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This study aims to investigate the knowledge and attitudes of participants and potential participants in clinical trials toward electronic informed consent. We conducted a survey-based cross-sectional study in Hunan Province, China in March 2021. A total of 547 respondents were included in this study. All questions in an 8-item survey section assessing participants' knowledge of electronic informed consent received correct answers from at least 70% of participants. In terms of attitude scores, most participants (86.3%) believed that electronic informed consent is more convenient than the paper-based version, and more than half (51.2%) believed that electronic informed consent could completely replace the paper-based version. Responses indicated that common concerns about electronic informed consent were its security and confidentiality, legal benefits, and implications for rights protection. [ABSTRACT FROM AUTHOR]

Online communities have brought major changes in the behaviour of consumers in the travel and tourism industry. Travellers frequently rely on the User General Content (UGC) to make their travel-related decisions. Avid travellers join travel communities and actively look for unbiased information, and share their own experiences. This paper explores the predictors of consumer attitude and intention to follow UGC posted on online travel communities. Further, this study attempts to analyze the influence of Customer Value Creation (CVC) on attitude and traveller's intention to adopt UGC posted on online travel communities. Data collected from 246 members of online travel communities were analyzed using Structural Equation Modelling. Empirical results show that CVC has a significant direct and positive impact on travel information adoption intention and indirect influence through attitude. This study is among the few on the impact of CVC on attitude towards UGC posted on an online travel community and advances the literature on the subject by explaining the relative impact of CVC on attitude from a different theoretical perspective. [ABSTRACT FROM AUTHOR]

Aims: The aims of this study were to ascertain the comprehensive knowledge, perceptions, and attitudes of people from varying socioeconomic regions towards antibiotic use; identify the misperceptions and malpractices; and inform health policy and practice. Method: EBSCO host databases, PubMed, and Google Scholar were searched to obtain relevant primary research papers within the years 2010–2018. Search phrases included the following: 'antibiotics use', 'community perceptions', 'public opinion, knowledge, behaviour, practices, perceptions'. Initially, selected papers were screened using the Preview, Question, Read, Summarize (PQRS) model. Results: Review of the 20 articles selected was based on six identified themes. It was found that insufficient knowledge and awareness of antibiotics use; self-medication and the use of leftover antibiotics; treating viral diseases with antibiotics or used as painkillers; expecting antibiotic prescription as a culmination of consultation; and the credibility of information obtained are issues that cut across different countries. Conclusion: Evidence from this review suggests that misconceptions of antibiotic use are similar in different countries. Therefore, the need for the development and implementation of transferable policies as well as educating the public is necessary for the fight against ABR. [ABSTRACT FROM AUTHOR]

Farmers' low adoption rate of improved common bean varieties is the root cause of other challenges that stakeholders in Malawi's common bean value chain face in marketing, seed production, processing, and consumption. As a result, it is ideal to address the issue of low uptake by encouraging farmers to adopt improved varieties to make more significant contributions to the common bean value chain. The study's main objective was to assess the impact of multi-stakeholder platforms (MSPs) and farmers' attitudes on the uptake of improved common bean varieties. According to the findings of the KAP survey, there is a correlation between farmers' knowledge, attitude, and uptake of improved common bean varieties. Using a probit model, the paper discovered that farmers in the project area's intervention site had a 25% higher probability of uptake than farmers in the counterfactual site. Farmer households that were members of MSPs were more likely to participate than farmer households that were not members of any MSP. Meanwhile, farmers who were negative or neutral about the accessibility and affordability of improved common bean varieties were less likely to uptake them than those who were positive. According to the findings, farmers with a neutral attitude toward the yield potential of the improved common bean varieties had a lower probability of uptake than farmers with a positive attitude. Therefore, the study recommends MSP-based initiatives as one way to promote the uptake of improved common bean varieties. [ABSTRACT FROM AUTHOR]

The socio-psychological variables that affect bilinguals' choices of code-switching (CS) and code-mixing (CM) as a verbal strategy make prediction of their occurrence almost impossible. This research investigates the social motivations and socio-pragmatic aspects of Chinese-English CS/CM among Chinese undergraduate students. Using a questionnaire survey and interviews, the paper investigates attitude-behavior relations by considering patterns of language use and CS/CM patterns between Chinese and English in this group. The results demonstrate that the participants' highly positive attitudes toward English and the CS/CM process play a major role in CS/CM use in their daily interactions. Chinese-English bilingual students draw on their proficiency and knowledge of the two language systems to precisely and effectively convey their thoughts, intentions, experiences, solidarity, emphasis, and other aspects that affect interaction outcomes. [ABSTRACT FROM AUTHOR]

This paper presents a series of pre-registered analyses testing the same theoretically derived hypothesis: If (a) the attitudes that perceivers have toward targets contribute to the variance of judgments on most items, and (b) items' rated social desirability values align very closely with the extent to which that is the case, then the product of two items' mid-point-centered social desirability values should predict the amount of shared variance, and thus the correlation, between these items. This hypothesis applies equally to other ratings and self-ratings. Across samples, effect sizes ranged from r =.36 to r =.80 (average r =.61) and were statistically significant in every single case. We also found that the average effect is much larger for other-ratings (r =.71) than for self-ratings (r =.49). This difference was also replicable and is likely rooted in the greater relative importance of the attitude factor in other-ratings, as compared to self-ratings. An exploratory item resampling analysis suggested that scales may achieve good internal consistency, and correlate substantially with other scales, based solely on shared attitude variance. We discuss the relevance of these findings across different domains of psychological assessment, and possible ways of dealing with the issue. [ABSTRACT FROM AUTHOR]

This experimental study investigated long-term effectiveness of two educational methods on knowledge, attitude, and practice (KAP) about palliative care consultation services (PCCS) among nurses, recruited from a medical center located in Northern Taiwan in 2015, using a stratified cluster sampling method, with 88 participants in multimedia (experimental) and 92 in traditional paper education (control) group. Data were collected using KAP-PCCS questionnaire before education, immediately after, and 3rd and 6th month after education. Results showed that both K-PCCSI and P-PCCSI significantly increased immediately after, and at the 3rd month after education for the experimental group; the K-PCCSI remained significantly higher for the experimental group at the 6th month. The highest increase in scores for both K-PCCSI and P-PCCSI was observed at the 3rd month. There was no significant change in A-PCCS in both groups after follow-up periods, when compared before education. Therefore, using multimedia every 3 months to continue strengthening their knowledge may increase the referrals of terminal patients to PCCS. [ABSTRACT FROM AUTHOR]

Young people's romantic relationships can be marked with various forms of dating violence (DV). However, adolescents and emerging adults do not necessarily acknowledge this violence because of their attitudes toward dating violence. Our study aims to study dating violence and attitudes toward this phenomenon through two well-established questionnaires administered jointly in their entirety. Indeed, too many studies report results on some dimensions and items, neglecting the richness of available tools. The Conflict in Adolescent Dating Relationship Inventory and the Attitudes Toward Dating Violence Scale were self-administered to 1,014 participants (M age = 18.9) attending secondary schools or a regional college. They reported the frequency of their dating violence perpetration and victimization, and their attitudes toward dating violence. Results show that relational and sexual violence perpetration rates are higher for males, physical violence perpetration rate is higher for females, and relational violence victimization is higher for males. MANCOVAs not only show the same trends for scores but also underline more frequent emotional violence perpetrated by females, physical victimization for males, and sexual victimization for females. Males show higher tolerance toward every form of dating violence; younger participants are also more tolerant. Participants are more tolerant toward male-perpetrated psychological DV than female-perpetrated ones, and more tolerant toward female-perpetrated physical and sexual DV compared with male-perpetrated physical and sexual DV. There are patterns of multiperpetration, multivictimization, bidirectionality, and multi(in)tolerance. Our paper contributes to the symmetry debate, a better understanding of the link between attitudes and violent behaviors, a further step on gendered attitudes regarding who perpetrates and who sustains. [ABSTRACT FROM AUTHOR]

Pesticides are used globally in agriculture and pose a threat to the health of farmers, communities, and the environment. Smallholder farmers in low- and middle-income countries have generally a low socio-economic status and educational level. Consequently, they are particularly vulnerable to negative impacts of pesticides on their health, yields, or land. In a Knowledge, Attitude, and Practices study, we compared the pest management practices between a market-oriented farming system in Zarcero County, Costa Rica, and a subsistence-based farming system in Wakiso District, Uganda. We conducted a cross-sectional survey among smallholder farmers from Costa Rica (n = 300) in 2016 and from Uganda (n = 302) in 2017. We enrolled conventional and organic farmers, but also farmers with mixed practices and non-applicators of any pest management strategy. We found that the majority of pesticides used in both case studies are classified as highly hazardous by the World Health Organization. While more than 90% of smallholder farmers from both countries were aware of the negative health effects of pesticide exposure, <11% in Costa Rica and <2% in Uganda reported using personal protective equipment every time they handled or applied pesticides. Hygiene and other safe use practices were not adopted by all farmers (<61%), especially among farmers applying more hazardous pesticides. Conventional farmers from Costa Rica (14%) and Uganda (19%) reported disposing pesticide residuals into rivers. Using a logistic regression we found that organic farmers were more likely to having been trained on safe pesticide use practices. Using a robust regression, we observed that smallholder household income was primarily driven by education and not directly by the use of synthetic pesticides. Our results suggest that negative effects of pesticides can be managed over the whole life cycle, from purchase, via storage and application to residual and waste management by fostering professionalization of farmers. We advise future safe use and handling interventions to consider the pesticide use-related socioeconomic and demographic findings highlighted in this paper. [ABSTRACT FROM AUTHOR]

The paper focuses on two automatic systems for the attitude and position's control of the microaerial vehicles--insect type by using a nonlinear dynamic model, which describes the motion of microaerial vehicles with respect to the Earth tied frame. The attitude control is adaptive type, with the estimation of the inertia moments' matrix and of the dynamic damping coefficients' matrix in two variants: by means of the attitude vector or by using the quaternion vector. The new resulting control architectures use a vector for the control of the microaerial vehicles' attitude, a proportional-derivative linear dynamic compensator, an error vector (whose elements are the estimated deviations of the inertia moments and dynamic damping coefficients with respect to the real ones), and the Lyapunov theory. In the two variants of the adaptive control, the control law is represented by the command aerodynamic moments and the wing rotation's command vector, respectively; the control law for the microaerial vehicle position's control is deduced in the same way. The two obtained control systems are validated by complex numerical simulations. [ABSTRACT FROM AUTHOR]

Background: Illegal mining (hereafter referred to as "galamsey") has adverse effect on human life, the environment, and other living organisms that support human existence. However, the traditional strategies employed by governments and other stakeholders to tackle "galamsey" have proved ineffective in changing "galamseyers" behavior. Focus: This research thus aims to apply the motivation, opportunity, and ability (MOA) model in social marketing to predict and explain behavior change toward galamsey activities in Ghana. Specifically, the paper investigates the influence of Motivation (i.e., attitudes toward stopping "galamsey" activities, beliefs and subjective norms) on intentions toward the behavior, as well as opportunity and ability on the intentions-behavior nexus. Key Hypotheses: The study tested the following key hypotheses: There is a positive and significant relationship between beliefs and intention to stop galamsey activities, there is a positive and significant relationship between attitude and intention to stop galamsey activities, there is a positive and significant relationship between social norms and behavioral intention to stop galamsey activities, and there is a positive and significant relationship between intention to stop galamsey and galamsey behavior change. Results: The findings of the study reveal that "galamseyers" behavioral intention toward stopping "galamsey" is mainly determined by the respondents' beliefs about and positive attitudes toward the behavior. The results further establish a positive significant relationship between intention and actual behavior change. Moreover, the findings suggest a strong interactive relationship between intentions and ability, intentions and opportunity and actual behavior. The study however did not find a significant relationship between social norms and intentions to stop "galamsey" activities. Recommendation for Research or Practice: These findings can be used to develop interventions aimed at fostering positive behavior change toward "galamsey". Importance to Social Marketing Field: By applying the MOA model to a social marketing context, the study contributes to knowledge by providing a deeper theoretical understanding from an emerging economy context. Limitation: Although the MOA model was able to predict "galamsey" behavior change, the model has been criticized for including opportunities and failing to mention that inhibitors (barriers) to be reduced to foster sustainable behavior change. Hence, future studies should include other variables in the model to cater for this gap. [ABSTRACT FROM AUTHOR]

Background: Sepsis is a major cause of mortality worldwide and an important public health problem. The quality of patient care is negatively impacted when nurses lack adequate knowledge regarding the management of sepsis. On the other hand, little is known regarding Ethiopian nurses' knowledge of sepsis management. Objective: To assess the level of knowledge and the associated factors towards sepsis management among nurses working in emergency departments in public hospitals in Addis Ababa, Ethiopia. Method: From March 18 to April 18, 2022, a health facility-based cross-sectional study was conducted. A simple sampling technique (lottery method) was used to select the hospitals. The data was analyzed using SPSS version 25. The study employed logistic regression analysis to examine the association between the independent variables and the level of knowledge. Variables were significantly associated with a level of knowledge if they had a p-value of less than 0.05 and a 95% confidence interval. Result: Of the 127 participants, more than half (56.7%) had poor knowledge. Nurses' knowledge of managing sepsis was significantly associated with not having regular training, a low level of education, and working experience of less than five years. The findings of the multivariable regression analysis revealed that the following variables were associated with a nurse's knowledge of sepsis management: low level of education (AOR = 3.2 (95% CI, 1.16–8.77), lack of training adjusted odd ratio (AOR = 2.5 (95% CI, 1.07–5.93), and less than five years of work experience (AOR = 3.6 (95% CI, 1. 29–9.830). Conclusion: The majority of nurses had inadequate knowledge of managing sepsis. On the other hand, the majority of nurses had a favourable attitude toward sepsis management. Lack of prior training, a low level of education, and less than five years of work experience were all significantly associated with nurses' poor knowledge regarding sepsis management. This study recommends that hospital managers should provide on-the-job and long-term training for nurses working in the emergency department to enhance the level of nurses' knowledge towards sepsis management at their institutions. [ABSTRACT FROM AUTHOR]

Background: Supporting smoking cessation at pharmacies can be challenging owing to difficulties in recruiting smokers to participate in cessation programs, insufficient communication skills among pharmacists, and lack of knowledge and self-efficacy in successfully quitting smoking in Japan. Objective: This study evaluates the effectiveness of a smoking cessation training program on community pharmacists' knowledge, attitude, and self-efficacy in supporting smoking cessation. Methods: The study, conducted in Japanese pharmacies with 100 community pharmacists, employed a quasi-experimental design. Two online training programs were implemented. Participants completed a web-based survey assessing their knowledge, attitude, and self-efficacy in supporting smoking cessation before, immediately after, and 1 year after the training program. A two-way analysis of variance with a mixed model was used to examine score changes at each time point. Results: Total knowledge scores significantly increased between baseline and immediately after training and baseline and 1 year after training. The total attitude scores between baseline and immediately after training differed significantly. However, no differences were noted between baseline and 1 year after training. Total self-efficacy scores significantly increased at baseline, immediately after training, and between baseline and 1 year after training. Despite no significant interactions between the programs, there was a partial interaction effect on knowledge, with only the customized program having items whose knowledge levels improved after 1 year. Conclusion and Relevance: The training program improved community pharmacists' knowledge, attitude, and self-efficacy regarding smoking cessation support. The customized program must be reinforced to improve support performance and maintain attitude. [ABSTRACT FROM AUTHOR]

This research investigated perceived risks associated with central bank digital currency (CBDC) payment innovations and their effect on travelers' adoption behavior, considering personal and product characteristics. This quantitative study determined that perceived risks, including financial, performance, privacy, psychological, and time risks, have an adverse effect on attitudes toward CBDC payment, which, in turn, affects the intention to adopt. In addition, this study underlined the moderating roles of consumer innovativeness, previous experience, structural assurance, and media encouragement in the link between perceived risk and attitude. The results advanced the understanding of travelers' intention to use CBDC to pay for tourism products and services. [ABSTRACT FROM AUTHOR]

The present research addresses the push–pull winescape traits of the hedonic wine tourism segment and discusses their attitudinal and behavioral intentions. The self-governing pen-and-paper survey conveniently sampled 301 wine tourists in situ at the Swan Valley winery in Western Australia. Push–pull winescape qualities generated a segmentation basis for cluster analysis, which defined four divisions— Inspireds, Self-Drivens, Market-Drivens, and Inerts. Inspireds exhibited the most favorable attitude toward the winery and were the most willing to recommend the winery, whereas Inerts demonstrated the converse effect. Theoretically, the segmentation bases, building on the Push–Pull winescape properties, provide a fresh and more nuanced description of the wine tourism categories in Australia's rising wine tourism sector. Idealistically, this new image is important in delivering marketing insights to fewer Australian wine producers whose only connection to regional retail and export markets is via direct sales at the winery gates. [ABSTRACT FROM AUTHOR]

The current exploratory study conceptualizes botanic park personality and explores its effects on visitor attitude and behavioural intentions. To achieve this, a renowned botanic park in Western Australia was selected. Pen-and-paper and online surveys were self-administered to 481 local and international respondents in two main studies. Two botanic park personality attributes were identified, namely, 'excitement' and 'competence', which aligned with the destination personality literature. These attributes impacted on attitude as well as subsequent intentions to visit and recommend the botanic park for local and international respondents. Findings offer researchers a platform to advance further studies on botanic park personality that may be extended to other nature-based tourism attractions. The identified and distinctive botanic park personality attributes help to guide practitioners in shaping the positioning and differentiation strategy to attract visitors and enhance the park's financial sustainability. [ABSTRACT FROM AUTHOR]

Introduction: Nurses, comprising the largest profession in healthcare, play a significant role in the identification and management of mental health disorders in hospitals. Objectives: The study assessed the knowledge and attitudes of non-psychiatric nurses and their encounters with depressive patients throughout their careers. Methods: This was a cross-sectional descriptive study with 400 non-psychiatric nurses from different hospitals in the Kurdistan Region of Iraq during October and November 2022. The independent Student's t -test, one-way analysis of variance, and binary logistic regression were used to assess possible factors associated with knowledge and attitude toward depression. Results: In this study, 400 non-psychiatric nurses were examined, revealing a mean age of 31.57 ± 8.59 years. Their mean scores for knowledge and attitude toward depression were 5.41 out of a maximum of 11 (standard deviation 1.15) and 5.15 out of 18 (standard deviation 1.83), respectively. Notably, differences in mean knowledge scores were observed concerning participant marital status (P =.044), while disparities in mean attitude scores are related to participant gender (P =.010). Upon binary logistic regression analysis, none of the independent variables exhibited an association with good knowledge. Nevertheless, gender emerged as a significant factor influencing attitude toward depression (odds ratio: 0.51; 95% confidence interval: 0.30–0.86; P =.012). Subsequently, in the multivariate binary logistic regression analysis, gender sustained significance (adjusted odds ratio: 0.573; 95% confidence interval: 0.348–0.942; P =.028) as the key variable impacting attitudes toward depression among non-psychiatric nurses. Conclusion: Based on the results of this study, nurses have insufficient awareness and management skills for depression. It has been experienced and reported that nurses lack knowledge and an attitude toward depression management. The study highlights a significant gap in nurses' skills for managing depression, urging the immediate improvement of training programs. Customizing these programs to enhance nurses' abilities in identifying and managing depression is crucial. [ABSTRACT FROM AUTHOR]

In today's fast-paced ICT-driven world, understanding the factors influencing the effectiveness of online teaching and learning is paramount, especially during the Movement Control Order (MCO) when physical educational activities are restricted. Assessing the efficacy of undergraduate students under these circumstances can be particularly challenging, and the resulting conclusions may vary depending on the context. Consequently, this study is driven by three primary objectives. Firstly, this study seeks to employ factor analysis as a robust method for validating the selected online teaching and learning instruments. Secondly, it endeavors to categorize the survey instruments into distinct core variables using Principal Axis Factor analysis. Additionally, the study aims to harness multiple regression analysis to uncover the factors influencing the efficiency of online teaching and learning. To achieve these objectives, an online questionnaire was administered to 107 students enrolled in a university in Malaysia. The collected data were analyzed using Statistical Package for the Social Sciences (SPSS). The results of the multiple regression analysis revealed that lecturer roles and student attitudes have significant positive relationships with the success of online teaching and learning. In contrast, flexibility exhibited a significant but inverse association. Despite the global transition into the endemic phase of COVID-19, this study aspires to furnish valuable insights for lecturers, students, and university administrators regarding the ongoing practices of online teaching and learning. Ultimately, these insights can empower policymakers to formulate optimal strategies thereby benefiting all stakeholders involved. In conclusion, this study acknowledges its limitations and offers recommendations for further research. [ABSTRACT FROM AUTHOR]

It is very important for quadruped walking machine to keep its stability in high speed walking. It has been indicated that moment around the supporting diagonal line of quadruped in trotting gait largely influences walking stability. In this paper, moment around the supporting diagonal line of quadruped in trotting gait is modeled and its effects on body attitude are analyzed. The degree of influence varies with different initial stances of quadruped and we get the optimal initial stance of quadruped in trotting gait with maximal walking stability. Simulation results are presented. [ABSTRACT FROM AUTHOR]

The research seeks to delve into and comprehend the attitudes of university students regarding artificial intelligence (AI) and to identify potential factors influencing these attitudes. The research employs a descriptive research design with a quantitative approach. A sample of 240 university students, including both males and females, was selected using simple random sampling. The AI Attitude scale (AIAS-4) developed by Grassini in 2023 was used to collect the data. Statistical techniques, such as "descriptive analysis," "independent sample t-test," "one-way ANOVA," and "post hoc" test were used to analyze the data. The findings indicate that there was no statistically significant difference in attitudes toward AI between male and female university students. Furthermore, our research has substantiated a significant difference in attitudes toward AI among university students specializing in the fields of arts, science, and commerce. The findings of this study suggest that science students displayed a significantly more positive attitude toward AI when compared to their counterparts in the Arts and Commerce streams. Moreover, we examined the impact of educational level on AI attitudes and found no significant difference in attitudes across different educational levels among university students. [ABSTRACT FROM AUTHOR]

The main purpose of this study was to translate the Plagiarism Attitude Scale into Turkish and validate it for use in Turkish settings, in order to better understand research integrity attitudes and awareness of the Turkish academic and student community, while also contributing an instrument for research in this area. The research was designed and conducted with 483 participants. In the process of adapting the scale to Turkish, language, content, and construct validity analyses were performed. Following the completion of the validity phase, the reliability of the scale was examined using Cronbach's alpha coefficient and the split-half method. The results indicate that the scale's language and content validity are deemed sufficient. According to the findings of the research, the Plagiarism Attitude Scale, in its adapted Turkish version, is considered a valid and reliable tool. The use of this Turkish scale will assist local researchers in sharing their unique perspectives and help the international community better understand research ethics concerns in Türkiye. Additionally, this scale will serve as a valuable resource for planning educational programs. [ABSTRACT FROM AUTHOR]

Tourism is one of the most vulnerable industries to disasters, and empirical studies on disaster preparedness have been surprisingly sparse. Drawing on the theory of planned behavior, this study sheds light on the unexplored mediating role of strategic decision-makers' (SDMs) disaster cognition along with their attitude to explicate how and why learning influences disaster planning. Hypotheses were tested using two-phase survey data collected from 301 SDMs of Sri Lankan accommodation establishments. Clarifying previous inconsistent findings regarding the role of learning, this study demonstrated that training and past disaster experience indirectly influenced SDMs' planning intentions via their disaster cognition and attitude toward disaster planning. In this regard, past experience was found to regulate the relationship of training with both cognition and attitude, implying that disaster training programs may be more influential for encouraging disaster planning intentions of lesser experienced SDMs by stimulating their disaster cognition and attitude. [ABSTRACT FROM AUTHOR]

Health promoters who use the mass media to encourage people to change their health behaviours usually underestimate the importance of audience's mental predispositions, which may determine their susceptibility to such influences. This paper presents research findings that show how some elements of an audience's mentality are related to their attitudes towards healthy lifestyle promotion in the mass media (HLPMM). The research project, undertaken between 2007 and 2009, comprised: a qualitative study using in-depth interviews (N=30); a self-administered survey on a purposive sample (N=237) and a computer-assisted personal interview or interviewing (CAPI) survey on a representative sample of Polish adult population (N=934). The findings from the first two studies were used to construct a scale to investigate the attitude towards HLPMM. This scale was applied in a nation wide survey and, as a result, four dimensions of the attitude were identified: (1) appraisal of the idea of HLPMM; (2) appraisal of HLPMM practice; (3) propensity to receive media messages promoting healthy lifestyle and (4) propensity to avoid such messages. Moreover, the survey results confirmed the hypotheses whereby a higher degree of individualism, a higher degree of authoritarianism, a weaker demanding orientation and generalised trust are related to a more positive attitude towards HLPMM. The aforementioned relationships indicate that producers of media messages promoting a healthy lifestyle need to take account of their audience's mentality, since knowledge of mental predispositions of the target audience may help them make the message more suitable for specific recipients. [ABSTRACT FROM AUTHOR]

This paper aims to develop and test a valid and reliable methodology to explore residents' attitudes toward religious composition of their neighborhood, by integrating traditionally used survey data with administrative data, and collaborative Geographic Information System (GIS) techniques. The main research question is whether residents perceive changes in the religious composition of their neighborhood in relation to their personal religiosity. Focusing on the Jewish population, we compared residents' subjective assessment of changes in the religious composition of their neighborhood, obtained from Israel's 2009 Social Survey, with actual changes in the percentage of residents with differing degrees of religiosity. Using a specifically designed methodology, we found that the two groups on the extreme ends of the religious spectrum (ultraorthodox and nonreligious) are the keenest observers of changes in the religious composition within their neighborhoods. Subjective perception of the dynamics of neighborhood religious composition was found to be systematically associated with neighborhood satisfaction, individual traits, dwelling, and neighborhood characteristics. Using spatially dependent analysis, we also examined mutual relationships between the religious composition, both actual and perceived, of census tracts, based on distances between those geographic areas. [ABSTRACT FROM AUTHOR]

Introduction and objective: Research attitudes among nursing students are essential to improve the quality of care and promote evidence-based practice. The objective of this study was to determine the attitude towards research of nursing students during their undergraduate internship and explore the demographic and study-related factors that may affect these attitudes. Materials and Methods: In this cross-sectional retrospective study, 100 nursing interns who are >18 years old, currently studying and working, and have a prior academic background were included. To assess the attitudes toward research, the 43-item Likert-like Scale of Attitudes Towards Research questionnaire was used, which has been previously validated in the Peruvian population and includes three distinct dimensions: affective, cognitive, and behavioral. Results: The mean age was 28.7 ± 5.2 years and 88% were women. Fifty percent had favorable attitudes toward research. The favorable attitude according to the affective, cognitive, and behavioral dimensions was 28%, 11%, and 45%, respectively. Although the youngest age group (20 to 30 years old) had the highest frequency of favorable attitudes (36%), no significant differences were found when compared to other age groups (p =.082). Conclusions: Nursing students presented favorable attitudes toward research during their undergraduate internship, especially among young students. However, more research is needed to understand how these attitudes are shaped and consolidated during the research process and how they can be further improved to promote evidence-based practice in nursing. Graphical Abstract This is a visual representation of the abstract. [ABSTRACT FROM AUTHOR]

Acceleration is an effective approach for many high ability students, and it can be especially beneficial for Black students. Upstander teachers are those who recognize educational crises and the problem of overlooked and underdeveloped gifts and talents of Black students in regular and gifted education programs. They proactively identify Black students' intellectual and academic strengths and plan not only enrichment services, but accelerated pathways for Black students to be appropriately challenged. Too many Black students with gifts and talents succumb to boredom, underachievement, and atrophy when bystander teachers have low academic expectations of them and fail to recommend them for academically rigorous advanced and accelerated learning experiences. The purpose of this article is to present acceleration as a means of creating equitable opportunities in gifted education for gifted Black students using Frasier's Four A's framework: attitude, access, assessment, and accommodation. Specifically, the following questions are addressed: What are upstander attitudes toward acceleration and related policies? How can upstander teachers know if a Black student is a good candidate for acceleration and increase their access to acceleration? How can upstander teachers provide equitable assessments of Black students for acceleration? What can upstander teachers do to support acceleration programming that accommodates the needs of gifted Black students? Six tables provide an overview of acceleration types, a guide to promote equitable acceleration, and considerations for accelerating gifted Black students. [ABSTRACT FROM AUTHOR]

ChatGPT, an artificial intelligence-based program, has been used by numerous users in various fields. This study aimed to determine to knowledge, attitude, and practices of the general population toward the use of ChatGPT. We invited the general population residing in Karachi, Pakistan from January to March 2023 in the study. The invitees participated in this study by filling out an online questionnaire through various social media platforms. The questionnaire assessed the knowledge, attitudes, and practices of the general population toward ChatGPT. We recruited a total of 525 participants for the study. The average age of the participants was 27.7 ± 0.46. The results indicated that 400 (76.2%) of the participants were familiar with ChatGPT. Although 51.4% of the participants did not use ChatGPT frequently, 50.1% believed that utilizing ChatGPT could potentially diminish their cognitive abilities. Nevertheless, a significant number of participants (40.0%) did not express concern about encountering privacy and security issues while using ChatGPT. The gender and education level were statistically significant predictors of the ChatGPT practices, while age and occupation did not had a significant impact. In conclusion, the study showed that a majority of participants were familiar with ChatGPT and believed in its ability to understand and respond to user queries. They also had confidence in the accuracy of information provided by ChatGPT, indicating a moderate level of trust. Interestingly, some participants expressed concerns about potential negative impacts on cognitive abilities when relying too heavily on ChatGPT. [ABSTRACT FROM AUTHOR]

This study focuses on knowledge and attitudes toward media campaigns on gender-based violence against women in Southeast, Nigeria. To achieve this, the study examined the level of exposure, cognitive status as well as determinants of attitudes toward gender-based victimization. It was found that social economic facets like academic achievement, religion, cultural factors among others affect attitude toward gender based violence. It was recommended that a clear understanding of the relationship between dominant cultures and suppression of women should inform future campaigns on gender-based violence. [ABSTRACT FROM AUTHOR]

Research literacy is essential for teachers to practice their profession based on research-based knowledge. The present study aimed to develop and validate the Research Literacy Scale (RLS) and investigate teachers' research literacy based on the Theory of Planned Behavior and research utilization models. The data was collected from teachers working in primary and secondary schools for two separate studies. According to the exploratory factor analysis results, a 20-item, four-factor solution emerged: research awareness, attitude toward research, research skills, and research use. Confirmatory factor analysis indicated that the four-factor model fit the data well, and all items are significant under the relevant factors. The sub-factors of the RLS demonstrated high internal consistency. Measurement invariance tests revealed showed full configural, metric, scalar, and strict invariance across gender. Teachers doing research had significantly higher scores on all four dimensions, and those who followed scientific journals had higher scores on the three dimensions except for attitude. As a conclusion RLS has good psychometric features to measure teachers' research literacy, and variables related to research experience cause a significant difference in research literacy. [ABSTRACT FROM AUTHOR]

Attitude toward the ad is an important construct frequently measured in advertising and marketing research. However, it is somewhat ambiguous in regard to how to quantify attitude toward the ad with a numerical scale. This study examines the practice and effect of using arbitrary scales when measuring attitude toward the ad (i.e., 1–5, 1–7, 1–9, 0–10, and 0–100). A longitudinal experiment with thousands of adult participants (Time 1: n = 2,366, Time 2: n = 1,165) was conducted. The experimental results revealed that different scales, in general, will lead to consistent findings, but if the conventional p <.05 criterion is used, the study conclusion may differ. Based on these findings, theoretical discussions and practical recommendations are provided. [ABSTRACT FROM AUTHOR]

This article describes the integrative model of behavioral prediction (IM), the latest formulation of a reasoned action approach. The IM attempts to identify a limited set of variables that can account for a considerable proportion of the variance in any given behavior. More specifically, consistent with the original theory of reasoned action, the IM assumes that intentions are the immediate antecedents of behavior, but in addition, the IM recognizes that environmental factors and skills and abilities can moderate the intention-behavior relationship. Similar to the theory of planned behavior, the IM also assumes that intentions are a function of attitudes, perceived normative pressure and self-efficacy, but it views perceived normative pressure as a function of descriptive as well as of injunctive (i.e., subjective) norms. After describing the theory and addressing some of the criticisms directed at a reasoned action approach, the paper illustrates how the theory can be applied to understanding and changing health related behaviors. [ABSTRACT FROM AUTHOR]

This paper characterises the health and wellbeing of people living with HIV/AIDS (PLWHA) in Australia. The HIV Futures 4 Survey is a self-complete anonymous questionnaire distributed through multiple sites. Data were collected on health, clinical and social variables. There were 1059 responses, approximately 8% of the estimated HIV-positive population. Respondents were aged between 18 and 92 years and 77% were homosexual men. In total, 60% reported a viral load of <500 copies/mL and 83% a CD4 count of over 250 cells/μL. A total of 44% reported another major health condition and 35% a mental health condition. A total of 71% were using antiretroviral therapy. More than half of the respondents had stopped working because of HIV and 25% were living in poverty. In conclusion, adequate planning for the future of our response to HIV/AIDS relies in no small part on our access to detailed information about how the epidemic affects those with the virus. [ABSTRACT FROM AUTHOR]

Aims: To assess the Swedish public's preferences for information and consent procedures when being asked for permission to use previously collected tissue samples for new research studies. Methods: Cross-sectional study employing postal questionnaires to a random sample of the Swedish general public (n = 6,000) in October 2002-February 2003. The response rate was 49% (n = 2,928). This paper includes only respondents who reportedly would approve of samples being taken and stored (n = 2,122). Results: When potential tissue sample donors in the general public have to strike a balance between the values at stake, i.e. the autonomy of the donor versus the research value, most (72%) prefer general consent, i.e. where consent is asked for at the outset only. They want the research ethics committee (REC) alone to decide on the use of stored samples, and they would allow storage as long as the sample is useful for research. The minority of respondents who were in favour of specific consent were more likely to be young, well educated, have negative experiences of healthcare and low trust in healthcare authorities. Conclusions: The majority of the Swedish general public prefer general consent, and are thus willing to delegate some decisions to the RECs. However, preferences for information and consent procedures depend on the context, e.g. the risks for the donor and the purpose of the research. If feasible, procedures should be differentiated according to the preferences of individual donors, thus protecting the interests of both the minority and the majority. [ABSTRACT FROM AUTHOR]

The aim of this paper is to characterize the health and well being of people living with HIV/AIDS (PLWHA) in Australia. The HIV Futures 3 Survey was a self-complete anonymous questionnaire distributed through multiple sites. Data were collected on health, clinical and social variables. There were 894 responses, 6% of the known HIV-positive population. Respondents were aged between 20 and 77; 79% were homosexual men. In all, 58% reported a viral load of <500 copies/mL, and 81% a CD4 count of over 250 cells/μL. In all, 38% reported another major health condition, and 26% a mental health condition. A total of 72% were using antiretroviral therapy. About 48% were in a regular relationship, and 42% of regular partners were HIV-positive. In all, 55% had stopped working because of HIV and 31% were living in poverty. While the overall picture for PLWHA in Australia is optimistic, there remain clear patterns of health and social disadvantage that require ongoing policy vigilance and service provision. [ABSTRACT FROM AUTHOR]

Background: Despite global efforts to combat the menace of open defecation, the phenomenon persists, particularly in developing nations. It is estimated that about 14% of Sub-Saharan Africa's population still practice open defecation. Focus: The study sought to examine the behavioral and psychological mechanisms that influence attitudes toward open-defecation-free behavior in Ghana by applying a behavior change theory. Key Hypotheses: The following hypotheses were formulated and tested by this study: households' attitude towards open defecation-free has a significant positive relationship with the actual open defecation-free behavior, household's subjective norms towards open defecation-free have a significant positive relationship with their actual open defecation-free behavior and households' perceived behavioral control over open defecation free has a significant positive relationship with their actual open defecation free behavior. Methods: A cross-sectional survey was conducted involving 550 respondents. Data were analyzed using the structural equation modeling technique. Results: All three variables of the theory of planned behavior were found to have a positive significant influence on Ghanaian households' actual open defecation-free behaviors. Demographics such as income, educational level, and availability of latrines were found to moderate the relationships between subjective norms, perceived behavioral control, and households' actual open defecation behavior. Importance to Social Marketing Field: The study extends the current literature on social marketing by demonstrating that the theory of planned behavior could be used to predict people's attitudes toward open-defecation-free behavior. Though the theory of planned behavior has been empirically proven as a good predictor of behavior, by moderating its relationship with open defecation-free behavior with demographic variables our model fleshes out more nuances of the theory, thereby contributing to the development of a social marketing theory. Recommendations for Research or Practice: This study employed a cross-sectional survey; hence it may presume static relationships among the constructs which can be cured by a future longitudinal study that could explain the pattern of behavior change. The study recommends that government facilitates the provision of latrines for households by providing financial assistance to those who cannot afford the construction of latrines. A social marketing campaign should also be adopted to encourage the use of latrines. [ABSTRACT FROM AUTHOR]

The present study explored the determinants of registration to facilitate the promotion of posthumous organ donation based on the theory of reasoned actions. A total of 211 university students participated in the study. Logistic regression, multiple regressions, and path analysis were conducted. The logistic regression model correctly predicted nearly 80% of registration status, and a good fit model of registration for posthumous organ donation (MRPOD) was proposed. Findings suggested that affective attitude, subjective norm of family, self-rated knowledge, distance from death, and age were predictors of registration. Worries about organ removal and postmortem mutilation anxiety were also mediated through bodily integrity, which had an indirect effect on the registration through affective attitude. Policymakers are suggested to address the negative emotions associated with challenges towards bodily integrity, encourage parents to initiate discussions with children, instill correct knowledge of brain death, and intervene the bystander effect on organ donation. [ABSTRACT FROM AUTHOR]

The travellers' perceptions of salient travel-related attributes influence their intentions, which in turn affect their decision-making process. It is known that the potential benefits associated with a particular holiday destination are of varying importance to travellers. Thus, to improve the relative preference for a particular destination or to discount a competitive destirtation's ability and/or to attract more travellers, efforts must be exerted to change or to stress the relative importance of specific attributes considered salient by the targeted travellers. The purpose of this paper is to investigate Irish travellers' perceptiotrs of salient attributes that lead to their travel preferences of major foreign holiday destinations. In particular, the data collected in three different boroughs of Dublin, indicated that Irish travellers demonstrated different behavioural patterns in selecting a particular foreign holiday destination. [ABSTRACT FROM PUBLISHER]

National policies have targeted widespread exclusionary discipline in schools which is associated with negative academic outcomes. Principals play an important role in making disciplinary decisions, yet little is understood about how their mindsets might impact these decisions. We hypothesized that principals' mindsets regarding the purpose of discipline (exclusion vs. prevention) would predict their responses to misbehavior. In a random, nationwide sample (N = 234), principals responded to misbehavior by a hypothetical Black or White student. Exclusion beliefs predicted more severe discipline, whereas prevention beliefs predicted greater endorsement of referring the student to a school counselor. Principal mindsets also predicted exclusionary discipline in real-world contexts. [ABSTRACT FROM AUTHOR]

This paper aims to provide a more nuanced understanding of the social meaning of a contemporary urban vernacular called Citétaal (Citélanguage).While most studies on the perception of urban vernaculars have applied qualitative discursive methods, we investigate the perception of and attitudes towards Citétaal by combining a qualitative and quantitative approach. In a discursive analysis of online surveys and social media networks, we analyze how this variety is perceived and represented on a collective level, and in comparison to other varieties, such as standard Dutch and regional Limburg Flemish. These insights are used to organize a speaker evaluation experiment (n=95) in which we verify to what extent the various meanings in the indexical field of Citétaal occur on the individual level of the listener’s mind and how they are structured. We will also measure the listener’s ability to guess the speaker’s ethnic and regional origin. The qualitative data will be further used to interpret the results of the experiment.It will be shown that although social meanings of Citétaal strongly vary within the community, they are clearly regimented by prevailing standard language ideologies. Citétaal is still perceived as a vernacular spoken by foreign speakers, and its social meanings fluctuate between values of low social status and high attractiveness. The opposition (considered as distance) between speaker attractiveness and status is the highest for Citétaal and the lowest for standard Dutch, which suggests that social meanings of standard Dutch are more stable and widely accepted throughout the Flemish community.The conclusions highlight the importance of combining qualitative and quantitative methods when studying perceptions and attitudes in order to provide a fuller understanding of the social meaning of urban vernaculars in the larger community. [ABSTRACT FROM AUTHOR]

Purpose: Level 1 evidence supports the use of acupuncture/acupressure (A/A) to manage post-operative nausea and vomiting (PONV). This study aimed to survey healthcare professionals' attitudes towards A/A, influencing factors and barriers to implementing this effective non-drug intervention into peri-operative care. Methods: A validated, anonymous survey with 43 questions was emailed or distributed as a hard copy at meetings to anaesthetists, midwives, nurses, obstetricians, gynaecologists and surgeons at a public hospital in Australia. Descriptive data were presented. Influencing factors were explored using chi-square analysis. Multinomial logistical regression was used to identify the influences of confounding factors. Results: A total of 155 completed surveys were returned, reflecting a response rate of 32%. The majority of participants were female (69%), nurses/midwives (61%) and aged between 20 and 50 years old (76%). Eighty-three percent of respondents considered A/A 'clearly alternative' medicine or 'neither mainstream nor alternative'. Eighty-one percent would encourage patients to use acupressure for PONV if it was offered at the hospital. Previous personal use of A/A was the key factor influencing attitudes and openness to clinical use. The key barriers to implementation were perceived lack of evidence and lack of qualified providers and time. Conclusion: Hospital-based healthcare professionals strongly supported the evidence-based use of A/A for PONV despite considering the therapy to be non-mainstream and having limited A/A education or history of personal use, providing a positive context for an acupressure implementation study. Significant gaps in training and a desire to learn were identified. [ABSTRACT FROM AUTHOR]

Introduction: Despite the health benefits of breastfeeding, Saudi women do not exclusively breastfeed their babies. The purpose of this article was to synthesize Saudi women's breastfeeding knowledge, attitude, and practices and identify the factors that women reported for their breastfeeding cessation. Methodology: A systematic review and meta-analysis of randomized clinical trials and cross-sectional studies was undertaken. Results: Saudi women reported poor knowledge in managing breastfeeding challenges and had a positive attitude toward formula feeding. Giving premade formula and sugar water was a common practice. The breastfeeding initiation rate (31.5%, 95% confidence interval [CI]: [22%, 41.8%]) and exclusive breastfeeding at 6 months were low (15.15, 95% CI: [8%, 24%]). Perceived low milk supply, returning to work, and using contraception were the main reasons for early breastfeeding cessation. Discussion: The integration of Islamic, political, and economic cultures in Saudi Arabia can influence women's breastfeeding practices. There is a need for culturally appropriate breastfeeding educational programs for Saudi women. [ABSTRACT FROM AUTHOR]

The purpose of the study was to validate a writing motivation questionnaire that consists of four scales for first-year college writers—students with low writing skills in basic writing classes and students in typical first-year composition (FYC)—to investigate differences between these two groups and to examine the relationship of motivational constructs with writing quality. Participants were 371 college students (142 in basic writing classes and 229 in FYC). Students completed a 49-item motivation questionnaire with scales for goal-orientation, self-efficacy, beliefs, and affect about writing and wrote an argumentative essay. Confirmatory factor analysis provided evidence for the structural construct validity of all scales for both groups. Statistically significant differences between basic writers and FYC students were found on self-efficacy for grammar and strategies and on beliefs about the importance of substance and mechanics. Structural equation modeling found statistically significant positive relationships of essay quality with all three self-efficacy scales and belief about the importance of substance to good writing, as well as negative relationships with avoidance goal orientation and belief in the importance of mechanics. Limitations and implications for motivation and instruction of basic writing students and of adults with learning disabilities are discussed. [ABSTRACT FROM AUTHOR]

Despite the benefits of diuretics for treating the symptoms of heart failure (HF), patients may report side effects and intentionally not adhere to diuretic regimens. Positive internal motivators, such as positive emotions, may benefit individuals in their adaptation to medication-related stress. However, there has been limited study of these potential motivators in those with HF. Using a descriptive qualitative approach, 82 adults taking diuretics for HF were interviewed. This study applied stress and coping theory to understand the diuretic-taking experiences of patients with HF. Data analysis revealed three themes: (a) diuretics are bothersome, (b) staying positive in the mid of hardship, and (c) adapting to endure. Findings suggest that adherent participants stayed positive amid the perceived hardship, maintaining resilient and grateful attitudes. Adherent participants adapted to bothersome diuretic effects and utilized creative strategies. More research is needed to understand the relationships between resilience, adaptive coping, and diuretic adherence. [ABSTRACT FROM AUTHOR]

The quality of sexuality education is significant in encouraging and expanding the knowledge of sexual and reproductive health (SRH). Parents' attitudes and beliefs toward sexuality education contribute to the effectiveness of sexuality education in schools. Consequently, there is a need to provide a validated instrument to investigate parental attitude and beliefs toward school-based sexuality education. The objective of this study is to describe the development and test the psychometric properties of an instrument that measures the attitudes and beliefs of parents toward the implementation of sexuality education in primary schools within Malaysia. Items for the instrument in this study were developed through literature review via the deduction method. Data collection was conducted in two phases. The first phase involved 174 parents with children who were attending primary schools through convenience sampling. Then, the multistage sampling method was employed to collect data from 350 parents. Results from the exploratory factor analysis have identified four latent dimensions, which are attitude toward sexuality education, perceived benefits, perceived barriers, and self-efficacy, that support the SRH learning among primary school children. Confirmatory factor analysis demonstrates a good overall fit with the application of post hoc modifications. The results also indicate that the instrument has high internal consistency, as well as convergent and discriminant validity. Findings from this study have indicated that the instrument can be used as a valid and reliable measure to examine the attitudes and beliefs of parents toward sexuality education in primary schools within Malaysia. [ABSTRACT FROM AUTHOR]

OBJECTIVE: Patients who experience homelessness and have mental illness can have frequent and challenging hospitalizations. Nurses caring for this vulnerable population may have negative attitudes, which can be mitigated by education and improved for the benefit of patients. This study aimed to assess the impact of an educational intervention on the attitudes of nursing staff toward individuals experiencing homelessness and mental illness. METHODS: Using a pre–post design, a revised version of the Health Professionals' Attitudes Toward the Homeless Inventory (HPATHI) assessed 23 nursing staff working on inpatient medicine units surrounding a brief educational session about persons experiencing homelessness and mental illness. Data were also collected from open-ended questions. RESULTS: There was a small positive increase in mean HPATHI scores postintervention (74.783 [ SD = 5.485] to 77.13 [ SD = 6.312]) indicating more positive participant attitudes toward homeless individuals. The HPATHI also revealed a 6% increase in score for participant comfortability providing care for homeless persons with major mental illness postintervention. Some participants likely interpreted their answers as displaying more positive and less cynical attitudes based on their comments, while the HPATHI scored them as more negative. Qualitative feedback revealed both positive and negative attitudes toward this patient population, and various associated barriers to care. CONCLUSIONS: Nursing staff will likely provide care for patients who experience homelessness with concomitant mental illness. Educating nurses about the needs of this population is feasible and could be beneficial for patient care. [ABSTRACT FROM AUTHOR]

Background and aim: Use of nicotine can harm adolescents' brains and increase risk for future addiction to other drugs. Several international studies show that an acceptable attitude towards nicotine products increases the initiation or use of the products. Adolescents have limited or distorted knowledge about nicotine products. Many of them have a positive image of the properties and effects of nicotine products, which increases the chances of smoking or using snus. Yet, we know little about the relationship between youth nicotine use, youth attitudes towards nicotine products and the interventions to influence these attitudes. This systematic review synthesised adolescents' attitudes towards nicotine products and the ways to influence them. Methods: Systematic searches were carried out from PubMed, MEDLINE, CINAHL, and MEDIC databases and were targeted to randomised controlled trial (RCT) studies published in 2010–2021. Results: A total of seven RCT studies were reviewed with a total population (age range 9–17 years, adolescents 11–17 years) of 15,974. Findings were classified into four categories: school-based interventions, tobacco prevention campaigns, advertisements' influence on adolescents' opinions towards nicotine products, and their responses to cigarette pack warnings. Conclusion: Based on this systematic literature review, particularly school-based interventions have an effect on adolescents' attitudes towards smoking and preventing them from starting to smoke, when they are targeted before the age of puberty. School-based interventions should be further implemented and strengthened, as the school has been shown to have significant potential to support youth's health. There is a need for further information about the most effective interventions in the different age groups and the qualitative studies on the topic. [ABSTRACT FROM AUTHOR]

The quality of sexuality education is significant in encouraging and expanding the knowledge of sexual and reproductive health (SRH). Parents' attitudes and beliefs toward sexuality education contribute to the effectiveness of sexuality education in schools. Consequently, there is a need to provide a validated instrument to investigate parental attitude and beliefs toward school-based sexuality education. The objective of this study is to describe the development and test the psychometric properties of an instrument that measures the attitudes and beliefs of parents toward the implementation of sexuality education in primary schools within Malaysia. Items for the instrument in this study were developed through literature review via the deduction method. Data collection was conducted in two phases. The first phase involved 174 parents with children who were attending primary schools through convenience sampling. Then, the multistage sampling method was employed to collect data from 350 parents. Results from the exploratory factor analysis have identified four latent dimensions, which are attitude toward sexuality education, perceived benefits, perceived barriers, and self-efficacy, that support the SRH learning among primary school children. Confirmatory factor analysis demonstrates a good overall fit with the application of post hoc modifications. The results also indicate that the instrument has high internal consistency, as well as convergent and discriminant validity. Findings from this study have indicated that the instrument can be used as a valid and reliable measure to examine the attitudes and beliefs of parents toward sexuality education in primary schools within Malaysia. [ABSTRACT FROM AUTHOR]

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Objectives: This study aims to explore the differentials of knowledge and attitude of advance directives (ADs) between millennials and baby boomer generations, and the effects of the intention to sign the advance directives. Methods: This is a cross-sectional study using a self-administered questionnaire to collect data from 325 students in a health-related college of a University of Science and Technology in Taiwan, and their parents, as total of 226, who are baby boomers. The statistical methods include descriptive statistics and inferential statistics. Results: Only 10 people from the 2 generations signed an AD. The multivariate logistic regression showed that baby boomer generation, AD knowledge, and AD attitude were significant positive associate of willingness to sign AD in the future. Conclusions: The government may enhance promotion of ADs among millennials and improve the connection between millennials' knowledge of and attitude toward ADs, and their AD signing behavior. [ABSTRACT FROM AUTHOR]

While previous studies showed that persuasive games can have positive effects on attitudes and behavioral intentions, little is known about the underlying processes that cause these effects. This study investigates immersion and involvement in order to provide a better understanding of the effects of persuasive games. We conducted an experiment with 152 college students in which participants either played a persuasive game or watched the playback of the game. Our results showed that affective and ludic involvement and immersion mediated the relationship between interactivity (gameplay vs. playback) and persuasive outcomes (attitude and behavioral intention). [ABSTRACT FROM AUTHOR]