British Journal of Health Psychology最新文献_第7页

Finding kindness: A randomized controlled trial of an online self-compassion intervention for weight management (SC4WM) 寻找慈爱体重管理在线自我同情干预（SC4WM）随机对照试验。

IF 7.9 2区心理学 Q1 Psychology

British Journal of Health Psychology

Pub Date : 2023-08-06 DOI: 10.1111/bjhp.12686

Jennifer M. Brenton-Peters, Nathan S. Consedine, Alana Cavadino, Rajshri Roy, Kristin Harrison Ginsberg, Anna Serlachius

Introduction

Weight loss is hard to achieve and even harder to maintain. Engaging in effortful behavioural change to manage body weight can sometimes result in feelings of guilt and shame. Self-compassion, the tendency to find kindness for oneself in times of struggle, may facilitate coping with the unique challenges of weight management. This study assessed whether a remotely delivered self-compassion intervention improved weight management outcomes when delivered as a supplement to an existing digital behavioural weight management programme, Weight Watchers (WW).

Method

Using a mixed-method study design, 249 adults seeking to manage weight were randomized to either the WW programme or WW supplemented with the self-compassion for weight management intervention (SC4WM). Participants completed measures of self-compassion, eating behaviour, physical activity, body weight and emotional well-being along with potential moderators, including weight self-stigma, eating restraint, psychological coping and perceived stress at baseline, post-intervention (4 weeks) and follow-up (12 weeks).

Results

There was no evidence that the SC4WM intervention had a significantly different effect than WW alone. Other than body weight, all outcomes improved over time in both groups. Self-compassion was slightly higher overall in the SC4WM group (p = .05), with this group reporting higher self-kindness at 4 weeks (p = .014) and lower self-judgement at 12 weeks (p = .023) compared to the control group.

Conclusions

Although the SC4WM intervention group did show a small increase in self-kindness and reduction in self-judgement, weight management outcomes were not improved over and above the existing WW programme. Recommendations for adapting the SC4WM intervention to improve efficacy to augment weight management outcomes are provided.

导言减肥很难实现，维持体重更是难上加难。通过努力改变行为来控制体重有时会让人感到内疚和羞愧。自我同情，即在挣扎时为自己寻找善意的倾向，可能有助于应对体重管理的独特挑战。本研究评估了在对现有的数字行为体重管理计划--Weight Watchers（WW）--进行补充时，远程提供的自我同情干预是否能改善体重管理的结果：方法：采用混合方法研究设计，将 249 名寻求体重管理的成年人随机分配到 "WW "计划或 "WW "计划辅以 "自我同情体重管理干预"（SC4WM）。参与者在基线、干预后（4 周）和随访（12 周）期间完成了对自我同情、饮食行为、体育锻炼、体重和情绪健康以及潜在调节因素（包括体重自我耻辱感、饮食限制、心理应对和感知压力）的测量：结果：没有证据表明 SC4WM 干预的效果明显优于单纯的 WW 干预。除体重外，两组的所有结果都有所改善。与对照组相比，SC4WM 组的自我同情程度总体略高（p = .05），该组在 4 周时的自我亲切感较高（p = .014），在 12 周时的自我评判较低（p = .023）：结论：虽然 SC4WM 干预组的自我亲切感略有提高，自我评判也有所降低，但与现有的 WW 计划相比，体重管理结果并没有得到改善。结论：虽然 SC4WM 干预组的自我亲切感略有增加，自我评判也有所减少，但体重管理结果并没有比现有的 WW 计划更好。

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Factors associated with wearing a facemask in shops in England following removal of a legal requirement to do so during the COVID-19 pandemic 在 COVID-19 大流行期间，英国取消了佩戴口罩的法律要求，但在商店佩戴口罩的相关因素。

IF 7.9 2区心理学 Q1 Psychology

British Journal of Health Psychology

Pub Date : 2023-08-03 DOI: 10.1111/bjhp.12684

Louise E. Smith, Robert West, Henry W. W. Potts, Richard Amlôt, Nicola T. Fear, G. James Rubin, Susan Michie

Objectives

We aimed to identify psychological factors associated with the use of facemasks in shops in England following removal of legal requirements to do so, and to compare associations with and without legal restrictions.

Design

Repeated cross-sectional online surveys (n ≈ 2000 adults) between August 2020 and April 2022 (68,716 responses from 45,682 participants) using quota sampling.

Methods

The outcome measure was whether those who had visited a shop for essentials in the previous seven days reported always having worn a facemask versus sometimes or not at all. Psychological predictor variables included worry, perceived risk and severity of COVID-19 and the perceived effectiveness of facemasks. Socio-demographic variables and measures of clinical vulnerability were also measured. For the period following removal of legal restrictions, multivariable regression was used to assess associations between the primary outcome variable and predictors adjusting for socio-demographic and clinical vulnerability measures. The analysis was repeated including interactions between psychological predictors and presence versus absence of legal restrictions.