Controlling the flood: when more of a dose is less

Redesigning culturally tailored intervention in the precision health era: Self-management science context

BACKGROUND

Nurse scientists have significantly contributed to health equity and ensuring cultural tailoring of interventions to meet unique needs of individuals. Methodologies for cultural tailoring of self-mangament interventions among marginalized populations have limitedly accommodated intersectionality and group heterogeneity when addressing health needs.

PURPOSE

Identify methodological limitations in cultural tailoring of interventions among priority populations and issue recommendations on cultural elements that researchers can target to ensure valid cultural tailoring approaches.

METHODS

Synthesis of literature on health equity, self-management, and implementation and dissemination research.

FINDINGS

Among priority populations, intersectionality and group heterogeneity has made group-based cultural tailoring approaches less effective in eliciting desirable health outcomes. Precision health methodology could be useful for cultural tailoring of interventions due to the methodology's focus on individual-level tailoring approaches.

DISCUSSION

We offer ways to advance health equity research using precision health approaches in cultural tailoring through targeting unique elements of culture and relevant psychosocial phenotypes.

Challenging the problem of un-democratic participation: from destruction to re-construction of heritage

Purpose

The present study aims to contribute to the understanding of digital participation in heritage collections as a democratizing practice by identifying and challenging silent assumptions concerning how the insufficient influence of participants is conceived of as a problem.

Design/methodology/approach

Three carefully selected scholarly texts incorporating problematizations of insufficient participatory agency were analyzed in detail using a method inspired by Carol Bacchi's approach “what's the problem represented to be?” (WPR), with special emphasis on analysis of ontological elements of the problematizations.

Findings

Participation is problematized based on the assumption that participatory agency risks jeopardizing the protection of heritage and leads to parts of the public memory being forgotten. To challenge the idea that participatory agency is destructive, the present article argues for elaborating an understanding of what forgetting entails for heritage. Framing forgetting as a potentially both harmful and generative concept enables a separation of destructive forgetting (e.g. destruction of historical evidence) and constructive forgetting (re-contextualization).

Research limitations/implications

The study is based on a limited number of texts, and problematizations are investigated in relation to a specific perspective on participatory agency.

Practical implications

By understanding forgetting as a potentially beneficial activity for representation and heritage construction, the article provides a conceptual rationale for facilitating re-contextualization in the design of multi-layered information structures for heritage collections.

Originality/value

There is little earlier research on the silent assumptions that affect how participation is understood and implemented.

How do former smokers perceive information about nicotine products? Evidence from Sweden

Purpose

Health promotion strategies often attempt to change people’s behavior through targeting their risk perceptions. These perceptions may, however, be moderated by other factors. This study therefore aimed at investigating the trustworthiness and consistency of risk information, as well as respondent perceptions of the adequacy of amount received among a representative sample of former smokers, and how this information is related to gender, age, education level and whether using nicotine or not.

Design/methodology/approach

The respondents are part of a seven-year follow-up of former smokers in Sweden. Initially, 1400 respondents were contacted, whereof 705 (response rate 50%) answered a Web-survey. The majority (85 %) was still nicotine-free but some made use of nicotine in different forms. The data analysis includes descriptive statistics and logistic regressions.

Findings

Most respondents trusted risk information whether offered by the public authorities or came from other sources such as media, and generally perceived that there was an adequate amount. However, there were some differences between the products, where quite a few distrusted information on Nicotine Replacement Therapies (NRTs) and some perceived the information on snus and NRTs as contradictory and too little.

Originality/value

Knowledge about how former smokers perceive information regarding negative aspects of cigarette use may facilitate more effective risk communication with current smokers, and it may also be important for communicating information about other nicotine products to those who are trying to or who already have quit smoking.

Information cultures and strategies for coping with information overload: case of Estonian higher education institutions

Purpose

This paper focuses on the links between information culture and the perception of the information overload on the example of higher education institutions in Estonia. The aim of this study is to understand how different types of information culture affect coping with information overload.

Design/methodology/approach

Two focus-group interviews with 14 participants and 17 semi-structured interviews with representatives of four HEIs were conducted. First, the questions on the values, norms and assumptions as well as information related practices were discussed to assess the dominant components of the information culture. Second, the perception of information overload was explored. Further, the strategies for coping with information overload were examined. Constant comparative analysis was used to analyse the interview data.

Findings

The results of the study suggest that the construct of information culture is valuable in understanding information environments and their relation to the perception of information overload. The participants representing the open information culture prefer informal information sharing and are more vulnerable to perceive information overload than the participants representing the integrated information culture. Organisational information management is the key to effective coping with information overload.

Originality/value

The current study sheds light on the perception of information overload in connection with information culture.

Modelling advances in gatekeeping theory for academic libraries

Purpose

The purpose of this paper is to evaluate the appropriateness of gatekeeping theory, particularly its recent elaboration in journalism and communication studies for the investigation of information flows in academic libraries.

Design/methodology/approach

This paper uses the methods of conceptual analysis and thought experiment.

Findings

This paper finds that current elaborations of gatekeeping theory are useful for modeling library information flows, particularly identifying and evaluating influences on those flows. It is able to reframe intransigent issues around library neutrality and open access so that more nuanced approaches can be constructed.

Originality/value

Gatekeeping theory as elaborated by Shoemaker and Vos for journalism and communication studies, while occasionally referenced the library and information science (LIS) literature, has not been previously evaluated as a framework for library information flows. This is the first paper to assess the potential of aspects of the theory such as levels of analysis and multiplicity of channels to reframe issues in LIS.

The credibility of risk information about licit substances: An exploratory study of attitudes among Swedish adults

Aims

Providing risk information on licit substances is a central health promotion strategy. There is, however, very little knowledge about public attitudes on this information. In this exploratory study we analyse the extent to which Swedish adults: 1) trust risk information regarding alcohol, cigarettes and wet snuff (“snus”) provided by public authorities, 2) perceive risk information regarding alcohol, cigarettes and snus as consistent, and 3) have received an adequate amount of risk information from public authorities regarding these substances. The aim is also to investigate if certain characteristics among participants are related to their perceptions of such risk information.

Methods

A questionnaire was mailed to a random sample of individuals aged 18 to 70 (n=1623, 54% response rate). Descriptive statistics and logistic regression techniques were used to process data.

Results

Participants trusted risk information concerning cigarettes, snus and alcohol provided by public authorities, and reported that they had received an adequate amount of it. Information about cigarettes was seen as more trustworthy and consistent than information about alcohol and snus. The study suggests that attitudes on risk information are substance-specific and associated in complex ways with gender, age, education and experience of own substance use.

Conclusion

While only a first attempt to map an under-investigated area, our study highlights complexities in how people perceive risk information about licit substances. It also indicates that the general population in Sweden receives what is seen as an adequate amount of knowledge from public authorities, and finds it consistent and trustworthy.