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Frustration in Seeking Information about Health Conditions and Health Insurance: Methodological Presentation of a Mind Genomics Cartography 在寻找关于健康状况和健康保险的信息的挫折:思维基因组学制图的方法学呈现
Pub Date : 2019-09-29 DOI: 10.31038/asmhs.2019343
S. Starke, G. Gabay, Glenn Zemel, A. Gere, Robert Sherman
The paper uses the emerging science of Mind Genomics to understand emotional responses (frustration) and prevention of decisions experienced when the respondent reads test vignettes describing websites which provide medical information (health) and/or medical insurance information (healthrelated finances). Respondents read and evaluated combinations of 2–4 messages (answers to questions), with the messages combined according to an experimental design. The ratings on a fivepoint scale provided an assessment of both estimated ‘frustration’ and estimated ‘difficulty to make a decision.’ The analysis related the presence/absence of the messages to both frustration and to inability to make a decision. Three mind-sets emerged, suggesting that the estimated frustration encountered in difficult web searches for healthcare information is not unidimensional. The three emergent mind-sets are: MS1 (moderate latent frustration), MS2 (little latent frustration but easily & strongly frustrated) and MS3 (a great deal of latent frustration, doing best with a very simple, direct search process). The paper concludes with the presentation of the PVI, personal viewpoint identifier, which allows the healthcare provider to understand the sensitivities of the prospect, in terms of what problems increase frustration for that prospect. The objective of the PVI is to improve the user experience by understanding the mind of the user. Introduction The use of the Internet for searching and finding health information is rising and is accompanied by the realization that the ‘experience’ itself must be made easier. We are no longer in the birthing years of the 1970’s – 1990’s, when simply having access to a large world of information sufficed, astonishing those who had grown up in a world where information was to be sought after, no matter what the difficulty [1]. Experts have been replaced by websites, by chat advisors, by guided searches, so much so that often there is no expert but rather guidance embedded in the software and the instructions emerging from the software. People often first search the internet for information about diseases, then talk to their friends, and then encounter the doctors [2]. For diseases such as cancer, in earlier days a death sentence for many has spawned an entire network of communications and information [3–5]. The same goes for diabetes [6] and for heart disease [7]. As a consequence, medical information, may be getting increasingly dense over time as medicine advances and the literature and alternative options become overwhelming, for example the “BELONG” community of cancer patients [8]. Much of this this transition and new world is contained within the words ‘user experience,’ a phrase which encompasses the range from one’s impression of the website to one’s experience with the website to achieve certain goals. In the previous generations of science this area would have been subsumed under the rubric ‘man-machine interaction’ in the world of
本文使用心理基因组学的新兴科学来理解当被调查者阅读描述提供医疗信息(健康)和/或医疗保险信息(健康相关财务)的网站的测试小插曲时所经历的情绪反应(挫折)和决策预防。受访者阅读并评估2-4条信息(问题的答案)的组合,并根据实验设计将这些信息组合在一起。评分分为五分制,评估了“受挫感”和“做出决定的难度”。该分析将这些信息的存在与否与挫败感和无法做出决定联系起来。出现了三种思维模式,表明在医疗保健信息的困难网络搜索中遇到的估计挫折并不是单一的。这三种突发思维模式是:MS1(中度潜在挫败感),MS2(潜在挫败感很少,但容易和强烈受挫)和MS3(潜在挫败感很大,最好使用非常简单、直接的搜索过程)。论文以个人观点标识符PVI的介绍结束,它允许医疗保健提供者了解前景的敏感性,就哪些问题增加了前景的挫败感而言。PVI的目标是通过了解用户的心理来改善用户体验。越来越多的人使用互联网来搜索和查找健康信息,同时也认识到必须使“体验”本身变得更容易。我们已经不在1970年代和1990年代的生育年代了,那时只要能接触到大量的信息就足够了,这让那些成长在一个无论有多大困难都要寻求信息的世界里的人感到震惊。专家已经被网站、聊天顾问和引导搜索所取代,以至于常常没有专家,只有嵌入在软件中的指导和从软件中产生的指令。人们通常首先在互联网上搜索有关疾病的信息,然后与他们的朋友交谈,然后遇到医生b[2]。对于癌症等疾病,早期对许多人的死刑判决催生了一个完整的通信和信息网络[3-5]。糖尿病和心脏病也是如此。因此,随着医学的进步,医学信息可能会随着时间的推移变得越来越密集,文献和替代选择变得势不可当,例如癌症患者的“归属”社区[8]。这种转变和新世界的大部分内容都包含在“用户体验”这个词中,这个词涵盖了从一个人对网站的印象到一个人通过网站实现某些目标的体验的范围。在前几代科学中,这一领域将被归入“人为因素”世界中的“人机交互”范畴。本文特别关注用户体验的一个方面,即诊断和治疗信息的来源,包括医疗信息和医疗覆盖信息。目标是量化搜索的不同方面的重要性,因为它们会导致预期的挫折和预期的无法做出决定b[9]。获取信息的传统策略是通过引导式访谈。该研究指导受访者回答有关需求的问题,询问挫折的来源,以及在选择答案时经历的挑战。这项研究还将测量参与者在接触到实际信息并被指示做出决定时的反应。我们的方法是对刚才描述的典型研究的补充。我们的实验向受访者展示了定义情境的小插曲,并指导受访者根据对经历的描述选择可能的结果。该分析解构了Howard Moskowitz(2019)在寻求健康状况和健康保险信息方面的挫败感:心理基因组学制图的方法介绍老龄化科学健康研究,第3卷(4):2-13,2019年对这些小插图的回应,将这些小插图的不同元素作为预期挫折的驱动因素的贡献。心智基因组学作为一门新兴科学,其历史可以追溯到统计学(实验设计)和联合测量作为研究决策方法的结合[11,12]。心灵基因组学将主题从实验室扩展到日常生活。此外,心智基因组学扩展了实验设计的能力,使用基本设计的个体排列。其结果是,在设计中不需要过多考虑元素组合的选择。 这种排列覆盖了更广泛的空间,类似于医学中的核磁共振成像(MRi)对底层组织拍摄许多照片的方式,而不仅仅是“正确的”,这可能甚至不为人所知[13,14]。其结果是创造了一门新的科学,其应用范围从政策到产品,从法律到健康和日常生活[15,16]。思维基因组学方法通过一种易于构建、易于分析的实验方法来解决这一问题。实验包括一个主题(在互联网上搜索医疗信息时的挫折和选择预防的来源),一组四个“讲故事”的问题(苏格拉底方法),然后要求每个问题有四个简单的答案,或者总共16个答案。心智基因组学范式旨在快速、迭代、提供最佳结果和强大的结果,即衡量每个答案“驱动”反应的能力,衡量有意识的判断,以及衡量反应时间,这是反映更深层次认知过程或情绪的指标。4个问题和16个答案,每个问题4个答案,如表1所示。目标是通过Internet与未经培训的应答者合作,要求答案简单、直接且易于理解。表1中的问题从未出现在测试刺激物中。相反,测试刺激包括简单的小插曲,答案的组合,任何小插曲的2-4个答案。每个小插图最多有一个问题的答案,但对许多小插图来说,一两个问题不提供答案。出于统计原因,这种设计结构是故意的,专门为了增加分析工具OLS(普通最小二乘)回归的强度。图1(左面板)显示了要求研究人员提出四个问题的屏幕截图。图1(右面板)显示了一个问题,以及该问题的四个答案。答案应该是可以被理解的独立短语。因此,Mind Genomics的设置系统鼓励批判性思维,并最终通过将这种思维与潜在客户中负担得起的快速实验相结合,对主题进行更深入的理解。实验设计每个被调查者评估一套独特的24个组合或小插曲。每个小插图由2-4个元素或答案组成,每个问题不超过一个答案。答案是一个接一个的。实验设计确保每个人的16个答案出现多次,并且次数相等。设计的不完整性,一些小插图缺少一个或两个答案,确保OLS(普通最小二乘)回归将没有任何问题地运行。当研究人员要求每个小片段只包含每个问题的一个答案或元素时,一种非常常见的做法是,令人难过的,实际上具有破坏性的结果是OLS回归只能返回系数的相对值,而不是绝对值,原因是元素之间的多重共线性,因为要求每个小片段“完整”,每个问题只有一个答案。表1。这四个问题和每个问题的四个答案问题1人生阶段
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引用次数: 0
3-Dimensional Multiple Object Tracking Training Can Enhance Selective Attention, Psychomotor Speed, and Cognitive Flexibility in Healthy Older Adults 三维多目标跟踪训练可提高健康老年人的选择性注意、精神运动速度和认知灵活性
Pub Date : 2019-09-16 DOI: 10.31038/asmhs.2019341
Caroline Spaner, Stela Musteata, Rebecca A Kenny, J. Gawryluk, Brian R. Christie
Objectives: The objective of this pilot study was to determine if a 3-dimensional multiple object tracking training (3D-MOT) intervention could improve performance on measures of attention, psychomotor speed, and cognitive flexibility in healthy older adults. Methods: Forty-six individuals aged 63–87 years old participated in the study. Twenty-five participants in the intervention group completed the Stroop task before and after intervention that consisted of seven training sessions with the Neurotracker, a 3D-MOT software program. Stroop test scores were examined for changes in selective attention, cognitive flexibility (CF), as well as psychomotor speed preand post-intervention. The 21 individuals in the control group completed the Stroop test at the pre-post interval, without completing the Neurotracker intervention. Results: The Neurotracker training intervention group showed significant improvements in both cognitive flexibility (M = 5.01, SE = 1.44, p = 0.002), and psychomotor speed and selective attention (M = 4.90, SE = 1.44, p = 0.002). Significant changes were also detected in a condition that measured psychomotor speed and cognitive flexibility together (M = 9.39, SE = 1.74, p < 0.001). No significant changes were detected in the control group. Conclusion: The current results suggest that the Neurotracker may be an effective tool for improving selective attention, cognitive flexibility, and psychomotor speed in healthy older individuals.
目的:本初步研究的目的是确定三维多目标跟踪训练(3D-MOT)干预是否可以改善健康老年人在注意力、精神运动速度和认知灵活性方面的表现。方法:46例63-87岁的老年人参与研究。干预组的25名参与者在干预前后完成了Stroop任务,其中包括使用3D-MOT软件Neurotracker进行的七次培训。Stroop测试分数在选择性注意、认知灵活性(CF)和精神运动速度方面的变化进行了检查。对照组的21人在前后间隔完成了Stroop测试,没有完成神经追踪器干预。结果:Neurotracker训练干预组在认知灵活性(M = 5.01, SE = 1.44, p = 0.002)、精神运动速度和选择性注意(M = 4.90, SE = 1.44, p = 0.002)方面均有显著改善。在同时测量精神运动速度和认知灵活性的情况下,也发现了显著的变化(M = 9.39, SE = 1.74, p < 0.001)。对照组未见明显变化。结论:目前的研究结果表明,神经追踪器可能是改善健康老年人选择性注意力、认知灵活性和精神运动速度的有效工具。
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引用次数: 6
A view of brief CBT for insomnia in Japan 日本对失眠症的简短CBT观察
Pub Date : 2019-09-13 DOI: 10.31038/asmhs.2019335
Makie Nagai
However one out of twenty person is using a sleeping drug in Japan [3]. The Guideline of Ministry of Health, Labor and Welfare (2013) points out to problem that multiple and massive dose drug and long—term administration. It is important issue that improvement of life style in aged person with insomnia. Furthermore epidemiologic survey showed that deficiency of sleeping time increased risk of obesity [4] and concerned with prevalence and crisis rate of hypertension [5, 6]. Insomnia is important factor of lifestyle disease and influence to aging.
然而,在日本,每20个人中就有一个人在服用安眠药[3]。厚生劳动省指南(2013)指出了多次大剂量用药和长期用药的问题。改善老年失眠症患者的生活方式是一个重要的问题。流行病学调查显示,睡眠时间不足会增加肥胖的风险[4],并与高血压的患病率和危重率有关[5,6]。失眠是生活方式疾病的重要因素和对衰老的影响。
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引用次数: 0
Public Health Responding to the Epidemic of Alzheimers Disease 公共卫生应对阿尔茨海默病流行
Pub Date : 2019-09-04 DOI: 10.31038/asmhs.2019334
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引用次数: 1
The Associations of Reactive Oxygen Metabolites and Biological Antioxidant Potentials with Related Factors in Healthy Youth 健康青年活性氧代谢物和生物抗氧化电位与相关因素的关系
Pub Date : 2019-08-26 DOI: 10.31038/asmhs.2019332
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引用次数: 0
Different Interactions and Different Selves: A Mind Genomics Exploration of Social Theory 不同的互动和不同的自我:社会理论的心理基因组学探索
Pub Date : 2019-07-20 DOI: 10.31038/asmhs.2019333
A. Gere, Camilla Habsburg-Lothringen, H. Moskowitz
The study presents a cartography of the ‘self’ from the point of view of experimental psychology, applied to social theory. We explore how people describe themselves in their interactions with others, using experimentally designed vignettes of descriptive statements, constructed according to the prescriptions of Mind Genomics. The pattern of deconstructed responses to the vignettes and the weighting factors of the descriptive statement suggest that people divide into three mind-sets one group focusing on people, one group focusing on games, and one group hard to define. The study presents a tool, the six-question PVI, personal viewpoint identifier, which allows the researcher to assign a new person to one of the three mind-sets based upon the pattern of response to the six questions. The study failed to find a strong co-variation of age with membership in the mind-set, but does suggest that response time to the different descriptive statements may show the hypothesized relation of personality to age.
这项研究从实验心理学的角度提出了一幅“自我”的地图,并应用于社会理论。我们探索人们如何在与他人的互动中描述自己,使用实验设计的描述性陈述的小片段,根据心灵基因组学的处方构建。对小片段的解构反应模式和描述性陈述的权重因子表明,人们分为三种思维模式:一种专注于人,一种专注于游戏,还有一种难以定义。这项研究提出了一个工具,六问题PVI,个人观点标识符,它允许研究人员根据对六个问题的反应模式将一个新人分配到三种思维模式中的一种。这项研究没有发现年龄与思维定势之间存在很强的共变关系,但确实表明,对不同描述性陈述的反应时间可能表明了人格与年龄之间的假设关系。
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引用次数: 0
Depression and Anxiety Analysis from Elder Population in A Beijing Rural Area 北京农村老年人群抑郁焦虑状况分析
Pub Date : 2019-06-22 DOI: 10.31038/asmhs.2019331
Yin Zhang, C. Shi, Yinyun Li
The paper aims to investigate the mental health status of elderly people in Beijing rural area, and look for possible factors that affect the depression and anxiety levels. 204 ordinary elderly residents over 60 years old without major diseases are randomly selected from a rural area of Beijing. The factors influencing the level of depression and anxiety of the sample are investigated by the Daily Living Ability Scale , the Marital Attachment Questionnaire and the Social Support Rating Scale. Our results show that the degree of depression is influenced by 12 factors (including age , marriage, education, monthly income, source of income, type of health care, daily living ability, number of chronic diseases, couple attachment , parent-child contact, social support and frequency of Internet use), among which the top three most significant factors are social support , marriage and couple attachment. The degree of anxiety is generally influenced by 10 factors (age , marriage, education, monthly income, source of income, daily living ability, number of chronic diseases, couple attachment , social support and frequency of Internet use), among which the top three most significant factors are the number of chronic diseases, age and daily living ability. Our results indicate that the depression level is affected by the relationship between oneself and other people; while the anxiety degree is mainly affected by the basic daily life and relationship between oneself. Our research results suggest that, the society shall focus on especially the vulnerable elderly groups with poor daily living ability and many chronic diseases, and efforts should be made to optimize primary medical care services for the aged population; family and society emotional support for the elderly should be strengthened to relieve the depression level.
本研究旨在调查北京农村老年人的心理健康状况,探讨影响其抑郁和焦虑水平的可能因素。在北京市某农村地区随机抽取204名60岁以上无重大疾病的普通老年居民。采用《日常生活能力量表》、《婚姻依恋问卷》和《社会支持评定量表》对被试抑郁和焦虑水平的影响因素进行调查。研究结果表明,大学生抑郁程度受年龄、婚姻、受教育程度、月收入、收入来源、医疗服务类型、日常生活能力、慢性病数量、夫妻依恋、亲子接触、社会支持和使用互联网频率等12个因素的影响,其中社会支持、婚姻和夫妻依恋是影响大学生抑郁程度最显著的3个因素。焦虑程度一般受10个因素(年龄、婚姻、教育程度、月收入、收入来源、日常生活能力、慢性病数量、夫妻依恋、社会支持和上网频率)的影响,其中最显著的前3个因素是慢性病数量、年龄和日常生活能力。结果表明:抑郁水平受自我与他人关系的影响;而焦虑程度主要受基本日常生活和人际关系的影响。我们的研究结果表明,社会应特别关注日常生活能力差、慢性病较多的弱势老年人群体,并努力优化老年人口的初级医疗服务;应加强家庭和社会对老年人的情感支持,缓解老年人的抑郁程度。
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引用次数: 0
Young Americans Reacting to Statements about Palestine & Israel: A Mind Genomics Exploration 美国年轻人对巴勒斯坦和以色列言论的反应:思维基因组学探索
Pub Date : 2019-05-16 DOI: 10.31038/asmhs.2019324
A. Gere, Petraq Papajorgji, H. Moskowitz
Listening and reading to the partisan politics surrounding the ongoing conflict between the Palestinians and the Israelis, one gets the impression that this topic is all-consuming. A study using the science of Mind Genomics reveals that most respondents from a sample of young respondents do not care about the topic, nor are engaged by anything said in the media. The Mind Genomics study combined messages, policy statements, issued by the US government, presenting small vignettes, almost as news stories. The strategy prevents the respondent from responding in a politically-correct manner. The data suggest that most of the young respondents are not interested in the topic, when the data from the total panel is reported. Two mind-sets emerged, one feeling that stability and hope will be achieved through force, the other feeling that stability and hope will be achieved through economic development. The study presents a PVI (personal viewpoint identifier) to assign new people to one of the two mind-sets. The paper finishes with a discussion of the contribution of Mind Genomics to a deeper understanding of political thought and the emerging discipline of counter-factual history.
倾听和阅读围绕巴勒斯坦和以色列之间持续冲突的党派政治,人们会觉得这个话题很吸引人。一项使用心理基因组学的研究表明,从年轻受访者样本中,大多数受访者并不关心这个话题,也不被媒体所说的任何内容所吸引。Mind Genomics的研究结合了美国政府发布的信息、政策声明,呈现出几乎像新闻故事一样的小插曲。这种策略阻止了被调查者以政治正确的方式做出回应。数据表明,大多数年轻受访者对这个话题不感兴趣,当报告来自总小组的数据时。出现了两种心态,一种认为稳定和希望将通过武力来实现,另一种认为稳定和希望将通过经济发展来实现。该研究提出了一个PVI(个人观点标识符),将新人分配到两种心态中的一种。论文最后讨论了心灵基因组学对更深入地理解政治思想和新兴的反事实历史学科的贡献。
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引用次数: 0
Estimating the Feelings of Prisoners Regarding Hope vs Despair: A Mind Genomics Exploration 估计囚犯对希望与绝望的感受:心灵基因组学的探索
Pub Date : 2019-04-20 DOI: 10.31038/asmhs.2019322
A. Gere, Ryan Zemel, Petraq Papajorgji, D. Moskowitz, H. Moskowitz
Prisoners are often thought to harbor thoughts about suicide, with sensationalized stories about the despair in prisons touching the hearts of listeners and readers. We explore the degree to which ordinary people, non-prisoners, feel that there is despair versus hope among prisoners. Through experimentally designed vignettes, we describe who the prisoner IS, what the prisoner FACES, what the OTHER PRISONERS are like, and what preparatory efforts are in place regarding RELEASE. Each respondent read a unique set of 24 vignettes, comprising different elements, and for each vignette rated the degree to which the prisoner would be likely to think of committing suicide versus be hopeful. The analysis reveals the specific contribution of each element in the vignette as a driver of projected suicide versus hopes, and the numbers of tenths of second required to ‘process’ the element before making the decision. The study suggests two mind-sets, one focusing on the prisoner, the other focusing on the surrounding, each as a driver of despair, as represented by the phrase ‘contemplates suicide.’
囚犯通常被认为有自杀的想法,关于监狱绝望的耸人听闻的故事触动了听众和读者的心。我们探索普通人,非囚犯,在多大程度上感受到囚犯之间的绝望和希望。通过实验设计的小插图,我们描述了囚犯是谁,囚犯面对什么,其他囚犯是什么样子,以及关于释放的准备工作。每个被调查者阅读了一组独特的24个小短文,包括不同的元素,并对每个小短文评估囚犯可能想到自杀的程度和有希望的程度。分析揭示了小插图中每个元素作为预期自杀与希望的驱动因素的具体贡献,以及在做出决定之前“处理”元素所需的十分之一秒的数量。这项研究提出了两种心态,一种关注囚犯,另一种关注周围环境,这两种心态都是绝望的驱动者,正如短语“考虑自杀”所代表的那样。
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引用次数: 0
Caring for Confused Community Dwelling Seniors: Contributing and Obstructing Factors in Daily Care for Healthcare Assistants in District Nursing 照顾困惑的社区居住长者:地区护理保健助理日常护理的促进与阻碍因素
Pub Date : 2019-04-01 DOI: 10.31038/asmhs.2019321
C. Bosma, N. Ketelaar, M. Rouwette-Witting
Older people with confused behavior, have behavioral problems due to dementia, mental problems or social problems. For the Healthcare Assistant (HA) in district nursing, it is a daily challenge to care for older people with confused behavior. Aim of this research is to achieve an insight in the strategies the HA uses to deal with the daily care for older people with confused behavior. It is also the aim to have insight in factors which contribute to the daily care in a positive or negative way. Method: a qualitative explorative research. 17 HA’s in district nursing participated in semi-structured interviews. All respondents had experience with caring for older people with confused behavior. The most important influencing factors are the experienced relationship between HA and the client and the experienced support by the team. Particularly behavioral problems due to mental problems can impede a relationship with the client. Further research is recommended to study the level of knowledge and competences of all levels of employees in district nursing.
行为混乱的老年人由于痴呆症、精神问题或社会问题而出现行为问题。对于地区护理的医疗助理(医管局)来说,照顾行为混乱的长者是一项日常挑战。本研究旨在了解医管局处理行为混乱长者的日常护理策略。它的目的也是要有洞察力的因素,有助于日常护理的积极或消极的方式。方法:定性探索性研究。17名地区护理医管局护士参加了半结构式访谈。所有受访者都有照顾行为混乱的老年人的经验。最重要的影响因素是HA与客户之间经验丰富的关系以及团队经验丰富的支持。特别是由于心理问题引起的行为问题会阻碍与来访者的关系。建议进一步研究区域护理各级员工的知识水平和能力水平。
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引用次数: 0
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Ageing Science & Mental Health Studies
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