Assessing the effectiveness of a sexual and reproductive health and rights training programme in changing healthcare practitioners' attitudes and practices in low-income countries

INTRODUCTION

In low-income countries the utilisation of sexual and reproductive health and rights (SRHR) services is influenced by healthcare practitioners' knowledge, attitudes and practices. Despite awareness of the potential problems due to ingrained biases and prejudices, few approaches have been effective in changing practitioners' knowledge, attitudes and practices concerning SRHR in low-income countries.

OBJECTIVES

1) To assess whether participating in an SRHR international training programme (ITP) changed healthcare practitioners' SRHR knowledge, SRHR attitudes and SRHR practices and 2) examine associations between trainees' characteristics, their SRHR work environment and transfer of training.

METHODS

A pre- and post-intervention study, involving 107 trainees from ten low-income countries, was conducted between 2017 and 2018. Paired samples t-test and independent samples t-test were used to assess differences between trainees' pre- and post-training scores in self-rated SRHR knowledge, attitudes, knowledge seeking behaviour and practices. Linear regression models were used to examine association between trainees' baseline characteristics and post-training attitudes and practices.

RESULTS

Trainees' self-rated scores for SRHR knowledge, attitudes and practices showed statistically significant improvement. Baseline high SRHR knowledge was positively associated with improvements in attitudes but not practices. High increases in scores on knowledge seeking behaviour were associated with higher practice scores. No statistically significant associations were found between scores that measured changes in SRHR knowledge, attitudes and practices.

CONCLUSION

The findings indicate that the ITP was effective in improving trainees' self-rated scores for SRHR knowledge, attitudes and behaviours (practices). The strongest association was found between improvement in SRHR knowledge seeking behaviour and the improvement in SRHR practices. This suggests that behaviour intention may have a central role in promoting fair open-minded SRHR practices among healthcare practitioners in low-income countries.

Investigation of interest in and timing preference for cancer predisposition testing and expanded carrier screening among women of reproductive age

Objective

To examine cognitive, relational, and social predictors of interest in and timing preference for cancer predisposition testing (CPT) and expanded carrier screening (ECS) offered in routine gynecologic care for women of reproductive age.

Methods

Women between 20 and 35 years old who were currently pregnant or had a prior pregnancy (N = 351) completed an online survey. Bivariate and multivariable analyses were used to identify significant predictors of women's interest in and timing preference for CPT and ECS.

Results

Most respondents reported high interest in CPT and ECS and preferred to have them when planning for a pregnancy. Perceived importance of genetic information and negative attitude towards uncertainty predicted interest in CPT and ECS in multivariable models. Genetic knowledge predicted preference for CPT or ECS when planning for a pregnancy.

Conclusion

Educational and decision support tools should be developed to enhance women's knowledge and awareness of CPT and ECS and to provide them with strategies to manage uncertainty.

Innovation

We examined women's timing preference for CPT and ECS and the impact of partner support and trust with gynecologist. A context-specific attitudes toward uncertainty scale was used to investigate women's particular perceptions of uncertainty in genetic testing.

Engaging the public: English local government organisations' social media communications during the COVID-19 pandemic

Communication has played a critical role during the initial response to the COVID-19 pandemic, and communicators have had a particularly difficult task in persuading different types of audience to comply with ever-changing regulations. Local government organisations play a crucial role in recontextualising the national messaging for a local audience and encouraging the public to comply with regulations. This paper investigates local government organisations' (henceforth LGOs) engagement strategies in COVID-related posts on social media. In collaboration with LGOs in England, we examined their communication strategies on Twitter and Facebook during the second UK national lockdown of the COVID-19 pandemic in November-December 2020. Using methods from corpus-assisted discourse studies, the paper analyses the occurrence and functions of selected interactive engagement markers, in this case personal pronouns, questions and hashtags. We find that such linguistic features function to encourage engagement by (a) helping to foster relatedness through ambiguity; (b) creating autonomy-supporting communication; and (c) making messages 'stand out'. Based on our corpus analysis, we discuss the initial response of the participating councils to our findings and outline future directions including the integration of multimodal approaches to studying the role of localised social media in national crisis management. We argue for more attention to be paid to the many local communicators who play an invaluable role in encouraging the public to comply with national measures in times of crisis.

Feasibility, acceptability, and effects of a self-stigma reduction pilot program for Japanese individuals with type 2 diabetes

Objective

To examine the feasibility, acceptability, and effects of a self-stigma reduction program for patients with type 2 diabetes mellitus (T2DM).

Methods

We adopted a within-subjects pre-post study design, measuring self-stigma among T2DM patients who received treatment at a tertiary-level hospital.

Results

Of the 17 participants, 11 participants completed the program (mean age: 54.36 ± 8.58 years; women: 63.6%; mean T2DM duration: 12.09 ± 10.41 years). Participants experienced reduced levels of self-stigma between the pre- and post-study time points (mean pre-study score: 35.82 ± 16.26; mean post-study score: 25.55 ± 16.91). The difference in self-stigma was not significant (effect size: d = 0.8, χ² = 3.6, p = 0.057). Overall, participants who completed the program were satisfied except for the duration of each session.

Conclusion

The self-stigma reduction program was relatively feasible and acceptable. Although due to the small sample size our results were not statistically significant, a large reduction of self-stigma was found in those who completed the program, which is promising. Future studies with larger sample sizes are needed to measure the program's long-term effects on the reduction of self-stigma.

Innovation

This program is innovative as the researchers and healthcare professionals collaborated with patients who contributed their narratives.

Rethinking paranoid ideation and reasoning: A pilot study based on the argumentative theory of reasoning

BACKGROUND AND OBJECTIVES

Cognitive theories assume an imbalance of intuitive and analytical reasoning in paranoid ideation. The argumentative theory of reasoning offers an approach on the primary function of reasoning and its flaws. It assumes social exchange as main purpose of reasoning. We applied this theory to delusion research and tested experimentally whether social exchange in the form of production and evaluation of arguments influences subsequent reflective reasoning. Additionally, we examined whether the social network and the frequency/preference for discussions are associated with distorted reflective reasoning and paranoid ideation.

METHODS

327 participants completed the Social Network Index (SNI), the Paranoia Checklist (PCL), and the Cognitive Reflection Test-2 (CRT2). Moreover, preference and frequency of discussions were assessed. In the discussion group (N = 165), participants produced arguments and evaluated counterarguments on two socially relevant topics. The control group (N = 162) watched a nature video instead.

RESULTS

The discussion group showed lower distorted reflective reasoning than the control group. Discussion preference and/or frequency was associated with frequency and disturbance of paranoid thoughts, as well as overall paranoid ideation.

LIMITATIONS

Due to the online format environmental factors could not be held constant and no intrasubject comparison of the CRT2 could be computed in the trial. Furthermore, the sample mainly consisted of psychology students.

CONCLUSION

The results contribute to the understanding of distorted reflective reasoning and provides preliminary evidence that the argumentative theory of reasoning may offer a promising perspective for delusion research.

Self-directed learning assessment practices in undergraduate health professions education: a systematic review

PURPOSE

The goal of this systematic review was to examine self-directed learning (SDL) assessment practices in undergraduate health professions education.

METHODS

Seven electronic databases were searched (PubMed, Embase, PsycINFO, ERIC, CINAHL, Scopus, and Web of Science) to retrieve English-language articles published between 2015 and July of 2022, investigating assessment of SDL learning outcomes. Extracted data included the sample size, field of study, study design, SDL activity type, SDL assessment method, number of SDL assessments used, study quality, number of SDL components present utilising the framework the authors developed, and SDL activity outcomes. We also assessed relationships between SDL assessment method and number of SDL components, study quality, field of study, and study outcomes.

RESULTS

Of the 141 studies included, the majority of study participants were medical (51.8%) or nursing (34.8%) students. The most common SDL assessment method used was internally-developed perception surveys (49.6%). When evaluating outcomes for SDL activities, most studies reported a positive or mixed/neutral outcome (58.2% and 34.8%, respectively). There was a statistically significant relationship between both number and type of assessments used, and study quality, with knowledge assessments (median-IQR 11.5) being associated with higher study quality (p < 0.001). Less than half (48.9%) of the studies used more than one assessment method to evaluate the effectiveness of SDL activities. Having more than one assessment (mean 9.49) was associated with higher quality study (p < 0.001).

CONCLUSIONS

The results of our systematic review suggest that SDL assessment practices within undergraduate health professions education vary greatly, as different aspects of SDL were leveraged and implemented by diverse groups of learners to meet different learning needs and professional accreditation requirements. Evidence-based best practices for the assessment of SDL across undergraduate healthcare professions education should include the use of multiple assessments, with direct and indirect measures, to more accurately assess student performance.

A planned behavior theory-based explanatory model of protective behavior against COVID-19, with an age perspective

In this study, an explanatory model of protective behaviors against COVID-19 transmission based on the theory of planned behavior is tested using a sample of 904 individuals by adding two relevant variables in the COVID-19 context: skepticism and responsibility toward COVID-19 transmission. Responsibility and the intention to behave in a protective way act as mediators in predicting protective behaviors. The model is invariant between younger and older people, although some path differences were found: the perception that individuals have about the extent to which their reference group adopts protective behaviors directly influences individual protective behavior for younger but not older people, for whom subjective social norms were only indirect predictors of such behavior. Additionally, the rates in all the variables showed that the group under 35 took more risks in the context of protective behaviors against COVID-19: they exhibited more skepticism, lower behavioral control, perceived fewer positive social norms regarding protective behaviors, felt less responsible for spreading the disease, had less intention to behave in a protective way, and finally adopted fewer protective behaviors. Developers of intervention strategies and campaigns should contemplate such variables and focus on differences according to age.

Are you advocating for me? Social penalties toward teachers that (dis)confirm gender stereotypes during the COVID-19 pandemic

We investigated the effects of gender stereotype violations within the context of teaching during the COVID-19 pandemic as well as whether social penalties for violating gender stereotypes in this domain are moderated by trait levels of gender system justification. Participants (N = 254) rated four hypothetical teaching scenarios where target sex (male or female teacher) and reason for refusal to return to in-person teaching (advocating for one's self vs. advocating for others) were manipulated. Results showed that as predicted, participants with high levels of gender system justification rated self-advocating female teachers least favorably. Unexpectedly, participants with low levels of gender system justification rated self-advocating male teachers least favorably. Implications for gender stereotype violation are discussed as well as implications for those teaching during the COVID-19 pandemic.

Absolute and relative e-cigarette harm perceptions among young adult lesbian and bisexual women and nonbinary people assigned female at birth

PURPOSE

Young adult lesbian and bisexual women report considerable e-cigarette disparities, which may be attributed to low harm perceptions. No studies have assessed differences in e-cigarette harm perceptions in this group, nor which factors might be intervention targets to influence harm perceptions.

MATERIALS AND METHODS

We investigated differences in and modifiable correlates of e-cigarette harm perceptions among young adult lesbian and bisexual women and non-binary people assigned female at birth. Young adult women and non-binary people assigned female at birth, aged 18-30 years old, and who self-identified as lesbian or bisexual (N = 471) reported absolute and relative harm perceptions of e-cigarettes to health in an online survey. We modeled associations between harm perceptions and individual, interpersonal, and contextual factors.

RESULTS

Bisexual (vs. lesbian) participants perceived higher absolute harm of e-cigarettes (Mean (M) = 7.61 vs M = 7.09, p = .03). Participants rated e-cigarettes as slightly less harmful than cigarettes, and there was no statistically significant difference by sexual orientation (Bisexual: M = 4.84 vs Lesbian: M = 4.36). In multivariable models, bisexual (vs. lesbian) participants and Hispanic/Latinx and Other race (vs. non-Hispanic White) participants reported higher absolute and relative e-cigarette harm perceptions. Greater sexual identify affirmation and greater perceived stress were associated with higher absolute and relative e-cigarette harm perceptions.

CONCLUSIONS

E-cigarette harm perceptions vary vis-à-vis individual-level factors. Self-identification as bisexual or minoritized race/ethnicity, greater sexual identity affirmation, and greater perceived stress was associated with increased harm perceptions. Understanding variations may inform targeted health communications to reduce e-cigarette use disparities.

Cell phone-related driver distraction: Habits predict behavior over and above the theory of planned behavior variables

INTRODUCTION

Habits have often been overlooked in studies investigating cell phone-related driver distractions. This paper examines the association between habits and cell phone-related driver distractions within a mediation model based on the Theory of Planned Behavior (TPB). Additionally, it explores potential differences in behaviors across urban and rural driving environments and between males and females.

METHOD

We conducted an online survey in China with 1,016 respondents, measuring attitudes, subjective norms, perceived behavioral control, self-reported behavior, and habits associated with cell phone use while driving.

RESULTS

Data was analyzed using a two-stage structural equation modeling approach. Results indicate that the measurement model provided a good fit to the data and was invariant across urban and rural driving environments, as well as across genders. The latent path model investigating mediation also demonstrated a good fit and revealed that TPB variables (attitudes, subjective norms, and perceived behavioral control) partially mediated the relationship between cell phone-related habits and cell phone use while driving. The structural model was invariant across driving environments but not across genders, for which the extent of the differences were limited. Moreover, habits were strongly associated with subjective norms and perceived behavioral control, emerging as the strongest predictor of cell phone-related distractions.

CONCLUSIONS

The findings suggest that habits should be considered in research on phone-related distracted driving behaviors and in the development of intervention designs.

Locating what comes to mind in empirically derived representational spaces

Real-world judgements and decisions often require choosing from an open-ended set of options which cannot be exhaustively considered before a choice is made. Recent work has found that the options people do consider tend to have particular features, such as high historical value. Here, we pursue the idea that option generation during decision making may reflect a more general mechanism for calling things to mind, by which relevant features in a context-appropriate representational space guide what comes to mind. In this paper, we evaluate this proposal primarily based on what comes to mind in different familiar categories. We first introduce an empirical approach for deriving the space of features that people use to represent items in a particular category and for locating the category members that come to mind within that space. We show that in both familiar and ad hoc categories, a category member's location along certain dimensions of the derived feature space predicts its likelihood of coming to mind. Next, we show that category members from these feature space locations come to mind by default in a way that is somewhat impervious to conscious control. We then demonstrate that the extent to which a given dimension is a predictor of what comes to mind within a category is related to how relevant that feature is for representing the category in question, using a novel measure of general feature relevance. Finally, we illustrate the usefulness of this framework in the context of a decision making task. We close with the proposal that people call category members to mind according to their location in representational space, specifically based on the predicted usefulness of considering category members with particular features.

Factors influencing student nurses' readiness to adopt artificial intelligence (AI) in their studies and their perceived barriers to accessing AI technology: A cross-sectional study

BACKGROUND

With the projected significant increase in the use of AI in nursing education, it becomes vital for nurse faculty to adequately equip student nurses with the necessary competences to effectively utilize AI in their studies. Ensuring that student nurses are prepared and ready to embrace AI technology is imperative for their successful integration into the healthcare workforce.

OBJECTIVE

This study aimed to examine student nurses' readiness to embrace AI technology, explore associated factors, and identify perceived barriers to accessing AI technology.

DESIGN

Cross sectional study.

SETTINGS

One public-owned nursing school in the Philippines.

PARTICIPANTS

Three hundred twenty-three student nurses.

METHODS

Data were collected using structured questionnaires. Descriptive statistics and multivariable analysis were performed to analyze the data.

RESULTS

The results revealed that student nurses demonstrated moderate readiness to embrace AI in their studies (M = 2.906, SD = 0.692) and perceived moderate barriers to accessing AI technology (M = 2.336, SD = 0.719). Factors associated with students' readiness to embrace AI included self-rated technological proficiency (β = 0.170, p = 0.014), understanding of AI-powered technologies (β = 0.260, p < 0.001), and perceived AI use in nursing practice (β = 0.153, p = 0.022). The study also identified potential barriers to accessing AI technology, such as lack of computer skills to navigate AI, lack of AI knowledge and awareness, and time constraints.

CONCLUSION

The findings of this study provided valuable insights into the factors influencing student nurses' attitudes towards AI and shed light on their perceived barriers to accessing AI technology. By enhancing technological proficiency, increasing AI understanding, and providing practical experiences, nurse faculty can better prepare future nurses to effectively navigate the AI-driven healthcare environment and contribute to improved patient care outcomes.

Is numerical information always beneficial? Verbal and numerical cue-integration in additive and non-additive tasks

When people use rule-based integration of abstracted cues to make multiple-cue judgments they tend to default to linear additive integration of the cues, which may interfere with efficient learning in non-additive tasks. We hypothesize that this effect becomes especially pronounced when cues are presented numerically rather than verbally, because numbers elicit expectations about a task with a simple numerical solution that can be appropriately addressed by linear and additive integration. This predicts that, relative to a verbal format, a numerical format should be advantageous for learning in additive tasks, but detrimental for learning in non-additive tasks. In two experiments, we find support for the hypothesis that a verbal format can improve learning in non-additive tasks. The division-of-labor between cognitive processes observed in previous research (Juslin et al., 2008), with cue abstraction in additive tasks and exemplar memory in non-additive tasks, was only present in conditions with numeric information and may therefore in part be driven by the use of numeric formats. This illustrates how surface characteristic of stimuli can elicit different priors about the nature of the variables and the generative model that produced the cues and the criterion. We fitted cue-abstraction and exemplar algorithms by PNP-modeling (Sundh et al., 2021). At the end of training both cue abstraction and exemplar memory processes primarily involved exact analytic processes marred by occasional error, rather than the noisy and approximate intuitive processes typically assumed in previous studies - specifically, cue abstraction was primarily implemented by number crunching and exemplar memory by rote memorization.

Practices, barriers and facilitators to the delivery of pretravel health services by community pharmacists: A scoping review using the theoretical domains framework

BACKGROUND

The involvement of community pharmacists (CPs) in the provision of pretravel health services is increasing due to the increase in international travelers, the increased risk of travel-related diseases, and the expansion of pharmacists' scope of practice in some countries. In order to improve the quality and effectiveness of pretravel health care provided by CPs, a greater understanding of the practices, barriers, and facilitators is required.

OBJECTIVE

This scoping review aimed to identify and describe existing studies on pretravel health services provided by CPs, and the barriers, and facilitators.

METHODS

The PubMed, Science Direct, Scopus, and Web of Science databases were searched for pertinent studies from their inception to February 2023. A manual search was also conducted of prominent travel medicine journals, Google Scholar, and the reference lists of the included studies. Potential barriers and facilitators were mapped to the 14 domains of the Theoretical Domains Framework (TDF).

RESULTS

There were twelve studies included in the review. Pretravel health advice was the most prevalent form of pretravel health services. Within ten domains of the TDF, various factors that either facilitate or impede the provision of pretravel health services by CPs were identified.

CONCLUSION

The provision of pretravel health services by CPs may be affected by a number of practitioner and organizational factors. The provision of pretravel health services can be facilitated by informational resources, training and education in travel medicine, and collaboration amongst healthcare providers.

Investigating the Role of Goals and Motivation on Waste Separation Behavior Through the Lens of the Theory of Reasoned Goal Pursuit

Nowadays the prediction and change of waste-related behaviors represent a key topic for scholars and policy makers. The theoretical mainstays applied to waste separation behavior, such as the Theory of Planned Behavior (TPB), the Norm Activation Model and the Value Belief Norm, do not include the construct of goal in their formulation. Other goal-focused theories, such as the Goal Systems Theory (GST), lack applications on separation behavior. Recently, Ajzen and Kruglanski (2019) have proposed the Theory of Reasoned Goal Pursuit (TRGP) which combines TPB and GST. Considering TRGP has the potential to offer further insights on human behavior and, to our knowledge, there is no application of TRGP to recycling behavior yet, this paper analyses waste separation behavior of households in Maastricht and Zwolle (The Netherlands) under the lens of TRGP. Although waste separation behavior represents a kind of habitual behavior, this paper highlights the influence of goals and motivation on intention to separate waste. Furthermore, it offers some indications to promote behavior change and some suggestions for future research directions.

The effect of incentivization on the conjunction fallacy in judgments: a meta-analysis

The conjunction fallacy is a classical judgment bias that was argued to be a robust cognitive illusion insensitive to the positive effect of incentivization. We conducted a meta-analysis of the literature (n = 3276) and found that although most studies did not report a significant effect of incentivization, the results across studies show a significant positive effect for incentivization, d = 0.19, with an odds ratio of 1.40 for answering correctly when incentivized. There was no moderating effect of payoff size despite the differences in incentive value between studies. Additionally, the effect was relatively smaller when examining absolute differences in the probability of correct judgment instead of odds ratios, suggesting that it may be partly driven by studies with low baseline performance. These findings join those of other judgment-bias studies to suggest a small but nevertheless robust debiasing effect of incentivization.

In what ways does user experience design improve printed educational materials?

We report on a series of four studies that investigated how user experience design (UXD) can improve printed educational materials (PEMs). We examined the perceived usability of an existing PEM for breast cancer screening and observed the usability problems associated with it (Study 1). We then compared a breast cancer screening PEM created by user experience designers with two other breast cancer screening PEMS, finding that the PEM based on UXD had higher perceived usability, and lower mentions of usability problems, than the other two PEMs (Study 2). We next examined the impact of individual differences in design expertise on perceived usability, this time including a PEM on cervical cancer screening as well as one on breast cancer screening (Study 3). Our concluding study (Study 4) then examined the impacts of UXD on learnability of PEM content as defined by answers to a knowledge questionnaire about screening administered before and after reading the PEM, and by intention to screen for cancer after reading the PEM. The first three studies showed that the involvement of UXD improved the perceived usability of PEMs, and Study 3 showed that designers differ in their ability to create useable PEMs. Study 4 failed to find a corresponding improvement in learnability or intention to screen when UXD was used to improve perceived usability. We conclude that a user experience design approach that incorporates graphic design can improve the perceived usability of PEMs in some situations (e.g., when the PEM material is not too lengthy or complex, and when the graphic designer is sufficiently skilled). However, we found no evidence that lack of perceived usability accounted for the failure of PEMS (found in previous research) to improve knowledge or intention to screen.

Just One Shot? The Contextual Effects of Matched and Unmatched Intoxication on Perceptions of Consent in Ambiguous Alcohol-fueled Sexual Encounters

The current research examined how contextual factors-the quantity of alcohol consumed by each partner, and whether this quantity matched-influenced how alcohol-fueled sexual encounters were perceived with regard to consent, coercion, sexual assault, and perceived responsibility of the focal partner for the outcome of the encounter. Across four studies (Ntotal = 535), participants read vignettes in which one person described a sexual encounter they had following a night out drinking. These scenarios differed within studies as a function of quantified alcohol consumed (1 shot; 15 shots) and whether both people in the vignettes consumed the same amount of alcohol (matched; unmatched). They also differed between studies as a function of whether the couples described were mixed gender or same gender. Across all four studies, scenarios in which both people in the scenario consumed different quantities of alcohol (i.e., 15 vs. 1 shot) were seen as less consensual, more coercive, and more likely to be an assault compared to scenarios where consumption was matched, especially at lower levels of intoxication (i.e., 1 shot each vs. 15 shots each). However, focal partners were also seen as less responsible for the outcome of the interaction when levels of intoxication were unmatched compared to matched. This pattern replicated across scenarios depicting same-gender and mixed-gender couples. These findings suggest that people prioritize information regarding whether sexual partners are "matched" or "unmatched" in terms of their intoxication when evaluating whether ambiguous sexual encounters are consensual and perceived individual responsibility.

Targeting young driver emotions can reduce their cellphone distractions

OBJECTIVE

This study sought to evaluate the relationship between young drivers' intention to engage in cellphone distractions while driving and their emotions towards the associated risks. First, we assessed whether the emotions of guilt, shame, and fear are associated with young drivers' intention to engage in cellphone distractions, through an extended Theory of Planned Behavior (TPB) model. Second, we evaluated whether road signs that may evoke these negative emotions reduce cellphone use intentions among young drivers.

METHODS

An online survey was conducted with young drivers (18 to 25 years old) from Ontario, Canada. 403 responses were collected, of which, 99 responses were used to evaluate the first objective and all 403 responses were used to evaluate the second objective.

RESULTS

Anticipating feelings of guilt, shame, and fear negatively predicted the intention to engage in cellphone distractions, above and beyond the standard TPB constructs (i.e., attitudes, subjective norms, and perceived behavioral control). When prompted with potentially emotion-evoking road signs (children crossing, my mom/dad works here), an increase in anticipated feelings of these emotions corresponded with lower intention to engage in cellphone distractions.

CONCLUSION

Countermeasures that target young driver emotions toward distracted driving risks may be effective in reducing their distraction engagement. Future studies in more controlled environments can investigate causal relationships between emotions and distracted driving among young drivers.

Does social rigidity predict cognitive rigidity? Profiles of socio-cognitive polarization

Recent research has proposed a relationship between rigid political ideologies and underlying 'cognitive styles'. However, there remain discrepancies in how both social and cognitive rigidity are defined and measured. Problem-solving, or the ability to generate novel ideas by exploring unusual reasoning paths and challenging rigid perspectives around us, is often used to operationalize cognitive flexibility. Thus, we hypothesized a relation between forms of social rigidity, including Socio-cognitive polarization (i.e., a factor capturing conservative political ideology, absolutism/intolerance of ambiguity, and xenophobia), bullshit receptivity (i.e., overestimating pseudo-profound statements), overclaiming (tendency to self-enhance), and cognitive rigidity (i.e., problem-solving). Our results showed differences in performance on problem-solving tasks between four latent profiles of social rigidity identified in our sample. Specifically, those low in socio-cognitive polarization, bullshit, and overclaiming (i.e., less rigid) performed the best on problem-solving. Thus, we conclude that social and cognitive rigidity may share an underlying socio-cognitive construct, wherein those who are more socially rigid are also more likely to be also cognitively rigid when processing non-social information.

Elements Influencing Entrepreneurial Intention Among Undergraduate Students

Entrepreneurship education has a positive impact on the entrepreneurial mindset of young people, their intentions towards entrepreneurship, their employability, and finally, on their role in society and the economy. Entrepreneurship benefits students from all socioeconomic backgrounds because it teaches students to think outside the box and nurtures unconventional talents and skills. The authors will discuss the factors that may influence the entrepreneurial intention among undergraduate students in a public university in Malaysia. The determination of entrepreneurial intention level among students adopts two approaches in influencing entrepreneurial intention (attitude and aspirations) based on the theory of planned behavior. Questionnaires were distributed to 260 respondents comprising of final year students from the field of social science and the field of science and technology. The findings showed that the relationship between all factors identified in this study on entrepreneurial intention is significant and with various levels of strength.

Speak Up! Mistaken Beliefs About How Much to Talk in Conversations

We hypothesized that people would exhibit a reticence bias, the incorrect belief that they will be more likable if they speak less than half the time in a conversation with a stranger, as well as halo ignorance, the belief that their speaking time should depend on their goal (e.g., to be liked vs. to be found interesting), when in fact, perceivers form global impressions of each other. In Studies 1 and 2, participants forecasted they should speak less than half the time when trying to be liked, but significantly more when trying to be interesting. In Study 3, we tested the accuracy of these forecasts by randomly assigning participants to speak for 30%, 40%, 50%, 60%, or 70% of the time in a dyadic conversation. Contrary to people's forecasts, they were more likable the more they spoke, and their partners formed global rather than differentiated impressions.

The Role of Pandemic Fatigue in Seeking and Avoiding Information on COVID-19 Among Young Adults

The health information environment surrounding COVID-19 is complex, with varying and competing information. This study uses the risk information seeking and processing model (RISP) to examine COVID-19 information seeking and avoiding among young adults. Pandemic fatigue is also operationalized and tested as a more nuanced measure of negative affective response within the RISP framework. Survey results (N = 527) reveal pandemic fatigue predicts information seeking and avoidance, but may have a weaker influence on these outcome variables than the RISP's original construct of negative affective response. Additionally, the original RISP model achieved slightly more explanatory power in predicting risk information seeking than our revised RISP model, using pandemic fatigue as an alternative measure of negative affective response. These findings indicate that contemporary concepts such as pandemic fatigue may be incorporated into applications of the RISP model, thus allowing researchers to evaluate other types of negative affective responses to risk and further expanding the utility of the model. Theoretical implications and practical recommendations for public health officials and health care workers are discussed.

Determinants of Low-Income Women's Participation in Self-Collected Samples for Cervical Cancer Detection: Application of the Theory of Planned Behavior

BACKGROUND

Low-income women (LIW) are underrepresented in physician-provided cervical cancer screening. Providing women with an option for Human Papillomavirus (HPV) self-sampling would increase cervical cancer screening. However, little is known about LIW's attitude towards self-sampling for cervical cancer. We determined the associations between the Theory of Planned Behavior (TPB) constructs and LIW intention for participation in the HPV self-sampling.

METHODS

A 44-item survey was administered among women receiving food from a food pantry in central Texas. Independent variables included TPB constructs (i.e., attitudes, subjective norms, and perceived control). The outcome variables were intentions and preference for self-sampling. Both variables were measured on a 5-point scale. Hierarchical linear regression models were used to analyze the data.

RESULTS

A sample of 241 participants (age 50.13 ± 9.60 years) comprising non-Hispanic White (40%), Black/African American (27%), and Hispanic (30%) participated in the study. The participants were current with a pap test (54.8%) and preferred self-sampling (42%). The participant's attitudes and subjective norms were significantly associated with their intention for self-sampling, accounting for 38.7% of the variance (p < .001). Women who were overdue for pap testing versus current with pap testing had increased odds of preferring self-sampling (OR = 1.72, 95% CI: 1.27, 6.04).

CONCLUSIONS

The key predictors for LIW's intention for self-sampling included attitudes and subjective norms. Future research should use the TPB as a framework to examine whether intention predicts self-sampling behavior among LIW.