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An Exploratory Model of Shared Decision-Making in Women's Reproductive Health in Indiana: A Cross-Sectional Study 印第安纳州妇女生殖健康共同决策的探索性模型:一项横断面研究
Pub Date : 2023-05-03 DOI: 10.4148/2572-1836.1181
Stephanie Meier, A. Laily, Laura M Schwab Reese, M. Kasting, A. DeMaria
Abstract Ecological approaches to shared decision-making (SDM) are underexplored in women’s reproductive health. The purpose was to identify ecological factors important to women in contraceptive and prenatal care SDM. In this cross-sectional study, women (18-45 years) living in Indiana who had sought reproductive healthcare completed an online survey (N=432). Multiple linear regression was utilized to identify predictors of SDM. Furthermore, exploratory factor analysis, confirmatory factor analysis, and structural equation modeling were conducted to explore ecological factors associated with SDM in contraception and prenatal care. Healthcare professional type was associated with decreased contraceptive SDM scores, but not prenatal care SDM scores. Access, social support, and patient-healthcare professional relationship demonstrated good global fit in confirmatory factor analysis. Path coefficients suggested significant relationships between these ecological factors and contraceptive and prenatal care SDM scores. Additionally, the ecological factors demonstrated good global fit for contraceptive and prenatal care SDM. Social support had a significant, strong, and inverse relationship with both contraceptive and prenatal care SDM in the models. Findings further SDM work by moving beyond option discussion and toward increased attention to women’s contexts and relationships. Taking a holistic approach to SDM and the patient experience ensures that women’s multi-faceted needs, influences, and preferences are met across healthcare settings.
摘要共享决策的生态学方法在妇女生殖健康方面的探索不足。目的是确定在避孕和产前护理SDM中对妇女重要的生态因素。在这项横断面研究中,居住在印第安纳州寻求生殖保健的女性(18-45岁)完成了一项在线调查(N=432)。多元线性回归用于确定SDM的预测因素。此外,还进行了探索性因素分析、验证性因素分析和结构方程建模,以探索避孕和产前护理中与SDM相关的生态因素。医疗保健专业人员类型与避孕SDM评分下降有关,但与产前护理SDM评分无关。在验证性因素分析中,获得、社会支持和患者-医疗保健专业关系显示出良好的全球拟合。通径系数表明这些生态因素与避孕和产前护理SDM评分之间存在显著关系。此外,生态因素显示出避孕和产前护理SDM在全球范围内的良好适用性。在模型中,社会支持与避孕和产前护理SDM之间存在显著、强烈且相反的关系。研究结果进一步推动了SDM的工作,超越了选项讨论,更多地关注女性的背景和关系。对SDM和患者体验采取全面的方法,确保在整个医疗环境中满足女性的多方面需求、影响和偏好。
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引用次数: 0
The Relationship Antecedents of Smoking (RAS) Scale: A new scale to assess couple-focused triggers to smoke. 吸烟的关系前因(RAS)量表:一种评估夫妻吸烟诱因的新量表。
Pub Date : 2023-04-12 DOI: 10.4148/2572-1836.1162
Erin Tooley, J. Fava, B. Borrelli
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引用次数: 0
Investigating Moderation in the Prospective Relationship of Marijuana Use to Subsequent Illicit Substance Use: Evidence from Add Health 调查大麻使用与随后非法物质使用的预期关系中的适度性:来自Add Health的证据
Pub Date : 2023-03-27 DOI: 10.4148/2572-1836.1172
Radhika Prasad, M. Wen, Z. Ahmmad, Dan Adkins
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引用次数: 0
The American Academy of Health Behavior 2023 Annual Scientific Meeting: "The Science of Identities: Measurement & Methods for Translational Health Behavior Research" 美国健康行为学会2023年年度科学会议:“身份科学:转化健康行为研究的测量和方法”
Pub Date : 2023-03-22 DOI: 10.4148/2572-1836.1202
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引用次数: 0
Potentially Misleading Weight Loss Advertisements Targeting Men: Examining Influence of Celebrity Athlete Endorsement on Ad Believability and Purchase Intentions 针对男性的潜在误导性减肥广告:明星运动员代言对广告可信度和购买意愿的影响
Pub Date : 2023-03-01 DOI: 10.4148/2572-1836.1177
A. Pickett, Katie M. Brown, Zack J. Damon, Natasha T. Brison
Abstract Given the prevalence of false or exaggerated claims in advertisements for weight loss products, as well as risks associated with use of unproven dietary supplements and exercise plans, they are subject to heightened scrutiny from regulators. However, celebrity athlete endorsers are increasingly featured in advertisements promoting weight loss products targeting men. This study employed a 2x2 (athlete endorser vs. non-celebrity; plausible vs. unrealistic advertising claim) experimental design, whereby participants (n= 292) were exposed to one of four ad conditions. Results suggest the athlete endorser was perceived as more credible than a non-celebrity, being rated as more expert. Significant differences were observed in ad believability, fit perceptions, brand attitudes, and purchase intentions. Findings suggest, the presence of a celebrity athlete endorser made weight loss advertisements more believable to consumers, even when ads contained obviously false claims. Given the health risks associated with certain weight loss behaviors and supplements, the impact of celebrity endorsers on consumer choices is important. Implications for potential consumers, regulators, and celebrity athlete endorsers are discussed.
摘要鉴于减肥产品广告中虚假或夸大的说法普遍存在,以及使用未经证实的膳食补充剂和锻炼计划的风险,监管机构对其进行了更严格的审查。然而,明星运动员代言人越来越多地出现在针对男性的减肥产品广告中。这项研究采用了2x2(运动员代言人与非名人;看似合理与不切实际的广告声明)的实验设计,参与者(n=292)暴露在四种广告条件中的一种。结果表明,运动员代言人被认为比非名人更可信,被评为更专业。在广告可信度、合身度、品牌态度和购买意愿方面观察到显著差异。研究结果表明,明星运动员代言人的出现使减肥广告对消费者更可信,即使广告中包含明显的虚假声明。考虑到某些减肥行为和补充剂带来的健康风险,名人代言人对消费者选择的影响很重要。讨论了对潜在消费者、监管机构和名人运动员代言人的影响。
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引用次数: 0
Effects of Body Satisfaction and Emotional Eating on Obesity Treatment-Related Changes in Weight and Waist Circumference Over 2 Years: A Serial Multiple Mediation Analysis 身体满意度和情绪饮食对肥胖治疗相关2年来体重和腰围变化的影响:一系列多重中介分析
Pub Date : 2023-02-20 DOI: 10.4148/2572-1836.1180
J. Annesi, Francine A Stewart
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引用次数: 0
Indirect Effect of Self-Regulated Exercise on Mood Through Self-Efficacy Changes 自我调节运动通过自我效能改变对情绪的间接影响
Pub Date : 2023-02-15 DOI: 10.4148/2572-1836.1179
J. Annesi
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引用次数: 0
A Descriptive Study of Health Literacy and Social Determinants of Health as Curricula Topics in Medical School Education 健康素养与健康的社会决定因素作为医学院校课程主题的描述性研究
Pub Date : 2023-01-03 DOI: 10.4148/2572-1836.1160
Nicholas J Felter, V. Ubbes
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引用次数: 0
A Field Test of Popular Chatbots’ Responses To Questions Concerning Negative Body Image 流行聊天机器人对负面身体形象问题的回应的现场测试
Pub Date : 2023-01-03 DOI: 10.4148/2572-1836.1164
Ruopeng An, Christopher W Byron, Chen Chen, Xiaoling Xiang
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引用次数: 0
Emotional Eating and Diet-related Self-Efficacy, Motivation, and Norms in Adolescents 青少年情绪性饮食与饮食相关的自我效能感、动机和规范
Pub Date : 2023-01-03 DOI: 10.4148/2572-1836.1157
Tyler B. Mason, Rachel Dayag, Anna Dolgon-Krutolow, Kathy Lam, Diana Zhang, Vivienne M. Hazzard, Kathryn E. Smith
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引用次数: 1
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Health behavior research
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