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Understanding the implementation of 'Making Every Contact Count' (MECC) delivered by healthcare professionals in a mental health hospital: protocol for a pragmatic formative process evaluation. 了解精神病院医护人员实施 "让每次接触都有价值"(MECC)的情况:实用形成性过程评估协议。
IF 2.4 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-02-05 eCollection Date: 2023-01-01 DOI: 10.1080/21642850.2023.2174698
Angela M Rodrigues, Emma Kemp, Maria Raisa Jessica Aquino, Rob Wilson, Milica Vasiljevic, Kate McBride, Craig Robson, Mish Loraine, Jill Harland, Catherine Haighton

Background: 'Making Every Contact Count' (MECC) is a public health strategy supporting public-facing workers to use opportunities during routine contacts to enable health behaviour change. A mental health hospital in the North East of England is currently implementing a programme to embed MECC across the hospital supporting weight management ('A Weight Off Your Mind'). Bespoke MECC training has been developed to improve staff confidence in discussing physical activity, healthy eating, and related behaviour change with service users. This article describes the protocol for a pragmatic formative process evaluation to inform the implementation plan for MECC and facilitate successful implementation of the bespoke MECC training at scale.

Methods/design: An 18-month, mixed method pragmatic formative process evaluation, including qualitative research, surveys, document review and stakeholder engagement. This project is conducted within a mental health inpatient setting in the North East of England. Programme documents will be reviewed, mapped against MECC national guidelines, Behaviour Change Techniques (BCTs) and intervention functions within the Behaviour Change Wheel. A cross-sectional survey (n = 365) and qualitative semi-structured interviews (n = 30) will be conducted with healthcare practitioners delivering MECC to assess capability, opportunity and motivation. Data collection and fidelity procedures will be examined, including design, training and delivery dimensions of fidelity. Interviews with service users (n = 20) will also be conducted.

Discussion: Anticipated outcomes include developing recommendations to overcome barriers to delivery of and access to MECC, including whether to either support the use of the existing MECC protocol or tailor the MECC training programme. The findings are anticipated to improve fidelity of MECC training within mental health inpatient settings as well as provide evidence for MECC training at a national level. We also expect findings to influence strategic plans, policy, and practice specific to MECC and inform best practice in implementing wider brief intervention programmes.

背景:"让每一次接触都有意义"(MECC)是一项公共卫生战略,它支持面向公众的工作人员在日常接触中利用机会促成健康行为的改变。英格兰东北部的一家精神病院目前正在实施一项计划,将 "让每一次接触都有价值"(MECC)融入整个医院,支持体重管理("A Weight Off Your Mind")。为了提高员工与服务对象讨论体育锻炼、健康饮食及相关行为改变的信心,医院开发了定制的 MECC 培训。本文介绍了一项务实的形成性过程评估方案,旨在为 MECC 的实施计划提供信息,并促进定制 MECC 培训的大规模成功实施:为期 18 个月的混合方法实用形成性过程评估,包括定性研究、调查、文件审查和利益相关者参与。该项目在英格兰东北部的精神健康住院环境中进行。将对项目文件进行审查,并根据 MECC 国家指导方针、行为改变技术 (BCT) 和行为改变轮中的干预功能进行映射。将对实施 MECC 的医疗从业人员进行横向调查(365 人)和定性半结构式访谈(30 人),以评估能力、机会和动机。将对数据收集和忠实性程序进行审查,包括忠实性的设计、培训和实施方面。还将对服务使用者(n = 20)进行访谈:预期成果包括提出建议,以克服实施和获得 MECC 的障碍,包括是否支持使用现有的 MECC 协议或调整 MECC 培训计划。预计研究结果将提高精神健康住院环境中 MECC 培训的忠实度,并为全国范围内的 MECC 培训提供证据。我们还希望研究结果能够影响针对 MECC 的战略计划、政策和实践,并为实施更广泛的简短干预计划提供最佳实践信息。
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引用次数: 0
Role of health locus of control in preventing occupational decompression sickness among deep-sea fisherman divers. 健康控制源在深海渔民职业减压病预防中的作用。
IF 2.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-01-01 DOI: 10.1080/21642850.2022.2156345
Chanon Kongkamol, Piyada Kongkamol, Chutima Phanlamai, Pornchai Sathirapanya, Chutarat Sathirapanya

Background: Indigenous fisherman divers frequently experience decompression sickness (DCS). This study aimed to evaluate the associations between the level of knowledge of safe diving, beliefs in the health locus of control (HLC), and regular diving practices with DCS among the indigenous fisherman divers on Lipe island. The correlations among the level of beliefs in HLC, knowledge of safe diving and regular diving practices were evaluated also.

Method: We enrolled the fisherman divers on Lipe island and collected their demographics, health indices, levels of knowledge of safe diving, beliefs in external and internal HLC (EHLC and IHLC), and regular diving practices to evaluate the associations with the occurrence of DCS by logistic regression analysis. Pearson's correlation was used to test the correlations among the level of beliefs in IHLC and EHLC, knowledge of safe diving, and regular diving practices.

Results: Fifty-eight male fisherman divers whose mean age was 40.39 (±10.61) (range 21-57) years were enrolled. Twenty-six (44.8%) participants had experienced DCS. Body mass index (BMI), alcohol consumption, diving depth, duration of time in the sea/dive, level of beliefs in HLC and regular diving practices were significantly associated with DCS (p < 0.05). Level of belief in IHLC had a significantly strong reverse correlation with that in EHLC and a moderate correlation with level of knowledge of safe diving and regular diving practices. By contrast, level of belief in EHLC had a significantly moderate reverse correlation with level of knowledge of safe diving and regular diving practices (p < 0.001).

Conclusions: Encouraging the fisherman divers' belief in IHLC could be beneficial for their occupational safety.

背景:土著渔民潜水员经常经历减压病(DCS)。本研究旨在评估利佩岛土著渔民潜水员安全潜水知识水平、健康控制点(HLC)信念与DCS常规潜水实践之间的关系。此外,本研究还评估了安全潜水信念水平、安全潜水知识水平和常规潜水训练水平之间的相关性。方法:选取利佩岛渔民潜水员,收集其人口统计学、健康指数、安全潜水知识水平、外部和内部HLC (EHLC和IHLC)信念、常规潜水实践等数据,采用logistic回归分析方法评价其与DCS发生的关系。使用Pearson相关检验IHLC和EHLC信念水平与安全潜水知识和常规潜水练习之间的相关性。结果:入组58名男性渔民潜水员,平均年龄40.39(±10.61)岁,年龄范围21-57岁。26例(44.8%)患者经历过DCS。体重指数(BMI)、酒精摄入量、潜水深度、在海/潜水时间、HLC信念水平和定期潜水练习与DCS显著相关(p p)。
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引用次数: 0
Determinants of handwashing behaviour among primary school teachers in a district of Ghana. 加纳某地区小学教师洗手行为的决定因素。
IF 2.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-01-01 DOI: 10.1080/21642850.2023.2185620
Samson Gbolu, Emmanuel Appiah-Brempong, Paul Okyere, Hasehni Vampere, Gloria Obeng Nyarko, Kofi Akohene Mensah

Background: Hand hygiene practise is an effective school-based measure for infectious disease prevention, especially in developing countries. School children model their behaviour through the observation of significant others, including teachers. However, little is known about the handwashing behaviour and factors influencing the handwashing practises of teachers at the primary school level in Ghana. Methods: A quantitative cross-sectional study was conducted among 214 primary school teachers, recruited by convenience sampling. Data were collected using a structured questionnaire which were designed based on selected constructs in the Theory of Planned Behaviour and the Health Belief Model. Data analyses was done with the aid of STATA software, version 14.0. To identify determinants of hand washing with soap (HWWS) among participants, correlation and multiple linear regression analysis were used. Results: The participants' mean SD age was 34.7 7.6 years, ranging from 20 to 51 years. The majority were males (87.9%). The majority (84.0% and 86.0%) of the teachers, respectively, reported HWWS practises after using the toilet and before eating with bare hands. A correlation was found between reported HWWS practise and toilet use (r = 0.64; p = 0.001) and eating with bare hands (r = 0.84; p = 0.001). A multiple linear regression analysis found that knowledge (p = 0.001), attitude toward HWWS (p = 0.002), and teachers' perception of the severity of diarrhoea (p = 0.009) were determinants of teachers' reported HWWS behaviours. Conclusion: Teachers' perceptions of their susceptibility to and severity of diarrhoea, and their knowledge and attitude towards HWWS at critical times should be focus areas for handwashing programmes to achieve the desired outcomes.

背景:手卫生习惯是预防传染病的有效学校措施,特别是在发展中国家。学龄儿童通过观察包括老师在内的重要他人来塑造自己的行为模式。然而,人们对加纳小学教师的洗手行为和影响洗手行为的因素知之甚少。方法:采用方便抽样法对214名小学教师进行定量横断面调查。数据收集使用结构化问卷,该问卷是根据计划行为理论和健康信念模型的选定结构设计的。数据分析采用STATA软件,版本14.0。为了确定参与者用肥皂洗手(HWWS)的决定因素,使用相关和多元线性回归分析。结果:参与者的平均SD年龄为34.7 7.6岁,年龄范围为20 ~ 51岁。男性居多(87.9%)。绝大多数教师(84.0%和86.0%)报告在如厕后和用餐前徒手洗手。报告的HWWS实践与厕所使用之间存在相关性(r = 0.64;P = 0.001)和徒手进食(r = 0.84;p = 0.001)。多元线性回归分析发现,知识(p = 0.001)、对HWWS的态度(p = 0.002)和教师对腹泻严重程度的认知(p = 0.009)是教师报告HWWS行为的决定因素。结论:教师对其腹泻易感性和严重程度的认知,以及他们在关键时刻对HWWS的知识和态度应该是洗手计划的重点领域,以达到预期的效果。
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引用次数: 0
Stress, mental ill-health and functional somatic syndromes in incident and chronic sleep disturbance in a general adult population. 一般成年人突发和慢性睡眠障碍中的压力、精神疾病和功能性躯体综合征
IF 2.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-01-01 DOI: 10.1080/21642850.2023.2184372
Hampus Enkvist, Albin Öhman, Matias Pitkänen, Maria Nordin, Steven Nordin

Objective: Sleep disturbance may constitute health problems for the afflicted individual, but documentation of its chronicity is sparse. The objective was to investigate the extent to which incident and chronic sleep disturbance are associated with stress, mental ill-health and functional somatic syndromes.

Design: This was a prospective, longitudinal study with 3-year interval between two assessments (T1 and T2), with a population-based sample forming groups with incident sleep disturbance (disturbance only at T2; n = 303), chronic sleep disturbance (disturbance at T1 and T2; n = 343) and without sleep disturbance (neither at T1 nor T2; n = 1421). Questionnaire data were used at T2 of physician-based diagnosis of anxiety disorder, depression, exhaustion syndrome, and functional somatic syndrome as well as of degree of stress, burnout, anxiety and depression.

Results: Significant associations were found between chronic sleep disturbance and all four diagnoses (odds ratios = 1.74-2.19), whereas incident sleep disturbance was associated only with exhaustion syndrome and depression (odds ratios = 2.18-2.37). Degree of stress, burnout, anxiety and depression increased significantly from the referents to incident and chronic sleep disturbance, in that order (eta2 = 0.083-0.166), except for the two latter groups not differing in depression.

Conclusion: The findings imply that healthcare professionals should be observant regarding various conditions of, apart from stress, mental ill-health and functional somatic syndromes in patients who present themselves with sleep disturbance, and in particular chronic disturbance.

目的:睡眠障碍可能对个体造成健康问题,但其慢性文献很少。目的是调查突发和慢性睡眠障碍在多大程度上与压力、精神疾病和功能性躯体综合症相关。设计:这是一项前瞻性的纵向研究,两次评估(T1和T2)之间间隔3年,以人群为基础的样本形成有偶发性睡眠障碍的组(仅在T2有障碍;n = 303)、慢性睡眠障碍(T1和T2时的障碍;n = 343),无睡眠障碍(T1和T2均无;n = 1421)。在医生诊断焦虑障碍、抑郁、疲惫综合征和功能性躯体综合征以及压力程度、倦怠、焦虑和抑郁的T2时使用问卷数据。结果:慢性睡眠障碍与所有四种诊断之间存在显著关联(比值比= 1.74-2.19),而偶发性睡眠障碍仅与疲惫综合征和抑郁相关(比值比= 2.18-2.37)。应激程度、倦怠程度、焦虑程度和抑郁程度从被试到事件性睡眠障碍和慢性睡眠障碍依次显著增加(eta2 = 0.083-0.166),但后两组在抑郁程度上没有差异。结论:研究结果表明,除了压力、精神疾病和功能性躯体综合征外,医疗保健专业人员还应注意出现睡眠障碍的患者,特别是慢性障碍患者的各种情况。
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引用次数: 1
Management of the COVID crisis in Reunion Island (SW Indian Ocean): representations of COVID-19 and acceptance of public health measures. 留尼汪岛(西南印度洋)的COVID危机管理:对COVID-19的陈述和对公共卫生措施的接受
IF 2.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-01-01 DOI: 10.1080/21642850.2023.2252902
Amandine Junot, Pascale Chabanet, Valéry Ridde

Context: The coronavirus pandemic (COVID-19) has caused a major health crisis, requiring the implementation of various public health measures in order to slow the spread of the virus and reduce the associated mortality. However, the success of these measures depends on people's acceptance of them. This research aimed at understanding people's representations of COVID-19 and its crisis management, and ultimately at understanding their attitudes toward health measures for counteracting the spread of COVID-19 in Reunion Island together with the behaviours expected of them.

Method: Using Random Digit Dialling, a qualitative study was conducted with 53 inhabitants between February and May 2021. The COREQ checklist was followed. A dual textometric and manual thematic analysis was adopted in order to identify representations of COVID and the management of the crisis.

Results: Some respondents perceived COVID-19 as a serious disease, while others saw it as a banal virus or even doubted its existence. A perceived ineffectiveness of public health measures and the incompetency of public actors predominated in the participants' discourse.

Conclusions: Thus, there was a considerable lack of trust and negative attitudes toward health measures, possibly influencing people's acceptance and explaining numerous controversies. This research examines the importance of considering people's representations of the health situation in order to improve people's acceptance of protective measures.

背景:冠状病毒大流行(COVID-19)造成了重大健康危机,需要采取各种公共卫生措施,以减缓病毒的传播并降低相关死亡率。然而,这些措施的成功取决于人们对它们的接受程度。本研究旨在了解人们对COVID-19及其危机管理的表述,并最终了解他们对留尼旺岛应对COVID-19传播的卫生措施的态度以及期望他们的行为。方法:采用随机数字拨号法,于2021年2月至5月对53名居民进行定性研究。遵循COREQ检查表。采用了双文本分析和手动专题分析,以确定COVID的代表和危机管理。结果:一些受访者认为COVID-19是一种严重的疾病,而另一些人则认为它是一种平庸的病毒,甚至怀疑它的存在。公共卫生措施的无效和公共行为者的无能在参与者的话语中占主导地位。结论:因此,对健康措施存在相当大的信任缺失和消极态度,可能影响人们的接受程度,并解释了许多争议。这项研究考察了考虑人们对健康状况的陈述的重要性,以便提高人们对保护措施的接受程度。
{"title":"Management of the COVID crisis in Reunion Island (SW Indian Ocean): representations of COVID-19 and acceptance of public health measures.","authors":"Amandine Junot,&nbsp;Pascale Chabanet,&nbsp;Valéry Ridde","doi":"10.1080/21642850.2023.2252902","DOIUrl":"https://doi.org/10.1080/21642850.2023.2252902","url":null,"abstract":"<p><strong>Context: </strong>The coronavirus pandemic (COVID-19) has caused a major health crisis, requiring the implementation of various public health measures in order to slow the spread of the virus and reduce the associated mortality. However, the success of these measures depends on people's acceptance of them. This research aimed at understanding people's representations of COVID-19 and its crisis management, and ultimately at understanding their attitudes toward health measures for counteracting the spread of COVID-19 in Reunion Island together with the behaviours expected of them.</p><p><strong>Method: </strong>Using Random Digit Dialling, a qualitative study was conducted with 53 inhabitants between February and May 2021. The COREQ checklist was followed. A dual textometric and manual thematic analysis was adopted in order to identify representations of COVID and the management of the crisis.</p><p><strong>Results: </strong>Some respondents perceived COVID-19 as a serious disease, while others saw it as a banal virus or even doubted its existence. A perceived ineffectiveness of public health measures and the incompetency of public actors predominated in the participants' discourse.</p><p><strong>Conclusions: </strong>Thus, there was a considerable lack of trust and negative attitudes toward health measures, possibly influencing people's acceptance and explaining numerous controversies. This research examines the importance of considering people's representations of the health situation in order to improve people's acceptance of protective measures.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"11 1","pages":"2252902"},"PeriodicalIF":2.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10478632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10548614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Employee silence, job burnout and job engagement among teachers: the mediational role of psychological safety. 教师员工沉默、工作倦怠与工作敬业:心理安全的中介作用
IF 2.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-01-01 DOI: 10.1080/21642850.2023.2213302
Maria Kassandrinou, Olga Lainidi, Christos Mouratidis, Anthony Montgomery

Background: Teaching is a highly demanding profession, with teachers reporting increasing levels of burnout. Accumulated evidence indicates that inhibiting the expression of one's thoughts, emotions, and behaviors continuously can take a psychological toll actively resulting in physiological and psychological symptoms (e.g. stress, emotional exhaustion, strain). The purpose of this study was to assess the different types of employee silence among teachers and examine their relationship with job burnout, job engagement and psychological safety. Methods: A convenience sampling method approach was used whereby 150 primary school education teachers from Greece participated in a survey. Self-reported measures for burnout, work-engagement, psychological safety and employee silence motives were used in this cross-sectional study. Results: Psychological safety mediated the relationship between burnout and employee silence, and more specifically between the three core components of burnout and both acquiescent and quiescent silence, but not prosocial silence. In terms of engagement, the indirect effect was significant between vigor/dedication and both quiescent and acquiescent silence. Conclusions: The present research highlighted the importance of acquiescent and quiescent silence, two forms of silence that are rooted in fear and hopelessness respectively. This research adds to the growing picture of teaching as a profession that is characterized by increasing levels of burnout, employee silence and low levels of psychological safety.

背景:教学是一项要求很高的职业,教师的职业倦怠程度越来越高。越来越多的证据表明,持续抑制一个人的思想、情绪和行为的表达会产生积极的心理损失,导致生理和心理症状(如压力、情绪衰竭、紧张)。本研究的目的是评估教师不同类型的员工沉默,并探讨其与工作倦怠、工作投入和心理安全的关系。方法:采用方便抽样法对150名希腊小学教师进行问卷调查。在本横断面研究中,采用了倦怠、工作投入、心理安全和员工沉默动机的自我报告测量方法。结果:心理安全在职业倦怠与员工沉默的关系中起中介作用,特别是在职业倦怠的三个核心成分与默许沉默和静止沉默之间起中介作用,但对亲社会沉默没有中介作用。在敬业度方面,活力/奉献与沉默和默认沉默之间的间接效应均显著。结论:本研究强调了默认沉默和静止沉默的重要性,这两种沉默形式分别源于恐惧和绝望。这项研究进一步表明,教师作为一种职业,其特点是越来越多的倦怠,员工沉默和低水平的心理安全。
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引用次数: 0
Social stigma against individuals with COVID-19: scale development and validation. 对COVID-19患者的社会歧视:规模发展和验证。
IF 2.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-01-01 DOI: 10.1080/21642850.2022.2155166
Angga Wilandika, Nina Gartika, Salami Salami

Background: Social stigma toward individuals with COVID-19 is a public phenomenon that significantly impacts the prevention of this disease. The study aimed to develop and examine the scale of social stigma against people with COVID-19.

Methods: A cross-sectional study was conducted from June to August 2021 using random sampling. Two hundred twenty-five people were involved in the study. All people are domiciled in Bandung Regency, West Java, Indonesia and have never been infected with COVID-19. The scale was designed based on the dimensional structure of social stigma and then evaluated the scale's psychometric properties.

Result: The study found that instruments with 12 items had a content validity index of 1.0. Cronbach's alpha coefficient of 0.875 showed as satisfactory. Exploratory factor analysis was performed on the first sample (n = 100), and four factors were extracted from the exploratory factor analysis: ignorance/labelling, stereotype, separation, and discrimination. Following this, the confirmatory factor analysis in the remaining sample (n = 120) showed a good fit between the four-factor model and the theoretical model of social stigma.

Conclusions: The social stigma scale has been determined to be valid and reliable. Health practitioners can use this scale to predict social stigma toward individuals with COVID-19 to develop better transmission prevention strategies and improved quality of care.

背景:对COVID-19患者的社会污名是一种公共现象,对该疾病的预防有重大影响。该研究旨在开发和研究对COVID-19患者的社会耻辱程度。方法:于2021年6月至8月采用随机抽样方法进行横断面研究。225人参与了这项研究。所有人都居住在印度尼西亚西爪哇省万隆县,从未感染过COVID-19。根据社会污名的维度结构设计量表,并对量表的心理测量特性进行评估。结果:研究发现12个项目的量表的内容效度指数为1.0。Cronbach的α系数为0.875,为满意。对第一个样本(n = 100)进行探索性因素分析,从探索性因素分析中提取4个因素:无知/标签、刻板印象、分离和歧视。随后,对剩余样本(n = 120)的验证性因子分析表明,四因素模型与社会污名的理论模型拟合良好。结论:社会耻感量表具有一定的效度和可靠性。卫生从业人员可以利用这一量表预测对COVID-19患者的社会耻辱感,以制定更好的传播预防策略并提高护理质量。
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引用次数: 0
The impact of telemental health interventions on maternal mental health outcomes: a pilot randomized controlled trial during the COVID-19 pandemic. 远程心理健康干预对孕产妇心理健康结果的影响:2019冠状病毒病大流行期间的一项随机对照试验
IF 2.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-01-01 DOI: 10.1080/21642850.2022.2155167
Sarah Naja, Rowaida Elyamani, Mohamad Chehab, Mohamed Ali Siddig Ahmed, Ghidaa Babeker, Ghinwa Lawand, Rajvir Singh, Nada Adli, Tagreed Mohamad, Iheb Bougmiza

Background: The lethal potential of COVID-19 was often emphasized and repeatedly brought to the attention of pregnant women, leading to a higher level of anxiety, depression, and COVID-19-specific phobia among this population. Furthermore, legislation forced social distancing and isolation to interrupt the infection cycle. Together these factors resulted in higher maternal mental health distress requiring intervention. Nevertheless, there is a lack of evidence regarding the impact of low-intensity psychosocial telemental interventions on maternal mental health outcomes. Therefore, the objective of this pilot study is to assess the efficacy of video low-intensity psychosocial telemental maternal intervention on COVID-19-specific phobia, antenatal depression, and anxiety among pregnant women. We hypothesized that the intervention arm would be superior to the control arm. A parallel design randomized interventional controlled trial with 1:1 randomization was conducted at the Women Wellness and Research Center. We enrolled fifty-eight pregnant women in their second trimester who spoke English or Arabic. We assessed antenatal anxiety, depression, and Covid-19-specific phobia at baseline (T0), and thirty-three pregnant women completed the follow-up after four weeks (T1). Pregnant women receiving psychotropic medications and follow up in mental health services were excluded.

Results: A low-intensity psychosocial telemental maternal session helps reduce antenatal anxiety. We found statistically significant differences in antenatal anxiety scores between the intervention (2.4 ± 2.2) and control (4.2 ± 1.6) groups (p = 0.013) with a large effect size of Hedges' g value (0.96, 0.22-1.74). The absolute risk reduction was 27.27 percent. However, the intervention had no statistically significant effect on reducing antenatal depression or COVID-19-specific phobia.

Conclusions: Low-intensity psychosocial telemental maternal sessions effectively reduce antenatal anxiety. While our findings are promising, further RCTs are needed to replicate these findings.

Trial registration: 2a-ClinicalTrials.gov identifier: NCT04594525.. Registered on 20/October/2020; updated 9/March/ 2022. Available from: Maternal Telemental Health Interventions in Response to Covid-19* - Full Text View - ClinicalTrials.gov.

背景:COVID-19的致命潜力经常被强调并反复引起孕妇的注意,导致这一人群的焦虑、抑郁和COVID-19特异性恐惧症水平更高。此外,立法迫使社会保持距离和隔离,以中断感染周期。这些因素加在一起,导致需要干预的产妇心理健康压力增加。然而,关于低强度心理社会远程心理干预对产妇心理健康结果的影响,缺乏证据。因此,本试点研究的目的是评估视频低强度心理社会远程干预对孕妇covid -19特异性恐惧症、产前抑郁和焦虑的疗效。我们假设干预组将优于对照组。在妇女健康与研究中心进行了1:1随机化的平行设计随机介入对照试验。我们招募了58名妊娠中期会说英语或阿拉伯语的孕妇。我们在基线(T0)时评估了产前焦虑、抑郁和covid -19特异性恐惧症,33名孕妇在四周后(T1)完成了随访。接受精神药物治疗并在精神卫生服务机构接受随访的孕妇被排除在外。结果:低强度的心理心理远程产妇会话有助于减少产前焦虑。干预组(2.4±2.2)与对照组(4.2±1.6)的产前焦虑评分差异有统计学意义(p = 0.013), Hedges' g值效应量较大(0.96,0.22-1.74)。绝对风险降低了27.27%。然而,干预在减少产前抑郁或covid -19特异性恐惧症方面没有统计学意义。结论:低强度的心理心理远程治疗可有效降低产前焦虑。虽然我们的发现很有希望,但需要进一步的随机对照试验来复制这些发现。试验注册:2a-ClinicalTrials.gov标识符:NCT04594525。2020年10月20日注册;2022年3月9日更新。可从:应对Covid-19的孕产妇远程心理健康干预* -全文视图- ClinicalTrials.gov。
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引用次数: 0
A systematic review of ageing in place among Indigenous People in Canada, USA, México, Chile and New Zealand. 对加拿大、美国、墨西哥、智利和新西兰土著居民老龄化情况进行系统审查。
IF 2.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-01-01 DOI: 10.1080/21642850.2023.2252883
Lorena P Gallardo-Peralta, Vicente Rodríguez-Rodríguez, Lorena Valencia Galvez, Julio Tereucan Angulo, Abel Soto Higuera, Esteban Sánchez-Moreno

The ageing in place (AIP) model enjoys widespread recognition in gerontology and has been strongly encouraged through social policy. However, progress remains to be made in terms of analysing AIP for minority groups and groups with diverse life pathways in old age. This systematic review aims to identify studies that address the AIP model in indigenous communities, answering the following questions: In which geographical contexts and for which Indigenous Peoples have AIP been researched? Which physical dimensions are considered in the assessment of AIP? Which social dimensions are considered in the assessment of AIP? This systematic review applied the SALSA (Search, Appraisal, Synthesis and Analysis) method to AIP among Indigenous older adults on the Web of Science, PsycINFO, MEDLINE and Scopus digital platforms for publications from 2011 to 2021. We identified 12 studies conducted in five countries in North and South America and Oceania. The results show that the following elements of the physical environment are assessed: household, neighbourhood, local surroundings or reserve and native territories. Meanwhile, assessed elements of the social environment are as follows: personal characteristics, attachment to place, social networks, social participation and social policies. There is discussion of the need to develop AIP in order to promote successful ageing among Indigenous older adults.

就地老龄化(AIP)模式在老年学中得到广泛认可,并得到社会政策的大力鼓励。然而,在分析少数群体和老年生活途径多样化群体的AIP方面仍有待取得进展。本系统综述旨在确定在土著社区中解决AIP模式的研究,回答以下问题:在何种地理背景下以及针对哪些土著人民进行了AIP研究?在评估AIP时要考虑哪些物理维度?在评估AIP时考虑了哪些社会维度?本系统综述应用SALSA (Search, Appraisal, Synthesis and Analysis)方法对2011年至2021年在Web of Science、PsycINFO、MEDLINE和Scopus数字平台上发表的土著老年人AIP进行分析。我们确定了在南北美洲和大洋洲的五个国家进行的12项研究。结果表明,对自然环境的以下要素进行了评估:家庭、邻里、当地环境或保护区和土著领土。同时,社会环境的评估要素包括:个人特征、对地方的依恋、社会网络、社会参与和社会政策。还讨论了发展AIP以促进土著老年人成功老龄化的必要性。
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引用次数: 0
Cognitive behavioral treatment to improve psychological adjustment in people recently diagnosed with type 2 diabetes: Psychological treatment in type 2 diabetes. 认知行为治疗改善新近诊断为2型糖尿病患者的心理调节:2型糖尿病的心理治疗
IF 2.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-01-01 DOI: 10.1080/21642850.2023.2179058
Héctor Velázquez-Jurado, Athena Flores-Torres, Liliana Pérez-Peralta, Edgar Salinas-Rivera, Marianne Daniela Valle-Nava, Denise Arcila-Martinez, Sergio Hernández-Jiménez

Type 2 diabetes mellitus (T2DM) is a chronic disease that affects a person's general well-being. Current evidence sets an association between psychological well-being and controlled metabolic parameters. People newly diagnosed with T2DM show higher prevalence of depression and anxiety symptoms. Cognitive behavioral therapy (CBT) has effectively improved psychological adjustment, but most studies do not specifically address recently diagnosed people nor usually include long-term follow-up measures.

Objective: We sought to assess changes in psychological variables in people with newly diagnosed diabetes who received a cognitive-behavioral intervention, within a comprehensive care program.

Method: 1208 adults with T2DM (≤5 years) who attended a national health institute in Mexico received a cognitive-behavioral intervention aimed at improving quality of life and reducing emotional distress that often interferes with diabetes control, as well as evaluating cognitive and emotional resources and social support. Measures of quality of life, diabetes-related distress, anxiety and depression questionnaires were compared at pre-test, post-test and follow up using Friedman's ANOVAs. Multiple logistic regression models evaluated glycosylated hemoglobin (HbA1c) and triglycerides control at post-test and follow up.

Results: Questionnaire measures and metabolic variables significantly decreased symptomatology at post-test and these changes maintained at follow-up. Significant associations were found between quality-of-life scores and HbA1c and triglycerides levels in post-test and follow-up. Diabetes-related distress scores increased the odds of having adequate HbA1c control at post-test.

Conclusion: This study contributes to the evidence on the importance of considering psychological factors as part of comprehensive diabetes care to improve quality of life and emotional burden and facilitate the achievement of metabolic goals.

2型糖尿病(T2DM)是一种影响人体整体健康的慢性疾病。目前的证据表明心理健康和控制代谢参数之间存在关联。新诊断为2型糖尿病的人表现出更高的抑郁和焦虑症状患病率。认知行为疗法(CBT)有效地改善了心理调节,但大多数研究并没有专门针对最近确诊的患者,也通常不包括长期随访措施。目的:我们试图评估在综合护理方案中接受认知行为干预的新诊断糖尿病患者心理变量的变化。方法:1208名在墨西哥国家卫生机构就诊的2型糖尿病成人(≤5岁)接受了认知行为干预,旨在改善生活质量,减少经常干扰糖尿病控制的情绪困扰,并评估认知和情绪资源以及社会支持。生活质量测量、糖尿病相关的痛苦、焦虑和抑郁问卷在测试前、测试后和随访时使用Friedman’s anova进行比较。多重逻辑回归模型评估了测试后和随访时糖化血红蛋白(HbA1c)和甘油三酯的控制情况。结果:问卷测量和代谢变量在测试后显著降低症状,这些变化在随访中保持不变。在测试后和随访中发现生活质量评分与HbA1c和甘油三酯水平之间存在显著关联。糖尿病相关的焦虑评分增加了测试后HbA1c得到适当控制的几率。结论:本研究证明了将心理因素作为糖尿病综合护理的一部分,对改善生活质量和减轻情绪负担,促进代谢目标的实现具有重要意义。
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引用次数: 0
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Health Psychology and Behavioral Medicine
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