Health Psychology最新文献

筛选
英文 中文
Getting to yes: Pilot sequential multiple assignment randomized trial of motivational enhancement interventions targeting preexposure prophylaxis use in sexual minority men who use stimulants.
IF 3.1 2区 心理学
Health Psychology Pub Date : 2025-03-01 DOI: 10.1037/hea0001489
Leah Davis Ewart, Michaela E Larson, Delaram Ghanooni, Rachel Verhagen, Jennifer Manuel, Kathryn McCollister, Erminia Fardone, Britt DeVries, Samantha Dilworth, Makayla Blackstock, Susanne Doblecki-Lewis, Inbal Nahum-Shani, Christian Grov, Adam W Carrico
{"title":"Getting to yes: Pilot sequential multiple assignment randomized trial of motivational enhancement interventions targeting preexposure prophylaxis use in sexual minority men who use stimulants.","authors":"Leah Davis Ewart, Michaela E Larson, Delaram Ghanooni, Rachel Verhagen, Jennifer Manuel, Kathryn McCollister, Erminia Fardone, Britt DeVries, Samantha Dilworth, Makayla Blackstock, Susanne Doblecki-Lewis, Inbal Nahum-Shani, Christian Grov, Adam W Carrico","doi":"10.1037/hea0001489","DOIUrl":"10.1037/hea0001489","url":null,"abstract":"<p><strong>Objective: </strong>This pilot sequential multiple assignment randomized trial estimated the feasibility, acceptability, and scalability of telehealth motivational enhancement interventions for optimizing HIV prevention efforts in sexual minority men (SMM) who use stimulants.</p><p><strong>Method: </strong>Seventy SMM who use stimulants with nonreactive HIV results that were not taking preexposure prophylaxis (PrEP) were randomized to: (a) a two-session motivational interviewing (MI) intervention focusing on PrEP use and concomitant risk behaviors; or (b) a contingency management (CM) intervention with financial incentives for PrEP clinical evaluation ($50) and filling a PrEP prescription ($50). After 3 months, participants who reported they had not filled a prescription for PrEP were randomized a second time to: (a) switch to a second-stage intervention (i.e., MI + CM); or (b) continue with assessments only.</p><p><strong>Results: </strong>There was a robust engagement in the interventions, which participants described as flexible and nonjudgmental. Participants reported using CM incentives to meet basic needs and indicated that MI sessions improved their understanding of PrEP. The estimated cost of intervention delivery per participant was $404 for MI, $236 for CM, and $475 for MI + CM. Across both randomizations, participants who received CM only were most likely to provide verified evidence of PrEP use over 6 months, and there were potential benefits for reducing concomitant risk behaviors in nonresponders receiving MI + CM. Prior PrEP use and increases in PrEP intentions were significantly associated with verified PrEP use.</p><p><strong>Conclusion: </strong>Although more definitive trials are needed to examine effectiveness, telehealth motivational enhancement interventions are promising, scalable approaches for optimizing HIV prevention among SMM who use stimulants. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":"44 3","pages":"310-320"},"PeriodicalIF":3.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How community connection, homophobia, and racism shape gene expression in sexual minority men with and without HIV. 社区联系、同性恋恐惧症和种族主义如何影响携带和不携带艾滋病毒的性少数男性的基因表达。
IF 3.1 2区 心理学
Health Psychology Pub Date : 2025-03-01 Epub Date: 2025-01-02 DOI: 10.1037/hea0001410
Jenna Alley, Jeffrey Gassen, Luis A Parra, Michele D Kipke, Jeremy T Goldbach, Steven W Cole, George M Slavich
{"title":"How community connection, homophobia, and racism shape gene expression in sexual minority men with and without HIV.","authors":"Jenna Alley, Jeffrey Gassen, Luis A Parra, Michele D Kipke, Jeremy T Goldbach, Steven W Cole, George M Slavich","doi":"10.1037/hea0001410","DOIUrl":"10.1037/hea0001410","url":null,"abstract":"<p><strong>Objective: </strong>Although sexual minority men experience substantial discrimination, in addition to increased risk for several serious mental and somatic health problems, the biological mechanisms underlying these effects are unclear. To address this issue, we examined how experiences of social safety (i.e., community connection) and social threat (i.e., discrimination, in the forms of homophobia and racism) were related to conserved transcriptional response to adversity (CTRA) gene expression profiles across time, and whether these associations differed across HIV status, in a well-characterized, racially diverse sample of sexual minority men (<i>M</i><sub>age</sub> = 22.61, <i>SD</i> = 1.90).</p><p><strong>Method: </strong>Experiences of community connection, homophobia, and racism were assessed via self-report, and blood samples were obtained at three timepoints over approximately 2 years. We then used these blood samples to characterize participants' CTRA gene expression, which we quantified using an a priori 53-transcript composite score derived from RNA sequencing data from peripheral blood leukocytes.</p><p><strong>Results: </strong>As hypothesized, greater community connection was significantly related to decreased CTRA gene expression across time. These effects were similar regardless of HIV status and were robust to statistical adjustment for several potential confounding factors. In contrast, neither homophobia nor racism were related to CTRA gene expression.</p><p><strong>Conclusion: </strong>These results suggest that community connection may be a protective factor that reduces biological processes known to negatively impact health. Consequently, interventions and policies aimed at reducing health disparities in marginalized populations may benefit from increasing community connection and inclusion. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"176-187"},"PeriodicalIF":3.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11872150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intersectional structural oppression as a fundamental cause: Reflections on implementing a medical-legal partnership project.
IF 3.1 2区 心理学
Health Psychology Pub Date : 2025-03-01 DOI: 10.1037/hea0001421
Kristi E Gamarel, Wesley M Correll-King, Laura Jadwin-Cakmak, Julisa Abad, Jay Kaplan, Belinda L Needham, Arjee J Restar
{"title":"Intersectional structural oppression as a fundamental cause: Reflections on implementing a medical-legal partnership project.","authors":"Kristi E Gamarel, Wesley M Correll-King, Laura Jadwin-Cakmak, Julisa Abad, Jay Kaplan, Belinda L Needham, Arjee J Restar","doi":"10.1037/hea0001421","DOIUrl":"10.1037/hea0001421","url":null,"abstract":"<p><strong>Objective: </strong>Intersectional and structural intervention approaches are critical to addressing health inequities experienced by transgender and gender diverse (trans) populations. In this commentary, we reflect on the implementation of a community-led, medical-legal partnership project designed to address barriers to legal gender affirmation and improve health outcomes for trans women of color with criminal records in Detroit.</p><p><strong>Method: </strong>We initiated a partnership between a community health center and legal advocacy organization to address the health-harming legal needs of five trans women of color with criminal records via attorney support and financial assistance.</p><p><strong>Results: </strong>We enrolled four participants, and two received legal name changes. Our low success rate was largely because of legal costs that far exceeded our expectations and resources. These costs stemmed from compounding monetary sanctions participants received for low-level vehicular civil infractions.</p><p><strong>Conclusions: </strong>Our implementation of this intervention revealed structural intersectional oppression in action. Monetary sanctions interact with Michigan name change policies requiring court appearances for applicants with criminal records, creating nearly insurmountable barriers to legal gender affirmation for economically vulnerable communities subjected to racism and cissexism. Building intersectional structural competency inclusive of legal literacy via multisectoral collaborations between diverse legal and policy experts, community members, and academic researchers is critical to developing interventions to address structural determinants of trans health. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":"44 3","pages":"285-290"},"PeriodicalIF":3.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11856429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Linking stressful experiences to health disparities among sexual and gender minority individuals: The sleep deficiency pathway.
IF 3.1 2区 心理学
Health Psychology Pub Date : 2025-03-01 DOI: 10.1037/hea0001484
Charlotte J Patterson
{"title":"Linking stressful experiences to health disparities among sexual and gender minority individuals: The sleep deficiency pathway.","authors":"Charlotte J Patterson","doi":"10.1037/hea0001484","DOIUrl":"10.1037/hea0001484","url":null,"abstract":"<p><p>It is well documented that sexual and gender minority people encounter stressful experiences such as family relationship problems and even physical violence more often than do heterosexual people. The causal roles of such stressful experiences in sleep deficiency and of sleep deficiency in mental and physical health are also well documented. That sexual and gender minority individuals suffer multiple health disparities has also been established. What is not yet well understood is how these variables might be linked. This article explores what is called the \"sleep deficiency pathway\"-that is, that sleep deficiencies which can be caused by and/or exacerbated by minority stress may in turn contribute to significant health disparities experienced by sexual and gender minority people. If sleep deficiency is an important pathway from adverse experiences to health disparities, the use of effective treatments for sleep deficiencies could improve sleep quantity and/or quality, and in this way, enable better health among sexual and gender minority individuals. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":"44 3","pages":"207-210"},"PeriodicalIF":3.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Envisioning a bright and affirming future for sexual and gender minority health research.
IF 3.1 2区 心理学
Health Psychology Pub Date : 2025-03-01 DOI: 10.1037/hea0001492
Kristi E Gamarel, Dustin T Duncan, Brian Mustanski, Adam Carrico
{"title":"Envisioning a bright and affirming future for sexual and gender minority health research.","authors":"Kristi E Gamarel, Dustin T Duncan, Brian Mustanski, Adam Carrico","doi":"10.1037/hea0001492","DOIUrl":"10.1037/hea0001492","url":null,"abstract":"<p><p>This is an introduction to the special issue \"Sexual and Gender Minority Health Inequities: A Focus on Mechanisms, Interventions, and Implementation.\" The article addresses current challenges and knowledge gaps, methodological approaches to SGM health research, developing and implementing effective interventions, and future directions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":"44 3","pages":"171-175"},"PeriodicalIF":3.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Need for closure moderates the relationship between social circle's and own influenza vaccination behavior in a two-wave survey of U.S. adults.
IF 3.1 2区 心理学
Health Psychology Pub Date : 2025-02-17 DOI: 10.1037/hea0001467
John D Dimoff, Andillon Del Pesco, Gina M DiLuzio, Daniel Perkins, Ahrianna Keefe, Francesca N Folio
{"title":"Need for closure moderates the relationship between social circle's and own influenza vaccination behavior in a two-wave survey of U.S. adults.","authors":"John D Dimoff, Andillon Del Pesco, Gina M DiLuzio, Daniel Perkins, Ahrianna Keefe, Francesca N Folio","doi":"10.1037/hea0001467","DOIUrl":"https://doi.org/10.1037/hea0001467","url":null,"abstract":"<p><strong>Objective: </strong>Social norms predict flu vaccination uptake. Social norms are also a shared reality phenomenon that may have epistemic underpinnings, although this possibility has not yet been tested. We examined whether the relationship between perceived social circle vaccine coverage and own vaccination behavior depends on one's need for closure (NFC), or discomfort with uncertainty.</p><p><strong>Method: </strong>We recruited a national sample of 300 participants to complete a pair of brief online surveys, the first of which was administered in September 2021 (Wave 1) and the second of which was administered in November 2021 (Wave 2). Participants estimated their social circle's vaccination behavior for the 2020-2021 flu season and reported their own vaccination behavior for the 2021-2022 flu season. Participants also completed a measure of dispositional NFC, along with other measures.</p><p><strong>Results: </strong>Social circle vaccine coverage reported at Wave 1 predicted participants' vaccination behavior reported at Wave 2, and this relationship was moderated by the NFC. As hypothesized, participants with a high NFC were more likely to adhere to their social circles' vaccination norms, as compared to participants with a moderate or low NFC. Additional analyses were conducted to explore other relevant associations.</p><p><strong>Conclusion: </strong>Our findings suggest that people's perception of their social circle's vaccination history interacts with their own desire for certainty in the process they use to make vaccination decisions. This raises the possibility that interventions should promote positive social norms and induce epistemic motivations in tandem to promote vaccine uptake. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social-support buffers the effect of internalized homonegativity on intrusive sexual thoughts/behaviors.
IF 3.1 2区 心理学
Health Psychology Pub Date : 2025-02-17 DOI: 10.1037/hea0001468
Shayna Skakoon-Sparling, Susan Chow, Paolo A Palma, Barry Adam, Nicole Elkington, Milada Dvorakova, Douglas W Hanes, Terri H Zhang, Daniel Grace, Jody Jollimore, Darrell H S Tan, Trevor A Hart
{"title":"Social-support buffers the effect of internalized homonegativity on intrusive sexual thoughts/behaviors.","authors":"Shayna Skakoon-Sparling, Susan Chow, Paolo A Palma, Barry Adam, Nicole Elkington, Milada Dvorakova, Douglas W Hanes, Terri H Zhang, Daniel Grace, Jody Jollimore, Darrell H S Tan, Trevor A Hart","doi":"10.1037/hea0001468","DOIUrl":"https://doi.org/10.1037/hea0001468","url":null,"abstract":"<p><strong>Objective: </strong>Among gay, bisexual, and other men who have sex with men, intrusive sexual thoughts/behaviors (i.e., distress about one's sexual urges or behaviors) are associated with depression and engagement in behavior that increases the risk for sexually transmitted infections (STIs). The present study examines the association between internalized homonegativity and intrusive sexual thoughts/behaviors, the intervening effect of depression symptoms, and the potential buffering effect of social support. Furthermore, we establish the subsequent link with physical health outcomes by examining the association between intrusive sexual thoughts/behaviors and recent bacterial STI diagnosis.</p><p><strong>Method: </strong>Using participant data (<i>n</i> = 1,046) from three time points, we conducted a moderated mediation analysis and logistic regression.</p><p><strong>Results: </strong>Higher internalized homonegativity scores conditionally predicted greater intrusive sexual thoughts/behaviors 1 year later: participants with higher internalized homonegativity scores reported more severe intrusive sexual thoughts/behaviors if they also had lower social support, β = .08, <i>SE</i> = 0.02, <i>p</i> < .001, 95% confidence interval (CI) [0.04, 0.13]. More severe depression symptoms were also directly associated with greater intrusive sexual thoughts/behaviors (β = .02, <i>SE</i> = 0.01, <i>p</i> = .011, 95% CI [0.01, 0.03]). Finally, there was a significant association between intrusive sexual thoughts/behaviors and recent bacterial STI diagnosis (<i>OR</i> = 1.68, <i>p</i> < .001, 95% CI [1.30, 2.16]).</p><p><strong>Conclusion: </strong>Given that social support mitigated the impact of internalized homonegativity on intrusive sexual thoughts/behaviors, ultimately indirectly reducing the occurrence of bacterial STIs in this population, these findings demonstrate the utility of psychosocial factors as potential intervention targets for improving the health of gay, bisexual, and other men who have sex with men. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of spiritual and religious interventions in patients with cardiovascular diseases: A systematic review and meta-analysis of randomized controlled trials. 对心血管疾病患者进行精神和宗教干预的有效性:随机对照试验的系统回顾和荟萃分析。
IF 3.1 2区 心理学
Health Psychology Pub Date : 2025-02-01 Epub Date: 2024-09-26 DOI: 10.1037/hea0001415
Havva Sert, Merve Gulbahar Eren, Aylin Meşe Tunç, Kübra Üçgül, Ayşe Çevirme
{"title":"Effectiveness of spiritual and religious interventions in patients with cardiovascular diseases: A systematic review and meta-analysis of randomized controlled trials.","authors":"Havva Sert, Merve Gulbahar Eren, Aylin Meşe Tunç, Kübra Üçgül, Ayşe Çevirme","doi":"10.1037/hea0001415","DOIUrl":"10.1037/hea0001415","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review and meta-analysis aimed to combine the physiological, psychological, and spiritual health effects of spiritual and religious interventions on cardiovascular disease patients.</p><p><strong>Method: </strong>Studies from January 1999 to December 2022 were sourced from ScienceDirect, PubMed, Web of Science, Scopus, Cochrane CENTRAL, and cumulative index to nursing and allied health literature databases. This meta-analysis adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Data were analyzed using Comprehensive Meta-Analysis Version 4. Heterogeneity was assessed using 95% confidence intervals (CIs), <i>p</i> values, and fixed or random-effects models.</p><p><strong>Results: </strong>This systematic review included 15 studies with 2,047 participants, while the meta-analysis focused on 12 studies. Spiritual and religion-based interventions notably reduced participants' heart rate (<i>g</i> = -0.287, 95% CI = [-0.552, -0.021]), anxiety (<i>g</i> = -1.081, 95% CI [-1.364, -0.831]), and depression (<i>g</i> = -1.346, 95% CI [-1.965, -0.726]). Moreover, these interventions significantly enhanced spiritual well-being (<i>g</i> = 0.692, 95% CI [0.459, 0.926]) and hope levels (<i>g</i> = 1.152, 95% CI [0.347, 1.956]) compared to control groups.</p><p><strong>Conclusion: </strong>This meta-analysis flashes on utilizing spiritual and religion-based interventions for nurses, chaplains, psychologists, social workers, and other professionals who might lead patient care to enhance health outcomes for cardiac patients. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"87-100"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multilevel facilitators of pediatric asthma outcomes: The role of caregiver self-efficacy. 小儿哮喘结果的多层面促进因素:照顾者自我效能的作用。
IF 3.1 2区 心理学
Health Psychology Pub Date : 2025-02-01 Epub Date: 2024-09-26 DOI: 10.1037/hea0001406
David A Fedele, Gregory D Webster, Gabrielle Pogge, Jean Hunleth, Sienna Ruiz, James A Shepperd, Erika A Waters
{"title":"Multilevel facilitators of pediatric asthma outcomes: The role of caregiver self-efficacy.","authors":"David A Fedele, Gregory D Webster, Gabrielle Pogge, Jean Hunleth, Sienna Ruiz, James A Shepperd, Erika A Waters","doi":"10.1037/hea0001406","DOIUrl":"10.1037/hea0001406","url":null,"abstract":"<p><strong>Objective: </strong>Caregivers' self-efficacy for managing their child's asthma appears to influence their success with managing their child's disease. We examined how caregiver self-efficacy operates in the context of multilevel social-environmental support factors to shape asthma outcomes.</p><p><strong>Method: </strong>Caregivers of children (< 18 years old) with asthma completed surveys at baseline (T1) and 3 months later (T2). At T1, caregivers (<i>n</i> = 814) rated health care provider communication, family collaboration, community resources, socioeconomic status (SES), objective numeracy, caregiver global health, and caregiver self-efficacy for managing their child's asthma. At T1 and T2 (<i>n</i> = 401), caregivers rated their asthma management behaviors and their child's asthma-related morbidity and quality of life. We used structural equation models to test whether caregiver self-efficacy mediated the associations between support factors and outcomes.</p><p><strong>Results: </strong>For T1 caregiver asthma management behavior, we observed positive indirect effects through self-efficacy for community resources and caregiver global health, and an unexpected negative indirect effect for SES. For T2 caregiver asthma management behavior, we observed no indirect effects. For T1 child asthma-related morbidity, we found positive indirect effects through self-efficacy for community resources and caregiver global health, and a negative indirect effect for SES. For child asthma-related morbidity at T2, the indirect effects found at T1 remained significant.</p><p><strong>Conclusions: </strong>Social-environmental factors may be an underrecognized driver of caregiver self-efficacy and its consequent child asthma outcomes. Interventions focused on building resources at the community level and strategies that promote caregiver health could empower caregivers with greater self-efficacy and improve asthma outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"129-139"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using word clouds to reveal patients' perceptions about their arthritis. 利用文字云揭示患者对其关节炎的看法。
IF 3.1 2区 心理学
Health Psychology Pub Date : 2025-02-01 Epub Date: 2024-10-17 DOI: 10.1037/hea0001432
Rachael Yielder, Chiara Gasteiger, James W Pennebaker, Meihana Douglas, Nicola Dalbeth, Keith J Petrie
{"title":"Using word clouds to reveal patients' perceptions about their arthritis.","authors":"Rachael Yielder, Chiara Gasteiger, James W Pennebaker, Meihana Douglas, Nicola Dalbeth, Keith J Petrie","doi":"10.1037/hea0001432","DOIUrl":"10.1037/hea0001432","url":null,"abstract":"<p><strong>Objective: </strong>Patients' perceptions about their illness have the power to influence health outcomes. However, existing illness belief measures can be burdensome. Using word clouds to illustrate patients' experiences is potentially a novel solution, but research is lacking in this area. This study aimed to explore whether word clouds illustrate patients' perceptions about their illness and to determine commonalities and differences in experiences of rheumatic diseases.</p><p><strong>Method: </strong>A cross-sectional study was conducted with 323 patients with rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, or gout in New Zealand. Participants reported two words describing their inflammatory arthritis experience and completed the Brief Illness Perception Questionnaire. Word clouds were generated from participants' responses, and analysis of variance models were used to explore perceptions between groups.</p><p><strong>Results: </strong>Eleven themes were identified, with each constituting a percentage of total word occurrence and weighting in word clouds. Symptom/sensation was the most prominent theme across all conditions (35%-61%), followed by affect/emotional experience (16%-25%). Theme prevalence varied across word clouds for each condition. Social impact was more prevalent for gout, and burden/intrusion was more prominent for ankylosing spondylitis. Functioning was less prevalent in the gout word cloud than in other conditions. There was moderate overlap between word cloud themes and illness perception domains. Word clouds uniquely identified themes related to burden/intrusion, functioning, opportunity, and social impact of illness.</p><p><strong>Conclusions: </strong>This study supports using word clouds as a low-burden method of examining the experiences of patients with inflammatory arthritis and could be tested with other patient groups. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"101-107"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信