Communication Programs Research Articles

Communication Methods Used with Conscious Intubated Patients: Scoping Review

Background Intubated conscious patients often experience communication difficulties. The present narrative review outlines the current evidence on communication methods adopted and the experience of conscious intubated patients in critical care areas. Objectives To our knowledge, studies have attempted to examine communication with conscious intubated patients. The present review had two objectives: (1) to identify the methods adopted by nurses and conscious intubated patients to ease the communication difficulties faced due to intubation and (2) to identify the experience of nurses and conscious intubated patients with the adopted communication methods. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist was followed throughout this review. PubMed and ProQuest databases were searched with the terms “intubated conscious patients,” “communication,” and “nurse”, including original research articles published between January 2019 and May 2024 on conscious patients needing intubation. Dissertations, review papers, non-interventional research, and articles written in languages other than English were excluded. Only eight of the original 2,041 studies, which included 137 intubated patients and for 545 nurses, met the inclusion criteria. The authors used the Mixed Method Appraisal tool (MMAT) and the Critical Appraisal Skills Program (CASP) to collect data and assess quality. Results After the first search of generated 2041 papers, only eight articles—representing various studies—were able to meet the inclusion requirements. The included studies were six (6) quantitative, one (1) qualitative study and one (1) mixed-method study. Four communication intervention types were identified, namely: (1) Communication boards/charts (two studies), which improved communication and increased patient satisfaction. (2) Gestures and facial expressions (four studies) were reported to be frequently initiated for communication by the nurses with the patients. (3) Multiple methods (three studies) used were found to be insufficient to communicate with the patients. (4) Digital technology program, including Communicative Digital Technology Program was found to be effective means of communication in three such studies. Conclusion Results imply that communication techniques may be useful in enhancing patient–nursing professional communication with conscious intubated patients. However, in developing countries with fewer resources, a low-cost communication tool addressing both physical and emotional needs may be developed to aid in communication among patients and nurses.

Hunters’ knowledge, perceived risks, and agency trust associated with chronic wasting disease, and beliefs about CWD management

Context Wildlife agencies spend considerable effort developing comprehensive communication programs to educate various publics about chronic wasting disease (CWD). Deer hunters are important in CWD management, especially regarding surveillance and testing. Aims This article examined the influence of the number of years CWD had been in a state on hunters’ knowledge of the disease. Knowledge level was then related to perceived risks associated with CWD, trust in the agency responsible for managing CWD and beliefs about CWD management. Methods Survey data were obtained from resident deer hunters in the US states of Kansas (n = 1170), North Dakota (n = 3242) and Illinois (n = 1237). State of residence served as one independent variable. The second independent variable was knowledge of CWD. Respondents were asked eight true/false questions regarding CWD (0 = incorrect, 1 = correct). A knowledge index was created by summing the correct responses. The index was categorized as low, medium, and high knowledge. There were four multiple-item dependent variables: risk to deer, risk to humans, hunters’ trust in the CWD management agency, and beliefs about CWD management. Key results Kansas hunters had the highest knowledge, followed by North Dakota, then Illinois. As knowledge increased, perceived risk to humans decreased, and perceived risk to deer increased. There was a positive relationship between knowledge and trust in agency information. Across beliefs, high knowledge hunters agreed with positively worded statements and disagreed with negatively worded items more than either of the other two knowledge groups. Low knowledge respondents always reported the lowest belief scores, and the middle knowledge group was always in between the other two groups. All tests were statistically significant, but effect sizes were minimal. Conclusions CWD existed in Kansas for only 4 years when the study was conducted. Kansas hunters reported the highest percentage of correct knowledge questions. By comparison, the disease had existed in Illinois for 20 years; Illinois hunters reported the lowest percentage of correct responses. Knowledge is influenced by the newness of a disease. With a new disease, people attend to information campaigns. Over time, experience tempers concerns and knowledge about diseases. Implications Findings highlight complexities managers should consider when designing communication strategies to influence wildlife disease knowledge.

Implementation of effective communication in interprofessional collaboration to improve inpatient services

Introduction: Interprofessional Collaboration (IPC) is an interprofessional collaboration between people with different professional backgrounds who work together to solve health problems and provide health services. This research aims to analyze the implementation of effective communication in interprofessional collaboration to improve inpatient services. Research Methodology: The research is qualitative with a phenomenological design. Six people were the research informants: hospital leadership, PMKP, medical committee, medical service element, nursing element, and medical support element. Data will be collected using observation, FGD, in-depth interviews, and document study. Data processing and analysis use the Miles and Huberman method. Result: The study's results indicate that the implementation of IPC still needs improvement. Lack of practical communication skills is the leading cause of IPC being less than good. Management efforts to improve helpful communication skills include providing training related to effective communication, forming an evaluation team, and giving rewards and punishments. Conclusion: Management is making efforts to improve effective communication skills by providing training related to effective communication, forming an evaluation team, and giving rewards and punishments. Health workers are making efforts to comply with all rules that have been given by management to support an effective communication program for patients and between health workers

Growth Monitoring and Promotion Service Utilization and Associated Factors Among Mothers/Caregivers of Children 0-23 Months in Sude District, Southeast Ethiopia.

Inadequate physical growth and poor development are significant global challenges affecting millions of children. Globally, 149.2 million children under five experience stunted growth and 45.4 million suffer from wasting. Growth monitoring and promotion (GMP) programmes aim to identify growth faltering in children before they develop malnutrition. However, understanding the factors influencing GMP service utilization is crucial for improving its effectiveness in the study area. This community-based cross-sectional study in the Sude district of southeastern Ethiopia investigated GMP service utilization among mothers of children aged 0-23 months. The study included 874 participants selected through systematic random sampling. Data collected through a structured questionnaire revealed a GMP service utilization rate of 40.2%. The study identified several factors significantly associated with GMP service utilization. This includes maternal education, husband involvement, institutional delivery, maternal autonomy and birth interval, which are the most significant factors identified to influence GMP service utilization. Mothers with higher levels of education were more likely to utilize GMP services [AOR = 3.70 (95% CI: 2.09, 6.54)]. Discussions about child growth with husbands were linked to increased GMP utilization [AOR = 2.22 (95% CI: 1.24, 3.968)]. Moreover, mothers who delivered at health facilities and with greater autonomy in decision-making showed higher GMP utilization with [AOR = 1.83 (95% CI: 1.23, 2.72)] and [AOR = 3.79 (95% CI: 2.41, 5.96), respectively. Mothers with longer birth intervals were also more likely to utilize GMP services [AOR = 1.947 (95% CI: 1.39, 2.73)]. The study highlights the importance of addressing these factors to increase GMP service utilization and improve child health outcomes in the study area. Behavioural change communication programmes targeting fathers can promote their engagement in child growth discussions. Moreover, empowering women to make decisions about their children's health and access to healthcare services and promoting open communication within families about child growth and development can raise awareness and support for GMP services. Addressing these factors through targeted interventions will promote GMP utilization and improve child growth and development.

Stakeholders’ Awareness and Acceptability of PRMSU’s Revised Vision Statement and Mission and the Goals and Objectives of the Communication and Information Technology Programs

Vision, mission, goals, and objectives (VMGOs) function as the founda-tion of an educational institution. The Accrediting Agency for Chartered Colleges and Universities in the Philippines (AACCUP) underscored that an educational institution is assessed according to the degree how its VMGOs are achieved, but not in comparison with others. This descrip-tive cross-sectional survey research was used to gauge the level of awareness and acceptability of the stakeholders on the PRMSU vision statement and mission and the goals and objectives (VMGO) of the Communication and Information Technology Programs of PRMSU Sta Cruz Campus. The stakeholders are “very much aware” of the universi-ty’s new vision statement, mission, goals, and objectives of the teacher education program, they have full participation in the revision of the vision statement. The VMGO is clear, understandable, and acceptable as perceived by the stakeholders. Massive information dissemination of the new vision statement in all media types is recommended. Further-more, stakeholders must be encouraged to share their part in realizing the university’s VMGO.

Development of a Satir Model-Based Communication Program in Home Economic Education for Middle School Students

This study sought to address the challenges adolescents face in interpersonal relationships and communication, emphasizing the importance of communication education for their development. Its principal aim was to develop a communication program for middle school home economics education (HEE) based on Satir theory through a process comprising a literature review, program development, and expert evaluation. The program was designed using Satir's iceberg model, highlighting the reciprocal relationship between communication and self-esteem. Its purpose is to enhance self-esteem and communication through self-awareness. The program consists of 8 sessions, 22 activity sheets, 6 video clips, 2 books, 1 music source, 3 online teaching tools, and teacher reading materials. It was finalized after being validated by 9 HEE education experts. The significance of the program lies in the fact it introduces a communication curriculum that can be integrated into middle school education, a critical period for stabilizing communication habits and forming identity. Furthermore, it demonstrates the potential for HEE to offer interconnected lessons that emphasize both self-esteem and communication, addressing previously overlooked aspects by incorporating key elements of Satir theory. Future research should focus on implementing this program in classrooms to evaluate its effectiveness. Additionally, to enhance its practical application, it is essential to improve HEE teachers' understanding of Satir theory through targeted training or professional development.

The Role of the Environment in Increasing the Effectiveness of Communication, Information and Education (KIE) Through the Role Play Method on Knowledge of Preventing Sexual Violence in Middle School Children

This study evaluated the effectiveness of the Communication, Information, and Education (CIE) program using the role play method to enhance knowledge about preventing sexual violence among students at An-Nabilah Islamic Middle School, Gunung Kaler District, Tangerang. The research involved 69 student respondents, with the majority being 13 years old (75.4%) and female (73.9%). The initial assessment of students' knowledge about sexual violence prevention showed an average score of 49.35, with a standard deviation of 4.105, and a range of 40 to 60. After the educational intervention, the average score significantly increased to 87.46, with a standard deviation of 4.89, and a range of 80 to 95. The improvement in scores, with a difference of 38.11, indicates a substantial enhancement in knowledge following the CIE program. The Wilcoxon test further confirmed these findings, showing a significant increase in knowledge, with an average increase of 35.00 and a sum of ranks of 2415.00 from 48 respondents. The study concludes that the CIE program using the role play method is highly effective in increasing students' knowledge about preventing sexual violence, highlighting its potential as a valuable educational tool in school settings.

Sentiment Analysis on Tabungan Perumahan Rakyat (TAPERA) Program by using Support Vector Machine (SVM)

This study aims to analyze public sentiment towards the Housing Savings Program (TAPERA) using the Support Vector Machine (SVM) algorithm. The dataset comprises 16,061 reviews about TAPERA which was gathered from web scrapping and YouTube API. The sentiment analysis results indicate that 99.8% of the reviews are negative, while only 0.2% are positive. The SVM model applied in this study achieved a very high accuracy rate of 99.81%. This indicates that the model is highly effective in classifying sentiments, particularly in identifying negative sentiments. The resulting confusion matrix shows the model's excellent performance in detecting negative sentiments, with no False Positives (FP) and a very high number of True Negatives (TN). However, the model exhibits weaknesses in detecting positive sentiments, as indicated by the presence of several False Negatives (FN) and the absence of True Positives (TP). The findings of this study suggest that the public generally holds a very negative view of the TAPERA program. This insight is crucial for program administrators to consider as they evaluate and improve the program based on negative feedback received from the public. Overall, this research provides important insights into public perceptions of TAPERA and underscores the need for better modeling for more representative sentiment analysis. These findings can serve as a basis for policymakers in designing more effective communication strategies and program improvements to increase public acceptance of TAPERA.

Relatives' and Intensive Care Unit Personnel's Perspectives of Care in Organ Donation: Protocol for a Multiple Methods Study.

In organ donation from deceased donors, the interaction between the donor's relatives and intensive care personnel is an important factor. The organ donation (OD) process is complex, and patients' relatives play a vital role. Intensive care professionals need knowledge about how relatives perceive and experience the process to create a caring environment and support them throughout. Therefore, this collaborative project aims to explore both relatives' and intensive care personnel's perspectives of care in deceased organ donation in Scandinavia. This study aims to (1) investigate donor relatives' satisfaction and ICU personnel's perception of their own professional competence and (2) explore donor relatives' and ICU personnel's experiences in the OD process to design for care and support in OD. This protocol outlines a Scandinavian (Norway, Sweden, and Denmark) project, including 4 work packages. Work package 1 started in 2023 with the translation and validation of the Family Satisfaction in the Intensive Care Unit questionnaire into a Danish version and the translation of the Professional Competence in Organ Donation Questionnaire into a Swedish and Danish version. A cross-sectional survey measuring Scandinavian relatives' perception of support in and satisfaction with the organ donation process and a cross-sectional survey measuring Scandinavian intensive care personnel's competence in organ donation are the foundation for work package 2 (2024). The data from both surveys will be analyzed using descriptive and comparative analysis. The results will inform the interview guides in qualitative studies (work packages 3 and 4). Participants in the quantitative study will be invited to participate in in-depth interviews. In work package 3, in-depth interviews will be conducted to illuminate relatives' experiences in the organ donation process. The interviews will be analyzed using thematic analysis, according to Braun and Clarke. In work package 4 (2025-2026), 1 qualitative design study will be conducted to illuminate ICU personnel's experiences. Furthermore, the results from work packages 2 and 3 will inform the development of specific programs for care, support, and communication in the organ donation process. The project was funded by the Norwegian Organ Donor Foundation in 2022 and Scandiatransplant in 2023. The Norwegian Nurses Organisation supports the project by funding a PhD student. The PhD student was employed by the University in Agder in May 2024. This project will provide new knowledge that will assist us in designing and establishing programs for care, support, and donor relatives' involvement in OD processes. PRR1-10.2196/55643.

Intervention with institutional caregivers for the purpose of supportive education for disadvantaged children: 3C.

Children in institutional care may have limited access to educational opportunities compared to children in parental care. Improving and enriching the educational practices of these children is important for their well-being. In this study, the Child Development, Communication and Care (3C) Training Program was prepared by the researchers. The 3C education approach emphasizes early childhood development and education. Particular focus is on the use of communication techniques in the education of young children. Our goal with 3C is to increase caregivers' knowledge of child development and support them to communicate effectively with children. Through this curriculum framework, children are encouraged to interact effectively and empathically with others. Therefore, the curriculum framework emphasizes understanding emotions and building trusting relationships as key components in the holistic development of young disadvantaged children. A quasi-experimental design with pre-test-post-control group was used in the study. 16 sessions of 3C were applied to the personnel in the experimental group via distance education. Data were collected from the participants before and after the start of the training program by using the Child Education Competence Scale-Parent Form, Personal Information Form, and Training Evaluation Questionnaire. As a result, significant differences were obtained between the experimental and control groups in favor of the group receiving training (z = 3.57, p<0.05). Accordingly, it can be said that 3C contributes to the holistic development of the child. It is hoped that such work could enhance the developmental outcomes of young children in institutional care and improve the quality of early childhood education.

Communication, Socialization, and Literacy for Adults With Developmental Disabilities: An Interview Study of Parents' Perspectives and Experiences.

The study highlights the significance of continuous support and services in communication, socialization, and literacy skills for adults with developmental disabilities (DDs). The aim of the study was to gather in-depth information on the individualized needs, lived experiences, and expectations of adults with DD by interviewing their parents. A total of 14 parents of adults with DD participated in one-on-one semistructured interviews. During the interviews, parents were asked to describe (a) their children's current communication, socialization, reading and writing skills; (b) the types of communication, socialization, and literacy support their children were receiving; and (c) the types of support that their children needed. Interviews were video- and audio-recorded, transcribed, and analyzed qualitatively using thematic analysis. Thematic analysis revealed three main themes and eight subthemes: (1) insufficient support and services for adults with DD (i.e., lack of competent professionals and lack of literacy support), (2) approaches that the parents attempted for their children with DD (i.e., parents' responsibilities, technologies, and pseudoscience), and (3) recommendations for ongoing support and services (i.e., novel technologies, social media, and motivation). The study highlights crucial gaps between the participating parents' desire for individualized, consistent, and innovative support and services for their adult children with DD and scarcity of resources in communication, socialization, and literacy. The dearth of evidence-based support and resources leads to easy access to pseudoscience. Future research is warranted to develop innovative, customized, and highly motivating programs in communication, socialization, and literacy for adults with DD. https://doi.org/10.23641/asha.27214407.

Facilitating acculturation of internationally educated nurses: A meta-synthesis of social integration strategies.

To explore the social integration strategies adopted by internationally educated nurses during acculturation and to elucidate their role in facilitating successful adaptation to their host countries. With their remarkable resilience, internationally educated nurses navigate numerous challenges in their acculturation process in the host country. While the importance of effective social integration strategies in the acculturation and subsequent retention of internationally educated nurses is well known, the specific strategies adopted by these nurses have not been extensively explored. This study aims to fill this gap with its unique and significant focus on these strategies. Eight electronic databases were searched for English articles from inception to October 2023 to ensure a comprehensive review. The quality of the included studies was appraised using the Critical Appraisal Skills Program checklist. A meta-synthesis was performed using Sandelowski and Barroso's two-step approach, and a thematic analysis was performed according to Braun and Clarke's framework. This review included experiences of 258 internationally educated nurses across 16 primary studies and has yielded the overarching theme of 'fostering a sense of belonging'. The overarching theme is supported by three themes: (1) cultivating social capital, (2) employing effective communications, and (3) engaging with the community. Internationally educated nurses' social integration is a complex process that leverages support networks, establishing connections and overcoming communication barriers. However, the most crucial element is the active involvement of the host community, which plays a significant role in internationally educated nurses' acculturation journey. This review has highlighted the importance of social integration in internationally educated nurses' acculturation journey. Interventions such as having a supportive social network, providing a customised communication programme, organising engagement activities and granting overseas home leave are practical strategies that can enhance this journey.

Pengaruh Strategi Marketing Mix Terhadap Keputusan Pembelian pada Alyasini Mart Rembang

In keeping up with the development of the lifestyle of the surrounding residents. As well as business strategy movements such as minimarkets such as Indomart and Alfamart that are familiar everywhere, performance efforts to retain Alyasini Mart minimarket consumers are very important in order to plan the overall marketing communication program process or marketing mix. This study aims to explain the influence of marketing mix strategy on purchasing decisions at Alyasini Mart Rembang, and among the variables are products, prices, promotions, locations. To measure the above influence, the researcher used a quantitative approach with a sample survey type, this study was 100 respondents who were consumers of Alyasini Mart. The data analysis used is analysis with multiple regression analysis, validity test of classical assumption test, hypothesis test (T and F test) with the help of spss, the results of this study show that product variables partially have a positive and significant effect on purchase decisions. Price partially has a positive and significant impact on purchase decisions. Promotions partially have a positive and significant impact on purchase decisions. Places partially have a positive and significant influence impact on purchase decisions. Marketing Mix (Product, Price, Promotion, Place) simultaneously has a positive and significant influence on purchasing decisions at Alyasini Mart Rembang.

Literature Review: Definition of Integrated Marketing Communication (IMC) in Indonesian Journals (2019-2022)

After 30 years of development, Integrated Marketing Communication (IMC) in Indonesia has been widely studied and published in scientific journals. From 2019 to 2022, 44 Indonesian scientific journals were identified through a Google search. This study aims to explore how IMC is defined in scientific journal articles from 2019-2022, considering the current context. The research employs a literature review method, using five definitions of IMC, which are then distilled into sixteen core ideas. The findings reveal that Indonesian scientific journals still adhere to two main definitional concepts: “IMC is comprehensive planning” and “IMC combines various communication elements.” The first concept suggests that IMC must be thoroughly planned, typically through its communication elements. The second concept emphasizes the combination of various communication elements. Additionally, the articles found that the communicated message is predominantly from the brand, although only partially. This indicates that IMC has expanded to include brand value. A few scientific journals have advanced further in defining IMC, though only in terms of managing various communication elements, without incorporating dialogue or database-driven development. Overall, this study reveals that the definition of IMC in 44 articles positions it as a strategic process in business and management, involving the planning, execution, and persuasion of brand communication programs. On the other hand, many definitions of IMC need to be considered as concepts, at the very least those drawn from IMC thought leaders, such as the five definitions used in this study.

Shared Medication PLanning In Home Hospice to Address Medication Regimen Complexity and Family Caregiver Burden: A Brief Report.

Objective: Medication management in home hospice is challenging for family caregivers (FCGs). We tested a patient-centered medication review and FCG support program delivered by hospice staff called "Shared Medication PLanning In (SiMPLIfy) Home Hospice." Methods: A pilot cluster-randomized trial at two U.S. home hospice agencies measured the primary outcome of reduction in Medication Regimen Complexity Index (MRCI) (range 0 [no medications]-no upper limit) and secondary outcome of Family Caregiver Medication Administration Hassle Scale (FCMAHS) (range 0 [no hassle-120 [greatest hassle]). Results: Twenty-two patient-FCG dyads enrolled. Mean baseline MRCI in the intervention group = 39 (95% CI: 30.9, 47.1) and control group = 25.5 (95% CI: 21.0-30.1). Half of intervention patients (3 of 6) had reduced MRCI compared with 26.7% (4 of 15) control patients (p = 0.07). MRCI was not significantly associated with caregiver burden. FCMAHS differed between spousal and nonspousal FCGs (p = 0.12). Conclusion: A clinician-FCG-patient communication program in home hospice is feasible and may reduce medication complexity. SiMPLIfy has the potential to reduce polypharmacy.

English Student-Teachers’ Awareness of Communication Strategies and Their Implementation During Internship Program

This study aims to examine the use of Communication Strategies (CSs) by English language student teachers within a classroom setting. To achieve this, a qualitative research method involving document analysis was utilized. The analyzed documents consisted of video lesson studies from English education students participating in a 2024 educational internship program. Data collection involved: 1) selecting videos of model lesson study teachers from the internship schools for analysis, 2) the model teacher and their team reviewing these videos, 3) the model teacher and team engaging in group reflections and analyzing the use of communication strategies using a predefined list of CS types while providing example quotes, and 4) the team questioning the model teacher about the rationale behind using these strategies. The data analysis process included three concurrent activities: data condensation, data display, and conclusion drawing/verifying. The study's findings indicate that English education student teachers employed 16 different types of CSs during the internship program for classroom communication. These strategies include Message Abandonment, Message Reduction, Message Replacement, Approximation, Restructuring, Literal Translation, Code-switching, Omission, Self-repair, Other-repair, Comprehension Check, Asking for Repetition, Asking for Clarification, Expressing Non-understanding, Interpretative Summary, and Repetitions.

Effectiveness of the active communication education program in improving the general quality of life of older adults who use hearing aids: a randomized clinical trial

BackgroundHearing loss in older adults affects general, generic health-related and disease-specific quality of life (QoL). The conventional strategy to address it is through hearing aids, which have been shown to improve disease-specific QoL. However, the long-term results regarding general quality of life are unknown, and communication problems and stigma associated with hearing loss may persist. An effective intervention strategy to address these problems is group communication programs, most notably Active Communication Education (ACE). This program has been shown to increase communication strategies and reduce communication activity limitations and participation restrictions. These precedents allow us to hypothesize that this program could improve general QoL.MethodsA randomized clinical trial was conducted on 114 older adult hearing aid users. Fifty-four subjects composed the intervention group that received the ACE program, while 60 subjects composed the control group that received an informational-lectures type intervention. The WHOQOL-BREF questionnaire was used to measure general QoL. Measurements were taken before and right after the intervention, with follow-ups at 6 and 12 months. Multilevel linear mixed models were estimated, considering the WHOQOL-BREF dimension scores and total score as the outcomes, and an interaction term between time since intervention and group as the predictor. Within- and between-group comparisons were made.ResultsCompared to the baseline time-point, the ACE group showed significant improvements right after the intervention, and at the 6-month and 12-month follow-ups for the dimensions of psychological health, social relationships, environment, and total score. Compared to the control group, the ACE group exhibited significantly greater improvements in the social dimension at all postintervention assessments, as well as in the environment dimension and total score at the 12-month follow-up.ConclusionsThe ACE program improved general QoL in terms of social relationships and environment dimensions, which lasted up to 12 months after the intervention. Therefore, ACE is positioned as an effective complement for HA users, enhancing and delivering new benefits related to broader aspects of QoL not necessarily tied to health.Trial registrationISRCTN54021189 (retrospectively registered on 18/07/2023).

Science communication across cultures: design and delivery of a graduate science communication program in South Africa

ABSTRACT Over two years, a graduate diploma program in science communication was designed and delivered by a university in the Republic of South Africa with assistance from a university in Australia. Building on the Australian program, the design incorporated cross-cultural and Indigenous Knowledge elements in keeping with the ethos of the South African university and broader inclusive movements within science communication. The overall design corresponded to many essential learning objectives later identified by Lewenstein and Baram-Tsabari (2022, How should we organize science communication trainings to achieve competencies? International Journal of Science Education, Part B, 12(4), 289–308. https://doi.org/10.1080/21548455.2022.2136985), but there were also many modifications that had to be made over the course of the design and delivery to accommodate cultural considerations. In this paper, we consider how closely the design matched the threshold concepts and the learning objectives suggested by Lewenstein and Baram-Tsabari, and what modifications might be made to them to include cultural considerations.

A mixed method evaluation of knowledge, attitude and practice on dengue fever among Lalitpur Metropolitan City residents: a cross-sectional investigation.

Dengue poses a significant global public health challenge, including in Nepal. Understanding community's knowledge, attitudes, and behaviors concerning dengue fever is imperative to developing effective prevention and control strategies. This study aimed to assess the knowledge, attitude, and practices related to dengue fever among residents of Lalitpur Metropolitan City. A descriptive cross-sectional household study was conducted using a mixed-method approach, which included quantitatively studying 636 individuals and conducting 20 qualitative interviews. The data was collected between April 2023 and June 2023. The multistage cluster sampling method was applied for household selection during the quantitative study and a purposive judgmental sampling method was used to identify participants for the qualitative interviews. Face-to-face interviews were conducted using a structured questionnaire for the quantitative study and an interview guide for the qualitative study. Quantitative data were analysed using logistic regression in STATA version 13, and thematic analysis was applied to the qualitative data. The findings were validated through triangulation of results from both the qualitative and quantitative study. Regarding knowledge, 64.94% (n = 413/636) reported being informed about dengue fever. In terms of attitude, a substantial majority, 91.51% (n = 582/636), expressed a positive attitudes toward dengue fever, indicating a favorable perception and knowledge of its significance. Concerning practice, 49.84% (n = 317/636) of respondents reported actively engaging in dengue fever prevention measures. The variables gender, previous history of dengue fever and residency were the determinants of dengue fever knowledge. Additionally, gender, residency, and attitude were predictors of preventive practices concerning dengue fever. Our study revealed that while the community demonstrated good knowledge of dengue fever and positive attitudes toward prevention, their preventive practices were inconsistent, indicating a gap between knowledge and action. A positive attitude was linked to better adherence to preventive measures. To address this gap, it is crucial to promote a positive attitude toward dengue prevention through initiatives like education efforts and social mobilization programs. Implementing Social and Behavior Change Communication (SBCC) programs focused on dengue prevention and control measures can help bridge this knowledge-action gap.

The psychological experience of flexibility in the workplace: How psychological job control and boundary control profiles relate to the wellbeing of flexible workers

Rather than studying workplace flexibility as the availability or usage of flexible work practices, in this study, we theorize workplace flexibility as a subjective psychological experience influenced by employees' perceptions of control over where and when they work (psychological job control) and control over their social boundaries (boundary control). Based on boundary and border theory, using a two-wave study conducted at an Italian bank (N = 1423) and adopting a person-centered approach through latent transition analysis (LTA), we identified four flexibility profiles characterized by different levels of psychological job control and boundary control, with the same structure, dispersion, and sizes over time. The four profiles were: (1) flexible non-dividers (3.46 %), marked by high psychological job control and low boundary control; (2) flexible dividers (34.83 %), characterized by high levels of both psychological job control and boundary control; (3) non-flexible dividers (50.74 %), featuring low psychological job control but high boundary control; and (4) non-flexible non-dividers (10.97 %), with low levels of both types of control. Three of these profiles exhibited high within-person stability across time, while the flexible non-dividers profile was highly unstable, with many members transitioning to profiles with higher boundary control at Time 2. Organizational investments in training and communication programs may have contributed to these transitions from low to high boundary control profiles. Gender and age emerged as significant predictors of profile membership, with gender effects shifting over time: at Time 1, men were more likely to be in non-flexible dividers profile, while at Time 2, they were more likely to be in the flexible non-dividers profile. Age effects also changed: older workers were more likely to be in the flexible non-dividers profile at Time 1 but shifted toward the flexible dividers profile by Time 2. Parental status was not significant, whereas carer status was significant only at Time 1, where being a carer increased the likelihood of employees belonging to the flexible dividers profile compared to the non-flexible dividers. Our findings further revealed that the psychological experience of work flexibility positively impacts wellbeing when employees experience control over both work and social boundaries. Flexible dividers consistently exhibited the highest levels of work engagement, job satisfaction, and work-life balance across both Time 1 and Time 2. In contrast, flexible non-dividers showed a significant decline in these outcomes over time. Profiles with low boundary control, especially flexible non-dividers and non-flexible non-dividers, reported the lowest levels of wellbeing. Despite some improvements in non-flexible non-dividers profile from Time 1 to Time 2, it remained to have the lowest scores on all outcomes, emphasizing the critical role of boundary control in maintaining employee wellbeing over time. These findings provide a possible explanation regarding the “autonomy-control paradox,” where flexibility in work location and timing may reduce autonomy unless social boundaries are effectively managed. Having control over one's social domains allows for the benefits of workplace flexibility and reduces the risk that flexibility in where and when to work undermines the autonomy it is meant to provide.