Older Adults’ Psychosocial Responses to a Fear of Falling: A Scoping Review to Inform Occupational Therapy Practice

Abstract

Falls in older adults are a major health concern, yet the “fear of falling”, a common psychosocial response that can occur post-fall, has seldom been investigated. A scoping review was conducted to identify and map interventions that occupational therapists can use to manage the fear of falling psychosocial response (FoFPR) among older adults. Thirteen electronic databases were searched and 22 studies were retrieved. Cognitive behavioral therapy, guided imagery, and Tai Chi were interventions found to help older adults deal with their FoFPRs. Occupational therapists assisting older adults in this area can play a significant role.     

COVID-19 and Religious Ethics

The editors of the JRE solicited short essays on the COVID-19 pandemic from a group of scholars of religious ethics that reflected on how the field might help them make sense of the complex religious, cultural, ethical, and political implications of the pandemic, and on how the pandemic might shape the future of religious ethics.     

Predictors of Client Attrition in a University-Based Community Counseling Clinic

The purpose of this study was to investigate how symptom distress, social role, interpersonal relationships, gender, age, number of supports, and education level predict client attrition in a community sample. Using binary logistic regression and cross-sectional data, the authors examined the predictive impact of 8 variables on adult client attrition in a university-based community counseling clinic. Results indicated that education level, interpersonal relationships, and number of supports significantly predicted attrition. In this sample, gender, age, symptom distress, social role, and race did not significantly predict attrition. Implications for clinical assessment and counseling practice are discussed.     

大学生情绪智力与心理健康的关系:社会支持的中介作用和手机依赖的调节作用

以621名大学生为被试,采用情绪智力量表、心理症状自评量表、青少年社会支持评定量表、手机依赖指数量表为研究工具,探讨情绪智力与心理健康之间的关系,并在此基础上构建一个有调节的中介模型,探究社会支持的中介作用以及手机依赖在这一中介过程中的调节作用。结果发现：（1）情绪智力对心理健康的影响显著,社会支持在其中起部分中介作用,即情绪智力既可以直接影响心理健康,还可以通过社会支持的中介作用间接影响心理健康;（2）手机依赖调节了情绪智力通过社会支持影响大学生心理健康的中介过程的后半路径,相对于低手机依赖的大学生,高手机依赖大学生的社会支持对心理健康的影响更为显著。关注大学生心理健康,不仅要重视个体因素、生态环境因素的单独影响,更要重视这些因素的联合作用。     

Stigma towards psychosis: Cross‐cultural differences in prejudice,stereotypes, and discrimination in White British and South Asians

Public stigma towards people with mental health problems has been demonstrated in Western societies. Little is known about non‐Western cultures and whether cultures differ in their perceptions of people with mental health problems. Aim of this study was to examine cultural differences in prejudice, stereotypes, and discrimination towards people with psychosis. Participants were from White British and South Asian backgrounds (N = 128, aged 16–20 years) recruited from two schools and colleges in the United Kingdom. They completed a cross‐sectional survey on affective, cognitive, and behavioural dimensions of stigma. Results revealed significant cultural differences on all three stigma dimensions. South Asians attributed higher anger (prejudice) and dangerousness (stereotypes) to people with psychosis than White British. They also reported lower willingness to help, greater avoidance, and higher endorsement of segregation (discrimination). The effects of ethnic group on helping intentions, avoidance, and segregation endorsement were mediated by anger and by dangerousness. Understanding cultural differences in stigma towards psychosis will be important for designing stigma interventions as well as treatments for people with different cultural backgrounds.     

Building cardiovascular disease competence in an urban poor Ghanaian community: A social psychology of participation approach

This paper describes conceptual, methodological, and practical insights from a longitudinal social psychological project that aims to build cardiovascular disease (CVD) competence in a poor community in Accra, Ghana's capital. Informed by a social psychology of participation approach, mixed method data included qualitative interviews and household surveys from over 500 community members, including people living with diabetes, hypertension, and stroke, their caregivers, health care providers, and GIS mapping of pluralistic health systems, food vending sites, bars, and physical activity spaces. Data analysis was informed by the diagnosis‐psychosocial intervention‐reflexivity framework proposed by Guareschi and Jovchelovitch. The community had a high prevalence of CVD and risk factors, and CVD knowledge was cognitive polyphasic. The environment was obesogenic, alcohol promoting, and medically pluralistic. These factors shaped CVD experiences and eclectic treatment seeking behaviours. Psychosocial interventions included establishing a self‐help group and community screening and education. Applying the “AIDS‐competent communities” model proposed by Campbell and colleagues, we outline the psychosocial features of CVD competence that are relatively easy to implement, albeit with funds and labour, and those that are difficult. We offer a reflexive analysis of four challenges that future activities will address: social protection, increasing men's participation, connecting national health policy to community needs, and sustaining the project.     

Perceived discrimination is associated with poorer health and well‐being outcomes among Pacific peoples in New Zealand

Our study investigated the association between perceived discrimination and outcomes related to health and well‐being for Pacific adults in New Zealand. We examined personal and group discrimination from the 2013 wave of the New Zealand Attitudes and Values Study (n = 429 women and 196 men). Personal discrimination was associated with poorer health and well‐being outcomes (higher psychological distress and lower self‐esteem, subjective evaluation of health, satisfaction with life and personal well‐being). Group discrimination, in contrast, was associated with poorer well‐being but not health outcomes (lower subjective evaluation of health and personal well‐being). These findings corroborate previous research and highlight the corrosive effect of discrimination towards health and well‐being among Pacific communities in New Zealand.     

Traffic safety competencies in Peruvian high school students

This study aims to comprehend traffic safety competencies in high school students from two specific regions of Peru, as well as to analyze the differences between both groups. For this purpose, a qualitative study was carried out which consisted of eight focus groups in high schools, three of them in the metropolitan area of Lima (Lima region) and five in the province of Rodríguez de Mendoza (the Amazonas region). The focus groups were constituted by 73 students enrolled in the last three years of high school, named 3rd, 4th and 5th grade of secondary education, whose ages ranged from 14 to 18 years. The collected data were analyzed employing elements of Grounded Theory and Axiomatic Set Theory. The main findings reveal that most participants have a general understanding of traffic rules and the proper use of the components of traffic safety. Thus, they understand the traffic rules as road signs that regulate the behavior of drivers and pedestrians. In addition, participants know the proper procedure to follow at traffic lights, pedestrian walkways and how to use seat belts. They also identify the driver’s tiredness/drowsiness, and the consumption of alcohol and drugs as potential factors that cause traffic accidents. No causes that are linked to pedestrian behavior were identified, and only participants from the Amazonas region mentioned speeding as a contributing factor. On the other hand, participants report that in practical situations they engage in risky behavior and fail to comply with transit rules. They justify this behavior by citing poor infrastructure, vehicle malfunctions, and the need get around quickly in order to get things done. Finally, the implications of the results are discussed and compared to the content and implementation of the Peruvian Road Safety Educational Program (PENSV, for its acronym in Spanish), providing recommendations that can aid evidence‐based policy making in Peru.     

The influence of system transparency on trust: Evaluating interfaces in a highly automated vehicle

Previous studies indicate that, if an automated vehicle communicates its system status and intended behaviour, it could increase user trust and acceptance. However, it is still unclear what types of interfaces will better portray this type of information. The present study evaluated different configurations of screens comparing how they communicated the possible hazards in the environment (e.g. vulnerable road users), and vehicle behaviours (e.g. intended trajectory). These interfaces were presented in a fully automated vehicle tested by 25 participants in an indoor arena. Surveys and interviews measured trust, usability and experience after users were driven by an automated low-speed pod. Participants experienced four types of interfaces, from a simple journey tracker to a windscreen-wide augmented reality (AR) interface which overlays hazards highlighted in the environment and the trajectory of the vehicle. A combination of the survey and interview data showed a clear preference for the AR windscreen and an animated representation of the environment. The trust in the vehicle featuring these interfaces was significantly higher than pretrial measurements. However, some users questioned if they want to see this information all the time. One additional result was that some users felt motion sick when presented with the more engaging content. This paper provides recommendations for the design of interfaces with the potential to improve trust and user experience within highly automated vehicles.     

The sociocultural movement in psychology,the role of theories in sociocultural inquiries,and the theory of sociocultural models

This special issue presents the theory of sociocultural models (TSCM) and its applications in diverse areas of psychology, including education, health care, clinical practice, gender relations, and general research. As many theories already exist in the social sciences, some readers may ask: “Why do cross‐cultural, cultural, and indigenous psychologists need another theory?” This question is comprised of two aspects: culture/cultural and theory/theoretical. Therefore, to answer it, it is important to clarify both issues. The first relates to cultural and its relation to psychological. The second, theory, considers its relation to cultural and psychological. These issues have long‐range implications for all culture and psychology disciplines as they pose many questions: What role does culture play in the mental functioning of people? How is culture constituted? Is cultural related to social? Does people’s mental functioning exert reciprocal influences on their cultural and social functioning? While working toward answering these questions, researchers quickly determine that more questions arise: What role should theories play in answering these questions? What constitutes theory in culture and psychology disciplines? How should such a theory (or such theories) address the triad of cultural, social, and mental? Consequently, in an effort to provide an overview of the TSCM and to begin to answer these questions, this introduction consists of two parts. The first part addresses the sociocultural turn in modern psychology; this part discusses its implications for research in culture and psychology disciplines. The second segment examines the topic of the theoretical backgrounds of cultural and cross‐cultural research and connects the philosophical paradigms of interpretivism and realism with the theory of sociocultural models. This introduction concludes with a brief overview of the articles included in this issue.