Individual Value Systems Research Articles

Digital transformation: an investigative study of the performance of digitalization in governance

Purpose Corruption in Nigeria is a wicked issue that is threatening the performance of governance. However, the potentials of digital transformation in governance have proven to resolve similar issues in many countries. This study seeks to understand the reasons why the digital transformation of governance in Nigeria is not ending corruption and the lack of accountability and transparency but is creating new opportunities of corruption. This is because Nigeria continues to decline in its ranking in the corruption perception index – yearly. The pupose of this study is to identify the various factors responsible for this and proffers adequate solutions. Design/methodology/approach Within this study, the direct observatory methodology was used. This is a form of unstructured observation, whereby the complexity and context of a behavior or interaction are examined. Two government organizations that have integrated digitalization into their processes and services were investigated; these are the Federal High Court and the Nigeria Immigration Service all based in Abuja, Nigeria. Findings The primary factors responsible for the poor performance of the digital transformation of governance within the two organizations studied – include the adoption of a semi-automated system for the digital transformation of public governance, lack of a proper audit system (internal and external), inherent culture of corruption, in-addition to the individual and organization value systems that supports corruption, lack of adequate laws, policies and regulation to prevent, manage and punish corruption and the lack of publicity on the transformation of governance within these organizations, the poor usage of the system and inadequate digital public infrastructure. Research limitations/implications This research focused on investigating two public organizations, while there are several public organizations. The results of this study may or may not apply to other organizations, but it is impossible to know at this time. This is because of the nature of this study. This represents a limitation of this research. It is possible that few public organizations within the public sector are getting the benefits of digitalization and lessons can be derived from them to improve those that are not. On the other hand, the results obtained in this study may not apply to the private sector. This needs to be examined in future studies. Hence, future studies that should investigate the impact of digital transformation of governance in both the private and public sectors – using a mixed approach are encouraged. Originality/value This study posits itself as one of the earliest studies to deploy the direct observatory methodology in understanding digital transformation of governance in Nigeria. Within this study, clear loopholes were identified with verifiable empirical evidences. Unlike previous studies that reviewed literatures and used surveys, this study used an un-biased and real-life approach to gather evidence. This study bridged the gap between theory and practice of how digital transformation in governance works in Nigeria.

Cross-country comparison analysis of individual and institutional factors of anomie and online offending

This article addresses the gap in the literature by empirically assessing a cross-national comparison of institutional anomie theory (IAT) and self-reported cyberoffending. We used survey data from Finland, Hungary, and the United States to examine the relationship between institutional anomie and cybercrime. Each country represents different types of societies, which makes them interesting cases for cross-national comparison. With Hungary representing a conservative welfare regime, Finland a social democratic welfare regime, and the United States a liberal welfare regime, we predict that the more political regimes intervene in economic relations and support non-economic institutions, the less applicable IAT's variables will be in predicting cybercrime perpetration. In line with these predictions, binomial regression models suggest that IAT works best in the United States, where individualism, achievement, and fetishism of money increased the indices of cybercrime offending. IAT variables were less useful in predicting cybercrime offending in the other nations. Yet, also in line with our prediction, family has a strong external control function in Finland, protecting participants from cybercrime offending. However, no IAT indexes achieved statistical significance in Hungary, where a work-based welfare system suppresses family-related values. Education has a mixed effect on cybercrime offending. Thus, IAT is valuable for understanding cybercrime offending; however, it should be examined in more countries with social institutions and individual value systems different from that of the United States.

Prolegomena about the cluster-network model organization of the educational system in musical academies of Ukraine

The article „Prolegomena about the cluster-network model organization of the educational system in the musical academies of Ukraine” discusses the complexity of higher musical education and the need for new scientific approaches to address the changing pedagogical reality. The authors propose a cluster-network model for organizing the educational system in musical academies, which is based on the following components: conceptual – tasks, methods, forms, means; axiological– values; psychological and pedagogical – mechanisms of learning values; organizational and management – management of elements of the educational structure. The cluster-network model aims to increase the competitiveness of the educational system by developing the students’ competencies that meet the requirements of the social order. It also emphasizes the importance of spirituality in education and the need for a holistic approach to human development. The authors argue that the ideal of human education is constantly changing, but the ability to correlate the concepts, ideas, and theories acquired during cognitive activity with an individual value system is a key indicator of successful education. The article highlights the importance of understanding the inner class and spiritual being of a person, as well as the need to implement some methods that contribute to penetrating into the phenomenological secrets of human consciousness for researching and revealing the most important mental structures of man. It also discusses the role of dialogue as a way of existing and coexisting- with the „other” in the communication process. The proposed model aims to address the challenges of the postmodern era, where the world is thought of as an open text not limited in its manifestations and interpretations. It emphasizes the importance of continuous education and the integration of knowledge from related disciplines to develop digital education and innovative work practices.

The Impact of Online Education on the Islamic Values of Female Faculty Members during the Lockdown

This research focuses on the impact of the COVID-19 lockdown-induced online education on the individual value systems within the Saudi value system embedded in Islam and Saudi culture, experienced by the faculty members of the Islamic Studies Department of a Saudi College of Education. The research reviews the pros and cons of online education, individual value systems within the broader Saudi value system, specifications of the Saudi value system and its significance in Islamic studies. The analysis of the study comprises responses from the selected female faculty members of the Saudi College of Education’s Islamic Studies Department through MAXQDA codes and their relevance to the value system of each individual, highlighting reinforced, weakened and disappeared values. The study demonstrates that whereas such phenomena reinforce certain values, they also weaken several others and cause the elimination or emergence of new values. This study also demonstrates that religious, knowledge and behavioural categories of values demonstrate the strengthening, weakening and disappearance of certain values. It shows that the Saudi system of values registers the loss of several values in these three categories, including the emergence of some negative ones. The research points to the inclusion of broader population sampling within the same and different contexts to broaden the scope of the research.

Upbringing according to Values: An Analysis of Grimm’s Tale “Hansel and Gretel” in accordance with the Theories of Max Scheler and Milton Rokeach

The article aims to show how the message of one of the most popular fairy tales of the Brothers Grimm, Hansel and Grethel, can be read from the point of view of upbringing according to values. To this end, the analysis of fairy tales was made based on the phenomenological concept of an unchanging hierarchy of the values of Max Scheler, and on the theory of Milton Rokeach, assuming that the individual value system develops through learning. Apart from Bettelheim’s well-known interpretation, the analysis of the fairy tales revealed an idealistic message: that the experience of anomy, a reverse hierarchy of values and negative values, can be overcame by the effort to find an existing apriori universal system of values. In this context the most important developmental task is the ability to choose proper values.

Religion in the narratives of Polish members of the European Parliament – politicising European integration?

ABSTRACT The contribution investigates the role of religion in the work and attitudes of Polish members of the European Parliament (MEPs). It draws on two types of data: the results of the Polish part of the survey on Religion in the European Parliament and in European multilevel governance II (RelEP2) and qualitative content analysis of Polish MEPs’ speeches from the first part of the European Parliament’s ninth term of office (July 2019–June 2021). The analysis of the MEPs’ plenary speeches reveals the pivotal role religion plays in articulating the main national political divide between sovereignists and Europeanists over attitudes to European integration. Religion, treated primarily as a cultural resource and identity marker, has become instrumental for the process of politicisation of EU integration at the supranational level – mirroring processes on the domestic level – pursued especially by MEPs representing right-wing orientations. The analysis of the survey results demonstrates that Catholicism constitutes an important element of many Polish MEPs’ individual value systems and identities. However, this translates into an ambivalent perception of the role of religion in the context of the public sphere.

Strategies for Teaching Diversity, Equity, and Inclusion in Principles of Nursing.

Nursing programs need to identify creative teaching strategies, guiding students to reflect on individual value systems and consider the values of others as they apply diversity, equity, and inclusion (DEI) in the provision of individualized nursing care. The purpose of this project was to develop teaching strategies related to DEI content and examine how first clinical semester, prelicensure baccalaureate nursing students perceived these strategies. Participants engaged in self-reflection on topics related to DEI, using guided questions in discussion boards, a written paper, and a simulation-based experience. Thirteen students completed an anonymous survey with consideration of these activities and their perceived impact on DEI in their personal nursing practice. Three investigators analyzed survey responses by employing Word Clouds, word counts, and interdependent content analysis and found that using the existing syllabi for the Principles of Nursing course and modifying it to address DEI concepts resulted in perceived increases in awareness, sensitivity, knowledge, competence, and holism.

Religijność osób niewidomych a kryzys w wartościowaniu

The aim of the study is to analyze the nature of the relationship between religiosity and the crisis in the evaluation of blind people. The research covered 82 respondents aged 18-72. The Centrality of Religiosity Scale (C-15) by S. Huber and the Questionnaire for the Study of the Crisis in Valuing (KKW) by P. Oleś were used. The research shows that the religiosity of the respondents is shaped to the greatest extent by their religious beliefs, followed by personal religious practices and participation in rituals and community forms of worship. For more than half of the respondents, religiosity occupies a subordinate position in the system of personal constructs, while for 40% its role is superior. In the case of a crisis in valuing, a significant role was played by the difficulty of organizing the individual system of values into a hierarchy and the failure to implement and disintegrate values. Almost half of the respondents are characterized by low intensity of difficulties in valuing, and 40% reveal moderate intensity. The hypothesis assuming the existence of a significant negative relationship between religiosity and the crisis in valuing has been confirmed. Key words: religiosity, crisis in valuing, blind people

News Media Framing of the Environmental Issues: A Transnational Comparative Analysis of Pakistan and Britain

This study examined environmental issues from framing perspective. It attempts to understand the framing schemes in the purposively sampled newspapers of Pakistan and the UK. Under the constructionist view of framing analysis revealed that environmental communication is massively suffering from hypocognition which resulting the lack of effective framing perspectives and often construct major obstacles in efficient environmental management and policy making. Variability in framing perspectives influence the individual value systems, beliefs, preferences and reactions to environmental hazards in environmental decision-making process. Moreover, comparative approach of this quantitative study within the universe of year 2007 to 2016 sample of 1,139 news stories reflects the significant differences in news framing capacity of Pakistani and British print media while reporting of environmental issues.

«ДИНАМІЧНА АКСІОЛОГІЯ» СУЧАСНОЇ ПОПУЛЯРНОЇ КУЛЬТУРИ

«Dynamic Axiology» of contemporary popular culture represents a pivotal apparatus for deconstructing deeply-embedded processes that underpin the value paradigms of the modern sociocultural matrix. This conceptual framework elucidates the mechanisms of value interaction, adaptation, and transformation within the milieu of dynamic sociocultural modifications. An astute interpretation of this logic facilitates a profound comprehension of the multidimensionality and intricacy of global human history. Cultural identifiers, propagated through global communicative networks, can augment their primordial context, yet when integrated into new sociocultural environments, often exhibit transformed connotations. Concurrently, what is observed is not merely a nonlinear cultural influence, but a dynamic value exchange that conceptually enriches both interacting facets. A significant concern in axiological analysis is the commodification of values. Amidst globalization and technological advancements, popular culture emerges as the primary conduit for transmitting standardized values, leading to the homogenization of cultural landmarks and the reinforcement of hedonistic tendencies. Popular culture confronts the quandary of value ephemerality. Phenomena that rapidly gain traction also swiftly diminish, engendering a «disposable» culture. Axiological instability results in individuals losing bearings in a world dominated by randomness and unpredictability. Among other axiological dissonances, the conflict between authenticity and simulacrum stands out. In a realm where images and symbols eclipse reality, discerning authentic experiences from their imitations becomes challenging. The informatic-technological dimension is pivotal in the discourse of «dynamic axiology», highlighting the acceleration, intricacy, and modification of value interactions, revealing new horizons and issues for both individual subjects and collective identities. Explicating these processes is imperative for the intellectual scrutiny of axiological dynamics in contemporary contexts. The economic component, notably the advertising industry, as a formidable influence mechanism on public consciousness, plays a significant role in shaping the axiological foundations of contemporary popular culture. It is evident that this influence isn’t always beneficial or positive, considering the potential deleterious ramifications for individual and collective value systems.

Endorsing populism to cope with ambiguity? The role of the need for closure, self-deception, and personal values in advocating populist attitudes

This study examined the relationships between the need for cognitive closure, self-deception, personal values, and populism to shed light on the motivational dynamics underlying the adoption of populist attitudes. Drawing on Jost's perspective on the role of ambiguity management needs and ideological conservatism in shaping political attitudes, this study also highlights the dynamics relating populist attitudes to the left-right political continuum.A total of 785 Italian adults (F = 56.6 %; mean age = 35.8 years, SD = 14.1) anonymously participated in the study by completing an online questionnaire. Path analysis revealed that self-deception drove populist attitudes; the need for cognitive closure was related to populist attitudes after individual value systems were aligned with ideological conservatism. The findings emphasized the greater importance of personal values over political values in driving political attitudes and suggested that a fusion of left- and right-wing populism may occur based on shared authoritarian predispositions. Practical implications for educational curricula were discussed.

Обусловленность функционирования лексико-синтаксических особенностей спонтанной и подготовленной речи психолингвистическими механизмами речепорождения (на материале английского языка)

The article reflects the results of studying English oral monologue speech (spontaneous and prepared) conducted from the standpoint of linguistic and psycholinguistic approaches by appealing to the principles of generating a speech statement. Within the content analysis, it has been proved that the identified language markers (repetitions, anadiplosis, various categories of questions, etc.) successfully implement the original intention of the authors of the presented speech acts differing in multifunctionality and the ability to represent the speaker’s individual value system. The aim of the study was to identify the lexical and syntactic specificity of English oral monologue speech. The scientific novelty of this study lies in the analysis of the regulation of deep structures in a sounding monologue that is coordinated by language units with qualitative signs of expressing hesitation and intention. As a result, it has been found that the mechanisms of generating spontaneous and prepared monologue statements are reflected in the functioning of specific simple and complex language units (lexical and syntactic), which, in turn, represent the content of speech generation process considering the speaker’s internal motives.

Reinventing Work. The Implications of Modern Work Arrangement for Individuals and Teams

The nature of work is changing rapidly and global trends such as demographic changes, exponential technological growth and changes in individual value systems have accelerated a shift with regards to how, where and when work is organized. Whilst an abundance of research has explored the implications of modern work from economic and sociological perspectives and discussed the consequences for organizations, relatively little is known about how the changing notion of work impacts workers and teams. This symposium addresses this gap by bringing together leading scholars who will shed light on how workers experience changes in work and how this influences their careers, their attitudes and their wellbeing. Using the presentations as a starting point, the aim of the symposium is to discuss common patterns, but also interesting differences in order to identify how individuals benefit from modern work, whilst highlighting potential challenges and drawbacks. Insider to the Team, Outsider to the Organization. Freelancers’ Perceived Insider Status Presenter: Thomas Gigant; ESCP Europe Employee Experiences and Well-being in rapidly transformed Virtual Teams Presenter: Almudena Canibano; ESCP Business School Presenter: Petros Chamakiotis; ESCP Business School Presenter: Emma Russell; U. of Sussex Visibility and Status of Accumulated Professional Knowledge. Effects of Digital Transformation Presenter: Nanna Gillberg; U. of Gothenburg Presenter: Ewa Wikström; School of Business, Economics & Law, U. of Gothenburg, Sweden Can AI Recommendations Mitigate Nepotistic Hiring Behavior? Presenter: Jonathan Edward Booth; London School of Economics and Political Science

How childhood maltreatment links to labor values? The mediating role of moral competence and prosocial normative tendency

BackgroundLabor values are important components of the individual value system and considered to be among the most important values of an individual, especially in China. In studies of values, childhood maltreatment is considered to have an important influence on the formation of individual values. However, there is no previous research about the relationship between childhood maltreatment and labor values. The mechanism of childhood maltreatment on labor values is not clear and requires further study.MethodsThis study intended to investigate the relationship between childhood maltreatment and labor values, and further verify whether moral competence or prosocial normative tendency mediated this correlation. Therefore, 2691 participants were recruited from primary and secondary schools, who completed Labor Values Scale, Childhood Trauma Questionnaire, Moral Competence subscale and Prosocial Norms subscale.ResultsResults revealed the negative correlation between childhood maltreatment and labor values. Importantly, childhood maltreatment also indirectly impacted labor values through moral competence and prosocial normative tendency. It indicated that both moral competence and prosocial normative tendency played a significant mediating role in this relationship. Our findings are valuable for understanding the underlying mechanism between early trauma and values.ConclusionsChildhood maltreatment has important implications for labor values. Moral competence and prosocial normative tendency mediate between childhood maltreatment and labor values. The results remind us to pay attention to the important influence of childhood maltreatment in the cultivation of labor values, and focus on the role of moral competence and prosocial normative tendency.

The Axiological Portrait of Quality and its Standard (Based on Comparative Phraseography)

The paper presents the concept of a comparative topical dictionary of set similes, which allows to fully reflect the axiological parameters of phraseological material. The choice of the object of vocabulary description which is set similes (comparative phraseological units) is justified by their direct correlation with the category of evaluation and the individual value system. It is emphasized that in the act of phraseological nomination, axiologically oriented is the choice of the object of comparison that requires evaluation, and the image of comparison that refers the native speaker and the researcher to the sphere of origin of the turnover, to its history. These phraseological parameters have been thoroughly investigated on the material of various languages. However, bilingual dictionaries do not give a complete picture of the evaluative phraseological universals and the ethnocultural specifics of phraseological comparisons. A bilingual dictionary of a special type will help solve this problem, realizing the idea of parallel-contrastive representation of the material, which determines the relevance of our research presented in this article on the material of the Russian and Czech languages. The article deals with such theoretical issues of phraseology as the axiological potential of a comparative phraseological unit, the paradigmatics of the axiological space of comparative phraseology, axiological characteristics of the comparison standard, etc.Referring to the dictionary entries formed within the framework of the concept, the feasibility of multi-directional linguoaxiological development of set similes in two sections of the comparative dictionary has been proved: from the general phraseological image to the meaning of phraseological units and their axiological orientation as well as from the meaning of a phraseological unit to methods of associative-figurative transmission of evaluative connotations.In the first case, the phrase-forming potential of the figurative cores representing the model manifestations of the evaluated attributes is revealed, while ethnoculturally determined discrepancies of the axiological charge of the image are commented on. In the second case, the attribute itself is characterized from the standpoint of its practical significance for speakers of different linguistic cultures. A model of parallel-contrasting dictionary macro-entry structuring is presented: the filling of parametric zones, the features of metalanguage use, and the graphic ways of displaying types of figurative-axiological correspondences.

ПСИХОСЕМАНТИЧНА РЕКОНСТРУКЦІЯ ГЕНЕРАЛІЗОВАНОГО-ТРИВОЖНОГО РОЗЛАДУ В КОГНІТИВНОМУ КЛЮЧІ

The basic aspects of the importance of personal and semantic factors in the formation of generalized anxiety disorder are highlighted in the article. The model of understanding and psychotherapy of excessive worries, based on the reconstruction of the value system is proposed. Such reconstruction is possible due to the "rewriting" of the personal narrative, which in external manifestation functions as the equivalent of a speech act. It is through the psychosemantic aspect that the way to the field of meanings and understanding of "excessive worries" is opened and the access to the subjective world of a person in his/her own system of semantic and linguistic coordinates is provided. The cognitivebehavioral methodology of recognition of generalized anxiety disorder, Penn State Worry Questionnaire (PSWQ), WWS-II (worry scale), author's questionnaire and psychotherapeutic interventions were used, which stand for the main tool for reconstruction of semantic spaces and individual value system. The study involved 150 people aged 19-24. The results show that significant aspects of personal and semantic factors in the formation of generalized anxiety disorder can be considered as follows: client perception of worries as those that help to solve problems, motivate to action and can prevent negative results. Such positive beliefs about the worries can significantly affect the dynamics of psychotherapeutic work. The article presents a clinical case and demonstrates the effectiveness of psychotherapeutic interventions. An algorithm for dealing with clients is suggested, which is grounded on a current technique for the cure of generalized anxiety disorder and includes: qualified examination; reevaluation of the effectiveness of the worries; assistance in a realistic perception of ambiguous situations that are not necessarily threatening; reconsidering of attitudes to situations of uncertainty; use of exposures technique aimed at profound coping with the stimulus in a nonverbal way; skills of overcoming negative emotions without escaping from them. Such psychotherapy is also based on the provisions of psychosemantic analysis on the possibility of reconstructing the semantic space of algorithms of emotional-cognitive response. The article attempts to combine the clinical paradigm and the scientific position, the cognitive-behavioral model of psychotherapy and the position of psycholinguistics on cognitive processing of information on the basis of mental representations formed by the individual. The applied psycholinguistics has meaningful prospects for applied cognitive research.

Do personal values explain variation in satisficing measures of risk?

PurposeThe role of personal value systems as antecedents to risk has been largely ignored. Following Gigerenzer's view of ecological rationality, the authors argue an individual's personal value system serves as concrete motivations that guide risky choices and facilitate adaptation to one's environment.Design/methodology/approachThe authors elicit risk attitudes using a satisficing-based risk elicitation method that exploits the idea of worst-case aspiration or minimum portfolio returns given a portfolio comprising a safe and risky prospect. The elicited worst-case aspiration allows for more descriptive and natural ways of characterizing attitudes to risk (i.e. satisficing measures of risk). Using the Schwartz Value Survey, the authors assess the relative importance individuals place on value systems, such as personal focus versus social focus. The authors argue that preference to value systems has linkages with the worst-case aspiration setting emphasized in the satisficing task.FindingsThis study’s findings suggest that individuals who are willing to give up higher potential returns to protect their downside risk (by setting higher worst-case aspiration) are positively associated with personal focus—concern about own outcomes than social focus—concern about the outcomes for others or established institutions.Research limitations/implicationsCurrently, the study’s setting is in the domain of financial decision-making. Going forward, milestones could be set for studying risky real-world choices by simply changing the risk measure in different contexts, such as job choices, education, health and social interactions.Originality/valueThis study contributes to the discussion on the psychometric structure of risk. Prescriptive benefits of satisficing as a positive heuristic, which is interpreted as setting achievable goals or aspiration levels, are extensive and recognized in various industries ranging from agriculture, airlines, insurance to financial advising. More recently, cognitive processes, such as emotions and personal value systems, are recognized as a type of social cognition that subserve heuristic functions that can guide behavior quickly and accurately.

Value-Based Leadership in Crowdfunding Digital Startup: A Qualitative Study in iGrow and KITABISA

This study aims to identify the basic values of crowdfunding digital startup leaders at iGrow and kitabisa and also to understand how these values were created. Individual value systems are related to people's attitudes and behavior, especially in the leadership decision-making process. iGrow as an investment company for agriculture products has an orientation toward achieving profits, while kitabisa as a social movement platform has a social orientation toward helping others. This study used a qualitative approach through the in-depth interview from snowball sampling that served as the primary data. The research result proposed nine main values identified from leaders of both startup companies. The main values of iGrow leader were achievement goals, hard work, legacy, togetherness, and role models, while those of Kitabisa leader were rational, learning, hustler, genuine caring, and legacy. From the process in which these values were created, this study proposed a theory on a different path of value creation, called the value creation pathway. These research findings were only limited to the two leaders from iGrow and Kitabisa.

Generativity and value orientations during emerging adulthood: Moderating the role of loneliness

The article discusses the concept of “generativity”, approaches to its study and its place in the framework of foreign and Russian psychology. The period of emerging adulthood is an impor- tant stage in the life cycle of a person, in which personal and professional identity is formed, close relationships, and an individual value system is created. Studies of generativity related to the period of early adulthood have shown that generative orientation is included in the value structure of a person and can be a leading motive. At the same time, this is a period of building social relations and searching for personal boundaries. The article presents the results of an empirical study where 203 emerging adults participated (17–24 years; M=19.58; SD=0.15), of which there were 23 men (11%) and 180 women (89%). In the study, it was hypothesized that in the differential analysis of values, generative orientation and generative actions can be associated with different values. The authors assumed that since loneliness reflects certain aspects of a person’s interaction with society, then at different levels of its severity the specificity of the ratio of values and generativity can also change. The following methods were used: Loyola Generativity Scale (LGS), Generative Actions List (GBC), Differential Loneliness Experience Questionnaire by E.N.Osin and D.A.Leontyev (DOPO) and the “Value Questionnaire” (CO) by Sh. Schwartz. Regression and cluster analyses were applied. The results of the study indicate a close relationship between generativity characteristics and the desire to maintain and preserve traditions (cultural, family, religious, etc.), as well as with a low level of feelings of isolation. It was revealed that generativity is associated mainly with values at the level of personal priorities, rather than at the level of normative ideals. Also, the relationship between generative orientation and hedonism, dependent on the attitude towards loneliness, is discussed. In the desire to avoid loneliness, an inverse relationship was revealed between the characteristics, while in the perception of loneliness as a resource — a direct one. The question is raised about the nature of the manifestation of generativity in people who feel dissatisfaction with interpersonal interaction. The practical significance of the study was that the data obtained confirm that with different severities of loneliness, the characteristics of generativity form different connections with values, which allows a more differentiated approach to accompanying the process of entering adulthood in practical and consulting work.

Feasibility, acceptability and change in health following a telephone-based cognitive behaviour therapy intervention for patients with axial spondyloarthritis.

ObjectiveThe aim was to assess the feasibility and acceptability of a telephone-based cognitive behaviour therapy (tCBT) intervention for individuals with axial SpA (axSpA), with and without co-morbid FM, and to measure the change in patient-reported health outcomes.MethodsA convenience sample of individuals recruited from British Society for Rheumatology Biologics Registry for AS (BSRBR-AS) sites were offered a course of tCBT (framed as coaching). Patient-reported outcomes were measured at baseline and on course completion. Semi-structured qualitative interviews assessed intervention acceptability. Thematic analysis was informed by the theoretical framework of acceptability.ResultsForty-two participants attended for initial assessment. Those completing at least one tCBT session (n = 28) were younger, more likely to meet classification criteria for FM (57 vs 29%) and reported higher disease activity. Modest improvements were reported across a range of disease activity and wider health measures, with 62% of patients self-rating their health as improved (median 13 weeks post-intervention). Twenty-six participants were interviewed (including six who discontinued after initial assessment). tCBT was widely acceptable, offering a personalized approach. Despite low or unclear expectations, participants described improved sleep and psychological well-being and gained new skills to support self-management. Reasons for non-uptake of tCBT centred on lack of perceived need and fit with individual value systems. Many felt that tCBT would be most useful closer to diagnosis.ConclusionHigher uptake among axSpA patients with co-morbid FM suggests that these individuals have additional needs. The findings are helpful in identifying patients most likely to engage with and benefit from tCBT and to maximize participation.