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Relationships Between Learned Self-Regulatory Skills and Changes in Weight-Loss Behaviors: Mediation by Barriers Self-Efficacy 习得自我调节技能与减肥行为改变的关系:障碍自我效能的中介作用
Pub Date : 2020-11-01 DOI: 10.1177/2632077020975140
J. Annesi
This study aimed to assess changes in learned self-regulatory skills and barriers self-efficacy associated with theory-based behavioral weight-loss treatments with different curricular emphases, and to evaluate mechanisms of short- and long-term changes in exercise and eating behaviors via self-regulatory skills usage to inform theory and improve lagging intervention effects. Women with obesity volunteered and were randomly allocated into 1-year community-based behavioral weight-loss treatments with either a high (n = 37) or moderate (n = 41) focus on building self-regulatory skills to overcome lifestyle barriers. They were periodically assessed on measures of exercise- and eating-related self-regulatory skill usage, exercise- and eating-related barriers self-efficacy, exercise outputs, fruit/vegetable intake, and body composition. Reductions in weight and waist circumference, increases in exercise- and eating-related self-regulation and barriers self-efficacy, and increases in exercise and fruit/vegetable intake were each significant overall, and significantly greater in the group with a high self-regulatory skills-building focus. Change in barriers self-efficacy significantly mediated relationships between self-regulation change and changes in exercise outputs and fruit/vegetable intake from both baseline–Month 6 and baseline–Month 12. Change in barriers self-efficacy also significantly mediated relationships between change in self-regulation for eating from baseline–Month 3 and long-term changes in self-regulation for eating. Findings supported tenets of social cognitive, self-efficacy, and self-regulation theories: and indicated the importance of emphasizing, and facilitating a high amount of instruction and rehearsal time for self-regulatory skills development within behavioral weight-loss treatments. The ability to nurture self-efficacy through overcoming lifestyle barriers was also indicated.
本研究旨在评估不同课程重点的基于理论的行为减肥疗法对习得性自我调节技能和障碍性自我效能的影响,并通过自我调节技能的使用评估运动和饮食行为短期和长期改变的机制,为理论提供依据,改善滞后干预效果。肥胖妇女自愿并随机分配到为期1年的社区行为减肥治疗中,其中高度(n = 37)或中度(n = 41)侧重于建立自我调节技能以克服生活方式障碍。研究人员定期评估他们的运动和饮食相关的自我调节技能、运动和饮食相关的障碍、自我效能、运动输出、水果/蔬菜摄入量和身体成分。体重和腰围的减少,锻炼和饮食相关的自我调节和障碍自我效能的增加,锻炼和水果/蔬菜摄入量的增加,在高度自我调节技能培养的小组中都是显著的。在第6个月和第12个月的基线中,障碍自我效能感的变化显著介导了自我调节变化与运动输出和水果/蔬菜摄入量变化之间的关系。障碍自我效能感的变化也显著调节了基线第3个月饮食自我调节变化与饮食自我调节长期变化之间的关系。研究结果支持了社会认知、自我效能和自我调节理论的原则,并指出了在行为减肥治疗中强调和促进大量指导和排练时间对自我调节技能发展的重要性。研究还表明,通过克服生活方式障碍来培养自我效能感的能力。
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引用次数: 1
Women’s Perceptions of Zika Virus Prevention Recommendations in Fortaleza, Brazil 巴西福塔莱萨妇女对寨卡病毒预防建议的看法
Pub Date : 2020-11-01 DOI: 10.1177/2632077020970875
Jeni A. Stolow, C. Kendall, Francisco Marto Leal Pinheiro, Mariana Campos da Rocha Feitosa, Kelly Alves de Almeida Furtado, Adriano Ferreira Martins, Mayara Paz Albino dos Santos, Ana Ecilda Lima Ellery, L. Dias, Ivana Cristina de Holanda Barreto, L. Moses, Arachu Castro, Christopher Dunn, L. Kerr
As a response to the rise in microcephaly cases in 2015, Brazilian health authorities recommended a number of Zika virus (ZIKV) prevention behaviors. This study explores the contrast between the Brazilian health authorities’ health promotion response to the epidemic and the context in which the epidemic unfolded. Rapid Anthropological Assessment was used to assess how women in Fortaleza, Brazil, perceive ZIKV, ZIKV prevention recommendations, and the feasibility of adhering to these recommendations. Semi-structured interviews, informational interviews, and observations were used. The ZIKV recommendations and prevention did not represent best practices in health communication and promotion and failed to achieve their goals. Prevention recommendations were delivered without actionable steps and without considering cultural, socioeconomic, or environmental contexts. It is imperative to take advantage of this interepidemic period to apply best practices in health communication, education, and promotion to ensure populations at risk have adequate awareness, information, and resources to prevent infection.
作为对2015年小头症病例上升的应对措施,巴西卫生当局建议采取一些预防寨卡病毒的行为。本研究探讨了巴西卫生当局对流行病的健康促进反应与流行病展开的背景之间的对比。使用快速人类学评估来评估巴西福塔莱萨的妇女如何看待寨卡病毒、寨卡病毒预防建议以及遵守这些建议的可行性。采用了半结构化访谈、信息访谈和观察。寨卡病毒的建议和预防并不代表卫生宣传和促进的最佳做法,未能实现其目标。提出预防建议时没有采取可行步骤,也没有考虑文化、社会经济或环境背景。必须利用这一流行病间期,在卫生宣传、教育和宣传方面应用最佳做法,以确保有风险的人群有足够的认识、信息和资源来预防感染。
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引用次数: 1
An Exploration of the Effectiveness of the Fun For Wellness Online Intervention to Promote Health in Adults With Obesity: A Randomized Controlled Trial 探索健康乐趣在线干预促进成人肥胖患者健康的有效性:一项随机对照试验
Pub Date : 2020-11-01 DOI: 10.1177/2632077020968737
Isaac Prilleltensky, Adam McMahon, Nicholas D. Myers, Ora Prilleltensky, Samantha Dietz, M. Scarpa, Seungmin Lee, K. Pfeiffer, André G. Bateman, Ahnalee M. Brincks
Fun For Wellness (FFW) is an online behavioral intervention developed to promote well-being by enhancing the self-efficacy of participants. The objective of this study was to evaluate the effectiveness of FFW to promote health in adults with obesity in the United States in a relatively uncontrolled setting. The study design was a large-scale, prospective, double-blind, parallel group randomized controlled trial. Data collection occurred at three time points: baseline, 30 days, and 60 days after baseline. There was evidence for a positive direct effect of FFW on physical health status ( β ^ = 1.33, p = .005, d = 0.24) at 60 days after baseline. In addition, there was evidence of a positive indirect effect of FFW on mental health status at 60 days after baseline through psychological well-being self-efficacy ( β ^ = 0.44, [0.05, 0.94]).
快乐健康(FFW)是一种通过提高参与者的自我效能感来促进健康的在线行为干预。本研究的目的是评估FFW在美国一个相对不受控制的环境中促进成年肥胖患者健康的有效性。本研究设计为大规模、前瞻性、双盲、平行组随机对照试验。数据收集发生在三个时间点:基线、基线后30天和基线后60天。有证据表明,在基线后60天,FFW对身体健康状况有积极的直接影响(β ^ = 1.33, p = 0.005, d = 0.24)。此外,有证据表明,通过心理健康自我效能感,FFW对基线后60天的心理健康状况有积极的间接影响(β ^ = 0.44,[0.05, 0.94])。
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引用次数: 2
Person- and System-Focused Prevention in Preparing Youth to Navigate an Uncertain Work Future 以个人和制度为重点的预防,帮助青年应对不确定的未来工作
Pub Date : 2020-10-26 DOI: 10.1177/2632077020965568
M. Kenny, Brenda Tsai
In this article, we discuss the integration of prevention science and vocational psychology for person- and system-focused prevention with a critical social justice agenda. More specifically, we focus on career development education as a potentially transformative primary prevention activity for increasing youth access to decent work and lives of well-being. We consider this as a critical agenda for two reasons. First, there are continued declines in the availability of decent work on a global level. In addition, youth who are marginalized by society are particularly vulnerable in competing for access to such dwindling opportunities and in thriving in communities and workplaces characterized by oppressive policies and practices. Building upon previous work in prevention and vocational psychology from a social justice perspective, we suggest that the psychology of working theory (PWT) can serve as a conceptual framework for developing and evaluating person- and system-focused preventive interventions that will address marginalization and seek to prepare all youth for an uncertain and shifting work future.
在本文中,我们讨论了预防科学和职业心理学的整合,以个人和系统为重点的预防与关键的社会正义议程。更具体地说,我们侧重于职业发展教育,将其作为一项潜在的变革性初级预防活动,以增加青年获得体面工作和幸福生活的机会。出于两个原因,我们认为这是一个关键议程。首先,在全球范围内,体面工作的可获得性持续下降。此外,被社会边缘化的青年在争取这种日益减少的机会以及在以压迫性政策和做法为特征的社区和工作场所取得成功方面尤其脆弱。基于先前从社会正义角度在预防和职业心理学方面的工作,我们建议工作心理学理论(PWT)可以作为制定和评估以个人和系统为重点的预防干预措施的概念框架,这些干预措施将解决边缘化问题,并寻求为所有青年做好准备,以应对不确定和不断变化的工作未来。
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引用次数: 3
A Prevention Agenda for 2020 and Beyond: Why Environmental Interventions Matter Now More Than Ever 2020年及以后的预防议程:为什么环境干预现在比以往任何时候都重要
Pub Date : 2020-07-01 DOI: 10.1177/2632077020937690
Elizabeth M. Vera
The next wave of prevention specialists must pay increased attention to the direct and indirect effects of the environment on a variety of health and educational outcomes. As a result, it is critical that environment-focused interventions (including those that target systems/organizations, policy, and natural ecologies) play a more predominant role in a future prevention agenda. Recommendations are made for conceptualizing and evaluating the success of such efforts. Suggestions are also made for the types of training that future prevention professionals will need to be effective at environment-focused and systems-level prevention efforts. Examples of interventions aimed at meeting the needs of underserved populations are offered.
下一波预防专家必须更加重视环境对各种健康和教育成果的直接和间接影响。因此,以环境为重点的干预措施(包括针对系统/组织、政策和自然生态的干预措施)在未来的预防议程中发挥更重要的作用至关重要。提出了概念化和评价这些努力的成功的建议。还就未来的预防专业人员在注重环境和系统一级的预防工作中有效所需的培训类型提出了建议。提供了旨在满足服务不足人口需求的干预措施实例。
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引用次数: 4
Prevention Science as a Platform for Solving Major Societal Problems and Improving Population Health 预防科学:解决重大社会问题和提高人口健康水平的平台
Pub Date : 2020-07-01 DOI: 10.1177/2632077020948786
K. Herman, W. Reinke, A. Thompson
The article describes a prevention science approach to impacting population health. We use activities of the Missouri Prevention Science Institute that address youth mental health concerns with a public health approach to illustrate the approach. In particular, we focus on several lessons that may be relevant for advancing the success of prevention and health promotion scholars in addressing major societal problems: connecting small ideas to big solutions, matching intervention targets with goals, developing reliable and systemic monitoring data streams, ensuring data and prevention efforts account for cultural context, and helping people/systems change.
本文介绍了一种影响人口健康的预防科学方法。我们使用密苏里预防科学研究所的活动,用公共卫生方法解决青少年心理健康问题来说明这种方法。我们特别关注了一些可能与促进预防和健康促进学者在解决重大社会问题方面取得成功相关的经验教训:将小想法与大解决方案联系起来,将干预目标与目标相匹配,开发可靠和系统的监测数据流,确保数据和预防工作考虑到文化背景,以及帮助人们/系统改变。
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引用次数: 2
Suicide Prevention: An Issue of Social Justice 自杀预防:一个社会正义的问题
Pub Date : 2020-07-01 DOI: 10.1177/2632077020946419
J. Westefeld
The concept of social justice has assumed major significance in the human service professions, as suicide rates have increased. However, social justice remains a difficult concept to define. This article explores definitions of social justice, as well as the intersection of social justice and suicide prevention. A review of suicide prevention programs is presented, including both systemic prevention programs and individual prevention strategies. This evolves into a discussion concerning why suicide prevention is in fact a very significant social justice issue. Finally, implications for mental health professionals, including counseling psychologists, the profession that originated this journal, are examined, and suggestions for future issues of focus related to the intersection of suicide prevention and social justice are presented. To take a social justice approach to suicide prevention, it is suggested that an interdisciplinary structure be utilized to maximize political action.
随着自杀率的上升,社会正义的概念在人类服务行业中具有重大意义。然而,社会正义仍然是一个难以界定的概念。本文探讨了社会正义的定义,以及社会正义与自杀预防的交集。回顾自杀预防计划,包括系统预防计划和个人预防策略。这演变成一个关于为什么自杀预防实际上是一个非常重要的社会正义问题的讨论。最后,对心理健康专业人士的影响,包括咨询心理学家,本杂志的职业起源,进行了检查,并提出了与自杀预防和社会正义交叉相关的未来焦点问题的建议。为了采取社会正义的方法来预防自杀,建议利用跨学科结构来最大限度地采取政治行动。
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引用次数: 3
Examining the Effects of an Intergroup-Based Diversity and Social Justice Course on Students’ Multicultural Competencies and Engagement 考察基于群体间的多样性和社会正义课程对学生多元文化能力和参与的影响
Pub Date : 2020-07-01 DOI: 10.1177/2632077020943845
Reuben Faloughi, K. Herman
Finding ways to support colleges in reducing the frequency of discrimination experiences is imperative to improve the health of the nation and reduce health disparities. The current study evaluated the effectiveness of an intergroup dialogue (IGD)-based diversity and social justice course offered to undergraduate students at a large, midwestern university. Students enrolled in the course completed pre- and postcourse evaluation survey measures of critical consciousness, appreciation for diversity, preference for inequality, and week-to-week ratings of openness, connectedness, and participation in the course. Results suggest the course intervention had positive effects on students’ critical consciousness and appreciation of diversity scores. In addition, latent profile and transition analyses indicated students were significantly more likely to stay or move into adaptive versus less adaptive patterns of engagement (i.e., self-rated participation, openness, and connectedness). Findings are discussed in relationship to IGD theory and practice and implications for future research and implementation of IGD-based coursework.
寻找方法支持大学减少歧视经历的频率,对于改善国民健康和减少健康差距是必不可少的。目前的研究评估了在中西部一所大型大学为本科生开设的基于群体间对话(IGD)的多样性和社会正义课程的有效性。参加课程的学生完成了课程前和课程后的评估调查,包括批判性意识、对多样性的欣赏、对不平等的偏好,以及每周对课程的开放性、连通性和参与度的评分。结果表明,课程干预对学生多样性分数的批判意识和欣赏有积极的影响。此外,潜在概况和过渡分析表明,学生更有可能保持或进入适应性较低的参与模式(即自评参与,开放性和连通性)。研究结果讨论了与IGD理论和实践的关系,以及对未来研究和实施基于IGD的课程的影响。
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引用次数: 1
Impact of a Brief, Bystander Bullying Prevention Program on Depressive Symptoms and Passive Suicidal Ideation: A Program Evaluation Model for School Personnel. 简短的旁观者欺凌预防计划对抑郁症状和被动自杀意念的影响:针对学校工作人员的项目评估模型。
Pub Date : 2020-07-01 Epub Date: 2020-07-26 DOI: 10.1177/2632077020942959
Aida Midgett, Diana M Doumas, Claudia Peralta, Laura Bond, Brian Flay

The purpose of this article is to present a study that can serve as a model of program evaluation for school personnel that can be used to improve services and demonstrate program efficacy to key stakeholders. The study presented in this article evaluated the impact of a brief, bystander bullying program ("stealing the show," "turning it over," "accompanying others," and "coaching compassion," [STAC]) on depressive symptoms and passive suicidal ideation among middle school students in a rural, low-income community (N = 130). This topic was selected as there is limited research examining the efficacy of bystander programs on improving mental health outcomes for students trained to intervene. Results of the study indicated students trained in the STAC program reported reductions in depressive symptoms and passive suicidal ideation at a 6-week follow-up compared with an increase in symptoms reported by students in the control group. We discuss these findings and the use of program evaluation by school personnel to support prevention programming.

本文旨在介绍一项研究,该研究可作为学校工作人员的项目评估模型,用于改善服务并向主要利益相关者展示项目的有效性。本文介绍的研究评估了一个简短的旁观者欺凌项目("抢戏"、"翻身"、"陪伴他人 "和 "培养同情心"[STAC])对农村低收入社区中学生(N = 130)的抑郁症状和被动自杀意念的影响。之所以选择这个主题,是因为目前对旁观者项目在改善受训干预学生心理健康结果方面效果的研究还很有限。研究结果表明,接受 STAC 项目培训的学生在 6 周的随访中报告抑郁症状和被动自杀意念有所减轻,而对照组学生报告的症状则有所加重。我们讨论了这些发现以及学校人员如何利用项目评估来支持预防计划的制定。
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引用次数: 0
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Journal of prevention and health promotion
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