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Testing a Proof of Concept of an Online Simulator-Based Training for Facilitators of Evidence-Based Sexual Health Education Interventions: A Small Randomized Trial Involving Making Proud Choices 对基于证据的性健康教育干预促进者在线模拟器培训的概念验证进行测试:涉及 "做出自豪的选择 "的小型随机试验
Pub Date : 2023-08-01 DOI: 10.1177/26320770231197350
Lisa Sontag-Padilla, Feifei Ye, Regina Firpo-Triplett, Brittany Lucas, Amanda Meyer, Serafina Lanna, Elie Ohana, Matthew Chinman
Well-trained facilitators are critical for prevention programs. However, in-person facilitator training can be expensive and inconvenient. To make facilitator training affordable and accessible, we tested a prototype of online simulator-based training for Making Proud Choices! (MPC) facilitators using a mixed-method approach of survey assessments and observations of teaching. MPC is a leading evidence-based human immunodeficiency virus (HIV), sexually transmitted infection (STI), and teen pregnancy risk-reduction program. A convenience sample of 53 adults was randomly assigned to receive facilitator training on one MPC activity either via an online simulation or via in-person. Participants completed pre–post-surveys and role-played the activity to demonstrate both fidelity and quality of instruction post-training. Pre–post-survey findings demonstrated that the online simulation group was no different compared to the in-person group for improvement in creating a safe and inclusive environment and for engagement of students. This was not the case for knowledge of the curriculum and steps of proper condom use, self-efficacy, and self-reported handling of some sensitive questions and student whispering. However, we did find comparable pre–post-change between the two groups on these measures. Role-play observation results showed that the online simulation group was no different, and in many cases better, than the in-person group on fidelity and quality indicators. Participants reported high levels of acceptability, likability, and applicability to teach youth about sexual health and safety using the prototype. Findings suggest online simulation training can replicate the learning experience from in-person methods, which, in turn, increases access to effective educator training.
训练有素的主持人对预防计划至关重要。然而,面对面的主持人培训既昂贵又不方便。为了使主持人培训既经济又方便,我们对 "做出自豪的选择 "在线模拟器培训原型进行了测试!(MPC) 主持人的在线模拟器培训原型进行了测试,采用了调查评估和教学观察相结合的方法。MPC 是一项领先的循证人类免疫缺陷病毒(HIV)、性传播感染(STI)和少女怀孕风险降低项目。我们随机抽取了 53 名成人,让他们通过在线模拟或面对面的方式接受一项 MPC 活动的主持人培训。受训者完成训前训后调查,并进行角色扮演,以展示培训后教学的忠实度和质量。前后调查结果表明,在线模拟组与现场组相比,在营造安全、包容的环境和学生参与度方面没有区别。但在对课程和正确使用安全套的步骤的了解、自我效能以及对一些敏感问题和学生窃窃私语的自我报告处理方面,情况并非如此。不过,我们确实发现两组学生在这些方面的前后变化情况相当。角色扮演观察结果表明,在线模拟组在真实性和质量指标方面与现场模拟组没有区别,在许多情况下甚至更好。参与者对使用原型向青少年传授性健康和性安全知识的接受度、喜爱度和适用性都很高。研究结果表明,在线模拟培训可以复制现场教学方法的学习体验,从而增加教育者接受有效培训的机会。
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引用次数: 0
Barriers to PrEP Uptake in Young U.K. Men Who Have Sex With Men 英国年轻男男性行为者接受 PrEP 的障碍
Pub Date : 2023-08-01 DOI: 10.1177/26320770231199419
Loukas Haggipavlou, Richard J. T. Hamshaw
Pre-exposure prophylaxis (PrEP) prevents HIV contraction in HIV-negative individuals. Despite higher risks, uptake is low among young men who have sex with men (YMSM). This study investigates barriers to PrEP uptake in U.K. YMSM, where treatment has recently been approved within services. Semi-structured interviews with 10 YMSM living in the United Kingdom were analyzed using data-driven reflexive thematic analysis. Analysis highlighted three principal barriers to PrEP uptake: lack of perceived necessity, lack of knowledge, and perceived acquisition discomfort. YMSM experience unique barriers to PrEP uptake. Recommendations for tackling barriers included implementation of an online application, alongside educational measures.
暴露前预防疗法(PrEP)可预防艾滋病毒阴性者感染艾滋病毒。尽管风险较高,但年轻男男性行为者(YMSM)的接受率却很低。本研究调查了英国青年男性同性性行为者采用 PrEP 的障碍,该疗法最近已被批准在服务机构内使用。研究人员对居住在英国的 10 名男男性行为者进行了半结构式访谈,并使用数据驱动的反思性主题分析法对访谈内容进行了分析。分析结果突出显示了采用 PrEP 的三个主要障碍:缺乏必要性感知、缺乏相关知识和获得感知不适。青年男性和女性在使用 PrEP 方面遇到了独特的障碍。应对障碍的建议包括实施在线申请和教育措施。
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引用次数: 0
The Value of Mental Health Screening for Adolescents Attending School-Based Health Centers 校本健康中心青少年心理健康筛查的价值
Pub Date : 2023-06-11 DOI: 10.1177/26320770231171637
Elizabeth R. Pulgaron, N. D. W. Smith, Mira Armans, Jennifer Coto, M. Maurer, Lisa Gwynn
Although 65% of school-based health centers (SBHCs) offer mental health services, at-risk youth are commonly overlooked or do not follow up when referrals are made. Universal screenings may increase identification of those in need of mental health support. We examined the number of youth at three SBHCs referred for mental health consultations. Comparisons were made between provider referrals and those with elevated scores on the Youth Pediatric Symptom Checklist-17 (Y-PSC-17). Of the 585 patients in this study, 37 (6.32%) were referred solely by their Y-PSC-17 score, 36 (6.15%) youth were singularly referred by providers, and 19 (3.25%) were referred by both modalities. Almost three-quarters ( n = 67; 72.8%) of identified youth elected to receive psychotherapeutic services. Approximately half of the youth referred by providers ( n = 19; 52.8%) received individual services, while 36.11% ( n = 13) received group services. Smaller proportions of youth with elevated Y-PSC-17 scores received individual ( n = 7; 18.9%) and group services ( n = 11; 29.7%). Youth referred solely by a medical provider had significantly lower scores than those identified through an elevated Y-PSC-17 score. Findings highlight the necessity of universal screening in pediatric settings in addition to physician referrals to provide a supplemental layer of prevention and early identification of behavioral health concerns. In this study, 40% referrals would have been missed if both modalities were not in place. Educating medical providers on youth mental health concerns may enhance identification of those in need of mental health supports and in turn improve long-term outcomes.
虽然65%的校本保健中心(shhcs)提供心理健康服务,但有风险的青少年通常被忽视,或者在转诊时没有跟进。普遍筛查可增加对需要精神卫生支持的人的识别。我们调查了三家青少年健康中心转介心理健康咨询的人数。比较提供者转诊和青少年儿科症状检查表-17 (Y-PSC-17)得分较高的患者。在本研究的585例患者中,37例(6.32%)仅通过Y-PSC-17评分转诊,36例(6.15%)由提供者单独转诊,19例(3.25%)通过两种方式转诊。几乎四分之三(n = 67;72.8%)选择接受心理治疗服务。大约一半的青年由提供者转介(n = 19;接受个人服务的占52.8%,接受团体服务的占36.11% (n = 13)。Y-PSC-17得分较高的青少年接受单独治疗的比例较小(n = 7;18.9%)和团体服务(n = 11;29.7%)。仅由医疗提供者转诊的青少年的得分明显低于通过Y-PSC-17得分升高确定的青少年。研究结果强调,除了医生转诊外,在儿科环境中进行普遍筛查的必要性,以提供预防和早期识别行为健康问题的补充层。在这项研究中,如果两种方式都不到位,40%的转诊会被错过。就青少年心理健康问题对医疗服务提供者进行教育,可以加强对需要心理健康支持的人的识别,从而改善长期结果。
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引用次数: 0
A Psychometric Validation of the Claremont Purpose Scale with an Emerging Adult University Student Population Claremont目的量表在新兴成年大学生群体中的心理测量验证
Pub Date : 2023-05-24 DOI: 10.1177/26320770231171020
Lillie Grace Veazey, Marcela C. Weber, Stefan E. Schulenberg
Purpose is a key protective factor for well-being, resilience, and satisfaction with life. The Claremont Purpose Scale (CPS) was developed by Bronk and colleagues with adolescents and emerging adults to measure three dimensions of purpose: Meaning, Goal-Directedness, and Beyond-the-Self. The psychometric properties examined in the original scale development paper were replicated with our independent, emerging adult college student sample: confirmatory factor analysis (CFA) of a 3-factor model, good-to-excellent internal consistency, convergent validity with a measure of general perceived meaning in life (MLQ-P), and discriminant validity with a measure of self-reported depression (DASS-21-D). Additional psychometrics examined in this study were test–retest reliability, a 1-factor CFA model, correlations with stress and anxiety, and descriptive statistics that had not yet been reported in the literature. Beyond-the-self items did not load well onto the overall factor in the 1-factor model, and their correlations with other scales (MLQ-S, DASS-21 subscales) differed significantly from the correlations between these other scales and the CPS total, General Meaning, and Goal-Directedness scores. Implications of these data include strong support for the use of each subscale as a distinct, psychometric index, and we recommend the total scale score not be used as a measure of overall purpose. Clearly, there are separate, but related, facets to this measure that, while positive, undermine the utility of a global purpose score. A slightly changed naming of the CPS to the “Claremont Purpose Scales” could promote their use as three separate scales instead of a single, total scale score.
目标是幸福、适应力和生活满意度的关键保护因素。Claremont目的量表(CPS)是由Bronk和他的同事针对青少年和初出期成人开发的,用于测量目的的三个维度:意义、目标定向和超越自我。原始量表开发论文中检验的心理测量特性在我们独立的新兴成人大学生样本中得到了复制:三因素模型的验证性因子分析(CFA),良好到优秀的内部一致性,一般生活意义测量的收敛效度(MLQ-P),以及自我报告抑郁测量的判别效度(DASS-21-D)。本研究中检验的其他心理测量学包括重测信度、单因素CFA模型、与压力和焦虑的相关性,以及尚未在文献中报道的描述性统计。在单因素模型中,“超越自我”项目没有很好地加载到整体因素上,它们与其他量表(MLQ-S、DASS-21子量表)的相关性与其他量表与CPS总分、一般意义和目标导向得分之间的相关性显著不同。这些数据的含义包括强有力地支持使用每个子量表作为一个独特的心理测量指数,我们建议总量表得分不被用作总体目的的衡量标准。显然,这一衡量标准有一些独立但相关的方面,这些方面虽然是积极的,但却削弱了全球目标得分的效用。将CPS命名为“克莱蒙特目的量表”稍微改变一下,可以促进它们作为三个独立的量表使用,而不是单一的总量表得分。
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引用次数: 0
Validity and Reliability of the Empowered Veteran Index Among Military Veterans 退伍军人赋权指数的信度与效度
Pub Date : 2023-05-21 DOI: 10.1177/26320770231167355
J. McDaniel, G. Rosen, D. Albright, Mary York, Kyle Miller, Heather Pekios, Shivam Kundan
We sought to develop a tool designed to measure psychosocial reintegration outcomes among military veterans. We used a sequential mixed-methods study design for this research project. We conducted semi-structured interviews about veteran reintegration with 30 veteran members of The Mission Continues (TMC). Transcripts were coded/thematized based on three TMC program areas: personal growth (PG), connectedness (C), and community impact (CI). We developed/pilot-tested 65 Likert-scale items across three constructs. We collected survey data ( n = 851) and performed exploratory factor analysis. Cronbach’s alpha was used to measure internal consistency reliability. Results showed that the three-factor model was satisfactory, with eigenvalues of 8.11, 5.50, and 4.92, respectively, on the PG, C, and CI constructs. Model fit indices were also acceptable (RMSEA = 0.06) and Cronbach’s α’s were >.90. This study provided initial validity and reliability evidence for a tool that can be used to assess psychosocial reintegration outcomes among veterans.
我们试图开发一种工具,旨在衡量退伍军人的社会心理重返社会的结果。本研究项目采用顺序混合方法研究设计。我们对30名“使命继续”(TMC)的退伍军人进行了半结构化访谈。转录本根据三个TMC项目领域进行编码/主题化:个人成长(PG)、连通性(C)和社区影响(CI)。我们在三个构念中开发/试点测试了65个李克特量表项目。我们收集调查资料(n = 851)并进行探索性因素分析。采用Cronbach’s alpha测量内部一致性信度。结果表明,三因素模型是令人满意的,PG、C和CI结构的特征值分别为8.11、5.50和4.92。模型拟合指数也可接受(RMSEA = 0.06), Cronbach’s α > 0.90。本研究为一种可用于评估退伍军人社会心理重新融入结果的工具提供了初步的有效性和可靠性证据。
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引用次数: 0
Preventing Anxiety and Depression in Emerging Adults: A Case for Targeting Help-Seeking Intentions and Behaviors 预防焦虑和抑郁在新兴成人:目标寻求帮助的意图和行为的案例
Pub Date : 2023-01-01 DOI: 10.1177/26320770221124802
Maya Nauphal, Erin F. Ward-Ciesielski, Elizabeth H. Eustis
Efforts to prevent anxiety and depressive disorders are considered a public health priority. However, emerging adults (ages 18–25) have traditionally been overlooked in the prevention literature. Recent suggestions to improve the design and evaluation of prevention programs propose a shift toward targeting and assessing changes in underlying mechanisms and protective factors that might buffer against the onset or worsening of symptoms and promote emotional well-being. In this conceptual paper, we aim to further this discussion on the optimal targets and goals of prevention programs and how best to tailor these programs to meet the needs of emerging adults. We first provide a brief overview of the prevention literature for depressive and anxiety symptoms among emerging adults. We then present an argument for expanding the focus of prevention programs to include an emphasis on factors affecting help-seeking intentions and behaviors as explicit targets. We argue this could improve the effectiveness and long-term impact of prevention efforts and provide a way to tailor programs to the unique developmental period of emerging adulthood. We propose that prevention programs should strive to target both mechanisms underlying depressive and anxious symptomatology, as well as those affecting help-seeking behaviors to arm emerging adults with the knowledge and tools necessary to effectively manage their mental health needs. To this end, we outline a number of processes to prioritize and target in order to promote help-seeking in the context of prevention.
预防焦虑和抑郁症的努力被认为是公共卫生的优先事项。然而,在传统的预防文献中,新兴成人(18-25岁)一直被忽视。最近关于改进预防方案的设计和评估的建议建议转向针对和评估潜在机制和保护因素的变化,这些变化可能缓冲症状的发作或恶化,并促进情绪健康。在这篇概念性论文中,我们旨在进一步讨论预防计划的最佳目标和目标,以及如何最好地定制这些计划以满足新兴成年人的需求。我们首先提供了一个简短的概述预防文献抑郁和焦虑症状的新兴成人。然后,我们提出了一个论点,即扩大预防计划的重点,包括强调影响寻求帮助意图和行为的因素,作为明确的目标。我们认为这可以提高预防工作的有效性和长期影响,并为新成年期的独特发展阶段提供一种量身定制方案的方法。我们建议预防计划应该努力针对抑郁和焦虑症状的潜在机制,以及影响寻求帮助行为的机制,以有效管理其心理健康需求所需的知识和工具武装新成人。为此目的,我们概述了一些需要优先考虑和确定目标的进程,以便在预防方面促进寻求帮助。
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引用次数: 0
Mental Health Literacy and Its Relation to Sexual and Gender Minority Identity in a Diverse Sample of Undergraduate College Students 不同样本大学生心理健康素养及其与性认同和性别少数认同的关系
Pub Date : 2023-01-01 DOI: 10.1177/26320770221123538
Stephanie Brandt, R. Miles, Anjali Krishnan, L. Rabin
Research indicates that mental health literacy (MHL) can promote adaptive health behaviors and reduce stigma toward mental health problems. However, few studies have examined MHL among sexual and gender minority (SGM) individuals, a population that is disproportionately affected by negative mental health outcomes due to experiences with minority stress. This study aimed to fill this gap in the literature by investigating the association between MHL and SGM identity in a sample of demographically diverse college students in New York City. In addition to using a comprehensive measure of MHL, we recorded participants’ self-reported history of a psychological disorder. Results indicated that SGM identity was associated with higher MHL than non-SGM identity over and above other sociodemographic characteristics. This association was fully driven by participants’ self-reported history of a psychological disorder, which was more frequently reported by SGM participants as compared to non-SGM participants. These findings suggest that SGM college students may have higher MHL than non-SGM college students due to their relatively greater likelihood of having personally experienced a psychological disorder. Early MHL intervention with SGM individuals may be warranted to increase MHL prior to a potential onset of psychopathology, with the larger goal of facilitating more positive mental health outcomes. Implications for interventions in school-based settings and future research initiatives are also discussed.
研究表明,心理健康素养(MHL)可以促进适应性健康行为,减少对心理健康问题的耻辱感。然而,很少有研究调查性和性别少数(SGM)个体的MHL,这是一个由于少数群体压力经历而受到负面心理健康结果不成比例影响的人群。本研究旨在通过调查纽约市不同人口统计的大学生MHL和SGM身份之间的关系来填补这一文献空白。除了使用MHL的综合测量外,我们还记录了参与者自我报告的心理障碍史。结果表明,SGM身份比非SGM身份与更高的MHL相关,高于其他社会人口统计学特征。这种关联完全是由参与者自我报告的心理障碍史驱动的,与非SGM参与者相比,SGM参与者更频繁地报告心理障碍史。这些发现表明,SGM大学生的MHL可能高于非SGM大学生,因为他们个人经历心理障碍的可能性相对较大。对SGM个体进行早期MHL干预可能有必要在潜在的精神病理学发病之前增加MHL,其更大的目标是促进更积极的心理健康结果。本文还讨论了在校本环境和未来研究活动中干预措施的意义。
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引用次数: 0
The Differential Preliminary Belief in Prevention: The Case of Adolescents’ Problem Behaviors 预防的差异性初步信念:以青少年问题行为为例
Pub Date : 2023-01-01 DOI: 10.1177/26320770221095442
M. Israelashvili, Abeer Hannani Nahhas
Current literature on the barriers to the implementation of prevention efforts highlights circumstantial organizational and personal factors. However, the possibility that there is a more profound individual difference in people’s preliminary Belief in the Ability to Prevent (BIP; Israelashvili, 2018) has not yet been investigated. To explore this possibility, two sequential studies were performed on the case of adolescents’ problem behaviors. Study 1 (N = 200) examined the utility of a new measurement of BIP. Respondents were adolescents and adults (parents and teachers), living in northern Israel, who evaluated each of the vignettes in terms of the possibility of preventing the emerging adolescent’s problem behavior. Results from Study 1 supplied preliminary support for this research tool’s structure and validity, and demonstrated that there is variance in BIP scores and that past exposure to problem behaviors, especially suicidal behavior, is associated with lower BIP scores. Assuming that BIP emerges on the basis of cultural background and life experiences, Study 2 (N = 995) explored possible sex, age, and cultural differences and their accumulating contribution to explaining the variance in BIP. Based on MANCOVA analyses, the results from Study 2 support the hypothesized background differences and show that at-risk adolescents have lower levels of BIP. An additional tree analysis suggests that a person’s perception regarding the possibility of preventing more common problem behaviors, rather than extreme behaviors, serves as the basis upon which BIP is established. It is suggested that BIP is an additional possible variable that is related to people’s reluctance to collaborate with, and respond to, prevention efforts. Implications for implementation science are suggested.
目前关于实施预防工作的障碍的文献强调了间接的组织和个人因素。然而,人们对预防能力的初步信念可能存在更深刻的个体差异;Israelashvili, 2018)尚未被调查。为了探讨这种可能性,我们对青少年的问题行为进行了两项连续的研究。研究1 (N = 200)检验了一种新的BIP测量方法的实用性。受访者是居住在以色列北部的青少年和成年人(父母和老师),他们根据预防青少年出现问题行为的可能性来评估每个小插曲。研究1的结果为该研究工具的结构和有效性提供了初步支持,并证明了BIP得分存在差异,过去暴露于问题行为,特别是自杀行为,与较低的BIP得分有关。假设BIP是基于文化背景和生活经历产生的,研究2 (N = 995)探讨了可能的性别、年龄和文化差异,以及它们对解释BIP差异的累积贡献。基于MANCOVA分析,研究2的结果支持假设的背景差异,表明高危青少年的BIP水平较低。另一个树分析表明,一个人对预防更常见的问题行为的可能性的感知,而不是极端行为,是建立BIP的基础。这表明,BIP是另一个可能的变量,它与人们不愿与预防工作合作和作出反应有关。提出了对实施科学的启示。
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引用次数: 0
Therapist Resilience in an Ever-Changing World: A Systematic Review 不断变化的世界中的治疗师弹性:系统回顾
Pub Date : 2023-01-01 DOI: 10.1177/26320770221115862
Sarah Cronin, Thomas Allen, Jian-Ming Hou, Lily Walker
Given the demands of a helping professions amidst an ever-changing world, therapists need resilience now more than ever. This systematic literature review had two purposes: to explore the international evidence of internal characteristics that contribute to therapist resilience and to investigate the common ground between previous literature about therapist resilience and the newly identified characteristics of highly resilient therapists. In all, 29 peer-reviewed original research articles were systematically collected and coded for themes. In all, 10 overarching themes were identified: (a) connection to community, (b) pursuit of continual growth, (c) emotional boundaries, (d) emotional support, (e) humor, (f) integration of personal and professional, (g) meaning and purpose, (h) positive sense of self, (i) self-awareness, and (j) spirituality. The themes reinforced the four core characteristics of highly resilient therapists. Implications to foster therapist resilience and ideas for future research are discussed.
考虑到在一个不断变化的世界中帮助职业的需求,治疗师现在比以往任何时候都更需要适应力。这项系统的文献综述有两个目的:探索有助于治疗师恢复力的内部特征的国际证据,并调查先前关于治疗师恢复力的文献与新发现的高恢复力治疗师特征之间的共同点。总共有29篇同行评议的原创研究文章被系统地收集和编码为主题。总共确定了10个总体主题:(a)与社区的联系,(b)追求持续成长,(c)情感界限,(d)情感支持,(e)幽默,(f)个人和专业的整合,(g)意义和目的,(h)积极的自我意识,(i)自我意识,(j)灵性。这些主题强化了高弹性治疗师的四个核心特征。讨论了培养治疗师弹性的意义和未来研究的想法。
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引用次数: 0
Culturally-Motivated Bullying and Bystander Intervention: The Role of Witness Situational Awareness, Intervention History, and Victim Race 文化动机欺凌与旁观者干预:证人情境意识、干预历史和受害者种族的作用
Pub Date : 2023-01-01 DOI: 10.1177/26320770221121587
Elizabeth M. Vera, Sarah Galvin, Fioralba Millon, Rachael Drapcho, Hannah Payne
Research indicates that individuals who are not part of mainstream cultures may be disproportionately vulnerable to bully victimization. In response to culturally-motivated bullying vignettes, we explored bystander intervention/upstanding behavioral intentions in an experimental design involving 294 college student participants. Participants were randomly assigned to conditions that presented vignettes involving race-, gender-, and sexual orientation-based bullying. Race of victim was significantly related to upstanding behaviors. Perceived emergency of the situation and previous experience with upstanding interventions were also predictive of upstanding behavior. Empathy for the victims and intentions to comfort them were the primary rationales cited for preferring specific upstanding behaviors. Findings have implications for designing culturally-motivated bullying prevention programs in school and campus settings.
研究表明,不属于主流文化的个人可能更容易受到欺凌的伤害。为了回应文化动机的欺凌小插曲,我们在一项涉及294名大学生的实验设计中探讨了旁观者干预/直立行为意图。参与者被随机分配到不同的环境中,这些环境中出现了基于种族、性别和性取向的欺凌。受害者种族与正直行为显著相关。感知到的紧急情况和先前的直立干预经验也可以预测直立行为。对受害者的同情和安慰他们的意图是偏爱特定正直行为的主要理由。研究结果对在学校和校园环境中设计文化动机的欺凌预防项目具有启示意义。
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引用次数: 0
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Journal of prevention and health promotion
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