Influence Of Context Research Articles

Novice clinician educator professional identity formation through a longitudinal mentorship: a qualitative study

BackgroundThe professional identity of doctors is evolving with physicians now required to be ‘scholars’, facilitating the education of students and healthcare teammates as educators. Mentoring is widely practiced and is postulated to facilitate professional identity formation (PIF) through socialization.Preliminary literature review suggested few studies looking into how formal mentoring programmes affect PIF of novice clinician educators, particularly an Asian context. I hope to understand the perceived professional identity of such educators, and what changes in professional identity are observed after longitudinal mentorship, using the social cognitive career theory (SCCT) as an underpinning framework.MethodsA qualitative study explored perspectives of mentees with less than two years teaching experience and participating in a formal mentoring programme. Semi-structured interviews were conducted at the beginning and end of the programme. Thematic analysis and coding of these taped and transcribed interviews was performed and triangulated with an elite interview. Mind maps were constructed to appreciate the inter-relatedness of themes and evaluated using the SCCT framework. Methodology was anchored to the Consolidated Criteria for Reporting Qualitative Research checklist.ResultsSeven mentees were recruited. All were Chinese except for two Indians. All had less than six months experience with educational activities. None had formal training in medical education. Median duration postgraduate was six years. One was from a surgical discipline, others were from a range of medical disciplines. Themes identified included background influences, learning experiences and outcome expectations which affected self-efficacy, leading to mentees attaining goals and performing actions which effected their professional identity development, which was in-turn affected by contextual influences. Most perceived themselves as clinicians rather than medical educators. Concepts underpinning PIF included socialisation (role modelling and mentorship, communities of practice, sense of belonging), experiential learning, the hidden curriculum and reflective practice.ConclusionsNovice clinician educators mostly have a hierarchical identity. Role modelling and mentorship, active participation in communities of practice, promotion of a sense-of-belonging, experiential learning combined with reflective practice are important components for socialisation, synergistically facilitating PIF in novice clinician educators. Overcoming contextual barriers, being cognisant of cultural practices and addressing concerns in the hidden curriculum can assist educators in development of their professional identity.

A Systematic Literature Review on the Operationalization of Usability in Urban Pluvial Flooding Climate Services and the Influence of Contextual Factors

ABSTRACTExtreme weather impacts due to climate change, such as urban pluvial flooding, necessitate adaptive measures. To support decision making in climate adaptation, climate services provide information and guidance to policy makers and other stakeholders. Effective use of climate services is prohibited by usability gaps. Some causes for these gaps originate from contextual factors. However, these factors are not well understood within academic literature. Therefore, our systematic review has two research questions: (1) What dimensions of climate service usability are considered in the design and evaluation of their use and how are these operationalized?; and (2) What contextual influences may affect these identified dimensions? To this end, we analyzed 51 articles that cover one or more urban pluvial flooding climate services. Our results show several overarching categories of usability dimensions (functionality, ease of use, reducing time and effort, reliability, matching user needs, and other). However, these dimensions are not always fully operationalized by authors. Furthermore, our results show that most contextual factors originate from the meso level (within or between organizations), and in lesser extent the macro (e.g., national policies) and micro level (individual users). Here especially organizational (e.g., Does the climate service fit organizational work approaches?); and process factors (e.g., Was the climate service co‐produced?) have been shown to affect usability. We conclude that more attention should be given to usability as a concept within the design and evaluation of climate services well as to the influence of contextual influences.

The influence of the contextual framing on physio- and occupational therapists’ clinical reasoning in sensory rooms with patients admitted to psychiatry – a qualitative case study

Aim To investigate the influence of contextual framing on physio- and occupational therapists’ clinical reasoning in sensory rooms for patients admitted to psychiatric units. Material and method Physiotherapists and occupational therapists from acute and intensive care units with sensory rooms were invited to participate in the study. The therapists were interviewed following sessions with patients in sensory rooms, using a semi-structured interview guide. These therapists also participated in a focus group interview. All interviews were transcribed and analysed based on the thematic analysis by Braun and Clarke. Results Twenty individual interviews and one focus group interview were conducted with seven physio- and occupational therapists. Three themes with accompanying subthemes emerged: (i) The contextual influence: Therapists’ perceptions of the use of sensory rooms, The dominance of the medical paradigm). (ii) The therapeutic alliance: The therapists’ relational skills, The importance of a good therapeutic patient relation, and Physio- and occupational therapy in a psychiatric setting.: (iii) The therapeutic diagnosis, Therapeutic sensory room interventions, and Holistic approach in a limited timeframe. Conclusion The clinical reasoning of physio- and occupational therapists in sensory-modulating sessions for patients admitted to psychiatric units is influenced by a primarily medically dominated paradigm; legally, economically, and politically. Occupational therapists mainly focus on everyday skills and being in the present, whereas physiotherapists focused on activities with bodily anchoring and awareness.

Exploring the GP-patient relationship: a historical narration

The relationship between patients and their doctor is a fundamental concept—particularly within general practice. Many patients and general practitioners (GPs) have a ‘common-sense’ recognition of the interpersonal connection, usually over...

A pedagogical evaluation of an institution's digital assessment platform (DAP): Integrating pedagogical, technical and contextual factors

An assessment for learning approach is foundational for student learning. The necessity to shift teaching and learning online as a response to COVID-19 has propelled digital assessment into the mainstream within higher education institutions. User experience is a common indicator of effectiveness of technologically enhanced initiatives; however, measuring the pedagogical impact of digital assessment initiatives has not been straightforward. This paper presents a pedagogical evaluation, incorporating staff and student perspectives, of a digital assessment platform (DAP) at a large Australian metropolitan university. Data were collected using surveys, interviews, focus groups and case studies and incorporated findings from student evaluations of courses and a student-staff partnership project. Results highlight strong pedagogical reasons for continuing the digital assessment initiative, while also identifying constraints and opportunities for improvement. The insights generated through this evaluation emphasise the importance of considering technical, pedagogical and contextual factors and the interplay between the factors. In a quality assurance climate, where the demand for this type of institution-wide evaluation is increasing, this study contributes an approach that addresses some of the complexities and challenges of evaluating digital assessment initiatives in higher education. Future research is needed to understand more fully the relationships between pedagogical and contextual factors when undertaking an evaluation. Implications for practice or policy: The DAP enabled the (re)design of authentic, inclusive, engaging and secure assessment tasks. Educator support is critical in learning the system and creating assessment with high pedagogical merit. Student familiarisation opportunities with using the DAP are beneficial. The DAP’s longevity within the institution is crucial considering the significant effort required of educators and students. Contextual influences blur understanding of pedagogical factors.

A spatial syntactic analysis of temple cultural heritage settlements on the western Sichuan plateau of China

The protection and development of the cultural heritage of temple settlements, the utilization of cultural resources, and the inheritance of settlement characteristics are pressing issues that require urgent attention. To address these challenges, this study employs the spatial syntax research method to delve into the spatial form of the cultural heritage of temple settlements on the western Sichuan plateau. Specifically, the study focuses on four distinct settlement types in Ganzi Tibetan Autonomous Prefecture, China: Baiyu Temple, Ganzi Temple, Dongga Temple, and Gesang Temple. Using Depthmap software, the study quantifies settlement parameter values and analyzes connection value, integration degree, and comprehensibility, to reveal their syntactic structural characteristics. Our findings indicate that these four temple settlements present an organic whole in terms of spatial form. However, there are distinct differences in their syntactic structures, which are closely linked to factors such as settlement scale, historical inheritance, and other contextual influences. Based on our spatial syntax analysis, the study proposes a series of protective measures and development strategies. First, emphasis should be placed on preserving the overall spatial layout and organic integrity of temple settlements to prevent overdevelopment and the disruption of original patterns. Second, planners must strengthen the protection and management of internal spatial elements to maintain their interrelationships. Finally, planners should formulate differentiated protection and development plans tailored to the unique characteristics and values of each temple settlement type. While the study focuses on traditional settlement spatial forms and their relationship with human behavior, further exploration is needed to investigate the impact of political, economic, and environmental factors on these forms.

Factors influencing regional disparities in online shopping

Online shopping has grown exponentially in the Russian Federation (hereinafter referred to as RF, Russia) in recent years. This growth has significantly accelerated during the COVID-19 pandemic. However, data shows that there are inter-regional disparities in the use of online shopping. This includes intergenerational and rural-urban disparities. This study investigates the factors responsible for inter-regional differences in the development of online shopping in Russia. The author has identified 5 main factors that can influence the development: internet infrastructure (measured by regional expenses for the introduction of digital technologies and the number of connected mobile subscribers), economic wealth (measured by gross regional product), standard of living (measured by the population income), rate of poverty, and the region’s population. The research uses data of the Federal State Statistics Service and Association of Internet Trade Companies to analyse 85 regions in the RF. A multi-level regression analysis has enabled examination of the 5 factors and the contextual influence of 8 federal districts of Russia in level 2. The results show that internet infrastructure, economic wealth, population size, and the 8 federal districts has influenced the development of online shopping in the RF, but standard of living is not statistically significant. The author recommends that policymakers pay attention to these underlying factors.

Эмоциональные коммуникации в детско-родительских отношениях и жизнеспособность будущей взрослой семьи

<p style="text-align: justify;"><strong>Objective</strong>. To analyze the contribution of the most immediate contextual influences (child-parent emotional communications) to the resilience of the adult family (using the samples from Belarus and Russia). <strong>Background. </strong>Understanding the role of emotional dysfunctions in parent-child relationships in the context of Russian and Belarusian cultures helps to identify the conditions for the resilience of a future adult family, which can become the basis for social family policy at the state level and improvement of the practice of psychological assistance to families. <br><strong>Study design. </strong>The study was conducted online using the snowball method. Multiple regression analysis was conducted to determine the impact of dysfunction in parental families, intensity of the negative events, age of respondents and number of children on family resilience. Children's experiences of adults are illustrated by the results of projective technique. <br><strong>Participants. </strong>The study involved 853 respondents (595 people from the Russian Federation, 258 from the Republic of Belarus) aged from 18 to 77 years (average age 36 ± 12 years, median = 36 years), 90,5% female. <br><strong>Measurements. </strong>Family resilience was assessed using Gusarova’s et al. “Family Resilience Assessment Scale” (FRAS-RII). Dysfunctions in parental families were determined according to Kholmogorova’s et al. “Family Emotional Communications” and the projective technique of Odintsova et al. “Space of Trees and Light.” The intensity of negative events in families was assessed on a scale from 1 to 10. <br><strong>Results. </strong>Dysfunctions in parental families make a significant contribution to the resilience of the future adult family (up to 20% of explained variance). Family perfectionism has a positive effect, and the elimination of emotions has a negative impact on the resilience of adult families in the context of two cultures. In Russian families of origin there is over-involvement, and in Belarusian families criticism negatively affects the resilience of respondent’s families. <br><strong>Conclusions. </strong>The critical atmosphere in parental families, the high intensity of adverse events in Belarusian families, and overprotection in the parental families of Russians contribute to a decrease in families’ resilience. The presence and number of children in a family contributes to the family resilience in both countries. Culture and traditions are a solid basis for the majority of Russians and Belarusians.</p>

Mental Health Care and Policy (In)justice in Ontario: Making Intersections Visible

This paper applies an Intersectionality Based Policy Analysis Framework to Ontario’s current mental health plan – The Roadmap: A Plan to Build Ontario’s Mental Health and Addictions Services – in order to identify the contextual influences, underlying values and assumptions, which promote or undermine the uptake of human rights and equity as a mental health policy priority in Ontario. We found that dominant framings of the “problem” of mental health (as lack of access, coordination or integration, as a fiscal drain, as an economic burden, and as a clinical or medical problem) served to obscure and ignore the underlying social and structural conditions that impact mental health and the human rights violations that routinely occur in the context of “care.” We discuss the implications of The Roadmap ignoring social and structural determinants of health, and by way of contrast, explore how citizen engagement and activism can support rethinking mental health policy so that it is more just and equitable.

Investigation the Influence of Job Satisfaction as a Mediating Factor in the Relationship Between Transformational Leadership, Knowledge, Knowledge Management, Work Environment and Employee Performance

Objective: This research aims to assess job satisfaction's mediating role between transformational leadership (TL), work environment (WE), knowledge management (KM) practices, and employee performance (EP) by investigating TL's and WE's impact on job satisfaction, and examining how job satisfaction mediates the relationships between TL, KM practices, and EP. Theoretical Framework: The theoretical framework examines key factors affecting employee performance and organizational success. It highlights task and contextual performance, environmental influences, and the role of performance appraisals. Effective human resource practices, knowledge management, and transformational leadership are essential for high performance. Job satisfaction, influenced by knowledge management and leadership, enhances organizational success. Method: This quantitative study investigates the relationships among transformational leadership (TL), work environment (WE), job satisfaction (JS), knowledge management (KM) practices, and employee performance (EP). Data from 411 Thai-speaking participants are analyzed using structural equation modeling (SEM). The study employs validated questionnaires, a 5-point Likert scale, and ADANCO software to assess model fit, reliability, and validity. Results: The sample predominantly comprised females (64.7%) and individuals with bachelor’s degrees (59.12%), with 31.87% employed in companies and 41.12% earning between 30,001 and 50,000 baht. Descriptive analysis revealed strong positive perceptions of KM, TL, WE, JS, and EP, with mean scores between 4.74 and 4.87, underscoring the focus on EP. Structural equation modeling (SEM) identified significant relationships between KM and JS (0.0277), TL and JS (0.0533), WE and JS (0.1720), and JS and EP (0.4721). JS emerged as a key mediator between KM, TL, and WE, accounting for substantial variance in both JS and EP, reflected by R² values of 0.0385 and 0.3283. Although the KM-JS and TL-JS relationships were relatively weak, JS significantly influenced EP. The study advocates for enhancing KM, TL, and WE to improve JS and EP, while recommending future research to investigate moderating factors, longitudinal designs, and cross-cultural contexts. Research Implications: The study reveals critical insights into job satisfaction (JS) as a mediator between transformational leadership (TL), knowledge management (KM), work environment (WE), and employee performance (EP): TL significantly influences KM and WE, while effective KM enhances EP. JS mediates the positive effects of TL, KM, and WE on EP, though moderate correlations suggest other influencing factors. The research emphasizes contextual nuances within Thai organizations, underscoring the complexity of these relationships and the need for further investigation to fully understand their organizational implications. Originality/Value: This study offers innovative insights into the interactions among Knowledge Management (KM), Transformational Leadership (TL), Work Environment (WE), Job Satisfaction (JS), and Employee Performance (EP) in Thai organizations. It identifies JS as a key mediator in the effects of KM, TL, and WE on EP, deepening the understanding of organizational dynamics. Moderate correlations between KM and JS, and TL and JS, suggest additional moderating factors. The pivotal role of JS in determining EP emphasizes the need for organizations to enhance JS to improve performance. The study's focus on Thai organizations highlights cultural and contextual influences, bridging local practices with broader theoretical frameworks. Further investigation is needed to fully understand these complex dynamics.

Analyzing Morphological Errors and Contextual Influence in Senior High School Students' Written Works: A Qualitative Study

Morphological skills are essential for developing linguistic competence, as they underpin various aspects of language acquisition, including reading comprehension and effective writing. This study examined morphological errors in the written works of 25 Grade 11 students in the Oral Communication course at Northern Abra National High School, exploring how these errors reflected their understanding of word formation rules and the influence of contextual factors like educational background and language exposure. Using a document analysis design, the research involved evaluating students’ assignments and essays to identify error types and frequencies. A systematic coding process categorized errors through qualitative content analysis, revealing themes related to inflectional, derivational, and compounding errors. The study identified common morphological errors in the written works of 25 Grade 11 students enrolled in the Oral Communication course. Inflectional errors were the most prevalent, comprising 40% of the total, with students frequently misusing verb conjugations and plural forms, indicating a fundamental misunderstanding of grammatical rules. Derivational errors accounted for 30%, highlighting confusion around suffix and prefix application. Compounding errors, at 20%, involved incorrect separation and formation of compound words, leading to clarity issues in writing. Affixation errors made up 10%, reflecting overgeneralization and misuse of affixes. Also, students from well-resourced families made 12% fewer morphological errors than those from under-resourced families, with dedicated language programs leading to a 20% reduction. Teacher expertise contributed to a 15% decrease in errors. Students exposed to multiple languages had 30% fewer errors, with those speaking three or more languages showing a 40% reduction, highlighting the benefits of multilingualism on language skills. Moreover, students with both quality education and extensive language exposure made 35% fewer errors than those lacking either factor. These findings emphasize the need for educational equity and multilingualism to enhance morphological skills. A combined approach integrating quality instruction with diverse language experiences is recommended to improve writing proficiency. Generally, the educational background and language exposure significantly impact Grade 11 students' morphological accuracy. Students from well-resourced schools made fewer errors, especially with effective language instruction, while multilingual students demonstrated enhanced writing proficiency. The synergy between quality education and diverse linguistic exposure is essential for improving students' linguistic skills. To address morphological challenges, educational policies should focus on integrating robust language programs and promoting multilingualism, fostering better writing outcomes for all students.

Toward Context-Aware Privacy Enhancing Technologies for Online Self-Disclosure

Voluntary sharing of personal information is at the heart of user engagement on social media and central to platforms' business models. From the users' perspective, so-called self-disclosure is closely connected with both privacy risks and social rewards. Prior work has studied contextual influences on self-disclosure, from platform affordances and interface design to user demographics and perceived social capital. Our work takes a mixed-methods approach to understand the contextual information which might be integrated in the development of privacy-enhancing technologies. Through observational study of several Reddit communities, we explore the ways in which topic of discussion, group norms, peer effects, and audience size are correlated with personal information sharing. We then build and test a prototype privacy-enhancing tool that exposes these contextual factors. Our work culminates in a browser extension that automatically detects instances of self-disclosure in Reddit posts at the time of posting and provides additional context to users before they post to support enhanced privacy decision-making. We share this prototype with social media users, solicit their feedback, and outline a path forward for privacy-enhancing technologies in this space.

From classroom to collaboration: how pre-graduation interprofessional learning shapes health professional graduates’ interactions in practice

ABSTRACT Interprofessional education (IPE) aims to prepare health professional students with the knowledge, attitudes and skills required for collaborative healthcare practice. Although positive outcomes have been documented at the completion of university-based IPE experiences, or longitudinally across health care degrees, the literature is unclear on how university-based IPE influences graduate practice. This study therefore explores how health professional graduates experience interprofessional interactions in practice and how these may be connected to their university-based IPE experiences. Interviews with seven health professional graduates who had participated in an 11-week IPE course as part of their pre-licensure degrees were analyzed using interpretative phenomenological analysis. The participants were able to articulate instances of effective and less effective collaboration from their professional experiences, making sense of these experiences with explicit reference to the themes of role understanding, collaborative working relationships, interprofessional communication, patient-centered care and contextual influences; all ideas introduced in their university-based IPE. They connected their understanding of roles, collaborative working relationships and interprofessional communication explicitly to their prior university-based IPE, identifying these learnings as foundational knowledge. This connection was not as explicit for patient-centered care and contextual issues. These findings highlight the critical importance of IPE in preparing health professionals for high-quality contemporary practice.

Letter to editor: public response to Covid policies: diverse contextual influences correspondence: perceptions of COVID-19 vaccine side effects by political affiliation.

Letter to editor: public response to Covid policies: diverse contextual influences correspondence: perceptions of COVID-19 vaccine side effects by political affiliation.

Navigating trust and health in India: the influence of social status and neighbourhood environment

BackgroundThe research on the relationship between interpersonal trust and health has primarily focused on Western contexts, with scarce attention in developing contexts. Addressing this gap, the study examines the association between interpersonal trust (both generalised and particularised) and health outcomes (self-rated health /SRH, and depression) among Indian adults, considering the moderating roles of social statuses (gender and caste) and macro-level factors like district-level income inequality.MethodsThe study draws on data from the World Health Organization's (WHO) Study on global AGEing and adult health (SAGE) Wave-1, collected between 2007 and 2010. This dataset provides a comprehensive overview of health outcomes, including self-rated health (SRH) and depression, socio-cultural status of adults aged 18 and above in India. Additionally, district-level data on income inequality, quantified through the Gini index, were incorporated to examine the influence of contextual socioeconomic influence on the trust-health relationship. Multilevel regression analysis with interaction effects with social statuses and income inequality at district was employed in the analysis to investigate the intricate relationship between interpersonal trust (both generalised and particularised) and health outcomes.ResultsThe study reveals that while generalised trust does not directly influence depression or SRH, particularised trust acts as a protective factor for both health outcomes. Gender-specific interaction effect shows that generalised trust reduces depression among males and improves SRH among females. Notably, caste does not significantly moderate the trust-health relationship. High district-level income inequality, however, modifies these associations: generalised trust is associated with improved SRH in areas of high inequality, whereas particularised trust correlates with increased depression in these districts.ConclusionThe findings highlight the complex dynamics between interpersonal trust, social status, and income inequality in shaping health outcomes in India. Generalised trust emerges as a potential buffer against the health-detrimental effects of income inequality, providing crucial insights for developing targeted health interventions. These results offer valuable guidance for global health policymakers and practitioners in effectively allocating development aid to enhance health outcomes, especially among the most marginalised groups.

Effectiveness of UEFA's regulation for European football financial management: A comprehensive systematic review and meta-analysis

BackgroundThe Union of European Football Association's (UEFA) Financial Fair Play (FFP) regulations are a topic of ongoing debate. This study aims to evaluate and quantify the FFP's effect on clubs' financial performance and critically review the regulatory changes introduced by the UEFA in 2022 through the new Financial Sustainability Regulations (FSR). MethodsA systematic review and meta-analysis were conducted using the Web of Science and Scopus databases up to December 31, 2023, following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. ResultsThis systematic review included 22 articles; a meta-analysis was conducted on 52 financial measures derived from 20 studies of 11 articles. The meta-analysis’ main result—obtained by comparing two different financial measures (profitability versus solvency)—revealed that FFP's effect on profitability measures was significant, with a value of 0.151 (p = 0.050); however, the effect size for solvency measures was not significant, with a value of 0.049 (p = 0.639). ContributionsThis systematic review revealed variability in the results of the studies analysed, reflecting contextual factors' influence, which underlines the need for a more adaptive and specific approach to clubs’ financial control policies. The meta-analysis found that the type of financial measure employed (profitability versus solvency) was a notable source of variability among the studies, as its moderating effect was significant. Consequently, the FFP exerted contrasting effects on profitability and solvency. LimitationsA significant level of heterogeneity was observed in the financial measures analysed, predominantly because of the different samples and periods across the included studies. ConclusionsThis study corroborates FFP's mixed and limited impact on financial performance, highlighting the need for stricter control in European football, which aligns with the new FSR. Our study underscores aspects that future research should address to deepen knowledge of UEFA regulations' efficiency in enhancing football's financial sustainability.

Family Management of Hypertension in Brazil: A Cross-Sectional Study.

In Brazil, research indicates that primary family members are the main source of support for individuals with chronic conditions such as hypertension (HTN). The burden of caregiving not only hinders effective HTN management but can also cause stress and anxiety, potentially leading to HTN in caregivers. Despite this, few studies have explored the impact of caregiving on these family members. Aims of the study were to: (1) Describe the prevalence of blood pressure (BP) control in family members of individuals with HTN; (2) identify family member perspectives on facilitators and barriers to HTN management; and (3) identify influences that help or interfere with family member functioning (levels of stress, quality of life [QOL], and caregiver burden). This descriptive, cross-sectional study included 213 family members randomly selected from 3 Family Health Strategy units. Family members were largely female (n = 143; 67.1%); the mean age was 60.1 years (SD ± 17.02) and 42.6% (n = 96) had less than a high school education. The three most important facilitators and barriers were related to medication, medical visits, healthy eating, physical activity, and stress. The mean systolic BP was 132.7 (SD ± 21.9) mmHg and a diastolic BP of 85.9 (SD ± 18.1) mmHg with 120 (56.3%) of family members classified as having normal BP. In regard to family member contributions to the self-care of the individual with HTN, family members displayed low levels of self-care maintenance (n = 148; 69.4%) and management (n = 47; 71.2%) support, while a slight majority (n = 114; 53.5%) had adequate levels of self-care confidence in supporting the individual with HTN. Family members (n = 189; 88.8%) showed moderate-to-high levels of perceived stress, but good physical (n = 189; 88.7%) and mental QOL (n = 196; 92%) and low levels of caregiver burden (n = 113; 53.1%). A variety of contextual sociocultural influences were associated with the outcomes under study. Family-based interventions are urgently needed to address the inadequate management of HTN.

Exploring the Literacy Experiences of Preservice Early Childhood Teachers: Social and Contextual Influences, and Implications for Teacher Education

Considering that early literacy (reading and writing) is critical for later literacy and academic success, this study investigated the social and contextual influences on the early and current literacy experiences of 70 preservice early childhood teachers in the United States through a questionnaire. Analyses of both quantitative and qualitative data revealed eight key findings: First, the strongest influence on these individuals’ early literacy development was parents, followed by teachers. Second, their current literacy experiences were shaped primarily by professors/academic work followed by self-motivation. Third, nearly half of the preservice teachers regarded themselves as average readers and writers. While the majority of them enjoyed reading and more than half also enjoyed writing, those who lacked such enjoyment provided various reasons, especially citing insufficient intrinsic motivation, limited time for reading, and inadequate writing skills or ideas. Fourth, most of them prioritized their literacy time to fulfill academic requirements. Fifth, most devoted a limited amount of time to literacy activities. Sixth, there was a relatively strong positive correlation between reading fluency and writing fluency. Seventh, a positive correlation was found between years in college and writing fluency. Eighth, there was a negative correlation between grade point average and time spent writing per week.

Abstract C033: Mapping behavioral research in post-treatment cancer care in Sub-Saharan Africa: A scoping review

Abstract Introduction: In Sub-Saharan Africa (SSA), high cancer incidence is compounded by limited healthcare access and out-of-pocket costs. Additional factors like limited research funding, socioeconomic disparities, and cultural influences further affect cancer survivors' well-being. While some studies identify factors improving psychosocial well-being, there is a gap in understanding SSA-specific contextual and behavioral influences. This study addresses this gap through a scoping review of post-treatment cancer behavioral research, synthesizing current knowledge to inform interventions aimed at enhancing psychosocial support and improving health outcomes for survivors in the region. Methods: Guided by Arksey and O'Malley's 5-step framework, we conducted a scoping review to map cancer-focused behavioral research in Sub-Saharan Africa, aiming to inform policy and identify research gaps. Through comprehensive literature searches and eligibility criteria based on the PICOS framework, we identified relevant studies. Searches were executed from September-October 2023. Our search strategy encompassed multiple databases and supplementary methods to ensure thorough coverage. Screening, extraction, and analysis of the selected articles were conducted independently by at least two reviewers, using Microsoft Excel and Covidence and resolving discrepancies through discussion. Ultimately, seven articles met our inclusion criteria. Data were charted and summarized, covering demographics, study design, barriers, facilitators, cultural factors, support mechanisms, and recommendations. Results: Seven articles from four SSA countries were reviewed, with Nigeria contributing the most studies. The study articles, spanning from 1998 to 2023, used diverse methodologies and theoretical frameworks. The studies covered various cancer types and stages, highlighting significant psychological distress, financial toxicity, and post-traumatic growth among survivors. Cultural influences, including stigma and spiritual beliefs, were prominent. Barriers to care included financial constraints and limited access, while facilitators were social support and positive healthcare relationships. Effective support mechanisms like social and psychological interventions were crucial for enhancing survivors' well-being and promoting long-term follow-up care. Conclusion: This scoping review highlights the significant psychological, financial, and cultural challenges faced by cancer survivors in SSA. Addressing these challenges requires targeted interventions and policies that consider the unique contextual factors of SSA, aiming to enhance psychosocial support and improve overall health outcomes for cancer survivors. Future research should focus on comprehensive and culturally competent approaches to mitigate barriers and leverage facilitators, ultimately fostering a more supportive environment for cancer survivorship in the region. Citation Format: Motolani Ogunsanya, Opeyemi Bolajoko, Jessica Saintibert, Danetta Hooks, Oluwaseyi Toye, Shari Clifton, Folakemi Odedina. Mapping behavioral research in post-treatment cancer care in Sub-Saharan Africa: A scoping review [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr C033.

A narrative inquiry into EFL tutors’ career trajectories through social cognitive career theory

Despite the prevalence of English private tutoring (EPT) in EFL contexts, scant literature has focused on its tutors’ career experiences. This narrative study, underpinned by social cognitive career theory (SCCT), inquiries into the career trajectories of three EFL tutors in Mainland China. Data were mainly collected through three rounds of narrative interviews. Tutors’ photos representing significant career moments supplemented the interview data. Based on their narratives, these participants experienced ‘zigzag’ career trajectories that featured frequent turnovers, lengthy work gaps, and identity shifts from institutional tutors to start-up owners. Informed by SCCT, this study unveils that tutors’ career trajectories were shaped by their self-efficacy beliefs associated with personal attributes and prior experiences. Tutors’ trajectories were also shaped by their outcome expectations from material and social perspectives, and contextual influences, including personal opportunities and barriers, institutional management, and socio-political factors like the ongoing ‘Double Reduction’ policy. These findings are discussed in order to inform other tutors to visualize and organize their career development within the context of policy constraints and, furthermore, offer implications for tutorial institutions to retain tutors for instructional consistency. This inquiry also demonstrates the potential to apply the SCCT model to understanding teachers’ career development in the ‘shadow education’ context.