Greater Engagement Research Articles

“Older people will die of old age. I’ll die of climate change”: engaging children and young people in climate decision making for public health

BackgroundThe climate crisis is a significant risk to the health and wellbeing of children, young people, and future generations. While there are calls for children and young people’s engagement in climate decision making, current power structures limit their participation. This paper aimed to understand children’s perspectives about the impact of the climate crisis on their futures, their ability to influence climate decisions, and strategies and mechanisms to facilitate their greater engagement in decisions made about the climate crisis.MethodsOnline in-depth interviews were conducted with n = 28 children (aged 12–16 years) across Australia. Photo elicitation techniques were used to prompt discussion about how the climate crisis impacted their futures, their ability to influence climate decisions, and strategies and mechanisms to engage them in climate decision making. A reflexive approach to thematic analysis was used to construct three themes from data. Images were analysed for ascribed meanings.ResultsFirst, participants stated that they and future generations will inherit the climate crisis from older generations, specifically decision makers. Second, they described a need to address a range of age-related barriers that limit children and young people’s engagement in climate decision making, including perceptions about their capabilities. Finally, they discussed strategies and mechanisms to embed children and young people’s perspectives within climate decision making, including at civic and political levels.ConclusionsChildren and young people have the right to be involved in decisions made about the climate crisis which significantly impact their futures, including their health and wellbeing. They argue for structural changes to embed their views in climate decision making, and describe a range of engagement strategies and mechanisms to structure their perspectives and knowledge with decision making processes. Furthermore, genuine involvement of children and young people in climate discussions must avoid youthwashing and tokenistic participation. The public health community can help address barriers to youth participation in climate action and should actively engage and collaborate with children and young people to facilitate their political and democratic influence over the climate crisis. This involves making room and creating an accessible seat at the decision making table to ensure their perspectives are embedded in climate decisions.

Use of hashtags from MusemWeek in 2022-2023 in online social network service X

The research aims to collect and analyze data on hashtags used by MuseumWeek in Online Social Network Services. The research has a qualitative-quantitative approach, with a descriptive objective and a methodological procedure anchored in a case study with an altimetric approach using the descriptive-statistical analysis application. The research universe is the MuseumWeek event in Online Social Network Services, with a delimited sample of publications and hashtags used in 2022 and 2023 on X (formerly Twitter). The results showed an increase in publications about the event despite signals that the increase was the impact of a few institutions in the sample. There was a balanced distribution in the use of hashtags for 2022 and a greater incidence of use of the hashtags #MeioAmbienteMW and #Web3MW for 2023. Also, we observed that the hashtags published on the first day of each year (#InovacaoMW - 2022 and #MeioAmbienteMW – 2023) have greater engagement than those broadcast on other days. We concluded that Online Social Network Services and MuseumWeek are valuable components in contemporary scientific dissemination. However, there is a requirement for constant data collection to form a historical series, as Online Social Network Services do not allow data collection from previous years.

Regulating digital security by design? Implications of the perspectives from DSbD programme stakeholders

Purpose As part of the growing necessity for inter-organisational and multi-disciplinary interaction to facilitate complex innovation in digital security, there needs to be greater engagement with regulation in the innovation process. This is particularly true in the case of security technologies that are embedded within wider systems and that are largely invisible to most of the users of that system. This paper aims to describe stakeholders’ perspectives on regulation in the digital security innovation process and evaluates the implications of these perspectives on anticipatory regulation in digital security. Design/methodology/approach Using a qualitative methodology based on semi-structured expert interviews and ethnographic participant observation, the study draws on the authors’ involvement in a formally organised programme of academia–industry–government collaboration called Digital Security by Design (DSbD). Findings The study highlights a relational dimension to establishing regulatory responsibilities that is enabled through interdisciplinary dialogue. The study contributes to understanding the multifaceted roles of regulation in digital security innovation across organisations and areas of expertise. It does so by identifying four themes in how regulation is perceived in the DSbD programme: ethical imperative, adding value, adoption lever and passive compliance. Practical implications Incorporating regulatory responsibilities through dialogue early in the innovation process, rather than only once a security technology’s deleterious effects are noticeable, which could make digital innovation and transformation safer and better regulated. It can also make regulation successfully adopted, rather than an exercise in damage control or an adversarial process between regulators and organisations. Originality/value This paper presents original empirical research on how regulation is considered by stakeholders in a novel multi-disciplinary digital security innovation process. It then uses these findings as a basis to evaluate the implications for establishing regulatory responsibilities for a class of security technologies that are embedded within wider systems and that are largely invisible to most of the users of those wider systems.

1920-LB: Strong Correlation between More Readings in Tight Range and Greater Engagement with the OneTouch Reveal Diabetes App in a Real-World Dataset of 23,147 People with Type 1 Diabetes

1920-LB: Strong Correlation between More Readings in Tight Range and Greater Engagement with the OneTouch Reveal Diabetes App in a Real-World Dataset of 23,147 People with Type 1 Diabetes

Attitudes and engagement about cascade genetic testing in a population-based cohort of women diagnosed with cancer.

10589 Background: Cascade testing in families with hereditary cancer syndromes is challenging because patients are responsible for engaging their relatives about test results and clinical support is limited. There are concerns that patient engagement with relatives may not be well matched to the clinical relevance of their test results, with particular concern about variants of uncertain significance (VUS). Methods: We selected patients from the Georgia California Genetic Linkage Initiative, which identified all patients diagnosed with cancer 2013-19 in the 2 states who linked to a germline genetic test. We surveyed 2100 women diagnosed with breast, ovarian or uterine cancer in 2018-19 in Georgia and California who reported "a pathogenic variant (PV) that increases the risk of cancer" on testing about 4 years after diagnosis. We also surveyed a comparable sample of 1300 women diagnosed during the same period who reported a VUS-only result. The expected response rate from the cohorts is 55% (N=1900). We present preliminary results on patient attitudes about cascade family testing and report of engagement with genetic counselors and relatives about test results. Results: The 2 cohorts were comparable in age (mean 54 vs 58 for VUS, p<.001) and education (college graduate or more 52% vs 53% for VUS p=.971). The Table shows that for patients who reported a PV, belief in the utility of testing in relatives (test results useful for family; wanted family members tested) was high. A substantial proportion reported that a genetic counselor encouraged them to talk to relatives and talked directly with relatives about testing. PV carriers informed most first-degree relatives about their test results. Patients who reported VUS only were less likely to endorse the utility of testing in relatives; less likely to report that a genetic counselor encouraged family engagement or engaged family directly about testing; and were less likely to have informed relatives about their test results. Conclusions: Compared to patients with VUS-only test results, women with PVs on germline genetic testing after diagnosis of cancer had more positive attitudes about the utility of testing of family members and greater engagement with clinicians and family members about test results. These findings suggest that engagement with family about genetic testing after cancer diagnosis matches the clinical relevance of the results. [Table: see text]

Understanding Health Beliefs and Health Behaviors in Older Adults at Risk for Alzheimer's Disease.

There are significant public health benefits to delaying the onset of Alzheimer's disease (AD) in individuals at risk. However, adherence to brain healthy behaviors is low. The Health Belief Model proposes that specific beliefs are mediators of behavior change. To characterize health belief measures from the Science of Behavior Change Research Network (SBCRN) in an older adult population and associations between health beliefs, AD risk, and current health behaviors. A total of 172 individuals from the Rhode Island AD Prevention Registry participated. SBCRN health belief measures included assessments of future time perspective, self-efficacy, deferment of gratification, and consideration of future consequences. Outcome measures included individual AD risk index score, dementia risk awareness, and lifestyle behaviors including physical, cognitive, and social activity. Participants who were older had higher scores for AD risk, lower future time perspective, and lower generalized self-efficacy (all at p < 0.001). Higher generalized self-efficacy was related to increased physical activity (p < 0.010). Higher future time perspective (p < 0.001) and generalized self-efficacy (p = 0.48) were associated with lower AD risk score. Subjective cognitive decline (SCD) was associated with lower self-efficacy, ability to delay gratification, and a less expansive future time perspective. Greater self-efficacy and perceived future time remaining were associated with lower AD risk and greater engagement in physical activity. SCD was associated with health beliefs that may negatively affect engagement in positive brain health behaviors. Assessment of and psychoeducation about these intrapersonal health belief constructs may be important targets for behavioral interventions to reduce AD risk.

Talent development in female soccer: Developmental activities of professional players in England

ABSTRACT The activities soccer players engage in during their formative years are thought to significantly contribute to the acquisition of expert performance. Whilst this area has seen great interest in male players, there has been little research in females. The study examined developmental activities engaged in by professional female soccer players in England. 56 female soccer players that had either progressed to professional status in adulthood (professional), or did not (ex-academy), completed the Participant History Questionnaire. Professional players started engaging in soccer at an earlier age than their ex-academy counterparts, resulting in greater engagement in practice and play during childhood. During adolescence, professional players engaged in higher amounts of practice than ex-academy players. Engagement in competition and practice was rated as high in physical and cognitive effort by all, yet ex-academy players reported higher levels of physical effort during early adolescence, and cognitive effort during late adolescence. Findings provide an illustration of the talent pathways of professional female soccer players in England and may inform future talent development systems. Large interindividual variation in soccer-specific and other-sport activity data highlight the importance of further understanding the environments of individual soccer nations and their potential impact on the talent identification and development processes.

A Community of Inquiry approach to learning design in a community-engaged learning program

The Medicine in Context (MiC) program is the flagship community-engaged learning and teaching program at the Western Sydney University School of Medicine. MiC students attend placements at community organisations, General Practice clinics and face-to-face tutorials and lectures for two fiveweek blocks. Responding to students’ lack of engagement and preference for more flexible delivery modes, a blended learning approach using the Community of Inquiry framework to guide the design has been gradually introduced since 2014. The MiC webpage was revised to simplify access to key information and resources. Five lectures were transformed into online modules and one workshop was converted into a flipped classroom. Multi-media open educational resources were added to replace some reading materials. Online “Weekly Study Guide” scaffolds, paces and aligns students’ self-directed learning with MiC learning outcomes. Moving program evaluation and some assessments to an online platform enables more timely feedback. These developments have resulted in novel, engaging learning activities. Preliminary evaluation indicates students’ greater engagement with the MiC program and deeper levels of learning indicated by increased levels of reflection and the demonstration of MiC learning outcomes being satisfied.

Are women politicians outperformed by men? The impact of gender on legislative activity in Japan

AbstractObjectivesGiven the distinct political landscape of Japan, this study aims to explore the impact of gender on the parliamentary behavior of Japanese legislators.MethodsUtilizing a self‐constructed data set covering the 44th–48th Diets (2005–2021), this study examines the individual‐level parliamentary activities of male and female legislators in Japan. Key metrics analyzed include the frequency of speeches delivered in both plenary and committee sessions, alongside the submission of memorandums to the Diet.ResultsThe findings indicate that on the whole, gender exerts only a minimal effect on parliamentary activities. However, upon closer examination of members belonging to opposition parties during specific time periods, female legislators emerge as more active in terms of questioning and memorandum submission compared to their male counterparts.ConclusionThis study unveils a noteworthy trend wherein women legislators in Japan demonstrate equal or greater engagement in parliamentary activities than their male counterparts. These findings underscore the importance of exploring gender dynamics within political systems beyond the Western sphere. Moreover, they emphasize the necessity for ongoing research into gender representation and participation within Japan's political arena.

Preferences of Young Adults With Psychosis for Cannabis-Focused Harm Reduction Interventions: A Cross-Sectional Study: Préférences des jeunes adultes souffrant de psychose pour les interventions de réduction des méfaits axées sur le cannabis : une étude transversale.

Cannabis use is common in people with early-phase psychosis (EP) and is associated with worse treatment outcomes. Few targeted interventions for cannabis use behaviour in this population exist, most focusing on abstinence, none focusing on harm reduction. Many people with EP will not seek treatment for their cannabis use with current therapeutic options. Understanding preferences for cannabis-focused harm reduction interventions may be key to improving outcomes. This study aimed to determine preferences of young adults with EP who use cannabis for cannabis-focused harm reduction interventions. Eighty-nine young adults across Canada with EP interested in reducing cannabis-related harms were recruited. An online questionnaire combining conventional survey methodology and two unique discrete choice experiments (DCEs) was administered. One DCE focused on attributes of core harm reduction interventions (DCE 1) and the second on attributes of boosters (DCE 2). We analysed these using mixed ranked-ordered logistic regression models. Preference questions using conventional survey methodology were analysed using summary statistics. Preferred characteristics for cannabis-focused harm reduction interventions (DCE 1) were: shorter sessions (60 min vs. 10 min, odds ratio (OR): 0.72; P < 0.001); less frequent sessions (daily vs. monthly, OR: 0.68; P < 0.001); shorter interventions (3 months vs. 1 month, OR: 0.80; P < 0.01); technology-based interventions (vs. in-person, OR: 1.17; P < 0.05). Preferences for post-intervention boosters (DCE 2) included opting into boosters (vs. opting out, OR: 3.53; P < 0.001) and having shorter boosters (3 months vs. 1 month, OR: 0.79; P < 0.01). Nearly half of the participants preferred to reduce cannabis use as a principal intervention goal (vs. using in less harmful ways or avoiding risky situations). Further research is required to see if technology-based harm reduction interventions for cannabis featuring these preferences translate into greater engagement and improved outcomes in EP patients.

Do organisation career support programs draw on career guidance practices? A reading of career support programs for students and families of refugee and new migrant backgrounds

Accessing high-quality career development to support successful transitions into post-compulsory education and employment can be a challenge for newly arrived students of refugee and migrant backgrounds. In Australia, not-for-profit organisations provide career guidance to students within schools that enrol refugee and migrant families. Through programs, not-for-profit organisations can provide mentoring, support and other career services. This research explores the marketing materials of organisation-provided career guidance programs based in Australian secondary schools. A close textual reading of how the programs engage with the discipline and practices of career guidance reveal a deficit framing of students and their families, with limited focus on promoting agency across programs. In light of the increasing resettlement of refugees and migrants in Australia, these findings highlight a need to balance social justice principles with greater engagement with the discipline of career education when enacting career interventions with vulnerable groups.

Examining critical anti-racism action as a buffer of the link between discrimination and mental health outcomes

Youth in the U.S. must navigate intersecting systems of oppression as they develop. One potentially adaptive approach to navigating oppressive systems is through engagement in informed action to promote greater justice (“critical action”). This study examined whether a particular kind of action, anti-racism critical action, has protective mental health effects on Black and White U.S. adolescents. The study also examined whether experiences of discrimination such as feeling that one is treated worse than others are associated with greater engagement in anti-racism critical action. We find that, for both Black youth and White youth, experiences of discrimination are associated with anti-racism critical action. Black youth are equally likely to engage in anti-racism critical action if they attribute their discrimination to their race as if they attribute it to other causes. We also find that, for White youth but not for Black youth, some forms of anti-racism critical action attenuate the link between experiences of discrimination and mental health outcomes. We suggest that future research attend to the nuanced ways in which experiences of discrimination may shape engagement in anti-racism critical action as well as other forms of critical action, whether for the benefit of oneself and for others.

WeChat mini program in laboratory biosafety education among medical students at Guangzhou Medical University: a mixed method study of feasibility and usability

BackgroundLaboratory biosafety should be a priority in all healthcare institutions. In traditional laboratory safety teaching students typically receive knowledge passively from their teachers without active involvement. The combination of experiential learning and mobile learning may provide students with greater engagement, retention, and application of knowledge. To address this issue, we developed and conducted a convergent mixed methods study to assess the feasibility and usability of a WeChat mini program (WMP) named WeMed for laboratory biosafety education for medical laboratory students at Guangzhou Medical University (GMU).MethodsThe study was conducted between November 2022 and October 2023 among second-year undergraduate students at GMU. It involved the concurrent collection, analysis, and interpretation of both qualitative and quantitative data to assess feasibility and usability. In the quantitative strand, two evaluations were conducted via online surveys from students (n = 67) after a four-week study period. The System Usability Scale (SUS) was used to evaluate usability, while self-developed questions were used to assess feasibility. Additionally, a knowledge test was administered 6 months after the program completion. In the qualitative strand, fourteen semi-structured interviews were conducted, whereby a reflexive thematic analysis was utilized to analyze the interview data.ResultsThe overall SUS score is adequate (M = 68.17, SD = 14.39). The acceptability of the WeMed program is in the marginal high range. Most students agreed that WeMed was useful for learning biosafety knowledge and skills (13/14, 93%), while 79% (11/14) agreed it was easy to use and they intended to continue using it. After 6 months, a significant difference in the knowledge test scores was observed between the WeMed group (n = 67; 2nd year students) and the traditional training group (n = 90; 3rd year students). However, the results should be interpreted cautiously due to the absence of a pretest.ConclusionThe combination of experiential learning and mobile learning with WMP is a feasible tool for providing laboratory biosafety knowledge and skills. Ongoing improvements should be made in order to increase long-term acceptance.

The influence of hospital and home environments on physical activity and sedentary behaviour: Perceptions of people recovering from fractures

BackgroundA lack of evidence exists contrasting the factors that influence physical activity and sedentary behaviour in both hospital and home settings before and after discharge from acute hospitalisation for fractures. ObjectiveTo describe and compare perceptions of environmental influences on physical activity in hospital and home settings in people recovering from fractures. MethodSemi-structured interviews were conducted with patients hospitalised following fractures (hip fracture or multi-trauma), exploring the barriers and enablers to physical activity within hospital and home settings. Interviews were conducted within two weeks of hospital discharge, audio recorded and transcribed prior to thematic analysis via a framework approach. ResultsBetween December 2022 and May 2023, 12 semi-structured interviews were undertaken with an equal number of participants who sustained an isolated hip fracture or multi-trauma. The median (IQR) age of participants was 60 (52–68) years, with half being male, and the majority sustaining their injuries via transport crashes. Three main themes that influenced physical activity behaviours in hospital and home settings were: having the opportunity, having a reason, and having support and assistance to be active. ConclusionDuring the period of reduced physical capability following fracture, patients need to be provided with opportunities and motivation to be active, particularly within the hospital setting. Findings from this study will assist clinicians to better support people recovering from fractures via greater engagement in physical activity within hospital and home settings.

A retrospective, naturalistic study of deep brain stimulation and vagal nerve stimulation in young patients.

Invasive neuromodulation interventions such as deep brain stimulation (DBS) and vagal nerve stimulation (VNS) are important treatments for movement disorders and epilepsy, but literature focused on young patients treated with DBS and VNS is limited. This retrospective study aimed to examine naturalistic outcomes of VNS and DBS treatment of epilepsy and dystonia in children, adolescents, and young adults. We retrospectively assessed patient demographic and outcome data that were obtained from electronic health records. Two researchers used the Clinical Global Impression scale to retrospectively rate the severity of neurologic and psychiatric symptoms before and after patients underwent surgery to implant DBS electrodes or a VNS device. Descriptive and inferential statistics were used to examine clinical effects. Data from 73 patients were evaluated. Neurologic symptoms improved for patients treated with DBS and VNS (p<.001). Patients treated with DBS did not have a change in psychiatric symptoms, whereas psychiatric symptoms worsened for patients treated with VNS (p=.008). The frequency of postoperative complications did not differ between VNS and DBS groups. Young patients may have distinct vulnerabilities for increased psychiatric symptoms during treatment with invasive neuromodulation. Child and adolescent psychiatrists should consider a more proactive approach and greater engagement with DBS and VNS teams that treat younger patients.

BLOCKCHAIN, A STRATEGIC TECHNOLOGY TO BE ADOPTED BY PUBLIC AND PRIVATE COMPANIES FOR THE BENEFIT OF BRAZILIAN SOCIETY

Purpose: Highlight the strategies used by organizations when using blockchain, the problems and difficulties they face, and how the use of blockchain technologies can help public and private Brazilian companies, understanding their concepts and importance. Theoretical Framework: Blockchain technology emerges to allow transactions to be more secure and transparent and is very important for organizations to make their processes more agile. However, to implement it, it is important to use strategies. Design/Methodology/Approach: Important aspects for the implementation and use of blockchain by organizations, challenges, benefits, essentiality, and the need to obtain this knowledge were analyzed, therefore, four public and private Brazilian companies were analyzed, where a bibliographic review was used and, therefore, exploratory research. Findings: Strategies were identified, such as storing and managing data with blockchain and using cryptocurrencies as a form of payment. The challenges to be overcome are usability, scalability, environmental impact, security, and crime. Public and private companies benefit from lower costs, agility, efficiency, shorter transaction times, customer attraction and greater engagement. Research, Practical &amp; Social Implications: The research was relevant, and the objectives were met, the implications identified proved to be beneficial for companies and society. Originality/Value: The use of blockchain by organizations to address problems and increase business scalability is essential, as it brings greater capacity to control operations in an integrated manner with better communication and greater transparency towards society.

Childhood engagement in cognitively stimulating activities moderates relationships between brain structure and cognitive function in adulthood

Greater engagement in cognitively stimulating activities (CSA) during adulthood has been shown to protect against neurocognitive decline, but no studies have investigated whether CSA during childhood protects against effects of brain changes on cognition later in life. The current study tested the moderating role of childhood CSA in the relationships between brain structure and cognitive performance during adulthood. At baseline (N=250) and 5-year follow-up (N=204) healthy adults aged 20–80 underwent MRI to assess four structural brain measures and completed neuropsychological tests to measure three cognitive domains. Participants were categorized into low and high childhood CSA based on self-report questionnaires. Results of multivariable linear regressions analyzing interactions between CSA, brain structure, and cognition showed that higher childhood CSA was associated with a weaker relationship between cortical thickness and memory at baseline, and attenuated the effects of change in cortical thickness and brain volume on decline in processing speed over time. These findings suggest higher CSA during childhood may mitigate the effects of brain structure changes on cognitive function later in life.

Physical, cognitive, and social activities as mediators between personality and cognition: evidence from four prospective samples

Objectives The present study examined how activity engagement mediates the association between personality and cognition. Methods Participants were middle-aged and older adults (Age range: 24–93 years; N > 16,000) from the Midlife in the United States Study, the Health and Retirement Study, the English Longitudinal Study of Ageing, and the Wisconsin Longitudinal Study of Aging. In each sample, personality traits and demographic factors were assessed at baseline, engagement in cognitive, physical, and social activities was assessed in a second wave, and cognition was measured in a third wave, 8 to 20 years later. Results Random-effect meta-analyses indicated that lower neuroticism and higher extraversion, openness, and conscientiousness were prospectively associated with better cognition. Most of these associations were partly mediated by greater engagement in physical and cognitive activities but not social activities. Physical activity accounted for 7% (neuroticism) to 50% (extraversion) and cognitive activity accounted for 14% (neuroticism) to 45% (extraversion) of the association with cognition. Conclusion The present study provides replicable evidence that physical and cognitive activities partly mediate the prospective association between personality traits and cognitive functioning.

Evaluating the Intensity of Exposure to MTV Shuga, an Edutainment Program for HIV Prevention: Cross-Sectional Study in Eastern Cape, South Africa.

MTV Shuga is an edutainment campaign designed to equip young people with knowledge, motivation, and informed choices to protect themselves from HIV infection. From 2019 to 2020, a total of 10 episodes of a new dramatic series, MTV Shuga "Down South 2" (DS2), were broadcast via television and the internet, alongside complementary media activities. This study aims to investigate whether the intensity of DS2 exposure was linked with positive HIV prevention outcomes in a setting with high HIV prevalence and relatively low levels of HIV testing. We analyzed data from a web-based survey of participants aged 15 to 24 years in South Africa in 2020. The survey was promoted via social media platforms of schools, universities, and communities in Eastern Cape, South Africa. The primary exposure of interest was the intensity of exposure to DS2, measured by the number of episodes of DS2 watched on the television or the internet or listened to on the radio (out of 10 episodes). Individuals who had not watched or listened to any DS2 episode were classified according to other MTV Shuga content that they had accessed. We estimated associations between the intensity of DS2 exposure and HIV-related outcomes, including knowledge of HIV status, awareness of HIV self-testing (HIVST) and pre-exposure prophylaxis (PrEP), uptake of HIVST, and demand for HIVST and PrEP, adjusting for potential confounders using multivariable logistic regression. Among the 3431 survey participants, 827 (24.1%) were exposed to DS2. Specifically, 18.1% (622/3431) watched or listened to only 1 DS2 episode, and 2.4% (82/3431), 1.7% (58/3431), and 1.8% (62/3431) watched or listened to 2 to 4, 5 to 7, and 8 to 10 DS2 episodes, respectively. Increasing the exposure to DS2 was associated with improvements in most outcomes. Exposure to multiple episodes (eg, 2-4, 5-7, and 8-10) was associated with successively higher odds of knowing one's HIV status, awareness of PrEP and HIVST, and uptake of HIVST compared with no MTV Shuga exposure, albeit with statistical uncertainty around some estimates. The interest in using HIVST or PrEP was high overall (>80%), with no measurable differences by DS2 intensity. We found evidence consistent with a dose-response relationship between MTV Shuga DS2 exposure and outcomes, including knowledge of HIV status, awareness and uptake of HIVST, and awareness of PrEP among young people in Eastern Cape. This indicates that greater engagement with a youth-focused edutainment campaign can improve HIV testing and prevention options in a setting and population with high need. However, only a few participants accessed multiple DS2 episodes despite its availability on multiple media platforms. We conclude that there is potential to benefit more young people by increasing access to and interest in the show.

Cybervictimization in Relation to Self and Other Protection and Response Behaviors: A Cross-Sectional Look at an Age-Diverse National Sample.

This study considered whether experiencing cybervictimization is associated with increased recognition of cybervictimization intervention opportunities (i.e., witnessing others' cybervictimization), as well as greater engagement in self-protective (e.g., changing usernames and privacy settings) and other-protective cybervictimization bystander response behaviors. We collected cross-sectional self-report data from an age-diverse (M = 46.29 years, SD = 19.14, range = 15-93) national sample (n = 3002). We hypothesized that: (1) personal experiences with cybervictimization would be associated with increased reports of witnessing opportunities to intervene when others are cybervictimized, greater self-reported use of active bystander behaviors in witnessed situations, and greater use of self-protective strategies; (2) We also expected that engagement in self-protective behaviors would be positively associated with engagement in other-protective bystander behaviors in response to witnessed cybervictimization. To test our hypotheses, we estimated a structural equation model wherein four latent variables were constructed: cybervictimization experienced, witnessed opportunities to intervene, engagement in self-protective behaviors, and engagement in other-protective cybervictimization bystander behaviors. As hypothesized, cybervictimization was associated with witnessing more opportunities to intervene in other's cybervictimization, greater self-reported use of active cyber bystander behaviors, and greater engagement in self-protective strategies. However, the strength of two associations was moderated by age, with stronger relationships between cybervictimization and witnessing opportunities to intervene as well as engaging in bystander behavior for older as compared to younger participants. Contrary to hypothesis, there were no significant associations between use of self and other protective behaviors. Furthermore, greater witnessing of cybervictimization was associated with less engagement in bystander behavior in the final model. The implications for existing bystander intervention programs are described. Longitudinal studies of these associations in multiple age groups and among different cultural groups remain necessary.