Methods of coping with social desirability bias: A review

The perspectives of survivors of Hodgkin lymphoma on lung cancer screening: A qualitative study

BACKGROUND

Hodgkin lymphoma survivors (HLS) are at excess risk of lung cancer as a consequence of HL treatment. HLS without a heavy smoking history are currently unable to access lung cancer screening (LCS) programmes aimed at ever smokers, and there is an unmet need to develop a targeted LCS programme. In this study we prospectively explored HLS perspectives on a future LCS programme, including motivating factors and potential barriers to participation, with the aim of identifying ways to optimise uptake in a future programme.

METHODS

Semistructured telephone interviews were conducted with HLS, aged 18-80 and lymphoma-free for ≥5 years, selected from a clinical database (ADAPT). Participants provided informed consent. Data were analysed using inductive thematic analysis.

RESULTS

Despite awareness of other late effects, most participants were unaware of their excess risk of lung cancer. Most were willing to participate in a future LCS programme, citing the potential curability of early-stage lung cancer and reassurance as motivating factors, whilst prior experience of healthcare was a facilitator. Whilst the screening test (a low dose CT scan) was considered acceptable, radiation risk was a concern for some and travel and time off work were potential barriers to participation.

CONCLUSIONS

Our results suggest that most HLS would participate in a future LCS programme, motivated by perceived benefits. Their feedback identified a need to develop educational materials addressing lung cancer risk and concerns about screening, including radiation risk. Such materials could be provided upon an invitation to LCS. Uptake in a future programme may be further optimized by offering flexible screening appointments close to home.

Interventions to Dispel Neuromyths in Educational Settings-A Review

Neuromyths are misconceptions about the brain and learning, for instance Tailoring instruction to students' preferred “learning styles” (e.g., visual, auditory, kinesthetic) promotes learning. Recent reviews indicate that the high prevalence of beliefs in neuromyths among educators did not decline over the past decade. Potential adverse effects of neuromyth beliefs on teaching practices prompted researchers to develop interventions to dispel these misconceptions in educational settings. This paper provides a critical review of current intervention approaches. The following questions are examined: Does neuroscience training protect against neuromyths? Are refutation-based interventions effective at dispelling neuromyths, and are corrective effects enduring in time? Why refutation-based interventions are not enough? Do reduced beliefs in neuromyths translate in the adoption of more evidence-based teaching practices? Are teacher professional development workshops and seminars on the neuroscience of learning effective at instilling neuroscience in the classroom? Challenges, issues, controversies, and research gaps in the field are highlighted, notably the so-called “backfire effect,” the social desirability bias, and the powerful intuitive thinking mode. Future directions are outlined.

Quantification and mapping of fish waste in retail trade and restaurant sector: Experience in Emilia-Romagna, Italy

The circular economy approach imposes the complete recovery of components, materials and energy from waste. Many active compounds with biomedical and nutraceutical applications can be extracted by Fish Waste (FW), but few are the operating industrial plants. Quantification and mapping of the potential FW availability along the entire fish value-chain is crucial in fostering its actual valorisation. Apart at industrial processing, in the distribution segment the estimation of FW availability is absent. This paper aimed to quantify and locate FW generated by point sources such as supermarkets, fishmongers and restaurants as well as to establish the diffuse domestic FW production in a 4,5M inhabitants region. The study provides an exportable method and indications for comparable worldwide areas. A simplified valorisation scenario for equivalent biomethane production is also presented. Direct interviews and indirect approach based on fish consumption have been adopted and compared. Large supermarkets and medium-large restaurants are the main FW producers (239 and 125 kg/week, respectively) followed medium-large fishmongers and medium supermarkets (63 and 86 kg/week, respectively). In the investigated region the larger FW point sources are supermarkets (average 3000 Mg/y), while fishmongers are the smaller (average 750 Mg/y). Restaurants (average 1400 Mg/y) show the wider range of variability between 460 and 8000 Mg/y. The indirect methodology reveals that domestic FW production ranges from 2376 to 3961 Mg/y. Per capita estimations of FW ranged from 0.5 - 3 kg/y. The economic value of FW (biomethanation route) is 68 EUR/Mg. A qualification as "highly potential waste" would promote FW valorization.

Faking self-reports of health behavior: a comparison between a within- and a between-subjects design

Background

This study examines people's ability to fake their reported health behavior and explores the magnitude of such response distortion concerning faking of preventive health behavior and health risk behavior. As health behavior is a sensitive topic, people usually prefer privacy about it or they wish to create a better image of themselves (Fekken et al., 2012; Levy et al., 2018). Nevertheless, health behavior is often assessed by self-report questionnaires that are prone to faking. Therefore, it is important to examine the possible impact of such faking.

Methods

To replicate the findings and test their robustness, two study designs were realized. In the within-subjects-design, 142 participants repeatedly answered a health behavior questionnaire with an instruction to answer honestly, fake good, and fake bad. In the between-subjects design, 128 participants were randomly assigned to one of three groups that filled out the health behavior questionnaire with only one of the three instructions.

Results

Both studies showed that successful faking of self-reported preventive and health risk behavior was possible. The magnitude of such faking effects was very large in the within-subjects design and somewhat smaller in the between-subjects design.

Conclusion

Even though each design has its inherent merits and problems, caution is indicated regarding faking effects.

A Lognormal Ipsative Model for Multidimensional Compositional Items

Compositional items – a form of forced-choice items – require respondents to allocate a fixed total number of points to a set of statements. To describe the responses to these items, the Thurstonian item response theory (IRT) model was developed. Despite its prominence, the model requires that items composed of parts of statements result in a factor loading matrix with full rank. Without this requirement, the model cannot be identified, and the latent trait estimates would be seriously biased. Besides, the estimation of the Thurstonian IRT model often results in convergence problems. To address these issues, this study developed a new version of the Thurstonian IRT model for analyzing compositional items – the lognormal ipsative model (LIM) – that would be sufficient for tests using items with all statements positively phrased and with equal factor loadings. We developed an online value test following Schwartz’s values theory using compositional items and collected response data from a sample size of N = 512 participants with ages from 13 to 51 years. The results showed that our LIM had an acceptable fit to the data, and that the reliabilities exceeded 0.85. A simulation study resulted in good parameter recovery, high convergence rate, and the sufficient precision of estimation in the various conditions of covariance matrices between traits, test lengths and sample sizes. Overall, our results indicate that the proposed model can overcome the problems of the Thurstonian IRT model when all statements are positively phrased and factor loadings are similar.

Messages that increase COVID-19 vaccine acceptance: Evidence from online experiments in six Latin American countries

As safe and effective vaccines become widely available, attaining herd immunity and limiting the spread of COVID-19 will depend on individuals choosing to vaccinate—and doing so quickly enough to outpace mutations. Using online surveys conducted across six Latin American countries in January 2021, we experimentally assess messages designed to counteract informational deficiencies and collective action problems that may drive hesitancy. We first find that basic vaccine information persuades around 8% of hesitant individuals to become willing to vaccinate, reduces intended wait to vaccinate by 0.4 months, and increases willingness to encourage others to vaccinate. Rather than facilitating free riding, learning, or social conformity, additional information about others’ behavior increases vaccine acceptance when respondents expect herd immunity will be achieved. Finally, priming the social approval benefits of vaccinating also increases vaccine acceptance. These results suggest that providing information and shaping social expectations and incentives could both significantly increase vaccine uptake.

Gender difference in the effect of cultural distance on academic performance among cross-border students in China

Cross-border students' academic performance draws people's attention, whereas perceived cultural distance might influence their performance with gender difference. Based on role theory, men and women present different roles in society, and women are good at perceptual, cognitive aspects, making them more sensitive to cultural distance. Finding shows that the negative moderation role of gender existed in the relationship between cultural distance and academic performance. Particularly, female students showed lower cultural adaptation after cross-border migration, which then influenced their academic performance in universities. This study provides implication for policymakers and universities to pay more attention with additional resources to support female students' cultural adaption.

The Known Unknowns: What Citizen Science Projects in Germany Know about Their Volunteers—And What They Don’t Know

The citizen science landscape in Germany offers an enormous range for participation. More than 170 projects currently present themselves on the national citizen science platform. In 2020, we conducted a survey among 140 projects (participation rate 56%), and they provided information on the organisational framework and characteristics (disciplines, initiators, funding, and project goals), as well as on the academic researchers and the volunteering citizen scientists involved. A surprising result was that the level of knowledge about the volunteers is very low overall. Many projects deliberately do not collect personal data (e.g., on socio-demographic variables, knowledge, and behaviour), partly for data-protection reasons and partly because they are unsure about how to collect it due to a lack of instruments and standards. We aim to illustrate the complexity of this issue and discuss various dilemmas arising between theoretical aspirations and the pragmatic and procedural realities in practice. We conclude with suggestions for developing project-specific strategies to increase diversity and inclusion. We argue that the task of conducting accompanying research on participant diversity cannot be borne by individual projects alone and consider the development and implementation of co-creative and qualitative approaches suitable for this purpose.

'Doctors can't be doctors all of the time': a qualitative study of how general practitioners and medical students negotiate public-professional and private-personal realms using social media

OBJECTIVE

The objective of this study is to explore the experiences and perspectives of general practitioners' and medical students' use of, and behaviour on, social media and to understand how they negotiate threats to professional and personal life on social media.

DESIGN

A two-phase qualitative design was used, consisting of semistructured interviews and follow-up vignettes, where participants were asked to respond to vignettes that involved varying degrees of unprofessional behaviour. Data were analysed using template analysis.

SETTING AND PARTICIPANTS

Participants were general practitioner tutors and third year medical students who had just completed placement on the University of Limerick longitudinal integrated clerkship. Five students and three general practitioners affiliated with the medical school were invited to participate in one-to-one interviews.

RESULTS

Three overarching themes, each containing subthemes were reported. 'Staying in contact and up to date' outlines how social media platforms provide useful resources and illustrates the potential risks of social media. 'Online persona' considers how social media has contributed to changing the nature of interpersonal relationships. 'Towards standards and safety' raises the matter of how to protect patients, doctors and the medical profession.

CONCLUSION

Guidance is required for students and medical practitioners on how to establish reasonable boundaries between their personal and professional presence on social media and in their private life so that poorly judged use of social media does not negatively affect career prospects and professional efficacy.

Effectiveness of customised safety intervention programmes to increase the safety culture of hospital staff

The aim of this study was to investigate the effectiveness of customised safety interventions in improving the safety cultures of both clinical and non-clinical hospital staff. This was assessed using the Safety Attitude Questionnaire-Chinese at baseline, 2 years and 4 years after the implementation of safety interventions with a high response rate ranging from 80.5% to 87.2% and excellent internal consistency (Cronbach’s alpha=0.93). The baseline survey revealed a relatively low positive attitude response in the Safety Climate (SC) domain. Both SC and Working Conditions (WC) domains were shown to have increased positive attitude responses in the second survey, while only the Management Perception domain had gained 3.8% in the last survey. In addition, safety dimensions related to collaboration with doctors and service delays due to communication breakdown were significantly improved after customised intervention was applied. Safety dimensions related to safety training, reporting and safety awareness had a high positive response in the initial survey; however, the effect was difficult to sustain subsequently. Multilevel analysis further illustrated that non-clinical staff were shown to have a more positive attitude than clinical staff, while female staff had a higher positive attitude percentage in job satisfaction than male staff. The results showed some improvements in various safety domains and dimensions, but also revealed inconsistent changes in subsequent surveys. The change in positive safety culture over the years and its sustainability need to be further explored. It is suggested that hospital management should continuously monitor and evaluate their strategies while delivering multifaceted interventions to be more specifically focused and to motivate staff to be enthusiastic in sustaining patient safety culture.

Factors associated with SARS-CoV2 infection and care pathways among the most vulnerable populations living in Marseille: a case control study

BACKGROUND

The Covid-19 pandemic has led to substantial and unexpected increases in morbidity and mortality in France. Vulnerable populations housed in accommodation centres have a greater risk of infection because collective housing and their dependence on social support services mean it is more difficult to apply preventive measures. They are also at greater risk of developing severe forms of Covid-19 and waiting longer before seeking healthcare (for Covid-19 or other) treatment. We aimed to identify the factors associated with SARS-CoV2 infection in the most vulnerable populations in the city of Marseille.

METHODS

The study sample comprised users of various services provided by the association AAJT in Marseille, France, some presenting symptoms suggestive of Covid-19 and others not. All had routine health surveillance provided by AAJT's dedicated healthcare team between March 2020 and May 2020. Using univariate and multivariate analyses, we studied the influence of several variables on morbidity associated with Covid-19.

RESULTS

The study included 64 participants, 29 of whom tested positive for Covid-19 and 35 control subjects. Median age was 21.16 years old. Individuals in the 'Covid-19 case' group (p < 0.005) - which included persons testing positive and those suspected of being infected - were younger. The study sample's male/female ratio was seven. In our multivariate analyses, living in a shared apartment and poor adherence to social distancing measures were factors associated with Covid-19 infection. Furthermore, mental health problems - such as anxiety disorder - were very frequent in the study sample.

CONCLUSIONS

Allocating more and specific housing units to structures providing accommodation services to the most vulnerable people would seem to be a decisive factor in controlling the spread of SARS-CoV2, and deserves more attention from public authorities.

Can citizen pressure influence politicians' communication about climate change? Results from a field experiment

Urgent reductions in greenhouse gas emissions depend on governments implementing and enforcing rigorous climate policy. Individuals in democracies seeking to persuade government officials to reduce greenhouse gas emissions can take steps such as voting, protesting, and contacting officials directly, but it is unclear how effective each of these actions is in changing the behavior of elected officials. Here we take advantage of the public nature of social media to evaluate the actual efficacy of climate campaign emails using an original, real-world experiment where 335 Members of Canadian Parliament were asked by constituents to post a pro-climate message to their Twitter account. Only one Member of Parliament posted the exact text suggested by the campaign. After scraping and coding 18,776 tweets, we first find no evidence that a public health messaging frame is more effective than a standard environmental frame in eliciting pro-climate posts. Furthermore, we find only a marginally significant relationship between volume of constituent contact and increased pro-climate tweeting from Members of Parliament. Follow-up interviews with political staffers suggest that analog alternatives may be more effective than campaign emails in some cases. Interview findings also reveal that some offices receive low levels of constituent communication on climate change, indicating that increased pressure from constituents could still be consequential.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s10584-021-03215-9.

The surgical resident experience in serious illness communication: A qualitative needs assessment with proposed solutions

Background:

Serious illness communication skills are important tools for surgeons, but training in residency is limited.

Methods:

Thirteen senior surgical residents at an academic center were interviewed about their experiences with serious illness communication. Conventional content analysis was performed using established communication frameworks and inductive development of themes.

Results:

Residents had frequent conversations and employed known communication strategies. Three themes highlighted challenges they face. Illness severity included factors attributed to the illness that made serious illness communication more challenging: symptoms, poor prognosis, and urgency. Knowledge and feelings included the factual understanding and emotional experience of residents, patients, and families. Academic structure included hierarchy and the residents’ dual role as learners and teachers. On reflection, residents identified needing greater experiential practice, analogous to learning procedural skills.

Conclusions:

Surgical residents regularly face serious illness conversations with little training beyond observation of role models. Dedicated training may help meet this need.

Ok Google: Using virtual assistants for data collection in psychological and behavioral research

Because of the increasing popularity of voice-controlled virtual assistants, such as Amazon’s Alexa and Google Assistant, they should be considered a new medium for psychological and behavioral research. We developed Survey Mate, an extension of Google Assistant, and conducted two studies to analyze the reliability and validity of data collected through this medium. In the first study, we assessed validated procrastination and shyness scales as well as social desirability indicators for both the virtual assistant and an online questionnaire. The results revealed comparable internal consistency and construct and criterion validity. In the second study, five social psychological experiments, which have been successfully replicated by the Many Labs projects, were successfully reproduced using a virtual assistant for data collection. Comparable effects were observed for users of both smartphones and smart speakers. Our findings point to the applicability of virtual assistants in data collection independent of the device used. While we identify some limitations, including data privacy concerns and a tendency toward more socially desirable responses, we found that virtual assistants could allow the recruitment of participants who are hard to reach with established data collection techniques, such as people with visual impairment, dyslexia, or lower education. This new medium could also be suitable for recruiting samples from non-Western countries because of its wide availability and easily adaptable language settings. It could also support an increase in the generalizability of theories in the future.

The Effect of Political Skill on Relationship Quality in Construction Projects: The Mediating Effect of Cooperative Conflict Management Styles

Negative consequences can arise if interpersonal conflicts in construction projects are not handled properly. This study aims to investigate the relationship among political skill, cooperative conflict management styles, and relationship quality. Multiple regressions were used to test the hypothesis based on 206 items of data collected from construction project practitioners in China. Results demonstrate the mechanism of action among political skill, conflict management styles, and relationship quality and verify the mediating effect of cooperative conflict management styles, providing enlightenment for future research on conflict management.

Impact of socioeconomic status on depression clinical outcomes at six months in a Midwestern, United States community

INTRODUCTION

Lower socioeconomic status (SES) has been associated with poor healthcare outcomes in depression. However, reliable individual-level SES data rarely exists for clinical research. The HOUSES index relies on publicly available data allowing for evaluation of individual-level SES on patient outcomes.

HYPOTHESIS

Primary care patients with depression within the lower SES quartile (Quartile 1 vs. Quartile 4, of the HOUSES index) would experience worse clinical outcomes of their symptoms six months after diagnosis.

STUDY DESIGN

A retrospective cohort study which followed 4313 adult primary care patients that were diagnosed with depression during the study period of 2008-2015. The outcome measures were the six month PHQ-9 scores.

RESULTS

At six months, a higher HOUSES quartile was associated with greater odds of remission of depressive symptoms (RDS) and lower odds of persistent depressive symptoms (PDS), after controlling for covariates. Patients in Quartile 4 had 27% more likelihood of RDS and a 24% lower likelihood of PDS at six months compared to a Quartile 1 patient.

LIMITATIONS

As a retrospective study only can observe associations but not causation. Only one institution participated and not all treatments were readily available, limiting the generalizability of these findings.

CONCLUSIONS

Lower SES as demonstrated by a lower HOUSES quartile (Quartile 1 versus 4) was associated with lower odds of RDS and increased odds of PDS at six months. HOUSES index is a useful tool for identifying patients at risk for worse clinical outcomes and may help health care systems plan resource allocation for depression care.

Intergroup biologization and outgroup prejudice in the time of COVID-19

Through two studies (N = 602) conducted in Italy between February and March 2020, we examined the impact of the COVID-19 emergency on biologization-a form of dehumanization that involves the perception of others as contagious entities-and outgroup prejudice. Overall, results showed that higher emergency perception was associated with greater biologization toward the groups most affected by the virus, namely the Chinese outgroup and the Italian ingroup. In turn, biologization toward the outgroup increased prejudice against that group. We also found that when the pandemic hit Italy, the greater emergency perception was associated with increased emotional closeness with Chinese people, resulting in reduced biologization and prejudice toward them. However, these results held true only for Italian respondents who reported higher levels of ingroup biologization. Taken together, our findings contribute to the knowledge gaps of biologization and prejudice by also providing relevant insights into the ongoing health emergency.

Quantifying Illegal Extraction of Sea Turtles in Costa Rica

Estimates of illegal wildlife trade vary significantly and are often based on incomplete datasets, inferences from CITES permits or customs seizures. As a result, annual global estimates of illegal wildlife trade can vary by several billions of US dollars. Translating these figures into species extraction rates is equally challenging, and estimating illegal take accurately is not achievable for many species. Due to their nesting strategies that allow for census data collection, sea turtles offer an exception. On the Caribbean coast of Costa Rica, three sea turtle species (leatherback, Dermochelys coriacea; green, Chelonia mydas; and hawksbill, Eretmochelys imbricata) are exploited by poachers. Despite the consumption of turtle eggs and meat being illegal, they are consumed as a cultural food source and seasonal treat. Conservation programmes monitor nesting beaches, collect abundance data and record poaching events. Despite the availability of robust long-term datasets, quantifying the rate of poaching has yet to be undertaken. Using data from the globally important nesting beach, Tortuguero, as well as beaches Playa Norte and Pacuare on the Caribbean coast of Costa Rica, we modelled the spatial and temporal distribution of poaching of the three sea turtle species. Here, we present data from 2006 to 2019 on a stretch of coastline covering c.37 km. We identified poaching hotspots that correlated with populated areas. While the poaching hotspots persisted over time, we found poaching is declining at each of our sites. However, we urge caution when interpreting this result as the impact of poaching varies between species. Given their low abundance on these beaches, the poaching pressure on leatherback and hawksbill turtles is far greater than the impact on the abundant green turtles. We attribute the decline in poaching to supply-side conservation interventions in place at these beaches. Finally, we highlight the value of data sharing and collaborations between conservation NGOs.

Using the UTAUT, personal innovativeness and perceived financial cost to examine student’s intention to use E-learning

Purpose

This study aims to examine the factors affecting behavioural intention to use E-learning during the COVID-19 pandemic. The study applies the unified theory of acceptance and use of technology 2 (UTAUT2) to identify the factors that predict intention to use E-learning. Also, the study examines the effect of personal innovativeness in information technology and perceived financial cost on intention to use E-learning.

Design/methodology/approach

The study adopted a cross-sectional quantitative study design involving 617 university students. The data was collected through an online survey due to the COVID-19 restrictions. The proposed hypotheses were analysed using partial least squares structural equation modelling.

Findings

The study found that personal innovativeness in information technology, perceived financial cost, performance expectancy, hedonic motivation and social influence have a significant effect on the intention to use E-learning. Contrary to expectation, habits, effort expectancy and facilitating conditions did not predict intention to use E-learning.

Research limitations/implications

The study was conducted on university students and did not include other school-going students and working professionals. Also, the study sample was not drawn from many universities. The study used a quantitative approach. The use of a mixed-methods approach could provide deeper insights into the factors affecting the intention to use E-learning in developing countries.

Practical implications

The practical implications inform policymakers and educational institutions on how E-learning adoption can be enhanced. In this context, social influence, performance expectancy, hedonic motivation, personal innovativeness and perceived financial cost are identified as predictors of intention to use E-learning. This study has implications for the development of E-learning systems and the promotion of the use of E-learning in the context of developing countries.

Originality/value

The study is amongst the few studies from a developing economy to use the UTAUT2 model to examine students’ intention to use E-learning. The study proposes the inclusion of personal innovativeness in information technology and perceived financial cost as factors predicting intention to use E-learning. Again, the study adopts importance-performance matrix analysis to provide decisional areas where management may improve for successful E-learning acceptance and use.

Personality Traits Affecting Opinion Leadership Propensity in Social Media: An Empirical Examination in Saudi Arabia

Few studies have examined the personality traits that may predict opinion leadership behavior in social media. This study aims to examine the personality traits of individuals who use social media platforms and engage in social networking in Saudi Arabia. This study investigates the extent to which innovativeness, competence in interpersonal relationships, and extraversion affect the opinion leadership propensity in social media. The data were collected via an online structured questionnaire which was completed by a sample of 321 social media users. The results of this study show that people with a high level of innovativeness and interpersonal relationship competency are more likely to be opinion leaders on social media. However, the personality trait of extraversion does not affect the propensity to be an opinion leader. The results indicate that the effect of innovativeness on opinion leadership propensity is lower for Generation Y than Generation X.

Exploration of the views and experiences of research healthcare professionals during their redeployment to clinical roles during the COVID-19 pandemic

Aim

This study aimed to explore the views and experiences of research healthcare professionals towards their redeployment to frontline clinical roles during the COVID‐19 pandemic.

Background

Healthcare professionals working in research were redeployed during the COVID‐19 pandemic to support the delivery of clinical services across the National Health Service. They are experienced clinicians with research knowledge and skills, and specific working patterns. It is important to understand how these professionals were used and supported during their transition to clinical roles during the pandemic.

Method

Between July and September 2020, 15 research healthcare professionals were recruited into this qualitative study. Each participant completed a single semi‐structured interview lasting approximately 30–60 min, conducted remotely using a teleconferencing platform. Interviews were transcribed verbatim, and data analysed by the process of inductive thematic analysis with the assistance of NVivo 12.06 (Nov, 2019).

Findings

Four main themes were identified from analysis of the transcripts: (a) initial personal response to the pandemic (subthemes: of anxieties due to unknown disease impact and concern for others); (b) mobilization for clinical redeployment (subthemes: motivations for voluntary redeployment, the professional challenges, personal fears and the organization and preparedness for redeployment); (c) adaptive deployment to clinical roles (subthemes: adapting to new roles and responsibilities, challenges faced and coping mechanisms), (d) reflections and learnings (subthemes: reintegration to original roles and sense of achievement).

Conclusion

Research healthcare professionals are highly adaptable professionals equipped with core transferable skills. With the appropriate support, re‐familiarization and induction they are a valuable resource during the pandemic response.

Implications to practice

Research healthcare professionals are experienced practitioners with transferrable skills and strong sense of duty and resilience.

Induction programmes to promote recalibration to clinical settings would improve their adaptability, foster confidence and emotional well‐being.

Careful consideration is required prior to mass redeployment to ensure research continuity in both COVID‐19 and other health conditions.

Effects of a nurse-led eHealth cardiac rehabilitation programme on health outcomes of patients with coronary heart disease: A randomised controlled trial

BACKGROUND

The uptake of and adherence to cardiac rehabilitation remain suboptimal despite its apparent health benefits in modifying risk factors and slowing disease progression. eHealth refers to the use of information and communication technologies for health-related purposes. It is a promising approach for improving participation in cardiac rehabilitation by enabling instant contact, hypermedia information delivery, technology-monitored functionalities and individualised progress monitoring.

AIMS

To evaluate the effects of a nurse-led eHealth cardiac rehabilitation (NeCR) system on health behaviours, cardiac self-efficacy, anxiety and depression, health-related quality of life, risk parameters and unplanned use of care services for people with coronary heart disease.

DESIGN

A single-blinded randomised controlled trial design was used.

METHODS

The study randomly assigned 146 patients hospitalised for coronary heart disease to receive either the NeCR intervention or the usual care. Underpinned by social cognitive theory, the intervention commenced before hospital discharge with an in-person session by the nurse to identify individualised self-care needs, set goals and develop an action plan to enhance behavioural risk factor modification and orientate the patient to the use of the information and communication technology platform for cardiac rehabilitation. After discharge, the e-platform helped patients gain knowledge of disease management and monitor goal attainment for health behavioural changes. The nurse provided feedback on the patients' goal attainment and lifestyle modifications on a weekly basis in a small group format through the WeChat platform, thus also mobilising peer influence. Data for lifestyle behaviours, physiological risk parameters and clinical outcomes were collected at baseline and at 6 and 12 weeks post-intervention.

RESULTS

At 6 weeks post-intervention, participants in the intervention group showed significant improvement in the number of steps/day (β = 2628.48, p = .022), the number of minutes/week sitting (β = -640.30, p = .006) and their health-promoting lifestyle profile (β = 25.17, p < .001) compared with the control group. Improvements in the number of steps/day (β = 2520.00, p = .006), the number of minutes/week sitting (β = -719.73, p = .004) and health-promoting lifestyle (β = 16.09, p < .001) were sustained until the 12-week post-intervention endpoint. Moreover, participants showed significantly greater improvement in self-efficacy (β = 0.61, p = .005) and health-related quality of life (mean difference = 0.56, p < .001) than the control group at the study endpoint.

CONCLUSIONS

The findings of this study demonstrate the effectiveness of the NeCR intervention in modifying behavioural risk factors and improving health-related quality of life. These findings also provide insights into the application of eHealth nursing interventions to enhance the rehabilitation of patients with coronary heart disease.

TRIAL REGISTRATION

ChiCTR1800020411.

Exploring a novel approach to surgery clerkship didactics during the COVID-19 pandemic: A qualitative study

Background

The COVID-19 pandemic brings unforeseen challenges in medical education. The current study aims to: 1) describe third-year medical students’ experiences with the novel Shelf-Exam-Type Question Didactics (SET QD) before (in-person) and during (virtual) COVID-19.

Methods

In this qualitative study using grounded theory, we conducted purposive sampling and used 23 in-depth semi-structured interviews. Audio recordings were transcribed verbatim and the Atlas.Ti software was used to manage the thematic analysis.

Results

There are three themes and eight subthemes that emerged: 1) The SET QD Framework (sub-themes: questions as learning opportunities; interleaving; notable clinical scenarios; team learning; accountability). 2) Experienced Educator (subtheme: transformational teaching). 3) Virtual Accessibility (sub-themes: alleviating time constraints, and mitigating life-stressors).

Conclusions

Medical students regarded SET QD as impactful for shelf exam preparation, clinical preparation, and long-term retention of the material. This novel virtual didactic method may be used in non-surgical clerkships as well.

Past, Present, and Future of Impulse Buying Research Methods: A Systematic Literature Review

Impulse buying (IB) represents a pivotal subject in consumer psychology. A general agreement on its core elements and their relationship is arguably established. So far, however, there has been little discussion about how to assess impulse purchases, leading to a potential divergence of practise from theory and complexities in cross-study comparability. This systematic literature review investigates the research methods and metrics employed in high-quality literature to evaluate impulse shopping behaviours across different environments, including online, offline, and multichannel settings. Following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) criteria, the literature search has been conducted on databases relevant for scientific literature, including Scopus, Web of Science, and ProQuest. Fifty-four articles were included in this systematic review. Findings show the existence of four methods to investigate IB, namely quantitative self-reports, laboratory investigations, fieldwork observations, and qualitative interviews. A comparison of the four methods in terms of fit highlights that self-reports and interviews provide a significant contribution in assessing the cognitive facet of impulse purchasing. Laboratory investigations and fieldwork observation find a better fit with the conative and visceral facets of impulsive buying. Considering the major role of affective charges occurring during impulse shopping, complementary research approaches, and metrics belonging to applied psychophysiology and consumer neuroscience are examined. Three opportunities for future research are discussed, including theory building and refinement, understanding individual differences, and honing behavioural predictions.

Using a theoretical approach to predict college students' non-medical use of prescription drugs - a survival analysis

This study assesses students' non-medical use of prescription drugs (NMUPD) from college entrance to graduation, and examines factors that predict NMUPD. Participants: The study was conducted between May 2011 and September 2015 with 338 students. Methods: Longitudinal cohort study design was used to examine NMUPD across time, and NMUPD-related attitudes and subjective norms. Five yearly interviews were conducted to collect data. Cox proportional hazards regression analysis was used to examine time to NMUPD. Results: Thirty-five percent of study participants reported NMUPD; the majority of those initiated non-medical use before their third year in college. Analyses indicated that more positive attitudes towards NMUPD (HR = 1.73, p < 0.001), increased subjective norms regarding NMUPD (HR = 1.01, p < 0.01), and gender (male) (HR= 1.89, p < 0.001) were significantly associated with sooner NMUPD. Conclusions: Findings suggest that NMUPD prevention efforts that target mutable factors such as attitudes and subjective norms should be implemented early during students' college careers.

Combining Virtual Reality and Organizational Neuroscience for Leadership Assessment

In this article, we introduce three-dimensional Serious Games (3DSGs) under an evidence-centered design (ECD) framework and use an organizational neuroscience-based eye-tracking measure to capture implicit behavioral signals associated with leadership skills. While ECD is a well-established framework used in the design and development of assessments, it has rarely been utilized in organizational research. The study proposes a novel 3DSG combined with organizational neuroscience methods as a promising tool to assess and recognize leadership-related behavioral patterns that manifest during complex and realistic social situations. We offer a research protocol for assessing task- and relationship-oriented leadership skills that uses ECD, eye-tracking measures, and machine learning. Seamlessly embedding biological measures into 3DSGs enables objective assessment methods that are based on machine learning techniques to achieve high ecological validity. We conclude by describing a future research agenda for the combined use of 3DSGs and organizational neuroscience methods for leadership and human resources.

Determinants of caries experience and the impact on the OHRQOL of 6-year-old Libyan children: a cross-sectional survey

Objective

The current study aimed to assess the caries experience and associated factors and its impact on the oral health-related quality of life (OHRQoL) among 6-year-old Libyan children.

Methods

A cross-sectional survey including 706 six-year-old children was conducted in 2017 in Benghazi, Libya. Data were collected through a self-administered questionnaire assessing socioeconomic status and oral health behaviours, and the Arabic version of the Early Childhood Oral Health Impact Scale (A-ECOHIS) to assess the OHRQoL. Clinical examination assessed caries experience at tooth level (dmft) and the number of decayed, missing due to caries and filled teeth (dt, mt and ft). Poisson regression analysis was performed to determine the association between dmft scores and the independent predictors. Linear regression analysis was conducted for ECOHIS scores with the children’s gender, SES and OHB. The statistical significance was set to ≤  0.05.

Results

Data were available for 706 children. Caries prevalence (dt) and dmft of ≥ 1 were 69.1% and 71% respectively. The mean ± SD dmft score was 3.23 ± 3.32. There was a significant and direct association between dmft scores and daily consumption of sugary snacks (B = 1.27, P = 0.011) and a significant inverse association with teethbrushing twice daily (B = 0.80, P = 0.041). There was a significant and direct association between A-ECOHIS and dmft (B = 1.14, P ≤ 0.001) and a significant and inverse association between A- ECOHIS and high and intermediate family income compared to low income (B = −3.82, P = 0.0001 and B = −2.06, P = 0.028).

Conclusions

6-year-old Libyan children had a relatively high caries experience an untreated decay with impact on OHRQoL. Social disparities, sugar consumption patterns and oral hygiene practices were associated with high caries experience.

Comprehensive Geriatric Assessment Using the Yoitoko Check-Up, a Novel Health Check-Up Providing Positive Feedback to Older Adults: A Before-After Study

Purpose

The Yoitoko check-up, a novel health check-up providing positive feedback, has been developed to promote health among older adults, and consists of several comprehensive geriatric assessment items. This report aimed to describe the details of the Yoitoko check-up and to explore the future possibility of the check-up by evaluating the participants’ short-term behavioral changes in terms of comprehensive functioning, using a before-after study design.

Patients and Methods

Four Yoitoko check-ups were conducted, at 3-month intervals, between December 2018 and September 2019. Study participants aged ≥65 years included those who had undergone ≥2 Yoitoko check-ups. The results of each visit after the second check-ups were retrospectively compared with those of the baseline, and the mean changes and the odds ratios were calculated using a paired t-test or a McNemar test, respectively.

Results

Of 84 participants, the results of 16 (19.0%) participants were analyzed. The mean (standard deviation) age was 75.3 (4.7) years. The mean Tokyo Metropolitan Institute of Gerontology Index of Competence score, a measure of high-level functional capacity, increased 0.9 (95% confidence interval; range, 0.2–1.5) points between the first and second visits.

Conclusion

We developed the Yoitoko check-up and introduced the details of it. Our study findings suggested that the Yoitoko check-up may further motivate older adults to improve their health and promote positive behavioral changes. Future studies are needed to evaluate the effectiveness of this novel assessment method.

COVID-19 - A window of opportunity for the transition toward sustainable mobility?

The mobility sector was one of the sectors most affected by COVID-19 and its political restrictions, with, inter alia a huge drop in mobility behavior due to travel bans, lockdowns, and a reduced need to be mobile. The present study examined the potential of COVID-19 restrictions aiming at containing the spread of the virus to be a window of opportunity for the transition toward sustainable mobility by breaking up strongly habitualized daily and travel mobility behaviors through changes of behavioral contexts. We conducted an online survey in a sample representative for the German population (N = 3092) to study the consequences of the COVID-19 restrictions on Germans' daily and travel mode choices and on their wishes for future mobility. Furthermore, we examined the moderating effects of Germans' personal norms to protect the climate on changes in their mobility behavior toward sustainable mobility, both within and beyond the corona pandemic. In line with previous research, the present study shows an overall reduction of mobility across almost all modes of transport for daily and travel mobility during time periods of COVID-19 restrictions compared to pre-COVID-19-times, with different transport modes being affected differently. Our findings additionally point out the relevance of personal norms to protect the climate for the transition toward sustainable mobility behavior. Altogether, the present study provides first empirical evidence for the corona pandemic to represent a window of opportunity for the transition toward sustainable mobility. Furthermore, the study also points out relevant directions for further research.

Who Supports Honor-Based Violence in the Middle East? Findings From a National Survey of Kuwait

This study reports findings from what is, to the authors' knowledge, the first nationally representative survey of public attitudes toward honor-based violence (HBV) in a Middle East country affected by such violence, and one of very few if any such national surveys undertaken in any context. In a telephone survey of 1,050 adult citizens of the Arab Gulf state of Kuwait, we collect attitudinal and behavioral measures of support for HBV. Facilitated by vignettes, item order randomization, and other survey best practices designed to reduce social desirability bias, the survey measures both support for HBV in principle and support for legislation permitting it. We also assess the correlates of views toward honor-based crimes, including demographic attributes (age, sex, and education), social indicators (economic status, religiosity, and tribal attachment), and political indicators (political interest, engagement, and ideology). These unique data permit investigation into the individual-level predictors of support for HBV among citizens of a country that has experience with HBV and laws that afford reduced punishment for perpetrators of honor killing. Results reveal, first, considerable levels of public support in Kuwait for HBV. Half of citizens report agreement that physical violence is justified as punishment for female adultery, whereas a third of both men and women say they would support a law permitting violence against a female adulterer. The strongest positive predictors of individual support for HBV are tribal attachment, religiosity, and support for political Islam. Surprisingly perhaps, permissive views of HBV are most likely among the youngest generation of Kuwaitis. The findings have important implications for understanding the factors that help explain the existence and persistence of HBV in the Middle East, in Islamic contexts, and elsewhere where it occurs.

A less evaluative measure of Big Five personality: Comparison of structure and criterion validity

Researchers and practitioners have long been concerned about detrimental effects of socially desirable responding on the structure and criterion validity of personality assessments. The current research examined the effect of reducing evaluative item content of a Big Five personality assessment on test structure and criterion validity. We developed a new public domain measure of the Big Five called the Less Evaluative Five Factor Inventory (LEFFI), adapted from the standard 50-item IPIP NEO, and intended to be less evaluative. Participants ( n = 3164) then completed standard (IPIP) and neutralized (LEFFI) measures of personality. Criteria were also collected, including academic grades, age, sex, smoking, alcohol consumption, exercise, protesting, religious worship, music preferences, dental hygiene, blood donation, other-rated communication styles, other-rated HEXACO personality, and cognitive ability (ICAR). Evaluativeness of items was reduced in the neutralized measure. Cronbach's alpha and test-retest reliability were maintained. Correlations between the Big Five were reduced in the neutralized measure and criterion validity was similar or slightly reduced in the neutralized measure. The large sample size and use of objective criteria extend past research. The study also contributes to debates about whether the general factor of personality and agreement with socially desirable content reflect substance or bias.

Public attitudes toward dairy farm practices and technology related to milk production

Dairy farm systems have intensified to meet growing demands for animal products, but public opposition to this intensification has also grown due, in part, to concerns about animal welfare. One approach to addressing challenges in agricultural systems has been through the addition of new technologies, including genetic modification. Previous studies have reported some public resistance towards the use of these technologies in agriculture, but this research has assessed public attitudes toward individual practices and technologies and few studies have examined a range of practices on dairy farms. In the present study, we presented participants with four scenarios describing dairy practices (cow-calf separation, the fate of excess dairy calves, pasture access and disbudding). Citizens from Canada and the United States (n = 650) indicated their support (on a 7-point scale) toward five approaches (maintaining standard farm practice, using a naturalistic approach, using a technological approach, or switching to plant-based or yeast-based milk production) aimed at addressing the welfare issues associated with the four dairy practices. Respondents also provided a text-based rationale for their responses and answered a series of demographic questions including age, gender, and diet. Participant diet affected attitudes toward milk alternatives, with vegetarians and vegans showing more support for the plant-based and yeast-based milk production. Regardless of diet, most participants opposed genetic modification technologies and supported more naturalistic practices. Qualitative responses provided insight into participants’ values and concerns, and illustrated a variety of perceived benefits and concerns related to the options presented. Common themes included animal welfare, ethics of animal use, and opposition toward technology. We conclude that Canadian and US citizens consider multiple aspects of farm systems when contemplating animal welfare concerns, and tend to favor naturalistic approaches over technological solutions, especially when the latter are based on genetic modification.

Willingness to help climate migrants: A survey experiment in the Korail slum of Dhaka, Bangladesh

Bangladesh faces a severe rural to urban migration challenge, which is accentuated by climate change and the Rohingya crisis. These migrants often reside in urban slums and struggle to access public services, which are already short in supply for existing slum dwellers. Given the inadequacy of governmental efforts, nonprofits have assumed responsibility for providing essential services such as housing, healthcare, and education. Would local slum-dwellers in Dhaka be willing to support such nonprofits financially? We deploy an in-person survey experiment with three frames (generic migrants, climate migrants, and religiously persecuted Rohingya migrants) to assess Dhaka slum-dwellers' willingness to support a humanitarian charity that provides healthcare services to migrants. Bangladesh is noted as a climate change hotspot and its government is vocal about the climate issue in international forums. While we expected this to translate into public support for climate migrants, we find respondents are 16% less likely to support climate migrants in relation to the generic migrants. However, consistent with the government's hostility towards Rohingya, we find that respondents are 9% less likely to support a charity focused on helping Rohingya migrants. Our results are robust even when we examine subpopulations such as recent arrivals in Dhaka and those who have experienced floods (both of which could be expected to be more sympathetic to climate migrants), as well as those who regularly follow the news (and hence are well informed about the climate and the Rohingya crisis).

Classification From Pairwise Similarities/Dissimilarities and Unlabeled Data via Empirical Risk Minimization

Pairwise similarities and dissimilarities between data points are often obtained more easily than full labels of data in real-world classification problems. To make use of such pairwise information, an empirical risk minimization approach has been proposed, where an unbiased estimator of the classification risk is computed from only pairwise similarities and unlabeled data. However, this approach has not yet been able to handle pairwise dissimilarities. Semisupervised clustering methods can incorporate both similarities and dissimilarities into their framework; however, they typically require strong geometrical assumptions on the data distribution such as the manifold assumption, which may cause severe performance deterioration. In this letter, we derive an unbiased estimator of the classification risk based on all of similarities and dissimilarities and unlabeled data. We theoretically establish an estimation error bound and experimentally demonstrate the practical usefulness of our empirical risk minimization method.

The Relationship of Lifestyle Factors with the Prevalence of Major Depressive Disorder by Ecological Factors

OBJECTIVE

The association between ecological/lifestyle factors and major depressive disorder (MDD) have been provided but was inconsistent as characteristics of population including race, gender, etc.

METHODS

Data were extracted from the Korean National Health and Nutrition Examination Survey and consisted of 35,839 adults including 1,537 with MDD. Ecological factors included age, sex, married status, education, family income, residence, occupation, BMI, self-recognition stress, and history of non-communicable disease. Smoking, drinking, regular exercise, total energy intake, and sleep was consisted for lifestyle factors. The relationship between MDD and ecological/lifestyle factors, was evaluated using the multiple logistic regression model after adjustment for covariates.

RESULTS

The increased prevalence of MDD in men was related aged, unmarried, low educated, unoccupied, high BMI, and high self-recognition stress. To women, MDD prevalence was increased as aged, low educated and family income, resided in urban, unoccupied, high self-recognition stress and history of non-communicable disease. Current smoking/drinking and lack of sleep was positively related with prevalence of MDD in women. The relationship between lifestyle factors and MDD prevalence was influenced by ecological status, predominantly in women.

CONCLUSION

The relationship of lifestyle factors with MDD prevalence were observed and could be attenuated by various ecological factors, in women.

Religious Coping and Quality of Life Among Black and White Men With Prostate Cancer

Prostate cancer is a significant impediment in men’s lives as this condition often exacerbates stress and reduces quality of life. Faith can be a resource through which men cope with health crises; however, few studies examine how religion or spirituality can have implications for racial disparities in health outcomes among men. The purpose of this study is to assess the associations between religious coping and quality of life among black and white men with prostate cancer. Data for this investigation were drawn from the Diagnosis and Decisions in Prostate Cancer Treatment Outcomes Study that consisted of 624 black and white men with complete information on the primary outcome and predictor variables. The primary outcome for this study was overall quality of life as measured by the Functional Assessment of Cancer Therapy-Prostate questionnaire. The main independent variable was religious coping measured by 2 subscales capturing positive and negative forms of coping. Black men in the study had lower overall quality of life scores (134.6 ± 19.6) than their white peers (139.8 ± 14.1). Black men in the sample also had higher average positive religious coping scores (12.9 ± 3.3) than white men (10.3 ± 4.5). Fully adjusted linear regression models of the total sample produced results indicating that positive religious coping was correlated with an increase in quality of life (β = .38, standard error [SE] = 0.18, P < .05). Negative religious coping was associated with a reduction in quality of life (β = −1.48, SE = 0.40, P < .001). Faith-oriented beliefs or perceptions can have implications for quality of life among men with prostate cancer. Sensitivity to the role of religion, spirituality, and faith should be seen by providers of health care as potential opportunities for improved outcomes in patients with prostate cancer and survivors.

Perceptions of Urban Green Areas during the Social Distancing Period for COVID-19 Containment in Italy

The scientific community recognizes that urban green areas play an important role in supporting human wellbeing. Green spaces are used differently by citizens accordingly to their age, gender, education, or lifestyle. During the coronavirus disease (COVID-19) pandemic period in 2020, public green areas were closed due to the limitations imposed by social distancing in Italy and people were forced to stay at home. The aim of this research was to investigate the importance of public green areas in the life of the population in relation to the limits imposed during the first lockdown in Italy. A participatory approach was used, and an online questionnaire focused on people’s perceptions about the public attendance in green areas and their main uses pre-, during, and post-COVID-19 emergency period was administrated randomly to the adult population. The questions focused on the habit, frequency, and duration of park visits and about the individual perceptions and feelings about the green areas close (maximum 200 m distance) to their residences. A total of 3286 responses were obtained and analyzed at national and regional levels (Piemonte). In order to have a general national overview, a basic descriptive statistic was applied using all answers, elaborated in the form of percentages. At the regional level, questions were selected and compared to determine if answers were in related. Statistical analyses with chi-square tests and correspondence analyses were performed. The results indicated that the social distancing period for COVID-19 containment in Italy influenced perceptions about urban green areas. The importance of having outdoor green spaces was highlighted and an increase in interest about urban green areas was observed. Future planning strategies will have to consider the need of designing urban green areas for having more livable cities.

Cannabis and Cigarette Use Before and After Living Kidney Donation

Background:

It is unclear whether kidney donation leads to lifestyle changes in terms of cannabis and cigarette use.

Objective:

To describe cigarette and cannabis use before and after kidney donation and to determine their associations with lifestyle and clinical factors.

Design:

Retrospective cohort study.

Setting:

The Living Kidney Donor program in the Champlain Local Health Integration Network at The Ottawa Hospital in Ottawa, Canada.

Patients:

The study included 178 living kidney donors who donated between January 2009 and December 2018.

Measurements:

Donors were screened for cannabis and cigarette use by telephone interview. Their clinical characteristics and changes in kidney function before and after donation were recorded.

Methods:

Cannabis and cigarette use before and after kidney donation were compared using chi-square test. Risk factors associated with their use was examined by univariate and multivariate logistic regression. Wilcoxon rank sum test was used to examine the association of cannabis and Chronic Kidney Disease Epidemiology Collaboration equation (CKD-EPI) estimated glomerular filtration rate (eGFR) at donation and at last follow-up. T-test was used to examine the association of cigarette smoking and CKD-EPI eGFR at donation and at last follow-up.

Results:

Among 305 donors, 262 met inclusion criteria and 178 participated (mean of 4.7 ± 2.9 years from kidney donation). Cannabis and cigarette use were reported by 5% (9 of 178) and 13% (23 of 178) at donation. After donation, 8% (14 of 178) and 5% (9 of 178) started cannabis and cigarettes, respectively; 74% (17 of 23) of smokers remained smokers after donation and 88% (53 of 60) who quit smoking before donation did not restart after donation. In multivariate analysis, non-married/common-in-law status was associated with cannabis use (odds ratio, 2.73; 95% confidence interval, 1.05-7.11; P = .04). There was no difference in eGFR pre- or post-donation among cannabis or cigarette users.

Limitations:

The single-center study design limits generalizability. Social desirability bias may have affected survey responses and cigarette smoking was not quantified.

Conclusions:

Cannabis and cigarette use was uncommon in the studied population and was not associated with remaining kidney function. Cannabis use increased post-donation. Most smokers remained smokers after donation and most donors who quit smoking before donation did not restart after donation. This warrants education and support for potential donors who smoke, to quit smoking prior to donation to reduce risks of cardiovascular and end-stage kidney disease.

Trial Registration:

Not applicable as this is not a clinical trial.

Toward an understanding of trait competition, cooperation and explicit intergroup prejudice

We sought to measure whether, and to what extent, correlations existed between trait-level cooperation and competition and different forms of intergroup prejudice. We recruited two samples of heterosexual European-American participants (n = 113 and n = 223) from a U.S. national panel survey service. Participants completed measures of racial, gender, and sexual orientation prejudice as questionnaires. In both samples, we found that trait competition tended to positively correlate with explicit measures, such that increasing trait competition was associated with higher degrees of prejudice. Interestingly, we found that different "families" of prejudice had different correlational profiles with trait competition, such that those with racial and gender prejudice had larger magnitudes than sexual orientation prejudice. Separately, trait cooperation only correlated reliably with prejudicial attitudes toward African Americans, such that increasing trait cooperation was associated with lower levels of prejudice.

An Immersive Serious Game for the Behavioral Assessment of Psychological Needs

Motivation is an essential component in mental health and well-being. In this area, researchers have identified four psychological needs that drive human behavior: attachment, self-esteem, orientation and control, and maximization of pleasure and minimization of distress. Various self-reported scales and interviews tools have been developed to assess these dimensions. Despite the validity of these, they are showing limitations in terms of abstractation and decontextualization and biases, such as social desirability bias, that can affect responses veracity. Conversely, virtual serious games (VSGs), that are games with specific purposes, can potentially provide more ecologically valid and objective assessments than traditional approaches. Starting from these premises, the aim of this study was to investigate the feasibility of a VSG to assess the four personality needs. Sixty subjects participated in five VSG sessions. Results showed that the VSG was able to recognize attachment, self-esteem, and orientation and control needs with a high accuracy, and to a lesser extent maximization of pleasure and minimization of distress need. In conclusion, this study showed the feasibility to use a VSG to enhance the assessment of psychological behavioral-based need, overcoming biases presented by traditional assessment.

The Influence of Affective State on Subjective-Report Measurements: Evidence From Experimental Manipulations of Mood

A substantial portion of the knowledge base of psychology is based on subjective reports with a risk of information bias. The objective of the present study was to elucidate one contextual source of variance and potential bias in subjective reports: the influence of affective state at the time of responding to questionnaires. Employees (N = 67, abstaining from stimulants and activities that may influence emotional and physiological state) were subjected to mood-induction procedures in the laboratory. Neutral, positive, and negative moods were induced by combinations of pictures from the international affective picture set (IAPS) and music. The subjects responded to questions on visual analog scales (VAS) in order to optimize sensitivity and attenuate short-term memory effects. Most subjects exhibited significant affective-state inductions with no change in arousal. The analyses took affective response to the manipulation into account. Only four of 20 questions were somewhat influenced by induced affective state: job overload, social support from co-workers, satisfaction with getting to develop personally, and an item measuring agreeableness. In general, responding to questions of work that were phrased for valence was little or insignificantly influenced by induced affective state.

Effect of Item Order on Certain Psychometric Properties: A Demonstration on a Cyberloafing Scale

Many studies have been conducted on the effect of item order in self-report questionnaires on mean scores. This research aims to study the effect of item order on measurement invariance in addition to mean scores. To this end, two groups randomly obtained from the same sample were presented a fixed order form in which all items belonging to the same dimension were adjacent to each other, and a random order form in which the items were randomly sequenced respectively. The results obtained revealed a statistically significant difference between the mean scores of the two forms. In the next stage of the study, the fit indices obtained from the confirmatory factor analysis (CFA) applied to the two separate forms and the modification indices (MI) suggested by the software were compared. Both forms returned high modification suggestions for adjacent items or items presented near each other. Additionally, it was found that high χ² reductions suggested by the MIs in one form resulted in low χ² reductions in the other. Lastly, multiple group CFA (mg-CFA) was conducted to determine whether or not measurement invariance was achieved through different item order presentations of the scale. The findings indicate that measurement invariance could not be achieved even at the first stage of analysis. It may specifically be stated that presenting respondents items under the same dimension together ensures empirical findings congruent with theoretical structure.

COVID-19 Pandemic Among Immigrant Latinx Farmworker and Non-farmworker Families: A Rural-Urban Comparison of Economic, Educational, Healthcare, and Immigration Concerns

COVID-19 has revealed social and health inequities in the United States. Structural inequalities have increased the likelihood of immigrants contracting COVID-19, by being essential workers and through poverty that forces this population to continue working. Rural and urban immigrant families may face different concerns. Using a telephone survey in May 2020 of 105 Latinx families in an existing study, quantitative and qualitative data were gathered on work and household economics, childcare and education, healthcare, and community climate. Analyses show that, although rural and urban groups experienced substantial economic effects, impacts were more acute for urban families. Rural workers reported fewer workplace protective measures for COVID-19. For both groups, fear and worry, particularly about finances and children, dominated reports of their situations with numerous reports of experiencing stress and anxiety. The experience of the pandemic is interpreted as an example of contextual vulnerability of a population already experiencing structural violence through social injustice. Policy implications are highlighted.