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Attrition of older adults in web-based health interventions: Survival analysis within an observational cohort study 网络健康干预中老年人的流失:观察性队列研究中的生存分析
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-14 DOI: 10.1177/13591053241274097
Marian ZM Hurmuz-Bodde, Stephanie M Jansen-Kosterink, Hermie J Hermens, Lex van Velsen
To identify demographics and personal motivation types that predict dropping out of eHealth interventions among older adults. We conducted an observational cohort study. Participants completed a pre-test questionnaire and got access to an eHealth intervention, called Stranded, for 4 weeks. With survival and Cox-regression analyses, demographics and types of personal motivation were identified that affect drop-out. Ninety older adults started using Stranded. 45.6% participants continued their use for 4 weeks. 32.2% dropped out in the first week and 22.2% dropped out in the second or third week. The final multivariate Cox-regression model which predicts drop-out, consisted of the variables: perceived computer skills and level of external regulation. Predicting the chance of dropping out of an eHealth intervention is possible by using level of self-perceived computer skills and level of external regulation (externally controlled rewards or punishments direct behaviour). Anticipating to these factors can improve eHealth adoption.
目的:确定可预测老年人退出电子健康干预的人口统计学特征和个人动机类型。我们开展了一项观察性队列研究。参与者填写了一份测试前问卷,并接受了为期 4 周的名为 "搁浅"(Stranded)的电子健康干预。通过生存分析和考克斯回归分析,确定了影响退出的人口统计学因素和个人动机类型。90 名老年人开始使用 Stranded。45.6%的参与者持续使用了 4 周。32.2%的人在第一周退出,22.2%的人在第二周或第三周退出。预测退出的最终多元考克斯回归模型由以下变量组成:感知的计算机技能和外部调节水平。通过使用自我感觉的计算机技能水平和外部调节水平(外部控制的奖惩行为),可以预测退出电子健康干预的几率。对这些因素进行预测可以提高电子保健的采用率。
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引用次数: 0
Reproductive identity of women undergoing IVF: An interpretative phenomenological analysis. 接受试管婴儿的妇女的生殖身份:解释现象学分析。
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-11 DOI: 10.1177/13591053241274682
Ivana Janković,Miljana Spasić Šnele,Milica Mitrović,Nikola Ćirović,Mila Guberinić,Jelena Opsenica Kostić
This study investigated how women undergoing IVF make sense of themselves in the context of their reproductive experiences. Interviews were conducted with fourteen women aged 27-42. Interpretative phenomenological analysis was used. Four main themes emerged: Motherhood beyond all, Us and them, Changes in self-perception, My agency. The results are discussed in the context of reproductive identity. It has shown that being a mother is an identity the participants strongly strive for. Participants feel connected to women with whom they share the experience of dealing with infertility and different from those without such an experience. The specificity of their reproductive experience leads to changes in self-perception that can be interpreted as either impairment or growth. On their reproductive journey, they show their agency by undertaking a series of activities (control of thoughts, feelings, and body). Practical implications of the obtained results are discussed.
本研究调查了接受体外受精的女性如何在生育经历中认识自我。研究人员对 14 名年龄在 27-42 岁之间的女性进行了访谈。采用了解释性现象分析法。访谈中出现了四大主题:超越一切的母性、我们和她们、自我认知的改变、我的能动性。研究结果以生育身份为背景进行了讨论。结果表明,作为母亲是参与者强烈追求的身份。参与者觉得自己与那些有共同不孕经历的妇女有联系,与那些没有不孕经历的妇女有区别。她们生育经历的特殊性导致了自我认知的变化,这种变化既可以被解释为损伤,也可以被解释为成长。在生育过程中,她们通过开展一系列活动(控制思想、情感和身体)来显示自己的能动性。本文讨论了所得结果的实际意义。
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引用次数: 0
Seeking professional help in health crises: The impact of cognitive factors, discrete emotions, and eHealth information seeking on mental health communication. 在健康危机中寻求专业帮助:认知因素、离散情绪和电子健康信息搜索对心理健康交流的影响。
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-09 DOI: 10.1177/13591053241274460
Yen-I Lee, Yang Cheng, Wen Zhao

A common challenge facing public health practitioners and communication scholars is how to best change perceptions and increase favorable attitudes and awareness of health recommendations, such as help-seeking about depression. Given the need to identify persuasive ways to communicate depression, this study examined how discrete emotions, cognition, and engaging eHealth information-seeking behavior affected US adults' intentions regarding help-seeking about depression. The results from an online survey of 1422 US adults revealed (1) elated emotion and loving emotion; (2) depression consciousness; (3) attitude toward seeking help from mental health services; and (4) eHealth information-seeking significantly predicted intention to seek help from professionals. In addition, depression consciousness, attitude toward seeking help from mental health services, and eHealth information-seeking acted as sequential mediators for the relationship between elated emotion, loving emotion, and behavioral intention. Implications for health communication and depression communication research and practice are discussed.

公共卫生从业人员和传播学者面临的一个共同挑战是,如何以最佳方式改变人们对健康建议的看法,并提高人们对健康建议的良好态度和认识,例如对抑郁症的求助。鉴于需要确定有说服力的抑郁症传播方式,本研究考察了离散情绪、认知和参与电子健康信息寻求行为如何影响美国成年人对抑郁症的求助意向。对 1422 名美国成年人的在线调查结果显示:(1)欣喜情绪和爱的情绪;(2)抑郁意识;(3)向心理健康服务机构求助的态度;(4)电子健康信息寻求行为显著预测了向专业人士求助的意向。此外,抑郁意识、向心理健康服务机构求助的态度和电子健康信息寻求是欣快情绪、关爱情绪和行为意向之间关系的顺序中介。本文探讨了健康传播和抑郁传播研究与实践的意义。
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引用次数: 0
Psychological profiles in patients receiving maintenance dialysis: Classification, correlates, and behavioral health outcomes. 接受维持性透析患者的心理状况:分类、相关因素和行为健康结果。
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-09 DOI: 10.1177/13591053241277978
Ni Zhang, Yanru Chen, Jinmei Yin, Jiaxin Liu, Jinjie Liu, Jieling Chen

This study identified psychological profiles based on depressive symptoms, anxiety symptoms, positive affect, and posttraumatic growth in 298 patients receiving maintenance dialysis, and examined their relationships with self-management at baseline and 1-year follow-up. Five psychological response profiles were identified: well-being (42.95%), resilient (26.17%), moderate-distress-with-growth (17.79%), distressed (11.07%), and high-distress-with-growth (2.01%). Patients were more likely to be in the distressed profile if they were younger, had less social support, received peritoneal dialysis, and suffered from a greater symptom burden of kidney disease. The well-being profile showed better self-management behavior at baseline and 1-year follow-up. The distressed profile was associated with worse self-management at baseline and the resilient profile was associated with worse self-management at follow-up. The findings highlighted the beneficial role of positive psychological constructs in promoting self-management behavior, which implied that beyond eliminating psychological distress, it is important to facilitate positive psychological well-being.

本研究根据 298 名接受维持性透析的患者的抑郁症状、焦虑症状、积极情绪和创伤后成长,确定了他们的心理特征,并在基线和 1 年随访中考察了这些特征与自我管理的关系。结果发现了五种心理反应特征:幸福感(42.95%)、复原力(26.17%)、中度压力与成长(17.79%)、苦恼(11.07%)和高度压力与成长(2.01%)。如果患者年龄较轻、社会支持较少、接受腹膜透析、肾病症状较重,则更有可能处于痛苦状态。在基线和一年的随访中,幸福型患者的自我管理行为更佳。苦恼特征与基线自我管理较差有关,而复原特征与随访时自我管理较差有关。研究结果强调了积极心理结构在促进自我管理行为中的有益作用,这意味着除了消除心理困扰,促进积极的心理健康也很重要。
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引用次数: 0
Perceived vulnerability to disease and children's COVID behavioral response: The role of health consciousness and family financial status. 对疾病的易感性和儿童的 COVID 行为反应:健康意识和家庭经济状况的作用。
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-09 DOI: 10.1177/13591053241270421
Hui Jing Lu, Hongduo Li, Qiushi Zhou

This study investigated the impact of family financial status on Chinese children's health-related traits and their behavior in controlling COVID-19. When the children were 7 years old, their guardians provided information on family financial status. When the children reached 10 years old, they completed questionnaires concerning their own health consciousness and health status. At age 11, during the COVID-19 pandemic in 2020, they filled out questionnaires on perceived vulnerability to disease and disease control behavior. The findings revealed that higher health consciousness is associated with better health, particularly among children from financially challenged families. Additionally, a greater perception of vulnerability to disease is linked to increased COVID-19 control behaviors, particularly in children with high health consciousness in affluent families. These results contribute to our understanding of how children's personal health-related traits and family financial status interact to shape their response to the COVID-19 pandemic.

本研究调查了家庭经济状况对中国儿童健康相关特质及其控制 COVID-19 行为的影响。在儿童 7 岁时,他们的监护人提供了有关家庭经济状况的信息。10 岁时,孩子们填写了有关自身健康意识和健康状况的问卷。11 岁时,在 2020 年 COVID-19 大流行期间,他们填写了关于疾病易感性和疾病控制行为的问卷。研究结果表明,健康意识越强,健康状况越好,尤其是来自经济困难家庭的儿童。此外,对疾病易感性的更高感知与 COVID-19 控制行为的增加有关,特别是在富裕家庭中健康意识较高的儿童中。这些结果有助于我们了解儿童的个人健康相关特征与家庭经济状况如何相互作用,从而形成他们对 COVID-19 大流行的反应。
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引用次数: 0
Effect of health conditions and community program participation on physical activity and exercise motivation in older adults. 健康状况和社区项目参与对老年人体育活动和锻炼动机的影响。
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-05 DOI: 10.1177/13591053241275308
Anita Gust

Physical activity (PA) declines with age, with chronic health conditions a contributing factor. Exercise motivation (EM), a factor of PA adherence, may be promoted through community program participation. The purpose was to investigate the effect of health conditions and community program participation on PA and EM. Surveys comprising of demographics, physical activity (PASE), and exercise motivation (BREQ-2), were distributed. Significant differences were found for PA between community program participants with and without a health condition. A significant main effect for health condition existed on several subscales of EM: identified regulation and intrinsic regulation, and for obesity on amotivation, identified regulation, and intrinsic regulation. Significant differences existed between community exercise program participants (N = 77) and non-participants (N = 145) for amotivation (p < 0.001), identified regulation (p < 0.001), and intrinsic regulation (p < 0.001). The presence of a health condition appears to impact EM. Community program participation positively influenced EM, potentially negating the effect of health condition.

体育锻炼(PA)会随着年龄的增长而减少,其中慢性疾病是一个诱因。运动动机(EM)是坚持体育锻炼的一个因素,可以通过参与社区项目得到促进。研究的目的是调查健康状况和社区项目参与对 PA 和 EM 的影响。调查内容包括人口统计学、体力活动(PASE)和运动动机(BREQ-2)。结果发现,有健康状况和没有健康状况的社区项目参与者在体育锻炼方面存在显著差异。健康状况对运动动机的几个分量表:识别调节和内在调节,以及肥胖对非运动动机、识别调节和内在调节,都有明显的主效应。社区锻炼计划参与者(N = 77)和非参与者(N = 145)之间在动机方面存在显著差异(p p p p)。
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引用次数: 0
Understanding cancer patients' desire to quit tobacco without assistance: A mixed-methods study. 了解癌症患者在没有帮助的情况下戒烟的愿望:混合方法研究。
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-01 Epub Date: 2024-01-28 DOI: 10.1177/13591053231223345
Tia Borger, Abigayle R Feather, Kathleen E Wakeman, William Bowling, Jessica L Burris

While many cancer patients who use tobacco try to quit post-diagnosis, some prefer to quit without using tobacco treatment, despite evidence against unassisted quit attempts. This study aimed to understand the rationale for some cancer patients' desire to quit tobacco without assistance. Thirty-five adult cancer patients who currently used tobacco and declined tobacco treatment because of the desire to quit unassisted provided data via a standardized questionnaire and a semi-structured interview. The sample was predominately White, non-Hispanic (85.71%) and female (68.57%). The most common cancer site was gynecological. Key themes that emerged from the interviews were: self-reliance, willpower, social norms, and negative attitudes toward tobacco treatment. The most frequently endorsed barrier to tobacco treatment was "I know others who have quit without tobacco treatment" (82.86%). This study with cancer patients identified affective, cognitive, and personality factors related to quitting unassisted, and social and systemic reasons to not use tobacco treatment.

许多吸烟的癌症患者在确诊后都会尝试戒烟,尽管有证据表明无助戒烟的尝试是不可取的,但仍有一些患者倾向于在不接受烟草治疗的情况下戒烟。本研究旨在了解一些癌症患者希望在没有帮助的情况下戒烟的理由。35名目前使用烟草并因希望在无人协助的情况下戒烟而拒绝接受烟草治疗的成年癌症患者通过标准化问卷和半结构化访谈提供了数据。样本主要为非西班牙裔白人(85.71%)和女性(68.57%)。最常见的癌症部位是妇科。访谈中出现的关键主题包括:自力更生、意志力、社会规范以及对烟草治疗的消极态度。最常被提及的烟草治疗障碍是 "我知道其他人不用烟草治疗就戒烟了"(82.86%)。这项针对癌症患者的研究发现了与无助戒烟相关的情感、认知和个性因素,以及不使用烟草治疗的社会和系统原因。
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引用次数: 0
Bi-directional associations of core affect and physical activity in adults with higher body weight: An ecological momentary assessment study. 体重较重成年人的核心情感与体育活动的双向关联:生态瞬间评估研究。
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-01 Epub Date: 2024-01-29 DOI: 10.1177/13591053241228202
Caroline Seiferth, Janis Fiedler, Tanja Färber, Magdalena Pape, Stefanie Schroeder, Stephan Herpertz, Sabine Steins-Loeber, Jörg Wolstein

Affect is known to be predictive of and enhanced by higher physical activity (PA) levels in the general population. This secondary analysis aimed to increase the understanding of the bi-directional relationship between PA and core affect (i.e. valence, energetic arousal, and calmness) among adults with higher body weight. Affect and PA were assessed in naturalistic settings via ecological momentary assessment using a mixed sampling scheme from 157 participants (body mass index: 32.99 ± 3.78 kg/m2). Multilevel models revealed that being more physically active in the 15 minutes prior to the assessment predicted an increase in energetic arousal and a decrease in calmness. Subsequently, feeling more energetic and agitated was associated with increased PA within the following 15 minutes. Valence (i.e. pleasure-displeasure) was not associated with PA nor predictive of subsequent PA. Digital PA interventions may target the enhancement of feelings of energy and present psychoeducation about these distinct psychological benefits.

众所周知,在一般人群中,较高的体力活动(PA)水平可以预测并增强情感。这项二次分析旨在进一步了解体重较重的成年人中,体育锻炼与核心情感(即情绪、能量唤醒和平静)之间的双向关系。该研究在自然环境中通过生态瞬间评估对 157 名参与者(体重指数:32.99 ± 3.78 kg/m2)的情绪和运动量进行了评估。多层次模型显示,评估前 15 分钟内运动量越大,预示着精力亢奋程度越高,平静程度越低。随后的 15 分钟内,感觉精力充沛和焦躁与体力活动增加有关。价值感(即愉悦-不愉悦)与PA无关,也不能预测随后的PA。数字PA干预措施可以以增强精力充沛的感觉为目标,并提供有关这些独特心理益处的心理教育。
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引用次数: 0
A cluster randomized controlled trial of a brief positive healthy eating intervention. 简短积极健康饮食干预的分组随机对照试验。
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-01 Epub Date: 2024-02-05 DOI: 10.1177/13591053231225934
Henry Cy Ho, Agnes Y Lai, Moses Wai-Keung Mui, Alice Wan, Carol Wing-See Yew, Tai Hing Lam

Excessive sugar intake poses a significant risk factor for non-communicable diseases. A positive healthy eating (PHE) intervention was developed to promote low-sugar dietary practices in families. The PHE intervention capitalized on positive psychological constructs to overcome barriers to health behavior change by helping families associate feelings of joy, gratitude, and savoring with healthy eating. In a cluster randomized controlled trial, 1983 participants from 1467 families were recruited in Hong Kong. PHE included a core and booster session. Data were collected at pre-intervention, post-intervention, and at 1-month and 3-month follow-up. Compared to the control, PHE showed greater increase in intention to change at post-intervention, engagement in low-sugar dietary practices individually and with family members at 3-month follow-up, and greater reduction in sugar-sweetened beverage intake at 1-month and 3-month follow-up. Intentions to change mediated PHE's effects on low-sugar dietary practices. Focus group interviews revealed the behavior-change process and family quality of life.

糖分摄入过多是非传染性疾病的一个重要风险因素。为了在家庭中推广低糖饮食习惯,我们开发了一种积极健康饮食(PHE)干预方法。积极健康饮食干预利用积极心理结构,通过帮助家庭将快乐、感激和回味与健康饮食联系起来,克服改变健康行为的障碍。在一项分组随机对照试验中,香港招募了来自 1467 个家庭的 1983 名参与者。健康教育包括核心环节和强化环节。在干预前、干预后、1 个月和 3 个月的随访中收集了数据。与对照组相比,"健康教育 "在干预后显示出更大的改变意愿,在3个月的随访中显示出单独和与家庭成员一起参与低糖饮食习惯,以及在1个月和3个月的随访中显示出更大的含糖饮料摄入量减少。改变的意愿是 PHE 对低糖饮食习惯产生影响的中介。焦点小组访谈揭示了行为改变过程和家庭生活质量。
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引用次数: 0
Depression and life satisfaction after Kahramanmaraş earthquakes: The serial mediation roles of life meaning and coping with earthquake stress. 卡赫拉曼马拉什地震后的抑郁和生活满意度:生命意义和应对地震压力的序列中介作用。
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-01 Epub Date: 2024-02-06 DOI: 10.1177/13591053241229554
Serkan Cengiz, Adem Peker

This study aims to examine the meaning of life, and the mediating effect of strategies for coping with earthquake stress in the relationship between depression, and life satisfaction in survivors of the 2023 Kahramanmaraş centered earthquakes. The participants of this study were 472 adults (31.1% male, 68.9% female; Mage = 24.52) who were affected by earthquakes. The data of the study were tested with the bootstrapping-based PROCESS macro program (Model-81). The results showed that depression negatively predicted life satisfaction. Meaning of life mediated the relationship between depression and life satisfaction. However, problem solving and cognitive avoidance coping strategies reduced the effects of depression and the meaning of life on life satisfaction. These results can be a resource for mental health services for earthquake victims. At the same time, the study provides evidence that protecting personal resources in disaster situations positively affects life satisfaction in terms of conservation of resources theory (COR).

本研究旨在探讨 2023 年卡赫拉曼马拉什中心地震幸存者的生命意义以及地震压力应对策略对抑郁和生活满意度之间关系的中介作用。本研究的参与者为 472 名受地震影响的成年人(男性占 31.1%,女性占 68.9%;年龄 = 24.52)。研究数据通过基于引导的 PROCESS 宏程序(Model-81)进行了测试。结果显示,抑郁对生活满意度有负面预测作用。生活意义是抑郁与生活满意度之间关系的中介。然而,问题解决和认知回避应对策略降低了抑郁和生活意义对生活满意度的影响。这些结果可以作为地震灾民心理健康服务的资源。同时,本研究还从资源保护理论(COR)的角度提供了在灾难情况下保护个人资源会对生活满意度产生积极影响的证据。
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引用次数: 0
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Journal of Health Psychology
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