The current study aimed to explore whether people with facial palsy experienced more social appearance anxiety, social anxiety, fear of negative evaluation, and engaged in more appearance-fixing behaviour than controls without facial palsy. The secondary aim was to investigate whether fear of negative evaluation and appearance-fixing behaviour were predictive of social appearance anxiety in people with facial palsy.
Method
People with facial palsy (n = 78) and people without facial palsy (n = 86) completed online questionnaires with measures of social anxiety, social appearance anxiety, fear of negative evaluation, and appearance-fixing behaviour.
Results
The facial palsy group experienced significantly greater social appearance anxiety, social anxiety, and fear of negative evaluation than the control group; controlling for depression. The facial palsy group also engaged in significantly more appearance-fixing behaviour than the control group. Further, controlling for depression, fear of negative evaluation from others and appearance-fixing were both found to be significant positive predictors of social appearance anxiety in the facial palsy group.
Discussion
Findings are consistent with Clark and Well's (1995) cognitive behavioural model of social anxiety. Findings indicate a need for screening and provision for psychological support for social anxiety in people with facial palsy and that cognitions relating to fear of negative evaluation and appearance-fixing behaviour are potentially useful targets for intervention.
{"title":"Social anxiety in people with facial palsy: The role of fear of negative evaluation and appearance-fixing behaviour","authors":"Jessica A. E. Dring, Emily Reeves, Matthew Hotton","doi":"10.1111/bjhp.70018","DOIUrl":"10.1111/bjhp.70018","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The current study aimed to explore whether people with facial palsy experienced more social appearance anxiety, social anxiety, fear of negative evaluation, and engaged in more appearance-fixing behaviour than controls without facial palsy. The secondary aim was to investigate whether fear of negative evaluation and appearance-fixing behaviour were predictive of social appearance anxiety in people with facial palsy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>People with facial palsy (<i>n</i> = 78) and people without facial palsy (<i>n</i> = 86) completed online questionnaires with measures of social anxiety, social appearance anxiety, fear of negative evaluation, and appearance-fixing behaviour.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The facial palsy group experienced significantly greater social appearance anxiety, social anxiety, and fear of negative evaluation than the control group; controlling for depression. The facial palsy group also engaged in significantly more appearance-fixing behaviour than the control group. Further, controlling for depression, fear of negative evaluation from others and appearance-fixing were both found to be significant positive predictors of social appearance anxiety in the facial palsy group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Findings are consistent with Clark and Well's (1995) cognitive behavioural model of social anxiety. Findings indicate a need for screening and provision for psychological support for social anxiety in people with facial palsy and that cognitions relating to fear of negative evaluation and appearance-fixing behaviour are potentially useful targets for intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144927475","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}
Andriana Theodoropoulou, Matteo Lisi, Jonathan Rolision, Miroslav Sirota
Objectives
Patients' expectations for antibiotics are among the strongest predictors of clinicians' decisions to overprescribe antibiotics. In this registered report, we used a signal detection theory framework to investigate the experimental effects of the communication interventions that family physicians can use to reduce patients' diagnostic uncertainty, and consequently, their antibiotic expectations.
Methods
UK participants (N = 769) read hypothetical consultations for respiratory tract infections and were randomly assigned to one of three conditions: standard information (control), recommended information about the nature of the illness and antibiotic efficacy (recommended communication) or recommended information accompanied by point-of-care test results (recommended communication and CRP). Using a multilevel Bayesian probit regression, we estimated both decision bias (criterion) and sensitivity (d-prime).
Results
Aligned with our bias hypotheses, participants displayed a more liberal antibiotic bias in the control condition compared to both the recommended communication (Δc = −1.34, 95% CI [−1.57, −1.11]) and the recommended communication and CRP (Δc = −1.73, 95% CI [−1.99, −1.48]) conditions. They also showed greater liberal bias in the recommended communication condition compared to the recommended communication and CRP condition (Δc = −0.39, 95% CI [−0.65, 0.13]). Aligned with our sensitivity hypotheses, participants displayed significantly higher sensitivity in both the recommended communication (Δd' = 2.34, 95% CI [1.92, 2.79]) and the recommended communication and CRP (Δd' = 2.49, 95% CI [2.08, 2.95]) conditions compared to control.
Conclusions
Simple, evidence-based communication strategies—particularly when combined with diagnostic test results—can reduce antibiotic expectations, offering practical tools for clinicians to support appropriate prescribing.
{"title":"The effects of communicating illness diagnostic and treatment information and C-reactive protein test results on people's antibiotic expectations","authors":"Andriana Theodoropoulou, Matteo Lisi, Jonathan Rolision, Miroslav Sirota","doi":"10.1111/bjhp.70020","DOIUrl":"10.1111/bjhp.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Patients' expectations for antibiotics are among the strongest predictors of clinicians' decisions to overprescribe antibiotics. In this registered report, we used a signal detection theory framework to investigate the experimental effects of the communication interventions that family physicians can use to reduce patients' diagnostic uncertainty, and consequently, their antibiotic expectations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>UK participants (<i>N</i> = 769) read hypothetical consultations for respiratory tract infections and were randomly assigned to one of three conditions: standard information (control), recommended information about the nature of the illness and antibiotic efficacy (recommended communication) or recommended information accompanied by point-of-care test results (recommended communication and CRP). Using a multilevel Bayesian probit regression, we estimated both decision bias (criterion) and sensitivity (d-prime).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Aligned with our bias hypotheses, participants displayed a more liberal antibiotic bias in the control condition compared to both the recommended communication (Δ<i>c</i> = −1.34, 95% CI [−1.57, −1.11]) and the recommended communication and CRP (Δ<i>c</i> = −1.73, 95% CI [−1.99, −1.48]) conditions. They also showed greater liberal bias in the recommended communication condition compared to the recommended communication and CRP condition (Δ<i>c</i> = −0.39, 95% CI [−0.65, 0.13]). Aligned with our sensitivity hypotheses, participants displayed significantly higher sensitivity in both the recommended communication (Δ<i>d</i>' = 2.34, 95% CI [1.92, 2.79]) and the recommended communication and CRP (Δ<i>d</i>' = 2.49, 95% CI [2.08, 2.95]) conditions compared to control.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Simple, evidence-based communication strategies—particularly when combined with diagnostic test results—can reduce antibiotic expectations, offering practical tools for clinicians to support appropriate prescribing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144927476","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}
Tasmin A. Rookes, Danielle Nimmons, Rachael Frost, Megan Armstrong, Wing Nga Tsang, Laura Davies, Jamie Ross, Jane Hopkins, Manoj Mistry, Stephanie J. C. Taylor, Kate Walters
Background
More older adults are living with multiple long-term conditions (M-LTCs). Understanding the ‘active components’ of complex interventions to manage these is challenging. The Behaviour Change Techniques Taxonomy (BCTTv1) helps identify the ‘active components’ to understand which are associated with improved outcomes. This is important for people with M-LTCs due to health complications, competing health care regimes and conflicting clinical teams, requiring complex decision-making.
Objectives
This systematic review explores which BCTs are associated with effective complex interventions in people with M-LTCs.
Methods
Five databases were systematically searched to identify RCTs evaluating behaviour change intervention effectiveness in people with M-LTCs, published between 1999 and 2025. Data on intervention characteristics, effectiveness and BCTs were synthesized. A BCT index of potential was calculated by determining the percentage of studies that used a BCT that had a positive primary outcome. To be considered to have potential, a BCT had to have an index of potential higher than 50%.
Results
Fifty-nine eligible articles were included. 44/93 possible BCTs were identified, ranging from 1 to 16 different techniques per intervention (mean = 7). Thirty-two BCTs were present in three or more studies, of which 17 had the potential to improve outcomes, such as behavioural goal setting, monitoring outcomes, problem solving and providing information about health and emotional consequences. Interventions designed for people with both physical and mental LTCs were more likely to contain BCTs with higher potential.
Conclusions
Interventions delivered to those living with M-LTCs should incorporate relevant BCTs with a high index of potential and use mechanisms of action to identify other BCTs to include alongside these.
{"title":"Identifying the active components through the behaviour change techniques taxonomy in complex interventions for people living with multiple long-term health conditions: A systematic review","authors":"Tasmin A. Rookes, Danielle Nimmons, Rachael Frost, Megan Armstrong, Wing Nga Tsang, Laura Davies, Jamie Ross, Jane Hopkins, Manoj Mistry, Stephanie J. C. Taylor, Kate Walters","doi":"10.1111/bjhp.70019","DOIUrl":"10.1111/bjhp.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>More older adults are living with multiple long-term conditions (M-LTCs). Understanding the ‘active components’ of complex interventions to manage these is challenging. The Behaviour Change Techniques Taxonomy (BCTTv1) helps identify the ‘active components’ to understand which are associated with improved outcomes. This is important for people with M-LTCs due to health complications, competing health care regimes and conflicting clinical teams, requiring complex decision-making.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This systematic review explores which BCTs are associated with effective complex interventions in people with M-LTCs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Five databases were systematically searched to identify RCTs evaluating behaviour change intervention effectiveness in people with M-LTCs, published between 1999 and 2025. Data on intervention characteristics, effectiveness and BCTs were synthesized. A BCT index of potential was calculated by determining the percentage of studies that used a BCT that had a positive primary outcome. To be considered to have potential, a BCT had to have an index of potential higher than 50%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifty-nine eligible articles were included. 44/93 possible BCTs were identified, ranging from 1 to 16 different techniques per intervention (mean = 7). Thirty-two BCTs were present in three or more studies, of which 17 had the potential to improve outcomes, such as behavioural goal setting, monitoring outcomes, problem solving and providing information about health and emotional consequences. Interventions designed for people with both physical and mental LTCs were more likely to contain BCTs with higher potential.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Interventions delivered to those living with M-LTCs should incorporate relevant BCTs with a high index of potential and use mechanisms of action to identify other BCTs to include alongside these.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910475","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}
Sophie Fawson, Zoe Moon, Melanie Rattue, Rona Moss-Morris, Lyndsay D. Hughes
Objectives
Distress and physical symptoms are ongoing for early-stage breast cancer survivors on adjuvant hormone therapy. While previous qualitative research has focused on reporting the outcomes of distress and symptoms, as well as medication adherence, this study aimed to understand the link between symptoms and distress, exploring specifically how symptoms are distressing to inform interventions.
Design and Methods
A qualitative design was used with online semi-structured interviews conducted with 23 women with Stage I–III hormone receptor positive breast cancer, living in the United Kingdom and prescribed hormone therapy in the previous 2 years, about their experience of hormone therapy. Interviews were transcribed verbatim and analysed using inductive reflexive thematic analysis.
Results
The emotional burden of side-effects was an overarching theme. Other themes depicting why symptoms are distressing included the sense of helplessness around symptoms, living with and managing difficult feelings around loss and change, living with fear, worry and uncertainty around treatment side-effects and the internal conflict when making treatment decisions.
Conclusions
The findings indicate specific areas of emotional need in women prescribed hormone therapy related to living with and managing physical symptoms. This provides insight into how symptoms can contribute to distress, which goes beyond previous research that reports the perceived consequences of symptoms and distress. The results, therefore, can inform healthcare professional communication to support and validate ongoing experiences and the underlying decision conflict, which may be distressing for some women. Furthermore, psychological interventions could address the sense of loss and acceptance of limitations and change.
{"title":"Exploring physical symptoms and distress in early-stage breast cancer survivors on hormone therapy: A qualitative study","authors":"Sophie Fawson, Zoe Moon, Melanie Rattue, Rona Moss-Morris, Lyndsay D. Hughes","doi":"10.1111/bjhp.70012","DOIUrl":"10.1111/bjhp.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Distress and physical symptoms are ongoing for early-stage breast cancer survivors on adjuvant hormone therapy. While previous qualitative research has focused on reporting the outcomes of distress and symptoms, as well as medication adherence, this study aimed to understand the link between symptoms and distress, exploring specifically how symptoms are distressing to inform interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Methods</h3>\u0000 \u0000 <p>A qualitative design was used with online semi-structured interviews conducted with 23 women with Stage I–III hormone receptor positive breast cancer, living in the United Kingdom and prescribed hormone therapy in the previous 2 years, about their experience of hormone therapy. Interviews were transcribed verbatim and analysed using inductive reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The emotional burden of side-effects was an overarching theme. Other themes depicting why symptoms are distressing included the sense of helplessness around symptoms, living with and managing difficult feelings around loss and change, living with fear, worry and uncertainty around treatment side-effects and the internal conflict when making treatment decisions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings indicate specific areas of emotional need in women prescribed hormone therapy related to living with and managing physical symptoms. This provides insight into how symptoms can contribute to distress, which goes beyond previous research that reports the perceived consequences of symptoms and distress. The results, therefore, can inform healthcare professional communication to support and validate ongoing experiences and the underlying decision conflict, which may be distressing for some women. Furthermore, psychological interventions could address the sense of loss and acceptance of limitations and change.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144861881","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}
Sonia Shpendi, Paul Norman, Jilly Gibson-Miller, Rebecca Webster
Objectives
Cervical cancer (CC), which is caused by the human papillomavirus (HPV), results in around 3000 new cancer cases yearly in the UK. According to recent figures, rates in the UK have increased by 13% in young women over the last decade; screening attendance has fallen to a 10-year low. As the majority of women now reaching the screening age (24.5 years old) will be HPV vaccinated, research is needed to assess the possible impact of this successful immunisation programme on screening behaviours as well as to further our understanding of the current barriers and facilitators to screening and how these may differ between attendees and non-attendees.
Design
Cross-sectional survey.
Methods
Participants comprised 200 young women (attendees n = 100, non-attendees n = 100) aged 25–30 years old living in the UK. Participants completed an online questionnaire assessing COM-B model components and HPV vaccination status.
Results
A multiple logistic regression analysis revealed that reflective motivation was the only COM-B component that was a significant independent predictor of screening attendance, such that higher reflective motivation scores increased the odds of having attended cervical screening. In addition, HPV-vaccinated individuals had significantly greater odds of having attended screening when compared to non-vaccinated individuals.
Conclusions
Reflective motivational factors are crucial in encouraging young women to attend CC screening. Future work should focus on developing interventions that enhance reflective motivation.
{"title":"Cervical screening attendance in young women and people with a cervix: An application of the COM-B model","authors":"Sonia Shpendi, Paul Norman, Jilly Gibson-Miller, Rebecca Webster","doi":"10.1111/bjhp.70016","DOIUrl":"10.1111/bjhp.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Cervical cancer (CC), which is caused by the human papillomavirus (HPV), results in around 3000 new cancer cases yearly in the UK. According to recent figures, rates in the UK have increased by 13% in young women over the last decade; screening attendance has fallen to a 10-year low. As the majority of women now reaching the screening age (24.5 years old) will be HPV vaccinated, research is needed to assess the possible impact of this successful immunisation programme on screening behaviours as well as to further our understanding of the current barriers and facilitators to screening and how these may differ between attendees and non-attendees.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Cross-sectional survey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants comprised 200 young women (attendees <i>n</i> = 100, non-attendees <i>n</i> = 100) aged 25–30 years old living in the UK. Participants completed an online questionnaire assessing COM-B model components and HPV vaccination status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A multiple logistic regression analysis revealed that reflective motivation was the only COM-B component that was a significant independent predictor of screening attendance, such that higher reflective motivation scores increased the odds of having attended cervical screening. In addition, HPV-vaccinated individuals had significantly greater odds of having attended screening when compared to non-vaccinated individuals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Reflective motivational factors are crucial in encouraging young women to attend CC screening. Future work should focus on developing interventions that enhance reflective motivation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869396","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}
Paulina M. Schenk, Susan Michie, Marie Johnston, Talea Cornelius
Background
Testing mechanisms of action (MoAs) hypothesized to drive behaviour change improves intervention efficacy and allows theoretical propositions to be evaluated, enabling evidence accumulation. However, clear correspondence between behavioural MoAs and associated measures is lacking, creating challenges for intervention evaluation.
Aims
To link well-defined behavioural MoAs to multidimensional measures.
Method
Two researchers independently judged whether 44 measures (comprising 131 (sub)scales) in the Science of Behavior Change (SOBC) Measures Repository are suitable for measuring 270 MoAs from the Human Behaviour-Change Project's MoA Ontology (2022). Links were categorized as ‘confirmed’ (aligned with a prior expert opinion study linking measures to 26 MoAs), ‘removed’ or ‘new’. Judgements were compared, discussed, reconciled iteratively and jointly reviewed for consistency.
Results
Six hundred and eighty-six links between SOBC measures and MoAs were identified (397 ‘confirmed’, 289 ‘new’). Measures were found to tap into multiple MoAs, with 5.24 MoAs linked to each measure on average. These links demonstrated greater granularity than those identified in a previous expert opinion study because MoAs from the MoA Ontology were more specific than MoAs from this previous study. Commonly co-occurring MoAs were identified (e.g., ‘self-regulation process’ and ‘self-regulation capability’) and MoAs potentially missing from the ontology were noted.
Conclusion
The refined measure-MoA links provide more precise guidance for researchers when designing and/or selecting measures to assess the role of MoAs in theory-based behavioural interventions. Future research should further explore measure-MoA links by, for example, testing the discriminant content validity of ostensibly distinct measures that tap into the same or similar MoAs.
{"title":"Measuring processes of change in behavioural interventions: Insights gained from linking mechanisms of action to associated measures","authors":"Paulina M. Schenk, Susan Michie, Marie Johnston, Talea Cornelius","doi":"10.1111/bjhp.70015","DOIUrl":"10.1111/bjhp.70015","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Testing mechanisms of action (MoAs) hypothesized to drive behaviour change improves intervention efficacy and allows theoretical propositions to be evaluated, enabling evidence accumulation. However, clear correspondence between behavioural MoAs and associated measures is lacking, creating challenges for intervention evaluation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To link well-defined behavioural MoAs to multidimensional measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Two researchers independently judged whether 44 measures (comprising 131 (sub)scales) in the Science of Behavior Change (SOBC) Measures Repository are suitable for measuring 270 MoAs from the Human Behaviour-Change Project's MoA Ontology (2022). Links were categorized as ‘confirmed’ (aligned with a prior expert opinion study linking measures to 26 MoAs), ‘removed’ or ‘new’. Judgements were compared, discussed, reconciled iteratively and jointly reviewed for consistency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six hundred and eighty-six links between SOBC measures and MoAs were identified (397 ‘confirmed’, 289 ‘new’). Measures were found to tap into multiple MoAs, with 5.24 MoAs linked to each measure on average. These links demonstrated greater granularity than those identified in a previous expert opinion study because MoAs from the MoA Ontology were more specific than MoAs from this previous study. Commonly co-occurring MoAs were identified (e.g., ‘self-regulation process’ and ‘self-regulation capability’) and MoAs potentially missing from the ontology were noted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The refined measure-MoA links provide more precise guidance for researchers when designing and/or selecting measures to assess the role of MoAs in theory-based behavioural interventions. Future research should further explore measure-MoA links by, for example, testing the discriminant content validity of ostensibly distinct measures that tap into the same or similar MoAs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869339","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}
Alexandra Spyrelis, Maria E. Loades, Rizwana Roomaney
Introduction
This study developed and assessed the feasibility, acceptability, and exploratory outcomes of a six-session cognitive behavioural therapy (CBT)-based intervention for endometriosis-related persistent fatigue, called Managing Fatigue in Endometriosis (MEND).
Methods
MEND was developed based on CBT for persistent fatigue and a prior qualitative study among fatigued patients with endometriosis in South Africa. After expert review, it was delivered online by trained counsellors to small groups. A single-arm within-subjects study with 21 participants (mean age 33.1, range 23–43 years) reporting moderate to severe fatigue pre-intervention was conducted. Feasibility, acceptability and patient-reported outcome measures were assessed.
Results
A high eligibility rate (n = 43, 83%) and lower enrolment rate (n = 21, 49%) were observed. Session attendance varied (43%–76%), with a 57% (n = 12) completion and 28% (n = 5) drop-out rate, mainly due to countrywide power outages during implementation. Qualitative data indicated that the intervention was acceptable to both participants and interventionists. Although not sufficiently powered to determine effectiveness, the Reliable Change Index indicated a mixed pattern of change—some outcomes showed improvement (18%–55%), while others reflected no change (18%–64%) or deterioration (9%–36%).
Conclusion
MEND was found to be feasible and acceptable, although attrition was high. A randomized controlled trial is warranted to assess treatment efficacy more definitively.
{"title":"Feasibility, acceptability, and exploratory outcomes of a virtual cognitive behavioural therapy-based group intervention for persistent fatigue in endometriosis: The Managing Fatigue in Endometriosis (MEND) programme","authors":"Alexandra Spyrelis, Maria E. Loades, Rizwana Roomaney","doi":"10.1111/bjhp.70014","DOIUrl":"10.1111/bjhp.70014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This study developed and assessed the feasibility, acceptability, and exploratory outcomes of a six-session cognitive behavioural therapy (CBT)-based intervention for endometriosis-related persistent fatigue, called Managing Fatigue in Endometriosis (MEND).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>MEND was developed based on CBT for persistent fatigue and a prior qualitative study among fatigued patients with endometriosis in South Africa. After expert review, it was delivered online by trained counsellors to small groups. A single-arm within-subjects study with 21 participants (mean age 33.1, range 23–43 years) reporting moderate to severe fatigue pre-intervention was conducted. Feasibility, acceptability and patient-reported outcome measures were assessed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A high eligibility rate (<i>n</i> = 43, 83%) and lower enrolment rate (<i>n</i> = 21, 49%) were observed. Session attendance varied (43%–76%), with a 57% (<i>n</i> = 12) completion and 28% (<i>n</i> = 5) drop-out rate, mainly due to countrywide power outages during implementation. Qualitative data indicated that the intervention was acceptable to both participants and interventionists. Although not sufficiently powered to determine effectiveness, the Reliable Change Index indicated a mixed pattern of change—some outcomes showed improvement (18%–55%), while others reflected no change (18%–64%) or deterioration (9%–36%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>MEND was found to be feasible and acceptable, although attrition was high. A randomized controlled trial is warranted to assess treatment efficacy more definitively.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.70014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815018","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}
To test the possibility that narratives regarding compassion as tiring (compassion fatigue) in health care represent a form of self-fulfilling prophecy by experimentally testing whether perceptions of compassion can be manipulated and whether such manipulations change ratings of compassion toward hypothetical patients.
Design
Preregistered experimental study of medical practitioners and trainee doctors conducted anonymously and online using a mixed between-groups and repeated within-person design.
Methods
New Zealand doctors and medical trainees were randomized to watch a video positioning compassion as positive or negative (or a control video). Perceptions of compassion were rated before and after the manipulation, before participants rated standardized vignettes depicting patients who systematically varied in terms of presentation and responsibility for condition. Data were analysed using factorial analysis of variance (ANOVA).
Results
Factorial ANOVA revealed that perceptions of compassion were influenced by the video manipulation but group differences in ratings of care, compassion, and desire to help hypothetical patients were not found. Patient presentation and responsibility manipulations showed large effects and there was evidence for the influence of social desirability.
Conclusions
This study provides ‘proof of principle’ that perceptions of compassion are malleable lending support to the possibility that a focus on compassion fatigue may be contributing to a self-fulfilling prophecy. Perceptions of compassion were readily altered following a short video intervention. While group differences in responses to hypothetical patients were not seen, the findings (particularly the large effect of patient factors) support the view that multiple factors contribute to the emergence of compassion in health care.
{"title":"Is compassion fatigue a self-fulfilling prophecy in health care? A preregistered experimental study of manipulated expectations in doctors and medical trainees","authors":"Rachel Roskvist, Nathan S. Consedine","doi":"10.1111/bjhp.70013","DOIUrl":"10.1111/bjhp.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To test the possibility that narratives regarding compassion as tiring (compassion fatigue) in health care represent a form of self-fulfilling prophecy by experimentally testing whether perceptions of compassion can be manipulated and whether such manipulations change ratings of compassion toward hypothetical patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Preregistered experimental study of medical practitioners and trainee doctors conducted anonymously and online using a mixed between-groups and repeated within-person design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>New Zealand doctors and medical trainees were randomized to watch a video positioning compassion as positive or negative (or a control video). Perceptions of compassion were rated before and after the manipulation, before participants rated standardized vignettes depicting patients who systematically varied in terms of presentation and responsibility for condition. Data were analysed using factorial analysis of variance (ANOVA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Factorial ANOVA revealed that perceptions of compassion were influenced by the video manipulation but group differences in ratings of care, compassion, and desire to help hypothetical patients were not found. Patient presentation and responsibility manipulations showed large effects and there was evidence for the influence of social desirability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study provides ‘proof of principle’ that perceptions of compassion are malleable lending support to the possibility that a focus on compassion fatigue may be contributing to a self-fulfilling prophecy. Perceptions of compassion were readily altered following a short video intervention. While group differences in responses to hypothetical patients were not seen, the findings (particularly the large effect of patient factors) support the view that multiple factors contribute to the emergence of compassion in health care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800632","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}
Dominika Wietrzykowska, Paulina Krzywicka, Zofia Szczuka, Ewa Kulis, Maria Siwa, Anna Kornafel, Hanna Zaleskiewicz, Monika Boberska, Anna Banik, Jowita Misiakowska, Nina Knoll, Theda Radtke, Ryan E. Rhodes, Aleksandra Luszczynska
Objectives
This study investigated how self-regulatory action control indicators (self-regulatory effort, awareness of standards, self-monitoring) and perceived physical environment (perceived physical environment at home, in the neighbourhood, and availability of health promotion programs) are connected to explain moderate-to-vigorous physical activity (MVPA) over time. Furthermore, we examined whether these associations were moderated by an ‘objective’ physical environmental indicator, comparing small towns and rural areas with fewer PA facilities with a large city with more physical activity (PA) facilities.
Methods and Design
The study applied a prospective design, with participants (N = 593) providing data twice, spanning 8 months between the measurements. MVPA time was assessed using ActiGraph GT3X-BT accelerometers. Two-group mediation models were tested with path analyses.
Results
The associations representing mediating effects, encompassing perceived home environment → awareness of standards → MVPA were significant and positive in the city (with more PA facilities), but no mediation effects were found for data collected in towns/rural areas (with fewer PA facilities). High perceived availability of health promotion programmes was directly related to lower MVPA, but only in towns/rural areas (with fewer PA facilities).
Conclusions
The findings suggest distinct patterns of associations in the larger city, compared to smaller towns/rural areas. Different perceived environmental characteristics and different self-regulatory action control facets may directly and indirectly predict MVPA of citizens living in these two types of locations.
{"title":"Tell me where you live, and I will predict your exercise levels: How self-regulatory action control, objective and perceived physical environment jointly explain physical activity time","authors":"Dominika Wietrzykowska, Paulina Krzywicka, Zofia Szczuka, Ewa Kulis, Maria Siwa, Anna Kornafel, Hanna Zaleskiewicz, Monika Boberska, Anna Banik, Jowita Misiakowska, Nina Knoll, Theda Radtke, Ryan E. Rhodes, Aleksandra Luszczynska","doi":"10.1111/bjhp.70011","DOIUrl":"10.1111/bjhp.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study investigated how self-regulatory action control indicators (self-regulatory effort, awareness of standards, self-monitoring) and perceived physical environment (perceived physical environment at home, in the neighbourhood, and availability of health promotion programs) are connected to explain moderate-to-vigorous physical activity (MVPA) over time. Furthermore, we examined whether these associations were moderated by an ‘objective’ physical environmental indicator, comparing small towns and rural areas with fewer PA facilities with a large city with more physical activity (PA) facilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Design</h3>\u0000 \u0000 <p>The study applied a prospective design, with participants (<i>N</i> = 593) providing data twice, spanning 8 months between the measurements. MVPA time was assessed using ActiGraph GT3X-BT accelerometers. Two-group mediation models were tested with path analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The associations representing mediating effects, encompassing perceived home environment <b>→</b> awareness of standards <b>→</b> MVPA were significant and positive in the city (with more PA facilities), but no mediation effects were found for data collected in towns/rural areas (with fewer PA facilities). High perceived availability of health promotion programmes was directly related to lower MVPA, but only in towns/rural areas (with fewer PA facilities).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings suggest distinct patterns of associations in the larger city, compared to smaller towns/rural areas. Different perceived environmental characteristics and different self-regulatory action control facets may directly and indirectly predict MVPA of citizens living in these two types of locations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144740508","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}
Gabriela Ferreira, Andrés Redondo-Tébar, João Pedro Gonçalves, Eduarda Sousa-Sá, Olena Oliveira, Luís Lopes, Rute Santos
Purpose
This systematic review summarizes the associations between sleep, sedentary behaviour and physical activity and HRQoL in children and adolescents.
Methods
PubMed, Embase, PsycINFO and SPORTDiscus were searched from inception until April 2023. Studies conducted in healthy children and adolescents, aged ≤17.9 years at baseline, with validated instruments to assess HRQoL were considered.
Results
Of 6914 reports, 92 (72 cross-sectional, 10 longitudinal, 10 randomized controlled trials) were included, representing 149,760 participants aged 3–20 years. Results provide consistent evidence on (i) the detrimental associations between poor sleep quality and HRQoL; and (ii) beneficial associations between total physical activity and sports participation on HRQoL. There is some support for the detrimental associations between short sleep duration or excessive screen time and HRQoL, and beneficial associations between long sleep and HRQoL. Cross-sectional reports dominated over longitudinal and RCTs, limiting event sequencing and causal inferences, respectively. There were few sleep studies compared to other exposures. The studies' quality varied from very low to moderate.
Conclusions
Results support limiting screen time during leisure time to <2 h/day, but do not provide sufficient evidence to establish a limit for total sedentary time/day, as well as promoting moderate-to-vigorous physical activity (> 60 min/day) and sports participation. Nevertheless, high-quality studies are necessary in the future.
Registration
The protocol of this systematic review was registered in PROSPERO (CRD42023414970).
{"title":"Sleep, sedentary behaviour, physical activity and health-related quality of life in children and adolescents: A systematic review","authors":"Gabriela Ferreira, Andrés Redondo-Tébar, João Pedro Gonçalves, Eduarda Sousa-Sá, Olena Oliveira, Luís Lopes, Rute Santos","doi":"10.1111/bjhp.70004","DOIUrl":"10.1111/bjhp.70004","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This systematic review summarizes the associations between sleep, sedentary behaviour and physical activity and HRQoL in children and adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PubMed, Embase, PsycINFO and SPORTDiscus were searched from inception until April 2023. Studies conducted in healthy children and adolescents, aged ≤17.9 years at baseline, with validated instruments to assess HRQoL were considered.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 6914 reports, 92 (72 cross-sectional, 10 longitudinal, 10 randomized controlled trials) were included, representing 149,760 participants aged 3–20 years. Results provide consistent evidence on (i) the detrimental associations between poor sleep quality and HRQoL; and (ii) beneficial associations between total physical activity and sports participation on HRQoL. There is some support for the detrimental associations between short sleep duration or excessive screen time and HRQoL, and beneficial associations between long sleep and HRQoL. Cross-sectional reports dominated over longitudinal and RCTs, limiting event sequencing and causal inferences, respectively. There were few sleep studies compared to other exposures. The studies' quality varied from very low to moderate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results support limiting screen time during leisure time to <2 h/day, but do not provide sufficient evidence to establish a limit for total sedentary time/day, as well as promoting moderate-to-vigorous physical activity (> 60 min/day) and sports participation. Nevertheless, high-quality studies are necessary in the future.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Registration</h3>\u0000 \u0000 <p>The protocol of this systematic review was registered in PROSPERO (CRD42023414970).</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144714810","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}
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