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Altwicker-Hámori S, Ackermann KA, Furchheim P, Dratva J, Truninger D, Müller S, Wieber F. Risk factors for smoking in adolescence: evidence from a cross-sectional survey in Switzerland. BMC Public Health 2024; 24:1165. [PMID: 38664744 PMCID: PMC11046866 DOI: 10.1186/s12889-024-18695-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Accepted: 04/23/2024] [Indexed: 04/28/2024] Open
Abstract
BACKGROUND Cigarette smoking during adolescence is a major public health concern with far-reaching health implications. Adolescents who smoke are at an increased risk of developing long-term health problems and are more likely to continue smoking into adulthood. Therefore, it is vital to identify and understand the risk factors that contribute to adolescent smoking - which in turn facilitate the development of targeted prevention and intervention programs. METHODS Data was drawn from a cross-sectional survey conducted between October and December 2021, encompassing adolescents of adolescents aged 14 to 19 residing in Switzerland (n = 2,683). Multiple logistic regression analysis was employed to explore which demographic, household, behavioural and psychographic factors are associated with current smoking status. RESULTS The regression results showed higher odds of smoking for female respondents (OR 1.39; p-value 0.007); older adolescents (OR 1.30; p-value < 0.001); those living in the French-speaking part of Switzerland (OR 1.39; p-value 0.021), in suburban areas (OR 1.35; p-value 0.023) and with a smoker in the same household (OR 2.41; p-value < 0.001); adolescents consuming alcohol (OR 4.10; p-value < 0.001), cannabis products (OR 6.72; p-value < 0.001) and hookah (OR 5.07; p-value < 0.001) at least once a month; respondents not engaging in sports (OR 1.90; p-value < 0.001) or music (OR 1.42; p-value 0.031) as top five leisure activities and those experiencing high stress levels at home (OR 1.74; p-value < 0.001). Adolescents with high scores in health awareness (OR 0.33; p-value < 0.001), on the relational self-esteem scale (OR 0.78; p-value 0.054) and on the general well-being scale (OR 0.52; p-value 0.022) were less likely to smoke than their counterparts with lower scores. High risk-seeking was associated with higher odds of smoking (OR 2.15; p-value < 0.001). CONCLUSIONS Our results suggest the importance of a comprehensive approach at both individual and institutional levels to reduce smoking rates in adolescents. More specifically, a holistic strategy that encompasses adolescents, families, schools and policymakers ranging from strengthening adolescents' self-esteem, smoking cessation support for parents, to increasing engagement in musical and physical activities, and enhancing health awareness in the school curriculum.
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Affiliation(s)
- Szilvia Altwicker-Hámori
- Winterthur Institute of Health Economics, School of Management and Law, ZHAW Zürich University of Applied Sciences, Winterthur, Switzerland.
| | - Kurt Alexander Ackermann
- Center for Behavioral Insights & Pricing, School of Management and Law, ZHAW Zürich University of Applied Sciences, Winterthur, Switzerland
| | - Pia Furchheim
- Center for Behavioral Insights & Pricing, School of Management and Law, ZHAW Zürich University of Applied Sciences, Winterthur, Switzerland
| | - Julia Dratva
- Institute of Public Health, School of Health Sciences, ZHAW Zürich University of Applied Sciences, Winterthur, Switzerland
- Medical Faculty, University of Basel, Basel, Switzerland
| | - Dominique Truninger
- Institute of Public Health, School of Health Sciences, ZHAW Zürich University of Applied Sciences, Winterthur, Switzerland
| | - Steffen Müller
- Center for Behavioral Insights & Pricing, School of Management and Law, ZHAW Zürich University of Applied Sciences, Winterthur, Switzerland
| | - Frank Wieber
- Institute of Public Health, School of Health Sciences, ZHAW Zürich University of Applied Sciences, Winterthur, Switzerland
- Department of Psychology, University of Konstanz, Konstanz, Germany
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Epiney F, Wieber F, Loosli D, Znoj H, Kiselev N. Voluntary sports programs for individuals with mental health disorders: The trainer's view. PLoS One 2023; 18:e0290404. [PMID: 37883507 PMCID: PMC10602351 DOI: 10.1371/journal.pone.0290404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Accepted: 08/07/2023] [Indexed: 10/28/2023] Open
Abstract
There is strong evidence that physical activities (PAs) are an important factor in increasing and maintaining mental health as well as in preventing relapse after mental health disorders. Physical activity is an important part of the treatment program in psychiatric hospitals. However, when individuals with mental health disorders (IMHD) leave the hospitals in Switzerland (CH), there are few possibilities to do physical activity in a given setting. One of them are voluntary sports groups for individuals with mental health disorders (SGPSY), which have been growing continuously in CH since 2016. Yet, little is known about these groups and their training settings. Therefore, the present study explores challenges, barriers, and enablers for participation in SGPSY from the point of view of the trainers of these groups. Additionally, as the sustainable implementation of SGPSY relies on the trainer, the study aims to identify reasons/motivations as well as the personality characteristics of the SGPSY trainers. Semi-structured interviews were conducted with 15 trainers of SGPSY in CH during spring 2022. Interviews were audiotaped, transcribed, and analyzed using thematic analysis in nVivo. Participants identified several intrapersonal (lack of motivation and fitness, mood problems, etc.), interpersonal (conflicts between participants), and structural barriers (time/location) that hinder IMHD from participating in SGPSY. The participating trainer reported that trainer might be helpful in overcoming the barriers by supporting IMHD as enablers. They rate social skills to be essential for the successful management and organization of SGPSY, as well as the ability to set boundaries to protect one's private life and sports skills expertise. The reasons for their engagement as trainers of SGPSY were the satisfaction of doing sports with IMHD and to improve the physical activities habits of IMHD. The findings of the study highlight the need to upskill the trainers of SGPSY in order to improve recruitment of the future trainers of SGPSY by focusing on the assessment of appropriate personality characteristics of trainers and their motives. Additionally, these findings should be integrated in the educational materials of Swiss disabled sports systems. Further research should validate the results from SGPSY participants' point of view.
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Affiliation(s)
- Florence Epiney
- PluSport Bern Gruppen, Bern, Switzerland
- Department of Psychology, University of Bern, Bern, Switzerland
| | - Frank Wieber
- School of Health Professions, Institute of Health Science, Zurich University of Applied Sciences ZHAW, Winterthur, Switzerland
| | | | - Hansjörg Znoj
- Department of Psychology, University of Bern, Bern, Switzerland
- Department of Psychology, University of Konstanz, Konstanz, Germany
| | - Nikolai Kiselev
- Swiss Research Institute for Public Health and Addiction (ISGF), University of Zürich, Zurich, Switzerland
- PluSport, Umbrella Organization of Swiss Disabled Sports, Volketswil, Switzerland
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Meidert U, Dönnges G, Bucher T, Wieber F, Gerber-Grote A. Unconscious Bias among Health Professionals: A Scoping Review. Int J Environ Res Public Health 2023; 20:6569. [PMID: 37623155 PMCID: PMC10454622 DOI: 10.3390/ijerph20166569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 07/31/2023] [Accepted: 08/02/2023] [Indexed: 08/26/2023]
Abstract
BACKGROUND Unconscious biases are one of the causes of health disparities. Health professionals have prejudices against patients due to their race, gender, or other factors without their conscious knowledge. This review aimed to provide an overview of research on unconscious bias among health professionals and to investigate the biases that exist in different regions of the world, the health professions that are considered, and the research gaps that still exist. METHODS We conducted a scoping review by systematically searching PubMed/MEDLINE, CINAHL, PsycINFO, PsycARTICLES, and AMED. All records were double-screened and included if they were published between 2011 and 2021. RESULTS A total of 5186 records were found. After removing duplicates (n = 300), screening titles and abstracts (n = 4210), and full-text screening (n = 695), 87 articles from 81 studies remained. Studies originated from North America (n = 60), Europe (n = 13), and the rest of the world (n = 6), and two studies were of global scope. Racial bias was investigated most frequently (n = 46), followed by gender bias (n = 11), weight bias (n = 10), socio-economic status bias (n = 9), and mental illness bias (n = 7). Most of the studies were conducted by physicians (n = 51) and nurses (n = 20). Other health care professionals were rarely included in these studies. CONCLUSIONS Most studies show that health professionals have an implicit bias. Racial biases among physicians and nurses in the USA are well confirmed. Research is missing on other biases from other regions and other health professions.
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Affiliation(s)
- Ursula Meidert
- School of Health Sciences, Zurich University of Applied Sciences, Katharina-Sulzer-Platz 9, 8400 Winterthur, Switzerland; (G.D.); (T.B.); (F.W.); (A.G.-G.)
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Kreinbucher-Bekerle C, Ruf W, Bartholomeyczik A, Wieber F, Kiselev N. Recommending Physical Activity for People with Intellectual Disabilities: The Relevance of Public Health Guidelines, Physical Activity Behaviour and Type of Contact. Int J Environ Res Public Health 2023; 20:ijerph20085544. [PMID: 37107829 PMCID: PMC10138360 DOI: 10.3390/ijerph20085544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 04/07/2023] [Accepted: 04/12/2023] [Indexed: 05/11/2023]
Abstract
People with an intellectual disability (ID) often exhibit more sedentary behaviour and are less physically active than the general population. While previous public health guidelines on physical activity (PA) did not specifically address the needs of people with an ID, the recent updates now include this population, with recommendations similar to those for the general population. However, it is unclear whether the information about these guidelines has reached the broader public and what factors may influence their implementation. To investigate these issues, an online survey was conducted in Austria, Germany and Switzerland, which examined the (a) PA recommendation for people with an ID, (b) awareness of current guidelines, (c) participants' own PA behaviour (IPAQ-SF) and (d) specific contact with people with an ID. Participants (n = 585) recommended similar levels of PA for people with an ID as for the general population, but knowledge of the guidelines did not affect their recommendation. However, participants' own PA behaviour and context-specific contact (e.g., in family or at work) were associated with the recommended PA levels. Therefore, promoting the relevance of PA and fostering contact with people with an ID might be suitable ways to increase PA in people with an ID.
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Affiliation(s)
- Christoph Kreinbucher-Bekerle
- Institute of Human Movement Science, Sport and Health, University of Graz, 8010 Graz, Austria
- Correspondence: ; Tel.: +43-316-380-3875
| | - Wolfgang Ruf
- Institute of Sport Science, German University of Health and Sports, 10587 Berlin, Germany
| | - Astrid Bartholomeyczik
- Institute of Sport Science, German University of Health and Sports, 10587 Berlin, Germany
| | - Frank Wieber
- Institute of Public Health, Zurich University of Applied Sciences, 8400 Winterthur, Switzerland
- Institute of Social Psychology and Motivation, University of Konstanz, 78464 Konstanz, Germany
| | - Nikolai Kiselev
- PluSport, Umbrella Organization of Swiss Disabled Sports, 8604 Volketswil, Switzerland
- Swiss Research Institute for Public Health and Addiction, University of Zurich, 8005 Zurich, Switzerland
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Tancredi S, Ulytė A, Wagner C, Keidel D, Witzig M, Imboden M, Probst-Hensch N, Amati R, Albanese E, Levati S, Crivelli L, Kohler P, Cusini A, Kahlert C, Harju E, Michel G, Lüdi C, Ortega N, Baggio S, Chocano-Bedoya P, Rodondi N, Ballouz T, Frei A, Kaufmann M, Von Wyl V, Lorthe E, Baysson H, Stringhini S, Schneider V, Kaufmann L, Wieber F, Volken T, Zysset A, Dratva J, Cullati S. Changes in socioeconomic resources and mental health after the second COVID-19 wave (2020-2021): a longitudinal study in Switzerland. Int J Equity Health 2023; 22:51. [PMID: 36959642 PMCID: PMC10035489 DOI: 10.1186/s12939-023-01853-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 02/25/2023] [Indexed: 03/25/2023] Open
Abstract
BACKGROUND During the 2020/2021 winter, the labour market was under the impact of the COVID-19 pandemic. Changes in socioeconomic resources during this period could have influenced individual mental health. This association may have been mitigated or exacerbated by subjective risk perceptions, such as perceived risk of getting infected with SARS-CoV-2 or perception of the national economic situation. Therefore, we aimed to determine if changes in financial resources and employment situation during and after the second COVID-19 wave were prospectively associated with depression, anxiety and stress, and whether perceptions of the national economic situation and of the risk of getting infected modified this association. METHODS One thousand seven hundred fifty nine participants from a nation-wide population-based eCohort in Switzerland were followed between November 2020 and September 2021. Financial resources and employment status were assessed twice (Nov2020-Mar2021, May-Jul 2021). Mental health was assessed after the second measurement of financial resources and employment status, using the Depression, Anxiety and Stress Scale (DASS-21). We modelled DASS-21 scores with linear regression, adjusting for demographics, health status, social relationships and changes in workload, and tested interactions with subjective risk perceptions. RESULTS We observed scores above thresholds for normal levels for 16% (95%CI = 15-18) of participants for depression, 8% (95%CI = 7-10) for anxiety, and 10% (95%CI = 9-12) for stress. Compared to continuously comfortable or sufficient financial resources, continuously precarious or insufficient resources were associated with worse scores for all outcomes. Increased financial resources were associated with higher anxiety. In the working-age group, shifting from full to part-time employment was associated with higher stress and anxiety. Perceiving the Swiss economic situation as worrisome was associated with higher anxiety in participants who lost financial resources or had continuously precarious or insufficient resources. CONCLUSION This study confirms the association of economic stressors and mental health during the COVID-19 pandemic and highlights the exacerbating role of subjective risk perception on this association.
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Affiliation(s)
- Stefano Tancredi
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland.
| | - Agnė Ulytė
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
- Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
| | - Cornelia Wagner
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
| | - Dirk Keidel
- Swiss Tropical and Public Health Institute, Allschwil, Switzerland
- University of Basel, Basel, Switzerland
| | - Melissa Witzig
- Swiss Tropical and Public Health Institute, Allschwil, Switzerland
- University of Basel, Basel, Switzerland
| | - Medea Imboden
- Swiss Tropical and Public Health Institute, Allschwil, Switzerland
- University of Basel, Basel, Switzerland
| | - Nicole Probst-Hensch
- Swiss Tropical and Public Health Institute, Allschwil, Switzerland
- University of Basel, Basel, Switzerland
| | - Rebecca Amati
- Institute of Public Health, Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
| | - Emiliano Albanese
- Institute of Public Health, Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
| | - Sara Levati
- Department of Business Economics, Health and Social Care at the University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland
| | - Luca Crivelli
- Department of Business Economics, Health and Social Care at the University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland
| | - Philipp Kohler
- Division of Infectious Diseases and Hospital Epidemiology, Kantonsspital St Gallen, St-Gallen, Switzerland
- Department of Infectious Diseases and Hospital Epidemiology, Children's Hospital of Eastern Switzerland, St Gallen, Switzerland
| | - Alexia Cusini
- Division of Infectious Diseases and Hospital Epidemiology, Kantonsspital St Gallen, St-Gallen, Switzerland
- Department of Infectious Diseases and Hospital Epidemiology, Children's Hospital of Eastern Switzerland, St Gallen, Switzerland
| | - Christian Kahlert
- Division of Infectious Diseases and Hospital Epidemiology, Kantonsspital St Gallen, St-Gallen, Switzerland
- Department of Infectious Diseases and Hospital Epidemiology, Children's Hospital of Eastern Switzerland, St Gallen, Switzerland
| | - Erika Harju
- Department Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland
| | - Gisela Michel
- Department Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland
| | - Chantal Lüdi
- Department Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland
| | - Natalia Ortega
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
- Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland
| | - Stéphanie Baggio
- Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland
- Division of Prison Health, Geneva University Hospitals & University of Geneva, Geneva, Switzerland
| | - Patricia Chocano-Bedoya
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
- Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland
| | - Nicolas Rodondi
- Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland
- Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Tala Ballouz
- Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
| | - Anja Frei
- Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
| | - Marco Kaufmann
- Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
| | - Viktor Von Wyl
- Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
| | - Elsa Lorthe
- Unit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland
| | - Hélène Baysson
- Unit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland
- Department of Health and Community Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Silvia Stringhini
- Unit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland
- Department of Health and Community Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Valentine Schneider
- Cantonal Public Health Service of the Canton of Neuchâtel, Neuchâtel, Switzerland
| | - Laurent Kaufmann
- Cantonal Public Health Service of the Canton of Neuchâtel, Neuchâtel, Switzerland
| | - Frank Wieber
- Zurich University of Applied Sciences, Institute of Public Health, Winterthur, Switzerland
- Department of Psychology, University of Konstanz, Konstanz, Germany
| | - Thomas Volken
- Zurich University of Applied Sciences, Institute of Public Health, Winterthur, Switzerland
| | - Annina Zysset
- Zurich University of Applied Sciences, Institute of Public Health, Winterthur, Switzerland
| | - Julia Dratva
- University of Basel, Basel, Switzerland
- Zurich University of Applied Sciences, Institute of Public Health, Winterthur, Switzerland
| | - Stéphane Cullati
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
- Department of Readaptation and Geriatrics, University of Geneva, Geneva, Switzerland
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Zysset A, Robin D, Albermann K, Dratva J, Hotz S, Wieber F, von Rhein M. Diagnosis and management of ADHD: a pediatric perspective on practice and challenges in Switzerland. BMC Pediatr 2023; 23:103. [PMID: 36869280 PMCID: PMC9985195 DOI: 10.1186/s12887-023-03873-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 01/27/2023] [Indexed: 03/05/2023] Open
Abstract
BACKGROUND Attention deficit/hyperactivity disorder (ADHD) is one of the most prevalent psychiatric disorders in childhood. In Switzerland, the complex diagnosis and treatment are being carried out by adolescent-/child psychiatrists, and pediatricians. Guidelines recommend a multimodal therapy for patients with ADHD. However, it has been questioned whether health professionals follow this approach or favor drug therapy. This study aims to provide insights into the practice of pediatricians in Switzerland regarding diagnosis and treatment of ADHD and their perceptions of these processes. METHOD An online survey (self-report) about current practices of diagnosis and management as well as challenges regarding ADHD was distributed to office-based pediatricians in Switzerland. One hundred fifty-one pediatricians participated. Results show that therapy options were almost always discussed with parents and older children. Exchange with parents (81%) and level of child's suffering (97%) were central when selecting therapy options. RESULTS Therapies about which pediatricians informed most often were: pharmacological therapy, psychotherapy, and multimodal therapy. Challenges voiced were the subjectivity of diagnostic criteria and dependence on third parties, low availability of psychotherapy, and a rather negative public attitude towards ADHD. Needs that were expressed were further education for all professionals, support for coordination with specialists and schools as well as improvement of information on ADHD. CONCLUSIONS Pediatricians do consider a multimodal approach when treating ADHD and take the families` and children's opinions into account. Improvements of the availability of child and youth psychotherapy, the strengthening of the interprofessional cooperation with therapists and schools, and efforts to increase public knowledge about ADHD are proposed.
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Affiliation(s)
- A Zysset
- ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland
| | - D Robin
- ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland
| | - K Albermann
- Centre of Social Pediatrics, Cantonal Hospital Winterthur, Winterthur, Switzerland
| | - J Dratva
- ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland.,University of Basel, Basel, Switzerland
| | - S Hotz
- University Neuchatel, Neuchatel, Switzerland
| | - F Wieber
- ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland. .,University of Konstanz, Constance, Germany.
| | - M von Rhein
- University Children's Hospital Zurich, Zurich, Switzerland.,University of Zurich, Zurich, Switzerland
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Wilson N, McDaid S, Wieber F, Lindert J. European public mental health responses to the COVID-19 pandemic. Eur J Public Health 2023; 33:87-92. [PMID: 36410002 PMCID: PMC9897993 DOI: 10.1093/eurpub/ckac169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic increased multiple risk factors for mental health. Evidence-based, intersectoral public mental health responses are therefore critical. The primary aim of this study was to collate public mental health responses from across Europe. METHODS We conducted a cross-sectional survey in March 2021. Participants were public and mental health professionals from across Europe. We developed an online instrument exploring five domains: changes in mental health supports during the pandemic; mental health support for vulnerable groups; multi-sectoral and service-user involvement; published mental health response plans; and perceived quality of overall country response. RESULTS Fifty-two individuals from 20 European nations responded. Reported changes in mental health supports included an increase in online mental health supports (n = 18); but no change in long-term mental health funding (n = 13); and a decrease in access to early interventions (n = 9). Responses indicated mental health support for vulnerable groups was limited, as was multi-sectoral and service-user involvement. Few national mental health response plans existed (n = 9) and 48% of respondents felt their countries mental health response had been 'poor' or 'very poor'. CONCLUSIONS Our results give insights into the changes in mental health support at a country level across Europe during the COVID-19 pandemic. They indicate countries were not prepared to respond and people with existing vulnerabilities were often neglected in response planning. To be prepared for future pandemics and environmental disasters Public Mental Health preparedness plans are highly needed. These must be developed cross-departmentally, and through the meaningful inclusion of vulnerable groups.
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Affiliation(s)
| | | | - Frank Wieber
- Zurich University of Applied Sciences, Zurich, Switzerland
| | - Jutta Lindert
- University of Applied Sciences Emden/Leer, Emden, Germany
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Leutenegger V, Grylka-Baeschlin S, Wieber F, Daly D, Pehlke-Milde J. The effectiveness of skilled breathing and relaxation techniques during antenatal education on maternal and neonatal outcomes: a systematic review. BMC Pregnancy Childbirth 2022; 22:856. [PMCID: PMC9675115 DOI: 10.1186/s12884-022-05178-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Accepted: 11/03/2022] [Indexed: 11/21/2022] Open
Abstract
Background Several studies have investigated the relationship between antenatal education classes and pregnancy outcomes. These studies have shown positive effects on mothers, such as a lower epidural rate in the intervention groups. However, until now, the impact on outcomes for mothers and newborns of antenatal education classes that focus on breathing and relaxation techniques has not been examined. Aim Investigate the effects of skilled breathing and relaxation techniques provided in antenatal education classes on maternal and neonatal birth outcomes. Methods The protocol for this study was registered with PROSPERO (ID: CRD42020192289). A systematic literature search was undertaken and completed in January 2022, using the databases MEDLINE, CINAHL, clinicalTrials.gov, Cochrane Library, Embase and MIDIRS according to a priori formulated PICO criteria: population (pregnant women), intervention (antenatal education classes with integrated breathing and relaxation techniques), comparison (antenatal education classes that do not include skilled breathing and relaxation techniques), and outcome (maternal and neonatal outcomes). The quality of the studies was assessed by two reviewers using the standardised instruments RoB 2 and ROBINS-I. Results Ten studies were included in this review, nine randomised controlled trials and one quasi-experimental study. The results indicate that skilled breathing and relaxation techniques may positively influence self-efficacy, the need for pharmacological support, specifically the use of epidural anaesthesia, and the memory of labour pain. No effects were found in relation to predefined neonatal outcomes. The quality of evidence on maternal and neonatal outcomes is inconsistent across studies, as different antenatal education classes with varying interventions, including breathing and relaxation techniques, were offered in the studies. Conclusions Women who attended an antenatal education class with breathing and relaxation techniques appear to benefit from the intervention. This applies to the practical implementation and use of breathing and relaxation techniques during labour, increased self-confidence and self-efficacy, and a increased feeling of being in control during labour. This demonstrates the importance of information provision and a focus on breathing and relaxation techniques in antenatal education. Supplementary Information The online version contains supplementary material available at 10.1186/s12884-022-05178-w.
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Affiliation(s)
- Vanessa Leutenegger
- grid.19739.350000000122291644School of Health Sciences, Institute of Midwifery, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland ,grid.7400.30000 0004 1937 0650Faculty of Medicine, University of Zurich, Zurich, Switzerland
| | - Susanne Grylka-Baeschlin
- grid.19739.350000000122291644ZHAW Zurich University of Applied Sciences, School of Health Sciences, Research Institute of Midwifery, Winterthur, Switzerland
| | - Frank Wieber
- grid.19739.350000000122291644ZHAW Zurich University of Applied Sciences, School of Health Sciences, Research Institute of Public Health, Winterthur, Switzerland ,grid.9811.10000 0001 0658 7699Department of Psychology, University of Konstanz, Constance, Germany
| | - Deirdre Daly
- grid.8217.c0000 0004 1936 9705School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Jessica Pehlke-Milde
- grid.19739.350000000122291644ZHAW Zurich University of Applied Sciences, School of Health Sciences, Research Institute of Midwifery, Winterthur, Switzerland
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Wieber F, Zysset A, von Wyl A. Central concepts in mental health promotion programs for children and adolescents: Evidence and examples from Switzerland. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac129.451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Universal mental health promotion programs draw on a wide range of concepts to promote children's and adolescents’ mental health. This presentation aims to provide an overview of the central concepts from health, developmental and social psychology, psychiatry, and public health/health promotion and to illustrate their application using examples from Swiss mental health promotion programs for children and adolescents. Concepts on internal, biological, psychological and psychosocial factors such as the ten life skills that are recommended by the WHO, self-efficacy, (mental) health literacy, and the resilience literature are looked at as well as concepts on external risk and protective factors such as social support (quality of attachment and relationships, positive family climate and peer relations) and the quality of educational institutions. Evidence on their effectiveness is reported and conceptual similarities and differences as well as the underlying mechanisms of action are explored from a health behavior change perspective using the behavior change wheel. Finally, implications for the design and implementation of mental health promotion programs are discussed
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Affiliation(s)
- F Wieber
- Institute of Public Health, ZHAW Zürich University of Applied Sciences , Winterthur, Switzerland
- Department of Psychology, University of Konstanz , Konstanz, Germany
| | - A Zysset
- Institute of Public Health, ZHAW Zürich University of Applied Sciences , Winterthur, Switzerland
| | - A von Wyl
- Clinical Psychology and Health Psychology Section, ZHAW Zürich University of Applied Sciences , Winterthur, Switzerland
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10
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Dratva J, Klein A, Marti S, Wieber F. COVID-19 containment measures impact utilization and provision of healthcare in Europe. Eur J Public Health 2022. [PMCID: PMC9594282 DOI: 10.1093/eurpub/ckac129.472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background The COVID-19 containment measures, implemented to curb the pandemic, impacted health of children and adolescents by numerous pathways. We present the impact on health care utilization and provision. Methods A systematic review on secondary health impact is ongoing (PubMed, PsychInfo, Embase). Literature is screened (title, abstract, full-text) by 2 researchers, and data of interest extracted systematically.. Inclusion criteria are age (0 - 25 yrs.), exposure: containment measures, outcome: secondary health outcome, and European data origin. Results Jan. 2020 - Aug. 2021 10112 studies were identified, 337 were included. n = 60 were on health care utilization and provision. Utilization studies relied on objective hospital or registry data, care provision studies more often on survey data (professionals, parents). Data yields a large but varying decrease in emergency department visits during the lockdown: Italy ∼75%, Spain ∼65%, France ∼60%, and Germany ∼64%, and a substantial change in case mix and severity compared to comparable pre-COVID. Specialized and primary pediatric practices report that elective interventions were postponed, state of the art diagnostics withheld, and rehabilitation services disrupted. Vaccinations in infants, children, and adolescents dropped during the lockdown inversely proportional to children's age. Studies repeatedly suggest patients’ health services avoidance out of fear of infection and stay-at-home rules.Results on catch-up utilization and provision to follow (ongoing study). Conclusions COVID-19 measures exerted a measurable impact on health utilization and provision in children and adolescents. The utilization was comparatively lower and service provision disrupted across Europe. So far little can be said about a potential recovery in terms of catch-up of visits, diagnostics, or treatments. Analyses of the long-term health impact of the observed effects is recommended and can serve to improve future pandemic preparedness. Key messages • COVID-19 confinement measures had measurable secondary health impact on children and adolescents. • Data on catch-up healthcare is important to establish long term impact and learnings.
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Affiliation(s)
- J Dratva
- Institute of Public Health, Zürich University of Applied Sciences , Winterthur, Switzerland
- Medical Faculty, University of Basel , Basel, Switzerland
| | - A Klein
- Institute of Public Health, Zürich University of Applied Sciences , Winterthur, Switzerland
| | - S Marti
- Institute of Public Health, Zürich University of Applied Sciences , Winterthur, Switzerland
| | - F Wieber
- Institute of Public Health, Zürich University of Applied Sciences , Winterthur, Switzerland
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11
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Reicherzer L, Wirz M, Wieber F, Graf ES. Facilitators and barriers to health enhancing physical activity in individuals with severe functional limitations after stroke: A qualitative study. Front Psychol 2022; 13:982302. [PMID: 36337530 PMCID: PMC9628747 DOI: 10.3389/fpsyg.2022.982302] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Accepted: 09/29/2022] [Indexed: 11/28/2022] Open
Abstract
Background Patients with chronic conditions are less physically active than the general population despite knowledge of positive effects on physical and mental health. There is a variety of reasons preventing people with disabilities from achieving levels of physical activities resulting in health benefits. However, less is known about potential facilitators and barriers for physical activity (PA) in people with severe movement impairments. The aim of this study was to identify obstacles and facilitators of PA in individuals with severe disabilities. Materials and methods Using a qualitative approach to explore individuals’ subjective perspectives in depth, five community-dwelling adults (age 52–72, 2 female, 3 male) living with chronic mobility impairments after stroke that restrict independent PA were interviewed. A semi structured topic guide based on the theoretical domains framework was utilized. The interview data was analyzed thematically, and the theoretical domains framework constructs were mapped onto the main and sub-categories. Results The six main categories of facilitators and barriers along the capability, opportunity, motivation–behavior (COM-B) framework were: (1) physical capabilities, (2) psychological capabilities, (3) motivation reflective, (4) motivation automatic, (5) opportunity physical, and (6) opportunity social. The physical capabilities to independently perform PA were variable between participants but were not necessarily perceived as a barrier. Participants were highly motivated to maintain and/or increase their abilities to master their everyday lives as independently as possible. It became clear that a lack of physical opportunities, such as having access to adequate training facilities can present a barrier. Social opportunities in the form of social support, social norms, or comparisons with others can act as both facilitators and barriers. Conclusion While confirming known barriers and facilitators that impact the ability of individuals with functional limitations to be active, the findings highlight the need and opportunities for comprehensive service models based on interdisciplinary collaborations.
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Affiliation(s)
- Leah Reicherzer
- Institute of Physiotherapy, School of Health Sciences, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland
| | - Markus Wirz
- Institute of Physiotherapy, School of Health Sciences, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland
| | - Frank Wieber
- Institute of Public Health, School of Health Sciences, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland
- Social Psychology and Motivation Lab, Department of Psychology, University of Konstanz, Konstanz, Germany
| | - Eveline S. Graf
- Institute of Physiotherapy, School of Health Sciences, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland
- *Correspondence: Eveline S. Graf,
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12
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Burkhalter D, Wagner A, Feer S, Wieber F, Ihle A, Baumann I. Financial Reasons for Working beyond the Statutory Retirement Age: Risk Factors and Associations with Health in Late Life. Int J Environ Res Public Health 2022; 19:ijerph191710505. [PMID: 36078221 PMCID: PMC9518211 DOI: 10.3390/ijerph191710505] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 08/14/2022] [Accepted: 08/17/2022] [Indexed: 06/01/2023]
Abstract
Despite an increasing trend of working life prolongation, little is known about the risk factors for financial reasons for working beyond the statutory retirement age (SRA), and how these reasons relate to health. The present study examined (1) the determinants of working beyond the SRA, (2) the workers' self-reported reasons for working beyond the SRA, and (3) the association between these reasons and health in late life. Cross-sectional data of 1241 individuals from the Swiss survey "Vivre/Leben/Vivere" were analyzed. The results showed that people with a low level of education and with a low income have an 80% higher risk of working beyond the SRA for financial reasons than for other reasons (p < 0.001). Moreover, self-rated health was not significantly associated with working beyond the SRA for financial reasons but was significantly associated with education and income (p < 0.01). In conclusion, while previous studies have already identified financial difficulties as one important reason for working beyond the SRA, the present study indicated the socioeconomic factors that are crucial for increasing the risk for working beyond the SRA. Thus, our results help to guide the adaptation of social policies for better maintaining and promoting the health of particularly vulnerable older workers.
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Affiliation(s)
- Denise Burkhalter
- Institute of Public Health, ZHAW Zurich University of Applied Sciences, 8400 Winterthur, Switzerland
| | - Aylin Wagner
- Swiss Paraplegic Research, 6207 Nottwil, Switzerland
| | - Sonja Feer
- Institute of Public Health, ZHAW Zurich University of Applied Sciences, 8400 Winterthur, Switzerland
| | - Frank Wieber
- Institute of Public Health, ZHAW Zurich University of Applied Sciences, 8400 Winterthur, Switzerland
- Chair of Social Psychology and Motivation, University of Konstanz, 78464 Konstanz, Germany
| | - Andreas Ihle
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland
- Department of Psychology, University of Geneva, 1205 Geneva, Switzerland
- Swiss National Centre of Competence in Research LIVES—Overcoming Vulnerability: Life Course Perspectives, 1015 Lausanne, Switzerland
| | - Isabel Baumann
- Institute of Public Health, ZHAW Zurich University of Applied Sciences, 8400 Winterthur, Switzerland
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland
- Swiss National Centre of Competence in Research LIVES—Overcoming Vulnerability: Life Course Perspectives, 1015 Lausanne, Switzerland
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13
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Baumann I, Wieber F, Volken T, Rüesch P, Glässel A. Interprofessional Collaboration in Fall Prevention: Insights from a Qualitative Study. Int J Environ Res Public Health 2022; 19:10477. [PMID: 36078195 PMCID: PMC9518433 DOI: 10.3390/ijerph191710477] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 08/06/2022] [Accepted: 08/18/2022] [Indexed: 05/29/2023]
Abstract
(1) Background and objective: to explore the experiences of Swiss health care providers involved in a community fall prevention pilot project on barriers and facilitations in interprofessional cooperation between 2016 and 2017 in three regions of Switzerland. (2) Methods: semi-structured interviews with health care providers assessed their perspective on the evaluation of jointly developed tools for reporting fall risk, continuous training of the health care providers, sensitizing media campaigns, and others. (3) Results: One of the project's strengths is the interprofessional continuous trainings. These trainings allowed the health care providers to extend their network of health care providers, which contributed to an improvement of fall prevention. Challenges of the project were that the standardization of the interprofessional collaboration required additional efforts. These efforts are time consuming and, for some categories of health care providers, not remunerated by the Swiss health care system. (4) Conclusions: On a micro and meso level, the results of the present study indicate that the involved health care providers strongly support interprofessional collaboration in fall prevention. However, time and financial constraints challenge the implementation. On a macro level, potential ways to strengthen interprofessional collaboration are a core element in fall prevention.
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Affiliation(s)
- Isabel Baumann
- Institute of Public Health, Zurich University of Applied Sciences (ZHAW), 8400 Winterthur, Switzerland
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland
| | - Frank Wieber
- Institute of Public Health, Zurich University of Applied Sciences (ZHAW), 8400 Winterthur, Switzerland
- Department of Psychology, University of Konstanz, 78464 Konstanz, Germany
| | - Thomas Volken
- Institute of Public Health, Zurich University of Applied Sciences (ZHAW), 8400 Winterthur, Switzerland
| | - Peter Rüesch
- Institute of Public Health, Zurich University of Applied Sciences (ZHAW), 8400 Winterthur, Switzerland
| | - Andrea Glässel
- Institute of Public Health, Zurich University of Applied Sciences (ZHAW), 8400 Winterthur, Switzerland
- Institute of Biomedical Ethics and History of Medicine, University of Zurich, 8006 Zurich, Switzerland
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14
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Senn S, Volken T, Rösner S, Wieber F. What is the relapse risk during treatment? Survivor analysis of single and multiple relapse events in inpatients with alcohol use disorder as part of an observational study. J Subst Abuse Treat 2022; 138:108754. [DOI: 10.1016/j.jsat.2022.108754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2021] [Revised: 01/21/2022] [Accepted: 02/17/2022] [Indexed: 11/28/2022]
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15
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Lelong M, Zysset A, Nievergelt M, Luder R, Götz U, Schulze C, Wieber F. How effective is fine motor training in children with ADHD? A scoping review. BMC Pediatr 2021; 21:490. [PMID: 34736439 PMCID: PMC8567617 DOI: 10.1186/s12887-021-02916-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Accepted: 09/11/2021] [Indexed: 11/30/2022] Open
Abstract
Background Motor deficiencies are observed in a large number of children with ADHD. Especially fine motor impairments can lead to academic underachievement, low self-esteem and frustration in affected children. Despite these far-reaching consequences, fine motor deficiencies have remained widely undertreated in the ADHD population. The aim of this review was to systematically map the evidence on existing training programs for remediating fine motor impairments in children with ADHD and to assess their effectiveness. Methods The scoping review followed the PRISMA-ScR guidelines. In March 2020, PsycINFO, MEDLINE (PubMed), Web of Science, Google Scholar and The Cochrane Database of Systematic Reviews were searched for evidence. The eligibility criteria and the data charting process followed the PICO framework, complemented by study design. The investigated population included children with a formal ADHD diagnosis (either subtype) or elevated ADHD symptoms aged between 4 and 12 years, both on and off medication. All training interventions aiming at improving fine motor skills, having a fine motor component or fine motor improvements as a secondary outcome were assessed for eligibility; no comparators were specified. Results Twelve articles were included in the final report, comprising observational and experimental studies as well as a review. Both offline and online or virtual training interventions were reported, often accompanied by physical activity and supplemented by training sessions at home. The training programs varied in length and intensity, but generally comprised several weeks and single or multiple training sessions per week. All interventions including more than one session were effective in the treatment of fine motor deficiencies in children with ADHD and had a wide range of additional positive outcomes. The effects could be maintained at follow-up. Conclusions Fine motor training in children with ADHD can be very effective and multiple approaches including specific fine motor and cognitive training components, some kind of physical activity, feedback mechanisms, or multimodal treatments can be successful. Training programs need to be tailored to the specific characteristics of the ADHD population. A mHealth approach using serious games could be promising in this context due to its strong motivational components. Supplementary Information The online version contains supplementary material available at 10.1186/s12887-021-02916-5.
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Affiliation(s)
| | - Annina Zysset
- School of Health Professions, Institute of Health Science, Zurich University of Applied Sciences ZHAW, Winterthur, Switzerland
| | - Mirjam Nievergelt
- Zurich University of Teacher Education, Centre for Inclusion and Health in Schools, Zuerich, Switzerland
| | - Reto Luder
- Zurich University of Teacher Education, Centre for Inclusion and Health in Schools, Zuerich, Switzerland
| | - Ulrich Götz
- Zurich University of the Arts, Institute for Design Research, Zuerich, Switzerland
| | - Christina Schulze
- School of Health Professions, Institute of Occupational Therapy, Zurich University of Applied Sciences ZHAW, Winterthur, Switzerland
| | - Frank Wieber
- School of Health Professions, Institute of Health Science, Zurich University of Applied Sciences ZHAW, Winterthur, Switzerland. .,Department of Psychology, University of Konstanz, Konstanz, Germany.
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16
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Wieber F. The effects of the COVID-19 pandemic on population mental health policy: A Swiss case study. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab164.082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
This presentation will explore the mental health response to the COVID-19 pandemic in Switzerland with a focus on prevention and early intervention. To describe the pandemic context, the continuous literature screening on the secondary health impact of the pandemic measures on the mental health of children, adolescents and young adults in Switzerland will be used that Julia Dratva and the author lead on behalf of the Swiss School of Public Health and the Federal Office of Public Health. These findings will be complemented with selected results from the longitudinal Swiss Corona Stress Study that focuses on stress, anxiety and depression, the longitudinal COVID-19 Social Monitor that contains indicators on well-being and mental health, and the longitudinal <<Health in Students during the Corona Pandemic >> study that assesses student depression and anxiety during the pandemic. As a major finding, all three studies observed significant increases in psychological stress during the second Covid-19 wave. In the Swiss Corona Stress Study, for instance, 18% of participants reported severe depression symptoms in November 2020 relative to 12% in May, 9% in April during the lock-down, and 3% prior to the pandemic. The presentation will then describe the specific mental health responses. For instance, psychiatrists and psychotherapists were allowed to bill treatment by telephone and the recommendations and billing options have been regularly adapted in response to the developments. However, these changes have not yet affected medium-term mental health policies. Similarly, the continuous screening of the scientific literature is established as a short-term measure. It is reviewed periodically and extended only as needed. The presentation will discuss policy changes in relation to the long-term strategies and their present implementation state. Finally, it will draw initial comparisons with other European countries discuss implications for the future mental system in Switzerland.
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Affiliation(s)
- F Wieber
- Institute of Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland
- Department of Psychology, University of Konstanz, Konstanz, Germany
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17
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Wilson N, McDaid S, Wieber F, Lindert J. Public Mental Health services in the European region during the COVID-19 pandemic. Eur J Public Health 2021. [PMCID: PMC8574682 DOI: 10.1093/eurpub/ckab164.080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
The European Public Health Association (EUPHA), in conjunction with the Mental Health Foundation UK, conducted a purposely designed online survey of public and mental health professionals from across Europe, exploring public mental health responses to the pandemic in different regions, nations and localities. Participants were recruited from EUPHAs mental health division and through snowballing. Four broad areas were explored, namely; (1) perceived changes in available mental health supports during the pandemic; (2) whether or not a public mental health response plan had been developed; (3) if any demographic groups or priority areas had been given particularly consideration in this response and (4) how the response had been developed (i.e. whether intersectoral approaches had been adopted and the perceived degree to which service users and carers had been included in its development). Forty-four survey responses from twenty different European nations were collected and grouped according to whether respondents were practising in countries with low, medium or high COVID-19 incidence rates. The majority of responses were from public health professionals with over 20 years of experience. Results indicated wide variations in policy responses to the crisis and in the way mental health services have adapted to date. However, in the majority of countries surveyed, while an increase in online mental health supports during the pandemic was reported, no change in long term funding for mental health supports was observed. In addition, in the majority of countries, several vulnerable groups were rarely given specific attention in policy responses, namely low-income families, people with long-term health conditions or disabilities and ethnic minorities. In this workshop we will discuss the findings from this survey and explore what insights might be learned from experiences across Europe to date.
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Affiliation(s)
- N Wilson
- Evidence and Impact, Mental Health Foundation, Glasgow, UK
| | - S McDaid
- Evidence and Impact, Mental Health Foundation, Glasgow, UK
| | - F Wieber
- Institute of Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland
- Department of Psychology, University of Konstanz, Konstanz, Germany
| | - J Lindert
- Department Social Work and Health, University of Applied Sciences Emden/Leer, Emden/Leer, Germany
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18
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Biehl V, Wieber F, Abegglen D, Glässel A. Professional Identity Formation in Health Promotion Practitioners: Students' Perspectives during an Undergraduate Program in Switzerland. Int J Environ Res Public Health 2021; 18:ijerph182010754. [PMID: 34682506 PMCID: PMC8535912 DOI: 10.3390/ijerph182010754] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 10/01/2021] [Accepted: 10/09/2021] [Indexed: 01/10/2023]
Abstract
The health promotion (HP) community advocates for capacity building, quality assurance and political awareness of HP. Professional identity (PI) is of great relevance to these goals as persons who strongly identify with their profession better adopt their professional role, raising the quality, competence and common values within a professional group. However, investigations on the HP workforce are missing. In order to investigate PI formation in HP professionals, a longitudinal study was conducted with two student cohorts of a Swiss HP and prevention undergraduate program. Using a qualitative approach, focus groups were conducted at the beginning and end of the undergraduate program. Data were transcribed verbatim and condensed using thematic analysis. The results highlight the complexity of the HP’s professional profile. While students experienced difficulties to capture the profile at the beginning of the program, at the end they developed an understanding of it. The practical experience within work placements helped students to grasp the profile and specify their future professional role. Several behavioral, cognitive and motivational aspects were identified that influence HP students’ PI formation and can be fostered. For instance, universities can commit to public relations for HP practitioners and support the PI formation throughout the study program.
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Affiliation(s)
- Verena Biehl
- Institute of Health Sciences, Zurich University of Applied Sciences, 8401 Winterthur, Switzerland; (F.W.); (D.A.); (A.G.)
- Faculty for Health Sciences, School of Public Health, Bielefeld University, 33615 Bielefeld, Germany
- Correspondence: ; Tel.: +41-58-934-64-23
| | - Frank Wieber
- Institute of Health Sciences, Zurich University of Applied Sciences, 8401 Winterthur, Switzerland; (F.W.); (D.A.); (A.G.)
- Department of Psychology, University of Konstanz, 78464 Konstanz, Germany
| | - Denise Abegglen
- Institute of Health Sciences, Zurich University of Applied Sciences, 8401 Winterthur, Switzerland; (F.W.); (D.A.); (A.G.)
| | - Andrea Glässel
- Institute of Health Sciences, Zurich University of Applied Sciences, 8401 Winterthur, Switzerland; (F.W.); (D.A.); (A.G.)
- Institute of Biomedical Ethics and History of Medicine, University of Zurich, 8006 Zurich, Switzerland
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Biehl V, Gerlinger T, Wieber F. Professional Characteristics of Health Promotion: A Scoping Review of the German and International Literature. Int J Public Health 2021; 66:1603993. [PMID: 34335141 PMCID: PMC8284593 DOI: 10.3389/ijph.2021.1603993] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2021] [Accepted: 06/04/2021] [Indexed: 01/08/2023] Open
Abstract
Objective: This scoping review investigates current developments in the professional characteristics of health promotion (HP) with a focus on the German speaking part of Europe. The conceptualization of HP is a prerequisite for progressing HP professionalization and clarifying the interconnectedness between HP and Public Health. Methods: The search strategy was informed by sociological professionalization theories. Original publications were included in a content-based analysis. Results: Ninety publications (37 original publications) were identified in the review. The results are summarized in categories based on professional characteristics: 1) profession, 2) ethics, 3) education/training 4) competencies, and 5) quality. The professionalization of HP regarding the professional characteristics is less developed in the German compared to the international literature. Conclusion: The mixed findings emphasize the relevance of a common HP conceptualization. The HP core competencies, which have been developed by the International Union for Health Promotion and Education must be further promoted. A strong HP workforce within Public Health strengthens the HP status in policy contexts and society and its contribution to promoting health and tackling social inequalities in health.
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Affiliation(s)
- Verena Biehl
- School of Health Professions, Institute of Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland
- Department of Health Care Systems, Health Policy and Sociology of Health, Faculty of Health Sciences, University of Bielefeld, Bielefeld, Germany
| | - Thomas Gerlinger
- Department of Health Care Systems, Health Policy and Sociology of Health, Faculty of Health Sciences, University of Bielefeld, Bielefeld, Germany
| | - Frank Wieber
- School of Health Professions, Institute of Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland
- Department of Psychology, University of Konstanz, Konstanz, Germany
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20
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Spiegel-Steinmann B, Feusi E, Wieber F, Huber M. WIPAKO ® Winterthur interprofessional training concept "communication and cooperation in health professions": concept, development process and implementation. GMS J Med Educ 2021; 38:Doc64. [PMID: 33824900 PMCID: PMC7994866 DOI: 10.3205/zma001460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Figures] [Subscribe] [Scholar Register] [Received: 03/08/2020] [Revised: 08/15/2020] [Accepted: 10/19/2020] [Indexed: 06/12/2023]
Abstract
Objective: The positioning and training of communicative and social competencies to improve interprofessional cooperation is and will be a challenge for educational institutions. The aim of this project was to reorient the interprofessional training elements of bachelor programs in terms of both content and structure, to improve the legally required practical relevance and to aim for a sustainable anchoring through the targeted design of the development process. WIPAKO® facilitates the acquisition of communicative and social competencies as a prerequisite for cooperation between the health and medical professions. Methodology: Once suitable process structures had been created, an interprofessional committee of experts defined the training elements (competencies, content, learning and teaching methods, learning objective review and evaluation) in an iterative consensus process based on various framework models and on the involvement of the various stakeholders in the individual study programs. Results: A training concept focusing on communicative and social competencies for interprofessional cooperation is available. The consistent interprofessional development of the concept promoted joint responsibility for training in the sense of an organizational development process. Conclusion: The outlined procedure for the conceptualization and implementation of a corresponding framework model and the framework model itself provide the basis for the empirical examination of competence acquisition and the sustainable anchoring of interprofessional training elements. This will provide suggestions for other educational institutions facing similar challenges.
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Affiliation(s)
- Brigitta Spiegel-Steinmann
- ZHAW Zurich University of Applied Sciences, School of Health Professions, Institute of Health Sciences, Winterthur, Switzerland
- University of Konstanz, Department of Psychology, Konstanz, Germany
| | - Emanuel Feusi
- ZHAW Zurich University of Applied Sciences, School of Health Professions, Institute of Health Sciences, Winterthur, Switzerland
| | - Frank Wieber
- ZHAW Zurich University of Applied Sciences, School of Health Professions, Institute of Health Sciences, Winterthur, Switzerland
- University of Konstanz, Department of Psychology, Konstanz, Germany
| | - Marion Huber
- ZHAW Zurich University of Applied Sciences, School of Health Professions, Institute of Health Sciences, Winterthur, Switzerland
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Thürmer JL, Wieber F, Gollwitzer PM. How can we master the 2020 Coronavirus pandemic? The role of planning at social levels. European Review of Social Psychology 2021. [DOI: 10.1080/10463283.2020.1852699] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- J. Lukas Thürmer
- Department of Psychology, University of Salzburg, Salzburg, Austria
| | - Frank Wieber
- Research Institute Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland
- Department of Psychology, University of Konstanz, Konstanz, Germany
| | - Peter M. Gollwitzer
- Department of Psychology, University of Konstanz, Konstanz, Germany
- Department of Psychology, New York University, New York, USA
- Department of Psychology, Leuphana University Lüneburg, Lüneburg, Germany
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Thürmer JL, Wieber F, Gollwitzer PM. Strategic Self-Regulation in Groups: Collective Implementation Intentions Help Cooperate When Cooperation Is Called for. Front Psychol 2020; 11:561388. [PMID: 33329189 PMCID: PMC7732645 DOI: 10.3389/fpsyg.2020.561388] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Accepted: 10/29/2020] [Indexed: 11/13/2022] Open
Abstract
Groups need contributions that are personally costly to their members. Such cooperation is only adaptive when others cooperate as well, as unconditional cooperation may incur high costs to the individual. We argue that individuals can use We-if-then plans (collective implementation intentions, cIIs) to regulate their group-directed behavior strategically, helping them to cooperate selectively with group members in the situation planned for. In line with this prediction, a cII to consider group earnings increased cooperative decisions in a prisoners’ dilemma game when playing against another group member but not when playing against a stranger (i.e., non-group member). Moreover, cIIs to cooperate in the prisoners’ dilemma game did not increase cooperation in a structurally similar investment game that participants had not planned for. We discuss the role of collective planning in solving social dilemmas.
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Affiliation(s)
- J Lukas Thürmer
- Department of Psychology, University of Konstanz, Konstanz, Germany.,Department of Psychology, University of Salzburg, Salzburg, Austria
| | - Frank Wieber
- Department of Psychology, University of Konstanz, Konstanz, Germany.,Institute of Health Sciences, Zurich University of Applied Sciences, Zurich, Switzerland
| | - Peter M Gollwitzer
- Department of Psychology, University of Konstanz, Konstanz, Germany.,Department of Psychology, New York University, New York City, NY, United States.,Institute of Psychology, Leuphana University of Lüneburg, Lüneburg, Germany
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Senn S, Odenwald M, Sehrig S, Haffke P, Rockstroh B, Pereyra Kröll D, Menning H, Wieber F, Volken T, Rösner S. Therapeutic success in relapse prevention in alcohol use disorder: the role of treatment motivation and drinking-related treatment goals. J Addict Dis 2020; 39:88-95. [PMID: 33150846 DOI: 10.1080/10550887.2020.1820810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Background: Changing addictive behavior is a complex process with high demands on motivation. The Transtheoretical Model of Behavior Change provides a theoretical framework for explaining and predicting behavioral change, although its predictive value for addiction is somewhat inconsistent.Objective: The aim of the present study is to extend the Transtheoretical Model of Behavior Change by investigating not only treatment motivation but also the predictive value of the type of drinking-related treatment goal. Additional predictors, such as substance-related and sociodemographic variables, are also included in analyses seeking to predict return to drinking during relapse prevention treatment for alcohol use disorder.Methods: In this observational study, 99 inpatients from a treatment center for alcohol use disorder were recruited. Treatment motivation was assessed in accordance with the Transtheoretical Model of Behavior Change, drinking-related treatment goal through a self-report questionnaire, and substance-related and sociodemographic variables via the clinic information system. Associations between the potential predictors and covariates were explored using stepwise logistic regression.Results: During treatment, 42.6% of participants had at least one relapse. Scoring higher on the action dimension at admission (OR = 0.81, p = .04) and being employed (OR = 0.37, p = .02) were significant predictors of abstinence during treatment.Conclusions: This study confirms that treatment motivation contributes to the prediction of treatment outcome, even when controlling for other variables. In future research, the underlying mechanisms of treatment motivation should be further explored.
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Affiliation(s)
- Smeralda Senn
- Research Department, Forel Clinic, Ellikon an der Thur, Switzerland
| | - Michael Odenwald
- Department of Psychology, University of Konstanz, Konstanz, Germany
| | - Sarah Sehrig
- Department of Psychology, University of Konstanz, Konstanz, Germany
| | - Peter Haffke
- Department of Psychology, University of Konstanz, Konstanz, Germany
| | | | | | - Hans Menning
- Institute for Synergetics and Psychotherapy Research, Paracelsus Medical University Salzburg, Salzburg, Austria
| | - Frank Wieber
- Department of Psychology, University of Konstanz, Konstanz, Germany.,Institute for Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland
| | - Thomas Volken
- Institute for Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland
| | - Susanne Rösner
- Research Department, Forel Clinic, Ellikon an der Thur, Switzerland
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Passalacqua S, Crameri A, Zysset A, Wieber F, Wyl A. “Take care of yourself”: a psychoeducational tool for adolescents for the mental health promotion (MHP) in the pediatric primary care (PPC). Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.1246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Worldwide 10-20% of children and adolescents experience mental disorders (MD). Half of all mental illnesses begin by the age of 14 and three-quarters by mid-20s. As adolescents move from child to adult-centered care, they should be encouraged to implement a proactive mental health strategy. Pediatrician have the potential to be an important gateway to MHP. The healthcare coordination may be affected by contextual constraints such as lack of time and the reluctance of the adolescents to seek help for MD. Adopting a resilience framework, we aimed to develop a psychoeducational toolkit to optimize the contact between the adolescents and their pediatrician.
Methods
We first collected pediatricians needs in a focus group and systematically searched in the literature for components of interventions that are effective in the MHP. We selected a previously developed toolkit, that we aimed to optimize and adapt culturally. The adapted toolkit was then evaluated by adolescents in two focus groups. We took their feedback into account when finalizing the toolkit.
Results
The psychoeducational toolkit “Take care of yourself” is a resource for adolescents to recognize risks for MD. It comprises ten topics that are central to MHP: myths and facts about MD, dealing with stress, love and loss, unhealthy relationships, separation, grief, online addiction, drugs, helping others, confidentiality, rights and obligations and useful websites. Analyses of the focus groups showed that adolescents and pediatricians evaluated the toolkit as appealing and helpful.
Conclusions
This toolkit provides a resource for adolescents to address mental health problems. It aims to increase MHP in PPC and to contribute to the destigmatization of MD. In a next step, we plan to test the effectiveness of this psychoeducational tool.
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Affiliation(s)
- S Passalacqua
- Zurich University of Applied Sciences, Zurich, Switzerland
| | - A Crameri
- Zurich University of Applied Sciences, Zurich, Switzerland
| | - A Zysset
- Zurich University of Applied Sciences, Zurich, Switzerland
| | - F Wieber
- Zurich University of Applied Sciences, Zurich, Switzerland
- University of Konstanz, Konstanz, Germany
| | - A Wyl
- Zurich University of Applied Sciences, Zurich, Switzerland
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Zysset A, Winogradow D, Passalacqua S, Crameri A, von Wyl A, Wieber F. Ten recommendations to foster mental health in children - Systematic development of information materials for parents and pediatricians. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction
Many mental disorders develop during childhood, with an estimated 10-20% of children affected, and they often persist into adulthood. As mental disorders are often recognized delayed or not at all, mental health promotion and the early detection of mental illness in childhood are relevant public health tasks. Pediatric practices are a particularly suitable setting for such efforts are as they do have regular and direct contact with most children. This project therefore aimed to develop materials to raise parents' awareness of children's mental health and provide specific suggestions for mental health promotion and screening for mental health problems.
Methods
A systematic literature review in the field of mental health promotion, clinical psychology and positive psychology on life skills and resilience revealed several effective concepts. In a participatory process with psychiatrists and pediatricians, ten concepts were selected: self-esteem, self-efficacy, problem solving skills, optimism, emotion regulation, recreation, family climate, nature, offline-activities, and peer support. In a preliminary evaluation of parents' perspective on a parent-brochure, 74 parents of 6-12-year-old kids filled in two online-questionnaires on the perceived relevance and usefulness of the ten concepts and the respective behavioral suggestions; one right after learning about the recommendations and one four weeks later.
Results
First analysis show that parents perceive the recommendations as highly relevant and useful at both measurement time points and that they integrated many of them in their everyday family life.
Conclusions
Resource-oriented suggestions on the promotion of mental health in children seem to offer a non-stigmatizing way to address mental health topics in the pediatric practice. In a next step, we plan to field-test the evaluation and uptake of the accompanying information brochure by pediatricians.
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Affiliation(s)
- A Zysset
- Zurich University of Applied Sciences, Zurich, Switzerland
| | | | - S Passalacqua
- Zurich University of Applied Sciences, Zurich, Switzerland
| | - A Crameri
- Zurich University of Applied Sciences, Zurich, Switzerland
| | - A von Wyl
- Zurich University of Applied Sciences, Zurich, Switzerland
| | - F Wieber
- Zurich University of Applied Sciences, Zurich, Switzerland
- University of Konstanz, Konstanz, Germany
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Zinsser LA, Stoll K, Wieber F, Pehlke-Milde J, Gross MM. Changing behaviour in pregnant women: A scoping review. Midwifery 2020; 85:102680. [PMID: 32151875 DOI: 10.1016/j.midw.2020.102680] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2019] [Revised: 02/18/2020] [Accepted: 02/19/2020] [Indexed: 11/15/2022]
Abstract
OBJECTIVES Behaviour change programmes (BCPs) for pregnant women are frequently implemented as part of health promotion initiatives. At present, little is known about the types of behaviour change programmes that are being implemented and whether these programmes are designed and delivered in accordance with the principles of high quality maternity care. In this scoping review, we provide an overview of existing interventions related to behaviour change in pregnancy with a particular emphasis on programmes that include empowerment components to promote autonomy and woman-led decision-making. METHODS A systematic search strategy was applied to check for relevant papers in August 2017 and again in October 2018. RESULTS Thirty studies met the criteria for inclusion. These studies addressed weight management, smoking cessation, general health education, nutrition, physical activity, alcohol consumption and dental health. The main approach was knowledge gain through education. More than half of the studies (n = 17) included three or more aspects of empowerment as part of the intervention. The main aspect used to foster women`s empowerment was skills and competencies. In nine studies midwives were involved, but not as programme leaders. CONCLUSIONS Education for knowledge gain was found to be the prevailing approach in behaviour change programmes. Empowerment aspects were not a specific focus of the behaviour change programmes. This review draws attention to the need to design interventions that empower women, which may be beneficial through their live. As midwives provide maternal healthcare worldwide, they are well-suited to develop, manage, implement or assist in BCPs.
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Affiliation(s)
- Laura A Zinsser
- Hannover Medical School, Midwifery Research and Education Unit, Carl-Neuberg-Str. 1, Hannover 30625, Germany.
| | - Kathrin Stoll
- Hannover Medical School, Midwifery Research and Education Unit, Carl-Neuberg-Str. 1, Hannover 30625, Germany; University of British Columbia, Division of Midwifery, Faculty of Medicine, 5950 University Boulevard, Vancouver BC V6T 1Z3, Canada.
| | - Frank Wieber
- Zurich University of Applied Sciences, School of Health Professions, Technikumstrasse 81, Winterthur 8400, Switzerland; University of Konstanz, Department of Psychology, Universitätsstr. 10, Konstanz 78457, Germany.
| | - Jessica Pehlke-Milde
- Zurich University of Applied Sciences, School of Health Professions, Technikumstrasse 81, Winterthur 8400, Switzerland.
| | - Mechthild M Gross
- Hannover Medical School, Midwifery Research and Education Unit, Carl-Neuberg-Str. 1, Hannover 30625, Germany.
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Wieber F, Hotz S, Albermann K, Dratva J, von Rhein M. Diagnostics and treatment of ADHD in Switzerland: A physician perspective on practice and challenges. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky214.212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- F Wieber
- Zurich University of Applied Sciences, Winterthur, Switzerland
- University of Konstanz, Konstanz, Germany
| | - S Hotz
- University of Fribourg, Fribourg, Switzerland
| | - K Albermann
- Kantonsspital Winterthur, Winterthur, Switzerland
| | - J Dratva
- Zurich University of Applied Sciences, Winterthur, Switzerland
- University of Basel, Winterthur, Switzerland
| | - M von Rhein
- Kantonsspital Winterthur, Winterthur, Switzerland
- University of Zurich, Zurich, Switzerland
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Baumann I, Glässel A, Volken T, Rüesch P, Dratva J, Wieber F. Interprofessional collaboration in fall prevention. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx186.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- I Baumann
- Institute for Health Sciences, Zurich University of Applied Sciences ZHAW, Winterthur, Switzerland
| | - A Glässel
- Institute for Health Sciences, Zurich University of Applied Sciences ZHAW, Winterthur, Switzerland
| | - T Volken
- Institute for Health Sciences, Zurich University of Applied Sciences ZHAW, Winterthur, Switzerland
| | - P Rüesch
- Institute for Health Sciences, Zurich University of Applied Sciences ZHAW, Winterthur, Switzerland
| | - J Dratva
- Institute for Health Sciences, Zurich University of Applied Sciences ZHAW, Winterthur, Switzerland
| | - F Wieber
- Institute for Health Sciences, Zurich University of Applied Sciences ZHAW, Winterthur, Switzerland
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Volken T, Wieber F, Rüesch P, Huber M, Crawford RJ. Temporal change to self-rated health in the Swiss population from 1997 to 2012: the roles of age, gender, and education. Public Health 2017; 150:152-165. [PMID: 28802181 DOI: 10.1016/j.puhe.2017.07.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2016] [Revised: 01/19/2017] [Accepted: 07/07/2017] [Indexed: 11/17/2022]
Abstract
OBJECTIVES Our study aimed to describe the temporal changes in self-rated health status (SRH) from 1997 to 2012 in adults aged 25 to 84 residing in Switzerland, with a view to identifying groups at risk for declining health. STUDY DESIGN Secondary analysis of population-based cross-sectional health surveys. METHODS Data were collected from the cross-sectional, population-based, five-year Swiss Health Survey, from 1997, 2002, 2007 and 2012. A total of 63,861 individuals' data were included. Multilevel mixed-effect logistic regression analysis was employed to estimate the probability of very good and good health within the framework of a hierarchical cross-classified age-period-cohort model (HAPC), adjusting for education level, gender, civil status, smoking status and body mass index. RESULTS Individuals with higher education were substantially more likely than those with primary education to report good SRH (OR = 2.12; 95% CI = 1.93-2.33 for secondary education and OR = 3.79; 95% CI = 3.39-4.23 for tertiary education). The education effect depended on birth cohort and age: higher proportions of good SRH were reported by secondary (8%-17%) and tertiary (10%-22%) compared with primary educated individuals from the 1940 birth cohort onward; the proportion of secondary/tertiary (compared to primary) educated people reporting good SRH increased with age (by 10/11% at 45-50 years and 25/36% at 80-84 years). Gender health equality was achieved by the 1955 (primary educated) and 1960 (secondary educated) birth cohorts, while these women overtook men in reporting good SRH from the 1975 birth cohort onward. Tertiary educated younger women were significantly less likely to report good SRH than men but parity was achieved at around pension age. Similarly, gender inequality in those with primary and secondary education reduced in the younger ages to not be significant at around age 55, with women overtaking men from age 65. CONCLUSIONS Younger birth cohorts with lower education levels appear most vulnerable in terms of their SRH. The education effect cumulatively increases when attaining incrementally higher education levels. While women report lower health than men, gender inequality in SRH has declined and even reversed over time and is substantially linked to differences in educational status. Swiss public health strategies should particularly target the younger adults with only primary school education of both genders; for women, to combat health burdens in their early life, and men, to mitigate issues in their later life.
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Affiliation(s)
- T Volken
- Institue for Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland.
| | - F Wieber
- Institue for Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland; Department of Psychology, University of Konstanz, Konstanz, Germany
| | - P Rüesch
- Institue for Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland
| | - M Huber
- Institue for Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland
| | - R J Crawford
- Institue for Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland; Faculty of Health Professions, Curtin University, Perth, Australia
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30
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Thürmer JL, Wieber F, Gollwitzer PM. Planning and Performance in Small Groups: Collective Implementation Intentions Enhance Group Goal Striving. Front Psychol 2017; 8:603. [PMID: 28469592 PMCID: PMC5395567 DOI: 10.3389/fpsyg.2017.00603] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2017] [Accepted: 04/03/2017] [Indexed: 11/21/2022] Open
Abstract
There are two key motivators to perform well in a group: making a contribution that (a) is crucial for the group (indispensability) and that (b) the other group members recognize (identifiability). We argue that indispensability promotes setting collective (“We”) goals whereas identifiability induces individual (“I”) goals. Although both goals may enhance performance, they should align with different strategies. Whereas pursuing collective goals should involve more cooperation, pursuing individual goals should involve less cooperation. Two experiments support this reasoning and show that planning out collective goals with collective implementation intentions (cIIs or “We-plans”) relies on cooperation but planning out individual goals with individual implementation intentions (IIs or “I-plans”) does not. In Experiment 1, three-member groups first formed a collective or an individual goal and then performed a first round of a physical persistence task. Groups then either formed a respective implementation intention (cII or II) or a control plan and then performed a second round of the task. Although groups with cIIs and IIs performed better on a physical persistence task than respective control groups, only cII groups interacted more cooperatively during task performance. To confirm the causal role of these interaction processes, Experiment 2 used the same persistence task and manipulated whether groups could communicate: When communication was hindered, groups with cIIs but not groups with IIs performed worse. Communication thus qualifies as a process making cIIs effective. The present research offers a psychology of action account to small group performance.
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Affiliation(s)
- J Lukas Thürmer
- Department of Politics and Public Administration, University of KonstanzKonstanz, Germany.,Department of Psychology and Learning Research and Development Center, University of Pittsburgh, PittsburghPA, USA.,Department of Psychology, University of KonstanzKonstanz, Germany
| | - Frank Wieber
- Department of Psychology, University of KonstanzKonstanz, Germany.,Zurich University of Applied Sciences, School of Health ProfessionsZurich, Switzerland
| | - Peter M Gollwitzer
- Department of Psychology, University of KonstanzKonstanz, Germany.,Department of Psychology, New York University, New YorkNY, USA
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Loy LS, Wieber F, Gollwitzer PM, Oettingen G. Supporting Sustainable Food Consumption: Mental Contrasting with Implementation Intentions (MCII) Aligns Intentions and Behavior. Front Psychol 2016; 7:607. [PMID: 27199840 PMCID: PMC4850472 DOI: 10.3389/fpsyg.2016.00607] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2016] [Accepted: 04/12/2016] [Indexed: 11/30/2022] Open
Abstract
With growing awareness that sustainable consumption is important for quality of life on earth, many individuals intend to act more sustainably. In this regard, interest in reducing meat consumption is on the rise. However, people often do not translate intentions into actual behavior change. To address this intention-behavior gap, we tested the self-regulation strategy of mental contrasting with implementation intentions (MCII). Here, people identify and imagine a desired future and current obstacles standing in its way. They address the obstacles with if-then plans specifying when, where, and how to act differently. In a 5-week randomized controlled experimental study, we compared an information + MCII intervention with an information-only control intervention. As hypothesized, only MCII participants’ intention of reducing their meat consumption was predictive of their actual reduction, while no correspondence between intention and behavior change was found for control participants. Participants with a moderate to strong intention to reduce their meat consumption reduced it more in the MCII than in the control condition. Thus, MCII helped to narrow the intention-behavior gap and supported behavior change for those holding moderate and strong respective intentions.
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Affiliation(s)
- Laura S Loy
- Media Psychology Division, School of Communication, University of HohenheimStuttgart, Germany; Social Psychology and Motivation Division, Department of Psychology, University of KonstanzKonstanz, Germany
| | - Frank Wieber
- Social Psychology and Motivation Division, Department of Psychology, University of KonstanzKonstanz, Germany; Centre for Health Sciences, School of Health Professions, Zurich University of Applied SciencesWinterthur, Switzerland
| | - Peter M Gollwitzer
- Social Psychology and Motivation Division, Department of Psychology, University of KonstanzKonstanz, Germany; Motivation Lab, Psychology Department, New York UniversityNew York, NY, USA
| | - Gabriele Oettingen
- Motivation Lab, Psychology Department, New York UniversityNew York, NY, USA; Educational Psychology and Motivation Division, Department of Psychology, University of HamburgHamburg, Germany
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Sailer P, Wieber F, Pröpster K, Stoewer S, Nischk D, Volk F, Odenwald M. A brief intervention to improve exercising in patients with schizophrenia: a controlled pilot study with mental contrasting and implementation intentions (MCII). BMC Psychiatry 2015; 15:211. [PMID: 26335438 PMCID: PMC4557227 DOI: 10.1186/s12888-015-0513-y] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2013] [Accepted: 05/29/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Regular exercise can have positive effects on both the physical and mental health of individuals with schizophrenia. However, deficits in cognition, perception, affect, and volition make it especially difficult for people with schizophrenia to plan and follow through with their exercising intentions, as indicated by poor attendance and high drop-out rates in prior studies. Mental Contrasting and Implementation Intentions (MCII) is a well-established strategy to support the enactment of intended actions. This pilot study tests whether MCII helps people with schizophrenia in highly structured or autonomy-focused clinical hospital settings to translate their exercising intentions into action. METHODS Thirty-six inpatients (eleven women) with a mean age of 30.89 years (SD = 11.41) diagnosed with schizophrenia spectrum disorders from specialized highly structured or autonomy-focused wards were randomly assigned to two intervention groups. In the equal contact goal intention control condition, patients read an informative text about physical activity; they then set and wrote down the goal to attend jogging sessions. In the MCII experimental condition, patients read the same informative text and then worked through the MCII strategy. We hypothesized that MCII would increase attendance and persistence relative to the control condition over the course of four weeks and this will be especially be the case when applied in an autonomy-focused setting compared to when applied in a highly structured setting. RESULTS When applied in autonomy-focused settings, MCII increased attendance and persistence in jogging group sessions relative to the control condition. In the highly structured setting, no differences between conditions were found, most likely due to a ceiling effect. These results remained even when adjusting for group differences in the pre-intervention scores for the control variables depression (BDI), physical activity (IPAQ), weight (BMI), age, and education. Whereas commitment and physical activity apart from the jogging sessions remained stable over the course of the treatment, depression and negative symptoms were reduced. There were no differences in pre-post treatment changes between intervention groups. CONCLUSIONS The intervention in the present study provides initial support for the hypothesis that MCII helps patients to translate their exercising intentions into real-life behavior even in autonomously-focused settings without social control. TRIAL REGISTRATION ClinicalTrials.gov ID; URL: NCT01547026 Registered 3 March 2012.
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Affiliation(s)
- Pascal Sailer
- Department of Psychology, University of Konstanz, Universitätsstrasse 10, 78464, Konstanz, Germany.
| | - Frank Wieber
- Department of Psychology, University of Konstanz, Universitätsstrasse 10, 78464, Konstanz, Germany.
| | - Karl Pröpster
- Department of Psychology, University of Konstanz, Universitätsstrasse 10, 78464, Konstanz, Germany. .,Center for Psychiatry, Feursteinstrasse 55, 78479, Reichenau, Germany.
| | - Steffen Stoewer
- Thurgau Psychiatric Services, Seeblickstrasse 3, 8596, Münsterlingen, Switzerland.
| | - Daniel Nischk
- Center for Psychiatry, Feursteinstrasse 55, 78479, Reichenau, Germany.
| | - Franz Volk
- Center for Psychiatry, Feursteinstrasse 55, 78479, Reichenau, Germany.
| | - Michael Odenwald
- Department of Psychology, University of Konstanz, Universitätsstrasse 10, 78464, Konstanz, Germany. .,Center for Psychiatry, Feursteinstrasse 55, 78479, Reichenau, Germany.
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Wieber F, Thürmer JL, Gollwitzer PM. Promoting the translation of intentions into action by implementation intentions: behavioral effects and physiological correlates. Front Hum Neurosci 2015; 9:395. [PMID: 26236214 PMCID: PMC4500900 DOI: 10.3389/fnhum.2015.00395] [Citation(s) in RCA: 57] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2015] [Accepted: 06/23/2015] [Indexed: 11/18/2022] Open
Abstract
The present review addresses the physiological correlates of planning effects on behavior. Although intentions to act qualify as predictors of behavior, accumulated evidence indicates that there is a substantial gap between even strong intentions and subsequent action. One effective strategy to reduce this intention–behavior gap is the formation of implementation intentions that specify when, where, and how to act on a given goal in an if-then format (“If I encounter situation Y, then I will initiate action Z!”). It has been proposed that implementation intentions render the mental representation of the situation highly accessible and establish a strong associative link between the mental representations of the situation and the action. These process assumptions have been examined in behavioral research, and in physiological research, a field that has begun to investigate the temporal dynamics of and brain areas involved in implementation intention effects. In the present review, we first summarize studies on the cognitive processes that are central to the strategic automation of action control by implementation intentions. We then examine studies involving critical samples with impaired self-regulation. Lastly, we review studies that have applied physiological measures such as heart rate, cortisol level, and eye movement, as well as electroencephalography (EEG) and functional magnetic resonance imaging (fMRI) studies on the neural correlates of implementation intention effects. In support of the assumed processes, implementation intentions increased goal attainment in studies on cognitive processes and in critical samples, modulated brain waves related to perceptual and decision processes, and generated less activity in brain areas associated with effortful action control. In our discussion, we reflect on the status quo of physiological research on implementation intentions, methodological and conceptual issues, related research, and propose future directions.
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Affiliation(s)
- Frank Wieber
- Social Psychology and Motivation Group, Department of Psychology, University of Konstanz Konstanz, Germany
| | - J Lukas Thürmer
- Social Psychology and Motivation Group, Department of Psychology, University of Konstanz Konstanz, Germany ; Graduate School of Decision Sciences, University of Konstanz Konstanz, Germany
| | - Peter M Gollwitzer
- Social Psychology and Motivation Group, Department of Psychology, University of Konstanz Konstanz, Germany ; Motivation Lab, Department of Psychology, New York University, New York NY, USA
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Wieber F, Thürmer JL, Gollwitzer PM. Attenuating the Escalation of Commitment to a Faltering Project in Decision-Making Groups. Social Psychological and Personality Science 2015. [DOI: 10.1177/1948550614568158] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
When groups receive negative feedback on their progress toward a set goal, they often escalate rather than temper their commitment. To attenuate such escalation, we suggest initiating a self-distancing response (i.e., taking the perspective of a neutral observer) by forming implementation intentions when, where, and how to act (i.e., making if-then plans). Implementation intentions should help groups to translate a self-distancing intention into action. In line with this reasoning, only groups that had added implementation intentions to their goal to make optimal investment decisions reduced their high levels of investment (Study 1) or maintained their moderate levels of investment (Study 2) after negative feedback. Groups that had merely formed goal intentions, however, escalated even when their decision goal was supplemented with self-distancing instructions (Study 1), and they escalated as much as control groups without such a goal (Study 2). Implications for improving group decision making by implementation intentions are discussed.
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Affiliation(s)
| | | | - Peter M. Gollwitzer
- University of Konstanz, Konstanz, BW, Germany
- New York University, New York, NY, USA
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Thürmer JL, Wieber F, Gollwitzer PM. A Self-regulation Perspective on Hidden-profile Problems: If-Then Planning to Review Information Improves Group Decisions. J Behav Dec Making 2014. [DOI: 10.1002/bdm.1832] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- J. Lukas Thürmer
- Department of Psychology; University of Konstanz; Konstanz Germany
| | - Frank Wieber
- Department of Psychology; University of Konstanz; Konstanz Germany
| | - Peter M. Gollwitzer
- Department of Psychology; University of Konstanz; Konstanz Germany
- New York University; New York NY USA
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Abstract
Mindset theory suggests that a deliberative mindset entails openness to information in one’s environment, whereas an implemental mindset entails filtering of information. We hypothesized that this open- versus closed-mindedness influences individuals’ breadth of visual attention. In Studies 1 and 2, we induced an implemental or deliberative mindset, and measured breadth of attention using participants’ length estimates of x-winged Müller-Lyer figures. Both studies demonstrate a narrower breadth of attention in the implemental mindset than in the deliberative mindset. In Study 3, we manipulated participants’ mindsets and measured the breadth of attention by tracking eye movements during scene perception. Implemental mindset participants focused on foreground objects, whereas deliberative mindset participants attended more evenly to the entire scene. Our findings imply that deliberative versus implemental mindsets already operate at the level of visual attention.
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Wieber F, Gollwitzer PM, Sheeran P. Strategic regulation of mimicry effects by implementation intentions. Journal of Experimental Social Psychology 2014. [DOI: 10.1016/j.jesp.2014.02.002] [Citation(s) in RCA: 71] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Wieber F, Thürmer JL, Gollwitzer PM. Collective action control by goals and plans: applying a self-regulation perspective to group performance. Am J Psychol 2012; 125:275-90. [PMID: 22953688 DOI: 10.5406/amerjpsyc.125.3.0275] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
In celebration of the 125th anniversary of The American Journal of Psychology, this article discusses a seminal publication by Marjorie Shaw (1932) on small group performance in the rational solution of complex problems. We then propose an approach for the effective regulation of group goal striving based on the collective action control perspective. From this perspective, group performance might be hindered by a collective intention-behavior gap: Groups fail to act on their intentions despite being strongly committed to the collective goal, knowing what the necessary actions are, and being capable of performing them. To reduce this gap, we suggest specific if-then plans (implementation intentions) in which groups specify when, where, and how to act toward their collective goal as an easily applicable self-regulation strategy to automate collective action control. Studies in which implementation intentions improved group performance in hidden profile, escalation of commitment, and cooperation task paradigms are reported and discussed.
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Affiliation(s)
- Frank Wieber
- Department of Psychology, University of Konstanz, Konstanz, Germany.
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Abstract
Construal level theory suggests that events and objects can be represented at either a higher, more abstract level involving consideration of superordinate goals, desirability, global processing, and broad categorizations or a lower, more concrete level involving consideration of subordinate goals, feasibility, local processing, and narrow categorizations. Analogously, social targets (including the self) can be represented more broadly, as members of a group, or more narrowly, as individuals. Because abstract construals induce a similarity focus, they were predicted to increase the perceived fit between social targets and a salient social category. Accordingly, placing individuals into a more abstract construal mind-set via an unrelated task increased the activation and use of stereotypes of salient social groups, stereotype-consistent trait ratings of the self, group identification, and stereotype-consistent performance relative to more concrete construal mind-sets. Thus, nonsocial contextual influences (construal level mind-sets) affect stereotyping of self and others.
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Affiliation(s)
- Sean M McCrea
- Department of Psychology, University of Wyoming, Laramie, WY 82071, USA.
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Affiliation(s)
- Frank Wieber
- Department of Psychology, University of Konstanz, Germany
| | - Peter M. Gollwitzer
- Department of Psychology, University of Konstanz, Germany
- Department of Psychology, New York University, USA
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Wieber F, von Suchodoletz A, Heikamp T, Trommsdorff G, Gollwitzer PM. If-Then Planning Helps School-Aged Children to Ignore Attractive Distractions. Social Psychology 2011. [DOI: 10.1027/1864-9335/a000041] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Can children improve shielding an ongoing task from distractions by if-then planning (i.e., by forming implementation intentions)? In an experimental study, the situational and personal limits of action control by distraction-inhibiting implementation intentions (“If a distraction comes up, then I will ignore it!”) were tested by comparing them to simple goal intentions (“I will ignore distractions!”). Goal intentions were sufficient to successfully ignore distractions of low attractiveness. In the presence of moderately and highly attractive distractions, as well as a distraction presented out of the children’s sight, however, only implementation intentions improved children’s task shielding, as indicated by faster response times in an ongoing categorization task and shorter periods of looking at highly attractive distractions presented out of their field of vision. These findings held true regardless of the children’s temperament and language competency. Implications for research on planning and developmental research on self-control are discussed.
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Affiliation(s)
- Frank Wieber
- Department of Psychology, University of Konstanz, Germany
| | | | - Tobias Heikamp
- Department of Psychology, University of Konstanz, Germany
| | | | - Peter M. Gollwitzer
- Department of Psychology, University of Konstanz, Germany
- New York University, USA
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Wieber F, Gollwitzer P, Seebaß G. Call for Papers. Social Psychology 2008. [DOI: 10.1027/1864-9335.39.2.121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Sassenberg K, Wieber F. Don't ignore the other half: the impact of ingroup identification on implicit measures of prejudice. Eur J Soc Psychol 2005. [DOI: 10.1002/ejsp.267] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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