Cognitive-Affective Change Mechanisms in Personalized Normative Feedback via the Articulated Thoughts in Simulated Situations Paradigm
Cognitive-Affective Change Mechanisms in Personalized Normative Feedback via the Articulated Thoughts in Simulated Situations Paradigm
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DOI：
10.3390/ijerph17030690
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发表时间：
2020-02-01
影响因子：
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通讯作者：
Davison, Gerald C.
中科院分区：
文献类型：
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作者：
Hummer, Justin F.;Hatch, Melissa R.;Davison, Gerald C.
该研究通过对模拟情境中的有声思维（ATSS）认知出声思考范式的改编应用，探索了个性化规范反馈（PNF）干预的变化解释机制。70名（51%为女性）美国受裁决学生的样本被随机分配到三种条件之一：PNF - ATSS条件、仅PNF条件（无ATSS）以及接受酒精使用心理教育的积极对照 + ATSS条件。在30天的随访中，仅PNF条件和PNF - ATSS条件下的学生报告称，与对照条件下的学生相比，他们对同龄人饮酒规范的错误认知以及与酒精相关的后果显著减少。在随访中，PNF - ATSS条件下的参与者每周饮酒量明显少于仅PNF条件下的参与者，但不少于对照条件下的参与者。研究发现参与者对PNF内容的中立性和可信度的ATSS编码具有显著的间接影响。这项研究为改编后的ATSS出声思考方法作为一种临床科学干预工具提供了概念验证，以明确与针对特定问题、人群和情境的复杂干预相关的认知 - 情感变化过程。
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.