Individual Context Research Articles

A context-based model of collaborative inhibition during memory search

AbstractContrary to common intuition, a group of people recalling information together remembers less than the same number of individuals recalling alone (i.e., the collaborative inhibition effect). To understand this effect in a free recall task, we build a computational model of collaborative recall in groups, extended from the Context Maintenance and Retrieval (CMR) model, which captures how individuals recall information alone. We propose that in collaborative recall, one not only uses their previous recall as an internal retrieval cue, but one also listens to someone else’s recall and uses it as an external retrieval cue. Attending to this cue updates the listener’s context to be more similar to the context of someone else’s recall. Over an existing dataset of individual and collaborative recall in small and large groups, we show that our model successfully captures the difference in memory performance between individual recall and collaborative recall across different group sizes from 2 to 16, as well as additional recall patterns such as recency effects and semantic clustering effects. Our model further shows that collaborating individuals reach similar areas in the context space, whereby their contexts converge more than the contexts of individuals recalling alone. This convergence constrains their ability to search memories effectively and is negatively associated with recall performance. We discuss the contributions of our modeling results in relation to previous accounts of the collaborative inhibition effect.

The Adolescent Mental Health Consequences of Social Media Usage

This paper looks into the impact of social media on an individual’s mental health status in the adolescent population. The scope of the study includes both addiction and recovery, addressing risks such as anxiety, depression, and distorted self-perception associated with the continuous use of social platforms like Instagram, TikTok, Facebook, etc. Besides recognizing the detrimental impacts of bullying, body image comparison, and excessive use of screens, the paper also underlines some advantages of social media, such as connecting people and access to assistance. In the present research, numerical indicators and empirical observations are used, i.e. the nvestigation is conducted on the basis of the mixed research method. It reveals variations in social media effects amongst adolescents based on the moderating variables of individual characteristics and situational context. The paper ends with solutions to alleviate the negative effects, such as digital literacy education, parental guidance, and mental health strategies while fostering the healthy usage of social media regarding mental health. These findings suggest the need for a longitudinal study in order to assess the changes over time in this somewhat new aspect.

Real-world patterns in remote longitudinal study participation: A study of the Swiss Multiple Sclerosis Registry.

Remote longitudinal studies are on the rise and promise to increase reach and reduce participation barriers in chronic disease research. However, maintaining long-term retention in these studies remains challenging. Early identification of participants with different patterns of long-term retention offers the opportunity for tailored survey adaptations. Using data from the online arm of the Swiss Multiple Sclerosis Registry (SMSR), we assessed sociodemographic, health-related, and daily-life related baseline variables against measures of long-term retention in the follow-up surveys through multivariable logistic regressions and unsupervised clustering analyses. We further explored follow-up survey completion measures against survey requirements to inform future survey designs. Our analysis included data from 1,757 participants who completed a median of 4 (IQR 2-8) follow-up surveys after baseline with a maximum of 13 possible surveys. Survey start year, age, citizenship, MS type, symptom burden and independent driving were significant predictors of long-term retention at baseline. Three clusters of participants emerged, with no differences in long-term retention outcomes revealed across the clusters. Exploratory assessments of follow-up surveys suggest possible trends in increased survey complexity with lower rates of survey completion. Our findings offer insights into characteristics associated with long-term retention in remote longitudinal studies, yet they also highlight the possible influence of various unexplored factors on retention outcomes. Future studies should incorporate additional objective measures that reflect participants' individual contexts to understand their ability to remain engaged long-term and inform survey adaptations accordingly.

Assessment of Factors Influencing Healthcare Provider’s Acceptance of Electronic Health Record in Jordanian Hospitals

Acceptance of electronic health record systems is considered an essential factor for effective implementation among healthcare providers. In an attempt to understand healthcare providers’ perceptions of electronic health record systems implementation and evaluate the factors influencing healthcare providers’ acceptance of electronic health record systems, the current research examines the effects of individual (user) context factors and organisational context factors using the technology acceptance model. A quantitative cross-sectional survey design was used, in which 319 healthcare providers from five public hospitals participated in the present study. Data were collected using a self-administered questionnaire, which was based on the technology acceptance model. Jordanian healthcare providers demonstrated positive perceptions of the usefulness and ease of use of the electronic health record systems and subsequently accepted the technology. The results indicated that they had a significant effect on the perceived usefulness and perceived ease of use of the electronic health record, which in turn was related to positive attitudes towards the electronic health record systems as well as the intention to use them. User attributes, organisational competency, management support and training and education are essential variables in predicting healthcare providers’ acceptance towards electronic health records. These findings should be considered by healthcare organisations’ administration to introduce an effective system to other healthcare organisations.

Environmental sustainability from a decoupling point perspective

Combatting climate change is of global importance. The fact that all UN member nations have agreed on the sustainable development goals (SDGs) is testament to this. The manufacturing industry plays a crucial part in meeting these goals. However, if manufacturing firms are to improve in terms of sustainability, such efforts must be reconcilable with their ability to make profit. Hence, sustainability efforts must be adapted to firms’ individual context and competitive priorities.Focusing on environmental sustainability, this paper is the first to empirically investigate and compare the commitment to environmental sustainability practices (ESPs), and the outcomes of such practices, across make-to-order (MTO) and make-to-stock (MTS) manufacturing plants. Furthermore, the paper investigates whether the customer order decoupling point moderates the relationship between characteristics of lean and agile manufacturing and ESPs. Hypotheses are developed based on extant literature and tested. The results indicate that MTO plants experience more benefits related to manufacturing and financial performance from their ESPs than MTS plants. The data also show that the association between ESPs and the outcomes of such practices are more robust for MTO plants than they are for MTS plants. Plausible explanations for these results are discussed and the findings of the paper are connected to the contemporary topic of smart manufacturing, as well as potential policy implications. Suggestions for future research are also provided.

독거 중년 미혼남성의 외로움 경험에 관한 현상학적 연구

Objectives This study attempted to deeply understand the experiences and nature of loneliness formed by mid-dle-aged unmarried men living alone from childhood to middle age. Methods To this end, five unmarried men in their 40s and 50s were interviewed individually twice from January 2023 to June 2023 to collect data, and Giorgi's phenomenological research method was used to focus on the phe-nomena experienced by research participants. Results As a result of the study, six components and 18 sub-components were derived from ‘loneliness sprouted by childhood wounds’,‘ wandering and accumulating loneliness in puberty’, ‘struggle for sief-reliance and lone-liness’, ‘excitement and conflict and loneliness of finding a spouse’, ‘frustration and increasing loneliness in mar-riage’, ‘acceptance and overcoming loneliness and pain’. Conclusions This study is meaningful in that the essence of the loneliness experience of middle-aged single men living alone is that they have an insight into their own isolated life with distrust, avoidance, and dependence on others due to their parents' inappropriate parenting attitudes and parenting environment in childhood. As a result, it will serve as basic data for expanding a broad understanding of the complex phenomenon of loneliness by illumi-nating individual experiences and social contexts, and preparing single-person household policies for mid-dle-aged single men and measures to live alone in old age.

Predictors for psychosocial consequences of screening for liver diseases in Germany: a LASSO approach

Abstract Background Medical screening is extensively used across various disciplines for early disease detection and prevention of severe progression aiming to reduce disease-specific burden, improve quality of life and promote health. However, screening is debated due to unclear evidence of its overall benefits from a public health perspective. Screening is associated with improved health behavior and cost-effectiveness. However, studies identified adverse effects of screening like psychosocial burden. Most results originate from cancer screening and it is unclear whether they are transferable to other contexts. Within a research program, a systematic screening procedure to detect patients with liver cirrhosis at early stage in an asymptomatic general population was evaluated. In this study, we aimed to identify patient characteristics that predict and explain variance in psychosocial outcomes of screened patients. Methods This study analyzed data from 523 participants who underwent a systematic liver disease screening in Germany from Jan 2018 to Feb 2021. We used bootstrapped LASSO regression with 10-fold validation to evaluate the influence of various predictors on the outcomes measured by the Psychological Consequences of Screening Questionnaire (PCQ). The constructs measured by the PCQ are social, physical and emotional dysfunction associated with screening. Results We identified lower severity of comorbidities, higher subjective social status, stronger social support, older age, better critical health communication skills and higher health literacy as relevant predictors of lower psychosocial dysfunction, indicating their protective role in preventing psychosocial burden of screening. Conclusions From a public health perspective, medical screening offers should take into account patients’ individual context regarding their subjective social status, health impairments, personal social networks and health literacy skills to reduce post-screening psychosocial burden. Key messages • Social support, age, health literacy and higher subjective social status were positively associated with lower psychosocial consequences of liver screening. • The findings indicate that liver screening should be carried out, taking into account the individual’s situation and resources available.

Advancing Public Health Equity through Expanded Vaccination Services in prison: case studies from Italy and France

Abstract In Montpellier prison in France and San Vittore remand house in Italy, the provision of expanded, age-appropriate, coercion-free, and tailored vaccination services to PLP has emerged as a cornerstone in improving health outcomes within prison settings. The implementation of life course vaccination programs required the full integration of prison health into public health systems building on existing vaccination services covering HBV, flu and COVID-19. In San Vittore, a vaccination clinic aimed at people living in prison was set-up. Universal vaccination status assessment and vaccination catch-up was introduced targeting people admitted into prison. The vaccination clinic-related activities included information and awareness sessions on vaccination and health literacy offered regularly to PLP: increased vaccination knowledge is effective to enhance uptake. The vaccination clinic team consisted of infectious diseases physicians and a health assistant with an anthropological background, who ran the information and awareness sessions combining and adapting core content on vaccination with individual and community social and cultural contexts. Besides seasonal flu vaccination and anti-SARS-CoV-2 immunisation campaigns, vaccinations against pneumococcal pneumonia and herpes zoster were also offered to older and fragile individuals as per national immunization plan. One of the priority objectives of the vaccination clinic was the increase in vaccination coverage against HBV and HPV, not only as a tool for the prevention of infectious diseases, but as an innovative and effective tool of cancer prevention. As part of a more ambitious program to protect sexual health in prison and related to updated screening tools for the early diagnosis of lesions due to HPV infection, vaccination against HPV was also offered as part of a health empowerment project tailored to women in detention, with the aim of building self-awareness of their own health needs.

The cohort trends of social connectedness in secondary school students in Finland between 2017 and 2021.

The aim was to investigate the cohort trends of the experienced social connectedness in secondary school students between 2017 and 2021 and whether these trends vary by gender, school level and sociodemographic background. We used nationally representative Finnish data of 450,864 students in lower and upper secondary education. Social connectedness was measured by number of close friends, feelings of loneliness and sense of belonging at school. Adjusted regression analyses included year, gender, school level and sociodemographic factors (parental education, immigrant status of the student and urban-rural area of the school). The results showed that social connectedness declined from 2017 to 2021: 11% decline in having 3+ close friends, 15% increase in loneliness and 8% decline in belonging at school. The decline was especially large in girls and upper secondary school. Although some socio-demographically disadvantaged groups showed lower levels of social connectedness, there were differences by gender, school level and year. Many differences diminished because the more advantaged groups declined faster, i.e. moved towards the less advantaged groups. Declining social connectedness in young people is a worrying trend that requires a public health focus on the whole cohort while accommodating the variation by the individual and environmental context.

The influence of health literacy on health outcomes and behaviors in fourth-graders in Germany

Abstract Background For the adult population, evidence suggests that a high level of subjective health literacy is associated with a number of favorable health outcomes and behaviors. However, for younger populations, particularly children, little evidence is available. This study investigates the relationship between subjective health literacy, health outcomes, and health behaviors in children. Methods We conducted a representative survey of 4th-grade students (age 8-11) in North Rhine-Westphalia, Germany, between Oct. 2022 and Feb. 2023. Subjective health literacy was measured with the HLS-Child-Q15 questionnaire. For mental and physical well-being, the KINDL-R was used. For health behaviors, we asked about the frequency of (1) brushing teeth, (2) eating fruit and (3) vegetables, (4) exercising, (5) consuming sweetened drinks, and (6) wearing a helmet when riding the bike. Regression analysis was used to determine the impact of health literacy on outcomes, controlling for a number of sociodemographic indicators (birthplace, home language, sex, age), as well as the tendency to give socially desirable responses. Health behaviors were rated on a Likert scale and where dichotomized for ordinal regression. Results n = 1085 students are included with a mean age of 9.5 years (SD=.6). 50.3% are female. While controlling for a number of variables, health literacy was a significant predictor (p<.05) for every indicator except the frequency of (1) brushing teeth, (4) exercising, and (5) consumption of sweetened drinks. For mental well-being, health literacy was the strongest predictor. Conclusions Our findings highlight the potentially enabling role of subjective health literacy regarding favorable health outcomes and health behaviors. However, because this is a study among younger children, further research is needed on the interplay of individual subjective health literacy, social contexts (e.g., parental health literacy and health behaviors), and children’s health outcomes and behaviors.

Bridges between evidence on vaccination intervention and Ukrainian migrant community needs in Poland

Abstract Background Vaccination coverage in Ukrainian migrants’ (UM) children is lower compared to their Polish counterparts. We aimed to identify and adapt effective evidence-based interventions which would address health system barriers to HPV/MMR vaccination in this community. Methods With the help of the Participatory Action Research (PAR) approach, 4 researchers, 6 experts, 6 UM, 7 Ukrainian GPs and 3 teachers identified and discussed transferability of promising HPV/MMR vaccination interventions and their adaptation from the Polish and contextual perspective. The Population-Intervention-Environment-Transfer Model of Transferability (PIET-T) model was used to accompany the steps for determining transferability. Results Three intervention elements were considered as capable for increasing HPV/MMR vaccination uptake: a health promoter, group educational sessions and an online provider training. Adaptations were needed to make them consistent with the contextual needs. The intervention was adapted to involve Ukrainian GPs delivering culturally sensitive education and a Ukrainian coordinator offering navigation support; barriers (lack of information/language barrier) were addressed. The education sessions for parents were taken into account as having potential to increase knowledge and facilitate making informed decisions regarding vaccination. The online education course was assessed as a strategy to possibly enhance GPs knowledge to let them make strong HPV/MMR vaccine recommendations to UMs. Conclusions Both, community-based PAR approach, and the PIET-T model, facilitated the assessment of intervention transferability and adaptation in terms of covering the individual context, pattern and needs of UMs community in Poland, to finally increase HPV/MMR vaccination uptake.

A realist change model for community-based perinatal mental health peer support from peer volunteers

ABSTRACT Aims To investigate what it is about community-based perinatal mental health peer support from trained volunteers that works, for whom, in what circumstances, in what respects, and why; and build a change model that includes positive and negative mechanisms and outcomes. Methods Realist evaluation methods based on semi-structured interviews were used to create a change model for a third sector programme in England. Results Mothers who received peer support (n = 20), peer support volunteers (n = 27), and programme staff (n = 9) were interviewed. Positive impact on mothers was primarily based on feeling understood and accepted, social comparison (including normalisation, hope, and gaining perspective) and sharing non-directive information from experiential knowledge. Negative impact on mothers was based on negative social comparison, or absence of key peer support mechanisms. Mothers were affected in different ways, depending on individual contexts: their backgrounds, personalities, social situations, resources, experiences, beliefs, and needs. Some different mechanisms were present in one-to-one and group situations. All participants considered the benefits of peer support to greatly outweigh the risks. Conclusion Individual contextual factors affect the multiple mechanisms through which mental health peer support can improve mothers’ emotional wellbeing and social participation. Peer support has potential risks as well as benefits, which can be mitigated. Programmes could use this understanding of how contexts and mechanisms interact to produce peer support outcomes to improve training for peer support volunteers and to design future evaluations that take into account diversity of peer support experience.

Reflections on Inclusion. An Essay on Ideological Contradiction, Expectations and a Search for Meaning

Is it widely known what inclusion is? Is there a difference between inclusion and integration? There are many opinions and answers that reveal a low level of understanding. The certain elusiveness of inclusion is both an advantage and a pitfall. The ambiguity of interpretation allows for greater reflection and exploration. However, it also hinders society-wide understanding since meaning is only given to inclusion by individuals through a unique understanding tied to individual experience and context of meaning. We present here our take on the issue, deliberately raising questions without requiring strict answers, as an inspiration for welcome discussion and reflection.

Dyadic cannabis use, alcohol use and relationship satisfaction: A daily diary study

ObjectiveIntimate relationships are important contexts for understanding individuals’ substance use patterns and trajectories. Using a dyadic daily diary design reporting over 14 consecutive days, the present study examined the association between cannabis use, alcohol use, and momentary relationship satisfaction among adult couples MethodEligible individuals on Prolific were invited to participate. We identified 33 couples where both partners participated. Participants completed a baseline survey and a 14-day daily diary study assessing their daily cannabis use, alcohol use, and relationship satisfaction. Multilevel modeling was used, within an Actor-Partner Interdependence Model (APIM), to evaluate the individual and interactive effects of one’s own use and their partner’s use on relationship satisfaction ResultsSignificant actor and partner effects of alcohol and cannabis use were found using both baseline and daily report data. For individuals who use cannabis more heavily among sampled couples, cannabis and alcohol co-use was associated with reduction in their own next-day relationship satisfaction while alcohol-only use was significantly associated with increased next-day satisfaction. There were no significant effects of one’s own or their partner’s effects for individuals who use cannabis more lightly. ConclusionsFindings replicate and extend prior research by demonstrating the dynamic nature of dyadic substance use and highlighting the unique impact of alcohol and cannabis co-use on daily relationship functioning.

Landscape of regulatory quantitative systems pharmacology submissions to the U.S. Food and Drug Administration: An update report.

The number of quantitative systems pharmacology (QSP) submissions to the U.S. Food and Drug Administration has continued to increase over the past decade. This report summarizes the landscape of QSP submissions as of December 2023. QSP was used to inform drug development across various therapeutic areas and throughout the drug development process of small molecular drugs and biologics and has facilitated dose finding, dose ranging, and dose optimization studies. Though the majority of QSP submissions (>66%) focused on drug effectiveness, QSP was also utilized to simulate drug safety including liver toxicity, risk of cytokine release syndrome (CRS), bone density, and others. This report also includes individual contexts of use from a handful of new drug applications (NDAs) and biologics license applications where QSP modeling was used to demonstrate the utility of QSP modeling in regulatory drug development. According to the models submitted in QSP submissions, an anonymous case was utilized to illustrate how QSP informed development of a bispecific monoclonal antibody with respect to CRS risk. QSP submissions for informing pediatric drug development were summarized along with highlights of a case in inborn errors of metabolism. Furthermore, simulations of response variability with QSP were described. In summary, QSP continues to play a role in informing drug development.

Successful strategies for preventing and controlling violence against people with intellectual disabilities: a scoping review

BackgroundViolence against people with intellectual disabilities is unfortunately a reality all over the world, as they are one of the populations most vulnerable to various forms of aggression. Assertive prevention and control measures are crucial to tackle and reduce this problem. The aim of this study was to map and summarize the main measures for preventing and controlling domestic violence against people with intellectual disabilities. MethodsThis was a scoping review conducted in accordance with the JBI guidelines. The databases consulted were: National Library of Medicine (PubMed); Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science; Excerpta Medica DataBASE (EMBASE); Latin American and Caribbean Health Sciences Literature (LILACS) and SCOPUS. Studies included in this review reported on strategies to address domestic violence against people with intellectual disabilities, published in the last ten years, in Portuguese, Spanish or English.ResultsA total of 11 studies were included in this review. Six studies had high methodological quality and five had moderate. Cognitive-behavioral intervention programs, educational technologies and/or auxiliary tools, along with the full participation of people with intellectual disabilities in domestic violence prevention measures are appropriate strategies for dealing with this issue.ConclusionDomestic violence against people with intellectual disabilities is relatively unexplored in the health-field scientific literature. Prevention and control measures should be developed with the active involvement of people with intellectual disabilities, generating engagement and knowledge. Preventive measures should be adapted to the personal context and conditions of individuals with special needs, such as those with persistent or chronic mental disorders.

Unveiling Patience: The Intersection of the Qur'an and Hadith in Buya Hamka’s Thought

This article examines the concept of patience in the thought of Buya Hamka, focusing on the integration between the Qur’an and hadith in Tafsir Al-Azhar. As a central theme in Islam, patience is not only understood as a passive reaction to adversity but as an active attitude reflecting spiritual strength and depth of faith. This article identifies how Buya Hamka interprets patience through the bi al-ma’thūr method, using hadith as an explanatory tool to deepen the meaning of patience-related verses. With a qualitative analysis that emphasizes textual study, this article presents evidence that Buya Hamka relates patience to social and individual contexts and creates practical guidance for Muslims in facing the challenges of daily life. Through this approach, the author shows how patience can serve as a tool to achieve emotional balance and mental resilience. The contribution of this study lies in the emphasis on the relevance of Hamka’s tafsir in the modern context, as well as the functionalization of hadith in expressing the profound values of patience. By filling an existing academic gap, this research offers new insights into the relationship between historical Islamic texts and contemporary spiritual practices, making Tafsir Al-Azhar an essential resource in guiding Muslims to understand and apply patience in their lives.

Pick your battles: Elite ski-jumpers’ motives affect world cup performance depending on competition type

According to motive disposition theory, athletes high in affiliation motivation should find team contexts more rewarding than individual contexts, and hence perform better in a team than in individual competitions. The opposite is predicted for athletes high in power motivation. To the best of our knowledge, this is the first study to test these hypotheses in an elite sample (here: ski jumping athletes) based on archived worldcup competition data from both individual and team competitions on the one hand, and self-reported and projectively assessed motives on the other hand. Results confirmed that even at the highest levels of professional sports, individual differences in motives show systematic relationships to competition performance. First, the negative impact of athletes' projectively assessed affiliation motive in individual competitions was significantly attenuated in team competitions, indicating that these represent more favourable conditions for athletes high in affiliation. Second, the projectively assessed power motive exhibited an overall negative relationship to performance. In contrast, self-reported achievement and affiliation motives showed a positive relationhip to performance. These findings attest to the role of personality differences in predicting motor performance variability in elite sports.

How Effective Are Work-Life Balance Policies? The Importance of Inclusion

In this manuscript we review research on the effectiveness of work-life balance (WLB) policies in improving employee and organizational outcomes. We find that while WLB policies are often implemented with good intentions, their effects are generally small or inconsistent. We identify eight barriers to policy inclusivity that we theorize are linked to reduced effectiveness—a narrow definition of family, focusing on work-family rather than work-nonwork balance, low policy awareness, the practical constraints of access, overlooking vulnerable workers, the nature of the job, supervisor attitudes and behaviors, and unsupportive organizational cultures—and make recommendations for addressing these barriers. We also highlight the importance of considering individual differences and cultural contexts when implementing WLB policies. We conclude by proposing future research directions, such as examining coworker support and the impact of national culture on policy effectiveness.

A Different Case Of Suicide By Hanging - Case Study Of The Event

A thorough analysis of circumstances and examination of the death scene is crucial before determining the manner of death in cases of hanging. While there are numerous reports of suicide and homicide by hanging in India, instances where the deceased is found with hands and/or feet bound and with feet touching a chair, the ground, or a bed, are considerably uncommon, as illustrated in this particular case (figure no.1). Hanging is indeed one of the methods used in suicides due to its accessibility and the perception that it may lead to a quick death. However, it's important to note that the choice of method can vary greatly depending on individual circumstances and cultural context. It is very easy to locate the place (indoor/outdoor) as well as commonly available hanging materials like rope, long napkin, belt, saree, dupatta, and long cloth (dhoti). Partial hanging suicide with hand-tied rope/dupatta cases are very less in number. Data on suicides, such as those reported by the National Crime Records Bureau, provide important insights into patterns and risk factors for suicide, essential information for public health interventions, and policy-making aimed at preventing such deaths. A total of 1,70,924 suicides were reported in the country during 20229. Sometimes suicidal tendency of the victim is so high that he/she can tie his/her hands with ligature material so that he/she cannot escape from the suicidal situation. We can also learn about partial hanging and postmortem blisters from this case study.