The cohesion of social“emotion–norm–goal”in response to major pandemics means the intention coordination of the involved group attitude,the value regulation of joint participations and the system optimization of p...The cohesion of social“emotion–norm–goal”in response to major pandemics means the intention coordination of the involved group attitude,the value regulation of joint participations and the system optimization of power concentration.Social cohesive mobilization includes the core role and key variables of the government’s initiative and public response,with social rectification functions of centralized leadership,social coordination and public participation as derivatives.The mobilization of national spirit in the process of cohesion emphasizes the formation of guidance,persuasion and influence of internal driving force based on value concept,which are mainly represented in the form of emotional mobilization,normative mobilization and goal mobilization.The“emotional paradigm”of national spirit mobilization that enters the practical level focuses on the“heart-warming”function of emotional strategy rituals;“normative paradigm”shows the function of“heart-winning”in the sense of norms and shapes interpretation scheme as well as social regulations of social cohesion value reproduction;“goal paradigm”reflects the“confidence strengthening”function led by collective actions,and conducts the goal transmission and framework construction of“idea+action”.展开更多
Objective:This study aims to evaluate the effects of a symptom management intervention(SMI)based on symptom management group sessions combined with a mobile health(mHealth)application(app)on the knowledge of symptom m...Objective:This study aims to evaluate the effects of a symptom management intervention(SMI)based on symptom management group sessions combined with a mobile health(mHealth)application(app)on the knowledge of symptom management,the certainty of symptom self-management,symptom severity,symptom distress,medication adherence,social support,and quality of life among persons living with HIV(PLWH)in China.Methods:A parallel randomized controlled trial with 61 PLWH was conducted in Shanghai,China.The participants in the control group(n¼30)downloaded the Symptom Management(SM)app according to their needs and preferences,and received routine follow-ups.The participants in the intervention group(n¼31)were guided to download and use the SM app,and received four tailored weekly group sessions at routine follow-ups.Each group session lasted for approximately 2 h and targeted one of the major modules of the SM app.All the outcomes were assessed at baseline and post-intervention.The study was registered with the Chinese Clinical Trial Registry(ChiCTR1900024821).Results:The symptom management knowledge and certainty of symptom self-management were significantly improved after the intervention(all P<0.01).Compared with the control group,the scores of symptoms reasons knowledge score improved 11.47 points(95%CI:3.41,19.53)and scores of symptoms self-management knowledge score improved 12.80 points(95%CI:4.55,21.05)in the intervention group after controlling for covariates.However,other outcomes did not show statistically significant differences between the intervention group and the control group(P>0.05).Conclusion:The SMI could improve PLWH’s symptom management knowledge and certainty of symptom self-management.Multi-center studies with larger sample sizes and longer follow-ups are needed to further understand the effects of SM app on ameliorating symptom severity and symptom distress.More innovative strategies are also needed to promote and maintain the sustainability of the SM app.展开更多
基金This paper is a staged achievement of project“Research on Cultivating and Solidifying the Consciousness of Chinese National Community in the New Era”(No.18VSJ090)sponsored by The National Social Science Fund of China.
文摘The cohesion of social“emotion–norm–goal”in response to major pandemics means the intention coordination of the involved group attitude,the value regulation of joint participations and the system optimization of power concentration.Social cohesive mobilization includes the core role and key variables of the government’s initiative and public response,with social rectification functions of centralized leadership,social coordination and public participation as derivatives.The mobilization of national spirit in the process of cohesion emphasizes the formation of guidance,persuasion and influence of internal driving force based on value concept,which are mainly represented in the form of emotional mobilization,normative mobilization and goal mobilization.The“emotional paradigm”of national spirit mobilization that enters the practical level focuses on the“heart-warming”function of emotional strategy rituals;“normative paradigm”shows the function of“heart-winning”in the sense of norms and shapes interpretation scheme as well as social regulations of social cohesion value reproduction;“goal paradigm”reflects the“confidence strengthening”function led by collective actions,and conducts the goal transmission and framework construction of“idea+action”.
基金This paper is part of a project funded by the National Natural Science Foundation of China(Grant Number 71673057)the China Scholarship Council(No.201906100135).
文摘Objective:This study aims to evaluate the effects of a symptom management intervention(SMI)based on symptom management group sessions combined with a mobile health(mHealth)application(app)on the knowledge of symptom management,the certainty of symptom self-management,symptom severity,symptom distress,medication adherence,social support,and quality of life among persons living with HIV(PLWH)in China.Methods:A parallel randomized controlled trial with 61 PLWH was conducted in Shanghai,China.The participants in the control group(n¼30)downloaded the Symptom Management(SM)app according to their needs and preferences,and received routine follow-ups.The participants in the intervention group(n¼31)were guided to download and use the SM app,and received four tailored weekly group sessions at routine follow-ups.Each group session lasted for approximately 2 h and targeted one of the major modules of the SM app.All the outcomes were assessed at baseline and post-intervention.The study was registered with the Chinese Clinical Trial Registry(ChiCTR1900024821).Results:The symptom management knowledge and certainty of symptom self-management were significantly improved after the intervention(all P<0.01).Compared with the control group,the scores of symptoms reasons knowledge score improved 11.47 points(95%CI:3.41,19.53)and scores of symptoms self-management knowledge score improved 12.80 points(95%CI:4.55,21.05)in the intervention group after controlling for covariates.However,other outcomes did not show statistically significant differences between the intervention group and the control group(P>0.05).Conclusion:The SMI could improve PLWH’s symptom management knowledge and certainty of symptom self-management.Multi-center studies with larger sample sizes and longer follow-ups are needed to further understand the effects of SM app on ameliorating symptom severity and symptom distress.More innovative strategies are also needed to promote and maintain the sustainability of the SM app.
