British Journal of Health Psychology最新文献_第6页

Smoking cessation supported by a smartphone app: A qualitative process evaluation of the Quit Sense feasibility RCT 智能手机应用程序支持的戒烟：戒烟意识可行性随机对照试验的定性过程评估

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-07-25 DOI: 10.1111/bjhp.70010

Aimie Hope, Felix Naughton, Caitlin Notley

Objectives

Quit Sense is a Just-in-Time Adaptive Intervention (JITAI) smartphone app that provides real-time automated and in-situ support to help people attempting to quit smoking manage cue-induced cravings. This process evaluation study explored views and experiences of feasibility trial participants and assessed: (1) intervention experiences, (2) how these might help explain causal pathways towards behaviour change and (3) experiences of study participation.

Design

Qualitative interviews nested within a two-arm feasibility randomized control trial.

Methods

We purposefully sampled 20 participants (15 intervention, 5 usual care) for semi-structured telephone interviews. Data were thematically analysed and was supplemented with a descriptive analysis of relevant experiences to hypothesize causal pathways to behaviour change.

Results

Motivations for engaging in the trial and intervention included wanting greater accountability and to be part of something. Reasons for disengaging included successfully quitting (app no longer needed), lapsing/relapsing and preferring other support types. Mechanisms which reportedly enabled successful quit attempts included the app's prequit preparation phase through insights into smoking cues, the delivery of lapse avoidance strategies and the supportive messages which helped to reinforce the goal of quitting. The trial was conducted during the COVID-19 pandemic and provided examples of situations and contexts in which Quit Sense was used and felt to be (un)helpful for cessation.

Conclusions

The Quit Sense app and trial were well received by participants. Participants reported that the preparation phase used for app training prior to their quit date was of particular value and not currently offered by other apps tried.

Quit Sense是一款即时自适应干预（JITAI）智能手机应用程序，它提供实时自动化和原位支持，帮助试图戒烟的人控制提示引起的渴望。本过程评估研究探讨了可行性试验参与者的观点和经验，并评估了：(1)干预经验；(2)这些经验如何有助于解释行为改变的因果途径；(3)研究参与经验。设计在两组可行性随机对照试验中嵌套定性访谈。方法我们有目的地抽取20名参与者（15名干预，5名常规护理）进行半结构化电话访谈。对数据进行了主题分析，并辅以对相关经验的描述性分析，以假设行为改变的因果途径。参与试验和干预的动机包括想要更大的责任和成为某事的一部分。退出的原因包括成功退出（不再需要应用程序），失效/复发以及更喜欢其他支持类型。据报道，成功戒烟的机制包括应用程序的戒烟前准备阶段，通过洞察吸烟线索，提供失误避免策略以及有助于加强戒烟目标的支持性信息。该试验是在2019冠状病毒病大流行期间进行的，并提供了使用戒烟感知的情况和背景示例，并认为戒烟感知对戒烟（无益）有帮助。结论Quit Sense应用程序和试验得到了参与者的好评。参与者报告说，在戒烟日期之前用于应用程序培训的准备阶段特别有价值，目前其他试用的应用程序没有提供。

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引用次数: 0

Exploring othering and perceived harmful drinking contexts among risky drinkers: An arts-based focus group study 在危险饮酒者中探索其他和感知到的有害饮酒环境：一项基于艺术的焦点小组研究

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-07-24 DOI: 10.1111/bjhp.70008

Melissa Oldham, Jiexi Yang, Tosan Okpako, Dimitra Kale, James Morris, Claire Garnett, Sara Wallhed Finn, Felix Naughton, Jamie Brown

Objectives

To explore whether people ‘other’ when making judgements about ‘harmful’ drinking and the drinking contexts (e.g., pub with friends) and features of drinking contexts (e.g., location, company) perceived as being indicative of harmful drinking.

Design

Focus group design with arts-based methods.

Methods

Risky drinkers (AUDIT-C ≥ 5; n = 20) in four focus groups, drew and discussed contexts and features of contexts they thought indicated harmful drinking. Reflexive thematic analysis was conducted alongside content analysis of drawings informed by themes and prior research.

Findings

There are three deductive themes. The first theme semblance of control referred to people's tendency to differentiate their own drinking practices as controlled and safe in relation to the out-of-control behaviours of a harmful drinker. This was seen in the content analysis of drawings where participants tended to draw drinking contexts which were different to those they drank in. The drinking practices perceived as being indicative of harmful drinking were further explored in the second theme harmful drinking contexts. This theme was made up of four subthemes: mental harms, physical harms, social harms and societal harms which were discussed as being differentially associated with different types of drinking contexts. The final theme, features which make drinking ‘harmful’, focused on the features of drinking contexts which participants felt were more indicative of harm. There were seven subthemes: alone, home, amount, drink type, having responsibilities, reason for drinking and timing/pattern.

Conclusions

Drinking contexts fed into the construction of othering narratives among risky drinkers. This has implications for alcohol harm reduction campaigns.

目的探讨人们在判断“有害”饮酒和饮酒环境（如与朋友在酒吧）以及饮酒环境的特征（如地点、公司）时，是否认为“其他”是有害饮酒的标志。使用基于艺术的方法进行焦点小组设计。方法高危饮酒者(AUDIT-C≥5；N = 20)，在四个焦点小组中绘制并讨论他们认为表明有害饮酒的环境和环境特征。反身性主题分析与根据主题和先前研究进行的图纸内容分析同时进行。有三个演绎主题。第一个主题控制表象是指人们倾向于将自己的饮酒行为与有害饮酒者的失控行为区分为可控和安全的。这在绘画的内容分析中可以看出，参与者倾向于画出与他们饮酒的环境不同的饮酒环境。在第二个主题有害饮酒背景下，进一步探讨了被认为是有害饮酒的指示性饮酒做法。这个主题由四个子主题组成：精神伤害、身体伤害、社会伤害和社会伤害，这些主题被讨论为与不同类型的饮酒环境有不同的联系。最后一个主题是“饮酒有害的特征”，关注的是参与者认为饮酒环境中更容易产生危害的特征。有七个小主题：独自一人，家庭，数量，饮料类型，责任，饮酒原因和时间/模式。结论：饮酒环境对高风险饮酒者的其他叙事构成了影响。这对减少酒精危害的运动有影响。

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引用次数: 0

Am I more stressed because I'm aware of being a woman? The impact of gender identity salience on women's cardiovascular responses to stress 我是否因为意识到自己是女性而压力更大？性别认同显著性对女性心血管压力反应的影响

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-07-22 DOI: 10.1111/bjhp.70009

Lisa Skilton, Grace McMahon, Siobhán Howard, Orla T. Muldoon

Objectives

This study aimed to investigate how which social identity is salient affects physiological responses to stress in women. Specifically, we examined whether gender identity salience, compared to university student identity salience, would lead to significant differences in cardiovascular responses during a math stress task.

Design

We conducted a between-subjects experiment, where participants were randomly assigned to either a gender identity salience condition or a university student identity salience condition.

Methods

Ninety-six female participants completed the math stress task. Blood pressure (systolic and diastolic) and heart rate were measured to assess physiological responses to stress.

Results

Women in the gender identity condition exhibited significantly higher systolic and diastolic blood pressure responses compared to those in the student identity condition. No significant differences in heart rate were observed between conditions.

Conclusions

These findings suggest that gender identity salience amplifies physiological stress responses in women, providing insights into how group-related processes impact health outcomes. This study highlights the importance of considering identity salience in understanding women's cardiovascular response to stress.

目的本研究旨在探讨社会认同的显著性如何影响女性对压力的生理反应。具体来说，我们研究了性别认同显著性与大学生身份显著性相比，是否会导致数学压力任务中心血管反应的显著差异。我们进行了一项受试者间实验，参与者被随机分配到性别认同显著性条件或大学生身份显著性条件。方法96名女性受试者完成数学压力测试。测量血压（收缩压和舒张压）和心率以评估对应激的生理反应。结果性别认同组女性的收缩压和舒张压反应明显高于学生认同组。两种情况下的心率没有显著差异。这些发现表明，性别认同显著性放大了女性的生理应激反应，为了解群体相关过程如何影响健康结果提供了见解。这项研究强调了在理解女性心血管对压力的反应时考虑身份显著性的重要性。

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引用次数: 0

Explaining the age-moderation effects in the relation between immediate benefits and physical activity: A mediated moderation analysis 解释即时利益与身体活动关系中的年龄调节效应：一个中介的调节分析

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-07-14 DOI: 10.1111/bjhp.70006

Kin-Kit Li, Wanying Zhao, Cyrus Lap Kwan Leung

Background

Older adults are the least physically active age segment. Understanding age-related determinants of physical activity remains a priority. While distal benefits of physical activity (PA) are well reported, immediate benefits can also enhance PA. Older adults, perceiving future time as more limited, may find immediate benefits more motivating. In addition, older adults are more health-conscious and may find PA benefits consistent with their belief system.

Aims

This study examined whether increased age was associated with a shortened future-time perspective and increased health consciousness, which strengthened the association between immediate benefits and subsequent PA.

Methods

In a prospective survey, 241 older and 180 younger adults reported their perceived importance of immediate PA benefits, future-time perspective and health consciousness at baseline and reported their past 7-day PA at a one-week follow-up.

Results

The total mediated moderation effect was significant, b = .05 (95% bias-corrected CI: .01, .10). Specifically, the mediated moderation effects of future-time perspective was significant, b = .02 (.002, .06) but that of health consciousness was not, b = .03 (−.01, .06). Surprisingly, the direct age moderation was significant and negative, b = −.16 (−.27, −.05), indicating the relation between immediate benefits and PA was stronger among younger adults.

Discussion

As expected, older adults perceived future time as more limited, and hence, immediate benefits were more predictive of PA.

Conclusion

The findings support the time perspective concordance hypothesis and suggest that younger adults may find immediate benefits motivating for very different reasons that require further investigation.

老年人是身体活动最少的年龄组。了解与年龄有关的体力活动决定因素仍然是一个优先事项。虽然体育活动的远端益处（PA）被广泛报道，但直接益处也可以增强PA。老年人认为未来的时间更有限，可能会觉得眼前的利益更有动力。此外，老年人更注重健康，可能会发现PA的好处与他们的信仰体系一致。目的探讨年龄的增加是否与未来时间观的缩短和健康意识的增强有关，从而加强了眼前利益与随后的PA之间的联系。方法在一项前瞻性调查中，241名老年人和180名年轻人报告了他们在基线时对即时PA益处、未来前景和健康意识的感知重要性，并在一周随访中报告了他们过去7天的PA。结果总介导调节效应显著，b = 0.05（95%偏倚校正CI: 0.01, 0.10）。其中，未来时间视角的中介调节作用显著，b = .02（.健康意识差异无统计学意义（b = .03）(−。01, .06点)。令人惊讶的是，直接年龄调节显著且为负，b = - 0.16(−。27,−0.05)，这表明在年轻人中，即时收益和PA之间的关系更强。正如预期的那样，老年人认为未来的时间更有限，因此，即刻获益更能预测PA。结论：研究结果支持时间视角的一致性假设，并表明年轻人可能会因为不同的原因而发现即时利益，这需要进一步的研究。

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引用次数: 0

Investigating the effect of awareness-raising based on acceptance and commitment therapy on the quality of life of women living with HPV (human papilloma virus) 调查基于接受和承诺治疗的提高认识对感染HPV（人乳头瘤病毒）的妇女生活质量的影响

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-07-14 DOI: 10.1111/bjhp.70007

Azam Zare Arashlouei, Morvarid Irani, Saiedeh Haji Maghsoudi, Zahra Honarvar, Neda Salmani, Atefeh Ahmadi

Objectives

The diagnosis of HPV often brings about emotional distress and reduced quality of life, highlighting the need for effective psychological interventions. This study aimed to investigate the effect of awareness-raising based on acceptance and commitment therapy (ACT) on the quality of life of women living with HPV.

Design

A randomized clinical trial using a pretest/post-test design with intervention and control groups.

Methods

A total of 160 women with HPV were selected using convenience sampling and divided into the intervention and control groups through block randomization. The intervention group received six 90-minute ACT-based awareness-raising therapy sessions, and a post-test was administered 2 weeks after the last session in both groups. Data were collected by using demographic characteristics and the women affected by HPV quality of life (EQUALI- HPV) questionnaire.

Results

A statistically significant difference was observed in certain background variables and the quality-of-life score before the intervention. These variables included age (p = .040), condom use during sexual intercourse (p = .001), HPV genotype (p = .021), presence of genital warts at baseline (p = .015), normal Pap smear result (p = .003), and ASCUS (atypical squamous cells of undetermined significance) (p = .030). The results also indicated that ACT-based awareness-raising had a positive effect on the overall quality-of-life score and its dimensions in women with HPV (p < .001).

Conclusion

ACT-based awareness-raising may have the potential to enhance the quality of life of women living with HPV. Therefore, it is recommended that health, therapeutic, and behavioural centres use this method to support women with HPV.

目的HPV的诊断常常带来情绪困扰和生活质量下降，强调需要有效的心理干预。本研究旨在探讨基于接受和承诺治疗（ACT）的意识提高对HPV感染女性生活质量的影响。设计一项随机临床试验，采用前测/后测设计，分为干预组和对照组。方法采用方便抽样法抽取160例HPV感染妇女，采用分组随机法分为干预组和对照组。干预组接受6次90分钟基于act的意识提升治疗，两组在最后一次治疗后2周进行后测。通过人口统计学特征和受HPV生活质量影响的妇女（EQUALI- HPV）问卷收集数据。结果干预前的某些背景变量和生活质量评分差异有统计学意义。这些变量包括年龄（p = 0.040）、性交时是否使用安全套（p = 0.001）、HPV基因型（p = 0.021）、基线时是否存在生殖器疣（p = 0.015）、巴氏涂片检查结果正常（p = 0.003）和非典型鳞状细胞癌（未确定意义的非典型鳞状细胞）（p = 0.030）。结果还表明，基于act的意识提高对HPV女性的总体生活质量评分及其维度有积极影响（p < .001）。结论以act为基础的认识提高可能有潜力提高HPV感染妇女的生活质量。因此，建议保健、治疗和行为中心使用这种方法来支持感染HPV的妇女。

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引用次数: 0

Post-treatment life-trajectories among people who inject drugs who completed hepatitis C treatment with direct acting antivirals: A thematic analysis 使用直接抗病毒药物完成丙型肝炎治疗的注射吸毒者的治疗后生活轨迹：专题分析

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-07-11 DOI: 10.1111/bjhp.70005

Gabriele Vojt, Lawrie Elliott, Hannah Family, Christian Sharkey, Brian Stephens, Sharon Hutchinson, Matt Hickman, John F. Dillon, Magdalena Harris, Paul Flowers

Background

Hepatitis C Virus is a global health burden, particularly affecting people who inject drugs. Direct-acting antiviral treatment can cure almost all people infected with hepatitis C. However, the longer-term impacts on within people's life trajectories are unknown, although some suggest it may lead to fundamental behavioural changes.

Design

A cross-sectional exploratory retrospective qualitative design.

Methods

We interviewed 30 people who inject(ed) drugs and who had previously been treated with direct-acting antivirals on average 18 months before the interview (range: 12–24 months). Most were male, aged 36–55 years, and had been treated in urban community-based needle and syringe programmes in Scotland. All interviews were semi-structured, conducted over the phone by either peer or academic researchers, and analysed thematically.

Results

We present three discernible post-treatment life-trajectories. Firstly, ‘A cure that was like totally new life’ involved identity transformation, often associated with controlled or zero drug use, and improved physical and mental health. Secondly, ‘There isn't much afterwards’ comprised poor quality of life and social isolation, often due to participants' disengagement from former drug use and support networks. Thirdly, ‘I'm getting tested every year now’ detailed a few life changes but normalized hepatitis C testing and treatment.

Conclusion

Our thematic analysis reinforces the positive impacts on mental well-being, physical health and self-transformation of direct-acting antiviral treatment in the short- and long-term. However, there is an urgent need for psychosocial interventions to maintain health behaviour changes and self-management, and social support for individuals post hepatitis C treatment.

丙型肝炎病毒是一种全球卫生负担，尤其影响注射吸毒者。直接抗病毒治疗几乎可以治愈所有丙型肝炎感染者。然而，对人体内生活轨迹的长期影响尚不清楚，尽管一些人认为它可能导致根本的行为改变。设计横断面探索性回顾性定性设计。方法在访谈前平均18个月（12-24个月）对30例注射毒品且曾接受直接作用抗病毒药物治疗的患者进行访谈。大多数为男性，年龄36-55岁，在苏格兰城市社区针头和注射器规划中接受过治疗。所有的访谈都是半结构化的，由同行或学术研究人员通过电话进行，并按主题进行分析。结果：我们提出了三个可识别的治疗后生活轨迹。首先，“一种像全新生活一样的治疗”涉及身份转变，通常与控制或零毒品使用有关，并改善身心健康。其次，“之后没什么”包括生活质量差和社会孤立，这通常是由于参与者脱离了以前的吸毒和支持网络。第三，“我现在每年都要接受检测”详细介绍了一些生活变化，但将丙型肝炎检测和治疗正常化。结论我们的专题分析强化了直接抗病毒治疗在短期和长期对心理健康、身体健康和自我转化的积极影响。然而，迫切需要社会心理干预措施，以维持健康行为的改变和自我管理，并为丙型肝炎治疗后的个人提供社会支持。

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引用次数: 0

Can current post-traumatic growth models capture the lived experience of life with a fluctuating chronic illness? Towards a new model 目前的创伤后成长模型能否捕捉到患有慢性疾病的生活经历？迈向新模式

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-06-30 DOI: 10.1111/bjhp.70003

Rachel Murphy, Belinda Harris

Introduction

More than 15 million people in the UK live with a chronic illness, and this figure is only due to increase (Care and support for long term conditions, 2024). Living with these illnesses can involve surviving ongoing trauma. Such trauma can lead to psychologically distressing emotions akin to post-traumatic stress, where the self-concept is threatened and disorganized (Psychology and Psychotherapy: Theory, Research and Practice, 2004, 77, 101). Theories of post-traumatic growth following such stress provide a useful lens for viewing traumatic events (Rehabilitation Psychology, 2014, 59, 10). However, an alternative view may be needed when considering the trauma experienced by those living with chronic, fluctuating illnesses. This paper highlights the psychological impact of life with a chronic illness through an examination of women's experiences of living with inflammatory bowel disease. It examines the impact of this condition on their sense of self, including experiences of growth.

Method

Semi-structured interviews were conducted with 16 women within the UK, and the resulting co-created data were analysed using the Stevick–Colaizzi–Keen method (Phenomenological research methods, 1994).

Results

Four key interconnecting themes were identified: wearing the straitjacket of illness, which leads to psychologically difficult emotions, which are successfully managed, or not, through flexibility of self, which impacts the path to navigating a way through. A model of traumatic chronic illness survival emerged, which challenges counsellors and clinical psychologists to reconsider their preconceptions of those living with a chronic, retraumatising illness.

Conclusion

Rather than holding an expectation of ‘growth’ due to illness, this model celebrates the multitude of ways people survive in the face of such devastating conditions.

英国有超过1500万人患有慢性疾病，这个数字只是由于增加（长期条件的护理和支持，2024年）。患有这些疾病的人可能需要在持续的创伤中生存。这样的创伤会导致心理上的痛苦情绪，类似于创伤后压力，自我概念受到威胁和混乱（心理学和心理治疗：理论，研究和实践，2004,77,101）。创伤后成长理论为观察创伤性事件提供了一个有用的视角（康复心理学，2014,59,10）。然而，当考虑到那些患有慢性波动疾病的人所经历的创伤时，可能需要另一种观点。这篇论文强调了生活与慢性疾病的心理影响，通过检查妇女的生活经历与炎症性肠病。它检查了这种情况对他们自我意识的影响，包括成长经历。方法对英国境内的16名女性进行了半结构化访谈，并使用Stevick-Colaizzi-Keen方法（现象学研究方法，1994）分析了由此产生的共同创建的数据。结果确定了四个相互关联的关键主题：穿着疾病的束缚，导致心理上的困难情绪，通过自我的灵活性成功地管理或不成功，这影响了导航的路径。创伤性慢性疾病的生存模式出现了，这对咨询师和临床心理学家提出了挑战，要求他们重新考虑对那些患有慢性、再创伤性疾病的人的先入为主的看法。这个模型没有因为疾病而抱有“成长”的期望，而是颂扬了人们在面对这种毁灭性的条件时生存的多种方式。

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引用次数: 0

Interoceptive and exteroceptive pregnant bodily experiences and postnatal well-being: A network analysis 内感受性和外感受性怀孕身体体验与产后健康：一个网络分析

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-06-27 DOI: 10.1111/bjhp.70002

Lydia B. Munns, MaryAnn Noonan, Daniele L. Romano, Catherine E. J. Preston

Objectives

Pregnancy involves rapid physical and physiological changes that may affect feelings towards the bodily experience. This experience, including body dissatisfaction and interoceptive sensibility, is linked to antenatal attachment and maternal mental health. However, the long-term relationships between pregnant bodily experiences and postnatal outcomes remain unknown. This study aimed to explore the complex relationships between the perinatal bodily experience and postnatal variables.

Design

Longitudinal observational study using online surveys at three time points.

Methods

Longitudinal data were collected at three time points, during pregnancy (N = 253), and 3 (N = 137) and 6 (N = 107) months postpartum. Pregnancy-validated measures assessed body dissatisfaction and interoception, alongside measures of postnatal bonding, maternal anxiety and depression, breastfeeding behaviours, and infant birth weight and development. A partial correlation graphical lasso network analysis was used to explore the relationships between the bodily experience and these postnatal variables.

Results

Antenatal bodily experiences linked to postnatal anxiety, body dissatisfaction and interoceptive trust, with poorer postnatal experiences going on to correlate with higher anxiety, depression and breastfeeding rates at 3 months. Antenatal body weight dissatisfaction was linked to increased breastfeeding and depression, less trust in bodily signals and a lower quality mother-infant bond at 6 months postpartum.

Conclusions

The findings underscore the importance of pregnant bodily experiences for maternal postnatal health and mother-infant bonding, helping to identify mothers at risk of poorer postnatal outcomes.

怀孕涉及快速的身体和生理变化，可能影响对身体体验的感觉。这种经历，包括身体不满和内感受性敏感，与产前依恋和产妇心理健康有关。然而，怀孕身体经历和产后结果之间的长期关系仍然未知。本研究旨在探讨围产期身体体验与产后变量之间的复杂关系。设计采用三个时间点在线调查的纵向观察研究。方法在妊娠期间（253例）、产后3个月（137例）和6个月（107例）三个时间点进行纵向资料收集。经妊娠验证的测量评估了身体不满和内感受，以及产后联系、母亲焦虑和抑郁、母乳喂养行为和婴儿出生体重和发育的测量。使用部分相关图形套索网络分析来探索身体体验与这些产后变量之间的关系。结果产前身体体验与产后焦虑、身体不满和内感受信任有关，产后体验越差，3个月时焦虑、抑郁和母乳喂养率越高。产前体重不满意与母乳喂养增加、抑郁、对身体信号的信任度降低以及产后6个月的母婴关系质量下降有关。研究结果强调了怀孕身体体验对母亲产后健康和母婴关系的重要性，有助于确定有较差产后结果风险的母亲。

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引用次数: 0

Understanding alcohol use around water: A qualitative analysis of the experiences of young males 了解水周围的酒精使用：对年轻男性经验的定性分析

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-06-23 DOI: 10.1111/bjhp.12809

Sabryna V. Sas, Jacob J. Keech, Amy E. Peden, Martin S. Hagger, Kyra Hamilton

Objectives

Alcohol is a significant risk factor for drowning, with young males disproportionately impacted. We explored salient social cognition beliefs that influence young Australian males' consumption of alcohol around water.

Design

Via purposive sampling, 23 Australian males aged 18–30 years who had previously consumed alcohol around water were recruited. A brief online survey gathered demographics, eligibility criteria and swimming ability, followed by a qualitative interview via telephone. An interview guide based on established methods for exploring social cognition factors gathered data on behavioural, normative and control beliefs. Interviews were audio-recorded, transcribed verbatim and coded using theoretical thematic analysis in NVivo.

Results

Advantages of consuming alcohol around water included enjoyment, fun and relaxation (73%), and alcohol as ‘liquid courage’ (21%). Disadvantages included increasing the risk of drowning and injury (100%), and inhibiting judgement (73%). Normative beliefs included family approval (52%) and disapproval (86%), in addition to approval from friends (82%) and disapproval from lifeguards (56%). Control beliefs included access to alcohol (52%), confidence derived from knowledge about the body of water (26%) and legality (26%). The presence of signage, authority figures or children and families helped to prevent young males from consuming alcohol.

Conclusions

Results indicate respondents drink and swim despite reporting an awareness of the risks associated. Intervention strategies that aim to address behavioural, normative and control beliefs of young males as well as contextual factors supporting or hindering the behaviour may help to curtail alcohol misuse around water, particularly when targeted during warmer weather and holiday periods.

酒精是溺水的重要危险因素，年轻男性尤其受影响。我们探索了影响年轻澳大利亚男性在水周围饮酒的显著社会认知信念。设计通过有目的的抽样，招募了23名年龄在18-30岁之间的澳大利亚男性，他们以前在水旁边喝酒。一项简短的在线调查收集了人口统计数据、资格标准和游泳能力，然后通过电话进行了定性访谈。访谈指南基于探索社会认知因素的既定方法，收集了关于行为、规范和控制信念的数据。访谈录音，逐字转录，并使用NVivo的理论主题分析进行编码。结果在水旁饮酒的好处包括享受、乐趣和放松（73%），以及酒精作为“液体勇气”（21%）。缺点包括增加溺水和受伤的风险（100%）和抑制判断（73%）。规范性信念包括家庭认可（52%）和不认可（86%），以及朋友认可（82%）和救生员不认可（56%）。控制信念包括获得酒精（52%）、从对水体的了解中获得信心（26%）和合法性（26%）。标牌、权威人物或孩子和家庭的存在有助于阻止年轻男性饮酒。结论：结果表明，尽管受访者报告了相关风险的意识，但他们还是喝酒和游泳。旨在解决年轻男性的行为、规范和控制信念以及支持或阻碍这种行为的背景因素的干预策略可能有助于减少在水周围滥用酒精，特别是在天气较暖和假日期间。

{"title":"Understanding alcohol use around water: A qualitative analysis of the experiences of young males","authors":"Sabryna V. Sas, Jacob J. Keech, Amy E. Peden, Martin S. Hagger, Kyra Hamilton","doi":"10.1111/bjhp.12809","DOIUrl":"10.1111/bjhp.12809","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Alcohol is a significant risk factor for drowning, with young males disproportionately impacted. We explored salient social cognition beliefs that influence young Australian males' consumption of alcohol around water.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Via purposive sampling, 23 Australian males aged 18–30 years who had previously consumed alcohol around water were recruited. A brief online survey gathered demographics, eligibility criteria and swimming ability, followed by a qualitative interview via telephone. An interview guide based on established methods for exploring social cognition factors gathered data on behavioural, normative and control beliefs. Interviews were audio-recorded, transcribed verbatim and coded using theoretical thematic analysis in NVivo.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Advantages of consuming alcohol around water included enjoyment, fun and relaxation (73%), and alcohol as ‘liquid courage’ (21%). Disadvantages included increasing the risk of drowning and injury (100%), and inhibiting judgement (73%). Normative beliefs included family approval (52%) and disapproval (86%), in addition to approval from friends (82%) and disapproval from lifeguards (56%). Control beliefs included access to alcohol (52%), confidence derived from knowledge about the body of water (26%) and legality (26%). The presence of signage, authority figures or children and families helped to prevent young males from consuming alcohol.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results indicate respondents drink and swim despite reporting an awareness of the risks associated. Intervention strategies that aim to address behavioural, normative and control beliefs of young males as well as contextual factors supporting or hindering the behaviour may help to curtail alcohol misuse around water, particularly when targeted during warmer weather and holiday periods.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12809","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144367485","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

South Asian women's experiences of maternity care in the United Kingdom: A systematic review and thematic synthesis 南亚妇女在联合王国的产妇护理经验：系统审查和专题综合

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology

Pub Date : 2025-06-23 DOI: 10.1111/bjhp.70001

Aditi Sharma, Vyv Huddy, Emma Williamson

Purpose

Little is known about South Asian (SA) women's experiences of maternity care in the United Kingdom (UK). Previous research has often grouped ethnic minority women as a homogenous group. Therefore, differences between ethnicities may not be sufficiently explored. Many SA women underutilize antenatal support offered by maternity services and are at an increased risk of adverse pregnancy outcomes, compared with White women. Therefore, this systematic review aimed to explore SA women and birthing people's experiences of maternity care in the UK.

Methods

Three databases were searched for published peer-reviewed qualitative studies. The Critical Appraisal Skills Programme checklist for qualitative research was used to appraise the quality of included articles. Thomas and Harden's (BMC Medical Research Methodology, 2008, 8, 45) approach for thematic synthesis informed qualitative synthesis.

Results

Twelve articles met the inclusion criteria. Four themes were developed ‘(in)ability to express maternity needs’, ‘uncompassionate relationships with maternity healthcare professionals’, ‘integrating maternity care with cultural identity’, and ‘family being a part of maternity care’.

Conclusions

This was an original review using a comprehensive search strategy with transparent reporting. Most SA women perceived difficulties with expressing maternity needs. Relational experiences with maternity care professionals were perceived as uncompassionate, discriminatory, and with varied sensitivity to their cultural identity. SA women viewed their maternity care to incorporate family. Research implications included an urgent need to increase the quality of ethical qualitative research focused on SA women/birthing people. Clinical implications included maternity healthcare professionals and systems to improve the relational experience with SA women/birthing people.

目的对南亚（SA）妇女在英国（UK）的产科护理经验知之甚少。以前的研究经常将少数民族妇女归类为同质群体。因此，种族之间的差异可能没有得到充分的探讨。与白人妇女相比，许多非洲裔妇女没有充分利用产科服务提供的产前支持，出现不良妊娠结局的风险增加。因此，本系统综述旨在探讨SA妇女和分娩人员在英国的产科护理经验。方法检索已发表的经同行评议的定性研究。质性研究的关键评估技能程序检查表用于评估纳入文章的质量。Thomas和Harden （BMC医学研究方法论，2008,8,45）的专题综合方法为定性综合提供了信息。结果12篇文章符合纳入标准。开发了四个主题：“表达产妇需求的能力”、“与产妇保健专业人员的无情关系”、“将产妇保健与文化身份相结合”和“家庭是产妇保健的一部分”。结论：这是一篇采用综合检索策略和透明报告的原创综述。大多数SA女性在表达母性需求方面感到困难。与产科护理专业人员的关系经历被认为是无情的、歧视性的，并且对他们的文化身份具有不同的敏感性。南非妇女认为她们的产妇保健应与家庭结合起来。研究意义包括迫切需要提高以SA妇女/分娩人群为重点的伦理定性研究的质量。临床意义包括产科保健专业人员和系统，以改善与SA妇女/分娩人员的关系经验。

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引用次数: 0