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The advent of AI-generated news as a novel form of content demands renewed attention toward modes of understanding reader perceptions. This research sought to answer: What evaluative criteria do readers use to perceive automated news content? To answer this, the study employed a two-phase survey methodology designed to elicit reader perceptions of AI-generated news. Phase 1 yielded 26 dynamic descriptor words and reflected broad social perceptions of AI. In Phase 2, a series of exploratory factor analyses (EFA) was conducted on results of a survey using the 26 items obtained in phase 1 to uncover underlying factors contributing to differences in how readers ranked articles based on the aforementioned descriptor words. In both phases, readers were informed at the beginning of the survey that the articles were generated using AI. The first set of exploratory factor analysis results were obtained using varimax rotation, which revealed five salient factors underlying the 26 descriptors labeled Quality, Engagement, Alienation, Effort, and Coherence. The second exploratory factor analysis used oblimin rotation, which contrastingly revealed nine salient factors, which were labeled Credibility, Prolixity, Engagement, Substance, Clarity, Alienation, Complexity, Effort, and Neutrality. When compared with the results of factor analyses for human-generated news content, the findings offer new constellations of terms that reflect the dimensions that readers attend to in articles attributed to artificial intelligence.

Latina women living in the USA experience disproportionately higher rates of psychological distress compared to their non-Latina White counterparts. Poor maternal mental health during pregnancy can contribute to intergenerational mental health disparities. Through this pathway, mothers experiences, environments, and exposures (henceforth exposures) during pregnancy become biologically embodied and can negatively affect the fetus and life-long developmental trajectories of her child. One of the exposures that can affect mother-offspring dyads is the neighborhood. With the goal of integrating anthropological and sociological theories to explain mental health disparities among pregnant Latina women, we explored how perceptions of neighbor attitudes may influence mental health during pregnancy. We analyzed self-reported responses from 239 pregnant Latina women in Southern California (131 foreign-born, 108 US-born) on their mental health and perceived attitudes of their neighbors using multiple linear regression models. Among foreign-born Latina women, living in neighborhoods with more favorable views of Latinos was associated with lower depression scores (pooled β =  - .70, SE = .29, p = .019) and lower pregnancy-related anxiety scores (pooled β =  - .11, SE = .05, p = .021), but greater state anxiety scores (pooled β = .09, SE = .04, p = .021). Among US-born women, there were no associations between neighbor attitudes and mental health. Overall, results suggest that social environments are correlated with mental health and that foreign-born and US-born Latinas have varied mental health experiences in the USA. Our findings highlight the importance of improving aspects of neighborhood cohesion as part of maternal-fetal care management.

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BACKGROUND: Improving shared decision-making using a treat-to-target approach, including the use of clinical outcome measures, is important to providing high quality care for rheumatoid arthritis (RA). We developed an Electronic Health Record (EHR) integrated, patient-facing sidecar dashboard application that displays RA outcomes, medications, and lab results for use during clinical visits (RA PRO dashboard). The purpose of this study was to assess clinician perceptions and experiences using the dashboard in a university rheumatology clinic. METHODS: We conducted focus group (FG) discussions with clinicians who had access to the dashboard as part of a randomized, stepped-wedge pragmatic trial. FGs explored clinician perceptions towards the usability, acceptability, and usefulness of the dashboard. FG data were analyzed thematically using deductive and inductive techniques; generated themes were categorized into the domains of the Technology Acceptance Model (TAM). RESULTS: 3 FG discussions were conducted with a total of 13 clinicians. Overall, clinicians were enthusiastic about the dashboard and expressed the usefulness of visualizing RA outcome trajectories in a graphical format for motivating patients, enhancing patient understanding of their RA outcomes, and improving communication about medications. Major themes that emerged from the FG analysis as barriers to using the dashboard included inconsistent collection of RA outcomes leading to sparse data in the dashboard and concerns about explaining RA outcomes, especially to patients with fibromyalgia. Other challenges included time constraints and technical difficulties refreshing the dashboard to display real-time data. Methods for integrating the dashboard into the visit varied: some clinicians used the dashboard at the beginning of the visit as they documented RA outcomes; others used it at the end to justify changes to therapy; and a few shared it only with stable patients. CONCLUSIONS: The study provides valuable insights into clinicians perceptions and experiences with the RA PRO dashboard. The dashboard showed promise in enhancing patient-clinician communication, shared decision-making, and overall acceptance among clinicians. Addressing challenges related to data collection, education, and tailoring dashboard use to specific patient populations will be crucial for maximizing its potential impact on RA care. Further research and ongoing improvements in dashboard design and implementation are warranted to ensure its successful integration into routine clinical practice.

BACKGROUND: Effective primary care necessitates follow-up actions by the patient beyond the visit. Prior research suggests room for improvement in patient adherence. OBJECTIVE: This study sought to understand patients views on their primary care visits, the plans generated therein, and their self-reported adherence after 3 months. METHODS: As part of a large multisite cluster randomized pragmatic trial in 3 health care organizations, patients completed 2 surveys-the first within 7 days after the index primary care visit and another 3 months later. For this analysis of secondary outcomes, we combined the results across all study participants to understand patient adherence to care plans. We recorded patient characteristics and survey responses. Cross-tabulation and chi-square statistics were used to examine bivariate associations, adjusting for multiple comparisons when appropriate. We used multivariable logistic regression to assess how patients intention to follow, agreement, and understanding of their plans impacted their plan adherence, allowing for differences in individual characteristics. Qualitative content analysis was conducted to characterize the patients self-reported plans and reasons for adhering (or not) to the plan 3 months later. RESULTS: Of 2555 patients, most selected the top box option (9=definitely agree) that they felt they had a clear plan (n=2011, 78%), agreed with the plan (n=2049, 80%), and intended to follow the plan (n=2108, 83%) discussed with their provider at the primary care visit. The most common elements of the plans reported included reference to exercise (n=359, 14.1%), testing (laboratory, imaging, etc; n=328, 12.8%), diet (n=296, 11.6%), and initiation or adjustment of medications; (n=284, 11.1%). Patients who strongly agreed that they had a clear plan, agreed with the plan, and intended to follow the plan were all more likely to report plan completion 3 months later (P

Background: Global research on gender bias has highlighted key trends in discrimination and inequality across various fields, including medicine. In Lebanon, a nation celebrated for its diverse cultural landscape and increasing female representation in medical education, there has been a notable absence of studies exploring gender dynamics in the medical profession. Methods: To address this gap, we conducted a cross-sectional study using an online survey to explore the Lebanese population's perceptions towards female physicians and the quality of care they provide. Results: The mean age of the study sample (n = 330) was 31.55 ± 10.07 years and included 114 females and 216 males. Most respondents had received care from a female physician. Notably, those who selected female physicians as their family doctors or had female doctors within their immediate family displayed a stronger tendency to engage in annual medical check-ups. While most respondents did not express any preference for the gender of their general practitioner or surgeon, there was a marked preference for female obstetricians/gynecologists, psychiatrists, pediatricians, and dermatologists. This preference was attributed to perceptions of female physicians being particularly compassionate, understanding, and proficient in communication. Conclusion: This study represents a groundbreaking contribution to understanding gender perceptions in the Lebanese medical field. It highlights the growing trust and positive regard for female physicians, underscoring the significant role in shaping healthcare experiences and outcomes in Lebanon. [ABSTRACT FROM AUTHOR]

Social situations can present challenges for those looking to reduce or avoid eating meat. In an experimental vignette study with a large representative sample of 1,117 UK-based meat eaters, we explore affective responses to requests for vegetarian meals and perceptions of those making the request across four social situations: a BBQ, a pub, a restaurant dinner, and a dinner party. We examine moderators of these perceptions including whether the requester presents themselves as vegetarian or a meat restrictor and whether they cite health, environmental or no motives for their request. Overall, we find that these moderators have a greater impact on meat eaters' perceptions of the requester than on their affective responses to the request. We also find that these outcomes are more impacted by the mention of motives than they are diet type. Standout findings include evidence that people citing environmental motives for their vegetarian meal request are perceived more negatively, while those with health motives are perceived more positively. We also identify substantial heterogeneity across the respondents' levels of meat attachment: those who are more attached to meat have more negative perceptions of vegetarian meal requesters and experience higher negative affect and lower positive affect in response to the request. [ABSTRACT FROM AUTHOR]

Background: Outcome measures are crucial to support a treat-to-target approach to rheumatoid arthritis (RA) care, yet their integration into clinical practice remains inconsistent. We developed an Electronic Heath Record-integrated, patient-facing side-car application to display RA outcomes (disease activity, functional status, pain scores), medications, and lab results during clinical visits ("RA PRO Dashboard"). The study aimed to evaluate patient perceptions and attitudes towards the implementation of a novel patient-facing dashboard during clinical visits using a mixed-methods approach. Methods: RA patients whose clinicians used the dashboard at least once during their clinical visit were invited to complete a survey regarding its usefulness in care. We also conducted semi-structured interviews with a subset of patients to assess their perceptions of the dashboard. The interviews were transcribed verbatim and analyzed thematically using deductive and inductive techniques. Emerging themes and subthemes were organized into four domains of the Ecological Model of Health. Results: Out of 173 survey respondents, 79% were interested in seeing the dashboard again at a future visit, 71% felt it improved their understanding of their disease, and 65% believed it helped with decision-making about their RA care. Many patients reported that the dashboard helped them discuss their RA symptoms (76%) and medications (72%) with their clinician. Interviews with 29 RA patients revealed 10 key themes: the dashboard was perceived as a valuable visual tool that improved patients' understanding of RA outcome measures, enhanced their involvement in care, and increased their trust in clinicians and the clinic. Common reported limitations included concerns about reliability of RA outcome questionnaires for some RA patients and inconsistent collection and explanation of these measures by clinicians. Conclusions: In both the quantitative and qualitative components of the study, patients reported that the dashboard improved their understanding of their RA, enhanced patient-clinician communication, supported shared decision-making, and increased patient engagement in care. These findings support the use of dashboards or similar data visualization tools in RA care and can be used in future interventions to address challenges in data collection and patient education. [ABSTRACT FROM AUTHOR]

Experiential learning and discovery through farmer field schools (FFS) have the potential to empower smallholder livestock farmers who face heightened vulnerability to climate change. However, there are various levels of learning and discovery in FFS that can inform smallholder livestock farmer knowledge and perception. Understanding this is vital, as farmers' perceptions influence their readiness to adopt climate-smart practices, informing effective resilience-building strategies. Therefore, this study sought to investigate and assess the impact of the FFS approach on smallholder livestock farmers' perceptions of climate change, taking Raymond Local Municipality in South Africa as a case. The design followed by the study was a longitudinal survey, with three pools each signifying various FFS intervention points. The study utilized simple random sampling to collect data from 80 smallholder livestock farmers using structured questionnaires in each of the three cross-sectional pools, while descriptive statistics, Min–Max Normalization, and t-tests were used for analysis. The results show that there was an increase in the awareness of climate change due to the interventions of the FFS. Furthermore, there are cumulative differences between the knowledge and perception towards climate change between the three pooled cross-sections. In conclusion, participating in FFS had a significant impact on farmers' level of understanding and adaptation to climate change. The study recommends that the government and policymakers extensively promote FFS and support them financially so that they can provide more support to rural farmers as well as enhance knowledge on climate change. This study recommends the provision of workshops and awareness campaigns on climate change for farmers through FFS as this will assist farmers to be more sustainable on their farming systems and production. [ABSTRACT FROM AUTHOR]

Although the IELTS speaking test assesses English verbal-communication competence accurately and reliably, its traditional, retroactive scoring framework stops short of providing detailed diagnostic information about individual test-takers' specific domains of proficiency or deficiency. This study employed a cognitive diagnostic assessment (CDA) framework, grounded in cognitive psychology and diagnostic, formative feedback theories, to identify the specific cognitive (sub)skills and attributes required to successfully perform on the IELTS speaking test and examine the test-takers' perceptions regarding the CDA and IELTS-speaking-assessment interface. The purpose was to integrate CDA and feedback literacy into the IELTS assessment. Adopting a cognitive/psychometric perspective, we conceptualized language proficiency as encompassing separate cognitive subskills that can be systematically measured and diagnosed. To this end, we analyzed speaking data from 500 pre-IELTS candidates and conducted 20 expert interviews. The thematic analysis employed through the MAXQDA software helped identify five specific subskills related to the IELTS speaking test. Using a similar thematic analysis procedure, we extracted five perceptive themes regarding an integrated IELTS-CDA framework from the interview data of 151 participants. The results have important implications for the practicality and efficacy of employing CDA to improve IELTS speaking interpretation and feedback. [ABSTRACT FROM AUTHOR]

Background: Virtual care centres (VCCs) are novel wards of hospitals and facilitate the provision of remote monitoring and home-based patient care. Whereas since the COVID-19 pandemic VCCs have rapidly emerged, there is no standardised framework for the development and implementation of VCCs. To develop such a framework, insight in current experiences of employment in VCCs is needed. Therefore, the aim of this study was to explore nurses' perceptions and experiences of working in VCCs. Results: Between February and July 2023, semi-structured online interviews were conducted with thirteen nurses (age 45 ± 8 years) from four VCCs in the Netherlands. Interviews were thematically analysed using a six-stage approach, yielding six themes of nurses' perceptions and experiences of working in VCCs: 1)' Changing role of nurses', especially in the patient-professional relationship, transformation of care and communication; 2)'Clinical perspective of nurses', need for general medical knowledge and use of data in relation to nurses' clinical perspective, 3)'Education and training', need to keep nurses' knowledge up-to-date and create time for education; 4)'Organisation of care', nurses' role in the development of protocols and need for sufficient technological preconditions; 5)'Cooperation with other healthcare professionals', consisted of the collaboration with and needed support by other healthcare professionals to organize and provide care to VCC patients; 6)'Experienced effects of VCCs' included advantages and disadvantages of VCCs for the nurses, patients and the hospital. Themes were mapped onto the Capability, Opportunity and Motivation of Behaviour (COM-B) model where all themes included components of capability, opportunity and motivation. Conclusions: Our findings highlight the importance of considering COM-B components of nurses' work in VCCs. Due to the changing roles of nurses in VCCs, there are evolving educational needs in to communicate with patients and colleagues, and the use of data to support their clinical view, as well as providing technological optimisations to further support nurses' work and the VCCs. [ABSTRACT FROM AUTHOR]

Artificial intelligence (AI) as a computing concept has been labored by researchers and industry professionals for over 70 years although it has really gained notice, popularity, and mass adoption in the last four. AI has progressed from an abstract concept constrained by the limits of computing processing to being used in everyday life almost without notice. Like many other industries, academia has been aware of and has studied AI yet was never really prepared for its integration. It was not until the introduction of ChatGPT in 2022 that universities began to see an impact and drafted policies regarding use. This study seeks to expand previous research by reporting recent survey results on college student perceptions and use of AI. The results from the survey were then analyzed to calculate the potential implications for integrating AI into university courses. The results of the study provide validation by demonstrating students are open and curious about the use of AI and therefore may be open to curriculum changes and while there are still ethical concerns, they seem to overshadow the negative. [ABSTRACT FROM AUTHOR]

This study employed a localized bilingual education model developed in Taiwan to design a questionnaire targeted at junior high school students. The questionnaire was validated using exploratory factor analysis. Reliability testing indicated Cronbach's alpha values for subscales ranging from 0.88 to 0.95, with an overall Cronbach's alpha of 0.98. A total of 760 junior high school students in Taipei City who have received bilingual instruction completed the questionnaire. The results demonstrate that the questionnaire has high construct validity and internal consistency, making it a practical tool to evaluate students' perceptions of bilingual education. Future studies should focus on qualitative research such as in-depth interviews, extend the survey to students at the university and primary school levels, and verify the questionnaire's structure through confirmatory factor analysis. [ABSTRACT FROM AUTHOR]

This research explores the use of Generative Artificial Intelligence (GenAI) tools among higher education students in Saudi Arabia, aiming to understand their current perceptions of these technologies. This study utilizes the Technology Acceptance Model (TAM) and the theory of Task-Technology Fit (TTF) to examine students' utilization, perceived benefits, and challenges associated with these tools. A cross-sectional survey was conducted, yielding 859 responses. The findings indicate that 78.7% of students frequently use GenAI tools, while 21.3% do not, often due to a lack of knowledge or interest. ChatGPT emerged as the most widely used GenAI tool, utilized by 86.2% of respondents, followed by other tools like Gemini, Socratic, and CoPilot. Students primarily use these tools for defining or clarifying concepts, translation, generating ideas in writing, and summarizing academic literature. They cite benefits such as ease of access, time-saving, and instant feedback. However, they express concerns about the challenges, including subscription fees, unreliable information, plagiarism, reduced human-to-human interaction, and impacts on learning autonomy. This study underscores the need for increased awareness, ethical guidelines, and robust academic integrity measures to ensure the responsible use of GenAI tools in educational settings. These findings highlight the need for a balanced utilization of GenAI tools in higher education that maximizes benefits while addressing potential challenges and guides the development of policies, curricula, and support systems. [ABSTRACT FROM AUTHOR]

Marine sports tourism has emerged as a significant niche within the broader tourism industry, offering unique opportunities for economic development, social well-being, and environmental sustainability. This study presents a comprehensive bibliometric analysis of marine sports tourism research, examining publications up to July 2024 from the core collection databases of the Web of Science. The analysis assesses the productivity, research themes, and emerging trends within this field. The results indicate significant growth in research output over the past three decades. Saayman M., Giglio V. J., and Van der Merwe P. are identified as the most productive authors, while Australia, the United States, China, and the United Kingdom demonstrate high levels of research productivity and impact. Ocean & Coastal Management is recognized as the most impactful journal. Keyword co-occurrence and clustering analysis revealed four major research clusters: Environmental Impacts and Community Interaction, Conservation and Ecological Impacts, Behavioral Studies and Perceptions, and Management and Scuba Diving. Topic trend analysis highlights a shift in research focus from the environmental impacts of marine sports tourism to a more integrated approach that considers environmental, economic, and social dimensions. Based on the current research landscape and developmental trajectory, the study proposes future research directions, including addressing identified research gaps, enhancing the resilience of marine sports tourism activities, and developing holistic approaches to sustainable tourism from an interdisciplinary perspective. [ABSTRACT FROM AUTHOR]

Background: Epilepsy remains a significant public health concern in Tanzania, with affected individuals enduring stigma, whether through actions or perceptions. Myths, misunderstandings, and misconceptions about epilepsy have persisted due to a multitude of factors. Here, we assessed attitudes and perceptions toward epilepsy in Mahenge. Methods: A cross-sectional study utilising a mixed-methods approach was undertaken in eight villages in the Ulanga district of Mahenge, integrating a semi-structured questionnaire and focus group discussions (FGDs). The questionnaire involved 778 community members, and 15 FGDs were conducted (seven groups with people with epilepsy and eight without). Descriptive statistics, chi-square, and logistic regression were used for quantitative analysis, while we used NVivo version 14 for thematic analysis of qualitative data. Results: Of 778 participants, over half were women (425, 54.6%) with a median age of 41 years (IQR: 30–55) and most had completed primary education (79.9%). The majority of participants were aware of epilepsy (96.8%), yet they displayed low knowledge (51%), negative attitudes (45.5%), and perceptions (42.1%) towards the disorder. A low level of understanding was significantly associated with negative attitudes (Adjusted Odds Ratio [AOR] = 1.89, 95%CI: 1.41–2.53) and perceptions (AOR = 3.22, 95%CI: 2.05–5.04) towards epilepsy. In the qualitative analysis, often hereditary factors and infections were named as causes of epilepsy, along with misconceptions involving witchcraft and divine punishment. There was also a misconception about the contagiousness of epilepsy. Traditional healers were often the initial point of treatment. Epilepsy-related stigma was evident, with individuals with epilepsy facing derogatory labels, social isolation, and barriers to education. Lastly, there was a lack of understanding regarding a possible association between epilepsy and onchocerciasis. Conclusions: Despite high awareness of epilepsy, there is insufficient understanding, negative attitudes, and perceptions, including misconceptions and stigma about this neurologic condition. Community-based education programmes are essential for promoting proper healthcare-seeking behaviour and dispelling myths. [ABSTRACT FROM AUTHOR]

Introduction: Baby-led weaning (BLW) is a growing method for parents to introduce food to their kids. As advisers who affect the decisions of parents, health practitioners have significant obligations in this regard. Objective: We aim to identify existing literature on the knowledge, perceptions, and attitudes of health professionals toward BLW. Methods: We carried out a scoping review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. After registering with Open Science Framework, published articles were retrieved from EBSCOhost, PubMed, SciELO, ScienceDirect, Open Grey, and the Portuguese Scientific Open Access Repository. Primary studies with full-text availability in English, Spanish, or Portuguese, and no data publication limitations were included. Results: The final sample included seven publications conducted in five countries published between 2012 and 2022. Only one study employed a hybrid methodology showing incongruent practices in parents/health professionals on BLW, whereas most studies employed a quantitative approach. Regarding BLW, it is recognized that there is a dearth of evidence, consensus, and advice. Conclusion: Despite benefits, health professionals hesitate to recommend BLW due to insufficient study and safety concerns, warranting more research. Hence, our scoping review demonstrated that BLW is a scientifically under-researched subject, indicating a significant research gap that must be filled in the future. [ABSTRACT FROM AUTHOR]

Aim: To explore nurses' perceptions of evidence-based nursing courses for undergraduates through academic-practice partnerships. Design: A deductive thematic analysis based on the practice-academic logic model. Methods: Fifteen academic and clinical nurses were interviewed between November and December 2023, either online or through face-to-face meetings. Each interview lasted 20–30 min. The interview outline was constructed based on the practice-academic partnership logic model, which was followed during the process of recorded, analyzed, and checked. Results: Themes identified include inputs (e.g., stakeholder commitment), activities (e.g., communication), outputs (e.g., nursing projects), and outcomes (e.g., improved competence). These themes highlight the various aspects and outcomes of academic-practice partnerships in evidence-based nursing courses. Conclusion: Effective academic-practice partnerships are crucial for developing evidence-based nursing courses, leading to positive educational and professional outcomes. Impact: Nurses' perceptions provide valuable guidelines for developing effective evidence-based nursing courses. Patient or public contribution: No patient or public users participated in this study. [ABSTRACT FROM AUTHOR]

Menstruation remains surrounded by taboo and symbolic violence for many adolescents and young women today, and it is urgent to identify existing stereotypes. The objective was to validate a Spanish-language instrument to assess perceptions, false beliefs, gender stereotypes, fears, and taboos surrounding menstruation in nursing women's studies. A cross-sectional study for psychometric validation of the METCON© scale (22 item version) was assessed in a cohort of 401 female nursing university students (2016–2019), assessing the psychometric properties in terms of internal consistency and structural validity. Furthermore, an invariance analysis was conducted to discern structural disparities before and after studying the subject of gender and health. The METCON© scale showed acceptable internal consistency scores measured by Cronbach's alpha. Exploratory factor analysis indicated a structure of six factors which explained 60.50% of the total variance with a total of 19 items. Reliability analysis indicated adequate internal consistency (α = 0.613). Confirmatory factor analysis showed adequate values, confirming this structure. The invariance analyses identified that the structure remained adequate when evaluated before and after studying the subject of gender and health. Once validated, this instrument could serve as a valid and reliable tool for comprehensively examining perceptions, beliefs, and myths surrounding menstruation, addressing not only biological but also social and cultural aspects. [ABSTRACT FROM AUTHOR]

This paper aims to contribute knowledge about the influences of leaders' perceptions of digitalisation on arrangements for leading the expansion of access to and application of digital technologies in K–12 education. Supporting the digitalisation of K–12 education requires digital competence. School organisers' and school leaders' digital competence and perceptions of digitalisation contribute to how digital technologies are employed in schools. Survey and participant observations were used to investigate leaders' perceptions of digitalisation in K–12 education. The data were analysed using thematic analysis and theory of practice architecture. The results show that perceptions of digitalisation in K–12 education influence arrangements by allowing opportunities for enhanced quality in teaching and equality within and among schools. Further, collaborations between leaders, sharing ideas and experiences, and enhancing leadership are elements that contribute to the shaping of leaders' perceptions of digitalisation in schools. This paper contributes to the knowledge of leaders' perceptions of expanding the access to and application of digital technologies in schools. [ABSTRACT FROM AUTHOR]

Background: Weight stigma refers to the social rejection, discrimination, and ideological devaluation of individuals because of body size and is a direct result of weight bias and anti-fat attitudes. Individuals with higher weight may be less likely to seek healthcare due to weight stigma, and if or when they do present for care, medical providers with weight bias may fail to provide high quality care. Little, however, is known about the intersectionality of weight stigma and perceptions of healthcare interactions as experienced by individuals who also binge eat. Methods: Community-based adults completed online self-report questionnaires regarding generalized weight stigma (Attitudes Towards Obese Persons1), healthcare interaction quality (Patient Perceptions of Healthcare Provider Interaction Quality; PPH), and disordered eating (Eating Disorder Examination-Questionnaire) via Amazon's Mechanical Turk platform. For this cross-sectional study, participants were categorized by the presence and absence of regular binge episodes. Pearson's correlations, T-tests, ANOVA/ANCOVA, and a multivariate regression were used to examine relationships among demographic variables, weight stigma, disordered eating, and the PPH. Results: Participants (N = 648) primarily identified as female (65.4%) and White, non-Hispanic (72.7%). Participants' average age and body mass index (BMI) were 37.5 (SD = 12.3) years old and 27.3 (SD = 6.9) kg/m2, respectively. Higher healthcare provider interaction quality ratings (PPH) were significantly related to lower BMI (r(648)=-0.098,p = 0.012), less weight stigma (r(648) = 0.149,p < 0.001), and identifying as a woman (t(514) = 2.09, p = 0.037, Cohen's d = 0.165) or White, non-Hispanic (t(646)=-2.73, p = 0.007, Cohen's d=-0.240). Participants reporting regular binge eating endorsed significantly worse perceptions of healthcare provider quality than those who did not, even after accounting for BMI, F(1, 645) = 8.42, p = 0.004, η2 = 0.013. A multivariate linear regression examining the PPH as dependent, and weight stigma and binge eating as independent, variable/s, was significant even after accounting for covariates (sex, race, BMI), F(95, 640) = 7.13,p < 0.001, R2 = 0.053 (small effect). Conclusions: More negative experiences with healthcare providers was associated with worse weight stigma, higher BMI, regular binge eating and overall disordered eating, and for participants identifying as male or a Person of Color. These data have implications for non-clinical community populations and are particularly important as experiencing poorer quality of interactions with healthcare providers may decrease individuals' likelihood of seeking needed care for both disordered eating and health-related concerns. Trial Registration: N/A. Plain English summary: Weight stigma refers to the discrimination towards individuals because of body size. Individuals who identify as a Person of Color and who experience binge eating may experience additional discrimination, resulting in barriers to receiving healthcare. To examine these relationships, a community-based sample (N = 648) completed health- and eating-related questionnaires online. Participants who had higher weight rated their perceptions of their interactions with healthcare providers as lower quality. People of Color and men reported lower quality of perceptions of their healthcare provider interactions compared to White, non-Hispanic and female participants, respectively. Participants reporting less weight stigma also reported more positive interactions with their healthcare providers. Participants who reported regular binge eating episodes reported worse quality of interactions with their healthcare providers compared to those who did not report regular binge eating, regardless of their weight. Participants endorsing more stigmatizing views of individuals with higher weight and those reporting regular binge eating were more likely to report poorer perceived quality of interactions with healthcare providers, regardless of their weight, race/ethnicity, or sex. These findings are of particular importance as experiencing poor quality interactions with healthcare providers may be a barrier to receiving needed healthcare. [ABSTRACT FROM AUTHOR]

Background. Students' perceptions of the educational methodology are valuable for improving the quality of the educational environment. However, there is limited literature on students' perceptions of lectures and peer-assisted learning (PAL) within the School of Biomedical and Allied Health Sciences. Objectives. To determine the perceptions of allied health students across different study levels regarding the effectiveness of lectures and PAL as educational strategies. Methods. This cross-sectional study involved 213 Allied Health students from levels 200 to 400 at the University of Ghana. Data were collected using an adopted perceptions questionnaire. Perceptions of lectures and PAL were analysed using means and mean percentages. A one-way ANOVA test was performed to compare differences in perceptions among students at various study levels, while the independent sample t-test was used to compare differences in perceptions between male and female students. Results. PAL had the highest mean scores, with a global rating of 4.1 (standard deviation (SD) 0.8) compared with 3.5 (SD 0.8) for lectures (p<0.00). There were no differences in perceptions about lectures and PAL among levels 200 to 400 students. Female students had a more positive perception of PAL, while both male and female students had the same positive perceptions about lectures. Conclusions. Students generally had positive perceptions about lectures and PAL; however, PAL was acknowledged as an alternative that provides students with active educational experiences. PAL may be incorporated into the standard curriculum alongside lectures. [ABSTRACT FROM AUTHOR]

Ensuring safe and effective blood transfusion is essential for improving healthcare and preventing the spread of blood-borne diseases worldwide. Medical students are a potential key resource for voluntary blood donation, particularly in medical college hospitals, which can help alleviate the shortage of blood products. Additionally, they have the potential to inspire a wider segment of the population to donate blood, thereby narrowing the gap between blood supply and demand. This study aims to evaluate the knowledge, perceptions, and practices related to voluntary blood donation among undergraduate medical students at Gulf Medical University in Ajman, United Arab Emirates, and to identify the factors associated with these aspects. A cross-sectional, institution-based study was conducted among undergraduate medical students at Gulf Medical University. Data were gathered through a self-administered structured questionnaire and analyzed using the Statistical Package for Social Sciences (SPSS) version 27. Knowledge, perceptions, and practices related to blood donation among 301 participants were assessed. The findings revealed no significant association between knowledge levels and demographics such as gender, marital status, residence, college, or academic year. While most participants were aware of blood donation procedures and benefits, actual donation practices were low, with 84.4% rarely donating blood. Key barriers included fear of needle pain and time constraints. Health professionals and social media were the primary sources of information, indicating the need for targeted educational interventions to improve blood donation rates. Students at Gulf Medical University are well-informed about blood donation, with many willing to donate. However, fears like needle pain and time constraints limit participation. Educational efforts could help overcome these barriers. [ABSTRACT FROM AUTHOR]

Ecotourism is a form of travel which has a potential to serve as an environmentally, socioculturally, and economically viable option for promoting sustainable tourism development. Whilst ecotourism can be a financially rewarding activity for the local economy, it can also have some drawbacks, just like any other kind of tourism, that must be addressed. The study aimed to explore the paradox on accredited ecotourism sites manifested in the province of Laguna. The study significantly concluded that different demographic groups have varying perceptions and priorities regarding the level of sustainability on ecotourism. The significant differences in perceptions across locations reveal a tension. These paradoxes highlight the complexities of achieving truly sustainable ecotourism. Addressing them requires a holistic approach that acknowledges trade-offs, embraces diverse perspectives, and prioritizes long-term wellbeing over short-term gains. [ABSTRACT FROM AUTHOR]

The intersection of religious beliefs and sex work has long been a subject of debate, with varying perspectives on the moral, social, and legal implications. This qualitative systematic review aimed to review the nuanced relationship between religious beliefs and sex work by synthesizing the existing literature and providing insights into the diverse perspectives and experiences. The rationale for this research is to understand how religious beliefs influence societal attitudes, policies, and the experiences of sex workers in order to inform more effective and culturally sensitive interventions and support mechanisms. This review focused on articles pertaining to female-identified sex workers, as the gendered discussion happens heavily in religious interpretations and in current anti-trafficking legislation, which now genders men as customers and not as sex workers. Five stages of systematic review were followed in this review. The following peer-reviewed electronic databases from 2000 to 2023 were utilized: Google Scholar, Scopus database, Science Direct, and PubMed. The search strategy focused on identifying studies that investigated the impact of religious beliefs on various aspects of sex work, including attitudes towards sex work within religious communities and the influence of religious teachings on the behavior and practices of sex workers. Inclusion criteria were defined based on population, exposure, study design, and outcomes, while exclusion criteria were established to ensure the relevance and rigor of the included studies. Only 25 relevant studies resulted from this research. Four themes emerged from this study: (1) religious attitudes towards sex work; (2) experiences of sex workers, including stigmatization and marginalization within religious contexts; (3) social control; and (4) empowerment and advocacy. The relationship between religious beliefs and sex work is complex and multifaceted, influenced by cultural, social, and historical factors. Recognizing and understanding these perspectives is essential for developing more inclusive and effective interventions and policies that address the needs and rights of sex workers within the context of their religious beliefs and communities. [ABSTRACT FROM AUTHOR]

Simple Summary: Prostate cancer (PCa) is a major health issue among men, with risk factors such as age, family history, genetics, and race being well known. However, the impact of lifestyle choices has often been overlooked. This study aimed to understand health professionals' perceptions of PCa risk factors to design a questionnaire applicable to the male population. Three focus groups were conducted to discuss topics, such as the impact of diet, physical activity, alcohol consumption, smoking, sexual health, and screening and treatment methods. Although healthy lifestyles can generally improve PCa outcomes, no specific lifestyle change has been identified as a preventive measure, particularly for older adults. Lycopene, present in tomatoes, was highlighted for its antioxidant benefits. This study demonstrates the necessity for additional research on how lifestyle affects PCa and emphasizes the importance of health professionals in encouraging the adoption of healthier habits. It also suggests exploring non-invasive screening through urine and innovative treatment methods to reduce false positives and side effects, respectively. Prostate cancer (PCa) accounts for 20% of new cancer cases and 10.5% of cancer-associated mortality in Portugal. Associated risk factors include advanced age, family history, genetic alterations, and race/ethnicity. However, the role of lifestyle factors is often underestimated. To explore health professionals' perceptions of PCa risk factors, a qualitative study with three focus groups (FG), with a total of twenty-one general practitioners and urologists, was conducted via videoconference between February and April 2023. Seven themes emerged, including general perceptions of PCa; PCa risk factors; nutritional impact; the role of physical activity; alcohol consumption and smoking; sexual activity and sexually transmitted diseases roles in PCa; and screening, diagnosis, and treatment methods. Despite agreeing that healthy lifestyles could promote better PCa outcomes and quality of life, participants did not specify any lifestyle factors that could promote or prevent this disease, posing challenges to lifestyle changes, particularly among older adults. Non-invasive screening methods, such as biomarkers and alternative treatments, are crucial for future research. This study underscores the need for further investigation into the correlation of lifestyle factors with PCa and highlights the necessity of health professionals in encouraging their patients to adopt healthier lifestyles, while offering important insights into awareness, prevention, and alternative screening, diagnosis, and treatment methods, which could help reduce false positives and treatment side effects. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to explore the perceptions of frontline Healthcare Workers (HCWs) towards managing COVID-19 in Tertiary care hospital in Pakistan. Method: This qualitative exploratory study was conducted from January to May 2021 at a Tertiary care hospital designated for COVID-19 patients in Rawalpindi Pakistan. Semi-structured in-depth interviews were conducted from twenty six HCWs. To acquire a sample that was diverse in terms of professional capacity, degree of experience and exposure, purposive sampling technique was used. After thematic analysis, themes were generated by identifying patterns among codes. Results: Five themes emerged. All HCWs experienced significant amount of negative emotions including fear, uncertainty, imposing social distancing and workload. There were also positive experiences such as rewarding, call of duty and professional growth. HCWs experiences related to personal protective equipment (PPE) were communication issues, physical and dermatological issues, reuse and working confidently while wearing PPE. HCWs were buoyed by cooperation and facilitation, trainings and health education from administration. Coping mechanisms were used such as seeking team support, adjusting cognition to deal with reality and resorting to religion. Conclusion: Negative emotions predominated in the beginning and positive emotions emerged gradually. PPE and administrative support played significant role. HCWs’ mental health was maintained in part by their self-coping styles. The findings of this study can be employed to inform and enhance future pandemic response initiatives. [ABSTRACT FROM AUTHOR]

Copyright of Sportis: Scientific Journal of School Sport, Physical Education & Psychomotricity is the property of Sportis: Scientific Journal of School Sport, Physical Education & Psychomotricity and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

As cities progress into high-quality developments, the demand for urban parks that enhance residents' well-being and sustainability is increasing. Traditional visual-centric design methods no longer suffice. Given that vision and hearing are the primary sensory pathways through which people perceive their environment, exploring their relationship with landscape experiences offers a novel perspective for optimizing the audiovisual perception quality of urban parks. This study explores the relationship between visual and auditory elements and landscape experiences to optimize urban parks' sensory quality. Using visual perception, soundscape perception, sound source perception, and behavioral vitality, this study evaluates the audiovisual perception quality of a representative wetland park in Chengdu's ring ecological zone. By quantifying relationships between audiovisual characteristics, behavioral vitality, and emotional feedback, several emotional assessment models were constructed. The results show that lawns, pavements, and sound pressure levels significantly impact vitality. A sound pressure level of 77 dB has been identified as a critical threshold in emotional perception models. Consequently, distinct emotional prediction models can be employed to enhance landscape design across various sound pressure level zones. This research provides scientific evidence and flexible strategies for designing urban open spaces that improve landscape experiences based on multisensory perception. [ABSTRACT FROM AUTHOR]

The study addresses the underutilisation of wood in construction in Chile, particularly given the country's robust forestry sector. The research investigates perceptions, tensions, and contradictions among end-users regarding timber construction in Valdivia, a city with a mixed forestry industry. Methods included a comprehensive survey of 96 households across various socioeconomic clusters, utilising descriptive and exploratory statistical analyses. Key findings reveal persistent negative perceptions about wood's durability, fire resistance, and maintenance costs. However, positive aspects, such as lower construction costs and adequate thermal comfort, were also noted. Surprisingly, concerns were raised about wood's environmental impact, including deforestation and its role in combating climate change, contrasting with the material's known ecological benefits. The study concludes that these perceptions are deeply influenced by ideological and sociopolitical factors, suggesting that mere marketing strategies may not suffice to alter public opinion. Instead, a collaborative effort involving public policy, industry advancements, and transparent scientific communication is essential to promote the benefits of timber construction and address the entrenched biases. [ABSTRACT FROM AUTHOR]

Massive waste generation linked to overconsumption is considered one of the most significant socio-ecological issues today, becoming a challenge for health and well-being and a barrier to achieving sustainability. Education is key to raising awareness and involving citizens in the adoption of responsible consumption habits, facilitating the recognition of the relationship between our daily activities and the production of waste. The aim of this exploratory study is to analyse the perceptions and commitments of future secondary school teachers (FTs) toward this issue and to explore the educational approaches they propose to address it in the classroom (n = 138). In this work, a mixed-methods approach was used based on quantitative and qualitative data collected through a questionnaire. The results show that FTs have difficulties in recognising the different factors involved in the problem of massive waste generation. However, they incorporate the health and ecological vision, which is close to the holistic vision of the One Health approach. The majority of them take personal responsibility for the problem, although they opt for low-effort options. Regarding the educational proposals they design, only a minority can do it following a commitment-oriented approach. [ABSTRACT FROM AUTHOR]

Copyright of Documentos de Enfermeria is the property of Colegio Oficial de Enfermeria de Huelva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Ortaokul öğrencilerinin soyut sanat eserlerine ilişkin bakış açıları ile soyut sanat eserleriyle ilgili estetik beğenileri arasındaki ilişkinin tespit edilmesinin amaçlandığı araştırma 120 ortaokul öğrencisi ile gerçekleştirilmiştir. Çalışma nitel ve nicel yaklaşımın birlikte olduğu karma yöntem araştırmalarından yakınsayan paralel desen yaklaşımı ile planlanmıştır. Araştırmanın veri toplama araçları, öğrencilerin soyut sanat algılarını belirlemek için metafor yoluyla veri toplama formu, estetik beğeni düzeylerini belirlemek için Sevim, Hisarcıklılar ve Feyzioğlu(2012) tarafından geliştirilen ve araştırmaya uyarlanan "Estetik Beğeni Ölçeği", öğrencilerin soyut sanat etkinlikleriyle ilgili görüşlerinin tespiti için yarı yapılandırılmış görüşme formu ve süreç içerisinde çıkardıkları sanatsal çalışmalardan oluşmaktadır. Ortaokul öğrencilerinin soyut sanat algılarına ilişkin metaforları içerik analizi ile çözümlenmiştir. Öğrencilerin Estetik beğeni düzeylerinin tespiti için betimsel istatistik, sınıf düzeyine göre farkı test etmek için Anova testinden faydalanılmıştır. Öğrencilerin soyut sanat eserleriyle ilgili estetik algılarını ve soyut sanat etkinlikleriyle ilgili görüşlerini belirlemek için ise betimsel analiz yönteminden yararlanılmıştır. Araştırma sonuçları, ortaokul öğrencilerinin genel olarak estetik beğeni düzeylerinin yüksek olduğunu, sınıf düzeyine göre anlamlı bir farkın bulunmadığını göstermiştir. Öğrencilerin, resimlerin ana fikir ve renkleri hakkında bilgi sahibi oldukları ancak biçim ve tasarım boyutunda yeterli bilgiye sahip olmadıkları tespit edilmiştir. Ayrıca, öğrencilerin seçtikleri sanatsal çalışmaları başarıyla tamamladıkları belirlenmiştir.

Introduction: Flipped Classroom (FC) method is a new approach in which there is a switch between the work done in class and work done as homework. Background: Previous studies have had variable results. Some conclude neither an improvement nor degradation in students’ performance, while others agree that the Flipped Classroom teaching model has value over traditional teaching styles. Objectives: To assess the effectiveness of the FC learning module on phase I medical students. Methods: There were mixed methods used in this study. For the students to compare the teaching methods, first a didactic lecture class was conducted followed by a more interactive flipped classroom for the interested students. After the classes, two questionnaires were given to them. One to receive their feedback on the teaching model, and one to assess the difference in performance between traditional and Flipped Classroom teaching models. Results: The test done to assess performance proved that the FC model was more effective as a teaching method. A high percentage of students also provided feedback in support of the FC model as compared to the traditional teaching method. Conclusion: The results of this study provide conclusive evidence of the Flipped Classroom teaching model being more effective for the understanding of concepts as well as the performance of phase I MBBS students. It is also a better method as per the students as understood from the feedback form.

Abstract Background Global research on gender bias has highlighted key trends in discrimination and inequality across various fields, including medicine. In Lebanon, a nation celebrated for its diverse cultural landscape and increasing female representation in medical education, there has been a notable absence of studies exploring gender dynamics in the medical profession. Methods To address this gap, we conducted a cross-sectional study using an online survey to explore the Lebanese population’s perceptions towards female physicians and the quality of care they provide. Results The mean age of the study sample (n = 330) was 31.55 ± 10.07 years and included 114 females and 216 males. Most respondents had received care from a female physician. Notably, those who selected female physicians as their family doctors or had female doctors within their immediate family displayed a stronger tendency to engage in annual medical check-ups. While most respondents did not express any preference for the gender of their general practitioner or surgeon, there was a marked preference for female obstetricians/gynecologists, psychiatrists, pediatricians, and dermatologists. This preference was attributed to perceptions of female physicians being particularly compassionate, understanding, and proficient in communication. Conclusion This study represents a groundbreaking contribution to understanding gender perceptions in the Lebanese medical field. It highlights the growing trust and positive regard for female physicians, underscoring the significant role in shaping healthcare experiences and outcomes in Lebanon.

Abstract Social situations can present challenges for those looking to reduce or avoid eating meat. In an experimental vignette study with a large representative sample of 1,117 UK-based meat eaters, we explore affective responses to requests for vegetarian meals and perceptions of those making the request across four social situations: a BBQ, a pub, a restaurant dinner, and a dinner party. We examine moderators of these perceptions including whether the requester presents themselves as vegetarian or a meat restrictor and whether they cite health, environmental or no motives for their request. Overall, we find that these moderators have a greater impact on meat eaters’ perceptions of the requester than on their affective responses to the request. We also find that these outcomes are more impacted by the mention of motives than they are diet type. Standout findings include evidence that people citing environmental motives for their vegetarian meal request are perceived more negatively, while those with health motives are perceived more positively. We also identify substantial heterogeneity across the respondents’ levels of meat attachment: those who are more attached to meat have more negative perceptions of vegetarian meal requesters and experience higher negative affect and lower positive affect in response to the request.

Abstract Background Middle age is increasingly acknowledged as a critical window for prevention of Alzheimer’s disease and related dementia (ADRD) since research has shown that AD develops in the course of 20–30 years (1) but we know very little about middle-aged individuals’ perspectives on ADRD. Knowledge gaps are particularly large for Latinas living in regions typically underrepresented in ADRD research, such as rural and/or agricultural regions. This is important given that over the next 40 years Latinos are projected to have the largest increase in ADRD cases in the U.S. Therefore, this study aims to assess knowledge, perceptions, and feelings associated with ADRD among a sample of middle-age, Spanish-speaking Latina women. Method Using qualitative methods involving semi-structured interviews, we examined knowledge, perceptions, and feelings associated with ADRD among a subsample of the Center for Health Assessment of Mothers and Children of Salinas (CHAMACOS) study. Participants are Latina women residing in an underserved agricultural community entering mid-life (mean = 46.5 years old). Interviews were conducted with 20 women and data was analyzed with inductive thematic content analysis. Results We identified themes regarding perceptions, knowledge, and feelings. First, participants perceive ADRD as involving (1) Loss of memory, (2) Getting lost; (3) Losing the person they once were. With regard to knowledge about ADRD, participants reported: (1) Some knowledge about protective and risk factors for ADRD, (2) No awareness of the links between cardiovascular risk factors and ADRD; (3) A desire to learn prevention methods alongside signs and symptoms of ADRD. Themes related to feelings about ADRD were: (1) Fear of developing ADRD and not being aware of reality or who they are; (2) Worry about losing relationships with loved ones and caretaking if diagnosed with ADRD; (3) Sadness about forgetting one’s family and depending on others if diagnosed with ADRD. Conclusion The knowledge gaps and negative feelings associated with ADRD highlighted in this study underscore the need for ADRD interventions to include CVD prevention, particularly for mid-life Latino populations residing in rural regions.

Abstract Existing research on inclusive STEM-focused high schools (ISHSs) has focused on the design and implementation of ISHSs at the school-level, along with the positive effects of ISHSs on STEM course taking, college majoring, and STEM career orientations. Missing from the literature are studies that foreground the perspectives and voices of students of color and their perceptions of science and scientists from asset-based, critical perspectives. Thus, the purpose of this qualitative case study is to document the perceptions of science and scientists among racially, ethnically, and linguistically minoritized ninth graders at an urban, inclusive STEM-focused high school in a mid-sized, northeastern city in the United States, along with the contexts, sources, and associated experiences informing these perceptions. Iterative cycles of inductive and deductive coding and domain analysis, informed by theoretical perspectives on ecological systems and Discourses, revealed paradoxical perceptions. Students viewed science as a body of knowledge, testing and experimenting, a life-enhancing discovery, building on background information, and connected with other disciplines and everywhere. Students’ perceptions of scientists were both stereotypical and expansive, including that scientists are smart and serious; use science equipment and gear in traditional lab contexts; and are creative, curious, and open-minded. While students primarily identified deceased White males as scientists, three girls of color mentioned counter-stereotypical women and people of color when they thought of science. Students noted that science field trips and after school programs, as well as science in the media and school, informed their perceptions. These findings suggest that despite reform efforts such as Science for All, very little has changed regarding conceptions of science and scientists. What is more, these findings are troubling when minoritized students at an ISHS continue to replicate status quo perceptions of science and scientists. This study has implications for practice, research, and policy related to building on and extending these views in more critically conscious and equity-oriented ways.

Abstract Background Outcome measures are crucial to support a treat-to-target approach to rheumatoid arthritis (RA) care, yet their integration into clinical practice remains inconsistent. We developed an Electronic Heath Record-integrated, patient-facing side-car application to display RA outcomes (disease activity, functional status, pain scores), medications, and lab results during clinical visits (“RA PRO Dashboard”). The study aimed to evaluate patient perceptions and attitudes towards the implementation of a novel patient-facing dashboard during clinical visits using a mixed-methods approach. Methods RA patients whose clinicians used the dashboard at least once during their clinical visit were invited to complete a survey regarding its usefulness in care. We also conducted semi-structured interviews with a subset of patients to assess their perceptions of the dashboard. The interviews were transcribed verbatim and analyzed thematically using deductive and inductive techniques. Emerging themes and subthemes were organized into four domains of the Ecological Model of Health. Results Out of 173 survey respondents, 79% were interested in seeing the dashboard again at a future visit, 71% felt it improved their understanding of their disease, and 65% believed it helped with decision-making about their RA care. Many patients reported that the dashboard helped them discuss their RA symptoms (76%) and medications (72%) with their clinician. Interviews with 29 RA patients revealed 10 key themes: the dashboard was perceived as a valuable visual tool that improved patients’ understanding of RA outcome measures, enhanced their involvement in care, and increased their trust in clinicians and the clinic. Common reported limitations included concerns about reliability of RA outcome questionnaires for some RA patients and inconsistent collection and explanation of these measures by clinicians. Conclusions In both the quantitative and qualitative components of the study, patients reported that the dashboard improved their understanding of their RA, enhanced patient-clinician communication, supported shared decision-making, and increased patient engagement in care. These findings support the use of dashboards or similar data visualization tools in RA care and can be used in future interventions to address challenges in data collection and patient education.

Abstract Although the IELTS speaking test assesses English verbal-communication competence accurately and reliably, its traditional, retroactive scoring framework stops short of providing detailed diagnostic information about individual test-takers’ specific domains of proficiency or deficiency. This study employed a cognitive diagnostic assessment (CDA) framework, grounded in cognitive psychology and diagnostic, formative feedback theories, to identify the specific cognitive (sub)skills and attributes required to successfully perform on the IELTS speaking test and examine the test-takers’ perceptions regarding the CDA and IELTS-speaking-assessment interface. The purpose was to integrate CDA and feedback literacy into the IELTS assessment. Adopting a cognitive/psychometric perspective, we conceptualized language proficiency as encompassing separate cognitive subskills that can be systematically measured and diagnosed. To this end, we analyzed speaking data from 500 pre-IELTS candidates and conducted 20 expert interviews. The thematic analysis employed through the MAXQDA software helped identify five specific subskills related to the IELTS speaking test. Using a similar thematic analysis procedure, we extracted five perceptive themes regarding an integrated IELTS-CDA framework from the interview data of 151 participants. The results have important implications for the practicality and efficacy of employing CDA to improve IELTS speaking interpretation and feedback.

Zuhal Y Hamd,1 Amal I Alorainy,1 Monira I Aldhahi,2 Awadia Gareeballah,3 Naifah F Alsubaie,1 Shahad A Alshanaiber,1 Nehal S Almudayhesh,1 Raneem A Alyousef,1 Reem A AlNiwaider,1 Lamia A Bin Moammar,1 Mohamed M Abuzaid4,5 1Department of Radiological Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, Riyadh, 11671, Saudi Arabia; 2Department of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, Riyadh, 11671, Saudi Arabia; 3Department of Diagnostic Radiology, College of Applied Medical Science, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia; 4Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates; 5Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab EmiratesCorrespondence: Zuhal Y Hamd, Department of Radiological Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, 11671, Saudi Arabia, Email zyhamd@pnu.edu.saBackground: Artificial Intelligence (AI) is becoming integral to the health sector, particularly radiology, because it enhances diagnostic accuracy and optimizes patient care. This study aims to assess the awareness and acceptance of AI among radiology professionals in Saudi Arabia, identifying the educational and training needs to bridge knowledge gaps and enhance AI-related competencies.Methods: This cross-sectional observational study surveyed radiology professionals across various hospitals in Saudi Arabia. Participants were recruited through multiple channels, including direct invitations, emails, social media, and professional societies. The survey comprised four sections: demographic details, perceptions of AI, knowledge about AI, and willingness to adopt AI in clinical practice.Results: Out of 374 radiology professionals surveyed, 45.2% acknowledged AI’s significant impact on their field. Approximately 44% showed enthusiasm for AI adoption. However, 58.6% reported limited AI knowledge and inadequate training, with 43.6% identifying skill development and the complexity of AI educational programs as major barriers to implementation.Conclusion: While radiology professionals in Saudi Arabia are generally positive about integrating AI into clinical practice, significant gaps in knowledge and training need to be addressed. Tailored educational programs are essential to fully leverage AI’s potential in improving medical imaging practices and patient care outcomes.Keywords: artificial intelligence, perceptions, knowledge, radiologists, radiographers

Small business branding is a relatively under-researched field, and available research largely excludes the African region. As a result, the brand development of small and medium enterprises (SMEs) in emerging markets is a topical issue. The aim of this study was to analyse whether brand development factors such as brand barriers, brand characteristics, perceived advantage, and brand perceptions are perceived by owners/managers as having a positive effect on retail SME brand development. A cross-sectional survey method was used to obtain data from 265 owners/managers of SMEs in South Africa using a self-administered questionnaire. Data were analysed using structural equation modelling, with the results showing that brand barriers, brand characteristics, and brand perceptions have a significant positive effect on brand development, while the effect of perceived advantage was found to be insignificant. It is recommended that SME owners/managers invest more resources in brand development efforts and management develop better attitudes towards branding, as the study revealed that owner/manager perceptions of the brand and the branding process have the biggest impact on brand development. Further, SMEs are encouraged to find innovative ways to engage in brand development, considering that brand barriers do not seem to particularly affect a firm’s ability to engage in brand development. This study contributes towards an understanding of SME brand development in emerging markets, hence SMEs in these markets can benefit from its findings. The practical findings of this study should be of interest to SME owners/managers, as they carry the responsibility for the SME brand development process

Abstract Aim To explore nurses’ perceptions of evidence-based nursing courses for undergraduates through academic-practice partnerships. Design A deductive thematic analysis based on the practice-academic logic model. Methods Fifteen academic and clinical nurses were interviewed between November and December 2023, either online or through face-to-face meetings. Each interview lasted 20–30 min. The interview outline was constructed based on the practice-academic partnership logic model, which was followed during the process of recorded, analyzed, and checked. Results Themes identified include inputs (e.g., stakeholder commitment), activities (e.g., communication), outputs (e.g., nursing projects), and outcomes (e.g., improved competence). These themes highlight the various aspects and outcomes of academic-practice partnerships in evidence-based nursing courses. Conclusion Effective academic-practice partnerships are crucial for developing evidence-based nursing courses, leading to positive educational and professional outcomes. Impact Nurses’ perceptions provide valuable guidelines for developing effective evidence-based nursing courses. Patient or public contribution No patient or public users participated in this study.

Abstract Background Epilepsy remains a significant public health concern in Tanzania, with affected individuals enduring stigma, whether through actions or perceptions. Myths, misunderstandings, and misconceptions about epilepsy have persisted due to a multitude of factors. Here, we assessed attitudes and perceptions toward epilepsy in Mahenge. Methods A cross-sectional study utilising a mixed-methods approach was undertaken in eight villages in the Ulanga district of Mahenge, integrating a semi-structured questionnaire and focus group discussions (FGDs). The questionnaire involved 778 community members, and 15 FGDs were conducted (seven groups with people with epilepsy and eight without). Descriptive statistics, chi-square, and logistic regression were used for quantitative analysis, while we used NVivo version 14 for thematic analysis of qualitative data. Results Of 778 participants, over half were women (425, 54.6%) with a median age of 41 years (IQR: 30–55) and most had completed primary education (79.9%). The majority of participants were aware of epilepsy (96.8%), yet they displayed low knowledge (51%), negative attitudes (45.5%), and perceptions (42.1%) towards the disorder. A low level of understanding was significantly associated with negative attitudes (Adjusted Odds Ratio [AOR] = 1.89, 95%CI: 1.41–2.53) and perceptions (AOR = 3.22, 95%CI: 2.05–5.04) towards epilepsy. In the qualitative analysis, often hereditary factors and infections were named as causes of epilepsy, along with misconceptions involving witchcraft and divine punishment. There was also a misconception about the contagiousness of epilepsy. Traditional healers were often the initial point of treatment. Epilepsy-related stigma was evident, with individuals with epilepsy facing derogatory labels, social isolation, and barriers to education. Lastly, there was a lack of understanding regarding a possible association between epilepsy and onchocerciasis. Conclusions Despite high awareness of epilepsy, there is insufficient understanding, negative attitudes, and perceptions, including misconceptions and stigma about this neurologic condition. Community-based education programmes are essential for promoting proper healthcare-seeking behaviour and dispelling myths.

Introduction: In the current technological era, the implementation and use of information and communication technology are crucial for productivity and organizational management in the health sector. This study aimed to investigate factors influencing staff acceptance of the Hospital Management System (HMS) using the Unified Theory of Acceptance and Use of Technology (UTAUT) in a private hospital in Selangor, Malaysia. Methods: Semi-structured interviews were conducted with 25 healthcare professionals, including doctors, nurses, and administrative staff, to explore their experiences and perceptions of the HMS. Data collection was performed through interviews and observations and analyzed using thematic analysis with ATLAS.ti. Results: The study identified five key themes influencing HMS acceptance: performance expectancy, effort expectancy, social influence, facilitating conditions, and behavioral intention. Participants emphasized the importance of system reliability, speed, and user-friendly interfaces for efficient workflow. Peer support and a technology-promoting organizational culture positively influenced system use. Comprehensive training and continuous technical support were crucial for user confidence. Despite recognizing the system's benefits, participants highlighted challenges such as inadequate system integration and the need for simultaneous digital and traditional record-keeping. Conclusion: Addressing these issues and tailoring the HMS to meet specific departmental needs can enhance user satisfaction and system effectiveness. The study underscores the importance of understanding user needs and providing robust support systems to facilitate the successful implementation and adoption of HMS in healthcare settings.

Abstract Landslides are a major concern for hilly regions worldwide, claiming lives and livelihoods. Early detection and warning systems are crucial in mitigating the impact. This paper aims to identify and analyse the existing landslides early warning systems (LEWS) by analysing the community awareness and assessing the perception of the respondents toward the effectiveness of existing warning systems in Bududa District, Uganda. LEWS are integrated systems designed to monitor, assess, and provide timely alerts about potential landslides. Through mixed methods with sample size of 199 participants, the study revealed that majority of the respondents’ (48.2%) lacked awareness about existing landslide early warning systems, while 28.2% were none committal, with only 23.7%, indicating awareness of some of these systems. Further identified that weather stations were the most popular (44.9%), and community radios (41%). Additionally, majority of the respondents (51.3%) ranked the systems effectiveness in terms of providing early detection and timely warning at 25%, and only 9.6% of the respondents ranked their effectiveness at 75%. The study recommends that Bududa district officials should increase community awareness of the installed landslide early detection and warning systems through sensitization programs, the Government should develop customized landslide detection and early warning system.

Abstract This paper aims to contribute knowledge about the influences of leaders’ perceptions of digitalisation on arrangements for leading the expansion of access to and application of digital technologies in K–12 education. Supporting the digitalisation of K–12 education requires digital competence. School organisers’ and school leaders’ digital competence and perceptions of digitalisation contribute to how digital technologies are employed in schools. Survey and participant observations were used to investigate leaders’ perceptions of digitalisation in K–12 education. The data were analysed using thematic analysis and theory of practice architecture. The results show that perceptions of digitalisation in K–12 education influence arrangements by allowing opportunities for enhanced quality in teaching and equality within and among schools. Further, collaborations between leaders, sharing ideas and experiences, and enhancing leadership are elements that contribute to the shaping of leaders’ perceptions of digitalisation in schools. This paper contributes to the knowledge of leaders’ perceptions of expanding the access to and application of digital technologies in schools.

This study aims to explore the role of multiple leadership styles in bank performance, with disruption as a moderator in Indonesia. The study uses a probability sampling technique with random sampling types. The main data source was the distribution of questionnaires. 300 bank employees were targeted, and 450 data inputs were received upon completion of the survey. The data were processed using Structural Equation Modelling (SEM) with Partial Least Square Structural Software. The data analysis obtained a construct and discriminant validity value of 0.7 and achieved an R-Square of 0.743. The results of this study showed that multiple leadership styles, consisting of transformational leadership style, ethical leadership style, and servant leadership style, influence bank performance (P-Value 0.000). Disruption also influences bank performance (P-Values 0.000); however, disruption does not moderate the influence of leadership styles on bank performance (P-Value 0.993). This study emphasizes the importance of multiple leadership styles that combine transformational leadership style, ethical leadership style, and servant leadership style in managing banking business performance. This study significantly contributes to leadership development initiatives in the dynamic Indonesian banking industry and offers future research directions. AcknowledgmentWe thank all respondents that participated in the survey. Data availability can be found in https://bitly.cx/uuN0l

Abstract Background Weight stigma refers to the social rejection, discrimination, and ideological devaluation of individuals because of body size and is a direct result of weight bias and anti-fat attitudes. Individuals with higher weight may be less likely to seek healthcare due to weight stigma, and if or when they do present for care, medical providers with weight bias may fail to provide high quality care. Little, however, is known about the intersectionality of weight stigma and perceptions of healthcare interactions as experienced by individuals who also binge eat. Methods Community-based adults completed online self-report questionnaires regarding generalized weight stigma (Attitudes Towards Obese Persons1), healthcare interaction quality (Patient Perceptions of Healthcare Provider Interaction Quality; PPH), and disordered eating (Eating Disorder Examination-Questionnaire) via Amazon’s Mechanical Turk platform. For this cross-sectional study, participants were categorized by the presence and absence of regular binge episodes. Pearson’s correlations, T-tests, ANOVA/ANCOVA, and a multivariate regression were used to examine relationships among demographic variables, weight stigma, disordered eating, and the PPH. Results Participants (N = 648) primarily identified as female (65.4%) and White, non-Hispanic (72.7%). Participants’ average age and body mass index (BMI) were 37.5 (SD = 12.3) years old and 27.3 (SD = 6.9) kg/m2, respectively. Higher healthcare provider interaction quality ratings (PPH) were significantly related to lower BMI (r(648)=-0.098,p = 0.012), less weight stigma (r(648) = 0.149,p

Green infrastructure has emerged as an opportunity to balance sociocultural and ecological benefits, alongside the potential for biodiversity conservation in cities. However, key design challenges that remain unsolved including 1) how to effectively balance biodiversity conservation and sociocultural benefits, and 2) how user's perception and knowledge may affect the acceptance of conservation interventions in parks. In this study, we used a mixed methods approach in which focus groups were used to explore users' perceptions of landscape attributes, their benefits, biodiversity, climate change, and conservation interventions in parks. This was followed by face-to-face interviews with the broader general public to quantitatively assess perceptions and acceptability for conservation interventions in parks. While plant density and functional diversity were identified as key landscape attributes, trade-offs may occur with other attributes such as multi-functionality and the order of the vegetation. Most conservation interventions had high acceptance levels, where the decrease of grass in parks was the most controversial attribute. All interventions were correlated with the importance of landscape attributes and climate change concerns, but poorly associated with knowledge of native biodiversity. The results support 1) increasing the functional diversity of plants in parks as a way to balance environmental and sociocultural benefits and promote the acceptability of conservation interventions, however such an increase should be linked to designs that respect notions of order and other park uses, and 2) environmental education based on climate change may be the key to improving acceptability of these initiatives.