British Journal of Health Psychology最新文献_第4页

Self-compassion improves barrier self-efficacy and subsequently physical activity: A test of longitudinal mediation using a representative sample of the United Kingdom 自我同情能提高障碍自我效能，进而提高体育锻炼：利用英国的代表性样本对纵向中介作用进行测试。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-10-18 DOI: 10.1111/bjhp.12757

Shuge Zhang, Andy Pringle, Clare Roscoe

Introduction

Self-compassion, which directs the awareness of suffering, sympathetic concerns and caring motives towards oneself, is an important psychological quality and resource for health and well-being. In the context of physical activity, self-compassion can help individuals overcome obstacles, recuperate from a setback or a lapse and engage in regular physical activity. The present research was the first to examine the longitudinal effects of self-compassion on physical activity and the mediation role of barrier self-efficacy of such effects.

Methods

We recruited a national representative sample of 654 UK adults and followed them over three timepoints across 9 months. At each time point, participants completed an online survey assessing levels of state self-compassion, barrier self-efficacy and physical activity behaviours. We examined the longitudinal effects of self-compassion on physical activity and the mediation role of barrier self-efficacy.

Results

Baseline state self-compassion consistently correlated with physical activity levels at Times 2 and 3. Barrier self-efficacy at Time 2 mediated the longitudinal effect of baseline state self-compassion on Time 3 physical activity, after controlling for within- (e.g., Time 1 on Time 2 self-compassion) and between-person variations (e.g., covariance of self-compassion and physical activity within a timepoint).

Conclusions

Adopting a self-compassionate mind facilitates engagement and maintenance of physical activity. Future studies could consider accelerometer-based physical activity measures and develop and validate a more context-specific state self-compassion measure tailored for physical activity contexts. Researchers and practitioners should consider incorporating self-compassion to future interventions and education programmes for promoting physical activity.

简介自我同情是一种重要的心理品质，是促进健康和幸福的资源。在体育锻炼中，自我同情可以帮助人们克服障碍，从挫折或失误中恢复过来，并定期参加体育锻炼。本研究首次考察了自我同情对体育锻炼的纵向影响，以及障碍自我效能对这种影响的中介作用：我们招募了具有全国代表性的 654 名英国成年人样本，并在三个时间点对他们进行了为期 9 个月的跟踪调查。在每个时间点，参与者完成一项在线调查，评估自我同情状态、障碍自我效能感和体育锻炼行为的水平。我们研究了自我同情对体育锻炼的纵向影响以及障碍自我效能感的中介作用：结果：基线状态下的自我同情与第 2 次和第 3 次的体育锻炼水平始终相关。在控制了人内（如时间 1 对时间 2 的自我同情）和人间差异（如时间点内自我同情和体育锻炼的协方差）后，时间 2 的障碍自我效能对时间 3 的基线状态自我同情对体育锻炼的纵向影响起到了中介作用：结论：采取自我同情的心态有助于参与和保持体育锻炼。未来的研究可以考虑采用基于加速计的体育锻炼测量方法，并开发和验证更适合体育锻炼环境的特定状态自我同情测量方法。研究人员和从业人员应考虑将自我同情纳入未来促进体育锻炼的干预措施和教育计划中。

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引用次数: 0

Message framing's limited efficacy in counteracting parental hesitancy towards human papillomavirus vaccination for female adolescents: Insights from a randomized trial 信息框架在消除父母对女性青少年接种人类乳头瘤病毒疫苗的犹豫不决方面效果有限：一项随机试验的启示。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-10-11 DOI: 10.1111/bjhp.12759

Naiyang Shi, Jie Liang, Youqin Yi, Ruishuai Miao, Xuying Yang, Liuqing Yang, Tingsu Tao, Yanlin Zhang, Hui Jin, Xiaoyan Zheng

Background

Parental acceptance of HPV vaccination remains low. This study investigates the influence of different message framing on Chinese parental intentions to vaccinate their daughters against HPV.

Methods

A 2 (appeal framing: gain vs. loss) × 2 (cultural value: individualism vs. collectivism) × 2 (evidence type: narrative vs. non-narrative) factorial design was used in an online experiment. Parents of unvaccinated junior high school girls were recruited and included in the experiment. The primary outcome assessed was the reduction in HPV vaccine hesitancy (VH). The analysis of variance tests (ANOVAs) and hierarchical regression analyses were conducted to test the hypotheses.

Results

Of 4012 participants, the majority were women with low VH. Only loss-framing exerted a direct effect on advocacy (p = .036). Initial VH negatively moderated this effect (p = .027). Except for narrative evidence (p = .068), message framings showed significant small effects in low-hesitant participants (p = .032). An incentive policy negatively moderated the initial VH's effect on advocacy (p = .042). Persuasion was evident only among low-hesitant participants not receiving incentives (p = .002). In contrast, for highly hesitant individuals without incentive policies, loss-framing (p = .024) and collectivism perspective (p = .033) produced counterintuitive effects.

Conclusions

Message framing is effective among low-hesitant parents of female adolescents in improving HPV vaccination decisions without economic incentives. Non-narrative evidence and loss-framing messages should be prioritized over narrative evidence and gain-framing messages. Nonetheless, caution is warranted when engaging with highly hesitant parents.

背景：家长对HPV疫苗接种的接受程度仍然很低。本研究探讨了不同信息框架对中国父母为女儿接种人乳头瘤病毒疫苗意向的影响：方法：采用 2（诉求框架：收益与损失）×2（文化价值：个人主义与集体主义）×2（证据类型：叙述与非叙述）因子设计进行在线实验。实验招募了未接种疫苗的初中女生的家长。评估的主要结果是 HPV 疫苗犹豫不决（VH）的减少。实验采用方差分析（ANOVA）和分层回归分析来检验假设：在 4012 名参与者中，大多数是 VH 值低的女性。只有损失框架对倡导有直接影响（p = .036）。初始 VH 对这一影响有负面调节作用 (p = .027)。除了叙事证据（p = .068）外，信息框架对低恐惧参与者的影响很小（p = .032）。激励政策对初始 VH 对倡导的影响有负向调节作用（p = .042）。只有在未接受激励的低犹豫参与者中，劝说效果才明显（p = .002）。相反，对于没有激励政策的高度犹豫者，损失框架（p = .024）和集体主义观点（p = .033）产生了反直觉效果：结论：在没有经济激励措施的情况下，信息框架对低犹豫度的女性青少年家长来说，能有效改善他们的 HPV 疫苗接种决定。非叙述性证据和损失框架信息应优先于叙述性证据和收益框架信息。尽管如此，在与犹豫不决的家长接触时仍需谨慎。

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引用次数: 0

A multi-centre prospective cohort study investigating the roles of psychological flexibility and self-compassion in appearance concerns after burn injuries 一项多中心前瞻性队列研究，调查心理灵活性和自我同情对烧伤后外貌问题的影响。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-10-02 DOI: 10.1111/bjhp.12754

Laura Shepherd, Fuschia M. Sirois, Diana Harcourt, Paul Norman, David Aaron, Kate Adkins, Anna Cartwright, Emma Hodgkinson, Nicola Murphy, Andrew R. Thompson

Objectives

Appearance concerns following burn injuries are common. Psychological factors are important in maintaining such concerns. However, there is a lack of longitudinal or prospective research investigating their development. This study investigated whether psychological flexibility and self-compassion at hospital admission predicted subsequent appearance concerns.

Design

A multi-centre prospective cohort study across six burn services.

Methods

Adults (n = 175; 67% male) in hospital following burn injuries were recruited. Questionnaires measuring appearance concerns, psychological flexibility, self-compassion, post-traumatic stress disorder symptoms and perceived noticeability were completed during hospital admission and two- and six-months later. Demographic and burn injury information was collected.

Results

Correlational analyses showed that increased psychological flexibility and self-compassion at admission were associated with decreased appearance concerns cross-sectionally and prospectively at two- and six-month follow-up. These associations remained significant when controlling for key covariates (i.e. gender, age, ethnicity, percentage total body surface area burnt, perceived noticeability, PTSD symptoms). Multiple linear regression analyses revealed that psychological flexibility and self-compassion predicted appearance concerns during hospital admission. Although psychological flexibility significantly predicted appearance concerns over time, it became non-significant when controlling for baseline appearance concerns.

Conclusions

Psychological flexibility has a protective role against appearance concerns soon after burn injuries, although this protective role is reduced when accounting for baseline appearance concerns. Early interventions targeting psychological flexibility (i.e. acceptance and commitment therapy) may be beneficial after burns if adapted to address appearance-related concerns.

目的：烧伤后对外观的担忧很常见。心理因素是维持这种担忧的重要因素。然而，目前缺乏对其发展的纵向或前瞻性研究。本研究调查了入院时的心理灵活性和自我同情是否能预测随后的外貌问题：设计：一项跨越六家烧伤服务机构的多中心前瞻性队列研究：方法：招募烧伤后住院的成年人（n = 175；67%为男性）。在入院期间以及两个月和六个月后填写调查问卷，测量外貌问题、心理灵活性、自我同情、创伤后应激障碍症状和感知可注意性。此外，还收集了人口统计学和烧伤信息：相关分析表明，入院时心理灵活性和自我同情的增加与外观问题的减少有关。在控制了主要协变量（即性别、年龄、种族、烧伤体表总面积百分比、可感知性、创伤后应激障碍症状）后，这些相关性仍然很明显。多元线性回归分析表明，心理灵活性和自我同情可预测入院期间的外貌问题。虽然心理灵活性能显著预测随时间推移出现的外貌问题，但在控制了基线外貌问题后，心理灵活性变得不显著：结论：心理灵活性对烧伤后不久出现的外貌问题具有保护作用，但如果考虑到基线外貌问题，这种保护作用就会减弱。以心理灵活性为目标的早期干预（即接受和承诺疗法）如果能针对与外貌相关的问题进行调整，可能会对烧伤后的患者有益。

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引用次数: 0

Psychosocial determinants of handwashing and physical distancing behaviour during the COVID-19 pandemic in the Netherlands: A longitudinal analysis 荷兰 COVID-19 大流行期间洗手和身体疏远行为的社会心理决定因素：纵向分析。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-10-02 DOI: 10.1111/bjhp.12755

Carlijn Bussemakers, Nicole Stappers, Floor Kroese, Bas van den Putte, Marijn de Bruin

Objectives

Physical distancing and handwashing can be important infection prevention measures during an infectious disease outbreak such as the COVID-19 pandemic. To stimulate these behaviours, knowledge of psychosocial determinants as well as contextual factors is vital. We present longitudinal, within-person analyses of the impact of contextual and psychosocial factors on handwashing and distancing behaviour.

Design

We used individual-level data (186,490 participants completing 971,899 surveys) from the Corona Behavioural Unit COVID-19 Cohort, a dynamic cohort study conducted during 26 months of the COVID-19 pandemic in the Netherlands.

Methods

Fixed-effects models were employed to estimate within-person associations between psychosocial factors and behaviour, combined with main and moderating effects of contextual factors.

Results

Pandemic severity was associated with more handwashing and distancing behaviour, while the duration of the pandemic had little effect. Within-person changes in response efficacy were most relevant for changes in both handwashing and distancing behaviour, while self-efficacy, descriptive norms and perceived severity of infecting others affected behaviour indirectly. These effects were stable over time. Associations were larger in cross-sectional models, indicating that such models tend to overestimate effects.

Conclusions

Our study highlights the importance of longitudinal data and within-person models to detect possible causal associations. The results suggest that during an outbreak, government and public health professionals should clearly communicate the severity of the pandemic (e.g., hospitalization rates) and the effectiveness of recommended prevention measures in reducing that risk; and seek to improve people's capabilities and opportunities to adhere to guidelines, for example, by modifying the environment.

目的：在 COVID-19 大流行等传染病爆发期间，保持身体距离和洗手是重要的感染预防措施。要激发这些行为，了解社会心理决定因素和环境因素至关重要。我们对环境因素和社会心理因素对洗手和拉开距离行为的影响进行了纵向、人际分析：我们使用了来自 Corona Behavioural Unit COVID-19 Cohort 的个人层面数据（186,490 名参与者，完成了 971,899 份调查），这是一项动态队列研究，在荷兰 COVID-19 大流行的 26 个月期间进行：方法：采用固定效应模型估算社会心理因素与行为之间的人际关联，并结合环境因素的主要效应和调节效应：结果：大流行的严重程度与更多的洗手和疏远行为有关，而大流行的持续时间影响不大。人内反应效能的变化与洗手和保持距离行为的变化最为相关，而自我效能、描述性规范和对感染他人严重程度的感知则间接影响行为。这些影响随着时间的推移而稳定。在横截面模型中，相关性更大，这表明此类模型往往会高估效果：我们的研究强调了纵向数据和人内模型对检测可能的因果关系的重要性。研究结果表明，在疫情爆发期间，政府和公共卫生专业人员应明确告知疫情的严重性（如住院率）以及建议采取的预防措施在降低风险方面的有效性；并努力提高人们遵守指南的能力和机会，例如通过改变环境。

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引用次数: 0

Testicular self-examination: The role of anticipated relief and anticipated regret 睾丸自我检查：预期缓解和预期后悔的作用。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-09-29 DOI: 10.1111/bjhp.12756

Sara Lorimer, Teresa McCormack, Christoph Hoerl, Sarah R. Beck, Matthew Johnston, Aidan Feeney

Objective

Anticipated regret has been implicated in health-related decision-making. Recent work on influenza vaccination has suggested that anticipated relief, too, may influence individuals' decisions to engage in positive health behaviours. To explore these affective components further and address the generality of possible mechanisms underlying these associations, we examined whether anticipated relief and anticipated regret independently predict testicular self-examination (TSE) intention and behaviour. Given claims about differences in their nature and function, we distinguished between counterfactual relief (relief that a worse outcome did not obtain) and temporal relief (relief that an unpleasant experience is over).

Design

Prospective correlational.

Methods

At Time 1 (July 2022), 567 cis-gendered males were asked to complete measures of anticipated regret, anticipated counterfactual and temporal relief, measures of the Theory of Planned Behaviour and measures of anxiety and shame. One month later, the same participants were recontacted and asked about their engagement in TSE in the previous month.

Results

Anticipated counterfactual relief and anticipated regret are independent, positive, predictors of intention to engage in TSE and, indirectly, TSE behaviour itself. Interestingly, anticipated temporal relief was negatively associated with intention to engage in TSE and, indirectly, behaviour.

Conclusions

Our results suggest that it may be the counterfactual nature of anticipated regret and anticipated relief that underlies their positive association with TSE and other health-promoting behaviours. Interventions designed to increase engagement in preventive health behaviours, such as TSE, may benefit from the consideration of both positively and negatively valenced counterfactual emotions.

目的：预期的后悔与健康相关的决策有关。最近有关流感疫苗接种的研究表明，预期缓解也可能影响个人做出积极健康行为的决定。为了进一步探究这些情感因素，并解决这些关联的可能机制的普遍性问题，我们研究了预期缓解和预期后悔是否能独立预测睾丸自我检查（TSE）的意向和行为。考虑到它们在性质和功能上的差异，我们将预期缓解区分为反事实缓解（因没有出现更糟的结果而缓解）和时间缓解（因不愉快的经历已经结束而缓解）：设计：前瞻性相关研究：在时间 1（2022 年 7 月），567 名性别相同的男性被要求完成预期后悔、预期反事实缓解和时间缓解的测量、计划行为理论的测量以及焦虑和羞愧的测量。一个月后，我们再次联系这些参与者，询问他们上个月参与 TSE 的情况：结果：预期的反事实解脱和预期的后悔是预测参与 TSE 意图的独立、积极的因素，也间接地预测了 TSE 行为本身。有趣的是，预期的时间缓解与参与 TSE 的意愿呈负相关，并间接与 TSE 行为呈负相关：我们的研究结果表明，预期后悔和预期缓解的反事实性质可能是它们与 TSE 和其他促进健康行为正相关的基础。旨在提高预防性健康行为（如 TSE）参与度的干预措施可能会从考虑正反两方面的反事实情绪中获益。

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引用次数: 0

Vaccine hesitancy as indecision: Creation and evaluation of the Unidimensional Vaccine Hesitancy Scale 疫苗犹豫不决：创建和评估单维疫苗犹豫量表。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-09-26 DOI: 10.1111/bjhp.12753

Matt C. Howard

Background

Several authors have argued that vaccine hesitancy should be conceptualized as indecision in the vaccination decision-making process, but no established measure with support for its psychometric properties and validity has been created from this operational definition.

Aims

To resolve this tension, this article undergoes a four-study scale development process to create the 4-item Unidimensional Vaccine Hesitancy Scale (UVHS).

Materials and Methods

We conduct four survey studies utilizing a total sample size of 884.

Results

In Studies 1 (n = 297) and 2 (n = 298), we provide psychometric support for the measure via exploratory and confirmatory factor analysis. In Studies 3 (n = 193) and 4 (n = 106), we support the concurrent and discriminant validity of the measure by assessing its relations with relevant constructs, such as vaccination readiness and acceptance, and we also provide initial indicators of the scale's possible predictive qualities by testing its time-separated effects with vaccination willingness, receipt and word-of-mouth.

Discussion

We leverage these results to provide a number of theoretical insights and suggestions for future practice. Of note, we highlight that different conceptualizations and operationalizations for the same construct can produce notably differing empirical findings, and vaccine hesitancy is no different.

Conclusion

Our cumulative efforts indicate that the UVHS is an appropriate measure to assess vaccine hesitancy as indecision.

背景：一些作者认为，疫苗犹豫不决应被概念化为疫苗接种决策过程中的犹豫不决，但目前还没有根据这一操作性定义创建出具有心理测量学特性和有效性的既定量表。目的：为解决这一矛盾，本文通过四项研究量表的开发过程，创建了4项单维疫苗犹豫不决量表（UVHS）：我们进行了四项调查研究，样本总数为 884 人：在研究 1（n = 297）和研究 2（n = 298）中，我们通过探索性和确认性因素分析为该量表提供了心理测量学支持。在研究 3（n = 193）和研究 4（n = 106）中，我们通过评估该量表与疫苗接种准备度和接受度等相关结构的关系，支持了该量表的并发效度和判别效度；我们还通过测试该量表与疫苗接种意愿、接受度和口碑的时间分离效应，提供了该量表可能具有的预测性的初步指标：我们利用这些结果为今后的实践提供了一些理论见解和建议。值得注意的是，我们强调同一概念的不同概念化和操作化会产生明显不同的实证结果，疫苗犹豫不决也不例外：我们的累积努力表明，UVHS 是评估疫苗犹豫不决的适当方法。

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引用次数: 0

Evaluating the Let's Move It intervention programme theory for adolescents' physical activity: Theorized psychosocial mechanisms of behavioural changes 评估 "让我们动起来 "青少年体育活动干预计划理论：行为改变的社会心理机制理论。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-09-24 DOI: 10.1111/bjhp.12744

Minttu Palsola, Vera Araújo-Soares, Wendy Hardeman, Ari Haukkala, Matti Toivo Juhani Heino, Falko Sniehotta, Reijo Sund, Tommi Vasankari, Nelli Hankonen

Objectives

Behaviour change theories have extensively been used in health behaviour change interventions and their programme theories. However, they are rarely evaluated in randomized field studies. The Let's Move It intervention targeted various psychosocial constructs to increase adolescents' physical activity. A theory-based process evaluation aiming to illuminate the trial findings as well as to test the programme theory used is conducted. Specifically, we investigate whether the intervention influenced the theorized determinants of change immediately post-intervention and after 1 year, and whether these determinants were associated with changes in physical activity.

Design

A cluster-randomized controlled trial (n = 1166).

Methods

We measured theorized determinants with self-report, and physical activity (PA) with accelerometry and self-report. The effects are evaluated with repeated measures ANOVA and regression models.

Results

No changes were detected in most theorized determinants but intervention arm reported higher enactment of behaviour change techniques used during intervention immediately post-intervention and lower descriptive norms for PA throughout. Autonomous motivation was associated with PA immediately post-intervention.

Conclusions

The lack of intervention effects may be due to many factors, for example insensitive measures, ceiling effects. However, reporting these null effects advances understanding of behaviour change processes. We introduce methodologic possibilities for future intervention programme theory evaluation efforts.

目的：行为改变理论已广泛应用于健康行为改变干预措施及其方案理论中。然而，这些理论很少在随机实地研究中得到评估。让我们行动起来 "干预措施针对各种社会心理因素，以增加青少年的体育锻炼。我们开展了一项基于理论的过程评估，旨在阐明试验结果并检验所使用的计划理论。具体来说，我们调查了干预是否影响了干预后即刻和一年后理论上的变化决定因素，以及这些决定因素是否与体育锻炼的变化有关：设计：分组随机对照试验（n = 1166）：方法：我们通过自我报告来测量理论上的决定因素，通过加速度计和自我报告来测量体力活动（PA）。采用重复测量方差分析和回归模型对效果进行评估：结果：大多数理论上的决定因素没有发生变化，但干预组在干预后立即报告了干预期间使用的行为改变技术的更高实施率，以及整个干预期间较低的体力活动描述性标准。自主动机与干预后的运动量相关：结论：干预效果不明显可能是由多种因素造成的，如测量不敏感、天花板效应等。然而，报告这些无效效果有助于加深对行为改变过程的理解。我们为未来的干预计划理论评估工作介绍了方法上的可能性。

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引用次数: 0

Understanding the experiences of older adult participants and individuals involved in the delivery of a physical activity programme based on participatory approaches: A qualitative analysis 了解参与实施基于参与式方法的体育活动计划的老年参与者和个人的经历：定性分析。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-09-23 DOI: 10.1111/bjhp.12747

Laura J. McGowan, Amy Davies, David P. French, Angela Devereux-Fitzgerald, Elisabeth Boulton, Chris Todd, Christopher Phillipson, Rachael Powell

Background

The present study aimed to understand the experiences of older adult participants and service deliverers involved in a UK-based physical activity programme, developed using participatory approaches.

Methods

Focus groups and one-to-one interviews were conducted with 34 older adults (aged 55+ years) and 13 service providers. Inductive thematic analysis was conducted, structured using the framework approach.

Findings

Four themes were identified: (1) Co-designed activities met needs and encouraged attendance; (2) engagement and access of programme activities; (3) enjoyment and perceived benefits of sessions; and (4) support needs of individuals delivering activities. Co-designed activities appeared to meet participant needs and instil a sense of ownership of the programme. Feeling able to relate to other participants seemed important and of potential relevance to attracting older adults to the programme. Peer support may help to increase confidence in attending sessions; place-based approaches (using resources in local communities) and a flexible approach to involvement also seemed to facilitate engagement. Enjoyment of the programme appeared to be enhanced through activity variety and opportunity for socializing, with a sense of community being created through the support and encouragement of fellow participants. It was considered important that volunteers had appropriate recognition and ongoing support.

Conclusions

These findings suggest that using participatory approaches may facilitate enjoyment and sustained engagement of older adults. Provision based on local community assets may contribute to sustainability of services. However, providing ongoing support is imperative, requiring further costs and resources over the longer-term.

研究背景本研究旨在了解参与英国一项体育活动计划的老年人参与者和服务提供者的经验：对 34 名老年人（55 岁以上）和 13 名服务提供者进行了焦点小组和一对一访谈。采用归纳式主题分析法，以框架方法进行结构化分析：确定了四个主题：(1) 共同设计的活动满足了需求并鼓励参加；(2) 参与和参加计划活动；(3) 活动的乐趣和感受到的益处；(4) 提供活动的个人的支持需求。共同设计的活动似乎满足了参与者的需求，并灌输了对计划的主人翁意识。能与其他参与者产生共鸣的感觉似乎很重要，这可能与吸引老年人参加活动有关。同伴支持可能有助于增强参加活动的信心；以地方为基础的方法（利用当地社区的资源）和灵活的参与方法似乎也有助于参与。通过活动的多样性和社交机会，以及通过其他参与者的支持和鼓励而产生的社区感，似乎可以提高对该计划的乐趣。志愿者得到适当的认可和持续的支持被认为是非常重要的：这些研究结果表明，使用参与式方法可以促进老年人享受活动并持续参与活动。以当地社区资产为基础提供服务可能有助于服务的可持续性。然而，提供持续的支持势在必行，长期而言需要更多的成本和资源。

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引用次数: 0

Relevance of the common-sense model for people living with a genetic predisposition for breast and ovarian cancer 常识模型与乳腺癌和卵巢癌遗传易感人群的相关性。

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-09-22 DOI: 10.1111/bjhp.12752

Carole Fantini-Hauwel, Laura Geerts-Crabbé, Pascal Antoine

Objectives

BRCA1/2 pathogenic variants have been associated with an increased risk for breast, ovarian, pancreatic, prostate cancer as well as melanoma. The present research uses the Leventhal's common-sense model of self-regulation (CSM), a theoretical framework highlighting the role of mental representations on responses to a health-threat. We aim at understanding the personal meaning and representation of living with an hereditary breast and ovarian cancer predisposition.

Method

Semi-structured interviews of 15 BRCA carriers were analysed using the interpretative phenomenological analysis.

Results

Mental representations develops in childhood and are influenced by childhood emotional responses to the familial experience of the BRCA predisposition. Pre-existing beliefs about BRCA, even erroneous, are deeply anchored and not called into question by medical informations given during the genetic counselling. This is particularly true when medical information is perceived as too complex, inconsistent or in contradiction with familial experience. These beliefs about the consequences of being carriers of the BRCA gene influence emotional and behavioural experiences leading to experience fear, anxiety, lack of hope for future or self-identity change. For participants with a traumatic familial experience of cancer, the lack of treatment for this genetic disease generates a perpetual overestimation of cancers’ risk and the feeling of an unending danger associated with early death despite breast and ovarian prophylactic surgery. When strong negative representations of the BRCA predisposition are experienced, dysfunctional health behaviours, such as drugs consumption or overuse of medical consultations, could appear consecutively to emotional disorders.

研究目的BRCA1/2 基因变异与乳腺癌、卵巢癌、胰腺癌、前列腺癌和黑色素瘤的患病风险增加有关。本研究采用了莱文塔尔的常识自我调节模型（CSM），这是一个强调心理表征对健康威胁反应的作用的理论框架。我们旨在了解遗传性乳腺癌和卵巢癌易感性的个人意义和生活表征：方法：采用解释性现象学分析方法，对 15 名 BRCA 基因携带者的半结构式访谈进行分析：心理表征在童年时期形成，并受到童年时期对 BRCA 遗传倾向的家庭经历的情绪反应的影响。先前存在的关于 BRCA 的信念，即使是错误的，也会深深扎根，不会因为遗传咨询过程中提供的医学信息而受到质疑。当医疗信息被认为过于复杂、不一致或与家庭经验相矛盾时，情况尤其如此。这些关于 BRCA 基因携带者后果的信念会影响情绪和行为体验，导致恐惧、焦虑、对未来缺乏希望或自我身份改变。对于有癌症家族创伤经历的参与者来说，由于缺乏对这种遗传疾病的治疗，他们会长期高估癌症的风险，并感觉到尽管进行了乳房和卵巢预防手术，但仍有与早死相关的无尽危险。当对 BRCA 易感性产生强烈的负面印象时，功能失调的健康行为，如服用药物或过度就医，可能会与情绪失调同时出现。

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引用次数: 0

Experienced facilitators and challenges of practising motivational interaction: How can pre-service physical education teachers adopt more motivational behaviours? 实践激励性互动的经验促进者和挑战：职前体育教师如何采取更具激励性的行为？

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2024-09-01 DOI: 10.1111/bjhp.12751

Elina Renko, Catharina Karvinen, Nelli Hankonen

Objectives

Health promotion professionals can contribute to high-quality motivation and sustained health behaviours, for example, physical activity (PA), using motivational interaction with their target groups. However, evidence shows that even after comprehensive training, professionals do not optimally adopt motivational counselling styles. To improve efforts to help professionals take up and sustain motivational interaction in their practice, we need a better understanding of influences on practising these styles. This study set out to investigate pre-service physical education (PE) teachers' experienced facilitators and challenges of practising motivational interaction.

Design

After a training course that aimed to teach pre-service PE teachers the basic ideas and practical techniques of motivational interaction, 19 participants were interviewed.

Methods

Inductive content analysis was employed to investigate semi-structured interviews.

Results

We developed three categories each including both facilitators and challenges of practising motivational interaction: (1) own style of interaction functioned as a basis for practising and involved (a) confidence in skills and resources as well as (b) reflecting, overcoming and forming habits, (2) regulation of one's own behaviour: autonomy and responsibility involved the freedom to choose and plan how to practise but also bearing responsibility for it, and (3) pursuing authentic interaction related to the search for natural ways to use motivational interaction with others.

Conclusions

We provide suggestions on how future training can make use of this knowledge and systematically make use of behaviour change science to foster practising motivational interaction, for example, using self-regulation strategies and habit-forming/breaking skills.

目的：健康促进专业人员可以通过与目标群体进行激励互动，促进高质量的激励和持续的健康行为，例如体育锻炼（PA）。然而，有证据表明，即使经过全面培训，专业人员也无法最佳地采用激励咨询方式。为了更好地帮助专业人员在实践中采用并保持激励式互动，我们需要更好地了解实践这些风格的影响因素。本研究旨在调查职前体育教师在实践激励性互动时所经历的促进因素和挑战：设计：在一个旨在向职前体育教师传授激励性互动的基本理念和实践技巧的培训课程结束后，对 19 名参与者进行了访谈：方法：对半结构式访谈进行归纳内容分析：我们将激励性互动实践的促进因素和挑战分为三类：(1) 自己的互动风格是实践的基础，涉及(a) 对技能和资源的信心以及(b) 反思、克服和形成习惯；(2) 对自己行为的调节：自主性和责任涉及自由选择和计划如何实践，但也要为此承担责任；(3) 追求真实的互动，涉及寻找与他人进行激励性互动的自然方法：我们就今后的培训如何利用这些知识和系统地利用行为改变科学来促进动机互动实践（例如，使用自我调节策略和习惯养成/打破技能）提出了建议。

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引用次数: 0