Self-reported Frequency Of Use Research Articles

Maternal Prenatal Cannabis Use and Child Autism Spectrum Disorder

Despite an increase in maternal prenatal cannabis use and associations with adverse neonatal outcomes, research on child neurodevelopmental outcomes is limited. To evaluate the association between maternal cannabis use in early pregnancy and child autism spectrum disorder (ASD). This population-based retrospective birth cohort study included children born between 2011 and 2019 to pregnant Kaiser Permanente Northern California members screened for prenatal cannabis use during pregnancy. Statistical analysis was conducted February 2023 to March 2024. Maternal prenatal cannabis use was assessed at entrance to prenatal care (approximately 8- to 10-weeks' gestation) via self-report and/or positive urine toxicology test. Use frequency was assessed. Child ASD was defined by International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) diagnosis codes ascertained from the electronic health record. Associations between maternal prenatal cannabis use and child ASD were modeled using Cox proportional hazards regression adjusted for maternal sociodemographic, other substance use and disorders, prenatal care initiation, comorbidities, and clustering among maternal siblings. The study cohort included 178 948 singleton pregnancies among 146 296 unique pregnant individuals, including 48 880 (27.3%) Asian or Pacific Islander, 42 799 (23.9%) Hispanic, 9742 (5.4%) non-Hispanic Black, and 70 733 (39.5%) non-Hispanic White pregnancies. The median (IQR) maternal age at pregnancy onset was 31 (6) years; 8486 (4.7%) screened positive for cannabis use, 7054 (3.9%) via urine toxicology testing and 3662 (2.0%) by self-report. In the total study population, the frequency of self-reported use was monthly or less for 2003 pregnancies (1.1%), weekly for 918 pregnancies (0.5%), daily for 741 pregnancies (0.4%), and unknown for 4824 pregnancies (2.7%). ASD was diagnosed in 3.6% of children. After adjustment for maternal characteristics, maternal prenatal cannabis use was not associated with child ASD (hazard ratio [HR], 1.05; 95% CI, 0.84-1.32). When self-reported frequency of use was assessed, no statistically significant associations were observed after confounder adjustment. No sex-specific associations were documented (males: HR, 1.01; 95% CI, 0.77-1.32; and females: HR, 1.19; 95% CI, 0.77-1.85). In this cohort study, maternal cannabis use assessed in early pregnancy was not associated with child ASD. Additional studies are needed to evaluate different patterns of use throughout pregnancy. Given the known adverse neonatal health effects of maternal prenatal cannabis use, clinicians should follow national guidelines and advise against use.

The Relationship Between Speech-Language Pathologists’ Perceptions of Clinical Terminology and Its Use in Voice Therapy with Adults

ObjectivesThe terminology used by speech-language pathologists (SLPs) during voice therapy is important for treatment outcomes because it can impact both patient self-efficacy and adherence. However, little is known about what factors influence the terminology that SLPs choose to use. Understanding this gap is important to ultimately optimize voice therapy outcomes. Therefore, the primary aims of this study were to: (1) assess the relationship between reported clinician-perceived positivity and (2) assess the relationship between clinician-perceived positivity and clinical endorsement for use. We hypothesized that clinician-perceived positivity would be one important factor driving how frequently clinicians use or avoid specific terms, and if they think the term should be used by other SLPs in clinical practice. Design/MethodsThis prospective study was conducted as an online survey of SLPs and SLP clinical fellows who evaluate and treat adult voice patients. The survey presented respondents with a total of 46 voice-related terms and prompted respondents to rate: (1) how frequently they use a specific voice-related term (‘frequency of use’); (2) how positive or negative they perceive a specific voice-related term to be (‘perceived positivity’); and (3) if they feel a specific voice-related term should vs. should not be used in clinical practice (‘clinical endorsement’). Inferential statistics were used to examine the relationship between perceived positivity and frequency of use, and perceived positivity and clinical endorsement. Summary statistics were used to describe frequency of use across all terms. Results112 respondents completed the survey. clinician-perceived positivity of voice-related terminology was significantly related to its reported self-reported frequency of use (β = 1.946; 95% CI: 1.701 - 2.191; p <.0005) and clinical endorsement of use by others (β = 4.103; 95% CI: 3.750 - 4.456; p <.0005). Both of these relationships exhibited relatively large effect sizes. ConclusionsThis study was an important first step at identifying factors that influence SLP’s use of specific terminology in voice therapy. Specifically, an SLP’s perceived positivity of clinical terminology strongly influenced the frequency with which they reported using that term in voice therapy and whether or not they thought that term should be used with patients by other SLPs in voice therapy. Future work should investigate clinician characteristics that might affect terminology use, include more diverse sampling, utilize self-selected terminology or audio recordings of therapy interactions, and assess direct effects of terminology use on patient outcomes.

Use of personal care product mixtures and incident hormone-sensitive cancers in the Sister Study: A U.S.-wide prospective cohort

BackgroundPersonal care products (PCPs), a source of endocrine-disrupting chemical exposure, may be associated with the risk of hormone-sensitive cancers. Few studies have investigated associations for PCP use with the incidence of hormone-sensitive cancers or considered the joint effect of multiple correlated PCPs. We examined associations between frequently used, or “everyday”, PCPs and incident cancers of the breast, ovary, and uterus with a fucus on the joint effect of multiple product exposure. MethodsSister Study participants (n=49 899) self-reported frequency of use in the year before enrollment (2003–2009) for 41 PCPs. Using five-level frequency categories based on questionnaire options, hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated for the associations between multiple PCP use and incident breast, ovarian, and uterine cancer using quantile-based g-computation with Cox proportional hazards regression as the underlying model. Multiple PCP use was examined using groupings (beauty, hygiene, and skincare products) determined by both a priori knowledge and Spearman correlation coefficients for co-occurring product use. Associations between individual PCPs and the three cancers were also examined using Cox proportional hazards models coupling with Benjamini-Hochberg procedure for multiple comparisons. ResultsOver an average of 11.6 years, 4 226 breast, 277 ovarian, and 403 uterine cancer cases were identified. Positive associations were observed between the hygiene mixture and ovarian cancer (HR=1.35, 95%CI=1.00, 1.83) and the beauty mixture with postmenopausal breast cancer (HR=1.08, 95%CI=1.01, 1.16). Additionally, we observed an inverse association between the skincare mixture and breast cancer (HR=0.91, 95%CI=0.83, 0.99). No significant associations were observed for individual products after corrected for multiple comparison. ConclusionsFindings from this multi-product, joint-effect approach contribute to the growing body of evidence for associations between PCPs and breast cancer and provides novel information on ovarian and uterine cancer.

78 Remotely monitored in-home IADLs can discriminate between normal cognition and mild cognitive impairment

Objective:Approximately 6.5 million Americans ages 65 and older have Alzheimer’s disease and related dementias, a prevalence projected to triple by 2060. While subtle impairment in cognition and instrumental activities of daily living (IADLs) arises in the mild cognitive impairment (MCI) phase, early detection of these insidious changes is difficult to capture given limitations. Traditional IADL assessments administered infrequently are less sensitive to early MCI and not conducive to tracking subtle changes that precede significant declines. Continuous passive monitoring of IADLs using sensors and software in home environments is a promising alternative. The purpose of this study was to determine which remotely monitored IADLs best distinguish between MCI and normal cognition.Participants and Methods:Participants were 65 years or older, independently community-dwelling, and had at least one daily medication and home internet access. Clinical assessments were performed at baseline. Electronic pillboxes (MedTracker) and computer software (Worktime) measured daily medication and computer habits using the Oregon Center for Aging and Technology (ORCATECH) platform. The Survey for Memory, Attention, and Reaction Time (SMART; Trail A, Trail B, and Stroop Tests) is a self-administered digital cognitive assessment that was deployed monthly. IADL data was aggregated for each participant at baseline (first 90 days) in each domain and various features developed for each. The receiver operating characteristic area under the curve (ROC-AUC) was calculated for each feature.Results:Traditional IADL Questionnaires.At baseline, 103 participants (normal n = 59, Mage = 73.6±5.5; MCI n = 44, Mage = 76.0±6.1) completed three functional questionnaires (Functional Activities Questionnaire; Measurement of Everyday Cognition (ECog), both self-report and informant). The Informant ECog demonstrated the highest AUC (72% AUC, p = &lt;.001).Remotely monitored in-home IADLs and self-administered brief online cognitive test performance.Eighty-four had medication data (normal n = 48, Mage = 73.2±5.4; MCI n = 36, Mage = 75.6±6.9). Four features related to pillbox-use frequency (73% AUC) and four features related to pillbox-use time (62% AUC) were developed. The discrepancy between self-reported frequency of use versus actual use was the most discriminating (67% AUC, p = .03).Sixty-six had computer data (normal n = 38, Mage = 73.6±6.1; MCI n = 28, Mage = 76.6±6.8). Average usage time showed 64% AUC (p = .048) and usage variability showed 60% AUC (p = .18).One hundred and two completed the SMART (normal n = 59, Mage = 73.6±5.5; MCI n = 43, Mage = 75.9±6.2). Eleven features related to survey completion time demonstrated 80% AUC in discriminating cognition. Eleven features related to the number of clicks during the survey demonstrated 70% AUC. Lastly, seven mouse movement features demonstrated 71% AUC.Conclusions:Pillbox use frequency combined features and self-administered brief online cognitive test combined features (e.g., completion times, mouse cursor movements) have acceptable to excellent ability to discriminate between normal cognition and MCI and are relatively comparable to informant rated IADL questionnaires. General computer usage habits demonstrated lower discriminatory ability. Our approach has applied implications for detecting and tracking older adults’ declining cognition and function in real world contexts.

Psychological distress, non-medical use of prescription medications, and perceived unmet mental health care needs: a cross-sectional study of Ontario students.

The non-medical use of prescription medications among adolescents has become a concerning public health issue. This study assessed the prevalence of the non-medical use of prescription medications in Ontario high school students, and explored the moderating effect of this use on the relationship between psychological distress and unmet mental health needs. Cross-sectional data for 4896 students, age 14-18, were drawn from the 2019 Ontario Student Drug Use and Health Survey. Psychological distress was measured using the Kessler-6 Distress Scale, unmet mental health needs were defined by self-report (yes/no), and non-prescription medication use was defined by self-reported frequency of use. Using logistic regression, we explored the effect of the non-medical use of prescription medications on the relationship between psychological distress and unmet mental health needs. High proportions of Ontario students reported serious psychological distress (22%), some degree of unmet mental health need (38%), and/or non-medical use of prescription medications (13%). While there were strong associations between psychological distress and unmet mental health need, this association was weaker among those reporting non-medical use of prescription medications (OR = 3.3, 95% CI 1.9-5.7) compared to non-users (OR = 5.6, 95% CI 4.5-7.1). Our findings suggest that Ontario students experiencing distress and using non-prescribed medications are less likely to identify a need for mental health support, highlighting the consequences of apparent self-medication through misuse of prescription medications. To assist in the redirection of adolescent perceptions of healthy coping strategies, population-based educational programming, with targeted promotion of both formal and informal mental health care resources, should be considered.

App-based support for parental self-efficacy in the first 1,000 days: A randomized control trial.

Parental self-efficacy is key for guiding parents' interactions with their child and is an important target for early intervention. This study reports a pilot randomized control trial (RCT) of a parenting application (app) with 79 parents of children aged 0-6 months in the United Kingdom. The app includes 1,026 daily age-appropriate activities across eight areas of child development, using resources accessible at home. While controlling for pre-test scores, parents who used the parenting app (Treatment Group) had significantly higher parental self-efficacy, after the 4-week intervention period, compared to the Active Control Group. Partial correlation analyses indicated that higher frequency of self-reported use of the parenting app was associated with greater parental self-efficacy outcomes. This evidence establishes proof of concept that parenting apps can have significant benefits on parental self-efficacy in early childhood. Limitations to the interpretation and generalization of the findings, as well as directions for future research are discussed.

PRACTICE CHANGE OUTCOMES OF POST-GRADUATE TRAINING IN ADVANCED CLINICAL DEMENTIA PRACTICES

Abstract Neurocognitive disorder is common among older adults with often progressive symptoms impacting multiple domains of life and with major implications and challenges for family involved in care. Clinical providers including doctors, nurses, and social workers play instrumental roles in addressing health and mental health vulnerabilities associated with neurocognitive disorder as skillful interventions can effectively improve wellness and quality of life for patients and care partners. Yet, providers report needing expanded knowledge to deliver appropriate clinical dementia care. An advanced clinical dementia practice certificate program at a major university in the U.S. offers a 45-hour training that covers 35 clinical practices identified by an interprofessional advisory group. This study aims to test the learning impacts of the educational program. Since 2017, 74 participants have completed this training. Their self-reported frequency of use of each clinical practice was measured before and after the training using a 5-item rating scale ranging from “Never” to “Several times per day”. Comparisons across two time periods demonstrate significant increases in overall use of clinical practices (mean difference: 0.45), with a large mean effect size (Cohen’s d = 0.8). These increases were statistically significant in 30 of 35 practices (p &amp;lt; 0.05). The largest effects were observed for clinical practices emphasizing the teaching of practical care strategies and the application of person-centered interventions. Implications of this educational method for enhancing clinician practice behaviors and recommendations for quantitative evaluation of training outcomes will be presented.

A Pediatric Resident Curriculum for the Use of Health Literacy Communication Tools.

Background:Despite evidence that use of evidence-based communication tools (EBCT) with a universal precautions approach improves health outcomes, medical trainees report inadequate skills training.Objective:We developed, implemented, and evaluated a novel, interactive curriculum featuring a 30-minute, single-session didactic with video content, facilitated case-based discussions and preceptor modeling to improve use of EBCT among pediatric residents. A direct observation (DO) skills checklist was developed for preceptors to evaluate resident use of EBCT.Methods:Shortly after implementation of the curriculum, residents completed a survey assessing self-reported frequency of EBCT use both pre- and post-intervention. DOs were conducted 2 to 3 weeks after the didactic was completed and scores were compared among residents who participated in the curriculum and those who did not. A longitudinal 6-month follow-up survey was also distributed to assess changes over time.Key Results:Forty-seven of 78 (60%) of residents completed the survey and 45 of 60 (75%) of the eligible residents participated in the DO. There was significant change in self-reported use of all but one EBCT after participation in the curriculum. Residents reported sustained increased frequency of use of all communication tools except for Teach Back, Show Back, and explanation of return precautions in the 6 months following the curriculum. Notably, there was no significant difference in resident scores in the DO among residents who participated in the didactic session and those who did not.Conclusions:This novel interactive curriculum addresses ACGME (Accreditation Council for Graduate Medical Education) core competencies and fulfills a needed gap in resident curricula for health literacy-related skills training. Findings suggest a small, positive affect on frequency of self-reported use of health literacy EBCT. However, our findings demonstrate a lack of parallel improvement in resident performance during DO. Future curricula may require certain modifications, as well as reinforcement at regular intervals. [HLRP: Health Literacy Research and Practice. 2022;6(2):e121–e127.]Plain Language Summary:Use of evidence-based communication tools, such as presenting information in small chunks and avoiding complex medical terms among pediatric trainees, is limited. This study describes a new and interactive health literacy curriculum, with emphasis on preceptor modeling and DO to improve use of evidence-based communication tools among residents. After participation in the curriculum, residents report greater use of evidence-based communication tools. However, results from DO of residents did not demonstrate similar improvements.

The Relation Between Impulsivity and Estimation of Marijuana Weight.

Until recently, marijuana research has often relied on self-reported frequency of use (e.g., days used per month). These estimations may oversimplify use at times, as they can only infer the quantity that one uses, rather than directly measure it. While some studies have estimated quantity (e.g., number of joints, grams), research has supported that user estimates of marijuana weight are often inaccurate and overestimate the true quantity. Since weight misestimation varies by participant, it may be important to identify individual difference factors (e.g., personality) that influence weight estimation. One such factor may be impulsivity, as it is known to relate to other marijuana-use measures (e.g., frequency, consequences). However, research has yet to examine the specific relation between impulsivity and misestimation of marijuana weights. The present study investigated impulsivity as a predictor of marijuana quantity estimation, using objectively weighed quantity data. We hypothesized that impulsivity facets would relate to marijuana quantity misestimation. We asked attendees at a marijuana- related event to roll a joint or pack a bowl, and then take, among a battery of measures, the SUPPS-P Impulsive Behavior Scale. We found that negative urgency, positive urgency, and lack of perseverance were not significantly associated with misestimation, while lack of premeditation was significantly negatively related to misestimation. Findings indicated that individuals who lacked in premeditation made more accurate quantity estimates than those higher in premeditation. Future directions should investigate the relation between impulsivity, marijuana intoxication, and marijuana quantity estimation.

Quantification of prenatal marijuana use: evaluation of the correlation between self-report, serum, urine and umbilical cord assays among women delivering at two urban Colorado hospitals.

To estimate during pregnancy correlations between frequency of self-reported use of marijuana and quantified marijuana metabolite in biospecimens including urine, sera and umbilical cord homogenate. Prospective cohort. Two urban hospitals in Colorado with legal recreational and medicinal marijuana. Pregnant women (<16weeks gestation) self-reporting marijuana use. Participants completed a written self-report survey and provided biospecimens at <16weeks gestation (n=46), 18 to 22weeks gestation (n=43), 32 to 36weeks gestation (n=39), and delivery (n=37). Self-reported marijuana use frequency was calculated based on past-monthdays of use multiplied by number of daily uses. Maternal urine and sera were tested for presence (>5ng/mL) of 11-nor-9-carboxy-delta-9-tetrahydrocannabinol (THC-COOH). Liquid chromatography tandem mass spectrometry quantified THC-COOH in umbilical cord homogenate (ng/g). Last marijuana use by any measure was recorded to evaluate the time frame over which THC-COOH remains detectable (>0.10ng/g) in cord. From December 2017 through May 2019, 51 pregnant women enrolled, and 46 were included in analyses (2 withdrew and 3 had a spontaneous abortion). The majority were normal weight, White or Black race, and insured by Medicaid. At the time of enrollment between 7 to 15weeks' gestation, 87% had ongoing use by self-report, or positive urine or serum. The majority (33 [66%]) stopped using before delivery. Sera and urine results were strongly correlated with self-reported use frequency (Spearman correlation coefficient [r] range 0.70-0.87 across visits, P<0.001), and with each other. There was only one positive cord result when use stopped before 22weeks. Frequency of self-reported marijuana use at delivery had strong correlation with quantified cord THC-COOH (r=0.80, 95% CI = 0.62-0.89). Quantified umbilical cord THC-COOH appears to strongly correlate with frequency of maternal marijuana use in the last month of pregnancy. Earlier use can be measured by either quantitative urine or serum assay.

Psychosocial factors associated with the self-reported frequency of cell phone use while driving in Iran.

Cell phone use while driving is a common contributing factor in thousands of road traffic injuries every year globally. Despite extensive research investigating the risks associated with cell phone use while driving, social media campaigns to raise public awareness and a number of laws banning phone use while driving, this behaviour remains prevalent throughout the world. The current study was conducted in Iran, where road traffic injuries are the leading causes of death and disability, and where drivers continue to use their cell phones, despite legislative bans restricting this behaviour. A total of 255 drivers in the city of Mashhad (male = 66.3%; mean age = 30.73 years; SD = 9.89) completed either an online or a paper-based survey assessing the self-reported frequency of using a cell phone while driving. Psychosocial factors contributing to cell phone use while driving and support for legislation restricting this behaviour, as well as the Big Five personality traits, were also measured. Overall, the results showed that almost 93% of drivers use their cell phones while driving at least once a week, with 32.5% reporting they always use their cell phones while driving. Ordinal logistic regression revealed that the presence of a child passenger, age, perceived benefits and risks of using cell phones while driving, as well as the perceived ability to drive safely while using a cell phone, were strongly associated with the frequency of cell phone use while driving. As for personality traits—extraversion, agreeableness and conscientiousness significantly predicted the frequency of cell phone use in this sample of Iranian drivers.

Solo but Not Alone: Self-Directed Online Peer Education as a Way to Increase Professional Knowledge and Skills

ABSTRACT Peer-to-peer instruction has the potential to allow physically distanced librarians to participate in professional development and network building at low or no cost. Databases represent a significant cost for libraries, and by utilizing databases as an educational assignment, librarians could increase their knowledge of and skills using databases while also growing their own instructional abilities. To test this assumption, underutilized databases were identified and assigned to librarians in the Northern California kpLibraries group. Librarians completed a pre-survey of self-reported database usage and confidence, and then were assigned a database. The librarians were tasked with developing a peer education session on their assigned database to be presented to the group. After the peer instruction sessions, librarians completed a post-survey. The self-reported frequency of use, relevance of search results, confidence in using the databases for finding information, and confidence in teaching the database to patrons all increased after the peer-to-peer instruction sessions. The post-survey results suggest that peer-to-peer instruction on an assigned database is possibly an effective method for librarians to share knowledge and improve skills even when not working in the same location.

Where you look and how far you go: The relationship between attentional styles and running performance

We investigated associations between use of visual attention-based styles and running performance. In one quasi-experimental study, we measured self-reported frequency of use of narrow and wide attentional scope during short and long distance runs among individuals competing in foot races. We found that runners reported using wide attention more often than narrow attention in competition; this may be the case more so during long compared to short runs. Preliminary evidence suggests such differences in frequency of use of wide and narrow attention emerged among individuals who routinely ran more rather than fewer miles per week. We discuss implications for visual attention-based interventions to improve exercise for individuals outside of competition.

GIS-Based Home Neighborhood Food Outlet Counts, Street Connectivity, and Frequency of Use of Neighborhood Restaurants and Food Stores.

Researchers have linked neighborhood food availability to the overall frequency of using food outlets without noting if those outlets were within or outside of participants' neighborhoods. We aimed to examine the association of neighborhood restaurant and food store availability with frequency of use of neighborhood food outlets, and whether such an association was modified by neighborhood street connectivity using a large and diverse population-based cohort of middle-aged U.S. adults. We used self-reported frequency of use of fast food restaurants, sit-down restaurants, and grocery stores in respondents' home neighborhoods using data from the Coronary Artery Risk Development in Young Adults study Year 20 exam in 2005-2006 (n= 2860; Birmingham, AL; Chicago, IL; Minneapolis, MN; and Oakland, CA) and geographically matched GIS-measured neighborhood-level food resource, street, and U.S. Census data. We used mixed-effects logistic regression to examine the associations of the GIS-measured count of neighborhood fast food restaurants, sit-down restaurants, and grocery stores with self-reported frequency of using neighborhood restaurants and food stores and whether such associations differed by GIS-measured neighborhood street connectivity among those who perceived at least one such food outlet. In multivariate analyses, we observed a positive association between the GIS-measured count of neighborhood sit-down restaurants (OR = 1.02, 95% CI 1.00-1.04) and the self-reported frequency of using neighborhood sit-down restaurants. We observed no statistically significant association between GIS-measured count of neighborhood fast food restaurants and self-reported frequency of using neighborhood fast food restaurants, nor did we observe a statistically significant association between GIS-measured count of neighborhood grocery stores and self-reported frequency of using neighborhood grocery stores. We observed inverse associations between GIS-measured neighborhood street connectivity and the self-reported frequencies of using neighborhood fast food restaurants (OR = 0.42, 95% CI 0.26-0.68) and grocery stores (OR = - 2.26, 95% CI - 4.52 to - 0.01). Neighborhood street connectivity did not modify the association between GIS-measured neighborhood restaurant and food store count and the self-reported frequency of using neighborhood restaurants and food stores. Our findings suggest that, for those who perceived at least one sit-down restaurant in their neighborhood, individuals who have more GIS-measured sit-down restaurants in their neighborhoods reported more frequent use of sit-down restaurants than those whose neighborhoods contain fewer such restaurants. Our results also suggest that, for those who perceived at least one fast food restaurant in their neighborhood, individuals who live in neighborhoods with greater GIS-measured street connectivity reported less use of neighborhood fast food restaurants than those who live in neighborhoods with less street connectivity. The count of neighborhood sit-down restaurants and the connectivity of neighborhood street networks appear important in understanding the use of neighborhood food resources.

Changes in the self‐reported frequency of use of the Fiuman dialect: Implications for language maintenance

This paper reports the results of a study that investigates changes in the self-reported frequency of use of the Fiuman dialect, a regional minority Romance language spoken in the Croatian city of Rijeka and its surroundings, with respect to its hearing, speaking, reading, and writing both in the present and the past. The data was collected by means of a questionnaire containing closed and open-ended questions administered to 244 Fiuman speakers, between the ages of 14 and 89 years old. The results show a decrease in the spoken use of Fiuman today in comparison to the past, but also an increase in its written use, among younger speakers. The participants list numerous reasons for the decrease in spoken use, the main ones being related to a reduction in the number of Fiuman speakers and demographic changes in the city. The increase in written use relates primarily to communication on social networks, in text messaging and via e-mail, as well as to communication at work. The results point to the importance of modern technology and the new media for the maintenance of minority languages.

Motives, frequency and attitudes toward emoji and emoticon use

Electronic Mediated Communication (EMC) has become highly prevalent in our daily lives. Many of the communication formats used in EMC are text-based (e.g., instant messaging), and users often include visual paralinguistic cues in their messages. In the current study, we examined the usage of two such cues – emoji and emoticons. Specifically, we compared self-reported frequency of use, as well as attitudes (6 bipolar items, e.g., “fun” vs. “boring”) and motives for their usage (9 motives, e.g., “express how I feel to others”). We also examined these indicators according to age and gender. Overall, participants (N = 474, 72.6% women; Mage = 30.71, SD = 12.58) reported using emoji (vs. emoticons) more often, revealed more positive attitudes toward emoji usage, and identified more with motives to use them. Moreover, all the ratings were higher among younger (vs. older) participants. Results also showed that women reported to use emoji (but not emoticons) more often and expressed more positive attitudes toward their usage than men. However, these gender differences were particularly evident for younger participants. No gender differences were found for emoticons usage. These findings add to the emerging body of literature by showing the relevance of considering age and gender, and their interplay, when examining patterns of emoji and emoticons use.

Empirical analysis of travellers’ routine choice of means of transport in Barcelona, Spain

The present study identifies groups of travellers according to their routine choice of means of transport in the context of the Barcelona Metropolitan Region. Clustering procedures are used to classify travellers according to the self-reported frequency of use of different travel modes. The extracted segments are then profiled with regards to their residence location, socioeconomic traits, access to a car, and other factors that relate to routines becoming habits – (low) use of travel information and disproportionate use of their preferred means of transport. This exercise is of great interest because the incidence of driving habits and other psychological determinants of (un)sustainable travel mode choice are under-researched factors in Barcelona. Data was retrieved from the Survey of Daily Mobility of Catalonia 2006. We identified seven relatively homogeneous segments of transport users, of which two groups are routine users of private vehicles for whom their modal choice is apparently disconnected from situational factors, namely Motorcycle enthusiasts and Car drivers. These groups also share common traits regarding their minimal use of travel information and narrow modal mix (unimodality). The results suggest that it may be valuable to explore the issue of driving habits formation in the context of Barcelona in depth, as it has implications for the design of environmental policy for transport.

“Cunt”: On the perception and handling of verbal dynamite by L1 and LX users of English

Abstract“Cunt” is currently one of the most offensive words in the English language and is usually censored in the English press and media. The present study looks firstly at differences between 1159 first (L1) and 1165 foreign (LX) users of English in their perceived understanding of the word, its perceived offensiveness and their self-reported frequency of use. Secondly, it considers the relationships between the dependent variables and a number of psychological, sociobiographical and linguistic profile variables. The findings suggest that LX users are less sure about the exact meaning of the word, underestimate its offensiveness and use it less frequently than L1 users. Links between understanding of the word and its perceived offensiveness vary for L1 and LX users. High levels of Extraversion, Neuroticism and Psychoticism were linked to more frequent use of the word, as were lower levels of education, a younger age, being a male and working in a swearing-rich environment for both L1 and LX users. Variation in the group of LX users was linked to age of onset of acquisition of English, context of acquisition, self-reported oral proficiency, frequency of use of English and having lived in an English-speaking environment.

Smartphone application for unhealthy alcohol use: A pilot study

ABSTRACTBackground: Technology-delivered interventions are useful tools for addressing unhealthy alcohol use. Smartphones in particular offer opportunities to deliver interventions at the user's convenience. A smartphone application with 5 modules (personal feedback, self-monitoring of drinking, designated driver tool, blood alcohol content [BAC] calculator, information) was developed. Its acceptability and associations between use and drinking outcomes were assessed. Methods: One hundred thirty adults with unhealthy alcohol use (>14 [men]/>7 [women] drinks/week or ≥1 episode/month with 6 or more drinks) recruited in Switzerland (n = 70) and Canada (n = 60) were offered to use the application. Follow-up occurred after 3 months. Appreciation, usefulness, and self-reported frequency of use of the modules, and drinking outcomes (drinks/week, binge drinking) were assessed. Associations between application use and drinking at 3 months were evaluated with negative binomial and logistic regression models, adjusted for baseline values and gender. Results: Of the participants, 48% were women, mean (SD) age: 32.8 (10.0). Follow-up rate: 86.2%. There were changes from baseline (BL) to follow-up (FU) in number of drinks/week, BL: 15.0 (16.5); FU: 10.9 (10.5), P = .01, and binge drinking, BL: 95.4%; FU: 64.3%, P < .0001. All modules had median ratings between 6 and 8 (scale of 1–10). Among the participants, 77% used the application, 76% used the personal feedback module, 41% the self-monitoring of drinking, 22% the designated driver tool, 53% the BAC calculator, and 31% the information module. Participants using the application more than once reported significantly fewer drinks/week at follow-up: Incidence Rate Ratio (IRR), number of drinks per week = 0.70 (0.51; 0.96). Conclusions: A smartphone application for unhealthy alcohol use appears acceptable and useful (although there is room for improvement). Without prompting, its use is infrequent. Those who used the application more than once reported less weekly drinking than those who did not. Efficacy of the application should be tested in a randomized trial with strategies to increase frequency of its use.

Glimpses of semantic restructuring of English emotion-laden words of American English L1 users residing outside the USA

Abstract The present exploratory study focuses on the effect of living outside the USA on the understanding of the meaning, the perceived offensiveness and the self-reported frequency of use of four English emotion-laden words of British origin and four English emotion-laden words of American origin among 556 first (L1) users of American English. Statistical analyses revealed that the scores of the Americans living in the UK or in non-English-speaking countries differed significantly from those of compatriots living in the USA. Positive relationships emerged between multilingualism and scores on the dependent variables for the four British words, but no link emerged between languages known and the dependent variables for the American words. This is interpreted as an indication that semantic representations of emotion-laden words originating from another variety of the L1 are relatively weaker and are more likely to shift as a result of exposure to their use in other varieties, and the knowledge of other languages.