Individual Behavior Change Research Articles

Effect of information-motivation-behavioral skills model based perioperative nursing on pain in patients with gallstones.

The incidence of cholecystolithiasis is on the rise. Use of information, motivation, and behavioral skills can play a positive role in promoting changes in individual health behaviors. However, reports on the effects of information-motivation-behavioral (IMB) skills model based high-quality nursing as a perioperative nursing intervention for patients with gallstones are nonexistent. To explore the application of IMB skills model based high-quality nursing in patients with gallstones. Two hundred and sixteen patients with cholecystolithiasis treated at our hospital from January 2022 to January 2023 were enrolled and divided into a control, high-quality, and combined nursing groups, with 72 patients in each group. The control, high-quality, and combination groups received conventional, high-quality, and IMB skills model based perioperative nursing services, respectively. Differences in clinical indicators, stress levels, degree of pain, emotional state, and quality of life were observed, and complications and nursing satisfaction among the three groups were evaluated. After nursing, the time to recovery of gastrointestinal function in the high-quality and combined nursing groups was significantly shorter than that of the control group, with the recovery of gastrointestinal function being the fastest in the combined nursing group (P < 0.05). After nursing intervention, cortisol and norepinephrine levels in the high-quality and combined nursing groups were closer to normal than those of the control group 24 h after surgery, with the combined nursing group having the closest to normal levels (P < 0.05). After 3 and 7 d of intervention, the patients' pain significantly improved, which was more prominent in the high-quality and combination groups. Meanwhile, the pain score in the combination group was significantly lower than those of the control and high-quality nursing groups (P < 0.05). After nursing intervention, the emotional states of all patients improved, and the scores of patients in the combination group were significantly lower than those of the control and high-quality nursing groups. The quality of life of patients in the high-quality and combined nursing groups significantly improved after nursing intervention compared to that of the control group, with the combined nursing group having the highest quality of life score. After intervention, the incidence of complications in the high-quality and combination groups was significantly lower than that of the control group (P < 0.05), but the difference between the combination and high-quality nursing groups was not significant. Nursing satisfaction of patients in the high-quality and combination groups was significantly higher than that of the control group, with the nursing satisfaction being the highest in the combination group (P < 0.05). IMB skills model based nursing can improve surgical stress levels, degrees of pain, emotional state, quality of life, and nursing satisfaction of patients with gallstones and reduce the incidence of complications.

Psychological and psychosocial determinants of COVID related face covering behaviours: A systematic review.

The COVID-19 pandemic, caused by the SARS-CoV-2 virus, has resulted in illness, deaths and societal disruption on a global scale. Societies have implemented various control measures to reduce transmission of the virus and mitigate its impact. Individual behavioural changes are crucial to the successful implementation of these measures. One commonly recommended measure to limit risk of infection is face covering. It is important to identify those factors that can predict the uptake and maintenance of face covering. We aimed to identify and synthesise the evidence on malleable psychological and psychosocial factors that determine uptake and adherence to face covering aimed at reducing the risk of infection or transmission of COVID-19. We searched various literature sources including electronic databases (Medline ALL, Child Development & Adolescent Studies, ERIC, PsycInfo, CINAHL & Web of Science), web searches, conference proceedings, government reports, other repositories of literature and grey literature. The search strategy was built around three concepts of interest including (1) context (terms relating to COVID19), (2) behaviour of interest and (3) terms related to psychological and psychosocial determinants of COVID Health-Related Behaviours and adherence or compliance with face covering, to capture malleable determines. Searches capture studies up until October 2021. Eligibility criteria included observational studies (both retrospective and prospective) and experimental studies that measure and report malleable psychological and psychosocial determinants and handwashing at an individual level, amongst the general public. Screening was supported by the Cochrane Crowd. Studies titles and abstracts were screened against the eligibility criteria by three independent screeners. Following this, all potentially relevant studies were screened at full-text level by the research team. All conflicts between screeners were resolved by discussion between the core research team. All data extraction was managed in EPPI-Reviewer software. All eligible studies, identified through full-text screening were extracted by one author. We extracted data on study information, population, determinant, behaviour and effects. A second author checked data extraction on 20% of all included papers. All conflicts were discussed by the two authors until consensus was reached. We assessed methodological quality of all included studies using an adapted version of the Joanna Briggs Institute Quality appraisal tool for cross-sectional studies. Our initial searches yielded 23,587 results, of which 23 were included in this review. The included studies were cross-sectional in design, came from nine countries and had a combined sample of 54,401 participants. The vast majority of studies had samples from the general public, with five of the studies focusing on specific samples. All included studies considered people over the age of 18. The quality of 10 of the studies was rated as unclear, 10 were rated as low, and 3 rated high risk of bias, predominately due to lack of reporting of recruitment, sample characteristics and methodology. Ten studies were included in the meta-analysis and 16 in the narrative synthesis. Findings from the meta-analysis indicated that knowledge of COVID-19 (0.341, 95% confidence interval [CI] = 0.06, 0.530, I 2 = 100%) was the malleable determinant most associated with face covering behaviour. Perceived susceptibility of COVID-19 (r = 0.088, 95% CI = -0.004, 0.180, I 2 = 80%) and COVID-related worry and anxiety (r = 0.064, 95% CI = -0.066, 0.191, I 2 = 93% had little to no effect on face covering behaviour. In the narrative synthesis, the strongest association was found between perceived benefits and effectiveness of behaviours and mask wearing behaviour. Understanding the effects of various malleable determinants on COVID-related face covering can aid in the development and implementation of interventions and public health campaigns to promote face covering behaviour in potential new waves of COVID-19 or other respiratory infections. Knowledge of COVID and perceived benefits of face coverings warrant further consideration in future research and policy.

Psychological and psychosocial determinants of COVID-related handwashing behaviours: A systematic review.

The COVID-19 pandemic, caused by the SARS-CoV-2 virus, has resulted in illness, deaths and societal disruption on a global scale. Societies have implemented various control measures to reduce transmission of the virus and mitigate its impact. Individual behavioural changes are crucial to the successful implementation of these measures. One commonly recommended measure to limit risk of infection is frequent handwashing. It is important to identify those factors that can predict the uptake and maintenance of handwashing. We aimed to identify and synthesise the evidence on malleable psychological and psychosocial factors that determine uptake and adherence to handwashing aimed at reducing the risk of infection or transmission of COVID-19. We searched various literature sources including electronic databases (Medline ALL, Child Development & Adolescent Studies, ERIC, PsycInfo, CINAHL and Web of Science), web searches, conference proceedings, government reports, other repositories of literature and grey literature. The search strategy was built around three concepts of interest including (1) context (terms relating to COVID-19), (2) behaviour of interest and (3) terms related to psychological and psychosocial determinants of COVID Health-Related Behaviours and adherence or compliance with handwashing, to capture malleable determines. Searches capture studies up until October 2021. Eligibility criteria included observational studies (both retrospective and prospective) and experimental studies that measure and report malleable psychological and psychosocial determinants and handwashing at an individual level, amongst the general public. Screening was supported by the Cochrane Crowd. Titles and abstracts were screened against the eligibility criteria by three independent screeners. Following this, all potentially relevant studies were screened at full-text level by the research team. All conflicts between screeners were resolved by discussion between the core research team. All data extraction was managed in EPPI-Reviewer software. All eligible studies, identified through full-text screening were extracted by one author. We extracted data on study information, population, determinant, behaviour and effects. A second author checked data extraction on 20% of all included papers. All conflicts were discussed by the two authors until consensus was reached.We assessed methodological quality of all included studies using an adapted version of the Joanna Briggs Institute Quality appraisal tool for cross-sectional studies. Our initial searches yielded 23,587 results, of which 56 studies were included in this review. The included studies were cross sectional in design, came from 22 countries and had a combined sample of 199,376 participants. The vast majority of studies had samples from the general public, with eight of the studies focusing on specific samples. All included studies considered people over the age of 18. The quality of the majority of the studies was good (n = 30 rated low risk of bias), with 8 rated high risk of bias, predominately due to lack of reporting of recruitment, sample characteristics and methodology. Thirty-four studies were included in the narrative synthesis and 28 in the meta-analysis.Findings indicated that emotions about COVID-19 (worry [0.381, confidence interval [CI] = 0.270-0.482, I 2 = 92%) and anxiety (0.308, CI = 0.154-0.448, I 2 = 91%]), knowledge of COVID-19 (0.323, CI = 0.223-0.417, I 2 = 94%), and perceived social norms (0.303, CI = 0.184-0.413, I 2 = 92%) were among the malleable determinants most associated with handwashing. Perceived severity (0.006, CI = -0.011-0.023) and susceptibility of COVID-19 (0.041, CI = -0.034 to 0.115) had little to no effect on handwashing behaviour. Understanding the effects of various malleable determinants on COVID-related handwashing can aid in the development and implementation of interventions and public health campaigns to promote handwashing behaviour in potential new waves of COVID-19 or other respiratory infections. Emotions about COVID, knowledge of COVID and perceived social norms warrant further consideration in future research and policy.

The Influence of Sound Slide Learning Media on Improving Student Learning Outcomes in Integrated Social Studies at SMP Negeri Satap Sinairusi MBD

Sound Slides or sound slides are an innovation in learning that can be used as a learning medium and are effective in helping students understand abstract concepts to become more concrete (concretizing something that is abstract). Says that learning outcomes are changes in individual behavior which include the cognitive, affective and psychomotor domains. The learning outcomes referred to in this research are the changes obtained by students in completing the learning program through audio-visual learning media. This research was carried out at Satap Sinairusi MBD State Middle School for one month using this research method, namely quasi-experiment or quasi-experiment. Quasi Experiment has a control group, but it cannot function fully to control the variables that influence the implementation of the experiment, this is because the group used is a pre-existing group. Therefore, quasi experiments are used if it is difficult to get a control group. The learning outcomes of students from the experimental class experienced major changes after using sound slide learning media when compared to the control class which did not use sound slide learning media. This proves that the sound slide learning media has an effect on student learning outcomes in social studies subjects.

A Study of Factors Influencing the Acceptance of non-Face-to-Face Treatment Based on Social Cognitive Theory

Purpose: This study aimed to elucidate the intention to use non-face-to-face treatment, which was temporarily allowed during the coronavirus disease 2019 pandemic. Based on the social cognitive theory, individual behavioral changes occur through the dynamic interaction of individual, environmental, and behavioral factors. Thus, we investigated the impact of personal, environmental, and behavioral factors on the acceptance of non-face-to-face treatment.Methods: A Web survey was conducted using Korea Research Panel between December 26 and 29, 2022, to examine the conceptual framework. The survey targeted adults aged 19 and older, regardless of whether they had used non-face-to-face treatment. A total of 502 responses were collected. Further, a three-step hierarchical regression analysis was conducted using SPSS Windows software version 25.0.Results: The study showed that 131 out of 502 respondents had experience using non-face-to-face treatment, while 371 did not. The factors that influenced the intention to accept non-face-to-face treatment included the general characteristics of the participants (women, underlying disease), personal factors (usefulness, cost savings, knowledge), and environmental factors (social norms, trust, perceived risk). The model demonstrated an explanatory power of 65%.Conclusion: The results of this study directly show that intention is linked to behavior through the interaction between personal and environmental factors. Further research is needed to explore additional factors influencing the intention to accept non-face-to-face treatment, enabling its effective use in preventing and treating various diseases, including infectious diseases.

No agency and responsibility for the privileged? Perceptions of climate action among high socioeconomic status citizens in the United Kingdom

Addressing climate change requires significant individual behaviour change, as well as deep societal transformations to dramatically reduce greenhouse gas emissions. Individuals with high socioeconomic status (SES; i.e., with relatively higher levels of wealth, income, and education) have an important part to play to deliver these changes. This is because they often have carbon-intense consumer lifestyles, but they also have increased power to address climate change via their other social roles, for example as investors, role models, organisational participants, and citizens. Therefore, the present study was designed to understand how high SES individuals perceive these roles and opportunities, in particular in their workplaces. We recruited 81 individuals in the United Kingdom with high subjective SES and high levels of education and income to take part in an online qualitative study. We performed reflexive thematic analysis and generated 5 main themes; (1) Shifting responsibility to others in the system, (2) Seeing oneself mainly as a consumer, (3) Failure to recognise power within upstream social roles, (4) Climate change is perceived as a distant threat and, (5) Climate action is a positive experience. These findings suggest that to unlock the transformative potential that high SES individuals can bring to climate change mitigation, targeted policy (e.g., progressive frequent flyer levies) and tailored education (e.g., on local and health impacts of climate change; on personal opportunities to support mitigation) is required.

Low-fare public transport and modal shift – Lessons from Bonn, Germany

The air quality in many German cities does not comply with EU-wide standards. Vehicle emissions, in particular, have been identified as an important cause of air pollution. As a result, driving bans for diesel vehicles with critical pollutant groups have been imposed by courts in many places in recent history. Against the backdrop of the growth of major German cities over the last few years, the question has become whether and how a change in the modal split in favor of more environmentally and climate-friendly public transport sector can be achieved. The Federal City of Bonn is one of five model cities that is testing measures to reduce traffic-related nitrogen dioxide emissions through a Climate Ticket as a mobility flat rate for one year for 365 €, which is part of the two-year "Lead City" project funded by the federal government. A quantitative survey (n = 1,315) of Climate Ticket users as well as the logistic regression carried out confirm that a change in individual mobility behavior in favor of public transport is possible by subsidizing the ticket price. The results show that individual traffic could be saved on the city's main congestion axes. In order to achieve a sustainable improvement in air quality, such a Climate Ticket must be granted on a permanent basis, with a well-designed mobility offer and must be generous in terms of the group of authorized persons and the area of validity.

An upstream approach to addressing the childhood obesity epidemic in New Zealand—a call to action

Childhood obesity is a critical issue in New Zealand that we can no longer afford to ignore. Currently, one in three children is overweight or obese, putting the health of an entire generation at risk if we continue to delay taking action. This issue highlights a significant matter of equity. Māori and Pacific children and those from socio-economically deprived backgrounds are disproportionately affected, reminding us of the systemic barriers rooted in historical factors that exist within our society. Efforts focussed on changing individual behaviour have achieved limited success in reducing childhood obesity rates. Therefore, it is necessary to shift our focus upstream and address the root causes of this issue. This viewpoint piece underscores the role of the obesogenic environment as the primary driver of childhood obesity, advocating for an upstream approach to enact broader changes in the food environment. Within this framework, this piece puts forward three policy measures that could be essential in addressing the childhood obesity epidemic: implementing a tax on sugary beverages, restricting unhealthy food marketing and ensuring access to healthy food in schools. These policies are backed by substantial evidence of their efficacy, cost-effectiveness and potential to improve health equity, including contextual evidence from successful international models. However, despite ample evidence and support, New Zealand has fallen behind international standards in adopting these measures, partly due to resistance from the food industry and the need for stronger political leadership. Thus, a “call to action” is needed to overcome these challenges, mobilise against the current policy inertia and make addressing childhood obesity a priority.

Model-based estimates for operant selection.

We present a new methodology to partition different sources of behavior change within a selectionist framework based on the Price equation-the multilevel model of behavioral selection. The multilevel model of behavioral selection provides a theoretical background to describe behavior change in terms of operant selection. Operant selection is formally captured by the covariance-based law of effect and accounts for all changes in individual behavior that involve a covariance between behavior and predictors of evolutionary fitness (e.g., food). In this article, we show how the covariance-based law of effect may be applied to different components of operant behavior (e.g., allocation, speed, and accuracy of responding), thereby providing quantitative estimates for various selection effects affecting behavior change using data from a published learning experiment with pigeons.

Understanding ethnic inequities associated with tobacco use in Aotearoa New Zealand: a quantitative analysis.

Despite the inclusion of both individual interventions and population-based measures in the Aotearoa New Zealand (Aotearoa NZ) Tobacco Control Programme, the gap between Māori, Pacific peoples and European/Asian/Other (EAO) populations in tobacco use has not decreased significantly. Tobacco control interventions that focus on individual behaviour change have produced little impact towards reducing tobacco smoking inequities for Māori and Pacific peoples in Aotearoa NZ. Using data from the New Zealand Health Survey (NZHS), this research investigates the impact of the wider determinants of health and individual-level factors on inequities in tobacco use between Māori, Pacific peoples and EAO. A conceptual framework was developed to support the theoretical positioning of this research and to inform data categorization, framing, discourse, analyses and interpretation. We conducted hierarchical regression to examine the effect of factors from each domain on ethnic inequities in tobacco use. We found that socioeconomic factors accounted for a significant amount of the disparity in adults currently smoking between Māori and Pacific peoples and EAO. Our results suggest that socioeconomic factors may be a more effective target of intervention than individual behaviours for reducing tobacco-related inequities. Addressing the broader determinants of health through comprehensive cross-agency cooperation to reduce ethnic inequities in tobacco use in Aotearoa NZ is likely to be more effective than individual behaviour change approaches.

Effects of occupational health promotion interventions on health-related outcomes among employees of small businesses and self-employed individuals: A systematic review.

Compared to workers of larger companies it is less clear what health promoting interventions might be beneficial for employees of small businesses and self-employed individuals. Our aim was to critically appraise trials investigating health promotion programs among small business workers and self-employed individuals, by means of a systematic review. We conducted a search of primary studies using MEDLINE, Web of Science, LIVIVO and the Cochrane library. Our assessment followed the recommendations of the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA. We identified six trials including 5,854 participants from Asia, North America and Australia. Most were of moderate methodological quality, only one was of low quality. Some of the supervised psycho-educational lifestyle programs focusing on individual behavior changes showed benefits in terms of stress reduction and increased physical activity levels among small enterprise employees. There is a huge knowledge gap on evidence-based health promotion interventions for self-employed and for small business workers, especially in Europe.

Measuring Social Dimensions of Sustainability at the Community Level: An Illustrative but Cautionary Tale

Many communities are working to enhance the sustainability of their physical, economic, and social systems. While economic and physical systems are routinely measured (e.g., money and energy), psychological and behavioral elements of social systems (norms, attitudes, and individual behavior) are seldom tracked. The objective of this research was to evaluate a potentially scalable approach to measure the impact of sustainability initiatives on these variables in a community engaged in holistic sustainability programming. Online survey data were collected in 2012 (N = 155) and 2016 (N = 137), measuring pro-environmental thought and behavior in two towns in Ohio: Oberlin, a community engaged in holistic efforts to enhance environmental sustainability; and a similar community (Berea) used as a control. Survey links were distributed via recruitment letters mailed to randomly selected community residents from a purchased mailing list. We used two (town) by two (time) between subjects’ ANOVAs to evaluate whether Oberlin saw predicted increases in sustainable thought and behavior from 2012 to 2016, compared to the control community. Despite verifiable participation in and awareness of sustainability programs in Oberlin, our survey results did not provide strong evidence that programs resulted in the desired changes in attitudes, norms, and individual behaviors. Recycling attitudes and LED bulb installation were two exceptions. We conclude that assessing the psychological and behavioral dimensions of sustainability poses particular challenges. We encountered ceiling effects and inadequate statistical power. Possibly, norms and attitudes are not easily influenced even by a holistic community-wide effort.

A systematic literature review of group contingencies with adults

AbstractA group contingency is one in which a common consequence (e.g., a reinforcer or a punisher) is contingent on the behavior of one member of a group, the behavior of part of a group, or the behavior of every member in a group. The most commonly used group contingencies in behavior‐analytic practice and research include interdependent, independent, and dependent group contingencies. Group contingencies are advantageous for multiple reasons, including their versatility, as they have been demonstrated to be effective across individuals, settings, and behaviors. Additionally, they are efficient as they can facilitate behavior change in multiple individuals at once. Previous literature reviews have supported the use of group contingencies with children; however, there has yet to be a systematic literature review conducted on group contingencies with adults. Because group contingencies have multiple benefits, it is important that a literature review be conducted to assess the evidence of these interventions when implemented with adults. A literature review of studies utilizing group contingencies with adults was conducted. Trends across studies, the efficacy of different group contingencies, clinical implications, and recommendations for future research are provided.

Dynamic demand patterns in the profit optimisation of bike-sharing station locations: an agent-based analysis of the greater Vienna region

ABSTRACT This study employs the MATSim agent-based simulation model to analyse bike-sharing station locations by examining dynamic trip flows and individual behavioural changes. It explores demand on a microscopic scale, capturing the behaviour of multi-segment trips. A protocol was established to evaluate different station configurations’ impact on profitability and demand. Findings suggest that optimising the station count from 219 to 66 strategic locations can significantly enhance both revenue and operational efficiency. The simulation produces data on the number of users arriving and departing from each station in different configurations, indicating the size of each station. This data allows stations to be classified into three types: generator, attractor, and interchange; displaying their changes across different configurations. This quantification offers operators insights for predicting bike distribution and planning operational strategies. Considering spatial and built environment factors, the findings underscore the potential of bike-sharing stations to evolve into mobility hubs, offering valuable insights for policymakers.

Heterogeneous choice of personalized Mobility-as-a-Service bundles and its impact on sustainable transportation

The Mobility-as-a-service (MaaS) framework has the potential to induce changes in individual travel behavior towards more sustainable transportation alternatives by integrating multimodal travel services. However, insights into the behavioral responses of specific groups of people to MaaS, thus promoting green travel, are currently lacking. This paper intends to investigate the intergroup heterogeneous preferences on the choice of MaaS bundles and evaluate their contributions to eco-friendly travel. A stated choice experiment is designed, incorporating personalized MaaS service bundles complemented by different green travel-oriented ticketing strategies. The experiment caters to different groups of users related to public transport, cars, and other modes of transport. The results indicate a substantial improvement in the goodness-of-fit of the behavioral model after user classification, revealing significant heterogeneity in preferences among users regarding MaaS bundle choices. Notably, the impact of sub-tickets on nudging toward green transportation is more pronounced than that of monthly and discount tickets.

Abstract PO4-11-09: Feasibility of physical activity behaviour change for women living with metastatic breast cancer, a randomised controlled trial

Abstract Background Physical activity benefits women living with metastatic breast cancer by improving outcomes such as physical function, health-related quality of life and fatigue. These findings have been reported within well-resourced trials that involve exercise equipment and supervision. Home or community-based settings, however, may be preferable and more accessible. This trial evaluated the feasibility of a remotely delivered behaviour change intervention for increasing physical activity for women living with metastatic breast cancer, and evaluated the program’s efficacy. Methods A 12-week randomised controlled trial was conducted in which 20 women living with metastatic breast cancer were recruited from a metropolitan outpatient cancer clinic. Inclusion criteria were over 18 years old, English speaking, ambulatory, and not regularly active at time of recruitment. Participants were randomised 1:1 to an intervention or attention control group. Both groups received a recommendation for 150 minutes of physical activity, a wrist-worn activity monitor, a physical activity diary, and nine phone or video call sessions (six weekly, three fortnightly). The intervention group received individualised behaviour change advice on topics such as physical activity benefits, motivation, barriers and social support; the attention control group received a recurring symptom questionnaire and no behavioural advice. Feasibility outcomes included recruitment, dropout and session adherence rates, and acceptability of methods was evaluated with an interview at trial completion. Baseline and 12-week outcomes included: i) physical activity minutes measured with a 5-day Actigraph wear, ii) 6-minute walk distance, iii) 30-second sit-to-stands, iv) questionnaires for self-reported physical activity, health-related quality of life, fatigue, behavioural factors (stage of change, self-efficacy, decisional balance, processes of change, social support), and patient-specific function. Questionnaires were measured again at 18 weeks. Results Recruitment, baseline measures and within-trial sessions are completed; 12 and 18-week measures will conclude late August. Thirty-two women were approached to enrol the target sample of 20, with exclusion reasons being disinterest (n=5), health problems (n=4), loss of contact (n=2) and already physically active (n=1). Median age was 62 years (IQR: 60-69), and median time since metastatic diagnosis was 4 years (IQR: 1-5). Twelve women had bone metastases, and ten had a musculoskeletal comorbidity. Session delivery through video or phone calls were equally preferred (n=10 each). Participants completed 84% of the sessions, with reasons for missed sessions consisting of forgetting (55%), feeling unwell (24%), IT problems (7%), holiday (7%), and work commitments (7%). Median session duration for the intervention group was 23 minutes (IQR: 20-28), and control group was 17 minutes (IQR: 14-21). The preferred type of physical activity was predominantly walking, and no adverse events were reported. Four women dropped out after loss of contact. Compared to age-matched normative values, baseline outcomes varied: actigraphy-measured physical activity was low (median: 68 minutes/day, IQR: 45-88), self-reported physical activity was high (median: 289 MET-minutes/day, IQR: 52-728), 6-minute walk distance was equal (median: 529m, IQR: 416-579), 30-second sit-to-stands were low (median: 11, IQR: 8-14), health-related quality of life was high (median: 80, IQR: 70-100), and fatigue was equal (median: 30, IQR 20-40). Conclusions Women living with metastatic breast cancer were generally receptive of the trial, and recruitment, dropout and session adherence rates were positive. The women who dropped out were more physically active, physically functional and/or rated higher on the questionnaires, indicating that the trial may be more suited to those with limited physical activity experience. Citation Format: Mark Liu, Sharon Kilbreath, Elizabeth Dylke, Jasmine Yee, Jane Beith. Feasibility of physical activity behaviour change for women living with metastatic breast cancer, a randomised controlled trial [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO4-11-09.

Persepsi Wajib Pajak pada Pembingkaian Pemberitaan Kasus Penghindaran Pajak dalam Keputusan Kepatuhan Pajak

Framing causes individuals to have different behavior in making various decisions. In this research, the framing of tax avoidance news is one of the factors in taxpayers' perceptions of whether or not they will remain compliant with taxes after reading tax avoidance news. This research aims to find out how taxpayers perceive the framing of tax avoidance news in tax compliance decisions using the Theory of Planned Behavior (TPB) and the Theory of Reasoned Action (TRA) which are used as a basis for explaining changes in individual behavior when receiving the framing effect. This descriptive research was carried out by collecting primary data on the population, namely taxpayers in Pontianak City, West Kalimantan. This research data was collected from May to June 2023. Data was collected using interview techniques. Respondents in this study were selected using a purposive sampling technique. The findings in this research are the perception that taxpayers still choose to comply with taxes after hearing news about tax avoidance, which means that taxpayers think that news about tax avoidance is framed positively.

Applying Social Practice Theory to Explore Australian Preschool Children's Oral Health.

Despite substantial research and provision of dental care, significant morbidity remains for children's oral health. Guided by social practice theory (SPT), this research moves away from the often-ineffective focus on changing individual behavior to rethinking the centrality of the social world in promoting or undermining oral health outcomes. We define social practice as a routinized relational activity linking and integrating certain elements (competence, materials, and meanings) into the performance of a practice that is reproduced across time and space. To investigate oral health in preschool children in Perth, Western Australia, using social practice theory. With no definitive methodology for investigating SPT, we chose focused ethnography as a problem-focused, context-specific approach using mainly interviews to investigate participants' experience caring for their children's oral health. The focus of analysis was the practice of oral health care, not individual behavior, where themes identified from participants' transcripts were organized into categories of elements and performance. Eleven parents, all of whom were married or partnered, were interviewed in 2021. Findings identified social practices relevant to oral health within parenting and family relations linked to routine daily activities, including shopping, consumption of food and beverages, and toothbrushing. Oral health literacy was reflected in integrating competence, materials, and meanings into performing oral health care, notably preferences for children to drink water over sugary beverages and information often being sourced from social media and mothers' groups rather than health providers. Focusing on social practices as the unit of analysis offers a more layered understanding of elements in young children's oral health care that can indicate where the problem may lie. Findings provide an opportunity to consider future research and policy directions in children's oral health. Examining social practices related to young children's oral health care identifies parents/carers' knowledge about, for example, toothbrushing, the resources required, and why toothbrushing is important. Analyzing these separate elements can reveal both enablers and barriers to oral health care. This provides researchers, clinicians and policymakers an opportunity to focus on not changing individual behavior but understanding how social context impacts parents/carers' capacity to make optimum decisions around young children's oral health.

The role of household energy consumption behavior in environmental policy outcomes —the case of driving restriction policy in zhengzhou

The evaluation of the environmental effects of the driving restriction policy often sparks widespread discussions in the literature due to its complex and controversial assessment methods. Fewer studies have delved into the exploration of household energy consumption behavior, the role played by the targeted subjects of policy implementation, and the policy's impact on climate change. This paper focuses on the case of Zhengzhou, a city in China, to thoroughly discuss the formulation process of the driving restriction policy. By utilizing publicly available statistical data and conducting surveys among 795 households, this research employs statistical methods such as regression discontinuity, difference-in-differences estimation, and improved causal stepwise regression to quantitatively estimate the environmental consequences of the driving restriction policy. It also examines the impact of changes in residents' consumption behavior on policy effects and climate change under this policy shock. The study aims at bridging the gap between environmental policy effects, individual behavior changes, and climate change research. Our findings indicate that the driving restriction policy is effective in the short term, significantly improving air quality. However, due to the stickiness of residents' household consumption behavior and the adaptive adjustments in long-term travel behavior, the pollution-reducing effects of the policy gradually weaken and even exacerbate air pollution, resulting in an additional increase of approximately 147,950 tons of carbon dioxide emissions after the policy had been implemented for nine months. Therefore, this paper further suggests that implementing environmental policies requires close coordination with adjustments in household energy consumption behavior.

Exploring the changes of individuals’ travel behavior in response to COVID-19 and their influencing factors based on mobile phone data

IntroductionThe COVID-19 pandemic has produced a profound impact on travel behavior. Yet, few studies explored how individuals resist such impact to maintain their daily life from the perspective of people's responses. A comprehensive theoretical framework to elucidate individual travel behavior changes and a quantitative analysis of the pivotal factors driving these changes was lacking. MethodsThis study constructed a framework for individuals' travel behavior in response to COVID-19 and utilized anonymized mobile phone trajectory data before and during COVID-19 in Guangzhou to explore the changes of individuals’ travel behavior on workdays. Gradient boosting decision trees was used to quantify the degree of the factors driving travel changes. ResultsDuring the pandemic workdays, non-essential trips experienced a reduction of 51.4%, while essential trips decreased by 30.94%; Subway trips decreased by 1.63%, whereas motorized trips increased by 8.75%. The most significant decrease was observed in travel duration (50.92%), followed by travel frequency (41.28%), and travel distance (39.19%). The three travel indices displayed significant social disparities and spatial disparities. However, the relative relationships among these three travel indices did not vary with groups and spaces. Risk perception and intervention measures, emerged as primary drivers of individuals’ travel changes, contributing to 27%–35% of the total impact, while individual socio-economic characteristics and built environment accounting for less than 10%. ImplicationsThe results indicated that individuals curtailed both their essential and non-essential trips and adjusted their travel mode in response to the epidemic. These changes in travel purpose and mode led to differing reduction rates in travel frequency, duration, and distance. These findings contribute to individual travel changes prediction and fine-grained epidemic modelling during other public health emergencies like COVID-19.