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Suboptimal health has become a core public health challenge, especially during the pandemic. This study adopts an interdisciplinary perspective to examine the relationships between suboptimal health status, COVID-19 fear and stress, cultural values, and outbound travel. A theoretical model was evaluated using data from 800 Beijing residents, 439 of whom were in suboptimal health. Four dimensions of suboptimal health (fatigue, mental status, immune system, and cardiovascular system) significantly affected COVID-19 stress and fear. Post-pandemic travel intention was positively related to fatigue symptoms and leisure and life enjoyment but negatively associated with COVID-19 stress. Suggestions for highlighting travellers' health status and promoting holistic health through post-pandemic travel are provided. [ABSTRACT FROM AUTHOR]

Abstract Objectives Established in March 2020, the C19PRC Study monitors the psychological and socio‐economic impact of the pandemic in the UK and other countries. This paper describes the protocol for Wave 6 (August–September 2021). Methods The survey assessed: COVID‐19 related experiences; experiences of common mental health disorders; psychological characteristics; and social and political attitudes. Adult participants from any previous wave (N = 3170) were re‐invited, and sample replenishment procedures helped manage attrition. Weights were calculated using a survey raking algorithm to ensure the on‐going original panel (from baseline) was nationally representative in terms of gender, age, and household income, amongst other factors. Results 1643 adults were re‐interviewed at Wave 6 (51.8% retention rate). Non‐participation was higher younger adults, those born outside UK, and adults living in cities. Of the adults recruited at baseline, 54.3% (N = 1100) participated in Wave 6. New respondent (N = 415) entered the panel at this wave, resulting in cross‐sectional sample for Wave 6 of 2058 adults. The raking procedure re‐balanced the longitudinal panel to within 1.3% of population estimates for selected socio‐demographic characteristics. Conclusions This paper outlines the growing strength of the publicly available C19PRC Study data for COVID‐19‐related interdisciplinary research.

Objectives: Established in March 2020, the C19PRC Study monitors the psychological and socio-economic impact of the pandemic in the UK and other countries. This paper describes the protocol for Wave 6 (August-September 2021)., Methods: The survey assessed: COVID-19 related experiences; experiences of common mental health disorders; psychological characteristics; and social and political attitudes. Adult participants from any previous wave (N = 3170) were re-invited, and sample replenishment procedures helped manage attrition. Weights were calculated using a survey raking algorithm to ensure the on-going original panel (from baseline) was nationally representative in terms of gender, age, and household income, amongst other factors., Results: 1643 adults were re-interviewed at Wave 6 (51.8% retention rate). Non-participation was higher younger adults, those born outside UK, and adults living in cities. Of the adults recruited at baseline, 54.3% (N = 1100) participated in Wave 6. New respondent (N = 415) entered the panel at this wave, resulting in cross-sectional sample for Wave 6 of 2058 adults. The raking procedure re-balanced the longitudinal panel to within 1.3% of population estimates for selected socio-demographic characteristics., Conclusions: This paper outlines the growing strength of the publicly available C19PRC Study data for COVID-19-related interdisciplinary research., (© 2022 The Authors. International Journal of Methods in Psychiatric Research published by John Wiley & Sons Ltd.)

Professional training programmes were, and continue to be, challenged by the implications of Covid-19. Psychology training programmes in South Africa rely on experiential learning as a cornerstone for developing minimum competencies. Covid-19 restrictions meant that teaching and learning, supervision, and work-integrated learning required reconsideration, shifts and upskilling of trainees and trainers. This was particularly important given the emphasis and value of Experiential Learning Theory in training psychologists. This paper uses collaborative autoethnography to reflect on the challenges, lessons, and future recommendations for the navigation of professional training in psychology in the Covid-19 era and beyond. The key reflections highlight the necessity for hybrid learning contexts in circumstances such as Covid-19. Leadership guidance and students' voices are invaluable assets that could facilitate a comprehensive and inclusive training programme during unprecedented times. [ABSTRACT FROM AUTHOR]

Background: One of the factors affecting people’s mental health is having repeated and confused thoughts about COVID-19. In this regard, the present study was conducted to investigate the effectiveness of cognitive-behavioral therapy on coping strategies and anxiety sensitivity of patients with COVID-19 obsession. Methods: The present research method was quasi-experimental and pre-test-post-test design with a control group. The statistical population of the study included patients with COVID-19 obsession in 2021. The study sample includes 30 patients with COVID-19 obsession who were selected using the convenience sampling method and were randomly divided into two experimental groups (n=15) and control groups (n=15). The collection tool included a questionnaire on COVID-19 obsession, coping strategies, and anxiety sensitivity. The experimental group received ten 90-minute sessions of cognitive-behavioral therapy, but the control group received no intervention. Finally, the obtained data were analyzed by multivariate covariance analysis in SPSS software, version 24 (P<0.05). Results: The results showed that cognitive-behavioral therapy significantly increased the problem-oriented coping strategy and decreased the emotion-oriented coping strategy, avoidance coping strategy, and anxiety sensitivity (physical, cognitive and social) in patients with COVID-19 obsession (P<0.01). Conclusion: The obtained findings indicated that cognitive-behavioral therapy can significantly improve the patients with COVID-19 obsession. Considering the long-term consequences of COVID-19, psychology and counseling centers should take measures to identify and treat vulnerable groups. [ABSTRACT FROM AUTHOR]

This qualitative interview study investigated principals' discursive frames and communications during the COVID-19 pandemic. The six leader interviews that comprise this study's dataset were drawn from a purposeful sample of schools with variable educator job satisfaction survey results. A combination of deductive and inductive coding of the interview data informed by framing theory was conducted. This analysis revealed that leaders of schools with the least amount of change in educator job satisfaction during the pandemic drew upon diagnostic, prognostic, and motivational frames and used a variety of communication strategies that encouraged collaboration and cooperation. Findings suggest that while all principals in this study shared similar challenges and all increased the frequency of their communications during the pandemic, how principals framed uncertainty, listened to and responded to staff concerns, and communicated using different modes and with different stakeholders contrasted in schools with variable educator job satisfaction changes. This study holds implications for school principal crisis-management communications and future study of them. [ABSTRACT FROM AUTHOR]

A sequential explanatory mixed methods study was conducted to determine special education teachers' (SETs) pandemic experiences in the U.S. state of Georgia. We distributed a survey, held focus groups, and analyzed both data for complementarity. We found that SETs experienced challenges, benefits, and concerns when they returned to their classrooms. Although they reported feeling professionally supported during remote learning, they described difficulties and worries about meeting the individualized needs of students with disabilities. Special educators' increased workload and stress likely impacted attrition and student learning outcomes. Based on these pandemic-related experiences, we provided five recommendations for researchers, administrators, and policymakers to address the SET shortage and prepare for future school closures. [ABSTRACT FROM AUTHOR]

Despite government mandates to wear face masks in some public locations, why do some people still refuse to wear a face mask in public? This paper examines the relationship between grit, COVID-19 preventative health measure, and distress. Further, the mediating role of COVID-19 autonomous and controlled motivation is also investigated. The results suggest that grit is directly related to decreased distress and increased preventative behaviors. COVID-19 autonomous and controlled motivated mediated the relationship between grit, distress and preventive behaviors, such that COVID-19 autonomous motivation mediated the association between grit and preventive behaviors; while COVID-19 controlled motivation mediated the relationship between grit and psychological distress. These findings suggest that grit can be an important growth mindset in increasing preventative behaviors and individual well-being during the pandemic. Implications for human resource managers in attempting to help employees cope effectively during the pandemic are discussed. [ABSTRACT FROM AUTHOR]

Background The COVID-19 pandemic is associated with increases in child mental health problems, but the persistence of these changes in the post-pandemic era remains uncertain. Additionally, it is unclear whether changes in mental health problems during the pandemic exceed the anticipated increases as children age. This study controls for the linear effect of age in 1399 children, investigating the course of child-reported anxiety, depression, hyperactivity, and inattention symptoms during and after the pandemic, and identifies risk and protective factors that predict these mental health trajectories. Methods Children (51% male; ages 9–11 at the first timepoint) provided mental health ratings at three pandemic timepoints (July–August 2020; March–April 2021; November 2021–January 2022) and one post-pandemic timepoint (January–July 2023). Mothers reported pre-pandemic mental health (2017–2019) and socio-demographic factors. Children reported socio-demographic factors, risk (e.g. screen time, sleep), and resilience (e.g. optimism) factors during the first timepoint. Results Average mental health symptoms increased over time, with more children exceeding clinical cut-offs for poor mental health at each subsequent pandemic timepoint. Growth curve modeling, adjusting for age-related effects, revealed a curvilinear course of mental health symptoms across all domains. Examination of risk and protective factors revealed that pre-existing mental health symptoms and optimism were associated with the course of symptoms. Conclusions After considering age effects, children's mental health follows a curvilinear pattern over time, suggesting an initial decline followed by a rising trend in symptoms post-COVID. These findings underscore the continued need for additional resources and timely, evidence-based mental health prevention and intervention for children. [ABSTRACT FROM AUTHOR]

There is broad consensus in academia and practice that organizational resilience is a critical factor for organizations to cope with crises. However, despite considerable theoretical progress, empirical knowledge on the dynamics of organizational resilience remains limited. To explore facilitators and consequences of organizational resilience with a holistic approach, we report results of a mixed-methods multi-study throughout an ongoing crisis within the Pakistani textile industry. Qualitative findings indicate a broad set of organizational resilience facilitators, differentiated in respect to their content and temporal properties. Quantitative findings from longitudinal survey data suggest the pivotal importance of "soft" facilitators related to employee focus and learning orientation. In terms of consequences, results show that organizational resilience can reduce emotional exhaustion and contribute to business success. Overall, the findings are consistent with an integral understanding of organizational resilience as a meta-capability, building on a set of facilitators occurring at different time points throughout a crisis. [ABSTRACT FROM AUTHOR]

Introduction: The acute phase of the COVID-19 pandemic impacted the sexual function and mental health of healthcare workers worldwide. However, the extent to which sexual health, including its relational dimension, was affected among different healthcare services and the protective coping strategies employed at that time is currently unclear. The present study aimed to investigate these two issues, exploring for the first time the role of meaning-centered coping on sexual health. Method: The sample consisted of 109 healthcare workers divided into two groups: a high-exposure group (Intensive Care Unit service, 63 participants) and a low-exposure group (gynecology, obstetrics, and pediatrics services, 46 participants). One year after the onset of the COVID-19 pandemic, participants completed an online survey comprised of sociodemographic and COVID-19 exposure variables, the Depression Anxiety and Stress Scale, the New Sexual Satisfaction Scale-Short Form, and the Meaning-Centered Coping Scale. Results: (1) High-exposure participants reported more anxiety and depressive symptoms, (2) anxiety, depression and stress were associated with decreased sexual health after the pandemic, (3) High-exposure participants reported a higher decrease in their sexual health, (4) High-exposure workers reported higher levels of meaning-centered coping, and (5) higher levels of meaning-centered coping predicted higher sexual health in both groups. Policy Implications: Various healthcare services pose distinct risks regarding the detrimental effects of collective health crises on mental and sexual health, and therefore they should be differently treated. The promotion of meaning-centered coping is a sensible policy to improve preparedness in healthcare contexts, especially in vulnerable services and subpopulations. [ABSTRACT FROM AUTHOR]

Purpose: High levels of mental health disorders in students can affect their academic activity. Students should think positively to control the mental health disturbances they experience. This study aims to address the mental health problems of students by increasing their gratitude because gratitude is the key to facing the problems that a person faces. Therefore, the study focuses on finding the influence of gratitude on student mental health disorders. Design/methodology/approach: The subjects in this study were 420 students in Eastern Kalimantan using quantitative methods with gratitude scales GQ-6 and DASS-21. Data collection method with online questionnaires to be analyzed with regression analysis. Findings: The findings of this study empirically show that gratitude has a significant and positive effect on mental health (depression, anxiety, and stress). This shows that gratitude has an important effect on mental health in students. If gratitude is higher, then anxiety and stress decreases significantly. This study aims can serve as a foundation for student mental health improvement programs. Research limitations/implications: This study was cross-sectional, which makes it impossible to conclude a causal relationship between the variables. Therefore, future research should use more advanced research methods, including longitudinal and experimental studies. Another potential limitation that could bias the results is the fact that the data were based solely on self-reports. Then, the study group included a larger proportion of female students than male students. Practical implications: This study provides a deeper understanding of the importance of gratitude in maintaining mental health. Gratitude has been shown to have a positive correlation with increased psychological well-being, decreased levels of depression and increased resilience in the face of everyday stress and challenges in college students at private univesity and state university. Originality/value: This research changes students' mindset to always be grateful by thinking positively during the teaching and learning process at university. Many students complain about the current conditions, especially related to study assignments, differences in the teaching and learning process at school. This study is useful for students to reduce mental health disorders at university. [ABSTRACT FROM AUTHOR]

This study examines attenuated risk responses among individuals who do not adhere to preventive COVID-19 measures (e.g., antimaskers). Guided by the Social Amplification of Risk Model, a survey (N = 373) of nonabiding populations showed that news media use was positively associated with risk perceptions, information seeking and sharing, and preventive measure adoption. By contrast, negative emotions to COVID-19 and perceived knowledge hindered preventive measure adoption from increased information seeking and sharing. Theoretical and practical implications are discussed. [ABSTRACT FROM AUTHOR]

The study examined whether caregiver worry of COVID-19 infection and co-existence difficulty differentially predicted child mental health and wellbeing during the lockdown in two culturally different countries that were severely affected by the pandemic: the UK and Turkey. Co-existence difficulty is the hardship experienced by family members living all together in the same house at the same time during the lockdown period. Participants were 1849 caregivers of children between 5- and 12-years old living in the UK (n = 995) and Turkey (n = 854), who completed an electronic survey distributed via social networks during the initial phase of the COVID-19 lockdown (July and August 2020). Caregivers completed a set of questionnaires on child and family wellbeing and on whether the child's internalizing and externalizing symptoms changed during the lockdown as compared to before. Worry of COVID-19 infection was higher amongst caregivers in the Turkish sample and was associated with higher levels of child internalizing symptoms during the lockdown in the Turkish sample, however there were no statistically significant differences in the size of the impact of worry of infection on the children's internalizing symptoms between the two countries. Co-existence difficulty independently predicted increase in children's internalizing and externalizing symptoms during the lockdown in both samples. Families in the UK experienced a higher level of difficulty with co-existence compared to the families living in Turkey but the magnitude of the impact of co-existence difficulty on children's outcomes between the two samples was not significantly different.The findings suggest that public health strategies should aim to reduce social anxiety and invest in the development of programs aimed at supporting families to overcome the challenges of co-existence during times of public health crisis. [ABSTRACT FROM AUTHOR]

While the number of COVID-19 cases has significantly decreased, its lasting effects persist, posing a continued threat to global mental health and well-being. The aftermath of the pandemic raises concerns about psychological adaptation, meaning in life, and resilience among individuals. This study investigated the potential impact of COVID-19 on psychological adjustment problems and explored the mediating roles of meaning in life and resilience in this relationship. The study involved a sample of 481 general publics from Turkey, with 53.8% of participants identifying as male, and ages ranging from 18 to 70 years (M = 26.63, SD = 6.50). Using an online survey, participants completed the self-reported measures of COVID-19 impact, meaning in life, resilience, and psychological adjustment problems. The findings revealed that the COVID-19 impact significantly predicted levels of meaning in life, resilience, and psychological adjustment problems. Also, meaning in life and resilience emerged as significant predictors of psychological adjustment problems. Notably, the mediation effects of meaning in life and resilience in the relationship between COVID-19 impact and psychological adjustment problems were statistically significant. These results suggest that the COVID-19 influence may reduce levels of meaning in life and resilience, ultimately leading to increased psychological adjustment problems. These findings have implications for highlighting the importance of incorporating strength-based approaches in guidelines and interventions aimed at promoting positive psychological health in the context of the ongoing COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic had a detrimental impact on adolescent mental health, but few studies have explicitly compared adolescents' mental health across countries, nor have they explored how different uses of media by adolescents in different countries may serve as protective or detrimental factors. To explore these associations, we use data collected from 958 South Korean adolescents and 1,253 United States (U.S.) adolescents in spring 2022 (ages 14–18). U.S. adolescents scored higher on anxiety and loneliness, relative to South Korean adolescents, and U.S. adolescents' social media use frequency related positively to these variables. Conversely, South Korean adolescents' social media use frequency was not related to anxiety or depression, and was negatively related to loneliness. Thus, social media use appears to relate detrimentally to U.S. adolescents' mental health but relates in a more protective way to South Korean adolescents' mental health. We discuss differential social media use and country differences to contextualize these findings. [ABSTRACT FROM AUTHOR]

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Background: Pooling data from different sources will advance mental health research by providing larger sample sizes and allowing cross-study comparisons; however, the heterogeneity in how variables are measured across studies poses a challenge to this process. Methods: This study explored the potential of using natural language processing (NLP) to harmonise different mental health questionnaires by matching individual questions based on their semantic content. Using the Sentence-BERT model, we calculated the semantic similarity (cosine index) between 741 pairs of questions from five questionnaires. Drawing on data from a representative UK sample of adults (N = 2,058), we calculated a Spearman rank correlation for each of the same pairs of items, and then estimated the correlation between the cosine values and Spearman coefficients. We also used network analysis to explore the model's ability to uncover structures within the data and metadata. Results: We found a moderate overall correlation (r =.48, p <.001) between the two indices. In a holdout sample, the cosine scores predicted the real-world correlations with a small degree of error (MAE = 0.05, MedAE = 0.04, RMSE = 0.064) suggesting the utility of NLP in identifying similar items for cross-study data pooling. Our NLP model could detect more complex patterns in our data, however it required manual rules to decide which edges to include in the network. Conclusions: This research shows that it is possible to quantify the semantic similarity between pairs of questionnaire items from their meta-data, and these similarity indices correlate with how participants would answer the same two items. This highlights the potential of NLP to facilitate cross-study data pooling in mental health research. Nevertheless, researchers are cautioned to verify the psychometric equivalence of matched items. [ABSTRACT FROM AUTHOR]

Schools provide a place for children and their families to receive academic, mental health, and career development services. COVID-19 shifted the way schools address the needs in each of these areas, specifically the role of a school counselor has changed but the primary model, the American School Counselor Association Model, that school counselors follow has not since the pandemic. In our study, we used consensual qualitative research (CQR) to explore how school counselors addressed academic, mental health, and career needs of K-12 students during the outbreak of COVID-19. Understanding what school counselors prioritized during a crisis and how it changed the way they work, provides insight into how the role of a school counselor and the approach they use may need to adjust. We interviewed 14 practicing school counselors in South Carolina schools representing all the educational levels (i.e, elementary, middle, high). We found 8 domains that support our research question. [ABSTRACT FROM AUTHOR]

Mounting concerns about COVID-19 misinformation and its insidious fallout drive the search for viable solutions. Both scholarly and practical efforts have turned toward raising risk appraisal of misinformation and motivating verification and debunking behaviors. However, individuals remain reluctant to verify and correct misinformation, suggesting a need to develop persuasion strategies to motivate such behaviors. Therefore, with an experiment of 256 participants recruited from Amazon MTurk, this study examines how effectively norm-based messages improve positive behavioral intentions during the COVID-19 pandemic. Findings suggest that among individuals with high perceived severity of misinformation, exposure to both descriptive and injunctive norms about verification reduced their intention to rectify misinformation. However, both descriptive and injunctive norms about debunking misinformation increased intentions to engage in preventive behaviors. By probing the "self–other" discrepancy and the "trade-off effect" of risk appraisal, the study further reveals that the perceived severity of misinformation merits in-depth exploration in future research. [ABSTRACT FROM AUTHOR]

Objectives: Based on protection motivation theory, we investigate how indicators of threat perception (perceived severity, perceived vulnerability, and fear arousal) and coping appraisal (hope) are associated with older people's motivation to engage in protective behavior after the outbreak of COVID-19. Methods: We use multivariate regression analyses with a sample of 40,282 individuals from 26 countries participating in the SHARE Corona Survey. Results: We find that 15% of all respondents stayed home completely—mainly the oldest and vulnerable people with prior health risk conditions. On average, older Europeans responded strongly to the recommended protective behavior measures (6 out of 7 measures adopted). Among the threat perception indicators, fear arousal is the main motivator for protective behavior, whereas the coping appraisal indicator hope shows an equally strong association. Discussion: Given the negative health effects of fear, our findings may help evaluate and revise governmental policy responses and communication strategies. [ABSTRACT FROM AUTHOR]

School reopening is essential for restoring normalcy after a period of disruption. However, executing this endeavor during a pandemic requires a comprehensive strategy to ensure success. Consulting stakeholders is consequently crucial for informed and inclusive policies. Prior works recruited public officials, health authorities, teachers, and parents. Unfortunately, students were often not involved in such consultations. The present study addressed this gap by uncovering the sentiments and concerns on school reopening among higher education students. A total of 223 students enrolled in public and private universities from rural and urban areas participated in the study. Based on their reflective essays, students have mixed sentiments about returning to school during the pandemic and highlight safety, academic, health, and financial concerns as major areas requiring attention. It is now incumbent upon governments, schools, policymakers, and education leaders to carefully analyze and incorporate the findings of this study into their back-to-school guidelines and strategies. With informed decision-making and evidenced-based policy, we can build back a stronger and more resilient education system that equitably serves all students in the post-pandemic world. [ABSTRACT FROM AUTHOR]

Despite the devastating impacts of the COVID-19 pandemic, it provided the opportunity to investigate factors associated with compliance with public health measures that could inform responses to future pandemics. We analysed cross-country data (k = 121, N = 15,740) collected one year into the COVID-19 pandemic to investigate factors related to compliance with COVID-19 guidelines. These factors include social norms, moral values, trust, stress, and demographic factors. We found that social norms to follow preventive measures were positively correlated with compliance with local prevention guidelines. Compliance was also predicted by concern about the moral value of harm and care, trust in government and the scientific community, stress, and demographic factors. Finally, we discuss country-level differences in the associations between predictors and compliance. Overall, results indicate that the harm/care dimension of moral foundations and trust are critical to the development of programs and policies aimed at increasing compliance with measures to reduce the spread of disease. [ABSTRACT FROM AUTHOR]

Purpose: The current research study aims to examine the application feasibility and impact of artificial intelligence (AI) among higher educational institutions (HEIs) in talent acquisitions (TA). Design/methodology/approach: A systematic sampling method was adopted to collect the responses from the 385 staff working across the various levels of management in HEIs in metropolitan cities in India. JAMOVI & SmartPLS 4 were applied to validate the hypothesis by performing the simple percentage analysis and structural equation modelling. The demographic and construct variables considered were adoption, actual usage, perceived usefulness, perceived ease of use and talent management. Findings: The key indicators of perceived usefulness are productivity, perceived ease of use, adaptability, candidate experience with the adoption of AI, frequency in decision-making in its actual usage and career path of development in the HEIs. These are the most influential items impacting the application of AI in TA. Originality/value: AI has the potential to revolutionize TA in HEIs in the form of enhanced efficiency, improved candidate experience, more objective hiring decisions, talent analytics and risk automation. However, they facilitate resume screening, candidate sourcing, applicant tracking, interviewing and predictive analytics for attrition. [ABSTRACT FROM AUTHOR]

The present study investigates the perception of experience of depression, anxiety, and stress (DAS) among young adults (18–22 years of age) from different locales in India during the global COVID-19 pandemic. The sample included 1,020 participants (603 males and 417 females) with 470 identified talented students (ITS) and 550 nonidentified students (NiS) from Indian villages, towns, and cities. multivariate analysis of variance and ordinal logistic regression analysis were carried out to understand the differences between the various subcategories and the probability of having high negative emotional states among those groups. Results point toward varying levels of DAS depending on whether they were ITS or NiS, whether male or female, and whether they came from Indian villages, towns, or cities. Both similarities and dissimilarities with other studies were observed, and the results provide insights into the effect of the pandemic on the mental health of young adults in India. The importance of developing psychological support systems for all students is implicated in the findings of the study. [ABSTRACT FROM AUTHOR]

Throughout the COVID-19 crisis, scientists around the globe have engaged in science communication to an unprecedented degree to convey first-hand epidemiological knowledge and information on preventive measures. The present work is aimed at empirically investigating the impact of direct exposure to scientists as compared to general COVID-19-related media consumption (N = 698) on central cognitive, affective, and behavioral variables, based on the extended parallel process model (EPPM) and its adaptations. A segment of the sample comprises individuals recruited independently, while others were sourced from an online panel. Importantly, this study sample was conducted at the outset of the COVID-19 pandemic. The results revealed that direct exposure to scientists positively affected recipients' knowledge and self-efficacy. General media consumption, by contrast, positively affected perceived threat as well as fear and uncertainty. Both sources positively affected the adherence to protective measures. [ABSTRACT FROM AUTHOR]