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The field of sport-related concussion (SRC) is evolving quickly, and psychological aspects affecting athletes' recovery and well-being are now recognized as an important component for research and clinical practice. There has been considerable recent emphasis on empirical research into the psychological implications of SRC. This emphasis reflects trends from clinical research that indicate anxiety and mood-related issues may represent the primary symptoms in nearly 30% of concussions. In short, SRC and its psychological aspects is a major issue that influences not only athletes' performance, but also their physical and mental health. The purpose of this position paper is to provide a concise yet comprehensive review of the current state of research and evidence-based practice as it relates to the psychological aspects of SRC. More specifically, we present five postulates that are intended to stimulate discussion among researchers and allied health professionals who are interested in psychological aspects of SRC. Our intent in writing this position paper is to advance this subdiscipline within the area of SRC by discussing areas for growth in theory, research, and practice. Sport-related concussions (SRC) have become a public health issue, however little research has focused on the the psychological aspects of this injury. This position paper identifies five postulates that are intended to stimulate research and practice on psychological aspects of SRC. Multidisciplinary concussion care teams should include a sport psychology professional to assist with psychosocial recovery and well-being. Identify psychological factors that detract athletes from feeling ready to return to sport following a concussion (e.g., confidence, fear), and work with them to develop coping strategies to assist their return. Appropriately trained sport psychology professionals could deliver effective concussion education interventions that involve behavior change techniques. [ABSTRACT FROM AUTHOR]

Systems designed with persuasive software features can influence users to adopt attitudes and/or behaviours that contribute to better health outcomes. Studies on Coronary Heart Disease (CHD) interventions have shown how they can be used to support lifestyle changes. Meta-analytic reviews of randomised controlled trials (RCTs) are needed to appraise, summarise, and show their effects on health. To this end, we investigated the effectiveness of digital health interventions (DHI) designed for CHD and examined the impact of persuasive features in the DHIs. We performed a systematic search using three academic databases for scientific papers on CHD and digital interventions from 2010 to 2020, yielding 1556 papers. The systematic review and meta-analysis included 12 RCTs after screening. Our findings show that digital health interventions had an impact on diastolic blood pressure, systolic blood pressure, low-density lipoprotein, high-density lipoprotein, total cholesterol, glycated haemoglobin, glucose, triglyceride, heart rate, and depression but not body mass index. We present effective interventions and insights into persuasive software features that were associated with effective DHIs. More research is needed to investigate the effectiveness of persuasive features in other contexts and other factors that can impact the effectiveness of DHIs. [ABSTRACT FROM AUTHOR]

The challenges faced by those who are returning to the community after prison are well documented. Community re-entry, especially for those who have sexually offended, is particularly stressful and fraught with many difficulties. Community maintenance programmes (CMPs) are community programmes designed to assist those who are released from prison, who have generally completed an offence-specific custodial treatment programme. There remains however no known published research that has examined the programmatic features of CMPs, their efficacy, the experiences of those who facilitate and participate in CMPs, and little is known about the theoretical underpinnings of CMPs. This paper reviews some of the factors that may contribute to behaviour change and the maintenance of that change, with a particular focus on CMPs for those who have sexually offended. Stemming from two recent qualitative studies interviewing CMP participants and service providers in Australia's largest CMP, this paper proposes Self-Determination Theory (SDT) as an underpinning for CMPs. There will also be a consideration of implications for practice as well as future research. This paper proposes Self-Determination Theory as a framework for the delivery of community maintenance programmes (CMPs) for those who have sexually offended. It is the first time a framework for the delivery of CMPs is considered, with practical implications related to the content and focus of the programme discussed. [ABSTRACT FROM AUTHOR]

The physical health of individuals with severe mental illness (SMI) is generally far worse than the general population. Emerging electronic and mobile health (e-& mHealth) technology may provide new ways to offer interventions in order to reduce modifiable lifestyle risk factors in this vulnerable population. This scoping review aimed to assess the state of knowledge about the use of e-& mHealth technology-based interventions to address modifiable lifestyle risk factors amongst individuals with SMI. EMBASE, Medline (Ovid) and PsycINFO were searched to identify papers published up to July 2021. Extended PRISMA guidelines for scoping reviews were followed to report the results. A total of 85 papers were identified, of which 10 met the inclusion criteria. These interventions were effective in bringing about positive and clinically significant impacts in weight loss, diet, smoking cessation, and physical activity for some participants. However, many participants did not experience these benefits. Overall, participants indicated that they were satisfied with, and receptive to e-& mHealth interventions. The evidence base for the use of technology-based interventions to improve modifiable lifestyle risk factors for people with SMI is very limited. More rigorous research on the use of technological tools is needed to determine how more users could benefit from them. Further research and intervention development should be undertaken in collaboration with people with SMI to ensure that unique requirements and preferences are included. What is already known about this topic: The rates of mortality for individuals with SMI are several times those of the general population. Reducing the major modifiable lifestyle risk factors for noncommunicable diseases (NCDs) among those with SMI is crucial. The use of emerging e-& mHealth technologies could expand the reach of services to improve modifiable lifestyle risk factors among this population. What this paper adds: More studies are currently required to build on the current evidence base regarding the feasibility and effectiveness of e-& mHealth technology to improve the modifiable lifestyle risk factors of those with SMI. Emerging research on the use of e-& mHealth technology to improve modifiable lifestyle risk factors of those with SMI looks promising. Findings from research can inform the design of future health interventions targeting this vulnerable patient population. [ABSTRACT FROM AUTHOR]

People have different ways of developing knowledge about their 'selves', what has come to be called 'technologies'. Apart from technologies of production, of sign systems, and of power, the 'technology of the self' enables individuals to effect certain operations on their bodies, thoughts, behaviour, feelings and other ways of being. Such technologies involve the application of certain modes of training by individuals not only for the sake of acquiring skills but also for effecting change in their values, attitudes and beliefs. This paper argues that applied theatre practice involves not only the technology of the self but also of the other. Using the case study of a practice based project that was carried out among disabled students at the University of Zimbabwe, the paper examines how disabled students not only subverted ableist discourses of hopelessness but also acted upon their own bodies to assert their own agency, power and authority. Thus the focus will be specifically on the politics of the disabled body as a site of ableist perceptions that construct the disabled body in terms of lack, incapacity, pathology, deformity and deficiency. [ABSTRACT FROM AUTHOR]

Emotion detection and Sentiment analysis techniques are used to understand polarity or emotions expressed by people in many cases, especially during interactive systems use. Recognizing users' emotions is an important topic for human–computer interaction. Computers that recognize emotions would provide more natural interactions. Also, emotion detection helps design human-centred systems that provide adaptable behaviour change interventions based on users' emotions. The growing capability of machine learning to analyze big data and extract emotions therein has led to a surge in research in this domain. With this increased attention, it becomes essential to investigate this research area and provide a comprehensive review of the current state. In this paper, we conduct a systematic review of 123 papers on machine learning-based emotion detection to investigate research trends along many themes, including machine learning approaches, application domain, data, evaluation, and outcome. The results demonstrate: 1) increasing interest in this domain, 2) supervised machine learning (namely, SVM and Naïve Bayes) are the most popular algorithms, 3) Text datasets in the English language are the most common data source, and 4) most research use Accuracy to evaluate performance. Based on the findings, we suggest future directions and recommendations for developing human-centred systems. [ABSTRACT FROM AUTHOR]

This paper sets out the Collaborative Service Design Playbook, to guide planning, design, and implementation of co-created health services. Successful health service development and implementation is best guided by theoretically informed approaches; however, organisations often lack design and implementation know-how and have difficulty applying it. This study seeks to improve health service design and potential for scale-up by proposing a tool to guide an end-to-end process, drawing together service design, co-design, and implementation science; and exploring the tool's feasibility to establish a sustainable service solution developed with participants and experts that is scalable and sustainable. The Collaborative Service Design Playbook phases include, (1) Define the opportunity and initiatives, (2) Design the concept and prototype, (3) Deliver to scale and evaluate; and (4) Optimise to transform and sustain. This paper has implications for health marketing through providing an end-to-end approach with phased guidance for health service development, implementation, and scale up. [ABSTRACT FROM AUTHOR]

Interprofessional education (IPE) interventions aiming to promote collaborative competence and improve the delivery of health and social care processes and outcomes continue to evolve. This paper reports on a protocol for an update review that we will conduct to identify and describe how the IPE evidence base has evolved in the last 7 years. We will identify literature through a systematic search of the following electronic databases: Medline, Embase, CINAHL, Education Source, ERIC, and BEI. We will consider all IPE interventions delivered to health professions students and accredited professionals. Peer-reviewed empirical research studies published in any language from June 2014 onwards will be eligible for inclusion. The outcomes of interest are changes in the reaction, attitudes/perceptions, knowledge/skills acquisition, behaviors, organizational practice, and/or benefits to patients. We will perform each task of screening, critical appraisal, data abstraction, and synthesis using at least two members of the review team. The review will enable an update and comprehensive understanding of the IPE evidence base to inform future IPE developments, delivery and evaluation across education and clinical settings. [ABSTRACT FROM AUTHOR]

This paper uncovers the complexity of the term "Jian kang/health 健康" and "Fu/wellbeing (福)" by analysing their etymological origins and cultural connotations in the context of China. The paper introduces a Taoist philosophy of tradition to understand health and wellbeing. This paper argues that in Chinese cultural connotations, "Jian kang" (health) and "Fu" (wellbeing) entail the integration of human beings' physical and mental status and beyond. Notwithstanding the contextual and culturally specific philosophy and traditions of understanding health and wellbeing, this paper initiates intercultural epistemological dialogue, engages with contemporary psychotherapy, and argues that health and wellbeing is regarded and understood as a concept across cultural boundaries, while emphasising its pivotal features of being holistic, comprised of multifaceted and interrelated components of body, mind, and spirit, focusing on lifestyle behaviours, and recognising the interweaving relationship between human and the environment. [ABSTRACT FROM AUTHOR]

The article considers the use of nudge theory and behavioural science as a lens to better understand the influences and effects of heritage on society. Nudge theory applies insights from psychology to contextual factors that influence decisions and behaviours. These same insights can be used inversely, to interpret existing effects such as heritage. The paper describes parallels between nudging and heritage, focusing on ethical aspects including the dilemmas created by acknowledging these insights, transparency, and intentionality. It follows with discussion of choice architecture, the apparatus of nudging – and some of the mechanics behind the influences it can have. This draws upon experimental findings in behavioural science and applies them to various examples, with the intention of presenting new perspectives on known heritage sites, such as contentious statues. Finally, it considers the implications of using behavioural insights to further unpack the effects of heritage on society and the potential to help authorities, decision-makers, and community leaders be more aware of the impacts of heritage, which can be easily overlooked in policy and practice. It is intended that the paper is accessible to both those interested in behavioural science and in heritage studies. [ABSTRACT FROM AUTHOR]

Long used as a tool for medical compliance and adhering to treatment plans, behavior contracts have made their way into the in-patient healthcare setting as a way to manage the "difficult" patient and family. The use of this tool is even being adopted by healthcare ethics consultants (HECs) in US hospitals as part of their work in navigating conflict at the bedside. Anecdotal evidence of their increasing popularity among clinical ethicists, for example, can be found at professional bioethics meetings and conversations and idea-sharing among practitioners on HEC social media. While there are a handful of papers gesturing toward a bioethical critique of behavior contracts of various types, the use of behavior contracts in the context of interpersonal conflict has not been vetted by bioethicists to determine their ethical legitimacy or efficacy. In this paper, we highlight a set of ethical concerns that we believe must be addressed before continuing or widespread implementation of behavior contracts to manage the "difficult" patient or family. [ABSTRACT FROM AUTHOR]

In the field of sport and exercise psychology, the systematic review is still considered by many, to be the gold standard literature review. However, reviews like these, which judge whether an intervention works or not, can leave many unanswered questions. When it comes to complex social interventions, failing to suggest reasons for an intervention's efficacy, often means practitioners struggle to successfully implement research findings in the real world. This lack of detail has led many to question the utility of systematic reviews when examining behaviour change interventions in complex social environments. Realist reviews are increasing in popularity because they go beyond asking if an intervention works, to look for theories as to why a programme worked, who it worked for and in what context it worked. However, despite the growing popularity of realist reviews, there is still limited application of this approach across the sport and exercise sciences. This paper aims to increase awareness regarding the utility of realist research by offering an introduction to realist review and an explanation of the steps involved. [ABSTRACT FROM AUTHOR]

Office well-being aims to explore and support a healthy, balanced and active work style in office environments. Recent work on tangible user interfaces has started to explore the role of physical, tangible interfaces as active interventions to explore how to tackle problems such as inactive work and lifestyles, and increasingly sedentary behaviours. We identify a fragmented research landscape on tangible Office well-being interventions, missing the relationship between interventions, data, design strategies, and outcomes, and behaviour change techniques. Based on the analysis of 40 papers, we identify 7 classifications in tangible Office well-being interventions and analyse the intervention based on their role and foundation in behaviour change. Based on the analysis, we present design considerations for the development of future tangible Office well-being design interventions and present an overview of the current field and future research into tangible Office well-being interventions to design for a healthier and active office environment. [ABSTRACT FROM AUTHOR]

Three quarters of the world's significant urban centers are located in coastal regions where clay minerals are prevalent. The microstructures and physico-mechanical properties of clay sediments are highly susceptible to alterations in pore water chemistry. The pore water chemistry in soil changes easily due to groundwater pollution, seawater erosion, degradation, etc. However, there are several inconsistencies in the literature on the change of physical and mechanical properties of clay soils caused by the change of pore water chemical properties, i.e., disparate experimental results were reported for the same soil property, or varying explanations were proposed for the identical experimental results. Currently, the research in this field mainly focuses on the macroscopic behavioral modifications while lacking the explanations of microscopic mechanism. Therefore, this paper presents a comprehensive review of researches conducted over the past four decades on the impact of pore water chemistry (including salt type, salinity, ion valence, pH) on soil properties such as the microstructure, settlement, Atterberg limits, shear strength, conductivity, unsaturated soil mechanics properties and thermal properties. The fundamental mechanisms underlying the varied experimental observations on clay sediments affected by salt and pH are systematically explored, and deficiencies in this field are identified. The observed dispersion in the literatures is attributed to the spatial variation and heterogeneity of soil compositions, different test methods, and insufficiency of the fundamental microscopic mechanisms of the observed soil behaviors, etc. Therefore, it is necessary to further explore the essential mechanisms of the test results in the future to establish a unified conclusion. [ABSTRACT FROM AUTHOR]

This review aimed to assess the efficacy of workplace physical activity interventions; compare the efficacy of those that were and were not informed by behaviour change theory, and outline the effectiveness of different intervention components. A search was undertaken in Medline, Embase, PsycINFO, Ovid Emcare (previously CINAHL) and SportDiscus. Randomised, non-randomised and cluster-controlled trials with objectively measured physical activity and/or measured or predicted maximal oxygen uptake (VO2max) as outcomes were included in the review (83 papers from 79 trials). Random-effects meta-analyses of mean differences were undertaken. Workplace physical activity programmes demonstrated positive overall intervention effects for daily step counts (814.01 steps/day; CI: 446.36, 1181.67; p < 0.01; i2 = 88%) and measured VO2max (2.53 ml kg−1 min−1; CI: 1.69, 3.36; p < 0.01; i2 = 0%) with no sub-group differences between theory- and non-theory informed interventions. Significant sub-group differences were present for predicted VO2max (p < 0.01), with a positive intervention effect for non-theory informed studies (2.11 ml.kg−1 min−1; CI: 1.20, 3.02; p < 0.01; i2 = 78%) but not theory-informed studies (−0.63 ml kg−1 min−1; CI: −1.55, 0.30; p = 0.18; i2 = 0%). Longer-term follow-ups ranged from 24 weeks to 13 years, with significant positive effects for measured VO2max (2.84 ml kg−1 min−1; CI: 1.41, 4.27; p < 0.01; i2 = 0%). Effective intervention components included the combination of self-monitoring with a goal, and exercise sessions onsite or nearby. The findings of this review were limited by the number and quality of theory-informed studies presenting some outcomes, and confounding issues in complex interventions. Future researchers should consider rigorous testing of outcomes of theory-informed workplace physical activity interventions and incorporate longer follow-ups. [ABSTRACT FROM AUTHOR]

In the wake of COVID-19, mental health providers and treatment programs are adapting rapidly to the challenges in engaging people and delivering treatment with limited guidance. This paper will explore the challenges associated with delivering treatment within coordinated specialty care (CSC) programs for people with first episode psychosis. Suggestions for treatment will take into consideration experiences with stress, changes to the pursuit of work and school, and increased time spent with families. Drawing on the experience of several CSC programs in the United States, Israel, and China, we describe the impact and modifications to the core treatment elements in CSC including medication, family interactions, supported employment and education, individual therapy, peer support and the way they are delivered. The paper includes recommendations based on experiences from CSC programs to help staff members, participants, and family members better identify, prepare, cope and respond to the unique new challenges and suggests modifications that can be made during various stages of the coronavirus pandemic. [ABSTRACT FROM AUTHOR]

Fisting is a sexual practice that is almost always left out of sex and sexuality education. It elicits strong reactions, both from practitioners who describe it as a highly pleasurable, safe, and even spiritual activity, and from critics and clinicians who condemn it as dangerous. Fisting has attracted little scholarly attention but has ignited conservative outrage and censorship. Education about fisting is largely confined to nonformal delivery outside of mainstream sex education, mostly through queer sexuality educators and porn producers. This paper analyses the politics and pedagogy of fisting to identify what fisting can teach us about sexuality education. I argue that fisting is a generative topic for thinking about safer sex and pleasure in sexuality education, and that a pedagogy of fisting can advance a queer, unruly vision of sexuality education. [ABSTRACT FROM AUTHOR]

Social distancing as a health-related behavior during epidemics and pandemics, can significantly influence their control. In this regard, the identification of the factors influencing behavior change can play a remarkable role in assessing for how behaviors form. This paper is an attempt to show that the extended theory of planned behavior can provide a useful theoretical framework for explaining social distancing in the face of a contagion disease. The results showed that the constructs of attitude, descriptive norms, perceived behavioral control, and self-efficacy significantly influenced the students' intention to adhere to social distancing in the form of university closure. Among these constructs, self-efficacy was found to be the main predictor of the students' intention. Interestingly, the research revealed that injunctive norms were not a significant predictor of the students' intention. Practically, this study is a justification for the use of attitude, descriptive norms, perceived behavioral control, and self-efficacy in planning and decision-making for encouraging students to adhere to social distancing during epidemics and pandemics, like the COVID-19 pandemic. The extended theory of planned behavior is useful in understanding Iranian College Students' Intention toward Social Distancing in COVID-19 Pandemic. [ABSTRACT FROM AUTHOR]

Social work is often described as a helping profession. Yet in the context of child protection services, the kind of 'help' on offer is not always welcome. Relatively few parents or children request the assistance of child protection services, and child protection investigations are often highly stressful. Workers and family members may have different ideas about the nature of the family's problems, and the type of support they need. So, how do child protection social workers think they are helping children and their families? In this paper, we report an analysis of audio-recordings of supervision case discussions, through which we explore what social workers talk about when they talk about helping families. In some cases, workers did not know how they were helping, or even if they were. Other times, workers said they were helping by developing positive relationships, addressing parental behaviour change, coordinating with other services, and fulfilling their statutory duties. We reflect on these findings in relation to the nature of 'help' in child protection services, practice epistemologies and Hasenfeld's typologies of power. [ABSTRACT FROM AUTHOR]

Maintaining brain health and promoting healthy lifestyle strategies to manage modifiable risk factors is vital to ensuring well-being for all – not only for the individuals with memory challenges but also their family caregivers and professional providers. In this brief review paper, we highlight modifiable risk and protective factors and opportunities for dementia risk reduction (e.g., limited alcohol use and reduced exposure to air pollution, secondhand smoke, and excessive noise); provide an overview of the World-Wide FINGERS Network and its goal to adapt the original Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) multidomain lifestyle approach in various settings to determine whether the protocol is effective across different populations in varied geographic, cultural, and economic settings and to optimize the model across a continuum of cognitive decline; and, comment on challenges and opportunities for researchers and clinicians including opportunities for risk reduction and intervention in primary care settings and the need to establish linkages across multiple levels of intervention to sustain behavior change in prevention, treatment, and care. [ABSTRACT FROM AUTHOR]

With the United Kingdom experiencing a series of 'lockdowns' in 2020 and 2021 that disrupted leisure and socializing, the COVID-19 pandemic presents a 'critical juncture' which has facilitated alterations to – and reflections on – drinking practices. Drawing on online semi-structured interviews and focus groups conducted between the first and second UK lockdowns, we highlight three stages in the development and maintenance of UK drinking practices using critical junctures as a theoretical framework. Firstly, we consider the antecedent conditions – such as dominant drinking cultures - that shape pre-pandemic drinking practices and form the backdrop against which changes to behaviors are made. Secondly, we explore the 'cleavage' or initial moment of disruption which gives rise to shifts in drinking practices and consider how this critical juncture stabilizes and is reproduced. Finally, we examine the possible 'legacy' of the critical juncture. The paper highlights implications for healthcare/policy including the importance of considering wider social context when seeking behavioral change. We also stress that alternative explanations – such as declining drinking rates and the growth of Temporary Abstinence Initiatives – must not be ignored when exploring people's shifting drinking behaviors, even during periods of unprecedented social change. [ABSTRACT FROM AUTHOR]

Introduction: This systematic review and meta-synthesis of qualitative studies provides an overview of barriers and facilitators that breast cancer patients experience in weight management interventions. Methods: We included qualitative studies describing barriers and facilitators for weight management interventions as experienced by adult breast cancer patients after the completion of initial treatment . The data was extracted and using thematic analysis. Results: After analysis, eleven themes were determined. Six of those themes could be linked to the Attitude, Social Influence and self Efficacy (ASE)-model. Physical and mental benefits, anticipated regret and a lack of motivation were linked to attitude. Integrating a weight management programme in daily life, stigma and fears were linked to self-efficacy. With regard to the social influence determinant, encouragement and discouragement by family members were developed as a theme. Four additional themes were conducted related to weight management behaviour; external barriers, economic barriers, cultural barriers and physical barriers. In addition, integrating weight management in cancer care was described as a separate theme. Conclusions: Several disease specific issues, including feeling stigmatized after cancer treatment and treatment-related side effects and peer-support should be given specific attention to maximize adherence of weight management programmes. [ABSTRACT FROM AUTHOR]

The alteration of an individual's lifestyle and the adoption of healthy behaviours have been shown to be effective in combating a majority of the major symptoms of depression. While there are several mHealth applications that use behaviour change to reduce depressive symptoms, they are often not grounded in behaviour change theory and display a lack of understanding regarding the specific factors that lead to behaviour change. Therefore, there is a need to test innovative strategies to tackle the issue. One such strategy is the use of behaviour change theories to design mHealth applications that use persuasive prompts to assist in 'prompting' the user to adopt healthier behaviours. In this paper, we present the design of persuasive prompts and an mHealth application to induce behavioural change, followed by the results of two studies: (i) an acceptability study that tested the acceptability of the persuasive prompts and (ii) a usability study of the mHealth application. The results show that there is a significant difference in which behaviour change theories users prefer based on their level of depression and that overall, users have a positive perception of the application. [ABSTRACT FROM AUTHOR]

Bullying is an issue that continues to represent a significant challenge to the provision of pastoral care in schools. In more recent decades, it has evolved in its complexity to include forms of bullying often referred to as cyberbullying or online bullying. Reflecting a wider discourse on pastoral care, recent analysis of how schools have been addressing bullying (face-to-face and online) has resulted in a recognition that initiatives to address school bullying must involve a wider community than a single school. This paper will briefly consider the scope and impact of school bullying (including its online expression) and then report on innovative research that was conducted in conjunction with UNESCO using the eDelphi method of consultation to understand the best way to tackle school bullying at a global level. We outline in detail how experts recommend a move from a whole-school to a whole-education approach to tackling bullying. [ABSTRACT FROM AUTHOR]

Behaviour can have an influence on (coping with) chronic conditions such as dementia. Assistive technology can stimulate the daily behaviour of people with dementia, but the mechanisms through which this happens are unclear. Therefore, this paper focuses on potential behaviour change mechanisms, that can be employed in smart building interventions for people with dementia or MCI. This research uses expert interviews with medical experts (n = 9) and a systematic literature review of smart building interventions stimulating health behaviour (n = 12). Results show how facilitation, incentive motivation (i.e., feedback), observational learning and self-efficacy are most promising according to medical experts; if they are appropriately personalised towards needs, preferences as well as abilities. The literature review shows how most of the examined research uses facilitation and incentive motivation to stimulate behaviour. Although positive results are reported in all studies, methodological quality could be improved. For the design of smart building interventions for people with MCI or dementia, facilitation and incentive motivation seem to be promising behaviour change mechanisms. Outcome expectation, observational learning and self-efficacy could reinforcing the aforementioned mechanisms. Future research should focus on how different (environmental, digital) cues can be personalized and can adapt over time, as dementia progresses. Assistive technology for people with dementia can have an effect on (health) behaviour, which may in turn influence coping strategies or quality of life. Behaviour change mechanisms can inform the design of assistive technology such as smart building interventions. Facilitation, Incentive Motivation, Observational Learning and Self-efficacy seem promising behaviour change mechanisms for people with dementia or MCI. In any intervention for people with dementia, personalized and adaptable cues are of vital importance. [ABSTRACT FROM AUTHOR]

The English National Child Measurement Programme (NCMP) is a nationally mandated public health programme. It provides data for child excess weight indicators in the Public Health Outcomes Framework, part of the government's approach to reducing childhood obesity. Drawing on a meta-ethnographic synthesis of household members' experiences of the programme, we conceptualise the NCMP as a 'technique of futuring' to generate new insights into how it (re)shapes and (re)imagines past, present, and future responsibilities and practices for overweight children, parents, and carers, in potentially harmful ways. For children categorised by the NCMP as overweight, the NCMP is an emotionally significant event, driving new bodily practices, new food practices and changed relationships with peers. This paper outlines how parents come to resist and reframe the programme and its results, to protect their children from a weight-focused future. They consider the potential risks of bullying, dysfunctional eating, and mental health consequences more important than future risks of overweight. We show how parents of children categorised as overweight preserve their claim to 'responsible' and 'good' parenting amongst peers, whilst shifting the blame for childhood obesity to other, 'irresponsible' parents, thus reproducing moralising and responsibilising discourses inherent within the 'behaviour change' messaging of the NCMP and associated research. Finally, we consider a central paradox of this programme and the use of NCMP population level monitoring data to (re)shape lives at the individual and social level – the children it sets out to help are the most likely to experience harm as a result of it. [ABSTRACT FROM AUTHOR]

The Indiana Geriatrics Workforce Enhancement Program (GWEP) implemented a new longitudinal geriatrics curriculum for advanced practice registered nurse (APRN) and master of social work (MSW) learners to prepare them for interprofessional collaborative practice in the care of older adults. This paper reports program outcomes of a novel longitudinal interprofessional geriatrics curriculum involving immersive learning for these learners. Outcomes are described in terms of learner reaction, modification of attitudes/perceptions, acquisition of knowledge/skills, behavior change, impact on the organization, and impact on the patient or client using the Freeth/Kirkpatrick evaluation model. Program participation influenced graduates' knowledge of and their perceived ability to participate in team care and job selection in geriatric-focused positions. [ABSTRACT FROM AUTHOR]

Tourists harm the destination environment in many different ways. Behavioural economics contributes to the formulation of public and private policies to reduce this harm. The nudging agenda is converging with tourism, where managers and policymakers realise that the implementation of nudges leads to lower costs, higher effectiveness of behavioural changes, and decreased harm produced by tourists. However, little effort has been made to comprehend the relationship between nudges and tourism sustainability. To fill this gap, this paper systematises the literature on nudge interventions in tourism and sustainability studies. Our results present the main disciplinary background in these investigations with Anglo-Saxon countries leading research on green nudges. The methodological approach adopted by the nudge studies is limited, and causal evidence is lacking. The thematic analysis categorises the interventions and supports the idea that nudges target both unconscious and conscious behaviours. The preferred interventions are those with a low-cost application, such as bed linen reuse. Social norms are the main trigger for developing hypotheses and designing nudges. Our study also presents the mediators and moderators of pro-environmental behaviours and develops a model to design nudges in the tourism industry. Theoretical, managerial contributions and suggestions for future studies are also discussed. [ABSTRACT FROM AUTHOR]

This paper explores public health policy implementation through partnership working at the local level by examining how local actors from public health, and the wider workforce make sense of and work on social inequalities in health. An ethnographic case study was used to examine policy implementation in one local strategic partnership in north-west England during a period of significant resource constraint. Semi-structured interviews were the primary method of data generation. Sensitising concepts from figurational sociology were used to develop a theoretical account of how local policy implementation directed at narrowing social inequalities in health tended to give rise to relatively fragmented and short-term services, projects and practices, which focused on lifestyle factors and behaviour change. Theorising partnership work as figurations goes some way to explaining the apparent paradox among participants who expressed a relatively detached appreciation of wider social influences, alongside emotional involvement in their work. This process of individualisation explains how local professionals tended to conceptualise health inequality and the social determinants of health as personal troubles. Individualisation meant that the social reality of working in partnerships on difficult issues was simplified. Thus, any scope for working on the social determinants of health tended to be overlooked. The extent to which this was intentional or a matter of struggling to see opportunities, or a mixture of the two, was difficult to discern. Although the policy landscape has changed, the findings give some insight into understanding how local collaborative processes reproduce local public health work underpinned by lifestyle choices. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has impacted every aspect of life and continues to affect individuals and organizations in ways no one anticipated. In an attempt to cope with alternative lifestyle patterns, many companies have formulated products and services to mitigate behavioral adjustments. Specifically, the healthcare industry has increased efforts to cope with the ramifications of this infectious disease. A focus on creating and distributing at-home testing has become a priority as companies attempt to expedite the approval, production and commercialization of tests. This paper addresses the dynamics of producing, distributing, and evaluating at-home medical tests. [ABSTRACT FROM AUTHOR]

SHAPE America (2021) contends the use of physical activity used as punishment and/or behavior management as an inappropriate practice. The position statement acknowledges both the administration and withholding of physical activity as punishment, however, this paper focuses on the use of exercise as punishment (EAP) in physical education settings. While deemed inappropriate, the use of EAP is still happening today (Barney et al., 2016). The purpose of this viewpoint paper is to encourage appropriate pedagogies and practices while increasing awareness of national recommendations. Strategies for advocacy efforts are discussed. [ABSTRACT FROM AUTHOR]

Background: As a result of the intergenerational trauma impact and experience, Native Americans continue to exhibit trauma-related issues such as high rates of substance use. After leaving high school, the pressures and stress of continuing an education, finding work/employment, and the responsibilities related to family and tribal community obligations result in the Native American young adult being more vulnerable to substance use. Objective: The purpose of this paper is to report findings of the Talking Circle intervention impact on the outcome variables of Native-Reliance, substance use, stress, and behavioural health, depression, and cumulative trauma. Methods: Native-Reliance was the theoretical underpinning for the study, demonstrating culturally safe research. A pre-test/post-test one-group design was utilised to examine how the Talking Circle intervention influenced the outcome variables. In total, 75 Native American participants, ages 18–24, participated in the Talking Circle intervention sessions. Baseline pre-intervention measures were completed and were repeated at 6-month post-intervention. Results: At 6-month post-intervention, Native-Reliance significantly revealed an increase of 40.55 (t = 22.13, p <.001), sources of stress (SS) revealed a significant decline of 3.68 (t = −18.39, p <.001), behavioural health issues (BH) showed a significant decline of 3.63 (t = −15.36, p <.001), substance-related issues (SR) showed a significant decline of 3.57 (t = −15.24, p <.001), depression (PHQ-9) showed a significant decline of 4.85 (t = −17.02, p <.001), and cumulative trauma revealed a significant decline of 2.77 (t = −13.39, p <.001). Conclusions: The use of a culturally safe Talking Circle intervention evidenced a research approach that resulted in a positive impact on reducing substance use and increasing the well-being of young Native American young adults. Impact Statement: Culturally safer intervention environments are conducive to results in outcomes that are positive and effective. [ABSTRACT FROM AUTHOR]

From 2012 to 2014, we developed and subsequently evaluated the Healthy Eating, Active Living (HEAL) intervention—an obesity prevention and healthy lifestyle program designed for young people living in residential out-of-home care (OoHC). Based on quantitative (i.e., a randomised trial) and qualitative (i.e., semi-structured interviews) data and an iterative process of redevelopment, the program has evolved from taking a behavioural obesity prevention approach to now being underpinned by a trauma-informed care approach at a systems level. In this paper we outline the theoretical and empirical foundations of the HEALing Matters intervention that is currently being implemented at scale. In addition, we outline how our knowledge translation framework informed the iterative improvement of our intervention with a focus on stakeholder and end-user engagement, partnership, and codesign along the way. IMPLICATIONS There is a strong need for trauma-responsive health-focused programs and interventions within OoHC contexts. HEALing Matters addresses the need for trauma-informed approaches that encourage health behaviour change in young people living in OoHC. Policy, standards, and recommendations must not only acknowledge, but prioritise, the impact of trauma on health-related lifestyle behaviours in order to identify strategies to help address this impact. [ABSTRACT FROM AUTHOR]

This paper aims to demonstrate how the rationale and delivery of cardiac rehabilitation (CR), in those countries with long term established standards of practice, has changed over the past eight decades. A narrative report based on the evolution of key published guidelines, systematic reviews and medical policies since the 1940s. Case reports of the value of exercise in cardiac disease can be dated back to 1772. Formative groundwork for exercise-based CR was published between 1940 and 1970. However, it was not until the late 1980s that a large enough data set of controlled trials was available to show significant reductions in premature all-cause and cardiac mortality. Since the mid 1990s, cardiac mortality has been greatly reduced due to enhanced public health, emergency care and more sensitive diagnostic techniques and aggressive treatments. As a result, there appears to be an associated reduced potency of CR to affect mortality. New rationales for why, how and where CR is delivered have emerged including: adapting to a longer surviving ageing multi-morbid population, where healthcare cost savings and quality of life have become increasingly important. In light of these results, an emerging focus for CR, and in some cases "pre-habilitation", is that of a chronic disability management programme increasingly delivered in community and home settings. Within this delivery model, the use of remote personalised technologies is now emerging, especially with new needs accelerated by the pandemic of COVID-19. With continued advances in medical science and better long term survival, the nature of cardiac rehabilitation has evolved over the past eight decades. It was originally an exercise-focused intervention on short term recovery and reducing cardiac and all-cause mortality, to now being one part of a multi-factor lifestyle, behavioural, and medical chronic disease management programme. Throughout history, the important influence of psycho-social well-being and human behaviour has, however, always been of key importance to patients. The location of rehabilitation can now be suited to patient need, both medically and socially, where the same components can be delivered in either a traditional outpatient clinic, community settings, at home and more recently all of these being supported or augmented with the advent of mobile technology. [ABSTRACT FROM AUTHOR]

Many people overestimate the health risks associated with nicotine, mistakenly perceiving nicotine as the main carcinogen in cigarettes and a leading cause of smoking-related diseases. Health professionals have been calling for public education programs to correct nicotine misperceptions in the hope that a lower risk perception of nicotine could encourage the use of nicotine replacement therapy (NRT). However, a lower risk perception of nicotine could also lower perceived risk of electronic cigarettes (e-cigarettes). This paper evaluated the necessity of correcting nicotine misperceptions and explored possible intervention strategies to increase use of NRT and decrease use of e-cigarettes. In Study 1, smokers were surveyed about their perceptions of nicotine harm, and attitudes and intention toward using NRT and e-cigarettes. Results showed that overestimation of nicotine harm was associated with e-cigarette attitude and intention, but not with NRT. Informed by the survey results, three correction messages (a nicotine message, an NRT message, and an e-cigarette message) were developed and experimentally tested in Study 2 on both tobacco users and nontobacco users. The nicotine message lowered people's perception of nicotine harm but it did not change attitude and intention toward tobacco product use. The NRT message also failed to influence NRT attitudes and intentions. The e-cigarette message significantly lowered attitudes and intentions to use e-cigarette. [ABSTRACT FROM AUTHOR]

Interprofessional education (IPE), as preparation for interprofessional practice (IPP), is essential for quality, coordinated, outcome-focussed patient care. To develop capacity for IPP in future healthcare practitioners, IPE needs to be developed within curriculum and applied within authentic settings. The study aims were threefold: (a) determine if an established type 2 Diabetes Mellitus (T2DM) exercise and healthy lifestyle program could be replicated and delivered at a satellite health precinct; (b) report on changes in students' attitudes to IPP in response to involvement in the program; (c) explore the perceptions of students in response to participation in the program whilst on placement. This paper reports on the quantitative changes in perceptions of IPE as measured by the SPICE-R2 instrument and a qualitative analysis of the student reflection of participating in IPP. Thirty-five students, from 4 health professions, participated in the study. The quantitative outcomes showed significant improvement in the perceptions of IPE (p <.01), including significant improvements understanding of roles and responsibilities, teamwork, and patient outcomes (p <.01). The qualitative analysis included a subset of 18 students who participated across two focus groups, highlighting four key themes: (a) health students reported varied initial experience with, and understanding of IPE; (b) the IPE program enabled students to see the value of teamwork for patient care; (c) IPE enhanced role clarity amongst the students, and (d) the IPE program provided an authentic learning experience, best suited to final year students. Our findings reinforced the value of a partnership between higher education and health services to deliver IPP care and learning, student valuing of the importance of IPE as part of authentic learning, and need for a scaffolded approach toward IPE is needed across health curriculums, and clinical placement to ensure all students can develop IPE capabilities that will enable them to work together to deliver the best healthcare to clients. [ABSTRACT FROM AUTHOR]

Falls and fall-related injuries are remarkably common in occupational settings. In 2017, 227,760 workers sustained fall-related injuries leading to a loss of working days and 887 workers sustained lethal falls. Causation of falls could be multifactorial with the contribution of extrinsic and intrinsic factors. The outcome of such falls could vary from simple contusions to fatal injuries. Occupational falls not only affect employees' health and quality of life but also decrease workplace productivity due to loss of working days and worker performance insufficiency as a result of sustained injuries. Furthermore, health costs, worker compensations, and replacement workers add to the economic burden of the workplace. Thus, fall detection and prevention in the workplace is mandatory. There are distinct traditional and contemporary methods of fall prevention established in the human factors and ergonomics field with unique advantages and disadvantages. Selection of an appropriate method should be done vigilantly considering feasibility, availability of facilities, and affordability by the administration. This article summarises and expands on previous literature suggested for early detection and prevention of occupational falls. Concepts discussed in the paper will benefit human factors engineers, ergonomists, health and safety engineers, occupational therapists, and other health care professionals. Relevance to human factors / ergonomics theory Falls are unavoidable in the ergonomic settings but could be minimized. This article provides the currently available fall prevention and detection methods along with the strengths and weaknesses of each method. The article will provide an overview of such methods to the employers in order to select and implement the most applicable methods to their workplace. [ABSTRACT FROM AUTHOR]

The stress reactivity hypothesis posits that the extremes of exaggerated and low or blunted cardiovascular reactivity (CVR) to stress may lead to adverse health outcomes via psychophysiological pathways. A potential indirect pathway between CVR and disease outcomes is through health-related behaviour and behaviour change. However, this is a less well understood pathway. Design: A registered systematic review was undertaken to determine the association between cardiovascular reactivity (CVR) and health behaviour change, as well as identify mediators and moderators. Eight papers that met the inclusion criteria, focused on smoking cessation and weight loss, were identified. Results: Pooling data from studies exploring the prospective relationship between CVR (as systolic blood pressure) and smoking cessation found that exaggerated CVR was associated with smoking relapse (Hedges' g = 0.39, SE = 0.00, 95% CI 0.38 − 0.40, p <.001; I2 = 0%; N = 257) but did not find evidence that CVR responses were associated with changes in weight. In order to advance our understanding of reactivity as a modifiable determinant of health behaviour change, our review recommends exploring the association between CVR and other health behaviours, to determine the influence of blunted reactivity versus low motivational effort identify mediators and moderators and determine the focus of interventions. [ABSTRACT FROM AUTHOR]

The aim of this paper was to describe how people living with a neurological disability such as multiple sclerosis, Parkinson's disease and stroke reason regarding using apps to facilitate self-management in everyday life. A qualitative research approach with a focus group methodology was used. The sample comprised 16 participants, 11 men and 5 women, with an average age of 64 years (ranging from 51–80 years). Six participants were diagnosed with multiple sclerosis, six with Parkinson's disease and four with stroke. Data were analyzed using thematic analysis, which is a method for identifying, analyzing and reporting patterns. The results formed two themes. The first theme "using apps to have control of my health" comprises two subthemes; "monitor and take responsibility for a healthy lifestyle" and "compensate to facilitate everyday life". The second theme "using the app as a tool and means for communication" also comprised two subthemes; "dare to trust the app" and "feeling safe when sharing information with health care professionals". The use of apps put increased responsibility on the person and had the possibility to make them more involved in their own care. The use of an app can facilitate a healthy lifestyle and help to monitor disease-specific symptoms. In order to be able to use apps for communication with the health care sector legislation and safety issues need to be considered. Apps can be used for self-management if they are safe and can be trusted. People with neurological disabilities want to be involved in their healthcare and needs to be addressed by health care professionals. The use of apps grasp over a wide variety of areas this is something that may be considered in health care and something that can be addressed by interdisciplinary approaches. Ordinary health-oriented apps and disease-specific apps were used differently and for different purposes. [ABSTRACT FROM AUTHOR]

The purpose of this paper is to investigate what characterizes individual teachers' reflections on proposals for change in situated teamwork sessions and discuss the potential for professional development that lies in teachers' reflections. The teamwork sessions take place in the context of school-based professional development. Stimulated recall interviews (SRI) with teachers commenting on video recordings from their participation in teamwork form the empirical basis for the research. The sample consists of 17 teachers representing four teacher teams from different schools. We identified three primary types of reflection on proposals of change – comment and describe, extend and exemplify, and critical exploration. In the last type of reflection, when teachers critically explore, reflect and problematize existing practices whilst watching critical incidents that contain proposals for change, we identified tensions arising. The tensions emerged between teachers' established practices grounded in national regulations (ex. national tests, exams, documentation) and their basic assumptions, values, and beliefs. [ABSTRACT FROM AUTHOR]

In this paper, we used the transtheoretical model of stages of change to study the addictive behavior of smokers, which is a continuum of stages, namely pre-contemplation, contemplation, and preparation, and classify the tobacco users in these three stages to study the differentials and factors determining these stages. This study used the data from the Global Adult Tobacco Survey (GATS)-2 conducted in 2016–17 in India. Multinomial logistic regression was used to predict the probabilities for different stages according to socio-demographic factors and factors related to tobacco use such as nicotine dependency, information about dangers about tobacco use, etc. Among 9499 smoking tobacco users, 44.73% of users are in the pre-contemplation stage, 46.83% in contemplation, and only 8.43% in the preparation stage. The probability of a smoker to be in the preparation stage for quitting after knowing the dangers of smoking is 0.11. We found a significant association between the stages of smoke and smokeless tobacco cessation and socio-demographic characteristics and the factors related to smoke and smokeless tobacco use. Contemplation is a major driver of tobacco cessation. These stages may help tobacco control program implementation more effectively and efficiently. [ABSTRACT FROM AUTHOR]

Pet ownership provides a unique relationship that is beneficial to many aspects of the pet owner's life, including mental health and companionship. Mental health and social isolation are negatively impacted by homelessness, increasing the importance of the owner-pet bond during this time. However, this relationship is complicated by the need for pet owners to urgently find accommodation for themselves while still caring for their pets. This paper explores two firsthand narratives of the relationship between a person and their pets during a period of homelessness and subsequent search for accommodation. Both narratives highlight important aspects of the emotional bond between owner and pet: the concept of choosing pet over place; improved mental health and changed behaviours; and stressors or negative emotions of parental concern, separation anxiety and grief. These narratives emphasise the importance of supporting, expanding and creating new pet-friendly crisis and permanent accommodation options for pet owners experiencing homelessness. [ABSTRACT FROM AUTHOR]

The article informs the manage the difficult patient and family, contracts to manage challenging interactions with patients and families. It mentions the authors received nine open peer commentaries (OPCs) on their work, three of which were supportive of behavior contracts in their current form while six were highly critical. It suggests the OPCs are seen as an important step towards a field-wide dialogue on the implementation of behavior contracts.

This semester-long study attempted to investigate 122 (M: 21; F: 101) Taiwanese undergraduates' responses to bibliotherapy and two textbooks in an Advanced English Reading classroom. Data collection included an anonymous 6-point Likert scaled questionnaire with a space for free comments and the students' reflection papers to show their perceptions. The results of the study showed that bibliotherapy effectively helped the students (a) understand the importance of self-knowledge, life growth, emotion management, positive thinking, and behavior awareness, (b) understand the importance of (literature) reading, (literature) reading course, and the benefits of (literature) reading, and (c) enhance self-understanding, positive thinking, mental growth, and (positive) behavioral change. Moreover, the study found that the two textbooks could effectively boost the students' bibliotherapeutic energy, including their positive thinking ability, mental growth, and mature behavior. [ABSTRACT FROM AUTHOR]

Young people are at a high risk of developing mental health disorders or illnesses. Mental health promotion (MHP) interventions can reduce this risk. Using the Medical Research Council (MRC) framework for the development and evaluation of complex interventions, this study designed and acceptability tested a methodologically robust school-based mental health promotion intervention. A scoping review and focus groups with stakeholders were conducted during the development phase of the MRC framework. The scoping review involved identifying evidence for effective school-based MHP interventions. Focus groups were then used to determine the acceptability of components identified by the scoping review and to clarify the target or goal of taking part in the intervention. A logic model, showing the theory of change underpinning an intervention designed on the basis of this development phase, was subsequently developed. The scoping review established that MHP interventions typically focus on stigma and stereotypes, mental health literacy and knowledge and help-seeking, and use these foci to determine impact. Common intervention components include group discussion, videos, presentations, storytelling and handouts. Testing of these commonly occurring components targeting knowledge and attitudes towards mental health and stigma and stereotypes suggested all were acceptable to stakeholders. Using the MRC framework to guide the development and test the acceptability of a MHP intervention, this study has produced a complex evidence-based health promotion intervention using interactive activities and videos. Further phases will involve a process evaluation of the intervention fidelity and feasibility testing. [ABSTRACT FROM AUTHOR]