Adolescents from low socioeconomic backgrounds face disproportionate risks to health and well-being, underscoring the need for targeted, evidence-based interventions. Systematic extraction of active ingredients in interventions can inform the design of more effective interventions. This study aims to (1) identify Behaviour Change Techniques (BCTs) and Mechanisms of Actions (MoAs) used to change behaviour in the '11 for Health' programme, (2) interview programme receivers and deliverers exploring their experiences with BCTs and MoAs. Twenty-four BCTs were coded in the manual with 10 associated MoAs. Thematic analysis of interviews generated 16 codes for adolescents and 17 for teachers, each mapped onto BCTs. Adolescents highlighted, 'social support' and 'agree outcome goal', while teachers emphasised 'social support' and 'information about health consequences'. Further research is needed to substantiate whether potential refinements to the programme and inclusion of new BCTs, as identified in the interviews, could lead to enhanced effectiveness and long-term impact of the programme.Trial registration: This is a secondary analysis of a clinical trial, which has been registered at: ClinicalTrials.gov ID: NCT03647007.
{"title":"Using the behaviour change intervention ontology to examine the inclusion, delivery and experience of behaviour change techniques in a youth health promotion programme.","authors":"Kristina Pfeffer, Malte Nejst Larsen, Chiara Cimenti, Peter Krustrup, Nikos Ntoumanis","doi":"10.1177/13591053251408386","DOIUrl":"https://doi.org/10.1177/13591053251408386","url":null,"abstract":"<p><p>Adolescents from low socioeconomic backgrounds face disproportionate risks to health and well-being, underscoring the need for targeted, evidence-based interventions. Systematic extraction of active ingredients in interventions can inform the design of more effective interventions. This study aims to (1) identify Behaviour Change Techniques (BCTs) and Mechanisms of Actions (MoAs) used to change behaviour in the '11 for Health' programme, (2) interview programme receivers and deliverers exploring their experiences with BCTs and MoAs. Twenty-four BCTs were coded in the manual with 10 associated MoAs. Thematic analysis of interviews generated 16 codes for adolescents and 17 for teachers, each mapped onto BCTs. Adolescents highlighted, 'social support' and 'agree outcome goal', while teachers emphasised 'social support' and 'information about health consequences'. Further research is needed to substantiate whether potential refinements to the programme and inclusion of new BCTs, as identified in the interviews, could lead to enhanced effectiveness and long-term impact of the programme.<b>Trial registration:</b> This is a secondary analysis of a clinical trial, which has been registered at: ClinicalTrials.gov ID: NCT03647007.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251408386"},"PeriodicalIF":2.2,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146093904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1177/13591053251409900
Ruifeng Liu, Hanbin Yu, Feifei Li, Yi Hou, Xinli Chi
Guided by self-determination theory, this study investigated the bidirectional relationship between insomnia and short video addiction as well as their associations with mental health symptoms among Chinese firefighters during the organizational restructuring period (2018-2023). Utilizing a cross-sectional design with data from 3657 firefighters, LV-SEM was conducted. The findings revealed that both insomnia and short video addiction were directly associated with mental health symptoms and were associated with mental health symptoms through a chain mediation involving perceived social support and flourishing. Network analysis also demonstrated significant positive associations between insomnia and short video addiction, as well as between perceived social support and flourishing, with insomnia showing a stronger association with mental health symptoms. These results provide important implications for developing mental health interventions for firefighters, suggesting that priority be given to regulating short video use, enhancing social support, promoting flourishing, and improving sleep quality to comprehensively improve firefighters' mental health.
{"title":"Insomnia and short video addiction in firefighters: A chain mediation and network analysis of social support and flourishing.","authors":"Ruifeng Liu, Hanbin Yu, Feifei Li, Yi Hou, Xinli Chi","doi":"10.1177/13591053251409900","DOIUrl":"https://doi.org/10.1177/13591053251409900","url":null,"abstract":"<p><p>Guided by self-determination theory, this study investigated the bidirectional relationship between insomnia and short video addiction as well as their associations with mental health symptoms among Chinese firefighters during the organizational restructuring period (2018-2023). Utilizing a cross-sectional design with data from 3657 firefighters, LV-SEM was conducted. The findings revealed that both insomnia and short video addiction were directly associated with mental health symptoms and were associated with mental health symptoms through a chain mediation involving perceived social support and flourishing. Network analysis also demonstrated significant positive associations between insomnia and short video addiction, as well as between perceived social support and flourishing, with insomnia showing a stronger association with mental health symptoms. These results provide important implications for developing mental health interventions for firefighters, suggesting that priority be given to regulating short video use, enhancing social support, promoting flourishing, and improving sleep quality to comprehensively improve firefighters' mental health.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251409900"},"PeriodicalIF":2.2,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1177/13591053251410399
Veronica Della Casa, Elena Trombini, Marina Miscioscia, Paola Rigo, Miriam Battistini, Federica Andrei
Gender incongruence increasingly leads individuals to seek gender-affirming hormone therapy and surgeries. In Italy, however, general healthcare services often lack the specialization needed to address the specific needs. With a person-centered approach and a qualitative methodology, this study explores individual perspectives on promoting transgender and gender diverse people's well-being and highlights the relationship between gender incongruence, psychosocial health, and healthcare access. Seventeen participants aged 19-31 years old who experienced gender incongruence or gender dysphoria and sought medical or psychological support for hormone therapy attended a semi-structured interview processed through Thematic Analysis. Findings revealed significant barriers to adequate healthcare and social support, negatively impacting participants' well-being. Mediating factors such as peer awareness, family acceptance, and inclusive education emerged as protective. The study also discusses broader societal consequences of insufficient support and presents useful strategies to develop affirmative and inclusive practices aimed at improving access to care and psychosocial outcomes.
{"title":"Social and healthcare assistance needs in Italian transgender and gender diverse young adults: A qualitative study.","authors":"Veronica Della Casa, Elena Trombini, Marina Miscioscia, Paola Rigo, Miriam Battistini, Federica Andrei","doi":"10.1177/13591053251410399","DOIUrl":"https://doi.org/10.1177/13591053251410399","url":null,"abstract":"<p><p>Gender incongruence increasingly leads individuals to seek gender-affirming hormone therapy and surgeries. In Italy, however, general healthcare services often lack the specialization needed to address the specific needs. With a person-centered approach and a qualitative methodology, this study explores individual perspectives on promoting transgender and gender diverse people's well-being and highlights the relationship between gender incongruence, psychosocial health, and healthcare access. Seventeen participants aged 19-31 years old who experienced gender incongruence or gender dysphoria and sought medical or psychological support for hormone therapy attended a semi-structured interview processed through Thematic Analysis. Findings revealed significant barriers to adequate healthcare and social support, negatively impacting participants' well-being. Mediating factors such as peer awareness, family acceptance, and inclusive education emerged as protective. The study also discusses broader societal consequences of insufficient support and presents useful strategies to develop affirmative and inclusive practices aimed at improving access to care and psychosocial outcomes.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251410399"},"PeriodicalIF":2.2,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1177/13591053261417031
Petra Kolić, Jasmine Hearn, Matthew Jacques, Gita Ramdharry, Christopher I Morse
Charcot-Marie-Tooth disease (CMT) is a progressive neurological disorder affecting the peripheral nervous system, with symptoms such as fatigue, pain and muscle weakness that can hinder engagement in health-promoting behaviours, including healthy eating. This study explored enablers and barriers to healthy eating among adults with CMT, using the Theoretical Domains Framework (TDF) and the COM-B model. Twenty-two semi-structured interviews were conducted with 17 women and 5 men (aged 25-73). Data were analysed using framework analysis. Identified barriers included symptom-related fatigue, particularly during periods of high demand (e.g. workdays), limited lifestyle-focused guidance in routine healthcare interactions and physical environmental constraints. Key enablers comprised meal planning, social support from family and online communities, recognition of the mental and physical benefits of healthy eating and access to resources that helped mitigate physical limitations. These findings provide a foundation for developing evidence-based, context-sensitive dietary interventions tailored to the lived experiences of individuals with CMT.
{"title":"A qualitative study of enablers and barriers to healthy eating in adults with Charcot Marie Tooth disease using the Theoretical Domains Framework and COM-B model.","authors":"Petra Kolić, Jasmine Hearn, Matthew Jacques, Gita Ramdharry, Christopher I Morse","doi":"10.1177/13591053261417031","DOIUrl":"https://doi.org/10.1177/13591053261417031","url":null,"abstract":"<p><p>Charcot-Marie-Tooth disease (CMT) is a progressive neurological disorder affecting the peripheral nervous system, with symptoms such as fatigue, pain and muscle weakness that can hinder engagement in health-promoting behaviours, including healthy eating. This study explored enablers and barriers to healthy eating among adults with CMT, using the Theoretical Domains Framework (TDF) and the COM-B model. Twenty-two semi-structured interviews were conducted with 17 women and 5 men (aged 25-73). Data were analysed using framework analysis. Identified barriers included symptom-related fatigue, particularly during periods of high demand (e.g. workdays), limited lifestyle-focused guidance in routine healthcare interactions and physical environmental constraints. Key enablers comprised meal planning, social support from family and online communities, recognition of the mental and physical benefits of healthy eating and access to resources that helped mitigate physical limitations. These findings provide a foundation for developing evidence-based, context-sensitive dietary interventions tailored to the lived experiences of individuals with CMT.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053261417031"},"PeriodicalIF":2.2,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1177/13591053251414509
Lidón Villanueva, Ángeles Correas, Marta Giménez-Dasí, Laura Quintanilla
Adverse Childhood experiences (ACEs) have been widely associated with long-term difficulties. However, their impact during the prenatal period remains unexplored, particularly in non-English-speaking populations. This study aims to examine the cumulative and differential effects of ACEs on several psychological and physical health indicators during pregnancy. A total of 306 pregnant women (mean age = 34.69; SD = 3.91) provided retrospective information on ACEs and current information about depressive symptoms, adjustment to pregnancy, physical illness, psychological problems, and therapy attendance. ACE exposure significantly predicted depressive symptoms, maladjustment to pregnancy, psychological problems and therapy attendance. Among specific ACEs, emotional neglect emerged as the strongest predictor of these mental health outcomes. These findings highlight the importance of identifying and addressing ACEs in pregnant women. Integrating ACEs-informed approaches into prenatal care and implementing routine prenatal screening could help detect at-risk women and provide support to improve maternal and infant outcomes.
{"title":"From childhood to motherhood: The legacy of adversity on the mental health of pregnant women.","authors":"Lidón Villanueva, Ángeles Correas, Marta Giménez-Dasí, Laura Quintanilla","doi":"10.1177/13591053251414509","DOIUrl":"https://doi.org/10.1177/13591053251414509","url":null,"abstract":"<p><p>Adverse Childhood experiences (ACEs) have been widely associated with long-term difficulties. However, their impact during the prenatal period remains unexplored, particularly in non-English-speaking populations. This study aims to examine the cumulative and differential effects of ACEs on several psychological and physical health indicators during pregnancy. A total of 306 pregnant women (mean age = 34.69; SD = 3.91) provided retrospective information on ACEs and current information about depressive symptoms, adjustment to pregnancy, physical illness, psychological problems, and therapy attendance. ACE exposure significantly predicted depressive symptoms, maladjustment to pregnancy, psychological problems and therapy attendance. Among specific ACEs, emotional neglect emerged as the strongest predictor of these mental health outcomes. These findings highlight the importance of identifying and addressing ACEs in pregnant women. Integrating ACEs-informed approaches into prenatal care and implementing routine prenatal screening could help detect at-risk women and provide support to improve maternal and infant outcomes.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251414509"},"PeriodicalIF":2.2,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1177/13591053251408886
Miriam Sheynblyum, Rebecca L Pearl
This study investigated relationships of internalized weight stigma (IWS) with acceptance of weight-loss treatment resources and weight-loss treatment preferences. Adults with obesity (N = 157) reported on IWS, weight-loss desire, eating self-efficacy (ESE), and treatment preferences. Participants expressing weight-loss desire were offered weight-loss treatment resources and asked to accept/decline them. Binary logistic regression examined whether IWS was associated with accepting weight-loss treatment resources, and ESE as a moderator. Exploratory analyses tested associations between IWS and treatment preferences. Participants with higher (vs lower) IWS had significantly higher odds of accepting weight-loss treatment resources (OR = 1.52, 95% CI: [1.12-2.05]). ESE did not moderate this relationship. In exploratory analyses, higher IWS was associated with greater interest in psychological intervention for IWS combined with weight-loss treatment. IWS was not associated with most preferences (e.g. group vs individual or in-person vs video sessions) when accounting for weight-loss desire. Further research should clarify how IWS affects treatment acceptance.
{"title":"The relationship between internalized weight stigma and acceptance of weight-loss treatment resources.","authors":"Miriam Sheynblyum, Rebecca L Pearl","doi":"10.1177/13591053251408886","DOIUrl":"https://doi.org/10.1177/13591053251408886","url":null,"abstract":"<p><p>This study investigated relationships of internalized weight stigma (IWS) with acceptance of weight-loss treatment resources and weight-loss treatment preferences. Adults with obesity (<i>N</i> = 157) reported on IWS, weight-loss desire, eating self-efficacy (ESE), and treatment preferences. Participants expressing weight-loss desire were offered weight-loss treatment resources and asked to accept/decline them. Binary logistic regression examined whether IWS was associated with accepting weight-loss treatment resources, and ESE as a moderator. Exploratory analyses tested associations between IWS and treatment preferences. Participants with higher (vs lower) IWS had significantly higher odds of accepting weight-loss treatment resources (OR = 1.52, 95% CI: [1.12-2.05]). ESE did not moderate this relationship. In exploratory analyses, higher IWS was associated with greater interest in psychological intervention for IWS combined with weight-loss treatment. IWS was not associated with most preferences (e.g. group vs individual or in-person vs video sessions) when accounting for weight-loss desire. Further research should clarify how IWS affects treatment acceptance.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251408886"},"PeriodicalIF":2.2,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1177/13591053251410633
Joelle C Ruthig, Elizabeth Bjerke, Jessica Van Bree, Madison Adrian, Lauren Stornelli, William R Hoffman
Reluctance to disclose new mental or physical health symptoms and seek healthcare can be exacerbated among pilots due to fear of jeopardizing one's aviation career. The current qualitative study focused on undergraduate pilot trainees' beliefs about healthcare and help seeking behaviors. Individual semi-structured virtual interviews were completed with 28 undergraduate pilot trainees to identify barriers to symptom disclosure and health care service utilization. Six thematic barriers to help seeking were identified, including (lack of) health system literacy, fear, delay in seeking care, lack of understanding the FAA aeromedical process, trust, and financial constraints. These findings contribute to understanding healthcare avoidant behavior among aviators early in their training and have implications for industry leaders in considering revisions to health-related communications, education, and services available to pilot trainees and across the aviation industry more broadly.
{"title":"Barriers to symptom disclosure and healthcare seeking among civilian aviation pilot trainees.","authors":"Joelle C Ruthig, Elizabeth Bjerke, Jessica Van Bree, Madison Adrian, Lauren Stornelli, William R Hoffman","doi":"10.1177/13591053251410633","DOIUrl":"https://doi.org/10.1177/13591053251410633","url":null,"abstract":"<p><p>Reluctance to disclose new mental or physical health symptoms and seek healthcare can be exacerbated among pilots due to fear of jeopardizing one's aviation career. The current qualitative study focused on undergraduate pilot trainees' beliefs about healthcare and help seeking behaviors. Individual semi-structured virtual interviews were completed with 28 undergraduate pilot trainees to identify barriers to symptom disclosure and health care service utilization. Six thematic barriers to help seeking were identified, including (lack of) health system literacy, fear, delay in seeking care, lack of understanding the FAA aeromedical process, trust, and financial constraints. These findings contribute to understanding healthcare avoidant behavior among aviators early in their training and have implications for industry leaders in considering revisions to health-related communications, education, and services available to pilot trainees and across the aviation industry more broadly.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251410633"},"PeriodicalIF":2.2,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1177/13591053261417030
Camille Auriol, Patrick Raynal, Anaëlle Préaubert, Nicole Cantisano
Colorectal and lung cancers are among the most common and deadly worldwide, often carrying significant stigma-especially when linked to preventable behaviors like drinking and smoking. Alcohol increases colorectal cancer risk, while smoking is the primary cause of lung cancer, leading to perceptions of self-infliction that can worsen distress, delay diagnosis, and hinder treatment. This study is the first to compare the acceptability of smoking versus drinking in cancer contexts. Using a factorial design, 132 community members and 126 healthcare professionals evaluated 72 scenarios varying by cancer type, behavior levels, diagnosis stage, post-diagnosis behavior, and activity level. Overall, drinking was viewed as more acceptable than smoking, especially among those physically active or who quit post-diagnosis. Healthcare professionals were slightly more accepting than the general public. Notably, stigma around smoking lessened at advanced cancer stages. Findings suggest the need for stigma-reducing interventions and more compassionate, nonjudgmental care in oncology settings.
{"title":"Stigma in cancer: Comparing community and health professionals' acceptability of smoking and alcohol consumption.","authors":"Camille Auriol, Patrick Raynal, Anaëlle Préaubert, Nicole Cantisano","doi":"10.1177/13591053261417030","DOIUrl":"https://doi.org/10.1177/13591053261417030","url":null,"abstract":"<p><p>Colorectal and lung cancers are among the most common and deadly worldwide, often carrying significant stigma-especially when linked to preventable behaviors like drinking and smoking. Alcohol increases colorectal cancer risk, while smoking is the primary cause of lung cancer, leading to perceptions of self-infliction that can worsen distress, delay diagnosis, and hinder treatment. This study is the first to compare the acceptability of smoking versus drinking in cancer contexts. Using a factorial design, 132 community members and 126 healthcare professionals evaluated 72 scenarios varying by cancer type, behavior levels, diagnosis stage, post-diagnosis behavior, and activity level. Overall, drinking was viewed as more acceptable than smoking, especially among those physically active or who quit post-diagnosis. Healthcare professionals were slightly more accepting than the general public. Notably, stigma around smoking lessened at advanced cancer stages. Findings suggest the need for stigma-reducing interventions and more compassionate, nonjudgmental care in oncology settings.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053261417030"},"PeriodicalIF":2.2,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28DOI: 10.1177/13591053251409613
Henry Ugwu, Erin Willis, Melissa Pickett
Obesity is widespread in the U.S., and off-label use of GLP-1 medications like Ozempic for weight loss is rising. This study applies the Health Belief Model to analyze electronic word-of-mouth (eWOM) on social media related to GLP-1 medications and proposes a conceptual hybrid model for co-creation in social networks. A reflexive thematic analysis of three YouTube videos by patient influencer @TheHangryWoman and 3,748 corresponding comments was conducted, revealing that eWOM intensifies fears around obesity and promotes GLP-1 benefits like appetite suppression, weight loss, and improved body image. Users also share strategies of how to navigate barriers such as cost, side effects, and medication shortages. The findings show how eWOM and algorithms drive awareness and may normalize off-label use, raising concerns about misinformation and public health risks. This research contributes to health behavior theory in digital contexts and highlights the need for critical engagement with unregulated information online.
{"title":"Electronic word-of-mouth and off-label use of Ozempic and other GLP-1 medications.","authors":"Henry Ugwu, Erin Willis, Melissa Pickett","doi":"10.1177/13591053251409613","DOIUrl":"https://doi.org/10.1177/13591053251409613","url":null,"abstract":"<p><p>Obesity is widespread in the U.S., and off-label use of GLP-1 medications like Ozempic for weight loss is rising. This study applies the Health Belief Model to analyze electronic word-of-mouth (eWOM) on social media related to GLP-1 medications and proposes a conceptual hybrid model for co-creation in social networks. A reflexive thematic analysis of three YouTube videos by patient influencer @TheHangryWoman and 3,748 corresponding comments was conducted, revealing that eWOM intensifies fears around obesity and promotes GLP-1 benefits like appetite suppression, weight loss, and improved body image. Users also share strategies of how to navigate barriers such as cost, side effects, and medication shortages. The findings show how eWOM and algorithms drive awareness and may normalize off-label use, raising concerns about misinformation and public health risks. This research contributes to health behavior theory in digital contexts and highlights the need for critical engagement with unregulated information online.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251409613"},"PeriodicalIF":2.2,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146068272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28DOI: 10.1177/13591053251414005
Kirsten Barnes, Kate Faasse
Open label placebos (OLPs) refer to the non-deceptive administration of inert treatment. This pre-registered study (AsPrediced#139837) explored the role of expectations and tailored health feedback on the OLP effect using an automated online procedure. Healthy participants (N = 293) were randomised to a 10-day course of OLP pills with veridical feedback (OLP-Feedback: N = 92), without feedback (OLP-Standard: N = 105), or to a no-treatment control (NTC: N = 96). Participants were informed the pills were inert but may enhance wellbeing. Wellbeing was assessed at baseline, day-5 and day-10. Feedback was delivered on day-5 and day-10 via interactive graphs and descriptive statistics. OLP-treatment significantly improved wellbeing (negative emotions and sleep quality), while feedback did not significantly enhance this effect. Expectations for improvement were significantly elevated among OLP-treated participants across the 10-day study. However, at the individual level, expectations only mediated OLP outcomes once treatment experience had been acquired. Results reconcile inconsistencies in the literature regarding mechanisms.
开放标签安慰剂(OLPs)是指非欺骗性的惰性治疗。这项预先注册的研究(AsPrediced#139837)使用自动在线程序探索了期望和量身定制的健康反馈对OLP效应的作用。健康参与者(N = 293)被随机分配到有真实反馈(OLP-反馈:N = 92)、无反馈(OLP-标准:N = 105)或无治疗对照组(NTC: N = 96)的10天疗程中。参与者被告知这些药片是惰性的,但可能会增强幸福感。在基线、第5天和第10天对健康状况进行评估。在第5天和第10天通过交互式图表和描述性统计提供反馈。olp治疗显著改善了幸福感(负面情绪和睡眠质量),而反馈并没有显著增强这种效果。在为期10天的研究中,接受olp治疗的参与者对改善的期望显著提高。然而,在个体水平上,期望仅在获得治疗经验后才介导OLP结果。结果调和了文献中关于机制的不一致。
{"title":"The role of expectations and tailored feedback on the open-label Placebo effect.","authors":"Kirsten Barnes, Kate Faasse","doi":"10.1177/13591053251414005","DOIUrl":"https://doi.org/10.1177/13591053251414005","url":null,"abstract":"<p><p>Open label placebos (OLPs) refer to the non-deceptive administration of inert treatment. This pre-registered study (AsPrediced#139837) explored the role of expectations and tailored health feedback on the OLP effect using an automated online procedure. Healthy participants (<i>N</i> = 293) were randomised to a 10-day course of OLP pills <i>with</i> veridical feedback (OLP-Feedback: <i>N</i> = 92), <i>without</i> feedback (OLP-Standard: <i>N</i> = 105), or to a no-treatment control (NTC: <i>N</i> = 96). Participants were informed the pills were inert but may enhance wellbeing. Wellbeing was assessed at baseline, day-5 and day-10. Feedback was delivered on day-5 and day-10 via interactive graphs and descriptive statistics. OLP-treatment significantly improved wellbeing (negative emotions and sleep quality), while feedback did not significantly enhance this effect. Expectations for improvement were significantly elevated among OLP-treated participants across the 10-day study. However, at the individual level, expectations only mediated OLP outcomes once treatment experience had been acquired. Results reconcile inconsistencies in the literature regarding mechanisms.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251414005"},"PeriodicalIF":2.2,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146068260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}