"It's about wanting to disappear from the world… " - an interpretative phenomenological analysis on the meaning of music and hearing-related risks

PURPOSE

To explore the role and meaning of music in adolescents' lives and the adolescents' ways of understanding how music listening can impact hearing-health.

METHODS

Open-ended interviews and Interpretative Phenomenological Analysis (IPA). The analysis involves both individual and more generalized investigations based on the contributions from seven participants.

FINDINGS

The findings show that music is an integrated and habitual aspect of the adolescents' daily lives, used as a tool for emotion regulation, cognitive enhancement, and creating personal space where one can be free from outside criticisms and distractions. There is a preference for music listening in headphones which creates a more intense and private experience. There are varying levels of awareness of the potential hearing-health risks, but the profound meaning of music for their well-being often overshadows any concerns.

CONCLUSIONS

Despite awareness of potential hearing-health risks, the adolescents prioritize the immediate emotional and cognitive benefits of music. Technological advancements and increased social media interactions contribute to a trend towards more personalized music listening. These insights call for more complex intervention strategies and models for health promotion which account for the positive aspects of music listening, instead of merely focusing on the potential risks of loud music.

Factors influencing hepatitis B vaccination intention and behavior among college students in Tibet: Insights from the expanded theory of planned behavior

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.

Psychometric properties of the revised Ukrainian version of the Continuous Traumatic Stress Response scale (CTSR) in the context of the Russo-Ukrainian war

Background: The Continuous Traumatic Stress Response scale (CTSR) was designed to measure symptoms associated with multiple ongoing security threats in the context of Israeli-Palestinian conflict. Since 2014, Ukraine has faced armed invasion and war, with nationwide insecurity since February 2022.Objective: This study aimed to adapt the CTSR scale into Ukrainian and evaluate its psychometric properties within a Ukrainian sample during the ongoing war.Method: The Ukrainian adaptation of the CTSR followed the procedure used in creating the original instrument (Goral, A., Feder-Bubis, P., Lahad, M., Galea, S., O'Rourke, N., & Aharonson-Daniel, L. (2021). Development and validation of the Continuous Traumatic Stress Response scale (CTSR) among adults exposed to ongoing security threats. PLoS One, 16(5), e0251724). To identify a unique context-specific factor structure relevant to the Ukrainian experience, the initial 25 items were tested in a sample of 584 Ukrainians using exploratory and confirmatory factor analyses. Subsequently, the established scale structure was assessed for homogeneity, and convergent validity using measures of depression (PHQ-9), anxiety (GAD-7), perceived stress (PSS-4), resilience (BRS), and PTSD symptoms (PCL-5).Results: A three-factor, 9-item solution, representing the constructs of exhaustion, alienation, and helplessness, demonstrated the most acceptable fit among all the alternative CTSR models, including the original: χ2 = 72.84, df = 24, p < .001, χ2/ (df) = 3.04, CFI = 0.94, TLI = 0.91, SRMR = 0.05, RMSEA = 0.08. Cronbach's α for internal consistency ranged from 0.68 to 0.84 for total score, and subscales. Significant positive correlations ranging from 0.41 to 0.67 with symptom severity of depression, anxiety, perceived stress, and PTSD established the convergent validity of the Ukrainian CTSR, indicating that it measures related yet distinctive psychological phenomena of reactions to continuous traumatic stress.Conclusions: The revised Ukrainian version of the CTSR scale is a reliable and valid measure of continuous traumatic stress response, accurately reflecting its manifestation in the Ukrainian context. These findings are crucial for guiding clinical interventions and research in prolonged war environments, where understanding the nuances of ongoing trauma is essential.

Health behavioural change - the influence of social-ecological factors and health identity

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.

Acceptance and attitudes towards COVID-19 vaccination during pregnancy in Canada

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.

"The big topic is COVID": A qualitative study about changes in HPV vaccine conversations between parents and primary care team members throughout the COVID-19 pandemic

Pandemic-related disruptions in primary care delayed important discussions between providers and parents about routine vaccinations. Conversations have become even more challenging since the COVID-19 pandemic due to increased vaccine hesitancy. This qualitative study explored changes in human papillomavirus (HPV) vaccine conversations within the context of the pandemic from the perspective of primary care team members (PCTMs). Twenty-five PCTMs serving children between 9 and 17 y old in Pennsylvania during the pandemic were conveniently sampled. PCTMs rated their confidence and agreement related to HPV vaccine conversations and pandemic impact. Semi-structured interview questions assessed changes in their HPV vaccine conversations throughout the pandemic. Open-ended questions inquired about PCTMs' thoughts on the COVID-19 pandemic and if or how it impacted HPV vaccination uptake in their practice. Data were collected from May to July 2024. Verbatim transcriptions were analyzed using both inductive and deductive approaches to thematic analysis. Participants were 44% pediatricians, 50% had ≥20 y experience, and 68% were White. Six themes emerged: (1) parents show a range of reactions about HPV vaccination; (2) disruptions in healthcare visits and heightened parental concerns impede vaccination; (3) PCTMs notice clear changes in vaccine acceptance rates; (4) reasons for vaccination refusal have not substantially changed as a result of the pandemic; (5) importance of interpersonal relationships with parents; and (6) PCTM burnout impacts conversations. The pandemic added challenges to HPV vaccine conversations with parents. Findings from this study can be used to refine existing communication approaches to improve HPV vaccine conversations in primary care.

Mindful moms: acceptability and impact of co-designed and digitally delivered video meditations for pregnant and parenting women with opioid use disorder

INTRODUCTION

Perinatal opioid use disorder (OUD) remains a public health epidemic. Stress, anxiety and depression are disproportionately high among this population and are associated with poor recovery outcomes. Mindfulness interventions show promise for supporting recovery for women. This paper reports results of a pilot study to evaluate initial efficacy and acceptability of digitally delivered mindfulness meditation videos to reduce stress and promote mindfulness among women in recovery.

METHODS

Women with lived experience of OUD were recruited from three outpatient programs that provided care to pregnant and parenting women with a history of opioid use in rural northern New England (2 maternity care settings that offered buprenorphine as part of their service menu and 1 academic substance use treatment setting). In a pre-post study design, participants were randomly assigned to receive four of 16 short meditation videos, each delivered by email in a survey link over a 2-week period (2 per week) Videos were co-designed in earlier work with representative end-users, guided by evidence-based mindfulness interventions. Assessment included the Perceived Stress Scale and the Mindfulness Attention Awareness Scale. Participants rated each video on usefulness, enjoyability, ability to lower anxiety, and intention to use in the future. Participants also provided open-ended feedback about the videos. Data were analyzed using descriptive statistics, paired t-tests, and generalized linear modeling.

RESULTS

A total of 20 women, ages 24-36 years, completed the pilot study. Most participants (95%) were white and non-Hispanic, reflecting the rural region. Marginal mean perceived stress scores decreased significantly from 21.49 to 19.85 [p = 0.05, d = 0.43] and mean mindfulness scores increased significantly from 3.47 to 3.76 [p = 0.04, d = 0.45]. Overall, the meditation videos were rated as highly acceptable and useful and a majority (80%) indicated intention to use the meditations in the future.

CONCLUSION

Digitally delivered meditation videos were highly acceptable and useful to participants and the low dose intervention reduced stress and improved mindfulness. Findings inform directions for future research with larger samples to evaluate the effectiveness of this accessible digital intervention to support women in recovery and strategies for broadly implementing the intervention.

Evaluating the impact of an educational intervention with cognitive rehearsal training on preparing pre-registration nursing students to respond to workplace incivility

BACKGROUND

Workplace incivility can cause distress to nursing students and adversely affect team cohesiveness which can then negatively affect the quality of patient care. Preparing students to foster healthy work environments and deal with acts of incivility that threaten teamwork and patient safety becomes increasingly important as nursing students progress through their academic careers.

OBJECTIVES

This study aimed to assess the impact of structured education based on cognitive rehearsal response training on pre-registration nursing students' self-efficacy perceptions in dealing with workplace incivility.

DESIGN

A single-group pre - and post - intervention study design.

SETTINGS & PARTICIPANTS

A consecutive sample of 91 third-year pre-registration Bachelor of Nursing students across three campuses of a single university participated in the study between August and October 2022.

METHODS

A concurrent nested mixed method design comprising a structured educational intervention and a 'before and after' survey (open-ended and closed-ended questions) was conducted to evaluate the efficacy of the intervention on nursing students' perceived self-efficacy in handling workplace incivility. The quantitative component was supplemented by qualitative insights from free-text comments on the quality and effectiveness of, and satisfaction with the educational intervention.

RESULTS

Participants reported an increase in perceived self-efficacy of 4.8 (SD = 4.5) points, 95 % CI [3.8, 5.8], during the post-intervention phase compared to the pre-intervention stage. This difference was statistically significant, t (90) = 10.2, p < .001, and large, d = 0.84. Additionally, the overall effectiveness of the educational intervention was rated highly, with a mean score of 8.51 and SD of 1.71. Qualitative content analysis revealed five categories: knowledge is power, the cue card method, simple and clear, role-playing realism, and the road to improvement and change. Qualitative content analysis revealed five categories: knowledge is power, the cue card method, simple and clear explanation, role-playing realism, and the road to improvement and change.

CONCLUSION

Cognitive rehearsal response training significantly enhanced nursing students' perceived self-efficacy in handling workplace incivility. Larger-scale randomised controlled trials are warranted in order to validate these findings and support broader scale implementation.

The longitudinal (in)stability and cognitive underpinnings of children's cheating behavior

There has been a long-standing debate about whether cheating is a stable behavior across various situations. However, there is a notable gap in our understanding about whether children's cheating behavior could exhibit stability over time. Moreover, research on the cognitive correlates of children's cheating is limited, yet exploring these cognitive factors is essential for understanding how children make (dis)honest decisions. This study aimed to test the longitudinal stability in children's cheating tendency and frequency and to explore the cognitive underpinnings of cheating behavior (theory of mind, inhibitory control, and free will belief). The study involved 100 children aged 3 to 6 years who were initially tested at Time 1, and 89 of these participants were retested at Time 2 approximately 1 year later. Cheating behavior was measured using a die-rolling game over Zoom, and three different cognitive abilities were measured. The results indicated that children's cheating tendency was stable over a year-long interval, whereas cheating frequency did not show longitudinal stability. Moreover, the study found that free will belief was related to cheating behavior, whereas theory of mind and inhibitory control were not. Specifically, children's belief in the free will to inhibit their desires, rather than their actual ability to inhibit the desires, was associated with a reduced frequency and likelihood of cheating. The findings can provide insight into the developmental origin of children's decisions to refrain from cheating.

Power asymmetry destabilizes reciprocal cooperation in social dilemmas

Direct reciprocity has been long identified as a mechanism to support the evolution of cooperation in social dilemmas. While most research on reciprocal cooperation has focused on symmetrical interactions, real world interactions often involve differences in power. Verbal theories have either claimed that power differences enhance or destabilize cooperation, indicating the need for a comprehensive theoretical model of how power asymmetries affect direct reciprocity. Here, we investigate the relationship between power and cooperation in two frequently studied social dilemmas, the prisoner's dilemma (PD) and the snowdrift game (SD). Combining evolutionary game theory and agent-based models, we demonstrate that power asymmetries are detrimental to the evolution of cooperation. Strategies that are contingent on power within an interaction provide a selective advantage in the iterated SD, but not in the iterated PD. In both games, the rate of cooperation declines as power asymmetry increases, indicating that a more egalitarian distribution of the benefits of cooperation is the prerequisite for direct reciprocity to evolve and be maintained.

Unveiling training effectiveness through behavior and performance evaluations: A case from developing country

This study investigates the effects of training on behavioral changes and overall performance at both the employee and organizational levels within the private banking sector of Bangladesh. Using the Theory of Planned Behavior (TPB) and Goal-Setting Theory (GST) as the theoretical framework, the research explores the underexamined third and fourth levels of Kirkpatrick's training evaluation model, focusing specifically on behavioral outcomes and their subsequent influence on performance. Data collected from employees through structured questionnaires were analyzed using the Paired sample t-test. Findings reveal that training positively impacts employee behavior and enhances individual and organizational performance, particularly in effective teamwork, job satisfaction, work quality, task efficiency, and retaining existing clients while attracting new ones. This study represents one of the first empirical investigations in the banking sector of Bangladesh to link behavioral change evaluation to performance outcomes evaluation following training interventions. The research provides valuable insights for policymakers and organizational leaders, emphasizing the need for comprehensive training programs to promote skill development and behavioral and performance improvements. Future research should incorporate a larger sample size, adopt a longitudinal design, use advanced statistical methods like structural equation modeling (SEM), and investigate moderating variables to better understand the complex relationships between training interventions, employee behavior, and performance outcomes.

A design science approach to mixed-methods evaluation in serious game research

For a serious game to be effective, it must undergo rigorous validation process. A Design Science approach advocates the use of quantitative or qualitative research methodologies within the creation and validation of artifacts, an approach suitable for evaluating serious games as educational tools. This study presents a methodological framework that integrates quantitative measurement and qualitative inquiry to assess the effectiveness of a serious game designed for ethics education. We provide access to the quantitative questionnaire, its codebook, and the dataset generated during the validation of the authors' approach using a serious game for teaching business ethics. The integration of both methods allowed us to validate the game as a relevant and effective strategy for promoting ethical reflection among university students. These findings support the consistency and reliability of the method used for validating serious games. Methodological Highlights•The quantitative assessment is based on the Technology Acceptance Model III (TAM III) and the Theory of Planned Behavior (TPB).•Qualitative inquiry analyzes students' group work to understand their perceptions of ethical phenomena after gameplay.•Professors can use insights from students' perceptions as a starting point or framework for takeaways in future game applications.

Drivers of environmental debris in metropolitan areas: A continental scale assessment

Plastic pollution is rapidly increasing, with land-based sources being the major contributors. Understanding the factors driving waste movement from land to sea is crucial for reducing leakage to the environment and its subsequent impact. In 2023 we conducted a stratified survey of mismanaged waste in the environment across six Australian metropolitan regions, covering inland, riverine, and coastal habitats, to determine a national baseline of debris in the environment. We completed 1907 transects, and found average debris density was 0.15 items m-2. Debris quantity was patchy and typically higher in areas with intensive land use, such as urban and agricultural zones, and socio-economically disadvantaged regions. Polystyrene (24 % of fragments) and cigarette butts (20 % of whole items) were the most common debris types. Most items could be identified by material type but not by specific use (e.g. unknown hard plastic fragments were found in 28 % of all transects). Comparing our coastal results to a survey from 10 years prior, we found a significant 39 % decrease in the national mean coastal debris density, and a 16 % increase in transects where no debris was found. Our study finds evidence to support how historical policies, practices, outreach campaigns, clean-up efforts and local custodianship have contributed to reducing debris in metropolitan coastal habitats. This national baseline study offers a benchmark to evaluate the effectiveness of new policies, practices, and awareness campaigns.

Observational learning of exploration-exploitation strategies in bandit tasks

In decision-making scenarios, individuals often face the challenge of balancing between exploring new options and exploiting known ones-a dynamic known as the exploration-exploitation trade-off. In such situations, people frequently have the opportunity to observe others' actions. Yet little is known about when, how, and from whom individuals use observational learning in the exploration-exploitation dilemma. In two experiments, participants completed multiple nine-armed bandit tasks, either independently or while observing a fictitious agent using either an explorative or equally successful exploitative strategy. To analyze participants' behaviors, we used a reinforcement learning model (simplified Kalman Filter) to extract parameters for both copying and exploration at the individual level. Results showed that participants copied the observed agents' choices by adding a bonus to the individually estimated value of the observed action. While most participants appear to use an unconditional copying approach, a subset of participants adopted a copy-when-uncertain approach, that is copying more when uncertain about the optimal action based on their individually acquired knowledge. Further, participants adjusted their exploration strategies in alignment with those observed. We discuss, in how far this can be understood as a form of emulation. Results on participants' preferences to copy from explorative versus exploitative agents are ambiguous. Contrary to expectations, similarity or dissimilarity between participants' and agents' exploration tendencies had no impact on observational learning. These results shed light on humans' processing of social and non-social information in exploration scenarios and conditions of observational learning.

Mapping vulnerability factors of chronic emotional and social loneliness: A network analysis

BACKGROUND

Chronic loneliness adversely impacts both mental and physical health. As current interventions are only moderately effective, examining vulnerability factors reflected in interpersonal behavior and their relationships with specific chronic loneliness subtypes may provide insights. The present study explored the associations between loneliness vulnerability factors and two subtypes of chronic loneliness: chronic emotional loneliness (a longing for intimate connections) and chronic social loneliness (dissatisfaction with the quantity and quality of one's social network).

METHODS

The sample consisted of 294 university students who had recently started at a new university. Participants completed surveys across three time points, separated by three-month intervals, including questionnaires on emotional and social loneliness, adult attachment styles, interpersonal behavioral styles, and features of emotional disorders. To explore relationships, we used network analysis by estimating a Mixed Graphical Model (MGM), in which chronic emotional loneliness and chronic social loneliness were dichotomized as binary variables (absence versus presence), while vulnerability factors were treated as continuous variables.

RESULTS

The network analysis demonstrated that chronic loneliness subtypes were differentially linked to vulnerability factors. Chronic emotional loneliness was predominantly linked to features of emotional disorders, whereas chronic social loneliness demonstrated a negative conditional association with secure attachment style.

LIMITATIONS

The assessment of chronic loneliness was based on three time points, which does not capture potential fluctuations between assessments.

CONCLUSIONS

These findings highlight the importance of differentiating between chronic loneliness subtypes when examining vulnerability factors. By distinguishing these subtypes, tailored interventions for loneliness can be developed to enhance prevention.

Perceptions of Empathic and Compassionate Healthcare Encounters: An International Exploratory Qualitative Descriptive Study

BACKGROUND

Empathy and compassion are integral to person-centred care. Contemporary literature also provides evidence of the impact of empathic and compassionate care on patient outcomes, including enhanced satisfaction with care and improved patient safety. Notably, a previous scoping review identified only a limited number of studies exploring patients' experiences of empathic and compassionate care, underscoring the need for further research on patients' and their significant others' perspectives and experiences of empathic and compassionate healthcare encounters.

OBJECTIVE

The aim of this paper is to explore patients' and their significant others' perceptions of empathic and compassionate healthcare encounters.

METHODS

This qualitative descriptive international survey recruited people who were willing to report on a personal experience with a healthcare professional that demonstrated positive or negative examples of empathic and/or compassionate care. Data were analysed using Framework Analysis.

RESULTS

A total of 84 participants from the Pacific region, the United States of America, and Europe reported encounters with nurses, doctors, allied health professionals, and multidisciplinary teams. Analysis revealed four overarching themes: (1) Verbal and non-verbal communication; (2) Clinician attitudes and attributes; (3) The power of small, thoughtful gestures; and (4) Enduring impact of empathic care.

CONCLUSIONS

To promote empathic and compassionate care, there needs to be a holistic focus on practitioner communication across the bio-psycho-social-spiritual domains. When these elements are included in interactions with patients and their significant others, healthcare providers can have a powerful and long-lasting impact on people's experiences and health outcomes.

A theory-based educational intervention to increase mothers' intention to vaccinate their daughters against human papillomavirus: A randomised controlled trial

OBJECTIVE

The current study aimed to examine the effectiveness of a web-based educational intervention based on the theory of planned behaviour (TPB) in enhancing mothers' knowledge of human papillomavirus (HPV) and its vaccine, attitudes towards the HPV vaccine, subjective norms, perceived behavioural control, and intention to vaccinate their daughters against HPV.

METHOD

A randomised controlled trial was conducted. The sample comprised 214 mothers of adolescents from 10 intermediate schools in Saudi Arabia. After collecting baseline data, the participants were randomly assigned to control and intervention groups. The TPB-based intervention was delivered online to the intervention group, and post-test data were collected from both groups. A mixed-effects model of covariance was used to test the effect of the intervention.

RESULTS

There were no significant differences between the two groups at baseline. One month after delivery, the intervention was found to have a significant effect on mothers' knowledge (F (1, 211.15) = 72.40, p < .001), attitudes (F (1, 211.11) = 110.57, p < .001), subjective norms (F (1, 211) = 34.55, p < .001), perceived control behaviour (F (1, 211.12) = 144.01, p < .001), and intention to vaccinate their daughters against HPV (F (1, 211.05) = 113.64, p < .001).

CONCLUSION

The study showed that the web-based intervention based on the TPB was effective in increasing mothers' knowledge, attitude, subjective norms, perceived control behaviour, and intention to vaccinate their daughters after 1 month.

PRACTICE IMPLICATIONS

The findings underscore the significance of popularising and implementing such interventions to boost HPV vaccine coverage among adolescents.

The Interaction Between Job Embeddedness and Leader-Member Exchange (LMX) in Predicting Employee Altruism and Deviance

Drawing upon conservation of resources and social bonding theories, the present study examined the associations between job embeddedness and employee work behaviors (altruism and organizational deviance) by exploring the moderating role of leader-member exchange (LMX) in these associations. Using a cross-sectional research design, data were collected from a sample of 637 employees in Turkey. The data were analyzed using confirmatory factor analysis, structural equation modeling, and bootstrapping. The findings indicated that job embeddedness was positively related to employee altruism while negatively related to organizational deviance. This study also provided support for the moderating role of LMX in job embeddedness-altruism and job embeddedness-organizational deviance relationships. More specifically, job embeddedness had a stronger positive relationship with altruism and a stronger negative relationship with organizational deviance when LMX quality was high. These findings substantiate the pivotal role of focusing on both job embeddedness and the treatment by supervisors in the organization to inculcate desirable workplace behaviors and employee performance motivation. The implications are discussed as well as limitations, and directions for future research are provided.

Peer Attachment Style Moderates the Effect of Mood on Creativity

The present study investigated the moderating role of peer attachment style in the relationship between mood and creativity. An experiment was conducted with a sample of 267 undergraduate students (Mage = 19.85, range = 17-24 years). First, participants' peer attachment style was measured, following which positive, neutral, or negative mood was induced; subsequently, two creative tasks were conducted. A MANOVA revealed significant interactions between peer attachment and mood. Specifically, for secure participants, creativity was significantly higher in the positive mood state compared to the neutral and negative mood states; for insecure participants, the effect of positive mood was not pronounced. Moreover, negative mood exerted a significant beneficial effect on the originality dimension for participants with an anxious-ambivalent peer attachment style; they showed higher creativity in the negative mood state than in the neutral or positive mood states. In general, peer attachment style moderated the relationship between mood and creativity; specifically, positive mood was beneficial to creativity among secure persons, and negative mood was beneficial to creativity among anxious-ambivalent persons.

Understanding motorcycle crash involvement: Insights from regular motorcyclists and food delivery riders in Vietnam

Motorcycles have become a primary mode of transportation in many low- and middle-income countries, including Vietnam, where they are widely used for personal transport and commercial activities. The growing reliance on motorcycles, driven by rapid urbanization and the rise of app-based delivery platforms, has brought economic benefits but also significant public health concerns due to the high incidence of road traffic crashes. This study, based on a questionnaire survey targeting regular motorcyclists and food delivery riders in Vietnam, examines and compares the factors contributing to crash involvement between two groups, regular and delivery riders. Random parameters models with heterogeneity in means and variances were employed to capture variability in respondent behaviors. The results reveal that psychological factors, such as negative attitudes toward traffic rules and intentions to violate rules, significantly increase crash involvement for both regular and delivery riders, with the effect being more pronounced among delivery riders due to job pressures. Conversely, positive attitudes reduce crash involvement but are less effective for delivery riders due to high time pressures and frequent distractions. Perceived severity of crashes and the swiftness of sanctions also play critical roles: higher perceived severity promotes safer behavior, while the threat of sanctions deters risky actions for both groups. Rider attributes, such as age, education, and income, influence crash involvement, with younger and lower-educated riders facing higher risks among both groups due to inexperience and limited traffic knowledge, while income effects vary between regular and delivery riders. Travel characteristics, such as travel durations of more than two hours, increase crash involvement due to fatigue and exposure, particularly affecting delivery riders who navigate complex urban environments and face frequent distractions. The findings also highlight the importance of addressing heterogeneity in data analysis for more comprehensive insights. Moreover, based on these results, various policy implications are provided to reduce traffic crashes and enhance safety for motorcyclists in motorcycle-dominated countries.

Leveraging Empowering Leadership to Improve Employees' Improvisational Behavior: The Role of Promotion Focus and Willingness to Take Risks

Improvisational behavior is an individual's spontaneous and creative behavior in the face of emergencies, using existing material and emotional resources to respond quickly and effectively to uncertain situations. Despite increasing interest in this behavior, its antecedents remain unclear, with particular ambiguity regarding the relationship between empowering leadership and employee improvisational behavior. The present article addresses this ambiguity with the theory of reasoned action to examine whether the impact of empowering leadership on employees' improvisational behavior is determined by employees' attitudes toward such behavior. In this study, a multi-source design was adopted, and data (339 valid samples) were collected from five Internet companies in China's Jiangsu and Zhejiang provinces. Hierarchical regression and bootstrapping methods were used to test the hypotheses. The results reveal that (1) employees' promotion focus moderates the relationship between empowering leadership and improvisational behavior and (2) employees' willingness to take risks mediates the moderating effect of promotion focus. Our findings demonstrate employees' attitudinal utility in explaining when improvisational behavior is most likely to occur under empowering leadership.

Evaluating the effect of computer-based education on pharmacist behaviour regarding point-of-care testing

Background

Recent regulatory changes in Ontario have enabled pharmacists to perform point-of-care testing (POCT) to manage chronic diseases. With the introduction of any new service(s), educational interventions can aid acceptance and implementation. Computer-based education (CBE) improves pharmacists' knowledge, but there is little evidence of its effect on pharmacist behaviour. This study assessed the impact of CBE on pharmacist knowledge, behaviour intention, and adoption of POCT.

Methods

A three-month, web-based, randomized controlled trial was conducted between April 2024 and Sep 2024 with community pharmacists in Ontario, Canada. The intervention group was asked to complete two POCT modules using a CBE platform, while the control group was asked to review reference materials about POCTs. The primary outcome, the difference in the number of POCTs performed, was collected using monthly reports. Secondary outcomes (knowledge gain and changes in the Theory of Planned Behaviour (TPB) constructs: attitude, subjective norm, perceived behavioural control, and behaviour intention) were assessed using selfreported surveys. Generalized linear models (GLM) with negative binomial distribution were used to analyze the number of POCTs. Knowledge gain was analyzed using repeated measure ANOVA and binomial regression. TPB constructs were analyzed within groups using paired sample t-tests and between groups using two-sample ttests.

Results

Of the 261 pharmacists recruited, 201 completed the pre-study survey, 135 completed the one-week post-test, and 104 completed the three-month post-test. There was a significant difference in knowledge test scores between the two groups at one week (P = .001) and three months (P < .00). There was no significant difference in behavioural constructs between the two groups at three months. However, attitude increased significantly for both groups (intervention group 3.6 ± 0.6 Vs. 3.95 ± 0.5 P < .001; control group 3.5 ± 0.6 Vs. 3.8 ± 0.5 P < .001). There was no significant change in the number of POCTs performed after one, two, and three months for both study groups.

Conclusion

CBE improved pharmacists' knowledge of POCT but showed a limited effect on pharmacist intention or behaviour. The study highlighted that knowledge alone does not influence behaviour change. Factors such as organizational support, adequate reimbursement, and expanded practice scope (e.g., prescribing) are critical to enhance POCT implementation.

Examining Online Behaviors of Young Adults During the Covid-19 Pandemic Social Isolation Period with Regard to Life Satisfaction, Loneliness, and Hostility

The Covid-19 pandemic exposed individuals to intense restrictions and social isolation, as well as the possibility of deterioration of physical health. In the pandemic period, the Internet has become the principal avenue for social interaction, leisure related activities, and school-work pursuits for most people and consequently problematic Internet use (PIU) has increased dramatically in this period. Modeling of PIU among university students - considered one of the most negatively affected groups at this time - along with PIU subconstructs as well as indicators of psychological well-being - life satisfaction, loneliness, and hostility - will be valuable in directing future studies. This study examined the effects of the psychological well-being indicators of life satisfaction, loneliness, and hostility on PIU constructs; the preference for online social interaction, Internet use for mood regulation, and deficient self-regulation of Internet use during the Covid-19 pandemic social isolation period. Participants were 418 undergraduate students from a public university (130 male and 288 female). Results revealed that young adults with low life satisfaction have been more likely to problematically use the Internet to regulate their mood during the Covid-19 pandemic. Hostility and loneliness between which there is a moderately strong direct relationship, were similarly related to deficiently self-regulated Internet use. Moreover, individuals experiencing feelings of loneliness are more likely to use the Internet problematically for online social interaction purposes, while those experiencing feelings of hostility are more likely to use it problematically for mood regulation purposes. Given the significant relationships between indicators of psychological well-being and PIU, higher education institutions should take measures to prevent PIU behaviors in their students in case they face potential periods of social isolation.

State-of-the-arts methods for studying factors driving the utilization of open science resources

The open science movement aims to democratize essential scientific values, including rigor, transparency, availability, and replicability. However, open science resources are still often underutilized. A comprehensive evaluation of the factors influencing the use of these resources is urgently needed. This evaluation not only supports evidence-based policymaking to help researchers thrive in a highly competitive academic environment but also prevents misunderstandings and confusions related to emerging scientific practices. This article presents a survey-based framework for understanding the factors that affect the ability to utilize open science resources. To achieve this, we will integrate relevant factors such as capabilities, attitudes, perceived costs and benefits, cultural and institutional influences, and alignment of values into our analytical framework. These factors are derived from significant theories that have been applied to study the acceptance and use of information systems: the Theory of Planned Behavior, Self-Determination Theory, the Unified Theory of Technology Use and Acceptance, Self-Efficacy Theory, and the value-filtering model known as Mindsponge Theory.We will briefly introduce the key elements of these frameworks and discuss their applications in the context of utilizing open science resources as well as in the broader context of innovation adoption. Furthermore, we argue that elements from these models significantly overlap and complement one another. Therefore, to thoroughly evaluate the factors affecting the utilization of open science resources, it is essential to coherently combine aspects from these models into a unified analytical framework.

Similar failures of consideration arise in human and machine planning

Humans are remarkably efficient at decision making, even in "open-ended" problems where the set of possible actions is too large for exhaustive evaluation. Our success relies, in part, on processes for calling to mind the right candidate actions. When these processes fail, the result is a kind of puzzle in which the value of a solution would be obvious once it is considered, but never gets considered in the first place. Recently, machine learning (ML) architectures have attained or even exceeded human performance on open-ended decision making tasks such as playing chess and Go. We ask whether the broad architectural principles that underlie ML success in these domains generate similar consideration failures to those observed in humans. We demonstrate a case in which they do, illuminating how humans make open-ended decisions, how this relates to ML approaches to similar problems, and how both architectures lead to characteristic patterns of success and failure.

Riding with distraction: Exploring the intention and behaviour of smartphone use while riding among motorcyclists in Vietnam

The pervasive use of smartphones has significantly contributed to distracted driving, a leading cause of road traffic accidents globally. This study investigates the behavioural intentions and patterns of smartphone use while riding among motorcyclists in Vietnam, integrating the Theory of Planned Behaviour (TPB) with the Stimuli-Organism-Response (SOR) framework to encompass factors such as riding exposure and time pressure. A questionnaire survey was conducted, gathering data from 1,051 young motorcyclists. Using Partial Least Squares Structural Equation Modelling (PLS-SEM), the study identifies high levels of smartphone engagement during riding, driven primarily by Perceived Behavioural Control (PBC), which exhibited a stronger influence on behaviour than Attitudes and Social Norms. Notably, time pressure significantly enhanced the intention to use smartphones, suggesting that riding under time constraints could exacerbate the risk of distracted riding incidents. The findings highlight critical implications for road safety interventions and policy formulation, emphasising the need for targeted educational programmes and stricter enforcement measures to mitigate smartphone-induced distractions among motorcyclists at a higher risk of traffic accidents. The study contributes to understanding distracted riding behaviours in motorcycle-dominant regions, providing a foundation for future research and preventive strategies.

How Team Familiarity Mitigates Negative Consequences of Team Composition Disruptions: An Analysis of Premier League Teams

In today's dynamic work environment, teams are increasingly confronted with disruptions. While there are different types of disruptions that teams face, we contend that team composition disruptions that occur during the completion of a team's task can be especially challenging. We also argue that it is important to consider different types of team composition changes as they create different demands for team adaptation. Specifically, we assess the effects of loss of a team member and change in team membership resulting from injury substitution. We examine how these two types of team composition disruptions impact coordination and team outcomes (i.e., goals scored) by leveraging data from 2,280 soccer games in the English Premier League. We found that team member loss impaired both team coordination and outcomes while team member substitution only impacted team coordination. Moreover, we build upon and extend existing research that has examined team familiarity by distinguishing between familiarity that is built amongst members on the current team (i.e., current team familiarity) and familiarity that has developed as a result of members working together in prior teams (i.e., prior team familiarity). This distinction appears important as we did not find evidence of a main effect of prior team familiarity on coordination but found evidence of a reversing curvilinear effect of current team familiarity on coordination. Finally, the indirect effect of team member loss on team outcomes through team coordination was more pronounced when teams had low (compared to high) prior team familiarity.

Optimising invitation and advance notification letters to increase bowel cancer screening participation: A qualitative analysis

OBJECTIVES

To explore how letters distributed in population bowel cancer screening programmes could be modified to increase bowel cancer screening uptake, from the perspective of screening invitees.

METHODS

Sixty-three people aged 48-74 years discussed their preferences regarding letter design and content during semi-structured interviews aided by various example letters designed to notify of, or invite participants to, the Australian National Bowel Cancer Screening Programme (NBCSP). Deductive thematic analysis, informed by the Integrated Screening Action Model (I-SAM), was used to interpret participant feedback and provide recommendations for improvements to the letters in alignment with the theoretical stages of bowel cancer screening behaviour (engaging, deciding, and completing the screening kit).

RESULTS

Participants generally agreed that effective letters should feature a clear, eye-catching design to enhance initial engagement. Messages targeting emotional barriers and content tailored to prior screening history were seen as crucial to drive screening decision-making. Finally, step-by-step instructions, deadlines, and reminders were identified as facilitators of kit completion, bridging the gap between intention and action.

CONCLUSIONS

The findings of this study align with the I-SAM framework for understanding the progression of screening behaviours and highlight key design elements that can enhance the effectiveness of bowel cancer screening invitations. The design and messaging within screening letters has the potential to address common concerns and encourage screening participation.

PRACTICE IMPLICATIONS

The simplification of letter design, and integration of tailored messaging strategies, simple kit instructions, reminders, and deadlines could boost engagement and help bridge the intention-behaviour gap, driving increased screening participation.

The Effects of Feeling Envied on Employees' Psychological Safety and Work Engagement: The Role of Workplace Friendship

Despite the increasing interest of feeling envied in recent studies, understanding of its outcome is still limited. Based on the theory of social information processing, this study aims to examine how feeling envied affects work engagement through psychological safety, and how the effect of feeling envied is moderated by workplace friendship. Two rounds of surveys were conducted, and a sample of 340 participants was collected in China. The results show that feeling envied reduces employees' psychological safety, which in turn impacts their work engagement. Further, the negative effect of feeling envied is mitigated under a higher level of workplace friendship. This study contributes to the literature by further explaining the theoretical mechanism regarding the outcomes of feeling envied. The results can provide managers helpful suggestions to alleviate the negative outcomes of feeling envied.

Humble leadership and nurses' turnover intention: The moderating effect of leader expertise

AIM

This study was designed to examine the relationship between humble leadership and nurses' turnover intention and investigate the moderating role of leader expertise in this relationship.

BACKGROUND

Leader humility and expertise are two key dimensions of professional spirit in competitive magnet organizations. Many organizational factors could make nurses take a decision to leave their organization; however, leader humility and expertise could help nurses retract from this decision.

METHOD

This is a multisite cross-sectional study that was conducted at all medical-surgical units of four university hospitals. Using scales for assessing leader humility, nurses' turnover intention, and leader expertise, 385 nurses were surveyed. Data were investigated via descriptive and inferential statistics, where correlation, path analysis, and structured equation modeling were used to test the hypothetical relationship among study variables.

RESULTS

There is a statistically significant negative relationship between humble leadership and nurses' turnover intention. Humble leadership and leader expertise were significant predictors of nurses' turnover intention. The moderating effect of leader expertise on the relationship between humble leadership and nurses' turnover intention was statistically significant, making it more negative, implying that leader expertise amplifies the effect of leader humility on reducing nurses' turnover.

CONCLUSION

Incorporating leader expertise with humility could provide an efficient panacea for reducing turnover intentions among nurses in different healthcare organizations.

IMPLICATIONS FOR NURSING AND HEALTH POLICY

Healthcare organizations could develop an efficient retention plan for nurses by cultivating humility among both leaders and nurses. In addition, building nurse leaders' expertise through opening avenues for professional development is a good strategy in the face of nurses' shortage and high turnover. Furthermore, succession planning in healthcare organizations must consider humility as a vital skill among anticipated leaders.

Predictors and consequences of unplanned drinking among young adults

OBJECTIVE

Unplanned drinking, or drinking that violates intentions to limit alcohol consumption, has been linked to significant alcohol-related consequences in college students; however, predictors and outcomes remain incompletely understood among other populations of young adults. This study identified person- and event-level predictors of unplanned drinking and explore the association of unplanned drinking with negative alcohol-related consequences in a racially and educationally diverse cohort of young adults.

METHOD

A total of 938 young adults (aged 18-25; 70 % female; 60 % non-college; 37 % Black) participating in a randomized trial testing text-message alcohol interventions completed ecological momentary assessments (EMA) reporting drinking intentions and alcohol consumption twice weekly for at least 4 weeks over a 14 week period. Controlling for intervention effects, mixed-effects models examined predictors of unplanned drinking days, and zero-inflated negative binomial regression models assessed the relationship between frequency of unplanned drinking and negative alcohol consequences at a 14-week follow-up.

RESULTS

Participants reported alcohol consumption on 16.9 % of days when they had no plan to drink. Odds of unplanned drinking was higher for older age (adjusted Odds Ratio [aOR] = 1.06, p < 0.01), Black race (aOR = 1.25, p < 0.01), higher AUDIT-C score (aOR = 1.14, p < 0.001), and higher negative urgency score (aOR = 1.05, p < 0.01), weekends (aOR = 1.63, p < 0.001) and the presence of friends drinking (aOR = 9.37, p < 0.001). Compared to participants in the lowest unplanned drinking day category, those in the highest category showed a 26 % higher negative alcohol consequence rate ratio (RR = 1.26, 95 % CI [1.07, 1.48]).

CONCLUSIONS

Unplanned drinking in young adults is strongly influenced by social context and individual risk factors. This behavior, when extreme, was associated with increased negative alcohol-related consequences. Interventions targeting impulsivity and peer influence may reduce unplanned drinking and mitigate its harmful effects.

Evaluating Saudi Arabian nurses' willingness to respond to nuclear and radiological disasters

AIM

We evaluated Saudi Arabian nurses' willingness to engage in nuclear and radiological disaster response.

BACKGROUND

In the face of rising nuclear and radiological threats, it is essential that nurses are fully prepared to handle the health consequences of such emergencies. As frontline responders, nurses play a critical role in managing high-stakes situations, making their readiness a key factor in ensuring public safety during these crises.

METHODS

A cross-sectional survey was conducted among 612 registered nurses in Saudi Arabia. The survey used a structured questionnaire based on the theory of planned behavior, identifying behavioral intentions as the primary outcome and attitudes toward these behaviors, subjective norms, and perceived behavioral control as influencing factors. The data were analyzed using descriptive and inferential statistics.

RESULTS

Most respondents lacked specialized training and reported strong behavioral intentions. Attitude and perceived behavioral control were key drivers of these behavioral intentions, with less impact from subjective norms. Behavioral intentions were also shaped by education, the perceived likelihood of nuclear and radiological emergencies in their region, peer influence, perceived self-efficacy, and family concerns. Younger and married nurses showed significantly stronger behavioral intentions.

DISCUSSION

Although most nurses lacked specialized training, their strong engagement intentions and positive responses to active learning and training indicate a desire to close this gap through further education. However, inadequate institutional support, trouble communicating with family, and concerns about personal radiation exposure emerged as potential barriers.

CONCLUSION

Targeted educational initiatives and support systems are needed to enhance nurses' confidence, competence, and willingness to engage in radiological and nuclear emergency scenarios.

IMPLICATIONS FOR NURSING AND HEALTH POLICY

Policymakers should prioritize the development of specialized training programs and support mechanisms for nurses, ensuring they are adequately prepared to respond effectively to increasing radiological and nuclear threats.

Development and Validation of the Career Authenticity Scale (CAS)

The self is crucial in career development, and authenticity emerges when individuals live in accordance with their true selves. This true self includes a deep awareness of one's abilities, cognitive, physical, and emotional traits, and unbiased answers to "Who am I?". Given its importance in career development, originality can significantly impact one's professional journey. This study brings a new structure to the field of career counseling with the term career authenticity. Career authenticity is a condition that emerges when individuals manage external influences and make their career choices in accordance with their true selves, thus achieving a work life that contributes to the meaning and purpose of their lives. The Career Authenticity Scale (CAS) was developed and validated in two samples of university students. In Study 1 (n = 402), the CAS was developed, and a structure consisting of 12 items and three dimensions was obtained as a result of exploratory factor analysis. Calculations also included the internal reliability coefficients of the CAS. In Study 2 (n = 322), the structure confirming the factors obtained in the first study was confirmed. Analyses also included convergent and discriminant validity, criterion-related validity, measurement invariance across gender, and item discrimination power of the CAS. The results show that the CAS meets the conditions for convergent and discriminant validity. A positive relationship was detected between the CAS and vocational outcome expectations and career proactive behaviors. The CAS was found to provide measurement invariance at configural, metric, scalar and strict invariance levels according to gender. In conclusion, the CAS was proven to be a valid and reliable measurement tool.

Many-strategy games in groups with relatives and the evolution of coordinated cooperation

Humans often cooperate in groups with friends and family members with varying degrees of genetic relatedness. Past kin selection can also be relevant to interactions between strangers, explaining how the cooperation first arose in the ancestral population. However, modelling the effects of relatedness is difficult when the benefits of cooperation scale nonlinearly with the number of cooperators (e.g., economies of scale). Here, we present a direct fitness method for rigorously accounting for kin selection in n-player interactions with m discrete strategies, where a genetically homophilic group-formation model is used to calculate the necessary higher-order relatedness coefficients. Our approach allows us to properly account for non-additive fitness effects between relatives (synergy). Analytical expressions for dynamics are obtained, and they can be solved numerically for modestly sized groups and numbers of strategies. We illustrate with an example where group members can verbally agree (cheap talk) to contribute to a public good with a sigmoidal benefit function, and we find that such coordinated cooperation is favoured by kin selection. As interactions switched from family to strangers, in order for coordinated cooperation to persist and for the population to resist invasion by liars, either some level of homophily must be maintained or following through on the agreement must be in the self-interests of contributors. Our approach is useful for scenarios where fitness effects are non-additive and the strategies are best modelled in a discrete way, such as behaviours that require a cognitive 'leap' of insight into the situation (e.g., shared intentionality, punishment).

Development of strategic motor behavior during value-guided actions across adolescence and adulthood: An ERP investigation

Successful navigation of real-life environment requires flexible titration of effort based on the possible rewards. Here, we investigate how the flexibility of effort allocation develops throughout adolescence by studying the neural underpinnings of reward-maximizing strategies during a value-guided action. Our main hypothesis is that when faced with an environment with varying rewards and their expectancy, adolescents will use qualitatively different strategies to overcome the cognitive immaturity. Alternatively, adolescents may use an adult-like strategy, but in a lesser degree. Using EEG with a novel analytic technique that separately quantifies motor preparation and execution efforts from the ERP component lateralized readiness potential (LRP), we demonstrate evidence for our main hypothesis. When responding to an unexpected target, adults (21 years and above) showed a greater executional effort for a large than small reward. Such a pattern was somewhat reversed in pre-adolescents' (10-13 years). Meanwhile, adolescents (14-20 years) allocated motor efforts more equally regardless of the reward levels and their expectancy. These manifested differences represent distinct reward-maximizing strategies across development that are shaped by cognitive maturity, which reflects an individual's endeavor to maximize adaptive fit in the dynamics of real-life environment.

From preference shifts to information leaks: Examining Individuals' sensitivity to information leakage in the framing effect

The framing effect is a highly robust phenomenon, wherein logically equivalent options (e.g., 90 % chance of winning vs. 10 % chance of losing) trigger different preferences. The Information Leakage account provides a rational interpretation of this effect by suggesting that choice of frame 'leaks' information to decision-makers, making the frames informationally non-equivalent. For example, decision-makers might interpret a positive frame (e.g., 90 % chance of winning) as an implicit recommendation to take a risk. In a series of six preregistered experiments (total N = 1211), we manipulated the informativeness of frames by 1) reducing the perceived freedom of a speaker to choose a frame (the Choice Limitation manipulation), and 2) varying the communication context between the speaker and the listener from collaborative to competitive (the Interest Alignment manipulation). We expected a diminished framing effect in scenarios where the leaked information conveys no useful or trustworthy cues. While the Choice Limitation manipulation occasionally attenuated the framing effect, particularly in within-subject designs, the Interest Alignment manipulation consistently led to a reduction in the framing effect in both within-subject and between-subject designs. These findings show that individuals can be adaptable and sensitive to the informational value of frames and suggest that competition prompts inferences more readily than a speaker's agency over the choice of frame. The implications of these results for rational accounts of framing effects are discussed.

Effects of personalized and normative feedback via the Positive Play Quiz on responsible gambling intention, self-efficacy and behavior: A randomized controlled trial

AIMS

To evaluate whether a personalized and normative feedback (PNF) intervention for responsible gambling increases gambling insight as well as intention and self-efficacy to engage in responsible gambling and behavioral engagement.

DESIGN

Two-arm randomized controlled trial. Outcome measurements occurred post-randomization and 3 months later.

SETTING

Online, Canada.

PARTICIPANTS

Canadian community members who gambled at a land-based casino or online in the last 3 months [61.9% men; mean age = 56.52 (standard deviation = 14.80)] recruited via an online panel (n = 4091).

INTERVENTION AND COMPARATOR

Participants were randomized to receive PNF (n = 1940) or no feedback (n = 2151).

MEASUREMENTS

Primary outcomes included gambling insight, intentions and self-efficacy to engage in seven responsible gambling behaviors post-randomization as well as engagement in these behaviors during the 3-month follow-up.

FINDINGS

Post-intervention, participants receiving PNF (relative to no feedback) had greater gambling insight (d = 0.32, P = 4.59e-25) as well as greater intentions and self-efficacy to learn about how the games they play work (dintention = 0.31, P = 4.92e-24; dself-efficacy = 0.25, P = 4.35e-16), learn about the odds of winning at these games (dintention = 0.30, P = 1.43e-21; dself-efficacy = 0.25, P = 2.13e-15) and use operator-provided tools to help limit their gambling (dintention = 0.20, P = 1.36e-10; dself-efficacy = 0.18, P = 3.92e-9). However, post-intervention differences in intention and self-efficacy to limit time and money spent gambling, openness about gambling with others and balancing gambling with other activities were not observed. Meaningful increases in behavioral engagement 3 months later were observed but were not significant.

CONCLUSIONS

PNF for responsible gambling (relative to no feedback) appears to increase gambling insight, intentions and self-efficacy to engage in gambling literacy and use of limit-setting tools. Exploratory analyses indicated receiving PNF (relative to no feedback) led to behavioral changes during the 3-month follow-up period.

Exploring the desire of Filipino engineering professionals to work abroad using the ECT-TPB Theory

The rising globalization of the workforce needs an awareness of the elements that influence professionals' decisions to work overseas. Especially in the Philippines where professionals are migrating abroad, there is little to no literature available for the behavioral intention and satisfaction of the movement. This study considered an integrated theoretical model based on the Extended Theory of Planned Behavior (TPB) and Expectation-Confirmation Theory (ECT) to analyze the factors influencing Filipino engineering professionals' aspirations to work overseas. Data were obtained from 256 engineers who worked abroad and analyzed using structural equation modeling. Results showed how confirmation has a substantial impact on satisfaction, which in turn influences the willingness to pursue overseas assignments. Expectation influences confirmation as the second most important component, although its direct effect on satisfaction is insignificant. The study revealed that confirmation indirectly affected behavioral intentions more than expectation, implicating to be the driver of satisfaction among Filipino engineering professionals interested in working overseas. Moreover, confirmation is strongly influenced by expectation, and pleasure has a considerable impact on behavioral intention. Attitude and perceived behavioral control are also important factors in forming the intention to work abroad, although subjective norms have less influence. The findings offer managerial insights locally on how to improve the workforce and culture of engineering professionals in the Philippines, hence could increase job satisfaction and commitment to local employment. Lastly, the integrated model provides a comprehensive picture of the elements influencing expatriation intentions and serves as a solid foundation for future study on professional mobility.

Toward an Index of Adaptive Personality Regulation

The idea that matching personality expression with situational demands is adaptive is implicit in many accounts of personality. Numerous constructs and measures have been posited to address this or similar phenomena. Few have proven adequate. In response, we proposed and tested a novel measurement approach (the APR index) assessing real-time behavior to rate participants' success in matching personality expression with situational demands, which we denote adaptive personality regulation. An experimental study (N = 88) and an observational study of comedians (N = 203) provided tests of whether the APR index constituted a useful metric of adaptive personality regulation. In both studies, the APR index showed robust psychometric properties; was statistically unique from mean-level personality, self-monitoring, and the general factor of personality expression; and provided incremental concurrent prediction of task/job performance. The results suggest that the APR index provides a useful metric for studying the phenomenon of successfully matching personality expression to situational demands.

The Case for Heterogeneity in Metacognitive Appraisals of Biased Beliefs

Academic AbstractProminent theories of belief and metacognition make different predictions about how people evaluate their biased beliefs. These predictions reflect different assumptions about (a) people's conscious belief regulation goals and (b) the mechanisms and constraints underlying belief change. I argue that people exhibit heterogeneity in how they evaluate their biased beliefs. Sometimes people are blind to their biases, sometimes people acknowledge and condone them, and sometimes people resent them. The observation that people adopt a variety of "metacognitive positions" toward their beliefs provides insight into people's belief regulation goals as well as insight into way that belief formation is free and constrained. The way that people relate to their beliefs illuminates why they hold those beliefs. Identifying how someone thinks about their belief is useful for changing their mind.Public AbstractThe same belief can be alternatively thought of as rational, careful, unfortunate, or an act of faith. These beliefs about one's beliefs are called "metacognitive positions." I review evidence that people hold at least four different metacognitive positions. For each position, I discuss what kinds of cognitive processes generated belief and what role people's values and preferences played in belief formation. We can learn a lot about someone's belief based on how they relate to that belief. Learning how someone relates to their belief is useful for identifying the best ways to try to change their mind.

On (Im)Patience: A New Approach to an Old Virtue

Academic AbstractPatience has been of great interest to religious scholars, philosophers, and psychological scientists. Their efforts have produced numerous insights but no cohesive theoretical approach to understanding the broad set of experiences people label as patience. I propose a novel view of patience, one that departs from but ties together existing approaches. Grounded in theories of emotion and emotion regulation, I propose impatience as a discrete emotion triggered by an objectionable delay of some sort, and patience (as a state or process rather than a virtue) as a form of emotion regulation that targets the subjective experience and outward expression of impatience. I propose a number of predictors and consequences of patience and impatience and provide initial evidence for many of the theory's tenets. This theoretical approach, the process model of patience, reveals coherence across varied fields and methodologies and generates novel, testable, and timely questions for future patience scholars.Public Abstract"Patience is a virtue" is a familiar exhortation, and patience has been of great interest to religious scholars, philosophers, and psychological scientists. Their efforts have produced numerous insights but no cohesive theoretical approach to understanding the broad set of experiences people label as patience. This paper proposes an entirely novel view of patience, one that departs from but ties together existing approaches. I propose that impatience is an emotion, triggered by a frustrating delay of some sort, and patience captures the various ways people try to deal with their experience of impatience. I also propose that various aspects of the situation and the person combine to determine the intensity of impatience and the effectiveness of patience. Finally, I discuss the implications of a theoretical model, the process model of patience, for both scientific inquiry and issues of social justice, which are often fueled by appropriate experiences of impatience.

Simulating Social Pressure: Evaluating Risk Behaviors in Construction Using Augmented Virtuality

Drawing on social influence and behavioral intention theories, coworkers' risk-taking serves as an "extra motive" -an exogenous factor-for risk-taking behaviors among workers in the workplace. Social influence theories have shown that social factors, such as social pressure and coworker risk-taking, may predict risk-taking behaviors and significantly affect decision-making. While immersive technologies have been widely used to create close-to-real simulations for construction safety-related studies, there is a paucity of research considering the impact of social presence in evaluating workers' risk decision-making within immersive environments. To bridge this gap, this study developed a state-of-the-art Augmented Virtuality (AV) environment to investigate roofers' risk-taking behaviors when exposed to social stressors (working alongside a safe/unsafe peer). In this augmented virtuality environment, a virtual peer with safe and unsafe behaviors was simulated in order to impose peer pressure and increase participants' sense of social presence. Participants were asked to install asphalt shingles on a physical section of a roof (passive haptics) while the rest of the environment was projected virtually. During shingle installation, participants' cognitive and behavioral responses were captured using psychophysiological wearable technologies and self-report measures. The results demonstrated that the developed AV model could successfully enhance participants' sense of presence and social presence while serving as an appropriate platform for assessing individuals' decision-making orientations and behavioral changes in the presence of social stressors. Such information shows the value of immersive technologies to examine the naturalistic responses of individuals without exposing them to actual risks.

Examining the impact of perceived behavioral control and planning on closing the exercise intention-behavior gap: Insights from a meta-analytic structural equation modeling study

OBJECTIVE

This study aims to investigate the roles of perceived behavioral control (PBC), action planning, and coping planning in bridging the gap between exercise intention and behavior. By using a Meta-Analytic Structural Equation Model (MASEM), we quantify the specific effects of these variables and explore their mediating roles in the relationships between intention, PBC, and behavior. The study provides insights into how these constructs contribute to informing effective behavioral intervention strategies.

METHODS

A meta-analysis was conducted to calculate the correlation effect sizes between variables in the model, and MASEM was employed to examine the interrelationships among multiple variables. Data from 57 samples across 49 studies, with a total sample size of 19,883, were analyzed. We constructed an aggregated correlation matrix and performed path analysis using structural equation modeling. AMOS 26.0 software was used to estimate model parameters, including path coefficients, standard errors, and various model fit indices.

RESULTS

The results indicate that behavioral intention serves as a key predictor of behavior, showing a significant positive direct effect (β = 0.416, p < 0.001). Intention also significantly predicts both action planning (β = 0.439, p < 0.001) and coping planning (β = 0.360, p < 0.001), though its impact on behavior is mediated differently by these two forms of planning. Mediation analysis further revealed that intention indirectly predicts behavior through coping planning (β = 0.067, p < 0.001), while the mediation effect through action planning was not significant (β = -0.001, p > 0.05). PBC played multiple roles: it directly predicts behavior (β = 0.106, p < 0.001), indirectly predicts behavior through intention (β = 0.282, p < 0.001), and further mediates behavior through intention and coping planning (β = 0.046, p < 0.001), as well as through coping planning alone (β = 0.032, p < 0.001). Additionally, the mediation effect of PBC on behavior through action planning was statistically significant but negligible (β = 0.000, p = 0.003), reinforcing the stronger role of coping planning in driving behavior change.

CONCLUSION

This study highlights the important roles of behavioral intention and perceived behavioral control in promoting physical activity while challenging the effectiveness of focusing solely on action planning. The findings suggest that although action planning does not significantly impact behavior, coping planning plays a critical role in behavior implementation. By integrating action planning and coping planning, comprehensive behavioral intervention strategies can more effectively bridge the intention-behavior gap and promote sustained physical activity.

The double-edged sword of stress: A systematic meta-analysis on how stress impacts creativity

The present study provides up-to-date meta-analytical estimates of the impact of experimentally induced stress on individuals' creative performance. Using a three-level meta-analytic model, we observed an overall negative effect of stress on creativity (d = -0.20). Our analysis reveals that this relationship is nuanced, and influenced by a variety of factors. Social-evaluative threats (SETs) did not significantly affect creativity overall (d = -0.08). Specifically, tests significantly reduced creativity, while competition showed a non-significant positive trend and (expected) performance evaluation showed a non-significant negative trend. Furthermore, results showed that mild SETs (one element) slightly but not significantly increased creativity, whereas severe SETs (three elements) significantly decreased it, indicating a curvilinear relationship. Non-social stressors, including time pressure and physical stress, significantly hindered creative performance (d = -0.45), with challenging tasks also showing a negative but non-significant effect. Additionally, the impact of stress on creativity varied by age group. Children's creativity was notably reduced by competition, physical stress, and challenging tasks, whereas adults and adolescents' creativity appeared to benefit from competition. Adults' creative performance was most negatively impacted by time pressure and remained relatively stable across other stressors. These findings underscore the complex and multifaceted nature of the effects of stress on creativity. The theoretical and practical implications are discussed.

Prosocial behaviourial spillover and nudging: A longitudinal quasi-experimental study on the moderating role of altruistic motives

This study investigates the extent to which prosocial nudging is instrumental in fostering spillover effects of prosocial behaviours among young adults. Also, it examines how the interplay of prosocial behavioural spillover and altruistic motives is shaped in a nudged environment. A longitudinal quasi-experimental study was conducted to test the hypothesized effects of prosocial nudging on young adults. The subjects were 104 postgraduate students from a higher education institute in India who had donated blood recently. A pretest-posttest design was adopted to test the effect of experimental interventions implemented on a university campus. The experimental data was analysed using hierarchical regression models. The results offer insights into the design of prosocial nudging mechanisms supporting behavioural spillover from easy to difficult prosocial behaviour among young adults. The findings also demonstrate how nudging enables the transition of pseudo- to pure altruistic motives.

Temporal discounting and self-continuity: Age-dependent patterns and implications

Intertemporal decision-making is a common aspect of everyday life. People often prefer receiving a smaller immediate reward rather than the larger one that comes later, a behaviour known as temporal discounting. Previous studies have suggested that self-continuity plays a role in temporal discounting; however, the effect of age on temporal discounting and self-continuity remains unclear. This study aimed to explore how age relates to the connection between self-continuity and temporal discounting. A total of sixty-seven younger and fifty-two older adults completed tasks assessing temporal discounting and both explicit and implicit self-continuity. The findings revealed that older adults exhibit higher discounting rates and greater self-continuity compared to their younger counterparts. Specifically, younger adults aged 23 to 29 demonstrated a negative association between explicit future self-continuity and temporal discounting, suggesting that higher explicit future self-continuity corresponds with reduced temporal discounting. Conversely, this relationship was not observed in older adults, indicating age-specific differences in how self-continuity influences intertemporal decision-making. Additionally, while previous research has linked implicit self-continuity to temporal discounting, this study found no age-related differences in implicit measures. These findings highlight the complex interplay between self-continuity and intertemporal decision-making across the lifespan, emphasising the need for further research to inform interventions for older adults.

Goal conflict and the physical activity intention-behavior relationship: Insights from a study of People's daily experiences

Although intention is a strong predictor of moderate-to-vigorous intensity physical activity (MVPA), several factors moderate the intention-behavior relationship. People experience goal conflict when one or more of their goals makes it more difficult to pursue other goals. Goal conflict was examined as a moderator of the intention-behavior relation using data from ecological momentary assessments and accelerometer-derived estimates of MVPA. Participants (N = 100; 22 males) wore an accelerometer and responded to digital surveys assessing MVPA intentions and goal conflict up to four times daily for seven consecutive days. MVPA in the 180-min epoch following each survey prompt was recorded. Multilevel modelling was used to analyze the data using the disaggregated between- and within-person effects. Results revealed an intention-behavior gap of 30% and significant within-person effects for intention and goal conflict. Within-person goal conflict moderated the intention-behavior relationship such that when people had stronger intentions to be active compared to their average level of intention, they engaged in more MVPA; and when goal conflict was higher, compared to their average level of goal conflict, people engaged in less MVPA. Findings suggest experiencing higher goal conflict about engaging in MVPA thwarts people's abilities to follow through with their intentions to be active throughout the day.

Linking ethical leadership to nurses' internal whistleblowing through psychological safety

Background: Cultivating internal whistleblowing among nurses is of paramount importance to nurse leaders. Yet, the literature on how nurse leaders can foster this phenomenon among nurses is limited. Additionally, the underlying mechanisms linking leadership behaviors to internal whistleblowing intentions remain underexplored.Aim: This study aimed to examine how ethical leadership is linked to internal whistleblowing intentions among nurses through the mediating effect of psychological safety.Research design: A multicenter cross-sectional research design was used for this study.Participants and research context: This study involved 201 nurses working in three tertiary governmental hospitals across three cities in Egypt. Data were collected between October and December 2023, using an introductory information form, the Ethical Leadership Scale, the Psychological Safety Scale, and the Internal Whistleblowing Intentions Scale. Structural equation modeling was used to evaluate study hypotheses.Ethical consideration: Research Ethics Committee of Faculty of Nursing, Port Said University, Egypt approved the study (reference number: NUR (6/8/2023)(28)), and each participant signed the informed consent form before participation in the study.Results: Ethical leadership was positively linked to nurses' psychological safety and internal whistleblowing intentions. Psychological safety mediated the link between ethical leadership and nurses' internal whistleblowing intentions.Conclusion: Our study suggests that nurse leaders can foster nurses' intentions to blow the whistle internally by adopting ethical leadership behaviors and enhancing psychological safety among nurses.

Decoding the Dynamics of Cultural Change: A Cultural Evolution Approach to the Psychology of Acculturation

Although acculturation psychology is extensively studied in the social sciences, research progress has slowed due to overused methodologies and theories and emerging challenges to core conceptual tenets. Here, we seek to stimulate scientific inquiry into acculturation by integrating underutilized cultural evolutionary perspectives. We propose that cultural evolutionary mechanisms, such as (anti)conformity, prestige bias, payoff bias, and vertical transmission are instrumental in understanding when, why, and how minority- and majority-group members acculturate. The direction and potency of these mechanisms are proposed to be modulated by a combination of contextual and individual factors, resulting in acculturation strategies that at the population level form "cultural evolutionary equilibria." These equilibria in turn have consequences for the long-term, population-level dynamics of cultural evolution. We outline how our integration of perspectives can allow researchers to model the dynamics of large-scale cultural change, increasing our understanding of the complex challenges faced by today's diverse societies.Public AbstractAcculturation describes the cultural and psychological changes resulting from intercultural contact. Here, we use concepts from "cultural evolution" to better understand the processes of acculturation. Cultural evolution researchers view cultural change as an evolutionary process, allowing them to borrow tools and methods from biology. Cultural evolutionary mechanisms such as conformity (copying the numerical majority), anti-conformity (copying the numerical minority), prestige bias (copying famous individuals), payoff bias (copying successful people), and vertical cultural transmission (copying your parents) can cause people to adopt elements from other cultures and/or conserve their cultural heritage. We explore how these transmission mechanisms might create distinct acculturation strategies, shaping cultural change and diversity over the long-term. This theoretical integration can pave the way for a more sophisticated understanding of the pervasive cultural shifts occurring in many ethnically diverse societies, notably by identifying conditions that empower minority-group members, often marginalized, to significantly influence the majority group and society.

Improving School-to-Work Transitions: Antecedents of High-Quality Intern-Supervisor Exchanges

Using a Canadian sample of 146 interns surveyed on three occasions (i.e., before, during, and after their internship experiences), we investigated university students' skills and intentions as critical factors contributing to high-quality intern-supervisor exchanges. Specifically, we sought to better understand how to promote high-quality intern-supervisor relationships by looking at the influences of student-centered factors related to both educational (skills developed while in university) and organizational (intentions to develop relationship with supervisor) domains. To highlight the importance of these factors, we also examined whether their impacts on the quality of intern-supervisor exchanges ultimately translate into better internship outcomes, which we assessed by incorporating perceptions from both interns (i.e., internship satisfaction and general learning) and their supervisors (i.e., interns' in-role performance and preparedness for work). Consistent with expectations, we found that both students' skills developed while in university and students' intentions to develop the relationships with their supervisors were positively related to the quality of intern-supervisor exchanges and, through that pathway, had positive indirect effects on internship satisfaction, general learning, in-role performance, and preparedness for work. Our findings indicate that students, universities, and employers all play a role in the development of high-quality intern-supervisor relationships, which are critical to student learning and performance.