Jiehu Yuan, Meihong Dong, Dennis Kai Ming Ip, Hau Chi So, Qiuyan Liao
Objective
Parental decision-making for children's uptake of a relatively novel vaccine and a more common vaccine could involve different processes. This study aimed to compare the psychological processes and the relative importance of psychological factors influencing parental decision-making for children's seasonal influenza vaccination (SIV) and COVID-19 vaccination.
Design and Methods
We adopted mixed-methods approach. Study 1 was a qualitative study involving 29 parents to explore and compare their decision-making processes for children's SIV and COVID-19 vaccination. In Study 2, data from 632 parents were collected longitudinally; then, machine learning was used to quantify the relative importance of factors identified in Study 1 that were relevant to parents' decision-making for childhood vaccination decisions. Alluvial plots were used to compare the predictability of parents' baseline intention for follow-up children's SIV and COVID-19 vaccination.
Results
Study 1 revealed that parents used the influenza vaccine as an anchor to assess the COVID-19 vaccine's risks. Decision-making for children's SIV was habitual and rule-based, while for COVID-19 vaccination, it involved more deliberation influenced by negative situational cues like negative news and anecdotal experiences. Study 2 further found that, for COVID-19 vaccination, situation-varying factors including distressed emotional states and affective response to news were significant. While for SIV, past-year vaccination behaviour was a more important factor. Baseline intention reliably predicted children's SIV but not COVID-19 vaccination.
Conclusions
The convergence of qualitative and quantitative data highlighted the distinct decision-making strategies for these two vaccines. Targeting key factors in parental decisions can enhance the effectiveness of future vaccination campaigns.
{"title":"Dual decision-making routes for COVID-19 and influenza vaccines uptake in parents: A mixed-methods study","authors":"Jiehu Yuan, Meihong Dong, Dennis Kai Ming Ip, Hau Chi So, Qiuyan Liao","doi":"10.1111/bjhp.12789","DOIUrl":"10.1111/bjhp.12789","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Parental decision-making for children's uptake of a relatively novel vaccine and a more common vaccine could involve different processes. This study aimed to compare the psychological processes and the relative importance of psychological factors influencing parental decision-making for children's seasonal influenza vaccination (SIV) and COVID-19 vaccination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Methods</h3>\u0000 \u0000 <p>We adopted mixed-methods approach. Study 1 was a qualitative study involving 29 parents to explore and compare their decision-making processes for children's SIV and COVID-19 vaccination. In Study 2, data from 632 parents were collected longitudinally; then, machine learning was used to quantify the relative importance of factors identified in Study 1 that were relevant to parents' decision-making for childhood vaccination decisions. Alluvial plots were used to compare the predictability of parents' baseline intention for follow-up children's SIV and COVID-19 vaccination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Study 1 revealed that parents used the influenza vaccine as an anchor to assess the COVID-19 vaccine's risks. Decision-making for children's SIV was habitual and rule-based, while for COVID-19 vaccination, it involved more deliberation influenced by negative situational cues like negative news and anecdotal experiences. Study 2 further found that, for COVID-19 vaccination, situation-varying factors including distressed emotional states and affective response to news were significant. While for SIV, past-year vaccination behaviour was a more important factor. Baseline intention reliably predicted children's SIV but not COVID-19 vaccination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The convergence of qualitative and quantitative data highlighted the distinct decision-making strategies for these two vaccines. Targeting key factors in parental decisions can enhance the effectiveness of future vaccination campaigns.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12789","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Full adherence is imperative to ensure the prevention of unintended pregnancies, which have serious health and financial impacts on women. Previous research has identified the importance of cues (habit-based) and providing information from a credible source (non-habit-based) in facilitating adherence.
Design
A 6 week experiment was developed to increase adherence to the pill (primary outcome) as well as increase habit strength for taking the pill (secondary outcome).
Methods
A sample of Australians who menstruate (N = 77, Mage = 25.18, SD = 3.49) were randomly assigned to one of four conditions: (1) a control group, (2) receiving information from a credible source, (3) implementing a daily cue, and (4) receiving both the information and instructions to implement a cue. At baseline and six-weeks, participants completed two measures of adherence to the pill, and a measure of habit strength.
Results
Mixed-model ANOVAs revealed no significant changes in adherence to the pill across conditions, over time. There was a significant increase in habit strength over time (η2 = .11), across all conditions (η2 = .11). However, these changes did not significantly differ by condition (p = .071).
Conclusions
These findings suggest participating in an experiment, regardless of condition, may make taking the pill more salient and thus increase habit strength. It also suggests that providing information from a credible source nor associating taking the pill with a daily cue substantially increased adherence. However, adherence was positively skewed and therefore these findings need to be further explored with individuals with lower adherence.
{"title":"A simple experiment to improve adherence for taking the oral contraceptive pill: An exploratory study of behavioural mechanisms","authors":"Caitlin Liddelow, Barbara A. Mullan, Mark Boyes","doi":"10.1111/bjhp.12788","DOIUrl":"10.1111/bjhp.12788","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Full adherence is imperative to ensure the prevention of unintended pregnancies, which have serious health and financial impacts on women. Previous research has identified the importance of cues (habit-based) and providing information from a credible source (non-habit-based) in facilitating adherence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A 6 week experiment was developed to increase adherence to the pill (primary outcome) as well as increase habit strength for taking the pill (secondary outcome).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A sample of Australians who menstruate (<i>N</i> = 77, <i>M</i><sub>age</sub> = 25.18, <i>SD</i> = 3.49) were randomly assigned to one of four conditions: (1) a control group, (2) receiving information from a credible source, (3) implementing a daily cue, and (4) receiving both the information and instructions to implement a cue. At baseline and six-weeks, participants completed two measures of adherence to the pill, and a measure of habit strength.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Mixed-model ANOVAs revealed no significant changes in adherence to the pill across conditions, over time. There was a significant increase in habit strength over time (<i>η</i>2 = .11), across all conditions (<i>η</i>2 = .11). However, these changes did not significantly differ by condition (<i>p</i> = .071).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings suggest participating in an experiment, regardless of condition, may make taking the pill more salient and thus increase habit strength. It also suggests that providing information from a credible source nor associating taking the pill with a daily cue substantially increased adherence. However, adherence was positively skewed and therefore these findings need to be further explored with individuals with lower adherence.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12788","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143533965","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}
Online videos are becoming increasingly popular for obtaining nutrition-related information. Learning theories suggest that videos may differ in their effectiveness of conveying knowledge depending on the correspondence between audio and visual content. We thus tested whether two popular video formats, i.e. talking-head and animated videos, differed regarding knowledge transfer effectiveness and their ability to stimulate content sharing.
Design
2 video format x 3 topic between-subjects experiment.
Methods
A total of 358 participants who were representative for the German population regarding age, gender and level of education were randomly assigned to viewing one video format about one of three nutrition-related topics. Afterwards, they rated the video, indicated willingness to share the information with others and answered a set of quiz questions about all three topics to assess knowledge.
Results
Videos did not differ in their evaluation (F[1, 352] = 0.16, p = .898), knowledge transfer (F[2, 352] = 0.10, p = .749) or content sharing (F[1, 352] = 0.12, p = .727). However, participants received a better knowledge score for the video topic they watched a video about than for the other two topics (F[4, 704] = 50.00, p < .001, partial η2 = .22).
Conclusions
Therefore, both formats can be considered equally effective for use in science communication.
在线视频在获取营养相关信息方面越来越受欢迎。学习理论认为，视频在传递知识的效果上可能会因视听内容的对应关系而有所不同。因此，我们测试了两种流行的视频格式，即谈话视频和动画视频，在知识转移有效性和促进内容共享的能力方面是否存在差异。设计2个视频格式x 3个主题的受试者间实验。方法共有358名参与者，他们在年龄、性别和教育水平方面具有代表性，被随机分配观看三种营养相关主题之一的视频格式。之后，他们对视频进行评分，表示愿意与他人分享信息，并回答一系列关于这三个主题的测试问题，以评估他们的知识水平。结果视频在评价（F[1,352] = 0.16, p = .898）、知识转移（F[2,352] = 0.10, p = .749）和内容共享（F[1,352] = 0.12, p = .727）方面没有差异。然而，参与者对他们观看的视频主题的知识得分高于其他两个主题（F[4,704] = 50.00, p <）。001，偏η2 = 0.22)。因此，可以认为这两种格式在科学传播中同样有效。
{"title":"Comparing the effectiveness of animated videos and talking-head videos in science communication","authors":"Clara L. Marx, Laura M. König","doi":"10.1111/bjhp.12786","DOIUrl":"10.1111/bjhp.12786","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Online videos are becoming increasingly popular for obtaining nutrition-related information. Learning theories suggest that videos may differ in their effectiveness of conveying knowledge depending on the correspondence between audio and visual content. We thus tested whether two popular video formats, i.e. <i>talking-head</i> and <i>animated video</i>s, differed regarding knowledge transfer effectiveness and their ability to stimulate content sharing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>2 video format x 3 topic between-subjects experiment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 358 participants who were representative for the German population regarding age, gender and level of education were randomly assigned to viewing one video format about one of three nutrition-related topics. Afterwards, they rated the video, indicated willingness to share the information with others and answered a set of quiz questions about all three topics to assess knowledge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Videos did not differ in their evaluation (<i>F[</i>1, 352] = 0.16, <i>p</i> = .898), knowledge transfer (<i>F</i>[2, 352] = 0.10, <i>p</i> = .749) or content sharing (<i>F</i>[1, 352] = 0.12, <i>p</i> = .727). However, participants received a better knowledge score for the video topic they watched a video about than for the other two topics (<i>F</i>[4, 704] = 50.00, <i>p</i> < .001, partial η2 = .22).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Therefore, both formats can be considered equally effective for use in science communication.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12786","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143447209","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}
Davide Moussas-Alvarez, Rhiannon E. Hawkes, Lisa M. Miles, Charlotte Dack, David P. French
Objectives
Type 2 diabetes mellitus (T2DM) may be prevented by promoting weight loss through adopting healthier behaviours (e.g., improved diet and increased physical activity). In 2016, the National Health Service (NHS) in England introduced a 9-month face-to-face T2DM prevention intervention, delivered by four independent providers. Since 2019, the NHS Digital Diabetes Prevention Programme (NHS-DDPP) was offered to increase accessibility of the programme. This research aimed to understand how service users engaged with, and experienced using the NHS-DDPP.
Design
Qualitative interviews.
Method
Semi-structured interviews were conducted with service users (n = 45) who took part in one of the four NHS-DDPP providers' programmes and transcribed verbatim. Transcripts were thematically analysed using a framework approach.
Results
Two overarching themes were produced: ‘Personalized Guidance’ and ‘Path to Success’. Service users valued having health coach support, which provided personalized guidance throughout the programme, alongside access to different app features to suit their needs (e.g., educational content, tracking health behaviours, group support). Service users described self-monitoring, feedback from their health coach and support from their social circle as helpful towards changing their health behaviours. This enabled them to visualize their progress and provided accountability.
Conclusion
Service users emphasized how human contact alongside this digital behaviour change programme improved their experiences and engagement with the programme. Digital health interventions could consider how to better incorporate support from health coaches, friends and family to help users in making behavioural changes. Future digital health interventions should consider how best to harness non-digital elements to promote behaviour change.
{"title":"Service users' experiences of, and engagement with, a nationally implemented digital diabetes prevention programme","authors":"Davide Moussas-Alvarez, Rhiannon E. Hawkes, Lisa M. Miles, Charlotte Dack, David P. French","doi":"10.1111/bjhp.12787","DOIUrl":"10.1111/bjhp.12787","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Type 2 diabetes mellitus (T2DM) may be prevented by promoting weight loss through adopting healthier behaviours (e.g., improved diet and increased physical activity). In 2016, the National Health Service (NHS) in England introduced a 9-month face-to-face T2DM prevention intervention, delivered by four independent providers. Since 2019, the NHS Digital Diabetes Prevention Programme (NHS-DDPP) was offered to increase accessibility of the programme. This research aimed to understand how service users engaged with, and experienced using the NHS-DDPP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Qualitative interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with service users (<i>n</i> = 45) who took part in one of the four NHS-DDPP providers' programmes and transcribed verbatim. Transcripts were thematically analysed using a framework approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two overarching themes were produced: ‘Personalized Guidance’ and ‘Path to Success’. Service users valued having health coach support, which provided personalized guidance throughout the programme, alongside access to different app features to suit their needs (e.g., educational content, tracking health behaviours, group support). Service users described self-monitoring, feedback from their health coach and support from their social circle as helpful towards changing their health behaviours. This enabled them to visualize their progress and provided accountability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Service users emphasized how human contact alongside this digital behaviour change programme improved their experiences and engagement with the programme. Digital health interventions could consider how to better incorporate support from health coaches, friends and family to help users in making behavioural changes. Future digital health interventions should consider how best to harness non-digital elements to promote behaviour change.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12787","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143438917","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}
Rachel Batchelor, Matthew Hotton, Eloise Harris, Alex Lau-Zhu, Annabel L. David
Background
Adolescent siblings of children and young people (CYP) with cancer are at increased risk of psychosocial difficulties, yet many remain overlooked and unsupported. This project aimed to explore the experiences and perceived needs of adolescent siblings of paediatric oncology inpatients to inform service improvement recommendations for sibling support.
Methods
Semi-structured interviews were conducted with 10 siblings of CYP previously admitted to a paediatric oncology ward. Interviews were transcribed verbatim and analysed using reflexive thematic analysis. The findings were reviewed in consultation with staff and used to identify pragmatic/feasible recommendations for improving sibling support, organized using the three-tier ‘Pediatric Psychosocial Preventative Health Model’ (PPPHM; Families, Systems & Health, 2006, 24, 381).
Results
An overarching narrative of siblings wanting to feel part of the cancer journey was found, including their family's experience on the ward, with three key themes: (i) “what about me?”: overlooked and unseen, (ii) “always changing, never knowing”: the challenge of uncertainty and (iii) “let me be part of it all”: togetherness, communication and connection. These findings informed sibling support recommendations. Such recommendations included providing psychosocial screening, resources and opportunities for family time/communication and developmentally appropriate information to all siblings (universal support), monitoring psychosocial difficulties, siblings having someone to talk to and fostering family and peer connection for siblings requiring additional support (targeted support) and offering one-to-one psychological support and family therapy for persistent and/or escalating distress (clinical/treatment support).
Conclusions
Based on the experiences of siblings, a range of sibling support recommendations have been identified. Implementation and evaluation of these recommendations are warranted.
{"title":"“We are here too”: Experiences and perceived support needs of adolescent siblings of Paediatric oncology inpatients","authors":"Rachel Batchelor, Matthew Hotton, Eloise Harris, Alex Lau-Zhu, Annabel L. David","doi":"10.1111/bjhp.12785","DOIUrl":"10.1111/bjhp.12785","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adolescent siblings of children and young people (CYP) with cancer are at increased risk of psychosocial difficulties, yet many remain overlooked and unsupported. This project aimed to explore the experiences and perceived needs of adolescent siblings of paediatric oncology inpatients to inform service improvement recommendations for sibling support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with 10 siblings of CYP previously admitted to a paediatric oncology ward. Interviews were transcribed verbatim and analysed using reflexive thematic analysis. The findings were reviewed in consultation with staff and used to identify pragmatic/feasible recommendations for improving sibling support, organized using the three-tier ‘Pediatric Psychosocial Preventative Health Model’ (PPPHM; Families, Systems & Health, 2006, 24, 381).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>An overarching narrative of siblings wanting to feel part of the cancer journey was found, including their family's experience on the ward, with three key themes: (i) “what about me?”: overlooked and unseen, (ii) “always changing, never knowing”: the challenge of uncertainty and (iii) “let me be part of it all”: togetherness, communication and connection. These findings informed sibling support recommendations. Such recommendations included providing psychosocial screening, resources and opportunities for family time/communication and developmentally appropriate information to all siblings (universal support), monitoring psychosocial difficulties, siblings having someone to talk to and fostering family and peer connection for siblings requiring additional support (targeted support) and offering one-to-one psychological support and family therapy for persistent and/or escalating distress (clinical/treatment support).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Based on the experiences of siblings, a range of sibling support recommendations have been identified. Implementation and evaluation of these recommendations are warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12785","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143423912","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}
Elizabeth H. Evans, Christopher M. Jones, Ashley Adamson, Angela R. Jones, Laura Basterfield, João Paulo de Aguiar Greca, Letitia Sermin-Reed, Maddey Patterson, Lorraine McSweeney, Raenhha Dhami, Louisa Ells, Alison Gahagan, Tomos Robinson, Mohadeseh Shojaei Shahrokhabadi, Dawn Teare, Martin J. Tovée, Vera Araújo Soares
Objectives
Parental underdetection of child underweight and overweight/obesity may negatively affect children's longer-term health. We examined psychological/behavioural mechanisms of a very low-intensity intervention to improve acknowledgement and understanding of child weight after feedback from a school-based weight monitoring programme.
Design
This sub-study was nested within a larger 3-arm cluster-RCT (1:1:1; N = 57,300). Parents in all groups received written postal feedback on their child's weight classification. Intervention participants received an enhanced feedback letter with computer-generated photorealistic images depicting children of different weight classifications, and access to a website about supporting healthy weight, once (intervention one) or twice (intervention two; repeated 6 months after first ‘dose’).
Methods
A quantitative process and outcome evaluation using baseline and 12-month BMI z-scores of an opt-in sub-sample of 502 children aged 4–5 and 10–11. Children completed dietary reports, used accelerometers (MVPA), and self-reported self-esteem; 10–11-year-olds also self-reported quality of life and dietary restraint. Parents reported perceptions of child's weight classification, and their intentions, self-efficacy, action planning and coping planning for child physical activity, dietary intake; parents of 4–5-year-olds reported their child's quality of life.
Results
Neither intervention differentially improved parental acknowledgement or understanding of weight classification at follow-up, although parents in all groups reported better acknowledgement after receiving feedback. The interventions did not affect behavioural/psychological determinants, weight outcomes, children's self-esteem, dietary restraint or quality of life.
Conclusions
The interventions neither improved parental acknowledgement of child weight, child BMI z-scores and their psychological/behavioural determinants, nor worsened psycho-social sequelae.
{"title":"Mechanisms and outcomes of a very low intensity intervention to improve parental acknowledgement and understanding of childhood overweight/obesity, embedded in the National Child Measurement Programme: A sub-study within a large cluster Randomized Controlled Trial (MapMe2)","authors":"Elizabeth H. Evans, Christopher M. Jones, Ashley Adamson, Angela R. Jones, Laura Basterfield, João Paulo de Aguiar Greca, Letitia Sermin-Reed, Maddey Patterson, Lorraine McSweeney, Raenhha Dhami, Louisa Ells, Alison Gahagan, Tomos Robinson, Mohadeseh Shojaei Shahrokhabadi, Dawn Teare, Martin J. Tovée, Vera Araújo Soares","doi":"10.1111/bjhp.12784","DOIUrl":"10.1111/bjhp.12784","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Parental underdetection of child underweight and overweight/obesity may negatively affect children's longer-term health. We examined psychological/behavioural mechanisms of a very low-intensity intervention to improve acknowledgement and understanding of child weight after feedback from a school-based weight monitoring programme.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This sub-study was nested within a larger 3-arm cluster-RCT (1:1:1; <i>N</i> = 57,300). Parents in all groups received written postal feedback on their child's weight classification. Intervention participants received an enhanced feedback letter with computer-generated photorealistic images depicting children of different weight classifications, and access to a website about supporting healthy weight, once (intervention one) or twice (intervention two; repeated 6 months after first ‘dose’).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A quantitative process and outcome evaluation using baseline and 12-month BMI <i>z</i>-scores of an opt-in sub-sample of 502 children aged 4–5 and 10–11. Children completed dietary reports, used accelerometers (MVPA), and self-reported self-esteem; 10–11-year-olds also self-reported quality of life and dietary restraint. Parents reported perceptions of child's weight classification, and their intentions, self-efficacy, action planning and coping planning for child physical activity, dietary intake; parents of 4–5-year-olds reported their child's quality of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Neither intervention differentially improved parental acknowledgement or understanding of weight classification at follow-up, although parents in all groups reported better acknowledgement after receiving feedback. The interventions did not affect behavioural/psychological determinants, weight outcomes, children's self-esteem, dietary restraint or quality of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The interventions neither improved parental acknowledgement of child weight, child BMI <i>z</i>-scores and their psychological/behavioural determinants, nor worsened psycho-social sequelae.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12784","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397130","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}
Shaelyn M. Strachan, Sasha M. Kullman, Mark Dobrovolskyi, Vianney Z. Vega, Alexandra Yarema, Caity Patson
Objectives
According to Stets and Burke's Identity Theory, people experience negative affect when their behaviour deviates from their identity standards, which drives the regulation of identity-relevant behaviour. Guilt and shame represent unique forms of negative affect. Self-compassion may influence guilt and shame responses about identity-behaviour inconsistencies. Relative to exercise identity, we examined the associations between (1) guilt and shame, behavioural intentions, and perceptions of identity-behaviour re-alignment after an identity-inconsistent situation and (2) whether self-compassion moderates the relationship between these forms of negative affect and both behavioural intentions and identity-behaviour re-alignment.
Design
Prospective, online, quantitative.
Methods
N = 274 exercisers (Mage = 32.5 years, SDage = 10.8 years, 50.2% women) who engaged in less exercise in the past week than their identity standard were recruited from Prolific.com. At baseline, self-compassion, state and trait guilt and shame, and exercise intentions were measured. One week later, participants reported the extent to which their past week's exercise aligned with their identity standard (i.e., identity-consistent perceptions).
Results
Neither state shame nor guilt related to exercise intentions nor identity-consistent perceptions. Self-compassion moderated the relationship between state guilt and identity-consistent perceptions (b = 2.524, SE = .975, t = 2.588, p = .010); state guilt was related to identity-behaviour consistency when self-compassion was high, but not when it was low. No other moderations were significant.
Conclusions
This study adds nuance to Identity Theory and its propositions about negative affect and self-regulation; self-compassion may create the conditions necessary for negative affect to drive identity-relevant behaviour as proposed by identity theory.
目的：根据Stets和Burke的身份理论，当人们的行为偏离他们的身份标准时，人们会经历负面影响，这推动了对身份相关行为的监管。内疚和羞耻是消极情绪的独特形式。自我同情可能影响对身份-行为不一致的内疚和羞耻反应。相对于运动认同，我们研究了(1)内疚和羞耻、行为意图和在身份不一致的情况下对身份-行为重新调整的感知之间的联系；(2)自我同情是否调节了这些形式的负面影响与行为意图和身份-行为重新调整之间的关系。设计：前瞻性，在线，定量。方法：从Prolific.com网站上招募在过去一周内运动少于其身份标准的运动者274例（年龄为32.5岁，年龄为10.8岁，女性占50.2%）。在基线上，测量了自我同情、状态和特质的内疚和羞耻，以及锻炼意图。一周后，参与者报告他们过去一周的锻炼在多大程度上符合他们的身份标准（即，身份一致的感知）。结果：没有状态羞耻或内疚与运动意图或身份一致的看法。自我同情调节了状态内疚与身份一致性知觉之间的关系(b = 2.524, SE =。975, t = 2.588, p = 0.010)；当自我同情程度高时，国家内疚感与身份-行为一致性相关，而当自我同情程度低时则无关。没有其他显著的缓和。结论：本研究对同一性理论及其关于消极情绪和自我调节的观点进行了补充；根据认同理论，自我同情可能为负面情绪驱动身份相关行为创造必要条件。
{"title":"Explaining the self-regulatory role of affect in identity theory: The role of self-compassion","authors":"Shaelyn M. Strachan, Sasha M. Kullman, Mark Dobrovolskyi, Vianney Z. Vega, Alexandra Yarema, Caity Patson","doi":"10.1111/bjhp.12783","DOIUrl":"10.1111/bjhp.12783","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>According to Stets and Burke's Identity Theory, people experience negative affect when their behaviour deviates from their identity standards, which drives the regulation of identity-relevant behaviour. Guilt and shame represent unique forms of negative affect. Self-compassion may influence guilt and shame responses about identity-behaviour inconsistencies. Relative to exercise identity, we examined the associations between (1) guilt and shame, behavioural intentions, and perceptions of identity-behaviour re-alignment after an identity-inconsistent situation and (2) whether self-compassion moderates the relationship between these forms of negative affect and both behavioural intentions and identity-behaviour re-alignment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Prospective, online, quantitative.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p><i>N</i> = 274 exercisers (<i>M</i><sub>age</sub> = 32.5 years, SD<sub>age</sub> = 10.8 years, 50.2% women) who engaged in less exercise in the past week than their identity standard were recruited from Prolific.com. At baseline, self-compassion, state and trait guilt and shame, and exercise intentions were measured. One week later, participants reported the extent to which their past week's exercise aligned with their identity standard (i.e., identity-consistent perceptions).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Neither state shame nor guilt related to exercise intentions nor identity-consistent perceptions. Self-compassion moderated the relationship between state guilt and identity-consistent perceptions (<i>b</i> = 2.524, SE = .975, <i>t</i> = 2.588, <i>p</i> = .010); state guilt was related to identity-behaviour consistency when self-compassion was high, but not when it was low. No other moderations were significant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study adds nuance to Identity Theory and its propositions about negative affect and self-regulation; self-compassion may create the conditions necessary for negative affect to drive identity-relevant behaviour as proposed by identity theory.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075945","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}
Alicia M. de Vries, Adelita V. Ranchor, Ralf Westerhuis, Annemieke Visser, Casper F. M. Franssen, Gerjan J. Navis, Maya J. Schroevers
Objectives
People with chronic kidney failure (CKF) on dialysis who perceive little control in life are at risk for a reduced well-being. We developed and tested an intervention aiming to enhance their perceptions of control. To gain insight into patients' care needs and acceptance of the intervention, we examined the prevalence of patients perceiving low control, their characteristics, and their reasons for (not) accepting the intervention.
Design
We consecutively screened 430 people on dialysis on perceived control, with those reporting low control offered to participate in the intervention study.
Methods
We used data of a Randomized Controlled Trial examining the feasibility, acceptability and efficacy of the intervention. Perceived control was assessed with the Pearlin Mastery scale.
Results
About half (55%) of the sample perceived low control, particularly those with more comorbidities. Most persons eligible for receiving the intervention did not accept the intervention (89%), especially older persons. Main reasons were experiencing little burden of perceiving low control as well as no need for care to increase perceived control.
Conclusions
A significant number of people on dialysis perceived low control in life, yet very few accepted an intervention for regaining a sense of control. In-depth qualitative research is needed for a more comprehensive understanding of the personal experience and perceived impact of low control on health and well-being, activities and relationships as well as people's reasons and needs for enhancing a sense of control and attitude towards psychological interventions aiming to enhance perceived control.
{"title":"Why do most people on dialysis not accept psychological care to increase perceptions of control in life?","authors":"Alicia M. de Vries, Adelita V. Ranchor, Ralf Westerhuis, Annemieke Visser, Casper F. M. Franssen, Gerjan J. Navis, Maya J. Schroevers","doi":"10.1111/bjhp.12782","DOIUrl":"10.1111/bjhp.12782","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>People with chronic kidney failure (CKF) on dialysis who perceive little control in life are at risk for a reduced well-being. We developed and tested an intervention aiming to enhance their perceptions of control. To gain insight into patients' care needs and acceptance of the intervention, we examined the prevalence of patients perceiving low control, their characteristics, and their reasons for (not) accepting the intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>We consecutively screened 430 people on dialysis on perceived control, with those reporting low control offered to participate in the intervention study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used data of a Randomized Controlled Trial examining the feasibility, acceptability and efficacy of the intervention. Perceived control was assessed with the Pearlin Mastery scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>About half (55%) of the sample perceived low control, particularly those with more comorbidities. Most persons eligible for receiving the intervention did not accept the intervention (89%), especially older persons. Main reasons were experiencing little burden of perceiving low control as well as no need for care to increase perceived control.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A significant number of people on dialysis perceived low control in life, yet very few accepted an intervention for regaining a sense of control. In-depth qualitative research is needed for a more comprehensive understanding of the personal experience and perceived impact of low control on health and well-being, activities and relationships as well as people's reasons and needs for enhancing a sense of control and attitude towards psychological interventions aiming to enhance perceived control.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047825","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}
Sonya S. Brady, Andrés Arguedas, Jared D. Huling, Gerhard Hellemann, David R. Jacobs Jr, Cora E. Lewis, Cynthia S. Fok, Pamela J. Schreiner, Stephen K. Van Den Eeden, Alayne D. Markland
Objective
Mechanistic studies are needed to understand why depressive symptoms are associated with poorer physical health. The objective of this study was to examine whether behavioural, cognitive and physiological factors mediated an association between depressive symptoms, measured in early adulthood, and lower urinary tract symptoms (LUTS) and their impact, a composite variable measured in mid-life adulthood, among women in the Coronary Artery Risk Development in Young Adults study, conducted in four regions of the United States.
Design
Prospective cohort study.
Methods
Data were examined for 871 women. Depressive symptoms were measured and averaged across Years 5, 10 and 15. Year 20 health behaviour combined information about smoking, physical activity and diet. Year 25 cognitive function combined performance on different cognitive tests. Year 25 metabolic syndrome combined standard risk criteria for waist circumference, triglycerides, high-density lipoprotein, blood pressure and glucose. A cluster analysis of urinary incontinence, other LUTS and impact data—collected two years after Year 25—was used to group women into one of four categories: no or very mild symptoms with no impact (bladder health) versus mild, moderate or severe symptoms/impact.
Results
Structural equation modelling showed a statistically significant direct path between depressive symptoms and LUTS/impact. Tests of indirect paths showed that health behaviours, cognitive function and metabolic syndrome did not mediate the association between depressive symptoms and LUTS/impact.
Conclusions
Depressive symptoms in early adulthood appear to be associated with LUTS and their impact in mid-life adulthood over and above health behaviours, cognitive function and metabolic syndrome.
{"title":"The association between depressive symptoms and lower urinary tract symptoms and impact among women: Investigating behavioural, cognitive and physiological pathways","authors":"Sonya S. Brady, Andrés Arguedas, Jared D. Huling, Gerhard Hellemann, David R. Jacobs Jr, Cora E. Lewis, Cynthia S. Fok, Pamela J. Schreiner, Stephen K. Van Den Eeden, Alayne D. Markland","doi":"10.1111/bjhp.12768","DOIUrl":"10.1111/bjhp.12768","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Mechanistic studies are needed to understand why depressive symptoms are associated with poorer physical health. The objective of this study was to examine whether behavioural, cognitive and physiological factors mediated an association between depressive symptoms, measured in early adulthood, and lower urinary tract symptoms (LUTS) and their impact, a composite variable measured in mid-life adulthood, among women in the Coronary Artery Risk Development in Young Adults study, conducted in four regions of the United States.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Prospective cohort study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were examined for 871 women. Depressive symptoms were measured and averaged across Years 5, 10 and 15. Year 20 health behaviour combined information about smoking, physical activity and diet. Year 25 cognitive function combined performance on different cognitive tests. Year 25 metabolic syndrome combined standard risk criteria for waist circumference, triglycerides, high-density lipoprotein, blood pressure and glucose. A cluster analysis of urinary incontinence, other LUTS and impact data—collected two years after Year 25—was used to group women into one of four categories: no or very mild symptoms with no impact (bladder health) versus mild, moderate or severe symptoms/impact.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Structural equation modelling showed a statistically significant direct path between depressive symptoms and LUTS/impact. Tests of indirect paths showed that health behaviours, cognitive function and metabolic syndrome did not mediate the association between depressive symptoms and LUTS/impact.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Depressive symptoms in early adulthood appear to be associated with LUTS and their impact in mid-life adulthood over and above health behaviours, cognitive function and metabolic syndrome.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11751663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014046","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}
Kaat Philippe, Alexander P. Douglass, Fionnuala M. McAuliffe, Catherine M. Phillips
Objectives
The associations between individual lifestyle behaviours and well-being are still poorly understood, particularly in the antenatal period when women are exposed to physiological changes and increased psychological distress. A healthy lifestyle score (HLS) comprising protective lifestyle behaviours may be useful for studying links between overall lifestyle and psychosocial outcomes. This study aimed to examine bidirectional associations between a HLS and its components and psychological well-being in pregnant women with overweight/obesity.
Design
Secondary analyses of data from the PEARS trial.
Methods
Healthy lifestyle scores (scored 0–5) based on maternal diet (AHEI-P), physical activity (MET-minutes), alcohol consumption, smoking, and sleep habits were created for 330 and 287 mothers with overweight/obesity in early (14–16 weeks gestation) and late pregnancy (28 weeks gestation), respectively. Psychological well-being was measured with the WHO-5 well-being index. Cross-lagged path models (crude/adjusted) tested the directionality of relationships between lifestyle (composite score/individual components) and well-being cross-sectionally and over time in pregnancy.
Results
The mean early pregnancy BMI was 29.2 kg/m2. The mean well-being score was 56.3% in early and 60.7% in late pregnancy. Significant autoregressive effects were observed for the HLS, all individual components, and well-being from early to late pregnancy. Well-being was positively correlated with the HLS, physical activity, and sleep variables within time points (in early and/or late pregnancy). Sleep and no smoking in early pregnancy predicted higher well-being in late pregnancy.
Conclusions
Overall healthy lifestyle, physical activity, and especially sleep duration and quality are associated with psychological well-being in pregnancy, and should be promoted antenatally.
{"title":"Associations between lifestyle and well-being in early and late pregnancy in women with overweight or obesity: Secondary analyses of the PEARS RCT","authors":"Kaat Philippe, Alexander P. Douglass, Fionnuala M. McAuliffe, Catherine M. Phillips","doi":"10.1111/bjhp.12776","DOIUrl":"10.1111/bjhp.12776","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The associations between individual lifestyle behaviours and well-being are still poorly understood, particularly in the antenatal period when women are exposed to physiological changes and increased psychological distress. A healthy lifestyle score (HLS) comprising protective lifestyle behaviours may be useful for studying links between overall lifestyle and psychosocial outcomes. This study aimed to examine bidirectional associations between a HLS and its components and psychological well-being in pregnant women with overweight/obesity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Secondary analyses of data from the PEARS trial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Healthy lifestyle scores (scored 0–5) based on maternal diet (AHEI-P), physical activity (MET-minutes), alcohol consumption, smoking, and sleep habits were created for 330 and 287 mothers with overweight/obesity in early (14–16 weeks gestation) and late pregnancy (28 weeks gestation), respectively. Psychological well-being was measured with the WHO-5 well-being index. Cross-lagged path models (crude/adjusted) tested the directionality of relationships between lifestyle (composite score/individual components) and well-being cross-sectionally and over time in pregnancy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean early pregnancy BMI was 29.2 kg/m<sup>2</sup>. The mean well-being score was 56.3% in early and 60.7% in late pregnancy. Significant autoregressive effects were observed for the HLS, all individual components, and well-being from early to late pregnancy. Well-being was positively correlated with the HLS, physical activity, and sleep variables within time points (in early and/or late pregnancy). Sleep and no smoking in early pregnancy predicted higher well-being in late pregnancy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Overall healthy lifestyle, physical activity, and especially sleep duration and quality are associated with psychological well-being in pregnancy, and should be promoted antenatally.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11739547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014039","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}
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