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Voluntary Pregnancy Screening at Syringe Exchanges: A Feasibility Study. 自愿妊娠筛查在注射器交换:可行性研究。
Pub Date : 2021-07-01 Epub Date: 2021-03-05 DOI: 10.1177/2632077020973362
Camille C Cioffi, John R Seeley

The purpose of this study was to explore the feasibility of offering voluntary pregnancy screening at syringe exchange programs using the National Implementation Research Network Hexagon Discussion and Analysis Tool. We conducted a survey among female syringe exchange clients that assessed perceived needs, values, and behavioral intentions for parenting and entering treatment if they received a positive pregnancy screen and surveys among staff and core volunteers to assess organizational fit, capacity, and needed supports. Participants and staff reported that pregnancy screening was needed at syringe exchange and that capacity needs to be expanded to provide services. Pregnancy screening at syringe exchanges holds the potential to lead to early detection of pregnancy. Early detection of pregnancy among women who inject drugs may result in improved prenatal care, including substance use treatment and treatment of infectious diseases, for women who would otherwise be unlikely to receive prenatal care.

本研究的目的是利用国家实施研究网络六边形讨论和分析工具,探讨在注射器交换项目中提供自愿妊娠筛查的可行性。我们在女性注射器交换客户中进行了一项调查,评估了怀孕筛查阳性的女性在养育子女和接受治疗方面的感知需求、价值观和行为意图,并在工作人员和核心志愿者中进行了调查,以评估组织的适应性、能力和所需的支持。与会者和工作人员报告说,需要在注射器交换时进行妊娠筛查,并且需要扩大能力以提供服务。在注射器交换处进行妊娠筛查有可能导致早期发现妊娠。在注射毒品的妇女中及早发现怀孕可能会改善产前护理,包括药物使用治疗和传染病治疗,否则这些妇女不太可能得到产前护理。
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引用次数: 3
The Role of Perceived Susceptibility and Collectivist Values in Support for Using Social Distancing to Prevent COVID-19 in the United States 感知易感性和集体主义价值观在支持美国使用社交距离预防COVID-19中的作用
Pub Date : 2021-06-19 DOI: 10.1177/26320770211015434
Xiao Wang
The present investigation examined the factors that were related to U.S. residents’ support for social distancing measures (i.e., stay-at-home) that can help prevent COVID-19 infections and save lives. Relying on a survey of 387 U.S.-based participants from Amazon Mechanical Turk (MTurk), conducted in May 2020, the results revealed that perceived susceptibility and collectivist cultural values predicted their support for social distancing, both directly and indirectly. The total effect sizes were moderate and strong, respectively. In addition, instrumental attitudes were a stronger predictor of the participants’ support for social distancing than experiential attitudes and perceived behavioral control. The results contribute to the understanding of how risk perceptions, collectivist values, and various attitudes are related to an important preventive behavior (i.e., social distancing) during a pandemic. It should be acknowledged that the concept of social distancing evolved throughout the pandemic in the United States.
本调查调查了与美国居民支持社会距离措施(即呆在家里)相关的因素,这些措施有助于预防COVID-19感染并挽救生命。根据2020年5月对亚马逊土耳其机械公司(MTurk)的387名美国参与者进行的一项调查,结果显示,感知的敏感性和集体主义文化价值观直接和间接地预测了他们对社交距离的支持。总效应量分别为中等和强。此外,工具态度比经验态度和感知行为控制更能预测参与者对社会距离的支持。这些结果有助于了解大流行期间风险观念、集体主义价值观和各种态度如何与重要的预防行为(即保持社会距离)相关。应该承认,在美国,保持社交距离的概念在疫情期间不断演变。
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引用次数: 8
A Process Evaluation of a Youth-Led Sexual Violence Prevention Initiative 青年领导的预防性暴力倡议的进程评价
Pub Date : 2021-06-14 DOI: 10.1177/26320770211010817
Emily A. Waterman, Courtney A. Hutchison, Katie M. Edwards, Skyler L. Hopfauf, Briana Simon, V. Banyard
One promising strategy to prevent sexual violence (SV) is to involve youth as leaders in developing prevention initiatives. Few peer-led prevention initiatives have been evaluated; thus, it is particularly important to examine the implementation of such programs in process evaluations. This article describes a process evaluation of a youth-led, community-based SV prevention initiative. Our aims were to (a) track the number and timing of prevention initiative events, (b) assess perceptions of the initiative among youth in the community, (c) evaluate perceived benefits and drawbacks of the initiative among youth who attended events, and (d) explore perceptions of the initiative’s impact among highly involved youth. We used data from multiple sources (i.e., implementation tracking, surveys with youth, semi-structured interviews) and from multiple types of youth (i.e., youth in the general population, youth who attended programming events, and youth who were highly involved, such as completing an internship). The program was highly acceptable to youth. They reported gaining both SV prevention skills (e.g., bystander skills) and more general skills (e.g., leadership, communication) through involvement with the initiative. We identified several key features that contributed to the success of events, such as a supportive and non-judgmental environment, content that felt useful to youth, and time for interaction with peers. However, some challenges such as negative peer behavior at events emerged as potential pitfalls of the initiative. These insights can be used by researchers and practitioners to further develop and refine peer-led prevention initiatives.
防止性暴力的一项有希望的战略是让青年作为领导者参与制定预防举措。很少有同行主导的预防行动得到评估;因此,在过程评估中检查这些方案的执行情况尤为重要。这篇文章描述了一个以青年为主导,以社区为基础的SV预防倡议的过程评估。我们的目的是(a)跟踪预防倡议活动的数量和时间,(b)评估社区青年对该倡议的看法,(c)评估参加活动的青年对该倡议的好处和缺点的看法,以及(d)探索该倡议在高度参与的青年中的影响的看法。我们使用了来自多个来源的数据(即,实施跟踪,青年调查,半结构化访谈)和来自多种类型的青年(即,普通人群中的青年,参加编程活动的青年,以及高度参与的青年,如完成实习)。这个节目很受年轻人的欢迎。他们报告说,通过参与该倡议,他们获得了预防性暴力的技能(例如,旁观者技能)和更一般的技能(例如,领导能力、沟通能力)。我们确定了促成活动成功的几个关键特征,例如支持性和非评判性的环境,对年轻人有用的内容,以及与同龄人互动的时间。然而,一些挑战,如在活动中的消极同伴行为,成为该倡议的潜在陷阱。研究人员和从业人员可以利用这些见解进一步发展和完善同行主导的预防举措。
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引用次数: 8
Public Opinions About Child Maltreatment in South Carolina: Salience, Relevance, Prevention, and Support for Government Intervention 南卡罗莱纳儿童虐待的公众意见:显著性、相关性、预防及对政府干预的支持
Pub Date : 2021-06-10 DOI: 10.1177/26320770211010820
Aditi Srivastav, Katherine L. Nelson, Melissa Strompolis, Jonathan Purtle
Substantial evidence demonstrates that child maltreatment is preventable through approaches that address the socio-environmental contexts that shape attitudes and behaviors. Understanding opinions about child maltreatment can inform efforts to influence policy and practice changes that promote child health and well-being. This study examined public opinions about child maltreatment in South Carolina. A telephone survey was conducted in Fall 2019 with a random sample of adults (N = 1,145) in the state. Respondents rated the extent to which they agreed that child maltreatment is an important issue (salience), whether it is a problem in their community (relevance), whether it is preventable (prevention orientation), whether child maltreatment prevention is a good use of their tax dollars, and whether child maltreatment can be prevented through government intervention. Stronger issue salience was significantly associated with stronger beliefs about government intervention to prevent child maltreatment after adjustment for demographics (B = 0.69, p < .0001). Stronger issue relevance (B = 0.05, p = .08) and stronger prevention orientation (B = 0.19, p < .001) were also significantly associated with stronger beliefs about government intervention to prevent child maltreatment after adjustment for demographics. Results indicate that changing public opinions about child maltreatment—specifically around issue salience, relevance, and prevention orientation—could have implications for communications interventions that seek to generate support for government intervention to prevent child maltreatment.
大量证据表明,通过处理影响态度和行为的社会环境背景的方法,可以预防虐待儿童。了解关于虐待儿童的意见,可以为影响政策和实践变化、促进儿童健康和福祉的努力提供信息。这项研究调查了南卡罗来纳州公众对虐待儿童的看法。2019年秋季,对该州随机抽取的成年人(N = 1145)进行了电话调查。受访者对他们同意虐待儿童是一个重要问题(突出性)的程度进行了评级,这是否是他们社区的一个问题(相关性),是否可以预防(预防导向),预防儿童虐待是否很好地利用了他们的税款,以及是否可以通过政府干预来预防儿童虐待。在人口统计调整后,更强的问题显著性与更强的政府干预预防儿童虐待的信念显著相关(B = 0.69, p < 0.0001)。在人口统计调整后,更强的问题相关性(B = 0.05, p = .08)和更强的预防导向(B = 0.19, p < .001)也与更强的政府干预预防儿童虐待的信念显著相关。研究结果表明,公众对儿童虐待的看法的改变——特别是围绕问题的突出性、相关性和预防取向——可能会对寻求支持政府干预以防止儿童虐待的沟通干预产生影响。
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引用次数: 0
Mental Hygiene: What It Is, Implications, and Future Directions 心理卫生:它是什么,影响和未来的方向
Pub Date : 2021-04-15 DOI: 10.1177/26320770211000376
G. Tremblay, Nicole C. Rodrigues, Sanjiv Gulati
Every day, people struggle with mental health challenges; one in five people will experience a mental illness in their lifetime. Innovative approaches to strengthen the public mental health strategy warrant careful deliberation. This article reintroduces and explores the conceptual framework of mental hygiene. The concept of mental hygiene was originally introduced in the early 20th century, with the aim of preventing and treating mental illness and milder mental disorders. The movement lost its momentum shortly thereafter and the concept went largely ignored since then. Mental hygiene is a form of preventive maintenance that can be likened to other hygienic practices. Through the plasticity of the brain, mental training activities can foster healthy cognitive patterns that are conducive to well-being. The article offers a brief overview of some of the mental hygiene practices one can engage in, on a daily basis, to support well-being and assist in preventing mental health issues. Such mental training behaviors may potentially reduce ubiquitous human tendencies to ruminate and mind-wander without awareness, which when in excess correlate with increased activity of the default mode network and susceptibility to the pathogenesis of mental illness, along with impeding human flourishing. The article advocates for the routine engagement in healthy mental hygiene to become a global recommendation.
每天,人们都在与心理健康挑战作斗争;五分之一的人一生中会经历一次精神疾病。加强公共精神卫生战略的创新方法值得仔细考虑。本文重新介绍并探讨了心理卫生的概念框架。精神卫生的概念最初是在20世纪初提出的,目的是预防和治疗精神疾病和轻度精神障碍。此后不久,该运动失去了势头,这个概念在很大程度上被忽视了。心理卫生是一种预防性维护,可与其他卫生习惯相提并论。通过大脑的可塑性,心理训练活动可以培养有益于健康的认知模式。这篇文章提供了一些心理卫生实践的简要概述,一个人可以参与,在日常基础上,以支持福祉和协助预防心理健康问题。这种心理训练行为可能会潜在地减少人类普遍存在的无意识的反刍和走神倾向,当这种倾向过度时,与默认模式网络的活动增加和对精神疾病发病机制的易感性相关,同时阻碍人类的繁荣。这篇文章提倡日常参与健康的心理卫生成为一项全球性的建议。
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引用次数: 1
Experiential Avoidance and Meaning in Life as Predictors of Valued Living: A Daily Diary Study 经验回避和生活意义作为有价值生活的预测因子:一项每日日记研究
Pub Date : 2021-04-15 DOI: 10.1177/2632077021998261
Jeffrey M. Pavlacic, Stefan E. Schulenberg, E. Buchanan
Values-based interventions encourage engagement in valued living as a means to promote psychological well-being. Valued living is best operationalized as ongoing, reinforcing behavioral patterns consistent with idiographic values that facilitate psychological well-being and improved mental health. Cross-sectional research illustrates positive associations between valued living and well-being and negative associations between valued living and psychopathology. However, it is important to have an understanding of different daily-level factors that predict fluctuations in valued living. Consistent with cognitive and behavioral models, meaning may positively relate to engagement in valued living, while experiential avoidance negatively relates to valued living. To address these relationships at the daily level, we systematically examined valued living, meaning, and experiential avoidance using ecological momentary assessment across 14 days with 73 college students. Multilevel modeling supported a positive relationship between meaning (i.e., at both the within- and between-person level) and daily valued living, above and beyond the within-person effects of experiential avoidance. The results elucidate a daily link between valued living and aspects of well-being. Further, these results show that constructs commonly assessed cross-sectionally fluctuate at the daily level, which sets the stage for future research programs that examine factors promoting and inhibiting fluctuations in meaning, experiential avoidance, and valued living. These results have important implications for prevention of mental health problems and promotion of psychological well-being.
以价值观为基础的干预措施鼓励参与有价值的生活,作为促进心理健康的一种手段。有价值的生活最好作为一种持续的运作方式,加强与促进心理健康和改善心理健康的具体价值观相一致的行为模式。横断面研究表明,有价值的生活与幸福之间存在积极联系,而有价值的生活与精神病理之间存在消极联系。然而,重要的是要了解不同的日常水平的因素,预测波动的价值生活。与认知和行为模型一致,意义可能与参与有价值的生活呈正相关,而体验回避与有价值的生活负相关。为了在日常生活水平上解决这些关系,我们对73名大学生进行了为期14天的生态瞬时评估,系统地检查了有价值的生活、意义和经验回避。多层模型支持意义(即,在内部和之间的人的水平)和日常有价值的生活之间的积极关系,超越了经验回避的内部人的影响。研究结果阐明了有价值的生活和幸福之间的日常联系。此外,这些结果表明,通常评估的结构在日常水平上横截面波动,这为未来的研究项目奠定了基础,这些研究项目将研究促进和抑制意义、经验回避和有价值生活波动的因素。这些结果对预防心理健康问题和促进心理健康具有重要意义。
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引用次数: 8
Evaluating the Feasibility of the Incredible Years Attentive Parenting Program as Universal Prevention for Racially Diverse Populations 评估不可思议岁月细心育儿计划作为种族多样化人口普遍预防的可行性
Pub Date : 2021-03-19 DOI: 10.1177/2632077020976401
Xiang Zhou, Richard M. Lee, Judy Ohm
Parenting training (PT) can be implemented as a prevention program to effectively address children’s behavioral and psychosocial problems. In the current feasibility study, we implemented the Incredible Years (IY) Attentive Parenting Program as universal/primary prevention in a community mental health setting with racially diverse families. We evaluated the attendance and treatment outcomes in a one-group pre–post design. A total of 152 parents (88% mothers; 81% non-White) participated in the IY Attentive Parenting Program. Parents who completed the program reported a significant decrease in conduct problems and an increase in prosocial behaviors in their children. Minimal differences among race and gender were found in parents’ attendance, parenting stress, and children’s internalizing and externalizing symptoms and prosocial behaviors. However, pretreatment child externalizing behaviors predicted parents’ attendance. The study provides preliminary support for the feasibility of the recently developed IY Attentive Parenting Program as a universal prevention program for behavioral and psychosocial problems in children.
父母培训(PT)可以作为一项预防计划来实施,以有效地解决儿童的行为和社会心理问题。在目前的可行性研究中,我们实施了不可思议的岁月(IY)细心育儿计划,作为种族多样化家庭的社区精神卫生机构的普遍/初级预防。我们采用单组前后设计评估出勤率和治疗结果。共有152名家长(88%为母亲;(81%非白人)参加了IY细心育儿计划。完成该项目的父母报告说,他们的孩子的行为问题显著减少,亲社会行为增加。在父母出勤、父母压力、儿童内化和外化症状和亲社会行为方面,种族和性别差异极小。而预处理儿童外化行为对家长出勤有预测作用。本研究为最近开发的IY细心育儿计划作为儿童行为和社会心理问题的普遍预防计划的可行性提供了初步支持。
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引用次数: 2
Validation of the Activity Room: An Ecologically Valid Assessment of Young Children’s Risk-Taking 活动室的验证:幼儿冒险行为的生态有效评价
Pub Date : 2021-03-17 DOI: 10.1177/2632077020988143
Casie H. Morgan, Claire Estep, B. Morrongiello, D. Schwebel
Physical risk-taking is associated with increased risk of unintentional injury, a global health challenge and the leading cause of death for children in the United States. To assess risk and develop prevention programs, valid tools to assess children’s physical risk-taking are needed. No ecologically valid behavioral measures are widely available. This study describes the development and validation of the “Activity Room” to measure children’s physical risk-taking while presenting low risk of actual injury. Participants were 59 children aged 4 to 6 years old (51% female; 51% non-Hispanic White) and their parents. Children completed two tasks to assess physical risk-taking: (a) vignettes (short stories presenting risk situations) and (b) the “Activity Room” (unsupervised engagement for 5 min in a room with apparatus designed to stimulate potential physical risk-taking). Parents responded to a questionnaire concerning children’s active play behaviors. Correlational analyses evaluated convergent validity of the Activity Room risk-taking outcome. The Activity Room proved feasible; all children engaged eagerly and safely. Convergent validity was demonstrated through two strategies. First, risk-taking in the Activity Room correlated with observed play behaviors, such as climbing and falling. Second, risk-taking in the Activity Room correlated with children’s risk-taking responses in the vignettes and with parent-reported child risk-taking. Results indicate the Activity Room task is a valid technique to assess young children’s risk-taking in an ecologically valid real-world behavioral task. Incorporation of the task as an assessment tool may benefit a range of studies investigating children’s physical risk-taking behavior, risky decision-making, and child injury prevention strategies.
身体冒险与意外伤害风险增加有关,这是全球健康挑战,也是美国儿童死亡的主要原因。为了评估风险和制定预防方案,需要有效的工具来评估儿童的身体风险。没有生态有效的行为措施是广泛可用的。本研究描述了“活动室”的开发和验证,以测量儿童的身体冒险,同时呈现低风险的实际伤害。参与者为59名4至6岁的儿童(51%为女性;51%是非西班牙裔白人)和他们的父母。孩子们完成了两项评估身体冒险的任务:(a)小故事(描述危险情况的短篇故事)和(b)“活动室”(在一个房间里无监督的参与5分钟,房间里有设计用来刺激潜在身体冒险的设备)。家长们回答了一份关于孩子们积极玩耍行为的问卷。相关分析评估活动室风险承担结果的收敛效度。活动室证明是可行的;所有的孩子都热切而安全地参与其中。通过两种策略证明了收敛效度。首先,活动室中的冒险行为与观察到的游戏行为(如攀爬和坠落)相关。第二,活动室中的冒险行为与儿童在小片段中的冒险反应和家长报告的儿童冒险行为相关。结果表明活动室任务是评估幼儿在生态有效的现实世界行为任务中的冒险行为的有效方法。将这项任务作为一种评估工具,可能有利于一系列调查儿童身体冒险行为、冒险决策和儿童伤害预防策略的研究。
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引用次数: 3
Adolescent Risk and Protective Factors for the Use of Electronic Cigarettes 青少年使用电子烟的风险和保护因素
Pub Date : 2021-02-22 DOI: 10.1177/2632077020980734
Jason J. Burrow-Sánchez, Benjamin R Ratcliff
The use of electronic cigarettes (e-cigarettes) by adolescents is a serious public health concern. The major aim of the current study is to conduct a comprehensive examination of adolescent e-cigarette use in relation to risk and protective factors for a school-based sample. The present study is based on a secondary data analysis of the 2017 Prevention Needs Assessment (PNA) Survey that is administered every 2 years in the state of Utah to a large sample of students (n = 54,853) in Grades 6, 8, 10, and 12 from more than 400 schools. The PNA Survey measures substance use, mental health symptoms, and antisocial behavior as well as their associated risk and protective factors. Almost 9% of adolescents in this study reported using e-cigarettes in the past 30 days. Adolescents who reported infrequent (1–5 days) and frequent (6+ days) use of e-cigarettes also indicated lower levels of protection (e.g., perceived harm) and higher levels of risk (e.g., favorable attitudes) compared with students who did not report using e-cigarettes in the past 30 days. The frequency of adolescent e-cigarette use can distinguish between risk and protective factors. Findings suggest that the risk and protective factors relevant for adolescent alcohol, cannabis, and tobacco use extend to the use of the e-cigarettes. Certain risk factors (e.g., favorable attitudes toward substance use) and protective factors (e.g., perceived risk for use of e-cigarettes) hold promise for preventive interventions in addressing this public health concern.
青少年使用电子烟(电子烟)是一个严重的公共卫生问题。当前研究的主要目的是对以学校为样本的青少年使用电子烟的风险和保护因素进行全面检查。本研究基于2017年预防需求评估(PNA)调查的二次数据分析,该调查在犹他州每两年对来自400多所学校的6年级、8年级、10年级和12年级的大样本学生(n = 54,853)进行管理。PNA调查测量了物质使用、心理健康症状和反社会行为以及与之相关的风险和保护因素。在这项研究中,近9%的青少年在过去30天内吸过电子烟。与过去30天内未报告使用电子烟的学生相比,报告不频繁(1-5天)和频繁(6天以上)使用电子烟的青少年也表明保护水平较低(例如,感知伤害)和风险水平较高(例如,有利态度)。青少年使用电子烟的频率可以区分风险因素和保护因素。研究结果表明,与青少年酒精、大麻和烟草使用相关的风险和保护因素延伸到电子烟的使用。某些风险因素(例如,对药物使用的有利态度)和保护因素(例如,对使用电子烟的感知风险)有望在解决这一公共卫生问题方面采取预防性干预措施。
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引用次数: 7
Trauma-Informed Care Training for Educators: Some Preliminary Evidence 教育工作者创伤知情护理培训:一些初步证据
Pub Date : 2020-11-01 DOI: 10.1177/2632077020972038
Christopher T. H. Liang, Lian-xiang Liu, Gabrielle H. Rocchino, Brooke A. Kohler, Teresa Rosenberger
A report of the findings of two studies conducted on the training of educators on trauma-informed care (TIC) is presented in this article. With one sample (N = 552), Study 1 results indicated that both full-day and half-day training resulted in improved scores on attitudes regarding TIC. There were no significant differences in pre-training and post-training scores across those who received half-day and full-day training. With a second sample (N = 159), Study 2 examined whether four middle schools within one school district with varying amounts of prior TIC training would differ in scores on the Attitudes Related to Trauma-Informed Care (ARTIC-35) scale before receiving this TIC training. A one-way ANOVA indicated significantly higher scores on the ARTIC-35 in schools that had received prior TIC training compared with those that had not. Overall, the results of both studies advance the understanding of TIC in schools.
本文介绍了两项关于创伤知情护理(TIC)教育工作者培训的研究结果。在一个样本(N = 552)中,研究1的结果表明,全天和半天的培训都能提高对TIC态度的得分。接受半日和全日训练的人在训练前和训练后的得分没有显著差异。第二个样本(N = 159),研究2检验了一个学区内的四所中学在接受TIC培训之前,接受过不同数量的TIC培训是否会在创伤知情护理态度(artic35)量表上得分不同。单因素方差分析显示,与未接受过TIC培训的学校相比,接受过TIC培训的学校在ARTIC-35上的得分明显更高。总的来说,两项研究的结果都促进了对学校TIC的理解。
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引用次数: 2
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Journal of prevention and health promotion
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