Social Media Groups Research Articles

Telemedicine through social media to enhance guideline-directed revascularization in STEMI: a five-year analysis in a developing nation

Abstract Background Timely reperfusion reduces mortality in ST segment Elevation Myocardial infarction (STEMI). Telemedicine and social media have been variably used to improve STEMI care in community settings. We established a new care system for STEMI in a public health setting serving a population of over 80 million, in a state with from a developing nation. Purpose To enhance guideline directed revascularisation (GDR) in STEMI by networking non-percutaneous coronary intervention (PCI) capable hospitals to PCI capable hospitals in a hub-and-spoke model and implementing telemedicine via social media platforms (Whatsapp) over five years(2019-2023). Methods Eighteen Government medical college hospitals were identified as hubs and were provided with cardiac catheterisation laboratories and empowered to provide either round the clock (Phase I hubs) or office hour primary PCI (Phase II hubs). They were linked to 188 Taluk or District-level, non-PCI capable Government hospitals identified as spokes to form 18 STEMI clusters. Separate social media groups on WhatsApp were created for each of the clusters, facilitating the sharing of de-identified ECGs and clinical data from spokes for guidance on diagnosis and management by hub hospital cardiologists. Transfer to hub hospitals for catheter based therapies were coordinated through prior intimation in the cluster WhatsApp group to ensure timely arrival and treatment. A customised uniform protocol for STEMI management was developed and health care personnel were trained accordingly. Human resource support was provided to collect and submit cumulative daily data on the number of STEMIs, the revascularisation provided and mortality through online free web forms. Annual cumulative data on STEMI volumes and GDR were analysed. Results 71,907 STEMI patients were treated from 2019 to 2023. We observed a 67% increase in STEMIs treated per year from over five years (11,363 in 2019 to 18565 in 2023). Use of pharmaco-invasive therapy increased from 7.9% to 31.7% (Figure-1). There was a marginal increase in use of primary PCI. The count of patients without GDR decreased by 20%. There was a 6.7 fold (672 in 2019 to 4,535 in 2023) rise in patients referred from spoke to hub hospitals for catheter-based revascularization. Over five years, there was an increase in the proportion of patients receiving GDR. This increase was more evident in Phase II hubs (52% in 2019 to 87.1% in 2023). Commensurate with the increase in GDR, phase II hubs demonstrated a tangible decrease in mortality (Figure-2). Conclusion We have shown that networking of non-PCI-capable hospitals with PCI-capable hospitals in a hub and spoke model using social media groups, facilitates telemedicine, leading to improved GDR in STEMI. This innovative approach not only enhances connectivity but also contributes to more efficient and timely cardiac care in resource-constrained settings.Figure 1. Revascularisation in STEMIFigure 2.Mortality Trends in STEMI (hubs)

Prescribing contraceptives to minors without parental knowledge and consent

Abstract Background Sexually active adolescents may seek oral contraceptives without parental consent, posing challenges due to minors’ confidentiality and consent regulations. This is especially the case under the un-nuanced Israeli legal scheme regarding adolescents’ care. Methods Israeli OBGYNs were contacted through mailing lists and social media groups and asked to fill an online questionnaire regarding their experience and protocols concerning prescription of contraceptives to minors. They were also asked about their comprehension of the relevant legal obligations, the importance they ascribe to different ethical interests and considerations, as well as their training. Results Of the 177 responding gynecologists, 75% consulted minors about contraceptives during the past year, most of them without any training on providing care to adolescents. More than a third of respondents believed that parental involvement wasn’t legally required, while only 8% thought it mandatory for all minors under the age of 18. Most (75%) would ‘almost always’ prescribe contraceptives without parental knowledge upon request, while 20% never would. No correlation was found between respondents’ practices and their perception of the legal obligations. Participants agreed that the risk to the health of the minor due to having sex without contraceptives is of utmost importance. Those willing to prescribe gave greater weight to minor’s autonomy consideration, while those who do not prescribe were more concerned with the acts legal ramifications. The majority set the age of 15 as the threshold for consistently prescribing contraceptives to minors without parental involvement. Conclusions Access to contraceptives for mature minors without parental involvement is vital. There is great need for education and training for healthcare providers on providing medical treatment to adolescents, as well as for the development of policies and guidelines, addressing adolescents’ health disparities. Key messages • Israeli legal requirements challenge and hinder adolescents’ care as well contradict OBGYNs ethical and professional beliefs. • There is great need for education and training, as well as for the development of policies and guidelines, addressing adolescents’ health disparities.

A short-term evaluation of oral hygiene education methods in fixed orthodontics patients: a randomized clinical trial comparing assistant training, software, and social media

ObjectiveTo compare the effectiveness of different oral hygiene education strategies on periodontal health in fixed orthodontic patients in a one-month period: assistant-led instruction, social media-based education, and custom-made software.MethodsSixty orthodontic patients from Mashhad University of Medical Sciences’ Dentistry School were randomly assigned into three groups. Each group received oral health education differently: via assistant instruction, educational videos on social media, or a researcher-designed software for Android smartphones. After a month, participants’ oral health was evaluated using the plaque index (PI) and the gingival index (GI).ResultsAssistant-led education group demonstrated the highest PI (1.26 ± 0.70) and GI (0.92 ± 0.67), while the software group reported the lowest indices (PI = 0.68, GI = 0.46 ± 0.46). The social media group’s measurements fell between these extremes (PI = 0.89 ± 0.75, GI = 0.60 ± 0.52). Significant group differences were found for both PI and GI (P = 0.028 and P = 0.047, respectively). Pairwise comparison revealed significantly lower PI and GI in the software group compared to the assistant group. No significant differences were found between the social media and other groups.ConclusionOur results suggest that the use of specially designed software could be the most effective strategy for improving oral hygiene in orthodontic patients. Meanwhile, traditional assistant-led education showed the least effectiveness. The study supports the potential benefit of utilizing digital tools, such as bespoke software and social media, in oral health education for orthodontic patients.Trial registrationThe study was registered in the Iranian Registry of Clinical Trials (IRCT) database with the identification code IRCT20200609047705N2 in 13.07.2021.

A survey of parental leave for female physicians reveals dissatisfaction and inadequacies

BackgroundThe study aim was to assess parental leave experiences of female physicians across different specialties and institutions over time given that the U.S. does not have a federal paid parental leave policy. MethodsAn online survey was distributed via female physician social media groups in 2022. Descriptive and inferential statistics were used to describe responses. ResultsOf 3,175 U ​S.-based respondents, 51% reported their current institution has a paid parental leave policy, 40% indicated no paid policy, and 7% didn't know. To take leave, 56% and 53% reported having to utilize paid time off, vacation, or personal days, and having to use short-term disability, respectively. The mean number of weeks of leave taken has remained between 8 and 12 weeks over the past 38 years. ConclusionsFurther work is needed to promote improved parental leave policies for female physicians at all levels of training and practice.

Kenyan Female Immigrants’ Creation of a Virtual Enclave: The Influence of Age and Immigration Status

ABSTRACTMuch of the research on ethnic enclaves in the United States has focussed on physical, geographic spaces or brick‐and‐mortar establishments that foster community building and provide shared resources for immigrant groups, such as those from Latin America, Asia and Europe. These studies often highlight the benefits and challenges enclaves provide, with only a limited discussion of how immigrant women use these spaces. Using survey data drawn from Kenyan women residing in the United States, this study aimed to answer two research questions: (1) Does membership in social media groups comprised of Kenyan female immigrants vary (e.g. by age, immigration status)? (2) Do age and immigration/citizenship status influence Kenyan female immigrants' reasons for joining social media groups? The bivariate results show that older women and those who migrated to the United States for school or through the Green Card lottery programme were likelier to join Tumaini and other immigrant‐specific social media groups. Regarding factors influencing their reasons for joining these groups, the regression results revealed that US citizens and permanent residents were less likely to join the group for solidarity/support. Furthermore, those who migrated for school or to join family members were likelier to join the Tumaini group for support/solidarity. This finding suggests that older women, being more likely to belong to physical social groups, have a relatively stronger attachment to such groups. Consequently, their willingness to join the Tumaini group, despite it being an online community, may be stronger than that of their younger counterparts.

Peer-to-Peer Human Milk Sharing Through Social Media Groups: The Experiences of Women Donors and Recipients in Hong Kong.

To explore the lived experience of donors and recipients involved in peer-to-peer human milk donation. An exploratory descriptive qualitative study. Semi-structured interviews were conducted between November 2022 and April 2023. A total of 50 women consisting of 34 donors and 16 recipients were recruited using purposive sampling from specific social media groups in Hong Kong that focus on breast milk donation and sharing. Data were analysed based on thematic analysis. Five key themes were identified in this study: Motivation; Milk sharing as a social act; Not a Norm; Recommendation to formal milk banks; and Formal donation as the preferred route. The findings indicate informal milk sharing is seen as an inferior alternative to formal milk donation systems. The establishment of formal milk banks is viewed as a way to address the shortcomings of informal sharing. The findings have implications for the healthcare field, particularly in improving the experiences of those involved in informal milk sharing. The insights gained from the experiences of informal milk sharers can directly inform and enhance the services provided by formal milk banks. Given the growing prevalence of online informal milk sharing, healthcare professionals should enhance their understanding of this practice. However, the practice has remained understudied, particularly in Asian region. This study brings together the experiences of both milk donors and recipients, providing a comprehensive view on the phenomenon. The Standards for Reporting Qualitative Research (SRQR). No patient or public contribution.

Hesitant Bipolar-Valued Intuitionistic Fuzzy Graphs for Identifying the Dominant Person in Social Media Groups

This work introduces the notion of a hesitant bipolar-valued intuitionistic fuzzy graph (HBVIFG), which reflects four different characterizations: membership with positive/negative aspects and non-membership with positive/negative aspects, incorporating multi-dimensional alternatives in all of its information. HBVIFG generalizes both HBVFG and BVHFG due to its diversified nature in observing four perspectives along with multiple attributes in a piece of information. Numerous studies, examples, and graphical representations emphasize the concept’s distinctiveness and importance. The following graph theory terms are defined: strong directed HBVIFG, full directed HBVIFG, directed spanning HBVIFSG, directed HBVIFSG, and partial directed hesitant bipolar-valued intuitionistic fuzzy subgraph (HBVIFSG). Examples of operations utilizing two HBVIFGs are Cartesian, direct, lexicographical, and strong products. A scenario is used to generate the mapping of relations, which includes homomorphism, isomorphism, weak isomorphism, and co-weak isomorphism. We describe a directed HBVIFG application that employs an algorithm to determine the most dominant person and self-persistent person in a social system and a comparative study is also provided. The proposed method provides a more detailed framework for assessing the most dominant and self-persistent individual in a social network across multi-level attributes along with positive and negative side membership and non-membership grades in each element of a network.

Midwives’ perceptions and experiences of recommending and delivering vaccinations to pregnant women following the Covid-19 pandemic: a qualitative study

BackgroundPregnant women and their unborn babies are at an increased risk of hospitalisation, morbidity, and mortality from illness. However, uptake of influenza, pertussis and Covid-19 vaccinations offered during pregnancy is below the desired rate. This research aims to explore UK midwives’ experiences of approaching and discussing vaccinations with pregnant women, and their perceived role in pregnant women's vaccination decisions. MethodsMidwives in the West Midlands, UK were recruited via participating hospitals and midwife specific social media groups. Interviews were conducted remotely from April to July 2023 and analysed with a deductive codebook coding strategy using thematic analysis. FindingsSemi-structured interviews were conducted with 16 midwives identifying the following key themes: Recommendations to have vaccinations reported on the contents of recommendations and how they are communicated; Messages and guidance included the importance of up-to-date informational needs for midwives to administer vaccinations and the barriers caused by uncertainty and conflicting messages about the Covid-19 vaccine during pregnancy; Delivery of vaccinations included the convenience of offering vaccinations during standard antenatal appointments; and Midwives’ barriers explored the pandemic specific and other barriers midwives face in the administering of vaccinations. DiscussionThese findings contribute to the understanding of how midwives discuss the topic of vaccinations with pregnant women. This research highlights the importance for midwives to receive clear and consistent information. A strong emphasis on why vaccines are important when recommending to pregnant women in addition to standard information on the availability and timing may have a bearing in helping women to make informed decisions about accepting vaccinations.

Assessing the Impact of Educational Strategies on Reducing Needle Stick Injuries for Nurses in Jordanian Hospitals

Background: Needle stick injuries (NSIs) are frequent occupational health hazards among nurses with several consequences including blood-borne infections. Literature indicates inadequate knowledge among nurses as an important associated risk factor. Notwithstanding, little attention has been given to the intervention programs to reduce the occurrences of NSIs in Jordan. The main objective of this research was to implement and assessing the impact of educational modules and strategies to minimize NSIs for nurses in Jordanian hospitals. Methods: a randomized control trial design with four arms including three intervention groups and one control group was applied. A total of 400 nurses were selected based on stratified random sampling from the four randomly sampled private hospitals. The educational intervention was then provided through three different strategies (Social Media (SM), Audio-Visual (AV), and combined method). Data were collected in three phases, at baseline, after three months, and after six months of the intervention. Results: There were statistically significant differences in the number of NSIs between the control and combined strategy groups (P= 0.002). After 6 months, significant differences were found between control and SM groups (P=0.032), control and AV groups (P= 0.007), and control and combined groups (P<0.001). The leading risk factors of NSIs included fatigue (P<0.001), lack of assistance (P= 0.001), emotional distress (P= .021), being rushed (P= .002), and Lack of skills (P= .001). The hierarchical regression for the prediction of changes in NSIs occurrence produced a model with four predictors after three months (P< .001), and six predictors after six months (P< .001). Conclusion: The educational intervention significantly decreased the occurrences of NSIs. Hospital administrators must consider significant risk factors for NSIs.

Predicting the Tendency to Re-Experience Abusive Relationships Based on Schema Modes and Self-Compassion: A Web-Based Cross-Sectional Study

Finding an intimate partner is an important step in adulthood that has a special effect on self-concept and mental health. The tendency to re-experience abusive relationships (TREAR) refers to a person’s inclination to repeatedly find themselves in abusive or unhealthy relationships. There are many factors for the TREAR. This study aimed to predict TREAR based on schema modes and self-compassion. The present study design was predictive correlational, with the statistical population consisting of adults over 18 who have experienced emotional relationships in Rasht, Iran. Finally, 190 participants entered the study. Due to COVID-19 quarantine circumstances, we used an internet-based convenience sampling method through the social media groups of students at Rasht’s universities. Participants completed the tendency to re-experience abusive relationships scale, schema modes, and self-compassion. Most of the participants were between age 23 and 32 years (44.2%) and female (81.6%). According to the findings, self-compassion was greatly associated with a lower TREAR. In contrast, the schema modes were significantly associated with a higher score of the TREAR (p< .05). The coefficient of determination (R2) was equal to 0.506, indicating that 50.6% of the change in re-experiencing abusive relationships was explained by demographic characteristics, schema modes, and self-compassion. The results showed that both schema modes and self-compassion were predictors of continuing the abusive relationship cycle. These findings could have important implications for future research, especially on the prevention and treatment of individuals involved in abusive relationships.

Improving contraceptive care for minors in Israel: practice, policy, and training gaps among OBGYNs

BackgroundSexually active adolescents sometimes seek contraceptives without parental consent, posing challenges due to minors' confidentiality and consent regulations. This is especially the case under the un-nuanced Israeli legal scheme regarding adolescents' care.MethodsIsraeli OBGYNs were contacted through mailing lists and social media groups and asked to fill an online questionnaire regarding their experience and protocols concerning prescription of contraceptives to minors. They were also asked about their comprehension of the relevant legal obligations, the importance they ascribe to different ethical interests and considerations, as well as their training.ResultsOf the 177 responding gynecologists, 132 (74.58%) consulted minors about contraceptives during the past year, regardless of a vast lack of training on providing care to minors. More than a third of respondents believed that there is no legal requirement to involve parents in the process, and only 8% assumed a legal obligation for parental involvement in all minors under the age of 18. Three quarters would "almost always" prescribe contraceptives without parental knowledge, if requested, while 20% never would. No correlation was found between respondents' practices and their perception of the relevant legal obligations. Participants agreed that the risk to the health of the minor as a result of having sex without contraceptives is of utmost importance. Yet, those willing to prescribe gave greater weight to this consideration, while those who do not prescribe were more concerned with the legal ramifications of such an act. The majority identified the age of 15 as the threshold for consistently prescribing contraceptives to minors without parental involvement.ConclusionThis study highlights the significant gaps in both the legal framework and the training of Israeli OBGYNs, and further supports confidential prescription of contraceptives to minors 15 years and older, via Article 6 of the Israeli Legal Competence and Guardianship Law. Legislative reform, professional guidelines and education and training programs are all needed to ensure consistent and legally sound practices, that safeguard the health and rights of minors. It is imperative to guide healthcare providers, including OBGYNs prescribing contraceptives to minors, on managing the care of minors refusing parental involvement, clarifying the legal framework and ethical considerations involved.

Use of Natural Areas among Latinxs Living in South Carolina

The Latinx population in the United States (US) is growing. While Latinxs have historically been present in US cities and southwestern states, there is a notable surge in migration to new destination states, including South Carolina (SC). As the Latinx population grows and extends to new geographies, there is a need to examine the evolution of Latinxs’ outdoor recreation patterns. Exploring their changing preferences regarding public spaces can inform park management planning and policy. This study examines outdoor recreation use among SC-based Latinxs, exploring three central questions: 1. What are the outdoor recreation preferences among Latinxs living in SC? 2. What constraints do Latinxs face while engaging in outdoor recreation? 3. What are Latinxs’ primary motivations in visiting natural areas? This study employs a convergent parallel mixed method design. The quantitative phase consists of a cross-sectional sampling approach via online surveys, while the qualitative phase utilizes focus groups. Analyses of survey results include descrip-tive statistics and ANOVA and Chi-square tests for select variables. Qualitative analyses are based on a priori open coding with thematic development. Quantitative and qualitative data were first examined separately and later compared. Results suggest that walking/hiking is the primary outdoor recreation activity in which Latinxs engage. Focus-group participants also mentioned a variety of land- and water-based outdoor recreation activities. The most prevalent motivations for recreation experiences included relaxation, escape, and improved health. The top five factors preventing survey respondents from visiting natural areas were tiredness after work, insufficient time off work, insufficient time and money to visit natural areas, and proximity to natural areas. Focus group participants also reported various constraints hindering their visits to natural areas, including time, cost, safety, inadequate on-site amenities, weather, and Latinx-specific constraints. The findings indicate that natural resource agencies wanting to improve Latinx outdoor recreation experiences should have bilingual front-line staff and provide communicative media, such as website information or on-site signage, in Spanish. Our findings also underscore the importance of Latinx-focused social media groups as useful tools for disseminating information.

Mapping and measuring neighbourhood social media groups. The case of facebook

Social media is a pervasive part of everyday life. Neighbourhood social media are important community orientated structures that serve as digital platforms where local residents can connect with neighbours, exchange information, and share resources. The current study details an analytic framework to systematically capture, measure and map neighbourhood social media (Facebook groups) presence for a large metropolitan region, Brisbane, Australia. Further through modelling we reveal how socially organised communities acquire a higher number of neighbourhood-based social media groups while socially disorganised communities tend to have social media groups associated with crime or crime watch. We also unveil important spatial patterns with more neighbourhood-based social media groups located in coastal areas that are associated with tourism, leisure activities and recreational pursuits. Our findings demonstrate that neighbourhood-based social media is an important component of community social infrastructure and can support collective capacity to respond to problems. Our hope is that our approach can be replicated in other situational and cultural contexts to assemble a growing set of comparative studies through which the spatial distribution of locality-based social media can be assessed.

From pharaoh to hero: contested constructions of Mubarak’s image in Egyptian post-uprising collective memory

ABSTRACT The 2011 Egyptian uprising, which ended President Husni Mubarak’s thirty-year rule, initially painted him as a pharaoh. However, more than a decade since his overthrow, Mubarak’s image is variedly invoked and embodied across Egypt. Schools, hospitals, streets, and squares proudly bear his name. Social media groups glorify his memory, while locals openly express longing for his era. Unlike other deposed Arab leaders during the ‘Arab Spring’, Mubarak received a state military funeral, elevating him to a revered patriot and hero. This paper explores the constructions of Mubarak’s image in Egyptian collective memory, at the official and vernacular levels. The paper’s core argument emphasizes that during the transition period, revolutionary forces shaped a negative public memory of Mubarak. Yet in recent years, the resurgence of authoritarianism has marginalized these forces, allowing pro-Mubarak factions to advance a positive depiction, idealizing his legacy, and fostering feelings of regret. The post-June 2013 official narrative regarding Mubarak delicately manoeuvres between these competing narratives. It exalts his military role in the 1973 war while undermining his political heritage, thereby preventing any single narrative from dominating and thwarting influential factions in civil society from challenging the regime’s resilience with a political alternative.

Parental Stress, Sense of Coherence, Marital Satisfaction, and Hope in Parents of Children with Spina Bifida

Spina bifida is an inborn abnormality that causes the spinal column to be split because the developing brain tube fails to shut during the fourth week of development. Caring for a child with Spina Bifida is a demanding and time-consuming responsibility that often requires parents to reassess their goals and priorities, leading to increased stress. As the implications of having a child with Spina Bifida on parents are varied and vast, the current study attempts to fill a gap in prior research by addressing the significance of the relationship between a sense of coherence, marital satisfaction, and the moderating role of hope. The current study was based on cross-sectional survey research. Data were collected with snowball sampling from parents with the age range between the ages of 25 years to 45 years from different hospitals located in Lahore and also online from social media groups. Findings revealed that parental stress is negatively related to marital satisfaction, and hope is positively associated with a sense of coherence. Hope also moderated the relationship between parental stress, sense of coherence, and marital satisfaction. The findings of this study will help to design social and moral support to facilitate such parents and enable them to face the challenges of parenting a child with SB.

Better education required for professionals in healthcare regarding auditory processing disorder.

Global research has revealed inadequate levels of Auditory Processing Disorder (APD) awareness and knowledge among related professionals leading to neglect of this specific type of hearing impairment that is estimated to present in 50% of children with learning disabilities (dyslexia included) and more than 70% of adults with presbycusis or mild cognitive impairment. The aim of the current study was to record APD awareness and knowledge among professionals working in both Healthcare and Education sectors. A 36-question questionnaire was developed and addressed to medical doctors of different specialties (ENTs and non-ENTs), therapists (speech & language therapists, occupational therapists, psychologists), and educators (of both typical and special education). The questionnaire was sent to Professional Societies of interest as well as a University Rectorate where authors are affiliated, requesting the spreading to all members, and was also posted to related private groups in social media. Data concerning APD-training and knowledge were gathered from 522 questionnaires. Level of knowledge was recorded both subjectively (self-rating) and objectively (pre-defined scoring of items). Analysis showed insufficient knowledge concerning APD among specialties. ENTs and/or therapists scored statistically significantly higher compared to other medical specialties and educators, while still lower than 50%. The current level of awareness on APD might negatively affect the way individuals with APD are addressed, all the way from referral to management. Levels of awareness and knowledge among professions which are related to APD either directly or indirectly can be further improved through formal education targeting bachelor, master and PhD programs of medical doctors, therapists and educators. We are proposing the development of educational programs that target ENT doctors so that children and adults receive more elaborate services both diagnostically and from a rehabilitation point of view. This will improve quality of life and mental health.

DIGITAL ETHICS PERCEPTION OF STARKI’ STUDENTS DURING THE COVID-19 ENDEMIC

Entering the Covid-19 endemic period, the learning process at the Tarakanita College of Communication and Secretary (STARKI) has been carried out face to face between lecturers and students. Students' abilities in using digital media have increased. It's just that the problem is student ethics in using digital media. Based on several problems, such as the many screenshots of private conversations circulating in social media groups and uploading photos with other people without permission, research was conducted to determine the digital ethics index of STARKI students. Through descriptive quantitative research methods using the Proportionate Stratified Random Sampling technique, 196 people were obtained as respondents. From the results of the questionnaire, it can be explained that the digital ethics index for STARKI students for the 2022/2023 academic year is 79.23, which is included in the high category. This means that STARKI students understand to support government programs to prevent the spread of hate speech which often occurs in digital media by not inviting other people to comment negatively on digital media. However, there are still some STARKI students who still upload photos with other people without permission, still spontaneously upload photos of accidents, without permission still include other people in groups and even mark other people as friends, and share screenshots of private conversations via digital media. Thus, STARKI students' understanding of digital ethics still needs to be improved further until it reaches the maximum index.

Navigating the cultural adaptation of a US-based online mental health and social support program for use with young Aboriginal and Torres Strait Islander males in the Northern Territory, Australia: Processes, outcomes, and lessons

BackgroundDespite disproportionate rates of mental ill-health compared with non-Indigenous populations, few programs have been tailored to the unique health, social, and cultural needs and preferences of young Aboriginal and Torres Strait Islander males. This paper describes the process of culturally adapting the US-based Young Black Men, Masculinities, and Mental Health (YBMen) Project to suit the needs, preferences, culture, and circumstances of Aboriginal and Torres Strait Islander males aged 16–25 years in the Northern Territory, Australia. YBMen is an evidence-based social media-based education and support program designed to promote mental health, expand understandings of gender and cultural identities, and enhance social support in college-aged Black men.MethodsOur adaptation followed an Extended Stages of Cultural Adaptation model. First, we established a rationale for adaptation that included assessing the appropriateness of YBMen’s core components for the target population. We then investigated important and appropriate models to underpin the adapted program and conducted a non-linear, iterative process of gathering information from key sources, including young Aboriginal and Torres Strait Islander males, to inform program curriculum and delivery.ResultsTo maintain program fidelity, we retained the core curriculum components of mental health, healthy masculinities, and social connection and kept the small cohort, private social media group delivery but developed two models: ‘online only’ (the original online delivery format) and ‘hybrid in-person/online’ (combining online delivery with weekly in-person group sessions). Adaptations made included using an overarching Aboriginal and Torres Strait Islander social and emotional wellbeing framework and socio-cultural strengths-based approach; inclusion of modules on health and wellbeing, positive Indigenous masculinities, and respectful relationships; use of Indigenous designs and colours; and prominent placement of images of Aboriginal and Torres Strait Islander male sportspeople, musicians, activists, and local role models.ConclusionsThis process resulted in a culturally responsive mental health, masculinities, and social support health promotion program for young Aboriginal and Torres Strait Islander males. Next steps will involve pilot testing to investigate the adapted program’s acceptability and feasibility and inform further refinement. Keywords: Aboriginal, Torres Strait Islander, Indigenous, Australia, male, cultural adaptation, social media, mental health, masculinities, social support.

Religiosity Influences Legalization of Marijuana among Chaldean Americans.

The purpose of this study was to evaluate Chaldean American perspectives towards legalization and moral acceptability of recreational and medicinal marijuana in the state of Michigan. An online survey was created and distributed through various social media groups, churches, and Chaldean organizations which resulted in a total of 637 respondents following the removal of respondents who did not meet criteria. The survey was open from March 20th, 2022 to April 20th, 2022. The independent variable was level of religiosity. The dependent variables were moral acceptability, opinion towards legalization of recreational and medicinal marijuana, and risk of cannabis use disorder. Logistic regression was used to estimate the strength of the association between the independent and dependent variables. Approximately 64% of the sample was female and 54.6% were between the ages of 21 to 29. Almost 80% of respondents reported high religiosity and 83.4% strongly or somewhat supported the legalization of medicinal marijuana. In addition, 85.8% felt medicinal marijuana was morally acceptable and 58.9% believed recreational marijuana was morally wrong. In the fully adjusted models, individuals who reported high religiosity (compared to low/moderate) were more likely to oppose legalization of recreational marijuana (OR = 2.80; 95% CI = 1.46, 5.39) and believed that marijuana was morally wrong (OR = 2.36; 95% CI = 1.16, 4.78). This trend was not observed with medicinal marijuana. These findings have important implications in better understanding a traditionally conservative ethnic minority group in their attitudes towards marijuana and how religion influences their perspectives. Additional studies are needed to examine any changes in opinion overtime as this is the first study of its kind.

Examining audiologist candidates' self-esteem and professional self-esteem

BackgroundSelf-esteem is an individual's perception of themselves. Professional self-esteem is defined as the individual's perception of worthiness regarding their preferred profession. The research aims to examine the relationship between the self-esteem and professional self-esteem of Audiology department students and raise awareness of this issue.Material and MethodIn our study, 532 students in the Audiology undergraduate department were included. Professional Self-Esteem and Self-Esteem questionnaires were delivered to the students online via Google Forms, using snowball sampling, in social media groups of the Audiology undergraduate students. Data were analyzed using Spearman correlation analysis, Mann Whitney U, and Kruskal Wallis Test. p < 0.05 was accepted as significance value.ResultsAccording to the results, it has been observed that there is a weak and significant positive correlation between the professional self-esteem of the audiologist candidates and their total self-esteem scores (p < 0.05). Self-esteem and professional self-esteem scores of those who chose the profession willingly were significantly higher than those who did not choose the profession willingly (p < 0.05). As the grade level increased, professional self-esteem decreased significantly (p < 0.05). There was no significant difference between the scores in both scales according to income, university type, and gender (p > 0.05).ConclusionAs a result, it was observed that as the self-esteem of the audiologist candidates increased, their professional self-esteem increased. Also, as the class level increased, their professional self-esteem decreased.