改变初中生吸烟态度的同伴教育干预研究

目的:检验同伴教育干预实验是否能改变初中生的吸烟态度。方法:通过KAP问卷对实验组和对照组吸烟初中生收集量化数据,评价干预效果。结果:⑴同质同伴教育者在吸烟知识、态度和行为上有明显变化(后测结果显示三组被试在知识、态度和行为上的Z值分别为:9.036、8.278、7.206,P<0.05);⑵实验组比对照组在吸烟知识、态度和行为上有显著提高(同质组与比照组在知识、态度和行为上的Z值分别为:-2.400、-2.206、-2.123,P<0.05;异质组与比照组在知识、态度和行为上的Z值分别为:-2.400、-2.300、-2.430,P<0.05);⑶同质与异质实验组在吸烟知识、态度和行为上有显著提高(同质组前后测在知识、态度和行为上的Z值分别为:-2.919、-2.371、-2.437,P<0.05;异质组前后测在知识、态度和行为上的Z值分别为:2.890、-2.091、-2.419,P<0.05);[4]同质与异质同伴组的比较没有差异。结论:同伴教育干预方法可以在一定程度上改变初中生的吸烟态度,同质团体与异质团体在同伴教育干预中不存在差异。     

Body Mass Index and functional impairment: the explanatory role of anxiety sensitivity among treatment-seeking smokers

Obesity and smoking are highly prevalent public health concerns in the United States. Data indicate that elevated Body Mass Index (BMI) is related to functional impairment. However, there is limited understanding of mechanisms that may explain their comorbidity among smokers. The current study sought to test whether anxiety sensitivity explained the relation between BMI and functional impairment among 420 (46.9% females; M_age = 38 years, SD = 13.42) treatment-seeking, adult smokers. Results indicated that BMI yielded a significant indirect effect through anxiety sensitivity for functional impairment, b = 0.01, SE = .01, 95% CI = [.002, .021]. These findings remained significant after controlling for participant sex, negative affectivity, tobacco dependence, psychopathology, and medical conditions (i.e. hypertension, heart problems, respiratory disease, asthma). Such data provide novel empirical evidence that, among smokers, BMI may be a risk factor for functional impairment indirectly through anxiety sensitivity. Overall, such findings could potentially inform the development of personalized interventions among this particularly vulnerable segment of the smoking population.     

Transmission of Cultural Values among Mexican‐Origin Parents and Their Adolescent and Emerging Adult Offspring

The integration of the U.S. and Mexican culture is an important process associated with Mexican‐origin youths' adjustment and family dynamics. The current study examined the reciprocal associations in parents' and two offspring's cultural values (i.e., familism and respect) in 246 Mexican‐origin families. Overall, mothers' values were associated with increases in youths' values 5 years later. In contrast, youths' familism values were associated with increases in fathers' familism values 5 years later. In addition, developmental differences emerged where parent‐to‐offspring effects were more consistent for youth transitioning from early to late adolescence than for youth transitioning from middle adolescence to emerging adulthood. Finally, moderation by immigrant status revealed a youth‐to‐parent effect for mother–youth immigrant dyads, but not for dyads where youth were U.S.‐raised. Our findings highlight the reciprocal nature of parent–youth value socialization and provide a nuanced understanding of these processes through the consideration of familism and respect values. As Mexican‐origin youth represent a large and rapidly growing segment of the U.S. population, research that advances our understanding of how these youth develop values that foster family cohesion and support is crucial.     

Effects of a cognitive specific imagery intervention on the soccer skill performance of young athletes: Age group comparisons

Objectives

The primary purpose of the present study was to examine the effects of a cognitive specific (CS) imagery intervention on the soccer skill performance of young athletes aged 7-14 years and determine if performance varied with age.

Design

Participants were 143 soccer athletes belonging to 16 different teams. Teams were randomly assigned to either a cognitive specific (CS) or motivational general-arousal imagery intervention.

Methods

Athletes were administered the SIQ-C and tested on the soccer skill to determine baseline performance. Following their imagery intervention, athletes were tested on the same soccer skill, and completed the SIQ-C a second time.

Results

The results indicated that only the younger athletes (7-10 years) receiving CS imagery performed faster following their intervention. Moreover, only the 7-8 year old athletes in the CS imagery condition significantly increased their use of CS imagery over time.

Conclusions

These findings suggest that young athletes who use CS imagery will benefit from a CS imagery intervention, thus implying that mental skills training should begin at a young age if athletes are to maximize the benefits of such training.     

Perceived Health: A Test of Incremental Validity in Relation to Smoking Outcome Expectancies,Motivation to Smoke and Desire to Quit Smoking

This study examined the role of perceived health in predicting theoretically‐relevant aspects of smoking behavior among 161 young adult regular smokers (67 females; mean age = 21.9 years (SD = 7.2), cigarettes per day (M) = 12.2 (SD = 5.7)) recruited from the general community. Consistent with prediction, results indicated that relative to anxiety sensitivity, gender, number of cigarettes smoked per day and nicotine dependence, perceived physical health uniquely and significantly predicted expectancies for negative affect reduction and expectancies that smoking would lead to negative personal consequences. Additionally, perceived health incrementally predicted motivation to smoke to reduce negative affect. In contrast to expectation, perceived health was unrelated to motivation to quit smoking. Results are discussed in relation to the role of perceived health as a cognitive vulnerability factor for specific types of smoking patterns.     

The role of prior quitting experience in the prediction of smoking cessation

Aims: In the Transtheoretical Model (TTM), the preparation stage (as applied to smoking cessation) is defined as planning to quit in the next 30 days plus having quit for at least 24 h in the last year. This study examined the value of prior quitting experience as a stage classification criterion by investigating whether prediction of making a quit attempt differed as a function of prior quitting experience. Participants: One thousand and forty-six participants, all planning to quit in the next 30 days, in a randomised trial of the effectiveness of a telephone counselling and computer-generated tailored advice intervention were followed up at 3 months. Findings: A multivariate predictive model had markedly greater capacity to predict making a quit attempt among participants with prior quitting experience (as defined in several different ways), compared to analyses of the overall sample. A previous attempt of 24 h in the previous month was associated with the greatest difference in prediction. A quit attempt in the previous year (the TTM definition) did not discriminate. Conclusions: Recent prior quitting experience moderated the predictive capacity of some variables that influence smoking cessation. The findings provide some support for a stage model of smoking cessation but not its operationalisation by the TTM.     

Mood as a resource in dealing with health recommendations: How mood affects information processing and acceptance of quit-smoking messages

Objective: An experimental study tested the effects of positive and negative mood on the processing and acceptance of health recommendations about smoking in an online experiment. It was hypothesised that positive mood would provide smokers with the resources to systematically process self-relevant health recommendations.

Design: One hundred and twenty-seven participants (smokers and non-smokers) read a message in which a quit smoking programme was recommended. Participants were randomly assigned to one of four conditions: positive versus negative mood, and strong versus weak arguments for the recommended action.

Main outcome measures: Systematic message processing was inferred when participants were able to distinguish between high- and low-quality arguments, and by congruence between attitudes and behavioural intentions. Persuasion was measured by participant's attitudes towards smoking and the recommended action, and by their intentions to follow the action recommendation.

Results: As predicted, smokers systematically processed the health message only under positive mood conditions; non-smokers systematically processed the health message only under negative mood conditions. Moreover, smokers’ attitudes towards the health message predicted intentions to quit smoking only under positive mood conditions.

Conclusion: Findings suggest that positive mood may decrease defensive processing of self-relevant health information.