People Prefer Research Articles

The dementia–nature–inclusivity nexus and the needs of people living with dementia

Abstract Understanding how to improve the physical and cognitive accessibility of visitor economy businesses and organisations wanting to offer nature-based outdoor pursuits for people with dementia is key to supporting their inclusion and agency. The aim of this qualitative study was to understand the experiences, needs and preferences of people with dementia participating in nature-based outdoor pursuits in their leisure time. Semi-structured interviews were conducted with 15 people with dementia and 15 family members and subjected to thematic analysis. Four themes related to inclusion for people with dementia and their family members reflected diversity in individual needs and preferences for engaging with nature-based outdoor pursuits, their own adaptations to maintain access including accommodating risk, how cognitive and physical accessibility can be supported by businesses, and which practical and psychosocial barriers prevent inclusion. Learning from people with dementia and their family members has helped bridge the gap to their inclusion in nature-based outdoor pursuits. Their insights will inform the development of such pursuits by businesses and organisations as well as future work into risk decision-making.

How often are patients recording their healthcare consultations in Australia and why? An online survey

PurposeRecording important healthcare consultations can benefit patients. Technological developments enable recordings by patients and health professionals, as well as real-time ‘listening’ by AI scribes. Not enough is known about whether and why patients record their consultations. ObjectiveTo investigate people's experiences and preferences regarding consultation recording in Australia. MethodsA 21-item online survey available for all Australians aged 18+ was distributed via social media and professional networks in 2022. Items explored recording behaviour (past and planned), and reasons for recording and sharing. Quantitative data were analysed descriptively; qualitative content analysis was used to analyse open-text items. ResultsA total of 486 responses were received, of which 236 responses were analysed. Of these, 26 % had openly recorded a healthcare consultation, and 15 % had recorded covertly. The majority (71 %) of participants would consider recording a visit and would like their clinic to allow this (56 %). Participants strongly opposed the idea of sharing a recording on social media (84 %). Open-text responses indicated participants valued the health professional's consent, and protecting their own privacy by not oversharing recordings. ConclusionRecording of consultations in Australia is common, usually to enhance patients' knowledge, understanding, and participation in their care. Patients value the possibility of recording, especially when they are experiencing vulnerability. Recording can help people navigate the impacts of disability and barriers to information access. Privacy and fairness remain paramount. InnovationThis is the first survey of recording practices in Australia and is highly-relevant given recent technological developments. The findings indicate that changes in policy, law and technologies themselves are needed, to clarify parties' rights and responsibilities and to ensure the benefits of consultation recording are realised.

Review article: Prevention of inflammatory bowel disease-The path forward.

The possibility of preventing inflammatory bowel disease (IBD) is becoming more plausible due to advances in understanding preclinical disease and successful prevention trials in other immune-mediated diseases, such as type 1 diabetes and rheumatoid arthritis. However, before that possibility becomes reality, several efforts need to occur in parallel and in a coordinated way. To propose some critical steps necessary for advancing the field of IBD prediction and prevention. We reviewed the current literature to identify the necessary steps toward a preventive strategy for IBD. The first step should determine the most robust predictive biomarkers and validate them across independent cohorts, creating a multidimensional predictive tool. The second step is to gain a better understanding of the preferences of first-degree relatives and people at risk for IBD, informing the implementation of screening and preventive strategies. Third, these efforts should contribute to the development of high-risk clinics and establish the necessary networks for disease prevention trials. Advancing the field of IBD prediction and prevention will require a multifaceted approach, integrating biomarker discovery, understanding patient preferences, and establishing infrastructure for a collaborative network to support the practical implementation of IBD prevention strategies.

Building robust, proportionate, and timely approaches to regulation and evaluation of digital mental health technologies.

Demand for mental health services exceeds available resources globally, and access to diagnosis and evidence-based treatment is affected by long delays. Digital mental health technologies present an opportunity to reimagine the delivery of mental health support by providing innovative, effective, and tailored approaches that meet people's individual preferences and goals. These technologies also present new challenges, however, and efforts must be made to ensure they are safe and effective. The UK Medicines and Healthcare products Regulatory Agency and the National Institute for Health and Care Excellence have launched a partnership, funded by Wellcome, that explores regulation and evaluation of digital mental health technologies. This Viewpoint describes a series of key challenges across the regulatory and health technology assessment pathways and aims to facilitate discussions to ensure that approaches to regulation and evaluation are informed by patients, the public, and professionals working within mental health. We invite partners from across the mental health community to engage with, collaborate with, and provide scrutiny of this project to ensure it delivers the best possible outcomes.

Non-philosophers’ Judgements of Metaphysical Explanations are Context-Sensitive

Empirical investigation of the conditions under which people prefer, or disprefer, causal explanation, has suggested to many that our judgements about what causally explains what are context-sensitive in a number of ways. This has led many to suppose that whether or not a causal explanation obtains depends on contextual factors: that causal explanation is context-sensitive. Surprisingly, most accounts of metaphysical explanation, by contrast, suppose it to be context insensitive. Only recently have accounts been developed of metaphysical explanation on which it is context-sensitive. To date, however, there is no empirical evidence about the context sensitivity of metaphysical explanation. In what follows we test the judgements of non-philosophers, and find that amongst non-philosophers, at least, metaphysical explanations are context-sensitive. We then consider the implications of this finding for theorising about metaphysical explanation.

Anti-obesity treatment preferences of healthcare providers and people living with obesity: A survey-based study.

A cross-sectional, online survey was conducted in the United Kingdom, France, Germany, and the United States (14 November-22 December 2022) to investigate preferences for anti-obesity medication (AOM) among people with obesity (PwO) and healthcare providers (HCPs). Eligibility: Adult PwO who self-defined their body type as overweight/obese, were trying to lose weight and had BMI ≥30.0 or 27.0-29.9 kg/m2 with ≥1 obesity-related complication; HCPs had to see ≥30 PwO in a typical month and be a decision-maker regarding their weight loss. The survey included 2500 PwO and 500 HCPs. Exercise (96%) and diet (90%) were the most common weight management methods; AOM use was low (8%). Key barriers to use of prescribed AOMs among PwO were not wanting to take AOM (34%), side effects concerns (33%), and not trusting AOM (26%). Most HCPs (79%) had prescribed/recommended AOMs. Efficacy was the most common reason for preferring one of the shown product profiles among PwO (60%) and HCPs (86%); improving cardiovascular risk was also important to 95% of HCPs when deciding which AOM to prescribe. AOM preference is largely driven by efficacy. Increasing knowledge could help to address barriers to AOM use and improve outcomes for PwO.

Mixed-methods systematic review of shared decision-making tools for cancer screening

Abstract Shared decision-making (SDM) tools hold promise for guiding informed choices in cancer screening. However, their effectiveness among underserved people, as well as the specific characteristics of these tools preferred by this group and clinicians, remains unclear. This review aimed to synthesize evidence on the effectiveness of SDM tools for cancer screening and explored the preferences of underserved people and clinicians regarding the specific characteristics of the SDM tools. A mixed-method convergent segregated approach was employed, which involved an independent synthesis of quantitative and qualitative data. Articles were systematically selected and screened, resulting in the inclusion and critical appraisal of 55 studies. Results from the meta-analyses showed that SDM tools for cancer screening are effective in reducing decisional conflict for both the general population and the underserved, and in increasing cancer screening knowledge and intention for underserved people only. Subgroup analyses showed minimal heterogeneity for decisional conflict outcomes, measured over a six-month period. Insights from the qualitative findings revealed that underserved people highly preferred SDM tools with relevant information about cancer risk, culturally tailored content, and high accessibility, both during clinical encounters and beyond. Meanwhile, clinicians highly preferred tools that can be easily integrated into medical systems, and can effectively guide SDM, while considering their patients’ values and the limited time for consultation. There is strong evidence on the effectiveness of SDM tools in facilitating informed choice in cancer screening, especially among underserved people. However, evidence on long-term outcomes remains insufficient. Additionally, considering the difference in preferences of key stakeholders in terms of tool characteristics, fostering collaboration with them during the creation of an SDM tool for cancer screening is essential. Key messages • Shared decision-making tools are effective in increasing screening knowledge and intention among underserved people. • Considering the difference in preferences of key stakeholders in terms of tool characteristics, fostering collaboration with them during the creation of an SDM tool for cancer screening is essential.

Hierarchy as a signal of culture and belonging: Exploring why egalitarian ideology predicts aversion to hierarchical organizations

Variation in people's ideological preference for the maintenance of inequality between social groups (i.e., social dominance orientation; SDO) predicts important sociopolitical outcomes, such as endorsement of different social policies, institutions, and belief systems. We argue that SDO may also inform people's engagement with work organizations. Specifically, we propose that SDO may impact attraction to different organizational structures. Across 6 experiments (N = 3034), we find that people with relatively egalitarian values are less attracted to organizations with much (vs. little) managerial hierarchy; this gap in attraction is attenuated for relative anti-egalitarians (Studies 1a-b). These effects are not moderated by whether dominant vs. subordinate group members occupy positions of power in hierarchical arrangements (Study 2a-b) and are driven by signals concerning likelihood of organizational belonging that egalitarians (vs. anti-egalitarians) derive from managerial hierarchy (Studies 3a-b). We discuss implications for social dominance theory and research connecting ideology to organizational attraction.

Preferensi Masyarakat terhadap Tanaman Identitas di Jalur Hijau Tepi Jalan Kota Yogyakarta

Philosophical and native plants have ecological, aesthetic, and air pollution tolerant functions, and have historical value as constituents of Green Open Spaces (GOS). Plants in the green belt of the Imaginary Line of Yogyakarta are different from other green belt plants, because there are special features. the preferences of the Yogyakarta City community are carried out to choose the right plants, so as to create a good ecosystem on the green belt of Yogyakarta City roads. The purpose of this study was to identify plants to recommendations from people's preferences in choosing green belt plants in the City of Yogyakarta. the research method for selecting respondents used the Slovin method and in-depth interviews with cultural experts from the Yogyakarta Palace, and further tested using the Spearman correlation test. The results showed that of the 33 philosophical and native plants, the physiological characteristics of the plants had a percentage of 8.9%, namely Ficus benjamina L. as a philosophical plant and Chrysopyllum cainito L. 14.6% as a native plant. Visual plant characteristics that have a score of 7 are Murraya paniculata (L.) Jack and Aegle marmelos (L.) Corrêa.

Desires and Needs for Quitting Both e-Cigarettes and Cigarettes Among Young Adults: Formative Qualitative Study Informing the Development of a Smartphone Intervention for Dual Tobacco Cessation.

Dual use of both e-cigarettes and cigarettes is popular among young adults and may lead to greater nicotine dependence and additive adverse health effects than single-product use. However, existing cessation programs target quitting either e-cigarettes or cigarettes, highlighting a need for interventions to help young adults quit both products (ie, dual tobacco cessation). This formative study is part of a larger project to develop a smartphone intervention for dual tobacco cessation among young adults. This study aimed to (1) explore desires for and experiences with quitting both e-cigarettes and cigarettes and (2) identify needs and preferences for dual tobacco cessation intervention programming. Semistructured interviews were conducted to elicit the need for and experience with dual tobacco cessation among 14 young adults (18-29 years old) recruited through Instagram (Meta) advertisements in 2023. We conducted a thematic analysis to identify common themes related to quitting experiences and cessation needs. Participants expressed a strong desire for dual tobacco cessation and had attempted to quit both tobacco products, mostly "cold turkey." The priority product for quitting first varied by the individual's perceived harm or level of consumption. Targets for dual tobacco cessation interventions included (1) highlighting the health effects of dual tobacco use compared with single product use, (2) providing cessation support to quit one prioritized product while cutting down the other product with the explicit goal to quit both, (3) emphasizing unique facilitators and barriers to quitting each product (eg, unpleasant smell of cigarettes facilitating smoking cessation and accessibility and flavors of e-cigarettes hindering vaping cessation), and (4) addressing co-use of tobacco with alcohol or cannabis. Participants wanted personalized interventions through smartphone apps that would tailor support to their tobacco use patterns and unique quitting goals and needs. They also suggested presenting intervention content in multimedia (eg, videos, graphic pictures, quizzes, and games) to increase engagement. This study provides important insights into young adults' experiences, needs, and preferences for dual tobacco product cessation. We highlight important targets for future smartphone apps to deliver personalized and tailored support to meet the heterogeneous needs and preferences of young people who want to quit using both e-cigarettes and cigarettes.

The Impact of Innovative Transportation Services on Travel Behaviors: A Case Study of Istanbul

There has been a paradigm shift in urban mobility around the developments in information and communication technologies, zero emission targets to reduce transport-related emissions. Hence, traditional transportation services are replaced by sustainable, shared, smart, innovative mobility services. It is crucial to understand what extent these services, which are increasingly used in the cities and have potential to become a part of the main transportation system of the city rather than serving as an alternative mode of transportation, affect people's travel behaviors and daily activity preferences to be aware of the trends in urban mobility, passenger and freight mobility. By this study, new mobility services such as micromobility, car and ride sharing services used in Istanbul examined in the context of (1) their effect on travel behavior (2) the relationship between people's demographic, socioeconomic status and new transportation service use (3) the conditions where the adoption of these services are higher. In this study, survey was conducted with a sample of 404 people in Istanbul and the results were interpreted using both explanatory analysis methods and the chi-square independence test as a statistical method. As a result of the study, questions such as what is the relationship between the demographics, travel behaviors and the use of new mobility services, the effect of these services on the total trips, transportation modes replaced by them, in which situations they are preferred or not and under what conditions those who do not use this service can use them were answered

Harm to myself or others? A qualitative study of the preferences of people who smoke for messages to be included in cigarette pack inserts.

Tobacco package inserts [TPIs] are a novel channel to transmit smoking cessation messages. Research has shown associations between inserts, intentions to quit and increased self-efficacy. In Israel, TPIs have been legislated, but not yet implemented. This study aimed to learn what kind of messages would appeal to people who smoke, for the purpose of developing effective TPIs. Semi-structured interviews with 25 people who smoke or formerly smoked, aged 18-67. An inductive and deductive thematic analysis was conducted to enable a dynamic process coding and identifying themes and categories across interviews. Two main themes identified were: harms of smoking and motivators for quitting. Many participants were averse to information about the harms of smoking but interested in specific information about the harm of smoking to others, particularly children, on comparative risks of different tobacco/nicotine products, and about how to address the challenge of addiction. There was a preference for motivational messages encouraging quitting, including how the body recovers, personal quit stories, practical quit tips, and information on cessation services. Adult who smoke were receptive to the idea of TPI, but considered some types of information superfluous. It is important to emphasize harm to others, provide information on quit services, and deliver information that is reliable, specific, and evidence-based regarding quitting, so that it can be encouraging, useful, and practical. The merits of providing information to people who smoke on relative risks of different nicotine and tobacco products should also be considered. The findings provide a basis for developing TPI content. A large proportion of adults who smoke are interested in quitting. Pack inserts with positive motivating messages, quitline details, and novel information about risks to people who smoke and particularly to others, should be developed and tested, and subsequently distributed nationally to reach all those who open a cigarette package.

Implementation of carbon tax policies to encourage the use of public transportation in cities

The use of public transport is one of the concepts of sustainable transport. However, people prefer to use private vehicles, which causes various problems, one of which is the high carbon emissions produced. This research aims to encourage programs to use passenger public transportation through a carbon tax. The method in this research is descriptive quantitative with primary data and secondary data. Secondary data was developed in the research by collecting literature study sources on the concept of sustainable transportation development as well as primary data carried out by analyzing calculations regarding the implementation of the carbon tax. There are several proposals that can significantly accelerate the achievement of goals, namely a collaborative approach through collaboration between local government agencies, a policy of progressively implementing a carbon tax as a coercive policy and supported by a program to provide supporting facilities for public transportation. Decision making in this research was carried out by looking at the percentage increase in public transportation use based on the application of a carbon tax or carbon tax.

The perception of urban green space during the COVID-19 pandemic: The case of Wrocław

Green spaces are integral to urban landscape, serving ecological, health, and recreational functions. During the pandemic, urban green spaces were crucial for enabling safe social distancing and enhancing well-being. This study delves into the perception, accessibilities, and qualities of urban green spaces in Wrocław during and after the pandemic. A survey was conducted to understand causes and effects of diverse usage of the urban green space, assessing changes in usage frequency before, during, and after lockdown, as well as public awareness of benefits associated with green spaces. Proximity to green spaces emerges as a key factor as people prefer easily and quick access to these areas. The study also noted a partial modification of social behaviour and increased social and ecological awareness. The results reveal evident development of new daily habits. Although the beginning of the pandemic led to discomfort, adaptive behaviours soon followed, changing daily routines and previous leisure activities. Given the findings on availability and adequacy of green spaces, it is advisable to rearrange these areas to meet the diverse needs of inhabitants.

Exposure to useable green space and physical activity during active travel: A longitudinal GPS and accelerometer study before and after retirement

Green spaces may serve as population level interventions encouraging active travel. We examined the associations between exposure to useable green space (CORINE Land Cover categories) and physical activity during active travel (GPS and accelerometer) among late middle-aged participants from the Finnish Retirement and Aging study (n = 102). Greater proportion of useable green space was associated with higher physical activity during active travel on days off (+11 min/day per 1 SD increase in exposure) and on retirement days (+12 min/day), but not on workdays. Thus, it appears that in leisure time, people prefer to engage into active travel in green spaces.

Preference of urban and rural older people in Shandong Province for long-term care insurance: based on discrete choice experiment.

Severe population ageing and weak long-term care support systems has spurred China's pilot program for long-term care insurance (LTCI). This study aimed to provide references for optimizing long-term care insurance policies in Shandong Province by measuring the preferences of urban and rural older people for LTCI. Based on the discrete choice experiment, a questionnaire survey was conducted on urban and rural older people from Shandong Province. A mixed logit model was used for data analysis and the relative importance of attributes, willingness to pay, and preference heterogeneity based on residence type, number of children, chronic conditions, gender, education level and financial situation were further estimated. The results showed that individual premium, reimbursement rate and whose provision of home-based care can be reimbursed had a significant effect on the LTCI preference of urban and rural older people in Shandong Province. Benefit package and government subsidy lost statistical significance in full sample but played a role in certain subgroups. There were also differences in preferences for individual premium among different groups of older people. Optimizing the policy design of long-term care insurance based on the actual needs of the older adults can help increase the utility of them and promote the smooth implementation of long-term care insurance.

The Study about the Impact of Douyin on Youth Culture and Consumption Behavior

This paper explores the significant influence of Douyin on youth culture and consumption behavior. Through a detailed case discussion and analysis of theoretical perspectives, it highlights the tension between content homogenization and multicultural expression. This tension is driven by personalized content tailored specifically for individual users, with core processes revolving around big data analytics and algorithmic recommendation systems. These systems raise ethical considerations in influencer marketing. The study reveals that the platform’s phenomenally popular cultural content amplifies the influencer economy and intensifies societal phenomena, such as the spectacle of society, which impact the cultural identity and consumption preferences of young people. The paper offers a series of recommendations based on these insights. Firstly, it suggests strategies for content diversification to combat the homogenization trend and promote a richer tapestry of cultural expression. Secondly, it emphasizes the need to reinforce ethics in influencer marketing to ensure that young audiences are not exploited or misled. Lastly, it advocates for measures to mitigate the negative impacts of the Society of the Spectacle on youth culture and consumer behavior. These recommendations aim to cultivate a more balanced digital ecosystem and facilitate a healthier and more democratic communicative environment. By implementing these strategies, Douyin can foster a platform that supports diverse cultural expressions while protecting and empowering its young users.

Threats to personal control fuel similarity attraction

We propose that experiencing a lack of personal control will increase people's preferences for self-similar others and that this effect would be explained by a greater need for structure. Our hypotheses received support across 11 longitudinal, experimental, and archival studies composed of data from 60 countries (5 preregistered studies, N = 90,216). In an analysis of cross-country archival data, we found that respondents who indicated a lower sense of personal control were less likely to prefer to live with neighbors who had a different religion, race, or spoke a different language (Study 1). Study 2 found that participants who perceived lower (vs. higher) personal control indicated greater liking for coworkers who they perceived to be more self-similar across a wide range of characteristics (e.g., gender, personality). Studies 3a and 3b, two live-interaction experiments conducted in the United States and China, provided additional causal evidence for control-motivated similarity attraction. A causal experimental chain (Studies 4a to 4c) and a manipulation-of-mediation-as-a-moderator study (Study 5) provided evidence for the mediating effects of the need for structure. Study 6, a longitudinal study with Chinese employees, found that workers who reported perceiving a lower (vs. higher) sense of personal control preferred more self-similar coworkers, and this effect was mediated by a greater desire for structure. Finally, exploring downstream consequences, Studies 7a and 7b found that control-motivated similarity attraction was associated with a greater preference for homogenous (vs. diverse) groups. These findings highlight how the fundamental motive for personal control shapes the structure of social life.

Does adapting a self-report instrument to improve its cognitive accessibility for people with intellectual disability result in a better measure? − A cognitive interview study

Background and aimsWe investigated whether improving the cognitive accessibility of a widely used self-report measure leads to better understanding and more accurate answers in a sample of adults with mild intellectual disability and borderline intellectual functioning. Methods and proceduresWe undertook a series of cognitive interviews before and after adaptation of the instructions and selected items of an existing self-report measure of adaptive functioning. Interview results and participant feedback were supplemented with quantitative comparisons between participant and carer scores. Outcomes and resultsAdaptation based on participant experiences and preferences combined with evidence-informed guidelines improved understanding and accuracy. Self-report and carer-report scores showed greater convergence after adaptation; this occurred because people with intellectual disabilities appeared to understand the self-report measure more effectively. Conclusions and implicationsThe results show that adaptation of the self-report instrument to suit the needs and preferences of people with mild intellectual disability or borderline intellectual functioning leads to a more accessible measure and more reliable and valid results. Results also highlight the importance of complementing proxy reports with a first-person perspective in assessment as clients and informants may differ in their assessment of behavior and skills.

Conjoint Analysis to Measure Millennial Generation's Preferences on the Role of Technology in the Existence of Mitra Batik Cooperatives in Tasikmalaya

As a people's economic movement founded on the concept of kinship, a cooperative is a corporate company made up of individuals or cooperative legal entities that engage in cooperatively-based activities. In the city of Tasikmalaya alone there are 603 ooperatives with an active level of 44%. Mitra batik cooperative is one of the oldest consumer cooperatives in Tasikmalaya. In an effort to develop cooperatives, mitra batik cooperatives are faced with a situation where they still have various obstacles for their development, one of which is the low interest and awareness of the community members to participate in cooperatives. In an effort to increase the number of cooperative members, the authors intend to conduct research on the preferences of Tasikmalaya people, especially millennial generation to participate in maintaining the existence of mitra batik cooperatives. The method used is conjoint analysis. According to the research results, millennials consider technology the most significant aspect in preserving mitra batik cooperatives in Tasikmalaya. In the digital age, technology is a crucial element. Millennials like technology's ease. The millennial generation must develop technology to preserve mitra batik cooperatives in Tasikmalaya. Due to the fast expansion of banking, particularly in technology, cooperatives must keep up with technology.