Pub Date : 2023-12-01Epub Date: 2023-01-19DOI: 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.
{"title":"Is thematic analysis used well in health psychology? A critical review of published research, with recommendations for quality practice and reporting.","authors":"Virginia Braun, Victoria Clarke","doi":"10.1080/17437199.2022.2161594","DOIUrl":"10.1080/17437199.2022.2161594","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":null,"pages":null},"PeriodicalIF":6.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9176459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01Epub Date: 2022-10-11DOI: 10.1080/17437199.2022.2132980
Frederick H F Chan, Zack Z S Goh, Xiaoli Zhu, Lorainne Tudor Car, Stanton Newman, Behram A Khan, Konstadina Griva
Cognitive impairment is common in patients with end-stage renal disease (ESRD) and is associated with compromised quality of life and functional capacity, as well as worse clinical outcomes. Most previous research and reviews in this area were focused on objective cognitive impairment, whereas patients' subjective cognitive complaints (SCCs) have been less well-understood. This systematic review aimed to provide a broad overview of what is known about SCCs in adult ESRD patients. Electronic databases were searched from inception to January 2022, which identified 221 relevant studies. SCCs appear to be highly prevalent in dialysis patients and less so in those who received kidney transplantation. A random-effects meta-analysis also shows that haemodialysis patients reported significantly more SCCs than peritoneal dialysis patients (standardised mean difference -0.20, 95% confidence interval -0.38 to -0.03). Synthesis of longitudinal studies suggests that SCCs remain stable on maintenance dialysis treatment but may reduce upon receipt of kidney transplant. Furthermore, SCCs in ESRD patients have been consistently associated with hospitalisation, depression, anxiety, fatigue, and poorer quality of life. There is limited data supporting a strong relation between objective and subjective cognition but preliminary evidence suggests that this association may be domain-specific. Methodological limitations and future research directions are discussed.
{"title":"Subjective cognitive complaints in end-stage renal disease: a systematic review and meta-analysis.","authors":"Frederick H F Chan, Zack Z S Goh, Xiaoli Zhu, Lorainne Tudor Car, Stanton Newman, Behram A Khan, Konstadina Griva","doi":"10.1080/17437199.2022.2132980","DOIUrl":"10.1080/17437199.2022.2132980","url":null,"abstract":"<p><p>Cognitive impairment is common in patients with end-stage renal disease (ESRD) and is associated with compromised quality of life and functional capacity, as well as worse clinical outcomes. Most previous research and reviews in this area were focused on objective cognitive impairment, whereas patients' subjective cognitive complaints (SCCs) have been less well-understood. This systematic review aimed to provide a broad overview of what is known about SCCs in adult ESRD patients. Electronic databases were searched from inception to January 2022, which identified 221 relevant studies. SCCs appear to be highly prevalent in dialysis patients and less so in those who received kidney transplantation. A random-effects meta-analysis also shows that haemodialysis patients reported significantly more SCCs than peritoneal dialysis patients (standardised mean difference -0.20, 95% confidence interval -0.38 to -0.03). Synthesis of longitudinal studies suggests that SCCs remain stable on maintenance dialysis treatment but may reduce upon receipt of kidney transplant. Furthermore, SCCs in ESRD patients have been consistently associated with hospitalisation, depression, anxiety, fatigue, and poorer quality of life. There is limited data supporting a strong relation between objective and subjective cognition but preliminary evidence suggests that this association may be domain-specific. Methodological limitations and future research directions are discussed.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":null,"pages":null},"PeriodicalIF":6.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33489785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01Epub Date: 2022-11-11DOI: 10.1080/17437199.2022.2143851
Pam Ten Broeke, Benjamin Gardner, Debby G J Beckers, Sabine A E Geurts, Erik Bijleveld
To improve health and wellbeing, it is crucial that people regularly interrupt their sitting. In this paper, we propose a framework for examining and changing sitting behavior that addresses two key steps in the process towards developing effective interventions. First, we suggest that research should move away from its current focus on sitting time, which is an outcome of behavior. Rather, researchers should focus on stand-to-sit and sit-to-stand transitions, which are discrete units of behavior. Second, drawing on goal hierarchy models, we suggest that people rarely engage in stand-to-sit and sit-to-stand transitions for the purpose of being in a sitting or standing position; rather, we suggest that these transitions are means to higher-order goals (e.g., to complete work tasks, to watch television, to eat dinner). To improve adherence to and effectiveness of sitting behavior interventions, intervention designers should aim to increase the frequency of sit-to-stand (and stand-to-sit) transitions. To achieve this aim, intervention designers should capitalize on the higher-order goals that are typically served by these transitions. We suggest four concrete intervention strategies to increase sit-to-stand transitions in congruence with people's everyday goals. We also describe the implications of our framework for theory and methods in sitting behavior research.
{"title":"Why do people sit? A framework for targeted behavior change.","authors":"Pam Ten Broeke, Benjamin Gardner, Debby G J Beckers, Sabine A E Geurts, Erik Bijleveld","doi":"10.1080/17437199.2022.2143851","DOIUrl":"10.1080/17437199.2022.2143851","url":null,"abstract":"<p><p>To improve health and wellbeing, it is crucial that people regularly interrupt their sitting. In this paper, we propose a framework for examining and changing sitting behavior that addresses two key steps in the process towards developing effective interventions. First, we suggest that research should move away from its current focus on sitting time, which is an outcome of behavior. Rather, researchers should focus on stand-to-sit and sit-to-stand transitions, which are discrete units of behavior. Second, drawing on goal hierarchy models, we suggest that people rarely engage in stand-to-sit and sit-to-stand transitions for the purpose of being in a sitting or standing position; rather, we suggest that these transitions are means to higher-order goals (e.g., to complete work tasks, to watch television, to eat dinner). To improve adherence to and effectiveness of sitting behavior interventions, intervention designers should aim to increase the frequency of sit-to-stand (and stand-to-sit) transitions. To achieve this aim, intervention designers should capitalize on the higher-order goals that are typically served by these transitions. We suggest four concrete intervention strategies to increase sit-to-stand transitions in congruence with people's everyday goals. We also describe the implications of our framework for theory and methods in sitting behavior research.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":null,"pages":null},"PeriodicalIF":6.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40686646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01Epub Date: 2022-11-30DOI: 10.1080/17437199.2022.2150673
Cédrick T Bonnet, Boris Cheval
During their activities of daily living, humans run, walk, stand, sit and lie down. Recent changes in our environment have favored sedentary behavior over more physically active behavior to such a degree that our health is in danger. Here, we sought to address the problem of excessive time spent seated from various theoretical viewpoints, including postural control, human factors engineering, human history and health psychology. If nothing is done now, the high prevalence of sitting will continue to increase. We make a case for the standing position by demonstrating that spending more time upright can mitigate the physiological and psychological problems associated with excessive sitting without lowering task performance and productivity. The psychological literature even highlights potential benefits of performing certain tasks in the standing position. We propose a number of recommendations on spending more time (but not too much) in the standing position and on more active, nonambulatory behaviors. There is a need to inform people about (i) harmful consequences of excessive sitting and (ii) benefits of spending more time performing active, nonambulatory behaviors. One clear benefit is to reduce detrimental health consequences of excessive sitting and to provide potential additional benefits in terms of productivity and performance.
{"title":"Sitting vs. standing: an urgent need to rebalance our world.","authors":"Cédrick T Bonnet, Boris Cheval","doi":"10.1080/17437199.2022.2150673","DOIUrl":"10.1080/17437199.2022.2150673","url":null,"abstract":"<p><p>During their activities of daily living, humans run, walk, stand, sit and lie down. Recent changes in our environment have favored sedentary behavior over more physically active behavior to such a degree that our health is in danger. Here, we sought to address the problem of excessive time spent seated from various theoretical viewpoints, including postural control, human factors engineering, human history and health psychology. If nothing is done now, the high prevalence of sitting will continue to increase. We make a case for the standing position by demonstrating that spending more time upright can mitigate the physiological and psychological problems associated with excessive sitting without lowering task performance and productivity. The psychological literature even highlights potential benefits of performing certain tasks in the standing position. We propose a number of recommendations on spending more time (but not too much) in the standing position and on more active, nonambulatory behaviors. There is a need to inform people about (i) harmful consequences of excessive sitting and (ii) benefits of spending more time performing active, nonambulatory behaviors. One clear benefit is to reduce detrimental health consequences of excessive sitting and to provide potential additional benefits in terms of productivity and performance.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":null,"pages":null},"PeriodicalIF":6.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40701310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01Epub Date: 2022-10-06DOI: 10.1080/17437199.2022.2125038
Michael P Berry, Christina Chwyl, Abigail L Metzler, Jasmine H Sun, Hannah Dart, Evan M Forman
Automated digital interventions for weight loss represent a highly scalable and potentially cost-effective approach to treat obesity. However, current understanding of the active components of automated digital interventions is limited, hindering efforts to improve efficacy. Thus, the current systematic review and meta-analysis (preregistration: PROSPERO 2021-CRD42021238878) examined relationships between utilisation of behaviour change techniques (BCTs) and the efficacy of automated digital interventions for producing weight loss. Electronic database searches (December 2020 to March 2021) were used to identify trials of automated digital interventions reporting weight loss as an outcome. BCT clusters were coded using Michie's 93-item BCT taxonomy. Mixed-effects meta-regression was used to examine moderating effects of BCT clusters and techniques on both within-group and between-group measures of weight change. One hundred and eight conditions across sixty-six trials met inclusion criteria (13,672 participants). Random-effects meta-analysis revealed a small mean post-intervention weight loss of -1.37 kg (95% CI, -1.75 to -1.00) relative to control groups. Interventions utilised a median of five BCT clusters, with goal-setting, feedback and providing instruction on behaviour being most common. Use of Reward and Threat techniques, and specifically social incentive/reward BCTs, was associated with a higher between-group difference in efficacy, although results were not robust to sensitivity analyses.
{"title":"Associations between behaviour change technique clusters and weight loss outcomes of automated digital interventions: a systematic review and meta-regression.","authors":"Michael P Berry, Christina Chwyl, Abigail L Metzler, Jasmine H Sun, Hannah Dart, Evan M Forman","doi":"10.1080/17437199.2022.2125038","DOIUrl":"10.1080/17437199.2022.2125038","url":null,"abstract":"<p><p>Automated digital interventions for weight loss represent a highly scalable and potentially cost-effective approach to treat obesity. However, current understanding of the active components of automated digital interventions is limited, hindering efforts to improve efficacy. Thus, the current systematic review and meta-analysis (preregistration: PROSPERO 2021-CRD42021238878) examined relationships between utilisation of behaviour change techniques (BCTs) and the efficacy of automated digital interventions for producing weight loss. Electronic database searches (December 2020 to March 2021) were used to identify trials of automated digital interventions reporting weight loss as an outcome. BCT clusters were coded using Michie's 93-item BCT taxonomy. Mixed-effects meta-regression was used to examine moderating effects of BCT clusters and techniques on both within-group and between-group measures of weight change. One hundred and eight conditions across sixty-six trials met inclusion criteria (13,672 participants). Random-effects meta-analysis revealed a small mean post-intervention weight loss of -1.37 kg (95% CI, -1.75 to -1.00) relative to control groups. Interventions utilised a median of five BCT clusters, with goal-setting, feedback and providing instruction on behaviour being most common. Use of Reward and Threat techniques, and specifically social incentive/reward BCTs, was associated with a higher between-group difference in efficacy, although results were not robust to sensitivity analyses.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":null,"pages":null},"PeriodicalIF":6.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40356513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01Epub Date: 2022-12-13DOI: 10.1080/17437199.2022.2146598
Matti T J Heino, Daniele Proverbio, Gwen Marchand, Kenneth Resnicow, Nelli Hankonen
Models and theories in behaviour change science are not in short supply, but they almost exclusively pertain to a particular facet of behaviour, such as automaticity or reasoned action, or to a single scale of observation such as individuals or communities. We present a highly generalisable conceptual model which is widely used in complex systems research from biology to physics, in an accessible form to behavioural scientists. The proposed model of attractor landscapes can be used to understand human behaviour change on different levels, from individuals to dyads, groups and societies. We use the model as a tool to present neglected ideas in contemporary behaviour change science, such as hysteresis and nonlinearity. The model of attractor landscapes can deepen understanding of well-known features of behaviour change (research), including short-livedness of intervention effects, problematicity of focusing on behavioural initiation while neglecting behavioural maintenance, continuum and stage models of behaviour change understood within a single accommodating framework, and the concept of resilience. We also demonstrate potential methods of analysis and outline avenues for future research.
{"title":"Attractor landscapes: a unifying conceptual model for understanding behaviour change across scales of observation.","authors":"Matti T J Heino, Daniele Proverbio, Gwen Marchand, Kenneth Resnicow, Nelli Hankonen","doi":"10.1080/17437199.2022.2146598","DOIUrl":"10.1080/17437199.2022.2146598","url":null,"abstract":"<p><p>Models and theories in behaviour change science are not in short supply, but they almost exclusively pertain to a particular facet of behaviour, such as automaticity or reasoned action, or to a single scale of observation such as individuals or communities. We present a highly generalisable conceptual model which is widely used in complex systems research from biology to physics, in an accessible form to behavioural scientists. The proposed model of attractor landscapes can be used to understand human behaviour change on different levels, from individuals to dyads, groups and societies. We use the model as a tool to present neglected ideas in contemporary behaviour change science, such as hysteresis and nonlinearity. The model of attractor landscapes can deepen understanding of well-known features of behaviour change (research), including short-livedness of intervention effects, problematicity of focusing on behavioural initiation while neglecting behavioural maintenance, continuum and stage models of behaviour change understood within a single accommodating framework, and the concept of resilience. We also demonstrate potential methods of analysis and outline avenues for future research.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":null,"pages":null},"PeriodicalIF":6.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10261543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9634442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1080/17437199.2022.2098163
Amanda L Rebar, Ryan E Rhodes, Bas Verplanken
The Japanese term Mendokusai ( めんどくさい ) is used to describe situations where you just can ’ t be bothered. For example, it ’ s perfect for if you want to get a snack, but you are so comfy in your pajamas, lying on the couch, with your pet on your lap, and this episode of the series you ’ re binging is soooo good, and you should pause it but the remote is like all the way on the other side of the couch … so forget the snack – Mendokusai . Sometimes, even basic tasks can feel really complex.
{"title":"Habits and behavioral complexity - dynamic and distinct constructs.","authors":"Amanda L Rebar, Ryan E Rhodes, Bas Verplanken","doi":"10.1080/17437199.2022.2098163","DOIUrl":"https://doi.org/10.1080/17437199.2022.2098163","url":null,"abstract":"The Japanese term Mendokusai ( めんどくさい ) is used to describe situations where you just can ’ t be bothered. For example, it ’ s perfect for if you want to get a snack, but you are so comfy in your pajamas, lying on the couch, with your pet on your lap, and this episode of the series you ’ re binging is soooo good, and you should pause it but the remote is like all the way on the other side of the couch … so forget the snack – Mendokusai . Sometimes, even basic tasks can feel really complex.","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":null,"pages":null},"PeriodicalIF":9.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9967976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Embracing the Bayesian approach, we aimed to synthesise evidence regarding barriers and enablers to physical activity in adults with heart failure (HF) to inform behaviour change intervention. This approach helps estimate and quantify the uncertainty in the evidence and facilitates the synthesis of qualitative and quantitative studies. Qualitative evidence was annotated using the Theoretical Domains Framework and represented as a prior distribution using an expert elicitation task. The maximum a posteriori probability (MAP) for the probability distribution for the log OR was used to estimate the relationship between physical activity and each determinant according to qualitative, quantitative, and qualitative and quantitative evidence combined. The probability distribution dispersion (SD) was used to evaluate uncertainty in the evidence. Three qualitative and 16 quantitative studies were included (N = 2739). High pro-b-type natriuretic peptide (MAP = -1.16; 95%CrI: [-1.21; -1.11]) and self-reported symptoms (MAP = - 0.48; 95%CrI: [ -0.40; -0.55]) were suggested as barriers to physical activity with low uncertainty (SD = 0.18 and 0.19, respectively). Modifiable barriers were symptom distress (MAP = -0.46; 95%CrI: [-0.68; -0.24], SD = 0.36), and negative attitude (MAP = -0.40; 95%CrI: [-0.49; -0.31], SD = 0.26). Modifiable enablers were social support (MAP = 0.56; 95%CrI: [0.48; 0.63], SD = 0.26), self-efficacy (MAP = 0.43; 95%CrI: [0.32; 0.54], SD = 0.37), positive physical activity attitude (MAP = 0.92; 95%CrI: [0.77; 1.06], SD = 0.36).
{"title":"Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure.","authors":"Aliya Amirova, Lauren Taylor, Brittannia Volkmer, Nafiso Ahmed, Angel M Chater, Theodora Fteropoulli","doi":"10.1080/17437199.2022.2090411","DOIUrl":"https://doi.org/10.1080/17437199.2022.2090411","url":null,"abstract":"<p><p>Embracing the Bayesian approach, we aimed to synthesise evidence regarding barriers and enablers to physical activity in adults with heart failure (HF) to inform behaviour change intervention. This approach helps estimate and quantify the uncertainty in the evidence and facilitates the synthesis of qualitative and quantitative studies. Qualitative evidence was annotated using the Theoretical Domains Framework and represented as a prior distribution using an expert elicitation task. The maximum a posteriori probability (<i>MAP</i>) for the probability distribution for the log <i>OR</i> was used to estimate the relationship between physical activity and each determinant according to qualitative, quantitative, and qualitative and quantitative evidence combined. The probability distribution dispersion (<i>SD</i>) was used to evaluate uncertainty in the evidence. Three qualitative and 16 quantitative studies were included (<i>N</i> = 2739). High pro-b-type natriuretic peptide (<i>MAP</i> = -1.16; 95%<i>CrI</i>: [-1.21; -1.11]) and self-reported symptoms (<i>MAP</i> = - 0.48; 95%<i>CrI</i>: [ -0.40; -0.55]) were suggested as barriers to physical activity with low uncertainty (<i>SD</i> = 0.18 and 0.19, respectively). Modifiable barriers were symptom distress (<i>MAP</i> = -0.46; 95%<i>CrI</i>: [-0.68; -0.24], <i>SD</i> = 0.36), and negative attitude (<i>MAP</i> = -0.40; 95%<i>CrI</i>: [-0.49; -0.31], <i>SD</i> = 0.26). Modifiable enablers were social support (<i>MAP</i> = 0.56; 95%<i>CrI</i>: [0.48; 0.63], <i>SD</i> = 0.26), self-efficacy (<i>MAP</i> = 0.43; 95%<i>CrI</i>: [0.32; 0.54], SD = 0.37), positive physical activity attitude (<i>MAP</i> = 0.92; 95%<i>CrI</i>: [0.77; 1.06], <i>SD</i> = 0.36).</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":null,"pages":null},"PeriodicalIF":9.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9980979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1080/17437199.2022.2154242
L Alison Phillips, Barbara Ann Mullan
Our ultimate goal, as health psychologists, is to help individuals be healthier – specifically, through changing behaviour and maintaining those changes. Health psychologists are interested in habits, because they hold promise for facilitating behavioural maintenance through automatic processes (Gardner, 2015; Kwasnicka et al., 2016). How we conceptualise habit has ramifications for how we promote (intervene in) and measure habit formation and maintenance. In Phillips and Mullan (2022), we offered a conceptual review of the literature, evaluating the impact of behavioural complexity on the conceptualisation of habit, using a definition of habit defined in the literature (Wood et al., 2022) as ‘direct context-response associations learned through repeatedly rewarded responding’ (p. 12). Specifically, we argued that complex behaviours (determined by their relatively greater number of preparatory and enactment steps and amount of time to prepare and enact, compared to simpler behaviours): (1) have meaningfully separable ‘responses’ that may be habitual (e.g., in their instigation vs execution or with substitutable, ‘lower order’ actions, which may themselves be habitual) and (2) rely on intrinsic rewards (versus extrinsic) for habit formation and maintenance. In response to Phillips and Mullan (2022), Gardner and Lally (2022) and Rebar et al. (2022) offer thought-provoking and valuable insights regarding these points. On the surface, these sets of authors seemingly have opposing views on advancing the topic of complex health behaviours and habit: Gardner and Lally (2022) argue for greater parsimony in habit conceptualisation for simple and complex behaviours, whereas Rebar et al. (2022) argue for even greater complexity in our conceptualisation and measurement of complex health behaviours and habits. However, we articulate in this commentary how there is much agreement, as well as room for continued debate, among these viewpoints and those in Phillips and Mullan (2022). In sum, we argue in this commentary for a practical approach to habit research for complex behaviours that is both parsimonious and appropriately complex. We contend, as do Gardner and Lally (2022), that our definition and conceptualisation of habit should be useful – useful for achieving our ultimate goal, which is to help individuals change their behaviour and to maintain behaviour changes for optimal health.
{"title":"Practical parsimony and complexity in conceptualising habit.","authors":"L Alison Phillips, Barbara Ann Mullan","doi":"10.1080/17437199.2022.2154242","DOIUrl":"https://doi.org/10.1080/17437199.2022.2154242","url":null,"abstract":"Our ultimate goal, as health psychologists, is to help individuals be healthier – specifically, through changing behaviour and maintaining those changes. Health psychologists are interested in habits, because they hold promise for facilitating behavioural maintenance through automatic processes (Gardner, 2015; Kwasnicka et al., 2016). How we conceptualise habit has ramifications for how we promote (intervene in) and measure habit formation and maintenance. In Phillips and Mullan (2022), we offered a conceptual review of the literature, evaluating the impact of behavioural complexity on the conceptualisation of habit, using a definition of habit defined in the literature (Wood et al., 2022) as ‘direct context-response associations learned through repeatedly rewarded responding’ (p. 12). Specifically, we argued that complex behaviours (determined by their relatively greater number of preparatory and enactment steps and amount of time to prepare and enact, compared to simpler behaviours): (1) have meaningfully separable ‘responses’ that may be habitual (e.g., in their instigation vs execution or with substitutable, ‘lower order’ actions, which may themselves be habitual) and (2) rely on intrinsic rewards (versus extrinsic) for habit formation and maintenance. In response to Phillips and Mullan (2022), Gardner and Lally (2022) and Rebar et al. (2022) offer thought-provoking and valuable insights regarding these points. On the surface, these sets of authors seemingly have opposing views on advancing the topic of complex health behaviours and habit: Gardner and Lally (2022) argue for greater parsimony in habit conceptualisation for simple and complex behaviours, whereas Rebar et al. (2022) argue for even greater complexity in our conceptualisation and measurement of complex health behaviours and habits. However, we articulate in this commentary how there is much agreement, as well as room for continued debate, among these viewpoints and those in Phillips and Mullan (2022). In sum, we argue in this commentary for a practical approach to habit research for complex behaviours that is both parsimonious and appropriately complex. We contend, as do Gardner and Lally (2022), that our definition and conceptualisation of habit should be useful – useful for achieving our ultimate goal, which is to help individuals change their behaviour and to maintain behaviour changes for optimal health.","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":null,"pages":null},"PeriodicalIF":9.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10022219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1080/17437199.2022.2125037
Mehdi Akbari, Mohammad Seydavi, Gregory S Chasson, Adam M Leventhal, Maria Izabel Lockwood
Disease from nicotine dependency continues to be a leading cause of preventable death worldwide, and therefore research that elucidates potential correlates of tobacco use may facilitate the advancement of research, clinical practice, and policy in this area to target this public health challenge. One potential tobacco use correlate is obsessive-compulsive disorder (OCD) phenomena. The growing research evidence on the association between tobacco use and OCD phenomena is mixed, making it difficult to synthesize extant findings into meaningful conclusions. Indeed, there has never been a systematic review or meta-analysis of this area of research. To this end, a systematic review was carried out with studies between 1988 and 2021, and from this review, 71 independent estimations (n = 10,475; Females = 51.95%; mean age = 37.29, SD = 13.78) were extracted for meta-analysis. We found that about three in ten participants with OCD are likely to use tobacco, which is higher than the general population. The prevalence was the same among OCD participants at all levels (those with symptomology but no confirmed diagnosis, those surpassing a clinical cutoff for OCD but no confirmed diagnosis, and those with a confirmed OCD diagnosis). The results also indicated considerable variability across study results and a wide confidence interval associated with the tobacco use prevalence rate among those with OCD phenomena. The findings provide support for continued study of this comorbidity, perhaps with longitudinal and experimental designs to test for reciprocal associations between tobacco use and OCD phenomena in the service of targeting nicotine dependence as a substantial global public health concern.
{"title":"Global prevalence of smoking among individuals with obsessive-compulsive disorder and symptoms: a systematic review and meta-analysis.","authors":"Mehdi Akbari, Mohammad Seydavi, Gregory S Chasson, Adam M Leventhal, Maria Izabel Lockwood","doi":"10.1080/17437199.2022.2125037","DOIUrl":"https://doi.org/10.1080/17437199.2022.2125037","url":null,"abstract":"<p><p>Disease from nicotine dependency continues to be a leading cause of preventable death worldwide, and therefore research that elucidates potential correlates of tobacco use may facilitate the advancement of research, clinical practice, and policy in this area to target this public health challenge. One potential tobacco use correlate is obsessive-compulsive disorder (OCD) phenomena. The growing research evidence on the association between tobacco use and OCD phenomena is mixed, making it difficult to synthesize extant findings into meaningful conclusions. Indeed, there has never been a systematic review or meta-analysis of this area of research. To this end, a systematic review was carried out with studies between 1988 and 2021, and from this review, 71 independent estimations (<i>n</i> = 10,475; Females = 51.95%; mean age = 37.29, <i>SD</i> = 13.78) were extracted for meta-analysis. We found that about three in ten participants with OCD are likely to use tobacco, which is higher than the general population. The prevalence was the same among OCD participants at all levels (those with symptomology but no confirmed diagnosis, those surpassing a clinical cutoff for OCD but no confirmed diagnosis, and those with a confirmed OCD diagnosis). The results also indicated considerable variability across study results and a wide confidence interval associated with the tobacco use prevalence rate among those with OCD phenomena. The findings provide support for continued study of this comorbidity, perhaps with longitudinal and experimental designs to test for reciprocal associations between tobacco use and OCD phenomena in the service of targeting nicotine dependence as a substantial global public health concern.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":null,"pages":null},"PeriodicalIF":9.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495108/pdf/nihms-1924960.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10260345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}