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1.
The authors used recursive partitioning methods to identify combinations of baseline characteristics that predict 2-year physical activity success in each of 3 physical activity interventions delivered in the multisite Activity Counseling Trial. The sample consisted of 874 initially sedentary primary care patients, ages 35-75 years, who were at risk for cardiovascular disease. Predictors of 2-year success were specific to each intervention and represented a range of domains, including physiological, demographic, psychosocial, health-related, and environmental variables. The results indicate how specific patient subgroups (e.g., obese, unfit individuals; high-income individuals in stable health) may respond differently to varying levels and amounts of professional assistance and support. The methods used provide a practical first step toward identifying clinically meaningful patient subgroups for further systematic investigation.  相似文献   
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A prospective examination of body image and smoking cessation in women   总被引:2,自引:2,他引:0  
This study prospectively examined body image in a community sample of women smokers (N = 141, 89% European–American, M age = 39.5, M BMI = 25.5) participating in a 12-week randomized smoking cessation trial. Participants completed measures assessing subjective and perceptual aspects of body image. Regression analyses showed that subjective body image was predictive of smoking rate at the end of treatment. A MANCOVA revealed that perceptual body image (body size estimation) significantly predicted smoking cessation. Quitting smoking actually worsened body image, although these results were no longer significant after controlling for weight gain. Results support the theory that a negative body image may hamper cessation attempts. In addition, weight gain during smoking cessation may adversely impact body image and lead to an increased risk for relapse.  相似文献   
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The current study has two main goals: (a) to identify a factor structure of the Daily Spiritual Experiences Scale (DSES) on a large archival data, collected from 1,325 adults in the United States (709 women, 616 men) by the U.S. General Social Survey in 2004 and (b) to examine the measurement invariance of the 16 DSES items between women and men in the same data to see whether any of the items are favoring or biased toward either women or men. The one-factor confirmatory factor analysis (CFA) model fit our data better than the two-factor CFA models because of high correlations between the two factors (r > .90). The fit of the one-factor CFA to our sample data was improved when we specified seven correlated residuals suggested by overlapping item content and large modification indices. The ensuing measurement invariance testing of the one-factor CFA model with seven correlated residuals supported full measurement invariance of factor loadings, thresholds, and residual variances, as well as factor variances between the women and the men. Yet the factor mean for the women was .841 units (Cohen’s d = .496) higher than it was for the men, indicating that higher levels of daily spiritual experiences for women reported in gender comparison studies in the United States are not likely to be an artifact of bias in the questionnaire.  相似文献   
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Community psychologists have long worked with community-based human service organizations to build participatory processes. These efforts largely aim at building participatory practices within the current individual-wellness paradigm of human services. To address collective wellness, human service organizations need to challenge their current paradigm, attend to the social justice needs of community, and engage community participation in a new way, and in doing so become more openly political. We use qualitative interviews, focus groups, organizational documents, and participant observation to present a comparative case study of two organizations involved in such a process through an action research project aimed at transforming the organizations’ managerial and practice paradigm from one based on first-order, ameliorative change to one that promotes second-order, transformative change via strength-based approaches, primary prevention, empowerment and participation, and focuses on changing community conditions. Four participatory tensions or dialectics are discussed: passive versus active participation, partners versus clients, surplus powerlessness versus collective efficacy, and reflection/learning versus action/doing.  相似文献   
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We addressed the question of whether mothers of conduct-problem (CP) children differ from mothers of non-CP children in their awareness and coaching of emotion, and also examined whether mother's awareness and coaching of emotion is associated with better peer relations in CP children. Meta-emotion philosophy, assessed through audio taped interviews, and preschool children's peer relations, observed in same-sex dyadic interaction with a close friend, were investigated in families with CP and non-CP children. Results indicated that mothers of CP children were less aware of their own emotions and less coaching of their children's emotions than mothers of non-CP children. Moderation analyses revealed that children's level of aggression moderated the relationship between mother's meta-emotion and children's peer play. For both aggressive and nonaggressive children, higher levels of mother awareness and coaching of emotion was associated with more positive and less negative peer play, although effects were stronger for families with nonaggressive children. These data suggest that both aggressive and nonaggressive children can benefit when parents are more aware and coaching of emotion. Implications for the development of an intervention program aimed at improving parental awareness and coaching of emotion is discussed.  相似文献   
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Exercise has important health benefits but a large proportion of the population is physically inactive. We examined the stages of readiness to exercise and their relationship to self-efficacy, the costs and benefits of exercising, and self-report of physical activity in a sample of Rhode Island worksites. Using a three-step model-building approach, exploratory principal components analyses were followed by an examination of the stages of change model with confirmatory structural equation modeling procedures. The model was then examined with longitudinal data. Confirmatory and longitudinal analyses showed an excellent tit between the model and the data. Results indicated that the costs and benefits of exercise and self-efficacy for exercise were related to physical activity only indirectly, through the mediation of stage of readiness to exercise. Structural modeling fit indices revealed that much of the variation and covariation in physical activity was explained by the model. There is the potential to enhance the impact of exercise interventions, by targeting them so as to address factors related to these different stages of readiness.  相似文献   
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The association of political attitudes of conservatives and reports of their having had a dream was investigated. 48 female graduate students in counseling psychology were given the KJP Dream Inventory and the Kerlinger Social Attitude Scale II. Scores on conservative political attitudes were positively correlated with having had Dreams of Falling (.40), Dream Discontentedness (.31), Dreams of Being Chased (.40), and Dreams of Being Famous (.30). Negative correlations were observed between scores showing a conservative political tendency and scores on Openness (-.35), and Uninhibitedness (-.50), as well as incidence of Dreams of Sex (-.29). The character of conservative dreaming is discussed along with the study's relevance to past and subsequent issues in research.  相似文献   
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