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The Protective Role of Social-Oriented Digital Media Use in Children’s and Adolescents’ Life Satisfaction During the Covid-19 Pandemic Covid-19大流行期间,社交型数字媒体使用对儿童和青少年生活满意度的保护作用
Pub Date : 2023-01-19 DOI: 10.47368/ejhc.2023.101
L. Marciano, E. Albanese, K. Viswanath, A. Camerini
Covid-19 measures have reduced children’s and adolescents’ life satisfaction (LS), a key indicator of well-being. However, we have limited evidence of the longitudinal associations between changes in LS and different types of digital media use throughout the pandemic. Using data collected in Ticino, Italian-speaking Switzerland from 764 children and adolescents (Mage = 12.51, SDage = 4.00, 52% females) over five months starting from September 2020, the current study investigated temporal variations in LS, and how process-oriented versus social-oriented digital media use predicted LS, controlling for socio-demographic variables. Results of the quadratic latent growth curve model showed a steeper decrease in LS at the beginning of the second wave of the pandemic in Autumn 2020. Process-oriented digital media use predicted lower starting levels (i.e., the intercept) of LS, whereas social-oriented digital media use acted as a protective factor against the initial decrement of LS (i.e., linear slope) and positively influenced the rate of change of LS (i.e., the quadratic slope), pointing towards a faster return to baseline levels. Females, adolescents, participants with low subjective socio-economic status, and non-Swiss participants reported lower levels of LS. Results suggest that when in-person social contacts are compromised, social-oriented use of digital technologies should be promoted in young people to obtain and maintain social contacts that are crucial for LS and their well-being. LS may be conceived as a predisposing condition to accumulate, preserve, and restore mental and social well-being, which, in turn, allow individuals to contribute to their community and society at large.
Covid-19措施降低了儿童和青少年的生活满意度(LS),这是衡量幸福的一项关键指标。然而,在整个大流行期间,我们对LS变化与不同类型数字媒体使用之间的纵向关联的证据有限。本研究使用从2020年9月开始的五个月内在瑞士意大利语区提奇诺州收集的764名儿童和青少年(Mage = 12.51, SDage = 4.00, 52%为女性)的数据,调查了LS的时间变化,以及在控制社会人口变量的情况下,以过程为导向与以社交为导向的数字媒体使用如何预测LS。二次潜增长曲线模型结果显示,在2020年秋季第二波大流行开始时,LS下降幅度更大。以过程为导向的数字媒体使用预示着较低的LS起始水平(即截距),而以社交为导向的数字媒体使用充当了防止LS初始衰减(即线性斜率)的保护因素,并积极影响了LS的变化率(即二次斜率),指向更快地返回基线水平。女性、青少年、主观社会经济地位低的参与者和非瑞士参与者报告的LS水平较低。结果表明,当面对面的社会联系受到损害时,应促进年轻人以社会为导向使用数字技术,以获得和维持对LS及其福祉至关重要的社会联系。LS可以被认为是一种积累、保存和恢复精神和社会福祉的倾向条件,这反过来又允许个人为他们的社区和整个社会做出贡献。
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引用次数: 0
The Ambivalent Role of Social Aspects in Health Promotion 社会因素在健康促进中的矛盾作用
Pub Date : 2022-12-09 DOI: 10.47368/ejhc.2022.309
Paula Stehr, C. Rossmann, Tabea Kremer, H. Luetke Lanfer
Through various mechanisms such as social comparison, social control, and social support, social networks may impose both positive and negative effects on people’s health. The purpose of this brief research report is to highlight the role of social aspects in health promotion in the context of evidence-based communication strategies to promote physical activity among older adults in Germany. Results are based on a two-study formative research project, combining 20 semi-structured interviews with a telephone survey of a representative sample of 1,001 older adults. They show that interpersonal communication is an important source of health information. However, a strong normative influence of the social network may also undermine self-determined motivation to be physically active and therefore decrease activity levels in the long-term. In contrast, feeling related to others and being able to exercise together with other people can facilitate physical activity for older adults, which underlines the ambivalent role of social aspects. Hence, (interpersonal) communication aiming at the promotion of physical activity among older adults should support their perceived autonomy by explaining potential health and social consequences of the behaviour, providing choices, and acknowledging individual barriers and facilitators such as (lack of) sports companions.
社会网络可以通过社会比较、社会控制和社会支持等多种机制对人们的健康产生积极和消极的影响。这份简短的研究报告的目的是强调社会方面在促进健康方面的作用,在以证据为基础的沟通策略的背景下,促进德国老年人的身体活动。结果基于两项研究的形成性研究项目,结合了20次半结构化访谈和对1001名老年人代表性样本的电话调查。它们表明人际交往是健康信息的重要来源。然而,社会网络的强烈规范影响也可能破坏自我决定的运动动机,从而降低长期的运动水平。相比之下,感觉与他人相关,能够与其他人一起锻炼,可以促进老年人的身体活动,这强调了社会方面的矛盾作用。因此,旨在促进老年人身体活动的(人际)沟通应通过解释这种行为的潜在健康和社会后果、提供选择并承认个人障碍和促进因素(如缺乏)运动伙伴,来支持老年人感知到的自主性。
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引用次数: 0
The Performance of the Health Communication Assessment Tool© (HCAT-f) in Calibrating Different Levels of Nurse Communication Skills in a French-Speaking Context 健康沟通评估工具©(HCAT-f)在法语背景下校准不同水平护士沟通技巧的表现
Pub Date : 2022-12-07 DOI: 10.47368/ejhc.2022.308
A. Diep, J. Servotte, N. Dardenne, S. Vanbelle, Vanessa Wauthier, Méryl Paquay, S. Campbell, Jonathan Goffoy, A. Donneau, A. Ghuysen
Communication skills training is essential in nurse education. Miscommunication may lead to adverse events and unsafe healthcare. To date, valid and reliable instruments to serve both communication training and assessment purposes across different cultural contexts are scarce. The present study empirically tested a French-language version of the Health Communication Assessment Tool© (HCAT-f) across different levels of communication skills performance to establish its reliability and validity through a cognitive fluency framework. Ten experts in communication and 52 nurse educators rated three videos simulating conversations between a nurse and a patient scheduled for lumpectomy. Each video captured a different level of communication skills performed by the nurse: High, medium, and low. Three distinct constructs were identified, i.e., professional presentation, empathy, and trust building. At absolute single-measure, an ICC = .43 suggested adequate interrater reliability of the whole scale for the medium-performed scenario, which decreased in low-performed (ICC = .35) and high-performed (ICC = .18) scenarios. The HCAT-f fulfils the criteria of linguistic equivalence, contextual relevance, and demonstrates acceptable construct validity. It can be used as a summative assessment tool after prior training on scale calibration is in place because interrater agreement was difficult to be established in high and low performance scenarios. 
沟通技巧训练在护士教育中是必不可少的。沟通不畅可能导致不良事件和不安全的医疗保健。迄今为止,有效和可靠的工具,以服务于沟通培训和评估目的在不同的文化背景是稀缺的。本研究对法语版健康沟通评估工具©(HCAT-f)在不同水平的沟通技巧表现进行了实证测试,以通过认知流畅性框架建立其信度和效度。10位沟通专家和52位护士教育者对三段模拟护士和计划进行乳房肿瘤切除术的病人之间对话的视频进行了评分。每个视频都记录了护士表现出的不同水平的沟通技巧:高、中、低。三个不同的构念被确定,即专业表达、同理心和信任建立。在绝对单测量中,ICC = 0.43表明整个量表在中等表现情景中具有足够的量表间信度,而在低表现(ICC = 0.35)和高表现(ICC = 0.18)情景中则有所下降。HCAT-f满足语言对等、语境关联和可接受结构效度的标准。由于在高性能和低性能场景下难以建立相互间的一致,因此在对比例尺校准进行事先培训后,它可以用作总结性评估工具。
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引用次数: 0
The Effects of Teacher Communication During a Health Intervention on Older Adolescents’ Predictors of Health Behaviour 健康干预中教师沟通对大龄青少年健康行为预测因子的影响
Pub Date : 2022-11-24 DOI: 10.47368/ejhc.2022.307
M. Mesman, H. Hendriks, S. Onrust, B. van den Putte
This study investigated the influence of teacher communication behaviours on predictors of alcohol use, snack intake, and physical exercise during a school-based health intervention. Additionally, we investigated whether students’ evaluations of the intervention mediated these effects. In a two-way prospective study, 389 adolescents (222 females; Mage = 16.64, SDage = 1.97) completed a survey. Key variables were teacher communication behaviours (i.e., clarity, verbal immediacy, and content relevance), predictors (i.e., attitudes, social norms, perceived behavioural control, and intentions) of alcohol use, snack intake, and physical exercise, and students’ evaluations of the health intervention were investigated. Results showed that teacher clarity resulted in significantly healthier injunctive norms and higher perceived behavioural control regarding alcohol use, and for exercise in significantly healthier attitudes, descriptive norms, and intentions to exercise. No effects of teacher clarity were found for snack intake. Furthermore, teacher clarity, verbal immediacy, and content relevance did not indirectly result in healthier predictors of health behaviour through evaluations of the intervention. Findings support the role of teacher clarity for intervention effectiveness, and advise designers of health interventions to incorporate the role of teacher clarity in their teacher training programs to achieve more desired changes in health behaviour.
本研究调查了在学校健康干预期间,教师沟通行为对酒精使用、零食摄入和体育锻炼预测因子的影响。此外,我们调查了学生对干预的评价是否介导了这些影响。在一项双向前瞻性研究中,389名青少年(222名女性;法师= 16.64,SDage = 1.97)完成了一项调查。关键变量是教师的沟通行为(即清晰度,语言即得性和内容相关性),预测因素(即态度,社会规范,感知行为控制和意图),酒精使用,零食摄入和体育锻炼,以及学生对健康干预的评价进行了调查。结果表明,教师的清晰性导致了更健康的禁令规范和对酒精使用的更高的感知行为控制,并导致了更健康的态度、描述性规范和锻炼意图。没有发现零食摄入对教师清晰度的影响。此外,通过对干预的评估,教师的清晰性、言语即时性和内容相关性并没有间接导致健康行为的更健康的预测因子。研究结果支持教师明确对干预措施有效性的作用,并建议卫生干预措施的设计者将教师明确的作用纳入其教师培训计划,以实现更理想的健康行为变化。
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引用次数: 3
How Informed are the Swiss about Covid-19 and Prevention Measures? 瑞士人对Covid-19和预防措施的了解程度如何?
Pub Date : 2022-10-26 DOI: 10.47368/ejhc.2022.306
S. Kessler, Miriam S. Cano Pardo, Anna Jobin, F. Georgi
Since the coronavirus (SARS-CoV-2) pandemic began, large amounts of (mis)information have been disseminated worldwide. We conducted an online survey in Switzerland (N = 1,129) in April 2021 to ask respondents which information has received too little attention in public discourse, which measures help containing coronavirus infection and Covid-19, and about subjectively perceived Covid-19 misinformation. Content analysis of the open answers revealed that vaccination and its potential side effects, aspects related to political measures, psychological and social aspects, as well as science and research topics deserved more attention in the eyes of the respondents, mostly from politics or media. The most frequently mentioned effective measures were social distancing, wearing masks, general hygiene, and vaccination. Notably, the number of measures mentioned was related to the degree to which the pandemic affected individuals subjectively, trust in public institutions, and their individual level of science-related populism. Swiss residents with less trust in public institutions and who consume less news media on Covid-19 are more likely to believe misinformation on (in)effective measures against the virus. Most respondents encountered Covid-19 misinformation and could name examples, including sources. Education and information use affect the frequency of subjectively encountered misinformation. More highly educated people can name more misinformation instances encountered than less educated people.
自冠状病毒(SARS-CoV-2)大流行开始以来,大量(错误)信息在全球传播。我们于2021年4月在瑞士进行了一项在线调查(N = 1129),询问受访者哪些信息在公共话语中受到的关注太少,哪些措施有助于遏制冠状病毒感染和Covid-19,以及主观上认为的Covid-19错误信息。对公开答案的内容分析显示,疫苗接种及其潜在的副作用、与政治措施有关的方面、心理和社会方面以及科学和研究课题在受访者眼中更值得关注,主要来自政治或媒体。最常提到的有效措施是保持社交距离、戴口罩、一般卫生和接种疫苗。值得注意的是,提到的措施数量与疫情对个人的主观影响程度、对公共机构的信任程度以及个人与科学有关的民粹主义程度有关。对公共机构信任度较低、对新冠肺炎新闻媒体消费较少的瑞士居民,更有可能相信有关有效措施的错误信息。大多数受访者都遇到过关于Covid-19的错误信息,并能举出例子,包括来源。教育和信息使用影响主观上遇到错误信息的频率。受教育程度较高的人比受教育程度较低的人能说出更多遇到的错误信息。
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引用次数: 1
Framing Depression 框架抑郁
Pub Date : 2022-10-17 DOI: 10.47368/ejhc.2022.305
A. Wiedicke, D. Reifegerste, Linn Julia Temmann, S. Scherr
Responsibility framing research on health issues typically investigates the attribution of responsibility for causes and treatment options to either the individual or society. However, social epidemiological perspectives also stress the relevance of an individual’s social network and underline that the three levels of responsibility (individual, social network, and society) interact. Given that media portrayals can affect public perceptions, attitudes, responsibility attributions, and emotions, we examined causal and treatment responsibility attributions on these three levels in the media coverage of depression. Our quantitative content analysis of major German print and online news media from 2011 to 2020 (N = 755) shows that responsibility is not only assigned to the individual and societal level, but both to the social network and to interactions between the three levels. Our findings additionally stress that key events may influence the portrayal of responsibility in media coverage, but resulting changes are only short-term.
关于健康问题的责任框架研究通常调查原因和治疗选择的责任归属给个人或社会。然而,社会流行病学观点也强调个人社会网络的相关性,并强调三个层面的责任(个人、社会网络和社会)是相互作用的。鉴于媒体描述可以影响公众的认知、态度、责任归因和情绪,我们在媒体报道抑郁症的这三个层面上考察了因果责任归因和治疗责任归因。我们对2011年至2020年德国主要印刷和在线新闻媒体的定量内容分析(N = 755)表明,责任不仅分配给个人和社会层面,还分配给社会网络以及这三个层面之间的互动。我们的研究结果还强调,关键事件可能会影响媒体报道中对责任的描述,但由此产生的变化只是短期的。
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引用次数: 3
Digital Motherhood 数字母亲
Pub Date : 2022-09-27 DOI: 10.47368/ejhc.2022.304
Nariman Sawalha, V. Karnowski
Smartphone apps for self-tracking breastfeeding emerged as a popular tool among new mothers. Yet, we know little about how mothers use these apps and, most importantly, how self-tracking breastfeeding relates to maternal well-being. After surveying a sample of German mothers engaging with breastfeeding trackers (n = 234; recruited via an online access panel), we identified three types of self-tracking usage: (1) straightforward basic trackers, (2) meticulous data collectors, and (3) advisory-oriented self-trackers. These usage types differ regarding the data they register, the algorithmic feedback they retrieve, and their conversational levels about parameters tracked. Our findings suggest that overall maternal well-being – in terms of confidence, stress, and self-worth – remains largely unaffected by different self-tracking usage. However, when considering only the mothers’ confidence concerning breastfeeding, breastfeeding self-efficacy is lower among those most engaged in tracking and higher among those least engaged with it. Implications of these findings are discussed in terms of whether breastfeeding trackers enhance or undermine mothers’ confidence in their breastfeeding abilities relative to the intensity of their self-tracking use. Thus, future research may include longitudinal designs to validate these findings and derive effective app-supported smartphone interventions for breastfeeding mothers.
用于自我跟踪母乳喂养的智能手机应用程序成为新妈妈们的热门工具。然而,我们对母亲如何使用这些应用程序知之甚少,最重要的是,我们对自我跟踪母乳喂养与母亲健康的关系知之甚少。在调查了使用母乳喂养追踪器的德国母亲样本后(n = 234;通过在线访问面板招募),我们确定了三种类型的自我跟踪使用:(1)简单的基本跟踪器,(2)细致的数据收集器,(3)以咨询为导向的自我跟踪器。这些使用类型在它们注册的数据、它们检索的算法反馈以及它们关于所跟踪参数的会话级别方面有所不同。我们的研究结果表明,在信心、压力和自我价值方面,产妇的整体幸福感在很大程度上不受不同的自我跟踪使用方式的影响。然而,当只考虑母亲对母乳喂养的信心时,母乳喂养自我效能感在参与跟踪最多的母亲中较低,在参与跟踪最少的母亲中较高。这些发现的意义是讨论母乳喂养追踪器是否增强或破坏母亲对其母乳喂养能力的信心,相对于他们使用自我追踪的强度。因此,未来的研究可能包括纵向设计来验证这些发现,并为母乳喂养的母亲提供有效的应用支持的智能手机干预措施。
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引用次数: 5
Deprived, Radical, Alternatively Informed 被剥夺,激进,或者被告知
Pub Date : 2022-09-22 DOI: 10.47368/ejhc.2022.205
Marc Ziegele, Maike Resing, Katharina Frehmann, N. Jackob, Ilka Jakobs, Oliver Quiring, Christian Schemer, Tanjev Schultz, Christina Viehmann
The Covid-19 pandemic was accompanied by a massive increase of the supply and demand for pandemic-related information. Similarly, conspiracy theories about the origins and functions of the Covid-19 virus flourished during the early stages of the pandemic. The present study draws on a nationally representative sample of the German population aged 18+ (N = 1,207) to investigate factors that are associated with people’s susceptibility to believe in such theories. We draw on research from sociology, political science, and communication to predict that factors related to relative deprivation, political radicalism, and the consumption of alternative news on websites, video platforms, Social Network Sites, and messenger services are associated with an increased belief in Covid-19 conspiracy theories. The data largely supports our assumptions. Additionally, we show that the strength of belief in Covid-19 conspiracy theories is associated with reduced vaccination intentions, which suggests detrimental real-world health consequences of such a belief.
新冠肺炎大流行伴随着大流行相关信息的供需大幅增加。同样,关于Covid-19病毒起源和功能的阴谋论在大流行的早期阶段蓬勃发展。目前的研究采用了德国18岁以上人口的全国代表性样本(N = 1207)来调查与人们相信这些理论的易感性相关的因素。我们利用社会学、政治学和传播学的研究来预测,与相对剥夺、政治激进主义以及在网站、视频平台、社交网站和信使服务上消费另类新闻相关的因素与对Covid-19阴谋论的信任度增加有关。数据在很大程度上支持了我们的假设。此外,我们表明,对Covid-19阴谋论的信念强度与疫苗接种意图的减少有关,这表明这种信念对现实世界的健康有害。
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引用次数: 2
Debunking Misinformation and Communicating Critical Events in Vaccine Trials 揭穿疫苗试验中的错误信息并传达关键事件
Pub Date : 2022-09-22 DOI: 10.47368/ejhc.2022.204
Paula Memenga, S. Eitze, P. Shamsrizi, M. Addo, C. Betsch
Misinformation and media reports about critical events in vaccine trials challenge public confidence in Covid-19 vaccine safety. Three online experiments using 2×2 between-subjects designs examined the impact of vaccine type, misinformation debunking, and critical events during vaccine trials. In Experiment 1, N = 984 participants received information about different vaccines and misinformation was debunked. In Experiment 2, N = 1,018 participants were informed about different vaccines and trial discontinuation. In Experiment 3, N = 1,006 participants received information about discontinuation and questionable research practices of a manufacturer. The main dependent variables were confidence in vaccine safety, vaccination intention, and willingness to participate in a vaccine trial. Debunking increased vaccination intention and confidence (both η2p = .01) which was partly higher for classical than for new vaccines (η2p  = .01). Information about discontinuation had no effect, but having heard about it before had benefits. Information about questionable research practices decreased confidence ( η2p = .01) and vaccination intention ( η2p = .02) regarding the target vaccine but did not affect other vaccines. Confidence (β = .47) was most strongly associated with willingness to participate in vaccine trials. Critical events in vaccine trials should be communicated transparently to increase confidence, trial participation, and vaccination intentions.
关于疫苗试验关键事件的错误信息和媒体报道挑战了公众对Covid-19疫苗安全性的信心。三个使用2×2受试者间设计的在线实验检查了疫苗类型、错误信息的揭穿和疫苗试验期间的关键事件的影响。在实验1中,N = 984名参与者收到了关于不同疫苗的信息,并揭穿了错误信息。在实验2中,N = 1,018名参与者被告知不同的疫苗和试验中止。在实验3中,N = 1,006名参与者收到了关于制造商停产和可疑研究实践的信息。主要的因变量是对疫苗安全性的信心、接种意愿和参与疫苗试验的意愿。揭穿真相增加了疫苗接种意愿和信心(两者的η2p = 0.01),其中经典疫苗的接种意愿和信心部分高于新疫苗(η2p = 0.01)。关于停药的信息没有影响,但之前听说过会有好处。关于可疑研究实践的信息降低了对目标疫苗的信心(η2p = 0.01)和接种意图(η2p = 0.02),但对其他疫苗没有影响。信心(β = 0.47)与参与疫苗试验的意愿密切相关。疫苗试验中的关键事件应透明地进行沟通,以增加信心、试验参与和疫苗接种意愿。
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引用次数: 1
Mis- and Disinformation About Covid-19 关于Covid-19的错误和虚假信息
Pub Date : 2022-09-22 DOI: 10.47368/ejhc.2022.200
S. Kessler, Philipp Schmid
Misinformation and disinformation pose major challenges to effective health communication around the globe during the Covid-19 pandemic. In this special issue, we present research on mis- and disinformation about Covid-19 in the European context and describe challenges and potential solutions for health communication. More specifically, the special issue features articles that analyse (a) the prevalence of mis- and disinformation beliefs about Covid-19 and their impact on individuals, as well as the drivers of these beliefs and (b) the effectiveness of potential prebunking and debunking interventions to combat mis- and disinformation. The articles demonstrate the relevance of political attitudes and media use as significant predictors of belief in health misinformation and tested a variety of effective interventions– from pausing to think critically to detailed debunking. Together, the collection of articles serves to support the evidence-based efforts of international organisations, governments, social media technology companies, and major academic institutions to address the problem of health mis- and disinformation.
在2019冠状病毒病大流行期间,错误信息和虚假信息对全球有效的卫生沟通构成了重大挑战。在本期特刊中,我们介绍了在欧洲背景下关于Covid-19的错误和虚假信息的研究,并描述了卫生传播的挑战和潜在解决方案。更具体地说,本期特刊的文章分析了(a)关于Covid-19的错误和虚假信念的普遍存在及其对个人的影响,以及这些信念的驱动因素,以及(b)为打击错误和虚假信息而采取的潜在预掩藏和揭穿干预措施的有效性。这些文章表明,政治态度和媒体使用是人们相信健康错误信息的重要预测因素,并测试了各种有效的干预措施——从停下来进行批判性思考到详细揭穿。这些文章的收集有助于支持国际组织、各国政府、社交媒体技术公司和主要学术机构以证据为基础的努力,以解决卫生错误和虚假信息问题。
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引用次数: 1
期刊
European Journal of Health Communication
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