Group Setting Research Articles

Living donor kidney nephrectomy: analysis of trends and outcomes from a contemporary national dataset

ObjectivesTo analyze the temporal trends and perioperative and long-term outcomes of living donor kidney nephrectomy in the United States. MethodsThe PearlDiverTM Mariner database (Pearl-Diver Technologies, Colorado Springs, CO, USA) was used for our retrospective analysis. The data were identified using ICD-9/10 codes, as well as CPT codes. Continuous and categorical variables were compared using 2-sided tests. Multivariate logistic regression analysis was conducted to identify predictors of 5-year ESRD. ResultsA total of 6333 patients were identified (median age 54, IQR 46-62 years) from 2010 to April 2022. A greater percentage of living donor nephrectomies were performed by general surgeons (56.1%), followed by transplant surgeons (16.5%) and urologists (14.7%). Unfortunately, physician specialty was not reported for the remaining patients. The MIS exceeded open surgery in each specialty group and inpatient setting. The significant predictors of ESRD were male, preoperative DM and hypertension, tobacco smoking, perioperative AKI and younger age at the time of kidney donation. ConclusionsMIS represents the main surgical approach for organ procurement. A meticulous selection process for donors and subsequent close monitoring are necessary to minimize the putative consequences of donor nephrectomy.

The Effectiveness of a Rational Emotive Behavior Therapy Group Setting in Reducing Egocentrism in Bullying Perpetrators

The Effectiveness of a Rational Emotive Behavior Therapy Group Setting in Reducing Egocentrism in Bullying Perpetrators

Efficacy study comparing a CBT-I developed for shift workers (CBT-I-S) to standard CBT-I (cognitive behavioural therapy for insomnia) on sleep onset latency, total sleep time, subjective sleep quality, and daytime sleepiness: study protocol for a parallel group randomised controlled trial with online therapy groups of seven sessions each

BackgroundShift workers are at an increased risk of developing sleep disorders. The standard therapy recommended for sleep disorders is cognitive behavioural therapy for insomnia (CBT-I). Many of its interventions are based on a regular sleep and wake rhythm, which is difficult to apply for shift workers. We have therefore developed a new therapy manual specifically for shift workers (CBT-I-S), which should be more applicable to their needs. In particular, all interventions that require regularity have been removed, and instead, interventions that address factors that proved to be relevant to sleep in our preliminary study have been integrated. We now want to test this manual for its effectiveness.MethodsA randomised controlled trial with N = 142 will be conducted to compare two conditions: the newly developed therapy manual will be carried out in the experimental group, while cognitive behavioural therapy for insomnia will be employed in the standard group. Both treatments will be conducted online via MS Teams in a group setting with seven sessions each. Data will be collected at three measurement points (pre, post, 6-month follow-up) and analysed using linear mixed models. The study will investigate whether the two treatments have led to significant improvements in total sleep time, sleep onset latency, subjective sleep quality and daytime sleepiness in shift workers. It will also examine whether the new therapy manual is superior to standard therapy in shift workers and whether these effects are stable.DiscussionWe assume that interventions designed to address depressive mood, anxiety, worry, rumination, dysfunctional thought patterns and attitudes towards sleep will also improve sleep. If this is indeed the case, these interventions could replace previous ones that require regularity. This could significantly improve the treatment of insomnia in shift workers.Trial registrationGerman Clinical Trials Registry DRKS DRKS00032086. Registered on August 16, 2023.

Maternal high-fat or low-protein diets promote autism-related behavior and altered social behavior within groups in offspring male mice

Maternal malnutrition has been associated with neurodevelopmental deficits and long-term implications on the offspring’s health and behavior. Here, we investigated the effects of maternal low-protein diet (LPD) or obesity-inducing maternal high-fat diet (HFD) on dyadic social interactions, group organization and autism-related behaviors in mice. We found that maternal HFD induced an autism-related behavioral phenotype in the male offspring, including a robust decrease in sociability, increased aggression, cognitive rigidity and repetitive behaviors. Maternal LPD led to a milder yet significant effect on autism-related symptoms, with no effects on olfactory-mediated social behavior. Under naturalistic conditions in a group setting, this manifested in altered behavioral repertoires, increased magnitude in dominance relations, and reduced interactions with novel social stimuli in the HFD male offspring, but not in the LPD offspring. Finally, we found HFD-induced transcriptomic changes in the olfactory bulbs of the male offspring. Together, our findings show that maternal malnutrition induces long-lasting effects on aggression and autism-related behaviors in male offspring, and potential impairments in brain regions processing chemosensory signals.

Infants and toddlers in imaginary play situations: The genesis and conditions that support the development of imagination

In line with contemporary views that problematise a stage-based approach to play, the study reported in this paper investigated the early forms of imaginary play of infants and toddlers. Results from two cohorts are presented in support of the genesis (11 infants; 1.1–2.0y; mean 1.6) and development of imagination as a psychological function (19 toddlers; 2.5–3.3ys; mean 2.9). Under the same conditions of an intervention of a Conceptual PlayWorld, the results show infants in imaginary situations gesturing imaginative intent, and the under three-year-olds engaged in more developed forms of imaginative play actions. Invited into imaginary play scenarios by educators, a dramatic tension between the infants' reality and their playing of reality was resolved through imitation, while the toddlers resolved emotional tensions in the drama of the imaginary play through emotional imagining (images). We concluded that there was a unique relationship between image formation, emotional imagining and the development of the psychological function of imagination. We argue that when imaginary play is made available to infants and toddlers that early forms of imagining are evident and suggest educators have a key role in creating conditions to support the development of imagination in group settings.

Early intervention for adolescents with anorexia nervosa: Pilot evaluation of an outpatient group therapy prior to inpatient treatment.

An increasing demand for inpatient treatment for adolescents with anorexia nervosa (AN) during and after the Covid-19 pandemic contrasts with limited capacity and long waiting times. The current pilot study evaluated an outpatient group therapy (GT) as early intervention for adolescents with AN prior to inpatient treatment. Seventeen female adolescents who participated at the GT (intervention group, INT) were compared to 16 adolescents without GT (treatment-as-usual, TAU). BMI, eating disorder psychopathology and motivation of change (MoC) were assessed at three timepoints. Comparing pre- versus post- group participation, we identified a significant increase of MoC and a trend towards a decreased AN-specific psychopathology. Comparing INT with TAU adolescents, we found a significant lower AN psychopathology at inpatient admission for the INT group and a trend for different BMI courses: While the BMI of the TAU group decreased during waiting time, the INT group did not show a decrease during GT resulting in a higher BMI at admission. Results of the current pilot study suggest positive effects of an early outpatient intervention in a group setting for adolescents with AN prior to inpatient treatment. Further research with larger sample sizes is necessary to validate the current pilot results.

High-performing teams: Is collective intelligence the answer?

The concept of a general factor of collective intelligence, proposed by Woolley et al. in 2010, has spurred interest in understanding collective intelligence within small groups. This study aims to extend this investigation by examining the validity of a general collective intelligence factor, assessing its underlying factor structure, and evaluating its utility in predicting performance on future group problem-solving tasks and academic outcomes. Employing a correlational study design, we engaged 85 university students in a series of complex cognitive tasks designed to measure collective intelligence through individual, group, and predictive phases. Contrary to the hypothesized single-factor model, our findings favor a two-factor model influenced by Cattell's theory of crystalized and fluid intelligence. These two factors accounted for substantial variance in group performance outcomes, challenging the prevailing single-factor model. Notably, the predictive validity of these factors on group assignments was statistically significant, with both individual and collective intelligence measures correlating moderately with group assignment scores (rs = .40 to .47, p < .05). Our research suggests that collective intelligence in small group settings may not be uniformly governed by a single factor but rather by multiple dimensions that reflect established theories of individual intelligence. This nuanced understanding of collective intelligence could have significant implications for enhancing group performance in both educational and organizational contexts. Future research should explore these dimensions and their independent contributions to group dynamics and outcomes.

Sight-singing in a group context: An eye-tracking study with experienced choral singers

Studies on music reading have provided insights into the cognitive processes in sight singing. However, there has been limited research on sight singing in a group setting. This study aims to assess how choral singers approach music reading as they perform previously unfamiliar choral scores together. We addressed (1) how singers’ gaze direction is distributed over staff systems, and (2) how their gaze behaviour is influenced by note density and repeated practice. Four quartets, a total of sixteen experienced singers, performed eight Baroque music excerpts three times, while the singers’ eye movements were recorded. Eye-movement measures were analysed in conjunction with the singers’ views regarding their music reading, obtained through questionnaires and group discussions. Results reveal that besides reading their own voice lines, singers typically inspected the neighbouring lines, seeking visual cues to coordinate the performance. The results of a generalised linear mixed model analysis underscore the substantial influence of note density on fixation durations on one’s own lines, but not on other voices’ lines. Practice, on the other hand, exhibited effects only on average fixation duration for one’s own lines, with no significant impact observed on other lines. The study provides evidence of coordination between an actual sight-reading process and a parallel information-gathering process that helps singers relate their parts to the overall musical structure.

Inequality in Physical Activity in Organized Group Settings for Children: A Cross-Sectional Study.

Adult-led organized settings for children (eg,classrooms) provide opportunities for physical activity (PA). The structure of setting time may influence inequalities (ie,unequalness) in the distribution of PA. This study examined differences in PA inequality by setting and time-segment purpose in time-segmented organized group settings for children. PA and setting meetings were assessed using accelerometer and video observation data from school, before-/after-school, and youth club groups (n = 30) for third- through sixth-grade children (n = 699) in 2 rural US communities. Meetings (n = 130) were time-segmented into smaller units (sessions; n = 835). Each session was assigned a purpose code (eg,PA). Accelerometer data were paired with the meetings and sessions, and the Gini coefficient quantified inequality in activity counts and moderate to vigorous PA minutes for each segment. Beta generalized estimating equations examined differences in PA inequality by setting and session purpose. Activity count inequality was lowest (P < .05) during youth club meetings (Gini = 0.17, 95% CI, 0.14-0.20), and inequality in moderate to vigorous PA minutes was greatest (P < .01) during school (Gini = 0.34, 95% CI, 0.30-0.38). Organized PA sessions (Gini = 0.20, 95% CI, 0.17-0.23) had lower activity count inequality (P < .0001) than academic (Gini = 0.30, 95% CI, 0.27-0.34), enrichment (Gini = 0.31, 95% CI, 0.27-0.36), and nonactive recreation (Gini = 0.30, 95% CI, 0.25-0.34) sessions. Inequality in moderate to vigorous PA minutes was lower (P < .05) in organized PA (Gini = 0.26, 95% CI, 0.20-0.32) and free play (Gini = 0.28, 95% CI, 0.19-0.39) than other sessions. PA inequality differed by setting time structure, with lower inequality during organized PA sessions. The Gini coefficient can illuminate PA inequalities in organized settings and may inform population PA improvement efforts in rural communities.

Diplomacy by committee: Assessing resolve and costly signals in group settings

AbstractAssessing resolve and interpreting costly signals are crucial tasks for leaders engaging in international diplomacy. However, leaders rarely make these decisions in isolation, relying on advisers to help assess adversary intentions. How do group dynamics change the way costly signals are interpreted? We field a large‐scale group experiment to examine how assessments of resolve vary across group settings. We find groups make significantly higher initial assessments of adversary resolve than individuals do, but also update their beliefs less after receiving new information. In small group contexts, first impressions may play a stronger role in shaping beliefs than any signals—costly or otherwise—that come afterwards. This has important implications for our understanding of signaling, providing further evidence that costly signals are less straightforward than often assumed.

EFFORTS TO PREVENT THE SPREAD OF COVID-19 ACCORDING TO THE DOCTRINE OF MUHAMMADIYAH IN INDONESIA: HADITH STUDIES

COVID-19 has emerged as the global challenge confronting the community. The Indonesian government and Muhammadiyah have been engaged in efforts to mitigate the ongoing transmission of COVID-19. Diverse strategies have been employed to combat this disease and prevent its spread and fatalities. This study aims to examine and explain Muhammadiyah’s preventive efforts in Indonesia to combat COVID-19, drawing upon an interpretation of hadiths from the Prophet. A qualitative method was employed to address this issue with a historical, sociological approach to investigate the social conditions during the time of the Prophet and their prevention in relation to contemporary times performed by Muhammadiyah. The study revealed that Muhammadiyah has addressed community and humanitarian issues by implementing efforts to prevent the spread of COVID-19. One such effort was restricting worship activities in mosques and encouraging people to perform them at home until the situation returned to normal. However, in areas deemed safe from COVID-19, worship could still be conducted in mosques while adhering to health protocols such as maintaining social distance, wearing masks, and practicing proper hand hygiene. Furthermore, learning in large group settings has been limited, leading to a shift toward remote online learning from home. Engaging in outdoor muamalah activities, such as working, meetings, religious studies, shopping, and other activities that attract and result in big gatherings, has also been restricted. These efforts aim to disrupt the transmission of COVID-19 as a manifestation of societal care, guided by the teachings of the Prophet as recorded in the hadiths.

“Attentive to their drawing”: A pilot study of the implications of a single session mindfulness-based art therapy intervention on early childhood assistants

Early childhood assistants (ECA) often cope with job-related stressors and experience burnout. This study examined the implications for ECAs of a single session mindfulness-based art therapy (SSMBAT) intervention that combined mindfulness with drawing and photography in a group setting. In this qualitative study, a convenience sample of 16 ECA volunteers were recruited after they had taken part in the SSMBAT as part of an ECA training program. Semi-structured interviews were conducted to explore their experiences during the SSMBAT. The questions focused on mindfulness, understanding and practice, and its possible contribution to personal or professional life. The thematic analysis revealed that mindfulness practices in the workshop elicited an impact in the sensory, emotional, cognitive and metacognitive, and behavioral domains. Components of the workshop, such as mindfulness sitting and walking meditations, artmaking and group sharing were seen as contributing to professional and self-development, working with children, teamwork with peers, and communication with the children’s parents. The results underscore the theoretical as well as the practical value of SSMBAT. They contribute to the scant literature on the wellbeing of ECA and efforts to support them.

Digital gruppeveiledning – en intervjuundersøkelse

Restriction during the pandemic forced supervisors to apply digital guidance of psychologists and students of psychology. This study seeks to shed light on the supervisors’ experiences with and assessment of online supervision. Semi-structured interviews were conducted with 15 supervisors. A qualitative consensus-based analysis of the interview material was then conducted to explore the supervisors’ experiences. The results revealed that supervisors had to pay particular attention to and make adjustments in order to compensate for challenges posed by the digital modality. The supervisors demonstrated a high degree of creativity. They made minor adjustments to their approach and to how they structured their supervisory sessions. The supervisors pointed out that the outcome of supervision does not rely solely on modality; a sense of security in the group setting, the context of the supervision and individual contributions from the supervisor and candidates also play a role. Several supervisors were positively surprised at the outcomes to the extent that they changed their attitudes to digital supervision. While many of them believed that the digital platform could provide a good supplement to physical sessions, they all preferred the physical modality. Keywords: clinical group supervision, online supervision, qualitative methodology

71. Study of the attractiveness and longevity of enrichment materials and wood species in a blocked farrowing house and a large gestation group setting

71. Study of the attractiveness and longevity of enrichment materials and wood species in a blocked farrowing house and a large gestation group setting

Mental contrasting promotes effective self-regulation for the benefits of groups.

Self-regulation is essential for maintaining harmonious social connections and sustaining groups, yet little research has examined how individuals regulate their actions for the benefits of groups and which self-regulatory strategies promote effective self-regulation (active engagement and disengagement) in group contexts. In three experiments, focusing on identity groups (family and friends in Study1) and two distinct functional groups (workplace teams in Study 2; sports teams in Study 3), we investigated whether mental contrasting of a desired future with the obstacle of reality, compared to indulging in the desired future, facilitates expectancy-dependent contributions for the benefits of groups. We assessed participants' expectancies of successfully contributing to their groups and varied the mode of thought (mental contrasting vs. indulging). Contributions to groups were measured 1 week (Studies 1 and 2) and 3 weeks later (Study 3). Results showed that mental contrasting guided people to align their actions with expectancy levels; the higher their expectancy, the more people contributed to their groups. In contrast, indulging resulted in insensitivity to expectancy levels. Our findings suggest the potential applicability of the mental contrasting strategy for promoting effective self-regulation in various group settings and provide insights into designing interventions to enhance individuals' engagement in groups.

Nursing Informatics Competency among Nurses at a Teaching Hospital in Malaysia

Nursing informatics merges nursing science with information and analytical sciences to identify, describe, manage, and disseminate nursing data, information, knowledge, and wisdom. Identifying nurses’ informatics competency will help improve information technology utilisation in clinical practice. The aim of this study was to assess basic competency in nursing informatics and related factors influencing nurses working in a university teaching hospital. Thus, a cross-sectional study was conducted. A stratified random sampling of the total population of 1,136 nurses with sample size of 316 nurses participated in this study. The data was collected using a self-reported questionnaire utilising the Nursing Informatics Competency Assessment Tool (NICAT) reaching targeted sample by convenient approach. The results of this study showed that 85% (n = 269) nurses were competent in nursing informatics competency. There was a significant relationship between basic nursing informatics competency and sociodemographic of age (t = 4.194, p = 0.000), gender (t = –2.558, p = 0.011), educational level (F [2,313] = 5.094, p = 0.007) and working discipline (F [6,309] = 8.309, p = 0.000). There was also a significant relationship between basic nursing informatics competency and working experience (ρ = –0.231, n = 316, p = 0.000). However, the study is based on self-reporting and does not measure the actual performance of nursing informatics competency. Overall, the findings indicated the need for improvement in nursing informatics by exposure or awareness for potential age group and particular clinical setting for training and educational of nursing informatics.

Exploring librarians' practices when teaching advanced searching for knowledge synthesis: results from an online survey.

There is little research available regarding the instructional practices of librarians who support students completing knowledge synthesis projects. This study addresses this research gap by identifying the topics taught, approaches, and resources that academic health sciences librarians employ when teaching students how to conduct comprehensive searches for knowledge synthesis projects in group settings. This study applies an exploratory-descriptive design using online survey data collection. The final survey instrument included 31 open, closed, and frequency-style questions. The survey received responses from 114 participants, 74 of whom met the target population. Some key results include shared motivations to teach in groups, including student learning and curriculum requirements, as well as popular types of instruction such as single session seminars, and teaching techniques, such as lectures and live demos. This research demonstrates the scope and coverage of librarian-led training in the knowledge synthesis research landscape. Although searching related topics such as Boolean logic were the most frequent, librarians report teaching throughout the review process like methods and reporting. Live demos and lectures were the most reported approaches to teaching, whereas gamification or student-driven learning were used rarely. Our results suggest that librarian's application of formal pedagogical approaches while teaching knowledge synthesis may be under-utilized, as most respondents did not report using any formal instructional framework.

Digital nature: Unveiling the impact and safety of FlowVR group intervention for depression in a feasibility trial.

This study addresses the limitations of existing interventions for depression, such as a deficit-oriented focus, overlooking the utilization of positive elements such as nature, and neglecting the incorporation of group effects. The present feasibility study examines FlowVR, a resource-oriented, nature-inspired virtual reality (VR)-based group therapy. Previously tested individually in a pilot study for non-clinical participants, FlowVR has demonstrated positive effects on depressive symptoms. This study assesses the impact and safety of FlowVR in a group setting within a clinical sample using a one-armed study design. Forty-two inpatients and day patients with depression were recruited. Before and after the FlowVR intervention period of 4 weeks (two sessions per week), depressive symptoms were assessed (Beck Depression Inventory-II; BDI). Symptomatology (i.e., depressive symptoms), depression-associated variables (i.e., self-efficacy), intervention-specific variables (feeling of flow), and VR-specific variables (simulator sickness) were assessed before and after each session. Linear mixed effect models showed that symptomatology (depression, negative affect, current anxiety), depression-associated constructs (self-efficacy, motivation), and intervention-specific variables (flow) improved over the course of the sessions. No variable deteriorated more in one session compared to any other session. The lasso regression identified five potential predictors for the change in depression (BDI-II), yet these could not be validated in a subsequent linear regression analysis. To conclude, FlowVR had the hypothesized positive impact over the course of the sessions, showing, for example, improvements in symptomatology. The sessions have demonstrated safety with no notable deteriorations. Therefore, FlowVR is deemed safe for clinical patients and group settings. However, further research is needed to explore predictors for the change in depression.

Meta-analysis of the effectiveness of educational programs about HIV prevention on knowledge, attitude, and behavior among adolescents.

The prevalence of human immunodeficiency virus (HIV) among adolescents is on the rise due to a lack of comprehensive knowledge, leading to suboptimal attitudes and behaviors, which emphasizes the critical need for targeted interventions. The aim of this review study was to evaluate the effectiveness of educational interventions for HIV prevention among adolescents by assessing their impact on knowledge, attitude, and behavior. A systematic review of seven databases: PubMed, Science Direct, Cochrane, JSTOR, Embase, Scopus, and EBSCO were identified, and 14 eligible randomized controlled trials published until June 2023 were included. Two independent authors assessed quality appraisal using the Risk of Bias 2.0. Outcomes were measured using the standard mean difference (SMD) with random effects model and a 95% confidence interval. Subgroup analyses and meta-regression were performed to explore heterogeneity. The results showed significant improvements in participants' knowledge (SMD: 1.13, 95%CI: 0.78-1.49), behavior intentions (SMD: 1.22, 95%CI: 0.37-2.07), and attitude (SMD: 0.48, 95%CI: 0.02-0.95) after receiving HIV prevention education programs. Interventions grounded in theoretical principles and incorporating technology, group settings, and audio-visual aids were found to be effective in enhancing knowledge of HIV prevention and promoting behavioral intentions. Peer-led education positively impacted both knowledge and attitude. Moreover, excluding parents from these programs was identified as a crucial factor in improving adolescents' knowledge of HIV prevention. In conclusion, educational programs focused on HIV effectively enhance adolescents' knowledge, attitudes, and behavioral intentions among adolescents. Professionals planning interventions should consider these impactful components in designing comprehensive strategies.

Postoperative Adverse Events Following Neoadjuvant Therapy and Surgery for Borderline Resectable Pancreatic Cancer in a Phase 2 Clinical Trial (Alliance A021501).

Postoperative adverse events (AEs) in patients with borderline resectable pancreatic ductal adenocarcinoma (BR-PC) treated with neoadjuvant therapy and pancreatectomy in the national cooperative group setting have not been previously characterized. We conducted a preplanned secondary analysis of patients enrolled on the Alliance A021501 clinical trial to quantify perioperative AE rates. The A021501 phase 2 trial randomized patients with BR-PC to receive 8 doses of mFOLFIRINOX (Arm 1) or 7 doses of mFOLFIRINOX and hypofractionated radiotherapy (Arm 2), followed by pancreatectomy (December 31, 2016 to May 31, 2019). Adverse events were assessed 90 days after pancreatectomy. Of 126 enrolled patients, 51 (40%) underwent pancreatectomy (n = 32, Arm 1; n = 19, Arm 2) at 28 institutions. Five (10%) patients required reoperation within 90 days; 56% of patients (n = 27/48) experienced at least one grade 3 or higher AE (50% vs. 67%, p = 0.37). Ninety-day mortality was 2.0%. Readmission was less frequent in Arm 1 (16% vs. 42%, p = 0.05), but there were no differences between study arms in rates of reoperation (13% vs. 5%), pancreatic fistula or intra-abdominal abscess requiring drainage (9% vs. 16%), or wound infection (6% vs. 16%). Pancreatic fistula or intra-abdominal abscess requiring drainage was associated with receipt of adjuvant therapy (p = 0.012). No difference in overall survival was observed based on occurrence of postoperative AEs (hazard ratio = 1.1; 95% confidence interval 0.5-2.6). In this multicenter study, rates of postoperative AEs were consistent with those previously reported. Multimodality trials of preoperative therapy for BR-PC may be performed in the cooperative group setting with careful quality assurance and safety monitoring. Clinicaltrials.gov identifier: NCT02839343.