British Journal of Health Psychology最新文献

Correction to “Daily emotional well-being during the COVID-19 pandemic” Lades, L. K., Laffan, K., Daly, M., & Delaney, L. (2020). Daily emotional well-being during the COVID-19 pandemic. British Journal of Health Psychology, 25(4), 902–911.

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-04-21 DOI: 10.1111/bjhp.12797

A recent independent audit (https://error.reviews/reviews/lades-2020/) of our 2020 paper made us aware of four issues with this paper:

i) The line that referred to the multiple comparisons should have made clear that these were additional to the main analysis in the paper to avoid confusion. Table S2 in the Supporting Information (which is presented again below as Table 2) is transparent about the use of the Benjamini-Hochberg adjustments.

ii) Alongside our fixed effects, random effects, and fixed effects with multiple comparisons tables, we could have included a fixed effects model clustering for standard errors at the individual level. While we think it is not unconventional or misleading to present fixed effects and random effects models in the way we did, we agree that clustering has analytical advantages and would have been preferable. We added the regression table from a fixed effects model with standard errors clustered at the individual level below in this letter as Table 1. To facilitate the direct comparison between the regression table in the Supplementary Information of our paper and the regression table with clustered standard errors, we present both tables below as Table 1 and Table 2.

iii) Table S2 in the Supplementary Information of the paper does include an error (also highlighted in red below in Table 2). We included a significance flag “†” indicating that the association between “Schooling children” and “Positive affect” is significant after Benjamini-Hochberg adjustment, which it is not. We are grateful to the external reviewers for highlighting this error.

iv) The external reviewers noticed six duplicate ids (essentially three cases in which two people were assigned the same participant id) in the raw data-file. The external panel provider gave us the data with these duplicate ids. Basic demographics that we got directly from the panel provider are the same across these sets of observations, but they differ in the demographic data we elicited ourselves. We believe it is correct to include all 6 observations and assume they are independent of each other in the analysis.

We appreciate the opportunity to reflect on potential improvements to our analysis and the presentation of the results. None of the above issues change the substantive conclusions of the paper.

{"title":"Correction to “Daily emotional well-being during the COVID-19 pandemic” Lades, L. K., Laffan, K., Daly, M., & Delaney, L. (2020). Daily emotional well-being during the COVID-19 pandemic. British Journal of Health Psychology, 25(4), 902–911.","authors":"","doi":"10.1111/bjhp.12797","DOIUrl":"https://doi.org/10.1111/bjhp.12797","url":null,"abstract":"<p>A recent independent audit (https://error.reviews/reviews/lades-2020/) of our 2020 paper made us aware of four issues with this paper:</p><p>i) The line that referred to the multiple comparisons should have made clear that these were additional to the main analysis in the paper to avoid confusion. Table S2 in the Supporting Information (which is presented again below as Table 2) is transparent about the use of the Benjamini-Hochberg adjustments.</p><p>ii) Alongside our fixed effects, random effects, and fixed effects with multiple comparisons tables, we could have included a fixed effects model clustering for standard errors at the individual level. While we think it is not unconventional or misleading to present fixed effects and random effects models in the way we did, we agree that clustering has analytical advantages and would have been preferable. We added the regression table from a fixed effects model with standard errors clustered at the individual level below in this letter as Table 1. To facilitate the direct comparison between the regression table in the Supplementary Information of our paper and the regression table with clustered standard errors, we present both tables below as Table 1 and Table 2.</p><p>iii) Table S2 in the Supplementary Information of the paper does include an error (also highlighted in red below in Table 2). We included a significance flag “†” indicating that the association between “Schooling children” and “Positive affect” is significant after Benjamini-Hochberg adjustment, which it is not. We are grateful to the external reviewers for highlighting this error.</p><p>iv) The external reviewers noticed six duplicate ids (essentially three cases in which two people were assigned the same participant id) in the raw data-file. The external panel provider gave us the data with these duplicate ids. Basic demographics that we got directly from the panel provider are the same across these sets of observations, but they differ in the demographic data we elicited ourselves. We believe it is correct to include all 6 observations and assume they are independent of each other in the analysis.</p><p>We appreciate the opportunity to reflect on potential improvements to our analysis and the presentation of the results. None of the above issues change the substantive conclusions of the paper.</p>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12797","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk of severe obesity development: Examining the role of psychological well-being related measures and sociodemographic factors in two longitudinal UK cohort studies

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-04-21 DOI: 10.1111/bjhp.12798

I Gusti Ngurah Edi Putra, Sam Wilkinson, Michael Daly, Eric Robinson

Objective

To examine the prospective association between psychological well-being related measures and severe obesity development in young and middle-aged UK adults.

Design

A longitudinal analysis of two cohort studies.

Methods

We used data from the 1958 National Child Development Study (NCDS) and the 1970 British Cohort Study (BCS) to examine the association between baseline psychological well-being related measures (depressive symptoms, life satisfaction and self-efficacy) and severe obesity development (defined as body mass index – BMI ≥35 kg/m²) and residualized BMI change scores at follow-up. We analysed repeated measures of baseline and follow-up pairs with 6- to 7-year follow-up on average (n = 22,390 and 23,811 observations in NCDS and BCS, respectively) using panel data logistic and linear models controlling for sociodemographic factors. We conducted additional analyses using analytical sample sizes with longer follow-up (16–17 years).

Results

Although a range of sociodemographic factors (e.g., being female, non-married) were associated with increased risk of severe obesity development, we found limited evidence that psychological well-being related measures were associated with severe obesity development across cohorts and pooled analyses. Depressive symptoms, life satisfaction and self-efficacy were, however, associated with relatively small changes in continuous BMI change across analyses, and this tended to be limited to participants without obesity (BMI 18.5 to <30 kg/m²) and not those already living with obesity (BMI 30 to <35 kg/m²) at baseline.

Conclusions

There is limited evidence that psychological well-being related measures prospectively predict the development of severe obesity. Poorer psychological well-being is associated with modest changes in body weight in individuals without obesity.

{"title":"Risk of severe obesity development: Examining the role of psychological well-being related measures and sociodemographic factors in two longitudinal UK cohort studies","authors":"I Gusti Ngurah Edi Putra, Sam Wilkinson, Michael Daly, Eric Robinson","doi":"10.1111/bjhp.12798","DOIUrl":"https://doi.org/10.1111/bjhp.12798","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To examine the prospective association between psychological well-being related measures and severe obesity development in young and middle-aged UK adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A longitudinal analysis of two cohort studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used data from the 1958 National Child Development Study (NCDS) and the 1970 British Cohort Study (BCS) to examine the association between baseline psychological well-being related measures (depressive symptoms, life satisfaction and self-efficacy) and severe obesity development (defined as body mass index – BMI ≥35 kg/m<sup>2</sup>) and residualized BMI change scores at follow-up. We analysed repeated measures of baseline and follow-up pairs with 6- to 7-year follow-up on average (<i>n</i> = 22,390 and 23,811 observations in NCDS and BCS, respectively) using panel data logistic and linear models controlling for sociodemographic factors. We conducted additional analyses using analytical sample sizes with longer follow-up (16–17 years).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Although a range of sociodemographic factors (e.g., being female, non-married) were associated with increased risk of severe obesity development, we found limited evidence that psychological well-being related measures were associated with severe obesity development across cohorts and pooled analyses. Depressive symptoms, life satisfaction and self-efficacy were, however, associated with relatively small changes in continuous BMI change across analyses, and this tended to be limited to participants without obesity (BMI 18.5 to <30 kg/m<sup>2</sup>) and not those already living with obesity (BMI 30 to <35 kg/m<sup>2</sup>) at baseline.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There is limited evidence that psychological well-being related measures prospectively predict the development of severe obesity. Poorer psychological well-being is associated with modest changes in body weight in individuals without obesity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12798","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Daily psychosocial determinants of smoking cessation: Effects of a buddy app intervention

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-03-28 DOI: 10.1111/bjhp.12796

Corina Berli, Philipp Schwaninger, Urte Scholz, Janina Lüscher

Objective

Digital technologies offer promising opportunities for smoking cessation interventions. Understanding whether interventions target key determinants of behaviour change is crucial for effective intervention development. This study tested the effects of the SmokeFree Buddy app, which encourages smoking cessation with the help of a buddy, on theoretically derived and pre-registered psychosocial determinants.

Methods

A total of 162 adults intending to quit smoking were randomized to an intervention (N = 81; SmokeFree Buddy app + assessments) or a control group (N = 81; assessments only). All participants completed end-of-day diaries for 3 days at baseline, from 7 days before to 20 days after a self-set quit date and for 3 days at the 6 months follow-up, reporting on daily amount and quality of support receipt, self-efficacy and action control.

Results

Multilevel analyses showed that participants in the intervention group had higher daily self-efficacy and were more likely to report daily support receipt (yes/no) from the quit date on until 20 days after compared to participants in the control group. However, on support days, the amount and quality of support were lower for intervention group participants. No group differences 6 months later emerged. In both groups, action control significantly increased from baseline to post-quit.

Conclusions

Findings showed that the SmokeFree Buddy app was effective in fostering self-efficacy and increasing the likelihood of support interactions in the social network during a quit attempt. Contrary to expectations, it did not necessarily foster higher quality support, suggesting that a differentiated view on support dynamics is needed.

{"title":"Daily psychosocial determinants of smoking cessation: Effects of a buddy app intervention","authors":"Corina Berli, Philipp Schwaninger, Urte Scholz, Janina Lüscher","doi":"10.1111/bjhp.12796","DOIUrl":"https://doi.org/10.1111/bjhp.12796","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Digital technologies offer promising opportunities for smoking cessation interventions. Understanding whether interventions target key determinants of behaviour change is crucial for effective intervention development. This study tested the effects of the SmokeFree Buddy app, which encourages smoking cessation with the help of a buddy, on theoretically derived and pre-registered psychosocial determinants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 162 adults intending to quit smoking were randomized to an intervention (<i>N</i> = 81; SmokeFree Buddy app + assessments) or a control group (<i>N</i> = 81; assessments only). All participants completed end-of-day diaries for 3 days at baseline, from 7 days before to 20 days after a self-set quit date and for 3 days at the 6 months follow-up, reporting on daily amount and quality of support receipt, self-efficacy and action control.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Multilevel analyses showed that participants in the intervention group had higher daily self-efficacy and were more likely to report daily support receipt (yes/no) from the quit date on until 20 days after compared to participants in the control group. However, on support days, the amount and quality of support were lower for intervention group participants. No group differences 6 months later emerged. In both groups, action control significantly increased from baseline to post-quit.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings showed that the SmokeFree Buddy app was effective in fostering self-efficacy and increasing the likelihood of support interactions in the social network during a quit attempt. Contrary to expectations, it did not necessarily foster higher quality support, suggesting that a differentiated view on support dynamics is needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Closing the intention-behaviour gap in physical activity: The moderating effect of individual differences in the valuation of physical effort

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-03-25 DOI: 10.1111/bjhp.12790

Silvio Maltagliati, David A. Raichlen, Ryan E. Rhodes, Boris Cheval

Objective

Intention is a proximal antecedent of physical activity, but it often falls short of driving actual engagement in physical activity. Recently, it was suggested that the valuation of physical effort may explain the intention–behaviour gap. However, this hypothesis has not been formally tested. We aimed to examine whether individual differences in approach and avoidance tendencies towards physical effort moderate the strength of the association between intention and behaviour.

Methods

Four hundred and one English-speaking Canadian participants completed two online surveys separated by 1 week. Intention strength and individual differences in the tendencies to approach and avoid physical effort were first assessed, and moderate-to-vigorous physical activity was self-reported 7 days later. The moderating effect of approach and avoidance tendencies towards physical effort on the association between intention and physical activity was tested using linear regression models.

Results

Individual differences in approach tendencies (β = .11, p = .007), avoidance tendencies (β = −.11, p = .005) and in relative approach (vs avoidance) tendencies towards physical effort (β = .11, p = .005) moderated the association between the intention and moderate-to-vigorous physical activity. As expected, the association between intention and physical activity was stronger as approach tendencies towards physical effort increased, but weaker as avoidance tendencies increased. However, this moderating effect was only significant for vigorous physical activity, not for moderate physical activity.

Conclusion

This study suggests that individual differences in the valuation of physical effort represent a relevant moderator of the intention–behaviour gap in physical activity, especially the most vigorous ones.

{"title":"Closing the intention-behaviour gap in physical activity: The moderating effect of individual differences in the valuation of physical effort","authors":"Silvio Maltagliati, David A. Raichlen, Ryan E. Rhodes, Boris Cheval","doi":"10.1111/bjhp.12790","DOIUrl":"https://doi.org/10.1111/bjhp.12790","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Intention is a proximal antecedent of physical activity, but it often falls short of driving actual engagement in physical activity. Recently, it was suggested that the valuation of physical effort may explain the intention–behaviour gap. However, this hypothesis has not been formally tested. We aimed to examine whether individual differences in approach and avoidance tendencies towards physical effort moderate the strength of the association between intention and behaviour.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Four hundred and one English-speaking Canadian participants completed two online surveys separated by 1 week. Intention strength and individual differences in the tendencies to approach and avoid physical effort were first assessed, and moderate-to-vigorous physical activity was self-reported 7 days later. The moderating effect of approach and avoidance tendencies towards physical effort on the association between intention and physical activity was tested using linear regression models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Individual differences in approach tendencies (β = .11, <i>p</i> = .007), avoidance tendencies (β = −.11, <i>p</i> = .005) and in relative approach (vs avoidance) tendencies towards physical effort (β = .11, <i>p</i> = .005) moderated the association between the intention and moderate-to-vigorous physical activity. As expected, the association between intention and physical activity was stronger as approach tendencies towards physical effort increased, but weaker as avoidance tendencies increased. However, this moderating effect was only significant for vigorous physical activity, not for moderate physical activity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study suggests that individual differences in the valuation of physical effort represent a relevant moderator of the intention–behaviour gap in physical activity, especially the most vigorous ones.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143690136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

School-based yoga and mindfulness interventions for young adolescents: A qualitative study in a disadvantaged area

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-03-18 DOI: 10.1111/bjhp.12793

Amy L. Sumner, Tina Cartwright, Haiko Ballieux, Trudi Edginton

Objectives

With raising rates of mental health problems, mind–body interventions are increasingly being integrated in schools to support children and adolescents' mental health and well-being. The aim of this study was to explore young adolescents' experiences of yoga and mindfulness and the acceptability of delivery within the school curriculum in an area of high deprivation.

Design

Qualitative group interviews with young adolescents embedded within a larger feasibility study exploring the universal (class-wide) delivery of yoga and mindfulness interventions.

Methods

After participation in separate 10-week yoga or mindfulness interventions, 45 adolescents (12–13 years old; 66.7% male) took part in semi-structured group interviews exploring perceptions, acceptability, and experiences of each intervention. Data was analysed using inductive thematic analysis.

Results

Two overarching themes were identified, evident across both mindfulness and yoga groups. “Facilitators and barriers to engagement” outlined key factors impacting acceptability, including prior perceptions. Teacher qualities of non-reactivity and respect, an invitational approach to teaching, and interactive sessions were highly valued. Secondly, participants described a range of “psychosocial impacts”, including increased emotional regulation, positive mindset and self-confidence, and greater focus and concentration. Physical benefits were also reported in the yoga group.

Conclusion

This is the first study to explore the acceptability and impact of universal yoga and mindfulness interventions with an ethnically diverse sample of disadvantaged young adolescents in the United Kingdom. The findings suggest mind–body interventions can help children and adolescents develop skills to better manage challenges in their everyday lives, but they require further integration into the curriculum for optimal benefit.

{"title":"School-based yoga and mindfulness interventions for young adolescents: A qualitative study in a disadvantaged area","authors":"Amy L. Sumner, Tina Cartwright, Haiko Ballieux, Trudi Edginton","doi":"10.1111/bjhp.12793","DOIUrl":"https://doi.org/10.1111/bjhp.12793","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>With raising rates of mental health problems, mind–body interventions are increasingly being integrated in schools to support children and adolescents' mental health and well-being. The aim of this study was to explore young adolescents' experiences of yoga and mindfulness and the acceptability of delivery within the school curriculum in an area of high deprivation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Qualitative group interviews with young adolescents embedded within a larger feasibility study exploring the universal (class-wide) delivery of yoga and mindfulness interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>After participation in separate 10-week yoga or mindfulness interventions, 45 adolescents (12–13 years old; 66.7% male) took part in semi-structured group interviews exploring perceptions, acceptability, and experiences of each intervention. Data was analysed using inductive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two overarching themes were identified, evident across both mindfulness and yoga groups. “Facilitators and barriers to engagement” outlined key factors impacting acceptability, including prior perceptions. Teacher qualities of non-reactivity and respect, an invitational approach to teaching, and interactive sessions were highly valued. Secondly, participants described a range of “psychosocial impacts”, including increased emotional regulation, positive mindset and self-confidence, and greater focus and concentration. Physical benefits were also reported in the yoga group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This is the first study to explore the acceptability and impact of universal yoga and mindfulness interventions with an ethnically diverse sample of disadvantaged young adolescents in the United Kingdom. The findings suggest mind–body interventions can help children and adolescents develop skills to better manage challenges in their everyday lives, but they require further integration into the curriculum for optimal benefit.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12793","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143645891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development of the COMPASS model of endometriosis: A COmprehensive model of pain encompassing agency, systemic factors and sense making

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-03-18 DOI: 10.1111/bjhp.12794

Brydee Pickup, Louise Sharpe, Jemma Todd

Objectives

Endometriosis is a chronic and progressive condition commonly associated with debilitating pain. Treatments for endometriosis pain are limited and usually invasive. Psychological interventions are a non-invasive intervention option and have proven benefits in chronic pain. Yet, psychological interventions for endometriosis pain are scant and of limited efficacy, which may be due to gaps in our understanding of endometriosis pain experiences. We sought to expand current understandings of endometriosis pain by investigating the factors that exacerbate and alleviate pain-related impact and distress, despite similar levels of pain severity.

Design

A mixed-methods approach was used, comprising quantitative pain data, qualitative interviews, and qualitative analysis of open-ended survey responses.

Methods

A total of 873 participants answered an online survey including pain outcomes. Sixteen participants were then purposively sampled for interview, in an iterative manner, in line with grounded theory until theoretical saturation was reached. Analysis of interview data resulted in a novel model of endometriosis pain. The model was cross-validated and refined using content analysis of 841 open-ended online survey responses regarding wider system priorities for endometriosis care.

Results

Our COMPASS model suggested that experiences of endometriosis-related pain and associated distress and impact were shaped by a dynamic interaction between the challenges of the gendered nature of pain, invalidation, distrust in the healthcare system, agency, sense-making, and burden. These experiences were situated within broader systemic factors of difficulty accessing care, the limitations of available treatments, and a lack of financial support.

Conclusions

Our findings present a novel model of endometriosis pain. This model provides several psychosocial treatment targets that could inform future psychological and multidisciplinary interventions for endometriosis pain. Empirical validation of the model is an avenue for future research.

{"title":"Development of the COMPASS model of endometriosis: A COmprehensive model of pain encompassing agency, systemic factors and sense making","authors":"Brydee Pickup, Louise Sharpe, Jemma Todd","doi":"10.1111/bjhp.12794","DOIUrl":"https://doi.org/10.1111/bjhp.12794","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Endometriosis is a chronic and progressive condition commonly associated with debilitating pain. Treatments for endometriosis pain are limited and usually invasive. Psychological interventions are a non-invasive intervention option and have proven benefits in chronic pain. Yet, psychological interventions for endometriosis pain are scant and of limited efficacy, which may be due to gaps in our understanding of endometriosis pain experiences. We sought to expand current understandings of endometriosis pain by investigating the factors that exacerbate and alleviate pain-related impact and distress, despite similar levels of pain severity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A mixed-methods approach was used, comprising quantitative pain data, qualitative interviews, and qualitative analysis of open-ended survey responses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 873 participants answered an online survey including pain outcomes. Sixteen participants were then purposively sampled for interview, in an iterative manner, in line with grounded theory until theoretical saturation was reached. Analysis of interview data resulted in a novel model of endometriosis pain. The model was cross-validated and refined using content analysis of 841 open-ended online survey responses regarding wider system priorities for endometriosis care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our COMPASS model suggested that experiences of endometriosis-related pain and associated distress and impact were shaped by a dynamic interaction between the challenges of the gendered nature of pain, invalidation, distrust in the healthcare system, agency, sense-making, and burden. These experiences were situated within broader systemic factors of difficulty accessing care, the limitations of available treatments, and a lack of financial support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our findings present a novel model of endometriosis pain. This model provides several psychosocial treatment targets that could inform future psychological and multidisciplinary interventions for endometriosis pain. Empirical validation of the model is an avenue for future research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12794","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reinforcing implementation intentions with imagery increases physical activity habit strength and behaviour

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-03-18 DOI: 10.1111/bjhp.12795

Alison Divine, Sarah Astill

Objectives

Habits may enhance the maintenance of physical activity. The aim of this study is to examine if reinforcing implementation intentions increases habit strength and thus physical activity.

Design

Participants (N = 186) were randomized into one of three intervention conditions (imagery vs. implementation intentions vs. combined; implementation intentions and imagery) and a control condition.

Methods

Participants were instructed to engage in a physical activity that they would like to start doing, or do more of, over a four-week period. Participants completed measures of physical activity, habit strength, and imagery use (imagery and combined conditions only) pre-intervention, weekly during the intervention, post-intervention, and a 12-week follow-up.

Results

Habit strength increased at week three (p < .001) for those in the combined condition, which was maintained through post-intervention and increased at follow-up (Ps > .05). In the imagery condition, habit strength increased at post-intervention (p = .003) and was maintained at follow-up. Physical activity increased for the combined condition from week two (p < .001) of the intervention, continuing to increase at weeks three (p = .003) and four (p < .001).

Conclusions

Imagery may be an effective intervention to support habit formation. Reinforcing implementation intentions with mental imagery may support habit formation for physical activity behaviour.

{"title":"Reinforcing implementation intentions with imagery increases physical activity habit strength and behaviour","authors":"Alison Divine, Sarah Astill","doi":"10.1111/bjhp.12795","DOIUrl":"https://doi.org/10.1111/bjhp.12795","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Habits may enhance the maintenance of physical activity. The aim of this study is to examine if reinforcing implementation intentions increases habit strength and thus physical activity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Participants (<i>N</i> = 186) were randomized into one of three intervention conditions (imagery vs. implementation intentions vs. combined; implementation intentions and imagery) and a control condition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were instructed to engage in a physical activity that they would like to start doing, or do more of, over a four-week period. Participants completed measures of physical activity, habit strength, and imagery use (imagery and combined conditions only) pre-intervention, weekly during the intervention, post-intervention, and a 12-week follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Habit strength increased at week three (<i>p</i> < .001) for those in the combined condition, which was maintained through post-intervention and increased at follow-up (<i>Ps > .05</i>). In the imagery condition, habit strength increased at post-intervention (<i>p</i> = .003) and was maintained at follow-up. Physical activity increased for the combined condition from week two (<i>p</i> < .001) of the intervention, continuing to increase at weeks three (<i>p</i> = .003) and four (<i>p</i> < .001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Imagery may be an effective intervention to support habit formation. Reinforcing implementation intentions with mental imagery may support habit formation for physical activity behaviour.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12795","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143645890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Self-compassion and mental health: Examining the mediational role of health behaviour engagement in emerging adults

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-03-14 DOI: 10.1111/bjhp.12791

Camille L. Garnsey, Katherine E. Gnall, Crystal L. Park

Objectives

This observational longitudinal study examines whether engagement in health behaviours (general health behaviours, sleep hygiene, comfort food snacking) mediate the link between self-compassion and mental health among emerging adults.

Design/Method

Participants were 332 emerging adults recruited from a large U.S. University (M_age = 19.0; SD = 1.8) who completed two electronic surveys 7–10 weeks apart (T1 and T2). The Hayes PROCESS macro model #4 was used to test whether engagement in health behaviours at T2 health mediated the association between T1 self-compassion and T2 mental health (5000 bootstrap samples).

Results

T1 self-compassion was significantly associated with all T2 health behaviours except for comfort food snacking. T2 sleep hygiene behaviours mediated the relationship between T1 self-compassion and both T2 depression and T2 anxiety (bootstrapped 95% CIs [−.085, −.029] and [−.064, −.016], respectively), although the total effect of self-compassion on anxiety was no longer significant when accounting for T1 sleep hygiene and T1 anxiety. Overall T2 health behaviour engagement mediated the relationship between T1 self-compassion and T2 depression only (bootstrapped 95% CI [−.044, −.006]), although the mediation was non-significant after accounting for T1 overall health behaviour engagement and T1 depression.

Conclusions

Findings suggest that individuals with higher self-compassion engage more in overall health behaviours and sleep hygiene practices, and that sleep hygiene and general engagement in health behaviours help to explain the link between self-compassion and mental health symptoms over time. These findings highlight the multiple positive downstream effects of fostering self-compassion and have important implications for mental health care providers utilizing self-compassion to support health behaviour engagement in order to promote mental health.

{"title":"Self-compassion and mental health: Examining the mediational role of health behaviour engagement in emerging adults","authors":"Camille L. Garnsey, Katherine E. Gnall, Crystal L. Park","doi":"10.1111/bjhp.12791","DOIUrl":"https://doi.org/10.1111/bjhp.12791","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This observational longitudinal study examines whether engagement in health behaviours (general health behaviours, sleep hygiene, comfort food snacking) mediate the link between self-compassion and mental health among emerging adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design/Method</h3>\u0000 \u0000 <p>Participants were 332 emerging adults recruited from a large U.S. University (<i>M</i><sub>age</sub> = 19.0; <i>SD =</i> 1.8) who completed two electronic surveys 7–10 weeks apart (T1 and T2). The Hayes PROCESS macro model #4 was used to test whether engagement in health behaviours at T2 health mediated the association between T1 self-compassion and T2 mental health (5000 bootstrap samples).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>T1 self-compassion was significantly associated with all T2 health behaviours except for comfort food snacking. T2 sleep hygiene behaviours mediated the relationship between T1 self-compassion and both T2 depression and T2 anxiety (bootstrapped 95% CIs [−.085, −.029] and [−.064, −.016], respectively), although the total effect of self-compassion on <i>anxiety</i> was no longer significant when accounting for T1 sleep hygiene and T1 anxiety. Overall T2 health behaviour engagement mediated the relationship between T1 self-compassion and T2 depression only (bootstrapped 95% CI [−.044, −.006]), although the mediation was non-significant after accounting for T1 overall health behaviour engagement and T1 depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings suggest that individuals with higher self-compassion engage more in overall health behaviours and sleep hygiene practices, and that sleep hygiene and general engagement in health behaviours help to explain the link between self-compassion and mental health symptoms over time. These findings highlight the multiple positive downstream effects of fostering self-compassion and have important implications for mental health care providers utilizing self-compassion to support health behaviour engagement in order to promote mental health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143622527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Illness risk representations underlying women's breast cancer risk appraisals: A theory-informed qualitative analysis

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-03-13 DOI: 10.1111/bjhp.12792

Victoria G. Woof, Lorna McWilliams, D. Gareth Evans, Anthony Howell, David P. French

Objectives

This study assessed the utility of Cameron's Illness Risk Representation (IRR) framework in understanding how women interpret their breast cancer risk after receiving a clinically derived estimate.

Design

Secondary qualitative analysis of two studies within the BC-Predict trial, using semi-structured telephone interviews with women aged 47–74 who received breast cancer risk estimates via population screening.

Methods

Forty-eight women were informed of their 10-year breast cancer risk (low (<1.5% risk), average (1.5–4.99%), above-average (moderate; 5–7.99%) and high (≥8%)). Moderate- and high-risk women were eligible for enhanced preventive management. Women were interviewed about their risk, with data analysed using a thematic framework approach.

Results

Causal representations of breast cancer were often incomplete, with women primarily relying on family history and health-related behaviours to understand their risk. This reliance shaped pre-existing expectations and led to uncertainty about unfamiliar risk factors. As women aged, concerns about breast cancer susceptibility became more prominent. Emotional reactions to risk communication, along with the physical implications of risk management strategies, were also considered. Women were knowledgeable about early detection and prevention strategies, showing agency in reducing risk and preventing aggressive cancers.

Conclusions

The IRR framework largely explained women's breast cancer risk appraisals but adaptations could enhance its applicability. The identity construct could be redefined and combined with the causal construct. The framework should also consider the extent to which pre-existing appraisals change after receiving a clinical-derived risk estimate. Healthcare professionals should assess women's knowledge before communicating personal risk estimates to reduce doubt and the impact of unfamiliar information.

目标本研究评估了卡梅伦疾病风险表征（IRR）框架在了解女性在接受临床评估后如何解释其乳腺癌风险方面的实用性。设计对 BC-Predict 试验中的两项研究进行二次定性分析，采用半结构化电话采访的方式，采访对象为通过人群筛查获得乳腺癌风险估计值的 47-74 岁女性。方法 48 名妇女被告知其 10 年乳腺癌风险（低风险（1.5%）、平均风险（1.5-4.99%）、高于平均风险（中度风险；5-7.99%）和高风险（≥8%））。中度和高风险妇女有资格接受强化预防管理。对妇女进行了有关其风险的访谈，并采用主题框架法对数据进行了分析。结果关于乳腺癌的因果关系表述往往不完整，妇女主要依靠家族病史和与健康相关的行为来了解自己的风险。这种依赖形成了原有的预期，并导致对陌生风险因素的不确定性。随着年龄的增长，妇女对乳腺癌易感性的担忧变得更加突出。对风险交流的情绪反应以及风险管理战略对身体的影响也被考虑在内。女性对早期检测和预防策略很了解，在降低风险和预防侵袭性癌症方面表现出了积极性。结论 IRR 框架在很大程度上解释了妇女对乳腺癌风险的评估，但对其进行调整可以提高其适用性。身份结构可以重新定义，并与因果结构相结合。该框架还应考虑在接受临床风险评估后，原有评估会在多大程度上发生改变。医疗保健专业人员应在告知个人风险估计值之前评估妇女的知识，以减少怀疑和陌生信息的影响。

{"title":"Illness risk representations underlying women's breast cancer risk appraisals: A theory-informed qualitative analysis","authors":"Victoria G. Woof, Lorna McWilliams, D. Gareth Evans, Anthony Howell, David P. French","doi":"10.1111/bjhp.12792","DOIUrl":"https://doi.org/10.1111/bjhp.12792","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study assessed the utility of Cameron's Illness Risk Representation (IRR) framework in understanding how women interpret their breast cancer risk after receiving a clinically derived estimate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Secondary qualitative analysis of two studies within the BC-Predict trial, using semi-structured telephone interviews with women aged 47–74 who received breast cancer risk estimates via population screening.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Forty-eight women were informed of their 10-year breast cancer risk (low (<1.5% risk), average (1.5–4.99%), above-average (moderate; 5–7.99%) and high (≥8%)). Moderate- and high-risk women were eligible for enhanced preventive management. Women were interviewed about their risk, with data analysed using a thematic framework approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Causal representations of breast cancer were often incomplete, with women primarily relying on family history and health-related behaviours to understand their risk. This reliance shaped pre-existing expectations and led to uncertainty about unfamiliar risk factors. As women aged, concerns about breast cancer susceptibility became more prominent. Emotional reactions to risk communication, along with the physical implications of risk management strategies, were also considered. Women were knowledgeable about early detection and prevention strategies, showing agency in reducing risk and preventing aggressive cancers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The IRR framework largely explained women's breast cancer risk appraisals but adaptations could enhance its applicability. The identity construct could be redefined and combined with the causal construct. The framework should also consider the extent to which pre-existing appraisals change after receiving a clinical-derived risk estimate. Healthcare professionals should assess women's knowledge before communicating personal risk estimates to reduce doubt and the impact of unfamiliar information.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12792","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143602686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dual decision-making routes for COVID-19 and influenza vaccines uptake in parents: A mixed-methods study

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-03-07 DOI: 10.1111/bjhp.12789

Jiehu Yuan, Meihong Dong, Dennis Kai Ming Ip, Hau Chi So, Qiuyan Liao

Objective

Parental decision-making for children's uptake of a relatively novel vaccine and a more common vaccine could involve different processes. This study aimed to compare the psychological processes and the relative importance of psychological factors influencing parental decision-making for children's seasonal influenza vaccination (SIV) and COVID-19 vaccination.

Design and Methods

We adopted mixed-methods approach. Study 1 was a qualitative study involving 29 parents to explore and compare their decision-making processes for children's SIV and COVID-19 vaccination. In Study 2, data from 632 parents were collected longitudinally; then, machine learning was used to quantify the relative importance of factors identified in Study 1 that were relevant to parents' decision-making for childhood vaccination decisions. Alluvial plots were used to compare the predictability of parents' baseline intention for follow-up children's SIV and COVID-19 vaccination.

Results

Study 1 revealed that parents used the influenza vaccine as an anchor to assess the COVID-19 vaccine's risks. Decision-making for children's SIV was habitual and rule-based, while for COVID-19 vaccination, it involved more deliberation influenced by negative situational cues like negative news and anecdotal experiences. Study 2 further found that, for COVID-19 vaccination, situation-varying factors including distressed emotional states and affective response to news were significant. While for SIV, past-year vaccination behaviour was a more important factor. Baseline intention reliably predicted children's SIV but not COVID-19 vaccination.

Conclusions

The convergence of qualitative and quantitative data highlighted the distinct decision-making strategies for these two vaccines. Targeting key factors in parental decisions can enhance the effectiveness of future vaccination campaigns.

{"title":"Dual decision-making routes for COVID-19 and influenza vaccines uptake in parents: A mixed-methods study","authors":"Jiehu Yuan, Meihong Dong, Dennis Kai Ming Ip, Hau Chi So, Qiuyan Liao","doi":"10.1111/bjhp.12789","DOIUrl":"https://doi.org/10.1111/bjhp.12789","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Parental decision-making for children's uptake of a relatively novel vaccine and a more common vaccine could involve different processes. This study aimed to compare the psychological processes and the relative importance of psychological factors influencing parental decision-making for children's seasonal influenza vaccination (SIV) and COVID-19 vaccination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Methods</h3>\u0000 \u0000 <p>We adopted mixed-methods approach. Study 1 was a qualitative study involving 29 parents to explore and compare their decision-making processes for children's SIV and COVID-19 vaccination. In Study 2, data from 632 parents were collected longitudinally; then, machine learning was used to quantify the relative importance of factors identified in Study 1 that were relevant to parents' decision-making for childhood vaccination decisions. Alluvial plots were used to compare the predictability of parents' baseline intention for follow-up children's SIV and COVID-19 vaccination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Study 1 revealed that parents used the influenza vaccine as an anchor to assess the COVID-19 vaccine's risks. Decision-making for children's SIV was habitual and rule-based, while for COVID-19 vaccination, it involved more deliberation influenced by negative situational cues like negative news and anecdotal experiences. Study 2 further found that, for COVID-19 vaccination, situation-varying factors including distressed emotional states and affective response to news were significant. While for SIV, past-year vaccination behaviour was a more important factor. Baseline intention reliably predicted children's SIV but not COVID-19 vaccination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The convergence of qualitative and quantitative data highlighted the distinct decision-making strategies for these two vaccines. Targeting key factors in parental decisions can enhance the effectiveness of future vaccination campaigns.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12789","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0