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1.
J Reprod Infant Psychol ; : 1-17, 2024 Oct 03.
Artigo em Inglês | MEDLINE | ID: mdl-39361438

RESUMO

AIMS/BACKGROUND: Coping with gestational diabetes mellitus (GDM) presents significant challenges for pregnant women and their partners, which may result in elevated prenatal depression symptoms. However, research has predominantly centred on pregnant women with GDM, with little involvement of their partners. To understand their dyadic interactions, it is imperative to involve GDM couples in the study. This study aims to examine the interplay between dyadic coping and prenatal depression symptoms among GDM couples and to explore the possible mediating role of marital satisfaction. DESIGN/METHOD: A cross-sectional study was conducted in Guangzhou, China. A total of 400 couples completed the Dyadic Coping Inventory, Locke-Wallace Marital Adjustment Scale, Edinburgh Postnatal Depression Scale, and sociodemographic data sheet. The actor-partner interdependence mediation model was utilised for dyadic data analysis. RESULTS: Overall, 13.0% of pregnant women with GDM and 8.3% of partners experienced elevated prenatal depression symptoms. Dyadic coping was directly or indirectly related to their own and partners' prenatal depression symptoms in GDM couples, with marital satisfaction acting as a mediator. Specifically, positive dyadic coping was associated with lower prenatal depression symptoms, while negative dyadic coping exhibited an opposite relationship. CONCLUSION: The prevalence of elevated prenatal depression symptoms was high in GDM couples. It is important to view pregnant women with GDM and their partners as a dyad of a transactional system in prenatal clinical care. Couple-centred interventions targeting to enhance positive dyadic coping and mitigate negative dyadic coping might be beneficial to prevent and alleviate prenatal depression symptoms.

2.
Geriatr Nurs ; 2024 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-39322459

RESUMO

OBJECTIVE: The primary objective of this study was to examine the dyadic relationships between perceived social support, sense of coherence (SOC), and psychological distress in advanced lung cancer patients and their spousal caregivers with the dyadic analysis method. METHODS: 302 dyads of patients and their spouses were recruited between April 2023 to October 2023 from a Chinese tertiary hospital. Participants' perceived social support, SOC, and psychological distress were evaluated by corresponding questionnaires. In order to explore the potential dyadic associations between the covariates, the data were analyzed by adopting the actor-partner interdependence mediation model (APIMeM). RESULTS: The findings demonstrated that the impact of perceived social support on psychological distress had both actor and partner effects. Specifically, the perceived social support of patients and their spouses was directly and positively associated with their own psychological distress. Furthermore, in patient-spouse dyads, SOC mediated the actor effects of perceived social support on psychological distress. Another important finding was that perceived social support by spouse had a direct or indirect negative partner effect on the psychological distress of patients. CONCLUSION: The investigation uncovered a dyadic interdependence between perceived social support, psychological distress, and SOC. It is necessary for medical professionals to identify patients and spouses who report poor levels of SOC and perceived social support and implement targeted interventions to address these concerns.

3.
Nurs Philos ; 25(4): e12504, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39297733

RESUMO

Social theory plays an important role in the nursing discipline and nursing inquiry as it helps conceptually embed nursing in the larger picture of the social world. For example, a broad category of critical theory provides a unique lens for uncovering social conditions of inequity and oppression. Among the sociological theories, actor-network theory (ANT) is an approach to research and analysis that has recently gained interest among nurse philosophers and researchers. Studies guided by ANT seek to understand phenomena of interest as constituted within the relationships between human and nonhuman actors to understand how care practices are co-created/enacted and how they can be made more humane. In this paper, we describe the benefits of ANT for examining healthcare access for incarcerated individuals with life-limiting illnesses accessing palliative care and for people using illicit drugs. We argue that attention to the materiality of care practices can contribute to efforts of advancing health equity for these groups.


Assuntos
Desigualdades de Saúde , Humanos , Teoria Social , Teoria de Enfermagem
4.
J Marital Fam Ther ; 2024 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-39308136

RESUMO

The current research explored the dyadic relationships between general psychological distress (GPD) and coparenting dimensions (cooperation, conflict, triangulation) through the mediation of couple satisfaction among parents with young children. The sample comprised 184 heterosexual couples (184 mothers, 184 fathers, age range from 25 to 57 years) married for 10 years on average. The actor-partner interdependence model (APIM) and APIM Mediation Model analyses demonstrated significant relationships between mothers' and fathers' GPD and all three of their own coparenting dimensions (direct actor effects), also through their own couple satisfaction (indirect actor-actor effects). Additionally, mothers' GPD had direct effects on fathers' coparenting cooperation (partner effect). Fathers' GPD had significant indirect effects on all dimensions of mothers' coparenting through mothers' couple satisfaction (partner-actor effects), plus on mothers' coparenting triangulation through fathers' couple satisfaction (actor-partner effect). Findings were in line with Family System Theory and consistent with prior research. Clinical implications were discussed.

5.
Psychol Sport Exerc ; : 102752, 2024 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-39343189

RESUMO

Interpersonal behavior in sports teams are inherently intricate. The Social Relations Model (SRM) presents a compelling framework to conceptualize and dissect these complexities, enabling the empirical testing of theories concerning relationships within group settings. The SRM decomposes dyadic measurements obtained from a round-robin design into components at the individual (actor and partner) level, relationship level, and team level. Leveraging data on need satisfaction, as experienced by the coach, team captain and two other athletes in relation to each other across 96 sports teams, we showcase the application of the SRM. A step-by-step introduction to the implementation of the model in R is provided. We elucidate how the SRM facilitates the investigation of research questions that deepen our understanding of team dynamics. Our illustration reveals that while the team effect exhibits minimal explanatory power over variability, substantial variability in need satisfaction is accounted for by both individual factors (actor and partner) and relationship effects. Notably, considerable differences are observed between sports teams in the extent to which coaches elicited need satisfaction in their team members. On average, coaches elicit lower levels of need satisfaction compared to other team members. Reciprocal relationships are evident in the team captain-athlete dyad and the athlete-athlete dyad, but not in dyadic relationships with the coach. In sum, this tutorial illustrates how analyzing dyadic data from a round-robin design using the SRM can enhance our understanding of dyadic relationship data within sports teams.

6.
Handb Exp Pharmacol ; 2024 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-39235487

RESUMO

Public-Private Partnerships (PPPs) have been crucial in medicine research and development (R&D) for decades. Initially, PPPs involved private and academic innovators working in bilateral collaborations to advance pharmaceutical innovation. Later, a precompetitive open innovation environment was created, where multiple public and private innovators collaborated on mutual interests. The entry of regulators and patient interest organizations into PPPs has triggered a third shift from an innovator result-driven to a multi-actor impact-oriented partnership model. Using the second Innovative Medicines Initiative program (IMI2) as an example, this chapter focuses on the increasing roles of patient interest organizations in PPPs in roughly the last decade.Most IMI2 partnerships focused on raising awareness and sharing information tailored to patient needs (listener role) and inviting patients to share their experiences and needs (co-thinker role). Many partnerships also integrated the patient perspective by implementing patient advisory bodies (advisor role) or including patients as equal partners in steering the project (partner role). Notably, partnerships like EUPATI and PARADIGM showed that patient interest organizations can lead initiatives, especially those aiming at advancing patient engagement across the medicine R&D lifecycle (decision-maker role). While the overall impact of patient involvement in the IMI2 program is still being assessed, it has exposed many innovators and regulators to the patient perspective and created a community of patient experts with access to tools and guidelines for meaningful involvement.The PPP model continues to evolve, shifting from a treatment-only to a comprehensive diagnosis, treatment, and monitoring approach by incorporating digital and medical technology actors. This development, alongside continued patient and public integration could revolutionize the R&D and accessibility of new treatments and diagnostics.

7.
Psychol Rep ; : 332941241279372, 2024 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-39223439

RESUMO

Research has demonstrated a clear link between perceived emotional invalidation and increased psychological distress. However, available studies have predominantly focused on individual data, and leave the impact on relationship satisfaction largely unexplored. Considering the systemic-transactional model, our study aimed to examine the association between perceived emotional invalidation, psychological distress, and couple relationship satisfaction from a dyadic perspective. We conducted a cross-sectional study involving 240 mixed-gender couples from Portugal employing the Actor-Partner Interdependence Mediational Model to analyse the data to examine actor and partner direct and indirect effects. Results showed that, for both women and men, own perceived emotional invalidation was associated with own psychological distress but not with own relationship satisfaction. Also, own psychological distress was associated with own relationship satisfaction but only for women. Finally, one actor and one partner indirect effects were found. Women perceived emotional invalidation was associated with their own psychological distress which in turn contributed to lower levels of relationship satisfaction for both them and their partners. This study contributes to a deeper understanding of the dyadic effects of perceived emotional invalidation on psychological distress and relationship satisfaction within romantic relationships identifying interpersonal emotional dynamics as an important target of interventions.

8.
J Hist Biol ; 57(3): 349-377, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39134819

RESUMO

This study investigates nineteenth century natural history practices through the lens of the Actor-Network Theory, which posits that scientific practice is shaped by an intricate network of interactions between human and non-human actors. At the core of this research is the analysis of correspondence between Charles Darwin and his collaborators during the Cirripedia Project, which unveils a complex landscape of negotiations with illustrators, funders, specimen owners, and translators, among other stakeholders and interested parties. The study goes beyond the final outcomes of scientific research, delving into behind-the-scenes interactions, and hidden constructions, shedding light on the complex dynamics and actors that conventional scientific narratives often overlook. In general, this approach provides a detailed and insightful view of the underlying processes of nineteenth-century scientific practice, underscoring the importance of epistolary correspondence as a central element in producing scientific knowledge at the time, and in particular it reveals to us how much Darwin was himself involved in the production of his famous work on barnacles. By emphasizing the intricacies of research, this study enriches our understanding of Darwin's work as well as natural history practices in the 19th century, highlighting the complexity and diversity of actors and agents involved in shaping scientific knowledge.


Assuntos
História Natural , História do Século XIX , História Natural/história , Evolução Biológica , Correspondência como Assunto/história , Humanos
9.
New Solut ; 34(2): 133-146, 2024 08.
Artigo em Inglês | MEDLINE | ID: mdl-39086322

RESUMO

Ensuring the safety and health of workers in this country, who are employed at millions of workplaces that present a dizzying array of hazards, is daunting. Every day, workers are maimed or die from workplace injuries or occupational illnesses. Hence, government agencies must use all available means to ensure the laws intended to keep workers safe and healthy in their workplaces are maximally effective in accomplishing that purpose. This paper addresses this challenge through the lens of strategic enforcement. It examines how federal and state authority are designed to interact to ensure worker protection in this space, and focuses on what tools for deterring violations - many unrecognized or underutilized by worker safety agencies - are available to leverage the limited resources that inevitably constrain the agencies' reach. The forthcoming Part II will, among other things, showcase a number of noteworthy state and local initiatives that exceed the federal standard.


Assuntos
Saúde Ocupacional , Humanos , Saúde Ocupacional/legislação & jurisprudência , Saúde Ocupacional/normas , Estados Unidos , Local de Trabalho/legislação & jurisprudência , Local de Trabalho/normas , Gestão da Segurança/legislação & jurisprudência , Gestão da Segurança/normas , Gestão da Segurança/organização & administração , United States Occupational Safety and Health Administration/normas , United States Occupational Safety and Health Administration/legislação & jurisprudência , Acidentes de Trabalho/prevenção & controle , Acidentes de Trabalho/legislação & jurisprudência , Traumatismos Ocupacionais/prevenção & controle
10.
Curr Opin Psychol ; 58: 101846, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39089088

RESUMO

Does self-control express or suppress our true selves? This article reviews the emerging body of literature on the effect of self-control on authentic self-expression from the actors' (self-signaling) and the observers' (other-signaling) perspective. While actors can experience self-control as either expression or suppression of the self, individual differences in decision-making or personal values can predict when self-control is more likely to be experienced in one way or the other. Self-control also signals to observers both positive (e.g., competent, trustworthy, powerful) and negative (e.g., inauthentic, robotic, less warm) identities, with specific inferences depending on the context (e.g., work vs. fun). Overall, the relationship between self-control and self-expression is more nuanced than earlier research suggested, and several open questions await further investigation.


Assuntos
Autoimagem , Autocontrole , Humanos , Percepção Social
11.
Pediatr Obes ; : e13153, 2024 Aug 04.
Artigo em Inglês | MEDLINE | ID: mdl-39099236

RESUMO

BACKGROUND: Parents play a substantial role in improving adolescent dietary behaviours. OBJECTIVES: To examine the interdependent relationships between motivations (autonomous and emotional motivation) and dietary behaviours (fruit and vegetable [F/V] and junk food and sugar-sweetened beverage [JF/SSB] intake) within parent-adolescent dyads. METHODS: This secondary data analysis was conducted on 1522 parent-adolescent dyads using a cross-sectional Family Life, Activity, Sun, Health, and Eating (FLASHE) study. The ratio of boys to girls among the adolescents was approximately equal, and 74% of the parents were mothers. The adolescents were between 12 and 17 years old, and 85.5% of the parents were between 35 and 59 years old. Parents and adolescents completed an online survey on dietary motivations and behaviours. Actor-partner interdependence models were performed within parent-adolescent dyads. RESULTS: F/V and JF/SSB intake was influenced by parents' or adolescents' autonomous motivation (actor-only pattern), except among adolescents with obesity. A dyadic pattern was found in the relationship between autonomous motivation and F/V and JF/SSB intake, but only among adolescents with normal weight. No relationship was found between F/V and JF/SSB controlled motivation and F/V or JF/SSB intake among adolescents with overweight or obesity. CONCLUSIONS: Autonomous motivation had a significant relationship with F/V and JF/SSB intake for both parents and adolescents, but the association varied depending on the adolescents' weight. Personalized programmes that foster autonomous motivation to change dietary behaviours should be provided based on the adolescents' weight status.

12.
Psychol Health ; : 1-14, 2024 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-39101758

RESUMO

OBJECTIVE: A person's marital satisfaction is a strong predictor of their own mental health outcomes. However, marital satisfaction results from both spouses' experiences, so a partner's marital satisfaction also affects his or her mental health outcomes. This study adopted the actor-partner interdependence model approach (APIM) to evaluate the relationship between marital satisfaction and sense of defeat in vitro fertilization-embryo transfer (IVF-ET) couples. METHODS AND MEASURES: In this cross-sectional study, 181 infertile couples undergoing IVF-ET treatment were recruited using the Marital Satisfaction Scale of the ENRICH Marital Quality Questionnaire and Defeat Scale. Through APIM and Pearson analysis, the path relationship between marital satisfaction and defeat was analyzed. RESULTS: The varying degrees of defeat in IVF-ET couples, are closely related to actors' and partners' marital satisfaction. In terms of actor effects, the Marital Satisfaction of both husbands (ß = -0.71, p < 0.001) and wives (ß = -0.46, p = 0.001) have a significant effect on individual Defeat. With regard to partner effects, husbands' Marital Satisfaction (ß = -0.23, p = 0.038) has a significant impact on wives' Defeat and the wives' Marital Satisfaction (ß = -0.45, p = -0.005) has a significant impact on husbands' Defeat. CONCLUSION: IVF-ET couples must be looked at as a whole, and it is critical to include couples and not just men or women when studying infertility. The importance of their interaction is essential to improve the psychosocial adaptation of infertile couples in IVF-ET treatment.

13.
Qual Life Res ; 2024 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-39162970

RESUMO

PURPOSE: The co-occurrence of health impairments in patients and their informal caregivers may be particularly common in intimate care settings in China. Patients with Chronic Refractory Wounds (CRWs) and their informal caregivers constitute a dyad and exhibit dyadic effects during the caring process. Unfortunately, no study has yet explored the dyadic effects of stigma on the QoL of patients with CRWs and their caregivers. METHODS: We used a convenience sampling method and recruited CRWs patient-caregiver dyads (N = 207) in China between April 2022 and October 2023. RESULTS: We found that: (i) dyadic members experience varying degrees of stigma; (ii) the actor-partner effect of CRWs patients' stigma on their own and their informal caregivers' QoL was significant (Path A1: ß = - 1.27, Path A2: ß = - 0.37, Path P1: ß = - 0.08, Path P2: ß = - 0.18); (iii) informal caregivers' stigma adversely affects both their own and their patients' psychological QoL((Path A4: ß = - 0.65, Path P4: ß = - 0.52)). Informal caregivers' stigma can negatively impact patients' physical QoL (Path P3: ß = - 0.17), whereas it does not significantly affect their own physical QoL. CONCLUSION: There is a notable actor-partner effect of the CRWs patients' stigma on their own and their informal caregivers' QoL. CRWs patients' stigma should become a priority for the government to improve CRWs patients' and informal caregivers' QoL. Besides, health professionals should be addressing several assessments and interventions to decrease informal caregivers' affiliate stigma symptoms and improve CRWs patients' and informal caregivers' QoL.

14.
PeerJ Comput Sci ; 10: e2133, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39145249

RESUMO

Monitoring the data sources for possible changes is an important consumption requirement for applications running in interaction with the Web of Data. In this article, MonARCh which is an architecture for monitoring the result changes of registered SPARQL queries in the Linked Data environment, is proposed. MonARCh can be comprehended as a publish/subscribe system in the general sense. However, it differs in how communication with the data sources is realized. Data sources in the Linked Data environment do not publish the changes in the data. MonARCh provides the necessary communication infrastructure between the data sources and the consumers for the notification of changes. Users subscribe SPARQL queries to the system which are then converted to federated queries. MonARCh periodically checks for updates by re-executing SERVICE clauses and notifying users in case of any result change. In addition, to provide scalability, MonARCh takes the advantage of concurrent computation of the actor model. The parallel join algorithm utilized speeds up query execution and result generation processes. The design science methodology is used during the design, implementation and evaluation of the architecture. When compared to the literature MonARCh meets all the sufficient requirements from the linked data monitoring and state of the art perspectives while having many outstanding features from both points of view. The evaluation results show that even while working under the limited two-node cluster setting MonARCh could reach from 300 to 25,000 query monitoring capacity according to the diverse query selectivities executed within our test bench.

15.
Front Plant Sci ; 15: 1388866, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39148611

RESUMO

In developing countries, orphan legumes stand at the forefront in the struggle against climate change. Their high nutrient value is crucial in malnutrition and chronic diseases prevention. However, as the 'orphan' definition suggests, their seed systems are still underestimated and seed production is scanty. Seed priming is an effective, sustainable strategy to boost seed quality in orphan legumes for which up-to-date guidelines are required to guarantee reliable and reproducible results. How far are we along this path? What do we expect from seed priming? This brings to other relevant questions. What is the socio-economic relevance of orphan legumes in the Mediterranean Basin? How to potentiate a broader cultivation in specific regions? The case study of the BENEFIT-Med (Boosting technologies of orphan legumes towards resilient farming systems) project, developed by multidisciplinary research networks, envisions a roadmap for producing new knowledge and innovative technologies to improve seed productivity through priming, with the long-term objective of promoting sustainability and food security for/in the climate-sensitive regions. This review highlights the existing drawbacks that must be overcome before orphan legumes could reach the state of 'climate-ready crops'. Only by the integration of knowledge in seed biology, technology and agronomy, the barrier existing between research bench and local agricultural fields may be overcome, generating high-impact technical innovations for orphan legumes. We intend to provide a powerful message to encourage future research in line with the United Nations Agenda 2030 for Sustainable Development.

16.
Sensors (Basel) ; 24(15)2024 Jul 27.
Artigo em Inglês | MEDLINE | ID: mdl-39123922

RESUMO

Interest in deploying deep reinforcement learning (DRL) models on low-power edge devices, such as Autonomous Mobile Robots (AMRs) and Internet of Things (IoT) devices, has seen a significant rise due to the potential of performing real-time inference by eliminating the latency and reliability issues incurred from wireless communication and the privacy benefits of processing data locally. Deploying such energy-intensive models on power-constrained devices is not always feasible, however, which has led to the development of model compression techniques that can reduce the size and computational complexity of DRL policies. Policy distillation, the most popular of these methods, can be used to first lower the number of network parameters by transferring the behavior of a large teacher network to a smaller student model before deploying these students at the edge. This works well with deterministic policies that operate using discrete actions. However, many real-world tasks that are power constrained, such as in the field of robotics, are formulated using continuous action spaces, which are not supported. In this work, we improve the policy distillation method to support the compression of DRL models designed to solve these continuous control tasks, with an emphasis on maintaining the stochastic nature of continuous DRL algorithms. Experiments show that our methods can be used effectively to compress such policies up to 750% while maintaining or even exceeding their teacher's performance by up to 41% in solving two popular continuous control tasks.

17.
J Adv Nurs ; 2024 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-39119754

RESUMO

AIMS: This study explored the relationships between family resilience, dyadic coping and psychological adjustment among adolescents with chronic illnesses and their parents. The actor-partner interdependence mediation model was used to validate the mediating role of dyadic coping in the relationship between family resilience and psychological adjustment. DESIGN: This is a cross-sectional study. METHODS: A total of 318 parent-adolescents dyads were recruited from three paediatric hospitals in Wenzhou, Hangzhou, Shanghai city, China, between June 2022 and August 2023. The parents had a mean age of 41.62 years, and the adolescents had a mean age of 12.66 years. Participants independently completed a self-report questionnaire assessed family resilience, dyadic coping and psychological adjustment. Data analysis was conducted using the actor-partner interdependence mediation model. RESULTS: The findings suggest that in the actor effects, family resilience directly influenced psychological adjustment, and family resilience is related to psychological adjustment through positive dyadic coping. In the partner effect, parents' family resilience influenced adolescents' psychological adjustment through the parents' positive dyadic coping. Similarly, adolescents' family resilience influenced parents' psychological adjustment through both parents' positive dyadic coping and adolescents' negative dyadic coping. Additionally, there was a partner effect between parents' family resilience and adolescents' psychological adjustment. CONCLUSION: This study demonstrated the importance of developing effective dyadic interventions based on family resilience or positive dyadic coping strategies to improve the mental health of adolescents with chronic illnesses and their parents. IMPACT: The mediating role of dyadic coping in the relationship between family resilience and psychological adjustment among adolescents with chronic illnesses and their parents was demonstrated. Future psychosocial interventions should focus on increasing parents' positive dyadic coping strategies and improving adolescents' negative dyadic coping strategies. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

18.
BMC Prim Care ; 25(1): 285, 2024 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-39103760

RESUMO

BACKGROUND: Primary care is often described as slow to change. But conceptualized through complexity theory, primary care is continually changing in unpredictable, non-linear ways through self-organization processes. Self-organization has proven hard to study directly. We aimed to develop a methodology to study self-organization and describe how a primary care clinic self-organizes over time. METHODOLOGY: We completed a virtual case study of an urban primary care clinic from May-Nov 2021, applying methodological insights from actor-network theory to examine the complexity theory concept of self-organization. We chose to focus our attention on self-organization activities that alter organizational routines. Data included fieldnotes of observed team meetings, document collection, interviews with clinic members, and notes from brief weekly discussions to detect actions to change clinical and administrative routines. Adapting schema analysis, we described changes to different organizational routines chronologically, then explored intersecting changes. We sought feedback on results from the participating clinic. FINDINGS: Re-establishing equilibrium remained challenging well into the COVID-19 pandemic. The primary care clinic continued to self-organize in response to changing health policies, unintended consequences of earlier adaptations, staff changes, and clinical care initiatives. Physical space, technologies, external and internal policies, guidelines, and clinic members all influenced self-organization. Changing one created ripple effects, sometimes generating new, unanticipated problems. Member checking confirmed we captured most of the changes to organizational routines during the case study period. CONCLUSIONS: Through insights from actor-network theory, applied to studying actions taken that alter organizational routines, it is possible to operationalize the theoretical construct of self-organization. Our methodology illuminates the primary care clinic as a continually changing entity with co-existing and intersecting processes of self-organization in response to varied change pressures.


Assuntos
COVID-19 , Atenção Primária à Saúde , Humanos , COVID-19/epidemiologia , Atenção Primária à Saúde/organização & administração , Canadá/epidemiologia , Pandemias , Inovação Organizacional , SARS-CoV-2 , Estudos de Casos Organizacionais
19.
Psychother Res ; : 1-14, 2024 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-39102809

RESUMO

OBJECTIVE: Informed by the person-environment fit theory, this preliminary study examined if a fit between a group member's treatment experience and their working therapy context (other group members' aggregated treatment experiences) were related to their level of motivation within a group treatment for healing from internalized weight stigma. METHOD: We examined the relationship between two types of within-member and between-member's group cohesion, working alliance, and motivation. Specifically, we utilized the Actor-Partner Interdependence Model to operationalize the impact of actor's within-member cohesion and alliance (personal changes over time) and between-member cohesion and alliance (individual differences) as well as partner's within-member cohesion and alliance (contextual changes over time) and between-member cohesion and alliance (contextual differences) on group members' motivation. This study utilized self-report data from 26 group members who participated in three online weight stigma psychotherapy groups. RESULTS: For cohesion, results suggested that the relationship between partner within-member cohesion and motivation was larger for members who reported low cohesion across all the sessions compared to the other members of their group. Additionally, an individual group member who perceived a group session more cohesive than they did on average, reported increased motivation in that session, and this relationship was stronger for members who on average perceived their group less cohesive than other group members. Lastly, session-level alliance was more strongly associated with an individual member's motivation in that session when the other group members reported higher group alliance on average. CONCLUSIONS: These findings underscore the significance of member-group fit in group therapy and the reciprocal impact of individual members and the group on each other's therapy outcomes.

20.
Artigo em Inglês | MEDLINE | ID: mdl-39011895

RESUMO

OBJECTIVES: Evidence suggests spouses influence each other's subjective views on aging. Aligned with the Theory of Dyadic Illness Management, we investigated for the first time similarities in felt age (how old people feel relative to their chronological age) between people with dementia and their spousal caregivers, and how each partner's felt age was related to psychological correlates in the other partner. METHODS: We used baseline (2014-2016) data from 1,001 people with dementia and their spousal caregivers who participated in the British Improving the experience of Dementia and Enhancing Active Life study. We ran linear regressions to analyze the extent to which the felt age of people with dementia and their caregivers were similar, and whether relationship quality was associated with the similarity. We utilized actor-partner interdependence models to analyze whether the felt age of people with dementia and their caregivers were associated with each other's well-being, satisfaction with life, and self-efficacy. RESULTS: The felt age of people with dementia was associated with the felt age of their caregivers (ß = 0.10; p = .001). Caregivers and people with dementia reported a more similar felt age when caregivers rated the caregiving relationship more positively (ß = 0.07; p = .04). Caregivers' felt age was associated with well-being (ß = 0.07; p = .02) and satisfaction with life (ß = 0.06; p = .04), but not with self-efficacy, in people with dementia. DISCUSSION: Felt age in caregivers and people with dementia may be interwoven, and important psychological variables in people with dementia are related to caregivers' felt age. Findings offer empirical evidence on dementia caregiving dynamics and how family relationships are related to views on aging.


Assuntos
Cuidadores , Demência , Satisfação Pessoal , Cônjuges , Humanos , Cuidadores/psicologia , Feminino , Masculino , Demência/enfermagem , Demência/psicologia , Idoso , Cônjuges/psicologia , Autoeficácia , Idoso de 80 Anos ou mais , Envelhecimento/psicologia , Pessoa de Meia-Idade , Relações Interpessoais
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