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Timing theory integrated nursing combined behavior change integrated theory of nursing on primiparous influence

World Journal of Clinical Cases 2024年第2期12卷 293-301页

作者： Yan-Xia He Yang Lv Ting-Ting Lan Fang Deng Yuan-Yuan Zhang Department of Obstetrics and Gynecology Wuhan Children’s HospitalWuhan 430015Hubei ProvinceChina Center for Reproductive Medicine Department of Obstetrics and GynecologySichuan Provincial People's HospitalSchool of MedicineUniversity of Electronic Science and Technology of ChinaChengdu 610072Sichuan ProvinceChina

BACKGROUND The comprehension and utilization of timing theory and behavior change can offer a more extensive and individualized provision of support and treatment alternatives for primipara.This has the potential to enhance the psychological well-being and overall quality of life for primipara,while also furnishing healthcare providers with efficacious interventions to tackle the psychological and physiological obstacles encountered during the stages of pregnancy and postpartum.AIM To explore the effect of timing theory combined with behavior change on selfefficacy,negative emotions and quality of life in patients with primipara.METHODS A total of 80 primipara cases were selected and admitted to our hospital between August 2020 and May 2022.These cases were divided into two groups,namely the observation group and the control group,with 40 cases in each group.The nursing interventions differed between the two groups,with the control group receiving routine nursing and the observation group receiving integrated nursing based on the timing theory and behavior change.The study aimed to compare the pre-and post-nursing scores of Chinese Perceived Stress Scale(CPSS),Edinburgh Postpartum Depression Scale(EPDS),Self-rating Anxiety Scale(SAS),breast milk knowledge,self-efficacy,and SF-36 quality of life in both groups.RESULTS After nursing,the CPSS,EPDS,and SAS scores of the two groups was significantly lower than that before nursing,and the CPSS,EPDS,and SAS scores of the observation group was significantly lower than that of the control group(P=0.002,P=0.011,and P=0.001 respectively).After nursing,the breastfeeding knowledge mastery,selfefficacy,and SF-36 quality of life scores was significantly higher than that before nursing,and the breastfeeding knowledge mastery(P=0.013),self-efficacy(P=0.008),and SF-36 quality of life(P=0.011)scores of the observation group was significantly higher than that of the control group.CONCLUSION The integration of timing theory and behavior change integrated theory has been found to be a

关键词： Timing theory behavior change Primipara Bad mood Quality of life

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A randomized controlled trial of Promoting Physical Activity in Regional and Remote Cancer Survivors(PPARCS)

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Journal of Sport and Health Science 2024年第1期13卷 81-89页

作者： Sarah J.Hardcastle Chloe Maxwell-Smith Vinicius Cavalheri Terry Boyle Marta Leyton Román Cameron Platell Michael Levitt Christobel Saunders Frank Sardelic Sophie Nightingale Jacob McCormick Craig Lynch Paul A.Cohen Max Bulsara Dana Hince Sport and Physical Activity Research Centre Sheffield Hallam UniversitySheffieldS102BPUK Institute for Health Research The University of Notre DameFremantleWA 6959Australia Curtin School of Population Health Curtin UniversityPerthWA 6845Australia Curtin School of Allied Health Curtin UniversityPerthWA 6845Australia Allied Health South Metropolitan Health ServiceMurdochWA 6150Australia Australian Centre for Precision Health University of South AustraliaAdelaideSA 5001Australia Department of Didactics of Musical Plastic and Body ExpressionUniversity of ExtremaduraCaceres 10071Spain St.John of God Subiaco Hospital PerthWA 6008Australia Department of Surgery University of MelbourneMelbourneVIC 3010Australia Tamara Private Hospital TamworthNSW 2340Australia Peter MacCallum Cancer Centre MelbourneVIC 3000Australia College of Health and Medicine Australian National UniversityCanberraACT 2600Australia Division of Obstetrics and Gynaecology Medical SchoolUniversity of Western AustraliaPerthWA 6009Australia

Background:Physical activity(PA)is important for cancer survivors.Trials of remotely delivered interventions are needed to assist in reaching under-served non-metropolitan cancer survivors.The objective of this study was to ascertain whether wearable technology,coupled with health coaching was effective in increasing PA in breast and colorectal cancer survivors living in regional and remote areas in Australia.Methods:Cancer survivors from 5 states were randomized to intervention and control arms.Intervention participants were given a Fitbit Charge 2TMand received up to 6 telephone health coaching sessions.Control participants received PA print materials.Accelerometer assessments at baseline and 12 weeks measured moderate-to-vigorous PA(MVPA),light PA,and sedentary behavior.Results:Eighty-seven participants were recruited(age=63±11 years;74(85%)female).There was a significant net improvement in MVPA of 49.8 min/week,favoring the intervention group(95%confidence interval(95%CI):13.6-86.1,p=0.007).There was also a net increase in MVPA bouts of 39.5 min/week(95%CI:11.9-67.1,p=0.005),favoring the intervention group.Both groups improved light PA and sedentary behavior,but there were no between-group differences.Conclusion:This’s the first study to demonstrate that,when compared to standard practice(i.e.,PA education),a wearable technology intervention coupled with distance-based health coaching,improves MVPA in non-metropolitan cancer survivors.The results display promise for the use of scalable interventions using smart wearable technology in conjunction with phone-based health coaching to foster increased PA in geographically disadvantaged cancer survivors.

关键词： behavior change Exercise Health disparities Oncology Wearable technology

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Moving Away from Coercion: Social Justice and behavior change in Disability Services

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Health 2022年第2期14卷 194-203页

作者： Bob Bowen Elliot Bowen Prag Consulting Melbourne Australia University of Maine Orono Maine USA

The use of coercion to alter behavior in persons with intellectual and other developmental disabilities has a long history. Despite the work of leaders in the development of Positive Behaviour Support (PBS), the use of chemical, mechanical, physical or personal, and environmental restraints continues, resulting in traumatization, physical and emotional harm, and in some instances, death. When coercion is used, the trust between people breaks down, and the lack of trust is reinforced by the power differentials present when coercion occurs. Social justice provides an avenue for rebalancing power and regaining trust, but people affected by disabilities have historically been excluded from theories of social justice and, in some cases, do not fall within the definition of what it means to be a person in the paradigms put forth by a number of different authors. The term non-coercive has been used in an attempt to reframe behavior change theories and practices, but this term describes the absence of negative circumstances and interventions, rather than the presence of positive and affirming interactions which improve the quality of life of all stakeholders.

关键词： Positive behavior Support Social Justice behavior change Coercion Intervention Interaction Non-Coercive

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Journal of Sport and Health Science 2021年第4期10卷 447-453页

作者： Kate Parker Anna Timperio Jo Salmon Karen Villanueva Helen Brown Irene Esteban-Cornejo Veronica Cabanas-Sánchez José Castro-Pinero David Sánchez-Oliva OscarL.Veiga School of Exercise and Nutrition Sciences Institute for Physical Activity and Nutrition(IPAN)Deakin UniversityGeelongVIC 3220Australia Centre for Urban Research School of Global Urban and Social StudiesRMIT UniversityMelbourneVIC 3000Australia Center for Cognitive and Brain Health Department of PsychologyNortheastern UniversityBostonMA 02115USA PROmoting FITness and Health through physical activity(PROFITH)research group Department of Physical Education and SportsFaculty of Sport SciencesUniversity of GranadaGranada 18010Spain Department of Physical Education Sports and Human MovementAutonomous University of MadridMadrid 28049Spain Research Centre in Physical Activity Health and Leisure(CIAFEL)Faculty of SportUniversity of PortoPorto 4099-002Portugal Department of Physical Education Faculty of Education SciencesUniversity of CadizPuerto Real 11003Spain Biomedical Research and Innovation Institute of Cadiz(INiBICA) Cadiz 11003Spain

Background:Children and adolescents can be distinguished by different typologies(clusters) of physical activity and sedentary behavior.How physical activity and sedentary behaviors change over time within different typologies is not known.This study examined longitudinal changes in physical activity and sedentary time among children and adolescents with different baseline typologies of activity-related behavior.Methods:In this longitudinal study(3 annual time points) of children(n=600,age=9.2±0.4 years(mean±SD),50.3% girls) and adolescents(n=1037,age=13.6±1.7 years,48.4% girls),participants were recruited in Spain in 2011-2012.Latent class analyses identified typologies based on self-reported screen,educational,social and relaxing sedentary behaviors,active travel,muscle strengthening activity,and sport at baseline.Within each typology,linear mixed growth models explored longitudinal changes in accelerometer-derived moderate-to-vigorous physical activity and sedentary time,as well as time by class interactions.Results:Three typologies were identified among children( "social screenies",12.8%;"exercisers",61.5%;and "non-sporty active commuters",25.7%) and among adolescents "active screenies",43.5%;"active academics",35.0%;and "non-sporty active commuters",21.5%) at baseline.Sedentary time increased within each typology among children and adolescents,with no significant differences between typologies.No changes in physical activity were found in any typology among children.In adolescents,physical activity declined within all typologies,with "non-sporty active commuters" declining significantly more than "active screenies" over 3 years.Conclusion:These results support the need for interveation to promote physical activity and prevent increases in sedentary time during childhood and adolescence.Adolescents characterized as "non-sporty active commuters" may require specific interventions to maintain their physical activity over time.

关键词： behavior change Physical activity Sedentary behavior Typologies Youth

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Individual environmental behavior： A key role in building lowcarbon communities in China

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Frontiers in Energy 2018年第3期12卷 456-465页

作者： Ping JIANG Hongjia DONG Yun ZHU Adila ALIMUJIANG Zhenhua ZHAN Weichun MA Department of Environmental Science and Engineering Fudan TyndallCentre Fudan University Shanghai 200433 China

People＇s social behavior, especially environ- mental behavior, has a great impact on energy consump- tion and carbon emission. This paper explores both categories of individual factors （e.g., values, habits, education, motivation, etc.） and social factors （e.g., institution, infrastructure, encouragement, etc.）, to clarify the correlation between them and their sub-factors. Low- carbon campus is a representative type of low-carbon community which is less difficult to build than other communities because university students are well-edu- cated and, to some extent, are more environmental aware and more willing to change their behaviors. The energy- saving and environment-friendly policies implemented on campus are collected and overviewed in this paper. Additionally, the leaders and employees from the related administration departments are interviewed, and the data of electricity amount and water usage are analyzed and a well-designed questionnaire is handed out in a survey. The survey investigates the environmental knowledge, energy use habits, attitude toward low-carbon transformation, comments on the current institution and so on. The results show that different groups of students have varied levels of environmental knowledge, energy use habits, and attitude toward low-carbon campus management. To improve energy conservation and cut carbon emission radically, advices on building low-carbon community are also proposed including professional curriculums of environ- mental protection, economic initiatives, effect manage- ment, good communications, and sound infrastructures and facilities.

关键词： behavior change energy saving low-carbon community campus of Fudan University China

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Application of network meta-analysis in the field of physical activity and health promotion

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Journal of Sport and Health Science 2020年第6期9卷 511-520页

作者： Xiwen Su Daniel J.McDonough Haitao Chu Minghui Quan Zan Gao School of Kinesiology University of MinnesotaMinneapolisMN 55455USA Division of Biostatistics School of Public HealthUniversity of MinnesotaMinneapolisMN 55455USA School of Kinesiology Shanghai University of SportShanghai 200438China

Continued advancement in the field of physical activity and health promotion relies heavily on the synthesis of rigorous scientific evidence.As such,systematic reviews and meta-analyses of randomized controlled trials have led to a better understanding of which intervention strategies are superior(i.e.,produce the greatest effects)in physical activity-based health behavior change interventions.Indeed,standard meta-analytic approaches have allowed researchers in the field to synthesize relevant experimental evidence using pairwise procedures that produce reliable estimates of the homogeneity,magnitude,and potential biases in the observed effects.However,pairwise meta-analytic procedures are only capable to discerning differences in effects between a select intervention strategy and a select comparison or control condition.In order to maximize the impact of physical activity interventions on health-related outcomes,it is necessary to establish evidence concerning the comparative efficacy of all relevant physical activity intervention strategies.The development of network meta-analysis(NMA)-most commonly used in medical-based clinical trials-has allowed for the quantification of indirect comparisons,even in the absence of direct,head-to-head trials.Thus,it stands to reason that NMA can be applied in physical activity and health promotion research to identify the best intervention strategies.Given that this analysis technique is novel and largely unexplored in the field of physical activity and health promotion,care must be taken in its application to ensure reliable estimates and discernment of the effect sizes among interventions.Therefore,the purpose of this review is to comment on the potential application and importance of NMA in the field of physical activity and health promotion,describe how to properly and effectively apply this technique,and suggest important considerations for its appropriate application in this field.In this paper,overviews of the foundations of NMA and commonly used approaches for conduct

关键词： behavior change Kinesiology and health promotion Multiple treatment comparison Pairwise meta-analysis Randomized controlled trials

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Amur tiger conservation education program:A pilot study on program effectiveness

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Integrative Zoology 2015年第4期10卷 403-407页

作者： Anna S.MUKHACHEVA Vasilissa V.DERUGINA Galina D.MAKSIMOVA Svetlana V.SOUTYRINA Sikhote-Alin Biosphere Zapovednik Primorskii KraiTerneiRussia Wildlife Conservation Society BronxNew YorkUSA Youth Creative Arts Center of Ternei Uragus Ecological ClubTerneiPrimorskii KraiRussia

Anthropogenic impacts are the primary threats to Amur tigers(Panthera tigris altaica)and their habitat.Villagers living in proximity to tigers tend to view them negatively and,often,as a source of revenue on black markets.We aim to reduce human–tiger conflict by working with young students of Ternei County in the heart of tiger habitat in Primorskii Krai(Province).To inform and influence Ternei County’s future decision-makers,we developed“Safe Conduct”,a year-long education program held in 6 villages,culminating in a multi-school conference.We tested the efficacy of Safe Conduct as a potential model for tiger conservation educational programs.We measured levels of student knowledge about tiger ecology,their attitude towards tigers,and their willingness to engage in tiger conservation activites prior to,immediately after and 6 months following the completion of our program.Results supported the fundamental premise of Safe Conduct that knowledge and attitude towards tigers are correlated.Knowledge of tiger ecology and attitude towards tigers increased by the project’s completion;both remained high after 6 months.However,commitment to participation in conservation efforts rose temporarily post-program and then dropped.Results varied by village.We recommend that the reasons for the high performance measures of students in 2 villages be investigated,and that lessons learned be applied to villages that underperformed.Safe Conduct represents a potential model for environmental education programs in Ternei County and elsewhere to educate future generations,to eventually develop a strong commitment to Amur tiger conservation at the community level.

关键词： Amur tiger behavior change conservation children education programs

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Health communication campaigns: A brief introduction and call for dialogue

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International Journal of Nursing Sciences 2020年第S1期7卷 11-15页

作者： Xiaoquan Zhao Department of Communication George Mason UniversityFairfaxVA22030USA

This article provides a brief introduction to health communication campaigns as an important method for health promotion.The general approach to campaign development is described and patterns of campaign effects across behavioral contexts are noted.Several high-profile campaigns in the United States are presented as examples and key learnings from each campaign are highlighted.The roles of theory,as well as major types of theories commonly used in campaign research,are also discussed.The article urges greater efforts to document and understand diverse campaign experience around the world.(c)2020 The author(s).Published by Elsevier B.V.on behalf of the Chinese Nursing Association.This is an open access article under the CC BY-NC-ND license(http://***/licenses/by-nc-nd/4.0/).

关键词： behavior change Health communication Health promotion Message design United States

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Epidemics on networks: Reducing disease transmission using health emergency declarations and peer communication

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Infectious Disease Modelling 2020年第1期5卷 12-22页

作者： Asma Azizi Cesar Montalvo Baltazar Espinoza Yun Kang Carlos Castillo-Chavez School of Human Evolution and Social change Simon A.Levin Mathematical Computational Modeling Science CenterArizona State UniversityTempeAZ85281USA Division of Applied Mathematics Brown UniversityProvidenceRI02906USA Sciences and Mathematics Faculty College of Integrative Sciences and ArtsArizona State UniversityMesaAZ85212USA

Understanding individual decisions in a world where communications and information move instantly via cell phones and the internet,contributes to the development and implementation of policies aimed at stopping or ameliorating the spread of diseases.In this manuscript,the role of official social network perturbations generated by public health officials to slow down or stop a disease outbreak are studied over distinct classes of static social networks.The dynamics are stochastic in nature with individuals(nodes)being assigned fixed levels of education or wealth.Nodes may change their epidemiological status from susceptible,to infected and to recovered.Most importantly,it is assumed that when the prevalence reaches a pre-determined threshold level,P*,information,called awareness in our framework,starts to spread,a process triggered by public health authorities.Information is assumed to spread over the same static network and whether or not one becomes a temporary informer,is a function of his/her level of education or wealth and epidemiological status.Stochastic simulations show that threshold selection Pand the value of the average basic reproduction number impact the final epidemic size differentially.For the ErdÖos-Rényi and Small-world networks,an optimal choice for Pthat minimize the final epidemic size can be identified under some conditions while for Scalefree networks this is not case.

关键词： Awareness spread behavior change Outbreak and epidemic threats ErdÖos-rényi network Small-world network Scale-free network

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Design of a Social Marketing Plan on Salt Reduction for the Control and Treatment of Noncommunicable Diseases in Costa Rica

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Food and Nutrition Sciences 2023年第11期14卷 1057-1077页

作者： Adriana Blanco-Metzler Hilda Patricia Nuñez-Rivas Marlene Roselló-Araya Karol Madriz-Morales Karla Benavides-Aguilar Marco Castro-Araya Unit of Health and Nutrition Costa Rican Institute of Research and Teaching in Nutrition and Health Tres Rios Costa Rica Dirección de Investigación y Tecnologías en Salud Ministerio de Salud San José Costa Rica Independent Researcher Tres Rios Costa Rica Dirección de Atención al Cliente Ministerio de Salud San José Costa Rica

High blood pressure and other non-communicable diseases associated with excessive salt/sodium consumption represent a major challenge to the health of the world’s population. Consumption is a human behavior that is usually influenced by significant factors, internal and external to people. The design of a national social marketing intervention is described. The whole process was developed by a national interdisciplinary team over the course of a decade (2011-2022). Its purpose is to promote changes in this behavior, through gradual reduction of salt/sodium consumption in the target populations of Costa Rica, for the prevention and control of associated diseases. The process includes four phases: research, situation analysis, creation of a proposal for the social marketing strategy, and implementation and evaluation. Last phase was not developed by the research team. The main inputs used to design this intervention were the data generated in three qualitative researchers carried out by the national work team and the social marketing regional plan for salt consumption reduction in Latin America. By analyzing these research data, marketing mix components were determined for designing the intervention. The marketing strategy is promotional and is based on encouraging a natural diet with less sodium using natural seasonings and adding less discretional salt and industrialized products high in sodium, in the preparation of food and dishes. The primary key audience is the mother of the school-aged child, and the secondary is the adult caregivers of this child. It is expected that in the short term, health promoters from different government and non-state sectors will contribute to the implementation of the national social marketing plan, to achieve, in the medium or long term, a consumption that approaches five grams of salt per person per day. This plan is a country initiative to position the value of a natural diet with less sodium and to contribute to the prevention and treatment of HT and NCD associated diseases.

关键词： Salt Social Marketing behavior change Noncommunicable Diseases Sodium

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