{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T16:03:49Z","timestamp":1782230629258,"version":"3.54.5"},"reference-count":61,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T00:00:00Z","timestamp":1730246400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T00:00:00Z","timestamp":1730246400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100003290","name":"Stiftung Suzanne und Hans Bi\u00e4sch zur F\u00f6rderung der Angewandten Psychologie","doi-asserted-by":"publisher","award":["2021-09"],"award-info":[{"award-number":["2021-09"]}],"id":[{"id":"10.13039\/501100003290","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Health Psychol"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>\n                    Carrying heavy loads increases the risk of pelvic organ disorders, particularly in low-income countries. Low self-efficacy hampers adoption of pelvic-floor-protective behaviors. The enabling hypothesis suggests that social support may strengthen women\u2019s behavioral self-efficacy. A three-arm parallel non-randomized controlled trial with 300 women and their social partners experimentally examined whether self-efficacy and social support can enable women\u2019s pelvic-floor-protective behaviors in rural Nepal. Three villages received (1) self-efficacy (2) self-efficacy and social support promotion, or (3) information only control. The co-primary outcomes were reduced weight carried and using protective lifting techniques at 2-month follow-up. Self-efficacy promotion increased the use of protective lifting techniques 9% more than information only (\n                    <jats:italic toggle=\"yes\">d<\/jats:italic>\n                    \u2009=\u20090.28). Weight was reduced by 3\u2009kg more when additionally promoting social support compared to self-efficacy alone (\n                    <jats:italic toggle=\"yes\">d<\/jats:italic>\n                    \u2009=\u20090.39). Self-efficacy and social support promotion enable women to better protect their pelvic floor health and may complement educational approaches to health behavior change in low-resource populations.\n                  <\/jats:p>","DOI":"10.1177\/13591053241283945","type":"journal-article","created":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T09:39:01Z","timestamp":1730281141000},"page":"2013-2029","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Self-efficacy and social support enable women to protect their pelvic floor health: A nonrandomized controlled trial in rural Nepal"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7752-2355","authenticated-orcid":false,"given":"Vica","family":"Marie Jelena Jonitz","sequence":"first","affiliation":[{"name":"Department of Health Psychology &amp; Behavioral Medicine, Institute of Psychology, University of Bern, Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akina","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Luginbuehl","sequence":"additional","affiliation":[{"name":"Division of Physiotherapy, Department of Health Professions, Bern University of Applied Sciences, Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aastha","family":"Kasaju","sequence":"additional","affiliation":[{"name":"Department of Health Psychology &amp; Behavioral Medicine, Institute of Psychology, University of Bern, Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Scarnato","sequence":"additional","affiliation":[{"name":"Department of Health Psychology &amp; Behavioral Medicine, Institute of Psychology, University of Bern, Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regula","family":"Meierhofer","sequence":"additional","affiliation":[{"name":"Department of Sanitation, Water and Solid Waste for Development (Sandec), Eawag - Swiss Federal Institute of Aquatic Science and Technology, D\u00fcbendorf, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Inauen","sequence":"additional","affiliation":[{"name":"Department of Health Psychology &amp; Behavioral Medicine, Institute of Psychology, University of Bern, Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,30]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945903259350"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200434070-00004"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.2.191"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.118659"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2003.08.008"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyx201"},{"key":"e_1_3_3_8_1","unstructured":"Biswokarma Y (2016) Effect of heavy lifting with a head strap on the pelvic floor across the menstrual cycle. Doctoral Dissertation Loma Linda University ProQuest Dissertations Publishing. Available at: https:\/\/www.proquest.com\/docview\/1938283861?pq-origsite=gscholar&fromopenview=true."},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340500486800"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-020-04228-1"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.3126\/jnhrc.v15i2.18160"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.56.2.267"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_172_21"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103675"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2011.11.035"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0157474"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/13691050110090248"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2014.920957"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.41.4.1149"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/1476-069X-9-52"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2014.1002958"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.58.110405.085530"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.5993\/AJHB.37.2.10"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0266479"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01903.x"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000092368.90019.D8"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2019.112705"},{"issue":"6","key":"e_1_3_3_28_1","first-page":"487","article-title":"Pelvic floor exercises during and after pregnancy: A systematic review of their role in preventing pelvic floor dysfunction","volume":"25","author":"Harvey M-A","year":"2003","unstructured":"Harvey M-A (2003) Pelvic floor exercises during and after pregnancy: A systematic review of their role in preventing pelvic floor dysfunction. Journal d\u2019Obstetrique et Gynecologie Du Canada: JOGC 25(6): 487\u2013498.","journal-title":"Journal d\u2019Obstetrique et Gynecologie Du Canada: JOGC"},{"key":"e_1_3_3_29_1","unstructured":"Hayes A (2017) Introduction to Mediation Moderation and Conditional Process Analysis Second Edition: A Regression-Based Approach. New York: Guilford Publications. Available at: http:\/\/ebookcentral.proquest.com\/lib\/unibern\/detail.action?docID=5109647 (accessed 16 June 2022)."},{"issue":"2","key":"e_1_3_3_30_1","first-page":"205","article-title":"New sampling designs and the quality of data","volume":"19","author":"Hoffmeyer-Zlotnik J","year":"2003","unstructured":"Hoffmeyer-Zlotnik J (2003) New sampling designs and the quality of data. Developments in Applied Statistics 19(2): 205\u2013217.","journal-title":"Developments in Applied Statistics"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-015-9748-6"},{"key":"e_1_3_3_32_1","volume-title":"IBM SPSS Statistics for Windows, Version 28.0","author":"IMB Corp","year":"2021","unstructured":"IMB Corp (2021) IBM SPSS Statistics for Windows, Version 28.0. Armonk, NY: IMB Corp."},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60462-0"},{"key":"e_1_3_3_34_1","doi-asserted-by":"crossref","unstructured":"Kassambara A (2022) \u2018Ggplot2\u2019 based publication ready plots. Available at: https:\/\/doi.org\/10.32614\/CRAN.package.ggpubr","DOI":"10.32614\/CRAN.package.ggpubr"},{"key":"e_1_3_3_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00421-009-1344-7"},{"key":"e_1_3_3_36_1","doi-asserted-by":"crossref","unstructured":"Long J (2021) Comprehensive user-friendly toolkit for probing interactions. R package version 1.1.5. Available at: https:\/\/doi.org\/10.32614\/CRAN.package.interactions","DOI":"10.32614\/CRAN.package.interactions"},{"key":"e_1_3_3_37_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0159125"},{"key":"e_1_3_3_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.02.047"},{"key":"e_1_3_3_39_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0269926"},{"key":"e_1_3_3_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-013-9486-6"},{"key":"e_1_3_3_41_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870440290001494"},{"key":"e_1_3_3_42_1","doi-asserted-by":"publisher","DOI":"10.1080\/10255842.2022.2100220"},{"key":"e_1_3_3_43_1","volume-title":"An exploratory study of vaginally measured intra-abdominal pressure changes in healthy women during activity and exercise","author":"O\u2019Dell K","year":"2006","unstructured":"O\u2019Dell K (2006) An exploratory study of vaginally measured intra-abdominal pressure changes in healthy women during activity and exercise. Doctoral Dissertation, University of Massachusetts Medical School."},{"key":"e_1_3_3_44_1","doi-asserted-by":"publisher","DOI":"10.1097\/PR9.0000000000000672"},{"key":"e_1_3_3_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2009.01.003"},{"key":"e_1_3_3_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2013.03.003"},{"key":"e_1_3_3_47_1","unstructured":"R Core Team (2022) R: A Language and Environment for Statistical Computing. Vienna Austria: R Foundation for Statistical Computing. Available at: https:\/\/www.R-project.org."},{"key":"e_1_3_3_48_1","doi-asserted-by":"publisher","DOI":"10.1159\/000080576"},{"key":"e_1_3_3_49_1","unstructured":"Sarno D Hameed F (2018) Pelvic pain and floor dysfunction. In: Desai M O\u2019Brien J (eds) The Spine Handbook. New York: Oxford University Press pp. 439\u2013458. https:\/\/academic.oup.com\/book\/24540\/chapter\/187730898 (accessed 9 September 2022)."},{"key":"e_1_3_3_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jml.2019.104038"},{"key":"e_1_3_3_51_1","doi-asserted-by":"crossref","unstructured":"Scholz U Berli C L\u00fcscher J et al. (2020) Dyadic behavior change interventions. In: Hagger M Cameron L Hamilton K (eds) The Handbook of Behavior Change 1st edn. Cambridge: Cambridge University Press pp. 632\u2013648. https:\/\/www.cambridgeorg\/core\/product\/identifier\/9781108677318%23CN-bp-43\/type\/book_part (accessed 11 October 2022).","DOI":"10.1017\/9781108677318.043"},{"key":"e_1_3_3_52_1","doi-asserted-by":"publisher","DOI":"10.1093\/abm\/kaz023"},{"key":"e_1_3_3_53_1","doi-asserted-by":"publisher","DOI":"10.1080\/00207590701396641"},{"key":"e_1_3_3_54_1","unstructured":"Schwarzer R Sniehotta F Lippke S et al. (2003) On the Assessment and Analysis of Variables in the Health Action Process Approach Conducting an Investigation. Berlin: Freie Universit\u00e4t. Available at: https:\/\/doi.org\/10.5167\/uzh-102499."},{"key":"e_1_3_3_55_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-017-0812-8"},{"key":"e_1_3_3_56_1","doi-asserted-by":"publisher","DOI":"10.1080\/02640414.2014.889845"},{"key":"e_1_3_3_57_1","volume-title":"Using Multivariate Statistics","author":"Tabachnick B","year":"1983","unstructured":"Tabachnick B, Fidell L (1983) Using Multivariate Statistics. New York: Harper & Row."},{"key":"e_1_3_3_58_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18157908"},{"key":"e_1_3_3_59_1","doi-asserted-by":"publisher","DOI":"10.1111\/aphw.12325"},{"key":"e_1_3_3_60_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12709"},{"key":"e_1_3_3_61_1","doi-asserted-by":"publisher","DOI":"10.1080\/00273171.2013.831743"},{"key":"e_1_3_3_62_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-24277-4"}],"container-title":["Journal of Health Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591053241283945","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/13591053241283945","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591053241283945","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:32:28Z","timestamp":1777451548000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/13591053241283945"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,30]]},"references-count":61,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1177\/13591053241283945"],"URL":"https:\/\/doi.org\/10.1177\/13591053241283945","relation":{},"ISSN":["1359-1053","1461-7277"],"issn-type":[{"value":"1359-1053","type":"print"},{"value":"1461-7277","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,30]]}}}