Emotional Aspects Research Articles

A small lens on timescales and multimodality in classroom language learning emotions

AbstractEmpirical work exploring additional language (L+) learning emotions has both proliferated and expanded its focus over the past 15 years. The current article explores one possibility for responding to the challenge of capturing and describing emotions in order to furnish a more contextualized, multidimensional picture of emotions in L+ learning: the small‐lens approach. From the perspective of the author as a practitioner–researcher, this article draws on data from an L+ discussion activity. Via the activity, the practitioner–researcher identified an emotional outcome of interest and examined the historical buildup to this phenomenon. A narrative of the research process applied aims to illustrate the ways in which multimodal analysis and interrogation of psychological timescales might illuminate intersections between the social and individual. Rather than delineating a complete description of the research, the article strives to intimate possibilities and stimulate more nuanced, situated, and dynamic empirical work into the emergence of emotions in instructed L+ learning. While not the primary focus, some of the teleological (functional) aspects of emotions and emotional expression are also unearthed.

Contribution of Children's Literature in the Formation of Character of Elementary School Children

This study aims to describe the contribution of children's literature in character education and the selection of children's literature according to the developmental stage of elementary school children. This study is a qualitative-descriptive study of the library research type. Data collection techniques are by searching for sources and constructing from books on children's literature and accredited journals, then analyzing critically and in-depth. Based on the results of data analysis, it can be explained that the contribution of children's literature to the emotional aspect is obtained from demonstrations of life as demonstrated by the characters in the story so that children will learn how to manage their emotions so as not to harm themselves and others. In the intellectual aspect, children's literature contains sequencing and plot logic to support children's use of their minds to think, understand and criticize the stories they get. In the aspect of imagination, literature in its stories can attract the child's entire self. With this, the child gains an extraordinary experience that is significantly correlated with creativity and will provoke the growth and development of creativity. In the social aspect, children's literature demonstrates character interactions so that it supports children in maximizing their development in their proximal development zone. In addition, from an educational aspect, children's literature is connected to aspects of exploration and discovery, language, beauty, multicultural insight, and children's reading habits that influence reading habits and literacy culture, which are very necessary in facing the progress of science and technology in this era.

Climate emotions, thoughts, and plans among US adolescents and young adults: a cross-sectional descriptive survey and analysis by political party identification and self-reported exposure to severe weather events

Climate change has adverse effects on youth mental health and wellbeing, but limited large-scale data exist globally or in the USA. Understanding the patterns and consequences of climate-related distress among US youth can inform necessary responses at the individual, community, and policy level. A cross-sectional descriptive online survey was done of US youth aged 16-25 years from all 50 states and Washington, DC, between July 20 and Nov 7, 2023, via the Cint digital survey marketplace. The survey assessed: climate-related emotions and thoughts, including indicators of mental health; relational aspects of climate-related emotions; beliefs about who or what has responsibility for causing and responding to climate change; desired and planned actions in response to climate change; and emotions and thoughts about the US Government response to climate change. Respondents were asked whether they had been affected by various severe weather events linked to climate change and for their political party identification. Sample percentages were weighted according to 2022 US census age, sex, and race estimates. To test the effects of political party identification and self-reported exposure to severe weather events on climate-related thoughts and beliefs we used linear and logistic regression models, which included terms for political party identification, the number of self-reported severe weather event types in respondents' area of residence in the past year, and demographic control variables. We evaluated survey responses from 15 793 individuals (weighted proportions: 80·5% aged 18-25 years and 19·5% aged 16-17 years; 48·8% female and 51·2% male). Overall, 85·0% of respondents endorsed being at least moderately worried, and 57·9% very or extremely worried, about climate change and its impacts on people and the planet. 42·8% indicated an impact of climate change on self-reported mental health, and 38·3% indicated that their feelings about climate change negatively affect their daily life. Respondents reported negative thoughts about the future due to climate change and actions planned in response, including being likely to vote for political candidates who support aggressive climate policy (72·8%). In regression models, self-reported exposure to more types of severe weather events was significantly associated with stronger endorsement of climate-related distress and desire and plans for action. Political party identification as Democrat or as Independent or Other (vs Republican) was also significantly associated with stronger endorsement of distress and desire and plans for action, although a majority of self-identified Republicans reported at least moderate distress. For all survey outcomes assessed in the models, the effect of experiencing more types of severe weather events did not significantly differ by political party identification. Climate change is causing widespread distress among US youth and affecting their beliefs and plans for the future. These effects may intensify, across the political spectrum, as exposure to climate-related severe weather events increases. Avaaz Foundation.

Verbal triggers of positive emotions as a tool for forming the emotional component of schoolchildren’s value attitude towards other people

Importance. Building students’ value-based attitudes towards other people is an important goal of the modern educational process. This kind of attitude includes three aspects (cognitive, emotional and behavioural). The research focuses on the development of the emotional aspect of the valuebased attitude towards other people. The author analyses how verbal means affect people’s emotions and how these means can be used to create positive emotions in the process of building the emotional aspect of the value-based attitude towards other people in schoolchildren.Research Methods. The study uses an analytical review of the scientific and methodological literature on pedagogy; lexical, morphological and stylistic analyses of verbal structures are used.Results and Discussion. Verbal triggers are designed by the author in order to evoke positive emotions in schoolchildren towards the people around them. The examples of exercises with verbal triggers of tenderness and admiration for extra-curricular classes, or course on emotional intelligence, or as part of academic lessons, are also designed by the author.Conclusion. The research results can be used in the process of organising complex work on the formation of the emotional component of the value attitude towards people, as well as for further theoretical research on the issues of emotional learning and moral education in general.

Trusting Your AI Agent Emotionally and Cognitively: Development and Validation of a Semantic Differential Scale for AI Trust

Trust is not just a cognitive issue but also an emotional one, yet the research in human-AI interactions has primarily focused on the cognitive route of trust development. Recent work has highlighted the importance of studying affective trust towards AI, especially in the context of emerging human-like LLM-powered conversational agents. However, there is a lack of validated and generalizable measures for the two-dimensional construct of trust in AI agents. To address this gap, we developed and validated a set of 27-item semantic differential scales for affective and cognitive trust through a scenario-based survey study. We then further validated and applied the scale through an experiment study. Our empirical findings showed how the emotional and cognitive aspects of trust interact with each other and collectively shape a person's overall trust in AI agents. Our study methodology and findings also provide insights into the capability of the state-of-art LLMs to foster trust through different routes.

Pupil dilation responds to the intrinsic social characteristics of affective touch

Affective Touch is characterized by both emotional and arousing dimensions that rely on specific features of a gentle human caress. In this study, we investigated whether and how both the nature of the touching effector (Human hand vs. Artificial hand) and touch type (Dynamic vs. Static) influenced the participants’ pupil dilation and their subjective experience during tactile stimulation. We observed that when participants received a dynamic touch, their pupil dilation increased more when the touch was produced by a human compared to an artificial hand. This discrimination was not present for static touch. Also, dynamic touch given by a human hand invoked a supralinear enhancement of pupil dilation indicating that the combination of these two features induced a stronger autonomic activation than the summed effects of each separately. Moreover, this specific type of touch was perceived as the most pleasant compared to all other tactile stimulations. Overall, our results suggest that pupil dilation could reflect the pleasant experience of human-to-human tactile interactions, supporting the notion that the autonomic nervous system is responsive to the emotional and hedonic aspects associated with Affective Touch as a part of a complex and holistic social experience, rather than solely reacting to its low-level sensory properties.

Teacher Support as Predictor of Student Engagement in College English Course in Selected HEIS in China

This study adopted quantitative method to investigate the predictive role of teacher support in student engagement in College English courses at selected universities in China. The study population consisted a sample size of 379 students and 124 teachers, and assessed the level of teacher support in terms of emotional, academic, and instrumental support, as well as behavioral, emotional, and cognitive aspects of student engagement. Through Mann-Whitney U test and multiple linear regression analysis, the study revealed the teacher-student differences in perceptions of teacher support and student engagement and also the predictive role of teacher support on student engagement, with implications for enhancing educational practices. The study revealed that both teachers and students rated teacher support positively in terms of emotional, academic, and instrumental support, with slight differences. There was no significant difference between teacher and student assessments of overall teacher support, though students rated emotional support higher. However, a significant difference was found in the assessment of student engagement, where students rated their engagement—especially emotional engagement—higher than teachers. Also, it was found that academic and instrumental support were significant predictors of student engagement, with academic support having the strongest impact. Based on these findings, a teacher support program is proposed to enhance student engagement in College English classes. The findings of this study have implications for teacher professional development in higher education. It highlights the importance of teacher support, especially academic and instrumental support, teachers towards boosting student engagement in College English class. Schools should prioritize ongoing training that helps teachers better understand and meet students’ academic and emotional needs, while also improving their ability to provide practical instrumental support. Professional development programs that strengthen and improve these areas can enhance teaching effectiveness, reduce discrepancies in student engagement perceptions, and ultimately improve student academic performance in College English classes in China.

The Impact of Teacher Support, Learning Engagement, and Flow Experience on Junior High School Students’ Foreign Language Learning

This study explores the relationship between teacher support, learning engagement, flow experience, and junior high school students’ English performance. Existing research indicates a significant positive correlation between teacher support and junior high school students’ English performance, learning engagement, and flow experience. Additionally, flow experience and learning engagement significantly predict English performance. Based on these findings, it is recommended that teachers improve their teaching strategies and provide more support to increase students’ engagement in English learning, helping them maintain a continuous flow state and ultimately improving their English performance. Moreover, teachers should guide students to engage comprehensively in cognitive, emotional, and behavioral aspects to enhance their autonomous learning ability and English performance.

"Such a different type of tiredness": people with brain tumour, their caregivers', and healthcare professionals' qualitative perceptions of cancer-related fatigue.

Cancer-related fatigue (CRF) is one of the most common symptoms reported by people with primary brain tumour (BT). Previous research predominantly examined CRF using quantitative assessments, failing to capture the rich insight garnered from exploring individuals' lived experiences. We addressed this gap by qualitatively exploring people with BTs' experiences of CRF. Semi-structured interviews were conducted with people with BT, their caregivers, and healthcare professionals (HCPs) who care for them. Interviews explored the experience, impact, and management of CRF, including types of support provided by HCPs. Data were analysed using reflexive thematic analysis. Forty participants were interviewed (24 people with BT, 5 caregivers, 11 HCPs). Qualitative analysis identified four themes: pervasiveness of CRF; impacts of CRF; advice and support; and self-management strategies. CRF was described as an almost universal symptom with physical, emotional, and cognitive aspects and profound psychosocial and functional impacts. HCPs reported assessing fatigue and providing management support. Yet, people with BT and caregivers reported CRF assessment and support were rarely received. Consequently, people with BT developed their own management strategies. All participants identified a lack of CRF information resources and interventions specific to people with BT. Our findings provide rich insight into the pervasive, debilitating impact of CRF in people with BT and highlight the lack of BT-specific CRF support and information available. There is a critical need for evidence-based fatigue interventions and information resources tailored to the needs of people with BT.

Mindfulness in Higher Education: Conceptual Perspectives for Self-Leadership and Optimism

Mindfulness can be regarded as a significant factor in transforming the educational landscape in higher education institutions (HEIs) because its integration into educational settings can offer several benefits such as promoting emotion regulation, reducing stress and anxiety, and developing self-control, well-being, and resilience among students and faculty in HEIs. It can foster a more positive learning and work environment in HEIs by enhancing self-leadership and optimism in individuals. Therefore, this study aims to investigate mindfulness in HEIs concerning self-leadership and optimism in the existing literature. Designed as a conceptual exploration of the literature across multiple theoretical perspectives in mindfulness, self-leadership, and optimism in the context of HEIs, this study theoretically examined these concepts in the literature in terms of their definitions and relationships in the existing eligible sources. According to the synthesized results, mindfulness is a transformative factor in HEIs that addresses cognitive, emotional, and social aspects, which promotes comprehensive growth and well-being among students and faculty. Its integration enhances self-leadership skills by improving self-regulation, stress management, and emotional satisfaction among both students and faculty. Furthermore, mindfulness fosters optimism in individuals and contributes to a positive academic environment characterized by resilience and enhanced performance. Despite its benefits, the careful consideration of ethical, cultural, and developmental factors is essential in implementing mindfulness practices to ensure their effectiveness. With the support of policymakers and educational leaders, mindfulness can significantly enhance the quality of HEIs and create a thriving academic community.

Upaya Peningkatan Pembelajaran Berbasis Zakat, Sedekah, dan Infaq Untuk Optimalisasi Aspek Moral, Emosional dan Sosial Terhadap Siswa SDN 105337 Pantai Labu

Learning based on Zakat, Sedekah, and Infaq (ZIS) plays a significant role in shaping students' character, particularly in moral, emotional, and social aspects. This study aims to identify efforts to enhance ZIS learning that can be implemented at SDN 105337 Pantai Labu. The research employs a qualitative approach with interview, observation, and documentation techniques. The results reveal that the implementation of ZIS-based learning not only improves students' understanding of Islamic finance concepts but also positively impacts the development of moral character, such as empathy, social awareness, and collaboration skills. Furthermore, students involved in the ZIS program demonstrate improvements in emotional aspects, including emotional management and self-confidence. This study recommends the integration of ZIS learning into the school curriculum to foster a more caring and responsible generation.

Affect in Literary Translations: What is at Stake for the Author and the Translator

This article explores the relationships between authors, translators, and readers within the context of literature and translation. Emphasising the reciprocal influence between texts, it delves into the desire of writers to control the interpretation of their works during translation. The examination extends to the hierarchy within literature and translation, questioning whether a translated text can be considered an autonomous entity and if translators can be acknowledged as authors considering the transformative nature of translation and the subjective, creative processes involved. The article also sheds light on the emotional and affective aspects involved in the translation process, highlighting the recurring theme of trust and the fear of translatorial non-compliance. Through examples, it demonstrates how authors can actively engage in the translation process to safeguard their narrative nuances. Case studies, including instances involving Umberto Eco, Guillermo Cabrera Infante, Carlos Fuentes, and Günter Grass, illustrate various levels of authorial control and collaboration. The discussion expands to the global literary landscape, emphasising the dominance of certain languages and the dynamics between the literary centre and periphery. Ultimately, it raises fundamental questions about authorship, control, and the transformative power of translation in shaping the “world republic of letters”. The article investigates the multifaceted dynamics between authors and translators, examining collaboration along a continuum from carte blanche to conflictual relationships. The extent of an author’s involvement in the translation process is explored, questioning the reasons behind some authors’ keen interest in ensuring accurate translations. The power imbalances within collaborations are scrutinised, raising questions about the translator’s agency. The article concludes with reflections on the challenges and potential pitfalls of authors participating in the translation of their own works, emphasising the inherent plurality of interpretations in the act of translation.

Pengaruh Celebrity characteristic terhadap impulse buying melalui Celebrity endorsement dan Hedonic attitude serta Utilitarian attitude: Pendekatan Teori S-O-R

Impulse buying, is a consumer behavior characterized by spontaneous and unplanned buying decisions. The main problem faced in this research is how celebrity characteristics influence impulse buying through celebrity endorsement as well as hedonic attitude and utilitarian. This study used Structural Equation Modeling (SEM) to analyze data from 171 respondents to identify the relationship between these variables. The results show that celebrity characteristic has a significant positive effect on celebrity endorsement (coefficient 0.984, p-value 0.000), which then affects hedonic attitude (coefficient 0.757, p-value 0.000) and utilitarian (coefficient 0.686, p-value 0.000). Hedonic attitude increases impulse buying (coefficient 0.528, p-value 0.000), while utilitarian attitude has a negative influence (coefficient -0.296, p-value 0.005). The contribution of this study lies in an in-depth understanding of the role of celebrity characteristics in increasing the effectiveness of endorsements and their impact on impulse buying behavior. The conclusions of the study emphasize the importance of choosing the appropriate celebrity and designing marketing strategies that consider the emotional and rational aspects of consumers. Suggestions for marketers are to focus on relevant celebrity characteristics and integrate emotional and rational approaches in marketing campaigns to maximize the influence on impulse buying.

Need for Human Interaction and Acknowledging Communication-An Interview Study With Patients With Aphasia Following Stroke.

To explore stroke patients' experiences of the communicative practice during their hospitalisation and describe strategies and supporting communication techniques applied by patients and nursing staff from the patient's perspective. A qualitative descriptive study was undertaken. A qualitative approach was chosen; through a purposeful sample strategy, 13 semi-structed interviews with 12 patients who had aphasia following stroke, and one patient had dysarthria. The interviews were video-recorded and partially transcribed. Data were analysed according to Graneheim and Lundman's content analysis. Interview data were collected in 2022. The analysis generated one overarching theme; Being acknowledged as an equal human being as it appeared to be a pervasive and underlying trait across the four categories; Waking up to a new communicative reality, A task-oriented communicative agenda, Misunderstandings as a communicative dead end and Establishing a communication-friendly environment: peace, patience and supporting techniques, describing the immediate and descriptive level. The patients did not seem to encounter a systematic approach to communication. They perceived the health care staff's communication as primarily task and purpose-oriented, lacking deeper conversations, which seemed to leave several with unmet emotional and psychological needs. Emotional, relational and existential aspects seemed interwoven in communication. These findings contribute by illuminating an important patient perspective and ultimately, raising the point that from the perspective of patients the nursing staff's communication was primarily task and purpose oriented, and they lacked deeper conversations. Hence also raises the point that the use of supportive communication strategies alone will allow nursing staff to meet the existential needs of patients with aphasia. Supported communication needs to address compassionate and acknowledging aspects of communication. No Patient or Public Contribution in this paper.

Overview of Student’s Mental Health with Broken Home Background

The purpose of this study was to determine the mental health of students from broken home backgrounds. The method used in this study was qualitative descriptive research with a total population of class VII A-C of 105 students and a sample of 6 students. The results of the study showed that disharmonious, unstable, messy family conditions (broken home) can cause the development of unhealthy personalities in children. The form of mental health in question includes aspects of emotion, responsibility and sociability of children. Students admitted that they had vented their emotions on objects around them and even experienced trauma due to physical violence when dealing with their mothers so that the students decided to work after school. In addition, students also felt depressed and considered a burden on the family so that every problem they faced only chose to keep to themselves so that it had a bad impact on their academics, so that serious handling was needed such as providing counseling guidance.

Areas for Improvement and Barriers Identified in Measuring the Quality of Nursing Care: Perceptions of Patients and Professionals.

Quality indicators in healthcare are essential to raising awareness about the appropriateness of nursing care. However, identifying the key indicators continues to pose a challenge, above all if one wants to include users and professionals. Identify which aspects of nursing care should be measured to assess the results of nursing care and how to do so. Interpretive qualitative exploratory study. The participants were users and professionals of an autonomous regional health service in Spain. The information was collected by means of two focus groups and eight semi-structured interviews conducted between November 2022 and March 2024. The data were analysed thematically using the Braun and Clarke process. The users and professionals agreed on the need to measure emotional skills and attitudes such as empathy, respect, and warmth when dealing with patients. The professionals highlighted workload and inefficiency of the current record system as barriers to adequately reflecting their work. They proposed improvements in the recording tool and the need for more human resources, as well as leadership that is more focused on quality. It is crucial to develop indicators that reflect both the emotional and technical aspects of nursing care. The participation by patients and professionals alike in this design and selection will make it possible to improve the quality of care and advances in the nursing profession. This study was not registered.

Enhancing performance through Raga understanding: Insights into L. Subramaniam’s „Fantasy on Vedic Chants”

"Fantasy on Vedic Chants," a seminal work by L. Subramaniam, presents a unique fusion of Carnatic music and Western orchestration. Premiered at Lincoln Center in 1985, this composition integrates Vedic chants into a Western-style violin concerto, exemplifying a significant cultural and musical convergence. The concerto is structured in three movements, each reflecting different emotional aspects of the Carnatic raga system. This article highlights the piece’s use of modal approaches and its impact on the performance. Through its integration of Vedic motifs and its exploration of spiritual and musical wisdom, "Fantasy on Vedic Chants" stands as a testament to Subramaniam's artistic vision and his contribution to global music heritage.

Influence and Relationship of Physical Activity before, during and after the School Day on Bullying and Cyberbullying in Young People: A Systematic Review

The aim of this systematic review was to analyze the influence of the practice of Physical Activity (PA) before, during and after school hours on bullying and cyberbullying in children and adolescents. Studies were identified in four databases (PubMed, SCOPUS, Web of Science, ERIC) from January 2013 to March 2024. A total of 29 studies met the inclusion criteria. Seventeen studies used a cross-sectional design to explore the association between these variables, and 12 articles had a longitudinal design with PA interventions. The review found that PA is associated with significant improvements in bullying and cyberbullying, reduced depressive symptoms, and strengthened social relationships, responsibility, and self-esteem. PA before the school day may be effective in reducing bullying victimization. During the school day, it promotes affective behaviors related to bullying, such as empathy and respect for others, and optimizes psychological factors such as self-concept and self-esteem. After-school PA reduces bullying and disruptive behaviors in non-educational contexts. It is recommended to implement PA programs that address social, emotional and behavioral aspects throughout the day, with Educational Centers and Physical Education as the central axis. Didactic recommendations for implementing PA programs against bullying/cyberbullying in school and extracurricular contexts are included.

The Influence of Kinesiophobia and Pain Catastrophizing on Disease-Specific Quality of Life in Patients With Recurrent Patellofemoral Instability

Background: The Banff Patellofemoral Instability Instrument 2.0 (BPII 2.0) is a disease-specific, quality of life patient-reported outcome measure (PROM) that is valid and reliable in patients with recurrent lateral patellofemoral instability (LPI). Quality of life encompasses the physical, emotional, and psychological aspects of patient functioning and recovery. Purposes: To concurrently validate the BPII 2.0 to the Tampa Scale for Kinesiophobia (TSK-11), the Pain Catastrophizing Scale (PCS), and the Anterior Cruciate Ligament–Return to Sport after Injury Scale (ACL-RSI) in patients presenting with recurrent LPI and to assess baseline values for the PROMs in patients with LPI. Study Design: Cohort study (Diagnosis); Level of evidence, 2. Methods: A total of 107 consecutive patients with recurrent LPI were assessed between January and October 2021. Patients completed the BPII 2.0, TSK-11, PCS, and ACL-RSI. A Pearson r correlation coefficient was employed to examine relationships between the PROMs. Baseline values, as well as floor and ceiling effects and Cronbach alpha, were assessed for all PROMs. Results: All 107 patients completed the 4 PROMs. Patients included 28 men (26.2%) and 79 women (73.8%), with a mean (SD) age of 25.7 (9.8) years. The mean (SD) age at first dislocation was 14.8 (6.3) years. The TSK-11, PCS, and ACL-RSI were all statistically significantly correlated with the BPII 2.0 (P < .01; 2-tailed), with moderate correlations (r = -0.361-0.628) The R2 values indicated an overlap of the constructs measured by the PROMs. Conclusion: A statistically significant correlation was evident between the BPII 2.0 and the other PROMs. The BPII 2.0 does not explicitly measure kinesiophobia or pain catastrophizing; however, the significant statistical relationship of the TSK-11 and PCS to the BPII 2.0 suggests that this information is being captured and reflected.

12575 Exploring Patient And Parent Perceptions Of Administering Hydrocortisone Injection During Adrenal Crisis: A Cross-Sectional Study

Abstract Disclosure: S.V. Llahana: None. J. Anhony: Employee; Self; Solution Medical LLC. Background: Adrenal insufficiency (AI) necessitates lifelong glucocorticoid replacement therapy for most patients, with parenteral hydrocortisone crucial for managing adrenal crisis, a potentially life-threatening complication. Despite this, approximately 1 in 6-12 patients are hospitalised at least once a year, while 1 in 200 patients die from a potentially preventable adrenal crisis. While timely self-administration of hydrocortisone mitigates these risks, the complexity of current injection devices, requiring up to 20 steps to administer, often impedes effective self-treatment. Evidence shows that although 70% of patients possess emergency hydrocortisone injection kits, only 19% have received training for self-administration. Aim: This study aimed to investigate the experiences and perceptions of patients with AI and their caregivers regarding the usage of Solu-Cortef Act-O-Vial (parenteral hydrocortisone) for adrenal crisis management. Methods: A cross-sectional online survey was conducted, involving participants recruited through USA-based patient advocacy groups, CARES Foundation and Adrenal Insufficiency United. Participants provided insights into factors influencing their ability to manage adrenal crisis using Solu-Cortef Act-O-Vial. Content analysis generated themes, which were quantitatively analyzed using SPSS descriptive statistics and correlations. Results: The survey encompassed 689 patients and caregivers. Content analysis revealed eighteen themes across three domains: patient-based factors, external influences, and emotional aspects. Predominant themes, identified by over 80% of participants, included the complexity of the hydrocortisone device, the necessity for assistance during adrenal crisis episodes, and emotional distress due to fear associated with injection. Conclusion: This study underscores the necessity for a simpler injection device to enhance patient self-confidence and self-administration ability. Heightened awareness among healthcare professionals and the public regarding adrenal crisis is imperative for timely management and prevention of avoidable hospital admissions. Presentation: 6/3/2024