Health Psychology and Behavioral Medicine最新文献

Background: Adolescents with inflammatory bowel disease (IBD) are faced with the complexities of acquiring self-management behaviours at a time when they are also navigating developmental challenges associated with adolescence. To date, limited treatment adherence interventions exist to support adolescents with IBD. Aim: To explore the experience and support needs of adolescents with IBD to facilitate optimum treatment adherence. Method: Thirty-three semi-structured interviews were conducted with adolescents with IBD (n = 12), parents of adolescents with IBD (n = 13) and healthcare professionals who support adolescents with IBD (n = 8). Adolescents and parents completed a creative task to prioritise adherence barriers and adherence intervention strategies. Results: The analysis generated three key themes: (1) striving for normality, (2) taking responsibility for IBD management and (3) seeking supportive environments. Living with IBD was often perceived as living a limited life, as adolescents had to manage their symptoms, which resulted in feelings of difference and stigmatisation. To manage their IBD, adolescents were required to develop treatment routines and communicate their health needs. Parents wanted to protect their child from the burden of living with IBD. Synthesis of findings with a creative mapping task generated seven priorities for intervention. Discussion: Adolescents discussed the complexity behind their adherence behaviours and the formation of treatment perceptions. The adherence barriers identified within this research can be utilised to develop a treatment adherence intervention that is effective for adolescents with IBD.

Background: Although there have been many studies on laughter and health, few studies have clarified the effects of laughter on optimism and pessimism, as well as anxiety. The purpose of the study was to evaluate the effects of viewing a comedy live performance on optimism, pessimism, and anxiety, sAA as a stress marker, and examine the relationship between laughter attitude and optimism, pessimism and stress marker and clarify significant factors that contribute to optimism.

Methods: In this pre - post study, we evaluated the effects on attendees of laughter elicited by a comedy live performance (CLP). The participants were 110 volunteers aged 18-64 years. Participants attended a two-hour CLP by four famous Japanese comedians (Sisonnu, Tonikaku Akarui Yasumura, Mouchugakusei, and Panther) and completed pre - and post-event questionnaires that included items from the Japanese Optimism and Pessimism Scale (JOPS), State-Trait Anxiety Inventory (STAI), the Laughter Attitude Scale (LAS) and Salivary alpha-amylase (sAA).

Results: The valid response rate was 101. Participants' optimism was higher, and pessimism, anxiety and sAA were lower, after attending the CLP. α-amylase was significantly lower in more people before and after CLP. Factors contributing to optimism were strongly influenced by the degree to which people made them laugh, as well as pessimism, anxiety, and forced laughter.

Conclusion: The personal factors contributing most strongly to optimism were 'A state that makes you laugh,' as well as pessimism, anxiety, and a low level of 'Forced Laughter.' Attending a two-hour CLP increased optimism and decreased stress level, pessimism and anxiety, these effects were more pronounced in those who laughed regularly in their everyday lives.

Background: Digital health interventions have the potential to improve health at a large scale globally by improving access to healthcare services and health-related information, but they tend to benefit more affluent and privileged groups more than those less privileged. Methods: In this narrative review, we describe how this 'digital health divide' can manifest across three different levels reflecting inequalities in access, skills and benefits or outcomes (i.e. the first, second, and tertiary digital divide). We also discuss four key causes of this digital divide: (i)) digital health literacy as a fundamental determinant; (ii) other personal, social, community, and societal level determinants; (iii) how technology and intervention development contribute to; and (iv) how current research practice exacerbates the digital health divide by developing a biased evidence base. Finally, we formulate implications for research, policy, and practice. Results: Specific recommendations for research include to keep digital health interventions and measurement instruments up to date with fastpaced technological changes, and to involve diverse populations in digital intervention development and evaluation research. For policy and practice, examples of recommendations are to insist on inclusive and accessible design of health technology and to ensure support for digital health intervention enactment prioritises those most vulnerable to the digital divide. Conclusion: We conclude by highlighting the importance of addressing the digital health divide to ensure that as digital technologies' inevitable presence grows, it does not leave those who could benefit most from innovative health technology behind.

Introduction: Colorectal cancer (CRC) is a growing public health concern in Malaysia influenced by a complex interplay of ecological, biological, and social (EBS) factors. Despite its increasing incidence, limited research has explored how these factors interact to shape CRC risk in the Malaysian context, especially from the perspectives of affected individuals. This study explores Malaysians' perceptions and experiences regarding CRC risk within the EBS framework.

Methods: A qualitative case study approach involved in-depth interviews with twelve Malaysians aged 35-75 who had undergone colonoscopy at a university hospital. All interviews were recorded and transcribed. Data were collected until saturation was achieved. The transcripts were coded and analysed using ATLAS.ti software. The data were analysed using thematic analysis.

Results: Findings revealed key themes related to ecological factors in the physical activity environment, which included the sub-themes of type, facilitators, barriers to physical activity, and food sources. The biological factors theme revealed that a family history of CRC influences experience and perception. The subthemes of social factors were sociocultural customs, misconceptions, food preparation methods, CRC-related foods, and food affordability.

Conclusion: The findings highlighted the multifactorial nature of CRC risk. Understanding the aspects of EBS supports the development of targeted public health interventions to address modifiable CRC risk factors and promote prevention and early CRC detection in the Malaysian context.

Introduction: We present a unique multi-country, two-wave dataset of 42,417 survey responses drawn from nationally representative samples of citizens from the G-7 countries: Canada, France, Germany, Italy, Japan, UK, and USA. This data note outlines the motivation and methodology of the survey instrument and describes the measures contained in the dataset. We highlight areas for future research.

Methods: We fielded an online survey over two waves (January 27 to February 26 [n = 24,303] and wave 2 from March 6 to May 12 [n = 18,114]) measuring a range of demographic, social, political, and psychological variables. Samples were nationally representative by age, education, gender, and subnational region. Each wave included of three experiments (one conjoint and two between-subjects) to facilitate randomised evaluation of behavioural health policies promoting the uptake of COVID-19 booster vaccinations.

Results: The dataset has produced two peer-reviewed publications at the time of writing ([Banerjee, S., John, P., Nyhan, B., Hunter, A., Koenig, R., Lee-Whiting, B., Loewen, P. J., McAndrews, J., & Savani, M. M. (2024). Thinking about default enrollment lowers vaccination intentions and public support in G7 countries. PNAS Nexus, 3(4), pgae093]; [Koenig, R., Savani, M. M., Lee-Whiting, B., McAndrews, J., Banerjee, S., Hunter, A., John, P., Loewen, P. J., & Nyhan, B. (2024). Public support for more stringent vaccine policies increases with vaccine effectiveness. Scientific Reports, 14(1), 1748]). A summary report is posted online (https://www.thebritishacademy.ac.uk/publications/overcoming-barriers-to-vaccination-by-empowering-citizens-to-make-deliberate-choices/). Additional research outputs are currently under preparation.

Discussion: Our dataset combines observational and experimental data on behavioural health policies, offering numerous insights. First, the dataset's extensive size and geographical diversity enables comparative analysis of public health issues involving social, political, and behavioural factors. Second, the dataset is suited to advanced statistical methods that can explore heterogeneity in the uptake of behavioural health policies, such as vaccine nudges. Third, the timing of the data collection, coinciding with the rise of the Omicron variant, provides valuable insights into why some previously vaccinated individuals might hesitate to receive additional doses, potentially improving our understanding of the COVID-19 pandemic and possible responses to pandemics and other public health emergencies in the future.

Introduction: Seasonal and within-week variation has been documented in relation to body weight change and self-weighing; however, less is known regarding how patterns of self-monitoring dietary intake vary over time.

Methods: The current study conducted secondary data analysis from a larger weight management trial to examine within-week and within-year patterns of dietary self-monitoring in 446 adults with obesity (mean ± SD age = 49.5 ± 11.4 years, BMI = 35.7 ± 4.0 kg/m²) enrolled in a 16-week behavioral weight loss program (with start dates staggered throughout the year). Generalized mixed models were used to characterize within-week and within-year patterns in adherence to dietary self-monitoring and to examine potential moderators (i.e. age and gender).

Results: There was significant variation in self-monitoring adherence and caloric intake across days of the week, ps < .001, with the lowest adherence and greatest intake observed on Thursdays through Sundays. Moreover, there was significant variation by calendar month, ps < .001, with the lowest adherence and highest intake in October, November, and December. Age moderated the associations between day of the week and caloric intake and between calendar month and self-monitoring adherence/caloric intake; gender moderated the associations between calendar month and self-monitoring adherence/caloric intake.

Discussion: Results demonstrate differences in dietary self-monitoring adherence and caloric intake within-week and within-year, with effects moderated by age and gender. Taken together with research demonstrating that additional support may improve adherence to self-monitoring during high-risk times (e.g. holiday seasons), future research should replicate these findings and identify additional predictors of self-monitoring adherence, supporting the development of novel, individually- and contextually-adaptable interventions.

Background: Individuals who undergo metabolic and bariatric surgery are at increased risk for an alcohol use disorder. Clarity on the relationships between mood, food, and alcohol use could inform interventions to reduce alcohol use and mitigate risk of alcohol use disorders after metabolic and bariatric surgery (MBS).

Methods: Twenty patients who underwent MBS at a single health care system and reported engaging in post-operative alcohol use were recruited. Participants were between 6 months and 3 years post-operative and reported consuming alcohol at least 2-3 times per month. Participants engaged in a 1-hour semi-structured interview about factors influencing post-operative mood, eating behaviors, and alcohol use. All interviews were recorded, transcribed, and coded by two independent raters.

Results: Statements by participants were deductively coded within different themes: (1) changes in mood, (2) changes in eating patterns, and (3) unintended alcohol use and eating. Participants reported positive changes in mood and eating behaviors following MBS, but also indicated potential for negative mood states and new eating patterns. They also suggested that mood was a driver of both eating and alcohol use, including unintended (i.e. unplanned) eating and unintended alcohol use. However, most did not consume food and alcohol at the same time.

Discussion: Food and alcohol may be used as a coping strategy for mood, though they are not often consumed together. There is currently a lack of post-operative interventions to reduce alcohol use and findings suggest that interventions could simultaneously target mood, unintended eating, and alcohol use.

Introduction: The aim of this study was to investigate how the dynamics of the social environment impacted the alcohol consumption of individuals who self-identified as heavy drinkers.

Methods: A mixed methods approach including N-of-1 study with daily Ecological Momentary Assessment (EMA) followed by a social network egonet interview. Qualitative data was analysed using deductive and inductive approaches. The main quantitative outcomes were a number of social contacts and the supportiveness of social networks.

Results: Fifteen participants provided sufficient EMA data regarding social contact and six of these took part in the egonet interviews. EMA respondents reported 10.8 social contacts on average and rated approximately half of their networks as positive supports; approximately 10% of each respondents' networks were perceived as 'drinking a lot'. Interview data illustrated the influence of peer and family networks; stress; motivation levels; and coping strategies within the context of the social world. EMA and egonet methods proved feasible with this specific population demonstrating the utility of innovative approaches to study dynamic social contexts related to substance use.

Discussion: Respondents either drew upon their social resources and implemented strategies to support behaviour change or experienced social strain and poor mental health in the absence of supportive social strategies. Future research should explore how social networks can impact maintaining non-drinking status and accessing supports. Mixed methods research combining N-of-1, EMA, and egonets can provide novel insights into social dynamics.

Background: Physical activity (PA) provides maternal and fetal health benefits, but only 27.5% of Canadian pregnant women meet PA recommendations. Theory-based interventions like the theory of planned behavior (TPB) are useful in explaining what drives behavior. The first objective of this study was to validate the TPB model to predict prenatal moderate-to-vigorous physical activity (MVPA), including testing of the novel interaction between intention and perceived behavioral control (PBC). The second objective was to identify which specific beliefs predict intention toward prenatal MVPA to support intervention.

Method: We used a prospective correlational design. Healthy pregnant women completed two electronic questionnaires: at baseline, to assess TPB constructs, and one month later, to assess MVPA practice. Structural equation modeling was conducted with Latent Moderated Structural Equations. The interaction was interpreted with the pick-a-point method and the Johnson-Neyman graphical method.

Results: The sample consists of 193 women (M _age = 31.2±3.6). Results indicate that prenatal MVPA at one month was marginally predicted by intention (β = 0.149; p < 0.10) and PBC (β = 0.322; p < 0.05, MVPA R ²= 20%), but when their interaction was added to the model, MVPA R ² increased to 44%. Specifically, the relationship between intention and MVPA is stronger when PBC is high (0.5 standard deviation over the mean). In the full model including the interaction, attitude (β = 0.59; p < 0.001), subjective norm (β = 0.20; p < 0.01) and PBC (β = 0.26; p < 0.05) all made a significant contribution to predicting MVPA intention (R ²= 88%). Finally, the following beliefs displayed significant indirect paths toward the intention of being physically active: behavioral beliefs: unlikely to be more tired and likely feel better mentally; normative beliefs: approval from friends and from mother/father; and control beliefs: being tired and missing social support.

Conclusion: Interventions aiming to promote regular MVPA during pregnancy should prioritized the six significant beliefs identified to significantly predict intention toward prenatal MVPA.

This paper reports on human rights violation of trans women in Umlazi township in South Africa. Violation of trans women's human rights happens in several countries regardless of their constitutional stance regarding LGBTQI policies. Although South Africa was the first country to outlaw discrimination based on sexual orientation with its democratic Constitution of 1996, it is not an exception to these violations of transgender people's human rights. This paper presents human rights violations experienced by trans women's in Umlazi township in South African. The study was qualitative in nature utilising an interpretative phenomenological analysis design. Data was collected through semi-structured interviews from eight criterion purposively selected trans women from Umlazi township. Data was analysed guided by an interpretative analytics framework. Two key themes emerged from the study: the types of human rights violations and their sources. The findings indicated that trans women experience several types of human rights violations, including violations of their right to safety, freedom of expression, access to employment, and the right to human dignity. The sources of these human rights violations for trans women include cis-normative infrastructure, transphobic communities, and transphobic public officials. Understanding these experiences is crucial in developing measures to conscientize communities, foster tolerance and promoting social inclusivity of transgender people in society. The findings provide insights that can facilitate positive changes in how communities perceive transgender persons.