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Students' commitment to online collaborative learning poses a significant challenge for higher education institutions. This study explores the factors that affect students' commitment to Learning Management System (LMS) groups. A conceptual framework is developed that integrates social identity theory, DeLone and McLean's information systems success model, and Hofstede's cultural theory. By adopting a quantitative research design, 367 responses were gathered from university students. The data was analyzed using covariance-based structural equation modelling (CB-SEM). The findings reveal that factors such as LMS group identification, adherence to LMS group norms, perceived system quality, perceived service quality, and perceived information quality positively influence students' commitment to the LMS group. Interestingly, collectivism as a cultural variable moderates the positive relationship between compliance with LMS group norms and commitment to LMS groups. Furthermore, uncertainty avoidance amplified the positive relationships that perceived system quality and information quality had with LMS group commitment. The model presented in this study offers significant predictive power concerning commitment to an LMS group. These findings will provide valuable insights for systems developers, higher education institutions, and instructors aiming to bolster online group commitment within LMS.

Unnoticed by most, some technology corporations have changed their terms of service to allow user data to be transferred to clouds and even to be used to train artificial intelligence systems. As a result of these developments, remote data collection may in many cases become impossible to be conducted anonymously. Researchers need to react by reconsidering their mode of data collection, raising awareness, and expanding informed consent to ensure information sovereignty. Considerations for data sharing are discussed.

Objective: To determine if treatment of co-occurring adult ADHD and Cannabis Use Disorder (CUD) with extended-release mixed amphetamine salts (MAS-ER) would be effective at improving ADHD symptoms and promoting abstinence. Method: A 12-week randomized, double-blind, two-arm pilot feasibility trial of adults with comorbid ADHD and CUD (n = 28) comparing MAS-ER (80 mg) to placebo. Main outcomes: ADHD: [greater than or equal to] 30% symptom reduction, measured by the Adult ADHD Investigator Symptom Rating Scale (AISRS). CUD: Abstinence during last 2 observed weeks of maintenance phase. Results: Overall, medication was well-tolerated. There was no significant difference in ADHD symptom reduction (MAS-ER: 83.3%; placebo: 71.4%; p = 0.65) or cannabis abstinence (MAS-ER: 15.4%; placebo: 0%; p = 0.27). MAS-ER group showed a significant decrease in weekly cannabis use days over time compared to placebo (p < 0.0001). Conclusions: MAS-ER was generally well-tolerated. The small sample size precluded a determination of MAS-ER's superiority reducing ADHD symptoms or promoting abstinence. Notably, MAS-ER significantly reduced weekly days of use over time.

Background: At the onset of the COVID-19 pandemic, schools closed across the United States. Given the impact of virtual learning and lost access to school resources, schools eventually reopened with COVID-19 mitigation protocols in place. This qualitative study sought to understand parental perceptions of school-based COVID-19 mitigation strategies. Methods: Using a phenomenology approach, nine focus groups were completed with 40 parents of children in grades K-8 representing eight Maryland counties. Based on acceptance of masking policies (as indicated on a survey), parents were sorted into 2 groups--lower and higher masking acceptance. A thematic analysis was conducted for each group and themes were compared between the 2 groups. Results: The main themes were related to parents' general sentiments regarding COVID-19, compliance, pandemic-related changes over time, changes in personal opinions, and in-person learning. Both groups described challenges related to inconsistent COVID-19 mitigation policies and practices, the challenges of rapid and frequent changes in guidelines during the pandemic, and the benefits of in-person learning. Conclusions: Parents of elementary and middle school children, regardless of general acceptance of masking policies, shared concerns about implementation and guidance regarding school-based mitigation strategies.

This study examines the relationship between parental involvement and academic achievement among adolescents and potential mechanisms underlying this relationship. Using data from six waves of the Korean Children and Youth Panel Survey, this study estimated fixed effects models to account for individual-level heterogeneity. Sobel mediation tests were employed to examine the mediating roles of four aspects of school adjustment, namely: (a) academic engagement; (b) compliance with school rules; (c) positive peer relationships; and (d) positive teacher-student relationships. Results revealed that parental involvement is positively associated with adolescents' academic achievement (b = 0.172). Proposed mechanism variables explain approximately 68.6% of the association, with academic engagement being the most salient pathway. The findings highlight the importance of parental involvement in helping adolescents adjust to school environments and improve their academic performance.

A best-evidence synthesis and meta-analysis were conducted to evaluate interventions designed to decrease noncompliance in early childhood settings. Studies were examined for quality, intervention components, and outcomes for young children (ages 2-8 years) across settings. Results indicated most designs were high-quality and produced desired outcomes. However, participant inclusion criteria were commonly underreported, and social and ecological validity data were absent. Thus, for whom noncompliance interventions are effective, appropriate, feasible, or preferred is largely unknown. Contrary to prior evidence from the broader challenging behavior literature, function-based assessments had no impact on intervention outcomes. Reasons for this finding are explored, including the narrow application of function-based assessment findings to compliance interventions. Future implications for research and practice are presented.

This study explored predictors of community-based providers' adherence to MATCH, a modular cognitive behavioral therapy for children and adolescents. Provider-reported adherence to MATCH was measured using three increasingly strict criteria: (1) "session content" (whether the session covered MATCH content consistent with the client's target problem), (2) "session content and sequencing" (whether the session covered MATCH content in the expected sequence for the client's target problem), and (3) "session content, sequencing, and participant" (whether the session covered "MATCH content" in the expected sequence and with the expected participant(s) for the client's target problem). Session, client, provider, and organizational predictors of adherence to MATCH were assessed using multilevel modeling. Results revealed that nearly all providers delivered MATCH content that corresponded to the target problem, but only one-third of providers delivered MATCH "content" in the expected "sequence" and with the expected "participant" for the client's target problem. This difference underscores the need for nuanced adherence measurement to capture important implementation information that broad operationalizations of adherence miss. Regardless of the criteria used providers were most adherent to MATCH during sessions when clients presented with interfering comorbid mental health symptoms. This suggests that the design of MATCH, which offers flexibility and structured guidance to address comorbid mental health problems, may allow providers to personalize treatment to address interfering comorbidity symptoms while remaining adherent to evidence-based practices. Additional guidance for providers on managing other types of session interference (e.g., unexpected events) may improve treatment integrity in community settings.

Children and even infants have clear intuitions about power early in development; they can infer who is dominant and subordinate from observing a single interaction. However, it is unclear what children infer about each individual's status from these interactions--do they think dominants and subordinates will maintain their status when interacting with novel partners? In three experiments, we investigate this question. Children (4- to 10-year-olds, N = 365) heard stories about a dominant and subordinate agent and predicted the dominant or subordinate agent's behavior with a novel agent. In all studies, we found that 7- to 10-year-olds generalized dominance, thinking the dominant would again be dominant or "in charge," both for social power (e.g., granting permission) in Study 1 and physical dominance (e.g., a fistfight) in Studies 2 and 3. Furthermore, although they believed dominant agents would win dominance contests (fistfights), they did not believe they would win contests unrelated to dominance (math contests). Younger children did not generalize social power (Study 1) but did generalize physical dominance (Studies 2 and 3). However, even for physical dominance, their generalizations were less selective (i.e., they believed the dominant would win fistfights and math contests). Notably, neither age group generalized an agent's submissiveness in any of the studies--they did not believe a subordinate agent would again be subordinate when paired with a novel partner. We discuss how these results extend past work on children's developing intuitions about dominance and prompt deeper questions about the inferences children draw from dominance interactions.

Teacher attrition and retention are among the major problems in schools worldwide. Particularly in the United States, there is a great demand for teachers in elementary and secondary schools because of teachers transferring to new schools or resigning from the teaching profession altogether. This systematic review focuses on research on the prevalent decline of teacher retention in American elementary and secondary schools. This review aims to communicate reasons for the decrease in teacher retention and consider the impacts of teacher decline on students' academic success. Three databases -- Web of Science, Science Direct, and Pro Quest -- were utilized to obtain evidence to substantiate the causes and effects of the wave of teacher resignations. The evidence was analyzed to determine reliability using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and Cochrane review guidelines. The synthesis analysis included fourteen studies. It was clear from the synthesis that support and clear communication from school principals are essential factors of teacher retention in U.S. elementary and secondary schools. Other notable elements that prevent teacher turnover include recognizing the efforts of teachers, enforcing discipline and compliance among the student population, and conducting fair teacher evaluations. To improve teacher retention rates in the United States, school principals must adopt characteristics contributing to teacher retention.

The aim of this study is to determine the relationship between school administrators' empowering leadership behaviors and secondary education (high school) teachers' perceptions of compliance with the psychological contract. The population of the study consists of 2,878 teachers who were working at 47 high schools located in central Elazig during the 2019-2020 school year. The sample for the study consisted of 470 teachers selected from 12 schools using the stratified sampling method. Data were collected using the "Scale for School Administrator Compliance with Psychological Contract" developed by Koçak (2016) and the "Scale for Teacher Compliance with Psychological Contract". Teacher perceptions of the level to which school administrators displayed empowering leadership behaviors were measured using the Empowering Leadership Behaviors Scale developed by Konczak, Stelly, and Trusty (2000) and adapted to Turkish by Aras (2013). It was found that teachers had high perceptions of school administrator compliance with the psychological contract (SACPC) and that they also had a high level of compliance with the psychological contract (STCPC). Additionally, it was found that teacher perceptions of school administrators displaying empowering leadership behaviors (OYGLD) were also high. Perceptions of teachers who had been working for 7-11 years in the same school regarding school administrator compliance with the psychological contract were higher than those of teachers who had been working in the same institution for 2-6 years. A moderately positive and significant relationship was found between school administrators' and teachers' compliance with the psychological contract and administrators' empowering leadership behaviors. Reinforcing the leadership behaviors of school administrators; does not have a significant effect on coaching sub-dimensions for decision-making, knowledge sharing, and innovative performance on its own.

This study examined the variable relationships among four factors and school liking, controlling for gender, grade level, and maternal educational level. Repeated cross-sectional survey data from Danish public schools were analyzed across three measurement points (2015, 2017, and 2019) using multigroup structural equation modeling. Responses of students (Grades 0-3; ages 6-9), class teachers, and parents were analyzed in conjunction. The results revealed a strong association between adaptation to school norms and academic performance. Notably, girls demonstrated easier adaptation to school norms than boys, partly explaining the prevalent gender gap in academic performance. Furthermore, a positive association was found between classroom inclusion and school liking, indicating that socially marginalized students experience lower well-being. Finally, the parental community was associated with classroom inclusion, suggesting that strengthened cooperation among parents can protect students from social marginalization in the classroom. The findings emphasize the significance of students' social skills for both academic performance and classroom inclusion, and also the importance of classroom inclusion for student well-being.

Purpose: To explore factors influencing compliance with COVID-19 recommended preventive behaviours focusing on types of information sources about COVID-19, learning about disinfectant use and constructs of the Health Belief Model among adolescents at the start of the COVID-19 pandemic. Design: Cross-sectional descriptive design. Setting: A survey was distributed electronically to organisations, parents and student groups in Southern California 10 months after the declaration of the COVID-19 pandemic. Sample: A total of 217 students aged between 12 and 19 years old. Measures: Questions were adapted from a previous nationwide online survey about COVID-19. Analysis: Descriptive and logistic regression analyses were used to analyse the data. Results: The most common type of information (communication) source was an interpersonal one (parents), and the least common type was an official (federal, school) source. Statistically significant better protective behaviours aligned with COVID-19 recommendations were seen in students who received more information from official sources; less information from social media or friends; believed in the accuracy and benefits of utilising the COVID-19 pandemic information and learned about the use of disinfectants and were confident in cleaning surfaces of devices and equipped. However, those who perceived themselves at risk of COVID-19 infection and had perceived high risks in general reported lower (but not statistically significant) compliance with protective behaviour. The level of knowledge about COVID-19 was not statistically associated with compliance with protective behaviour. Conclusion: Parents' role in guiding adolescents is critical. Evidence-based information about COVID-19 should be delivered through official sources to facilitate adolescents' understanding and active participation in public health efforts.

Diabetic foot ulcers (DFUs) impact a substantial proportion of patients with diabetes, with high recurrence rates, severe complications, and significant financial burden to health care systems. Adherence to treatment advice (e.g., limiting weight-bearing activity) is low with patients reporting dissatisfaction with the way in which advice is communicated. This study aimed to address this problem via the systematic development of a motivation communication training program. The program was designed to support diabetes-specialist podiatrists in empowering patients to actively engage with treatment. The development process followed an intervention mapping approach. Needs assessment involved observations of 24 patient-practitioner consultations within a diabetes-specialist foot clinic. This informed specification of a theory of change (self-determination theory) and relevant evidence-based communication strategies (drawing from motivational interviewing). The training program was developed iteratively with changes made following feedback from five diabetic foot health care professionals. The resulting training program, consisting of six one-hour face-to-face sessions over an 8-week period, was delivered to a further six diabetes specialist podiatrists, with five participating in post-program telephone interviews to assess acceptability. Deductive thematic analysis of interview data revealed positive aspects of the training (e.g., valuable and relevant content), ideas for improvement (e.g., online resources and context-specific video examples), the acceptability of motivation strategies, and challenges putting the strategies into practice (such as time constraints and breaking old communication habits). This study contributes to our understanding of integrating motivation principles into routine consultations and holds potential for enhancing adherence to treatment recommendations in patients living with diabetic foot ulcers.

Underrepresentation of historically marginalized populations in clinical trials continues to threaten the validity of health intervention research. Evidence supports the merits of intercept and other proactive forms of recruitment for achieving more equitable representation. However, researchers also report lower retention and adherence to protocols among these populations, particularly in longitudinal studies. Few studies have compared recruitment methods for longitudinal randomized trials testing health interventions, with even fewer having done so for trials involving ecological momentary assessment (EMA). As intervention research integrates EMA and other data collection approaches requiring substantial participant effort, it is critical to better understand the effectiveness and implications of strategies to improve the representativeness of health research. This secondary data analysis compared outcomes of proactive and reactive recruitment strategies (mobile lab intercepts and internet/flyer advertising, respectively) in study inclusion, task completion, and retention within a 14-day randomized controlled trial that used EMA to evaluate cigarette package health messages. Proactive recruitment resulted in higher proportions of participants with low income and education, limited health literacy, and of diverse racial/ethnic makeup. However, this recruitment method also resulted in lower task completion, especially in the second week of the trial period, and lower retention, although group differences were not explained by participant sociodemographic characteristics targeted by inclusion efforts. We conclude that proactive recruitment via intercepts is an effective strategy for health intervention research that aims to include stakeholders from historically marginalized groups but that researchers and funders must recognize these methods require additional resources, considerations, and capacity to address non-trivial challenges to successful participation.

Drawing from the tensions within non-representational and human practice perspectives on affect, this paper continues the task of re-conceptualising academic-hlevel resistance in the context of UK higher education. Such re-conceptualisation is underpinned by the belief that illustrating the breadth of resistant possibility within and between universities can assist in the development of action against the competitive and for-profit imperatives currently overwhelming this educational sphere. Indeed, while resistance research is increasingly interested in the (dis)connections between overt and "everyday" (Scott, 1985) forms of action (e.g. Contu, 2008; Zembylas, 2019), HE researchers have paid little attention to the latter. Consequently, academic-level resistance remains normatively portrayed as exceptional, novel and less influential than that it rejects. For the sake of contributing a counternarrative, this paper employs a diffractive methodology to examine the affective roles of emotion, meaning making practices and pre-personal factors. By speculating how academic-level resistance derives from not only consciously undertaken cost-benefit analyses but from the entanglement of material and non-material elements, this discussion emphasises the notion of "becoming" and so problematises reductive binaries of overt/covert, high-cost/low-cost, resister/complier. Irrespective of the resounding difficulties that accompany efforts to exploit the affective dimensions of resistance, this emphasis nevertheless situates possibility at the heart of UK higher education and the actions pushing against its neoliberal form.

Online education became widespread during the COVID pandemic and is likely to continue to have an important role in our education into the future. A notable aspect of the shift from traditional classroom to virtual teaching has been the collegiate challenge of extending a learning environment founded on mutual trust and academic endeavor, remotely. This study examines the attitudes of students towards violations of academic integrity in online English courses, as attitude can be a trigger for behavior. Student attitudes concerning cheating were assessed for exams, assignments and online sessions. To this end, a questionnaire was implemented with faculty and vocational school students located in the west of Turkey. The participants were two groups of students who attended online English courses and delivered online assignments. One of the groups was comprised of faculty students who attended traditional exams while the other group was tested online. The attitudes of both groups were compared and the results indicated similarity in the most and the least frequently preferred behaviors in general. The most frequently acknowledged violations were using a dictionary during online exams, getting help from translation websites for online assignments and pretending to attend online courses with the camera or microphone turned off. On the other hand, students didn't show willingness to use remote connection software or give account details to a friend to get help in online courses. Although, students in both groups had similar attitudes towards academic misconduct, some item-based differences were revealed that may influence the delivery of language courses in the online setting.

Classroom rules are a fundamental aspect of classroom management and ensuring compliance with established rules is crucial. Previous research has shown that students often pay little attention to the development of classroom rules. This quantitative study aims to investigate the expectations that students have concerning classroom rules. To this end, a 4-point Likert scale questionnaire consisting of 30 items was administered to 356 secondary school students. The Bayesian Search method and expert opinion were used to obtain a Bayesian Network model. The findings of the study indicate that students expect rules to be determined at the beginning of the academic year, wish to be involved in the determination process, and prefer minimal changes to the rules. They also expect a limited number of rules and reinforcement from teachers for displaying desirable behavior. Additionally, the study found that students are more likely to adhere to classroom rules in a clean and uncrowded environment, and prefer that their parents are not informed about these rules. The results also suggest that increased adherence to classroom rules leads to increased class inclusion, while decreased adherence results in decreased class inclusion. Furthermore, the study found that adoption of classroom rules leads to increased in-class cohesion, while non-adoption results in decreased cohesion. These findings contribute to the existing body of knowledge concerning student expectations of classroom rules.

In this study, we apply theories about self-efficacy, empowerment and motivation to account for the phenomena that people with diabetes Mellitus type 1 express as being influential for people with diabetes' behaviour regarding self-regulation. They must make significant changes to their lifestyle, to keep the disease stabilized. The changes can be cumbersome and hard to implement why people with diabetes receive training in self-regulation. For many people it can be challenging to comply with the recommendations. We conducted field observations and surveys to understand how people with diabetes experience their perceived self-efficacy, and what motivates them to perform blood sugar measurements and physical activities. We found differences in people with diabetes' ability to follow the recommendation based on gender, motivation, and their level of self-efficacy. We also found indications on how a motivational dialog may affect both professionals and people with diabetes. Thus, we suggest that guidance of people with diabetes should be based on an emancipating motivational approach such enabling the possibility of strengthening the people with diabetes' motivation and thereby their self-efficacy. Through these processes, the people with diabetes may become able to achieve a higher level of health literacy such experiencing a better outcome of their self-regulation. With this paper we contribute to the contemporary overall knowledge about the diabetes field, such our investigation focus on people with diabetes ability to act upon information provided by healthcare professionals and how to best approach the issues people with diabetes experience as being essential for their general well-being and everyday lives.

The relationship between learning disabilities and behavior disorders is well documented and has led to the development of integrated interventions that target both academic and behavior deficits in elementary school-age students. This paper describes the rationale for, development of and implementation of an integrated academic-behavior intervention called "academic and behavior combined support (ABC Support)." The intervention was developed by integrating the critical intervention elements from two single-focus interventions (i.e., repeated reading and check-in/check-out) into a single comprehensive intervention designed to improve reading fluency for early elementary school-age students with reading disorders while also strengthening their engagement and compliance with behavior expectations. [For the corresponding grantee submission, see ED617652.]

Whilst the extant literature on the publish-or-perish culture in the West is plentiful, there remains surprisingly little scholarship exploring the ways managerialist policies have become integral to local identities, work and life in Chinese universities. We address this gap by taking China's endeavour to become first in the global higher education field as an entry point and reflecting on our lived experiences as early career researchers (ECRs) in the form of a duoethnography. Our dialogues consider how, and with what effects, Chinese higher education privileges the notion of research excellence and works to construct professional identities. As grassroots ECRs epitomising a force to negotiate, challenge and resist the contemporary research order from below, we identify academic publishing as 'the best strategy' to get ahead in the academic game. Despite our compliance with the regime of new managerialism, our narratives also suggest that we are attempting to resist the drive for research productivity through envisaging a slower tempo in writing and aspiring for greater reflection. We provide readers with a range of individual- and collective-based strategies for being and progressing as grassroots ECRs, and implications for universities are also discussed at the end of the article.

Objective: To examine how public health policy was reinforced by peer workers who were called Public Health Ambassadors (PHAs) at a West Coast university during the COVID-19 pandemic. Methods: Descriptions of PHA community interactions were collected. Analyses were conducted using data from the 12-weeks of the 2020 Fall Quarter. Results: In total, there were 5,112 interactions of which there were three types: (1) educational (4%), (2) noncompliance (90%), and (3) thanking (6%). About 1.3% of interactions were met with resistance. Conclusions: Overall, compliance with campus public health guidance was high. Trends suggest compliance fatigue may have occurred after the first four weeks as evidenced by increased noncompliance rates and test positivity rates. Policy Implications: These results suggest the feasibility of the implementing US Centers for Disease Control and Prevention recommendations of using trusted messengers to reinforce critical behaviors to support community health.

Basic vocational training (BVT) represents a new opportunity within the Spanish education system to reduce the school drop-out rate and ease the transition into the workplace. However, this educational route is highly male-dominated and presents a high degree of segregation by gender and pathways. It was therefore necessary to carry out a gender-based analysis and investigate the processes, options and reasons behind students' decisions to opt for a particular professional category. To achieve this, we carried out 35 in-depth interviews at educational centres that teach BVT in the Valencian Community, Spain. Our main findings were that BVT is not only highly male-dominated, but that the female-dominated branches are few and far between, are still subject to strong stereotypes, enjoy less prestige and have fewer job prospects. Therefore, BVT and its impacts are far from gender neutral. In addition, this negatively influences future training and employment options and choices, especially for females, which obviously has a direct impact on their professional careers and life courses.

Students are increasingly relying on contract cheating (CC), a phenomenon in which a third party completes the assignment, quiz, or homework for students in exchange for a fee. Using an exploratory qualitative method and underpinned by critical theory and social responsibility theory, this study explored the perceptions of faculty members regarding CC in the United Arab Emirates' (UAE's) higher education institutions. In particular, this study addressed how faculty members perceive and deal with CC in contexts where policies towards the practice are absent from higher institution honour codes. Using thematic analysis, the results showed that CC arouses the indignation of faculty and staff to the violation of individual and religious rights. Also, they believe they have a sense of responsibility towards students and the community. The results also showed that faculty members' hesitation in reporting CC incidents was due to their perceived lack of support from higher administration institutions and the lack of clear procedures in ethical manuals. This paper concludes with practical recommendations for faculty and staff, managers, department heads and decision makers to mitigate this phenomenon proactively.

Due to a lack of research on sexual consent in sexual minority communities, we know little about how and what individuals who identify as lesbian, gay, or bisexual (LGB) learn about consent. To this end, a convenience sample of 25 LGB adults (N = 25) was interviewed about the factors that have shaped their perceptions and approaches to sexual consent. Data was analyzed using a constant comparative approach wherein data was collected and analyzed simultaneously. Participants identified interpersonal resources, such as past partners, friends, and family, as influential in their views of consent. They also described the lack of inclusive sexual health resources and inadequacies in school-based sexual education as obstacles in the learning process.

Treatment adherence is one of the milestones in the care of hypertensive patients, with new information and communication technologies as potential educational tools. This study aimed to evaluate the add-on effect of a digital cartoon educative video on the therapeutic observance of patients followed up in the General Hospital Yaoundé compared to standard of care. We conducted a randomized simple blind clinical trial at the cardiology unit of the Yaoundé General Hospital over a 6-month period from 1st March to 30th August 2022. We enrolled 110 patients and randomized them in blocs of 4 creating two groups of 57 and 53, respectively, without (group 1) and with (group 2) intervention. Preintervention treatment adherence was assessed using the Morisky Medication Adherence Scale (MMAS). In the standard group (G1), we provided standard paper-based clinical counselling, including oral advice, and in the intervention group (G2), we did the same and added a digital cartoon video containing exactly the same message as images and audio. The primary outcome was medication adherence after three months. The mean age was 56.65 ± 10.98 years in group 1 (paper) and 56.42 ± 10.46 years in group 2 (paper + video), without any significant difference. The two groups were similar regarding the proportion of females (36.8% in G1 and 49.3% in G2) and educational levels. According to the Morisky medication adherence scale, before the intervention, the proportions of patients with good, medium and low treatment adherence in groups 1 and 2 were 7%, 25.6%, 67.4%, and 5.1%, 43.6%, 51.3%, respectively, without any significant difference. After interventions, the proportion of patients presenting a good observance moved from 7 to 11% in group 1 (paper) and 5.1 to 20% in group 2 (paper + video). The intragroup variation in treatment adherence in the intervention group (before-after) tended to be significant, with a p-value = 0.0572, while this p-value was 0.712 in the standard group. Our results provide insight into how digital cartoon videos can help to have an add-on effect on the treatment adherence of hypertensive patients, with clinical significance.

Background: Important tools in preventing the spread of COVID-19 include contract tracing and adherence to isolation guidelines after a positive diagnosis of COVID-19. This is especially relevant among college students who are often away from support systems at home, living in high-density housing, and may not experience serious symptoms from COVID-19 while still contagious. Objective: As text message-based interventions have been found effective in addressing health behaviors among young adults, we conducted formative research to explore how text messaging could support students in adhering to isolation guidelines. Participants: A convenience sample of college students (n = 104) at one university. Methods: An online survey gathered students' perceptions of helpful components to include in a text message-based intervention. Results: Students expressed interest in receiving text messages with support, encouragement, and resources during their time in isolation following a COVID-19 diagnosis. Conclusions: Based on the results, we developed a text message-based intervention designed to provide motivation, support, distraction, and information on resources.

This article centers the counternarratives of four Asian American motherscholar teacher educators presented as letters to our children in which we apply tenets of AsianCrit to parenting and education, with racial realism at the forefront. Using Asian Critical Theory and motherscholar research to frame our analysis, themes within and across the data include pressures of cultural assimilation and identity loss, intersectional identities, compliance and resistance to Asianization, and learning from our children. Our Asian American motherscholar stories serve as examples of motherhood as an asset to critical scholarship and praxis.

This paper presents the findings of a survey exploring people's understandings and experiences of Spiritual Abuse (SA) in a Christian faith context. The online survey was completed by 1591 individuals from the UK, 1002 of whom identified as having experienced SA. Inclusion criteria were: membership of the Christian faith, being or having been, a Church attender or member of a Christian organisation and having heard of the term SA. Participants detailed features of an effective response to disclosures of SA, many of these are directly relevant to counselling and psychotherapy practice. The findings echo calls in previous research for including discussions of religion and faith in training and CPD for counsellors and psychotherapists. Finally, the paper suggests the establishment of a network of counsellors with training and knowledge about SA.

In recent years, the Chinese government has launched several policies to facilitate universities to develop performance measures closely related to national university rankings and resources allocation. Directed by these performance measures, academics employ various strategies to deal with the increasing requirements and pressure. Using a qualitative research method, we interviewed 32 informants in one top-tier and one second-tier university in Mainland China. Our study observed that first, academics mainly comply or adjust/adapt to the situation but obtain very limited space to contest. Second, academics decode that high-stakes rewards and punishment, frequently changing indicators, and governing tools that strongly stress visibility constitute the complicated pressure on them. Third, to try to obtain more opportunities, academics are eager to join research teams. However, the social context is such that social connections ("guanxi") and inbreeding constrain academics' space to recode or translate their situation.

Current international discourse foregrounds gender parity in education as a means of empowering women in societies with strong adherence to traditional gender norms, such as Pakistan. This discourse contends that women's access to higher education and subsequent employment enables them to identify and reject traditional cultural values and norms. However, some scholars criticise the gender parity approach as portraying a simplistic narrative that fails to recognise the social, cultural, and family contexts within which women are embedded. Drawing on an ecological approach, this article examines how education and empowerment are experienced by highly educated women in Pakistan with a particular focus on these contexts. Our findings demonstrate that education and employment are often experienced as disempowering due to their reinforcement of traditional gender roles and values. However, we also found that women move iteratively between acquiescing to traditional gender norms and pushing the boundaries of acceptable practice through this acquiescence. Our findings demonstrate that for the women in our study, empowerment was experienced through their ability to strike a delicate balance between compliance with traditional customs and the pursuit of opportunities that opened because of this compliance.

Informed by Bourdieu's conceptualisation of habitus and its relation with social class, this study explores the construction and negotiation of middle-class identity among a group of urban overseas returnees in China. Using ethnographic interviews and online observational data, the study found that participants built a compliant identity conforming to their parents' expectations and metrics of being 'middle-class'. However, they resisted their families' positioning and the ideal class role images imposed upon them. In their workplace, participants negotiated this middle-class identity mainly by exhibiting professional qualities drawing upon their linguistic capital and new habitus gained through their overseas educational experiences. The privileged identity that the participants exhibited, however, was not without dilemmas and struggles due to their different set of habitus and linguistic practices. Finally, participants were found to project a new middle-class image with translanguaging practice and distinctive lifestyles by co-constructing a 'returnees circle'.

Social engineering is a method used by offenders to deceive their targets utilizing rationales of human psychology. Offenders aim to exploit information and use them for intelligence purposes or financial gains. Generating resilience against these malicious methods is still challenging. Literature shows that serious gaming learning approaches are used more frequently to instill lasting retention effects. Serious games are interactive, experiential learning approaches that impart knowledge about rationales and concepts in a way that fosters retention. In three samples and totally 97 participants the study at hand evaluated a social engineering serious game for participants' involvement and instruction compliance during the game. Field observations and unstructured interviews were used to collect data on participants' engagement, satisfaction and compliance with game master instructions. The findings show that there are potentials in changing the game material and its process to foster these dimensions and make it more useful as an instructional instrument for social engineering awareness creation. [Note: The publication year (2021) shown on the PDF is incorrect. The correct year is 2022.]

Suicide is an important issue facing students on college campuses. Student journalists face unique challenges covering suicide, including ethical considerations related to headline wording, text descriptions, and sourcing. Health advocates, news outlets, and professional journalism organizations partnered to develop guidelines for responsible suicide reporting. This study sought to understand the extent to which student journalists complied with the recommendations, which were designed to prevent so-called "copycat" deaths. Using content analysis, the study examined how 51 student newspapers covered suicide more than 3 years (2019-2021). It offers recommendations for students and advisors.

Increased attention is arising on the delivery of remote cognitive interventions, which allow performing exercises in everyday settings, favouring rehabilitation continuity. The present study offers an overview of remote cognitive training programs for children with congenital brain malformation or genetic syndrome affecting the central nervous system, included in papers published in the time period 2011-2021. A total of 13 records was found and discussed including efficacy studies, feasibility studies and study protocols. Many studies have focused on a specific diagnosis, such as cerebral palsy, Down Syndrome, Fragile X Syndrome, while no or little evidence has been gathered on more rare diseases or brain malformations. Interventions were found to generate benefits on some cognitive functions, but problems with adherence were highlighted, especially due to excessive cognitive load from the training or clinical comorbidities. Conclusions remain tentative due to heterogeneity in training, study and patients characteristics, and methodological limitations of studies.

The Questionnaire for Autism Spectrum Conditions (Q-ASC; Attwood, Garnett & Rynkiewicz, 2011) is one of the few screening instruments that includes items designed to assess female-specific ASD-Level 1 traits. This study examined the ability of a modified version of the Q-ASC (Q-ASC-M; Ormond et al., 2018) to differentiate children with and without ASD-Level 1. Participants included 111 parents of autistic children and 212 parents of neurotypical children (5-12 years). Results suggested that the gendered behaviour, sensory sensitivity, compliant behaviours, imagination, and imitation subscales differentiated autistic females from neurotypical females. Compared to autistic males, autistic females had higher scores on gendered behaviour, sensory sensitivity, social masking, and imitation. Results are discussed in relation to early detection of autistic female children.

Resuming in-person teaching and learning during the COVID-19 pandemic implies that schools must deploy strategies to enforce adherence to the safety protocols to help contain and reduce the spread of the corona virus disease among school children. Thus, the current qualitative study adopted a case study design to explore strategies that were deployed to enforce adherence to the COVID-19 safety protocols among elementary school students. A semi-structured interview guide was used to gather data from 30 teachers enrolled in a one-year master's degree in Educational Leadership and Management program at a public university in Ghana. The study showed that strict and compulsory handwashing before entering the school was deployed to ensure adherence to handwashing safety protocol, provision of veronica buckets contributed to adherence to handwashing. Also, interventions that were deployed to enforce social distancing were spacing of desk, having mealtime in class, eating meals in turns, suspension of assembly and other social gatherings, split class for shift system. Additionally, schools ensured students wore nose masks by providing nose masks to students who could not afford.

International research administration continues to draw significant interest in its practice. As projects and associated problems become more global, collaboration between teams in different countries also will grow in size and in complexity. This study set out to understand the challenges of such collaborative efforts by research administrators within international research teams. The result was an identification of characteristics that members of multi-national teams possess. The study found that training is critical to collaborative teams, cultural communication (or lack thereof) remains a significant barrier, and formal and defined roles and responsibilities for team members supports good governance. These observations beget best practices that can be used by research administrators and managers who participate in international team projects. It is recommended that a training and compliance mechanism be developed and customized per project. These mechanisms would discuss potential cultural differences, provide communication guidance, and specify roles and responsibilities for each team member so as not to duplicate efforts and to produce high levels of organization and coordination.

Via care ethics and culturally relevant pedagogy, this article explores the events observed in fifth grade science classrooms of two Mexican American teachers. The participants were observed expressing dichotomous emotional struggles with their feelings towards their Mexican American students. The struggle consisted of a genuine caring attitude with authentic cariño (caring) for their students revealed in reflections about their concern for their Mexican American students' future opportunities and a necessity to ensure student success by adhering to a complicity for the hegemonic White dominant culture's curriculum. This study extends our understanding of what teachers struggle with when teaching Mexican American students on a curriculum that is culturally different from the curriculum their school uses. This study suggests that participants in this ethnographic case study do have authentic cariño and good intentions of providing a care ethic for their Mexican American students, but their actions and ideology reveal the assimilation with the hegemony of the school's culture of standardization, one that promotes a dominant monolingual ideology.

COVID-19 has presented unprecedented challenges to schools, leaving principals to lead rapid organizational change with limited guidance or support. Drawing on interviews from a larger, national study of principals at the onset of the COVID-19 pandemic, we analyzed the experiences of 20 principals in four large, urban school districts--Boston, Denver, New York, and San Diego. We found that principals relied on both district guidance and preexisting school structures and conditions as they led through the crisis. Although no principals were satisfied with district guidance, principals responded to guidance on a spectrum--from abiding, to challenging, to subverting guidance. Principals' responses were associated with their perceptions of the internal capacities of their schools, as well as the district guidance. Our findings support an emergent typology of principals as middle managers during crisis, which sheds light on how principals act as middle managers and how districts can support their work. [For the corresponding grantee submission, see ED618684.]

In this study, it is aimed to develop an organizational obedience scale that gives information about the obedience tendencies of white-collar employees working in the private sector. In this framework, thirty-one item seven-point Likert-type scale consisting of general expressions was prepared to measure obedience, which is the basis of employee behavioral tendencies. This scale was applied to the employees of small and medium-sized enterprises operating in the Marmara Region and academicians working at the university. The data obtained from the questionnaires, which were accepted as valid as a result of the examination, were analyzed with the SPSS 22 program. Within the scope of the analysis, the validity and reliability values of the scale were examined and valid findings were obtained as a result of the Cronbach-Alpha ([alpha]) value, KMO value and Barlett's test of sphericity. In addition, the convergent and divergent validity of the scale was also demonstrated by the findings. In summary, it was concluded that the Exploratory (EFA) and Confirmatory Factor Analysis (CFA) of the Organizational Obedience Scale, which was tried to be developed, were at the level of validity and reliability that could reveal the obedience levels of private and public sector employees.

Paraprofessionals are increasingly being hired to support students with special needs in schools and are key implementers of behavior interventions for students. However, research is limited on how paraprofessionals perceive the management of student behavior. Using a mixed-methods design approach, the current investigation assesses paraprofessionals' perceptions of common student behavior problems in elementary school classrooms. Results indicate coached paraprofessionals had a greater likelihood of reporting operationally defined behavior concerns than those in a control group. A qualitative constant comparative method of analysis of paraprofessionals' behavior reports revealed themes of disruptive academic behaviors (off task, peer/verbal interactions, physical interference), aggressive behaviors (physical aggression toward people/objects, verbal aggression), noncompliance (physical/verbal refusal), and "other" behaviors (unclear/opposite or positive actions). Implications for practice and future research are discussed. [For the corresponding grantee submission, see ED608171.]

Background: It is unclear whether the limitations of young persons with a mild intellectual disability or borderline intellectual functioning preclude feasibility of the daily diary method. Method: For 60 consecutive days, 50 participants (M[subscript age] = 21.4, 56% male) who receive care in an ambulatory, residential, or juvenile detention setting, self-rated both standardised and personalised diary questions through an app. Diary entries were used for feedback in treatment. Interviews were used to explore acceptability. Results: Average compliance was 70.4%, while 26% of participants dropped out. Compliance was good in ambulatory (88.9%) and residential care (75.6%), but not in the juvenile detention setting (19.4%). The content of self-selected diary items varied widely. Participants deemed the method acceptable. Conclusions: Daily monitoring is feasible for individuals with a mild intellectual disability or borderline intellectual functioning receiving ambulatory or residential care, and can provide scientists and practitioners with important insights into day-to-day behavioural patterns.

The current system of ethical oversight in the United States is based on Institutional Review Board (IRB) review. The system was established in response to well-known and egregious mistreatment of subjects in both biomedical and social and behavioral research. In the decades since the research regulations were enacted, reaction to the burden of IRB oversight has led the system to focus on compliance and limit its active oversight disproportionately to studies that could present the risk of physical harm. At the same time, the characteristics of the research enterprise have changed and methodologies now present novel risks that were not envisioned in the regulations. We convened a group of IRB professionals, academic leaders, and others to discuss limitations of the current system, how that system could be changed to recognize evolving risks and an increasing focus on participant and community voice, and how it could better serve the needs of researchers and support the societal project of science as a public good. Recommendations included a call to reexamine the academic incentive structure, to develop a system to support consideration of ethical principles from the time of study design, and to explicitly provide different ethical support and oversight for high-risk interventional trials and lower risk biomedical and social behavioral research.

Children and adults with developmental disabilities often experience oral health problems such as excessive plaque accumulation and dental restorations related to caries. Researchers have examined the efficacy of a variety of behavioral intervention packages to teach preventative strategies (brushing, flossing) and to decrease challenging behaviors such as aggression and non-compliance associated with dental examinations and restorative procedures for both typically developing and persons with IDD. This paper reviews these peer-reviewed studies for both typically developing individuals and those with developmental disabilities (e.g., intellectual disability and autism). Additionally, this paper highlights areas for future research, makes recommendations related to the integration of behavior analysis with the practice of dentistry, and provides recommendations related to clinical practices and research.

Objectives: Health education may improve health in geriatric patients. To evaluate differences between remote and in-person education, the DREAMS ("'D'eveloping a 'R'esearch Participation 'E'nhancement and 'A'dvocacy Training Progra'm' for Diverse 'S'eniors") health seminar series compared in-person and remote learning groups to assess feasibility, satisfaction, adherence, health literacy, and cognitive outcomes. Research Design: Nonrandomized two-arm interventions occurred remotely or in-person. About 130 diverse, older adults (M age: 70.8 ± 9.2 years; in-person n = 95; remote, n = 35) enrolled. Data from 115 completers (In-person n = 80; Remote n = 35) were analyzed for performance outcomes. Feasibility, adherence, and satisfaction benchmarks were evaluated at baseline, immediately post intervention, and 8 weeks post intervention. Adjusting for baseline performances, outcomes on health literacy and cognitive measures were compared between groups after intervention (at posttest and at 8-week follow-up) using adjusted mean differences ([beta] coefficients). Results: Eighty in-person and all remote participants completed at least six modules. Both programs had high satisfaction, feasibility, and strong adherence. After adjusting for demographic covariates and baseline values, cognitive and motor cognitive measures between groups were domain specific (e.g., global cognition, executive function, spatial memory, mental tracking capacity, and cognitive integration). Discussion and Implications: This work explores feasible measures of knowledge acquisition and its link to health literacy and cognitive outcomes. Identifying effective delivery methods may increase involvement in clinical research. Future studies may encourage remote learning for increased accessibility.

The purpose of this study was to investigate current Chinese preschool teachers' use of behavior management (BM) strategies in preschool classrooms during the challenging juncture of routine care and their impact on children's behavior performances, as well as the features of high-quality BM. Using a stratified, random sampling procedure from data collected as part of a large, longitudinal study in the Guangdong province of China, 37 teachers agreed to participate. While preschools from high to low SES were invited, 18 teachers in high SES and 19 teachers in low SES regions provided consent to participate, resulting in a total sample of 37 teachers. Both quantitative methods and descriptive statistics were employed through CLASS to analyze teachers' use of BM strategies and possible associations with children's behavioral performances. Findings showed that teachers generally missed opportunities to use high-quality strategies. Features of strategies were identified in this study that were used only to control children's behaviors and to elicit children's situational compliance instead of eliciting their receptive compliance. Results also revealed that most Chinese preschools were generally highly controlled environments. Realizing the need for children in preschool classrooms to establish early and positive behavioral habits as imperative, the results of this study point to necessary professional development to become more intentional in using effective behavior management strategies, such as clear behavioral expectations, proactive strategies, and correction of misbehavior, during routine care activities to meet children's behavioral needs and encourage receptive compliance.

Contributed data reflective of students' compliance in doing electronic homework (e-HW) exercises when asked to choose when required e-HW assignments are due are evaluated using a quasi-experimental format with non-equivalent groups to determine if first-semester general chemistry (Chem I) students (N = 273) will academically benefit from improved e-HW completion rates. The three groups studied are categorized under their VOICES (Voluntary Options in Chemical Education Schedules). Evaluated for each VOICES group are (1) results of students' procedural arithmetic ability without the use of a calculating device as determined by their scores on the MUST (Math-Up Skills Test) and (2) outcomes of e-HW due-date compliance and achievement compared to final course averages. Students who entered with below average MUST scores were the least successful course completers (increased percentage of D/F grades) as compared to those in the average or above average MUST score ranges. Students who followed the instructor's predetermined schedule (VOICES 1) outperformed the other groups of students who chose due dates based on personal preferences. A higher percentage of VOICES 1 achieved e-HW mastery level of 89.5% than VOICES 2 (individual choice of e-HW due dates) and VOICES 3 (e-HW due at end of semester). Students who selected their own e-HW due dates entered with less automaticity ability and completed the course with lower averages, but without statistical difference. Students regardless of the VOICES group who completed at least 69.5% of their e-HW showed greater course success (i.e., grades of A, B, or C) than those who did not.

This study shows impoliteness as a form of face-threatening that can be intentionally caused by verbal threats in a particular setting. It investigates: what strategies and mitigators do IraqiKurdish English as a foreign language (EFL) learners use in situations of threat responses? The present investigation paper aims to examine impoliteness strategies and mitigators by these learners when they respond to threatening situations in their context. Thus, it fills a gap in pragmatics literature by investigating the reactions to threats in an Iraqi-Kurdish EFL context. To this end, 50 participants have participated in this study. An open-ended questionnaire in the form of a Discourse Completion Task (DCT) is used to elicit responses from the participants. Besides, a focus group interview is conducted to support the data analysis. The data are coded based on Limberg's (2009) model of impoliteness and threat responses to figure out the strategies used by the learners. Blum-Kulka, House, and Kasper's (1989) taxonomy of mitigators is adapted to analyze the mitigators. Overall, the findings reveal that the preferred responses surpass those which indicate dispreference by the learners. They tend to use face-saving acts when they comply with the threatener's demand and opt for face-threatening acts when they reject that demand indirectly. Moreover, these learners use mitigators to attenuate the illocutionary force of their responses. Finally, this study provides some recommendations and pedagogical implications.