The Relationship between the Military Medical Officer and Commanding Officer: Implications for Education and Training

INTRODUCTION

A successful working relationship between the Military Medical Officer (MMO) and Commanding Officer (CO) is critical for mission success. However, there is a gap in the professional literature outlining evidence-based practices for teaching early career MMOs how to strategically develop this relationship. The purpose of this study, therefore, was to explore our participants' perceptions of how MMOs can foster a positive and productive working relationship with the CO.

MATERIALS AND METHODS

We leveraged interpretive phenomenological design to interview 16 seasoned military physicians with extensive operational experience. We transcribed and coded each interview. Our research team determined how to organize these codes into major categories, which served as our study's themes.

RESULTS

The participants described three key elements for developing a good working relationship between the CO and MMO: (1) mission-focused communication; (2) active and physical presence; and (3) expert/advisor role fulfillment. The MMO should communicate with the CO in an understandable and mission-focused manner. The MMO should likewise be present within day-to-day operations and should establish their officership during mission planning. The MMO should fulfill their role as a subject matter expert, yet advisor, to the CO.

CONCLUSIONS

Communication, presence, and role fulfillment are essential elements for optimizing the MMO-CO working relationship. Learning these roles during medical school may enhance early career physicians' mission readiness.

Pets at work: integrating pet-friendly initiatives into human resources for enhanced workplace harmony

AIMS

The representation of companion animals, or pets, has been changing recently. Research concerning how pets influence employees' work-related well-being has also started to take its first steps. This research aimed to analyze (1) how managers perceive pet-friendly practices and their main effects at work, and (2) the impact of such practices on employees' well-being and work engagement. Relying on the social exchange perspective and the self-determination theory it was hypothesized that pet-friendly practices would positively influence employees' well-being and work engagement by satisfying their three basic needs (autonomy, competence, and relatedness).

METHODOLOGY

Two studies with mixed methods were conducted. The first and exploratory study resorted to semi-structured interviews with six managers. The second was a two-wave study conducted with a large sample of workers (N = 379).

RESULTS

The first study highlighted the primary advantages and disadvantages of pet-friendly practices, along with the various obstacles and limitations, and proposed managerial strategies to overcome them. Managers generally expressed interest and enthusiasm about the topic but also pointed out challenges in implementing a pet-friendly strategy due to the limited number of empirical studies demonstrating its benefits. The second study's findings indicated that pet-friendly practices positively impacted employees' work engagement and well-being by fulfilling their needs for competence, autonomy, and relatedness.

ORIGINALITY

Overall, Portugal is seen as having a conservative culture, which slows the dissemination and implementation of these measures. To overcome these challenges, several managerial recommendations have been proposed. Raising awareness and fostering discussion on the topic are crucial steps toward integrating pet-friendly policies into human resources management.

Finding a City Name in a Traffic Sign: Effects of Word Case and Visual Motion

OBJECTIVES

To investigate the word recognition effects of the use of all-uppercase (e.g., VALENCIA) or titled-case (e.g., Valencia) for city names in traffic signs, controlling for word size, and comparing stationary and dynamic viewing situations.

BACKGROUND

Prior studies provide mixed evidence regarding the effects of word case on the recognition of city names in traffic signs. Moreover, the evidence on the potential impact of visual motion on these effects is scarce.

METHOD

We carried out an experimental study using simulated traffic signs. The task was to indicate, for each sign, whether it contained a given city name or not (word search task, 50% positive trials). Visual motion of signs was manipulated as a between-participants factor: stationary (the sign was still) versus dynamic (the sign expanded as if the participant was approaching to it). Word case was manipulated as a within-participants factor: all-uppercase versus two titled-case conditions varying in font size: width-matched titled-case and point size-matched titled-case.

RESULTS

In both the stationary and dynamic conditions, all-uppercase resulted in more incorrect responses and slower latencies than width-matched titled-case. When compared to point size-matched titled-case, all-uppercase produced slower correct responses in the stationary condition, whereas faster in the dynamic condition.

CONCLUSION

Other factors being equal, all-uppercase city names will be recognized worse than their titled-case versions in traffic signs, both in stationary and dynamic situations.

APPLICATION

Results in the current experimental study would be of interest in the design of traffic signs and other circumstances in which text is presented in motion.

Proficiency With Number Concepts and Operations: Replicating the Efficacy of a First-Grade Mathematics Intervention

Conceptual replications are part and parcel of education science. Methodologically rigorous conceptual replication studies permit researchers to test and strengthen the generalizability of a study's initial findings. The current conceptual replication sought to replicate the efficacy of a small-group, first-grade mathematics intervention with 240 first-grade students with mathematics difficulties in a new geographical region. Participating students were randomized into one of three conditions: (a) 2:1 mathematics intervention group, (b) 5:1 mathematics intervention group, or (c) business-as-usual instruction. Relative to the original study, findings from the replication varied. When comparing the treatment groups to the control, results suggested positive effects on all outcome measures, including a follow-up assessment administered one year later. However, differences between the two treatment groups based on group size were not found in the mathematics outcome measures. Both groups also received commensurate levels of observed instructional interactions. Implications for unpacking contextual differences between original research and their replications as well as using future research to explore the quantity and quality of instructional interactions as ways to explain variation in findings of group size are discussed.

When do gossip receivers assess negative gossip as justifiable? A goal framing approach

Negative gossip is a double-edged sword, which can harm group members but also protect them from harmful others. Current theory proposes that gossip receivers assess gossipers' selfish and prosocial intentions based on different social cues, to determine whether the negative gossip behavior is morally justifiable. However, assessing gossipers' moral intentions does not fully clarify when and how justifiability of negative gossip is assessed by receivers. Using goal framing theory, I propose a parsimonious way of understanding when gossip receivers will be interested in determining whether sharing the negative gossip was justifiable, and how they assess justifiability. In line with predictions, results of two scenario experiments showed that in a hedonic and gain goal frame gossip justifiability was similar to a baseline level, suggesting that receivers had no particular concerns regarding gossip justifiability. However, in a normative frame receivers assessed negative gossip to be less justifiable when social cues indicated that the gossiper was motivated to harm others for self-interest compared to when such cues were absent (Study 1). In Study 2, gossip was more justified when social cues indicated that that the target broke the salient social norm and signaled that the gossiper has low motivation to harm. Moreover, in a normative frame, participants were more interested in further establishing gossip truthfulness compared to participants in a gain, hedonic, or control condition in Study 1, and in a hedonic condition in Study 2. These results show that individuals' goal frame determine their interest in gossip justifiability and how they assess it. This may help solve the paradox of negative gossip by drawing from goal framing theory to understand individuals can be avid gossip consumers, while holding widely disapproving attitudes towards this behavior.

Factors Affecting Breast Screening Behavior of First-Degree Relatives of Breast Cancer Patients in China: A Cross-sectional Study

BACKGROUND

Breast cancer is the most common cancer in women, and first-degree relatives (FDRs) of breast cancer patients have a significantly higher risk of developing breast cancer. However, the factors affecting breast cancer screening behavior of FDRs in China remain unclear.

OBJECTIVE

The aim of this study was to determine the social cognitive theory factors influencing screening behaviors of FDRs.

METHODS

A cross-sectional survey was conducted, and 430 FDRs were recruited. Data were collected using demographic information and self-reported questionnaire based on the social cognitive theory. The structural equation modeling method was used to analyze the influence of social cognitive factors on breast cancer screening behavior.

RESULTS

The model showed a good fit (goodness of fit = 0.462). Goal setting and self-regulation (β = 0.631, P < .001) and positive outcome expectation (β = 0.098, P = .042) were positively related to breast cancer screening behavior. Negative outcome expectation was negatively related to breast cancer screening behavior (β = -0.102, P = .024). In addition, positive outcome expectation, negative outcome expectation, and goal setting and self-regulation are mediators of self-efficacy (β = 0.475, P < .001) to breast cancer screening behavior.

CONCLUSION

Goal setting and self-regulation are important influences on breast cancer screening behavior. The social cognitive theory is both applicable to and effective in explaining and predicting breast cancer screening behavior.

IMPLICATIONS FOR PRACTICE

Health professionals can develop appropriate intervention strategies based on the social cognitive theory among FDRs. It is necessary to focus on the people who influence women, such as spouses, mothers, or daughters.

Work from home: Facilitators for an effective ergonomic work system

Previous studies on Human Factors and Ergonomics (HFE) have primarily examined the impact of Work-From-Home (WFH) on worker health and well-being, yet little research has examined the optimal implementation process of WFH programs. Work systems perspective suggests that organizational policies, leadership, and psychological factors collectively influence the success of organizational change efforts. Our study explored the roles of managerial/supervisory, psychological, and organizational policy factors in facilitating the relationship between employees' HFE awareness and their acceptance and satisfaction with the WFH arrangement. Using data from 3195 knowledge workers in the US who use computers as their primary work tool and have worked from home at least one day in the past 30 days, we employed structural equation modeling to test our hypotheses. Transformational HFE leadership and employees' general self-efficacy are pivotal in implementing ergonomic WFH arrangements. The combination of employees' HFE awareness, transformational HFE leadership, and adequate levels of self-efficacy may foster positive process outcomes (e.g., readiness for WFH arrangement, workspace design satisfaction) in WFH arrangements. Efforts that are coordinated across organizational levels determine the effectiveness of organizational change.

Mental health in athletes: Does authentic leadership matter?

Recent research has attested to the prevalence of mental health issues in sport, and the need to identify factors that could promote athletes' mental health. In this study, we investigated: (a) whether authentic leadership is associated with athletes' mental health directly and indirectly via psychological capital and prosocial and antisocial behaviour experienced from one's teammates; and (b) whether the hypothesized model testing these relationships is the same in higher versus lower competitive level athletes. We examined two dimensions of mental health, namely positive mental health and mental illness. A total of 751 athletes (Mage = 22.92, SD = 8.53; 294 female) from a range of sports completed a multi-section questionnaire administered via an online survey. Path analysis showed that authentic leadership was positively related to positive mental health via psychological capital and prosocial behaviour and negatively linked to mental illness via psychological capital and antisocial behaviour. The effects of authentic leadership on positive mental health via prosocial teammate behaviour and subsequently psychological capital, and on mental illness via prosocial teammate behaviour, were stronger in higher compared to lower competitive level athletes. The findings suggest that by adopting an authentic leadership style coaches could strengthen athletes' positive mental health and protect them from mental illness. This may happen by increasing athletes' psychological capital and prosocial behaviour within the team and decreasing antisocial behaviour within the team.

Knowing your team in the intensive care unit: an ethnographic study on familiarity

Effective interprofessional team function is integral to high-quality care in the intensive care unit (ICU). However, little is known about how familiarity develops among teams, which may be an important antecedent to effective team function and quality care. To examine team familiarity and how it impacts ICU team function and care, we conducted an ethnographic study in four ICUs (two medical ICUs, one mixed medical-surgical ICU, and one surgical ICU) in two community hospitals and one academic medical center. We conducted 57.5 h of observation, 26 shadowing experiences, and 26 interviews across the four ICUs sequentially. We used thematic analysis to examine familiarity among the team. We found that ICU team members become familiar with their team through interpersonal, relational interactions, which involved communication, time working together, social interactions, trust, and respect. Our findings underscore the relational aspect of effective teams and demonstrate that time working together, social interactions, communication, developing trust, and respect are pathways to familiarity and optimal team function. Leveraging unique and creative ways to enhance the relational aspects of ICU teams could be an area for future research and lead to improved ICU outcomes.

Relationships between school harassment and problematic drinking in a college sample: Is need for approval a moderator?

Objectives: Examines whether a personality characteristic, need for approval, moderates the relationship between harassment exposure and alcohol misuse over time in a college sample, and compare the results between genders. Participants: Six waves of data (fall 2011 to fall 2015) were collected from 1,240 study participants sampled from eight colleges and universities in the Midwestern United States. Methods: Two-level mixed modeling was conducted separately for exposure to sexual and generalized harassment and modeled separately for women and men. Results: In men only, need for approval significantly moderated the relationship between generalized harassment and binge drinking over time, where a higher need for approval put male students at increased risk. Conclusions: Harassment is a risk factor contributing to high levels of drinking among college students. School counseling centers and mental health professionals should take this factor into consideration, as well as individual personality characteristics when addressing student health and wellness.

The rehabilitation treatment beliefs questionnaire-revised: assessing adolescents' treatment beliefs

OBJECTIVE

While there are several studies on children's and adolescents' beliefs about illness and medication treatment, there is limited research on their treatment beliefs in the context of rehabilitation. The Rehabilitation Treatment Beliefs Questionnaire (RTBQ) was the first instrument available to assess pediatric patients' rehabilitation-related treatment beliefs. However, the RTBQ had some limitations that we aimed to address in this study: We revised the content of the RTBQ to include previously unaddressed dimensions of rehabilitation-related treatment beliefs, and we thoroughly tested its psychometric properties based on a sizeable, multicenter sample of adolescents with different chronic diseases.

METHODS

Across 11 pediatric rehabilitation clinics throughout Germany, eligible patients aged 12-18 years with any chronic physical or mental health condition were invited to participate in an online survey. Psychometric evaluation included item analysis, exploratory factor analysis, internal consistency and construct validity.

RESULTS

The sample comprised N = 294 adolescents (M = 14.2 years) with various chronic conditions. Psychometric testing demonstrated a coherent factor structure with 6 interpretable scales covering process and outcome expectations, expectations of one's own role in the treatment process, structural expectations, concerns, and emotions, the latter three representing previously unaddressed dimensions of rehabilitation-related treatment beliefs. Internal consistency was acceptable to good. Construct validity analyses showed mostly hypotheses-consistent correlations with related constructs.

CONCLUSIONS

The revised RTBQ provides a psychometrically well-tested, adolescent-specific, and disease-generic instrument that captures multiple dimensions of rehabilitation-related treatment beliefs. Practical implications include identifying adolescents' beliefs about rehabilitation treatment in order to actively involve them in their illness management.

Gender Minority Stress and Resilience Measure: A Meta-Analysis of the Associations with Mental Health in Transgender and Gender Diverse Individuals

Transgender and gender diverse (TGD) individuals are more likely to experience mental health difficulties than cisgender individuals due to unique stressors related to their stigmatized gender identity and/or expression. This meta-analysis examined the associations between gender minority stressors and resilience factors, as measured by the Gender Minority Stress and Resilience Measure (GMSR; Testa et al., 2015), and two types of mental health symptoms (i.e., depression and anxiety). A comprehensive literature search and study inclusion process following PRISMA guidelines identified 69 sources, representing 47 unique samples. Mean effect sizes revealed significant positive associations between all GMSR minority stress subscales and anxiety and depression symptoms (rs = .22 to .40) with larger correlations for proximal stressors compared to distal stressors. The GMSR resilience subscales were significantly negatively correlated with anxiety and depression symptoms (rs = -.07 to -.16). These findings highlight the robust relationship between gender minority stressors and mental health symptoms among TGD individuals and indicate a need for addressing these stressors both by reducing exposure to external stressors and by addressing the internalization of those stressors in clinical settings. The small effects for the resilience subscales suggest a need to examine additional resilience factors that may be more pertinent to mental health among TGD individuals.

The mediation and interaction effects of Internet addiction in the association between family functioning and depressive symptoms among adolescents: A four-way decomposition

INTRODUCTION

Previous studies have demonstrated that both family dysfunction and internet addiction (IA) are associated with a higher risk of adolescent depression. However, no study has yet investigated the mechanisms involved. This study aims to explore the mediation and interaction roles of internet addiction (IA) between family functioning and depressive symptoms among adolescents in rural China.

METHODS

A multi-stage, stratified cluster, and random sampling was conducted among 3343 adolescents in rural China from October 27 to November 6, 2020. Depressive symptoms, IA, and family functioning were assessed using the Epidemiologic Studies Depression Scale (CESD), the Internet Addiction Test (IAT), and the Family Adaptation Partnership Growth Affection and Resolve Index (APGAR), respectively. Correlation analysis was performed by binary logistic regression. The study employed a four-way decomposition method to explore the potential mechanisms of family functioning on depressive symptoms.

RESULTS

The results indicated that family functioning and IA were associated with adolescents' depressive symptoms. The interaction between family functioning and IA accounted for 74 % of the association between family functioning and depression symptoms, while direct effects accounted for 24 %. The "proportion eliminated" (76.11 %) was substantially larger than "proportion mediated" (7.36 %).

LIMITATIONS

The cross-sectional design limited to identify the causal relationship among the variables.

CONCLUSIONS

We found that family dysfunction synergizes with IA to contribute to the high risk of adolescent depression. Prioritizing at preventing IA in adolescence could be an effective way to mitigate the adverse effects of family dysfunction on depression.

The power of coaches' emotions: A case study on how coaches' facial expressions impact performance of young female synchronized ice-skaters

OBJECTIVES

The present study aimed to investigate the impact of coaches' pleasant and unpleasant facial expressions on affects and team performance of young elite female synchronized ice-skaters.

METHODS

Initially, the coach provided a neutral explanation of the exercise, which was followed by the athletes' execution. The ice-skaters then received either pleasant or unpleasant feedback from the coach, completed two questionnaires, and performed the exercise again. The study involved two familiar and two unfamiliar coaches.

RESULTS

Coaches' pleasant expressions increased athletes' arousal/hedonic tone and positive affect, while coaches' unpleasant expressions heightened athletes' negative affect. Moreover, participants significantly performed better after receiving an unpleasant facial expression by the coach. Receiving pleasant/unpleasant feedback from a familiar or unfamiliar coach did not have a significant impact on team pre- and post-feedback performance.

CONCLUSIONS

The findings suggest that coaches' facial expressions impacted athletes' positive/negative affect, and that, under specific circumstances, receiving unpleasant feedback from the coach can improve team performance.

Religious labels and food preferences, but not country of origin, support opposing face aftereffects

Face templates can be experimentally manipulated, and category-contingent aftereffects suggest discrete templates across social groups. We tested whether 1) explicit religious labels, 2) food preferences, and 3) country of origin would support religion-contingent aftereffects across Christians and Muslims face sets. While viewing face images, ninety-three participants heard audio that stated either 1) a character's religious identity, 2) preferred food, or 3) country of origin. Participants viewed contracted Christian faces and expanded Muslim faces during the training phase. To measure adaptation, before and after the training phases, participants selected the face out of a pair of expanded and contracted Christian or Muslim faces that they found more attractive. Contingent aftereffects were found in the religious explicit (t(30) = 2.49, p = 0.02, Cohen's d = 0.58) and food conditions (t(30) = -3.77, p < 0.01, Cohen's d = -0.82), but not the country condition (t(30) = 1.64, p = 0.11, Cohen's d = 0.31). This suggests that religious labels and food preferences create socially meaningful groups, but country of origin does not. This is evidence of an impact of social categorization on visual processing.

Examination of Construct Validity of ANX and DEP Scales of the PAI-A

Anxiety and depression are the two most common psychiatric problems of adolescence. The Personality Assessment Inventory, Adolescent Version (PAI-A) is a broadband instrument designed to assist in the detection and differential diagnosis of common psychiatric disorders in adolescents, and it includes a Depression scale (DEP) to detect the presence of major depressive episodes and an Anxiety scale (ANX) designed to detect clinically significant anxiety. However, there is limited research on this measure. The current study examined both the convergent and discriminant validities of the PAI-A Anxiety and Depression scales by observing their relationships to other self-report measures (e.g., PAI-A scales, MMPI-A), observer ratings (e.g., HPRS), and performance-based measures (e.g., Rorschach CS). The sample consisted of 352 records of the psychological assessments of adolescent inpatients between the ages of 13 to 17; the sample was about equally male (51.6%) and female with a mean age of 15.5 years. The sample was ethnically diverse with 48.7% of individuals identifying as Caucasian, 12.9% Black, 16% Hispanic, 2.6% Asian, 3.2% Other, and 16.6% unknown. There is strong evidence for convergent validity for the PAI-A ANX and DEP scales with r's ranging from .11 to .78. There is moderate evidence for discriminant validity for these scales. Results demonstrated that PAI-A scales correlated strongest with self-report, followed by therapist rating scale, and then performance-based measures. Various strengths of the PAI-A for the assessment of anxiety and depression are discussed.

Engaging Communities in Emerging Infectious Disease Mitigation to Improve Public Health and Safety

The COVID-19 pandemic highlighted the need for potent community-based tools to improve preparedness. We developed a community health-safety climate (HSC) measure to assess readiness to adopt health behaviors during a pandemic. We conducted a mixed-methods study incorporating qualitative methods (e.g., focus groups) to generate items for the measure and quantitative data from a February 2021 national survey to test reliability, multilevel construct, and predictive and nomologic validities. The 20-item HSC measure is unidimensional (Cronbach α = 0.87). All communities had strong health-safety climates but with significant differences between communities (F = 10.65; p<0.001), and HSC levels predicted readiness to adopt health-safety behaviors. HSC strength moderated relationships between HSC level and behavioral indicators; higher climate homogeneity demonstrated stronger correlations. The HSC measure can predict community readiness to adopt health-safety behaviors in communities to inform interventions before diseases spread, providing a valuable tool for public health authorities and policymakers during a pandemic.

An untapped potential: Curiosity in medical school

BACKGROUND

There seems to be a common perception among medical educators that curiosity is untapped or even subjugated in medical education. This review aims to summarize research on curiosity across the fields of psychology, neuroscience, and education and report its potential to advance medical education.

METHODS

For this narrative review multiple online libraries were searched using variations of the terms curiosity and school/education/learning. Additional studies were reviewed using the reference lists of included studies, and all studies were assessed for quality and relevance.

RESULTS

This review of previous research on curiosity shows that curiosity can significantly impact characteristics relevant to medical education, particularly mental health and learning. In addition, the authors outline how curiosity is linked to other epistemic emotions such as anxiety, novelty, surprise, and uncertainty. Finally, an epistemic-emotion-framework (EEF) is proposed to help educators encourage curiosity in medical students.

CONCLUSION

By drawing from other research fields, medical educators can learn valuable lessons about the importance of curiosity and how to influence it. This review provides an overview of current research and a framework for how the potential of curiosity can be harnessed to play an important role in students' medical education.

Money talks? The motivational mechanisms of base pay on well-being and work performance

Whether compensation serves as a motivational resource for employees is still a debated subject. It has been suggested that the effect of pay on motivation could be contingent on the satisfaction of the basic psychological needs as outlined by self-determination theory. The current research explored the role of amount of base pay as well as pay fairness discrepancy in relation to basic psychological need satisfaction, autonomous work motivation and, in turn, psychological well-being (i.e., vigor and emotional exhaustion), turnover intentions, and work performance. Managerial need support was also included in the model, so its mechanisms and its effects on the outcomes could be measured against those of pay. Using a combination of archival data and employees' self-reports from 593 Norwegian workers, results revealed that amount of base pay did not predict satisfaction of any of the basic needs, pay fairness discrepancy negatively predicted satisfaction of the needs for autonomy and relatedness and positively predicted satisfaction of the need for competence, whereas managerial need support significantly predicted satisfaction of all three needs. While there was no significant direct relation from amount of base pay to any of the outcomes, results showed a significant direct relation from managerial need support to psychological well-being (positive to vigor and negative to emotional exhaustion) and turnover intentions (negative). There was also a significant direct positive relation from pay fairness discrepancy to turnover intentions.

Popularity at first sight: Dominant behaviours mediate the link between extraversion and popularity in face-to-face and virtual group interactions

Although there is robust evidence that being more extraverted is related to higher popularity, only few studies have examined which actual behaviours (e.g., verbal content, body language) might explain this association. The current study examined whether observer-rated dominant behaviours (nonverbal, paraverbal, verbal, and general cues) mediate the relationship between self-rated extraversion and its facets (assertiveness, sociability, and activity) and other-rated popularity in zero-acquaintance settings. In two studies, we analysed data from face-to-face (Study 1, N = 124) and virtual (Study 2, N = 291) group interactions where participants were videotaped while performing a task and subsequently rated each other on popularity. Across studies, extraversion and the facets assertiveness and sociability were consistently associated with higher popularity, while the role of dominant behaviours differed. In Study 1, only two nonverbal behaviours, dominant gestures and upright posture, mediated the association between extraversion and popularity. In Study 2, all four types of behavioural cues mediated the association between extraversion (facets) and popularity. We discuss how these findings provide insights into the mechanisms of attaining popularity at zero acquaintance in diverse social settings.

When a Robot Is Your Teammate

Creating effective teamwork between humans and robots involves not only addressing their performance as a team but also sustaining the quality and sense of unity among teammates, also known as cohesion. This paper explores the research problem of: how can we endow robotic teammates with social capabilities to improve the cohesive alliance with humans? By defining the concept of a human-robot cohesive alliance in the light of the multidimensional construct of cohesion from the social sciences, we propose to address this problem through the idea of multifaceted human-robot cohesion. We present our preliminary effort from previous works to examine each of the five dimensions of cohesion: social, collective, emotional, structural, and task. We finish the paper with a discussion on how human-robot cohesion contributes to the key questions and ongoing challenges of creating robotic teammates. Overall, cohesion in human-robot teams might be a key factor to propel team performance and it should be considered in the design, development, and evaluation of robotic teammates.

Exploring Effects of Age on Conflict Processing in the Light of Practice in a Large-Scale Dataset

INTRODUCTION

The possible decline of cognitive functions with age has been in the focus of cognitive research in the last decades. The present study investigated effects of aging on conflict processing in a big dataset of a Stroop-inspired online training task.

METHODS

We focused on the temporal dynamics of conflict processing in the light of task practice by means of inspecting delta plots and Lorenz-interference curves to gain insights on a process level.

RESULTS

The results indicate a relatively constant increase of cognitive conflict over the course of adulthood and a decrease with practice. Furthermore, the latency of the automatic processing of conflicting information relative to the controlled processing of task-relevant information decreases relatively constantly with age. This effect is moderated by practice, that is, the relative latency of the automatic processing decreases less with age at high practice levels.

CONCLUSION

As such, practice seems to be able to partially counteract age-related differences in conflict processing, on a process level.

Readability of Trauma-related Patient Education Materials From the American Academy of Orthopaedic Surgeons and Orthopaedic Trauma Association Websites

INTRODUCTION

Web-based resources serve as a fundamental educational platform for orthopaedic trauma patients; however, they are frequently written above the recommended sixth-grade reading level, and previous studies have demonstrated this for the American Academy of Orthopaedic Surgeons (AAOS) web-based articles. In this study, we perform an updated assessment of the readability of AAOS trauma-related educational articles as compared with injury-matched education materials developed by the Orthopaedic Trauma Association (OTA).

METHODS

All 46 AAOS trauma-related web-based ( https://www.orthoinfo.org/ ) patient education articles were analyzed for readability. Two independent reviewers used (1) the Flesch-Kincaid Grade Level (FKGL) and (2) the Flesch Reading Ease (FRE) algorithms to calculate the readability level. Mean readability scores were compared across body part categories. A one-sample t -test was done to compare mean FKGL with the recommended sixth-grade readability level and the average American adult reading level. A two-sample t -test was used to compare the readability scores of the AAOS trauma-related articles with those of the OTA.

RESULTS

The average (SD) FKGL and FRE for the AAOS articles were 8.9 (0.74) and 57.2 (5.8), respectively. All articles were written above the sixth-grade reading level. The average readability of the AAOS articles was significantly greater than the recommended sixth-grade reading level ( P < 0.001). The average FKGL and FRE for all AAOS articles were significantly higher compared with those of the OTA articles (8.9 ± 0.74 versus 8.1 ± 1.14, P < 0.001 and 57.2 ± 5.8 versus 65.6 ± 6.6, P < 0.001, respectively). Excellent agreement was observed between raters for the FKGL 0.956 (95% confidence interval, 0.922 to 0.975) and FRE 0.993 (95% confidence interval, 0.987 to 0.996).

DISCUSSION

Our findings suggest that after almost a decade, the readability of the AAOS trauma-related articles remains unchanged. The AAOS and OTA trauma patient education materials have high readability levels and may be too difficult for patient comprehension. A need remains to improve the readability of these commonly used trauma education materials.

Passive social networking sites use and disordered eating behaviors in adolescents: The roles of upward social comparison and body dissatisfaction and its sex differences

Previous research has indicated a link between social networking site (SNS) use and eating behaviors, but the underlying mechanisms have not been well explored. This study investigated the role of upward social comparison and body dissatisfaction in the relationship between passive SNS use and disordered eating (DE) behaviors, as well as sex differences. A total of 744 middle school students (51.6% female, Mage = 12.87 years, SD = 0.68) completed self-report questionnaires regarding passive SNS use, upward social comparison, body dissatisfaction, and DE behaviors. Results revealed that: 1) girls reported significantly higher levels of passive SNS use, body dissatisfaction, and DE behaviors than boys; 2) passive SNS use was a significant predictor of DE behaviors both sexes; 3) body dissatisfaction mediated the relationship between passive SNS use and DE behaviors for girls; 4) the chain mediating effects of upward social comparison and body dissatisfaction between passive SNS use and DE behaviors were found only among adolescent girls; 5) Compared to boys, body dissatisfaction in girls is more significantly related to DE behaviors, and upward social comparison is more closely related to body dissatisfaction in girls. These findings suggest that passive SNS use, rather than general SNS use, was related to body dissatisfaction and eating concerns. Interventions targeting specific passive SNS users may be an effective avenue for the prevention and management of body-related concerns and disordered eating behavior in adolescent girls.

Faking Good on Self-Reports Versus Informant-Reports of Emotional Intelligence

Research demonstrates that people can fake on self-rated emotional intelligence scales. As yet, no studies have investigated whether informants (where a knowledgeable informant rates a target's emotional intelligence) can also fake on emotional intelligence inventories. This study compares mean score differences for a simulated job selection versus a standard instructed set for both self-ratings and informant-ratings on the Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF). In a 2 × 2 between-person design, participants (N = 81 community volunteers, 151 university students) completed the TEIQue-SF as either self-report or informant-report in one of two instruction conditions (answer honestly, job simulation). Both self-reports (d = 1.47) and informant-reports (d = 1.56) were significantly higher for job simulation than "answer honestly" instructions, indicating substantial faking. We conclude that people can fake emotional intelligence for both themselves (self-report) and on behalf of someone else (informant-report). We discuss the relevance of our findings for self- and informant-report assessment in applied contexts.

Farmers' Mental Health: The Mediating Role of Chronic Fatigue

The agricultural environment is known to be particularly harmful to farmers' psychological health. To better understand how its impact is modulated, this study mainly focuses on the mediating role of chronic fatigue between A) loneliness at work, autonomy, workload, government regulations and policies and financial hardship, and B) life satisfaction, positive affect and psychological distress. The study is based on a sample of 453 Canadian dairy farmers. Structural equation modeling analyses confirmed the mediating role of chronic fatigue in the relationships between the factors studied, with the exception of financial hardship. Implications for research and the psychological burden affecting agricultural workers are discussed.

The relationship between depression severity and heart rate variability in children and adolescents: A meta-analysis

OBJECTIVE

Depression in children and adolescents has gradually attracted social attention. Heart rate variability (HRV) has been found to be influenced by depression severity, but results have not been uniformed in children and adolescents. This study investigated the relationship between depression severity and heart rate variability in children and adolescents, aiming to provide additional evidence for an objective, effective, and convenient depression screening tool in this population.

METHODS

Literature searching was conducted in China National Knowledge Infrastructure (CNKI), Wanfang Data, Web of Science, PubMed, ScienceDirect, and EBSCO. Relevant studies investigating the relationship between depression severity and HRV in children and adolescents were selected for meta-analysis.

RESULTS

31 articles were included in this meta-analysis, involving 4534 participants. Depression severity in children and adolescents was significantly negatively correlated with high frequency (HF) and root mean square of successive differences (RMSSD) in HRV (HF: r = -0.10, 95% CI: -0.17 to -0.04, p = 0.001; RMSSD: r = -0.18, 95% CI: -0.30 to -0.05, p = 0.01). The relationship between HF and depression severity was moderated by age, higher among those aged >12 than among those aged <12 (r = -0.17, -0.02, Q = 7.32, p = 0.007).

CONCLUSION

Heart rate variability is associated with depression severity in children and adolescents.

A systematic review on the impact of alcohol warning labels

Findings on the effects of alcohol warning labels (AWLs) as a harm reduction tool have been mixed. This systematic review synthesized extant literature on the impact of AWLs on proxies of alcohol use. PsycINFO, Web of Science, PubMED, and MEDLINE databases and reference lists of eligible articles. Following PRISMA guidelines, 1,589 articles published prior to July 2020 were retrieved via database and 45 were via reference lists (961 following duplicate removal). Article titles and abstracts were screened, leaving the full text of 96 for review. The full-text review identified 77 articles meeting inclusion/exclusion criteria which are included here. Risk of bias among included studies was examined using the Evidence Project risk of bias tool. Findings fell into five categories of alcohol use proxies including knowledge/awareness, perceptions, attention, recall/recognition, attitudes/beliefs, and intentions/behavior. Real-world studies highlighted an increase in AWL awareness, alcohol-related risk perceptions (limited findings), and AWL recall/recognition post-AWL implementation; these findings have decreased over time. Conversely, findings from experimental studies were mixed. AWL content/formatting and participant sociodemographic factors also appear to influence the effectiveness of AWLs. Findings suggest conclusions differ based on the study methodology used, favoring real-world versus experimental studies. Future research should consider AWL content/formatting and participant sociodemographic factors as moderators. AWLs appear to be a promising approach for supporting more informed alcohol consumption and should be considered as one component in a comprehensive alcohol control strategy.

Yogi or fireball - or both - a diary study on the interaction between mindfulness and vigor on job performance

Introduction

Building upon the conservation of resources theory and the episodic process model of performance, this research addresses the gap in understanding how daily variations in two personal resources, particularly their interaction, affect job performance. Specifically, this study examines the influence of vigor and mindfulness on daily fluctuations in task performance considering the potential compensation effect between these personal resources in the workplace.

Methods

We conducted a five-day online diary study involving 192 participants (926 daily observations). At the conclusion of each workday, participants were asked to assess their level of mindfulness and vigor in the workplace using validated scales, as well as estimate their task performance.

Results

Multilevel analyses showed that both daily mindfulness and daily vigor positively predict self-reported task performance. The interaction between mindfulness and vigor was significant. The results suggest that high levels of mindfulness can compensate for low levels of vigor, and vice versa.

Discussion

Exploring the interplay of personal resources at work provides a valuable starting point for individual-tailored interventions that enable individuals to reach their full potential. Enhancing employees' mindfulness may increase job performance directly and empowers workers to compensate for periods of low energy.

Prospects for Augmenting Team Interactions with Real-Time Coordination-Based Measures in Human-Autonomy Teams

Complex work in teams requires coordination across team members and their technology as well as the ability to change and adapt over time to achieve effective performance. To support such complex interactions, recent efforts have worked toward the design of adaptive human-autonomy teaming systems that can provide feedback in or near real time to achieve the desired individual or team results. However, while significant advancements have been made to better model and understand the dynamics of team interaction and its relationship with task performance, appropriate measures of team coordination and computational methods to detect changes in coordination have not yet been widely investigated. Having the capacity to measure coordination in real time is quite promising as it provides the opportunity to provide adaptive feedback that may influence and regulate teams' coordination patterns and, ultimately, drive effective team performance. A critical requirement to reach this potential is having the theoretical and empirical foundation from which to do so. Therefore, the first goal of the paper is to review approaches to coordination dynamics, identify current research gaps, and draw insights from other areas, such as social interaction, relationship science, and psychotherapy. The second goal is to collate extant work on feedback and advance ideas for adaptive feedback systems that have potential to influence coordination in a way that can enhance the effectiveness of team interactions. In addressing these two goals, this work lays the foundation as well as plans for the future of human-autonomy teams that augment team interactions using coordination-based measures.

Harnessing artificial intelligence in bariatric surgery: comparative analysis of ChatGPT-4, Bing, and Bard in generating clinician-level bariatric surgery recommendations

BACKGROUND

The formulation of clinical recommendations pertaining to bariatric surgery is essential in guiding healthcare professionals. However, the extensive and continuously evolving body of literature in bariatric surgery presents considerable challenge for staying abreast of latest developments and efficient information acquisition. Artificial intelligence (AI) has the potential to streamline access to the salient points of clinical recommendations in bariatric surgery.

OBJECTIVES

The study aims to appraise the quality and readability of AI-chat-generated answers to frequently asked clinical inquiries in the field of bariatric and metabolic surgery.

SETTING

Remote.

METHODS

Question prompts inputted into AI large language models (LLMs) and were created based on pre-existing clinical practice guidelines regarding bariatric and metabolic surgery. The prompts were queried into 3 LLMs: OpenAI ChatGPT-4, Microsoft Bing, and Google Bard. The responses from each LLM were entered into a spreadsheet for randomized and blinded duplicate review. Accredited bariatric surgeons in North America independently assessed appropriateness of each recommendation using a 5-point Likert scale. Scores of 4 and 5 were deemed appropriate, while scores of 1-3 indicated lack of appropriateness. A Flesch Reading Ease (FRE) score was calculated to assess the readability of responses generated by each LLMs.

RESULTS

There was a significant difference between the 3 LLMs in their 5-point Likert scores, with mean values of 4.46 (SD .82), 3.89 (.80), and 3.11 (.72) for ChatGPT-4, Bard, and Bing (P < .001). There was a significant difference between the 3 LLMs in the proportion of appropriate answers, with ChatGPT-4 at 85.7%, Bard at 74.3%, and Bing at 25.7% (P < .001). The mean FRE scores for ChatGPT-4, Bard, and Bing, were 21.68 (SD 2.78), 42.89 (4.03), and 14.64 (5.09), respectively, with higher scores representing easier readability.

CONCLUSIONS

LLM-based AI chat models can effectively generate appropriate responses to clinical questions related to bariatric surgery, though the performance of different models can vary greatly. Therefore, caution should be taken when interpreting clinical information provided by LLMs, and clinician oversight is necessary to ensure accuracy. Future investigation is warranted to explore how LLMs might enhance healthcare provision and clinical decision-making in bariatric surgery.

[Participation-oriented psychotherapy for patients with mental disorders who are able or unable to work : Results of a survey of practicing psychotherapists]

BACKGROUND

Treatment of (chronic) mental disorders must focus on both reducing symptoms and improving social and work participation by social medicine treatments and counselling. The objective of this study was to compare psychotherapy patients who are fit or unfit for work to describe similarities and differences regarding patient status and interventions.

METHODS

Interviews were performed with 73 cognitive behavior therapists and 58 psychodynamic psychotherapists about 188 and 134 recent cases they had seen, respectively. The case reports referred to patients who were on average 42 years old (65% females).

RESULTS

There were no differences between patients with no or short-term sick leave (up to 6 weeks, n = 156) and patients with longer sick leave (7 weeks or more, n = 140) with respect to basic characteristics of treatment (side effects, therapeutic alliance). Patients with a longer sick leave duration had more severe capacity and participation impairments and received more specific work participation-oriented treatments, whereas general saluto-therapeutic activities (sports-club, counselling, family-support) were similarly undertaken in patients with shorter or longer sick leave.

DISCUSSION

Therapists chose intervention options according to indication: in patients with work participation problems, more work-related treatments are undertaken, whereas interventions for general mental health improvement are distributed independent of specific work participation problems.

The Role of Decision Authority and Stated Social Intent as Predictors of Trust in Autonomous Robots

Prior research has demonstrated that trust in robots and performance of robots are two important factors that influence human-autonomy teaming. However, other factors may influence users' perceptions and use of autonomous systems, such as perceived intent of robots and decision authority of the robots. The current study experimentally examined participants' trust in an autonomous security robot (ASR), perceived trustworthiness of the ASR, and desire to use an ASR that varied in levels of decision authority and benevolence. Participants (N = 340) were recruited from Amazon Mechanical Turk. Results revealed the participants had increased trust in the ASR when the robot was described as having benevolent intent compared to self-protective intent. There were several interactions between decision authority and intent when predicting the trust process, showing that intent may matter the most when the robot has discretion on executing that intent. Participants stated a desire to use the ASR in a military context compared to a public context. Implications for this research demonstrate that as robots become more prevalent in jobs paired with humans, factors such as transparency provided for the robot's intent and its decision authority will influence users' trust and trustworthiness.

Library resources constraints, frustration, and user behavior: An empirical library operations study

PURPOSE

The lack of requisite library resources has an enormous effect on academic life in most universities. While previous studies have suggested that the lack of resources such as textbooks affects academic success, this study seeks to provide empirical evidence on the chain effect of the lack of recommended textbooks in universities.

DESIGN/METHODOLOGY/APPROACH

The study uses a quantitative dataset from 636 students from five public universities in Ghana collected using well-structured questionnaires. The study adopts exploratory factor analysis, confirmatory factor analysis, and partial least squares structural equation modeling (PLS-SEM) to analyze the measurement and structural models.

FINDINGS

The study concludes that limited library resources (such as recommended textbooks) frustrate library users and eventually birth antisocial behaviors such as stealing, hiding, and eroding books (or pages).

ORIGINALITY/VALUE

This study highlights the significance of providing adequate library resources. It also guides library managers, policymakers, and scholars to manage library resources effectively.

Decoupling the Conflicting Evaluative Meanings in Automatically Activated Race-Based Associations

Implicit measures of attitudes have classically focused on the association between a social group and generalized valence, but debate exists surrounding how these associations arise and what they can tell us about beliefs and attitudes. Here, we suggest that representations of oppression, which relate positively to implicitly measured prejudice but negatively to explicitly measured prejudice, can serve to decrease the predictive validity of implicit measures through statistical suppression. We had participants complete a Black-White implicit association test (IAT) and an IAT measuring representations of oppression, and find that oppression-related representations statistically suppress the relation between IAT scores and explicit attitudes, such that accounting for these representations increases the total amount of variance explained by implicit measures. We discuss the implications of this work both for practical matters around use of the IAT and for theoretical debates on the conceptualization of valence in implicit attitudes.

Psychology and the lie detector industry: A fifty-year perspective

Fifty years ago, in a trenchant analysis that challenged applied lie detection theory and science, David Lykken (1974) brought polygraphic interrogation methods to the attention of academia with the hope that these techniques would come under the purview of psychology and psychophysiology. In this perspective, I examine how this application of psychophysiology has evolved over the last half century and how its status has changed for 1) the comparison (control) question test (CQT), used in forensic applications; 2) polygraph screening tests, used to evaluate examinee integrity; and 3) the concealed information technique (CIT), used to assess recognition memory of crime details. The criticisms of the CQT and screening tests advanced by Lykken have been amplified and focused by the academic community over the last half century. However, this has had little effect on how these methods are practiced and has not curtailed their use. Although most private sector employee screening tests are now prohibited, personnel screening of government employees has increased, and screening tests of sex offenders are now commonplace. Even though the CIT has captured the interest of psychophysiologists as a scientifically defensible technique, its field use is negligible. A primary purpose of polygraphic interrogations continues to be the extraction of admissions and confessions. The lack of change in the polygraph testing status quo stems in large part from unwavering government support for the use of these methods. As a result, polygraph theory and research support continues to rest on shaky ground while practice continues unfettered by valid criticism.

Who is responsible? US Public perceptions of AI governance through the lenses of trust and ethics

The governance of artificial intelligence (AI) is an urgent challenge that requires actions from three interdependent stakeholders: individual citizens, technology corporations, and governments. We conducted an online survey (N = 525) of US adults to examine their beliefs about the governance responsibility of these stakeholders as a function of trust and AI ethics. Different dimensions of trust and different ethical concerns were associated with beliefs in governance responsibility of the three stakeholders. Specifically, belief in the governance responsibility of the government was associated with ethical concerns about AI, whereas belief in governance responsibility of corporations was related to both ethical concerns and trust in AI. Belief in governance responsibility of individuals was related to human-centered values of trust in AI and fairness. Overall, the findings point to the need for an interdependent framework in which citizens, corporations, and governments share governance responsibilities, guided by trust and ethics as the guardrails.

Distracted on duty: A theory-based exploration of influences leading to mobile phone distracted riding among food delivery workers

Using mobile phones while riding is a form of distracted riding that significantly elevates crash risk. Regrettably, the factors contributing to mobile phone use while riding (MPUWR) among food delivery riders remain under-researched. Addressing this literature gap, the current study employs the Job Demands-Resources (JD-R) model and various socio-economic factors to examine the determinants of MPUWR. The research incorporates data from 558 delivery workers in Hanoi and Ho Chi Minh City, Vietnam. The study utilizes two analytical methods to empirically test the hypotheses, considering non-linear relationships between variables: Partial Least Square Structural Equation Modelling (PLS-SEM) and Artificial Neural Network (ANN). The results reveal mixed impacts of factors connected to job resources. Although social support appears to deter MPUWR, work autonomy and rewards seemingly encourage it. Furthermore, a predisposition towards risk-taking behaviour significantly impacts the frequency of mobile phone usage among delivery riders. Interestingly, riders with higher incomes and those who have previously been fined by the police exhibit more frequent mobile phone use. The findings of this study present valuable insights into the crucial factors to be addressed when designing interventions aimed at reducing phone use among food delivery riders.

Linkages between childhood emotional maltreatment and adulthood marital attitudes among rural first-generation college students in China: A latent profile analysis and multigroup comparisons

BACKGROUND

Although there is a wealth of evidence indicating the enduring consequences of childhood emotional maltreatment (CEM) on social and relational functioning across life stages, little known about how CEM affects marital attitudes in emerging adulthood, particularly among rural first-generation college students (rural FGCS) at the critical stage of developing romantic relationships.

OBJECTIVE

To explore whether differential patterns of CEM existed among rural FGCS in China during emerging adulthood. Furthermore, the study aims to examine the potential differences in the chain mediating role of CEM on the pathway to adulthood marital attitudes across different CEM profiles.

PARTICIPANTS AND SETTING

Using a cluster sampling approach, a total of 3848 rural first-generation college freshmen (males = 39.2 %, mean age = 18.42 years) were recruited from three universities in China.

METHODS

Latent profile analysis was utilized to identify potential patterns of CEM using Mplus version 7.4. Structural equation modeling and multigroup comparisons were then performed to investigate the association between CEM and attitudes towards marriage in emerging adulthood, utilizing AMOS 24.0.

RESULTS

Three profiles of CEM was identified among rural FGCS: a low-CEM group (51.87 %), a moderate-CEM group (36.69 %), and a severe-CEM group (11.44 %). The association between CEM and adulthood marital attitudes was mediated by core self-evaluation and meaning in life. However, the mediation effects varied across the three CEM profiles. In the low-CEM group, core self-evaluation and meaning in life were observed to partially mediate the negative association between CEM and adulthood marital attitudes. On the other hand, in the moderate-CEM and severe-CEM groups, the relationship between CEM and adulthood marital attitudes was fully mediated by core self-evaluation.

CONCLUSIONS

The study's findings suggest that CEM is a significant predictor of marital attitudes among rural FGCS during emerging adulthood, with the severity of emotional neglect and abuse being the primary distinguishing factor between different CEM profiles. Core self-evaluation plays an important role in this relationship. Future clinical interventions could benefit from focusing on enhancing core self-evaluation and meaning in life, particularly for those with CEM experiences.

Aiming (too) high: Narcissism and unrealistic goal setting

It is well established that people scoring high in narcissism fantasize about a grandiose future. However, little research has examined whether narcissism is actually associated with setting unrealistic, grandiose future goals for oneself. In the present study, we pool three independent adult samples (total N = 482) to evaluate the relationship between three dimensions of narcissism (agentic extraversion, antagonism, and narcissistic neuroticism) and self-reported likelihood of setting statistically unlikely goals (e.g., creating world peace). Through a series of bootstrapped correlation and regression analyses, we find that participants scoring higher in agentic extraversion and antagonism are more likely to set unrealistic goals, whereas participants scoring higher in narcissistic neuroticism are less likely to set unrealistic goals. When controlling for covariance between these narcissism dimensions as well as self-esteem and history of manic/hypomanic symptoms, agentic extraversion emerges as the strongest correlate of setting unrealistic goals. Overall, this study demonstrates that narcissism, and particularly agentic extraversion, is associated with intending to set grandiose future goals.

Comparison of the EQ-HWB and EQ-HWB-S With Other Preference-Based Measures Among United States Informal Caregivers

OBJECTIVES

Several measures have been used or developed to capture the health and well-being of caregivers, including the EQ Health and Well-being (EQ-HWB) and its short form, EQ-HWB-S. This study aimed to evaluate the psychometric properties and construct validity of the EQ-HWB/EQ-HWB-S in a US caregiver population.

METHODS

A cross-sectional survey was conducted involving 504 caregivers. Eligible participants were 18+ years old, provided unpaid care to a relative/friend aged 18+ in the past 6 months, and spent on average of at least 1 hour per week caregiving. Survey included the following measures: EQ-HWB, Adult Social Care Outcomes Toolkit for Carers-Carer, CarerQol, and EQ-5D-5L. Psychometric properties were assessed using response distributions, floor/ceiling effects, Spearman's correlation for convergent validity, and effect sizes (ES) for known-group validity based on caregiving situations and intensity.

RESULTS

The average age of caregivers was 49.2 (SD = 15.4), with 57.5% being female. More than half (54.4%) reported high caregiving intensity, and 68.3% lived with the care recipient. The EQ-HWB-S index showed a strong positive correlation with the EQ-5D-5L (rs = 0.72), Adult Social Care Outcomes Toolkit for Carers (rs = 0.54), and CarerQol (rs = 0.54) indices. Notably, the EQ-HWB-S index showed the largest ES among measures in differentiating caregiving scenarios with a large ES for caregiver's general health (d = 1.00) and small ES for caregiving intensity (d = 0.39).

CONCLUSIONS

Results support construct validity of EQ-HWB and EQ-HWB-S as measures for assessing health and well-being of adult informal caregivers in comparison with other validated instruments. Differing levels of known-group validity across anchors emphasize the importance of selecting appropriate measures for caregivers, depending on research question and/or intervention aims.

The late positive event-related potential component is time locked to the decision in recognition memory tasks

Two event-related potential (ERP) components are commonly observed in recognition memory tasks: the Frontal Negativity (FN400) and the Late Positive Component (LPC). These components are widely interpreted as neural correlates of familiarity and recollection, respectively. However, the interpretation of LPC effects is complicated by inconsistent results regarding the timing of ERP amplitude differences. There are also mixed findings regarding how LPC amplitudes covary with decision confidence. Critically, LPC effects have almost always been measured using fixed time windows relative to memory probe stimulus onset, yet it has not been determined whether LPC effects are time locked to the stimulus or the recognition memory decision. To investigate this, we analysed a large (n = 132) existing dataset recorded during recognition memory tasks with old/new decisions followed by post-decisional confidence ratings. We used ERP deconvolution to disentangle contributions to LPC effects (defined as differences between hits and correct rejections) that were time locked to either the stimulus or the vocal old/new response. We identified a left-lateralised parietal LPC effect that was time locked to the vocal response rather than probe stimulus onset. We also isolated a response-locked, midline parietal ERP correlate of confidence that influenced measures of LPC amplitudes at left parietal electrodes. Our findings demonstrate that, contrary to widespread assumptions, the LPC effect is time locked to the recognition memory decision and is best measured using response-locked ERPs. By extension, differences in response time distributions across conditions of interest may lead to substantial measurement biases when analysing stimulus-locked ERPs. Our findings highlight important confounding factors that further complicate the interpretation of existing stimulus-locked LPC effects as neural correlates of recollection. We recommend that future studies adopt our analytic approach to better isolate LPC effects and their sensitivity to manipulations in recognition memory tasks.

Karitane Parenting Confidence Scale: measuring parenting self-efficacy in Portuguese mothers during the first year postpartum

BACKGROUND

The Karitane Parenting Confidence Scale (KPCS) was designed to assess parenting self-efficacy in parents of infants during the first year.

OBJECTIVE

The aim of this study was to analyse the psychometric characteristics of the KPCS in Portuguese mothers during the first-year postpartum.

METHODS

A sample of 383 mothers were recruited at two public outpatient units in Northern Portugal. Mothers completed the KPCS, a sociodemographic questionnaire, and measures of depressive and anxiety symptoms at least one time between two weeks, three, six and 12 months postpartum.

RESULTS

Good fit was found for a factor model with three subscales: parenting, support and child development. The KPCS presented good internal consistency. Regarding the criterion validity of the KPCS, significant effects of mother's age were found on the development subscale and significant associations were found between mother's depressive and anxiety symptoms and the KPCS total scale and subscales. Optimal clinical cut-offs were suggested.

CONCLUSION

Findings provided evidence on the psychometric characteristics of the KPCS which can be used to assess parenting self-efficacy in Portuguese mothers during the first-year postpartum, possibly identifying mothers with low parenting self-efficacy.

The effects of affect-guided interval training on pleasure, enjoyment, and autonomy: A registered report

This registered report tested the effects of a novel exercise protocol, namely affect-guided interval training, on motivationally relevant variables of remembered pleasure, forecasted pleasure, enjoyment, and autonomy. Affect-guided interval training (AIT) consisted of 60-s intervals that alternated between the highest pleasant intensity and lowest pleasant intensity for 20 min; this was intended to minimize the potential displeasure of traditional high-intensity interval training. The novel protocol was compared to self-selected exercise intensity (30 min) and high-intensity interval training (60-s intervals for 20 min). All sessions were, on average, vigorous in intensity (80-89% peak heart rate). Data indicate that the AIT session was experienced as the most pleasant, had the most pleasant slope of affect, was remembered as the most pleasant, resulted in the most positive affective forecasts, and was the most enjoyable. Both the affect-guided interval session and self-selected exercise session resulted in greater autonomy than high-intensity interval training. Several evaluative and motivationally relevant variables, including (a) remembered pleasure, (b) enjoyment, and (c) forecasted pleasure were predicted by (a) experienced pleasure, the (b) pleasure experienced at the end of exercise, and (c) the slope of pleasure experienced throughout the exercise session. Overall, this study suggests that affect-guided interval training is a feasible and positive alternative that can be included as a viable option for exercise programming.

The effects of different types of organisational workplace mental health interventions on mental health and wellbeing in healthcare workers: a systematic review

OBJECTIVE

To determine if and which types of organisational interventions conducted in small and medium size enterprises (SMEs) in healthcare are effective on mental health and wellbeing.

METHODS

Following PRISMA guidelines, we searched six scientific databases, assessed the methodological quality of eligible studies using QATQS and grouped them into six organisational intervention types for narrative synthesis. Only controlled studies with at least one follow-up were eligible.

RESULTS

We identified 22 studies (23 articles) mainly conducted in hospitals with 16 studies rated of strong or moderate methodological quality. More than two thirds (68%) of the studies reported improvements in at least one primary outcome (mental wellbeing, burnout, stress, symptoms of depression or anxiety), most consistently in burnout with eleven out of thirteen studies. We found a strong level of evidence for the intervention type "Job and task modifications" and a moderate level of evidence for the types "Flexible work and scheduling" and "Changes in the physical work environment". For all other types, the level of evidence was insufficient. We found no studies conducted with an independent SME, however five studies with SMEs attached to a larger organisational structure. The effectiveness of workplace mental health interventions in these SMEs was mixed.

CONCLUSION

Organisational interventions in healthcare workers can be effective in improving mental health, especially in reducing burnout. Intervention types where the change in the work environment constitutes the intervention had the highest level of evidence. More research is needed for SMEs and for healthcare workers other than hospital-based physicians and nurses.

Human Factors Contributing to Infection Prevention in Outpatient Hemodialysis Centers: A Mixed Methods Study

RATIONALE & OBJECTIVE

Infection prevention efforts in dialysis centers can avert patient morbidity and mortality but are challenging to implement. The objective of this study was to better understand how the design of the work system might contribute to infection prevention in outpatient dialysis centers.

STUDY DESIGN

Mixed methods, observational study.

SETTING & PARTICIPANTS

Six dialysis facilities across the United States visited by a multidisciplinary team over 8 months.

ANALYTICAL APPROACH

At each facility, structured macroergonomic observations were undertaken by a multidisciplinary team using the SEIPS 1.0 model. Ethnographic observations were collected about staff encounters with dialysis patients including the content of staff conversations. Selective and axial coding were used for qualitative analysis and quantitative data were reported using descriptive statistics.

RESULTS

Organizational and sociotechnical barriers and facilitators to infection prevention in the outpatient dialysis setting were identified. Features related to human performance, (eg, alarms, interruptions, and task stacking), work system design (eg, physical space, scheduling, leadership, and culture), and extrinsic factors (eg, patient-related characteristics) were identified.

LIMITATIONS

This was an exploratory evaluation with a small sample size.

CONCLUSIONS

This study used a systematic macroergonomic approach in multiple outpatient dialysis facilities to identify infection prevention barriers and facilitators related to human performance. Several features common across facilities were identified that may influence infection prevention in outpatient care and warrant further exploration.

The influence of spousal support on the outcomes and willingness of work from home for female knowledge workers

This study identified the key factors of spousal support that influence the outcomes and willingness of female knowledge workers to work from home (WFH). A questionnaire of 59 items was developed, covering basic personal information, spousal support, work perception, work-life balance, and willingness to WFH: 139 valid responses from female participants were collected and analysed. Exploratory factor analysis revealed six distinct factors of spousal support. Regression analysis found that personal-related emotional support, personal-related instrumental support, work-related emotional support, and work-related instrumental support demonstrated positive correlations with work perception and work-life balance, while family-related instrumental support positively correlated with work-life balance. Personal-related emotional support and personal-related instrumental support positively correlated with the willingness to WFH. Notably, personal-related emotional support exhibited the strongest correlation coefficients for willingness and outcomes. The findings could provide information on how a husband could improve his wife's well-being when WFH.Practitioner summary: A survey was conducted among female knowledge workers to examine the influence of different factors of spousal support on the outcomes and willingness of WFH. The results shed light on how husbands can improve their wives' well-being during WFH, offering practical guidance for supporting spouses in this context.

Climbing anxiety scale (CAS-20): Preliminary development and validation

Anxiety has been the primary focus of emotion research in sport psychology. Most of the existing anxiety measures focus on the competition related anxiety. Little is known about the way in which anxiety affects athletic outcomes in extreme sports. We contribute to the literature on anxiety in extreme sports by: (1) developing and providing a preliminary validation for a novel, theoretically anchored sport climbing inventory, Climbing Anxiety Scale (CAS-20), among an international sample of rock-climbers (N = 153); and (2) providing preliminary evidence on its factorial and criterion-related validity. Our investigation includes two phases. The first phase (6 clinical and sport psychology experts) included the development and expert review of a climbing specific anxiety scale. The second phase (N = 153) offers preliminary evidence pertaining to the measure's reliability, factorial, convergent and criterion related validity. Factorial validity was investigated by deploying a series of confirmatory factorial analyses. Convergent and discriminatory validity were examined by comparing the scale's associations with a general anxiety measure, a sport anxiety measure, as well as climbing self-efficacy. Criterion-related validity was estimated by examining its relationship with rock-climbing performance. We contribute to the general domain of sport and athletic research by developing a sport-specific anxiety measure, investigating whether and how anxiety comes into play in rock-climbing, a high-risk sport. This scale can be used for assessing anxiety in climbing and monitoring the impact of an interventions designed to reduce these symptoms.

Psychological factors in symptom severity and quality of life in Raynaud's phenomenon

BACKGROUND

Despite emotional stress being recognised as a key trigger for Raynaud's phenomenon episodes, research in the area is still in its infancy.

AIMS

This study investigated the role of psychological factors relating to symptom severity and quality of life, and differences between Raynaud's types (primary and secondary) to further inform the development of intervention in this field.

METHOD

A cross-sectional design was used. Two hundred and ten adults with Raynaud's completed an online questionnaire measuring stress, anxiety, depression, anxiety sensitivity, beliefs about emotions, symptom severity and quality of life.

RESULTS

Primary and secondary Raynaud's groups differed in anxiety (p < .004), symptom severity (p < .001) and quality of life (p < .001). Stepwise multiple regressions indicated anxiety and Raynaud's type explained 23% variance in hand symptom severity (p < .001); anxiety, Raynaud's type and anxiety sensitivity explained 29% variance in symptom severity (global impact, p < .001); depression, Raynaud's type and anxiety sensitivity explained 32% variance in quality of life (p < .001).

CONCLUSIONS

Results highlight the importance of psychological factors in Raynaud's phenomenon, indicating possible targets for treatment. Interventions such as cognitive behavioural therapy, which target both physical and psychological wellbeing, bear some promise as an adjuvant therapy for this group.