Psychosocial predictors of adolescent stress: insights from a school-going cohort
Dr Sandra Roshni Monteiro, Nakka, L. P., Monteiro, S. R., Padhy, M., & Hariharan, M.
Source Title: International Journal of Adolescent Medicine and Health, Quartile: Q2
View abstract ⏷
Objectives: Adolescence is a critical period for psychosocial development, often marked by elevated stress levels. The present study examines the role of psychosocial factors as predictors of adolescent stress, with a focus on personality traits, social support, and family health.
Methods: A cross-sectional sample of 1,104 school-going adolescents from Telangana, India were analysed. Using the Adolescence Stress Scale and various psychosocial scales, hierarchical multiple regression and path analysis were employed to assess direct and indirect effects of psychosocial variables on stress levels.
Results: Key predictors of stress included ill-health experiences, conscientiousness, emotional instability, and psychosocial support. Together, these factors explained 6 % of the variance in stress. Serial mediation analysis revealed significant indirect effects, where family health and emotional efficacy acted as mediators between psychosocial factors and stress. Emotional instability and frustrative non-reward responsiveness were the strongest predictors of stress.
Conclusions: Psychosocial factors play a significant but modest role in adolescent stress, highlighting the need for further research into additional contributors. Interventions targeting family health and emotional regulation may alleviate stress among adolescents.
Small voices, lasting changes: Leveraging children’s agency in family-centered hypertension care
View abstract ⏷
This book presents a groundbreaking perspective on hypertension care by exploring the untapped potential of children as health advocates within their families. This book examines how children, when equipped with the right knowledge and motivation, can positively influence hypertensive adults to adhere to their treatment regimens. Rooted in health psychology, this work integrates cognitive and behavioral intervention models tailored to hypertension adherence. It demonstrates how educating children about hypertension can catalyze sustainable lifestyle changes and improved health outcomes for adult family members. By leveraging the power of familial relationships, this book offers a novel approach to chronic illness management, particularly in resource-limited, family-oriented contexts like India. Blending theory, empirical research, and practical applications, this book is a valuable resource for healthcare professionals, public health policymakers, educators, and researchers seeking innovative, community-driven solutions to non-communicable diseases.
The shepherd who listened: Pope Francis and the dream of an inclusive Church
Source Title: The Hindu,
Impact of hypertension education on knowledge and healthy lifestyle practices among Indian adolescents: A quasi-experimental study
Dr Sandra Roshni Monteiro, Teisovinuo Semou., Meena Hariharan., Meera Padhy., Usha Chivukula
Source Title: Health Education Journal, Quartile: Q2
View abstract ⏷
This study aimed to establish the effectiveness of a hypertension knowledge education intervention among Indian adolescents to foster lifestyle changes aimed at preventing hypertension. Methods: The Hypertension Knowledge Test (HKT) was used to assess changes in knowledge using a repeated-measures one-way analysis of variance (ANOVA). The Healthy Lifestyle Practice Scale for Children and Adolescents (HELIPSCA) indexed healthy lifestyle practices, with paired t-tests used to compare pre- and post-intervention scores. A two-way mixed ANOVA examined changes in healthy lifestyle practices among adolescents divided in terms of early and late stage of development. Results: Significant mean differences were observed in overall hypertension knowledge across four domains: general awareness, lifestyle factors, causes and care, and medication management and across time periods. There was a significant improvement in HELIPSCA scores post-intervention, particularly among early adolescents. Conclusion: The hypertension knowledge intervention examined in this study was effective in establishing a cognitive base among school children, with knowledge retention observed for 3months. Moreover, this knowledge increase was associated with a parallel change in improved healthy lifestyle practices, notably among early adolescents. These findings underscore the importance of providing school-based education programmes early in adolescence to promote awareness of chronic illnesses and encourage healthy lifestyle choices.
Impact of hypertension education on knowledge and healthy lifestyle practices among Indian adolescents: A quasi experimental study
Dr Sandra Roshni Monteiro, Semou, T., Monteiro, S. R., Hariharan, M., Padhy, M., & Chivukula, U.
Source Title: Health Education Journal, Quartile: Q2
View abstract ⏷
Background:
This study aimed to establish the effectiveness of a hypertension knowledge education intervention among Indian adolescents to foster lifestyle changes aimed at preventing hypertension.
Methods:
The Hypertension Knowledge Test (HKT) was used to assess changes in knowledge using a repeated-measures one-way analysis of variance (ANOVA). The Healthy Lifestyle Practice Scale for Children and Adolescents (HELIPSCA) indexed healthy lifestyle practices, with paired t-tests used to compare pre- and post-intervention scores. A two-way mixed ANOVA examined changes in healthy lifestyle practices among adolescents divided in terms of early and late stage of development.
Results:
Significant mean differences were observed in overall hypertension knowledge across four domains: general awareness, lifestyle factors, causes and care, and medication management and across time periods. There was a significant improvement in HELIPSCA scores post-intervention, particularly among early adolescents.
Conclusion:
The hypertension knowledge intervention examined in this study was effective in establishing a cognitive base among school children, with knowledge retention observed for 3?months. Moreover, this knowledge increase was associated with a parallel change in improved healthy lifestyle practices, notably among early adolescents. These findings underscore the importance of providing school-based education programmes early in adolescence to promote awareness of chronic illnesses and encourage healthy lifestyle choices.
Adolescence Stress Scale: Development and Standardization
Dr Sandra Roshni Monteiro, Hariharan, M., Padhy, M., Monteiro, S. R., Nakka, L.P., & Chivukula, U.
Source Title: Journal of Indian Association for Child and Adolescent Mental Health, Quartile: Q3
View abstract ⏷
The objective of the paper was to develop a comprehensive Adolescence Stress Scale and to examine different psychometric issues in the development, initial validation, and standardization of this scale. Method: Exploratory factor analysis was conducted on the data procured from a sample of 634 (1118 years) school-going adolescents in India. Results: An exploratory analysis provided a 10 factor structure, namely, major loss induced stress, enforcement or conflict induced stress, phobic stress, interpersonal conflict induced stress, punishment induced stress, illness and injury induced stress, performance stress, imposition induced stress, insecurity induced stress, unhealthy environment induced stress. The 10 oblique factor solutions are found to be interrelated and interdependent with good indices of internal consistency, and content validity. Conclusions: This scale development is a novel and powerful measure that taps onto various aspects of stress experienced by school-going adolescents. The scale can facilitate researchers, clinicians, and teachers to identify and quantify the significant sources of stress in adolescents in school, or clinic settings.
Role of mindfulness in well-being: mediating effect of emotion regulation
Dr Sandra Roshni Monteiro, Padhy, M., Hariharan, M., Angiel, P.R., Kavya, C. and Monteiro, S.R.
Source Title: International Journal of Happiness and Development,
View abstract ⏷
Research evidence has suggested the positive impact of mindfulness on wellbeing. However the aim of the study was to find out the mediating effect of emotion regulation (cognitive reappraisal) between mindfulness and well-being. The Cognitive and Affective Mindfulness scale, Emotion Regulation Questionnaire, and Brief Inventory of Thriving Scale measuring wellbeing were administered on a sample of 375 participants. Findings provide evidence that cognitive reappraisal dimension of emotion regulation plays the positive mediating role between mindfulness and well-being by enhancing wellbeing. The indirect effect is b = 0.19, the direct effect is b = 0.76, and the total effect is b = 0.95. Both direct effect, indirect effect, and total effect are significant. This explains the partial mediation of emotion regulation in which the path from mindfulness to well-being is reduced in absolute size but is still not zero when the mediator is introduced. This study highlights the importance of cognitive reappraisal strategy of emotion regulation in the relationship between mindfulness and well-being. The findings also provide suggestions for understanding how mindfulness and emotion regulation together may enhance healthy adaptation and well-being.
Hypertension Knowledge Intervention: A study on Awareness, Retention, and effect on Healthy Lifestyle Practices among Children
Source Title: Journal of Health Studies,
Enhancing Adherence and Management in Patients with Hypertension: Impact of Form and Frequency of Knowledge Intervention
Dr Sandra Roshni Monteiro, Andrew, A., Hariharan, M., Monteiro, S. R., Padhy, M., & Chivukula, U.
Source Title: Indian Heart Journal, Quartile: Q3
View abstract ⏷
Background: The alarming rise in prevalence of hypertension warrants psychosocial methods supplementing pharmacotherapy for better management and prevention of cardiac emergencies. The objective of the study was to assess the differential impact of the form and frequency of knowledge intervention on management of primary hypertension.
Materials and method: The study was conducted on 256 hypertensive patients recruited through purposive sampling at health centers in Hyderabad, India. Pretest post-test control group quasi-experimental design was adopted for the study. There were two forms of the knowledge intervention, namely 'Direct Interaction' and 'Audio-Visual'. Each form was presented in two frequencies namely 'single exposure' and 'double exposure'. The four groups were labelled as Direct Intervention Single (DIS), Direct Intervention Double (DID), Audio-Visual Single (AVS) and Audio-Visual Double (AVD). Adherence and management of hypertension were assessed at baseline and six weeks post experiment. Analysis of Covariance (ANCOVA) was applied using IBM SPSS Statistics version 20.
Results: ANCOVA followed by Bonferroni Multiple Group Comparison Test revealed significant differences between the four intervention groups and control group on adherence (p< .001). In case of hypertension management significant differences were observed between Control group and DIS, DID (p < .001), Control and AVS (p < .01). Control group did not differ from AVD.
Conclusion: There was a positive impact of Knowledge Intervention on adherence and management of hypertension. Double exposure in audio visual form was counterproductive in hypertension management.
The Psycho-Social Support Scale (Psychoss-22): Development and Validation
Dr Sandra Roshni Monteiro, Padhy, M., Hariharan, M., Monteiro, S. R., Kavya, C., & Angiel, P. R.
Source Title: The Indian Journal of Social Work, Quartile: Q4
Children as adherence enhancing agents in management of primary hypertension of adult family members
Source Title: International Journal of Health and Allied Sciences,
Well-being Indices: Role of Mindfulness and Social Support
Source Title: International Journal of Health and Allied Sciences,
Improving Work Performance: Examining the Role of Mindfulness and Perceived Control of Internal States in Work Engagement
Source Title: International Journal of Behavioral Sciences,
Coping competence, mindfulness, and well-being of Indian adolescents
Source Title: Psychological Studies, Quartile: Q3
Perceptions of Health: a Developmental Trend in Indian School Children
Dr Sandra Roshni Monteiro, Hariharan, M., Monteiro, S. R., Asha, D., & Rao, C. R.
Source Title: Child Indicators Research, Quartile: Q1
Family Support in Effective Management of Hypertension: Role of Children as Passive Change Agents
Source Title: International Journal of Health Sciences and Research,
View abstract ⏷
Physical health is a field which requires holistic intervention to manoeuvre individuals towards better health outcomes through promotion of health enhancing behaviour. Family support has been established as an important protective factor in any health behaviour change. However, the role of children has not been directly referred to in family health promotion. Among significant areas of concern in the field of health, non-communicable diseases have a steep rise, among which hypertension has highest prevalence and is also responsible for the alarming rate of cardiovascular morbidity projected to increase upto 44% by the year 2035 globally and in India. Involvement of children in shaping health should become a fundamental tradition because of their dual roles. Firstly, they have a responsibility as victims of the same clusters of lifestyle habits as their family members, and secondly, with their potential to influence attitudinal shift of health risk behaviours in their family members. This paper entails a comprehensive systematic literature review in light of the role of
children as change agents throwing light in effective management of hypertension. Children?s agency in terms of their potential, their ability, and discredit is thoroughly discussed. Scientific articles have been reported to substantiate children?s influence in their family to bring out changes in health behaviour. Evidence suggest the feasibility of utilizing children as change agents to partially fill the increasing gap between supply and demand for health change behaviour needed to enhance the productivity of children as change agents is listed. Implications of study are also discussed.
