This study explores patient motivations and preferences for sharing medical data with researchers using the iAgree platform. We examine how study characteristics, including data type requested and data-sharing arrangements, influence consent decisions, and assess the role of demographic factors, privacy concerns, and perceived benefits in shaping data-sharing behavior. We conducted a mixed-methods study with 527 US adults (≥18 years) recruited via advisory boards, social media, clinics, and newsletters. Participants completed 3 of 4 simulated studies on iAgree, each varying by data elements requested and data-sharing scope. Participants provided consent and data-sharing decisions and completed a post-simulation survey capturing demographics, data-sharing motivations, privacy concerns, and patient activation. We used logistic regressions to examine associations between demographics, privacy concerns, and patient activation and: (1) consent status and (2) willingness to share particular data elements. Finally, we applied thematic analysis to open-ended responses. Consent status did not significantly vary by data type or study design. However, participants citing altruism, personal benefit, and patient solidarity were more likely to share data. Higher privacy concerns were linked to lower willingness to share family health and mental health information. Participants with higher patient activation were also less likely to share data. Demographic factors were not significantly associated with consent or willingness to share data, countering common assumptions about disparities in sharing preferences. Altruism and perceived benefit drive willingness to share health data, while privacy concerns and patient activation may reduce it, emphasizing the need for patient-centered, transparent consent models.

This article examines how TikTok's algorithmic systems influence the communicative experiences and perceptions of digital surveillance among Generation Z users. The research departs from the recognition that the platform's algorithm largely determines the content users see, shaping personalized experiences through the continuous collection of behavioral data. We explore how young people perceive and negotiate their privacy within a digitally surveilled environment, and how this dynamic shapes their everyday communicative practices. To do so, we applied a survey to young TikTok users and conducted semi-structured interviews in order to gain deeper insight into their perceptions, attitudes, and experiences regarding algorithmic surveillance. Finding out that, while users acknowledge the existence of algorithmic surveillance mechanisms, these tend to be normalized in exchange for the perceived benefits of personalization and entertainment. To conclude that the relationship between algorithms, surveillance, and communicative experience on TikTok calls for greater critical digital literacy among young users.

ABSTRACT A substantial proportion of older adults continue to live offline despite accelerating digitalization. In Ireland in 2025, 34% of adults aged 75 years and older had never used the Internet. Yet, the experiences of those who live their lives offline, particularly their perspectives on social participation, lifelong learning, and autonomy, remain under‑examined. This Research Note presents findings from seven qualitative interviews conducted in summer 2021 with adults aged 65 years and older who self‑identified as Internet non‑users. These ‘offliners’ described meaningful social participation through in‑person groups, community activities, volunteering, and regular telephone contact, alongside informal lifelong learning embedded in everyday interactions and interests. Participants did not perceive personal benefit in adopting digital technologies for social or learning purposes. Dissatisfaction was expressed as essential public and commercial services shifted to digital‑by‑default delivery following lockdowns associated with COVID-19. Offliners reported reduced independence when required to rely on family members for online transactions, as well as feeling disadvantaged by online‑only discounts and reduced availability of counter or telephone services. These findings lend support to an overlooked issue in social and educational gerontology: while offline social and learning practices can support healthy aging, digitalization may create new forms of exclusion for those who do not, or cannot, engage online. The study highlights the need to recognize Internet non‑use as a legitimate aging pathway and underscores the importance of maintaining equitable non‑digital service channels to support autonomy, agency, and quality of life in later years.

Psychological predictors of blood and plasma donation: Personality traits, personal values, and beliefs influencing donor behavior.

Exploring person with mild cognitive impairment and peer volunteer experiences of engaging in a peer-supported exercise program: A qualitative study.

Purpose Disability certification is crucial for ensuring statutory rights and benefits for persons with communication disorders in India. Audiologists and speech-language pathologists play a key role in assessment, certification, and counselling; however evidence regarding their awareness of certification procedures and entitlements is limited. This study assessed audiologists and speech-language pathologists’ awareness of disability certification and its association with selected demographic and professional factors. Method A cross-sectional, web-based survey was conducted among audiologists and speech-language pathologists across India using a 31-item questionnaire (23 awareness items and 8 demographic items), following the CHERRIES guidelines. Content validity was evaluated, and internal consistency was assessed using Cronbach’s alpha. Descriptive statistics summarised awareness levels, while non-parametric tests examined associations with demographic variables. Result A total of 519 audiologists and speech-language pathologists responded to the survey. The questionnaire demonstrated excellent validity and high internal consistency. Overall awareness was moderate. Higher awareness was observed for legislative provisions and general certification processes; while gaps existed in certificate validity, specific benefits, and clinical calculation procedures. Awareness was significantly associated with age, workplace setting, and experience. Conclusion Audiologists and speech-language pathologists demonstrate moderate awareness of disability certification; however, critical gaps in procedural, benefit-related, and clinical knowledge persist, underscoring the need for targeted training and integration into professional curricula.

Background: Influenza vaccination uptake among healthcare professionals remains suboptimal despite their key role in influencing public vaccination behavior. This study investigated motivational and behavioral determinants of influenza vaccination uptake and advocacy among primary healthcare professionals in Greece. Methods: A cross-sectional study was conducted among 304 physicians and pharmacists using an anonymous online questionnaire. Vaccination uptake (2023-2024 season and annual) and motivational and advocacy constructs were assessed using the validated MoVac-flu and MovAd scales. Factor structure was evaluated using confirmatory and exploratory factor analyses. Multivariable logistic regression models were applied to identify predictors of vaccination uptake. Results: The study sample consisted of 304 healthcare professionals of whom 61.2% were physicians and 38.8% were pharmacists. More than half of the participants were female (52.6%) and aged 41-60 years (57.6%). Influenza vaccination uptake was 77.6% for the 2023-2024 season and 75.3% for annual vaccination. A two-factor structure was identified for the MoVac-flu scale (F1: Vax Self-Care, F2: Vax Awareness), whereas a four-factor structure was identified for the MovAd scale (F1: Vax Communication, F2: Vax Influence, F3: Vax Confidence, F4: Vax Choice). The overall scales demonstrated high internal consistency, while most subscales showed satisfactory to high reliability. Motivation toward influenza vaccination and vaccination advocacy were high among the participants. Vaccinated participants demonstrated higher motivation and vaccination advocacy scores compared with non-vaccinated participants. In multivariable analyses, higher scores on Vax Self-Care (aOR = 3.22, 95% CI: 2.08-4.96, p < 0.001) and Vax Communication (aOR = 1.64, 95% CI: 1.14-2.34, p = 0.007) subscales, reflecting higher motivation and vaccination advocacy, respectively, as well as male sex (aOR = 2.35, 95% CI: 1.14-4.83, p = 0.020) were associated with higher odds of annual vaccination. Higher scores on the Vax Self-Care subscale (aOR = 3.66, 95% CI: 2.33-5.77, p < 0.001) were also found to be associated with higher odds of 2023-2024 vaccination uptake, as well as living with vulnerable individuals (aOR = 2.95, 95% CI: 1.18-7.38, p = 0.020). Conclusions: Influenza vaccination uptake among primary healthcare professionals in Greece was relatively high; however, it was strongly driven by intrinsic motivational factors, particularly the perceived personal and public health benefits of vaccination. Communication-related competencies also independently contributed to vaccination behavior, highlighting the link between professional practice and personal uptake. In contrast, household-related contextual characteristics, such as cohabitation with vulnerable individuals, appeared to exert a less consistent influence on vaccination behavior. These findings suggest that interventions focusing on strengthening intrinsic motivation and communication skills may contribute to sustained improvements in both vaccination uptake and advocacy among healthcare professionals.

Code Lavender: Recognizing and Responding to Emotional Crises Among Nurses.

What makes an effective GP training on planetary health? A qualitative study

Although the proportion of non-kin caregivers providing home care for friends, neighbours, and acquaintances is steadily increasing, there is a lack of research that goes beyond the general characteristics of this subgroup. The aim of this exploratory study is to provide the first in-depth examination of the non-kin caregiver population and highlight differences between non-kin and family caregivers in terms of the burden and perceived benefits of informal care. The data are based on a representative sample (n=2927) of non-kin and family caregivers of statutorily insured care recipients, surveyed in a cross-sectional study in cooperation with MD Bayern. The general characteristics, burden, and perceived benefits of non-kin caregivers (n=71) were examined. The main focus was on comparative analyses with family caregivers (n=2856) using χ²-tests and independent samples t-tests, or corresponding non-parametric tests. Non-kin and family caregivers did not differ in terms of general characteristics. Despite having the same objective burden (t(74.45)=1.80, p=0.077), non-kin caregivers perceived the caregiving situation as significantly less burdensome (t(72.56)=2.57, p=0.012), experienced significantly more benefits from informal care (t(2925)=-3.37, p<0.001), and rated their mental health significantly more positively (t(72.84)=-2.52, p=0.014). Non-kin caregivers are less likely to experience high levels of subjective burden and often derive greater personal benefit from the support, care, or assistance of someone from their neighborhood, social circle, or acquaintances. As such, they represent a valuable resource that could help strengthen informal care in the future.

This study emphasizes the significance of living an eco-friendly lifestyle in today’s world, where concerns like weather change and increasing pollution levels, and deforestation are increasing. An eco-friendly lifestyle means making daily choices that reduce harm to the environment and support sustainable living. The study shows that eco-friendly living has personal benefits such as saving money, improving health, and reducing exposure to harmful chemicals. It also explains that individual actions can influence others, encouraging more people to follow sustainable habits and help the environment. In addition, living eco-friendly can improve mental well-being by reducing eco-anxiety and giving a clear sense of meaning in work and connection with nature. The research concludes that even minor changes in daily life can have a big positive impact on both the environment and society.

Assessing postgraduate students' awareness and usage of electronic library services: A case study of selected universities in Ghana

Purpose This study examines how different consumer motivations for interacting with collective retail agglomeration digital touchpoints (e.g. websites, social media pages, mobile apps) influence the customer experience of the agglomeration visit, satisfaction and patronage intention. While prior research has shown that such touchpoints can support the visit, little is known about how motivational mechanisms shape experience and related outcomes in this collective, place-based context. Drawing on Uses and Gratifications Theory (UGT), the study examines motivation-driven interaction with these touchpoints. Design/methodology/approach Using Partial Least Squares Structural Equation Modelling (PLS-SEM), the study examines the effects of four motivations for interacting with collective digital touchpoints (entertainment, convenience, rewards and place-support) on customer experience, satisfaction and patronage intention. It also tests age and gender as moderators of the relationships between motivations and customer experience. Data were collected from 178 Dutch consumers who had interacted with the collective digital touchpoints of a retail agglomeration they had also visited. Findings The results show that the four motivations for interacting with collective digital touchpoints influence the customer experience of the agglomeration visit differently. Entertainment had the strongest positive effect, followed by place-support-seeking and then convenience. Reward-seeking showed no overall significant effect and was negative among consumers aged 50 and above. Customer experience strongly predicted satisfaction, which in turn predicted patronage intention, indicating a mediating role of satisfaction. Practical implications Practitioners involved in the marketing and management of retail agglomerations should align collective digital touchpoints with entertainment-, place-supporting- and convenience-driven motivations. Reward strategies may require tailoring to specific demographic segments, particularly older consumers. Originality/value This study applies UGT in a novel context, namely, place-based retail agglomerations, by examining how consumer motivations for interacting with collective digital touchpoints relate to the customer experience of the agglomeration visit and subsequent outcomes. In addition to the standard entertainment, convenience and reward motivations derived from UGT, the study incorporates a place-support motivation to capture consumers' desire to contribute to the continuity of the retail agglomeration and its retailers. The findings identify place-support-seeking as a distinct and influential motivation in shaping the retail agglomeration visit experience, alongside the strong effect of entertainment-seeking. In doing so, the study specifies UGT for the context of place-based retail agglomerations by showing that consumers derive experiential value not only from personal benefits but also from supporting the agglomeration and its local retailers.

ABSTRACT This study explores how engineering educators perceived their readiness for change in adopting Project-/Problem Based Learning (PBL) through participating in an international faculty professional development programme involving 40 educators from Indian universities. Using Q methodology, four distinct collective viewpoints emerged: 1) PBL enhances student learning and employability; 2) PBL offers personal benefits for both students and educators; 3) PBL strengthens teaching competence with institutional support; and 4) PBL improves student learning with leadership support. Participants reported diverse perceptions of change readiness, valuing student benefits, personal growth, or institutional support to varying degrees according to their institutional contexts and personal priorities. These findings highlight the importance of systemic strategies and supportive institutional culture in addressing the various needs of educators and fostering their readiness to implement PBL effectively.

Mental health problems amongst young people in the UK have been rising, yet many still do not receive appropriate support. Involving young people in research can lead to more inclusive services. However, certain groups of young people, including those from ethnic minority backgrounds, lower-income families, refugee, asylum-seeking and other immigrant backgrounds, non-native English speakers, disabled young people and those with long term health conditions remain under-represented in involvement in mental health research. Little research explores the perspectives of these young people on the barriers and enablers to their involvement. This qualitative focus group study used the Behaviour Change Wheel (BCW) and Capability-Opportunity-Motivation model of behaviour (COM-B) to understand influencers on involvement. A group of youth advisors was involved throughout. Five focus groups were conducted, including 18 young people aged 16-25, many from under-represented backgrounds and without previous involvement experience. Thematic analysis was used to categorise barriers and enablers according to the COM-B model and intervention strategies proposed using intervention functions and behaviour change techniques which form part of the BCW. Nineteen themes were identified covering all six COM-B domains. Enablers included the perceived value and relevance of the research topic, personal benefits (including financial reward and skill development), as well as safe and inclusive environments where young people of shared experiences come together. Barriers included lack of awareness and access to involvement opportunities, emotional readiness, social norms and the influence of peers. Some barriers were highlighted as particularly relevant to certain groups. Youth advisors provided additional reflections on the findings. BCW informed intervention strategies include proactive outreach efforts, effective preparation of young people (including induction and capacity building), the use of role models and partnership with cultural organisations. Many barriers to inclusive youth involvement in mental health research exist. Researchers need to look beyond traditional approaches to include under-represented young people in research. This study highlights enablers that researchers can capitalise on to improve access to involvement opportunities and BCW derived strategies, supported by evidence and young people's ideas, to overcome barriers. Future research should implement and evaluate these strategies in practice.

Diagnosis Related Groups (DRG) payment reform has been widely adopted internationally to improve efficiency and contain healthcare costs. In recent years, China has accelerated the implementation of DRG and Diagnosis-Intervention Packet (DIP) payment systems, with more than 90% of pooled regions adopting these mechanisms by the end of 2023. While such reforms have standardized service delivery and reduced patient expenses, public awareness and understanding remain limited, raising concerns about their potential impact on patient trust. This study examines how personal interest versus social responsibility framing influences patients' trust in the healthcare system and the acceptance of DRG payment reform. A survey experiment was conducted among obstetric patients of different due dates (N = 229) in a region where DRG reforms have been implemented in China, assessing responses to 2 types of messages designed to increase awareness and acceptance of DRG policies. Independent-samples t-tests were used to compare groups of different frames. Mediation effects of patient trust and potential moderating effects of temporal distance were tested using a structural equation model, and regression models were employed to examine predictors of specific trust. Compared to the social responsibility frame, participants exposed to the personal interest frame reported higher levels of general patient trust, with the difference driven primarily by trust in the healthcare system rather than trust in the medical profession. Structural equation modeling indicated a significant indirect association between framing condition and policy acceptance through general patient trust. In addition, general patient trust was positively associated with specific trust. Temporal distance and its interaction with framing were not significantly associated with policy acceptance. Framing policies in terms of personal benefits is more effective than emphasizing social responsibility in enhancing general patient trust. Even when such frames do not directly increase policy acceptance, general patient trust emerged as an important psychological pathway connecting message framing to reform evaluation. Against the backdrop of low public awareness of DRG reform, these findings underscore the importance of clearer and more accessible policy communication. Not applicable.

Blood sample collection is essential for clinical research but can be challenging due to cultural beliefs, emotional responses, and misconceptions. This can escalate in paediatric settings. Despite the growing landscape of clinical research, evidence from South Asia remains limited. This study explores the factors influencing willingness to accept paediatric blood sample collection for clinical research in Nepal, drawing on experiences from a clinical research cohort. A qualitative study grounded in a constructivist-interpretivist paradigm, using semi-structured interviews, was conducted with 38 parents/guardians of sick children attending a study fever clinic. A purposive sampling technique was used to recruit participants attending the study fever clinic at Patan Hospital, Nepal. Additionally, interviews were conducted with six research clinicians and nurses. Interviews were conducted between May 2022 and August 2023. The six-step thematic analysis process described by Braun and Clarke was used to identify key themes and subthemes related to blood collection experiences for research purposes. Willingness to provide consent for paediatric blood sampling was shaped by three inter-related factors: personal, behavioural and environmental. Personal beliefs about blood and blood volume, its replenishment and contribution to public health encouraged participation, while fears of harm and lack of personal benefit deterred consent. Behavioural factors included prior experience of blood collection, professional background and perceived necessity of the test. Environmental influences such as trust in the hospital and research staff, effective communication and family decision-making dynamics, were also critical. Some participants equated research blood collection with altruistic donation, while others expressed concerns about misuse or wastage. Our findings underscore the need to engage with the community regarding beliefs about blood in research, transparent communication and trust-building strategies in paediatric clinical research. These findings offer practical guidance for improving participant recruitment and retention in future clinical research in similar settings.

Mental health conditions account for 18% of years lived with disability worldwide. 1-in-6 adults are affected in England, with most mental health conditions beginning in childhood and adolescence. Mental distress and ill health are unequally distributed in the UK, with strong associations with wider determinants of health, and higher prevalence among systemically disadvantaged groups. Currently, there is a lack of evidence to inform effective and timely policymaking for primary prevention in the UK. In recognition of these challenges, a national Population Mental Health (PMH) Consortium was established, as part of Population Health Improvement UK (PHIUK). PHIUK is a national research network which works to transform health and reduce inequalities through change at the population level. Our aim is to establish an interdisciplinary PMH Consortium, focussing on upstream determinants and the prevention of risks and onset of mental health conditions through interdisciplinary stakeholder engagement, to create new opportunities for population-based improvement of mental health in the UK.The PMH Consortium brings together leading interdisciplinary representation in population mental health, spanning from sciences to the arts, across the UK. Membership includes six academic institutions, third sector organisations, lived experience expertise, and strong links with national bodies to ensure integrated cross-national and regional policy impact. The PMH Consortium comprises four cross-cutting platforms (Partners in policy, implementation, and lived experience; Data, linkages, and causal inference; Narrowing inequalities; Training and capacity building) and three challenge areas (Children and young people's mental health; Prevention of suicide and self-harm; Multiple long-term conditions) which are highly integrated and interdependent. The work will be underpinned by a Theory of Change across an initial four-year life cycle. This paper describes the aim, objectives, and approach of the PMH Consortium, as well as anticipated challenges and strengths. The goal of the PMH Consortium is to develop a model for population mental health research and policy translation that is both scalable and sustainable. It is critical to ensure continued impact and viability beyond the initial four years, contributing to the prevention of mental health conditions in the UK, with personal, economic, social, and health benefits.

ABSTRACT This study investigates how travelers’ general perceptions of ghost kitchens and their literacy in online food ordering influence their willingness to pay more for local cuisine provided by local ghost kitchens. It specifically examines how perceived risks and benefits influence trust in ghost kitchens, which in turn shapes travelers’ cognitive attitudes toward local cuisine offered by local ghost kitchens during travel. Moreover, the study investigates how cognitive attitude and online food ordering literacy influence travelers’ willingness to pay more for such cuisine. Data were collected through Prolific from U.S. residents. Structural equation modeling revealed that personal and societal benefits, as well as personal risks, influence trust. Furthermore, societal benefits and personal risks affected cognitive attitude. Trust significantly predicted cognitive attitude, which ultimately predicted willingness to pay more, along with literacy.Theoretical and practical implications are discussed.

Beyond access: Uncovering hidden public health benefits of participating in experimental medicine trials through detection of clinically significant findings at screening.