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Reflections on the Continued Popularity of the Transtheoretical Model 关于跨理论模型持续流行的思考
Pub Date : 2022-08-01 DOI: 10.4148/2572-1836.1128
S. Sussman, Nayeli Ayala, Pallav Pokhrel, T. Herzog
Sometimes in health behavior research, purportedly novel theoretical models are offered that may help move thinking about behavior change forward, and may be well-received by clinicians, but over time end up being a subject of continual scientific disconfirmation. The transtheoretical model is one rather popular example. The five stages of change and associated 10 processes of change are well-known (e.g., DiClemente et al., 2008; DiClemente et al., 2004). Yet, the model has been discredited to a large extent by several in the health behavior research community. In the present editorial, we briefly summarize the transtheoretical model, mention its current ongoing popularity, identify the critiques of this model, and suggest how one might best consider the model in future health behavior research and practice.
有时,在健康行为研究中,提供了据称新颖的理论模型,可能有助于推动对行为改变的思考,并且可能受到临床医生的欢迎,但随着时间的推移,最终成为不断被科学证实的主题。跨理论模型是一个相当流行的例子。变革的五个阶段和相关的变革过程是众所周知的(例如,DiClemente等人,2008;DiClemente et al., 2004)。然而,这个模型在很大程度上受到了健康行为研究界一些人的质疑。在当前的社论中,我们简要地总结了跨理论模型,提到了它目前正在进行的流行,确定了对该模型的批评,并建议如何在未来的健康行为研究和实践中最好地考虑该模型。
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引用次数: 0
Mentorship in the Field of Aging: Purposes, Pivots, and Priorities 老龄化领域的导师制:目的、重点和优先事项
Pub Date : 2022-08-01 DOI: 10.4148/2572-1836.1146
P. Slattum, Tiffany R. Washington, S. Dys, Patricia M D’Antonio, Tonya J. Roberts, Matthew Lee Smith
Abstract The Gerontological Society of America (GSA) is a multi-disciplinary organization dedicated to advancing the field of aging and improving the lives of older adults. With a long-standing commitment to mentorship and career development, this article focuses on GSA’s Mentoring Consultancies and Career Conversations events and their pivot to meet the needs and demands of current and future gerontologists amid the COVID-19 pandemic. This article provides a description of these events in the context of planning, content, and member engagement. Recommendations are provided to other organizations seeking to enrich their membership through mentorship and career development activities. We acknowledge the contributions of members of the GSA Career Conversations workgroup to the programming described in this paper: Juanita Bacsu, Balachandran, Lei Olivio Patricia Kioyshi-Teo, Wen Claire Pendergrast, Tina Sadarangani, Eva-Maria Trinkaus, and staff liaison Gena Shoen. We thank GSA for its long-standing commitment to mentorship and career development for gerontologists through support of this workgroup, the Visiting Scholars program, Emerging Scholar and Professional Organization, Mentor Match, Diversity Mentoring and Career Development Technical Assistance program and Careers in Aging Week. The authors have no conflicts of interest to declare, financial or otherwise. Abstract The Gerontological Society of America (GSA) is a multi-disciplinary organization dedicated to advancing the field of aging and improving the lives of older adults. With a long-standing commitment to mentorship and career development, this article focuses on GSA’s Mentoring Consultancies and Career Conversations events and their pivot to meet the needs and demands of current and future gerontologists amid the COVID-19 pandemic. This article provides a description of these events in the context of planning, content, and member engagement. Recommendations are provided to other organizations seeking to enrich their membership through mentorship and career development activities.
美国老年学学会(GSA)是一个多学科组织,致力于推进老龄化领域和改善老年人的生活。由于长期致力于指导和职业发展,本文重点介绍了GSA的指导咨询和职业对话活动,以及它们在COVID-19大流行期间满足当前和未来老年学家需求的重点。本文在计划、内容和成员参与的上下文中对这些事件进行了描述。向寻求通过指导和职业发展活动丰富其成员的其他组织提供建议。我们感谢GSA职业对话工作组成员对本文所述规划的贡献:Juanita Bacsu、Balachandran、Lei Olivio Patricia Kioyshi-Teo、Wen Claire Pendergrast、Tina Sadarangani、Eva-Maria Trinkaus和工作人员联络员Gena Shoen。我们感谢GSA长期以来通过支持该工作组、访问学者计划、新兴学者和专业组织、导师配对、多元化指导和职业发展技术援助计划以及职业老龄化周,为老年学家提供指导和职业发展的承诺。作者没有任何利益冲突需要申报,财务或其他方面。美国老年学学会(GSA)是一个多学科组织,致力于推进老龄化领域和改善老年人的生活。由于长期致力于指导和职业发展,本文重点介绍了GSA的指导咨询和职业对话活动,以及它们在COVID-19大流行期间满足当前和未来老年学家需求的重点。本文在计划、内容和成员参与的上下文中对这些事件进行了描述。向寻求通过指导和职业发展活动丰富其成员的其他组织提供建议。
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引用次数: 0
A perspective on the Motivation to Comply social norms construct 顺应社会规范的动机建构透视
Pub Date : 2022-05-31 DOI: 10.4148/2572-1836.1109
Paul Branscum
This social norms construct, motivation to comply (MTC), has been labeled problematic. To understand how MTC has been operationalized and measured, a scoping review was conducted. To retrieve articles, the key words ‘Motivation to Comply’ were used in multiple databases (e.g., MEDLINE), from 2009-2021. Twenty-seven manuscripts were identified, and yet according to the author of this study, only 52% measured MTC correctly. Other studies measured MTC as some other psychosocial construct such as attitudes. This article points to the need for standardization in the definition and measurement of the
这种社会规范结构,即服从动机(MTC),已经被贴上了有问题的标签。为了了解MTC是如何运作和衡量的,进行了范围审查。为了检索2009-2021年间的文章,在多个数据库(例如MEDLINE)中使用了关键词“Motivation To Comply”。鉴定了27份手稿,但根据这项研究的作者,只有52%的MTC测量正确。其他研究将MTC测量为其他一些社会心理结构,如态度。本文指出在定义和测量中需要标准化
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引用次数: 0
Age as a Moderator of the Association Between Anticipated Regret and the Posting and Deleting of Alcohol-Related Content on Social Networking Sites Among Adolescents and Young Adults 预期后悔与青少年和年轻人在社交网站上发布和删除酒精相关内容之间的关系:年龄是调节因子
Pub Date : 2022-05-31 DOI: 10.4148/2572-1836.1111
C. LoParco, Ashley D Lowery, Zheng-ta Zhou, M. Leon, Annalynn M. Galvin, Melissa A. Lewis, D. Litt
Research demonstrates associations between alcohol consumption and posting alcohol-related content on social networking sites (SNS); less is known regarding motivations behind deleting alcohol content on SNS and differences by age. The present study examined the associations of anticipated regret with posting and deleting alcohol-related content; age was examined as a moderator. Participants (N = 306; 47.1% male) aged 15 – 20 completed a baseline survey for a larger experimental study. Results indicated significant interactions between anticipated regret and age, such that higher levels of both increased the odds of both posting (OR = 1.37) and deleting (OR = 1.30) alcohol-related content on SNS. Specifically, the association between anticipated regret and posting was stronger for younger individuals, whereas the relationship between anticipated regret and deleting was stronger for older individuals. A personalized age-specific intervention aimed at alcohol-related anticipated SNS regret may lead to changes in posting and deleting of alcohol-related SNS content, which may have implications for subsequent alcohol use.
研究表明,饮酒与在社交网站上发布与酒精有关的内容之间存在关联;关于删除社交网络上酒精内容的动机和年龄差异,我们所知的较少。本研究调查了预期后悔与发布和删除与酒精有关的内容之间的关系;年龄是一个调节因素。参与者(N = 306;47.1%男性),年龄在15 - 20岁之间,完成了一项更大的实验研究的基线调查。结果表明,预期后悔和年龄之间存在显著的相互作用,两者的水平越高,在社交网站上发布(OR = 1.37)和删除(OR = 1.30)酒精相关内容的几率就越高。具体来说,预期后悔和发布之间的联系在年轻人中更强,而预期后悔和删除之间的关系在老年人中更强。针对与酒精相关的预期SNS后悔的个性化年龄特异性干预可能导致发布和删除与酒精相关的SNS内容的变化,这可能对随后的酒精使用产生影响。
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引用次数: 0
Understanding the Past While Looking to the Future: American Academy of Health Behavior Presidential Note 在展望未来的同时理解过去:美国健康行为学会主席说明
Pub Date : 2022-05-31 DOI: 10.4148/2572-1836.1158
A. Nguyen
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引用次数: 0
The American Academy of Health Behavior 2022 Annual Scientific Meeting: "The Science of Health Behaviors in Times of Crises" 美国健康行为学会2022年年度科学会议:“危机时期健康行为的科学”
Pub Date : 2022-05-31 DOI: 10.4148/2572-1836.1159
E. Thompson, Sharice M. Preston, Jenny K. R. Francis, Serena A. Rodriquez, S. Pruitt, J. Blackwell, Jasmin A. Tiro, Midhat Z. Jafry, A. Tzuan, Chen, Michael, S., Businelle, Darla, E., Kendzor, Lorraine R. Reitzel
The American Academy of Health Behavior (AAHB) hosted its 22nd Annual Scientific Meeting at the Baker's Cay Resort in Key Largo, FL March 13-16, 2022. The meeting's theme was "The Science of Health Behaviors in Times of Crises". This publication describes the meeting theme and includes the refereed abstracts presented at the 2022 Annual Scientific Meeting.s presented at the 2022 Annual Scientific Meeting.
美国健康行为学会(AAHB)于2022年3月13日至16日在佛罗里达州基拉戈的贝克湾度假村举办了第22届年度科学会议。会议的主题是“危机时期健康行为的科学”。该出版物描述了会议主题,并包括在2022年年度科学会议上提交的经审阅的摘要。该报告将在2022年年度科学会议上发表。
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引用次数: 0
Patterns and predictors of smoking by race and medical diagnosis during hospital admission: A latent class analysis 住院期间因种族和医学诊断而吸烟的模式和预测因素:潜在分类分析
Pub Date : 2022-05-31 DOI: 10.4148/2572-1836.1129
Amanda M. Palmer, B. Toll, Georges J. Nahhas, Kayla Haire, Brandon T. Sanford, K. Cummings, A. Rojewski
Hospital-based tobacco treatment programs provide tobacco cessation for a diverse array of admitted patients. Person-centered approaches to classifying subgroups of individuals within large datasets are useful for evaluating the characteristics of the sample. This study categorized patients who received tobacco treatment while hospitalized and determined whether demographics and smoking-related health conditions were associated with group membership. Chart review data was obtained from 4854 patients admitted to a large hospital in South Carolina, USA, from July 2014 through December 2019 who completed a tobacco treatment visit. Smoking characteristics obtained from the visit interview were dichotomized, and then latent class analysis (LCA) was conducted to categorize patients based on smoking history and interest in stopping smoking. Finally, logistic regressions were used to evaluate demographics and smoking-related health conditions as predictors of class membership. LCA generated 5 classes of patients, differentiated by heaviness of smoking and motivation to quit. Patients who were black/African American were more likely to be lighter smokers compared to white patients. Hospitalized patients with a history of hypertension, diabetes, and congestive heart failure were more likely to be motivated to quit and also were more likely to be lighter smokers at the time of hospitalization. Hospitalized patients who smoke and receive tobacco treatment are heterogeneous in terms of their smoking histories and motivation to quit. Understanding latent categories of patients provides insight for tailoring interventions and potentially improving tobacco treatment outcomes.
以医院为基础的烟草治疗项目为各种各样的入院患者提供戒烟服务。以人为中心的方法对大型数据集中的个体亚组进行分类,有助于评估样本的特征。这项研究对住院期间接受烟草治疗的患者进行了分类,并确定了人口统计学和吸烟相关的健康状况是否与群体成员有关。图表审查数据来自2014年7月至2019年12月美国南卡罗来纳州一家大型医院收治的4854名完成烟草治疗就诊的患者。将访视访谈中获得的吸烟特征进行二分,然后进行潜在类别分析(LCA),根据吸烟史和戒烟兴趣对患者进行分类。最后,使用逻辑回归来评估人口统计学和吸烟相关的健康状况,作为阶级成员的预测因素。LCA产生了5类患者,根据吸烟的严重程度和戒烟的动机进行区分。与白人患者相比,黑人/非裔美国人患者的吸烟者更轻。有高血压、糖尿病和充血性心力衰竭病史的住院患者更有可能戒烟,住院时吸烟者也更轻。在吸烟史和戒烟动机方面,吸烟和接受烟草治疗的住院患者是异质的。了解潜在的患者类别为制定干预措施和潜在改善烟草治疗结果提供了见解。
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引用次数: 0
Beliefs about Staying Home: Findings from a Nationally Representative Probability Sample of U.S. Adults in the Early Days of the COVID-19 Epidemic 关于呆在家里的信念:2019冠状病毒病流行初期美国成年人全国代表性概率样本的调查结果
Pub Date : 2022-05-31 DOI: 10.4148/2572-1836.1118
Christopher Owens, S. Middlestadt, S. Dickinson, Kristina Hunter-Mullis, J. Macy
Understanding the beliefs about staying home is essential to inform stay-at-home policies to mitigate COVID-19 and future epidemics. This study (1) identified the salient advantages, disadvantages, and facilitating beliefs about staying home, and (2) examined the relationship between these beliefs and intention. U.S. adults from a nationally representative probability-based household panel completed an online reasoned action approach belief elicitation from April 10-20, 2020, about one month after stay-athome guidelines were implemented. First, we conducted an inductive content analysis to reveal salient beliefs about staying home. We identified eight advantages, 12 disadvantages, and 12 facilitators that broadly spanned across health domains: individual, population, interpersonal, occupational, financial, and leisure health. Then, we conducted three regression analyses, one for each of the three sets of beliefs, predicting intention to stay home for the next month from worker status and belief mentioned. In these regression analyses, four advantages, four disadvantages, and four facilitators made independent contributions to explaining intention. The breadth of the elicited beliefs suggests that COVID-19 is perceived to have impacted many dimensions of our lives, and that interventions need to be just as broad. Communication and educational interventions could help people understand the benefits of staying home to themselves, to their families, and to the wider community. Programs that keep essential supplies available could help people stay home. Structural interventions with financial safety nets and policies that help people stay employed during an epidemic might address people’s concerns about the impact of staying home on their financial and occupational health.
了解关于呆在家里的信念对于制定缓解新冠肺炎和未来流行病的居家政策至关重要。这项研究(1)确定了关于呆在家里的显著优势、劣势和促进信念,(2)检验了这些信念与意图之间的关系。2020年4月10日至20日,在居家指南实施约一个月后,来自一个具有全国代表性的基于概率的家庭小组的美国成年人完成了一项在线推理行动方法信念启发。首先,我们进行了归纳内容分析,以揭示关于呆在家里的显著信念。我们确定了8个优势、12个劣势和12个促进因素,这些因素广泛涉及健康领域:个人、人口、人际、职业、财务和休闲健康。然后,我们进行了三次回归分析,三组信念各一次,根据提到的工人状态和信念预测下个月留在家里的意愿。在这些回归分析中,四个优点、四个缺点和四个促进者对解释意图做出了独立贡献。引发的信念的广度表明,新冠肺炎被认为影响了我们生活的许多方面,干预措施也需要同样广泛。沟通和教育干预可以帮助人们了解呆在家里对自己、家人和更广泛的社区的好处。提供必需品的项目可以帮助人们呆在家里。通过金融安全网和帮助人们在疫情期间保持就业的政策进行结构性干预,可能会解决人们对呆在家里对财务和职业健康影响的担忧。
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引用次数: 0
Do impulsivity and biological sex moderate associations between alcohol-related sexual willingness and behavior among young adults? 冲动和生理性别是否缓和了年轻人与酒精有关的性意愿和行为之间的关联?
Pub Date : 2022-05-31 DOI: 10.4148/2572-1836.1122
C. LoParco, Zheng-ta Zhou, D. Litt, Melissa A. Lewis
This study examined three-way interactions between baseline levels of willingness to engage in alcoholrelated sexual behaviors, facets of impulsivity (i.e., urgency, lack of premeditation, and sensation seeking) and biological sex on alcohol-related sexual behaviors 6 months later. Participants were a sample of highrisk 18–25 year olds (N = 321, mean age 22.44) from a larger randomized controlled trial with eligibility criteria including engaging in unprotected sexual behavior after drinking alcohol within the past month at baseline. Results indicated females reporting high urgency and willingness levels were the most likely to engage in alcohol-related sex and to use a condom/dental dam after drinking. Males reporting low urgency levels and high sensation seeking and willingness levels engaged in more alcohol-related sex compared to females. Interventions to decrease alcohol-related sexual behavior by reducing willingness could incorporate sex-specific and impulsivity-related content, particularly related to urgency.
这项研究考察了6个月后与酒精相关的性行为的基线意愿水平、冲动方面(即紧迫性、缺乏预谋和寻求感觉)和生物性行为之间的三方相互作用。参与者是来自一项大型随机对照试验的18-25岁高危人群样本(N=321,平均年龄22.44),其资格标准包括在过去一个月内基线饮酒后进行无保护的性行为。结果表明,报告具有高度紧迫感和意愿的女性最有可能进行与酒精相关的性行为,并在饮酒后使用避孕套/牙坝。报告称,与女性相比,男性的紧迫感水平较低,寻求感觉和意愿水平较高,与酒精相关的性行为较多。通过降低意愿来减少与酒精相关的性行为的干预措施可能包含特定性别和冲动相关的内容,尤其是与紧迫感相关的内容。
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引用次数: 0
Home Tobacco Smoke Exposure and Neighborhood Support and Safety among U.S. School-aged Children. 美国学龄儿童的家庭烟草烟雾暴露与社区支持与安全
Pub Date : 2022-05-01 Epub Date: 2022-08-12 DOI: 10.4148/2572-1836.1140
E Melinda Mahabee-Gittens, Rebecca A Vidourek, Keith A King, Ashley L Merianos

Children who are socioeconomically disadvantaged face a myriad of environmental hardships in the neighborhoods in which they live. This study examined the associations between home tobacco smoke exposure (TSE) and neighborhood support, neighborhood safety, and school safety among U.S. school-aged children. Children ages 6-11 years were included in this secondary analysis of 2018-2019 National Survey of Children's Health data (N = 17,300). Children's home TSE status was categorized into three levels: (1) no TSE: Child did not live with a smoker; (2) Outside TSE only: Child lived with a smoker who did not smoke inside the home; and (3) Inside TSE: Child lived with a smoker who smoked inside the home. Parent-reported measures of perceived neighborhood support, and neighborhood and school safety were examined; covariates included the child's age, sex, and race/ethnicity; the parent's education; the family's household structure, and federal poverty level. Weighted logistic and ordinal regression models were built adjusting for the covariates. In total, 13.2% of children had outside TSE and 1.7% of children had inside TSE. Multivariable logistic regression model results indicated that children with outside TSE were at decreased odds (AOR = 0.79, 95%CI = 0.65-0.96) of living in a supportive neighborhood compared to children with no TSE. Ordinal regression model results indicated that children with outside TSE (AOR = 0.77, 95%CI = 0.61-0.97) and children with inside TSE were at decreased odds (AOR = 0.62, 95%CI = 0.39-0.99) of going to a school that was perceived as safe. Community-level programs, policies, and funding are needed to improve neighborhood characteristics among children with TSE to improve their future health outcomes.

社会经济处境不利的儿童在其生活的社区面临着无数的环境困难。本研究考察了美国学龄儿童的家庭烟草烟雾暴露(TSE)与邻里支持、邻里安全和学校安全之间的关联。这项对2018-2019年全国儿童健康调查数据(N = 17,300)的二次分析纳入了6-11岁的儿童。儿童的家庭TSE状况分为三个等级:(1)无TSE:儿童没有与吸烟者生活在一起;(2)仅有外部TSE:儿童与吸烟者同住,但不在室内吸烟;(3) 室内 TSE:儿童与吸烟者同住,但在室内吸烟。对家长报告的邻里支持感、邻里安全和学校安全进行了研究;协变量包括儿童的年龄、性别、种族/民族;家长的教育程度;家庭结构以及联邦贫困水平。根据协变量建立了加权逻辑和序数回归模型。共有 13.2% 的儿童患有室外 TSE,1.7% 的儿童患有室内 TSE。多变量逻辑回归模型结果表明,与没有 TSE 的儿童相比,患有室外 TSE 的儿童居住在支持性社区的几率降低(AOR = 0.79,95%CI = 0.65-0.96)。正序回归模型结果显示,患有室外 TSE 的儿童(AOR = 0.77,95%CI = 0.61-0.97)和患有室内 TSE 的儿童进入被认为安全的学校的几率降低(AOR = 0.62,95%CI = 0.39-0.99)。需要社区层面的计划、政策和资金来改善TSE儿童的社区特征,以改善他们未来的健康状况。
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引用次数: 0
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Health behavior research
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