Autism in Cote d’Ivoire: About Judith, God’s Strange Gift

Faced with autism, motherhood and parenthood are turned upside down in many ways. Coping with stress and mental health problems, continuing to assume a rewarding parental role and finding suitable care are the trials and tribulations that mark out the journey of African parents. Faith and belief have been described as providing meaning and coping mechanisms in the frightening ordeal of disability. An encounter with a young girl and her parents provided an opportunity to analyse the mother’s experience and the impact of beliefs and discourses on her commitment to care. Based on this clinical story, we discuss the place of other-actors (parents and carers) and the Other-God in relation to the psychopathological dynamics of the mother.

A study on the cognitive status of human papillomavirus among adult males in Tianjin based on the health belief model

Background:To understand the health beliefs and knowledge of human papillomavirus among adult males in Tianjin.Methods:An online questionnaire survey was conducted from 18 January 2023 to 6 March 2023 using snowball sampling method.Analyze the health belief scores and human papillomavirus(HPV)and HPV vaccine knowledge scores of adult males in Tianjin,and analyze their influencing factors.Results:A total of 388 adult males in Tianjin were surveyed,with an average total score of 3.23±0.04 for their health beliefs.Among them,the average scores for perceived severity,perceived susceptibility,perceived impairment,perceived benefit,and self-efficacy were 3.41±1.05,2.37±1.20,2.96±1.00,3.51±0.90,and 3.36±1.08,respectively.Multiple linear regression analyses showed education was a factor influencing health beliefs.The average total score of knowledge is 64.09±15.62,with 277 people scoring above 60,and a pass rate of 71.4%.Through multiple linear regression analysis,education level,emotional status,whether disease testing has been done,and whether family and friends have been diagnosed with HPV positive are the main influencing factors.Conclusion:The awareness rate of HPV among adult males in Tianjin is still acceptable,but there are still misconceptions.The overall level of health beliefs is moderate,and the perceived susceptibility level is low.It is necessary to strengthen health education on HPV related knowledge for males and improve their cognitive level.

Optimal Insurance with Background Risk under the Ambiguity and Belief Heterogeneity Structure

In this paper, we discuss the optimal insurance in the presence of background risk while the insured is ambiguity averse and there exists belief heterogeneity between the insured and the insurer. We give the optimal insurance contract when maxing the insured’s expected utility of his/her remaining wealth under the smooth ambiguity model and the heterogeneous belief form satisfying the MHR condition. We calculate the insurance premium by using generalized Wang’s premium and also introduce a series of stochastic orders proposed by [1] to describe the relationships among the insurable risk, background risk and ambiguity parameter. We obtain the deductible insurance is the optimal insurance while they meet specific dependence structures.

A Health State Prediction Model Based on Belief Rule Base and LSTM for Complex Systems

In industrial production and engineering operations,the health state of complex systems is critical,and predicting it can ensure normal operation.Complex systems have many monitoring indicators,complex coupling structures,non-linear and time-varying characteristics,so it is a challenge to establish a reliable prediction model.The belief rule base(BRB)can fuse observed data and expert knowledge to establish a nonlinear relationship between input and output and has well modeling capabilities.Since each indicator of the complex system can reflect the health state to some extent,the BRB is built based on the causal relationship between system indicators and the health state to achieve the prediction.A health state prediction model based on BRB and long short term memory for complex systems is proposed in this paper.Firstly,the LSTMis introduced to predict the trend of the indicators in the system.Secondly,the Density Peak Clustering(DPC)algorithmis used todetermine referential values of indicators for BRB,which effectively offset the lack of expert knowledge.Then,the predicted values and expert knowledge are fused to construct BRB to predict the health state of the systems by inference.Finally,the effectiveness of the model is verified by a case study of a certain vehicle hydraulic pump.

Evaluation of the Application Effect of Enteral and Parenteral Nutrition Therapy Combined with a Health Belief Education Model in Patients with Inflammatory Bowel Disease

Objective:To evaluate the application effect of enteral and parenteral nutrition therapy combined with a health belief education model in patients with inflammatory bowel disease.Methods:80 patients with inflammatory bowel disease admitted to the Shanghai Zhangjiang Institute of Medical Innovation were chosen.This study was carried out from August 2022 to October 2023.The patients were randomly divided into a study group(40 cases)and a control group(40 cases).The treatment plan for the control group was the conventional treatment model,while the treatment plan for the study group was to provide enteral and parenteral nutrition therapy combined with a health belief education model based on the control group.The efficacy of both groups was compared.Results:In the study group,the therapeutic effect for 31 patients(77.50%)was markedly effective and 7 was effective(17.50%),accounting for 95.0%of the total,which was higher than the control group at 80.0%(P<0.05).The relief time of relevant symptoms in the study group was shorter than that of the control group(P<0.05).Before treatment,there were no differences in the high-sensitivity C-reactive protein(hs-CRP),interleukin 10(IL-10),and tumor necrosis factor-α(TNF-α)between both groups(P>0.05).After treatment,the levels of inflammatory factors in the study group(hs-CRP(8.02±1.13)mg/L,IL-10(9.24±1.25)pg/mL,and TNF-α(7.19±1.04)ng/L)were lower than those in the control group(P<0.05).Conclusion:Enteral and parenteral nutritional therapy combined with a health belief education model showed significant efficacy in inflammatory bowel disease patients.Patient symptoms were relieved and inflammatory reactions were reduced.This method is worthy of popularization.

An Empirical Evaluation of the Impact of Moral and Law Course Teaching on the Effectiveness of University Students’Ideals and Beliefs Education

The Moral and Law course serves as a critical platform for educating university students about ideals and beliefs,and it has a significant impact on the effectiveness of ideals and beliefs education.This paper establishes a mechanism through which Moral and Law course teaching influences the effectiveness of ideals and beliefs education and conducts an empirical evaluation.The results reveal that factors such as the relevance and applicability of the teaching content,the integration of theory and practice,the innovation,interactivity,and participation of teaching methods,as well as classroom atmosphere,teaching facilities,and campus culture,all have a significant positive impact on the effectiveness of ideals and beliefs education for university students.

Assessment of knowledge,cultural beliefs,and behavior regarding medication safety among residents in Harbin,China

BACKGROUND Medication misuse or overuse is significantly associated with poor health outcomes.Information regarding the knowledge,cultural beliefs,and behavior about medication safety in the general population is important.AIM To conduct a survey on medication habits and explored the potential factors impacting medication safety.METHODS The current survey included adults from 18 districts and counties in Harbin,China.A questionnaire on medication safety was designed based on knowledge,cultural beliefs,and behavior.Both univariate and multivariate analyses were used to explore the factors that impacted medication safety.RESULTS A total of 394 respondents completed the questionnaires on medication safety.The mean scores for knowledge,cultural beliefs,and behavior about medication safety were 59.41±19.33,40.66±9.24,and 60.97±13.69,respectively.The medication knowledge score was affected by age(P=0.044),education(P<0.001),and working status(P=0.015).Moreover,the cultural beliefs score was significantly affected by education(P<0.001).Finally,education(P=0.003)and working status(P=0.011)significantly affected the behavior score.CONCLUSION The knowledge,cultural beliefs,and behavior about medication safety among the general population was moderate.Health education should be provisioned for the elderly,individuals with a low education level,and the unemployed to improve medication safety in Harbin,China.

Tunnelling performance prediction of cantilever boring machine in sedimentary hard-rock tunnel using deep belief network

Evaluating the adaptability of cantilever boring machine(CBM) through in-depth excavation and analysis of tunnel excavation data and rock mass parameters is the premise of mechanical design and efficient excavation in the field of underground space engineering.This paper presented a case study of tunnelling performance prediction method of CBM in sedimentary hard-rock tunnel of Karst landform type by using tunneling data and surrounding rock parameters.The uniaxial compressive strength(UCS),rock integrity factor(Kv),basic quality index([BQ]),rock quality index RQD,brazilian tensile strength(BTS) and brittleness index(BI) were introduced to construct a performance prediction database based on the hard-rock tunnel of Guiyang Metro Line 1 and Line 3,and then established the performance prediction model of cantilever boring machine.Then the deep belief network(DBN) was introduced into the performance prediction model,and the reliability of performance prediction model was verified by combining with engineering data.The study showed that the influence degree of surrounding rock parameters on the tunneling performance of the cantilever boring machine is UCS > [BQ] > BTS >RQD > Kv > BI.The performance prediction model shows that the instantaneous cutting rate(ICR) has a good correlation with the surrounding rock parameters,and the predicting model accuracy is related to the reliability of construction data.The prediction of limestone and dolomite sections of Line 3 based on the DBN performance prediction model shows that the measured ICR and predicted ICR is consistent and the built performance prediction model is reliable.The research results have theoretical reference significance for the applicability analysis and mechanical selection of cantilever boring machine for hard rock tunnel.

A Novel Belief Rule-Based Fault Diagnosis Method with Interpretability

Fault diagnosis plays an irreplaceable role in the normal operation of equipment.A fault diagnosis model is often required to be interpretable for increasing the trust between humans and the model.Due to the understandable knowledge expression and transparent reasoning process,the belief rule base(BRB)has extensive applications as an interpretable expert system in fault diagnosis.Optimization is an effective means to weaken the subjectivity of experts in BRB,where the interpretability of BRB may be weakened.Hence,to obtain a credible result,the weakening factors of interpretability in the BRB-based fault diagnosis model are firstly analyzed,which are manifested in deviation from the initial judgement of experts and over-optimization of parameters.For these two factors,three indexes are proposed,namely the consistency index of rules,consistency index of the rule base and over-optimization index,tomeasure the interpretability of the optimizedmodel.Considering both the accuracy and interpretability of amodel,an improved coordinate ascent(I-CA)algorithmis proposed to fine-tune the parameters of the fault diagnosis model based on BRB.In I-CA,the algorithm combined with the advance and retreat method and the golden section method is employed to be one-dimensional search algorithm.Furthermore,the random optimization sequence and adaptive step size are proposed to improve the accuracy of the model.Finally,a case study of fault diagnosis in aerospace relays based on BRB is carried out to verify the effectiveness of the proposed method.

Milling Fault Detection Method Based on Fault Tree Analysis and Hierarchical Belief Rule Base

Expert knowledge is the key to modeling milling fault detection systems based on the belief rule base.The construction of an initial expert knowledge base seriously affects the accuracy and interpretability of the milling fault detection model.However,due to the complexity of the milling system structure and the uncertainty of the milling failure index,it is often impossible to construct model expert knowledge effectively.Therefore,a milling system fault detection method based on fault tree analysis and hierarchical BRB(FTBRB)is proposed.Firstly,the proposed method uses a fault tree and hierarchical BRB modeling.Through fault tree analysis(FTA),the logical correspondence between FTA and BRB is sorted out.This can effectively embed the FTA mechanism into the BRB expert knowledge base.The hierarchical BRB model is used to solve the problem of excessive indexes and avoid combinatorial explosion.Secondly,evidence reasoning(ER)is used to ensure the transparency of the model reasoning process.Thirdly,the projection covariance matrix adaptation evolutionary strategies(P-CMA-ES)is used to optimize the model.Finally,this paper verifies the validity model and the method’s feasibility techniques for milling data sets.