Measures Of Behavior Research Articles

Associations between perceived cancer impact and measures of health behavior in survivors of childhood cancer.

Perceived cancer impact (PCI) is the degree to which one feels cancer has impacted one's life. It is unknown if PCI is associated with health behaviors. The aim of this study is to determine associations between PCI and health behaviors in childhood cancer survivors. Participants were ≥ 5-year survivors enrolled in the St. Jude Lifetime (SJLIFE) cohort. The Brief Cancer Impact (BCIA) assessed PCI across four domains (caregiving/finances, diet/exercise, social/emotional functioning, religiosity). Responses were categorized as negative, neutral, or positive impact. Smoking, risky drinking, illicit drug use, and diet quality data were obtained via self-report. Physical activity (PA) was assessed via self-report and actigraphy. Cross-sectional and longitudinal associations between PCI and health behaviors were evaluated via multivariable logistic regression. A total of 3623 participants (mean age 30.4 ± 8.3years, 49.6% female, 81.5% NH White) were included in baseline cross-sectional analysis; 1709 had a second visit 5.0 ± 1.4years later and were included in longitudinal analysis. At baseline, the percentage of participants who endorsed cancer as having a negative impact on caregiving/finances was 37.5%, diet/exercise 30.5%, social/emotional functioning 40.6%, and religiosity 8.7%. Negative and neutral PCI across all four domains were cross-sectionally associated with all behaviors except illicit drug use. Negative and neutral PCI at the first time point across all four domains were associated with smoking, diet quality, and PA (ORs ranging from 1.35 to 2.41) in longitudinal analyses. Endorsing negative or neutral PCI is associated with adverse health behaviors. Promoting optimal health behavior should include addressing PCI.

Self-transcendence through the lens of ontological addiction: correlates of prosociality, competitiveness and pro-nature behavior

Self-transcendence and the associated decrease in ego-centeredness are understood to foster altruistic and positive behaviors that promote prosociality and pro-environmental actions. However, the lack of an agreed valid and reliable measure of self-transcendence has posed difficulties in examining this subject. The main aim of this study was to use the recently developed Ontological Addiction Scale (OAS), which assesses dysfunctional ego-centeredness as an inhibiter of self-transcendent change, as a proxy measure to examine whether self-transcendence is indeed related to such “selfless” prosocial and pro-nature behaviors. Secondary aims were to examine ontological addiction (OA) and these behaviors in relation to competitiveness and ego-driven manifestations of prosociality. These relationships were examined via self-report measures in a cross-sectional cohort study of 287 UK adult participants. Findings revealed associations with competitiveness that broadly reflect its association with ego-centeredness through significant correlations with OA, and significant negative correlations with both prosociality and pro-nature behavior. They also supported earlier findings of a significant relationship between OA and measures of anxiety and depression. However, the expected negative correlations between OA and both prosociality and pro-nature behavior were not evidenced, which raises questions regarding the notion of OA as a conceptual antithesis of self-transcendence and/or whether measures of pro-sociality and pro-nature behavior adequately account for “selfish” or “impure” motivations that may underly these behaviors. Implications and future research directions are discussed.

Predicting social experience from dyadic interaction dynamics: the BallGame, a novel paradigm to study social engagement

Theories of embodied cognition suggest that a shared environment and ongoing sensorimotor interaction are central for interpersonal learning and engagement. To investigate the embodied, distributed and hence dynamically unfolding nature of social cognitive capacities, we present a novel laboratory-based coordination task: the BallGame. Our paradigm requires continuous sensing and acting between two players who jointly steer a virtual ball around obstacles towards as many targets as possible. By analysing highly resolved measures of movement coordination and gaming behaviour, game-concurrent experience ratings, semi-structured interviews, and personality questionnaires, we reveal contributions from different levels of observation on social experience. In particular, successful coordination (number of targets collected) and intermittent periods of high versus low movement coordination (variability of relation) emerged as prominent predictors of social experience. Importantly, having the same (but incomplete) view on the game environment strengthened interpersonal coordination, whereas complementary views enhanced engagement and tended to generate more complex interactive behaviour. Overall, we find evidence for a critical balance between similarity and synchrony on the one hand, and variability and difference on the other, for successful engagement in social interactions. Finally, following participant reports, we highlight how interpersonal experience emerges from specific histories of coordination that are closely related to the interaction context in both space and time.

Validation of the Adult Eating Behavior Questionnaire (AEBQ) in a young adult Black sample in the U.S.: Evaluating the psychometric properties and associations with BMI

The Adult Eating Behavior Questionnaire (AEBQ) is an instrument developed in the UK and used to examine appetitive traits in adults. The AEBQ is divided into four Food Approach subscales, namely; Enjoyment of Food, Emotional Overeating, Food Responsiveness and Hunger, and four Food Avoidance subscales, namely; Emotional Undereating, Food Fussiness, Slowness in Eating, and Satiety Responsiveness. The instrument has been validated in a number of countries. However, there is limited evidence to show the validation of the AEBQ in predominantly Black populations. The aim of this cross-sectional study was to validate the AEBQ in a Black young adult sample in the U.S.A. Participants (n = 229) consisted of young adults with an average age (20.97 ± 4.31) attending a Central Virginia Historically Black University. Reliability Analysis and Confirmatory Factor Analysis (CFA) were conducted. Correlations, as well as multivariate multiple linear regression models were estimated. Food Avoidance subscales demonstrated more internal consistency than the Food Approach subscales. The CFA results indicated a 7-factor model in which the Hunger subscale was eliminated to fit the data better overall. The Food Approach subscales demonstrated more convergent validity than the Food Avoidance subscales. BMI significantly predicted both Emotion Overeating and Emotional Undereating, as well as Food Fussiness. Moreover, both sex and age significantly predicted Emotional Undereating, Food Responsiveness and Hunger. Further, sex significantly predicted Emotional Overeating and Satiety Responsiveness. Lastly, depression predicted Emotional Undereating. In conclusion, this study provided some evidence to support the use of the AEBQ as a reliable and valid measure of adult eating behavior.

Challenging behaviour, the application of restrictive measures and psychotropic drug prescription in people with intellectual disabilities

BackgroundPrescribing of psychotropic drugs (PDs) and applying restrictive measures are both frequently used in managing challenging behaviour of people with intellectual disabilities (ID), which is not always according to guidelines or good clinical practice. AimsThis study aimed to investigate the potential triangular relationship between challenging behaviour, the application of restrictive measures and PD prescription. Methods and proceduresIn this cross-sectional study, data on challenging behaviour, PD prescription and restrictive measures were collected. We defined and compared four mutually exclusive groups of participants. Outcomes and resultsChallenging behaviour in the group in whom one or more PD were prescribed as a restrictive measures (PDRM) was more severe than in the other three groups. More severe challenging behaviour, a higher number of antipsychotics, antidepressants and anxiolytics/hypnotics prescriptions, a lower dosage, and more application of domotics as restrictive measure was shown in the PDRM compared to the group in whom PDs were prescribed according to guidelines (PDNRM). Conclusions and implicationsWe did not find indications for a triangular relationship of challenging behaviour, the application of restrictive measures and PD prescriptions. Future longitudinal research is needed to better understand this complex relationship and should investigate the indication and the effect of treatment. What this paper adds?This study is a first exploration of the potential triangular relationship between symptoms of challenging behaviour, psychotropic drug (PD) prescription, and the application of restrictive measures. Prescribing PDs and applying restrictive measures are two interventions which are commonly used to manage challenging behaviour in people with intellectual disabilities. Both have been subject of research separately in recent years. However, it is conceivable that the PD prescription in treatments for challenging behaviour could be a substitute for another form of a restrictive measure, for example a physical or mechanical restraint. For this purpose, we defined and compared four mutually exclusive groups of participants. We found no indication for this triangular relationship. On the other hand, we found the highest severity of challenging behaviour in the group who used PDs as restrictive measure next to other restrictive measures. Our results may suggest that both prescribing PDs and applying non-pharmacological restrictive measures are used simultaneously in managing challenging behaviour, are not sufficiently implemented or effective.

An Investigation into Tourists' Intentions to Participate in Traditional Chinese Medicine (TCM) Wellness and Rehabilitation Tourism: Insights from In-Depth Interviews at the Luofu Mountain Tourist Area

This study aims to explore the flourishing of TCM (Traditional Chinese Medicine) health and rehabilitation tourism in Chinese tourist attractions and the driving factors behind tourists' participation intentions, with a specific focus on Luofu Mountain. Firstly, by elucidating the background and value of TCM health tourism and the rationale for choosing Luofu Mountain as a case study, the core objective of this research is established: to identify the key factors that drive tourists to engage in this unique tourism experience, providing strategic references for scenic area management and industry upgrades. The research covers a wide range of topics, including tourist demand analysis and tourism product innovation, employing a combination of theoretical construction and empirical research. Multiple methods, such as in-depth interviews and quantitative surveys, are used to gain insights into tourists' motivations and experiences. The article is well-structured, with a highlight on using in-depth interviews to reveal the deep psychological factors influencing tourists' participation intentions and the seamless integration of theory and practice. In the literature review section, this paper systematically discusses the theoretical foundations of TCM health and rehabilitation tourism and the theoretical framework of tourists' participation intentions. It also compares domestic and international research progress to identify research gaps. By comparing Luofu Mountain with international cases, this study assesses its strengths and weaknesses, providing policy insights and improvement suggestions. Methodologically, the paper details a carefully designed sampling strategy and data collection and analysis processes, with particular attention to the data analysis and thematic analysis of in-depth interviews. Based on the case of Luofu Mountain, it reveals the behavioral patterns of tourists participating in TCM health tourism and extracts key strategies for product design and service enhancement. In the policy analysis chapter, the paper deconstructs the effects of current policies on Luofu Mountain, identifies areas for improvement, and proposes a tailored set of policy recommendations. Finally, it summarizes the main research findings, including key factors influencing tourist behavior and optimization measures, while reflecting on the study's limitations and suggesting future research paths.

Analysis of hydrogen leakage behavior and risk mitigation measures in a hydrogen refueling station

With the wide application of hydrogen, the research related to 70 MPa pressure level hydrogen storage tank is very important. This paper takes the 70 MPa hydrogen storage tank in the hydrogen refueling station as the research object, and analyses the diffusion characteristics of hydrogen after leakage from the tank under different wind conditions by FLUENT. Studies find that after hydrogen ejects to the obstacle by the effect of high-pressure, it transforms to be dominated by the simple diffusion and the wind condition. The ambient wind helps to reduce the volume fraction of hydrogen. This paper proposes risk mitigation measures based on the distribution of the flammable clouds — installing nitrogen outlets and reducing the height of the enclosure. The volume of flammable clouds is reduced from about 2.72 m3 to less than 0.045 m3 after adding measures, which proves the feasibility of the measures.

Psychometric evaluation of the translated arabic version of the geriatrics health behavior questionnaire (GHBQ) for geriatric nurses: a cross-sectional study

BackgroundThe Geriatrics Health Behavior Questionnaire (GHBQ) is essential for assessing health-related behaviors among older adults populations. This study focuses on the translation, cultural adaptation, and psychometric evaluation of the Arabic version of the GHBQ to ensure its relevance and accuracy for Arabic-speaking older adults individuals.MethodsThis cross-sectional study was conducted at the Cairo University Educational Hospital’s outpatient clinic. The GHBQ was translated and culturally adapted through a systematic process, including initial translation, back-translation, expert review, and pilot testing. The psychometric properties of the Arabic-translated GHBQ were evaluated using a sample of 200 older adults Arabic-speaking participants. Reliability was assessed using Cronbach’s alpha (α) and Intraclass Correlation Coefficient (ICC). Validity was evaluated through Content Validity Index (CVI), Exploratory Factor Analysis (EFA), and Confirmatory Factor Analysis (CFA).ResultsThe Arabic GHBQ demonstrated excellent reliability with Cronbach’s alpha values ranging from 0.74 to 0.87 across subscales and ICC values confirming reproducibility (ICC = 0.82). The CVI indicated strong content validity (average CVI = 0.91). EFA revealed a five-factor structure, explaining 72% of the variance, with all factor loadings exceeding 0.60. CFA supported the questionnaire’s structure with fit indices meeting recommended criteria: χ²/df = 2.05, NFI = 0.92, TLI = 0.94, GFI = 0.90, SRMR = 0.05, AIC = 140.35, and BIC = 160.22. Criterion validity was confirmed through significant correlations with established health behavior measures (r = 0.63, p < 0.001).ConclusionsThe culturally adapted Arabic version of the GHBQ is a reliable and valid tool for assessing health behaviors in the older adults population in Egypt. This instrument can aid healthcare providers in identifying and addressing health behaviors, ultimately improving the well-being of this demographic. Future research should focus on expanding the sample and comparing the GHBQ with other similar tools used in Arabic-speaking populations.

Understanding resilience: Lifestyle-based behavioral predictors of mental health and well-being in community-dwelling older adults during the COVID-19 pandemic

BackgroundChanges in sleep, physical activity and mental health were observed in older adults during early stages of the COVID-19 pandemic. Here we describe effects of the COVID-19 pandemic on older adult mental health, wellbeing, and lifestyle behaviors and explore predictors of better mid-pandemic mental health and wellbeing.MethodsParticipants in the Adult Changes in Thought study completed measures of lifestyle behaviors (e.g., sleep, physical activity) and mental health and wellbeing both pre-pandemic during regular study visits and mid-pandemic via a one-time survey. We used paired t-tests to compare differences in these measures pre- vs. mid-pandemic. Using multivariate linear regression, we further explored demographic, health, and lifestyle predictors of pandemic depressive symptoms, social support, and fatigue. We additionally qualitatively coded free text data from the mid-pandemic survey for related comments.ResultsParticipants (N = 896) reported significant changes in mental health and lifestyle behaviors at pre-pandemic vs. mid-pandemic measurements (p < 0.0001). Qualitative findings supported these behavioral and wellbeing changes. Being male, never smoking, and lower pre-pandemic computer time and sleep disturbance were significantly associated with lower pandemic depressive symptoms. Being partnered, female, never smoking, and lower pre-pandemic sleep disturbance were associated with higher pandemic social support. Pre-pandemic employment, more walking, less computer time, and less sleep disturbance were associated with less pandemic fatigue. Participant comments supported these quantitative findings, highlighting gender differences in pandemic mental health, changes in computer usage and physical activity during the pandemic, the value of spousal social support, and links between sleep disturbance and mental health and wellbeing. Qualitative findings also revealed additional factors, such as stresses from personal and family health situations and the country’s concurrent political environment, that impacted mental health and wellbeing.ConclusionsSeveral demographic, health, and lifestyle behaviors appeared to buffer the effects of the COVID-19 pandemic and may be key sources of resilience. Interventions and public health measures targeting men and unpartnered individuals could promote social support resilience, and intervening on modifiable behaviors like sleep quality, physical activity and sedentary activities like computer time may promote resilience to fatigue and depressive symptoms during future community stressor events. Further research into these relationships is warranted.

Validation of the comprehensive assessment of acceptance and commitment therapy processes for youth: The CompACT‐Y

AbstractBackgroundAcceptance and Commitment Therapy (ACT) is a transdiagnostic approach which aims to increase psychological flexibility. Higher psychological flexibility has been associated with reduced psychological distress, mental health symptoms and improvements in well‐being and functioning. Reviews of ACT for children and young people (CYP) indicate it shows potential as an effective treatment for a range of difficulties, however a comprehensive measure of psychological flexibility processes does not exist for CYP. Following revision of the adult Comprehensive assessment of Acceptance and Commitment Therapy Processes (CompACT), through cognitive interviewing with adolescents and consultation with ACT experts, the present study aimed to assess the factor structure and validity of the revised youth measure (the CompACT‐Y).MethodThe CompACT‐Y measure was administered alongside measures of ACT processes, mental health and well‐being to 334 young people across six UK schools, to assess for convergent and concurrent validity.ResultsExploratory factor analysis indicated a 19‐item three‐factor structure was the most stable, with all items loading above 0.50. The CompACT‐Y correlated with measures of psychological flexibility (r = ‐0.64 – 0.66), mental health (r = −0.58 – −0.66), well‐being (r = 0.57–0.65) and behaviour (r = −0.63) as expected, indicating acceptable convergent and concurrent validity.ConclusionsThe CompACT‐Y appears to be a valid and reliable measure of psychological flexibility in young people. Further research is needed to replicate the findings and confirm factor structure, validity and reliability, particularly in younger adolescents and those from diverse backgrounds. The CompACT‐Y offers a promising tool to improve the methodological rigour of ACT studies in young people, and has implications for the use of ACT in clinical practice.

Human-Integrated System Simulation Analysis “in the Wild”

Systems engineers often use model-based simulations to evaluate design concepts before building physical prototypes and running live experiments. However, their simulations typically lack infrastructure representing human behavior (e.g., cognitive tasks) and performance measures (e.g., workload). While human factors practitioners have developed simulation approaches that include such infrastructure, they typically employ languages, tools, and techniques that engineering teams cannot easily adopt given real-world budget and schedule constraints. To address this challenge, we propose a novel, lightweight approach to human-integrated system simulation analysis. Our approach enables the analyst to take a preexisting system model, add minimal human-model infrastructure, and run whole-system simulations that produce operator-workload and task-duration estimates, all using a common engineering language and tool, SysML and Cameo Systems Modeler, and any preexisting behavioral modeling technique. We demonstrate the approach using a simple, preexisting model of a fictitious space-telescope system.

Testing reliability and validity of the Korean version of Debriefing Assessment for Simulation in Healthcare (K-DASH)

BackgroundUse of the Debriefing Assessment for Simulation in Healthcare (DASH©) would be beneficial for novice debriefers with less or no formal training in debriefing. However, the DASH translated into Korean and tested for psychometrics is not yet available. Thus, this study was to develop a Korean version of the DASH student version (SV) and test its reliability and validity among baccalaureate nursing students in Korea.MethodsThe participants were 99 baccalaureate nursing students. Content validity using content validity index (CVI), construct validity using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and internal consistency using Cronbach’s alpha coefficient were assessed.ResultsBoth Item-CVIs and Scale-CVI were acceptable. EFA supported the unidimensional latent structure of Korean DASH-SV and results of CFA indicated 6 items converged within the extracted factor, significantly contributing to the factor (p ≤ .05). Items were internally consistent (Cronbach’s α = 0.82).ConclusionThe Korean version of the DASH-SV is arguably a valid and reliable measure of instructor behaviors that could improve faculty debriefing and student learning in the long term.

The accumulation of physical activity and sedentary behaviour in children with cerebral palsy and their typically developing peers aged 6–12 years

BackgroundPhysical activity and sedentary behaviour are usually described using daily volume indicators. However, for young children (6–12 years) and specifically those with conditions such as Cerebral Palsy, exploration of how physical behaviours are accumulated may provide valuable insight for behaviour change intervention planning. Research questionHow are physical activity and sedentary behaviour accumulated by 6–12 year old children with Cerebral Palsy and is this different from their typically developing peers? MethodsA cross-sectional study of a convenience sample of ambulatory children with CP (CP) and typically developing (TD) children, 6–12 years, was recruited. Children wore a thigh worn activity monitor (activPAL4) during typical daily activities. Overall volume of daily sedentary, upright and stepping time was characterised as well as how this was accumulated in bouts of activity. ResultsThere were no differences (p<0.05) in either volume or accumulation measures of physical behaviours between TD (n=14, 8.2±1.8 years) and children with CP (n=15, 8.6±1.4 years). However, there was wide variation in activity accumulation patterns between individuals. The mean proportion of daily time in each physical behaviour, accumulated in bouts above set times was: Upright time: bouts >5 mins 46 % TD & CP, bouts >20 mins 9 % TD & CP; Stepping time: bouts >0.5 mins 50 % TD, 45 % CP, bouts >2 mins 10 % TD, 9 % CP; Sedentary time: bouts >5 mins 77 % TD, 76 % CP, bouts >30 mins 26 % TD, 29 % CP. SignificanceYoung children with CP aged 6–12 years do not appear to have different physical behaviours to their TD peers. However, for individuals, descriptors of accumulation of physical activity and sedentary behaviour bouts provides additional information over and above volume measures, giving insight into behaviour which may be used to inform intervention planning.

Which Measures of Beliefs About Others’ Prosociality Predict Prosocial Behavior in Economic Games?

Prosocial behavior often entails the possibility to be exploited by other people. Correspondingly, situations affording prosocial behavior are often characterized by one’s dependence on others’ unknown behavior. In such situations, actors will arguably assess the risk of being taken advantage of by others before making a decision. Thus, prosocial behavior might be shaped by how prosocial actors generally believe others to be (e.g., trustworthy vs. exploitative). However, a recent investigation found no consistent evidence that perceiver effects, which describe interindividual differences in judging others’ personality in first impressions and thus capture beliefs about others’ prosociality, predict prosocial behavior (Rau et al., 2020). We replicate and extend these findings by pursuing two approaches to examine the influence of beliefs about others’ prosociality on behavior in four behavioral games (public goods game, trust game as trustor and trustee, mind game), two of which involve dependence on others under uncertainty. In our main study (N = 962), perceiver effects failed to predict prosocial behavior. This was confirmed by a meta-analysis of all studies that investigated this relation, providing strong evidence against the predictive validity of perceiver effects for behavior in economic games. In a follow-up analysis, generalized expectations (as measured by generalized trust) predicted prosocial behavior in one of the two relevant games while controlling for honesty-humility, which we interpret as tentative evidence for the role of generalized expectations in prosocial behavior in economic games. We contemplate that the discrepancy between perceiver effects and generalized expectations as measures of beliefs about others’ prosociality might be attributable to their implicit vs. explicit nature and suggest future research to explore whether perceiver effects predict more implicit measures of prosocial behavior.

Kappa-opioid receptor antagonism in the nucleus accumbens shell distinguishes escalated alcohol consumption and negative affective-like behavior from physiological withdrawal in alcohol-dependence

Alcohol use disorder (AUD) is a chronic relapsing disease that is deleterious at individual, familial, and societal levels. Although AUD is one of the highest preventable causes of death in the USA, therapies for the treatment of AUD are not sufficient given the heterogeneity of the disorder and the limited number of approved medications. To provide better pharmacological strategies, it is important to understand the neurological underpinnings of AUD. Evidence implicates the endogenous dynorphin (DYN)/κ-opioid receptor (KOR) system recruitment in dysphoric and negative emotional states in AUD to promote maladaptive behavioral regulation. The nucleus accumbens shell (AcbSh), mediating motivational and emotional processes that is a component of the mesolimbic dopamine system and the extended amygdala, is an important site related to alcohol's reinforcing actions (both positive and negative) and neuroadaptations in the AcbSh DYN/KOR system have been documented to induce maladaptive symptoms in AUD. We have previously shown that in other nodes of the extended amygdala, site-specific KOR antagonism can distinguish different symptoms of alcohol dependence and withdrawal. In the current study, we examined the role of the KOR signaling in the AcbSh of male Wistar rats in operant alcohol self-administration, measures of negative affective-like behavior, and physiological symptoms during acute alcohol withdrawal in alcohol-dependence. To induce alcohol dependence, rats were exposed to chronic intermittent ethanol vapor for 14 h/day for three months, during which stable escalation of alcohol self-administration was achieved and pharmacological AcbSh KOR antagonism ensued. The results showed that AcbSh KOR antagonism significantly reduced escalated alcohol intake and negative affective-like states but did not alter somatic symptoms of withdrawal. Understanding the relative contribution of these different drivers is important to understand and inform therapeutic efficacy approaches in alcohol dependence and further emphasis the importance of the KOR/DYN system as a target for AUD therapeutics.

Transforming Brown Practices into Green Jobs: Training Intervention and Green Job Motivation of Agripreneuship Trainees

Purpose: Within the backdrop of labor market uncertainty for young people and environmental externalities, the study tested the effect of training intervention on green collar job motivation of agripreneuship trainees in a green growth project in Mezam, North West Cameroon. Focus was on training, attitude and social pressure as determinants of green job motivation off agripreneurs. Materials and Methods: The study adopted a quantitative survey design with the goal of data on green collar job training and motivation and a sample of 125 participants (71 females; 54 males) was recruited from a training intervention initiative from Mezam, North West Cameroon. An instrument with internal reliability consistency (α=0.74) was used to gather information. The information was entered into SPSS version 27, and correlation and hierarchical regression were used as test statistics. Findings: According to the results, it was reported as a significant predictor of green job motivation, p &lt; 0.05. In the second model capacity building and attitude significantly determined green job motivation p &lt; 0.05. While the third model (capacity enhancement, attitude, social pressure) was significant, p &lt; 0.05, social pressure as a separate dimension failed to determine green job motivation, p &gt; 0.05, of agripreneurs trainees. From the results of the study it was reported that training factors were capable of predicting green job motivation and the need for transforming brown occupations was also recognised within green growth venture. Implications to Theory, Practice and Policy: Green economic activities have undergone evolution with demands for new skills and training should be recognized as a sustainable measure of green collar job behaviours. Considering the position of green growth models in developing green collar mindset, it asserts that greener occupations are capable of catalysing wealth creation, environmental justice and sustainable and should be promoted. Therefore, advocates of green employment should draw from policy strategies and enrich training programmes to be more responsive to changing environmental, suggesting transformation from brown to green through green mindset building. While the paper contributes to scarce body of knowledge in green jobs, implications for policy and practice have been presented with areas for future research

The 4Ms of an age-friendly health system in behavioral health: pilot test of an educational framework

Objectives This pilot test of the 4Ms-Behavioral Health (4Ms-BH) training program was designed to assess knowledge gains, clinical behavior change, and acceptability among mental health clinicians and compile lessons to guide widespread implementation of the framework. The ultimate future goal is to improve care for older adults by expanding the 4Ms framework for behavioral health providers. Method Fifteen mental health clinicians from Community Mental Health Centers in three states completed eight hours of live session training over six months: one three-hour introduction followed by five monthly application sessions. Clinicians completed knowledge and clinical behavior measures before and after training, along with follow-up discussion regarding acceptability and sustainability. Results Although knowledge gains were not significant in the overall 4Ms knowledge assessment, knowledge in the Medication and Mobility domains improved at 17% and 15%, respectively. Participants completing the program demonstrated an increased frequency of clinical behaviors pertinent to older adult care with large effect sizes in each of the 4Ms assessment and action activities from pre-training to post-training (Cohen’s d range = 0.82 − 1.66, p ≤ 0.01). Conclusion The 4Ms-BH framework was well-received by participants, who demonstrated some significant knowledge gains and clinical behavior change. These pilot data suggest that this framework has strong potential to effectively train mental health clinicians with little geriatric training.

Competition among high-frequency traders and market quality

I study how competition among high-frequency traders (HFTs) affects their trading behavior and market quality. The analysis exploits a unique dataset, which allows comparing environments with and without high-frequency competition, and contains an event - a tick size reform - which I use to separate the effects of high-frequency trading competition from the effects of the rising share of high-frequency trading in the market. I find that when HFTs compete in a stock, their speculative trading increases. Furthermore, market quality in that stock deteriorates. My findings hold for a variety of market quality and high-frequency trading behavior measures.

Gender and evaluations of leadership behaviors: A meta-analytic review of 50 years of research

As more women have entered the managerial ranks, discussion about differences between men’s and women’s leadership behaviors have persisted. The current study reviews and analyzes 50 years of research to examine gender differences in evaluations of their leadership behaviors. Across 13 new meta-analyses using data from 1970 to 2020, we examine evaluations of leadership behaviors that vary across two dimensions: communal-agentic and effective-ineffective, including: democratic/participative, relationship-oriented/consideration, idealized influence, individualized consideration, intellectual stimulation, ethical/moral, autocratic/directive, task-oriented/initiating structure, contingent reward, MBE-active, inspirational motivation, MBE-passive, and laissez-faire. The meta-analytic results suggest that women are seen as engaging in more effective agentic and communal leadership behaviors, compared to men, while men are seen as engaging in less effective and more passive leadership behavior, compared to women. Relying on social role theory and arguments from the double standards of competence literature, we also examine whether the relationship between gender and evaluations of leadership behaviors differs across time and levels of leadership. Interestingly, only one primary study across all our analyses utilized an objective instead of a subjective measure of leader behavior, underscoring the imperative for more objective assessments in the future. Practical implications and future research directions are also discussed. All supplemental material can be found at: https://osf.io/enm3d/?view_only=ea99d34911284304a4b2bf61079d5ecd.

External Validation of an Electronic Phenotyping Algorithm Detecting Attention to High Body Mass Index in Pediatric Primary Care.

The lack of feasible and meaningful measures of clinicians' behavior hinders efforts to assess and improve obesity management in pediatric primary care. In this study, we examined the external validity of a novel algorithm, previously validated in a single geographic region, using structured electronic health record (EHR) data to identify phenotypes of clinicians' attention to elevated body mass index (BMI) and weight-related comorbidities. We extracted structured EHR data for 300 randomly selected 6- to 12-year-old children with elevated BMI seen for well-child visits from June 2018 to May 2019 at pediatric primary care practices affiliated with Yale. Using diagnosis codes, laboratory orders, referrals, and medications adapted from the original algorithm, we categorized encounters as having evidence of attention to BMI only, weight-related comorbidities only, or both BMI and comorbidities. We evaluated the algorithm's sensitivity and specificity for detecting any attention to BMI and/or comorbidities using chart review as the reference standard. The adapted algorithm yielded a sensitivity of 79.2% and specificity of 94.0% for identifying any attention to high BMI/comorbidities in clinical documentation. Of 86 encounters labeled as "no attention" by the algorithm, 83% had evidence of attention in free-text components of the progress note. The likelihood of classification as "any attention" by both chart review and the algorithm varied by BMI category and by clinician type (p < 0.001). The electronic phenotyping algorithm had high specificity for detecting attention to high BMI and/or comorbidities in structured EHR inputs. The algorithm's performance may be improved by incorporating unstructured data from clinical notes.