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Article ; Online: Can the capabilities, opportunities and motivations model predict health behavior 1 year later?

Armitage, Christopher J / Munro, Kevin J

Health psychology : official journal of the Division of Health Psychology, American Psychological Association

2023 Volume 42, Issue 4, Page(s) 270–275

Abstract: Objective: The capabilities (C), opportunities (O) and motivations (M) model of behavior (B) change (COM-B) is designed to capture the key features of numerous models of behavior change, but little is known about its predictive validity. The present ... ...

Abstract	Objective: The capabilities (C), opportunities (O) and motivations (M) model of behavior (B) change (COM-B) is designed to capture the key features of numerous models of behavior change, but little is known about its predictive validity. The present study tests the predictive validity of COM-B prospectively in the domain of attending hearing screening. Method: 6,000 adults, representative of the U.K. population (e.g., 52.6% women) who one year earlier had reported COM with respect to attending hearing screening, were contacted again to complete an online survey with respect to their actual attendance. Data were analyzed descriptively, and with logistic regression to examine the influence of sociodemographic variables and COM on attendance at hearing screening. Results: Respondents reported being highly capable of attending hearing screening (Ms > 7.98 on a 0-10 scale), but much lower levels of automatic (M = 4.21 on a 0-10 scale) and reflective (M = 5.21 on a 0-10 scale) motivations. Logistic regression analyses showed that men and older people were more likely to have their hearing checked but that hearing difficulty was the dominant determinant of attending hearing screening. Controlling for these sociodemographic and clinical variables, opportunities and motivations (but not capabilities) were also significantly associated with behavior. Conclusions: The COM-B model was predictive of attending hearing screening over a one-year period, which potentially makes it valuable for understanding health behavior change. Interventions for improving uptake in hearing screening that goes beyond increasing knowledge and skills (capabilities) are required to increase attendance at hearing screening. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
MeSH term(s)	Male ; Adult ; Humans ; Female ; Aged ; Motivation ; Surveys and Questionnaires ; Health Behavior ; Logistic Models
Language	English
Publishing date	2023-04-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	226369-5
ISSN	1930-7810 ; 0278-6133
ISSN (online)	1930-7810
ISSN	0278-6133
DOI	10.1037/hea0001269
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Article ; Online: Correction to: Prevalence and correlates of perinatal depression.

Al-Abri, Khalood / Edge, Dawn / Armitage, Christopher J

Social psychiatry and psychiatric epidemiology

2023 Volume 58, Issue 11, Page(s) 1591

Language	English
Publishing date	2023-04-18
Publishing country	Germany
Document type	Published Erratum
ZDB-ID	623071-4
ISSN	1433-9285 ; 0037-7813 ; 0933-7954
ISSN (online)	1433-9285
ISSN	0037-7813 ; 0933-7954
DOI	10.1007/s00127-023-02468-2
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Article ; Online: Prevalence and correlates of perinatal depression.

Al-Abri, Khalood / Edge, Dawn / Armitage, Christopher J

Social psychiatry and psychiatric epidemiology

2023 Volume 58, Issue 11, Page(s) 1581–1590

Abstract: Purpose: This systematic review of systematic reviews aims to provide the first global picture of the prevalence and correlates of perinatal depression, and to explore the commonalities and discrepancies of the literature.: Methods: Seven databases ... ...

Abstract	Purpose: This systematic review of systematic reviews aims to provide the first global picture of the prevalence and correlates of perinatal depression, and to explore the commonalities and discrepancies of the literature. Methods: Seven databases were searched from inception until April 2022. Full-text screening and data extraction were performed independently by two researchers and the AMSTAR tool was used to assess the methodological quality. Results: 128 systematic reviews were included in the analysis. Mean overall prevalence of perinatal depression, antenatal depression and postnatal depression was 26.3%, 28.5% and 27.6%, respectively. Mean prevalence was significantly higher (27.4%; SD = 12.6) in studies using self-reported measures compared with structured interviews (17.0%, SD = 4.5; d = 1.0) and among potentially vulnerable populations (32.5%; SD = 16.7, e.g. HIV-infected African women) compared to the general population (24.5%; SD = 8.1; d = 0.6). Personal history of mental illness, experiencing stressful life events, lack of social support, lifetime history of abuse, marital conflicts, maternity blues, child care stress, chronic physical health conditions, preeclampsia, gestational diabetes mellitus, being exposed to second-hand smoke and sleep disturbance were among the major correlates of perinatal depression. Conclusion: Although the included systematic reviews were all of medium-high quality, improvements in the quality of primary research in this area should be encouraged. The standardisation of perinatal depression assessment, diagnosis and measurement, the implementation of longitudinal designs in studies, inclusions of samples that better represent the population and better control of potentially confounding variables are encouraged.
MeSH term(s)	Female ; Humans ; Pregnancy ; Child ; Depression/epidemiology ; Prevalence ; Systematic Reviews as Topic ; Depression, Postpartum/epidemiology ; Pregnancy Complications/epidemiology
Language	English
Publishing date	2023-01-16
Publishing country	Germany
Document type	Systematic Review ; Journal Article ; Review
ZDB-ID	623071-4
ISSN	1433-9285 ; 0037-7813 ; 0933-7954
ISSN (online)	1433-9285
ISSN	0037-7813 ; 0933-7954
DOI	10.1007/s00127-022-02386-9
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Article ; Online: Prospective analysis of factors associated with perinatal depression.

Al-Abri, Khalood / Edge, Dawn / Armitage, Christopher J

Midwifery

2023 Volume 128, Page(s) 103871

Abstract: Background: Perinatal depression is a significant public health problem that has adverse effects on both mothers and infants. Little research has been conducted on how depressive symptoms change throughout the perinatal period, especially in the Middle ... ...

Abstract	Background: Perinatal depression is a significant public health problem that has adverse effects on both mothers and infants. Little research has been conducted on how depressive symptoms change throughout the perinatal period, especially in the Middle East. This study examines changes in depressive symptoms from pregnancy to the postnatal period, and what explains these changes. Methods: This prospective study recruited 306 Omani women in the third trimester of pregnancy and followed them up two to eight weeks after delivery. The Edinburgh Postnatal Depression Scale (EPDS), with a cut-off of ≥12, was used to assess depressive symptoms in both the antenatal and postnatal periods. Independent t-tests, one-way ANOVA, Tukey's honestly significant difference test and Chi-square tests were used to analyse the data. Results: The prevalence of depressive symptoms was 27.12 % (n = 83) during late pregnancy and 29.30 % (n = 81) during the postnatal period. Four groups of women were identified based on the EPDS scores: 1) antenatal depression group (8.82 %; n = 27); 2) ante- and postnatal depression group (14.38 %; n = 44); 3) postnatal depression group (12.09 %; n = 37); and 4) non-depression group (54.90 %; n = 168). Depressive symptoms were associated with low birth weight babies (d = 0.50), which confirms the negative effects of depression on perinatal health outcomes. When compared to the non-depression group, the three depressed groups had higher antenatal Perceived Stress Scale (PSS) scores (ds > 0.52), while the non-depression group had higher antenatal and postnatal Maternity Social Support Scale (MSSS) scores (ds > 0.63), and better relationships with the mother-in-law antenatally (d= 0.57). Conclusion: The present study of this Middle Eastern cohort shows that there were distinct groups of women experiencing perinatal depressive symptoms, influenced by various psychosocial and obstetric factors, which were comparable to those identified in more regularly studied populations. However, this study also identified other novel factors, such as the quality of family relationships. There is a need for additional research into the factors associated with these groups in order to develop appropriate interventions.
MeSH term(s)	Infant, Newborn ; Infant ; Female ; Pregnancy ; Humans ; Depression, Postpartum/epidemiology ; Depression, Postpartum/etiology ; Depression, Postpartum/diagnosis ; Depression/epidemiology ; Depression/etiology ; Prospective Studies ; Risk Factors ; Pregnancy Complications/psychology ; Self Report ; Mothers/psychology ; Psychiatric Status Rating Scales ; Asphyxia Neonatorum
Language	English
Publishing date	2023-11-02
Publishing country	Scotland
Document type	Journal Article
ZDB-ID	1036567-9
ISSN	1532-3099 ; 0266-6138
ISSN (online)	1532-3099
ISSN	0266-6138
DOI	10.1016/j.midw.2023.103871
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Article ; Online: Views of healthcare professionals and service users regarding anti-, peri- and post-natal depression in Oman.

Al-Abri, Khalood / Armitage, Christopher J / Edge, Dawn

Journal of psychiatric and mental health nursing

2023 Volume 30, Issue 4, Page(s) 795–812

Abstract: WHAT IS KNOWN ON THE SUBJECT?: Anti-, peri- and post-natal depression negatively affect the relationship between mothers and their children. At least half of cases of anti-, peri- and post-natal depression were missed and underdiagnosed by healthcare ... ...

Abstract	WHAT IS KNOWN ON THE SUBJECT?: Anti-, peri- and post-natal depression negatively affect the relationship between mothers and their children. At least half of cases of anti-, peri- and post-natal depression were missed and underdiagnosed by healthcare professionals (HCPs) including doctors, nurses and midwives. Previous qualitative studies considered women's experiences relating to anti-, peri- and post-natal depression separately from studies looking at the views of HCPs. There is a lack of research in Middle Eastern countries, despite the high prevalence of anti-, peri- and post-natal depression. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: This is the first qualitative study investigating the experiences of both HCPs and service users regarding anti-, peri- and post-natal depression from the Middle East perspective, particularly in Oman. This study revealed that anti-, peri- and post-natal depression has been neglected in primary healthcare systems in Oman. The study explored many barriers and facilitators which have been identified by both HCPs and patients in identifying and managing anti-, peri- and post-natal depression in the primary healthcare system. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Nurses, midwives and doctors should develop an empathic screening procedure that allows for the discussion of mental health concerns and help-seeking behaviours with their patients. Training nurses and midwives in motivational interviewing, routinely screening mothers with any depressive symptoms, as well as providing public education programmes to increase mental health awareness, resources and access to a variety of mental healthcare alternatives, could be successful in recognizing and managing anti-, peri- and post-natal depression. Abstract: INTRODUCTION: Anti-, peri- and post-natal depression is known to affect the relationship between infants and their mothers adversely. Previous studies have identified barriers and facilitators, reported by women and HCPs, related to the identification and management of anti-, peri- and post-natal depression. However, these studies considered the experiences of women separately from those of the healthcare professionals, even though their experiences of anti-, peri- and post-natal depression are interconnected. Additionally, there is a lack of research among people living in the Middle East, including Oman, which has one of the highest rates of anti-, peri- and post-natal depression globally. Aim: This study aimed to explore the views and experiences of HCPs and service users relating to anti-, peri- and post-natal depression from the Middle East perspective. Method: A qualitative descriptive study using semi-structured interviews was conducted. This study took place at the Family Medicine and Community Clinic at the University Hospital and three selected primary healthcare centres in Muscat, between May 2020 and February 2021. Purposive sampling was used: 15 HCPs with 2-20 years of clinical experience in anti-, peri- and post-natal primary care and 13 pregnant patients plus 2 post-birth patients were interviewed. Audio-recordings were transcribed verbatim, and the anonymized transcripts were then entered into the qualitative data management software, NVIVO 12. Results: A thematic approach was used to analyse the data. Four themes were identified in the data, namely: (1) making sense of anti-, peri- and post-natal depression; (2) how to deal with anti-, peri- and post-natal depression; (3) barriers to addressing anti-, peri- and post-natal depression in primary anti-, peri- and post-natal care settings and (4) bridging the gap: facilitators in detecting and managing anti-, peri- and post-natal depression. Conclusions: Improving the identification and management of anti-, peri- and post-natal depression in primary healthcare systems will require a whole-system approach with interventions at the patient, practice and comprehensive primary care team levels. Implications for practice: The findings suggest implications for improving the identification and management of anti-, peri- and post-natal depression including an increased emphasis on mental health by enhancing the routine screening of mothers during the anti-, peri- and post-natal period, clearer referral systems, improving resources, providing training with regard to mental health and improving communication skills.
MeSH term(s)	Pregnancy ; Infant ; Child ; Humans ; Female ; Oman ; Depression, Postpartum/epidemiology ; Depression, Postpartum/therapy ; Health Personnel/education ; Delivery of Health Care ; Mothers ; Qualitative Research
Language	English
Publishing date	2023-02-13
Publishing country	England
Document type	Journal Article
ZDB-ID	1328479-4
ISSN	1365-2850 ; 1351-0126
ISSN (online)	1365-2850
ISSN	1351-0126
DOI	10.1111/jpm.12908
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Book: The social psychology of food

Conner, Mark / Armitage, Christopher J.

(Applying social psychology)

2002

Author's details	Mark Conner and Christopher J. Armitage
Series title	Applying social psychology
Keywords	Food/Psychological aspects ; Social psychology ; Lebensmittel ; Sozialpsychologie ; Ernährungsgewohnheit ; Ernährung
Subject	Nutrition ; Ernährungsstatus ; Ernährungszustand ; Nahrungsgewohnheit ; Ernährungsverhalten ; Verzehrsverhalten ; Ernährungsgewohnheiten ; Nahrungsmittel ; Nahrung für Menschen
Subject code	641.30019
Language	English
Size	X, 175 S. : graph. Darst.
Publisher	Open Univ.Press
Publishing place	Buckingham u.a.
Publishing country	Great Britain
Document type	Book
Note	Includes bibliographical references and index
HBZ-ID	HT013410479
ISBN	0-335-20755-3 ; 0-335-20754-5 ; 978-0-335-20755-8 ; 978-0-335-20754-1
Database	Catalogue ZB MED Nutrition, Environment, Agriculture

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028/661	available for loan (reading room)	Freihandmagazin (U1)

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Article ; Online: Impacts of the COVID-19 public health emergency on healthcare professional delivery of opportunistic behaviour change interventions: a retrospective cohort study.

Keyworth, Chris / Conner, Mark / Johnson, Judith / Epton, Tracy / Vogt, Katharina S / Armitage, Christopher J

BMC health services research

2024 Volume 24, Issue 1, Page(s) 167

Abstract: Background: The public health policy "Making Every Contact Count" (MECC) compels healthcare professionals to deliver health behaviour change interventions during routine consultations. As healthcare systems continue their recovery from the impacts of ... ...

Abstract	Background: The public health policy "Making Every Contact Count" (MECC) compels healthcare professionals to deliver health behaviour change interventions during routine consultations. As healthcare systems continue their recovery from the impacts of the COVID-19 public health emergency, supporting people to modify health behaviours is more important now than when the policy was introduced. The present study aims to: (a) examine changes in healthcare professionals' awareness of, and engagement with the policy over a five-year period, (b) examine the psychosocial drivers associated with delivering behaviour change interventions, and (c) identify targets to increase healthcare professionals' delivery of interventions. Methods: Comparison of data from two independent representative surveys of NHS healthcare professionals working in the UK. In both surveys (July-September 2017; N = 1387, and February-March 2022; N = 1008), participants were asked to report: (1) awareness of the MECC policy, (2) the prevalence of MECC-related practice (perceived patient benefit, how often interventions were delivered, and time spent delivering interventions), and (3) perceptions of capabilities, opportunities and motivations to deliver behaviour change interventions. T- tests (independent-samples), MANOVA, multiple linear regression, and chi-square analyses were used to generate comparisons between the surveys. Results: Awareness of the policy increased from 2017 (31.4%) to 2022 (52.0%). However, in 2022 compared with 2017, healthcare professionals reported (a) fewer patients would benefit from behaviour change interventions (49.1% versus 55.9%), (b) they delivered behaviour change interventions to a lower proportion of patients (38.0% versus 50.0%), and (c) they spent a lower proportion of the consultation time delivering interventions (26.5% versus 35.3%). Further, in 2022, compared with 2017, healthcare professionals reported fewer physical opportunities, fewer social opportunities, and fewer psychological capabilities to deliver behaviour change interventions. In the 2022 survey, perceptions of patient benefit and delivery of interventions was associated with greater perceptions of opportunities and motivations. Conclusions: Health behaviour change interventions remain an important part of routine healthcare in the continued recovery from COVID-19 public health emergency, however reported engagement with MECC-related practices appears to have reduced over time. Future research should consider how healthcare professionals identify patients who might benefit from opportunistic behaviour change interventions, and to increase capabilities, opportunities, and motivations to deliver interventions during routine consultations.
MeSH term(s)	Humans ; Public Health ; Retrospective Studies ; COVID-19/epidemiology ; Health Personnel/psychology ; Delivery of Health Care
Language	English
Publishing date	2024-02-05
Publishing country	England
Document type	Journal Article
ZDB-ID	2050434-2
ISSN	1472-6963 ; 1472-6963
ISSN (online)	1472-6963
ISSN	1472-6963
DOI	10.1186/s12913-023-10522-7
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Article ; Online: What are the Correlates of Hearing Aid Use for People Living With Dementia?

Hooper, Emma / Brown, Laura J E / Dawes, Piers / Leroi, Iracema / Armitage, Christopher J

Journal of aging and health

2024 , Page(s) 8982643241238253

Abstract: Objectives: To identify correlates of hearing aid use in people with dementia and age-related hearing loss.: Methods: Bivariate and multivariate logistic regression analyses of predictor variables from 239 participants with dementia and hearing loss ... ...

Abstract	Objectives: To identify correlates of hearing aid use in people with dementia and age-related hearing loss. Methods: Bivariate and multivariate logistic regression analyses of predictor variables from 239 participants with dementia and hearing loss in the European SENSE-Cog Randomized Controlled Trial (Cyprus, England, France, Greece, and Ireland). Results: In multivariate analysis, four variables were significantly associated with hearing aid use: greater self-perceived hearing difficulties (OR 2.61 [CI 1.04-6.55]), lower hearing acuity (OR .39 [CI .2-.56]), higher cognitive ability (OR 1.19 [CI 1.08-1.31]), and country of residence. Participants in England had significantly increased odds of use compared to Cyprus (OR .36 [CI .14-.96]), France (OR .12 [CI .04-.34]) or Ireland (OR .05 [CI .01-.56]) but not Greece (OR 1.13 [CI .42-3.00]). Conclusions: Adapting interventions to account for cognitive ability, country of residence, self-perceived hearing difficulties, and hearing acuity may support hearing aid use in people with dementia.
Language	English
Publishing date	2024-03-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	1045392-1
ISSN	1552-6887 ; 0898-2643
ISSN (online)	1552-6887
ISSN	0898-2643
DOI	10.1177/08982643241238253
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Article ; Online: Enablers and Barriers to Hearing aid Use in People Living With Dementia.

Hooper, Emma / Brown, Laura J E / Cross, Hannah / Dawes, Piers / Leroi, Iracema / Armitage, Christopher J

Journal of applied gerontology : the official journal of the Southern Gerontological Society

2024 , Page(s) 7334648231225346

Abstract: Hearing loss is highly prevalent in dementia; however, people with dementia are less likely to use hearing aids consistently than people with intact cognition are. This qualitative study is the first of its kind to explore factors that influence hearing ... ...

Abstract	Hearing loss is highly prevalent in dementia; however, people with dementia are less likely to use hearing aids consistently than people with intact cognition are. This qualitative study is the first of its kind to explore factors that influence hearing aid use from the perspective of community-living people with mild to moderate dementia and their care partners. Eleven UK-based dyads from the European SENSE-Cog Randomized Controlled Trial of a sensory intervention for people with dementia completed semi-structured interviews based on the Theoretical Domains Framework (TDF). Our findings suggest that the TDF domains
Language	English
Publishing date	2024-01-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	155897-3
ISSN	1552-4523 ; 0733-4648
ISSN (online)	1552-4523
ISSN	0733-4648
DOI	10.1177/07334648231225346
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Article ; Online: Behavioral Activation Mobile App to Motivate Smokers to Quit: Feasibility and Pilot Randomized Controlled Trial.

Borrelli, Belinda / Bartlett, Y Kiera / Fulford, Daniel / Frasco, Greg / Armitage, Christopher J / Wearden, Alison

JMIR formative research

2024 Volume 8, Page(s) e54912

Abstract: Background: Behavioral activation (BA) is an evidence-based treatment for depression that fosters engagement in values-based activities to increase access to positive reinforcement. Depressed mood has been shown to hinder smoking cessation.: Objective! ...

Abstract	Background: Behavioral activation (BA) is an evidence-based treatment for depression that fosters engagement in values-based activities to increase access to positive reinforcement. Depressed mood has been shown to hinder smoking cessation. Objective: This study determined the feasibility and preliminary efficacy of a mobile app to motivate smokers to quit by using BA and integrating motivational messages to quit smoking. Methods: Adult smokers (N=56; mean age 34.5, SD 9.52 years) who were not ready to quit smoking within 30 days were recruited from advertisements and randomized to either 8 weeks of the BA app (set 2 values-based activities per week+motivational messages+feedback on changes in smoking, mood, and values-based activities) or the control group (no app; received resources for quitting smoking). All participants completed the baseline and end-of-treatment web-based questionnaires. Controls also completed weekly web-based assessments, and BA app participants completed assessments through the app. Results: There were no dropouts and only 2 participants in each condition did not complete the end-of-treatment questionnaire. The results demonstrated that it is feasible to recruit smokers who are unmotivated to quit into a smoking cessation induction trial: 86% (57/66) of eligible participants were randomized (BA app: n=27; control: n=29). Participants reported high levels of satisfaction: 80% (20/25) of participants said they would recommend the BA app, there were moderate-to-high scores on the Mobile App Rating Scale, and 88% (22/25) of participants rated the app 3 stars or higher (out of 5). There were high levels of BA app engagement: 96% (26/27) of participants planned activities, and 67% (18/27) of participants planned 7 or more activities. High engagement was found even among those who were at the highest risk for continued smoking (low motivation to quit, low confidence to quit, and high negative affect). The results provided support for the hypothesized relationships between BA constructs: greater pleasant activity completion was associated with greater positive affect (b=0.37, SE 0.21; 95% CI -0.05 to 0.79; P=.08), and greater positive affect tended to predict fewer cigarettes smoked the next day (b=-0.19, SE 0.10; 95% CI -0.39 to 0.01; P=.06). Additionally, a greater number of activities planned was associated with lower negative affect (b=-0.26, SE 0.15; 95% CI -0.55 to 0.04; P=.09). Overall, 16% (4/25) of BA app participants set a quit date versus 4% (1/27) among controls, and there were promising (but not significant) trends for motivation and confidence to quit. Conclusions: The findings suggest that a mobile app intervention can be made appealing to smokers who are unmotivated to quit by focusing on aspects most important to them, such as mood management. This theory-based intervention has shown some initial support for the underlying theoretical constructs, and further efficacy testing is warranted in a fully powered trial.
Language	English
Publishing date	2024-04-04
Publishing country	Canada
Document type	Journal Article
ISSN	2561-326X
ISSN (online)	2561-326X
DOI	10.2196/54912
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