Lucia Romo

Assessment of the work: Development of a Tool (CACTIS) to Aid the Design of Behaviour Change Interventions Using the COM-B Model, Behaviour Change Wheel, and Behaviour Change Techniques Ontology This paper reports the development of the CACTIS (‘COM...

Aim: To examine whether recovery experiences and need for recovery mediate the association between psychological capital and perceived stress in nurses. Design: Cross‐sectional online survey. Methods: A total of 184 nurses currently practicing in France completed an anonymous online questionnaire administered in January 2023. Participants completed the French versions of the Psychological Capital Questionnaire, the Recovery Experience Scale, the Need for Recovery Scale, and the Perceived Stress Scale. Two mediation models were estimated using ordinary least squares regression with percentile bootstrap inference for the indirect effects. Results: Psychological capital was positively associated with recovery experiences and negatively associated with need for recovery. Need for recovery was strongly and positively associated with perceived stress, while psychological capital showed no direct association with perceived stress. The indirect effect of psychological capital on perceived stress through need for recovery was statistically detectable, whereas a complementary indirect effect through recovery experiences was in the expected direction but did not meet the bootstrap criterion for statistical significance. Conclusion: In this cross‐sectional sample, psychological capital was associated with lower perceived stress primarily through its association with reduced need for recovery rather than through a direct association with stress. Interventions intended to protect nurse well‐being should therefore be conceived as combining individual resource‐building with organizational architectures that enable effective recovery. Implication for Nursing Practice: Psychological capital should be seen as one element in integrated interventions rather than a stand‐alone solution to nursing stress. Brief recovery‐focused interventions for nurses need to be combined with scheduling practices and organizational policies that protect rest and make recovery feasible, a configuration that appears more promising than psychological capital training alone. Reporting Method: The study followed the STROBE Statement for the reporting of cross‐sectional studies. No Patient or Public Contribution: This study focused on nurses as study participants. No patient or public stakeholder was involved in the design, conduct, or interpretation of the research, since the research question concerns occupational psychological resources rather than clinical practice or care delivery.

Background: Large language model (LLM)-based conversational systems are increasingly used for emotional support. However, the perceived beneficialness, freedom from risk, and acceptability of their responses may differ between end-users and mental health professionals (MHPs).Objective: This study proposes an exploratory scenario-based quality-in-use (QiU) method for evaluating LLM-generated emotional-support conversations in terms of beneficialness, freedom from risk, and acceptability. Methods: A scenario-based evaluation was conducted in two phases: (1) emotionally sensitive scenarios were co-designed with a clinical psychologist for two personas experiencing comparable emotional distress: a student and an IT worker. Each scenario was implemented in three LLM-based conversational systems (i.e., ChatGPT, Gemini, and Claude); and (2) six LLM-generated conversations were evaluated through online questionnaires by potential end-users and MHPs. Participants assessed beneficialness, freedom from risk, and acceptability using 20 QiU-informed Likert-scale items, provided open-ended comments, and identified their most and least preferred conversations. Results: Perceived QiU varied across LLM-generated responses, personas, and stakeholder perspectives. No LLM-based conversational system was consistently rated most favourably across all QiU characteristics and scenarios. End-users tended to favour responses that combined emotional comfort with practical guidance, whereas MHPs emphasised risk management, professional boundaries, appropriate questioning, and conversational continuity. Conclusion: The proposed QiU scenario-based evaluation can reveal important differences in how LLM-generated emotional support is perceived in terms of beneficialness, freedom from risk, and acceptability.

Background: Despite its proven efficacy in preventing HPV-related cancers, HPV vaccine uptake remains suboptimal in France (i.e., coverage reached 54.6% for girls and 15.8% for boys in 2023). Understanding stakeholder perspectives across key dimensions related to vaccination perceptions, HPV-related representations, barriers, facilitators, and communication dynamics is essential. This study investigates the knowledge, attitudes, barriers, and facilitators related to HPV vaccination among four stakeholder groups: adolescents, parents, school staff, and pharmacists. Methods: A total of 63 semi-structured interviews were conducted with middle school students ( n = 15), parents ( n = 18), school staff ( n = 15), and pharmacists ( n = 15) in France. Thematic analysis was used to identify common and group-specific representations, emotional responses, and social dynamics influencing HPV vaccine acceptance. Results: Participants generally supported HPV vaccination as a cancer-prevention tool but highlighted barriers such as limited HPV knowledge, gender-based misconceptions, unease discussing sexuality, concerns about side effects, and logistical hurdles. Facilitators included trust in healthcare professionals, pharmacies’ accessibility, and the school’s potential as an information platform. While adolescents expressed injection anxiety and a need for age-appropriate, anonymous formats, parents emphasized clear, data-driven communication. Overall, teachers felt underprepared, and pharmacists showed willingness to engage but required better informational tools. All groups called for targeted, emotionally resonant, multi-channel communication. Conclusions: Increasing HPV vaccination requires coordinated efforts that support schools, mobilize trusted healthcare professionals, and deliver clear, stigma-free information. Practical tools and targeted training could further strengthen stakeholder engagement.

Purpose Engagement in care is particularly problematic among patients suffering from eating disorders (ED). We aimed to assess whether a brief, remote, psychoeducation (PE) intervention could facilitate engagement and/or potentiate treatment. We also aimed to study whether the acquisition of knowledge, a key aspect of PE, could relate to its efficacy. Methods We designed a brief, remote PE intervention, based on cognitive behavioural therapy (CBT) principles and literature recommendations. Eighteen ED patients receiving the intervention in addition to treatment as usual (TAU) were compared to 17 ED patients receiving TAU only on: self-reported symptomatology and motivation, actual engagement in a treatment, as well as ED-related knowledge. Assessment times were pre-, post-, and 2 months past the intervention. Results Within-group improvements in symptomatology (at follow-up) and increases in motivation (post- and follow-up) were observed in the TAU + PE group, but not in TAU. Level of knowledge and changes in motivation were identified as potential mediators of the association between the intervention and ED symptomatology. Conclusion These preliminary findings suggest that a simple, easily accessible remote PE intervention may represent a promising adjunct to standard ED treatment. They also highlight the potential role of knowledge acquisition as a component associated with intervention-related change. Level of evidence IV: Evidence obtained from multiple time series with or without the intervention, such as case studies. Dramatic results in uncontrolled trials might also be regarded as this type of evidence.

The proliferation of gambling advertising has raised concerns about its effects on gambling behavior, particularly among vulnerable populations such as highest risk gamblers. This study examines the influence of gambling advertising on attitudes and intentions to gamble on a large sample of gamblers in France. We used an online questionnaire in a cross-sectional design, with data collected between February 15 and April 30, 2021. Participants were recruited through a single recruitment channel, namely the client mailing list of the Française des Jeux, resulting in a final sample consisting of 1,334 participants (62% male, 38% female, < 1% other) with a mean age of 41.37 years (SD = 15.07). Participants completed validated questionnaires, including the Canadian Problem Gambling Index, advertisement recall, measures of impulsivity, and cognitive distortions. Exposure to responsible-gambling messages was recorded descriptively and not manipulated. Results indicate that exposure to gambling advertising was significantly associated with more positive participants' attitudes toward gambling and their intentions to engage in gambling activities. Highest risk gamblers were more susceptible to the influence of advertising, showing higher recall of advertisements and greater likelihood of gambling after exposure. The study highlights the urgent need for regulatory action to limit exposure of vulnerable populations to gambling advertising and formulate strategies to mitigate gambling-related harm. (PsycInfo Database Record (c) 2025 APA, all rights reserved).