Changes In Attitudes Research Articles

The use of digital technologies to promote sexual health in young adults: a narrative review

Abstract Background New technologies have the potential to play an important role in promoting sexual health, especially among young people, who are the biggest users and those at greatest risk of contracting Sexually Transmitted Infections (STI). The risk behavior assumed by young people today highlights this vulnerability in several contexts, such as individual, social, economic, and family. In this sense, it becomes relevant to approach sex education in schools using digital technologies. Objectives To identify the evidence in the literature on the use of digital technologies to promote the sexual health of young adults. Methods Narrative literature review. Three independent reviewers extracted, analyzed and synthesized the articles and results. Results Through the selection process, four studies were included. The articles show that the use of digital technologies (mobile phones/applications) leads to increased knowledge, improved attitudes and sexual behavior among young adults. The interventions studied in the studies were based on Short Message Service, electronic mail interventions and the MyPEEPS mobile application, with the following main focuses: Increased knowledge, attitudes, and behaviors of young adults. Considering the results of the studies, all interventions proved to be effective as facilitators of sexual health promotion. Conclusions The use of digital technologies allowed an increase in the promotion of the sexual health of the participants, since there was an increase in the level of knowledge with the use of digital technologies such as SMS, emails and mobile applications when comparing the experimental and control groups. The use of these digital technologies also allowed for a change in attitudes and behaviors, such as a significant increase in serological testing for STIs and an increase in health care seeking. Key messages • The use of digital technology promotes the sexual health of young adults, so these strategies should be implemented by health professionals. • The dissemination of these digital strategies will have an impact on Public Health, specifically regarding the sexual health of young adults.

COOPERATION OF EU AND UKRAINIAN YOUTH ORGANIZATIONS DURING THE 1990s (Based on the Documents of the EU Historical Archive)

The article highlights the development of relations between European and Ukrainian youth organisations after 1991, as well as the challenges that Ukraine has faced in establishing these relations. The author notes that there is currently no research on the cooperation of European youth organisations with Ukrainian youth organisations after 1991. This study was developed thanks to a grant from the Visegrad Fund for Research of the Historical Archive of the European Union. Access to original materials stored in the Historical Archive of the European Union allowed to analyse the main milestones in the development of cooperation between Ukrainian and European youth organizations after restoring Ukraine's independence. The article analyses the change in attitude towards the countries of Eastern Europe as potential partners in the last decade of the existence of the Soviet Union, as well as after its collapse. It was concluded that the opposition between the Soviet Union and Western Europe negatively influenced the development of relations between youth organizations in the transition period. The author concludes that after restoring Ukraine's independence, Ukrainian youth organizations made significant efforts to establish cooperation with European organizations. However, the state did not have enough funds for the development of foreign youth policy and the necessary knowledge due to the lack of experience in cooperation with Western European partners.

Youth insights on a digital crowdsourcing intervention to reduce HIV stigma in Kazakhstan

Abstract Background In Kazakhstan, nearly a quarter of new HIV infections occur among adolescents and young adults (AYA). Testing can reduce the spread of HIV, yet AYA have low testing rates in Kazakhstan, due in part to HIV-related stigma. This qualitative paper explores participants’ perceptions of digital crowdsourcing content designed to reduce HIV stigma and promote HIV self-testing among AYA in Kazakhstan. Methods We conducted semi-structured interviews with 20 AYA who participated in a digital crowdsourcing intervention. Questions focused on AYA’s perceptions of the crowdsourced content they viewed for the intervention, namely their likes, dislikes, the perceived impact of the content, and areas for improvement. Qualitative data analysis was conducted using a thematic approach. Results Findings revealed a perceived need for more youth-developed digital interventions. AYA favored artistic, interactive content featuring health specialists, youth characters, or real-life stories. Short videos and images were AYA’s favorite content formats. Many AYA showed less interest in longer videos and text-heavy content, finding them hard to understand. Most participants reported improved knowledge of HIV, reduced stereotypes related to HIV, heightened interests in HIV topics, more willingness to get tested, and changes of attitudes towards people living with HIV. Recommendations for future interventions include tailoring content to different AYA age groups and creating more engaging and easily digestible content. Conclusions This study highlights the potential of crowdsourced digital interventions in promoting HIV knowledge and awareness of HIV-related stigma among AYA in Kazakhstan. AYA appreciated youth-developed, interactive content that included real-life stories and artistic visual presentations. Key messages • This study highlights the potential of crowdsourced digital interventions in promoting HIV knowledge and awareness of HIV-related stigma among AYA in Kazakhstan. • AYA appreciated youth-developed, interactive content that included real-life stories and artistic visual presentations.

Outcomes of integrated knowledge translation: A comparative, multi-country case study

Abstract Background Integrated knowledge translation (IKT) seeks to establish continuous relationships between researchers and knowledge users, in particular decision-makers, to enhance evidence-informed decision-making in public health and healthcare. IKT is, however, difficult to evaluate and outcome evaluations remain scarce. The German-African Collaboration for Evidence-based Healthcare and Public Health in Africa (CEBHA+) undertook research on IKT and non-communicable diseases in Ethiopia, Malawi, Rwanda, South Africa, and Uganda. Over six years, we implemented an IKT approach and evaluated it according to a pre-defined programme theory. Methods We conducted qualitative interviews and surveys with CEBHA+ researchers and their decision-making partners at two stages (3/2020-2/2021; 9/2022-5/2023) and collected IKT-related documents (see protocol: https://rdcu.be/dyfBP). Transcripts and documents were analysed using qualitative content analysis and surveys were analysed descriptively, with subsequent integration, cross-case analysis, and revision of the programme theory. Results We collected 92 IKT-related documents; and 55 researchers and decision-makers participated in surveys, focus groups or interviews. Proximal outcomes were collaborative research; capacity-building related to research skills and evidence use; and relationship-building, establishing trust and partnerships. Intermediate outcomes were changes in attitudes and knowledge; decision-makers became attuned to research and researchers increased their understanding of the decision-making context, and developed a vision for research impact. Distal outcomes were the production of applicable research and the consideration of evidence by decision-makers. High opportunity costs associated with IKT implementation constituted unintended effects. Conclusions Our study presents rich, theory-informed insights into IKT outcomes, based in particular on the experience of researchers implementing the CEBHA+ IKT approach. Key messages • A multi-country research collaboration offered an opportunity to examine IKT implementation and investigate proximal, intermediate, and distal IKT outcomes based on a pre-defined programme theory. • Beyond our initial conceptualisation, the IKT approach was linked to researchers developing a vision for ‘research impact’ and gaining a better understanding of the decision-making context.

The Effectiveness of CATIN Class on Pregnancy Readiness of Prospective Brides in The Working Area of Citangkil 2 Health Center, Cilegon City

Prospective brides and grooms are a strategic target group in efforts to improve their health before pregnancy. Before the wedding, many prospective brides and grooms do not have enough knowledge and information about reproductive health in a family, so that after marriage pregnancies are often not planned well and are not supported by optimal health status. The number of marriages in Indonesia in 2023 will reach 1.58 million and 68,185 will come from Banten Province. Maternal mortality still reaches 127 cases of maternal death per 100,000 births and the incidence of anemia in pregnant women is 9.2% in 2023. The aim of this research is to determine the effectiveness of prospective brides and grooms or CATIN (Calon Pengantin) classes on the pregnancy readiness of prospective brides in the Industrial Area of ​​the Citangkil 2 Community Health Center, Cilegon City. Research methods is qualitative research. Population in this study were prospective brides and grooms who registered at KUA in July 2024 in the Citangkil 2 Health Center Working Area, Cilegon City, totaling 12 informants, consisting of 10 Catins and 2 expert informants from KUA and Health officers. There is an influence of information sources related to the socialization of the catin class program from KUA officers and Community Health Center Health Workers on the pregnancy readiness of the prospective bride and groom and knowing the attitude of the prospective bride and groom, the attitude of the KUA officers and the attitudes of health workers who take part in the catin class. There is a change in attitude after participating in the catin class service.

Vaccine conspiracy beliefs are the main determinant of adult vaccine hesitancy

Abstract Background Many factors influence the level of vaccine hesitancy. The COVID-19 pandemic demonstrated that conspiracy beliefs are an important element of overwhelming misinformation. The main aim of the study was to assess the relationship between vaccine hesitancy (VH) and vaccine conspiracy beliefs (VCB) in Polish society. Methods The analysis was conducted using data from an online survey of 2189 Internet users conducted in November 2021. Uni- (ULRM) and multivariable linear regression (MLRM) models were developed for vaccine hesitancy as a dependent variable. The independent variables included VCB score (VCBS), health (HL) and e-health literacy (eHL), Internet (IU) and social media use (SMU), political views (PV), and sociodemographic variables. Results The VCBS, eHL, HL, age, income, vocational and marital status, place of residence, PV, IU, and SMU were significant predictors of VH in ULRMs. A significant relationship with VH was maintained in MLRM for all independent variables enlisted earlier, apart from age, income, and vocational status. Respondents with higher VCBS were more likely to have higher VH (B, 95%CI: 0.38, 0.37-0.40). Those with undetermined HL had higher VH than persons with sufficient HL (B, 95%CI: 0.13, 0.06-0.20). A higher level of eHL predicted a lower level of VH (B, 95%CI: -0.01, -0.012 - -0.03). Lower IU and higher SMU were associated with higher VH (B, 95%CI: 0.16, 0.02-0.30, and 0.10, 0.03-0.17, respectively). Supporters of far right-wing party showed higher HV than supporters of the governmental party (B, 95%CI: 0.16, 0.07-0.27). Finally, singles showed higher HV than married (B, 95%CI: 0.07, 0.01-0.13), and residents of small cities had higher HV than residents of rural areas (B, 95%CI: 0.08, 0.004-0.15). Conclusions The vaccine conspiracy beliefs play a major role in the development of VH. The interventions aimed at the change of antivaccination attitudes should address the problem of widespread conspiracy beliefs. Key messages • Conspiracy beliefs are an important determinant of attitudes toward vaccination. • The development of adequate digital health literacy may be a protective factor against vaccine hesitancy.

COVID-19 impact on childhood vaccination attitudes in pregnant antenatal class attendants in Rome

Abstract Background The COVID-19 pandemic caused a decrease in vaccination rates, impacting vulnerable populations such as pregnant women (PW), who concern about future children’s immunisations. The aim of this study was to assess whether the pandemic led to changes in childhood vaccination attitudes among PW attending antenatal classes at the Fondazione Policlinico Universitario A. Gemelli in Rome. Specifically, it assessed the impact of the pandemic on the perceived usefulness of information sources, their trust in healthcare workers (HCWs) and the National Health Service (NHS), their perception of the risk of infection and severity of vaccine-preventable diseases (VPDs), and their vaccination intentions. Methods A repeated cross-sectional study was conducted across three flu seasons by administering an anonymous questionnaire: one before and two during the pandemic. Intention to vaccinate children was expressed as the percentage of PW who selected each vaccination from the questionnaire. Trust in HCWs and the NHS, and perception of the risk of infection and severity of VPDs were expressed as the percentage of PW who answered “quite” or “very”. For the usefulness of information sources, mean scores were calculated. To assess differences of the three periods a chi-square test was performed (p = 0.05). Results Course attendance surged from 105 to 340. Significant shifts in vaccination intentions were noted: 7.5% and 10% decreases for measles (p = 0.02) and pertussis (p = 0.004), respectively, from 2019-20 to 2020-21. Perceived contagion risk decreased, but perceived disease severity increased. A significant reduction in the proportion of PW suspecting economic interest behind NHS workers promoting vaccination, and an increase in the perceived usefulness of non-institutional websites and of the advice from non-NHS physicians were noted. Conclusions PW’s attitudes towards vaccinations might have been modified by COVID-19 pandemic, regarding risk perception and trust in NHS HCWs. Key messages • Our findings suggests that PW’s attitudes towards childhood vaccinations might be modified by the COVID-19 pandemic, in particular risk perception and trust in NHS healthcare workers. • These findings could help Public Health to develop evidence-based interventions and communication strategies, to maintain vaccine confidence and mitigate potential adverse effects.

Correlates of using behavioural sciences to design health promotion interventions and programs

Abstract Background The World Health Organization highlighted the need to better integrate behavioural science in the field of public health. Based on the theoretical domains framework, this study examined correlates of public health practitioners’ use of behavioural science principles to plan public health actions aim at promoting physical activity and healthy eating. Methods This study adopted a cross-sectional design. A convenience sample of 160 public health practitioners were recruited from different public health agencies (non-profit organizations, governmental and para-governmental agencies). They were asked to complete a survey questionnaire online and self-reported their use of behavioural science to plan health promotion interventions. Regression analyses were conducted to examine correlates of behaviour and behavioural intentions. All analyses were controlled for sex, number of years of experience in public health and the type of organization they work for. Results Skills (OR = 4.1, 95%CI: 1.3, 13.5) and intentions/goals (OR = 9.2, 95%CI: 2.3, 36.1) were the two domains significantly associated with the use of behavioural science. Perceived capacity to overcome the fact that none of their colleagues rely on behavioural sciences in their organization (OR = 7.2, 95%CI: 1.7, 30.3) was also associated with behaviour. Knowledge (OR = 8.6, 95%CI: 1.9, 39.1) and beliefs about consequences (OR = 4.0, 95%CI: 1.1, 14.7) were in turn associated with intentions/goals. Conclusions This unique study provides important insights for the development of future knowledge transfer activities aim at supporting positive attitudes and motivations toward the use of behavioural science as well as developing competencies and a normative use of behavioural science. The development of a strong knowledge basis would also need to be a core component of trainings to support the integration of behavioural science in public health to design physical active lifestyles and healthy eating interventions. Key messages • Increasing knowledge and skills in behavioural sciences is a key for a better integration in public health practices. • Changes in norms and attitudes toward the use of behavioural sciences will also support a better uptake.

Social listening applied to tailor communication on immunization in the Republic of Moldova.

Although the Republic of Moldova had good vaccination rates, anti-vax messages have recently begun to spread, eroding the population's confidence. Vaccination coverage against measles, mumps, and rubella at the target age of 12 months decreased from 95% in 2008 to 83% in 2021. The recent measles outbreak in Romania and three confirmed cases in Moldova, combined with the refugee crisis, have highlighted the importance of vaccination and sparked online conversations on this subject. A mixed-methods study was conducted, involving social listening activities on immunization using the Talkwalker software and qualitative analysis of the identified narratives. Out of 450 identified comments, 30 were selected for further analysis. Over 5 months, a total of 865 results were obtained, with an engagement rate of 6300. The peak in results occurred between 11 and 18 December, driven by the recent measles outbreak in Romania, which saw several confirmed cases and one death, as well as the first cases of measles in Moldova after 3 years. However, no significant increase in the engagement rate was recorded. Comments on immunization tended to reflect distrust in authorities and doctors, political and ideological views, and a lack of knowledge about the risks of vaccine-preventable diseases. The analysed conversations are assessed as having a low risk of spreading, though some employ techniques to influence or manipulate behaviours. The topic of vaccination is used to promote political ideologies through messages issued by the mass media. The information vacuum must be filled with messages designed to produce attitude change regarding vaccination.

Harnessing social marketing for interdisciplinary health management: enhancing public health outcomes

Abstract Social marketing in health leverages the principles of traditional marketing to influence behaviours that benefit individuals and communities. It involves using marketing techniques to promote public health initiatives, aiming to change attitudes and behaviours towards healthier choices. By strategically framing health messages, social marketing can effectively reach diverse populations, encouraging them to adopt practices that enhance their wellbeing. This approach not only increases awareness about health issues but also empowers people to take proactive steps in managing their health, ultimately leading to improved public health outcomes. Showcasing a forward-thinking approach to public health management, this plenary session seeks to shed light on the transformative role of interdisciplinary collaboration in enhancing health outcomes. Recognising that health and wellbeing are influenced by a myriad of actors beyond the healthcare sector, there is a growing imperative to empower professionals from diverse disciplines with health management principles. By effectively ‘social marketing’ health management to those outside the traditional health sector, such as in architecture, urban planning, construction, education, transportation, and manufacturing, health-oriented decision-making can be seamlessly integrated across these fields. The session will highlight innovative approaches for engaging non-health stakeholders in decision-making processes, leveraging the expertise of health management and public health professionals. By facilitating a dialogue between health professionals and experts from other sectors, the session will explore the potential and challenges of intersectoral partnerships, and challenge policymakers, health managers, and stakeholders in the health sector to actively engage non-health professionals in their pursuit of improved health outcomes for European citizens. Case studies from across Europe where interdisciplinary collaborations have led to social programming and infrastructure developments that enhance health and wellbeing will be presented. The case study ‘Compassionate leadership’ will delve into how organisation leaders can harness their health management capacity to foster a supportive environment that prioritises wellbeing. ‘Health-centric design in public spaces’ will demonstrate the impact of designing public areas with a focus on health, showcasing how thoughtful urban planning can significantly enhance community health. The third case study, ‘Architecture for better health and healing’ will highlight the role of architectural design in promoting health and recovery, emphasising the importance of creating spaces that support healing. Finally, ‘Educating to health’ will underline the significance of educating young people to healthy habits, sustainability, and physical and mental wellbeing, illustrating how this can lead to healthier communities. By fostering broader interdisciplinary collaboration, it is possible to unlock innovative solutions to health challenges and ultimately create healthier, more resilient communities across Europe. Moderator Tiago Correia Instituto de Higiene e Medicina Tropical, Universidade NOVA de Lisboa, Portugal, and Board Member of the EHMA Speakers/Panellists Marina Macchiaiolo Rare Diseases and Medical Genetics Unit, Bambino Gesù Children’s Hospital, Italy, and President of the Italian Committee for the United World Colleges Stefano Capolongo Department of Architecture, Construction Engineering and Built Environment (ABC), Politecnico di Milano, Italy

The Preparedness Paradox in Climate Attitudes: Democrats Worry, Republicans Prepare

ABSTRACT Political partisanship is one of the strongest correlates of climate change attitudes in the United States, with Democrats expressing greater concern than Republicans. As the climate crisis progresses, surveys increasingly examine preparedness for environmental emergencies, instead of climate attitudes alone. Does partisan identification associate with environmental preparedness actions as it does other climate attitude measures? We find a paradox: Republicans are more likely to say they have taken preparedness actions than Democrats. We replicate this finding in three survey samples (n = 1,053; n = 1,201; n = 2,318) and provide two sociological explanations. Theoretically, a culture of emergency preparedness integrated with conservative belief systems could strengthen the partisanship association, especially if preparedness is not closely tied to other climate attitudes. Empirically, household income is associated with specific types of preparedness actions, possibly introducing bias based on social class. We discuss the importance of measuring climate preparedness for the future of climate opinion research and climate policy and call for preparedness measures that are applicable to the general population.

Bee pollination and bee decline: A study about university students’ Knowledge and its educational implication

Abstract Science education plays a crucial role in addressing the pollinator crisis by enhancing knowledge and fostering changes in attitudes toward this environmental challenge. Previous research has been focused on validating a specific instrument related to this subject, although its use for assessing students’ knowledge has been little explored. In the present study, we have evaluated the level of awareness regarding the significance of bees as primary pollinators among students of various disciplines at the Universities of Sevilla, in Spain, and Ouro Preto, in Brazil, emphasizing the importance of the plant–bee interaction. 753 students from the fields of biology, agriculture, and education were invited to complete a questionnaire focused on bee biology. The results indicate that knowledge on the subject is closely linked to professional career choice and that the training program for the future teachers effectively increased comprehension of the crucial role played by bees as main supporters of the ecosystem service of pollination.

Testing the Effect of Sending an Evaluative Message on Perceiving Others in Computer-Mediated Communication

ABSTRACT Interpersonal mediated communication research has demonstrated that exchanging cues during online interactions can change message receivers’ perception of the senders in socially desirable ways. Building from previous self-transformative work, this work explores how perceptions of others are also shaped by the messages we write evaluating others. More specifically, the research examines the effects of sending different types of evaluative messages on attitude, social attraction, physical attraction, and task attraction toward a hypothetical CMC partner. The first experiment (N = 193) prompted participants to view a post of a video game player and then provide a confirmatory or disconfirmatory evaluation or no evaluation. Results indicated that providing positive evaluations caused a positive change in attitude toward the target, while providing negative evaluations negatively affected attitude but did not necessarily affect social, task, or physical attraction. The second experiment (N = 129) conceptually replicated the first experiment’s design in the context of an Instagram post. The results generally replicated those of the first study but additionally produced significant results on social attraction. Providing an evaluation caused significant changes in the receivers’ perception of attitude and social attraction, with the direction of change corresponding with the valence of the evaluations given to the target.

Usos de materiales y energía en una tierra finita

INTRODUCTION. This article examines the relationship between material resources and the energy transition needed to mitigate climate change. The Earth is an open system in terms of energy, but closed in terms of materials, which implies that its sustainable management is crucial. It is estimated that around 50% of the human energy system and 70% of greenhouse gas (GHG) emissions are associated with materials management, which underlines the need for a new approach to materials management that limits the continued growth of resource extraction while promoting a circular economy. The article concludes with a reflection on the attitudes and actions needed for the post-fossil transition and the importance of education in this process. OBJECTIVE. To analyse the impact of material resources on the energy transition and to propose measures for a more sustainable management. METHOD. Theoretical research based on the analysis of reports and data on the use of material and energy resources. RESULTS. It was found that materials management is one of the main consumers of energy and constitutes one of the main sources of GHG emissions, and that moderation in its consumption and orientation towards the circular economy can significantly contribute to reducing them. DISCUSSION AND CONCLUSIONS. In order to advance towards a post-fossil civilization, in addition to general awareness and a change in attitudes, a change in the structure of the energy system, new forms of financing and new resource management regulations adapted to the characteristics of renewable energies are required.

Knowledge, Attitudes, and Practices Related to Mold Remediation Following Hurricane Ida in Southeast Louisiana

Hurricane Ida, a Category 4 hurricane, made landfall in southern Louisiana in August of 2021, causing widespread wind damage and flooding. The objective of this study was to investigate knowledge, attitudes, and practices related to post-hurricane mold exposure and cleanup among residents and workers in areas of Louisiana affected by Hurricane Ida and assess changes in knowledge, attitudes, and practices that have occurred over the past 16 years since Hurricane Katrina. We conducted in-person interviews with 238 residents and 68 mold-remediation workers in areas in and around New Orleans to ask about their mold cleanup knowledge and practices, personal protective equipment use, and risk perceptions related to mold. Knowledge of recommended safety measures increased since the post-Katrina survey but adherence to recommended safety measures did not. Many residents and some workers reported using insufficient personal protective equipment when cleaning up mold despite awareness of the potential negative health effects of mold exposure.

Removing the Binary: An Exploration on the Impact Language has on Our Gender Perception

Language, as a reflection of societal values and beliefs, wields the power to shape perceptions of gender, often perpetuating a binary understanding through grammatical gender systems. The influence of the generic masculine and masculine norm within languages with dense grammatical gender reinforces this binary, marginalizing communities and centralizing power within the masculine form. Despite these challenges, endeavours towards gender neutrality within grammatical gender languages offer hope, particularly in their potential to benefit marginalized groups like the LGBTQ+ community. However, while recent advancements demonstrate potential for gender neutrality within language, the possibility of achieving a genuine ‘gender-free’ language remains a question, especially within grammatical gender languages and beyond. In order to begin answering this question, one needs to understand the concept of ‘gendered language’ and how it has impacted our perception of gender throughout history. It is also necessary to analyse how recent linguistic adjustments impact the LGBTQ+ community and the changes in attitudes towards non-binary spaces. By comparing attitudes towards gender in grammatical gender and genderless languages, we gain insight into the intricate relationship between language and societal norms. To do that one needs to look at the contemporary languages such as English, Spanish and Swedish, which are undergoing gender-neutral adaptations within the core lexicon and grammar. In addition to indigenous languages that have historically included a form of gender neutral language. In essence, this examination of language and gender dynamics offers the conclusion that it is possible to remove gender from language, yet cannot change the impact that gendered language has already had on society’s perception of gender.

Changes in attitudes toward suicide after brief gatekeeper education: Findings from population-based repeated cross-sectional surveys conducted among middle-aged and older adults

Objective This study aimed to investigate changes in attitudes toward suicide following a universal home visitation program that included a brief face-to-face educational session focusing on gatekeeper roles in Japan.Methods Between 2015 and 2017, members of 169 households in an intervention district from a northern Japanese township were invited to attend an educational session during home visits. The participation rate was 72.8%, with 94.5% of the participants aged over 40. Repeated cross-sectional population-based surveys were conducted among adults in the towns in 2015 and 2021. Data from the surveys, focusing on individuals aged 40-79 years and residing in the intervention and matched control districts (where no visits occurred and only information was distributed through leaflets), were used to assess the prevalence of self-reported views toward suicide. The self-reported views encompassed "no substantial thoughts," "inevitable," "shameful," "annoying," "tragic," "must be managed," and "romantic" in addition to personal and perceived stigma, depressive symptoms (assessed using the Kessler Psychological Distress Scale-6), and suicidal ideation. Data were analyzed using generalized linear mixed models. The Cochran-Armitage test was used to analyze linear trends in the proportion of views that exhibited changes.Results Participation rates were 61.8% (n ＝ 357) in 2015 and 52.8% (n ＝ 257) in 2021. The intervention group showed a significant difference in the prevalence of the "inevitable" view between baseline and 4-year follow-up (P ＝ 0.026). Marginal pre-post differences were observed among the two types of stigma; however, the symptoms remained unchanged. A marginally significant difference in the change of the "inevitable" view was observed between the two groups. In the follow-up, more knowledgeable respondents in the intervention group were less likely to view suicide as "inevitable," a trend not seen in the control group.Conclusions The universal home visitation program, including a face-to-face session focusing on the gatekeeper role, was associated with a decreased prevalence of the "inevitable" attitude between the baseline and 4-year follow-up among community-dwelling adults aged 40-79. This suggests that face-to-face interactions with healthcare professionals can reduce the tendency to condone suicide among middle-aged and older adults in community settings.

Efforts to Increase Teacher Creativity in Motivating Student Learning

In increase quality education, must there is continuity performance and quality improvement. Continuous quality improvement serves as a measure for resolve problem education quality low which depend on approach conventional. this writing study about deep teacher creativity motivating study participant educate . Teacher creativity in motivating Participant educate is also part from Behavior Educational Organization , which is behavior a teacher gives influence good for development participant he taught . Study is a marked process with exists change in self somebody good knowledge , understanding , attitudes and behavior he did nor his skills . Participant students really need motivation and encouragement in study , encouragement from in nor from outside . If participant educate have motivation strong study , then _ Theory lesson will light and easy as well as the learning process Becomes fun . Teacher creativity is one _ pusher motivation learn . Creative teacher could develop ability of new ideas and ways new in teach . Teacher creativity can be in the form of creativity in classroom management and the use of learning media. Ways to generate motivation that teachers can do include giving numbers, prizes, competition, ego involvement, tests, knowing results, praise, punishment, desire to learn, interest, and recognized goals.

Interventions addressing care staff views of older LGBTQ+ people in residential and homecare settings: a scoping review protocol

IntroductionPrevious research has identified that lesbian, gay, bisexual, trans and queer (LGBTQ+) social care service users have concerns and/or negative experiences of their care due to staff views and attitudes...

Supervising criminalised women in the community in England and Wales: A brief history of (un)changing attitudes

AbstractThere has not been a specific history of supervising women in the community. This article, therefore, describes the early neglect of work with women and the period of change from the 1970s when women became more visible and the criminal justice system's response to them began to face scrutiny. It posits the story against the background of increased awareness of gender discrimination and efforts to reduce the use of imprisonment by addressing women's criminogenic and social needs through community‐based supervision. It juxtaposes innovative work initiated by practitioners and managers to years of unfulfilled policy promises. An essential part of the story is the attempt to integrate feminist perspectives into policy and practice at a time of organisational and political turbulence. It concludes that our increased understanding of criminalised women presents the opportunity of breaking the frustrating cycle of governmental ‘enthusiasm‐disillusion‐indifference’ and making a genuine contribution to equality and social justice.