scholarly journals Estimating the Efficiency of the “Proactive Behavior Training” in the Formation of the Doctor’s Adherence to Preventive Work

2021 ◽  
Vol 18 (4) ◽  
pp. 893-914
Author(s):  
Vladimir Yu. Slabinsky ◽  
Nadezhda M. Voishcheva ◽  
Angela A. Kabieva ◽  
Maya O. Levadnaya

Today the public health service faces numerous pressing challenges, including not only treatment, but also prevention of diseases. A theoretical analysis of materials on this topic shows that insufficient adherence of doctors to preventive work can be associated not only with a high level of their professional burnout, but also with their usual reactive coping strategies, which is caused by the traditional conservatism of the medical community. Previous studies have shown that the solution to the described problem may lie in the formation of a system of proactive coping behaviors and reduction of professional burnout among doctors. The aim of the study is to evaluate the efficiency of the Proactive Behavior Training developed by V.Yu. Slabinsky and N.M. Voishcheva in the formation of a doctors adherence to preventive work. The sample consisted of 125 people (112 women, 13 men). Their age range was from 24 to 68 years. The work experience ranged from less than 1 year to 45 years. The experimental group and the control group consisted of 64 and 61 people respectively. The research was conducted using the following techniques: Zimbardo Time Perspective Inventory (ZTPI); Maslach Burnout Inventory (MBI); Proactive Coping Inventory (PCI); BAK conflict; projective test My job; and case method (unstructured cases). The statistical analysis was carried out using the Wilcoxon test for compare the test results before and after the training, and the Fisher criterion (*-criterion) for check statistically significant differences in the frequency of occurrence of the selected criteria. The results of the case method were processed by content analysis. It was revealed that, in primary care physicians (PCPs), the Proactive Behavior Training develops a system of proactive coping strategies (proactive overcoming, reflexive overcoming, preventive overcoming, seeking instrumental support and seeking emotional support); it reduces the level of professional burnout (increasing professional success and reducing emotional exhaustion) and potentiates the positive past time perspective. A positive influence on the emotional and imaginative perception of physicians of their professional activities was found, which is confirmed by the results of the projective test My job. It was noted that the participants in the training developed such traits as diligence, optimism and tenderness, which contributes to the manifestation of a more humane attitude towards their patients, and, as a consequence, a greater efficiency in their preventive activities. These results, as well as the content analysis data for the texts of the tasks completed by the doctors and reviews obtained from the heads of the medical organizations, the employees of which participated in the training, confirm the efficiency of the Proactive Behavior Training in developing the PCPs adherence to preventive work.

2016 ◽  
Vol 177 (3) ◽  
pp. 85-96 ◽  
Author(s):  
Anna-Sara Blomgren ◽  
Kajsa Svahn ◽  
Elisabeth Åström ◽  
Michael Rönnlund

2020 ◽  
Vol 9 (4) ◽  
pp. 21-35
Author(s):  
A.A. Bekhter

Difficulties in the rehabilitation and treatment of drug addicts are associated with the peculiarities of their behavior, which are a consequence of a change in their personality. The author conducted an empirical study on two groups of drug-dependent men with a combined form of drug addiction at the stage of treatment (n=30) and rehabilitation with a remission period of about a year (n=30); healthy male volunteers (n=30) acted as a control group. The study was conducted on the basis of the Regional Clinical Psychiatric Hospital, Khabarovsk Territory, Department of Medical Rehabilitation for people with drug addiction disorders in Khabarovsk. All men participating in the study had a higher education, a family, and the average age of all subjects was 32 ± 10.1 years. The study used: Kellerman-Plutchik's “Life style Index” methods (adapted by Wasserman L.I., Eryshev O.F., Klubova E.B. et al., 2005); coping test by Lazarus R. and Folkman S. (adapted by T.L. Kryukova, Kuftyak E.V., Zamishlyaeva M.S., 2005); questionnaire “Proactive coping behavior” Greenglass E., Schwarzer R. et al. (adapted by Belinskaya E.P., Vecherin A.V., Agadullina E.R., 2018). The main features of reactive-proactive coping in groups of drug addicts are defined: in the first group, coping is emotionally-oriented and cognitive-oriented in nature with a focus on social and emotional support, the protection mechanisms “denial”, “projection”, “substitution”, “intellectualization” prevail; in the second group, the intensity of avoidance strategies in combination with proactive overcoming without a focus on external support is identified, intellectual defenses are combined with strategies for reflective analysis. The main differences between the two groups of drug addicts are in the nature of the relationship between defense mechanisms and reactive-proactive coping strategies, in the variation of reactive strategies and their orientation, in the features of building proactive behavior. Understanding the features of reactive-proactive coping with drug addicts can greatly facilitate the work of a psychologist in remedial and rehabilitation activities with patients focused on life planning during remission.


2018 ◽  
Vol 20 (12) ◽  
pp. 4689-4708 ◽  
Author(s):  
George Veletsianos ◽  
Shandell Houlden ◽  
Jaigris Hodson ◽  
Chandell Gosse

Although scholars increasingly use online platforms for public, digital, and networked scholarship, the research examining their experiences of harassment and abuse online is scant. In this study, we interviewed 14 women scholars who experienced online harassment in order to understand how they coped with this phenomenon. We found that scholars engaged in reactive, anticipatory, preventive, and proactive coping strategies. In particular, scholars engaged in strategies aimed at self-protection and resistance, while often responding to harassment by acceptance and self-blame. These findings have important implications for practice and research, including practical recommendations for personal, institutional, and platform responses to harassment, as well as scholarly recommendations for future research into scholars’ experiences of harassment.


2016 ◽  
Vol 47 (3) ◽  
pp. 300-310 ◽  
Author(s):  
Dorota Kalka ◽  
Bartosz Karcz

Abstract The aim of study was to investigate the relationship between proactive coping strategies and the dimensions of identity formation, along with the role of biological sex and psychological gender as moderators for this relationship. We conducted analyses aimed at showing differences in terms of identity dimensions levels and proactive coping strategies used by a group of individuals with different biological sex and psychological gender. A group of 101 students from upper secondary schools (47 females, 54 males) from Pomeranian Voivodeship took part in the study. We used in our research The Dimensions of Identity Development Scale; The Psychological Gender Inventory and The Proactive Coping Inventory for Adolescents. We found, among others, that in the case of a proactive strategy, biological sex turned out to be a significant moderator in the relationship between this variable and identity dimensions: ruminative exploration, commitment-making and identification with commitment. In the case of instrumental support seeking, psychological gender turned out to be a significant moderator for the relationship between these variables and a part of identity dimensions. The obtained results show that, regardless of whether young people, in terms of characteristics that are stereotypically associated with biological sex, are described as aschematic (undifferentiated individuals) or schematic (sex-typed) when entering adulthood and attempting to constitute themselves, more often cope in a task-oriented manner by trying to create a set of information useful in difficult situations and aspire to obtain informational support from individuals in one’s own social network, who are regarded as safe people.


Author(s):  
Yelena V. Tikhomirova ◽  
Anna G. Samokhvalova

The problematic field related to middle-aged women’s life construction features characterised by different styles of psychological separation from the mother’s figure, is outlined in the study. The authors proceeded from the following assumptions. 1) There are differences in indicators of psychological well-being in middle-aged women with high and low levels of separation from the mother. 2) The connection between mothers' and daughters' life strategies during adulthood, as manifested by conjugate measures of cognitive-behavioural coping strategies, sense-behavioural orientations and time perspective perception, is type-specific and it depends on the degree of separation. 3) Psychological separation from the mother determines the authors' construction of the adult daughter's life. 170 women from Kostroma and Kostroma Region took part in the study, of whom 85 were adult daughters (M = 33 ± 5.3); and 85, their mothers (M = 58 ± 6.7). The main methods included the "Unfinished Sentences" (Yelena Soldatova, 2007); Dmitriy Leont'yev’s "Life-Meaning Orientation Test" (Dmitriy Leont'yev, 1988); Cognitive Behavioural Coping Strategies Questionnaire (Inessa Sizova, Svetlana Filipchenkova, 2002); Own Life Path Methodology (Igor' Solomin, 2007); the survey Psychological Separation Inventory by Jeffrey A. Hoffman (Tat'yana Sadovnikova, Veronika Dzukayeva, 2014). The study is a combination of nomothetic and idiographic approaches. Conclusions – if the daughter is not psychologically separated from her mother in adulthood, then close conjugation of the mother’s and the daughter’s cognitive-behavioural coping strategies, goal orientations, and life planning features is traceable, which in turn negatively affects the functioning and life functioning of the daughter. Separation from the mother during middle adulthood is crucial for the realisation of a woman's subjective position in constructing and making sense of her own life, for the choice of cognitive-behavioural strategies in difficult situations, for taking personal responsibility.


Author(s):  
Valerie Yu ◽  
Katrina Alvarez ◽  
Vivian Chen

There has been a noticeable increase in coverage and academic research on the physical and psychological well-being of game streamers. Existing studies have identified challenges and possible negative effects to streamers’ well-being, and they have also explored how streamers utilize the technological features of streaming platforms in their streaming practices. However, scant research has investigated the links between the use of platform features and the management of well-being issues. This study examined how streamers use technological features, the negative well-being issues of streamers, and their coping strategies for these issues. Based on a qualitative content analysis of 23 hours of video interviews with 23 different game streamers discussing well-being issues related to streaming, findings indicate that challenges to well-being arise from prioritizing different outcomes in their streaming practices, and it is game streamers’ resilience and self-aware platform feature use that enables them to face these challenges.


Sign in / Sign up

Export Citation Format

Share Document