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Nyamathi AM, Salem BE, Gelberg L, Garfin DR, Wolitsky-Taylor K, Shin SS, Yu Z, Hudson A, Yadav K, Clarke R, Alikhani M, van Cise E, Lee D. Pilot randomized controlled trial of biofeedback on reducing psychological and physiological stress among persons experiencing homelessness. Stress Health 2024; 40:e3366. [PMID: 38146789 DOI: 10.1002/smi.3366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Revised: 10/30/2023] [Accepted: 11/01/2023] [Indexed: 12/27/2023]
Abstract
People experiencing homelessness report increased exposure to traumatic life events and higher rates of depression, anxiety, and post-traumatic stress disorder as compared with the general population. Heart rate variability-biofeedback (HRV-BF) has been shown to decrease symptoms of stress, anxiety, depression, and PTSD. However, HRV-BF has not been tested with the most vulnerable of populations, homeless adults. The purpose of this randomized controlled trial was to compare the effectiveness of an HRV-BF intervention versus a Health Promotion (HP) active control intervention focused on improving mental health symptoms among homeless adults. Guided by a community advisory board, homeless adults residing in Skid Row, Los Angeles (n = 40) were randomized to either the HRV-BF or an active HP control group and received eight weekly, 30-min sessions over two months, delivered by a nurse-led community health worker team. Dependent variables of HRV, mental health, anxiety, depression, and PTSD were measured at baseline, the 8-week session, and/or 2-month follow-up. All intervention sessions were completed by 90% (36/40) of participants. Both the HRV-BF and HP interventions showed significant increases in HRV from baseline to 2-month follow-up, with no significant difference between the intervention groups. The HRV-BF programme revealed a somewhat greater, although non-significant, improvement in anxiety, depression, and PTSD symptoms than the HP programme. The usefulness of both interventions, focused on emotional and physical health, warrants future studies to examine the value of a combined HRV-BF and HP intervention.
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Affiliation(s)
- Adeline M Nyamathi
- Sue & Bill Gross School of Nursing, University of California, Irvine, California, USA
| | - Benissa E Salem
- School of Nursing, University of California, Los Angeles, California, USA
| | - Lillian Gelberg
- David Geffen School of Medicine at UCLA, University of California Los Angeles Fielding School of Public Health, Los Angeles, California, USA
| | - Dana Rose Garfin
- Community Health Sciences/Fielding School of Public Health, Los Angeles, California, USA
| | - Kate Wolitsky-Taylor
- Department of Psychiatry, University of California, Los Angeles, California, USA
| | - Sanghyuk S Shin
- Sue & Bill Gross School of Nursing, University of California, Irvine, California, USA
| | - Zhaoxia Yu
- Department of Statistics, School of Information and Computer Sciences, University of California, Irvine, California, USA
| | | | - Kartik Yadav
- Sue & Bill Gross School of Nursing, University of California, Irvine, California, USA
| | - Richard Clarke
- Office of Research, University of California, Irvine, California, USA
| | - Mitra Alikhani
- School of Nursing, University of California, Los Angeles, California, USA
| | | | - Darlene Lee
- Susan Samueli Integrative Health Institute, University of California, Irvine, California, USA
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Xu J, Pan Y, Li Q. Influencing factors of health screening among retirees: an extended TPB approach. Front Public Health 2024; 12:1320920. [PMID: 38584918 PMCID: PMC10998445 DOI: 10.3389/fpubh.2024.1320920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Accepted: 03/04/2024] [Indexed: 04/09/2024] Open
Abstract
Background Health screenings are promoted worldwide as they help detect and prevent overall health issues. Despite expanding coverage, the participation rate among the retired population has not significantly increased. Given the special role of health screenings in promoting health and healthy aging, understanding the behavioral intentions, and influencing factors of retirees' voluntary participation in health screenings is crucial. This study aims to explore the participation intentions in health screenings among the Chinese retired population by integrating the Theory of Planned Behavior (TPB) and Self-Efficacy (SE). Methods This study used a cross-sectional design to conduct an online questionnaire among 311 retirees in 2023. The questionnaire, tailored for the Chinese retired population, combines the TPB theory and Self-Efficacy theory, including demographic structure, the basic structure of TPB, and SE. Results A Structural Equation Modeling (SEM) approach was used to identify factors related to health screening behaviors. Of the respondents, 311 completed the survey (88.9% response rate). The most crucial determinant of health examination behavior was behavioral intention, with a correlation score of (1.524, p < 0.001). Significant correlates of behavioral intention included Subjective Norms (SN) and Self-Efficacy (SE), followed by Perceived Behavioral Control (PBC) and Attitude (AT), with correlation scores of (0.401, p < 0.001), (0.339, p < 0.001), (0.082, p < 0.001), and (0.060, p < 0.05), respectively. Conclusion This study provides insights for enhancing the willingness and behavior of retirees to participate in health screenings.
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Affiliation(s)
- Jiayi Xu
- Department of Smart Experience Design, Graduate School of Techno Design, Kookmin University, Seoul, Republic of Korea
| | - Younghwan Pan
- Department of Smart Experience Design, Graduate School of Techno Design, Kookmin University, Seoul, Republic of Korea
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Jalli VV, Sreepradha C, Halemani S, Mutha A, Sharma R, Joshi H, Chhabra KG. Impact of nicotine dependence on self-efficacy and readiness to quit among tobacco consumers in rural areas. J Family Med Prim Care 2024; 13:1079-1084. [PMID: 38736831 PMCID: PMC11086753 DOI: 10.4103/jfmpc.jfmpc_1624_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 12/13/2023] [Accepted: 12/27/2023] [Indexed: 05/14/2024] Open
Abstract
Aim and Objectives The aim of the present study was to determine the impact or effect of nicotine dependence on self-efficacy and readiness to quit. Materials and Method The current study was performed using a cross-sectional descriptive questionnaire design among tobacco users visiting primary health care facilities in the rural Jaipur district. Jaipur district is divided into four directions: east, west, north, and south. From each direction, two PHCs were selected randomly based on suitable accessibility to patients. Sample size of study is 465. Out of 465 tobacco consumers, 238 were consuming a smoked form of tobacco, and 227 study participants were consuming a smokeless form of tobacco. Results It was observed that the majority of study participants (145 (31%)) need smoke/smokeless tobacco within 5 minutes of waking up. With regards to internal stimuli, the majority of study participants (179 (38%)) and (203 (44%)) were not very sure that they would refrain from smoking when they were nervous and depressed. It was determined that quitting tobacco products was not at all important for 159 (34%) study participants. In regards to confidence in tobacco product quitting, only 79 (16%) of tobacco consumers were extremely confident. Conclusion It was concluded that nicotine dependence impacts both self-efficacy and readiness to quit. It was determined that the higher the nicotine dependence, the less self-efficacy and the less would be the readiness to quit.
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Affiliation(s)
- Vishwanath V Jalli
- Department of Oral Medicine and Radiology, Government Dental College and Research Institute, Vims, Ballari, Karnataka, India
| | - C Sreepradha
- Department of Oral Medicine and Radiology, Government Dental College and Research Institute, Vims, Ballari, Karnataka, India
| | - Shweta Halemani
- Department of Periodontics, Government Dental College and Research Institute, Vims, Ballari, Karnataka, India
| | - Animesh Mutha
- Orthodontics and Dentofacial Orthopaedics, Pacific Dental College and Research Centre, Debari, Udaipur, Rajasthan, India
| | - Rituraj Sharma
- Orthodontics and Dentofacial Orthopaedics, Pacific Dental College and Research Centre, Debari, Udaipur, Rajasthan, India
| | - Himanshu Joshi
- Prosthodontics, Crown Bridge and Implantology, Daswani Dental College, Kota, Rajasthan, India
| | - Kumar Gaurav Chhabra
- Department of Public Health Dentistry, Nims Dental College and Hospital, Nims University, Rajasthan, Jaipur, India
- Adjunct Faculty, Research and Developmental Cell, Datta Meghe Institute of Higher Education and Research, Sawangi, Wardha, Maharashtra, India
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Wen L, Xu W, Yan X, Lin X, Shao C, Zhang L. An interaction study of online learning satisfaction with parent-child relationships and trait coping styles. Front Psychiatry 2024; 15:1320886. [PMID: 38495907 PMCID: PMC10940432 DOI: 10.3389/fpsyt.2024.1320886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Accepted: 02/05/2024] [Indexed: 03/19/2024] Open
Abstract
As the physical and mental development of the young is not only influenced by the parent-child relationship (PR) and the student's academic performance, but also moderated by trait coping styles (TCS), the changes between these three during the online learning period in an epidemic need to be reconsidered. This study aims to explore the factors affecting online learning satisfaction (OLS) among students and their interaction with parent-child relationship and trait coping style. A web-based questionnaire was employed, encompassing general information, the Trait Coping Style Questionnaire (TCSQ), and queries related to OLS. A total of 1,287 valid questionnaires were collected, with 593 from junior high school students, 197 from high school students, and 497 from university students. Our findings indicate that parent-child relationship (PR), positive coping style (PCS), and learning status (LS) showed a positive correlation with OLS (r=0.110, P<0.001; r=0.786, P<0.001). Conversely, negative coping style (NCS) presented a negative correlation with OLS (r=-0.186, P<0.01). Multiple regression analysis of OLS reveals that PR has a significant impact on OLS (P<0.001, β=0.291), as does LS (P<0.001, β=0.767). However, trait coping styles (TCS) appear to have no significant effect on OLS. Notably, PR plays a significant and positive mediating role between LS and OLS, with a mediation effect of 0.0132 (P<0.05), accounting for 1.682% of the total effect. These findings suggest that strengthening parent-child interactions and fostering adaptive coping mechanisms could play a crucial role in enhancing students' satisfaction with online education. Such improvements could potentially contribute to superior academic outcomes and overall student well-being.
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Affiliation(s)
- Leji Wen
- National Innovation Platform for Industry-Education Integration in Vaccine Research, School of Public Health, Xiamen University, Xiamen, Fujian, China
| | - Weizhuo Xu
- National Innovation Platform for Industry-Education Integration in Vaccine Research, School of Public Health, Xiamen University, Xiamen, Fujian, China
| | - Xiaoyue Yan
- National Innovation Platform for Industry-Education Integration in Vaccine Research, School of Public Health, Xiamen University, Xiamen, Fujian, China
| | - Xin Lin
- National Innovation Platform for Industry-Education Integration in Vaccine Research, School of Public Health, Xiamen University, Xiamen, Fujian, China
| | - Chen Shao
- Department of Urology, Xiang’an Hospital of Xiamen University, School of Medicine, Xiamen, Fujian, China
| | - Lei Zhang
- National Innovation Platform for Industry-Education Integration in Vaccine Research, School of Public Health, Xiamen University, Xiamen, Fujian, China
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Huo X, Li X, Gu M, Qin T, Qiao K, Bai X, Wang Y, Yang Y. Mechanism of community quitters' psychological traits on their smoking cessation effects: Based on a study of community intervention. Tob Induc Dis 2023; 21:70. [PMID: 37252032 PMCID: PMC10210092 DOI: 10.18332/tid/162000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Revised: 03/04/2023] [Accepted: 03/08/2023] [Indexed: 05/31/2023] Open
Abstract
INTRODUCTION We study the relationship between psychological traits of smokers and their smoking cessation effects, and provide more scientific evidence for smoking cessation intervention. METHODS The study was conducted as a nested case-control study. Smokers who participated in the community smoking cessation intervention projects in Beijing in 2018-2020, were selected as the research participants and divided into two groups: a successful smoking cessation and unsuccessful smoking cessation group, according to their smoking cessation effects at 6 months. Psychological traits of quitters including smoking abstinence self-efficacy, willingness to quit smoking, and trait coping style, were compared between the two groups, and a structural equation model was established for confirmatory factor analysis to analyze their mechanisms. RESULTS There were differences in smoking cessation results between the successful smoking cessation group and the unsuccessful smoking cessation group in terms of smoking abstinence self-efficacy and willingness to quit smoking. Willingness to quit smoking (OR=1.06; 95% CI: 1.008-1.118) is a risk factor, while smoking abstinence self-efficacy in habit/addiction situations (OR=0.77; 95% CI: 0.657-0.912) is a protective factor. The results of the structural equation model showed that smoking abstinence self-efficacy (β=0.199, p=0.002) and trait coping style (β= -0.166, p=0.042) could influence smoking cessation effects. The structural equation model was well fitted, which showed that smoking abstinence self-efficacy (β=0.199, p=0.002) and trait coping style (β= -0.166, p=0.042) might have influenced the effect of smoking cessation among smokers. CONCLUSIONS Willingness to quit smoking has a positive impact on the smoking cessation effect, while smoking abstinence self-efficacy in habit/addiction situations and negative trait coping style have a negative impact. Smoking abstinence self-efficacy and trait coping styles can significantly affect smoking cessation outcomes.
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Affiliation(s)
- Xinran Huo
- School of Public Health, Capital Medical University, Beijing, China
| | - Xingming Li
- School of Public Health, Capital Medical University, Beijing, China
| | - Mingyu Gu
- School of Public Health, Capital Medical University, Beijing, China
| | - Tingting Qin
- School of Public Health, Capital Medical University, Beijing, China
| | - Kun Qiao
- School of Public Health, Capital Medical University, Beijing, China
| | - Xinyuan Bai
- School of Public Health, Capital Medical University, Beijing, China
| | - Yao Wang
- School of Public Health, Capital Medical University, Beijing, China
| | - Yutong Yang
- School of Public Health, Capital Medical University, Beijing, China
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Liu Y, Hou T, Gu H, Wen J, Shao X, Xie Y, Deng W, Dong W. Resilience and Anxiety Among Healthcare Workers During the Spread of the SARS-CoV-2 Delta Variant: A Moderated Mediation Model. Front Psychiatry 2022; 13:804538. [PMID: 35250664 PMCID: PMC8889094 DOI: 10.3389/fpsyt.2022.804538] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Accepted: 01/05/2022] [Indexed: 01/03/2023] Open
Abstract
INTRODUCTION The B.1.617.2 (Delta) variant of SARS-COV-2 has caused a surge in COVID-19 cases worldwide, placing a great burden on the health care system under the zero-tolerance epidemic prevention policy in China. The present study aimed to investigate the prevalence of anxiety among health care workers during the spread of the SARS-CoV-2 Delta variant, and to discuss the mediating role of positive coping style between resilience and anxiety, and the moderating role of general self-efficacy. METHOD Connor-Davidson Resilience scale (CD-RISC), Generalized Anxiety Disorder Scale (GAD-7), General Self-efficacy Scale (GSES) and Simplified Coping Style Questionnaire (SCSQ) were used in this cross-sectional study among 390 healthcare workers in Jiangsu Province, China. Mackinnon's four-step procedure was applied to test the mediation effect, and Hayes PROCESS macro was conducted to examine the moderated mediation model. RESULTS The prevalence of anxiety among Chinese healthcare workers during the spread of the SARS-CoV-2 Delta variant was 41.8%. Male, unmarried, childless and younger subjects reported higher levels of anxiety. Positive coping partially mediated the effect of resilience on anxiety among healthcare workers and the indirect effect was stronger with the increase of general self-efficacy. CONCLUSIONS Anxiety was prevalent among healthcare workers during the spread of SARS-CoV-2 Delta variant. This research sheds new light on the potential mechanism underlying the association between resilience and anxiety and provides new insight into the prevention of anxiety among healthcare workers during the spread of the SARS-CoV-2 Delta variant.
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Affiliation(s)
- Ying Liu
- Faculty of Psychology, Navel Medical University, Shanghai, China.,Department of Nursing, Hunan Provincial Crops Hospital, Chinese People's Armed Police Force, Changsha, China
| | - Tianya Hou
- Faculty of Psychology, Navel Medical University, Shanghai, China
| | - Hongjuan Gu
- Department of Nursing, Hunan Provincial Crops Hospital, Chinese People's Armed Police Force, Changsha, China
| | - Jing Wen
- Faculty of Psychology, Navel Medical University, Shanghai, China
| | - Xiaoqin Shao
- Faculty of Psychology, Navel Medical University, Shanghai, China
| | - Yawei Xie
- Faculty of Psychology, Navel Medical University, Shanghai, China
| | - Wenxi Deng
- Faculty of Psychology, Navel Medical University, Shanghai, China
| | - Wei Dong
- Faculty of Psychology, Navel Medical University, Shanghai, China
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Wang Y, Zhang X. Influence of Parental Psychological Flexibility on Pediatric COVID-19 Vaccine Hesitancy: Mediating Role of Self-Efficacy and Coping Style. Front Psychol 2021; 12:783401. [PMID: 34956003 PMCID: PMC8692367 DOI: 10.3389/fpsyg.2021.783401] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Accepted: 11/08/2021] [Indexed: 11/24/2022] Open
Abstract
Background: Pediatric COVID-19 vaccine hesitancy hinders the establishment of immune barrier in children. Psychological flexibility may be a key contributing factor to pediatric COVID-19 vaccine hesitancy, and self-efficacy and coping style play an important role in the relationship, but the underlying mechanisms remain unknown. Methods: A cross-sectional study was conducted on parents from June 2021 to July 2021. A total of 382 parents were recruited for an online-investigation. Serial mediation models were used to examine whether self-efficacy and coping style mediated in the psychological flexibility-pediatric COVID-19 vaccine hesitancy linkage. Result: Psychological flexibility was negatively related to pediatric COVID-19 vaccine hesitancy (r = −0.198, P < 0.001). Coping styles rather than self-efficacy played a mediating role independently (95% CI: −0.263 to −0.058). Serial mediation analyses indicated that self-efficacy and coping style co-play a serial mediating role in the association of psychological flexibility and pediatric COVID-19 vaccine hesitancy (95% CI: −0.037 to −0.001). Conclusion: The present study showed that high psychological flexibility, high self-efficacy, and positive coping style were conducive to the lower pediatric COVID-19 vaccine hesitancy.
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Affiliation(s)
- Yongyi Wang
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Xinping Zhang
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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