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University Students’ Adherence to the COVID-19-guidelines: A Qualitative Study on Facilitators and Barriers 大学生对COVID-19指导方针的坚持:关于推动者和障碍的定性研究
Pub Date : 2021-02-05 DOI: 10.5334/HPB.32
Tugce Varol, Francine Schneider, I. Mesters, R. Crutzen, R. Ruiter, G. Kok, G. T. ten Hoor
Objective. This study aims to explore students’ adherence and reasons behind the (non)adherence to the COVID-19-regulations within a university setting.Methods. A total of 33 students participated in on-site and online focus group interviews (k=8). Discussed topics included the general COVID-19-guidelines of the university, including keeping ≥1.5 m distance, staying at home and getting tested when having symptoms, and wearing facemasks. Additionally, education and psychosocial wellbeing in the times of COVID-19 were discussed. We also conducted online interviews with stewards (2 focus group interviews and 1 individual interview) and security/crowd control officials (1 focus group interview) to learn more about students’ (non)adherence behaviors. Results. The findings of this study show that the interviewed students were willing to adhere to the guidelines within the university buildings. They mentioned several facilitators (e.g., the infrastructure of the buildings and staff) and barriers (e.g., being together with friends and difficulties with telling others to follow the regulations) for their compliance behaviors. Some students also stated that they are not afraid of COVID-19 because they are young, while others adhered to the regulations to protect vulnerable people.Conclusion. To create a safe environment within the university and alleviate the spread of the virus, future interventions require targeting the determinants of students’ non-adherence behaviors, such as lower risk perception (e.g., being young and no perceived threat/low vulnerability) and lower self-efficacy (e.g., for keeping distance, to determine symptoms for testing/isolating and to correct others).
客观的本研究旨在探索学生在大学环境中对COVID-19法规的遵守情况及其背后的原因。方法。共有33名学生参加了现场和在线焦点小组访谈(k=8)。讨论的主题包括大学的一般COVID-19指南,包括保持≥1.5米的距离、待在家里并在出现症状时接受检测以及戴口罩。此外,还讨论了新冠肺炎时期的教育和心理健康问题。我们还对乘务员(2次焦点小组访谈和1次个人访谈)和安全/人群控制官员(1次焦点小组采访)进行了在线访谈,以了解更多关于学生(不)遵守行为的信息。后果这项研究的结果表明,受访学生愿意在大学建筑内遵守指导方针。他们提到了他们的合规行为的几个促进者(例如,建筑物和工作人员的基础设施)和障碍(例如,与朋友在一起以及告诉他人遵守法规的困难)。一些学生还表示,他们不害怕新冠肺炎,因为他们年轻,而其他学生则遵守规定,保护弱势群体。结论为了在大学内创造一个安全的环境并减缓病毒的传播,未来的干预措施需要针对学生不遵守行为的决定因素,如较低的风险感知(例如,年轻且没有感知到威胁/脆弱性)和较低的自我效能(例如,保持距离、确定测试/隔离症状并纠正他人)。
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引用次数: 6
Communication and COVID-19 Physical Distancing Behavior Among Dutch Youth 荷兰青年的沟通和COVID-19身体距离行为
Pub Date : 2021-01-22 DOI: 10.5334/HPB.33
E. Rozendaal, T. V. van Woudenberg, E. Crone, Kayla H. Green, Suzanne van de Groep, Rebecca N. H. de Leeuw, Sophie W. Sweijen, M. Buijzen
Although most young people do not become seriously ill from the coronavirus causing the COVID-19 disease, they do play a role in its spread. It is therefore important that they adhere to the recommended preventive behaviors, most importantly, physical distancing. This study aims to gain a better understanding of the psychosocial determinants of young people’s physical distancing behavior and the role that direct (i.e., interpersonal) and mediated communication (i.e., mass media, social media) about COVID-19 plays in this. A daily diary study was conducted among 481 Dutch adolescents (secondary school students; age range 10-18 years) and 404 young adults (university students; age range 17-25 years), involving 10 identical daily surveys administered on weekdays during a 2-week period during the first wave of the COVID-19 pandemic (May 2020). The hypotheses were tested with preregistered univariate and multivariate linear mixed-effects models. The perceived descriptive norm (i.e., what friends are doing) was the most important determinant of physical distancing behavior among both adolescents and young adults. The perceived injunctive norm, perceived response efficacy, and perceived severity were also positively associated with physical distancing, albeit less strong. Among adolescents, exposure to information about COVID-19 in the mass media increased their perceptions of the descriptive norm, which in turn increased their physical distancing behavior. For those involved in studying and designing COVID-19-related behavioral interventions and campaigns targeting youth, it is important to consider the social norms that they relate to, and to take into account their perceived severity and response efficacy.
虽然大多数年轻人不会因引发COVID-19疾病的冠状病毒而患上重病,但他们确实在其传播中发挥了作用。因此,他们必须遵守建议的预防行为,最重要的是保持身体距离。本研究旨在更好地了解年轻人保持身体距离行为的心理社会决定因素,以及关于COVID-19的直接(即人际)和媒介传播(即大众媒体、社交媒体)在其中所起的作用。对481名荷兰青少年(中学生;年龄范围10-18岁)和404名年轻人(大学生;年龄范围17-25岁),涉及在2019冠状病毒病第一波大流行(2020年5月)期间两周内工作日进行的10次相同的每日调查。用预登记的单变量和多变量线性混合效应模型检验假设。在青少年和年轻人中,感知到的描述性规范(即朋友正在做什么)是身体距离行为的最重要决定因素。感知禁令规范、感知反应有效性和感知严重性也与身体距离呈正相关,尽管不那么强。在青少年中,通过大众媒体接触到有关COVID-19的信息增加了他们对描述性规范的认识,这反过来又增加了他们的身体距离行为。对于那些参与研究和设计针对青年的与covid -19相关的行为干预措施和运动的人来说,重要的是要考虑与之相关的社会规范,并考虑到其感知的严重程度和反应效果。
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引用次数: 6
Promoting More Physical Activity and Less Sedentary Behaviour During the COVID-19 Situation – SportStudisMoveYou (SSMY): A Randomized Controlled Trial 在COVID-19情况下促进更多的身体活动和减少久坐行为- SportStudisMoveYou (SSMY):一项随机对照试验
Pub Date : 2021-01-08 DOI: 10.5334/HPB.25
C. Nigg, Nando L. Aneas Zurkinden, Damian A. Beck, Xaviér J. B. Bisang, B. Charbonnet, Benjamin Dütschler, T. Felder, Tarik Ganic, Lara P. Grunder, Marc P. Gürber, Jaqueline Konyo, Remo Lehmann, Anna R. Meierhofer, Sandra Schnegg, Claudia Uhl, Ludovic G. Vergères, Joram Weber, Flurin Wieland, P. Zimmermann, Alessia Zuber, Melina T. Zutter
Objective: To determine the effect of an innovative, online-based intervention, addressing the possible decline of physical activity (PA) and increase of sedentary behavior (SB) during COVID-19 stay at home restrictions in Switzerland. Methods: This study investigated the effect of a two-week, social cognitive theory based, online-video moderate to vigorous (MV)PA or SB intervention on MVPA and SB behaviour and intention via a 3 group by 2 time point parallel randomized controlled trial during the COVID-19 pandemic. Adults (≥18 yo) were recruited over the internet between April 10th and April 19th 2020 (n = 129; 75.2% female; mean age = 29.0 [SD 11.8] years). Both intervention groups received five videos targeting either SB for the SB group or MVPA for the MVPA group and were compared to an attention control group (fruit and vegetable consumption). It was hypothesized that MVPA time and intention would increase for the MVPA group and the SB group would outperform control on SB behaviour and intention indicators. Results: No significant interactions were found for the MVPA group (n = 41) versus control (n = 40). Only one significant interaction was measured for the SB group (n = 48; intention of active breaks F = (2,114) = 5.84, p = 0.004, ηp2 = 0.09). Although mostly non-significant and small effects, the MVPA group showed results pointing in the hypothesized direction on all PA indicators and the SB on all SB indicators, respectively. Conclusion: Considering this study’s limitations (e.g. small intervention dose), video-based online PA and SB interventions seem promising and feasible. This approach is appropriate for COVID-19 and other stay at home situations.
目的:确定一种创新的在线干预措施的效果,以解决瑞士COVID-19居家限制期间身体活动(PA)可能下降和久坐行为(SB)可能增加的问题。方法:通过3组2时间点平行随机对照试验,研究新冠肺炎大流行期间,为期两周、基于社会认知理论的网络视频中重度(MV)PA或SB干预对MVPA和SB行为和意向的影响。2020年4月10日至4月19日期间通过互联网招募成人(≥18岁)(n = 129;75.2%的女性;平均年龄= 29.0 [SD 11.8]岁)。两个干预组都收到了五个视频,针对SB组的SB或MVPA组的MVPA,并与注意对照组(水果和蔬菜消费)进行比较。假设MVPA组的MVPA时间和意向会增加,而SB组在SB行为和意向指标上优于对照组。结果:MVPA组(n = 41)与对照组(n = 40)无显著相互作用。SB组只检测到一个显著的相互作用(n = 48;主动断裂意向F = (2,114) = 5.84, p = 0.004, ηp2 = 0.09)。MVPA组的所有PA指标和SB在所有SB指标上的结果分别指向假设的方向,尽管大多数影响不显著且很小。结论:考虑到本研究的局限性(如干预剂量小),基于视频的在线PA和SB干预似乎是有希望和可行的。这种方法适用于COVID-19和其他居家情况。
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引用次数: 2
Leonardo da Vinci, PreRegistration and the Architecture of Science: Towards a More Open and Transparent Research Culture 列奥纳多·达·芬奇:预注册与科学建筑:走向更加开放透明的研究文化
Pub Date : 2020-12-17 DOI: 10.31234/osf.io/bnvxe
D. O'Connor
There has been much talk of psychological science undergoing a renaissance with recent years being marked by dramatic changes in research practices and to the publishing landscape. This article briefly summarises a number of the ways in which psychological science can improve its rigor, lessen use of questionable research practices and reduce publication bias. The importance of pre-registration as a useful tool to increase transparency of science and improve the robustness of our evidence base, especially in COVID-19 times, is presented. In particular, the case for the increased adoption of Registered Reports, the article format that allows peer review of research studies before the results are known, is outlined. Finally, the article argues that the scientific architecture and the academic reward structure need to change with a move towards “slow science” and away from the “publish or perish” culture.
人们一直在谈论心理科学正在复兴,近年来研究实践和出版领域发生了巨大变化。本文简要总结了心理科学可以提高其严谨性、减少使用可疑研究实践和减少发表偏见的一些方法。介绍了预先登记作为一种有用工具的重要性,特别是在新冠肺炎时期,它有助于提高科学透明度和提高我们证据库的稳健性。特别是,概述了越来越多地采用注册报告的情况,即允许在研究结果公布之前对研究进行同行评审的文章格式。最后,文章认为,科学架构和学术奖励结构需要随着向“慢科学”和远离“出版或灭亡”文化的转变而改变。
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引用次数: 10
Predictors of Returning to Work after Receiving Specialized Psycho-Oncological Care 接受专业心理肿瘤治疗后重返工作岗位的预测因素
Pub Date : 2020-02-21 DOI: 10.5334/hpb.4
M. Lee, A. Ranchor, B. Garssen, R. Sanderman, M. Schroevers, C. Roelen
Objectives: This study aimed to identify predictors of returning to work in a group of cancer patients that sought and received help from mental health care institutes specialized in psycho-oncological therapy. Moreover we identified which psychosocial factors were seen as important for returning to work by these patients and therapists working at these institutes. Method: This naturalistic study focused on cancer patients who applied for help at specialized psycho-oncology institutions in the Netherlands. Data were collected before the start of psychological care (T1), and three (T2) and nine (T3) months thereafter. Predictors of return to work were identified based on the opinion of therapists and patients from psycho-oncology institutions in the Netherlands. Predictor scores at T1 were used to predict return to work at T3. Discrimination between patients with and without return to work at T3 was investigated with receiver operating characteristic (ROC) analysis and expressed as the area under the ROC curve (AUC). Results: At T1, 174 participants (79%) were off work due to sickness and 119 (68%) had returned to work at T3. Therapists and patients identified psychological symptoms, quality of life, comorbidity, helplessness, acceptation, mastery, stressful life-events, well-being, and domestic and social functioning as being important for predicting return to work. Domestic functioning was the strongest predictor of return to work at T3. The prediction model including all identified predictor variables did not discriminate between patients with and without return to work at T3, with AUC = 0.652 (95% CI 0.553–0.751). Conclusions: These results suggest that, although psychological symptoms are important at face validity for return to work after cancer, in patients that received help for psychological symptoms, they do not predict return to work.
目的:本研究旨在确定一组寻求并接受心理肿瘤治疗专业精神卫生保健机构帮助的癌症患者重返工作岗位的预测因素。此外,我们还确定了哪些社会心理因素对于这些患者和在这些研究所工作的治疗师重返工作岗位是重要的。方法:本自然主义研究集中于在荷兰的专业心理肿瘤机构申请帮助的癌症患者。数据收集于心理护理开始前(T1)、开始后3个月(T2)和9个月(T3)。根据荷兰心理肿瘤机构的治疗师和患者的意见,确定了重返工作岗位的预测因素。T1时的预测分数用于预测T3时的重返工作。采用受试者工作特征(ROC)分析,以ROC曲线下面积(AUC)表示,对T3时是否重返工作的患者进行区分。结果:在T1时,174名参与者(79%)因病离职,119名(68%)在T3时返回工作岗位。治疗师和患者确定心理症状、生活质量、共病、无助、接受、掌握、压力生活事件、幸福感、家庭和社会功能是预测重返工作岗位的重要因素。家庭功能是T3患者重返工作岗位的最强预测因子。包括所有确定的预测变量的预测模型对T3时是否恢复工作的患者没有区别,AUC = 0.652 (95% CI 0.553-0.751)。结论:这些结果表明,虽然心理症状在癌症后重返工作岗位的表面效度上很重要,但在接受心理症状帮助的患者中,他们并不预测重返工作岗位。
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引用次数: 1
Factors Influencing Children’s Tooth Brushing Intention: An Application of the Theory of Planned Behaviour 影响儿童刷牙意向的因素:计划行为理论的应用
Pub Date : 2019-08-09 DOI: 10.5334/HPB.8
J. Davison, M. McLaughlin, M. Giles
Objective: The aim of the present study was to employ the theory of planned behaviour (TPB) to predict and explain intentions and motivations to brush teeth among primary school children in Northern Ireland (NI). Design: Primary schools in NI were sorted by a number of key stratification variables and then randomly sampled. Twenty-seven schools took part in the research, and a questionnaire that incorporated both direct and indirect constructs of the TPB, related to tooth brushing behaviour, was administered to a sample of 867 year six school children. Results: Multiple regression analyses provided support for the TPB; together the TPB constructs predicted 57.1% of the variance in intentions to brush teeth. Correlational analyses confirmed self-efficacy as having the strongest association with intentions, followed by attitude, subjective norm and perceived control. Conclusion: The findings obtained in the present study suggest that the TPB is a useful framework for investigating children’s tooth brushing intentions, and provides the foundation for designing an intervention aimed at encouraging tooth brushing behaviour among children.
目的:本研究的目的是利用计划行为理论来预测和解释北爱尔兰小学生刷牙的意图和动机。设计:NI的小学按照一些关键的分层变量进行排序,然后随机抽样。27所学校参与了这项研究,并对867名六年级学生的样本进行了问卷调查,该调查包含了与刷牙行为相关的TPB的直接和间接结构。结果:多元回归分析为TPB提供了支持;TPB构建体共同预测了57.1%的刷牙意向变化。相关分析证实,自我效能感与意图的相关性最强,其次是态度、主观规范和感知控制。结论:本研究结果表明,TPB是调查儿童刷牙意向的有用框架,并为设计旨在鼓励儿童刷牙行为的干预措施提供了基础。
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引用次数: 8
Reasons for Leaving School and Alcohol Use Among Out of School Youth in South Africa 南非失学青年的离校原因和饮酒情况
Pub Date : 2019-08-06 DOI: 10.5334/HPB.12
R. Desai, L. Mercken, R. Ruiter, J. Schepers, P. Reddy
After students drop out of school, their alcohol use may vary according to the reason for dropping out. In this paper, out of school youth (OSY) are those between 13–20 years old, have not completed their schooling, and have not enrolled in secondary or high school for the current academic year. OSY are at heightened risk of alcohol use. This study examined the relationship between reasons for leaving school and alcohol use, taking into account gender differences. Survey data from 4222 OSY (mean age = 17.4 years, SD = 1.9; males = 59.4%) were analysed using ordinal regression. Leaving school for “not having enough money to pay for school fees” was associated with more alcohol consumption, among females living specifically in rural areas of Gauteng. However, in urban areas of Kwazulu Natal and Mpumalanga, females who left school for the same reason as their rural counterparts were less likely to consume alcohol in the past month. Males were more likely to consume higher levels of alcohol if they reported leaving school due to making someone pregnant, but only when they resided in peri-urban areas. Understanding the relationship between reasons for leaving school and alcohol use may give us insight into the profile of school dropouts at risk for alcohol use. This information is useful for intervention development across the school, home and community.
学生辍学后,他们的饮酒情况可能因辍学原因而异。在本文中,失学青年(OSY)是指年龄在13-20岁之间、尚未完成学业、本学年未进入中学或高中的青年。OSY有更高的饮酒风险。考虑到性别差异,这项研究考察了辍学原因与饮酒之间的关系。4222名OSY(平均年龄=17.4岁,SD=1.9;男性=59.4%)的调查数据采用顺序回归分析。在豪登省农村地区的女性中,因“没有足够的钱支付学费”而辍学与饮酒增多有关。然而,在夸祖鲁-纳塔尔和普马兰加的城市地区,由于与农村同龄人相同的原因离开学校的女性在过去一个月饮酒的可能性较小。如果男性报告因怀孕而离开学校,他们更有可能摄入更高水平的酒精,但只有当他们居住在城郊地区时。了解辍学原因与饮酒之间的关系,可以让我们深入了解有饮酒风险的辍学者的情况。这些信息对学校、家庭和社区的干预发展非常有用。
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引用次数: 7
Mothers’ Perceptions of their Daughters’ Susceptibility to HPV-related Risk Factors: An Experimental Pretest Comparing Narrative and Statistical Risk Information 母亲对女儿HPV相关危险因素易感性的感知:一项比较叙述和统计风险信息的实验性预测试
Pub Date : 2019-02-08 DOI: 10.5334/HPB.7
M. Pot, Hilde M. van Keulen, Theo Paulussen, Wilma Otten, JIm Van Steenbergen, R. Ruiter
Background: In order to promote HPV-vaccination acceptability among mothers of invited girls, we developed a web-based, tailored intervention. This study reports on an experimental pretest for the component of this intervention targeting mothers’ perceptions of their daughters’ susceptibility towards HPV-related risk factors. Statistical versus narrative risk information was pretested as research results remain to be mixed on the surplus value of one type over the other in influencing mothers’ perceptions of their daughters’ susceptibility. Methods: We used data from 375 mothers of girls-to-be invited to the HPV-vaccination round 2014, who were derived from the Dutch National Immunization Register. They were randomly assigned to one of four conditions in a 2 (statistical information: yes or no) × 2 (narrative information: yes or no) between-subjects factorial design. Findings: Mothers who received statistical information felt their daughters were more susceptible towards HPV than mothers who received no statistical information. No main or interaction effects with narrative information were found. The effect of statistical information on mothers’ perceptions of their daughters’ susceptibility towards HPV was not moderated by perceived comprehensibility, credibility or novelty of the risk information, nor mediated by message-induced imaginability, elaboration, personal relevance, or defensive reactions. However, in secondary analyses, in which we only included the statistical and narrative condition, we found personal relevance to mediate the effect of statistical information (independent variable) on mothers’ perceptions of their daughters’ susceptibility towards HPV (dependent variable). Discussion: Statistical risk information appeared most effective in increasing mothers’ perceptions of their daughters’ susceptibility towards HPV and was therefore included in the web-based, tailored intervention promoting HPV-vaccination acceptability.
背景:为了促进被邀请女孩的母亲接受hpv疫苗接种,我们开发了一种基于网络的量身定制的干预措施。本研究报告了一项针对母亲对其女儿对hpv相关危险因素易感性的干预成分的实验性预测试。统计风险信息与叙述风险信息进行了预测试,因为研究结果在影响母亲对女儿易感性的看法方面,一种类型的剩余价值比另一种类型的剩余价值仍然存在差异。方法:我们使用了来自荷兰国家免疫登记的375名受邀参加2014年hpv疫苗接种的准妈妈的数据。在2(统计信息:是或否)× 2(叙述信息:是或否)受试者间因子设计中,他们被随机分配到四种条件中的一种。研究结果:得到统计信息的母亲认为她们的女儿比没有得到统计信息的母亲更容易感染HPV。没有发现叙事信息的主效应或交互效应。统计信息对母亲对女儿HPV易感性认知的影响不受风险信息的可理解性、可信度或新颖性的影响,也不受信息诱导的可想象性、阐述、个人相关性或防御反应的影响。然而,在次要分析中,我们只包括统计和叙述条件,我们发现个人相关性可以调解统计信息(自变量)对母亲对女儿对HPV易感性的看法(因变量)的影响。讨论:统计风险信息似乎在提高母亲对其女儿对HPV易感性的认识方面最有效,因此被纳入基于网络的定制干预措施,以促进HPV疫苗的可接受性。
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引用次数: 4
Does Smokers’ Self-Construal Moderate the Effect of (Self-)persuasion on Smoking? 吸烟者的自我解释是否会调节(自我)说服对吸烟的影响?
Pub Date : 2019-02-05 DOI: 10.5334/HPB.17
Shuang Li, S. Ritter, Chongzeng Bi, R. Baaren, Barbara C. N. Müller
Research has shown that self-persuasion is more effective in increasing smokers’ risk perception and decreasing short-term smoking behavior compared to the traditional direct persuasion. However, the role of self-construal, which is closely associated with how one perceives persuasive messages, is not explored. The current research filled this gap by introducing self-construal to the self-persuasion literature to investigate its potential moderating role. Throughout five studies, we measured daily smokers’ chronic self-construal (Study 1–3), selected smokers with different culturally-nurtured self-construal (Study 4), and primed situational self-construal (Study 5) to examine the role of self-construal in regard to smokers’ cognition, attitude, and short-term smoking behavior, after being targeted by direct- or self-persuasion. Health warnings on cigarette packages and text regarding the negative consequences of smoking were used as direct persuasive messages. Adapted versions of health warnings and an argumentation task were used to induce self-persuasion. Null results were obtained from most of the studies. The overall support for the null hypothesis, however, remains weak and needs to be further verified. Limitations and future research direction are discussed.
研究表明,与传统的直接说服相比,自我说服在提高吸烟者的风险认知和减少短期吸烟行为方面更有效。然而,与一个人如何感知有说服力的信息密切相关的自我解释的作用并没有被探讨。目前的研究填补了这一空白,将自我解释引入到自我说服文献中,探讨其潜在的调节作用。在五项研究中,我们测量了日常吸烟者的慢性自我解释(研究1-3),选择了具有不同文化培养的自我解释(研究4)的吸烟者,并启动了情境自我解释(研究5),以检验自我解释在吸烟者的认知、态度和短期吸烟行为中所起的作用,在直接或自我说服的目标下。香烟包装上的健康警告和有关吸烟负面后果的文字被用作直接的说服性信息。改编版本的健康警告和论证任务被用来诱导自我说服。大多数研究结果为零。然而,对零假设的总体支持仍然薄弱,需要进一步验证。讨论了局限性和未来的研究方向。
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引用次数: 5
More Harm than Good? A Pilot of a Motivational Interviewing Based Intervention for Increasing Readiness to Improve Nutrition in Young People Experiencing a First Episode of Psychosis 弊大于利?一项基于动机访谈的干预试验,旨在提高经历首次精神病发作的年轻人改善营养的准备程度
Pub Date : 2019-01-02 DOI: 10.5334/HPB.10
E. Fulton, M. Peet, K. Williamson
The relationship between nutrition and mental health, as well as physical health, is well known. Mental Health Services in the UK and worldwide are recognising the need for nutritional care, however eliciting a change in eating habits in patients/service users is a challenge. The effects of a ‘Psych-Nutritional Intervention’ (PNI) using Motivational Interviewing (n = 30) was compared with a ‘Treatment as Usual’ (TAU) involving standard nutritional advice (n = 21) and a control group (no nutritional support) (n = 22). The sample consisted of young people aged 18–35 years old with a diagnosis of psychosis, who were currently under the care of a UK specialist National Health Service (NHS) Mental Health team (Early Intervention for Psychosis Team). Nutritional knowledge was assessed at baseline across the groups. Readiness to Change eating habits was measured at baseline and a further two time points post intervention. Although there were no significant between group differences, the PNI group elicited both the most progression in terms of readiness to change eating habits, but also the most regression. The use of MI may be anti-therapeutic for those who are not ready to consider make changes to their eating habits, and this requires further investigation. Greater emphasis on the importance of assessing and selecting who is most likely to benefit from interventions is necessary.
营养与心理健康以及身体健康之间的关系是众所周知的。英国和世界各地的心理健康服务机构都认识到营养护理的必要性,然而,改变患者/服务使用者的饮食习惯是一项挑战。使用动机访谈的“精神营养干预”(PNI)(n=30)与涉及标准营养建议的“照常治疗”(TAU)(n=21)和对照组(无营养支持)(n=22)的效果进行了比较。样本包括被诊断为精神病的18-35岁年轻人,他们目前由英国国家医疗服务体系(NHS)心理健康专家团队(精神病早期干预团队)照顾。在基线时对各组的营养知识进行评估。在基线和干预后的两个时间点测量改变饮食习惯的准备情况。尽管组间没有显著差异,但PNI组在改变饮食习惯的准备方面取得了最大的进展,但也出现了最大的倒退。对于那些还没有准备好考虑改变饮食习惯的人来说,MI的使用可能是抗治疗的,这需要进一步的研究。有必要更加强调评估和选择谁最有可能从干预措施中受益的重要性。
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引用次数: 1
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Health psychology bulletin
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