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A biobehavioural and social-structural model of inflammation and executive function in pediatric chronic health conditions. 儿科慢性疾病中炎症和执行功能的生物行为和社会结构模型。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-01 Epub Date: 2022-12-29 DOI: 10.1080/17437199.2022.2162430
Kathryn P King, Tori Humiston, Marissa A Gowey, Donna L Murdaugh, Gareth R Dutton, Amy Hughes Lansing

Evidence indicates that pediatric chronic health conditions (CHCs) often impair executive functioning (EF) and impaired EF undermines pediatric CHC management. This bidirectional relationship likely occurs due to biobehavioural and social-structural factors that serve to maintain this feedback loop. Specifically, biobehavioural research suggests that inflammation may sustain a feedback loop that links together increased CHC severity, challenges with EF, and lower engagement in health promoting behaviours. Experiencing social and environmental inequity also maintains pressure on this feedback loop as experiencing inequities is associated with greater inflammation, increased CHC severity, as well as challenges with EF and engagement in health promoting behaviours. Amidst this growing body of research, a model of biobehavioural and social-structural factors that centres inflammation and EF is warranted to better identify individual and structural targets to ameliorate the effects of CHCs on children, families, and society at large. This paper proposes this model, reviews relevant literature, and delineates actionable research and clinical implications.

摘要有证据表明,儿科慢性疾病(CHC)经常会损害执行功能(EF),而执行功能受损又会影响儿科慢性疾病的管理。这种双向关系很可能是由于生物行为和社会结构因素造成的,这些因素起到了维持这种反馈循环的作用。具体来说,生物行为学研究表明,炎症可能会维持一个反馈回路,将 CHC 严重程度的增加、EF 的挑战和健康促进行为的参与度降低联系在一起。社会和环境的不公平也会对这一反馈回路造成压力,因为不公平与炎症加剧、CHC 严重程度增加、EF 面临挑战以及参与促进健康的行为有关。在这些日益增多的研究中,有必要建立一个以炎症和EF为中心的生物行为和社会结构因素模型,以更好地确定个人和结构目标,从而减轻CHC对儿童、家庭和整个社会的影响。本文提出了这一模型,回顾了相关文献,并阐述了可操作的研究和临床意义。
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引用次数: 0
A systematic review of interventions targeting physical activity and/or healthy eating behaviours in adolescents: practice and training. 针对青少年体育活动和/或健康饮食行为的干预措施的系统回顾:实践与培训。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-01 Epub Date: 2023-02-10 DOI: 10.1080/17437199.2023.2173631
Hannah Allcott-Watson, Angel Chater, Nick Troop, Neil Howlett

Despite the many health benefits of physical activity (PA) and healthy eating (HE) most adolescents do not meet current guidelines which poses future health risks. This review aimed to (1) identify whether adolescent PA and HE interventions show promise at promoting behaviour change and maintenance, (2) identify which behaviour change techniques (BCTs) are associated with promising interventions, and (3) explore the optimal approaches to training deliverers of adolescent PA/HE interventions. Nine databases were searched for randomised controlled, or quasi-experimental, trials targeting 10-19 year olds, with a primary aim to increase PA/HE, measured at baseline and at least six months post-intervention, in addition to papers reporting training of deliverers of adolescent PA/HE interventions. Included were seven PA studies, three HE studies and four studies targeting both, with two training papers. For PA studies, two were promising post-intervention with two promising BCTs, and five were promising for maintenance with two promising BCTs. For HE studies, three were promising at post-intervention and four at maintenance, both with four promising BCTs. There is preliminary evidence that interventions support adolescents to improve their PA and HE behaviours over a period of at least six months.

尽管体育锻炼(PA)和健康饮食(HE)对健康有诸多益处,但大多数青少年并不符合当前的指导方针,这给未来的健康带来了风险。本综述旨在:(1)确定青少年体育锻炼和健康饮食干预是否有望促进行为改变和维持;(2)确定哪些行为改变技术(BCT)与有前景的干预相关;以及(3)探索培训青少年体育锻炼/健康饮食干预实施者的最佳方法。研究人员在九个数据库中检索了随机对照或准实验性试验,试验对象为 10-19 岁的青少年,主要目的是增加青少年的体育锻炼/健康教育,测量时间为基线和干预后至少六个月,此外还检索了报告青少年体育锻炼/健康教育干预措施实施者培训情况的论文。其中包括 7 项 PA 研究、3 项 HE 研究和 4 项针对两者的研究,以及 2 篇培训论文。在体育锻炼研究中,有两篇在干预后进行的研究很有前景,其中两篇采用了BCTs;有五篇在维持阶段进行的研究很有前景,其中两篇采用了BCTs。在健康教育研究中,有三项在干预后效果显著,四项在维持阶段效果显著,均采用了四种有前景的BCT。有初步证据表明,干预措施可帮助青少年在至少六个月的时间内改善其体育锻炼和体育锻炼行为。
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引用次数: 0
Coping style and mental health amid the first wave of the COVID-19 pandemic: a culture-moderated meta-analysis of 44 nations. COVID-19大流行第一波中的应对方式和心理健康:对44个国家的文化调节元分析。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-01 Epub Date: 2023-02-10 DOI: 10.1080/17437199.2023.2175015
Cecilia Cheng, Weijun Ying, Omid V Ebrahimi, Kin Fai Ellick Wong

In the first wave of the COVID-19 pandemic, the rapid transmission of a novel virus and the unprecedented disease-mitigation measures have elicited considerable stress in many countries worldwide. Coping with pandemic stress may be differentially related to psychological symptoms across countries characterised by distinct cultural values. This study aimed to: (a) synthesise the literature by investigating the associations between some major types of coping style and psychological symptoms, and (b) investigate the moderating effects of culture on these associations. We performed a three-level random-effects meta-analysis, which included 151 independent samples from 44 countries across eight world regions (n = 137,088, 66% women, Mage = 36.08). For both problem-focused and avoidant coping styles, their hypothesised associations with psychological symptoms were robust across the countries (anxiety: rs = -.11 and .31; depression: rs = -.19 and .33; ps < .0001). For both emotion-focused and social support seeking styles, their associations with psychological symptoms were moderated by two Hofstede's cultural dimensions: uncertainty avoidance (intolerance of ambiguity) and masculinity (concern for achievement and success). The hypothesised negative coping style-symptom associations were found only in the countries with lower levels of uncertainty avoidance or masculinity, but opposite patterns of findings were found in those with higher levels of either of these two cultural dimensions.

在 COVID-19 大流行的第一波中,新型病毒的快速传播和前所未有的疾病缓解措施给世界上许多国家带来了巨大压力。不同文化价值观的国家在应对大流行压力时可能会出现不同的心理症状。本研究旨在(a) 通过调查一些主要类型的应对方式与心理症状之间的关联来综合文献,以及 (b) 调查文化对这些关联的调节作用。我们进行了三级随机效应荟萃分析,其中包括来自世界八个地区 44 个国家的 151 个独立样本(n = 137,088, 66% 为女性,Mage = 36.08)。对于以问题为中心的应对方式和回避型应对方式,其与心理症状之间的假设关联在不同国家都是稳健的(焦虑:rs = -.11 和 .31;抑郁:rs = -.19 和 .33;Ps=-......)。
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引用次数: 0
Self-help interventions for persistent physical symptoms: a systematic review of behaviour change components and their potential effects. 针对顽固性身体症状的自助干预:对行为改变内容及其潜在效果的系统回顾。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-01 Epub Date: 2023-01-24 DOI: 10.1080/17437199.2022.2163917
Mette Trøllund Rask, Lisbeth Frostholm, Sofie Høeg Hansen, Marie Weinreich Petersen, Eva Ørnbøl, Marianne Rosendal

Persistent physical symptoms (PPS) remain a challenge in the healthcare system due to time-constrained consultations, uncertainty and limited specialised care capacity. Self-help interventions may be a cost-effective way to widen the access to treatment. As a foundation for future interventions, we aimed to describe intervention components and their potential effects in self-help interventions for PPS. A systematic literature search was made in PubMed, EMBASE, PsycINFO and CENTRAL. Fifty-one randomised controlled trials were included. Interventions were coded for effect on outcomes (standardised mean difference ≥0.2) related to symptom burden, anxiety, depression, quality of life, healthcare utilisation and sickness absence. The Behaviour Change Technique (BCT) Taxonomy v1 was used to code intervention components. An index of potential was calculated for each BCT within an outcome category. Each BCT was assessed as 'potentially effective' or 'not effective' based on a two-sided test for binomial random variables. Sixteen BCTs showed potential effect as treatment components. These BCTs represented the themes: goals and planning, feedback and monitoring, shaping knowledge, natural consequences, comparison of behaviour, associations, repetition and substitution, regulation, antecedents and identity. The results suggest that specific BCTs should be included in new PPS self-help interventions aiming to improve the patients' physical and mental health.

由于就诊时间紧张、不确定性和专业护理能力有限,持续性躯体症状(PPS)仍然是医疗系统面临的一项挑战。自助干预可能是扩大治疗范围的一种具有成本效益的方法。作为未来干预措施的基础,我们旨在描述 PPS 自助干预措施的干预要素及其潜在效果。我们在 PubMed、EMBASE、PsycINFO 和 CENTRAL 中进行了系统的文献检索。共纳入了 51 项随机对照试验。对干预措施对症状负担、焦虑、抑郁、生活质量、医疗保健利用率和病假相关结果的影响(标准化平均差≥0.2)进行了编码。使用行为改变技术(BCT)分类标准 v1 对干预内容进行编码。在一个结果类别中,为每个 BCT 计算出一个潜力指数。根据二项随机变量的双侧检验,每个 BCT 都被评估为 "潜在有效 "或 "无效"。有 16 个 BCT 作为治疗组成部分显示出潜在效果。这些 BCT 代表了以下主题:目标和计划、反馈和监控、塑造知识、自然后果、行为比较、联想、重复和替代、调节、前因和认同。研究结果表明,在旨在改善患者身心健康的新的 PPS 自助干预中应包含特定的 BCT。
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引用次数: 0
Mapping interventional components and behavior change techniques used to promote self-management in people with multimorbidity: a scoping review. 绘制用于促进多病人群自我管理的干预内容和行为改变技术:范围界定综述。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-01 Epub Date: 2023-03-02 DOI: 10.1080/17437199.2023.2182813
Madalina Jäger, Graziella Zangger, Alessio Bricca, Mette Dideriksen, Susan M Smith, Julie Midtgaard, Rod S Taylor, Søren T Skou

Ageing populations and improved survival, have contributed to a rise in the number of people living with multimorbidity, raising issues related to polypharmacy, treatment burden, competing priorities and poor coordination of care. Self-management programs are increasingly included as an essential component of interventions to improve outcomes in this population. However, an overview of how interventions supporting self-management in patients with multimorbidity is missing. This scoping review focused on mapping the literature on patient-centered interventions for people living with multimorbidity. We searched several databases, clinical registries, and grey literature for RCTs published between 1990-2019 describing interventions that supported self-management in people with multimorbidity. We included 72 studies that were found to be very heterogeneous when it comes to the population, delivery modes and modalities, intervention elements and facilitators. The results pointed to an extensive use of cognitive behavioral therapy as a basis for interventions, as well as behavior change theories and disease management frameworks. The most coded behavior change techniques stemmed from the categories Social Support, Feedback and monitoring and Goals and Planning. To allow for implementation of effective interventions in clinical practice, improved reporting of intervention mechanisms in RCTs is warranted.

人口老龄化和生存率的提高导致了多病人群数量的增加,引发了与多药治疗、治疗负担、优先事项竞争和护理协调不力有关的问题。自我管理计划作为干预措施的重要组成部分,越来越多地被纳入到改善这一人群治疗效果的计划中。然而,目前尚缺乏对支持多病症患者自我管理的干预措施的概述。本次范围界定综述的重点是对针对多病患者的以患者为中心的干预措施的文献进行梳理。我们在多个数据库、临床登记处和灰色文献中检索了 1990-2019 年间发表的描述支持多病患者自我管理的干预措施的 RCT。我们共纳入了 72 项研究,发现这些研究在研究人群、实施模式和方式、干预要素和促进因素方面存在很大差异。研究结果表明,认知行为疗法以及行为改变理论和疾病管理框架被广泛用作干预措施的基础。编码最多的行为改变技术来自社会支持、反馈和监测以及目标和规划类别。为了在临床实践中实施有效的干预措施,有必要改进 RCT 中干预机制的报告。
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引用次数: 0
Post-traumatic stress symptoms, post-traumatic stress disorder, and post-traumatic growth among cancer survivors: a systematic scoping review of interventions. 癌症幸存者的创伤后应激症状、创伤后应激障碍和创伤后成长:干预措施的系统性范围界定综述。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-01 Epub Date: 2023-01-12 DOI: 10.1080/17437199.2022.2162947
Jessica M Capaldi, Julia Shabanian, Laurel B Finster, Arash Asher, Jeffrey C Wertheimer, Bradley J Zebrack, Celina H Shirazipour

The detrimental effects of Post-Traumatic Stress Symptoms (PTSS) and Post-Traumatic Stress Disorder (PTSD) and the benefits of Post-Traumatic Growth (PTG) are well established for cancer survivors. Increased cancer survival rates necessitate an understanding of how these two paradoxical outcomes, PTSS/PTSD and PTG, are targeted through interventions. This systematic scoping review aims to (a) examine existing evidence on interventions targeting PTSS/PTSD and/or PTG among cancer survivors and (b) identify knowledge gaps to inform future research. Following the six steps of a scoping review, 76 articles met the inclusion criteria. Quantitative articles were examined using descriptive analysis. Frequency counts of the collated data were tabulated into summary tables. Qualitative articles were reviewed using meta-synthesis. Most articles were quantitative (n = 52) and targeted PTG (n = 68) through promising intervention approaches such as psychotherapy, mindfulness, physical activity, and psilocybin-assisted therapy. Three key implications for future research and practice were synthesized: (1) mechanistic considerations for intervention design that provide a roadmap for rigorous and theoretically-grounded research; (2) the need for improved representation of cancer survivors in trials; and (3) potential facilitators of intervention efficacy. Together, these findings can direct future research to optimize interventions to reduce PTSS/PTSD and promote PTG achievement among cancer survivors.

摘要对于癌症幸存者来说,创伤后应激症状(PTSS)和创伤后应激障碍(PTSD)的有害影响和创伤后成长(PTG)的益处已得到公认。随着癌症存活率的提高,有必要了解如何通过干预措施来解决 PTSS/PTSD 和 PTG 这两个矛盾的结果。本系统性范围界定综述旨在:(a) 研究针对癌症幸存者中 PTSS/PTSD 和/或 PTG 的干预措施的现有证据;(b) 找出知识差距,为未来研究提供参考。按照范围界定综述的六个步骤,共有 76 篇文章符合纳入标准。采用描述性分析方法对定量文章进行了研究。整理数据的频率计数被制成汇总表。定性文章采用元综合法进行审查。大多数文章都是定量文章(n = 52),并通过心理疗法、正念、体育锻炼和迷幻药辅助疗法等有前景的干预方法针对 PTG(n = 68)。综述了对未来研究和实践的三大影响:(1)干预设计的机理考虑,为严谨和有理论基础的研究提供了路线图;(2)需要提高癌症幸存者在试验中的代表性;以及(3)干预效果的潜在促进因素。这些发现可以指导未来的研究,优化干预措施,减少癌症幸存者的 PTSS/PTSD 并促进 PTG 的实现。
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引用次数: 0
Behaviour change techniques and intervention characteristics in digital cardiac rehabilitation: a systematic review and meta-analysis of randomised controlled trials. 数字心脏康复中的行为改变技术和干预特点:随机对照试验的系统回顾和荟萃分析。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-01 Epub Date: 2023-03-09 DOI: 10.1080/17437199.2023.2185653
Eanna Kenny, Rory Coyne, John W McEvoy, Jenny McSharry, Rod S Taylor, Molly Byrne

Evidence suggests that digitally delivered cardiac rehabilitation (CR) is likely to be an effective alternative to centre-based CR. However, there is limited understanding of the behaviour change techniques (BCTs) and intervention characteristics included in digital CR programmes. This systematic review aimed to identify the BCTs and intervention characteristics that have been used in digital CR programmes, and to study those associated with effective programmes. Twenty-five randomised controlled trials were included in the review. Digital CR was associated with significant improvements in daily steps, light physical activity, medication adherence, functional capacity, and low-density lipoprotein-cholesterol when compared to usual care, and produced effects on these outcomes comparable to centre-based CR. The evidence for improved quality of life was mixed. Interventions that were effective at improving behavioural outcomes frequently employed BCTs relating to feedback and monitoring, goals and planning, natural consequences, and social support. Completeness of reporting on the TIDieR checklist across studies ranged from 42% to 92%, with intervention material descriptions being the most poorly reported item. Digital CR appears effective at improving outcomes for patients with cardiovascular disease. The integration of certain BCTs and intervention characteristics may lead to more effective interventions, however better intervention reporting is required.

摘要有证据表明,数字化心脏康复(CR)可能是中心心脏康复的有效替代方案。然而,人们对数字心脏康复项目中的行为改变技术(BCT)和干预特点的了解还很有限。本系统性综述旨在确定数字心脏康复计划中使用的行为改变技术和干预特点,并研究与有效计划相关的技术和特点。研究共纳入了 25 项随机对照试验。与常规护理相比,数字化 CR 在每日步数、轻体力活动、服药依从性、机能能力和低密度脂蛋白胆固醇方面均有显著改善,其效果与中心 CR 相当。关于改善生活质量的证据不一。对改善行为结果有效的干预措施经常采用与反馈和监测、目标和规划、自然后果和社会支持有关的 BCT。各项研究对 TIDieR 检查表的报告完整度从 42% 到 92% 不等,其中干预材料描述是报告最不完整的项目。数字 CR 似乎能有效改善心血管疾病患者的预后。某些BCT和干预特征的整合可能会带来更有效的干预,但还需要更好的干预报告。
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引用次数: 0
Health psychology and climate change: time to address humanity's most existential crisis. 健康心理学与气候变化:是时候应对人类最严重的生存危机了。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-02-06 DOI: 10.1080/17437199.2024.2309242
Esther K Papies, Kristian Steensen Nielsen, Vera Araújo Soares

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.

气候变化是一个持续且不断升级的健康紧急事件。它通过极端天气事件、流离失所、粮食不安全、病原体疾病、社会不稳定和武装冲突,威胁着数十亿人的健康和福祉。气候变化使健康心理学家研究的所有其他挑战相形见绌。导致气候变化的温室气体排放主要源自全球北方富裕人口的行为,与过度使用能源和追求经济增长导致的过度消费有关。解决这一危机需要重大的社会变革和个人行为改变。这些变革中的大多数不仅有利于气候的稳定,还将带来显著的公共健康共同利益。由于健康心理学家拥有独特的专业知识和技能,因此在制定气候变化减缓对策时迫切需要他们。我们提出了各个职业阶段的健康心理学家可以在研究、教学、政策制定、组织内部以及作为普通公民做出贡献的具体方法。作为健康心理学家,我们不能袖手旁观,将气候变化问题留给气候科学家去解决。气候变化是人类行为导致的健康紧急状况;因此,我们有能力也有责任解决这一问题。
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引用次数: 0
Consistency between definitions and measurement of mindfulness in eating and physical activity behavior: a scoping review 饮食和体育锻炼行为中正念的定义和测量方法的一致性:范围综述
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-02-02 DOI: 10.1080/17437199.2024.2310115
Christian Erik Preissner, Lieke Vilier, Hein de Vries, Anke Oenema
Mindfulness (i.e., relating to one’s internal and external awareness with non-evaluative attitudes) is increasingly applied as a determinant and strategy to change dietary and physical activity beh...
正念(即以不评价的态度对待自己的内在和外在意识)越来越多地被用作改变饮食和体育活动行为的决定因素和策略......
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引用次数: 0
Is thematic analysis used well in health psychology? A critical review of published research, with recommendations for quality practice and reporting. 主题分析在健康心理学中运用得好吗?对已发表的研究进行批判性审查,并对质量实践和报告提出建议。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-01 Epub Date: 2023-01-19 DOI: 10.1080/17437199.2022.2161594
Virginia Braun, Victoria Clarke

Despite the persistent dominance of a 'scientific psychology' paradigm in health psychology, the use of qualitative research continues to grow. Qualitative approaches are often based on fundamentally different values from (post)positivistempiricism, raising important considerations for quality, and whether qualitative work adheres to, and is judged by, appropriate publication standards. Thematic analysis (TA) has become a particularly popular method in qualitative health psychology, but poor practice is widespread. To support high quality, methodologically coherent TA practice and reporting, we critically reviewed 100 systematically selected papers reporting TA, published in five prominent health psychology journals. Our review assessed reported practice, and considered this in relation to methodological and quality recommendations. We identified 10 common areas of problematic practice in the reviewed papers, the majority citing reflexive TA. Considering the role of three 'arbiters of quality' in a peer review publication system - authors, reviewers, and editors - we developed 20 recommendations for authors, to support them in conducting and reporting high quality TA research, with associated questions for reviewers and editors to consider when evaluating TA manuscripts for publication. We end with considerations for facilitating better qualitative research, and enriching the understandings and knowledge base from which health psychology is practiced.

尽管“科学心理学”范式在健康心理学中一直占据主导地位,但定性研究的使用仍在继续增长。定性方法通常基于与(后)实证经验主义根本不同的价值观,提出了对质量的重要考虑,以及定性工作是否坚持适当的出版标准,并由适当的出版标准来判断。主题分析(TA)已成为定性健康心理学中特别流行的一种方法,但普遍存在不良实践。为了支持高质量的、方法上连贯的TA实践和报告,我们严格审查了100篇系统选择的报告TA的论文,这些论文发表在五个著名的健康心理学期刊上。我们的综述评估了报告的实践,并考虑了方法和质量建议。我们在审查的论文中确定了10个常见的问题实践领域,大多数引用了反思性助教。考虑到同行评议出版系统中三个“质量仲裁者”——作者、审稿人和编辑——的作用,我们为作者提出了20条建议,以支持他们进行和报告高质量的技术助理研究,并为审稿人和编辑在评估发表技术助理手稿时考虑相关问题。我们以促进更好的定性研究和丰富健康心理学实践的理解和知识基础的考虑结束。
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引用次数: 0
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Health Psychology Review
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