Intention to adherence to social distancing for prevention of Covid-19 in the urban areas of southern Iran: a structural equation modeling (SEM) analysis of theory of planned behavior.

BACKGROUND: Social distancing is a key behavior to minimize and controlling COVID-19 infections. The current study applied an integrated Theory of Planned Behavior to identify the determinants of social distancing behavior, and the processes involved, in the context of the COVID-19 pandemic. METHODS: a cross-sectional study was conducted in Southern Iran among 1000 people from Shiraz by employing a convenience sampling technique. Data were collected using a pre-tested and structured questionnaire based on the main constructs of the Theory of Planned Behavior. Statistical analysis was done using IBM SPSS software version 22 and Amos version 24. Level of statistical significance was declared at a P-value of less than 0.05. RESULTS: according to the results, the subjective norms (F = 2.696, effect size = 0.139) and attitude (F = 3.582, effect size = 0.155) play an important role in the samples' PBC (P ≤ 0.05). Final adjusted structural equation model of the effects of independent variables (Gender, subjective norms, attitude) on samples' intention to adherence social distancing for prevention of Covid-19 with the mediating role of one main variable of PBC. The PBC alone can be an important factor in creating intensive behavior in the samples (F = 3.560, effect size = 0.18). CONCLUSION: current findings highlight the importance of "attitude, subjective norms and PBC" as determinants of social distancing intention. Future research on long-range predictors of social distancing behavior and reciprocal effects in the integrated model is warranted. This evidence is relevant to public and private organizations in the process of developing strategies to promote and engage the population in adopting the behavior of "Adherence to Social Distancing" in Iran.

Cultural stress theory: An overview.

Immigrants, and the children of immigrants, are exposed to unique stressors rooted in both (a) the need to balance their heritage culture with the destination culture and (b) the widespread framing of immigrants as real and/or existential threats to the destination society. Seeking to better conceptualize these unique cultural stressors, and to better understand the mechanisms and protective factors, several lines of research have converged, leading to the development of cultural stress theory (CST). This introduction provides an overview CST, starting with its theoretical roots, then proceeding to its key tenets. In addition, and serving as an overall framework for the articles included in this special issue, we outline key directions for future research on cultural stress, highlighting how the articles within this special issue serve to expand CST in important new ways and directions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Using cognitive load theory to tailor clinical reasoning training for preclinical medical students.

Cognitive load theory (CLT) provides strategies for tailoring clinical reasoning training for novice medical students. This commentary highlights the importance of adapting training to the level of preclinical medical students and explores these methods from a CLT perspective to help medical educators apply them effectively in classroom settings.

Unravelling the shift: exploring consumers' adoption or resistance of E-Pharmacy through behavioural reasoning theory.

In the ever-evolving nature of the healthcare sector, the advent of electronic-Pharmacy introduces a dynamic shift in how consumers acquire and access medical and pharmaceutical products. The research utilized the behaviour reasoning theory. The study evaluated the reasons for adopting and against adopting electronic-Pharmacy. By employing the qualitative approach, this study unravels rich contextual and narrative insights, shedding light on the complexities of individual decision-making processes. The study received responses from 28 through an in-depth interview, and thematic data analysis was employed for the data analysis. The outcome of the research is summarized as follows. The respondents indicated that essential reasons for adopting electronic pharmacy services include convenience and accessibility, prescription management, cost and affordability, logistics, and timely delivery. On the other hand, the reasons against adoption include trust and security concerns, regulatory challenges and legal uncertainties, lack of internet access and privacy concerns. As technology changes healthcare delivery, this research closes the knowledge gap between theory and practice by offering crucial insights into the behavioural aspects influencing electronic-Pharmacy adoption or resistance. The findings are anticipated to significantly impact the academic discourse surrounding electronic-health and the practical implementation of strategies to enhance the integration of electronic-Pharmacy services into conventional healthcare systems.

For a Theory of the Psychotherapeutic Process: Epistemology of Recursion and Relational Fractality.

Psychotherapy is a relational process that emerges from the meeting of two people. There is an ontological difference between the individual psychopathology of the patient and relational therapy; the present work aims to overcome the patient-centric conception of psychotherapy, restoring the dyadic nature of the therapy through the interpretation of the psychological interview as a fractal process. Recursion, namely the application of the same logical operator to the result of the operation itself, is presented here as the basic procedural element of psychotherapy. The paper is divided into two parts: The first has epistemological nature and focuses on complexity theory and cybernetics: Edgar Morin and recursion as a process of existence, Heinz von Foerster and epistemology as second-order praxis. From the thought of Gregory Bateson, it is here postulated the self-similarity of the content and structure of the mind, to the point of conceptualizing the dyadic relationship as a Mind of a different logical type compared to the individual mind. The second part of the present work introduces two intellectual tools designed to conceptualize psychotherapy as a fractal process: the psychopathological hologram, useful for clinical work although of a non-clinical nature, that consists in a fraction of the patient's experiential flow, while the psychotherapeutic string is presented here as the basic recursive element of psychotherapeutic process.

The Interpersonal Theory of Suicide: State of the Science.

In this state-of-the-science review, we summarize the key constructs and concepts within the interpersonal theory of suicide. The state of the scientific evidence regarding the theory is equivocal, and we explore the reasons for and some consequences of that equivocal state. Our particular philosophy of science includes criteria such as explanatory reach and pragmatic utility, among others, in addition to the important criterion of predictive validity. Across criteria, the interpersonal theory fares reasonably well, but it is also true that it struggles somewhat-as does every other theory of suicidality-with stringent versions of predictive validity. We explore in some depth the implications of the theory and its status regarding people who are minoritized. Some implications and future directions for research are also presented.

Illusionism Big and Small: Some Options for Explaining Consciousness.

Illusionism is a general philosophical framework in which specific theories of consciousness can be constructed without having to invoke a magical mind essence. The advantages of illusionism are not widely recognized, perhaps because scholars tend to think only of the most extreme forms and miss the range of possibilities. The brain's internal models are never fully accurate, nothing is exactly as the brain represents it, and therefore some element of illusionism is almost certainly necessary for any working theory of consciousness or of any other property that is accessed through introspection. Here I describe the illusionist framework and propose six specific theories. One purpose of this article is to demonstrate the range of possibilities in a domain that is not yet sufficiently explored. The second purpose is to argue that even existing, popular theories, such as the integrated information theory or the global workspace theory, can be transformed and greatly strengthened by adding an illusionist layer. The third purpose is to argue that when illusionist logic is used, even very disparate theories of consciousness that emerge from unrelated conceptual origins begin to converge onto a deeper, unified understanding.

Predictors of self-care behaviors in hypertensive patients based on the protection motivation theory.

INTRODUCTION: Globally, hypertension is a significant public health concern and a leading cause of premature death. Since this disease is incurable, it is necessary to promote patients' self-care behaviors to control it. The goal of this research was to identify the elements that influence self-care actions in individuals with hypertension, utilizing the Protection Motivation Theory (PMT) framework. METHODS: A study was carried out in Omidiyeh, located in southern Iran, using a cross-sectional design, involving 397 adults with hypertension (198 females and 199 males) who were selected from comprehensive health centers using a stratified random sampling technique. Data was gathered through a demographic data collection form and a questionnaire created by the researcher, which was based on the PMT. Data were assessed utilizing SPSS 25 and AMOS 24 software, and various statistical tests including one-way ANOVA, Pearson correlation, multiple regression, independent t-test, and structural equation modeling were conducted. FINDINGS: The variables of intrinsic reward (r = 0.182), extrinsic reward (r = 0.288), and response cost (r = 0.126) showed a significant negative correlation with self-care behaviors. On the other hand, perceived susceptibility (r = 0.212), perceived severity (r = 0.110), self-efficacy (r = 0.555), and response efficacy (r = 0.424) demonstrated a significant positive correlation with self-care behaviors. Specifically, self-efficacy and response efficacy were the most powerful predictors of self-care behaviors, respectively. CONCLUSION: The results showed that several factors can forecast self-care behaviors in patients with hypertension. Researchers are recommended to incorporate PMT in educational interventions and concentrate on self-efficacy and response efficacy constructs.

Evaluating the usefulness of Protection Motivation Theory for predicting climate change mitigation behavioral intentions among a US sample of climate change deniers and acknowledgers.

BACKGROUND: This paper summarizes data from 7 studies that used Protection Motivation Theory (PMT) to guide climate messaging with the goal of increasing climate-mitigating behavioral intentions. Together, the studies address 5 research questions. 1) Does PMT predict behavioral intentions in the context of climate change mitigation? 2) Does PMT work similarly for climate change deniers vs acknowledgers? 3) Are the effects of threat and efficacy additive or multiplicative? 4) Does adding measures of collective threat and efficacy improve the model accuracy for a collective problem like climate change? 5) Can threat and efficacy appraisals - and ultimately behavioral intentions - be shifted through climate messaging? METHODS: Seven online experiments were conducted on US adults (N = 3,761) between 2020 and 2022. Participants were randomly assigned to a control condition or to one of several experimental conditions designed to influence threat, efficacy, or both. Participants indicated their belief in climate change, ethnicity, gender, and political orientation. They completed measures of personal threat and efficacy, collective threat and efficacy, and behavioral intentions. RESULTS: Multiple regressions, ANCOVAs, and effect sizes were used to evaluate our research questions. Consistent with PMT, threat and efficacy appraisals predicted climate mitigation behavioral intentions, even among those who denied climate change. Different interactions emerged for climate deniers and acknowledgers, suggesting that in this context threat and efficacy are not just additive in their effects (but these effects were small). Including measures of collective threat and efficacy only modestly improved the model. Finally, evidence that threat and efficacy appraisals can be shifted was weak and inconsistent; mitigation behavioral intentions were not reliably influenced by the messages tested. CONCLUSIONS: PMT effectively predicts climate change mitigation behavioral intentions among US adults, whether they deny climate change or acknowledge it. Threat appraisals may be more impactful for deniers, while efficacy appraisals may be more impactful for acknowledgers. Including collective-level measures of threat and efficacy modestly improves model fit. Contrary to PMT research in other domains, threat and efficacy appraisals were not easily shifted under the conditions tested here, and increases did not reliably lead to increases in behavioral intentions.

Theories and hypotheses: The forgotten plane of the multiverse.

Multiverse analyses-the systematic examination of the effects of decisions that researchers can take over the course of a research project-became more common in recent psychophysiological research. However, multiverse analyses in psychophysiology almost exclusively focus on methodological and statistical decisions that can have a considerable impact on the findings. The role of the conceptual multiverse regarding theory-related research decisions is largely ignored. We argue that the choice of a theory that guides hypotheses, study design, measurement methods, and statistical analyses is the first plane of the psychophysiological multiverse. Depending on the chosen theoretical framework, researchers will choose different methods, and statistical analyses will emphasize specific aspects. We illustrate this process with a research example studying the effects of task difficulty manipulations on cardiovascular effects reflecting effort. We argue in favor of an approach that explicitly acknowledges the various theoretical accounts that can constitute the background of a study and demonstrate how a comparative analytical approach can provide a comprehensive multiverse without increasing type I error due to mere exploration.

Impact of theory of planned behavior based intervention on breastfeeding patterns of the mothers with preterm infants: a randomized trial.

BACKGROUND: The birth of a preterm infant is considered a crisis for the mother and the family. Given the significance of breastfeeding for these high-risk infants, failure to initiate and maintain exclusive breastfeeding in this group of infants is a prevalent and serious problem. The aim of this research was to investigate the impact of Theory of Planned Behavior based intervention on breastfeeding patterns of the mothers with preterm infants: a randomized trial. MATERIALS AND METHODS: This study is a field trial conducted in Isfahan, Iran in 2021-2022. It included 72 mothers of late preterm infants, divided into the intervention (n = 36) and control (n = 36) groups. The intervention group received four training sessions focused on breastfeeding patterns based on the Theory of Planned Behavior. Before, immediately after, and two and four months after the intervention, the constructs of the Theory of Planned Behavior related to breastfeeding patterns were assessed using a researcher-made questionnaire, and the infant's breastfeeding pattern was recorded. Statistical analysis was performed using SPSS version 19, g repeated measures ANCOVA, Bonferroni post hoc test, and chi-square test. RESULTS: The results indicated that immediately after the intervention, as well as two and four months later, the mean scores for attitude (P < 0.001), subjective norms (P < 0.001), perceived behavioral control (P < 0.001), and behavioral intention (P < 0.001) were significantly higher in the intervention group than in the control group. Additionally, the results showed that, the rate of breastfeeding immediately, two months, and four months after the intervention was significantly higher in the intervention group than before the intervention (P < 0.001). However, in the control group, the rate of breastfeeding immediately, two months, and four months after the intervention was significantly lower than before the intervention (P < 0.001). CONCLUSION: Interventions based on the Theory of Planned Behavior can improve exclusive breastfeeding in late preterm infants by changing the attitudes, subjective norms, perceived behavioral control and the behavioral intentions of the mothers of preterm infants. TRIAL REGISTRATION: "IRCTID: IRCT20210524051392N1", 13/06/2021.

Understanding aberrant driving intentions based on the Theory of Planned Behavior: Literature review and Meta-Analysis.

INTRODUCTION: Despite deployed efforts to establish strict road safety standards, human factors is still the leading cause of road crashes. To identify determinants of driver's behavior, TPB (Theory of Planned Behavior) is widely used as a prominent theory of behavior change. However, the existence of different aberrant driving behaviors (decision errors, recognition errors, violations, and physical condition related errors) and several studies using TPB to understand driving behavior, makes it important to conduct a literature review and a meta-analysis of existing studies to use their results in effective driving behavior change interventions. METHOD: The selection process provided 125 relevant studies that were published between 1991 and 2022, and that used TPB for the understanding of aberrant driving behavior. Five fundamental research questions were defined to identify information to be discovered from the literature review and from the meta-analysis. RESULTS: In addition to the standard TPB constructs (attitudes, subjective norms, and perceived behavioral control), past behavior, moral norms, and descriptive norms were used in studies for a more comprehensive understanding of aberrant driving intention. This analysis demonstrated a significant correlation between aberrant driving intentions and past behavior. Also, moral norms construct was correlated with violations and recognition errors, whereas descriptive norms construct was correlated just with recognition errors. CONCLUSIONS: The results of this study highlight the strength of TPB in the prediction of aberrant driving intention and its potential effectiveness to guide interventions aimed at changing aberrant driving behaviors. The study contributes to the comprehension of the relevant psychological factors influencing the engagement of drivers in each category of aberrant driving behaviors. PRACTICAL APPLICATIONS: Researchers can use the results of this study to select the relevant psychological factors adapted to their interventions of driving behavior change. The results of the meta-analysis can also be used in the prediction of driver's intentions.

Exploring Margaret Mahler's Theory: Applications in Borderline Personality Disorder Treatment within Psychiatric Wards.

This article delves into fundamental themes within Margaret Mahler's separation-individuation theory, placing particular emphasis on the rapprochement phase. It illustrates how these themes are crucial for comprehending and effectively managing inpatients grappling with borderline personality disorder. Mahler's conceptual framework offers valuable insights for caregivers and staff, equipping them to navigate the clinical and emotional complexities inherent in the treatment of this distinct patient population during their stay in psychiatric wards.

Applying behavioral change theories to optimize pulmonary rehabilitation in COPD patients: A review.

This review meticulously evaluates the integration of behavioral change theories into pulmonary rehabilitation programs for chronic obstructive pulmonary disease (COPD) management, addressing the critical need for enhanced patient compliance and improved therapeutic outcomes. With COPD posing significant global health challenges, characterized by high morbidity and mortality rates, the manuscript underscores the potential of Self-Determination Theory, Social Cognitive Theory, the Transtheoretical Model, the Health Belief Model, and the Theory of Planned Behavior to foster meaningful health behavior changes among patients. Through a comprehensive literature analysis, it reveals how each model contributes to understanding patient behaviors in pulmonary rehabilitation contexts, advocating for their systematic application to craft more effective, patient-centered interventions. Despite the proven efficacy of these theories in various health domains, their current underutilization in pulmonary rehabilitation underscores a gap between theoretical knowledge and clinical practice. The review calls for an interdisciplinary approach that bridges this gap, highlighting the urgency of developing actionable, theory-based behavioral intervention plans. By doing so, it aims to advance COPD management strategies, ultimately improving the quality of life for individuals living with this debilitating disease.

The effect of training to diabetes patients according to planned behavior theory on self-efficacy and patient empowerment: A randomized study.

AIM: To examine the effect of training provided to type 2 diabetes patients according to the theory of planned behavior on self-efficacy and patient empowerment. METHODS: This study, pre-test-post-test active control group single-blind experimental design, was conducted in the internal medicine outpatient clinic of a state hospital between April and October 2023. Participants were randomly assigned to the intervention group (IG; n = 45) and control group (CG; n = 47). The intervention group received a theory-based training program consisting of 5 sessions lasting approximately 40 min. each. Diabetes Management Self-Efficacy Scale, Patient Empowerment Scale and the patient's laboratory results were used for data collection. RESULTS: In the study, while the posttest self-efficacy and patient empowerment scores of the intervention group increased compared to the pretest, there was an decrease in HbA1C level. On the post-test measurements between groups, self-efficacy and patient empowerment scores were higher and effect sizes were higher in the intervention group, while no difference was found in HbA1C values. CONCLUSION: The training program provided according to the theory of planned behavior in diabetes patients provides positive contributions to disease management.

The relationship between space and time perception: A registered replication of Casasanto and Boroditsky (2008).

Everything in our environment moves through both space and time, and to effectively act we must be aware of both spatial and temporal elements in relation to our own bodies. Thus, perceptions of space and time have an intimate relationship. Walsh's a theory of magnitude (ATOM) suggests that space and time perception rely on a general magnitude system and their relationship should be roughly symmetrical. Alternatively, metaphor theory, which is based on the philosophical work of Lakoff and Johnson, argues that we represent time using a spatial metaphor and thus the relationship should be asymmetrical (with space influencing time more than time influences space). A compelling line of evidence for metaphor theory comes from the work of Casasanto & Boroditsky. Cognition, 106(2), 579-593. (2008) who experimentally demonstrated this asymmetric effect. However, in our previous unpublished online replication attempt of this work, we found a roughly symmetrical relationship between space and time, more in line with the theoretical predictions of ATOM. Given this, we performed a registered replication of Casasanto & Boroditsky. Cognition, 106(2), 579-593. (2008) in both an online and laboratory environment.

Conceptualizing and Developing a Dynamic Stigma Theory.

Stigma is a form of injustice that contributes to the worsening course of the symptoms associated with mental health problems. The paper discusses the conceptualization and development of a contemporary theoretical model of stigma. Building on the findings of an initial scoping review, the author developed a theoretical model after thoroughly analyzing and redefining the key concepts of interest. This article proposes that stigmatized individuals are impacted by the religiocultural and structural violence perspectives embedded within social spaces, leading to stigma perception appraisal and subsequent coping mechanisms, which could be adaptive or maladaptive. Current models of mental illness stigma have gaps. It is time to relook at existing stigma frameworks and fill these gaps that have existed for many years for effective anti-stigma strategies.

Panpsychism and dualism in the science of consciousness.

A resurgence of panpsychism and dualism is a matter of ongoing debate in modern neuroscience. Although metaphysically hostile, panpsychism and dualism both persist in the science of consciousness because the former is proposed as a straightforward answer to the problem of integrating consciousness into the fabric of physical reality, whereas the latter proposes a simple solution to the problem of free will by endowing consciousness with causal power as a prerequisite for moral responsibility. I take the Integrated Information Theory (IIT) as a paradigmatic exemplar of a theory of consciousness (ToC) that makes its commitments to panpsychism and dualism within a unified framework. These features are not, however, unique for IIT. Many ToCs are implicitly prone to some degree of panpsychism whenever they strive to propose a universal definition of consciousness, associated with one or another known phenomenon. Yet, those ToCs that can be characterized as strongly emergent are at risk of being dualist. A remedy against both covert dualism and uncomfortable corollaries of panpsychism can be found in the evolutionary theory of life, called here "bioprotopsychism" and generalized in terms of autopoiesis and the free energy principle. Bioprotopsychism provides a biologically inspired basis for a minimalist approach to consciousness via the triad "chemotaxis-efference copy mechanism-counterfactual active inference" by associating the stream of weakly emergent conscious states with an amount of information (best guesses) of the brain, engaged in unconscious predictive processing.

"It Will Always Feel Worse Because it Comes with That Added 'Betrayal'": Intersectionality Praxis and Black Young Women Survivors' Perspectives on Cultural Betrayal Trauma Theory.

Because of interlocking oppressions of racism and sexism (e.g. intersectionality), Black women's experiences of high rates of sexual violence are often ignored. A critical Black feminist framework, cultural betrayal trauma theory (CBTT) examines within-group violence in the Black community, which has compounding harm due to inequality. Though quantitative research has found support for CBTT, Black young women survivors' perspectives have not been examined. Therefore, the purpose of the current exploratory study was to engage in intersectionality praxis to qualitatively examine Black young women survivors' perspectives on CBTT through structured thematic analysis and coding based on theory. Respondents (N = 37; 18-30 years), provided their thoughts on CBTT following participating in a quantitative study. With most survivors in agreement that cultural betrayal in trauma is harmful, a key theme was community orientation in understanding both the harm and healing of cultural betrayal trauma. Black young women survivors' resonance with CBTT, as well as their recommendations for community-level solidarity and healing have important implications.

Effects of a Brief Safe Drinking Intervention on Depressive and Anxiety Symptomatology: Examining Potential Side Effects of Deviance Regulation Theory Interventions.

College students are at a heightened risk of experiencing depression and anxiety symptomatology and engaging in maladaptive alcohol use. Understanding how alcohol interventions impact emotional functioning is essential. One such intervention uses Deviance Regulation Theory (DRT), which posits that behavior can be modified using targeted messaging as a function of perceived norms. DRT has been shown to be effective at increasing responsible drinking behaviors and decreasing alcohol-related consequences. However, it is unclear if this intervention influences emotional functioning. The current examines the impact of a DRT intervention on emotional functioning. Participants (n = 147) were recruited from a large Southeastern university. The study included a screening phase, intervention, and six-week follow-up. Participants were randomly assigned to one of three conditions: a positive message condition about people who drink responsibly, a negative message condition about people who do not drink responsibly, and an active control condition. During the study, all participants reported on depression/anxiety symptoms, alcohol use, responsible drinking, and alcohol-related consequences. Mixed-effects regression was used to analyze the data. Results suggest an overall reduction of depressive and anxiety symptomatology in the intervention conditions but not in the control condition. In the positive condition, there was a decrease in depressive and anxiety symptomatology. The messaging was not moderated by normative beliefs. The negative condition also led to decreases in depression and anxiety symptomatology over time. In addition, perceived norms moderated the negative message in the first week after the intervention, an effect consistent with DRT. Prior research indicates this intervention is efficacious for the reduction of adverse alcohol outcomes; these data show that the intervention may also have positive effects on downstream mental health outcomes.