Applied psychology. Health and well-being最新文献_第4页

Within-person dynamics of physiological and perceived stress among South African youth in positive youth development programs 在积极的青年发展计划中，南非青年的生理和感知压力的人内动态。

IF 3.3 2区心理学

Applied psychology. Health and well-being Pub Date : 2026-09-01 DOI: 10.1111/aphw.70212

Roya Abbasi-Asl, Natasha Keces, Richard M. Lerner, Margaret Mackin, Ruoying Zhang, Elizabeth M. Dowling, Jonathan M. Tirrell, Alexa Hasse, Kirsten Olander, Angela Larkan, Chuma Mashita, Raah Msimango, Sinenhlanhla Mkhithi, Tyler Howard

{"title":"Within-person dynamics of physiological and perceived stress among South African youth in positive youth development programs","authors":"Roya Abbasi-Asl, Natasha Keces, Richard M. Lerner, Margaret Mackin, Ruoying Zhang, Elizabeth M. Dowling, Jonathan M. Tirrell, Alexa Hasse, Kirsten Olander, Angela Larkan, Chuma Mashita, Raah Msimango, Sinenhlanhla Mkhithi, Tyler Howard","doi":"10.1111/aphw.70212","DOIUrl":"10.1111/aphw.70212","url":null,"abstract":"This study investigated weekly within-person relations between physiological (measured through salivary cortisol) and perceived stress (measured through self-report) among youth participating in a rural positive youth development (PYD) program in South Africa. Participants (N = 35, Mage = 11.6, SDage = 0.62) took part in an intensive longitudinal study involving 16 weeks of salivary cortisol collection and completion of a brief weekly survey. Using dynamic structural equation modeling, we tested for changes in physiological and perceived stress over time, as well as for autoregressive and cross-lagged effects. Results revealed a significant decrease in physiological stress over time among youth in the program, whereas perceived stress remained low and stable. We also found that higher stress in 1 week—both physiological and perceived—predicted higher stress in the following week (autoregressive effects), but the two types of stress did not predict one another (cross-lagged effects), and these relations varied across individuals. These findings suggest that, even within the same PYD program context, different indicators of stress remain distinct and may follow person-specific patterns. Implications for future PYD research and programs are discussed.","PeriodicalId":8127,"journal":{"name":"Applied psychology. Health and well-being","volume":"18 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148862990","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

Positive psychology interventions during pregnancy: A systematic review 怀孕期间的积极心理学干预：系统回顾

IF 3.3 2区心理学

Applied psychology. Health and well-being Pub Date : 2026-08-28 DOI: 10.1111/aphw.70206

Tharunnia M.S Ganesan, Zuhrah Beevi, Alan J. Gow, Guek Nee Ke

{"title":"Positive psychology interventions during pregnancy: A systematic review","authors":"Tharunnia M.S Ganesan, Zuhrah Beevi, Alan J. Gow, Guek Nee Ke","doi":"10.1111/aphw.70206","DOIUrl":"https://doi.org/10.1111/aphw.70206","url":null,"abstract":"Positive psychology interventions (PPI) have been applied and demonstrated evidence in various population groups. The present systematic review focused on the types and influence of PPI on the physical and psychological health of pregnant women. Studies that matched the selection criteria were identified on EBSCOhost, PsychINFO, Web of Science, PubMed, Scopus and four positive psychology journals. From the 2528 records identified, finally eight studies were included in the review. PPI in this review were delivered utilising various positive psychology components such as hope, gratitude and optimism based on existing theories, for example, the strengths theory, broaden-and-build theory, and hope theory. Most interventions were conducted from 14 gestational weeks onwards and were delivered via virtual platforms or mobile applications. As a result of this systematic review, it was identified that PPIs for maternal well-being were aimed at improving (1) physical health, including labour pain, nausea and vomiting; (2) psychological health, including stress, emotions, anxiety and depression; and (3) subjective health, including life satisfaction, perceived social support and quality of life. Most of the selected studies provided significant evidence towards improvement of well-being outcomes from administering PPI. For future studies, in-depth PPI integrated coping and support approaches should be further evidenced among diverse pregnant populations.","PeriodicalId":8127,"journal":{"name":"Applied psychology. Health and well-being","volume":"18 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/aphw.70206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148823324","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

Mapping item-level dynamics of positive youth development in Chinese adolescents: A four-wave cross-lagged panel network study. 中国青少年积极青年发展的项目水平动态映射：一个四波交叉滞后面板网络研究。

IF 3.3 2区心理学

Applied psychology. Health and well-being Pub Date : 2026-08-01 DOI: 10.1111/aphw.70196

Gangxuan Yuan, Can Huang, Xiaoyu Li, Bettina F Piko

{"title":"Mapping item-level dynamics of positive youth development in Chinese adolescents: A four-wave cross-lagged panel network study.","authors":"Gangxuan Yuan, Can Huang, Xiaoyu Li, Bettina F Piko","doi":"10.1111/aphw.70196","DOIUrl":"10.1111/aphw.70196","url":null,"abstract":"Positive Youth Development (PYD) theory emphasizes strengths that emerge from person-context exchanges, yet item-level, time-ordered relations among PYD attributes (i.e., Competence, Confidence, Character, Caring, and Connection) remain unclear in high-pressure school systems. Using four-wave data from a cohort of grade 10 students in three public high schools in Shouguang, Shandong Province, China, we examined time-ordered relations among the 16-item Chinese Positive Youth Development-Very Short Form (PYD-VSF). At baseline, N = 2086 (Mage = 15.41, SD = 0.52; 53.74% girls); wave-level participation was T2 = 1522, T3 = 1860, and T4 = 1776, with lag-specific analytic samples of 1296-1550 across adjacent intervals. We estimated cross-lagged panel networks (CLPNs) for each successive wave pair using LASSO-regularized regression, summarized networks with out- and in-expected influence. Across intervals, connection-related indicators tended to occupy relatively upstream positions, showing stronger prospective associations with subsequent changes in other PYD indicators, whereas caring indicators more often appeared relatively downstream. Findings indicate that connection indicators were relatively more predictive within the observed system; stronger perceived relational support was prospectively associated with subsequent increases in caring. Clarifying these developmental dynamics can inform interventions to enhance adolescents' mental health and well-being in high-pressure contexts.","PeriodicalId":8127,"journal":{"name":"Applied psychology. Health and well-being","volume":"18 4","pages":"e70196"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13423582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148629119","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

Emotional support or problem-solving? A randomized controlled trial of function-specific AI Chatbots for digital stress in college students. 情感支持还是解决问题？针对大学生数字压力的特定功能AI聊天机器人的随机对照试验。

IF 3.3 2区心理学

Applied psychology. Health and well-being Pub Date : 2026-08-01 DOI: 10.1111/aphw.70208

Qingfeng Yang, Hanzhang Wu, Xiayu Du, Qinyu Sun, Zhihong Ren

{"title":"Emotional support or problem-solving? A randomized controlled trial of function-specific AI Chatbots for digital stress in college students.","authors":"Qingfeng Yang, Hanzhang Wu, Xiayu Du, Qinyu Sun, Zhihong Ren","doi":"10.1111/aphw.70208","DOIUrl":"10.1111/aphw.70208","url":null,"abstract":"Digital stress has emerged as a salient risk factor for the mental health of emerging adults, yet targeted interventions remain limited. Generative AI chatbots offer a scalable approach to delivering context-sensitive supportive interactions that users may perceive as emotional or informational support. This randomized controlled trial tested two functionally specialized AI chatbots-emotional-support and problem-solving-in reducing digital stress, with mental health outcomes examined secondarily, among university students with elevated digital stress. Ninety-nine participants were randomized to emotional support, problem-solving, or waitlist control and completed a 14-day self-guided intervention. Results showed that both chatbots effectively increased their intended forms of perceived chatbot-delivered support and exhibited function-specific effects on different dimensions of digital stress. The emotional-support chatbot significantly reduced availability stress, approval anxiety, social comparison stress, and fear of missing out and improved secondary positive mental health. The problem-solving chatbot showed a distinct advantage in reducing online vigilance. Both interventions significantly alleviated anxiety symptoms, whereas effects on depressive symptoms were not significant. Findings suggest that functionally specialized AI chatbots may provide scalable support for digital stress, with effects depending on the alignment between support function and stress dimension.","PeriodicalId":8127,"journal":{"name":"Applied psychology. Health and well-being","volume":"18 4","pages":"e70208"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13491411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787026","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

Efficacy of an online attachment priming and mindfulness practice intervention for insomnia, stress, and emotion regulation in university students: A randomized controlled trial. 网络依恋启动和正念练习干预大学生失眠、压力和情绪调节的效果：一项随机对照试验。

IF 3.3 2区心理学

Applied psychology. Health and well-being Pub Date : 2026-08-01 DOI: 10.1111/aphw.70202

Jodie C Stevenson, Meghann Matthews, Umair Akram

{"title":"Efficacy of an online attachment priming and mindfulness practice intervention for insomnia, stress, and emotion regulation in university students: A randomized controlled trial.","authors":"Jodie C Stevenson, Meghann Matthews, Umair Akram","doi":"10.1111/aphw.70202","DOIUrl":"10.1111/aphw.70202","url":null,"abstract":"Despite the availability of student well-being services, university students remain highly susceptible to mental health challenges. Recent research highlights the potential of mindfulness-based interventions and attachment security priming in enhancing psychological well-being. This study compared the immediate and sustained effects of digitally delivered attachment priming and mindfulness-based practices on student mental health over one week. Using a randomized controlled design, 122 UK undergraduate students were assigned to one of three groups: repeated attachment security priming, mindfulness practice, or a waitlist control. Participants completed baseline assessments of stress, insomnia, attachment anxiety, emotion regulation, and mindfulness. The intervention groups engaged in five consecutive days of digital practice, and all participants completed follow-up assessments immediately after (T2), one week later (T3), and four weeks later (T4). Compared with the control group, both intervention groups showed significant long-term improvements in stress, insomnia, emotion regulation, and academic dropout intention. Attachment priming produced the most consistent and substantial benefits across time points. Each intervention also resulted in specific gains in mindfulness and attachment-related outcomes. These findings support the integration of digital attachment priming and mindfulness-based programs as promising supplements or alternatives to traditional university mental health services, especially when timely, accessible support is lacking.","PeriodicalId":8127,"journal":{"name":"Applied psychology. Health and well-being","volume":"18 4","pages":"e70202"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148676645","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

Time poverty undermines meaning in life: The mediating role of reduced intrinsic goal aspirations. 时间匮乏破坏了生活的意义：内在目标抱负降低的中介作用。

IF 3.3 2区心理学

Applied psychology. Health and well-being Pub Date : 2026-08-01 DOI: 10.1111/aphw.70200

Siqi Xiong, Yanyu Chen, Zixi Wang, Xiaomin Sun, Shiming Yao, Qi Li, Yan Mu

{"title":"Time poverty undermines meaning in life: The mediating role of reduced intrinsic goal aspirations.","authors":"Siqi Xiong, Yanyu Chen, Zixi Wang, Xiaomin Sun, Shiming Yao, Qi Li, Yan Mu","doi":"10.1111/aphw.70200","DOIUrl":"10.1111/aphw.70200","url":null,"abstract":"Time poverty, the chronic subjective perception of having too little time, may undermine meaning in life (MIL). Integrating scarcity theory with goal content theory, we propose that it does so in part by reducing the importance people place on intrinsic goals. Study 1 provided initial archival evidence linking perceived time poverty to a proxy for meaninglessness-related experience (N = 54,568), and Study 2 provided converging evidence from natural-language analyses of social media posts (N = 126,424). Study 3 examined the proposed mediation in a survey sample using validated scales (N = 383): Reduced intrinsic goal aspirations mediated the time poverty-MIL association, whereas extrinsic goal aspirations-though themselves associated with time poverty-were unrelated to MIL. Study 4 showed that participants assigned to a time-poor context reported lower intrinsic goal aspirations and lower MIL (N = 160). Study 5 showed that enhancing intrinsic goal aspirations through a brief reflection task attenuated this negative effect (N = 396). These findings identify reduced intrinsic goal aspirations as one pathway linking time poverty to lower MIL and suggest a practical route for protecting meaning under time scarcity.","PeriodicalId":8127,"journal":{"name":"Applied psychology. Health and well-being","volume":"18 4","pages":"e70200"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13428331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148652876","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

Can executive functions be improved by playing board games across the lifespan? A systematic review and meta-analysis. 在一生中玩棋盘游戏能提高执行功能吗？系统回顾和荟萃分析。

IF 3.3 2区心理学

Applied psychology. Health and well-being Pub Date : 2026-08-01 DOI: 10.1111/aphw.70194

Veronica Estrada-Plana, Nuria Vita-Barrull, Jaume March-Llanes, Ares Badia Bafalluy, Rosa Ayesa-Arriola, Jorge Moya-Higueras

{"title":"Can executive functions be improved by playing board games across the lifespan? A systematic review and meta-analysis.","authors":"Veronica Estrada-Plana, Nuria Vita-Barrull, Jaume March-Llanes, Ares Badia Bafalluy, Rosa Ayesa-Arriola, Jorge Moya-Higueras","doi":"10.1111/aphw.70194","DOIUrl":"10.1111/aphw.70194","url":null,"abstract":"Board games are usually played with other people across the lifespan. They seem to improve executive functions, which are psychological processes key to our daily lives. Therefore, this systematic review aimed to show whether board games could improve executive functions at different ages. At first, 5288 studies were found in four databases (Scopus, WOS, PsycINFO, and Medline). Twenty-four studies met the inclusion criteria for the systematic review, and 16 studies were included in the meta-analytical analysis. In the systematic review, we especially found effects in verbal short-term memory in children. In addition, the meta-analysis showed significant results for visuospatial short-term memory in kindergarten and processing speed in older people. We also assessed heterogeneity and conducted a meta-regression analysis considering the risk of bias. High heterogeneity was observed in some meta-analyses. Overall, the results suggest that the current empirical evidence is not yet sufficient to support a strong recommendation for the use of board games to improve executive functions. However, the findings are promising and highlight the potential of board games as a cognitive intervention. Therefore, future well-designed randomized controlled trials are needed to clarify the effectiveness of such interventions.","PeriodicalId":8127,"journal":{"name":"Applied psychology. Health and well-being","volume":"18 4","pages":"e70194"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13423571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148629153","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

Longitudinal and dynamic associations of engagement in mindfulness training with emotion regulation difficulties, mindfulness, and self-compassion in community adolescents. 社区青少年参与正念训练与情绪调节困难、正念和自我同情的纵向和动态关联。

IF 3.3 2区心理学

Applied psychology. Health and well-being Pub Date : 2026-08-01 DOI: 10.1111/aphw.70199

Megan J Moran, Stephen Aichele, Addie Rzonca, Lauren B Shomaker, Rachel G Lucas-Thompson

{"title":"Longitudinal and dynamic associations of engagement in mindfulness training with emotion regulation difficulties, mindfulness, and self-compassion in community adolescents.","authors":"Megan J Moran, Stephen Aichele, Addie Rzonca, Lauren B Shomaker, Rachel G Lucas-Thompson","doi":"10.1111/aphw.70199","DOIUrl":"10.1111/aphw.70199","url":null,"abstract":"Despite enthusiasm for mindfulness-based intervention (MBI) for preventing adolescent mental health problems, effects tend to be small. One potential explanation is that some adolescents are not engaging with MBI in ways that maximize benefits. In this study, we sought to understand the time-ordered and interconnected changes in engagement and target intervention processes of emotion regulation difficulties, mindfulness, and self-compassion. In a single-arm trial, n = 73 community adolescents participating in a 6-week, group MBI completed self-report measures of engagement, emotion regulation difficulties, mindfulness, and self-compassion at each weekly session. Caregivers reported weekly on their child's emotion regulation difficulties. Using structural equation models, we tested longitudinal and time-ordered change associations for engagement and target processes, at both the between- and within-person levels. Between-person, increases in engagement were associated with decreases in adolescent-reported emotion regulation difficulties and increases in self-compassion. Within-person, higher levels of engagement at any given session, relative to one's own average, were associated with decreased adolescent-reported emotion regulation difficulties and increased self-compassion at the subsequent session. Findings provide initial evidence that engagement is an important underlying process in adolescent MBI. Person-centered, adaptive approaches to optimizing engagement in adolescent MBI warrant investigation to assess their potential to enhance MBI effects on health outcomes.","PeriodicalId":8127,"journal":{"name":"Applied psychology. Health and well-being","volume":"18 4","pages":"e70199"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13428265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148648223","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

Efficacy of mindfulness-based interventions on psychological distress, hyperandrogenism, and metabolic profile in women with polycystic ovary syndrome: A systematic review and meta-analysis of randomized controlled trials. 正念干预对多囊卵巢综合征女性心理困扰、高雄激素症和代谢特征的疗效：随机对照试验的系统回顾和荟萃分析

IF 3.3 2区心理学

Applied psychology. Health and well-being Pub Date : 2026-08-01 DOI: 10.1111/aphw.70195

Dan Li, Jiaqi Zheng, Guangpeng Wang

{"title":"Efficacy of mindfulness-based interventions on psychological distress, hyperandrogenism, and metabolic profile in women with polycystic ovary syndrome: A systematic review and meta-analysis of randomized controlled trials.","authors":"Dan Li, Jiaqi Zheng, Guangpeng Wang","doi":"10.1111/aphw.70195","DOIUrl":"10.1111/aphw.70195","url":null,"abstract":"Polycystic ovary syndrome (PCOS) negatively impacts women's metabolic health, reproductive hormones, and psychological well-being. The aim of this study was to systematically evaluate the efficacy of mindfulness-based interventions (MBIs), such as yoga and mindfulness meditation, on anthropometric indices, metabolic profiles, reproductive hormones, and quality of life in women with PCOS. A systematic review and meta-analysis was conducted with 10 randomized controlled trials (RCTs) involving 356 participants, selected from databases including PubMed and Cochrane Library up to January 2025. Data were synthesized using Review Manager 5.3 to calculate mean differences (MDs) and standardized mean differences (SMDs). Women in the MBI groups showed significant reductions in BMI, body weight, abdominal circumference, and preliminary improvements in insulin resistance (HOMA-IR; based on two studies), alongside improvements in total testosterone levels and clinical hirsutism. Although generic depression and anxiety scores did not show significant differences, disease-specific quality of life improved significantly. MBIs show potential as metabolic and endocrine modulators and may offer benefits in insulin sensitivity, weight management, and hyperandrogenism beyond mere stress reduction for women with PCOS.","PeriodicalId":8127,"journal":{"name":"Applied psychology. Health and well-being","volume":"18 4","pages":"e70195"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13428058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148648208","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 a decision support tool to reduce inappropriate antibiotic use after a delayed prescription. 使用决策支持工具减少延迟处方后不适当的抗生素使用。

IF 3.3 2区心理学

Applied psychology. Health and well-being Pub Date : 2026-08-01 DOI: 10.1111/aphw.70198

Elisabeth D C Sievert, Rian Gross, Lars Korn, Cornelia Betsch, Robert Böhm

{"title":"Using a decision support tool to reduce inappropriate antibiotic use after a delayed prescription.","authors":"Elisabeth D C Sievert, Rian Gross, Lars Korn, Cornelia Betsch, Robert Böhm","doi":"10.1111/aphw.70198","DOIUrl":"10.1111/aphw.70198","url":null,"abstract":"Antimicrobial resistance is partly driven by overprescribing antibiotics in primary care. Delayed antibiotic prescriptions, which allow patients to monitor their symptoms before deciding to use antibiotics, are a promising intervention. However, this strategy is undermined when patients initiate antibiotic use immediately. Using a behavioural game measure with behaviour-contingent financial incentives that models delayed prescriptions, we examined whether a decision support leaflet issued by the World Health Organization can, alone or in combination with other evidence-based interventions, reduce inappropriate antibiotic use for viral infections. In a pre-registered online experiment (N = 663 UK adults), participants were randomly assigned to one of five experimental conditions: (i) control condition, (ii) leaflet only, (iii) leaflet with value integration task, (iv) leaflet with active symptom monitoring and (v) leaflet with value integration and active monitoring. Inappropriate antibiotic use was lower in all decision support conditions than in the control condition (p < .001, ηG 2 = .02). Decision support tools also reduced decisional conflict (p < .001, ηG 2 = .02), particularly by improving value clarity and perceived decisional support. Integrating decision support tools into delayed prescription procedures can contribute to a more informed and responsible approach to antibiotic use by providing relevant information and tools.","PeriodicalId":8127,"journal":{"name":"Applied psychology. Health and well-being","volume":"18 4","pages":"e70198"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148688449","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