Self-efficacy and psychosocial considerations of obesity risk reduction behaviors in young adult white Americans
The obesity epidemic is a pervasive health issue affecting all population groups in developed countries. The purpose of this research was to ascertain obesity risk reduction behaviors and their psychosocial determinants in young adult Americans residing in New Jersey state. A cross-sectional survey...
Gespeichert in:
Veröffentlicht in: | PloS one 2020-06, Vol.15 (6), p.e0235219-e0235219 |
---|---|
Hauptverfasser: | , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | e0235219 |
---|---|
container_issue | 6 |
container_start_page | e0235219 |
container_title | PloS one |
container_volume | 15 |
creator | Liou, Doreen Kulik, Lauren |
description | The obesity epidemic is a pervasive health issue affecting all population groups in developed countries. The purpose of this research was to ascertain obesity risk reduction behaviors and their psychosocial determinants in young adult Americans residing in New Jersey state. A cross-sectional survey design was implemented in which a convenience sample of 174 participants (18 to 40 years) completed a validated online self-administered questionnaire. Nineteen obesity risk reduction behaviors, self-efficacy and psychosocial constructs derived from the Theory of Planned Behavior were measured. Statistical analyses were conducted using frequency distributions, t-tests and regression analysis. Regression analysis indicated that 37.5% of the variance in obesity risk reduction behavior was accounted by self-efficacy alone. T-test comparisons indicated greater frequency of adoption of 17 health behaviors among individuals categorized in the 'high self-efficacy' group (p |
doi_str_mv | 10.1371/journal.pone.0235219 |
format | Article |
fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_2416999022</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A627563311</galeid><doaj_id>oai_doaj_org_article_60ab191e6db047cfbe6905b00b1b5ef6</doaj_id><sourcerecordid>A627563311</sourcerecordid><originalsourceid>FETCH-LOGICAL-c669t-10196348a668c6a2148719fd9ded4bb39ce3332ed1a22ccea3bad5ace7a9c7e3</originalsourceid><addsrcrecordid>eNqNk9-L1DAQx4so3nn6HwgGBNGHXfOjTTcvwnL4Y-HgwDt8DdNkus2abdakPd3_3u5ulavcg-QhQ-Yz38lMMln2ktE5EyV7vwl9bMHPd6HFOeWi4Ew9ys6ZEnwmORWP79ln2bOUNpQWYiHl0-xM8KJUheLn2e4GfT3DunYGzJ5Aa8ku7U0TUjAOPDGhTc5ihM4NFgk1CRUm1-1JdOk7iWh7c3CRChu4cyEm4lqyD327JmB735GfjeuQLLcYhxRtep49qcEnfDHuF9ntp4-3l19mV9efV5fLq5mRUnUzRpmSIl-AlAsjgbN8UTJVW2XR5lUllEEhBEfLgHNjEEQFtgCDJShTorjIXp1kdz4kPfYqaZ4zqZSinA_E6kTYABu9i24Lca8DOH08CHGtIXbOeNSSQsUUQ2krmpemrlAqWlSUVqwqsJaD1ocxW19t0Rpsuwh-Ijr1tK7R63CnS8Hy02XejgIx_OgxdXrrkkHvocXQH-9dikWeKzWgr_9BH65upNYwFODaOgx5zUFULyUvCykEYwM1f4AalsWtG54eazecTwLeTQIGpsNf3Rr6lPTq5uv_s9ffpuybe2yD4LsmBd8ff90UzE-giSGliPXfJjOqD3Pxpxv6MBd6nAvxGwU2ALo</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2416999022</pqid></control><display><type>article</type><title>Self-efficacy and psychosocial considerations of obesity risk reduction behaviors in young adult white Americans</title><source>Public Library of Science (PLoS) Journals Open Access</source><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Liou, Doreen ; Kulik, Lauren</creator><creatorcontrib>Liou, Doreen ; Kulik, Lauren</creatorcontrib><description>The obesity epidemic is a pervasive health issue affecting all population groups in developed countries. The purpose of this research was to ascertain obesity risk reduction behaviors and their psychosocial determinants in young adult Americans residing in New Jersey state. A cross-sectional survey design was implemented in which a convenience sample of 174 participants (18 to 40 years) completed a validated online self-administered questionnaire. Nineteen obesity risk reduction behaviors, self-efficacy and psychosocial constructs derived from the Theory of Planned Behavior were measured. Statistical analyses were conducted using frequency distributions, t-tests and regression analysis. Regression analysis indicated that 37.5% of the variance in obesity risk reduction behavior was accounted by self-efficacy alone. T-test comparisons indicated greater frequency of adoption of 17 health behaviors among individuals categorized in the 'high self-efficacy' group (p<0.05). These behaviors included limiting portion sizes of food, eating fruits and vegetables, engaging in physical activity, and monitoring stress and body weight. Nutrition professionals working with young adult Americans need to assess their self-efficacy to engage in obesity risk reduction behaviors. In fostering confidence in adopting these behaviors, executing skill building nutrition interventions is critical for obesity prevention.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0235219</identifier><identifier>PMID: 32579592</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Adults ; Age ; Beverages ; Biology and Life Sciences ; Body mass index ; Body weight ; Carbohydrates ; Confidence ; Developed countries ; Eating behavior ; Epidemics ; Exercise ; Food ; Fruits ; Health aspects ; Health behavior ; Meals ; Medicine and Health Sciences ; Nutrition ; Obesity ; Overweight ; Physical activity ; Prevention ; Psychological aspects ; Regression analysis ; Researchers ; Risk factors ; Risk management ; Risk reduction ; Risk taking ; Self-efficacy ; Self-efficacy (Psychology) ; Social Sciences ; Statistical analysis ; Surveys ; Theory of planned behavior ; Whites ; Young adults</subject><ispartof>PloS one, 2020-06, Vol.15 (6), p.e0235219-e0235219</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Liou, Kulik. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Liou, Kulik 2020 Liou, Kulik</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c669t-10196348a668c6a2148719fd9ded4bb39ce3332ed1a22ccea3bad5ace7a9c7e3</citedby><cites>FETCH-LOGICAL-c669t-10196348a668c6a2148719fd9ded4bb39ce3332ed1a22ccea3bad5ace7a9c7e3</cites><orcidid>0000-0003-4196-698X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314022/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314022/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids></links><search><creatorcontrib>Liou, Doreen</creatorcontrib><creatorcontrib>Kulik, Lauren</creatorcontrib><title>Self-efficacy and psychosocial considerations of obesity risk reduction behaviors in young adult white Americans</title><title>PloS one</title><description>The obesity epidemic is a pervasive health issue affecting all population groups in developed countries. The purpose of this research was to ascertain obesity risk reduction behaviors and their psychosocial determinants in young adult Americans residing in New Jersey state. A cross-sectional survey design was implemented in which a convenience sample of 174 participants (18 to 40 years) completed a validated online self-administered questionnaire. Nineteen obesity risk reduction behaviors, self-efficacy and psychosocial constructs derived from the Theory of Planned Behavior were measured. Statistical analyses were conducted using frequency distributions, t-tests and regression analysis. Regression analysis indicated that 37.5% of the variance in obesity risk reduction behavior was accounted by self-efficacy alone. T-test comparisons indicated greater frequency of adoption of 17 health behaviors among individuals categorized in the 'high self-efficacy' group (p<0.05). These behaviors included limiting portion sizes of food, eating fruits and vegetables, engaging in physical activity, and monitoring stress and body weight. Nutrition professionals working with young adult Americans need to assess their self-efficacy to engage in obesity risk reduction behaviors. In fostering confidence in adopting these behaviors, executing skill building nutrition interventions is critical for obesity prevention.</description><subject>Adults</subject><subject>Age</subject><subject>Beverages</subject><subject>Biology and Life Sciences</subject><subject>Body mass index</subject><subject>Body weight</subject><subject>Carbohydrates</subject><subject>Confidence</subject><subject>Developed countries</subject><subject>Eating behavior</subject><subject>Epidemics</subject><subject>Exercise</subject><subject>Food</subject><subject>Fruits</subject><subject>Health aspects</subject><subject>Health behavior</subject><subject>Meals</subject><subject>Medicine and Health Sciences</subject><subject>Nutrition</subject><subject>Obesity</subject><subject>Overweight</subject><subject>Physical activity</subject><subject>Prevention</subject><subject>Psychological aspects</subject><subject>Regression analysis</subject><subject>Researchers</subject><subject>Risk factors</subject><subject>Risk management</subject><subject>Risk reduction</subject><subject>Risk taking</subject><subject>Self-efficacy</subject><subject>Self-efficacy (Psychology)</subject><subject>Social Sciences</subject><subject>Statistical analysis</subject><subject>Surveys</subject><subject>Theory of planned behavior</subject><subject>Whites</subject><subject>Young adults</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk9-L1DAQx4so3nn6HwgGBNGHXfOjTTcvwnL4Y-HgwDt8DdNkus2abdakPd3_3u5ulavcg-QhQ-Yz38lMMln2ktE5EyV7vwl9bMHPd6HFOeWi4Ew9ys6ZEnwmORWP79ln2bOUNpQWYiHl0-xM8KJUheLn2e4GfT3DunYGzJ5Aa8ku7U0TUjAOPDGhTc5ihM4NFgk1CRUm1-1JdOk7iWh7c3CRChu4cyEm4lqyD327JmB735GfjeuQLLcYhxRtep49qcEnfDHuF9ntp4-3l19mV9efV5fLq5mRUnUzRpmSIl-AlAsjgbN8UTJVW2XR5lUllEEhBEfLgHNjEEQFtgCDJShTorjIXp1kdz4kPfYqaZ4zqZSinA_E6kTYABu9i24Lca8DOH08CHGtIXbOeNSSQsUUQ2krmpemrlAqWlSUVqwqsJaD1ocxW19t0Rpsuwh-Ijr1tK7R63CnS8Hy02XejgIx_OgxdXrrkkHvocXQH-9dikWeKzWgr_9BH65upNYwFODaOgx5zUFULyUvCykEYwM1f4AalsWtG54eazecTwLeTQIGpsNf3Rr6lPTq5uv_s9ffpuybe2yD4LsmBd8ff90UzE-giSGliPXfJjOqD3Pxpxv6MBd6nAvxGwU2ALo</recordid><startdate>20200624</startdate><enddate>20200624</enddate><creator>Liou, Doreen</creator><creator>Kulik, Lauren</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-4196-698X</orcidid></search><sort><creationdate>20200624</creationdate><title>Self-efficacy and psychosocial considerations of obesity risk reduction behaviors in young adult white Americans</title><author>Liou, Doreen ; Kulik, Lauren</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c669t-10196348a668c6a2148719fd9ded4bb39ce3332ed1a22ccea3bad5ace7a9c7e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adults</topic><topic>Age</topic><topic>Beverages</topic><topic>Biology and Life Sciences</topic><topic>Body mass index</topic><topic>Body weight</topic><topic>Carbohydrates</topic><topic>Confidence</topic><topic>Developed countries</topic><topic>Eating behavior</topic><topic>Epidemics</topic><topic>Exercise</topic><topic>Food</topic><topic>Fruits</topic><topic>Health aspects</topic><topic>Health behavior</topic><topic>Meals</topic><topic>Medicine and Health Sciences</topic><topic>Nutrition</topic><topic>Obesity</topic><topic>Overweight</topic><topic>Physical activity</topic><topic>Prevention</topic><topic>Psychological aspects</topic><topic>Regression analysis</topic><topic>Researchers</topic><topic>Risk factors</topic><topic>Risk management</topic><topic>Risk reduction</topic><topic>Risk taking</topic><topic>Self-efficacy</topic><topic>Self-efficacy (Psychology)</topic><topic>Social Sciences</topic><topic>Statistical analysis</topic><topic>Surveys</topic><topic>Theory of planned behavior</topic><topic>Whites</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liou, Doreen</creatorcontrib><creatorcontrib>Kulik, Lauren</creatorcontrib><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liou, Doreen</au><au>Kulik, Lauren</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Self-efficacy and psychosocial considerations of obesity risk reduction behaviors in young adult white Americans</atitle><jtitle>PloS one</jtitle><date>2020-06-24</date><risdate>2020</risdate><volume>15</volume><issue>6</issue><spage>e0235219</spage><epage>e0235219</epage><pages>e0235219-e0235219</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The obesity epidemic is a pervasive health issue affecting all population groups in developed countries. The purpose of this research was to ascertain obesity risk reduction behaviors and their psychosocial determinants in young adult Americans residing in New Jersey state. A cross-sectional survey design was implemented in which a convenience sample of 174 participants (18 to 40 years) completed a validated online self-administered questionnaire. Nineteen obesity risk reduction behaviors, self-efficacy and psychosocial constructs derived from the Theory of Planned Behavior were measured. Statistical analyses were conducted using frequency distributions, t-tests and regression analysis. Regression analysis indicated that 37.5% of the variance in obesity risk reduction behavior was accounted by self-efficacy alone. T-test comparisons indicated greater frequency of adoption of 17 health behaviors among individuals categorized in the 'high self-efficacy' group (p<0.05). These behaviors included limiting portion sizes of food, eating fruits and vegetables, engaging in physical activity, and monitoring stress and body weight. Nutrition professionals working with young adult Americans need to assess their self-efficacy to engage in obesity risk reduction behaviors. In fostering confidence in adopting these behaviors, executing skill building nutrition interventions is critical for obesity prevention.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>32579592</pmid><doi>10.1371/journal.pone.0235219</doi><tpages>e0235219</tpages><orcidid>https://orcid.org/0000-0003-4196-698X</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1932-6203 |
ispartof | PloS one, 2020-06, Vol.15 (6), p.e0235219-e0235219 |
issn | 1932-6203 1932-6203 |
language | eng |
recordid | cdi_plos_journals_2416999022 |
source | Public Library of Science (PLoS) Journals Open Access; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
subjects | Adults Age Beverages Biology and Life Sciences Body mass index Body weight Carbohydrates Confidence Developed countries Eating behavior Epidemics Exercise Food Fruits Health aspects Health behavior Meals Medicine and Health Sciences Nutrition Obesity Overweight Physical activity Prevention Psychological aspects Regression analysis Researchers Risk factors Risk management Risk reduction Risk taking Self-efficacy Self-efficacy (Psychology) Social Sciences Statistical analysis Surveys Theory of planned behavior Whites Young adults |
title | Self-efficacy and psychosocial considerations of obesity risk reduction behaviors in young adult white Americans |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-10T04%3A02%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Self-efficacy%20and%20psychosocial%20considerations%20of%20obesity%20risk%20reduction%20behaviors%20in%20young%20adult%20white%20Americans&rft.jtitle=PloS%20one&rft.au=Liou,%20Doreen&rft.date=2020-06-24&rft.volume=15&rft.issue=6&rft.spage=e0235219&rft.epage=e0235219&rft.pages=e0235219-e0235219&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0235219&rft_dat=%3Cgale_plos_%3EA627563311%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2416999022&rft_id=info:pmid/32579592&rft_galeid=A627563311&rft_doaj_id=oai_doaj_org_article_60ab191e6db047cfbe6905b00b1b5ef6&rfr_iscdi=true |