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Chen Q, Ma J, Wu R, Wang Y, Ma X, Zheng X, Jin H. Factors influencing hepatitis B vaccination intention and behavior among college students in Tibet: Insights from the expanded theory of planned behavior. Hum Vaccin Immunother 2025; 21:2452026. [PMID: 39817760 PMCID: PMC11740673 DOI: 10.1080/21645515.2025.2452026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2024] [Revised: 12/30/2024] [Accepted: 01/08/2025] [Indexed: 01/18/2025] Open
Abstract
Hepatitis B (Hep B) remains a critical public health issue globally, particularly in Tibet, where vaccination rates and influencing factors among college students are yet understudied. This study applies a cross-sectional design to investigate the Hep B vaccination rate among 1,126 college students in Tibet and utilizes the expanded theory of planned behavior (ETPB) to identify vaccination behavior intention (BI) and vaccination behavior (VB). Stratified cluster sampling across three universities was used to assess behavioral attitudes (BA), subjective norms (SN), perceived behavioral control (PBC), past vaccination history (PVH) and vaccination knowledge (VK), and used structural equation modeling (SEM) for model validation and multi-group comparison. Results indicated that 16.3% of students had received the Hep B vaccine. VK notably improved BA toward vaccination (β = 0.518, p < .001). BA (β = 0.232, p < .001), PBC (β = 0.239, p < .001), SN (β = 0.385, p < .001) positively influenced BI. However, PVH failed to predict BI. BI (β = 0.448, p < .001) and PVH (β = 0.127, p < .001) were significant predictors of VB. Significant ethnic variations were noted. The positive effect of PVH on VB (β = 0.151, p < .001) and the mediating role of PBC in VB (β = 0.076, p < .05) were significant among Tibetan students. The effect of VK on BA was stronger among Tibetans (β = 0.503, p < .05),while the impact of attitude on BI was more pronounced among Han students (β = 0.366, p < .05). The vaccination rate for Hep B among college students in Tibet is relatively low, and the ETPB model effectively explains their vaccination intentions and behaviors. Tailored intervention strategies for Tibetan and Han students are recommended to boost vaccination rates effectively.
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Affiliation(s)
- Qi Chen
- Department of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing, PR China
- Department of Prevention and Health Care, Affiliated Hospital of Xizang Minzu University, Xianyang, PR China
- Key Laboratory for Molecular Genetic Mechanisms and Intervention Research on High Altitude Disease of Tibet Autonomous Region, School of Medicine, Xizang Minzu University, Xianyang, P.R. China
| | - Jun Ma
- Department of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing, PR China
| | - Ruipeng Wu
- Key Laboratory for Molecular Genetic Mechanisms and Intervention Research on High Altitude Disease of Tibet Autonomous Region, School of Medicine, Xizang Minzu University, Xianyang, P.R. China
| | - Yingting Wang
- Key Laboratory for Molecular Genetic Mechanisms and Intervention Research on High Altitude Disease of Tibet Autonomous Region, School of Medicine, Xizang Minzu University, Xianyang, P.R. China
| | - Xiaoxin Ma
- Department of General Practice, Chengguan Liangdao Subdistrict Community Health Service Center, Lhasa, PR China
| | - Xiaolei Zheng
- Department of General Practice, Chengguan Liangdao Subdistrict Community Health Service Center, Lhasa, PR China
| | - Hui Jin
- Department of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing, PR China
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Eriksson M, Sundberg LR, Santosa A, Lindgren H, Ng N, Lindvall K. Health behavioural change - the influence of social-ecological factors and health identity. Int J Qual Stud Health Well-being 2025; 20:2458309. [PMID: 39885779 PMCID: PMC11789218 DOI: 10.1080/17482631.2025.2458309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2024] [Accepted: 01/21/2025] [Indexed: 02/01/2025] Open
Abstract
Health behaviour is crucial for influencing health, making it a key component in health promotion. However, changing behaviours is complex, as many factors interact to determine health behaviours. Information, awareness, and knowledge are important but not enough. It is essential to move beyond focusing solely on individual psychological and cognitive factors to an understanding of the complex processes involved in health behaviour change. Social-ecological models account for these complex processes but risk being overly broad and all-encompassing. This qualitative grounded theory study explores how individual, interpersonal, and environmental factors interplay to influence health behaviour, and examines how social-ecological models in health promotion can be tailored to address different ecological needs. Participants were recruited from a community-based cardiovascular disease-prevention program in Northern Sweden. Data was collected through in-depth interviews about health and health behaviours throughout the life course among middle-aged men and women. The results illustrate how factors obstructing or enabling health behaviours vary in patterned ways for individuals with different health identities. Social-ecological interventions could be more effective if adapted to the specific needs of people with different health identities. In addition to screening for various risk factors, screening for health identities could be helpful in designing social-ecological health-promoting interventions.
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Affiliation(s)
- Malin Eriksson
- Department of Social Work, Umeå University, Umeå, Sweden
| | | | - Ailiana Santosa
- School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Helena Lindgren
- Department of Computing Science, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden
| | - Nawi Ng
- School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
- Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden
| | - Kristina Lindvall
- Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden
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Bondy S, McClymont E, Av-Gay G, Albert A, Andrade J, Blitz S, Folkes I, Forward L, Fraser E, Grays S, Barrett J, Bettinger J, Bogler T, Boucoiran I, Castillo E, D’Souza R, El-Chaâr D, Fadel S, Kuret V, Ogilvie GS, Poliquin V, Sadarangani M, Scott H, Snelgrove JW, Tunde-Byass M, Money D. Acceptance and attitudes towards COVID-19 vaccination during pregnancy in Canada. Hum Vaccin Immunother 2025; 21:2458353. [PMID: 39898697 PMCID: PMC11792807 DOI: 10.1080/21645515.2025.2458353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2024] [Revised: 01/07/2025] [Accepted: 01/21/2025] [Indexed: 02/04/2025] Open
Abstract
The COVID-19 pandemic posed a unique set of risks to pregnant women and pregnant people. SARS-CoV-2 infection in pregnancy is associated with increased risk of severe illness and adverse perinatal outcomes. However, evidence regarding the use of COVID-19 vaccines in pregnancy shows safety and efficacy. Despite eligibility and recommendations for COVID-19 vaccination among pregnant women and pregnant people in Canada, uptake remains lower compared to the general population, warranting exploration of influencing factors. The COVERED study, a national prospective cohort, utilized web-based surveys to collect data from pregnant women and pregnant people across Canada on COVID-19 vaccine attitudes, uptake, and hesitancy factors from July 2021 to December 2023. Survey questions were informed by validated tools including the WHO Vaccine Hesitancy Scale (VHS) and the Theory of Planned Behavior (TPB). Of 1093 respondents who were pregnant at the time of the survey, 87.7% received or intended to receive a COVID-19 vaccine during pregnancy. TPB variables such as positive attitudes toward COVID-19 vaccines (OR = 1.11, 95% CI = 1.08-1.14), direct social norms, and indirect social norms were significantly associated with vaccine acceptance. Perceived vaccine risks, assessed by the WHO VHS, were greater in those not accepting of the vaccine. Our study identified several key factors that play a role in vaccine uptake: perceived vaccine risks and safety and social norms. These findings may guide public health recommendations and prenatal vaccine counseling strategies.
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Affiliation(s)
- Suraya Bondy
- Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada
| | - Elisabeth McClymont
- Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada
| | - Gal Av-Gay
- Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada
| | - Arianne Albert
- Women’s Health Research Institute, BC Women’s Hospital and Health Centre, Vancouver, Canada
| | - Janice Andrade
- Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada
| | - Sandra Blitz
- Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada
| | - Ianna Folkes
- Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada
| | - Lucia Forward
- Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada
| | - Erin Fraser
- Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada
| | - Sela Grays
- Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada
| | - Jon Barrett
- Department of Obstetrics and Gynecology, McMaster University, Hamilton, Canada
| | - Julie Bettinger
- Vaccine Evaluation Center, BC Children’s Hospital, Vancouver, Canada
| | - Tali Bogler
- Family Medicine Obstetrics, St. Michael’s Hospital, Toronto, Canada
| | - Isabelle Boucoiran
- Department of Obstetrics & Gynecology and School of Public Health, Université de Montréal, Montreal, Canada
| | - Eliana Castillo
- Department of Obstetrics and Gynecology, University of Calgary, Calgary, Canada
| | - Rohan D’Souza
- Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, Canada
| | - Darine El-Chaâr
- Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, Canada
| | - Shaza Fadel
- Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
| | - Verena Kuret
- Department of Obstetrics and Gynecology, University of Calgary, Calgary, Canada
| | - Gina S. Ogilvie
- Women’s Health Research Institute, BC Women’s Hospital and Health Centre, Vancouver, Canada
| | - Vanessa Poliquin
- Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Manitoba, Winnipeg, Canada
| | | | - Heather Scott
- Department of Obstetrics and Gynecology, Dalhousie University, Halifax, Canada
| | - John W. Snelgrove
- Department of Obstetrics and Gynecology, University of Toronto, Toronto, Canada
| | - Modupe Tunde-Byass
- Department of Obstetrics and Gynecology, University of Toronto, Toronto, Canada
| | - Deborah Money
- Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada
- Women’s Health Research Institute, BC Women’s Hospital and Health Centre, Vancouver, Canada
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Zakrzewski S, Merrill E, Yang Y. Can gamification improve children's performance in mental rotation? J Exp Child Psychol 2025; 252:106169. [PMID: 39847897 DOI: 10.1016/j.jecp.2024.106169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2024] [Revised: 11/12/2024] [Accepted: 11/28/2024] [Indexed: 01/25/2025]
Abstract
A common obstacle in cognitive development research is that many cognitive tasks can be long, repetitive, and hence seemingly boring for children. The current study examined whether incorporating gamification elements could make a classic mental rotation task more child-friendly and engaging for young children. A total of 100 children aged 6 to 9 years participated in two mental rotation tasks, where one included gamification elements and the other did not. Results showed that gamification indeed improved performance on the task. Furthermore, this effect did not vary as a function of age, gender, or task difficulty. However, it interacted with testing order, such that those children who received the baseline condition first improved their performance in the gamification condition later on, whereas those children who received the gamification condition first were able to maintain a good performance in the baseline condition later on. Lastly, although some personality factors (e.g., Agreeableness, Openness to Experience) correlated with the overall performance, they did not predict the gamification effects. Therefore, our results have practical implications for using gamification in designing cognitively demanding tasks for children. Theoretically, they help to further understand how gamification affects cognition.
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Affiliation(s)
- Samantha Zakrzewski
- Department of Psychology, Montclair State University, Montclair, NJ 07043, USA
| | - Edward Merrill
- Department of Psychology, University of Alabama, Tuscaloosa, AL 35487, USA
| | - Yingying Yang
- Department of Psychology, Montclair State University, Montclair, NJ 07043, USA.
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Gobel MS, Choi E, Uchida Y. Entrusted power enhances psychological other-orientation and altruistic behavioural tendencies. BRITISH JOURNAL OF SOCIAL PSYCHOLOGY 2025; 64:e12857. [PMID: 39888071 PMCID: PMC11783996 DOI: 10.1111/bjso.12857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2024] [Accepted: 01/13/2025] [Indexed: 02/01/2025]
Abstract
From the playground to the boardroom, social power profoundly shapes the way people think and behave. Social psychological research has offered a nuanced understanding of the diverse psychological and behavioural tendencies of powerholders. We add to this literature by proposing that powerholders also differ in how they construe the origin of their power. Specifically, we differentiate between perceiving one's power as being based on personal merit and achievement (i.e. achieved power construal) and perceiving one's power as being granted by others (i.e. entrusted power construal). We hypothesised that entrusted power construal, more than achieved power construal, would increase powerholders' psychological other-orientation-the tendency to take another's perspective and to feel what they feel-and their altruistic behavioural tendencies. Using a multi-method approach, we tested this prediction across three studies (N = 926). Our findings revealed that powerholders who adopted an entrusted power construal, compared to those who adopted an achieved power construal, exhibited greater psychological other-orientation and more altruistic behavioural tendencies. We discuss the practical implications of these findings, including how they inform the training of future powerholders to educate them about the reciprocal nature of power.
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Affiliation(s)
| | - Eunsoo Choi
- Department of PsychologyKorea UniversitySeoulKorea
| | - Yukiko Uchida
- Institute for the Future of Human SocietyKyoto UniversityKyotoJapan
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Jin Y, Wang H. The impact of absolute and relative feedback on children's self-evaluation: Transitioning from kindergarten to first grade. J Exp Child Psychol 2025; 252:106157. [PMID: 39742530 DOI: 10.1016/j.jecp.2024.106157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2024] [Revised: 11/15/2024] [Accepted: 11/20/2024] [Indexed: 01/03/2025]
Abstract
Absolute feedback and relative feedback significantly influence children's self-evaluation. However, previous research has examined these influences separately, leaving the relative importance of absolute versus relative feedback for children unclear. This study aimed to determine which type of feedback is more crucial for children and how they develop responses to both during educational transitions. The effects of absolute feedback and relative feedback on self-evaluation were compared among kindergarten children (N = 72) and first-grade children (N = 81) using a 2 (Absolute Score: high vs. low) × 2 (Relative Rank: high vs. low) between-subjects design. Results indicated that kindergarten children primarily responded to absolute feedback in terms of satisfaction with performance and predicting absolute scores. Conversely, first graders showed sensitivity to absolute feedback concerning satisfaction, emotional responses, and prediction of scores. Moreover, first graders also began exhibiting sensitivity to relative feedback regarding emotional responses and prediction of ranks. These findings imply that absolute feedback holds greater significance for children, but with age they become adept at integrating both types of feedback into their self-evaluation processes.
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Affiliation(s)
- Yijun Jin
- School of Educational Sciences, Shanxi University, Taiyuan 030000, Shanxi, China.
| | - Huan Wang
- School of Educational Sciences, Shanxi University, Taiyuan 030000, Shanxi, China
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Kim J, Eys M, Robertson-Wilson J. People who approve of one's physical activity vs. people who are influential: A randomized cross-over experiment to compare normative referent elicitation procedures. PSYCHOLOGY OF SPORT AND EXERCISE 2025; 77:102795. [PMID: 39647676 DOI: 10.1016/j.psychsport.2024.102795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2024] [Revised: 11/18/2024] [Accepted: 12/04/2024] [Indexed: 12/10/2024]
Abstract
OBJECTIVES To compare injunctive norm scores assessed based on Ajzen's (2002) original normative referent elicitation method (e.g., norms from those who approve/disapprove of physical activity) and a revised method (e.g., norms from those who are personally influential). METHODS Undergraduate students (NT1 = 1008, NT2= 383) were initially randomly assigned to either the condition that used Ajzen's original method or the condition that used the revised method, and completed an online survey. A month later, participants completed the survey in the reverse condition. Data collection occurred October 2021-July 2022. Data were analyzed to examine the differences between the two conditions regarding the mean injunctive norm scores and their indirect effects on physical activity via intentions (i.e., moderated mediation). RESULTS Mixed ANOVA results indicated a statistically significant effect of condition (p < .001): the injunctive norm score assessed based on the revised method was lower compared to the original method. After accounting for baseline physical activity, a statistically significant moderated mediation was found with intention strength as the mediator (95% bootstrap CIs [.02, .20]): there was a statistically significant indirect effect of injunctive norms on physical activity via intention strength under the revised condition, but this effect was statistically nonsignificant under the original condition. There was no statistically significant moderated mediation with decisional intention as the mediator (95% bootstrap CIs [-.04, .13]). CONCLUSIONS Null findings regarding the relationship between injunctive norms and physical activity intentions typically found in the literature may be partially explained by the way in which norms were measured.
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Affiliation(s)
- Jeemin Kim
- Institute for the Study of Youth Sports, Department of Kinesiology, Michigan State University, 308 W Circle Dr, East Lansing, MI, 48824, USA.
| | - Mark Eys
- Departments of Kinesiology/Physical Education and Psychology, Wilfrid Laurier University, 75 University Avenue West, Waterloo, Ontario, N2L 3C5, Canada.
| | - Jennifer Robertson-Wilson
- Department of Kinesiology and Physical Education, Wilfrid Laurier University, 75 University Avenue West, Waterloo, Ontario, N2L 3C5, Canada.
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Bedard-Gilligan M, Lindgren K, Emily D, Ty T, Kaysen D, Rhew I. A randomized controlled trial testing theory-driven enhancements to increase the efficacy of and engagement in a brief cognitive-behavioural therapy text-message intervention for co-occurring posttraumatic stress disorder symptoms and alcohol misuse. BRITISH JOURNAL OF CLINICAL PSYCHOLOGY 2025; 64:110-124. [PMID: 38532251 PMCID: PMC11424773 DOI: 10.1111/bjc.12463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 02/27/2024] [Accepted: 03/07/2024] [Indexed: 03/28/2024]
Abstract
OBJECTIVE Engaging individuals with co-occurring posttraumatic stress disorder (PTSD) and alcohol misuse (AM) in effective treatments is difficult. Brief, self-directed approaches that deliver empirically supported intervention techniques, such as cognitive-behavioural therapy (CBT) strategies, via technology may be effective and easier-to-access alternatives to traditional in-person therapy approaches for PTSD + AM. This paper describes the protocol for an intervention development study (NCT05372042) that evaluates a text-message intervention combining CBT texts with techniques from cognitive psychology (message framing) and social psychology (growth mindsets) for treatment of PTSD + AM. METHOD The study uses a 3 (message framing: gain vs. loss vs. no framing) × 2 (mindset: growth mindsets vs. not) factorial design to test enhancements to CBT texts. Individuals age 18+, who report symptoms of PTSD and AM, will be recruited to participate. Participants will complete screening, verification, and baseline measures. They will be randomized to condition and receive 3 text messages per week for 4 weeks. Participants will be assessed at post-, 1-, and 3-month follow-up. RESULTS Analyses will evaluate whether framing and growth mindsets enhance the efficacy of CBT texts. A priori decision rules will be applied to select the intervention condition that is both the most effective and the simplest, which will be tested in a follow-up randomized controlled trial. CONCLUSIONS This study will identify the simplest, most efficacious CBT intervention for PTSD + AM. Its use of cognitive and social psychology-based enhancement and of a factorial decision can serve as examples of how to enhance and increase engagement in brief, self-directed CBT interventions.
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Affiliation(s)
| | - Kristen Lindgren
- University of Washington, Department of Psychiatry and Behavioral Sciences
| | - Dworkin Emily
- University of Washington, Department of Psychiatry and Behavioral Sciences
| | - Tristao Ty
- University of Washington, Department of Psychiatry and Behavioral Sciences
| | - Debra Kaysen
- Stanford University, Department of Psychiatry and Behavioral Sciences
| | - Isaac Rhew
- University of Washington, Department of Psychiatry and Behavioral Sciences
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Decarli G, Zasso S, Franchin L. Could the impact of emotional states on learning in children vary with task difficulty? J Exp Child Psychol 2025; 251:106122. [PMID: 39608334 DOI: 10.1016/j.jecp.2024.106122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2024] [Revised: 09/27/2024] [Accepted: 10/12/2024] [Indexed: 11/30/2024]
Abstract
Emotions are known to influence memory, in particular retention and recall, with positive emotions enhancing performances and negative emotions showing mixed effects. Although the influence of emotions on memory is well-established, their precise impact on the learning process remains a matter of debate and investigation. We implemented two experiments with children aged 6 to 8 years to examine how different emotional states affect training with tasks of varying difficulty. In Experiment 1, children were assessed in a letter recognition task and were assigned to positive, negative, or neutral emotional training conditions. Results showed significant performance improvements across all emotional conditions, indicating that emotional states did not differentially affect this task. In Experiment 2, using a more difficult non-word dictation task, significant improvements were found only in the positive and neutral conditions but not in the negative condition, suggesting that task difficulty modulates the impact of emotional states. These findings highlight the importance of considering both emotional states and task difficulty in educational settings. Positive and neutral emotions may facilitate cognitive processes under challenging conditions, whereas negative emotions might hinder them.
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Affiliation(s)
- Gisella Decarli
- Department of Psychology and Cognitive Science, University of Trento, 38068 Rovereto (Trento), Italy
| | - Simone Zasso
- Department of Psychology and Cognitive Science, University of Trento, 38068 Rovereto (Trento), Italy
| | - Laura Franchin
- Department of Psychology and Cognitive Science, University of Trento, 38068 Rovereto (Trento), Italy.
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van de Wetering J, Grapsas S, Poorthuis A, Thomaes S. Promoting adolescents' pro-environmental behavior: A motive-alignment approach. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2025; 35:e13044. [PMID: 39658356 PMCID: PMC11758481 DOI: 10.1111/jora.13044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Accepted: 11/30/2024] [Indexed: 12/12/2024]
Abstract
Most adolescents are concerned about climate change. What helps them to act on their concerns? This preregistered randomized experiment tested whether adolescents' pro-environmental behavior can be promoted by framing the behavior as compatible with their autonomy motive. Dutch adolescents (N = 319, ages 12-17, 57.7% girls, predominantly indicating "Dutch" or "bicultural" identities) viewed a campaign-style video that explained the causes of climate change (all conditions), and additionally framed pro-environmental behavior as a personal choice (volition-alignment), opportunity to rebel (rebellion-alignment), or mandatory (misalignment). Rebellion-alignment increased pro-environmental behavior intentions and petitioning behavior; misalignment decreased pro-environmental donating behavior. Effect sizes were small to medium. These findings provide proof of concept that motive alignment can be effective in promoting adolescents' pro-environmental engagement.
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Affiliation(s)
| | - Stathis Grapsas
- Department of Education and PedagogyUtrecht UniversityUtrechtThe Netherlands
| | - Astrid Poorthuis
- Department of PsychologyUtrecht UniversityUtrechtThe Netherlands
| | - Sander Thomaes
- Department of PsychologyUtrecht UniversityUtrechtThe Netherlands
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11
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Tran TPT, Tran TTH, Phan TH, Hoang VM, Popova L. Perceived harm of e-cigarettes relative to conventional cigarettes: Comparison among different measures in the US and Vietnam. Addict Behav 2025; 162:108230. [PMID: 39721345 DOI: 10.1016/j.addbeh.2024.108230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2024] [Revised: 12/06/2024] [Accepted: 12/07/2024] [Indexed: 12/28/2024]
Abstract
INTRODUCTION Evidence shows the inconsistencies in perceived harm of e-cigarettes between direct (single question) and indirect (assessing perceived harm separately by a single question and subtracting their score) measures. While the validity of both measures was tested by assessing their association with criterion variables (i.e., ever-trying e-cigarettes), further validation research is needed given existing limitations. METHODS We analyzed data from Population Assessment of Tobacco and Health Study Wave 6 in the US and a provincial version of the Global Adult Tobacco Survey 2020 in Vietnam. Comparative harm of cigarettes and e-cigarettes was measured using direct and indirect method. A new criterion validity measure - "I use e-cigarettes because they might be less harmful to me than smoking cigarettes" - was introduced. RESULTS In the general US population, a higher proportion of participants perceived e-cigarettes as less harmful than cigarettes when assessed using the indirect method compared to the direct method (31.56% vs. 13.70%). Additionally, although many US e-cigarette users indicated that they used e-cigarettes because they might be less harmful than cigarettes, among these people only 61.43% reported e-cigarettes to be less harmful when using the direct method but this proportion was higher (67.28%) for the indirect method. In Vietnam, this proportion was higher, at 76.68% using the direct method. CONCLUSION This study emphasizes the significance of including and reporting multiple measures within a single survey to achieve a comprehensive understanding of perceived harm.
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Affiliation(s)
- Thi Phuong Thao Tran
- Georgia State University School of Public Health, GA, United States; Hanoi University of Public Health, Hanoi, Vietnam
| | | | - Thi Hai Phan
- The Vietnam Tobacco Control Fund, Ministry of Health, Hanoi, Vietnam
| | | | - Lucy Popova
- Georgia State University School of Public Health, GA, United States.
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12
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Cardenas SA, Sanchez PY, Kassin SM. The "Partial Innocence" Effect: False Guilty Pleas to Partially Unethical Behaviors. PERSONALITY AND SOCIAL PSYCHOLOGY BULLETIN 2025; 51:335-356. [PMID: 37491946 DOI: 10.1177/01461672231185639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/27/2023]
Abstract
Although research has focused on the "innocence problem," "partial innocence" may also plague individuals who plead guilty to crimes they did not commit, but that are either comparable, more severe, or less severe than their actual crimes. Using a high-stake experimental paradigm and an immersive role-playing paradigm, we examined the psychology of partial innocence. Students were randomly induced (or imagined themselves) to be innocent, guilty, or partially innocent of committing an academic transgression and then given the choice to accept or reject a deal to avoid disciplinary sanction. Across three studies (Ns = 88, 75, 746), partially innocent students pled to cheating nearly as often as guilty students and vastly more often than innocent students. Partially innocent students-not unlike guilty students-experienced greater feelings of guilt than did innocent students. In turn, these feelings of guilt, but not shame, were associated with taking responsibility for a range of transgressions not committed.
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Affiliation(s)
- Stephanie A Cardenas
- Williams College, Williamstown, MA, USA
- John Jay College of Criminal Justice, City University of New York, New York City, USA
| | - Patricia Y Sanchez
- John Jay College of Criminal Justice, City University of New York, New York City, USA
| | - Saul M Kassin
- John Jay College of Criminal Justice, City University of New York, New York City, USA
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Tsemach R, Aharon AA. Decision-making process regarding passive euthanasia: Theory of planned behavior framework. Nurs Ethics 2025; 32:399-411. [PMID: 38449448 DOI: 10.1177/09697330241238346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2024]
Abstract
BACKGROUND Nurses have an essential role in caring for end-of-life patients. Nevertheless, the nurse's involvement in the passive euthanasia decision-making process is insufficient and lower than expected. OBJECTIVES To explore factors associated with nurses' intention to be involved in non-treatment decisions (NTD) regarding passive euthanasia decision-making versus their involvement in the palliative care of patients requesting euthanasia, using the Theory of Planned Behavior (TPB) framework. DESIGN A cross-sectional study utilizing a random sample. PARTICIPANTS AND RESEARCH CONTEXT The study was conducted in one of the largest hospitals in Israel among 125 nurses employed in internal and surgical care wards. Data was collected through face-to-face interviews between March and April 2019. METHOD A closed structured questionnaire was developed according to TPB instructions. A paired sample t test and two multiple hierarchical regressions were conducted. Variance explained (R2) and the significance of F change were calculated for each regression. The study used the STROBE statement guideline. ETHICAL CONSIDERATIONS The study was approved by the hospital's Helsinki Committee (#20.11.2017). FINDINGS A paired sample t test revealed that nurses' involvement in the palliative care of patients requesting passive euthanasia was significantly higher than in NTD regarding euthanasia. Regression analyses revealed that nurses' position and attitudes explain their intention to be involved in decision-making; attitudes and perceived behavioral control explain nurses' intention to be involved in the care of patients requesting euthanasia. CONCLUSIONS According to the TPB, nurses' attitudes explained their intention to participate in decision-making regarding passive euthanasia. It is recommended to enhance open discussion of this complex issue to encourage nurses' willingness to participate in NTD decision-making regarding euthanasia.
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Guillow R, Nemergut EC, Dragan K. Advancing Equity and Inclusion: The Power of Flexible Scheduling and Alternative Staffing Models in Academic Anesthesiology. Anesthesiol Clin 2025; 43:173-185. [PMID: 39890318 DOI: 10.1016/j.anclin.2024.07.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2025]
Abstract
In academic anesthesiology, flexible schedules help to promote inclusivity, decrease burnout, increase physician engagement, address labor shortages, and allow for pursuit of academic interests. A flexible work arrangement includes: flexibility in the scheduling of hours worked, flexibility in the number of hours worked, and flexibility in the trajectory of an academic career. Academic departments should consider incorporating flexibility to create a diverse and sustainable workforce in the field of anesthesiology.
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Affiliation(s)
- Rebekah Guillow
- Department of Anesthesiology, West Virginia University, 1 Medical Center Drive, Morgantown, WV 26505, USA
| | - Edward C Nemergut
- Department of Anesthesiology, West Virginia University, 1 Medical Center Drive, Morgantown, WV 26505, USA
| | - Kristen Dragan
- Department of Anesthesiology, West Virginia University, 1 Medical Center Drive, Morgantown, WV 26505, USA.
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Hiew SY, Low BY. A systematic review of the knowledge, attitude and practice of healthcare professionals and healthcare professional students towards household pharmaceutical waste disposal. EXPLORATORY RESEARCH IN CLINICAL AND SOCIAL PHARMACY 2025; 17:100556. [PMID: 39877296 PMCID: PMC11773479 DOI: 10.1016/j.rcsop.2024.100556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2024] [Revised: 11/06/2024] [Accepted: 12/16/2024] [Indexed: 01/31/2025] Open
Abstract
Background Active pharmaceutical residues introduced into the environment through irresponsible household disposal of unused and expired medication can damage nature and health. Through medication take-back programmes, these risks can be mitigated. However, healthcare professionals' neglect of their responsibility to ensure proper disposal practices has perpetuated subpar norms among the public. Objectives The objectives of this systematic review were to assess the knowledge, attitude, and practice of household pharmaceutical waste disposal among healthcare professionals and healthcare professional students as well as to compare their respective levels of knowledge, attitude and practice. Methods A systematic search of published articles from 2014 to 2023 in three online journal databases (Pubmed, Scopus, and Web of Science) yielded an initial pool of 10,381 records, which was narrowed down by title and abstract screening to 46 relevant publications for full-text examination and the final inclusion of 21 papers for data extraction and synthesis. Results The findings revealed deficiencies in academic curricula and medication disposal training, leading to inadequate knowledge and perceptions among healthcare professionals. Many healthcare professionals consider public education about safe medication disposal practices to be outside their job descriptions, leading to infrequent communication of medication disposal methods to their consumers and service users. Additionally, inadequate and inaccessible infrastructure further hinders proper medication disposal practices despite awareness of the consequences. Conclusions This study provides insights for policymakers and educators to address these and enhance healthcare professionals' participation in improving safe medication disposal practices. Efforts to strengthen training programmes, incorporate comprehensive education on medication disposal into curricula, and improve infrastructure for safe medication disposal are essential to effectively address the issue of household pharmaceutical waste disposal.
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Affiliation(s)
- Sheng Yuan Hiew
- School of Pharmacy, University of Nottingham Malaysia, Jalan Broga, 43500 Semenyih, Selangor, Malaysia
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Kelly T, Ludvig EA. Blocking of associative learning by explicit descriptions. Cognition 2025; 256:106015. [PMID: 39637517 DOI: 10.1016/j.cognition.2024.106015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2023] [Revised: 09/25/2024] [Accepted: 11/17/2024] [Indexed: 12/07/2024]
Abstract
People given written descriptions often learn and decide differently from those learning from experience, even in formally identical tasks. This paper presents two experiments detailing how telling participants about the value of one stimulus impacts a keystone learning effect - blocking. The paper investigates if descriptions can be used to effectively block future trial-by-trial learning. Participants were presented with coloured shape stimuli and asked if those shapes caused reward. Experiment 1 found both standard, trial-by-trial experienced blocking and the novel effect of described blocking of future trial-by-trial learning. Experiment 2 investigated the conditions that promote described blocking by manipulating the training that occurred prior to exposure to the description. In the Pre-training Present group, participants exposed to a training set of compound and elemental stimuli produced more pronounced blocking than the Pre-training Absent group, which had no such training. These results show that explicit descriptions about causal relations can block learning from subsequent experience, providing a new extension of associative learning toward the verbal domain.
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Affiliation(s)
- Tom Kelly
- Sutherland School of Law, University College Dublin, Belfield, Dublin, Ireland; Department of Psychology, University of Warwick, Coventry CV4 7AL, United Kingdom.
| | - Elliot A Ludvig
- Department of Psychology, University of Warwick, Coventry CV4 7AL, United Kingdom.
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17
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Gonzalez AM, Skinner AL, Baron AS. Learning by Example: Does Positive Nonverbal Behavior Reduce Children's Racial Bias? Dev Sci 2025; 28:e13614. [PMID: 39907179 DOI: 10.1111/desc.13614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2019] [Revised: 01/09/2025] [Accepted: 01/14/2025] [Indexed: 02/06/2025]
Abstract
Nonverbal behavior is a ubiquitous, everyday cue that is often used as a basis for social evaluation. Numerous studies indicate that children are sensitive to these signals and form evaluative judgments after viewing positive or negative nonverbal cues directed toward a target. Furthermore, they generalize these judgments to other members of a targets' social group, indicating that nonverbal behavior displays can influence intergroup bias. However, no studies thus far have directly examined whether exposure to positive nonverbal behavior cues can reduce children's implicit and explicit racial bias. In the current study, we exposed White and Asian children ages 9-11 to positive nonverbal behavior displayed by a White expresser toward a Black target, drawn from children's television shows. Children demonstrated a pro-White/anti-Black bias implicitly, but explicitly preferred Black over White characters. Additionally, children judged Black characters from the clips and novel Black characters positively. We found that there was no difference in implicit or explicit racial bias between children who viewed positive nonverbal behavior demonstrated by a White expresser to a Black target as compared to children who were only exposed to a Black target (and no nonverbal cues) or unrelated video clips. Future research examining the influence of positive nonverbal behavior on children's racial bias should consider using more overt or prolonged demonstrations of positive nonverbal behavior or increasing children's familiarity with the characters presented.
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Affiliation(s)
- Antonya M Gonzalez
- Department of Psychology, Western Washington University, Bellingham, Washington, USA
| | - Allison L Skinner
- Department of Psychology, University of Georgia, Athens, Georgia, USA
| | - Andrew Scott Baron
- Department of Psychology, University of British Columbia, Vancouver, Canada
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Yanzeng Z, Keyong Z, Haixin X, Ziyu L, Pengyu L, Lijing W. Effective strategies for reducing pilots' job burnout: cognitive reappraisal guided by high resilience with perceived stress as a mediator. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2025:1-9. [PMID: 39912744 DOI: 10.1080/10803548.2024.2430112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2025]
Abstract
The aviation industry is acknowledged for its high-risk, high-pressure nature, where pilots' job burnout has adverse effects on well-being and industry performance. Understanding solutions to pilot job burnout is crucial for addressing the aforementioned challenges. Cognitive reappraisal, a double-edged sword, has yet to be proven effective in its application to this specific population, and there is a lack of research explaining why cognitive reappraisal can reduce job burnout. This empirical study, collecting data from 106 pilots, reveals cognitive reappraisal's efficacy in reducing burnout by lowering perceived stress (R2 = 0.497). The reduction is modulated by pilots' psychological resilience, indicating higher resilience enhances cognitive reappraisal's effectiveness. Additionally, perceived stress mediates differently in emotional exhaustion compared to dehumanization or reduced personal accomplishment. This research not only proposes, for the first time, a theoretical model depicting the impact relationships of pilot job burnout but also provides practical and targeted recommendations for reducing pilot job burnout.
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Affiliation(s)
- Zhao Yanzeng
- International Innovation Institute, Beihang University, China
- School of Aeronautic Science and Engineering, Beihang University, China
| | - Zhu Keyong
- School of Aeronautic Science and Engineering, Beihang University, China
| | - Xu Haixin
- International Innovation Institute, Beihang University, China
- School of Aeronautic Science and Engineering, Beihang University, China
| | - Liu Ziyu
- School of Aeronautic Science and Engineering, Beihang University, China
- School of Engineering Medicine, Beihang University, China
| | - Luo Pengyu
- Flight Training Department, Zhuhai Xiang Yi Aviation Technology Company Limited, Zhuhai, China
| | - Wang Lijing
- International Innovation Institute, Beihang University, China
- School of Aeronautic Science and Engineering, Beihang University, China
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Voicescu GT, Lamine H, Loșonți AE, Lupan-Mureșan EM, Luka S, Ulerio JG, Ragazzoni L, Corte FD, Caviglia M. Monitoring and evaluation in disaster management courses: a scoping review. BMC MEDICAL EDUCATION 2025; 25:188. [PMID: 39910476 DOI: 10.1186/s12909-025-06659-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/16/2024] [Accepted: 01/06/2025] [Indexed: 02/07/2025]
Abstract
BACKGROUND Owing to the infrequent emergence of disasters and the challenges associated with their management, responders need appropriate training beyond doubt. Ensuring the highest standard of disaster management (DM) training is of paramount importance for high-quality DM. However, the literature concerning DM training monitoring and evaluation (M&E) is scarce. The primary objective of this review was to document the existing M&E strategies for DM training. METHODS The authors conducted a systematic literature search on June 28, 2023, on the PubMed, Scopus, Embase and Cochrane databases, including studies that described the learning objectives and the M&E strategy of DM training. The authors categorized the learning objectives and the evaluation methodology according to the revised Bloom's Taxonomy and the New World Kirkpatrick model, respectively. RESULTS Fifty-seven articles met the inclusion and exclusion criteria, described DM training targeting healthcare and non-healthcare professionals and employed diverse teaching methods and topics. Five studies reported using monitoring, while all reported an evaluation methodology. The learning objectives focused on students' ability to "Remember" (N = 50) and "Apply"(N = 44). The evaluations centred around the second level of the New World Kirkpatrick model (N = 57), with only 7 articles investigating the third level. Sixteen authors used existing, validated M&E frameworks. When corelating the learning objectives with the evaluation methodology, the authors observed a mismatch, as skills like the students' ability to "Apply" and "Create" were evaluated using the second level of the New World Kirkpatrick model. CONCLUSIONS The great heterogeneity in DM training highlights the particularity of these educational programs. The lack of monitoring and the low usage of existing M&E frameworks highlighted a lack of awareness and standardization in the field. The mismatch between the learning objectives and the evaluation process led to deceptive evaluations, which may have resulted in graduates being deemed ready to deploy despite facing hardships in real-world settings, potentially leading to unprepared responders.
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Affiliation(s)
- George Teo Voicescu
- CRIMEDIM-Center for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health, Università del Piemonte Orientale, 28100, Novara, Italy.
- Emergency Medicine Discipline - Department 6 Surgery, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
- Department for Sustainable Development and Ecological Transition, Università del Piemonte Orientale, Vercelli, Italy.
| | - Hamdi Lamine
- CRIMEDIM-Center for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health, Università del Piemonte Orientale, 28100, Novara, Italy
- Department of Community Health Nursing, College of Nursing, University of Hail, Hail, Saudi Arabia
| | - Andra Elena Loșonți
- Department Paediatrics III, Emergency Clinic Hospital for Children, Cluj-Napoca, Romania
| | - Eugenia Maria Lupan-Mureșan
- Emergency Medicine Discipline - Department 6 Surgery, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania
- Emergency Medicine Department, Emergency Clinical County Hospital Cluj, Cluj-Napoca, Romania
| | - Sonia Luka
- Emergency Medicine Discipline - Department 6 Surgery, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania
- Emergency Medicine Department, Emergency Clinical County Hospital Cluj, Cluj-Napoca, Romania
| | - José García Ulerio
- CRIMEDIM-Center for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health, Università del Piemonte Orientale, 28100, Novara, Italy
- Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy
| | - Luca Ragazzoni
- CRIMEDIM-Center for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health, Università del Piemonte Orientale, 28100, Novara, Italy
- Department for Sustainable Development and Ecological Transition, Università del Piemonte Orientale, Vercelli, Italy
| | - Francesco Della Corte
- CRIMEDIM-Center for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health, Università del Piemonte Orientale, 28100, Novara, Italy
| | - Marta Caviglia
- CRIMEDIM-Center for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health, Università del Piemonte Orientale, 28100, Novara, Italy
- Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy
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Sa'id IIM, Hotung N, Benton M, Nadal IP, Baharom A, Prina M, Nisak Mohd Yusof B, Goldsmith K, Birts S, Siew Mooi C, Forbes A, Ismail K, Chew BH. Process Evaluations of Interventions for the Prevention of Type 2 Diabetes in Women With Gestational Diabetes Mellitus: Systematic Review. Interact J Med Res 2025; 14:e51718. [PMID: 39913176 DOI: 10.2196/51718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 03/06/2024] [Accepted: 06/21/2024] [Indexed: 02/07/2025] Open
Abstract
BACKGROUND Gestational diabetes mellitus (GDM) is characterized by hyperglycemia in pregnancy and typically resolves after birth. Women with GDM have an increased risk of developing type 2 diabetes mellitus (T2DM) later in life compared to those with normoglycemic pregnancy. While diabetes prevention interventions (DPIs) have been developed to delay or prevent the onset of T2DM, few studies have provided process evaluation (PE) data to assess the mechanisms of impact, quality of implementation, or contextual factors that may influence the effectiveness of the intervention. OBJECTIVE This study aims to identify and evaluate PE data and how these link to outcomes of randomized controlled trials (RCTs) of T2DM prevention interventions for women with GDM. METHODS A systematic review was conducted to identify studies published from 2005 to 2020 aiming to capture the most recent DPIs. Five electronic bibliographic databases (Cochrane Library, Cochrane Collaboration Registry of Controlled Trials, Embase, PubMed, and MEDLINE) were searched to identify relevant studies. Inclusion criteria were published (peer-reviewed) RCTs of DPIs in women with a current diagnosis or history of GDM. Exclusion criteria were studies not published in English; studies where the target population was women who had a family history of T2D or women who were menopausal or postmenopausal; and gray literature, including abstracts in conference proceedings. The Medical Research Council's PE framework of complex interventions was used to identify key PE components. The Mixed Method Appraisal Tool was used to assess the quality of included studies. RESULTS A total of 24 studies were included; however, only 5 studies explicitly reported a PE theoretical framework. The studies involved 3 methods of intervention delivery, including in person (n=7), digital (n=7), and hybrid (n=9). Two of the studies conducted pilot RCTs assessing the feasibility and acceptability of their interventions, including recruitment, participation, retention, program implementation, adherence, and satisfaction, and 1 study assessed the efficacy of a questionnaire to promote food and vegetable intake. While most studies linked PE data with study outcomes, it was unclear which of the reported PE components were specifically linked to the positive outcomes. CONCLUSIONS While the Medical Research Council's framework is a valuable source for conducting systematic reviews on PEs, it has been criticized for lacking practical advice on how to conduct them. The lack of information on PE frameworks in our review also made it difficult to categorize individual PE components against the framework. We need clearer guidance and robust frameworks for conducting PEs for the development and reporting of DPIs for women with GDM. TRIAL REGISTRATION PROSPERO International Prospective Register of Systematic Reviews CRD42020208212; https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=208212. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) RR2-https://doi.org/10.1177/16094069211034010.
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Affiliation(s)
- Iklil Iman Mohd Sa'id
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia
| | - Natasha Hotung
- Department of Psychological Medicine, King's College London, London, United Kingdom
| | - Madeleine Benton
- Department of Psychological Medicine, King's College London, London, United Kingdom
| | | | - Anisah Baharom
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia
| | - Matthew Prina
- Newcastle University, Newcastle upon Tyne, United Kingdom
| | - Barakatun Nisak Mohd Yusof
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia
| | - Kimberley Goldsmith
- Department of Psychological Medicine, King's College London, London, United Kingdom
| | - Samantha Birts
- Department of Psychological Medicine, King's College London, Leeds, United Kingdom
| | - Ching Siew Mooi
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia
| | - Angus Forbes
- Department of Psychological Medicine, King's College London, London, United Kingdom
| | - Khalida Ismail
- Department of Psychological Medicine, King's College London, London, United Kingdom
| | - Boon How Chew
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia
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Foster-Gimbel OA, Phillips LT. Evidence for a Curvilinear Effect of Psychological Discomfort on Dominant Group Members' Engagement in Allyship. PERSONALITY AND SOCIAL PSYCHOLOGY BULLETIN 2025:1461672241312269. [PMID: 39907251 DOI: 10.1177/01461672241312269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2025]
Abstract
Psychological discomfort can motivate, demotivate, or even backfire upon efforts to encourage allyship. We consider the intensity of such discomfort to test curvilinear relationships between psychological discomfort and Whites' engagement in equity efforts. Across four pre-registered studies (N = 4,563), we find support for our curvilinear model. First, we explore the relationship between collective discomfort and allyship intentions. While we find that collective discomfort is linearly associated with greater allyship, we find little evidence of diminishing returns. Second, we find a curvilinear relationship between collective discomfort and defensive reactions: Both low and high discomfort was associated with increasing defensive reactions to evidence of racial inequity (victimhood claiming, stigma reversal) than moderate discomfort. Thus, we provide empirical support for the idea that dominant group members who experience high (vs. moderate) discomfort in the face of social inequality may be less likely to support equity. We offer insights on how to manage this issue.
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Chen C, Zhu Y, Sun Y, Que M. The relationship between social support and interpersonal self-efficacy among higher vocational college students: parallel mediation effects of anxiety and loneliness. BMC Psychol 2025; 13:102. [PMID: 39910620 DOI: 10.1186/s40359-025-02418-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2024] [Accepted: 01/24/2025] [Indexed: 02/07/2025] Open
Abstract
BACKGROUND There is close cooperation between higher vocational colleges and enterprises. Thus, higher vocational college students attach great importance to the internship experience in enterprises during their study period. They need to have more interaction and communication with school teachers, classmates and enterprise staffs, etc. Their interpersonal self-efficacy is important for developing and maintaining their good interpersonal relationships. METHOD To explore the effect of social support on the interpersonal self-efficacy of higher vocational college students and the parallel mediating role of anxiety and loneliness in it, a questionnaire survey and empirical analysis was conducted on 4,270 Chinese higher vocational college students by using the Social Support Scale for Adolescents, Interpersonal Communication Self-efficacy Scale for College Student, Self-rating Anxiety Scale and UCLA Loneliness Scale. RESULTS (1) social support significantly and positively predicts interpersonal self-efficacy; (2) social support influences interpersonal self-efficacy through the mediating effect of anxiety; and (3) social support influences interpersonal self-efficacy through the mediating effect of loneliness. CONCLUSIONS This study contributes to the understanding of the underlying mechanisms of the relationship between social support and interpersonal self- efficacy, thus providing references for higher vocational institutions and other related sectors to improve the interpersonal self-efficacy of higher vocational college students.
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Affiliation(s)
- Chunmei Chen
- Teachers College, Jimei University, Xiamen, 361021, Fujian, China
| | - Yujie Zhu
- Faculty of Education, The University of Hong Kong, Hong Kong, 999077, China
| | - Yanyan Sun
- School of Marxism, China University of Mining and Technology, Xuzhou, 221116, Jiangsu, China.
- School of Marxism, Wuxi Taihu University, Wuxi, Jiangsu, 214063, China.
| | - Mingkun Que
- College of Education, Zhejiang University, Hangzhou, 310058, Zhejiang, China.
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