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Use of Implementation Science Concepts in the Study of Misinformation: A Scoping Review.
IF 2.7 3区 医学
Health Education & Behavior Pub Date : 2024-12-18 DOI: 10.1177/10901981241303871
Carla Bang, Kelly Carroll, Niyati Mistry, Justin Presseau, Natasha Hudek, Sezgi Yanikomeroglu, Jamie C Brehaut
{"title":"Use of Implementation Science Concepts in the Study of Misinformation: A Scoping Review.","authors":"Carla Bang, Kelly Carroll, Niyati Mistry, Justin Presseau, Natasha Hudek, Sezgi Yanikomeroglu, Jamie C Brehaut","doi":"10.1177/10901981241303871","DOIUrl":"https://doi.org/10.1177/10901981241303871","url":null,"abstract":"<p><p>Misinformation hinders the impact of public health initiatives. Efforts to counter misinformation likely do not consider the full range of factors known to affect how individuals make decisions and act on them. Implementation science tools and concepts can facilitate the development of more effective interventions against health misinformation by leveraging advances in behavior specification, uptake of evidence, and theory-guided development and evaluation of complex interventions. We conducted a scoping review of misinformation literature reviews to document whether and how important concepts from implementation science have already informed the study of misinformation. Of 90 included reviews, the most frequently identified implementation science concepts were consideration of mechanisms driving misinformation (78%) and ways to intervene on, reduce, avoid, or circumvent it (71%). Other implementation science concepts were discussed much less frequently, such as tailoring strategies to the relevant context (9%) or public involvement in intervention development (9%). Less than half of reviews (47%) were guided by any theory, model, or framework. Among the 26 reviews that cited existing theories, most used theory narratively (62%) or only mentioned/cited the theory (19%), rather than using theory explicitly to interpret results (15%) or to inform data extraction (12%). Despite considerable research and many summaries of how to intervene against health misinformation, there has been relatively little consideration of many important advances in the science of health care implementation. This review identifies key areas from implementation science that might be useful to support future research into designing effective misinformation interventions.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"10901981241303871"},"PeriodicalIF":2.7,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding the Effect of External and Internal Assets on Hazardous/Harmful Drinking Among Chinese College Students: A Serial Mediation Model. 了解外部和内部资产对中国大学生危险/有害饮酒的影响:串联调解模型
IF 4.6 3区 医学
Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-05-26 DOI: 10.1177/10901981241255366
Yuye Ke, Xiaoyun Chai
{"title":"Understanding the Effect of External and Internal Assets on Hazardous/Harmful Drinking Among Chinese College Students: A Serial Mediation Model.","authors":"Yuye Ke, Xiaoyun Chai","doi":"10.1177/10901981241255366","DOIUrl":"10.1177/10901981241255366","url":null,"abstract":"<p><p>Hazardous/harmful drinking among college students is increasingly becoming a global health concern. Previous studies have mostly paid more attention to the prevalence and risk factors of alcohol use disorder based on the public health approach, and less is understood about psychological mechanisms and protective factors of problem drinking behavior. Grounded in the framework of developmental assets, this study explored the predictive effect of external assets (i.e., social connectedness) and internal assets (i.e., self-concept clarity and drinking refusal self-efficacy) on hazardous/harmful drinking among Chinese college students. Participants were 598 college students with a mean age of 19.41 (<i>SD</i> = 1.21) years. The results of structural equation modeling showed that social connectedness negatively predicted college students' hazardous/harmful drinking. Moreover, our path analyses revealed a serial mediation among these variables: students with high social connectedness tended to report high self-concept clarity, which in turn increased drinking refusal self-efficacy, and consequently decreased the level of hazardous/harmful drinking. This study revealed the mechanisms underlying how external and internal assets predict risky drinking among college students. These findings made significant contributions to prevention and precision interventions for college-aged youth with drinking problems.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"853-860"},"PeriodicalIF":4.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141154260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Earth Rights for the Advancement of a Planetary Health Agenda. 地球权利促进行星健康议程》。
IF 4.6 3区 医学
Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-10-03 DOI: 10.1177/10901981241232642
Catalina Correa-Salazar, Isabela Marín-Carvajal, María Alejandra García, Kathleen Fox, Mariana Chilton
{"title":"Earth Rights for the Advancement of a Planetary Health Agenda.","authors":"Catalina Correa-Salazar, Isabela Marín-Carvajal, María Alejandra García, Kathleen Fox, Mariana Chilton","doi":"10.1177/10901981241232642","DOIUrl":"10.1177/10901981241232642","url":null,"abstract":"<p><p>This article discusses Earth's Rights as an environmental justice mechanism of reparation, protection, and justice for indigenous communities, environmental defenders, and other populations in Latin America. We argue that Earth's rights encompass and include the right to health and can be integrated into international human rights frameworks to protect all forms of life, responding to colonial legacies of discrimination and violence. We respond to the scarcity of literature discussing Earth's rights in relation to situations where human rights and Earth's rights are violated. We ground our argument in the theoretical conceptualization of Latin American proposals of Earth's rights and its potential for actionable policy approaches that include human health as inevitably interconnected to our planet's well-being. We address the environmental injustices that affect the right to health and argue that an Earth's rights framework can support reparations for historically marginalized communities.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"787-795"},"PeriodicalIF":4.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examining Attenuated Responses to Coronavirus Disease-2019 Risk. 研究对冠状病毒疾病-2019 风险的减弱反应。
IF 4.6 3区 医学
Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-07-26 DOI: 10.1177/10901981241264237
Minhee Choi, Nicole O'Donnell, Won-Ki Moon
{"title":"Examining Attenuated Responses to Coronavirus Disease-2019 Risk.","authors":"Minhee Choi, Nicole O'Donnell, Won-Ki Moon","doi":"10.1177/10901981241264237","DOIUrl":"10.1177/10901981241264237","url":null,"abstract":"<p><p>This study examines attenuated risk responses among individuals who do not adhere to preventive COVID-19 measures (e.g., antimaskers). Guided by the Social Amplification of Risk Model, a survey (<i>N</i> = 373) of nonabiding populations showed that news media use was positively associated with risk perceptions, information seeking and sharing, and preventive measure adoption. By contrast, negative emotions to COVID-19 and perceived knowledge hindered preventive measure adoption from increased information seeking and sharing. Theoretical and practical implications are discussed.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"834-842"},"PeriodicalIF":4.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141765848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Articulando conocimientos y prácticas frente al Covid-19: Acciones de enfermeros técnicos indígenas en salud intercultural. 面对 Covid-19 阐明知识和做法:土著技术护士在跨文化保健方面的行动。
IF 2.7 3区 医学
Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-10-03 DOI: 10.1177/10901981241232648
Cynthia Cárdenas Palacios, M Amalia Pesantes, Alfredo Sandi, Christopher Hewlett, Caroline Maake
{"title":"Articulando conocimientos y prácticas frente al Covid-19: Acciones de enfermeros técnicos indígenas en salud intercultural.","authors":"Cynthia Cárdenas Palacios, M Amalia Pesantes, Alfredo Sandi, Christopher Hewlett, Caroline Maake","doi":"10.1177/10901981241232648","DOIUrl":"10.1177/10901981241232648","url":null,"abstract":"<p><p>A partir de entrevistas y conversaciones a profundidad con cinco enfermeros técnicos de los pueblos Yine y Shipibo-Konibo que laboran en establecimientos de salud en la Amazonía de Ucayali en Perú, este estudio muestra que las prácticas desplegadas para atender a los enfermos con síntomas de Covid-19 hicieron uso de terapias y nociones biomédicas e indígenas. Dichas prácticas reflejaron su formación en salud intercultural y su capacidad para adecuar las normas establecidas por el Ministerio de Salud. En función de los síntomas observados en los pacientes, los enfermeros indígenas usaron una variedad de prácticas: vaporaciones, masajes, baños, infusiones y remedios. Las nociones de salud y enfermedad que los enfermeros técnicos indígenas comparten con sus pacientes fueron la base para interpretar el Covid-19 y estuvieron presentes en las atenciones brindadas. Esto se nutrió de la existencia de un sistema de cuidado familiar bastante articulado que fue tejiéndose y siendo negociado en función de los síntomas y las terapias aplicadas. Sus prácticas demuestran la creatividad en los pueblos indígenas. En ese sentido, el sector salud necesita repensar su mirada sobre la medicina indígena, a la que denomina \"tradicional\" y nos muestra la necesidad de repensar las ideas sobre adecuación de los servicios para la población indígena para colocar en el centro del debate el significado de interculturalidad en salud desde la perspectiva indígena.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"818-825"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sufrimiento psicosocial en trabajadoras migrantes latinoamericanas en tareas de cuidados en España y Alemania, durante la pandemia de COVID-19. 在 COVID-19 大流行期间,西班牙和德国的拉丁美洲移民女护理工作者的心理社会困扰。
IF 4.6 3区 医学
Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-10-03 DOI: 10.1177/10901981231212465
Ivette Alejandra Abanto Ramos, Ximena Pamela Claudia Díaz Bermúdez, Alejandro Goldberg
{"title":"Sufrimiento psicosocial en trabajadoras migrantes latinoamericanas en tareas de cuidados en España y Alemania, durante la pandemia de COVID-19.","authors":"Ivette Alejandra Abanto Ramos, Ximena Pamela Claudia Díaz Bermúdez, Alejandro Goldberg","doi":"10.1177/10901981231212465","DOIUrl":"10.1177/10901981231212465","url":null,"abstract":"<p><p>In the context of international migration, many migrant women face an overload of care work for other people, corroborating a lack of adequate care and protection for them, which places them in vulnerable situations and at risk of suffering psychosocial harm. emotional and physical to your health. This is aggravated in the scenario of the COVID-19 pandemic, considering the structural social inequalities that have deepened to unsustainable limits for the subaltern sectors of societies, where Latin American migrant women who work in the field of domestic care of Spain and Germany. In this way, this work seeks to analyze the problem of psychosocial suffering related to care work in migrant Latin American women in Germany and Spain during the COVID-19 pandemic. For this, the integrative review was used as a qualitative synthesis procedure of previous related studies. The importance of this study lies in the fact that there are few studies on the psychosocial health of Latin American migrant women who perform domestic and care work. Some results show that, in this labor niche in Germany and Spain, the identity of women, migrants and Latin Americans, can contribute to unleash psychological and emotional suffering, due to the precarious working conditions to which many submit out of necessity and because of the field. of care to be the first \"option\", derived mainly from the limited perspectives of labor and social insertion in the country of destination, than from a freely and consciously chosen task.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"809-817"},"PeriodicalIF":4.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Focus Issue: Epistemological Perspectives From the Latin American and Caribbean Global South. 焦点问题:来自拉丁美洲和加勒比全球南部的认识论观点。
IF 4.6 3区 医学
Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-10-03 DOI: 10.1177/10901981241285427
Daniel Canavese, Ximena Pamela Claudia Diaz Bermudez, Mauricio Polidoro, Ariadne Ribeiro Ferreira, Jesus Ramirez-Valles
{"title":"Focus Issue: Epistemological Perspectives From the Latin American and Caribbean Global South.","authors":"Daniel Canavese, Ximena Pamela Claudia Diaz Bermudez, Mauricio Polidoro, Ariadne Ribeiro Ferreira, Jesus Ramirez-Valles","doi":"10.1177/10901981241285427","DOIUrl":"10.1177/10901981241285427","url":null,"abstract":"","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"785-786"},"PeriodicalIF":4.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health for Hearts United Longitudinal Trial: Improving Perceived Stress and Allostatic Load Outcomes of Mid-Life and Older African American Women. 心健康联合纵向试验:改善中老年非裔美国妇女的压力感知和代谢负荷结果。
IF 2.7 3区 医学
Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-07-25 DOI: 10.1177/10901981241263027
Charissa N Obeng-Nyarko, Penny A Ralston, Kandauda K A S Wickrama, Jennifer L Lemacks, Jasminka Z Ilich
{"title":"Health for Hearts United Longitudinal Trial: Improving Perceived Stress and Allostatic Load Outcomes of Mid-Life and Older African American Women.","authors":"Charissa N Obeng-Nyarko, Penny A Ralston, Kandauda K A S Wickrama, Jennifer L Lemacks, Jasminka Z Ilich","doi":"10.1177/10901981241263027","DOIUrl":"10.1177/10901981241263027","url":null,"abstract":"<p><p>Cardiovascular disease (CVD) continues to be the leading cause of death in the United States, with African Americans experiencing higher age-adjusted mortality compared to Whites. African American women in particular carry a high CVD burden due to more exposure to adverse personal and socioenvironmental challenges. Church-based interventions can improve health behaviors and health status of African Americans, yet few have addressed stress-related health. The purpose of this study was to determine the effectiveness of the 18-month Health for Hearts United intervention in relation to stress-related outcomes (perceived stress, allostatic load) of mid-life and older African American women (≥45 years of age; <i>n</i> = 152 overall sample, <i>n</i> = 65 clinical subsample). The results of the repeated measures analysis of variance (ANOVA) analyses showed overall significant decreases in perceived stress and allostatic load for both treatment and comparison groups over the measurement occasions (baseline and 18 months) with educational level remaining as a significant correlate over time. There was no significant interaction between treatment and time, yet there were trends in improvements for the treatment group compared to the comparison group. The findings demonstrate the potential of church-based interventions in reducing both self-reported stress and allostatic load in African American women, and highlight the need for further investigation of educational level and other possible factors influencing stress management in these settings.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"843-852"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dengue Treatment-Seeking Behavior: A Qualitative Study With Costa Rican Residents. 登革热求医行为:对哥斯达黎加居民的定性研究。
IF 4.6 3区 医学
Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-05-23 DOI: 10.1177/10901981241254073
Alexander Le, Sara Ali, Christine C Blackburn, Leslie Ruyle, Jessica Hernandez, Farid Abarca, Araceli Arroniz, Sanny Rivera, Kaylee Jerman, Neha Kashyap, Edward Davila, Kathryn Ortega, Yesenia Zavala
{"title":"Dengue Treatment-Seeking Behavior: A Qualitative Study With Costa Rican Residents.","authors":"Alexander Le, Sara Ali, Christine C Blackburn, Leslie Ruyle, Jessica Hernandez, Farid Abarca, Araceli Arroniz, Sanny Rivera, Kaylee Jerman, Neha Kashyap, Edward Davila, Kathryn Ortega, Yesenia Zavala","doi":"10.1177/10901981241254073","DOIUrl":"10.1177/10901981241254073","url":null,"abstract":"<p><p>Treatment-seeking behavior (TSB) in relation to dengue infection is a critical aspect of public health, and understanding the factors that influence it is crucial for effective disease management. This research delves into key determinants of dengue TSB by examining the perceptions and behaviors of individuals in Costa Rica, in relation to the Health Belief Model (HBM). This study utilized naturalistic inquiry and incorporated a qualitative research design involving nine students organized into four teams, with at least one student on each team with high Spanish fluency. In total, we initiated 102 semi-structured field interviews with Costa Rican residents in four communities. The interviews were recorded, transcribed verbatim, and coded in several cycles using MAXQDA 2022©. Thematic analysis was used to identify patterns and themes using an inductive approach. We found that several HBM themes influenced dengue TSB among participants. Self-treatment was the most common initial step in managing dengue. Perceived inaccessibility of health care services and perceived ineffective treatment options discouraged medical care-seeking. Ultimately, the prevalence of self-treatment practices suggests a need for interventions that emphasize the importance of timely professional medical attention, while addressing real barriers and perceptions of existing health care services as inaccessible and ineffective. These findings provide a key perspective on dengue TSB, guiding future public health strategies aimed at optimizing health-seeking behaviors and mitigating the negative impacts of dengue on population health.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"826-833"},"PeriodicalIF":4.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Traditional Indigenous-Amazonian Therapy Involving Ceremonial Tobacco Drinking as Medicine: A Transdisciplinary Multi-Epistemic Observational Study. 亚马逊土著传统疗法中的 "饮烟 "仪式:跨学科多文化观察研究。
IF 4.6 3区 医学
Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-10-03 DOI: 10.1177/10901981231213348
Ilana Berlowitz, Ernesto García Torres, Juan Celidonio Ruiz Macedo, Ursula Wolf, Caroline Maake, Chantal Martin-Soelch
{"title":"Traditional Indigenous-Amazonian Therapy Involving Ceremonial Tobacco Drinking as Medicine: A Transdisciplinary Multi-Epistemic Observational Study.","authors":"Ilana Berlowitz, Ernesto García Torres, Juan Celidonio Ruiz Macedo, Ursula Wolf, Caroline Maake, Chantal Martin-Soelch","doi":"10.1177/10901981231213348","DOIUrl":"10.1177/10901981231213348","url":null,"abstract":"<p><p>Although the tobacco plant has been employed as a medicinal and sacred herb by Indigenous cultures across the Americas, its usage drastically changed after the 15th-century colonial arrival; its large-scale commodification and global marketing once brought to Europe lead to hedonic and addictive uses harmful to health. As a consequence, tobacco smoking is now one of the largest public health problems worldwide. However, in the Peruvian Amazon, a region of origin of tobacco species, Indigenous healers still know how to use the plant for therapeutic purposes. Due to a general disregard of Indigenous knowledge and stigma, these uses have however not so far been clinically investigated. We hence conducted for the first time a clinical field study assessing a sample of patients treated by a traditional healer specialized in tobacco in the Peruvian Amazon (observational design, pilot study, <i>N</i> = 27). The study was conducted within a transdisciplinary and multi-epistemic medical frame, in close partnership with an Amazonian healer. We used validated self-report scales to quantitatively assess mental health variables before and after the weeklong treatment, and mixed-methods to report experienced effects. Paired-samples t-tests comparing pre- and post-treatment scores revealed significant reductions in anxiety, depression, perceived stress, and general symptom indicators. Experienced effects included initial physical discomfort, followed by psychologically or existentially/spiritually significant insights. Our findings point to a sophisticated therapeutic approach based on Indigenous knowledge of tobacco applications, which should be further investigated. The study also contributes to the burgeoning scientific field on therapeutic uses of contentious psychoactive plants.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"796-808"},"PeriodicalIF":4.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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