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While much of the bikeshare boom has centered around larger cities, smaller, lower-density, and even some rural communities have also implemented bikeshare systems successfully. Using a bikeshare dataset of more than 14,000 trips that cover the period from July 2018 to December 2021 for both pedal and e-bikes, this paper describes the structure and performance of ROAM NRV, a bikeshare system in Montgomery County, Virginia—which is home to Virginia Tech university and has many areas classified as rural. The paper presents bikeshare users' travel behaviors and usage trends (including during the COVID-19 pandemic). Moreover, compares the usage of the system's pedal bicycles to electric bicycles (e-bikes) that were introduced in 2021. Findings indicated that residents of Blacksburg and Christiansburg regularly use and benefit from bikeshare much like their urban counterparts do. Ridership was noted to likely be more common among university affiliates with trips more likely to start/end on or around campus due to the number of stations located within campus grounds. Trail usage was also high among bikeshare users due to the extensive trail network within and between the towns. As rural bikeshare users tend to travel greater distances and encounter more varying terrains throughout their commutes, considering e-bikes instead of pedal bike systems should increase the utilization of such mobility systems in rural areas. When electric assist bicycles were first introduced to the system, initially replacing some and then all former pedal bicycles, utilization increased significantly compared to pedal bike usage. [ABSTRACT FROM AUTHOR]

Despite the many health benefits of physical activity (PA) and healthy eating (HE) most adolescents do not meet current guidelines which poses future health risks. This review aimed to (1) identify whether adolescent PA and HE interventions show promise at promoting behaviour change and maintenance, (2) identify which behaviour change techniques (BCTs) are associated with promising interventions, and (3) explore the optimal approaches to training deliverers of adolescent PA/HE interventions. Nine databases were searched for randomised controlled, or quasi-experimental, trials targeting 10–19 year olds, with a primary aim to increase PA/HE, measured at baseline and at least six months post-intervention, in addition to papers reporting training of deliverers of adolescent PA/HE interventions. Included were seven PA studies, three HE studies and four studies targeting both, with two training papers. For PA studies, two were promising post-intervention with two promising BCTs, and five were promising for maintenance with two promising BCTs. For HE studies, three were promising at post-intervention and four at maintenance, both with four promising BCTs. There is preliminary evidence that interventions support adolescents to improve their PA and HE behaviours over a period of at least six months. [ABSTRACT FROM AUTHOR]

This paper focuses on an innovative approach to preparing children and young people, with Spina Bifida, to move from child-centered to adult-oriented healthcare systems. Reflecting on our role in delivering a national nurse led service, we set to identify and critique international transition tools in use for this population. Specifically, we aimed to identify the core capabilities and indicators of progression to successful transition, so that holistic interventions could be planned to match the needs of individuals and their carers. There were two phases to the study, initially focusing on a systematic literature review on transition tools and the specific items that these tools captured, including skills, abilities and behaviors. Phase two culminated in the articulation of a segmented and incremental "road map", aligned with facets deemed essential for a successful healthcare transition. The reporting of the literature review (phase one) followed the PRISMA guidelines and shaped the qualitative element of the study (phase two) through the use of semi-structured interviews and thematic analysis. The search strategy yielded 11 studies, which were then manually searched for other relevant literature, adding a further 14 articles. The review analyzed 7 specific tools for spina bifida and 8 generic tools, which were deemed appropriate for this group of patients. A comprehensive list of core capabilities was then articulated and framed to fit a progression timeline. Specific interventions were formulated to explore ways to co-produce resources that could enhance and support a planned transition to adult-focused services. Our proposed mapping of capabilities and progression could shape other transition programs, where nurses work collaboratively with young people, carers and other members of a team. More work is needed to further explore and embed the framework that, as we did, could be digitized and shared with all stakeholders involved in the transition process. [ABSTRACT FROM AUTHOR]

We have observed that as the theoretical landscape in behavioral science continues to proliferate and diversify, it is not uncommon that distance between subspecialties emerge, artificially accentuating differences between camps. This may occur at the risk of losing sight of the common ground, and worsening communication between subspecialties. In this paper, we propose conceptual "crosswalking" as a means to preserve interdisciplinary communication within the behavioral sciences. This is illustrated using Bronfenbrenner's Person-Process-Context-Time (PPCT) Model, mapped onto therapeutic modalities with a focus on ecological systems. Recommendations for future crosswalking are made. [ABSTRACT FROM AUTHOR]

The burden of malnutrition experienced globally, coupled with the increasing rate of micronutrient deficiencies, compromises the health and well-being of women during their reproductive years. Obesity places young South African women at particular risk during pregnancy, and increases obesity risk for their offspring. To address these risks, the Bukhali trial is being implemented in Soweto, South Africa with 18–28-year-old women, as part of the Healthy Lifestyle Trajectory Initiative. A dietitian is part of the Bukhali intervention team (community health workers) to provide nutritional support for overweight/obese trial participants, making use of the International Federation of Gynaecology and Obstetrics (FIGO) Nutrition Checklist. This paper reflects on the experiences and lessons learned by the Bukhali dietitian, including the use of the FIGO Nutrition Checklist and Healthy Conversation Skills to facilitate conversations about making healthy dietary behaviour changes. Identified challenges that influence nutrition and behaviour are discussed, including lack of food affordability, cultural and social influences on healthy food choices, unsupportive environments and food insecurity. Strategies to optimise this nutritional support are also mentioned. The Bukhali trial is showing that introducing additional nutrition support by a dietitian for at-risk participants has the potential to encourage young women to prioritise nutrition and health, even in the midst of contextual challenges to both nutrition and health. [ABSTRACT FROM AUTHOR]

User behavior is one of the biggest challenges to cybersecurity in modern organizations. Users are continuously targeted by attackers and required to have sufficient knowledge to spot and avoid such attacks. Different training methods are suggested and used in the industry to support users to behave securely. The challenge remains, and improved methods for end-user cybersecurity training are needed. This paper introduces and evaluates user perception of a method called Context-Based Micro-Training (CBMT). This approach suggests that training should be delivered in short sequences when the information is of direct relevance. The intention is to provide training directly related to the user's current situation while also providing an awareness-increasing effect. This notion is tested in a survey-based evaluation involving 1,452 respondents from Sweden, Italy, and the UK, comparing the perception of CBMT against the experience of traditional approaches. The results emphasize that current methods are not effective enough and show that CBMT is perceived positively by respondents in all sample groups. The study further evaluated how demographic aspects impact the perception of CBMT and found that a diverse group of users can appreciate it. [ABSTRACT FROM AUTHOR]

This paper examines how older adults interact with fitness trackers and how that interaction influences their physical activity. We carried out qualitative interviews with 22 individuals between the ages of 55 and 72 who had used fitness trackers as part of a six-week field experiment investigating the effects of feedback from fitness trackers and the social influence of their spouses. From their comments, we derived an explorative process model explaining the mechanisms and the four stages of effects arising from personalised feedback, namely, cognitive, affective, conative, and intuitive. These effects were grouped into internal and external dimensions. Three types of goal-related decisions determined whether interviewees moved from the internal responses of cognition and emotion to the external response of behaviour change. The findings from this study elucidate how real-time personalised feedback can motivate physical activity among older adults and highlight the goal-related factors that influence this effect. [ABSTRACT FROM AUTHOR]

The aim of this scoping review was to identify behavioral disturbances exhibited by patients in post-traumatic amnesia (PTA). While behavioral disturbances are common in PTA, research into their presentation and standardized measures for their assessment are limited. The study protocol was registered with PROSPERO (CRD42021268275). A scoping review of databases was performed according to pre-determined criteria on 29 July 2021 and updated on 13 July 2022. A conventional content analysis was used to examine and categorize behavioral disturbances. Thirty papers met the inclusion criteria, of which 27 reported observations and/or scores obtained on behavioral scales, and 3 on clinician interviews and surveys. None focused exclusively on children. Agitation was the most frequently assessed behavior, and Agitated Behavior Scale was the most used instrument. Content analysis, however, bore eight broad behavioral categories: disinhibition, agitation, aggression, lability, lethargy/low mood, perceptual disturbances/psychotic symptoms, personality change and sleep disturbances. Our study revealed that while standardized assessments of behavior of patients in PTA are often limited to agitation, clinical descriptions include a range of behavioral disturbances. Our study highlights a significant gap in the systematic assessment of a wide range of behavioral disturbances observed in PTA. [ABSTRACT FROM AUTHOR]

This paper discusses the relevance and experience of Pure Consciousness through a technique called Transcendental Meditation (TM). It posits the idea that this technique of meditation can prove to be a useful spiritual tool during the current pandemic and talks about its effects on education, mental health, as well as physical health through a review of scientific studies on TM. It establishes the importance of Transcendental Meditation as a technique coming from a Vedic tradition for holistic growth. It further emphasizes the scientific validity of this technique to prove its practical relevance. [ABSTRACT FROM AUTHOR]

This paper investigates the potential that mediated text can have on expanding Lebanese young people's notions and understandings of sexuality beyond their personal boundaries and the immediate local context to uncover the portrayal of these notions within a global mediated space. It specifically seeks to examine the intersection between Lebanese youth media practices and sexual learning by identifying the extent to which watching the hit Netflix series Sex Education, affected young people's sexual identities, knowledge and practices. Four focus groups, each comprised of six respondents, described the importance of the series in influencing young people's sexual learning and thoughts in a society where sexuality and sexual subjects are taboo. The four main discussion themes that were developed – namely, Open Mindedness: transgression, acceptance and respect; Transformation: life skills and right choices; Gender Equality, Well-being and Health; Reliability/identification and the Need for Trustworthy Connections; and the Need to Re-educate Family and Society about Sex – underscore the importance of the series as a learning tool, the need for the re-introduction of sexual education as part of school curricula in Lebanon, and the re-education of society more generally to help foster healthier sexual lives among young people. [ABSTRACT FROM AUTHOR]