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1.
Cent Eur J Public Health ; 32(3): 205-214, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39352097

RESUMO

OBJECTIVES: Excessive screen use in early school age is associated with worsened health habits and negative child development in later age. We aimed to assess the time spent on modern and traditional screen-based devices and examine its associations with socio-demographic characteristics. METHODS: This population-based cross-sectional observation study was conducted in Czechia, Slovakia and Finland between April and June 2021. Participants (N = 1,915) were parents/caregivers of children attending elementary school grades 1 to 3, selected by stratified random sampling. Children's daily leisure screen time (LST) based on parental reports was the main outcome. Descriptive statistics, mean comparison and linear regression analysis were used for the analysis. RESULTS: The average daily LST was found to be as high as 3.5 hours and significantly associated with most socio-demographic variables. Eighty percent of children exceeded the threshold of two hours of LST per day, which was formerly introduced by the American Academy of Pediatrics. The most important predictor of LST in children was having their screen-based device(s) for their exclusive personal use (EPU). Linear regression with all predictors assessed together confirmed the significant effect of the screen-based devices' EPU, the child's sex and grade, the child's birth order and the parent's education, even when controlled for media parenting practices. CONCLUSIONS: Given the widespread availability of smartphones for exclusive personal use among young children, the regulation of EPU and the reinforcement of effective media parenting practices, particularly in families with lower education and income, are critical public health strategies to mitigate the negative impact of excessive screen time on child development and overall well-being.


Assuntos
Atividades de Lazer , Tempo de Tela , Humanos , Feminino , Masculino , Estudos Transversais , Criança , Eslováquia/epidemiologia , Finlândia/epidemiologia , República Tcheca/epidemiologia , Fatores Socioeconômicos , Fatores Sociodemográficos
2.
Compr Psychiatry ; 127: 152427, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-37782987

RESUMO

INTRODUCTION: Despite being a widely used screening questionnaire, there is no consensus on the most appropriate measurement model for the Alcohol Use Disorders Identification Test (AUDIT). Furthermore, there have been limited studies on its measurement invariance across cross-cultural subgroups, genders, and sexual orientations. AIMS: The present study aimed to examine the fit of different measurement models for the AUDIT and its measurement invariance across a wide range of subgroups by country, language, gender, and sexual orientation. METHODS: Responses concerning past-year alcohol use from the participants of the cross-sectional International Sex Survey were considered (N = 62,943; Mage: 32.73; SD = 12.59). Confirmatory factor analysis, as well as measurement invariance tests were performed for 21 countries, 14 languages, three genders, and four sexual-orientation subgroups that met the minimum sample size requirement for inclusion in these analyses. RESULTS: A two-factor model with factors describing 'alcohol use' (items 1-3) and 'alcohol problems' (items 4-10) showed the best model fit across countries, languages, genders, and sexual orientations. For the former two, scalar and latent mean levels of invariance were reached considering different criteria. For gender and sexual orientation, a latent mean level of invariance was reached. CONCLUSIONS: In line with the two-factor model, the calculation of separate alcohol-use and alcohol-problem scores is recommended when using the AUDIT. The high levels of measurement invariance achieved for the AUDIT support its use in cross-cultural research, capable also of meaningful comparisons among genders and sexual orientations.


Assuntos
Alcoolismo , Humanos , Masculino , Feminino , Alcoolismo/diagnóstico , Alcoolismo/epidemiologia , Comparação Transcultural , Psicometria , Estudos Transversais , Comportamento Sexual , Inquéritos e Questionários , Análise Fatorial , Reprodutibilidade dos Testes
3.
J Public Health (Oxf) ; 43(2): 348-354, 2021 06 07.
Artigo em Inglês | MEDLINE | ID: mdl-31832643

RESUMO

BACKGROUND: Smoke-free policy belongs to key public health instruments to promote health in populations. In 2017, new comprehensive smoke-free law prohibiting smoking in indoor public places was implemented. We aimed to measure changes in tobacco smoking patterns and changes in motivation to quit in adult smokers prior to and after the new smoke-free legislation came into force. METHODS: We conducted a prospective cohort study prior to and post the implementation of Act No. 65/2017 Coll. Self-reported questionnaires were administered to 131 adult smokers by trained nurses in general practitioner offices in Prague. We analysed changes in cigarette consumption per day; ratio of cigarettes smoked in pub, street, work and home; and motivation to quit using regression modelling. RESULTS: We found a statistically significant decrease in the daily consumption of cigarettes (an average of 1.7 cigarettes per day, P < 0.001, d = 0.34). Smoking in indoor public spaces decreased to almost zero, while tobacco consumption in outdoor public spaces (such as streets and squares) increased by nearly 20%. We observed statistically significant increase of motivation to quit smoking (P = 0.021, d = 0.21). CONCLUSION: The study brings valuable indication of the desired public health impact related to key legislative change in the Czech Republic.


Assuntos
Motivação , Abandono do Hábito de Fumar , Adulto , República Tcheca/epidemiologia , Promoção da Saúde , Humanos , Estudos Prospectivos , Uso de Tabaco
4.
Eur Addict Res ; 27(2): 87-96, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32781442

RESUMO

BACKGROUND: Most severe substance use disorders (SUDs) are connected with attention deficit hyperactivity disorder (ADHD) and other mental health problems. Therapeutic communities (TCs) provide a suitable option for the treatment of severe SUDs. The relationship between ADHD, the severity of the SUD, and other comorbidities in residential TCs is unknown. OBJECTIVE: To estimate the prevalence of ADHD among clients with an SUD in residential rehab, and to compare the mental health of clients with and without ADHD. METHODS: A cohort study was conducted in 5 residential TCs (N = 180, 76.7% male, 53.9% 25-34 years, 79.2% diagnosed with methamphetamine use disorder). We assessed ADHD symptoms, substance use, mental health problems, and psychiatric symptoms. RESULTS: ADHD was found in 51% of the clients who showed significantly higher scores for their psychiatric status composite score (ASI-PSY) (F = 9.08, p < 0.001; t = 5.05, p < 0.001), the positive psychiatric symptoms total (SCL-PST) (F = 3.36, p < 0.05; t = 3.15, p < 0.01), and the global severity index (SCL-GSI) (F = 3.27, p < 0.05; t = 3.18, p < 0.01). The ASI-PSY and SCL correlated significantly with the symptoms of attention deficit disorder (Pearson's r's = 0.30-0.42, p's < 0.001) and the symptoms of hyperactivity disorder (r's = 0.24-0.30, p's < 0.01). Even when severity of substance use was accounted for, ADHD was confirmed as a significant predictor of ASI-PSY (B= 0.14, p < 0.001 for combined disorder; B = 0.20, p < 0.001 for attention disorder) and partially of SCL-PST (B = 8.12, p < 0.05 for attention disorder). CONCLUSIONS: The ADHD prevalence in TCs was nearly 10-fold compared to the globally recorded values. ADHD diagnostic procedures and interventions should become an integral part of the standard diagnostic and treatment process.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Transtornos Relacionados ao Uso de Substâncias , Adulto , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Estudos de Coortes , Comorbidade , Feminino , Humanos , Masculino , Prevalência , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Comunidade Terapêutica
5.
Int J Aging Hum Dev ; 92(4): 492-520, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-32283942

RESUMO

This article examines the hypothesis that the dialogical integration of life experiences is related to successful aging. Life story interviews with 93 older Czech adults were sorted into categories characterized by specific patterns of life experience integration: (i) without dialogical processes, (ii) with differentiated I-positions, (iii) with dialogical relationships, (iv) partially integrated, and (v) completely integrated. The results indicated that the categories were ordered, yielding low-level correlations with scales of successful aging in predicted directions. A comparison of the categories revealed that they were related to successful aging in a cumulative way, starting with the most essential indicator (lower scores of rumination) in the participants who had developed at least dialogical relationships, continuing to higher well-being linked with partial integration, and ending with an advanced indicator (optimism toward future) linked with complete integration. These relationships were summarized in a hypothetical model that is open to further examination.


Assuntos
Envelhecimento Saudável , Acontecimentos que Mudam a Vida , Narração , Idoso , Idoso de 80 Anos ou mais , República Tcheca , Feminino , Nível de Saúde , Envelhecimento Saudável/psicologia , Humanos , Entrevistas como Assunto , Masculino , Otimismo/psicologia , Ruminação Cognitiva
6.
Int J Aging Hum Dev ; 90(4): 337-362, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-30786724

RESUMO

We examined two contradictory views of Erikson's concept of ego integrity: as an outcome of the tension between integrity and despair, or as a dialogical process of balancing positive and negative life experiences. One hundred sixty-seven Czech older adults participated in the study. Dialogically integrated, outcome-integrated, and outcome-despairing participants were selected based on the Ego Integrity Scale and based on methods mapping life-reviewing dialogue. The three subsamples were compared in their psychological adaptation. The results showed that the dialogically integrated participants scored similarly in well-being and meaningfulness of life as outcome-integrated participants and better than outcome-despairing participants. However, the dialogically integrated participants were also prone to experiencing negative emotions. As they were older than the other two subsamples and reported worse physical health, we concluded that the life-reviewing dialogue helps them maintain a sense of meaning in life and a certain level of well-being. Hence, the results support relevance of the dialogical-process view.


Assuntos
Adaptação Psicológica , Ego , Adulto , Idoso , Humanos , Acontecimentos que Mudam a Vida , Autoimagem
7.
PLoS One ; 19(8): e0308258, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39102409

RESUMO

Given the negative outcomes associated with smartphone use during personal and relational activities (SUPRA), parents strive to regulate its use among their children. However, media parenting recommendations lack knowledge of parental views on SUPRA and their relative occurrence in youths. This study aimed to (i) estimate SUPRA frequency among children and adolescents, (ii) assess parental dislike (PD) of SUPRA, and (iii) identify predictors of PD of SUPRA. An online survey was completed by 826 parents (49% mothers, age 25-74, Median = 43 years), capturing PD of SUPRA, estimated frequency of SUPRA in their children (49% female, age 6-18, Median = 10 years), parenting styles (warmth and control), parental attitudes toward screen media, and sociodemographic characteristics. The rate of frequent SUPRA was significantly higher in adolescents (2.7-48.1%) compared to children (2.1-27.2%) with odds ratios ranging from 0.67 to 3.04, depending on the activity type. PD of SUPRA was high in parents of children (M = 4.04, SD = 0.66) and adolescents (M = 3.93, SD = 0.71). Linear regression identified being a mother, having higher levels of control and warmth, and less positive attitudes toward screen media as significant predictors of SUPRA dislike. Our study was the first to report the estimated occurrence and parental dislike of smartphone use (SU) during various personal and relational activities, enabling their direct comparison. Experts warn against SU while studying and at bedtime, which frequently occurred in 4-5% of children and 10-12% of adolescents. More attention should be paid to SU during relational (peer/family) activities due to its relatively high occurrence and parental dissatisfaction.


Assuntos
Poder Familiar , Pais , Smartphone , Humanos , Feminino , Masculino , Criança , Adulto , Adolescente , Pessoa de Meia-Idade , Poder Familiar/psicologia , Pais/psicologia , Relações Pais-Filho , Idoso , Inquéritos e Questionários , Atitude
8.
J Sex Res ; : 1-16, 2024 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-38905162

RESUMO

Motivations for pornography use may vary across gender identities, sexual orientations, and geographical regions, warranting examination to promote individual and public health. The aims of this study were to validate the Pornography Use Motivations Scale (PUMS) in a diverse, multicultural sample, and develop a short form (PUMS-8) that can assess a wide range of pornography use motivations. Using data from 42 countries (N = 75,117; Mage = 32.07; SDage = 12.37), enabled us to thoroughly evaluate the dimensionality, validity, and reliability of the Pornography Use Motivations Scale (PUMS), leading to the development of the more concise PUMS-8 short scale. Additionally, language-, nationality-, gender-, and sexual-orientation-based measurement invariance tests were conducted to test the comparability across groups. Both the PUMS and the PUMS-8 assess eight pornography use motivations, and both demonstrated excellent psychometric properties. Sexual Pleasure emerged as the most frequent motivation for pornography use across countries, genders, and sexual orientations, while differences were observed concerning other motivations (e.g. self-exploration was more prevalent among gender-diverse individuals than men or women). The motivational background of pornography use showed high similarity in the examined countries. Both the PUMS and the PUMS-8 are reliable and valid measurement tools to assess different types of motivations for pornography use across countries, genders, and sexual orientations. Both scales are recommended for use in research and clinical settings.

9.
Assessment ; : 10731911241259560, 2024 Jul 26.
Artigo em Inglês | MEDLINE | ID: mdl-39054862

RESUMO

The UPPS-P Impulsive Behavior Model and the various psychometric instruments developed and validated based on this model are well established in clinical and research settings. However, evidence regarding the psychometric validity, reliability, and equivalence across multiple countries of residence, languages, or gender identities, including gender-diverse individuals, is lacking to date. Using data from the International Sex Survey (N = 82,243), confirmatory factor analyses and measurement invariance analyses were performed on the preestablished five-factor structure of the 20-item short version of the UPPS-P Impulsive Behavior Scale to examine whether (a) psychometric validity and reliability and (b) psychometric equivalence hold across 34 country-of-residence-related, 22 language-related, and three gender-identity-related groups. The results of the present study extend the latter psychometric instrument's well-established relevance to 26 countries, 13 languages, and three gender identities. Most notably, psychometric validity and reliability were evidenced across nine novel translations included in the present study (i.e., Croatian, English, German, Hebrew, Korean, Macedonian, Polish, Portuguese-Portugal, and Spanish-Latin American) and psychometric equivalence was evidenced across all three gender identities included in the present study (i.e., women, men, and gender-diverse individuals).

10.
J Affect Disord ; 350: 991-1006, 2024 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-38244805

RESUMO

BACKGROUND: Depression and anxiety are among the most prevalent mental health issues experienced worldwide. However, whereas cross-cultural studies utilize psychometrically valid and reliable scales, fewer can meaningfully compare these conditions across different groups. To address this gap, the current study aimed to psychometrically assess the Brief Symptomatology Index (BSI) in 42 countries. METHODS: Using data from the International Sex Survey (N = 82,243; Mage = 32.39; SDage = 12.52; women: n = 46,874; 57 %), we examined the reliability of depression and anxiety symptom scores of the BSI-18, as well as evaluated evidence of construct, invariance, and criterion-related validity in predicting clinically relevant variables across countries, languages, genders, and sexual orientations. RESULTS: Results corroborated an invariant, two-factor structure across all groups tested, exhibiting excellent reliability estimates for both subscales. The 'caseness' criterion effectively discriminated among those at low and high risk of depression and anxiety, yielding differential effects on the clinical criteria examined. LIMITATIONS: The predictive validation was not made against a clinical diagnosis, and the full BSI-18 scale was not examined (excluding the somatization sub-dimension), limiting the validation scope of the BSI-18. Finally, the study was conducted online, mainly by advertisements through social media, ultimately skewing our sample towards women, younger, and highly educated populations. CONCLUSIONS: The results support that the BSI-12 is a valid and reliable assessment tool for assessing depression and anxiety symptoms across countries, languages, genders, and sexual orientations. Further, its caseness criterion can discriminate well between participants at high and low risk of depression and anxiety.


Assuntos
Comparação Transcultural , Depressão , Humanos , Feminino , Masculino , Adulto , Criança , Depressão/diagnóstico , Reprodutibilidade dos Testes , Psicometria , Ansiedade/diagnóstico , Inquéritos e Questionários
11.
Int J Clin Health Psychol ; 24(2): 100461, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38706570

RESUMO

Background: The three-item Sexual Distress Scale (SDS-3) has been frequently used to assess distress related to sexuality in public health surveys and research on sexual wellbeing. However, its psychometric properties and measurement invariance across cultural, gender and sexual subgroups have not yet been examined. This multinational study aimed to validate the SDS-3 and test its psychometric properties, including measurement invariance across language, country, gender identity, and sexual orientation groups. Methods: We used global survey data from 82,243 individuals (Mean age=32.39 years; 40.3 % men, 57.0 % women, 2.8 % non-binary, and 0.6 % other genders) participating in the International Sexual Survey (ISS; https://internationalsexsurvey.org/) across 42 countries and 26 languages. Participants completed the SDS-3, as well as questions regarding sociodemographic characteristics, including gender identity and sexual orientation. Results: Confirmatory factor analysis (CFA) supported a unidimensional factor structure for the SDS-3, and multi-group CFA (MGCFA) suggested that this factor structure was invariant across countries, languages, gender identities, and sexual orientations. Cronbach's α for the unidimensional score was 0.83 (range between 0.76 and 0.89), and McDonald's ω was 0.84 (range between 0.76 and 0.90). Participants who did not experience sexual problems had significantly lower SDS-3 total scores (M = 2.99; SD=2.54) compared to those who reported sexual problems (M = 5.60; SD=3.00), with a large effect size (Cohen's d = 1.01 [95 % CI=-1.03, -0.98]; p < 0.001). Conclusion: The SDS-3 has a unidimensional factor structure and appears to be valid and reliable for measuring sexual distress among individuals from different countries, gender identities, and sexual orientations.

12.
J Atten Disord ; 28(4): 512-530, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38180045

RESUMO

OBJECTIVE: We analyzed adult ADHD symptoms in a cross-cultural context, including investigating the occurrence and potential correlates of adult ADHD and psychometric examination of the Adult ADHD Self-Report Scale (ASRS) Screener. METHOD: Our analysis is based on a large-scale research project involving 42 countries (International Sex Survey, N=72,627, 57% women, Mage=32.84; SDage=12.57). RESULTS: The ASRS Screener demonstrated good reliability and validity, along with partial invariance across different languages, countries, and genders. The occurrence of being at risk for adult ADHD was relatively high (21.4% for women, 18.1% for men). The highest scores were obtained in the US, Canada, and other English-speaking Western countries, with significantly lower scores among East Asian and non-English-speaking European countries. Moreover, ADHD symptom severity and occurrence were especially high among gender-diverse individuals. Significant associations between adult ADHD symptoms and age, mental and sexual health, and socioeconomic status were observed. CONCLUSIONS: Present results show significant cross-cultural variability in adult ADHD occurrence as well as highlight important factors related to adult ADHD. Moreover, the importance of further research on adult ADHD in previously understudied populations (non-Western countries) and minority groups (gender-diverse individuals) is stressed. Lastly, the present analysis is consistent with previous evidence showing low specificity of adult ADHD screening instruments and contributes to the current discussion on accurate adult ADHD screening and diagnosis.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Adulto , Humanos , Masculino , Feminino , Autorrelato , Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Reprodutibilidade dos Testes , Comparação Transcultural , Inquéritos e Questionários
13.
J Psychiatr Res ; 165: 16-27, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37453212

RESUMO

The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) is an instrument to screen substance-use-related health risks. However, little is known whether the ASSIST could be further shortened while remaining psychometrically sound across different countries, languages, gender identities, and sexual-orientation-based groups. The study aimed to validate a shortened 11-item ASSIST (ASSIST-11). Using the International Sex Survey data, 82,243 participants (M age = 32.39 years) across 42 countries and 26 languages completed questions from the ASSIST-11 regarding gender identity, sexual orientation, and other information. Confirmatory factor analysis (CFA) and multigroup CFA (MGCFA) evaluated the ASSIST-11's structure and tested measurement invariance across groups. Cronbach's α and McDonald's ω were used to examine the internal consistency. Cohen's d and independent t-tests were used to examine known-group validity. The ASSIST-11 was unidimensional across countries, languages, age groups, gender identities (i.e., men, women, and gender-diverse individuals), and sexual orientations (i.e., heterosexual and sexual minority individuals). Cronbach's α was 0.63 and McDonald's ω was 0.68 for the ASSIST-11. Known-group validity was supported by Cohen's d (range between 0.23 and 0.40) with significant differences (p-values<0.001). The ASSIST-11 is a modified instrument with a unidimensional factor structure across different languages, age groups, countries, gender identities, and sexual orientations. The low internal consistency of the ASSIST-11 might be acceptable as it assesses a broad concept (i.e., use of several different substances). Healthcare providers and researchers may use the ASSIST-11 to quickly assess substance-use information from general populations and evaluate the need to follow up with more detailed questions about substance use.


Assuntos
Comparação Transcultural , Transtornos Relacionados ao Uso de Substâncias , Humanos , Masculino , Feminino , Adulto , Psicometria , Identidade de Gênero , Inquéritos e Questionários , Fumar , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Reprodutibilidade dos Testes
14.
J Behav Addict ; 12(2): 393-407, 2023 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-37352095

RESUMO

Background and aims: Despite its inclusion in the 11th revision of the International Classification of Diseases, there is a virtual paucity of high-quality scientific evidence about compulsive sexual behavior disorder (CSBD), especially in underrepresented and underserved populations. Therefore, we comprehensively examined CSBD across 42 countries, genders, and sexual orientations, and validated the original (CSBD-19) and short (CSBD-7) versions of the Compulsive Sexual Behavior Disorder Scale to provide standardized, state-of-the-art screening tools for research and clinical practice. Method: Using data from the International Sex Survey (N = 82,243; Mage = 32.39 years, SD = 12.52), we evaluated the psychometric properties of the CSBD-19 and CSBD-7 and compared CSBD across 42 countries, three genders, eight sexual orientations, and individuals with low vs. high risk of experiencing CSBD. Results: A total of 4.8% of the participants were at high risk of experiencing CSBD. Country- and gender-based differences were observed, while no sexual-orientation-based differences were present in CSBD levels. Only 14% of individuals with CSBD have ever sought treatment for this disorder, with an additional 33% not having sought treatment because of various reasons. Both versions of the scale demonstrated excellent validity and reliability. Discussion and conclusions: This study contributes to a better understanding of CSBD in underrepresented and underserved populations and facilitates its identification in diverse populations by providing freely accessible ICD-11-based screening tools in 26 languages. The findings may also serve as a crucial building block to stimulate research into evidence-based, culturally sensitive prevention and intervention strategies for CSBD that are currently missing from the literature.


Assuntos
Transtornos Parafílicos , Disfunções Sexuais Psicogênicas , Humanos , Feminino , Masculino , Reprodutibilidade dos Testes , Comportamento Sexual , Transtornos Parafílicos/diagnóstico , Comportamento Compulsivo/diagnóstico
15.
Addict Behav ; 135: 107423, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-35933287

RESUMO

Problematic internet use (PIU) has adverse effects on adolescent health. Parenting may play an important role in the prevention of this condition, but the associations between PIU and parental behavior are unknown. This meta-analysis examined the associations between adolescent PIU and general and media-specific parenting. Studies were obtained using searches in scientific databases and using references identified from bibliographies. Searches covered English written journal articles, master's theses, and doctoral dissertations from the year each database started until April 2022. Studies were included if they (a) measured PIU, (b) measured parenting, (c) used data obtained from children or adolescents, and (d) reported a valid analysis. Two coders decided whether each study met the required criteria. Data were pooled using a random effects model. We found weak negative associations between PIU and general parenting, namely, warmth (r = -0.17, [-0.13, -0.20], k = 24; N = 58401), control (r = -0.10, [-0.01, -0.18], k = 10, N = 12199), and authoritative parenting (r = -0.12, [-0.02, -0.21], k = 8, N = 5431), but the associations between PIU and media-specific parenting, namely, active mediation (r = -0.02, [-0.07, 0.02], k = 11, N = 30545) and restrictive mediation (r = 0.01, [-0.10, 0.11], k = 16, N = 36997), were non-significant. In older adolescents, the association between restrictive mediation and PIU was significant but positive. Media parenting has only weak association with PIU and thus restrictions should be used cautiously, especially in older adolescents. Additional prospective studies on parenting and specific PIU activities are needed.


Assuntos
Comportamento do Adolescente , Comportamento Aditivo , Adolescente , Comportamento Aditivo/epidemiologia , Criança , Humanos , Internet , Uso da Internet , Poder Familiar , Estudos Prospectivos
16.
JMIR Mhealth Uhealth ; 10(3): e31040, 2022 03 18.
Artigo em Inglês | MEDLINE | ID: mdl-35302945

RESUMO

BACKGROUND: eHealth interventions can help people change behavior (eg, quit smoking). Reminders sent via SMS text messaging or email may improve the adherence to web-based programs and increase the probability of successful behavior change; however, it is unclear whether their efficiency is affected by the modality of the communication channel. OBJECTIVE: A 2-armed randomized control trial was conducted to compare the effect of providing reminders via SMS text messaging versus email on the adherence to an eHealth program for smoking cessation and on the probability to initiate a quit attempt. METHODS: Smokers were recruited via an internet-based advertisement. A total of 591 participants who diverted from intended use of the program (ie, failed to log on to a session) were automatically randomized to the experimental (SMS text messaging reminder, n=304) or the active comparator (email reminder, n=287) group. RESULTS: Unexpectedly, we found that the mode of reminder delivery did not significantly affect either the adherence, namely the number of completed program sessions, with the SMS text messaging reminder group showing a mean of 4.30 (SD 3.24) and the email reminder group showing a mean of 4.36 (SD 3.27) (t586=0.197, P=.84, and Cohen d=0.016), or the outcome, namely the quit smoking attempt rate (34.2% in the SMS text messaging group vs 31.7% in the email group; χ21=0.4, P=.52). Secondary analyses showed that age, gender, and education had significant effects on program adherence and education on the outcome. Moreover, we found a significant interaction effect between the mode of reminder delivery and gender on program adherence, suggesting that the effectiveness of SMS text message reminders might be different for females and males. However, this particular finding should be treated with care as it was based on post hoc subgroup analysis. CONCLUSIONS: This study indicates that the modality of user reminders to log on increased neither the program adherence nor the probability of quitting smoking. This suggests that program developers may save costs using emails instead of SMS text messaging reminders. TRIAL REGISTRATION: ClinicalTrials.gov NCT03276767; https://clinicaltrials.gov/ct2/show/ NCT03276767.


Assuntos
Abandono do Hábito de Fumar , Envio de Mensagens de Texto , Correio Eletrônico , Eletrônica , Feminino , Humanos , Masculino , Fumantes
17.
Artigo em Inglês | MEDLINE | ID: mdl-34444307

RESUMO

The COVID-19 outbreak and related restrictions meant a higher incidence of screen-related risk behaviors in both children and adolescents. Our goal was to assess the perceived importance and extent of school-based preventions related to these risks during the long-term, nation-wide distant schooling period in the Czech Republic. The online survey was responded to by the school-based prevention specialists (N = 1698). For the analysis, within-subject analysis of variance (ANOVA) and binominal logistic regression were used. At-risk internet use and cyber-bullying were perceived as pressing, but other risks, for example, excessive internet use or the use of cyberpornography, received substantially less priority. The differences in all grades were significant and moderate to large (η2G between 0.156 and 0.288). The proportion of schools which conducted prevention interventions of screen-related risks was low (between 0.7% and 27.8%, depending on the grade and the type of the risk). The probability of delivering prevention intervention was in all grades significantly predicted by the presence of screen-related problems in pupils (OR 3.76-4.88) and the perceived importance of the screen-related risks (OR 1.55-1.97). The limited capacity of schools to deliver prevention interventions during distant schooling as well as the low awareness and impaired ability to recognize the importance of some screen-related risks should be addressed.


Assuntos
COVID-19 , Adolescente , Criança , Estudos Transversais , Surtos de Doenças , Humanos , Assunção de Riscos , SARS-CoV-2 , Instituições Acadêmicas , Inquéritos e Questionários
18.
Artigo em Inglês | MEDLINE | ID: mdl-34501770

RESUMO

Children's excessive screen use is associated with health risks such as obesity, sleep problems, attention problems, and others. The effect of parental regulative efforts focused on screen/media use (media parenting) is currently unclear and difficult to examine given the heterogeneity of measuring tools used for its assessment. We aimed to develop an inventory that would enable reliable and valid measurement of media parenting practices (especially active and restrictive mediation) in parents of primary school children. The inventory builds on existing tools, it is comprehensive, yet easy to use in research setting. The original MEPA-36 (36 items) and revised MEPA-20 (20 items) inventories were examined using data from 341 Czech and Slovak parents of children aged between 6 and 10 years. Psychometrical properties were estimated using confirmatory factor and reliability analyses. Model fit was better for MEPA-20 and similar to other currently available tools. Both active and restrictive mediation subscales demonstrated high internal consistency. The internal consistency of newly constructed risky mediation subscales (risky active, risky restrictive, and over-protective mediation) was low. MEPA-20, especially active and restrictive mediation subscales, can be recommended for research on media parenting in context of screen/media use of school-aged children.


Assuntos
Comportamento Infantil , Poder Familiar , Criança , Humanos , Relações Pais-Filho , Psicometria , Reprodutibilidade dos Testes , Instituições Acadêmicas , Inquéritos e Questionários
19.
J Behav Addict ; 9(3): 664-675, 2020 10 12.
Artigo em Inglês | MEDLINE | ID: mdl-32976113

RESUMO

Background and aims: Problematic internet use (PIU) is a highly prevalent condition with severe adverse effects. The literature suggests that parent-child bonding and parental behavioral control exert protective effects against PIU. However, the most relevant studies rely on simplistic measurement of parenting, cross-sectional designs and mixed-aged samples. Our study analyzed the effect of maternal and paternal parenting on PIU by using a prospective design and a cohort sample of same-aged children. Methods: Data from 1,019 Czech 12-year-old sixth-graders who were followed until ninth grade were used. Maternal and paternal responsiveness and strictness were reported by children using the Parental Acceptance-Rejection Questionnaire (PARQ) and the Parental Control Scale (PCS). PIU was measured by the Excessive Internet Use Scale (EIUS). Results: The self-reported PIU prevalence in nine-graders (15-year-old) was 8.1%. Parenting, reported by adolescents 18 months before PIU screening, showed significant relationships with PIU: parental responsiveness was negatively and moderately associated, while maternal strictness showed a weak positive association; the authoritative parenting style in both parents decreased PIU, with a PIU probability of 3.21%, while a combination of maternal authoritarian and paternal neglectful parenting was associated with PIU probability as high as 20.9%. Discussion and conclusions: The self-reported prevalence of PIU in Czech adolescents was found to be high. The effects of parenting on PIU were similar to the effects of parenting on other problematic behavior among adolescents. Our findings showed the need for interventions to prevent PIU by helping parents to apply optimal parenting styles.


Assuntos
Comportamento do Adolescente/psicologia , Transtorno de Adição à Internet/psicologia , Relações Pais-Filho , Poder Familiar/psicologia , Adolescente , Criança , República Tcheca , Feminino , Humanos , Masculino , Estudos Prospectivos
20.
Psychol Addict Behav ; 33(1): 91-103, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30589307

RESUMO

The Ten-Item Internet Gaming Disorder Test (IGDT-10) is a short screening instrument developed to assess Internet gaming disorder (IGD) as proposed in the Diagnostic and Statistical Manual of MentalDisorders, fifth edition (DSM-5), adopting a concise, clear, and consistent item-wording. According to initial studies conducted in 2014, the instrument showed promising psychometric characteristics. The present study tested the psychometric properties, including language and gender invariance, in a large international sample of online gamers. In this study, data were collected from 7,193 participants comprising Hungarian (n = 3,924), Iranian (n = 791), English-speaking (n = 754), French-speaking (n = 421), Norwegian (n = 195), Czech (n = 496), and Peruvian (n = 612) online gamers via gaming-related websites and gaming-related social-networking-site groups. A unidimensional factor structure provided a good fit to the data in all language-based samples. In addition, results indicated both language and gender invariance on the level of scalar invariance. Criterion and construct validity of the IGDT-10 was supported by its strong association with the Problematic Online Gaming Questionnaire and moderate association with weekly gaming time, psychopathological symptoms, and impulsivity. The proportions of each sample that met the cut-off score on the IGDT-10 varied between 1.61% and 4.48% in the individual samples, except for the Peruvian sample (13.44%). The IGDT-10 shows robust psychometric properties and appears suitable for conducting cross-cultural and gender comparisons across seven languages. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Comportamento Aditivo/diagnóstico , Internet , Jogos de Vídeo , Adulto , Austrália , Canadá , Comparação Transcultural , República Tcheca , Manual Diagnóstico e Estatístico de Transtornos Mentais , Análise Fatorial , Feminino , Humanos , Hungria , Comportamento Impulsivo , Irã (Geográfico) , Itália , Idioma , Masculino , Pessoa de Meia-Idade , Noruega , Peru , Psicometria , Reprodutibilidade dos Testes , República da Coreia , Projetos de Pesquisa , Eslováquia , Eslovênia , Inquéritos e Questionários , Reino Unido , Estados Unidos , Adulto Jovem
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