scholarly journals Cognitive-Affective Change Mechanisms in Personalized Normative Feedback via the Articulated Thoughts in Simulated Situations Paradigm

Author(s):  
Justin F. Hummer ◽  
Melissa R. Hatch ◽  
Gerald C. Davison

The research explored explanatory mechanisms of change for a personalized normative feedback (PNF) intervention, through an adapted application of the Articulated Thoughts in Simulated Situation (ATSS) cognitive think-aloud paradigm. A sample of 70 (51% female) U.S. adjudicated students were randomly assigned to one of three conditions: a PNF-ATSS condition, a PNF-Only condition (without ATSS), and an active Control+ATSS condition which received psychoeducation about alcohol use. Students in both the PNF-Only and PNF-ATSS conditions reported significant reductions in their misperceived peer drinking norms and alcohol-related consequences at the 30-day follow-up, relative to students in the control condition. Participants in the PNF-ATSS condition drank significantly fewer drinks per week at follow-up than participants in the PNF-Only condition, but not less than participants in the control condition. Significant indirect effects were found for the ATSS codes of participants’ neutrality and believability toward PNF content. This study presents a proof of concept for an adapted ATSS think-aloud methodology as a clinical science intervention tool to specify the cognitive-affective processes of change linked to complex intervention for particular problems, persons, and contexts.

NASPA Journal ◽  
2003 ◽  
Vol 40 (4) ◽  
Author(s):  
Jannette Y. Berkley-Patton ◽  
Ellie C. Prosser ◽  
Kathleen A. McCluskey-Fawcett ◽  
Carrie Towns

The social norms media approach is an intervention designed to change college students’ drinking behavior by correcting false perceptions through normative feedback. The present study is a preliminary assessment of a social norms intervention’s attempt to decrease drinking amounts in students making the transition to university life. Data were collected on three groups of first-year students: (a) spring 1999 for baseline freshmen drinking norms, (b) summer 1999 to assess incoming freshmen drinking patterns, and (c) spring 2000 as a follow-up to assess effectiveness of the intervention for freshmen who entered fall 1999. Results indicated that the majority of freshmen students consistently drank in a moderate range (0–5 drinks), yet consistently overestimated their peers’ drinking levels. Incoming freshmen had significantly higher levels of drinking and greater misperceptions than baseline university freshmen. Results suggest the drinking rates significantly decreased for incoming freshmen from summer 1999 compared to spring 2000 follow-up norms. Also, the results suggest that normative feedback on college students’ drinking may be needed at the high school level to correct faulty perceptions prior to entering a university environment.


2019 ◽  
Vol 115 ◽  
pp. 73-82 ◽  
Author(s):  
Clayton Neighbors ◽  
Angelo M. DiBello ◽  
Chelsie M. Young ◽  
Mai-Ly N. Steers ◽  
Dipali V. Rinker ◽  
...  

2021 ◽  
Author(s):  
Abdul-Fatawu Abdulai ◽  
A. Fuchsia Howard ◽  
Paul J Yong ◽  
Heather Noga ◽  
Gurkiran Parmar ◽  
...  

BACKGROUND Endometriosis is a chronic condition that affects approximately 10% of women across the globe. Despite its wide prevalence, knowledge of endometriosis symptoms, such as pelvic pain, and treatments remains relatively low. This not only leads to a trivialization of symptoms and delayed diagnosis but fuels myths and misconceptions about pain symptoms. At the same time, the use of online platforms for information seeking is particularly common among people with conditions that are perceived as stigmatizing and difficult to discuss. The Sex, Pain, and Endometriosis Website is an educational resource designed to provide evidence-based information on endometriosis and sexual pain to help people understand the condition, feel empowered, dispel myths, and destigmatize endometriosis-associated sexual pain. OBJECTIVE The study objective was to evaluate the usability of the website and assess for destigmatizing properties of sexual health-related online resources. METHODS We conducted a usability analysis by employing a think-aloud observation, a post-systems usability questionnaire, and follow-up interviews with 12 women with endometriosis. The think-aloud data were analyzed using Kushniruk and Patel’s framework for analyzing usability video data, the questionnaire data were analyzed with descriptive statistics, and the follow-up interview was analyzed using simple content analysis. We also conducted a stigma assessment by analyzing the interview data deductively using a trauma-informed care framework and a content analysis approach. RESULTS Through usability analysis, we found the website to be simple, uncluttered, satisfying, and easy to use. However, 30 minor usability problems related to navigation, website response, comprehension of graphics icons and tabs, understanding content, and mismatch between the website and users' expectations were reported. In our stigma assessment, we found the web content to be non-stigmatizing. Participants suggested ways in which websites could be designed to address stigma including ensuring privacy, anonymity, inclusiveness, and factual and non-judgemental content, as well as providing opportunities for interactive engagement. CONCLUSIONS Overall, participants found the website to be useful, easy to use, and satisfying. The usability problems identified were largely minor and informed the website redesign process. In the context of the limited literature on stigma and website design, this paper offers useful strategies on how sexual health-related websites can be designed to be less stigmatizing and acceptable to individuals with sensitive health issues.


2019 ◽  
Vol 99 ◽  
pp. 106085 ◽  
Author(s):  
Joseph W. LaBrie ◽  
Jennifer L. de Rutte ◽  
Sarah C. Boyle ◽  
Cara N. Tan ◽  
Andrew M. Earle

2019 ◽  
Vol 48 (1) ◽  
pp. 54-66 ◽  
Author(s):  
Katherine Newman-Taylor ◽  
Pamela McSherry ◽  
Lusia Stopa

AbstractBackground:Paranoia is often accompanied by distressing intrusions associated with traumatic memories, yet one of the best-evidenced interventions, imagery rescripting (IR), is not routinely offered. This is likely to be due to poor understanding of the effects of IR on postulated mechanisms of change as well as the absence of a robust evidence base.Aims:This study aimed to establish proof of principle that IR impacts key cognitive-affective processes associated with distressing intrusions – memory characteristics and self-representations – and level of paranoia.Method:We used a within-subject repeated measures design to examine the effect of single-session IR on memory characteristics (level of intrusions, vividness, distress, encapsulated belief strength, emotion intensity and frequency), self-representation variables, affect and paranoia. Fifteen participants were seen once before and once after the IR session, to gather baseline and follow-up data.Results:As predicted, participants reported reductions in memory characteristics, improved self-esteem and positive affect, and reduced negative affect and paranoia, with large effect sizes. These effects were maintained at follow-up.Conclusions:While a within-subject design is useful for initial exploration of novel interventions, controlled studies are needed to determine causality. This is the first study to examine mechanisms of IR in paranoia. A controlled trial is now warranted.


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