159 results on '"Thomas Kubiak"'
Search Results
2. Influence of loss- and restoration-oriented stressors on grief in times of COVID-19
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Svenja Palm, Bettina K. Doering, Thomas Kubiak, Katharina Geschke, Andreas Fellgiebel, and Alexandra Wuttke
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Medicine ,Science - Abstract
Abstract This study aimed to examine the influence of COVID-specific stressors on cross-sectional and longitudinal bereavement outcomes. According to the Dual Process Model of grief these stress-inducing factors can relate to the loss (loss-oriented stressors) or to manage everyday life (restoration-oriented stressors) and require coping in the grief process. A total of 491 participants (94.1% female; 43.92 years on average; 44.4% loss of a parent) were included at the first measurement time point (T0), of whom 99 individuals also participated in a follow-up assessment 6 months later (T1). Participants frequently reported loss-oriented (on average 7.30 out of 21 queried) and restoration-oriented stressors (on average 6.99 out of 19 queried). Cross-sectionally, higher acute grief intensity was associated with a higher number of loss-oriented stressors, poorer mental well-being, and sociodemographic variables. This effect disappeared longitudinally, with only acute grief intensity and poorer mental well-being at T0 predicting higher prolonged grief at T1. Common resilience factors did not buffer the effects of the pandemic on grief. Loss-oriented stressors seem to be especially relevant for understanding grief and might be a mediator of higher long-term grief. The findings suggest that COVID-specific strains need to be specifically taken into account in the support of bereaved individuals.
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- 2023
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3. Association of risk perception and transport mode choice during the temporary closure of a major inner-city road bridge: results of a cross-sectional study
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Pascal Kemmerer, Benedikt Brach, Thomas Kubiak, Susanne Singer, and Emilio A. L. Gianicolo
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Transport mode choice ,Health risk perception ,Air pollution ,Theory of Planned Behavior ,Key event ,Transportation engineering ,TA1001-1280 ,Transportation and communications ,HE1-9990 - Abstract
Abstract Background Since air pollution and physical inactivity pose major public health risks, switching from cars to alternatives like public transport, cycling, and walking is important. Therefore, it is beneficial to identify key events for changes of mode choice. Methods We examined the association between risk perception and mode choice during the temporary closure of a road bridge between two major German cities in early 2020 using binary and multinomial regression models. Results 679 people participated in the survey. We found that 22% of car users switched to alternatives. The higher the perceived health risk from traffic-related air pollution, the more likely car users switched to alternatives (odds ratio [OR] = 1.76, 95% CI [1.14, 2.71]). Discussion Attitude, subjective norm and perceived behavioral control were associated with maintaining but not with switching transport modes. In conclusion, the closure of a main road bridge may present a key event. To explain mode choice, risk perception is a potential extension to the theory of planned behavior.
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- 2023
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4. Good practice recommendations on implementation evaluation for policies targeting diet, physical activity, and sedentary behaviour
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Janine Wendt, Daniel A. Scheller, Anna Banik, Aleksandra Luszczynska, Sarah Forberger, Hajo Zeeb, Marie Scheidmeir, Thomas Kubiak, Nanna Lien, Biljana Meshkovska, Karolina Lobczowska, Piotr Romaniuk, Agnieszka Neumann-Podczaska, Katarzyna Wieczorowska-Tobis, Jürgen M. Steinacker, and Annabel S. Mueller-Stierlin
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Policy ,Implementation ,Evaluation ,Health promotion ,Lifestyle ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Health policies aim to achieve specific health goals through system-level changes, unlike common health interventions that focus on promoting specific health behaviors on individual level. However, reliable data on the feasibility and implementation of policy actions across Europe are lacking. Moreover, no practice-oriented guidance exists for policy makers and implementers on how to evaluate policy implementation. As part of the Policy Evaluation Network, we aimed to synthesise knowledge on how to evaluate the implementation of policies promoting healthy diets, physical activity, and reducing sedentary behaviours. The multidisciplinary working group comprised 16 researchers and conducted two scoping reviews, three systematic reviews, two meta-reviews, two qualitative case studies and one quantitative case study over three years. The target populations included the general population, those at risk for obesity, and school children. Based on these reviews and case studies, this article summarises and presents the findings and lessons learned regarding the implementation evaluation of policies in nine case reports. Drawing on these experiences, three critical requirements for policy implementation evaluation were set: 1) conduct a comprehensive policy implementation evaluation from a multi-level perspective, 2) use implementation frameworks to address processes, determinants, and outcomes, and 3) engage relevant stakeholders in policy implementation evaluation. Finally, the consensus process resulted in 10 steps for the implementation evaluation of policies to promote physical activity and a healthy diet and to reduce sedentary behaviours, which adhere to the requirements and resources of the targeted policy. The findings of an implementation evaluation can lead to a better understanding of why policies work or not and can serve as a basis for developing solutions. This practice-oriented guidance outlines factors that should be considered in policy implementation evaluation to address its complexity. In this way, involved researchers and practitioners are empowered to engage in the evaluation process to close the knowledge gap regarding policy implementation.
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- 2023
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5. Cognitive reappraisal in mHealth interventions to foster mental health in adults: a systematic review and meta-analysis
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Karolina Morello, Sarah K. Schäfer, Angela M. Kunzler, Lilli-Sophie Priesterroth, Oliver Tüscher, and Thomas Kubiak
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mHealth ,mental health apps ,ecological momentary intervention ,mental health ,reappraisal ,cognitive restructuring ,Medicine ,Public aspects of medicine ,RA1-1270 ,Electronic computers. Computer science ,QA75.5-76.95 - Abstract
BackgroundAn increasing number of mHealth interventions aim to contribute to mental healthcare of which interventions that foster cognitive reappraisal may be particularly effective.ObjectivesTo evaluate the efficacy of mHealth interventions enhancing cognitive reappraisal to improve mental health in adult populations.MethodsThe literature search (four databases) yielded 30 eligible randomized controlled trials (comprising 3,904 participants). We performed a multi-level meta-analysis to examine differences between intervention and comparator conditions at post-intervention assessment. Moderator analyses were conducted for potential moderator variables (e.g., type of comparators).ResultsMost interventions were CBT-based with other training components in addition to cognitive reappraisal. We found preliminary evidence for a small to medium effect favouring mHealth interventions to enhance cognitive reappraisal over comparators, M(SMD) = 0.34, p = .002. When analysing single symptoms, there was evidence for a small to medium effect of mHealth interventions on anxiety and depressive symptoms, but not for psychological distress and well-being. All analyses showed substantial heterogeneity. Moderator analyses revealed evidence for more favourable effects in studies with passive comparators. There was an overall high risk of bias in most of the studies.ConclusionsWe found preliminary evidence for a small to medium effect of mHealth interventions including a cognitive reappraisal component to improve mental health. However, most of the interventions were complex (i.e., reappraisal was provided alongside other components), which prevents us from examining reappraisal-specific effects beyond general mental health promotion in mHealth. Dismantling studies examining the effects of single intervention components are warranted to corroborate these promising results.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=142149, identifier [CRD42019142149].
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- 2023
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6. Videos using different message strategies to promote the interruption of sedentary behavior in university students during online lectures – A pilot study
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Anastasia Doré, Kristin Kalo, Lisa Schwab, Jennifer L. Reichel, Laura Eisenbarth, Tilmann Strepp, Robin Jacob, Kira Enders, Stephan Letzel, Perikles Simon, Pavel Dietz, Thomas Kubiak, and Sebastian Heller
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student health ,setting-based health promotion ,sedentary behavior ,health communication ,narrative evidence ,vividness ,Public aspects of medicine ,RA1-1270 - Abstract
BackgroundSedentary behavior (SB) is highly prevalent among university students and has increased during COVID-19 pandemic. As SB is associated with negative health outcomes, appropriate prevention measures in the university setting are needed.ObjectiveThis pilot study aimed at investigating the effects of videos using different message strategies to interrupt SB in the collective of university students during online lectures.MethodsDuring online lectures, university students (N = 96) were shown one of three videos on the interruption of SB. The videos differed in their message strategies with regard to evidence type (statistical vs. narrative) and vividness (static vs. animated images). Demographics, health variables (SB intentions, SB attitudes) and selected media reception variables (identification, homophily, counterarguing) were examined as possible influence factors on the interruption of SB evoked by watching the video.ResultsApproximately half of the students interrupted sedentary behavior during watching the videos and students of the older age group (cut-off: median = 22 years) interrupted SB significantly more often (p = 0.046). The interruption of SB was predicted by SB intentions (p
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- 2023
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7. Social, economic, political, and geographical context that counts: meta-review of implementation determinants for policies promoting healthy diet and physical activity
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Karolina Lobczowska, Anna Banik, Sarah Forberger, Krzysztof Kaczmarek, Thomas Kubiak, Agnieszka Neumann-Podczaska, Piotr Romaniuk, Marie Scheidmeir, Daniel A. Scheller, Juergen M. Steinacker, Janine Wendt, Marleen P. M. Bekker, Hajo Zeeb, Aleksandra Luszczynska, and on behalf of Policy Evaluation Network (PEN) Consortium
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Policy ,Implementation ,Diet ,Physical activity ,Socioeconomic context ,Social equity ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background This meta-review investigated the context-related implementation determinants from seven domains (geographical, epidemiological, sociocultural, economic, ethics-related, political, and legal) that were systematically indicated as occurring during the implementation of obesity prevention policies targeting a healthy diet and a physically active lifestyle. Methods Data from nine databases and documentation of nine major stakeholders were searched for the purpose of this preregistered meta-review (#CRD42019133341). Context-related determinants were considered strongly supported if they were indicated in ≥60% of the reviews/stakeholder documents. The ROBIS tool and the Methodological Quality Checklist-SP were used to assess the quality-related risk of bias. Results Published reviews (k = 25) and stakeholder documents that reviewed the evidence of policy implementation (k = 17) were included. Across documents, the following six determinants from three context domains received strong support: economic resources at the macro (66.7% of analyzed documents) and meso/micro levels (71.4%); sociocultural context determinants at the meso/micro level, references to knowledge/beliefs/abilities of target groups (69.0%) and implementers (73.8%); political context determinants (interrelated policies supported in 71.4% of analyzed reviews/documents; policies within organizations, 69.0%). Conclusions These findings indicate that sociocultural, economic, and political contexts need to be accounted for when formulating plans for the implementation of a healthy diet and physical activity/sedentary behavior policies.
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- 2022
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8. Frameworks for implementation of policies promoting healthy nutrition and physically active lifestyle: systematic review
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Karolina Lobczowska, Anna Banik, Piotr Romaniuk, Sarah Forberger, Thomas Kubiak, Biljana Meshkovska, Agnieszka Neumann-Podczaska, Krzysztof Kaczmarek, Marie Scheidmeir, Janine Wendt, Daniel A. Scheller, Katarzyna Wieczorowska-Tobis, Juergen M. Steinacker, Hajo Zeeb, and Aleksandra Luszczynska
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Theory ,Framework ,Policy ,Implementation ,Nutrition ,Diet ,Nutritional diseases. Deficiency diseases ,RC620-627 ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Policy frameworks focusing on policy implementation may vary in terms of their scope, included constructs, relationships between the constructs, and context factors. Although multiple policy implementation frameworks exist, the overarching synthesis characterizing differences between the frameworks is missing. This study investigated frameworks guiding implementation of policies aiming at healthy nutrition, physical activity promotion, and a reduction of sedentary behavior. In particular, we aimed at examining the scope of the frameworks and the content of included constructs (e.g., referring to implementation processes, determinants, or implementation evaluation), the level at which these constructs operate (e.g., the individual level, the organizational/community level), relationships between the constructs, and the inclusion of equity factors. Methods A systematic review (the PROSPERO registration no. CRD42019133251) was conducted using 9 databases and 8 stakeholder websites. The content of 38 policy implementation frameworks was coded and analyzed. Results Across the frameworks, 47.4% (18 in 38) addressed three aims: description of the process, determinants, and the evaluation of implementation. The majority of frameworks (65.8%; 25 in 38) accounted for constructs from three levels: individual, organizational/community, and the system level. System-level constructs were included less often (76.3%; 29 in 38) than individual-level or organizational/community-level constructs (86.8% [33 in 38 frameworks] and 94.7% [36 in 38 frameworks] respectively). The majority of frameworks (84.2%, 32 in 38) included at least some sections that were solely of descriptive character (a list of unassociated constructs); 50.0% (19 in 38) included sections of prescriptive character (general steps of implementation); 60.5% (23 in 38) accounted for explanatory sections (assuming bi- or uni-directorial associations). The complex system approach was accounted for only in 21.1% (8 in 38) of frameworks. More than half (55.3%; 21 in 38) of frameworks did not account for any equity constructs (e.g., socioeconomic status, culture). Conclusions The majority of policy implementation frameworks have two or three aims (combining processes, determinants and/or the evaluation of implementation), include multi-level constructs (although the system-level determinants are less frequently included than those from the individual- or organizational/community-level), combine sections of purely descriptive character with sections accounting for prescriptive and/or explanatory associations, and are likely to include a little or no equity constructs. Registration PROSPERO, #CRD42019133251.
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- 2022
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9. Meta-review of implementation determinants for policies promoting healthy diet and physically active lifestyle: application of the Consolidated Framework for Implementation Research
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Karolina Lobczowska, Anna Banik, Katarzyna Brukalo, Sarah Forberger, Thomas Kubiak, Piotr Romaniuk, Marie Scheidmeir, Daniel A. Scheller, Juergen M. Steinacker, Janine Wendt, Katarzyna Wieczorowska-Tobis, Marleen P. M. Bekker, Hajo Zeeb, and Aleksandra Luszczynska
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Policy ,Implementation ,Diet ,Physical activity ,Sedentary behavior ,Barrier ,Medicine (General) ,R5-920 - Abstract
Abstract Background Although multiple systematic reviews indicate that various determinants (barriers and facilitators) occur in the implementation processes of policies promoting healthy diet, physical activity (PA), and sedentary behavior (SB) reduction, the overarching synthesis of such reviews is missing. Applying the Consolidated Framework for Implementation Research (CFIR), this meta-review aims to (1) identify determinants that were systematically indicated as occurring during the implementation processes and (2) identify differences in the presence of determinants across reviews versus stakeholder documents on healthy diet/PA/SB policies, reviews/stakeholder documents addressing healthy diet policies versus PA/SB policies targeting any population/setting, and healthy diet/PA/SB policies focusing on school settings. Methods A meta-review of published systematic scoping or realist reviews (k = 25) and stakeholder documents (k = 17) was conducted. Data from nine bibliographic databases and documentation of nine major stakeholders were systematically searched. Included reviews (72%) and stakeholder documents (100%) provided qualitative synthesis of original research on implementation determinants of policies promoting healthy diet or PA or SB reduction, and 28% of reviews provided some quantitative synthesis. Determinants were considered strongly supported if they were indicated by ≥ 60.0% of included reviews/stakeholder documents. Results Across the 26 CFIR-based implementation determinants, seven were supported by 66.7–76.2% of reviews/stakeholder documents. These determinants were cost, networking with other organizations/communities, external policies, structural characteristics of the setting, implementation climate, readiness for implementation, and knowledge/beliefs of involved individuals. Most frequently, published reviews provided support for inner setting and individual determinants, whereas stakeholder documents supported outer and inner setting implementation determinants. Comparisons between policies promoting healthy diet with PA/SB policies revealed shared support for only three implementation determinants: cost, implementation climate, and knowledge/beliefs. In the case of healthy diet/PA/SB policies targeting school settings, 14 out of 26 implementation determinants were strongly supported. Conclusions The strongly supported (i.e., systematically indicated) determinants may guide policymakers and researchers who need to prioritize potential implementation determinants when planning and monitoring the implementation of respective policies. Future research should quantitatively assess the importance or role of determinants and test investigate associations between determinants and progress of implementation processes. Trial registration PROSPERO, # CRD42019133341
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- 2022
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10. Disordered eating behaviours and eating disorders in adults with type 1 diabetes (DEBBI): rational and design of an observational longitudinal online study
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Thomas Kubiak, Lilli Priesterroth, Jennifer Grammes, and Edda Anna Strohm
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Medicine - Abstract
Introduction Disordered eating behaviours (DEB) and eating disorders (ED) are among the most common mental health comorbidities of type 1 diabetes. However, research on diabetes-specific risk and protective factors is limited. To this end, comprehensive characterisations of DEB and ED in type 1 diabetes, as well as longitudinal research on the course of DEB and ED, are needed to gain more insight. The ‘Disordered eating behaviours and eating disorders in diabetes type I’ (DEBBI) study aims to describe DEB/ED and their correlates in people with type 1 diabetes, to identify key diabetes-specific, psychosocial risk and protective factors, and to describe the course of DEB over time.Methods and analysis The DEBBI study is a longitudinal online survey with follow-up assessments after 6, 12 and 18 months, targeted at adults who have been diagnosed with type 1 diabetes for at least 12 months. The survey covers data on diabetes diagnosis and self-management (eg, diabetes treatment and complications), lifestyle (eg, eating habits, physical activity), psychosocial well-being (eg, anxiety, depressive symptoms) and demographic and medical information. It includes validated instruments and self-generated items. One key aspect of the data analysis will be latent profile analyses to determine latent subtypes of DEB manifestation in people with type 1 diabetes and their courses over time, including data on the clinical picture and symptoms, behaviours and diabetes-specific complications.Ethics and dissemination The study protocol was approved by the Ethics Committee of the State Medical Chamber of Rhineland-Palatine, Germany (ID 2021-16040). Participants give informed written consent before starting the survey. The DEBBI study will provide more clarity in the so far inconsistent empirical evidence base and will help to inform research on prevention and intervention strategies that are tailored to diabetes-specific needs.Trial registration number The study is registered with DRKS German Clinical Trials Register (DRKS00028833).
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- 2022
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11. Study Protocol for an Ecological Momentary Assessment Study: TempRes 'Temporal Variability of Risk and Resilience Factors for Suicidal Ideation'
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Mareike Ernst, Ana N. Tibubos, Thomas Kubiak, Rory C. O'Connor, and Manfred E. Beutel
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Ecological Momentary Assessment ,loneliness ,personality functioning ,risk factors ,suicide ,suicidal ideation ,Psychiatry ,RC435-571 - Abstract
Suicide prevention is an important public mental health issue that can be significantly brought forward by recent advances in psychological research methods and assessment. The project “TempRes” aims to harness the power of Ecological Momentary Assessment (EMA) to investigate the transdiagnostic risk and resilience factors associated with suicidal ideation drawn from the most recent research in suicide prevention and personality assessment. Participants will comprise the general population (planned: N = 100) and a risk group (patients currently in psychosomatic or psychiatric treatment) (planned: N = 50). After a comprehensive baseline assessment, they will complete up to ten short assessments per day over the course of 10 days at roughly equidistant intervals. In detail, the project examines the interplay of biography (previous suicidal behavior, experiences of childhood maltreatment), individual differences (level of personality functioning), and time-varying factors (entrapment, loneliness, mood) with respect to the emergence and fluctuation of suicidal ideation. There are two main research foci: First, the project will provide an operationalization and empirical verification of a core assumption of the integrated motivational-volitional model of suicide (IMV model). It will test whether the interaction of the time-varying predictors entrapment with loneliness (as a motivational moderator) explains reports of suicidal ideation over time. Second, it will be the first to examine personality functioning (a transdiagnostic, psychodynamically grounded conceptualization of vulnerability to psychological crises over the life span) as a time-invariant predictor of suicidal ideation assessed within an intensive longitudinal study design. The main analyses will be built on linear mixed models. The overarching aim of the project is to gain a better understanding of the psychological dynamics underlying suicidal ideation in different populations by bringing together concepts from different theoretical traditions. This will inform prevention efforts geared toward the general public as well as intervention in clinical populations.
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- 2022
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12. Determinants of diet and physical activity (DEDIPAC): a summary of findings
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Johannes Brug, Hidde P. van der Ploeg, Anne Loyen, Wolfgang Ahrens, Oliver Allais, Lene F. Andersen, Greet Cardon, Laura Capranica, Sebastien Chastin, Ilse De Bourdeaudhuij, Marieke De Craemer, Alan Donnelly, Ulf Ekelund, Paul Finglas, Marion Flechtner-Mors, Antje Hebestreit, Thomas Kubiak, Massimo Lanza, Nanna Lien, Ciaran MacDonncha, Mario Mazzocchi, Pablo Monsivais, Marie Murphy, Mary Nicolaou, Ute Nöthlings, Donal J. O’Gorman, Britta Renner, Gun Roos, Matthijs van den Berg, Matthias B. Schulze, Jürgen M. Steinacker, Karien Stronks, Dorothee Volkert, Jeroen Lakerveld, and on behalf of the DEDIPAC consortium
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Determinants of health behaviours ,Dietary behaviour ,Europe ,Physical activity ,Policy evaluation ,Sedentary behaviour ,Nutritional diseases. Deficiency diseases ,RC620-627 ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract The establishment of the Determinants of Diet and Physical Activity (DEDIPAC) Knowledge Hub, 2013–2016, was the first action taken by the ‘Healthy Diet for a Healthy Life’ European Joint Programming Initiative. DEDIPAC aimed to provide better insight into the determinants of diet, physical activity and sedentary behaviour across the life course, i.e. insight into the causes of the causes of important, non-communicable diseases across Europe and beyond. DEDIPAC was launched in late 2013, and delivered its final report in late 2016. In this paper we give an overview of what was achieved in terms of furthering measurement and monitoring, providing overviews of the state-of-the-art in the field, and building toolboxes for further research and practice. Additionally, we propose some of the next steps that are now required to move forward in this field, arguing in favour of 1) sustaining the Knowledge Hub and developing it into a European virtual research institute and knowledge centre for determinants of behavioural nutrition and physical activity with close links to other parts of the world; 2) establishing a cohort study of families across all regions of Europe focusing specifically on the individual and contextual determinants of major, non-communicable disease; and 3) furthering DEDIPAC’s work on nutrition, physical activity, and sedentary behaviour policy evaluation and benchmarking across Europe by aligning with other international initiatives and by supporting harmonisation of pan-European surveillance.
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- 2017
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13. The Role of Self-Control and the Presence of Enactment Models on Sugar-Sweetened Beverage Consumption: A Pilot Study
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Mario Wenzel, Anouk Geelen, Maike Wolters, Antje Hebestreit, Kristof Van Laerhoven, Jeroen Lakerveld, Lene Frost Andersen, Pieter van’t Veer, and Thomas Kubiak
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sugar-sweetened beverages ,self-control ,social norms ,ecological momentary assessment ,diet ,Psychology ,BF1-990 - Abstract
The objective of the present research was to investigate associations of dispositional and momentary self-control and the presence of other individuals consuming SSBs with the consumption frequency of sugar-sweetened beverages (SSBs) in a multi-country pilot study. We conducted an Ambulatory Assessment in which 75 university students (52 females) from four study sites carried smartphones and received prompts six times a day in their everyday environments to capture information regarding momentary self-control and the presence of other individuals consuming SSBs. Multilevel models revealed a statistically significant negative association between dispositional self-control and SSB consumption. Moreover, having more self-control than usual was only beneficial in regard to lower SSB consumption frequency, when other individuals consuming SSBs were not present but not when they were present. The findings support the hypothesis that self-control is an important factor regarding SSB consumption. This early evidence highlights self-control as a candidate to design interventions to promote healthier drinking through improved self-control.
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- 2019
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14. Population-based validation of a German version of the Brief Resilience Scale.
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Andrea Chmitorz, Mario Wenzel, Rolf-Dieter Stieglitz, Angela Kunzler, Christiana Bagusat, Isabella Helmreich, Anna Gerlicher, Miriam Kampa, Thomas Kubiak, Raffael Kalisch, Klaus Lieb, and Oliver Tüscher
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Medicine ,Science - Abstract
Smith and colleagues developed the Brief Resilience Scale (BRS) to assess the individual ability to recover from stress despite significant adversity. This study aimed to validate the German version of the BRS. We used data from a population-based (sample 1: n = 1.481) and a representative (sample 2: n = 1.128) sample of participants from the German general population (age ≥ 18) to assess reliability and validity. Confirmatory factor analyses (CFA) were conducted to compare one- and two-factorial models from previous studies with a method-factor model which especially accounts for the wording of the items. Reliability was analyzed. Convergent validity was measured by correlating BRS scores with mental health measures, coping, social support, and optimism. Reliability was good (α = .85, ω = .85 for both samples). The method-factor model showed excellent model fit (sample 1: χ2/df = 7.544; RMSEA = .07; CFI = .99; SRMR = .02; sample 2: χ2/df = 1.166; RMSEA = .01; CFI = 1.00; SRMR = .01) which was significantly better than the one-factor model (Δχ2(4) = 172.71, p < .001) or the two-factor model (Δχ2(3) = 31.16, p < .001). The BRS was positively correlated with well-being, social support, optimism, and the coping strategies active coping, positive reframing, acceptance, and humor. It was negatively correlated with somatic symptoms, anxiety and insomnia, social dysfunction, depression, and the coping strategies religion, denial, venting, substance use, and self-blame. To conclude, our results provide evidence for the reliability and validity of the German adaptation of the BRS as well as the unidimensional structure of the scale once method effects are accounted for.
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- 2018
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15. Response to: Commentary: Heart rate variability and self-control – A meta-analysis
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Daniela Zahn, Mario Wenzel, and Thomas Kubiak
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Heart rate variability ,Self-regulation ,Self-Control ,vagal tone ,parasympathetic activity ,Psychology ,BF1-990 - Published
- 2016
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16. The Benefits of Self-Set Goals: Is Ego Depletion Really a Result of Self-Control Failure?
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Mario Wenzel, Daniela Zahn, Zarah Rowland, and Thomas Kubiak
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Medicine ,Science - Abstract
Research on ego depletion aims at explaining self-control failures in daily life. Both resource models and motivational accounts have been proposed for explanation. The aim of the present research was to test the different assumptions in two dual-task experiments where we operationalized ego depletion as a performance deviation from a self-set goal. In two experiments, we found evidence for this deviation contradicting motivational accounts of ego depletion: Participants experiencing ego depletion set themselves a stricter instead of a more lenient goal than controls, in that they chose to eat less cookies or wanted to perform better. Moreover, only participants without an initial self-control task could adhere to their self-set goal, whereas participants in the ego depletion condition in both experiments could not follow through with their more ambitious intentions. Taken together, our findings demonstrate the importance of goals in ego depletion research.
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- 2016
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17. Direct quantification of cell-free, circulating DNA from unpurified plasma.
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Sarah Breitbach, Suzan Tug, Susanne Helmig, Daniela Zahn, Thomas Kubiak, Matthias Michal, Tommaso Gori, Tobias Ehlert, Thomas Beiter, and Perikles Simon
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Medicine ,Science - Abstract
Cell-free DNA (cfDNA) in body tissues or fluids is extensively investigated in clinical medicine and other research fields. In this article we provide a direct quantitative real-time PCR (qPCR) as a sensitive tool for the measurement of cfDNA from plasma without previous DNA extraction, which is known to be accompanied by a reduction of DNA yield. The primer sets were designed to amplify a 90 and 222 bp multi-locus L1PA2 sequence. In the first module, cfDNA concentrations in unpurified plasma were compared to cfDNA concentrations in the eluate and the flow-through of the QIAamp DNA Blood Mini Kit and in the eluate of a phenol-chloroform isoamyl (PCI) based DNA extraction, to elucidate the DNA losses during extraction. The analyses revealed 2.79-fold higher cfDNA concentrations in unpurified plasma compared to the eluate of the QIAamp DNA Blood Mini Kit, while 36.7% of the total cfDNA were found in the flow-through. The PCI procedure only performed well on samples with high cfDNA concentrations, showing 87.4% of the concentrations measured in plasma. The DNA integrity strongly depended on the sample treatment. Further qualitative analyses indicated differing fractions of cfDNA fragment lengths in the eluate of both extraction methods. In the second module, cfDNA concentrations in the plasma of 74 coronary heart disease patients were compared to cfDNA concentrations of 74 healthy controls, using the direct L1PA2 qPCR for cfDNA quantification. The patient collective showed significantly higher cfDNA levels (mean (SD) 20.1 (23.8) ng/ml; range 5.1-183.0 ng/ml) compared to the healthy controls (9.7 (4.2) ng/ml; range 1.6-23.7 ng/ml). With our direct qPCR, we recommend a simple, economic and sensitive procedure for the quantification of cfDNA concentrations from plasma that might find broad applicability, if cfDNA became an established marker in the assessment of pathophysiological conditions.
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- 2014
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18. Experiences from a Wearable-Mobile Acquisition System for Ambulatory Assessment of Diet and Activity.
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Kristof Van Laerhoven, Mario Wenzel, Anouk Geelen, Christopher Hübel, Maike Wolters, Antje Hebestreit, Lene Frost Andersen, Pieter van't Veer, and Thomas Kubiak
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- 2017
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19. Be Kind to Yourself: the Implications of Momentary Self-Compassion for Affective Dynamics and Well-Being in Daily Life
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Lara Kristin Mey, Mario Wenzel, Karolina Morello, Zarah Rowland, Thomas Kubiak, and Oliver Tüscher
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Health (social science) ,Social Psychology ,Developmental and Educational Psychology ,Momentary affect ,Affective dynamics ,Ecological Momentary Assessment ,Emotional inertia ,Self-compassion ,Stress reactivity ,Experimental and Cognitive Psychology ,Applied Psychology - Abstract
Objectives While self-compassion (SC) has mostly been understood as a stable trait-like property, growing evidence suggests that it may fluctuate over time within a given individual. However, little is known on how these fluctuations relate to affective well-being and affective dynamics, such as emotional inertia and stress reactivity in daily life. Methods A sample of 119 non-clinical individuals (mean age: 31.3 years, 53.8% female) completed a 7-day smartphone-based ecological momentary assessment study with six semi-random signals per day. With each signal, individuals reported their momentary positive affect (PA) and negative affect (NA), recent SC, and occurrence and perceived strain of daily hassles since the last signal. Results Whenever individuals reported higher recent SC than usual, they experienced higher momentary PA and lower momentary NA. Moreover, higher recent SC related to lower stress reactivity in terms of lower decrease of PA and lower increase of NA following the experience of daily hassles. No associations between SC and emotional inertia were found. When distinguishing between the positive components (SC-Pos) and negative components (SC-Neg) of SC, SC-Neg (compared to SC-Pos) was more strongly connected to NA, while SC-Pos and SC-Neg were similarly connected to PA. SC-Pos was associated with an attenuated NA stress reactivity, and SC-Neg with an increased NA stress reactivity. SC-Pos and SC-Neg did not significantly moderate PA stress reactivity nor emotional inertia. Conclusions Results show that the benefits of SC for well-being and stress reactivity may unfold whenever we treat ourselves with compassion, irrespective of how self-compassionate we are in general.
- Published
- 2023
20. Emotion regulation dynamics in daily life: Adaptive strategy use may be variable without being unstable and predictable without being autoregressive
- Author
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Elisabeth S. Blanke, Zarah Rowland, Mario Wenzel, and Thomas Kubiak
- Subjects
Adaptive strategies ,Emotions ,Variance (accounting) ,Affect (psychology) ,Standard deviation ,Emotional Regulation ,Variable (computer science) ,Autoregressive model ,Well-being ,Statistics ,Humans ,Predictability ,Psychology ,General Psychology ,Data Management - Abstract
Recent research has demonstrated the adaptiveness of variability in emotion regulation (ER) by showing that variability between and, when controlled for depression, within ER strategies as assessed via the standard deviation was associated with less negative affect. We first replicated associations with negative affect by using the relative standard deviation, which is less confounded with the mean. Second, following research on affect dynamics, we extended this line of research by examining five additional ER dynamic measures covering ER instability, inertia, predictability, differentiation, and diversity. Reanalyzing data from five ambulatory assessment data sets (N = 717), we found that (a) the eight ER dynamic measures loaded on five factors that explained unique variance, (b) most ER dynamic measures had good reliabilities, and (c) between-strategy mean endorsement was positively, whereas between-strategy variability and ER predictability were negatively associated with negative affect. These results suggest that the variable but predictable use of emotion regulation strategies in daily life is beneficial for individuals' affective well-being in daily life. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
- Published
- 2022
21. Reduktion von diabetesbezogenem Distress bei Typ-1- und Typ-2-Diabetes durch eine kognitiv-verhaltenstherapeutische Gruppenintervention
- Author
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Lara Gomille-Hahn, Jennifer Grammes, Judith Lehnart, Christine Binz, Sandra Koehn, Thomas Kubiak, and Andrea Benecke
- Subjects
Endocrinology, Diabetes and Metabolism - Abstract
ZusammenfassungDas Stresserleben durch die Erkrankung Diabetes mellitus stellt für einen Großteil der betroffenen Personen oft eine deutliche Belastung dar, die sich negativ auf das Diabetes-Selbstmanagement und damit auf die Gesundheit der Betroffenen auswirken kann. Das Ziel der vorliegenden Studie war die Evaluation einer diabetesspezifischen kognitiv-verhaltenstherapeutischen Gruppentherapie zur Reduktion des Stresserlebens, bestehend aus sechs Sitzungen für Personen mit Typ-1- oder Typ-2-Diabetes. Vermittelt wurden Techniken zur Stressbewältigung, wie Achtsamkeit und Entspannungsübungen, sowie kognitive Techniken, die auf den Alltag mit der Diabeteserkrankung und damit verbundene Gedanken und Emotionen der Teilnehmenden bezogen waren. Von 52 Personen (51,9% mit Typ-1-Diabetes, 61,5% weiblich, Alter MW= 50,4 Jahre) lagen nach Studienteilnahme Fragebögen vor. Eine signifikante Verbesserung konnte im Problem Areas In Diabetes Questionnaire (Δ6.24 [95%-KI: 1.85–10.62], p=.006), dem Perceived Stress Survey (Δ2.93 [95%-KI: 1.59–4.26], p=.000) und der Diabetes Acceptance Scale (Δ5.5 [95%-KI: 9.07–1.93], p=.003) erreicht werden. Diese erwies sich auch im Follow-Up nach sechs Monaten als stabil. Der selbstberichtete HbA1c-Wert reduzierte sich im Befragungszeitraum bei der Teilstichprobe von N= 40, von der die Daten verfügbar waren, ebenfalls signifikant (Δ0.73 [95%-KI: 0.015–1.452], p=.046). Das Gruppentherapieprogramm zur Stressreduktion kann als eine niedrigschwellige, psychotherapeutische Interventionen zur Reduktion diabetesbezogener Belastungen angesehen werden. Es könnte ein hilfreiches primär- und sekundärpräventives Angebot für stressbelastete Menschen mit Diabetes in der Standardversorgung darstellen.
- Published
- 2022
22. Dysfunktionales Essverhalten und Essstörungen bei Typ-1-Diabetes: Ergebnisse der DEBBI-Studie
- Author
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Lilli-Sophie Priesterroth, Lea Sophie Holschuh, Jennifer Grammes, and Thomas Kubiak
- Published
- 2023
23. Diabetes im Alter – Unterstützung Pflegebedürftiger und ihres Umfeldes
- Author
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Jennifer Grammes and Thomas Kubiak
- Subjects
Endocrinology, Diabetes and Metabolism - Published
- 2022
24. Diabetes mellitus
- Author
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Thomas Kubiak and Jennifer Grammes
- Abstract
Unter Diabetes mellitus wird eine Reihe endokriner Störungen zusammengefasst, die den Kohlenhydratstoffwechsel beeinträchtigen. Leitsymptom sind erhöhte Blutglukosewerte (Hyperglykämie), die sich bei einem unbehandelten Diabetes mellitus einstellen. Diabetes mellitus gilt berechtigterweise als verhaltensmedizinische Modellerkrankung: Das Zusammenspiel von psychosozialen und Verhaltensfaktoren, der Diabetes-Selbstbehandlung und medizinischen Faktoren ist entscheidend für die Prognose der Erkrankung. Nicht zuletzt aufgrund stetig steigender Fallzahlen werden Psychotherapeutinnen und Psychotherapeuten in der Praxis immer häufiger Menschen mit Diabetes behandeln, und sich daher mit diabetesspezifischen Problemfeldern ebenso wie mit diabetesspezifischen Besonderheiten in der Therapie psychischer Störungen bei komorbidem Diabetes konfrontiert sehen. Der Band gibt einen aktuellen und praxisorientierten Überblick über zentrale psychosoziale Themen, wie diabetesbezogenen Belastungen (Diabetes-Distress) und die Krankheitsakzeptanz, sowie über Besonderheiten bei der Diagnostik und Behandlung psychischer Störungen bei Diabetes mellitus. Notwendiges Basiswissen zu medizinischen Grundlagen und zur Behandlung des Diabetes mellitus wird anschaulich vermittelt. Neben diabetesspezifischen Problemfeldern, wie z.B. der Hypoglykämieangst oder der beeinträchtigten Hypoglykämiewahrnehmung, werden insbesondere Essstörungen und Depression bei Diabetes thematisiert und Spezifika in deren Diagnostik und Behandlung herausgestellt.
- Published
- 2022
25. Dysfunktionales Essverhalten und Essstörungen bei Typ-1-Diabetes: Pilotierung der DEBBI-Studie
- Author
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Lilli-Sophie Priesterroth, Edda Strohm, Jennifer Grammes, and Thomas Kubiak
- Published
- 2022
26. Depression und Demenz
- Author
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Jennifer Grammes and Thomas Kubiak
- Subjects
Gynecology ,03 medical and health sciences ,medicine.medical_specialty ,0302 clinical medicine ,business.industry ,Endocrinology, Diabetes and Metabolism ,medicine ,030209 endocrinology & metabolism ,030204 cardiovascular system & hematology ,business - Abstract
Depression und Demenz sind angesichts ihrer hohen Pravalenz im hoheren Lebensalter und aufgrund ihrer gravierenden Auswirkungen auf das Diabetesselbstmanagement und die Lebensqualitat bedeutsame Komorbiditaten des Diabetes im Alter, die sowohl bei der Diagnostik als auch in der Behandlung alterer Menschen berucksichtigt werden mussen. Der vorliegende Beitrag gibt einen Uberblick uber die Epidemiologie, die physiologischen Grundlagen, die Diagnostik und die Besonderheiten der Therapie von Depression und Demenz bei alteren Menschen mit Diabetes sowie uber die Komorbiditat dieser Erkrankungen.
- Published
- 2020
27. Setbacks in Self-Control: Failing Not Mere Resisting Impairs Subsequent Self-Control
- Author
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Zarah Rowland, Wilhelm Hofmann, Thomas Kubiak, and Mario Wenzel
- Subjects
Clinical Psychology ,Ego depletion ,Social Psychology ,Ecological validity ,media_common.quotation_subject ,05 social sciences ,050109 social psychology ,0501 psychology and cognitive sciences ,Self-control ,Psychology ,Social psychology ,050105 experimental psychology ,media_common - Abstract
Research on ego depletion has often relied on the dual-task setting employing short tasks with low ecological validity. The comparatively few studies on ego depletion in daily life so far used diverging operationalization and yielded ambiguous results. We argue that fundamental research on short-term self-control limitations can benefit from research on the limit violation effect, which highlights the danger to self-control when setbacks are attributed to internal causes. To test the role of setbacks and compare different ego depletion operationalizations in daily life, we used data from two ambulatory assessment studies ( N = 125 and 205). No consistent ego depletion effects were observed in Study 1; instead, momentary self-control success was only impaired after setbacks (prior self-control efforts failed). The role of prior setbacks was replicated in Study 2, highlighting the importance of setbacks in subsequent self-control efforts beyond mere resisting, which should be incorporated in interventions targeting self-control improvements.
- Published
- 2020
28. Attitudes towards vaccines and intention to vaccinate against COVID-19: a cross-sectional analysis-implications for public health communications in Australia
- Author
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Enticott, J., Gill, J. S., Bacon, S. L., Lavoie, K. L., Epstein, D. S., Dawadi, S., Teede, H. J., Zahir Vally, Boyle J., Analía Verónica Losada, Shajedur Rahman Shawon, Alexandra, Kautzky-Willer, Arobindu, Dash, Marilia Estevam Cornelio, Darlan Lauricio Matte, Ahmed, Abou-Setta, Shawn, Aaron, Angela, Alberga, Tracie, Barnett, Silvana, Barone, Ariane, Bélanger-Gravel, Sarah, Bernard, Lisa Maureen Birch, Susan, Bondy, Linda, Booij, Roxane Borgès Da Silva, Jean, Bourbeau, Rachel, Burns, Tavis, Campbell, Linda, Carlson, Kim, Corace, Olivier, Drouin, Francine, Ducharme, Mohsen, Farhadloo, Carl, Falk, Richard, Fleet, Michel, Fournier, Gary, Garber, Lise, Gauvin, Jennifer, Gordon, Roland, Grad, Samir, Gupta, Kim, Hellemans, Catherine, Herba, Heungsun, Hwang, Jack, Jedwab, Keven, Joyal-Desmarais, Lisa, Kakinami, Eric, Kennedy, Sunmee, Kim, Joanne, Liu, Colleen, Norris, Sandra, Pelaez, Louise, Pilote, Paul, Poirier, Justin, Presseau, Eli, Puterman, Joshua, Rash, Paula A, B Ribeiro, Mohsen, Sadatsafavi, Paramita Saha Chaudhuri, Jovana, Stojanovic, Eva, Suarthana, Sze Man Tse, Michael, Vallis, Nicolás Bronfman Caceres, Manuel, Ortiz, Paula Beatriz Repetto, Mariantonia, Lemos-Hoyos, Angelos, Kassianos, Naja Hulvej Rod, Mathieu, Beraneck, Gregory, Ninot, Beate, Ditzen, Thomas, Kubiak, Sam, Codjoe, Lily, Kpobi, Amos, Laar, Naorem Kiranmala Devi, Sanjenbam, Meitei, Suzanne Tanya Nethan, Lancelot, Pinto, Kallur Nava Saraswathy, Dheeraj, Tumu, Silviana, Lestari, Grace, Wangge, Molly, Byrne, Hannah, Durand, Jennifer, Mcsharry, Oonagh, Meade, Gerry, Molloy, Chris, Noone, Hagai, Levine, Anat, Zaidman-Zait, Stefania, Boccia, Ilda, Hoxhaj, Stefania, Paduano, Raparelli, Valeria, Drieda, Zaçe, Ala'S, Aburub, Daniel, Akunga, Richard, Ayah, Chris, Barasa, Pamela Miloya Godia, Elizabeth, W Kimani-Murage, Nicholas, Mutuku, Teresa, Mwoma, Violet, Naanyu, Jackim, Nyamari, Hildah, Oburu, Joyce, Olenja, Dismas, Ongore, Abdhalah, Ziraba, Chiwoza, Bandawe, Loh Siew Yim, Andrea, Herbert, Daniela, Liggett, Ademola, Ajuwon, Nisar Ahmed Shar, Bilal Ahmed Usmani, Rosario Mercedes Bartolini Martínez, Hilary, Creed-Kanashiro, Paula, Simão, Pierre Claver Rutayisire, Abu Zeeshan Bari, Iveta, Nagyova, Jason, Bantjes, Brendon, Barnes, Bronwyne, Coetzee, Ashraf, Khagee, Tebogo, Mothiba, Rizwana, Roomaney, Leslie, Swartz, Juhee, Cho, Man-Gyeong, Lee, Anne, Berman, Nouha Saleh Stattin, Susanne, Fischer, Debbie, Hu, Yasin, Kara, Ceprail, Şimşek, Bilge, Üzmezoğlu, John Bosco Isunju, James, Mugisha, Lucie, Byrne-Davis, Paula, Griffiths, Joanne, Hart, Will, Johnson, Susan, Michie, Nicola, Paine, Emily, Petherick, Lauren, Sherar, Robert, M Bilder, Matthew, Burg, Susan, Czajkowski, Ken, Freedland, Sherri Sheinfeld Gorin, Alison, Holman, Jiyoung, Lee, Gilberto, Lopez, Sylvie, Naar, Michele, Okun, Lynda, Powell, Sarah, Pressman, Tracey, Revenson, John, Ruiz, Sudha, Sivaram, Johannes, Thrul, Claudia, Trudel-Fitzgerald, Abehaw, Yohannes, Rhea, Navani, Kushnan, Ranakombu, Daisuke Hayashi Neto, Tair, Ben-Porat, Anda, Dragomir, Amandine, Gagnon-Hébert, Claudia, Gemme, Vincent Gosselin Boucher, Mahrukh, Jamil, Lisa Maria Käfer, Ariany Marques Vieira, Tasfia, Tasbih, Maegan, Trottier, Robbie, Woods, Reyhaneh, Yousefi, Tamila, Roslyakova, Lilli, Priesterroth, Shirly, Edelstein, Tanya, Goldfrad, Ruth, Snir, Yifat, Uri, Mohsen, Alyami, Comfort, Sanuade, Olivia, Crescenzi, Kyle, Warkentin, Katya, Grinko, Lalita, Angne, Jigisha, Jain, Nikita, Mathur, Anagha, Mithe, and Sarah, Nethan
- Subjects
Adult ,Male ,Vaccines ,COVID-19 Vaccines ,SARS-CoV-2 ,Vaccination ,public health ,Australia ,COVID-19 ,Intention ,General Medicine ,preventive medicine ,infection control ,Infection control ,Preventive medicine ,Public health ,Respiratory infections ,NO ,respiratory infections ,Cross-Sectional Studies ,Attitude ,Health Communication ,Humans ,Settore MED/42 - IGIENE GENERALE E APPLICATA - Abstract
ObjectiveTo examine SARS-CoV-2 vaccine confidence, attitudes and intentions in Australian adults as part of the iCARE Study.Design and settingCross-sectional online survey conducted when free COVID-19 vaccinations first became available in Australia in February 2021.ParticipantsTotal of 1166 Australians from general population aged 18–90 years (mean 52, SD of 19).Main outcome measuresPrimary outcome: responses to question ‘If a vaccine for COVID-19 were available today, what is the likelihood that you would get vaccinated?’.Secondary outcome: analyses of putative drivers of uptake, including vaccine confidence, socioeconomic status and sources of trust, derived from multiple survey questions.ResultsSeventy-eight per cent reported being likely to receive a SARS-CoV-2 vaccine. Higher SARS-CoV-2 vaccine intentions were associated with: increasing age (OR: 2.01 (95% CI 1.77 to 2.77)), being male (1.37 (95% CI 1.08 to 1.72)), residing in least disadvantaged area quintile (2.27 (95% CI 1.53 to 3.37)) and a self-perceived high risk of getting COVID-19 (1.52 (95% CI 1.08 to 2.14)). However, 72% did not believe they were at a high risk of getting COVID-19. Findings regarding vaccines in general were similar except there were no sex differences. For both the SARS-CoV-2 vaccine and vaccines in general, there were no differences in intentions to vaccinate as a function of education level, perceived income level and rurality. Knowing that the vaccine is safe and effective and that getting vaccinated will protect others, trusting the company that made it and vaccination recommended by a doctor were reported to influence a large proportion of the study cohort to uptake the SARS-CoV-2 vaccine. Seventy-eight per cent reported the intent to continue engaging in virus-protecting behaviours (mask wearing, social distancing, etc) postvaccine.ConclusionsMost Australians are likely to receive a SARS-CoV-2 vaccine. Key influencing factors identified (eg, knowing vaccine is safe and effective, and doctor’s recommendation to get vaccinated) can inform public health messaging to enhance vaccination rates.
- Published
- 2022
29. A round peg in a square hole: strategy-situation fit of intra- and interpersonal emotion regulation strategies and controllability
- Author
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Zarah Rowland, Hannelore Weber, Thomas Kubiak, and Mario Wenzel
- Subjects
Adult ,Male ,Emotions ,05 social sciences ,Interpersonal emotion regulation ,Flexibility (personality) ,050109 social psychology ,Experimental and Cognitive Psychology ,Emotional Adjustment ,050105 experimental psychology ,Square (algebra) ,Emotional Regulation ,Controllability ,Young Adult ,Arts and Humanities (miscellaneous) ,Developmental and Educational Psychology ,Humans ,Female ,Interpersonal Relations ,0501 psychology and cognitive sciences ,Longitudinal Studies ,Students ,Psychology ,Cognitive psychology - Abstract
Although the importance of contextual factors is often recognised, research on emotion regulation strategies (ERS) has mainly focused so far on the effectiveness of ERS across situations. In the present research, we tested the strategy-situation fit hypothesis, which does not assume general effectiveness of ERS but instead stresses the importance of the congruency between ERS and the contexts in which they are used. Using a longitudinal Ambulatory Assessment dataset (
- Published
- 2019
30. How well do covariates perform when adjusting for sampling bias in online COVID-19 research? Insights from multiverse analyses
- Author
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Eric B. Kennedy, Vincent Gosselin Boucher, YASİN KARA, Susan Michie, Urska Kosir, Iveta Nagyova, Thomas Kubiak, Angelos Kassianos, Eli Puterman, Kim Lavoie, Joanne Enticott, Keven Joyal-Desmarais, and Drieda ZACE
- Subjects
Collider bias ,Covariate adjustment ,Bias ,Epidemiology ,Research Design ,Surveys and Questionnaires ,Humans ,COVID-19 ,Settore MED/42 - IGIENE GENERALE E APPLICATA ,Selection Bias ,Multiverse analysis ,Sampling bias - Abstract
Background. COVID-19 research has relied heavily on convenience-based samples, which—though often necessary—are susceptible to important sampling biases. We begin with a theoretical overview and introduction to the dynamics that underlie sampling bias. We then empirically examine sampling bias in online COVID-19 surveys and evaluate the degree to which common statistical adjustments for demographic covariates successfully attenuate such bias. Methods. We analysed responses to identical questions from three convenience and three largely representative samples (total N = 13,731) collected online in Canada within the International COVID-19 Awareness and Responses Evaluation Study (www.icarestudy.com). We compared samples on 11 behavioural and psychological outcomes (e.g., adherence to COVID-19 prevention measures, vaccine intentions) across three time points and employed multiverse-style analyses to examine how 512 combinations of demographic covariates (e.g., sex, age, education, income, ethnicity) impacted sampling discrepancies on these outcomes.Results. Significant discrepancies emerged between samples on 73% of outcomes. Participants in the convenience samples held more positive thoughts towards and engaged in more COVID-19 prevention behaviours. Covariates attenuated sampling differences in only 55% of cases and increased differences in 45%. No covariate performed reliably well. Conclusion. Our results suggest that online convenience samples may display more positive dispositions towards COVID-19 prevention behaviours being studied than would samples drawn using more representative means. Adjusting results for demographic covariates frequently increased rather than decreased bias, suggesting that researchers should be cautious when interpreting adjusted findings. Using multiverse-style analyses as extended sensitivity analyses is recommended.
- Published
- 2021
31. Disordered eating behaviours and eating disorders in adults with type 1 diabetes (DEBBI): rational and design of an observational longitudinal online study
- Author
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Lilli Priesterroth, Jennifer Grammes, Edda Anna Strohm, and Thomas Kubiak
- Subjects
Adult ,Diabetes Complications ,Feeding and Eating Disorders ,Diabetes Mellitus, Type 1 ,Surveys and Questionnaires ,150 Psychologie ,Humans ,Longitudinal Studies ,General Medicine ,150 Psychology - Abstract
IntroductionDisordered eating behaviours (DEB) and eating disorders (ED) are among the most common mental health comorbidities of type 1 diabetes. However, research on diabetes-specific risk and protective factors is limited. To this end, comprehensive characterisations of DEB and ED in type 1 diabetes, as well as longitudinal research on the course of DEB and ED, are needed to gain more insight. The ‘Disordered eating behaviours and eating disorders in diabetes type I’ (DEBBI) study aims to describe DEB/ED and their correlates in people with type 1 diabetes, to identify key diabetes-specific, psychosocial risk and protective factors, and to describe the course of DEB over time.Methods and analysisThe DEBBI study is a longitudinal online survey with follow-up assessments after 6, 12 and 18 months, targeted at adults who have been diagnosed with type 1 diabetes for at least 12 months. The survey covers data on diabetes diagnosis and self-management (eg, diabetes treatment and complications), lifestyle (eg, eating habits, physical activity), psychosocial well-being (eg, anxiety, depressive symptoms) and demographic and medical information. It includes validated instruments and self-generated items. One key aspect of the data analysis will be latent profile analyses to determine latent subtypes of DEB manifestation in people with type 1 diabetes and their courses over time, including data on the clinical picture and symptoms, behaviours and diabetes-specific complications.Ethics and disseminationThe study protocol was approved by the Ethics Committee of the State Medical Chamber of Rhineland-Palatine, Germany (ID 2021-16040). Participants give informed written consent before starting the survey. The DEBBI study will provide more clarity in the so far inconsistent empirical evidence base and will help to inform research on prevention and intervention strategies that are tailored to diabetes-specific needs.Trial registration numberThe study is registered with DRKS German Clinical Trials Register (DRKS00028833).
- Published
- 2022
32. How much variance can event intensity and emotion regulation strategies explain in momentary affect in daily life?
- Author
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Mario Wenzel, Zarah Rowland, and Thomas Kubiak
- Subjects
Ecological Momentary Assessment ,Emotions ,PsycINFO ,Variance (accounting) ,Affect (psychology) ,Explained variation ,Developmental psychology ,Emotional Regulation ,Distraction ,Rumination ,Predictive power ,medicine ,Humans ,medicine.symptom ,Psychology ,General Psychology ,Event (probability theory) ,Data Management - Abstract
Research based on the process model of emotion regulation has largely focused on affective outcomes of four prominent emotion regulation strategies: distraction, rumination, reappraisal, and suppression. We identified two areas that are relatively understudied regarding the prediction of affect in daily life: (a) comparing the importance of these four strategies to the subjective experience of event intensity and (b) including additional emotion regulation strategies that focus more on positive than negative affect. In two ecological momentary assessment data sets (Nindividuals = 299), we found that event intensity explained an average of 14.8% (4.9% to 25.9%) of the total variance in momentary affect above the variance explained by emotion regulation strategies. In turn, emotion regulation strategies explained an average of 8.3% (2.4% to 19.6%) in additional total variance in momentary affect. The added predictive power of emotion regulation strategies above event intensity was improved when strategies more specific to positive affect (ΔR² = 5.1%) were included. These results highlight avenues for future research that include strategies that focus on the selection and modification of an emotionally relevant situation and on positive affect. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
- Published
- 2021
33. Diabetes technologies in people with type 1 diabetes mellitus and disordered eating: A systematic review on continuous subcutaneous insulin infusion, continuous glucose monitoring and automated insulin delivery
- Author
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Mona Clauter, Lilli Priesterroth, Jennifer Grammes, and Thomas Kubiak
- Subjects
medicine.medical_specialty ,endocrine system diseases ,Endocrinology, Diabetes and Metabolism ,Population ,030209 endocrinology & metabolism ,Anorexia nervosa ,Feeding and Eating Disorders ,03 medical and health sciences ,Insulin Infusion Systems ,0302 clinical medicine ,Endocrinology ,Diabetes management ,Diabetes mellitus ,Internal Medicine ,medicine ,Humans ,030212 general & internal medicine ,Disordered eating ,Intensive care medicine ,education ,Type 1 diabetes ,education.field_of_study ,business.industry ,Bulimia nervosa ,Blood Glucose Self-Monitoring ,medicine.disease ,Eating disorders ,Diabetes Mellitus, Type 1 ,150 Psychologie ,150 Psychology ,business - Abstract
Aims In this systematic review, we aimed (1) to identify and describe research investigating the use of advanced diabetes technologies (continuous subcutaneous insulin infusion, CSII; continuous glucose monitoring, CGM; automated insulin delivery, AID) in people with type 1 diabetes (T1DM) and disordered eating and (2) to discuss potential (dis)advantages of diabetes technology use in this population, derived from previous research. Methods We conducted a systematic literature search in two electronic databases for English language articles published between 2000 and 2020 addressing eating disorders and/or dysfunctional eating behaviours and diabetes technology use in children, adolescents and adults with T1DM (PROSPERO ID CRD42020160244). Results Of 70 publications initially identified, 17 were included. Overall, evidence on the use of diabetes technologies in people with T1DM and disordered eating is scarce. The majority of the studies reports findings on CSII in people with T1DM and dysfunctional eating behaviours or eating disorders. Findings predominantly stem from observational data and are, in most cases, secondary findings of the respective studies. Providing the greatest flexibility in diabetes management, CSII may have benefits in disordered eating. CGM data may complement the diagnostic process of disordered eating with a physiological indicator of insulin restriction (i.e., time spent in hyperglycaemia). Conclusions Results on possible (dis)advantages of diabetes technology use in people with T1DM and disordered eating are based on observational data, small pilot trials and anecdotical evidence from case reports. Prospective data from larger samples are needed to reliably determine potential effects of diabetes technology on disordered eating in T1DM.
- Published
- 2021
34. Insulinpumpentherapie, kontinuierliche Glukosemessung und automatische Insulindosierung bei Menschen mit Typ-1-Diabetes und komorbider Essstörung
- Author
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Lilli Priesterroth, Jennifer Grammes, M Clauter, and Thomas Kubiak
- Published
- 2021
35. Fachgruppe Gesundheitspsychologie. Open Science und gute wissenschaftliche Praxis in der gesundheitspsychologischen Lehre
- Author
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Gudrun Sproesser, Laura M. König, Jana Strahler, Ana N. Tibubos, and Thomas Kubiak
- Subjects
General Psychology - Published
- 2022
36. The Effects of Self-Control on Glucose Utilization in a Hyperinsulinemic Euglycemic Glucose Clamp
- Author
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Jennifer Grammes, Daniela Zahn, Patricia Gottschling, Matthias M. Weber, Christian Fottner, Mario Wenzel, Thomas Kubiak, and Lara K. Gomille
- Subjects
medicine.medical_specialty ,Glucose utilization ,Ego depletion ,Chemistry ,media_common.quotation_subject ,05 social sciences ,Blood sugar ,050109 social psychology ,Self-control ,050105 experimental psychology ,Psychiatry and Mental health ,Clinical Psychology ,Endocrinology ,Clamp ,Internal medicine ,medicine ,0501 psychology and cognitive sciences ,media_common - Abstract
Abstract. Background. The glucose hypothesis of self-control posits that acts of self-control may draw upon glucose as a source of energy, leading to a decrease in blood glucose levels after exerting self-control, mirroring the temporary depletion of self-control, but supporting evidence is mixed and inconclusive. This might partly be due to using methods that are not suitable to reliably quantify glucose utilization. Aims. We aimed at examining whether self-control exertion leads to an increase in glucose utilization. Method. In a sample of N = 30 healthy participants (50% women, age 26.5 ± 3.5 years) we combined a hyperinsulinemic euglycemic glucose clamp (a well-established and validated procedure in experimental endocrinology to reliably quantify systemic glucose utilization) with a standard self-control dual-task paradigm. In the first task, the experimental group completed a variation of a paper-and-pencil crossing out letter task (COLT) that demanded self-control; the control group completed a variation of the COLT that did not demand self-control. The second task for both groups was a computerized two-color word Stroop which demanded self-control. Results. We did not find a significant main effect for time, nor a time × group interaction with respect to glucose utilization, which indicates that glucose utilization did not differ significantly over time or between groups. Limitations. Due to the time-consuming and complicated clamp method, our sample was rather small. Conclusion. Our results revealed little evidence for the notion that self-control efforts are associated with a relevant increase in peripheral glucose utilization.
- Published
- 2019
37. The Limits of Ego Depletion
- Author
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Marina Lind, Zarah Rowland, Thomas Kubiak, Mario Wenzel, and Daniela Zahn
- Subjects
Ego depletion ,Sociology and Political Science ,Social Psychology ,media_common.quotation_subject ,05 social sciences ,050109 social psychology ,Self-control ,Crossover study ,050105 experimental psychology ,Statistical power ,Task (project management) ,Arts and Humanities (miscellaneous) ,Robustness (computer science) ,Id, ego and super-ego ,0501 psychology and cognitive sciences ,Psychology ,Social psychology ,General Psychology ,media_common ,Cognitive psychology - Abstract
Abstract. Evidence on the existence of the ego depletion phenomena as well as the size of the effects and potential moderators and mediators are ambiguous. Building on a crossover design that enables superior statistical power within a single study, we investigated the robustness of the ego depletion effect between and within subjects and moderating and mediating influences of the ego depletion manipulation checks. Our results, based on a sample of 187 participants, demonstrated that (a) the between- and within-subject ego depletion effects only had negligible effect sizes and that there was (b) large interindividual variability that (c) could not be explained by differences in ego depletion manipulation checks. We discuss the implications of these results and outline a future research agenda.
- Published
- 2019
38. Effects of an Ultra-brief Computer-based Mindfulness Training on Mindfulness and Self-control: a Randomised Controlled Trial Using a 40-Day Ecological Momentary Assessment
- Author
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Mario Wenzel, Zarah Rowland, and Thomas Kubiak
- Subjects
050103 clinical psychology ,Health (social science) ,Mindfulness ,Social Psychology ,Ecology ,media_common.quotation_subject ,05 social sciences ,Computer based ,Experimental and Cognitive Psychology ,Training effect ,Self-control ,050105 experimental psychology ,law.invention ,Randomized controlled trial ,law ,Developmental and Educational Psychology ,0501 psychology and cognitive sciences ,Psychology ,Beneficial effects ,Applied Psychology ,media_common - Abstract
This study examined whether an ultra-brief mindfulness (UBM) training can change state mindfulness and perceived state self-control in daily life (primary outcomes), ultimately improving habitual mindfulness and perceived self-control (secondary outcomes). To gain a better understanding of the beneficial effects of practising mindfulness, the study additionally examined how mindfulness and self-control were related to each other during the training. The randomised controlled trial combined a 40-day ecological momentary assessment with seven weekly surveys. Undergraduate students (Nenrolled = 137, 104 females, Mage = 23.08, SD = 5.04 years), were either assigned to the UBM training (n = 68) or wait-list control condition (n = 69). Primary outcomes were assessed six times a day using ecological momentary assessments (7-point scales). Secondary outcomes were measured weekly (6-point scales). A breath counting task at pre- and post-training was an additional behavioural measure of mindfulness. An intention-to-treat multivariate mixed model identified day-to-day training effects (group × days-interaction) on state mindfulness (b = .005, p = .001) and perceived state self-control (b = .007, p < .001). A mediation analysis revealed that state mindfulness mediated the training effect on perceived state self-control (b = .001, p < .001). Habitual mindfulness (b = .049, p < .001) and breath counting task performance (b = 2.446, p = .043) also improved with training whereas habitual perceived self-control did not. These findings suggest that state mindfulness and perceived state self-control may be interconnected in daily life and may be similarly improved through an UBM training. NCT02647801
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- 2019
39. Let There be Variance: Individual Differences in Consecutive Self–Control in A Laboratory Setting and Daily Life
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Zarah Rowland, Daniela Zahn, Mario Wenzel, and Thomas Kubiak
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Ego depletion ,Social Psychology ,media_common.quotation_subject ,Replication (statistics) ,Variance (accounting) ,Self-control ,Psychology ,Developmental psychology ,media_common - Abstract
The large body of research used to support ego–depletion effects is currently faced with conceptual and replication issues, leading to doubt over the extent or even existence of the ego–depletion effect. By using within–person designs in a laboratory (Study 1; 187 participants) and an ambulatory assessment study (Study 2; 125 participants), we sought to clarify this ambiguity by investigating whether prominent situational variables (such as motivation and affect) or personality traits can help elucidate when ego depletion can be observed and when not. Although only marginal ego–depletion effects were found in both studies, these effects varied considerably between individuals, indicating that some individuals experience self–control decrements after initial self–control exertion and others not. However, neither motivation nor affect nor personality traits such as trait self–control could consistently explain this variability when models were applied that controlled for variance due to targets and the depletion manipulation (Study 1) or days (Study 2) as well as for multiple testing. We discuss how the operationalization and reliability of our key measures may explain these null effects and demonstrate that alternative metrics may be required to study the consequences of the consecutive exertion of self–control. © 2019 European Association of Personality Psychology
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- 2019
40. Interventionen zur Resilienzförderung bei Erwachsenen
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Isabella Helmreich, Svenja Linz, Thomas Kubiak, Andrea Chmitorz, Klaus Lieb, and Angela Kunzler
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Psychiatry and Mental health ,Clinical Psychology ,Applied Psychology - Abstract
ZusammenfassungResilienz bezeichnet die Aufrechterhaltung bzw. rasche Wiederherstellung der psychischen Gesundheit während oder nach stressvollen Lebensumständen. Aktuelle Forschungsergebnisse legen nahe, dass Resilienz dynamisch ist und trainiert werden kann. Obwohl Interventionen zur Stärkung der Resilienz häufig zur Gesundheitsförderung bei verschiedenen Zielgruppen eingesetzt werden, ist deren Effektivität jedoch kaum systematisch untersucht. Diese Übersichtsarbeit beurteilt narrativ die Ergebnisse 4 systematischer Reviews und Metaanalysen zu Resilienzinterventionen bei Erwachsenen und fasst die Evidenz aus den randomisiert-kontrollierten Primärstudien (N=44) zusammen. Insgesamt erzielten die Resilienzinterventionen kleine bis moderate Effekte bzgl. der Steigerung von Resilienz und der Verbesserung der psychischen Gesundheit. Trotz methodischer Schwächen scheinen Resilienzinterventionen wirksam zu sein und könnten somit eine gute Ergänzung zu aktuellen Präventionsmaßnahmen darstellen.
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- 2019
41. Gamification and Behavior Change Techniques in Diabetes Self-Management Apps
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Jennifer Grammes, Thomas Kubiak, Lilli Priesterroth, Anna Reinwarth, and Kimberly Holtz
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Gerontology ,020205 medical informatics ,Endocrinology, Diabetes and Metabolism ,Biomedical Engineering ,Bioengineering ,Diabetes self management ,Review Article ,02 engineering and technology ,Diabetes Complications ,03 medical and health sciences ,0302 clinical medicine ,Behavior Therapy ,Diabetes management ,Diabetes mellitus ,mental disorders ,Diabetes Mellitus ,0202 electrical engineering, electronic engineering, information engineering ,Internal Medicine ,medicine ,Humans ,030212 general & internal medicine ,mHealth ,business.industry ,Self-Management ,Behavior change methods ,medicine.disease ,Mobile Applications ,Video Games ,business ,Cell Phone - Abstract
Background: Diabetes management apps may have positive effects on diabetes self-management. It remains unclear, however, which app features are particularly effective and encourage sustained app usage. Behavior change techniques (BCTs) and gamification are promising approaches to improve user engagement. However, little is known about the frequency BCTs and gamification techniques (GTs) are actually used. This app review aims to provide an overview of BCTs and GTs in current diabetes management apps. Methods: Google’s Play Store was searched for applications using a broad search strategy (keyword: “diabetes”). We limited our research to freely available apps. A total of 56 apps matched the inclusion criteria and were reviewed in terms of the features they offer to support self-management. We used a taxonomy comprising 29 BCTs and 17 GTs to evaluate the applications. Two independent raters tested and evaluated each app. Results: Interrater agreement was high (ICC = .75 for BCTs; ICC = .90 for GTs). An average of 7.4 BCTs (SD = 3.1) and an average of 1.4 out of 17 GTs (SD = 1.6) were implemented in each app. Five out of 29 BCTs accounted for 55.8% of the BCTs identified in total. The GT most often identified was “feedback” and accounted for 50% of the GTs. Conclusions: The potential of BCTs and GTs in diabetes management apps has not been fully exploited yet. Only very restricted sets of BCTs and gamification features were implemented. Systematic research on the efficacy of specific BCTs and GTs is needed to provide further guidance for app design.
- Published
- 2019
42. Erratum zu: Diabetes im Alter – Unterstützung Pflegebedürftiger und ihres Umfeldes
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Jennifer Grammes and Thomas Kubiak
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- 2022
43. Meta-review of implementation determinants for policies promoting healthy diet and physically active lifestyle: application of the Consolidated Framework for Implementation Research
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Karolina Lobczowska, Anna Banik, Katarzyna Brukalo, Sarah Forberger, Thomas Kubiak, Piotr Romaniuk, Marie Scheidmeir, Daniel A. Scheller, Juergen M. Steinacker, Janine Wendt, Katarzyna Wieczorowska-Tobis, Marleen P. M. Bekker, Hajo Zeeb, and Aleksandra Luszczynska
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Facilitator ,Medicine (General) ,Barrier ,Physical activity ,Health Policy ,Public Health, Environmental and Occupational Health ,WASS ,Health Informatics ,General Medicine ,Consolidated Framework For Implementation Research ,Diet ,Sedentary behavior ,Health and Society ,R5-920 ,Policy ,Implementation ,Humans ,Systematic Review ,Diet, Healthy ,Gezondheid en Maatschappij ,Exercise ,Systematic Reviews as Topic - Abstract
Background Although multiple systematic reviews indicate that various determinants (barriers and facilitators) occur in the implementation processes of policies promoting healthy diet, physical activity (PA), and sedentary behavior (SB) reduction, the overarching synthesis of such reviews is missing. Applying the Consolidated Framework for Implementation Research (CFIR), this meta-review aims to (1) identify determinants that were systematically indicated as occurring during the implementation processes and (2) identify differences in the presence of determinants across reviews versus stakeholder documents on healthy diet/PA/SB policies, reviews/stakeholder documents addressing healthy diet policies versus PA/SB policies targeting any population/setting, and healthy diet/PA/SB policies focusing on school settings. Methods A meta-review of published systematic scoping or realist reviews (k = 25) and stakeholder documents (k = 17) was conducted. Data from nine bibliographic databases and documentation of nine major stakeholders were systematically searched. Included reviews (72%) and stakeholder documents (100%) provided qualitative synthesis of original research on implementation determinants of policies promoting healthy diet or PA or SB reduction, and 28% of reviews provided some quantitative synthesis. Determinants were considered strongly supported if they were indicated by ≥ 60.0% of included reviews/stakeholder documents. Results Across the 26 CFIR-based implementation determinants, seven were supported by 66.7–76.2% of reviews/stakeholder documents. These determinants were cost, networking with other organizations/communities, external policies, structural characteristics of the setting, implementation climate, readiness for implementation, and knowledge/beliefs of involved individuals. Most frequently, published reviews provided support for inner setting and individual determinants, whereas stakeholder documents supported outer and inner setting implementation determinants. Comparisons between policies promoting healthy diet with PA/SB policies revealed shared support for only three implementation determinants: cost, implementation climate, and knowledge/beliefs. In the case of healthy diet/PA/SB policies targeting school settings, 14 out of 26 implementation determinants were strongly supported. Conclusions The strongly supported (i.e., systematically indicated) determinants may guide policymakers and researchers who need to prioritize potential implementation determinants when planning and monitoring the implementation of respective policies. Future research should quantitatively assess the importance or role of determinants and test investigate associations between determinants and progress of implementation processes. Trial registration PROSPERO, #CRD42019133341
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- 2021
44. Like clouds in a windy sky : mindfulness training reduces negative affect reactivity in daily life in a randomized controlled trial
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Thomas Kubiak, Mario Wenzel, and Zarah Rowland
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050103 clinical psychology ,Mindfulness ,Emotions ,05 social sciences ,General Medicine ,Affect (psychology) ,law.invention ,Psychiatry and Mental health ,Clinical Psychology ,Randomized controlled trial ,Assessment data ,law ,150 Psychologie ,0502 economics and business ,Ambulatory ,Humans ,0501 psychology and cognitive sciences ,Reactivity (psychology) ,Psychology ,150 Psychology ,Stress, Psychological ,050203 business & management ,Applied Psychology ,Clinical psychology - Abstract
While prior research has found mindfulness to be linked with emotional responses to events, less is known about this effect in a non-clinical sample. Even less is known regarding the mechanisms of the underlying processes: It is unclear whether participants who exhibit increased acceptance show decreased emotional reactivity (i.e., lower affective responses towards events overall) or a speedier emotional recovery (i.e., subsequent decrease in negative affect) due to adopting an accepting stance. To address these questions, we re-analysed two Ambulatory Assessment data sets. The first (NStudy1 = 125) was a 6-week randomized controlled trial (including a 40-day ambulatory assessment); the second (NStudy2 = 175) was a 1-week ambulatory assessment study. We found state mindfulness to be more strongly associated with emotional reactivity than with recovery, and that only emotional reactivity was significantly dampened by mindfulness training. Regarding the different facets of mindfulness, we found that the strongest predictor of both emotional reactivity and recovery was non-judgemental acceptance. Finally, we found that being aware of one's own thoughts and behaviour could be beneficial or detrimental for emotional recovery, depending on whether participants accepted their thoughts and emotions. Together, these findings provide evidence for predictions derived from the monitoring and acceptance theory.
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- 2021
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45. Neuroticism may reflect emotional variability when correcting for the confound with the mean
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Mario Wenzel and Thomas Kubiak
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Neuroticism ,Multidisciplinary ,05 social sciences ,Emotions ,Individuality ,050401 social sciences methods ,050109 social psychology ,0504 sociology ,0501 psychology and cognitive sciences ,Letters ,Psychology ,Association (psychology) ,Negative emotion ,Clinical psychology - Abstract
Kalokerinos et al. (1) demonstrate that emotional variability, as assessed via the SD, is not significantly associated with neuroticism once the confound with mean negative emotion is controlled for, r = 0.05. To control for this confound, the authors use the relative SD (RSD), which mathematically corrects for the nonlinear dependency between the SD and the mean (2). The authors prefer the RSD over including the SD and the mean of negative emotions in a model, given the nonlinearity of their association. While we agree that the RSD is an important addition to the field, we argue that including the mean of emotions is still necessary when examining the association between neuroticism and emotion variability, to 1) sufficiently control for the confound with the mean and 2) compare the individual contribution … [↵][1]1To whom correspondence may be addressed. Email: wenzelma{at}uni-mainz.de. [1]: #xref-corresp-1-1
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- 2020
46. Cognitive Reappraisal in Smartphone-Based Interventions to Foster Mental Health in Adults: A Systematic Literature Review and Meta-Analysis (Preprint)
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Karolina Kurth, Lilli Priesterroth, Angela M Kunzler, Oliver Tuescher, and Thomas Kubiak
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BACKGROUND A large variety of smartphone-based interventions (SBIs) have emerged recently that aim to contribute to mental healthcare. SBIs that integrate a training of cognitive reappraisal (CR) may be particularly effective. Little is known whether CR as an evidence-based mechanism for mental health promotion is included in SBIs. OBJECTIVE The aim of this study was to systematically evaluate the integration of CR training in recent SBIs for clinical and non-clinical adult populations and meta-analyze their effect on prevalent mental health outcomes (depression, anxiety, perceived stress, and well-being). METHODS A comprehensive literature search in four databases revealed 1,836 unique records, which were screened for eligibility by two independent reviewers. 15 randomized controlled or controlled trials (N = 1406) including an adult sample that received an SBI with CR training and a comparison condition were identified. We performed a random-effects meta-analysis to calculate the standardized mean difference (SMD) between SBIs and control conditions. Subgroup analyses were conducted for sample population (clinical vs. non-clinical) and degree of human support (SBIs with human support vs. SBIs without human support). RESULTS Most of the studies assessed a clinical population, had depression as primary outcome, and were performed without human face-to-face support for the participants. The CR training of all SBIs involved active engagement of the users that was realized with a wide range of multimedia material. We found evidence for a small effect (SMD = –0.21, 95% CI –0.40 to –0.02; P = .04) on mental health (i.e., the reduction of symptoms of mental disorders) in favor of the SBIs including CR, with moderate to substantial heterogeneity (I2 = 60%; Chi2(df) = 35.32 (14); P = .001). The overall quality of the studies was relatively low. Subgroup analyses revealed evidence for larger effect sizes of studies with clinical compared to non-clinical populations. There was no evidence for a subgroup difference between interventions with vs. without human support. CONCLUSIONS CR can successfully be implemented in SBIs and reduce mental health symptoms.
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- 2020
47. Examining five pathways on how self-control is associated with emotion regulation and affective well-being in daily life
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Zarah Rowland, Mario Wenzel, and Thomas Kubiak
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Employment ,050103 clinical psychology ,Mediation (statistics) ,Adaptive strategies ,Social Psychology ,media_common.quotation_subject ,05 social sciences ,Emotions ,050109 social psychology ,Interpersonal communication ,Self-control ,Developmental psychology ,Emotional Regulation ,Self-Control ,Phenotype ,Well-being ,Trait ,Selection (linguistics) ,Humans ,0501 psychology and cognitive sciences ,Psychology ,Association (psychology) ,media_common - Abstract
OBJECTIVE Self-control is positively connected to well-being, but less is known about what, on the mechanistic level, explains this association. We hypothesized five pathways how this connection could be explained by emotion regulation, that is, by facilitating (a) strategy effectiveness, (b), adaptive strategy selection, (c) situation selection, (d) strategy variability, or (e) social sharing. METHOD To explore these pathways, we integrated two ambulatory assessment data sets (N = 250 participants, N = 22,796 observations) that included assessments of participants' emotions and their emotion regulation efforts. RESULTS We found that self-control was positively associated with affective well-being. Moreover, momentary but not trait self-control was associated with favoring adaptive and interpersonal strategy selection and less emotion regulation in general as well as with increased variability across strategies. However, these emotion regulation facets could not sufficiently explain the association between self-control and affective well-being. CONCLUSIONS Our main conclusion is that emotion regulation is not a mediator of the strong relation between self-control and affective well-being. Instead, we found evidence for the affective benefits of employing ways of emotion regulation that are less taxing mentally, which we discuss in light of current knowledge about self-control and emotion regulation.
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- 2020
48. How mindfulness shapes the situational use of emotion regulation strategies in daily life
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Mario Wenzel, Zarah Rowland, and Thomas Kubiak
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Adult ,Male ,Mindfulness ,Adolescent ,Range (biology) ,05 social sciences ,Emotions ,050109 social psychology ,Experimental and Cognitive Psychology ,050105 experimental psychology ,Emotional Regulation ,Young Adult ,Arts and Humanities (miscellaneous) ,Developmental and Educational Psychology ,Humans ,0501 psychology and cognitive sciences ,Attention ,Female ,Situational ethics ,Psychology ,Cognitive psychology - Abstract
Mindfulness is associated with a wide range of beneficial outcomes such as well-being. However, less is known about the mechanisms underlying these benefits. Some researchers suggest that the benefits could be driven by emotion regulation, either by improving the effectiveness of emotion regulation or by lessening the need for effortful emotion regulation. By using two longitudinal Ambulatory Assessment data sets (
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- 2020
49. Correction: Assessment of Microstressors in Adults: Questionnaire Development and Ecological Validation of the Mainz Inventory of Microstressors
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Andrea Chmitorz, Karolina Kurth, Lara K Mey, Mario Wenzel, Klaus Lieb, Oliver Tüscher, Thomas Kubiak, and Raffael Kalisch
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03 medical and health sciences ,Psychiatry and Mental health ,0302 clinical medicine ,020205 medical informatics ,0202 electrical engineering, electronic engineering, information engineering ,Psychology ,02 engineering and technology ,Corrigenda and Addenda ,030227 psychiatry ,BF1-990 - Abstract
Many existing scales for microstressor assessment do not differentiate between objective (ie, observable) stressor events and stressful cognitions or concerns. They often mix items assessing objective stressor events with items measuring other aspects of stress, such as perceived stressor severity, the evoked stress reaction, or further consequences on health, which may result in spurious associations in studies that include other questionnaires that measure such constructs. Most scales were developed several decades ago; therefore, modern life stressors may not be represented. Ecological momentary assessment (EMA) allows for sampling of current behaviors and experiences in real time and in the natural habitat, thereby maximizing the generalization of the findings to real-life situations (ie, ecological validity) and minimizing recall bias. However, it has not been used for the validation of microstressor questionnaires so far.The aim is to develop a questionnaire that (1) allows for retrospective assessment of microstressors over one week, (2) focuses on objective (ie, observable) microstressors, (3) includes stressors of modern life, and (4) separates stressor occurrence from perceived stressor severity.Cross-sectional (N=108) and longitudinal studies (N=10 and N=70) were conducted to evaluate the Mainz Inventory of Microstressors (MIMIS). In the longitudinal studies, EMA was used to compare stressor data, which was collected five times per day for 7 or 30 days with retrospective reports (end-of-day, end-of-week). Pearson correlations and multilevel modeling were used in the analyses.High correlations were found between end-of-week, end-of-day, and EMA data for microstressor occurrence (counts) (r≥.69 for comparisons per week, r≥.83 for cumulated data) and for mean perceived microstressor severity (r≥.74 for comparisons per week, r≥.85 for cumulated data). The end-of-week questionnaire predicted the EMA assessments sufficiently (counts: beta=.03, 95% CI .02-.03, P.001; severity: beta=.73, 95% CI .59-.88, P.001) and the association did not change significantly over four subsequent weeks.Our results provide evidence for the ecological validity of the MIMIS questionnaire.
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- 2020
50. Comment on: Comparative characteristics of older people with type 1 diabetes treated with continuous subcutaneous insulin infusion or insulin injection therapy: data from the German/Austrian DPV registry. Reply to Rigalleau et al
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Marybeth Hummel, Esther Bollow, Eva Küstner, Ingrid Schütz-Fuhrmann, Jennifer Grammes, Stefan Zimny, Jörg-Carsten Kämmer, Thomas Kubiak, Dpv Initiative, A. Dapp, and Reinhard W. Holl
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medicine.medical_specialty ,Endocrinology, Diabetes and Metabolism ,MEDLINE ,German ,Endocrinology ,Insulin Infusion Systems ,Internal medicine ,Internal Medicine ,Medicine ,Humans ,Hypoglycemic Agents ,Insulin ,Registries ,Insulin injection ,Aged ,Aged, 80 and over ,Type 1 diabetes ,business.industry ,medicine.disease ,language.human_language ,Subcutaneous insulin ,Diabetes Mellitus, Type 1 ,Austria ,language ,business ,Older people - Published
- 2020
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