To test or not to test: A cross-sectional survey of the psychosocial determinants of self-testing for cholesterol, glucose, and HIV

Grispen, Janaica E. J.; Ronda, Gaby; Dinant, Geert-Jan; de Vries, Nanne K.; van der Weijden, Trudy
January 2011
BMC Public Health;2011, Vol. 11 Issue 1, p112
Academic Journal
Background: Although self-tests are increasingly available and widely used, it is not clear whether their use is beneficial to the users, and little is known concerning the determinants of self-test use. The aim of this study was to identify the determinants of self-test use for cholesterol, glucose, and HIV, and to examine whether these are similar across these tests. Self-testing was defined as using in-vitro tests on body materials, initiated by consumers with the aim of diagnosing a particular disorder, condition, or risk factor for disease. Methods: A cross-sectional Internet survey was conducted among 513 self-testers and 600 non-testers, assessing possible determinants of self-test use. The structured questionnaire was based on the Health Belief Model, Theory of Planned Behavior, and Protection Motivation Theory. Data were analyzed by means of logistic regression. Results: The results revealed that perceived benefits and self-efficacy were significantly associated with self-testing for all three conditions. Other psychosocial determinants, e.g. gender, cues to action, perceived barriers, subjective norm, and moral obligation, seemed to be more test-specific. Conclusions: Psychosocial determinants of self-testing are not identical for all tests and therefore information about self-testing needs to be tailored to a specific test. The general public should not only be informed about advantages of self-test use but also about the disadvantages. Designers of information about self-testing should address all aspects related to self-testing to stimulate informed decision making which, in turn, will result in more effective self-test use.


Related Articles

  • Psychosocial barriers hinder success of CGM. Brannon, Matthew; Kalvaitis, Katie; Southall, Jennifer // Endocrine Today;Jul2010, Vol. 8 Issue 7, p17 

    The article discusses a study which investigated the psychosocial barriers that may impede the successful use of a continuous glucose monitoring (CGM) system by Doctor Marilyn Ritholtz and her team at the Joslin Diabetes Center.

  • Nutrition hotline.  // Better Nutrition;Apr97, Vol. 59 Issue 4, p10 

    Presents a question and answer section which suggest ways for maintaining normal cholesterol and blood-sugar levels. Information on the use of glucosamine for arthritis; Reason hiatal hernia sufferers should select the correct diet; Where further information on these topics may be obtained.

  • ASK THE EXPERTS.  // Focus on Healthy Aging;Apr2014, Vol. 17 Issue 4, p8 

    The article presents questions and answers related to health including the difference of fasting blood glucose level and A1c tests, the use of soy milk as replacement of milk for osteoporosis, and the functions of good and bad cholesterol.

  • Cholesterol and blood glucose at once.  // Patient Care;3/15/1997, Vol. 31 Issue 5, p16 

    Presents information on the Accu-Chek InstantPlus System which uses a drop of blood from a fingerstick sample to provide rapid readings of total cholesterol level and blood glucose levels. Information on the time in which such information is derived; Features of the monitor; Details on the...

  • Drivers of treatment change in PLHIV- psychosocial factors are more important than considerations of adherence. Pitts, Marian; Grierson, Jeffrey; Koelmeyer, Rachel // Retrovirology;2012 Supplement 1, Vol. 9 Issue Supplment 1, p1 

    An abstract of the article "Drivers of treatment change in PLHIV- psychosocial factors are more important than considerations of adherence," by Marian Pitts, Jeffrey Grierson, and Rachel Koelmeyer is presented.

  • Is Continuous Glucose Monitoring for Everyone? Consideration of Psychosocial Factors. Ritholz, Marilyn // Diabetes Spectrum;Fall2008, Vol. 21 Issue 4, p287 

    The article discusses psychosocial factors that need to be considered in using continuous glucose monitoring (CGM) devices for diabetes management. CGM devices refer to real-time sensors which provide interstitial glucose values and indicate high or low glucose levels. It cites the need for...

  • Family CHAOS is associated with glycaemic control in children and adolescents with type 1 diabetes mellitus. Chae, M.; Taylor, B.; Lawrence, J.; Healey, D.; Reith, D.; Gray, A.; Wheeler, B. // Acta Diabetologica;Feb2016, Vol. 53 Issue 1, p49 

    Background: Despite advances in the medical management of type 1 diabetes mellitus (T1DM), for many, glycaemic control remains substandard. Other factors are clearly important in determining success, or lack thereof, with diabetes management. With this in mind, we have investigated whether...

  • Cinnamon for high cholesterol.  // Consumer Reports on Health;Jun2004, Vol. 16 Issue 6, p7 

    Reveals that adding a dash of cinnamon to coffee, cereal, or toast may help control blood sugar and cholesterol. Percentage reduction of cholesterol in people with the most common type of diabetes; Increase of the sensitivity of the cells to insulin through an ingredient found in cinnamon;...

  • STRIKE THE PERFECT POSE. Van Pelt, Jennifer // Today's Dietitian;Jan2012, Vol. 14 Issue 1, p12 

    The article presents information on benefits of yoga and how it can help in improving the health of type two diabetes patients. It is stated that that yoga can help in decreasing fasting glucose levels, improve cholesterol and triglycerides, and also decreases the medication of diabetics. The...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics