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Context: Patellofemoral pain (PFP) is a prevalent chronic condition characterized by retropatellar or peripatellar pain exacerbated by various knee flexion-based activities. Previous research has highlighted the impact of psychological constructs on pain and function in chronic musculoskeletal pain conditions, yet their influence on physical activity in PFP cohorts remains unexplored. We aimed to evaluate whether pain self-efficacy and pain catastrophizing predict variations in steps per day and moderate to vigorous physical activity (MVPA) among individuals with PFP. Design: Cross-sectional observational study. Methods: Thirty-nine participants (11 males) with PFP were included. Dependent variables were steps per day and minutes of MVPA. Independent variables were pain self-efficacy and pain catastrophizing, measured by the pain self-efficacy questionnaire and the pain catastrophizing scale. Participants were given an ActiGraph wGT3X-BT for 7 days to assess physical activity. Correlations were assessed between psychological measures and physical activity, and a simple linear regression was performed on psychological variables that correlated with physical activity. Alpha was set a priori at P <.05. Results: Pain self-efficacy scores displayed a moderate association with steps per day (rho =.45, P =.004) and a weak association with MVPA (rho =.38, P =.014). Pain catastrophizing scores exhibited no significant associations with physical activity (P <.05). Regression models affirmed pain self-efficacy scores as significant predictors of both steps per day (F1,37 = 10.30, P =.002) and MVPA (F1,37 = 8.98, P =.004). Conclusions: Psychological measures continue to demonstrate value to clinicians treating PFP. Pain self-efficacy scores were moderately associated with steps per day and weakly associated with MVPA, explaining nearly a fifth of the variation in physical activity. Clinicians should prioritize the assessment of pain self-efficacy when treating individuals with PFP, potentially employing psychological interventions to improve physical activity in the PFP population. [ABSTRACT FROM AUTHOR]

Looking back at 50 years of Journal of Consumer Research methods and interviewing some of the field's most respected methodologists, this article seeks to craft a core set of best practices for scholars in consumer research. From perennial issues like conceptual validity to emerging issues like data integrity and replicability, the advice offered by our experts can help scholars improve the way they approach their research questions, provide empirical evidence that instills confidence, use new tools to make research more inclusive or descriptive of the "real world," and seek to become thought leaders. [ABSTRACT FROM AUTHOR]

Humans are immensely curious and motivated to reduce uncertainty, but little is known about the neural mechanisms that generate curiosity. Curiosity is inversely associated with confidence, suggesting that it is triggered by states of low confidence (subjective uncertainty), but the neural mechanisms of this link, have been little investigated. Inspired by studies of sensory uncertainty, we hypothesized that visual areas provide multivariate representations of uncertainty, which are read out by higher-order structures to generate signals of confidence and, ultimately, curiosity. We scanned participants (17 female, 15 male) using fMRI while they performed a new task in which they rated their confidence in identifying distorted images of animals and objects and their curiosity to see the clear image. We measured the activity evoked by each image in the occipitotemporal cortex (OTC) and devised a new metric of "OTC Certainty" indicating the strength of evidence this activity conveys about the animal versus object categories. We show that, perceptual curiosity peaked at low confidence and OTC Certainty negatively correlated with curiosity, establishing a link between curiosity and a multivariate representation of sensory uncertainty. Moreover, univariate (average) activity in two frontal areas-vmPFC and ACC-correlated positively with confidence and negatively with curiosity, and the vmPFC mediated the relationship between OTC Certainty and curiosity. The results reveal novel mechanisms through which uncertainty about an event generates curiosity about that event.

Moral decision-making typically involves trade-offs between moral values and self-interest. While previous research on the psychological mechanisms underlying moral decision-making has primarily focused on what people choose, less is known about how an individual consciously evaluates the choices they make. This sense of having made the right decision is known as subjective confidence. We investigated how subjective confidence is constructed across two moral contexts. In Study 1 (240 U.S. participants from Amazon Mechanical Turk, 81 female), participants made hypothetical decisions between choices with monetary profits for themselves and physical harm for either themselves or another person. In Study 2 (369 U.S. participants from Prolific, 176 female), participants made incentive-compatible decisions between choices with monetary profits for themselves and monetary harm for either themselves or another person. In both studies, each choice was followed by a subjective confidence rating. We used a computational model to obtain a trial-by-trial measure of participant-specific subjective value in decision-making and related this to subjective confidence ratings. Across all types of decisions, confidence was positively associated with the absolute difference in subjective value between the two options. Specific to the moral decision-making context, choices that are typically seen as more blameworthy – i.e., causing more harm to an innocent person to benefit oneself – suppressed the effects of increasing profit on confidence, while amplifying the dampening effect of harm on confidence. These results illustrate some potential cognitive mechanisms underlying subjective confidence in moral decision-making and highlighted both shared and distinct cognitive features relative to non-moral value-based decision-making.

How much should an entrepreneur experiment and when should they pivot? Do the answers to these questions change if the entrepreneur is subject to behavioral biases, such as overconfidence? In this paper, we develop a conceptual logic to address these questions. We focus on the design of a "program of experimentation," which we define as a sequentially interdependent set of experiments and pivot decisions an entrepreneur undertakes to develop a viable business idea. This conceptualization highlights two dimensions of program design: the number of experiments to run and the pivot threshold for evaluating experimental outcomes. Our computational model suggests that while experimenting and pivoting can improve new venture performance, it can also be taken too far. Programs of experimentation that generate frequent and early pivots may impede learning and underperform more conservative programs that generate fewer pivots. We also show that an effectively designed program of experimentation can partially remedy an entrepreneur's behavioral biases. Our work informs ongoing scholarly efforts to more fully understand the Lean Startup's strengths and limitations and advances the theoretical apparatus underlying a scientific approach to venturing. [ABSTRACT FROM AUTHOR]

The purpose of this article is to examine the content of previously published empirical literature utilizing self-efficacy theory with regard to physical education teachers' perceived self-confidence to teach students with disabilities in general physical education. Keyword searches were used to identify relevant literature from electronic databases published from 2000 to 2022. Twenty-four articles, from 11 countries, met all inclusion criteria, and relevant data regarding participants, theory, measurement, research design, and dependent variables were extracted. Of the 24 studies, nine were survey validation, eight were experimental, six were cross-sectional, and one was mixed-methods design. Major findings across the examined studies indicate that teachers' perceptions of training, amount of experience, and support from personnel significantly influence their self-efficacy toward teaching students with disabilities. [ABSTRACT FROM AUTHOR]

While masters sport aligns with the holistic concept of active aging, related research has focused predominantly on the physical domain, and less is known about the psychological, cognitive, and social benefits of older adults' participation. This study examined, in combination, the perceived psychological, social, cognitive, and physical benefits of training and competing as a masters athlete, while considering age and gender differences. Forty masters athletes residing in Canada were interviewed (21 men and 19 women; 15 who were 50–64 years and 25 who were 65–79 years), representing 15 different sports. Interviews were coded both deductively and inductively, revealing several subthemes of benefits for the broader perceived psychological, social, cognitive, and physical benefits, with few but notable differences between women and men, and those younger than 65 years and those 65+ years. Our findings provide new insights into the positive experiences of active aging associated with high levels of physical activity among older adults, such as greater self-confidence, especially for women, comradery, and feeling mentally sharper, especially for the older age group. [ABSTRACT FROM AUTHOR]

Sentiment analysis has fundamentally changed marketers' ability to assess consumer opinion. Indeed, the measurement of attitudes via natural language has influenced how marketing is practiced on a day-to-day basis. Yet recent findings suggest that sentiment analysis's current emphasis on measuring valence (i.e., positivity or negativity) can produce incomplete, inaccurate, and even misleading insights. Conceptually, the current work challenges sentiment analysis to move beyond valence. The authors identify the certainty or confidence of consumers' sentiment as a particularly potent facet to assess. Empirically, they develop a new computational measure of certainty in language—the Certainty Lexicon—and validate its use with sentiment analysis. To construct and validate this measure, the authors use text from 11.6 million people who generated billions of words, millions of online reviews, and hundreds of thousands of entries in an online prediction market. Across social media data sets, in-lab experiments, and online reviews, the authors find that the Certainty Lexicon is more comprehensive, generalizable, and accurate in its measurement compared with other tools. The authors also demonstrate the value of measuring sentiment certainty for marketers: certainty predicted the real-world success of commercials where traditional sentiment analysis did not. The Certainty Lexicon is available at www.CertaintyLexicon.com. [ABSTRACT FROM AUTHOR]

BackgroundDelivering methadone treatment in community health facilities by primary care providers is a task-shifting strategy to expand access to drug use treatment, especially in rural mountainous areas. This study aims to investigate factors related to confidence in providing methadone treatment among primary care providers in Vietnam to inform good practice development.MethodsWe conducted a cross-sectional survey with 276 primary care providers who were physicians, physician assistants, nurses, pharmacists or dispensing staff from 67 communes in a mountainous province in Northern Vietnam. Using self-report scales, we measured providers' confidence in providing methadone treatment, beliefs in harm reduction, perceived work-related support, perceived stigma and risk in working with drug-using patients, and empathy towards this population. We used multiple linear regression analyses to explore factors associated with providers' confidence in providing methadone treatment in the whole sample and to compare two groups of providers who did and did not have experience providing methadone. Potential associated factors were measured at facility and provider levels.Result114 (41.3%) participants had previously experience in providing methadone treatment. Providers with methadone treatment experiences had higher confidence in and more accurate knowledge of methadone treatment, perceived less stigma of working with drug-using patients, and reported more work-related support than those without experiences. Higher medical education is associated with lower confidence in providing methadone treatment among providers without methadone experiences, but higher confidence among providers with methadone experiences. Better methadone knowledge was associated with greater confidence in providing methadone treatment among inexperienced providers but not among those with experiences. Receiving work-related support was associated with greater confidence in providing treatment in both groups, regardless of their past methadone experiences.ConclusionIn rural provinces where methadone treatment has been expanded to primary care clinics, interventions to improve primary care providers' confidence should benefit professionals with diverse experiences in providing methadone treatment. Continued training and support at work for providers is essential to ensuring quality in decentralized methadone treatment.

The purpose of this study is to determine the school heads transformational leadership practices, teachers' morale, and performance. Survey data were gathered from 10 school heads and 150 teachers from public elementary schools of Division of Lanao del Sur. The findings revealed that both the teachers and school heads respondents rated "high" the leadership practices of the school heads, in terms of transformational leadership practices. However, they tend to show high morale when it comes to teacher Rapport with the school head, satisfaction with teaching, rapport among teachers, teacher salary, teacher status, and it shows very high in terms of curriculum issues. Moreover, the result of the Performance Appraisal System for Teachers (PAST) revealed that most teachers' respondents have very high satisfactory performance measured in terms of instructional competence, professional and personal characteristics, punctuality and attendance. However, variables, namely moral satisfaction, teachers' transformational leadership, and school heads' transformational leadership, have no direct association with their PAST. Based on the finding, this study concludes that the elementary school teachers' Performance appraisal has a significant relationship to the teachers' transformational leadership assessment and teachers' morale satisfaction in contrast, it has no significant relationship to school heads transformational leadership. Teachers' morale satisfaction is the best predictor of teachers' performance, which implies that once teachers are satisfied with their personal and professional engagement in the school, their performance would be better. [ABSTRACT FROM AUTHOR]

Purpose: We aimed to describe the facilitators and barriers of physical activity for patients with coronary heart disease. Methods: A qualitative descriptive study using semi-structured interviews was conducted with 15 participants with coronary heart disease. The interview guide was developed based on a multi-theory model. Interviews were audio-recorded, transcribed verbatim, and analyzed using a thematic analysis. Results: Two main themes were identified: facilitators of initiation and maintenance of physical activity (behavioral motivation, perceived benefits, behavioral confidence, supportive physical environment, positive emotional experience, self-regulation, supportive social environment, illness perception, and excellent self-control), barriers of initiation and maintenance of physical activity (perceived barriers, restricted physical environment, psychological distress, insufficient social support, and poor self-control). Conclusions: This study presents an in-depth theory-based exploration of facilitators and barriers to initiating and maintaining physical activity among people with coronary heart disease. Relevant factors should be taken into account to increase their effectiveness when designing the target interventions to encourage a physically active lifestyle in this population. IMPLICATIONS FOR REHABILITATION: Before commencing cardiac rehabilitation, it is imperative to assess patients with coronary heart disease (CHD) to ascertain whether they have limited activity capacity, psychological distress, insufficient social support, and poor self-control. A customized cardiac rehabilitation plan should be meticulously devised for each patient with CHD. For patients in the early stage of initiating physical activity (PA), rehabilitation professionals should assist them in recognizing the severity of their condition and the advantages of engaging in PA. Rehabilitation professionals should also promote active utilization of social networks, stimulate CHD patients' motivation, and enhance their behavioral confidence. When guiding patients during the maintenance stage of PA, it is essential to regularly evaluate their psychological well-being, assist them in self-regulation based on their physical condition, and foster the development of self-control. Rehabilitation professionals should consistently provide social support to reinforce the patients' motivation to maintain their PA behavior. [ABSTRACT FROM AUTHOR]

Background: General practice is pivotal in delivering mental health care within communities, yet the attitudes and professional factors influencing this provision remain underexplored. This study seeks to understand the perspective of general practice staff around the professional factors that influence the provision of primary mental health care. Methods: A qualitative study was conducted with semi-structured interviews of 14 general practice staff involved in mental health care. Participants included receptionists (n = 3), nurses (n = 4), practice managers (n = 3), and general practitioners (n = 4), recruited via purposive sampling. The Theoretical Domains Framework (TDF) guided the interviews, and thematic analysis was used to identify themes and subthemes. Results: Three themes were identified. The first, 'Role identity, skills, and leadership in mental health care,' included subthemes of distinct role recognition with overlap, essential relational and practical skills, and leadership valued among experienced GPs. The second theme, 'Confidence and involvement in mental health care,' covered variability in confidence levels, differing perceptions of involvement, and attitudes towards further involvement. The third theme, 'Drivers for and outcomes of delivering mental health care,' revealed intrinsic motivations and acknowledged both benefits and serious consequences. Conclusion: This study explored general practice staff beliefs about role identity, skills, leadership, confidence, involvement, motivations, and perceptions of benefits in mental health care provision. The findings offer valuable insights into the complexities of mental health care in general practice, with significant implications for practice management and healthcare policy development. [ABSTRACT FROM AUTHOR]

Background and Purpose Conservative management of anterior shoulder dislocation (ASD) is associated with greater recurrence compared with surgical management. Current rehabilitation protocols may not adequately challenge shoulder stability to encourage adaptive coping strategies. Apprehension-based training (ABT) is a new treatment concept derived from the supine moving apprehension test (SMAT), a previously validated performance measure among patients with ASD. The purpose of this case report is to describe the application of ABT in a patient with recurrent ASD. Study Design Case report Case Description The subject was a 23-year-old male with bilateral recurrent ASD. The subject underwent a 17-week exercise program involving gradual exposure to increased anterior instability loads based on the SMAT movement pattern. The Western Ontario Shoulder Instability Index (WOSI), Patient-Specific Functional Scale (PFPS), Tampa Scale of Kinesiophobia, SMAT, shoulder internal and external rotation muscle strength were measured via hand-held dynomometry before and after training. Outcomes Following treatment, clinically meaningful gains in quality of life (WOSI) and shoulder function (PSFS) were noted. Kinesiophobia decreased, SMAT and shoulder internal rotator strength increased beyond their respective minimal detectable change. Four months after treatment, quality of life and shoulder function remained improved, and the subject reported a reduced rate of ASD. Discussion Apprehension-based training involving gradual exposure to shoulder instability loads may hold potential for improving the management of patients with ASD. Further testing of this concept is warranted. [ABSTRACT FROM AUTHOR]

The current study investigated how metacognitive abilities such as Knowledge Confidence (subjective prior knowledge estimate) and Correctness Confidence (appraisal of the likelihood of closing the gap) relate to curiosity, and examined the roles of these metacognitive measures and curiosity in learning. Using a blurred picture paradigm in which participants viewed blurred pictures and provided their metacognitive and curiosity estimates, the current study identified distinct connections between Knowledge Confidence, Correctness Confidence and curiosity. Our finding suggests that when Knowledge Confidence is at low or medium levels, curiosity is particularly heightened. In contrast, Correctness Confidence linearly influences curiosity such that the higher the Correctness Confidence, the greater the curiosity. We also find that learning is best predicted by a learner's metacognitive appraisal of their knowledge gap, especially when they are on the verge of knowing, and this learning effect is independent of curiosity. These findings provide new evidence for the role of curiosity and metacognition in learning, highlighting limits of the effect of curiosity on learning. [ABSTRACT FROM AUTHOR]

As the COVID-19 pandemic swept across the United States, colleges and universities faced the challenge of completing the academic term. Many institutions offered students the option of a 'credit/no credit' grading system, which wouldn't affect their GPA. In this study, we examine which student characteristics are correlated with the decision to choose this grading option over a traditional letter grade. Our findings show that female students, particularly those with lower course grades, were more likely to opt for the 'credit/no credit' option than male students. This aligns with previous research indicating that female students tend to be more risk-averse, particularly in economics courses. [ABSTRACT FROM AUTHOR]

Background: Spinal manipulative therapy (SMT) is a guideline-recommended care for musculoskeletal pain taught in various undergraduate programs. Visual feedback through force-sensing tables can improve modulation of SMT force–time characteristics and, potentially, students' confidence, both factors important for clinical competence and patient outcomes. However, it is unclear if a link exists between students' confidence and ability in SMT force–time modulation. We aim to investigate this relationship and whether it was moderated by experience. Methods: This cross-sectional study recruited first- to third-year Canadian Memorial Chiropractic College students. Participants provided information about their confidence in performing SMT using different impulse forces of 200N, 400N, and 800N with a pre-established pre-load and a time-to-peak force < 150ms. SMT impulse forces of 200N, 400N, and 800N were targeted on a Human Analogue Mannequin positioned prone on a force-sensing table. We described the confidence levels and SMT force–time characteristics and assessed their association using linear mixed models. We re-ran the models interacting with SMT experience. The order of the three SMT impulse forces was randomly performed. Participants and outcome assessors were blinded to force–time characteristics recordings. Results: One-hundred-and-forty-nine participants provided usable data. Participants were confident in delivering 200N and 400N impulse forces. However, confidence decreased for 800N forces. Accordingly, participants performed impulse forces close to the 200N and 400N but had difficulty accurately modulating to 800N forces. A positive association was found between confidence and the ability to modulate their force–time characteristics, especially keeping the same pre-load force, keeping the time to peak force < 150ms, and providing the 800N impulse force. This association was not moderated by experience. Conclusions: Students were more confident in their abilities to perform lower SMT forces but lacked confidence in their abilities to perform higher (800N) forces. This aligned with their skills, as many struggled to apply 800N force. However, students who had higher confidence levels generally performed better overall. There was substantial variability in SMT force–time characteristics, which may have implications for adverse events and patient satisfaction. Some of this variability could be attributed to students' confidence. Thus, further investigations are necessary in undergraduate settings to implement and optimize these findings. Registration: https://osf.io/6f7d5 [ABSTRACT FROM AUTHOR]

Due to the importance of medical students in the buildup of the health system and the influence of professional identity in their study, the aim of the study is to focus on the impact of academic satisfaction and professional identity on Chinese medical students during their career transformation, taking into consideration other factors that play a role in this relationship. 735 junior and senior medical university students from two training hospital were surveyed by using a cluster sampling method. The questionnaire included academic satisfaction scale, career transition psychological scale, simple coping style questionnaire and professional identity questionnaire. Pearson correlation and process plug-in model 6 were used for chain mediation analysis. The results show that in the career transition period, there is a direct relationship between academic satisfaction and career identity, and a chain intermediary relationship between academic satisfaction and self-confidence and coping style. In addition to our findings, we also assert that academic satisfaction has a direct impact on self-confidence and positive coping style in the transition period, and is a predictor of professional identity, whether directly or through the chain intermediary of self-confidence and coping style in the transition period. The results showed that academic satisfaction was sequentially associated with increased self-confidence, and then increased positive coping styles, which resulted in higher professional identity among medical students. [ABSTRACT FROM AUTHOR]

Objective: The utilization of radioactive iodine‐131I (RAI) has long been established as a cost‐effective and conventional treatment for managing Graves' disease (GD). However, the accurate prediction of the clinical response to RAI treatment remains difficult. The successful resolution of GD through RAI therapy is typically characterized by the induction of hypothyroidism or euthyroidism. Thus, the principal aim of this study was to identify plausible predictors of RAI efficacy in the treatment of GD. Methods: The clinical data of 613 GD patients, who underwent RAI treatment for the first time, were retrospectively analyzed, including age, gender, duration of hyperthyroidism, presence or absence of ocular signs, thyroid volume, thyroid weight, thyroid function (FT3, FT4, and TSH), radioactive iodine uptake (RAIU) at 2 h/6 h/24 h (2‐h/6‐h/24‐h RAIU) prior to RAI treatment, the highest RAIU (RAIUmax), and administered activity of 131I and 131I activity per gram of thyroid tissue. Success of RAI treatment was defined as achieving hypothyroidism or euthyroidism for more than 1 year after the initial treatment. Univariate and multivariate logistics regression analyses were conducted to identify factors that influence the efficacy of RAI treatment for GD. And at last, based on the results of the multivariate logistic regression analysis, a nomogram model was established. Results: In this study, the success rate of RAI treatment for GD was 91.2% (559/613). Univariate analysis demonstrated that several factors, including age (p = 0.005), thyroid volume (p = 0.001), thyroid‐stimulating hormone (TSH, p = 0.042), ratio of RAIU at 6 h to 24 h (6‐h/24‐h RAIU, p = 0.048), total 131I activity (p = 0.026), and 131I activity per gram of thyroid tissue (p = 0.001), were significantly associated with treatment outcome. Multivariate logistic regression analysis indicated thyroid volume and 131I activity per gram of thyroid tissue as significant independent predictors of radioactive iodine therapy (RIT) efficacy. The area under the ROC curve of the established nomogram model was 0.769 (95% confidence interval [CI]: 0.692–0.846), indicating that the model has good discriminatory ability. Conclusion: Calculated‐dose RAI is effective in the treatment of GD. The smaller thyroid volume and the higher 131I activity per gram of thyroid tissue are predictors of RAI efficacy in the treatment of GD. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Methods Results Conclusions Implications Reporting Method Patient or Public Contribution To investigate interns' and junior nurses' perceptions, coping confidence and attitudes towards workplace violence in China.Cross‐sectional survey study involving 622 interns or nurses with < 5 years of hospital experience.Data were gathered from the largest tertiary hospital in southwestern mainland China using a general information questionnaire, the Perception of Aggression Scale, the Confidence in Coping with Patient Aggression Instrument and the Management of Aggressive and Violence Attitude Scale. Structural equation modelling was used to understand relationships and pathways between the nurses' perceptions of, confidence in dealing with and attitudes towards managing workplace violence.The average scores for the perception of workplace violence, confidence in coping with workplace violence and attitudes towards violence management were 37.44 (±11.60), 29.84 (±8.23) and 81.87 (±23.72), respectively. Perceptions of workplace violence, confidence in coping with workplace violence and attitudes towards violence management show low to moderate correlations; confidence in coping with workplace violence was the mediating variable in the interactions among the three variables.Interns and junior nurses have weaker perceptions of workplace violence, lower confidence in their ability to cope with violence and more negative attitudes towards violence management. Perceptions of workplace violence affected attitudes towards violence management through the intermediary role of confidence in coping with workplace violence.Nursing managers should increase education and training to improve interns' and junior nurses' awareness and confidence in dealing with workplace violence. Healthcare organisations should prevent and manage workplace violence to develop nurses' positive attitudes towards violence management.The study adhered to the STROBE checklist of cross‐sectional studies.Interns and nurses with < 5 years of experience participated by voluntarily completing a paper questionnaire. [ABSTRACT FROM AUTHOR]

AbstractSocial conformity occurs when individuals forego their personal judgements to agree with opposing judgements of a group majority. While conformity was initially observed and investigated in physical groups, recently there has been an increasing interest to understand dynamics of this phenomenon in online group settings. This survey summarises 36 years of social conformity literature (1988–2023) and reviews its occurrences, positive and negative outcomes, and contextual and personal determinants in online groups. By doing so, we identify gaps in the conformity literature that require further investigation, discuss common challenges and inform the design of future online conformity studies. [ABSTRACT FROM AUTHOR]

There is uncertainty about whether delusion formation in Alzheimer’s disease (AD) can be explained by false memories. “Metamemory,” the ability to self-evaluate memory and identify memory errors, is impaired in people with delusions in schizophrenia. Our objective was to investigate whether false memory and metamemory were associated with delusions in AD. Participants with mild AD, with and without delusions, completed a computerized word recognition task and a metamemory measure. Group differences were compared using independent-samples t-tests or Mann Whitney tests. Significant findings were explored through binary logistic regression modeling. Participants with delusions (n = 10) gave more high confidence responses, significantly so for correct responses; percentage of high confidence correct responses for those with delusions (mean (SD)) was 69.7% (31.0%) and for those without (n = 14) was 43.5% (29.9%); t22 = -2.09, p = .049. This remained significant when sex was included in regression modeling; for each 1.0% increase in high confidence correct responses, participants were 5.4% more likely to have delusions (Exp(β) 1.054, 95% CI 1.007–1.105, p = .025). Findings provide tentative support for a link between metamemory and delusions in AD. This should be explored in a larger sample as it has potential implications for treatment. [ABSTRACT FROM AUTHOR]

In damage‐level classification, deep learning. models are more likely to focus on regions unrelated to classification targets because of the complexities inherent in real data, such as the diversity of damages (e.g., crack, efflorescence, and corrosion). This causes performance degradation. To solve this problem, it is necessary to handle data complexity and uncertainty. This study proposes a multimodal deep learning model that can focus on damaged regions using text data related to damage in images, such as materials and components. Furthermore, by adjusting the effect of attention maps on damage‐level classification performance based on the confidence calculated when estimating these maps, the proposed method realizes an accurate damage‐level classification. Our contribution is the development of a model with an end‐to‐end multimodal attention mechanism that can simultaneously consider both text and image data and the confidence of the attention map. Finally, experiments using real images validate the effectiveness of the proposed method. [ABSTRACT FROM AUTHOR]

Genetically determined disorders are highly heterogenous in clinical presentation and underlying molecular mechanism. The evidence underpinning these conditions in the peer-reviewed literature requires robust critical evaluation for diagnostic use. Here, we present a structured curation process for Gene2Phenotype (G2P). This draws on multiple lines of clinical, bioinformatic and functional evidence. The process utilises and extends existing terminologies, allows for precise definition of the molecular basis of disease, and confidence levels to be attributed to a given gene-disease assertion. In-depth disease curation using this process will prove useful in applications including in diagnostics, research and development of targeted therapeutics. G2P: www.ebi.ac.uk/gene2phenotype. [ABSTRACT FROM AUTHOR]

Background: One of the most prevalent oral health issues affecting mankind is tooth loss. Besides extractions due to periodontal disease and caries, accidents and lack of dental knowledge can also result in tooth loss. Nevertheless, no known published studies have examined how edentulous patients in Uganda have lived with tooth loss. The objective of the present study was to investigate experiences of tooth loss among Ugandan edentulous patients attending Makerere University Dental Hospital. Methods: This was a cross-sectional qualitative study using purposive recruitment of respondents. A total of 15 respondents were chosen from a variety of socio-economic groups. Qualitative data were collected using oral interviews in form of note taking and an audio-recorder. The data collected comprised the causes of tooth loss, the physical and psychological effects of losing teeth, the difficulties in managing oral hygiene when one is toothless, coping mechanisms, and supportive interventions after losing natural teeth. The collected data were transcribed and analyzed thematically using a software, Atlas Ti. The generated qualitative data were summarized as text, while demographic characteristics were presented in a table. Results: Oral infections such as periodontal disease (which destroy tooth supporting tissues), tooth decay and trauma from accidents were reportedly the main causes of tooth loss. In case of tooth pain as a first symptom, most patients choose self-medication with over-the-counter drugs and home remedies. They only consult dental professionals when the condition deteriorates. Tooth loss was associated with problems of eating, facial aesthetics and low self-esteem. Conclusion: The present study found that tooth loss was caused by periodontal disease, tooth decay and trauma from accidents. Loss of teeth was escalated by poor health seeking behavior. Tooth loss resulted in pain, eating difficulties, speech difficulties, poor facial appearance and consequently low self-esteem. [ABSTRACT FROM AUTHOR]

ABSTRACT Upper‐level (200 hPa) velocity potential (VP200) is useful in identifying areas of rising or sinking atmospheric motions on varying temporal scales (e.g., weekly, seasonal, interannual) especially in the global tropics. These areas are associated with enhancement (rising motion) or suppression (sinking motion) of tropical convection and subsequent weather phenomena dependent on these processes (e.g., tropical cyclones). This study employed commonly used global weather reanalysis datasets to calculate and compare VP200 on interannual through multidecadal temporal scales and quantify any differences that existed between them from 1959 to 2020 over four key regions of tropical variability (Equatorial Africa, Amazon Basin, Equatorial Central Pacific, and Equatorial Indonesia). To supplement this analysis, the highly correlated variables to VP200 of outgoing longwave radiation (OLR) and daily precipitation rate were used and directly compared with independent OLR and precipitation datasets to determine the reanalysis' level of agreement with the independent data. The ECMWF ERA5 held the highest agreement to these data over all regions examined and was reasoned to have the highest confidence in accurately capturing the variability of VP200 fields for the study period. Confidence was decreased in the usefulness of the NCEP/NCAR Reanalysis 1 as it consistently performed poorly over much of the study domain. The results of this study also emphasised the usefulness in ensemble‐based approaches to assess climate variability and understanding of potential biases and uncertainties that are inherent in these data sources. [ABSTRACT FROM AUTHOR]

This study aims to determine the relationship between confidence and speaking ability of grade XI students at SMA IP Yakin Cengkareng, West Jakarta. The research method used is a correlational method with instruments like confidence questionnaires and speaking tests. Data were collected from 30 students in grade XI science who were selected through the purposive sampling technique. The results showed that there was a significant relationship between students' confidence and speaking ability, with a correlation coefficient value of 0.850, which means that alternative hypotheses were accepted. These findings suggest that increased students' confidence can have a positive impact on their speaking skills in English. [ABSTRACT FROM AUTHOR]

Context in which events are embedded is often hypothesized to serve as an independent cue for retrieval. This means that any effects of context need to obey two basic principles of cue-dependent memory: Memory retrieval should be augmented when, first, encoding context is reinstated and, second, this context uniquely specifies individual items stored in memory. Both of these regularities are well supported for recall tests, but they remain contentious in recognition tests. Here, in three experiments, we assess whether unique and nonunique contexts affect memory processes when reinstated during recognition. However, rather than focusing on measures of recognition performance, we looked at confidence judgments collected during recognition that should be particularly sensitive to recollective effects resulting from context cuing. Experiments 1 and 2, using old/new and forced-choice recognition tests, respectively, documented positive effects of context reinstatement on confidence in correct recognition identifications, but only for contexts uniquely associated with individual items. These effects emerged even when there were no reliable context effects in recognition performance measures. Experiment 3 showed the same effect of context reinstatement, moderated by context load, when spontaneous recognition of a previous study episode occurred during restudy. These results demonstrate the role of context as an independent retrieval cue both in deliberate and spontaneous recognition. [ABSTRACT FROM AUTHOR]

Aim: The 1st European Workshop on Periodontal Education in 2009 made recommendations regarding the scope of periodontal education at undergraduate (UG), postgraduate (PG) and continuing professional development (CPD) levels, defining competencies and learning outcomes that were instrumental at the time in helping to define periodontal teaching curricula. The 19th European Workshop on Periodontology and 2nd European Consensus Workshop on Education in Periodontology (Education in Periodontology in Europe) was held in 2023 to identify changes and future developments in periodontal education (including those informed by the COVID‐19 pandemic) and embracing methods and formats of periodontal teaching and training. The aim of this review was to assess current knowledge regarding education methods in periodontology, including traditional face‐to‐face (F2F) teaching and the move to student‐centred methods, virtual learning methods and use of digital technology, as well as blended teaching and learning (including teaching delivery and assessment) at UG, PG and CPD levels. Materials and Methods: Systematic searches were conducted to identify relevant studies from the literature. Data were extracted and descriptive summaries collated. Results: The pandemic was a major disruptor of traditional F2F teaching but provided opportunities for rapid implementation of alternative and supplementary teaching methods. Although online learning has become an integral part of periodontal education, teachers and learners alike favour some form of F2F teaching. Blended teaching and learning are feasible in many areas of periodontal education, both for knowledge and skills acquisition as well as in assessment. Student‐centred methods and blended approaches such as the flipped classroom seem highly effective, and online/virtual classrooms with both synchronous and asynchronous lectures are highly valued. Learning with haptic methods and virtual reality (VR) enhances the educational experience, especially when VR is integrated with traditional methods. The quality of the teacher continues to be decisive for the best knowledge transfer in all its forms. Conclusions: Live F2F teaching continues to be highly trusted; however, all types of student‐centred and interactive forms of knowledge transfer are embraced as enhancements. While digital methods offer innovation in education, blended approaches integrating both virtual and traditional methods appear optimal to maximize the achievement of learning outcomes. All areas of periodontal education (UG, PG and CPD) can benefit from such approaches; however, more research is needed to evaluate their benefits, both for knowledge transfer and skills development, as well as in assessment. [ABSTRACT FROM AUTHOR]

The study aimed to identify precompetitive anxiety profiles and analyze the impact of those profiles in their reasons to adhere to running. A sample of 473 Spanish Amateur Athletes participated in the study. Results revealed the emergence of three profiles: (a) a high precompetitive anxiety profile characterized by high cognitive and somatic anxiety and low self-confidence; (b) a precompetitive medium-low anxiety profile characterized by medium-low scores in cognitive and somatic anxiety and medium self-confidence; (c) a precompetitive low anxiety profile characterized by low scores in cognitive and somatic anxiety and medium self-confidence. Results showed that most of the working runners, who participate in ten-kilometer races, who practice three days a week, and most experienced runners, belonged to the extremely low anxiety profile. In conclusion, the precompetitive low anxiety profile reported the most suited outcomes which mean that is a more adaptive profile. [ABSTRACT FROM AUTHOR]

Objective: The development and evaluation of the Professor Hippo-on-Campus Student Mental Health Education Program, a mental health literacy intervention for post-secondary faculty and staff, is described. It includes 3-hour virtual, asynchronous e-modules and an optional 2-hour, synchronous workshop. Participants: All faculty and staff in a single university were invited to participate (February 2020–January 2021). Methods: Pre-and post-module and post-workshop surveys were conducted, assessing knowledge, attitudes, stigma, behavioral intentions, and confidence. Paired t-tests and regressions assessed change. Satisfaction was assessed through closed and open-ended questions, analyzed descriptively and through qualitative content analysis. Results: Four hundred and fifty staff and faculty completed the pre-survey, 262 completed the post-survey, and 122 completed a workshop survey. Participation resulted in improvements in knowledge, attitudes, stigma, and confidence with high levels of satisfaction. Conclusion: The program provides tailored student mental health training to post-secondary staff and faculty, which appears to increase their mental health literacy. [ABSTRACT FROM AUTHOR]

Over the last few years, digitalisation has accelerated its pace, fuelling the creation of a massive amount of data. This has resulted in a need to introduce legal mechanisms to protect the privacy and security of data being exchanged between people and organisations. However, little is known about the individuals' perspective on such mechanisms. Given the gap in the literature, this research investigated the drivers and the implications of individuals' attitude towards GDPR compliance. To test the research model, structural equational modelling was employed using 540 responses. The result showed that perceived threat severity, self-efficacy and response efficacy determine a positive attitude towards GDPR compliance, which results in emotional empowerment. The findings contribute to the literature on legal privacy-preserving mechanisms, by providing a user's view on the coping and threat appraisal factors underpinning attitude and demonstrating the implications for driving confidence in control over personal data. The findings also contribute to the literature on protection motivation by demonstrating that attitude towards adaptive behaviour drives emotional empowerment. The study offers suggestions to policymakers on how to enhance public perception of the GDPR. The findings also provide guidelines for organisations on how to inform individuals' understanding of compliance with the legal framework. [ABSTRACT FROM AUTHOR]

A sport-related musculoskeletal injury carries substantial consequences. It is essential to individualize management of these injuries with a model optimizing goal-oriented rehabilitation. A major challenge is to link a patient's goal for returning to sport with the restoration of performance assessed through the rehabilitation process. Even more challenging is that the demanded movement competence is a moving target based on the type of sport and level of competition the athlete seeks to return to. Currently, no single standardized test battery can elucidate a patient's readiness to return to their desired sport at their desired level. We propose a clinical framework to link the assessed capacity (AC) of patients and the demanded competence (DC) of a sport/recreational activity to develop a readiness score (the AC-DC score). The AC-DC score provides a starting point for exploring the critical elements in the decision-making process surrounding the return-to-sport continuum. [ABSTRACT FROM AUTHOR]

Conducting high‐quality overviews of reviews (OoR) is time‐consuming. Because the quality of systematic reviews (SRs) varies, it is necessary to critically appraise SRs when conducting an OoR. A well‐established appraisal tool is A Measurement Tool to Assess Systematic Reviews (AMSTAR) 2, which takes about 15–32 min per application. To save time, we developed two fast‐and‐frugal decision trees (FFTs) for assessing the methodological quality of SR for OoR either during the full‐text screening stage (Screening FFT) or to the resulting pool of SRs (Rapid Appraisal FFT). To build a data set for developing the FFT, we identified published AMSTAR 2 appraisals. Overall confidence ratings of the AMSTAR 2 were used as a criterion and the 16 items as cues. One thousand five hundred and nineteen appraisals were obtained from 24 publications and divided into training and test data sets. The resulting Screening FFT consists of three items and correctly identifies all non‐critically low‐quality SRs (sensitivity of 100%), but has a positive predictive value of 59%. The three‐item Rapid Appraisal FFT correctly identifies 80% of the high‐quality SRs and correctly identifies 97% of the low‐quality SRs, resulting in an accuracy of 95%. The FFTs require about 10% of the 16 AMSTAR 2 items. The Screening FFT may be applied during full‐text screening to exclude SRs with critically low quality. The Rapid Appraisal FFT may be applied to the final SR pool to identify SR that might be of high methodological quality. [ABSTRACT FROM AUTHOR]

The tendency of falsely remembering events that did not happen in the past increases with age. This is particularly evident in cases in which features presented at study are re-presented at test in a recombined constellation (termed rearranged pairs). Interestingly, older adults also express high confidence in such false memories, a tendency that may indicate reduced metacognitive efficiency. Within an existing cohort study, we aimed at investigating age-related differences in memory metacognitive efficiency (as measured by meta d' ratio) in a sample of 1522 older adults and 397 young adults. The analysis showed an age-related deficit in metacognition which was more pronounced for rearranged pairs than for new pairs. We then explored associations between cortical thickness and memory metacognitive efficiency for rearranged pairs in a subsample of 231 older adults. By using partial least square analysis, we found that a multivariate profile composed by ventromedial prefrontal cortex, insula, and parahippocampal cortex was uniquely associated with between-person differences in memory metacognitive efficiency. These results suggest that the impairment in memory metacognitive efficiency for false alarms is a distinct age-related deficit, above and beyond a general age-related decline in memory discrimination, and that it is associated with brain regions involved in metacognitive processes. [ABSTRACT FROM AUTHOR]

Introduction: Ongoing improvement to residential treatment for substance use disorders is critical as it typically targets people with the highest need. Assessing multiple recovery indicators, such as cravings and mental health, at intake and following discharge is important in evaluating treatment effectiveness. To refine services, research should explore whether there are subgroups of individuals with different patterns of recovery following treatment. Methods: Participants (n = 554) were attending Australian Salvation Army residential treatment services for substance use issues. Data were collected by surveys at intake and 3‐month post‐discharge ('early recovery'). Recovery indicators were cravings, confidence to resist substance use and the Depression, Anxiety and Stress Scale. Subgroups of individuals based on these recovery indicators ('profiles') were identified using repeated measures latent profile analysis. Results: Five profiles were identified, three profiles improved over time (81.4%) and two (18.6%) deteriorated across all indicators. These two profiles had the poorest mental health and addiction scores at intake and reported shorter time in treatment compared to the three profiles showing improvement. There were no demographic or substance type differences between profiles. Discussion and Conclusions: By considering initial severity and multiple recovery indicators at early recovery, this study suggests that individuals at‐risk of poor early recovery can be identified at intake. This opens opportunities for tailored treatment approaches to address both mental health and substance use, thereby potentially improving treatment outcomes and reducing the risk of relapse. [ABSTRACT FROM AUTHOR]

In December 2020, 11 months after identifying the first laboratory-confirmed case of COVID-19 in the United States, the U.S. Food and Drug Administration authorized emergency use of two COVID-19 vaccines. To prepare the public for a large-scale vaccination campaign and build confidence in COVID-19 vaccines, the U.S. Centers for Disease Control and Prevention (CDC) funded more than 200 partners and developed a national Vaccinate with Confidence (VwC) COVID-19 framework to support Americans in their decision to get vaccinated. The evolving nature of the pandemic and highly variable confidence in vaccines across populations has resulted in many unique complexities and challenges to reaching universally high vaccination coverage. Here, we describe how 23 professional health associations and national partner organizations, focused solely on building vaccine confidence, operationalized CDC's VwC COVID-19 framework from February 2021 to March 2022. Capturing how partners deployed and adapted their activities to meet a shifting pandemic landscape, which began with high demand for vaccines that waned over time, is an important first step to understanding how this new strategy was utilized and could be implemented for future surges in COVID-19 cases and other routine immunization efforts. Going forward, evaluation of partner activities should be prioritized to capture learnings and assess VwC program effectiveness. [ABSTRACT FROM AUTHOR]

Decision making in nuclear emergency response involves significant uncertainty, time pressure, and high stakes. The stress and ambiguity can result in the use of heuristic decision making strategies, which may sometimes result in poor decision outcomes. As complex information systems are often used in emergency operations, this research aims at examining linkages between design choices in computer displays and cognitive biases. This paper reports a literature review covering a set of themes that include framing effects, facilitating balanced perspectives of information, automation transparency, and the role of meta-information in conveying significance. The review provides evidence from the literature showing the importance of display design in mitigating the emergence of cognitive biases in decision making tasks. The review resulted in 11 guidelines for the design of computer displays in safety-critical applications, and directions are provided for future research. A theme that connects many of these guidelines is that providing the big picture can mitigate many types of biases, which often should encompass self-reflection and calibration of appropriate confidence levels. It can be concluded that over time, the potential for biasing users can be interwoven within computer displays if debiasing is not taken into consideration early in the design process. [ABSTRACT FROM AUTHOR]

To explore clients' and clinicians' perspectives about the acceptability and perceived outcomes of the Sustaining New South Wales (NSW) Families (SNF) program shifted to a hybrid service delivery model during the COVID‐19 pandemic. Mixed methods design comprising cross‐sectional online surveys and a focus group. Eighty clients who accessed the SNF service and 12 SNF clinicians. Anonymous client survey comprising questions about perceived benefits and impacts of the hybrid SNF program model, and suggestions for change. Clinician focus group discussion about perceived benefits and challenges of the hybrid SNF model. The hybrid SNF program is a child and family health nursing home visitation program for families with moderate level psychosocial risks. It comprises a mix of face‐to‐face and virtual telehealth/telephone appointments, delivered during pregnancy and up to 2 years postpartum. Clients reported high levels of satisfaction with the program, and improvements in confidence and decision‐making. Clinicians spoke of increased efficiency and flexibility, and capacity for ongoing service provision during the COVID‐19 period. Technology access issues were identified as a barrier. Overall, however, both clients and clinicians expressed a preference for face‐to‐face SNF service provision. While further studies are required to test clinical outcomes, the hybrid SNF model is acceptable to clients and clinicians. [ABSTRACT FROM AUTHOR]

Objective: This study aims to examine the relationship between human papillomavirus (HPV) testing attitudes and beliefs, knowledge, and vaccination attitudes. Design: This study was a cross‐sectional design. Sample: This study was conducted between March 15, 2024, and June 2, 2024, through social media platforms such as Facebook, Instagram, Twitter, and Telegram, by sharing on forum pages, and involved 674 women who volunteered to participate. Measurements: The research data were collected using the "health belief model scale regarding HPV infection and vaccination (HBMS‐HPVV)" and the "HPV Testing Attitudes and Beliefs Scale (HTABS)," which were developed by the researchers through a literature review. Results: The average age of the women participating in the study was 46.59 ± 11.15 years; 81.5% were married, 57.6% had no knowledge about cervical cancer, and 62.2% had no knowledge about the HPV vaccine, a protective vaccine against cervical cancer. The average scores for the subdimensions of severity, barriers, benefits, and susceptibility of the HBMS‐HPVV were 3.19 ± 0.60, 2.96 ± 1.22, 2.29 ± 1.40, and 3.92 ± 0.49, respectively. The average scores for the subdimensions of personal barriers, social norms, confidence, and worries of the HTABS were 31.14 ± 19.27, 7.57 ± 4.47, 30.03 ± 7.18, and 11.91 ± 2.52, respectively. A statistically significant positive relationship was found between all HBMS‐HPVV subdimensions and the HTABS subdimensions (p < 0.001). Conclusion: The study found that as the perceived severity increases, the perceived benefits, susceptibility, and confidence increase, while the perceived barriers, personal barriers, social norms, and worries decrease. Based on these results, it is recommended that women's health nurses provide education and seminars to raise awareness about cervical cancer, early screening and diagnosis programs, and the HPV vaccine. [ABSTRACT FROM AUTHOR]

There is a growing number of non-medical prescribers in the UK. Practitioners working in advanced and specialist roles access university-based non-medical prescribing programmes to enhance their clinical practice. Despite this clinical and cultural shift, there is a paucity of literature and evidence on this issue. Using a mixed-methods approach of a focus group and the Likert survey, this study explored the experiences of specialist practice district nursing students undertaking non-medical prescribing. The findings of the study suggested that while the students felt supported by their teams, university and peers, there were limitations to the supervisors available and supervised prescribing opportunities, with a variance in the experiences of prescribing supervision. Further exploration into the experiences of prescribing supervision is warranted, as is the experience of prescribing students across multiple care settings. [ABSTRACT FROM AUTHOR]

Purpose: This qualitative study explored the experiences of speech-language pathologists (SLPs) in professional learning communities (PLCs) during a yearlong virtual professional development (PD) opportunity using an implementation science (IS) framework in an urban public school district for dynamic assessment (DA) training. The DA presented in the PD was modified based on ongoing discussions with key stakeholders in the district, so that it could be reasonably implemented in clinical practice while preserving the integrity of the DA’s purpose. Method: SLPs in an urban district were trained virtually using DA over the course of the school year. PD topics focused on decreasing bias and incorporating evidence-based practice into SLP approaches to speech-language evaluations. The SLPs underwent three training sessions and three separate PLC sessions. The SLPs were assigned a series of case studies to complement PLC sessions. An IS framework informed each step of the PD and PLCs to ensure applicability and integration of the content. Of the 366 SLPs working in the district, 209 consented and filled out two questionnaires and three exit slips to gather information on their experiences with the DAs and PLC models. Results: SLPs reported new insights into their practice, including changes in assessment practices, awareness of bias in assessment practices, and increased confidence in working with families during the evaluation process. Two additional themes emerged: increased collaboration and enhanced group problem-solving skills when working with peers in PLC groups, and expanded proficiencies and heightened skills when applying DA practices to evaluations. The two challenges faced by SLPs included time constraints and confidence in the mastery of DA. Conclusion: This study offers an approach to shifting evaluation practices in large districts to incorporate more evidence-based approaches. [ABSTRACT FROM AUTHOR]

Objective: Measuring patient motivation for voice therapy is an important component of determining prognosis and estimating compliance. Voice stimulability testing is assumed to influence the patient’s motivation by improving their perception of the sound and/or feel of the voice. The purpose of this study was to validate a Voice Therapy Motivation and Voice Perception Inventory and to determine whether stimulability testing elicits improvements in motivation and patient-perceived voice status. Method: Seventy-five patients who underwent initial voice therapy evaluation completed a four-item inventory that queried their commitment to voice therapy, confidence that they could change their voice through voice therapy, perception of their voice severity, and ratings of their vocal effort. Inventories were completed shortly before and after stimulability testing. A psychometric analysis of the survey was conducted, including the internal consistency of each construct of the inventory along with content, predictive, and concurrent validity. Pairedsamples statistical analyses were conducted to determine differences before and after stimulability testing, and Spearman correlations between voice and motivation ratings were conducted to determine relationships between the patient’s perception of their voice and their motivation for voice therapy. Results: Internal consistency reliability was acceptable to good for each construct, particularly after stimulability testing. Motivation scales were predictive of returning for voice therapy sessions, subjective improvement of voice by the first therapy session, and likelihood of the patient practicing the home practice program. Patient ratings of voice severity and effort were positively correlated with clinician ratings of overall severity. Motivation and voice impairment perception improved following stimulability testing. Reduction in vocal effort was related to improved motivation, but change in voice severity was not. Conclusions: Voice stimulability testing can influence patient motivation for voice therapy and patient-perceived voice improvements. It should be considered a critical part of the voice evaluation. [ABSTRACT FROM AUTHOR]

Objective: The aim of this project was to investigate the provision of counselling in adult audiological rehabilitation and to highlight training barriers and needs. Design: A service evaluation in which respondents completed a survey in which they rated their knowledge, confidence and competence in addressing the hearing, social and emotional needs of their patients. They were also asked to define counselling. Sample: 64 UK practising audiologists in adult audiological rehabilitation, aged 20–>60 years (84% females, 16% males), with a range of years in clinical practice. Results: Counselling definitions fell into three main categories: the audiologist as the doer, the audiologist as the facilitator, and the audiologist and patient as partners. Respondents reported feeling more able to counsel the hearing related needs of their patients, than emotional or social needs. There were significant positive statistical associations between counselling training completed and self-rated counselling abilities for managing emotional needs. Clinical experience was not associated with self-rated counselling. Lack of supervision and training were identified as some of the main barriers to providing emotional support. Almost all respondents reported a desire for further training in delivering emotional support, with the belief that this would improve services and patient outcomes. Conclusions: UK audiologists demonstrated person-centred thinking through their definitions of counselling. However, they reported significant barriers in being able to support the needs of adults with hearing loss. Training needs around emotional support in audiology counselling are not currently being met. It is important for clinical training programmes to address this gap by incorporating more counselling courses into their curricula. [ABSTRACT FROM AUTHOR]

Introduction: Since 2009, nurses have relocated to Japan from Indonesia, the Philippines, and Vietnam under the auspices of the Economic Partnership Agreement (EPA). We asked why some migrant nurses remain in Japan whereas others leave. Method: We applied the methodology of Constructivist Grounded Theory. All participants were internationally educated nurses (IENs) currently or formerly working in Japan after passing the National Nursing Examination. Results: Difficulty in mastering the Japanese language was established as one of the main themes. Initial coding elicited two explanatory sub-categories: lack of confidence in communication and effects of language difficulty on workplace relationships. One explains how practical experience in the workplace affected nurses' confidence in communication. The other explains how levels of Japanese language attainment shaped relationships with colleagues. Discussion: These findings suggest a need to regulate the working conditions of foreign nurses, and a need for training schemes to optimize IEN retention. [ABSTRACT FROM AUTHOR]

Background: While professional curiosity is a key attribute in nursing education and clinical practice, this is a complex and ambiguous concept in nursing and there has been limited research to explore its dimensions. Therefore, there is caution in the implementation and open discussion of this concept. Objective: The purpose of this article is to analyze the concept of professional curiosity in nursing. Design: The concept analysis approach developed by Walker and Avant was used to guide this manuscript. Data Sources: A comprehensive review of the literature on professional curiosity in nursing was conducted using the electronic databases Web of Science, Scopus, Ovid, Science Direct, Google Scholar, and PubMed without a time limit until 2023. The search terms included curiosity, professional curiosity, and nursing. Results: The antecedents, attributes, and consequences of professional curiosity were identified from 17 articles. Based on the analysis of the included articles, professional curiosity in nursing refers to nurses' interest and enthusiasm for continuous exploration and learning, research and in‐depth investigation in the field of nursing knowledge, and patients' experiences. The determining attributes include questioning and ongoing exploration, doubting present information, enthusiasm for discovering and learning, motivation for better understanding, creativity, professional relationships, and empathy. Conclusion: This concept analysis helps nurses to understand the concept of professional curiosity correctly and to understand that having professional curiosity does not cross professional boundaries but is vital for increasing the quality of patient care, and this has a significant impact on their professional growth and development. [ABSTRACT FROM AUTHOR]

The theory of actively open-minded thinking (AOT) implies standards for good thinking. Two broad aspects of these standards characterise individual differences in their acceptance: myside bias, in which thinking favours possible conclusions that are already strong; and uncertainty aversion, a belief that good thinking results in high confidence. Acceptance of AOT standards is often measured with short questionnaire scales. The present paper reports one study focusing on each of these two biases in the evaluation of the trustworthiness of sources, on the basis of short statements differing in signs of myside bias or of unjustified overconfidence. A 10-item scale measuring largely myside bias predicts sensitivity to both sources of difference in the statements. A third study examines the generality of the two standards across topics. The study used four questions about each topic and an 11-item scale with more items about uncertainty aversion. Individual differences are preserved across topic, although some results imply that individual differences are more pronounced when a standard is seen as more relevant to the content. The two standards are best characterised as two unidimensional factors that are correlated with each other. Thus, individual differences in AOT standards are not unidimensional. [ABSTRACT FROM AUTHOR]