Health Psychology Review最新文献

Consistent hearing aid use protects against spoken language delays in 0-3-year-olds with hearing loss; however, use is at its lowest and most variable during this critical period for language development. The few intervention efforts to increase infant hearing aid use demonstrate limited effectiveness and lack a theoretically driven understanding of the factors influencing use, potentially inhibiting progress in increasing infant hearing aid use. We aimed to address this gap in understanding by conducting a systematic review and mixed methods synthesis of research reporting parent- and professional-reported barriers and facilitators to hearing aid use in 0-3-year-olds, using framework analysis guided by the Theoretical Domains Framework (TDF). Twenty-seven studies were included, which reported 203 unique barriers and 196 unique facilitators, representing all 14 TDF domains. The most prevalent domains identified were environmental context and resources, knowledge, skills, social influences, and emotion. The determinants of hearing aid use in children aged 0-3 years therefore appear to extend beyond the narrow subset targeted by current interventions (e.g., predominantly knowledge and skills). Interventions would benefit from: (i) targeting a wider range of determinants than existing interventions address; and (ii) applying a theoretically informed framework to guide intervention design.

Background: Introduction: Physical activity is essential in preventing and treating age-related chronic diseases and mortality. Retirement is a key period to promote health behaviours, as individuals restructure their routines. Thus, we aimed to identify effective components and behaviour change techniques (BCTs) in interventions promoting physical activity in retirement-age individuals. Methods: We conducted a meta-analysis. Included studies were randomised controlled trials that (p)targeted retirement-age adults (50-70 years), (i)applied BCTs, (c)had any comparator, and (o)promoted physical activity. Screening, full-text review, and data extraction were conducted independently by at least two reviewers. A multilevel random effects model with three effect sizes was fitted, and meta-regressions tested several moderators. Results: 67 studies (N = 12,147) were included. High risk of bias related to larger effects, so these studies were excluded from the main analyses. While individual effects were often non-significant, the overall pooled effect was small but statistically significant. Predictors varied across effect sizes and included action planning, motivational interviewing, and prompts/cues. Email and website delivery were associated with smaller effect sizes. Conclusions: The effectiveness of lifestyle interventions is heterogeneous and presented small effects; implementing action planning, motivational interviewing, and prompts could improve the effectiveness. However, many BCTs that are not frequently used remain unexplored.

This study evaluates the effect of digital psychological interventions on anxiety, depression, and stress symptoms in adults affected by the pandemic. A systematic search across five digital databases, from 1 January 2020 to 6 March 2024, identified 36 studies encompassing 8,662 participants. Compared with all control conditions, random-effects meta-analyses indicated that digital psychological interventions significantly reduced anxiety (g = -0.374; 95% CI, -0.529 to -0.218), depression (g = -0.568; 95% CI, -0.776 to -0.360), and stress (g = -0.452; 95% CI, -0.608 to -0.295). Smaller effect sizes were observed when compared with active controls than with inactive controls. Notable heterogeneity across three outcomes was observed. Publication bias was noted in depression symptoms. Several moderators were identified compared with inactive controls, including participant type for anxiety (p_subgroup = 0.005), and region for depression symptoms (p_subgroup = 0.000). Larger sample sizes (b = 0.0004; p = 0.028) related to stronger effects on depression symptoms. Publication year positively correlated with effects on stress (b = 0.1573; p = 0.032). This study supports the efficacy of digital psychological interventions in alleviating anxiety, depression, and stress symptoms for adults during the pandemic, offering insights for developing targeted mental health strategies in future public health crises.

It has been postulated, but not empirically validated, that breast implants may cause a range of systemic symptoms, recently aggregated into a syndrome termed Breast Implant Illness (BII). Research literature has focused on exploring these symptoms and possible aetiologies, however, it has not been formally recognised as a medical condition. The psychosocial experience of women who self-report BII is not well understood. This review aimed to synthesise findings from qualitative literature relating to BII. A systematic review and evidence synthesis of qualitative research was conducted and analysed using thematic synthesis. Searches were conducted in MEDLINE, CINHAL, Scopus, PsycINFO and secondary sources. Findings from nine studies were included, representing the experiences of women who had breast implants for reconstructive and cosmetic reasons. Four themes were identified: the decline in women's psychosocial wellbeing, the search for answers to their ill health, a lack of solicitude from healthcare professionals and industry, and surgery viewed as both the problem and solution. Women reported an array of distressing challenges that affected their overall quality of life. Findings highlight the need for psychosocial support and enhancing the integration of patient-entered perspectives. Further research is warranted to understand how these women can be better supported.

Identifying influences on engagement with blood pressure (BP) checks can assist with intervention design for hypertension detection. This systematic review searched four databases (Embase, Emcare, MEDLINE and Web of Science) for papers published from 2015 to 2023 (PROSPERO ID: CRD42023398002). Eligible studies reported influences on BP checks in community or primary care settings. Data were coded and mapped using the Action, Actor, Context, Target, Time framework and Behaviour Change Wheel. Analysis of 18 studies generated eight themes: (1) 'Difficult-to-use devices with no accessible information on how to use them' (2) 'Lack of awareness about hypertension and BP checks', (3) 'Stigma and disconnect with identity' (4) 'Beliefs about the value of BP checks', (5) 'Fear and uncertainty', (6) 'Lack of appropriate and comfortable local services' (7) 'Financial cost of engaging with BP check services' and (8) 'Social contacts or health professional recommended a check'. Knowledge, identity, emotions, social contacts and environmental factors are key behavioural influences on adults' engagement with BP checks. Potential intervention strategies include education on hypertension, addressing misconceptions about BP checks, increasing access to BP check services and harnessing the influence of social norms, social connections and trusted sources to improve engagement.

Patients undergoing hemodialysis experience a broad spectrum of symptoms that impact their physical, psychological, and social well-being. Traditional qualitative studies often focus on isolated aspects of patient experiences and offer limited insights into the interconnected nature of symptom management. This systematic review and meta-ethnography aims to synthesise qualitative studies and develop a comprehensive model that elucidates interrelations between patient experiences and symptom management practices in hemodialysis. Our analysis integrated findings from 30 qualitative studies using a meta-ethnographic approach. The results revealed critical psychological and social dynamics influencing symptom management. The model highlights how supportive factors, such as family involvement and effective healthcare interactions, enhance coping mechanisms, improving emotional resilience and treatment adherence. Conversely, it identifies significant barriers, including chronic self-regulatory burnout and systemic inefficiencies, that hinder symptom management and exacerbate psychological distress. By integrating diverse qualitative findings, this study proposes a shift towards patient-centred, culturally sensitive care strategies that prioritise psychological support. This shift aims to transform hemodialysis care by addressing the complex interplay of medical, psychological, and social factors. The developed framework not only facilitates deeper understanding of the psychological impacts of symptom management and offers a structured approach for future research and interventions in this domain[Q1].

This systematic review assesses the relationship between climate induced coastal hazards and psychological well-being of communities in the Asia-Pacific region. The review synthesises findings from 13 peer-reviewed articles published between 2007 and 2020, encompassing data from seven countries: Bangladesh, India, Indonesia, Philippines, Solomon Islands, Tuvalu, and Vietnam. Results reveals a robust negative association between exposure to coastal hazards and psychological outcomes, notably stress, depression, anxiety, and distress. Most of the studies (77%) corroborate negative impacts of coastal hazards on psychological health. Additionally, 69% of the reviewed articles suggest a correlation between coastal hazards and negative outcomes for community livelihoods and essential resources. The review highlights increased psychological vulnerability among marginalised subpopulations, such as economically disadvantaged communities, a trend supported by 92% of the examined articles. The findings indicates that factors such as environmental vulnerability, resource availability, community traits, and coping methods are important in determining whether a community can effectively handle coastal hazards or face increased psychological health risks. This research aligns with international health frameworks, including the World Health Organization's Health Emergency and Disaster Risk Management guidelines. However, a notable research gap emerges - the absence of studies that specifically explore psychological responses of communities to ongoing climate-related coastal hazards, such as sea-level rise. These findings emphasise an urgent need for targeted research to guide comprehensive, multidisciplinary policy interventions aimed at mitigating the psychological and socio-economic repercussions of climate-related coastal hazards.

Systemic Lupus Erythematosus (SLE) bears a heavy toll on individuals' psychological wellbeing and quality of life. Despite vital to the development of effective interventions, systematic and quantifiable knowledge on modifiable factors associated with adult SLE adjustment and disease/illness activity is currently lacking. This systematic review with meta-analysis aimed to bridge this gap, by examining the effects of modifiable psychological, social, and behavioural factors associated with SLE adjustment and disease/illness activity. Eight databases were searched for quantitative studies, using Boolean combinations of keywords on SLE adjustment, disease/illness activity and psychological, social, or behavioural correlates/predictors. Ninety studies were included in the narrative review, and fifty-four in the meta-analysis. The psychological factors more strongly associated with SLE adjustment and disease/illness activity were illness- and treatment-related illness- and treatment-related beliefs, self-perceptions, resilience-related factors, and perceived stress. Avoiding sedentary behaviour showed a consistent, albeit small association with better outcomes. Social factors were largely under investigated, but better perceived social support showed moderate associations with better outcomes. The meta-analysis findings, which should be considered with caution due to high risk of bias, uncovered several potentially fruitful avenues for future research and highlight potentially relevant targets for psychosocial and behavioural interventions to improve quality of life of individuals with SLE.

Climate change is an ongoing and escalating health emergency. It threatens the health and wellbeing of billions of people, through extreme weather events, displacement, food insecurity, pathogenic diseases, societal destabilisation, and armed conflict. Climate change dwarfs all other challenges studied by health psychologists. The greenhouse gas emissions driving climate change disproportionately originate from the actions of wealthy populations in the Global North and are tied to excessive energy use and overconsumption driven by the pursuit of economic growth. Addressing this crisis requires significant societal transformations and individual behaviour change. Most of these changes will benefit not only the stability of the climate but will yield significant public health co-benefits. Because of their unique expertise and skills, health psychologists are urgently needed in crafting climate change mitigation responses. We propose specific ways in which health psychologists at all career stages can contribute, within the spheres of research, teaching, and policy making, and within organisations and as private citizens. As health psychologists, we cannot sit back and leave climate change to climate scientists. Climate change is a health emergency that results from human behaviour; hence it is in our power and responsibility to address it.

Recently there have been calls in health psychology to re-examine the assumption that goals must be specific to be most effective, and to understand when and why nonspecific goals may produce comparable effects to specific goals. In particular, open goals have received increasing attention from both research and applied perspectives. However, there has not yet been a clear and robust definition of open goals, without which there is a risk of inaccurate or inconsistent research and implementation. Therefore, our primary aim was to develop a conceptual definition of open goals by examining necessary (i.e., essential) and sufficient (i.e., unique) attributes. The resulting definition identifies that open goals are nonspecific and phrased in an exploratory way, with measurable parameters, producing graded outcomes. A secondary aim was to critically review the initial evidence on open goals and highlight key priorities for future research. Five databases were searched, identifying 16 studies reporting empirical data on open goals, which were assessed using the mixed methods appraisal tool. A critical appraisal is provided, and priorities for future research are highlighted. In turn, this definition and review may help guide research and practice in the use of open goals as a strategy to promote health behaviours.