Social Class Research Articles

Understandings and enactments of social justice pedagogies in Swedish physical education and health practice

Research continues to show that school physical education and health (PEH) is complicit in the reproduction of inequities related to, for instance, gender, sexuality, ethnicity, religion and social class. In this paper, we present findings from a participatory action research (PAR) project with 11 PEH teachers at two upper-secondary schools in Sweden, aimed at enhancing understandings and enactments of social justice pedagogies. Data generated through observations, interviews, focus groups, workshops and teacher reflections were analysed through a thematic analysis ( Braun and Clarke, 2022 ) and informed by the concept of teaching for equity and social justice ( Freire, 1970 ). The findings highlight how the teachers associated social justice pedagogies in PEH with an emphasis on: (1) ‘inclusion’; (2) ‘equity/equality’; (3) ‘adaptations to teaching and assessment’; and (4) ‘relationships’. The findings also demonstrate how, based on the importance they placed on relationships, the teachers developed pedagogies that aimed to create: (1) ‘conditions for building relationships’; (2) ‘continuous engagement from teachers and students’; (3) ‘student involvement and reflection’; and (4) ‘connections with and within the subject’. Although the findings draw attention to productive understandings and enactments of social justice pedagogies, we also argue that the teachers, to some extent, conflated equality of opportunity with equity of outcome and continued to focus on managing inequities within the framework of taken-for-granted practices and knowledge within the subject. We conclude that more work is needed to support teachers in not only addressing the inequities students bring to the classroom, but also in challenging the norms that make these inequities matter.

The influence of English language teachers’ social class stereotypes on language teaching

This article analyses Mexican English teachers’ social class-based stereotypes attributed to secondary and preparatory school students. These students are deemed lazy, have no aspirations and come from “hostile” or “backward” environments that allegedly explain their lack of academic engagement and inability to undertake an English learning activity. Such characterisations become relevant since they exhibit that teachers’ beliefs, which are in constant relation to their context and experience (Fives & Buehl, 2012, p. 476) cast light on teachers’ pedagogic decisions. Teachers ascribe students’ roles that limit speaking opportunities and assignments that involve dumbing content down since students are expected to have either a low academic performance or none at all. Through an indexical analysis of teachers’ utterances, this study contributes to recent research on language teachers’ beliefs within applied linguistics where issues of social class, stereotypes and their influence on teachers’ pedagogic decisions have been underexamined.

The double disadvantage faced by adolescents from low socioeconomic backgrounds with mental health problems affects earnings up to mid-life

Early childhood socioeconomic disadvantage and mental health problems are both important determinants of adult social and economic experiences, but little is known about how they interact in this respect. We aimed to assess whether poor mental health in adolescence exacerbates labour market inequalities originating from low socioeconomic status (SES) in childhood. We use a birth cohort of individuals born in 1958 in England and follow their employment experiences and cumulative earnings up to age 55. We proxy low SES in childhood with father's occupational class at the time the respondent was aged 11, and use caregiver (usually, parent) ratings of the Rutter inventory at age 16 to identify mental health problems in adolescence. We fit ordinary least squares (OLS) models to estimate the effect of growing up in a low-SES family and experiencing mental health problems (conduct or emotional problems) in adolescence on cumulative earnings (log-transformed). We use an interaction term to test whether the association between mental health problems (conduct and emotional separately) and earnings differed by socioeconomic group. Individuals who experienced conduct problems in adolescence had lower cumulative earnings and employment levels up to age of 55. Moreover, the association between mental health problems and cumulative earnings was higher among individuals who also experienced low SES in childhood. Families from a higher socioeconomic group may have more effective means to counteract the adverse impacts of adolescent mental health problems, likely due to broader access to resources, support systems and opportunities. This underscores the role of structural supports in addressing socioeconomic inequalities in mental health outcomes and their long-terms implications.

Socially induced plasticity of the posterior tuberculum and motor behavior in zebrafish (Danio rerio).

Social dominance is prevalent throughout the animal kingdom. It facilitates the stabilization of social relationships and allows animals to divide resources according to social rank. Zebrafish form stable dominance relationships that consist of dominants and subordinates. Although social-status-dependent differences in behavior must arise due to neural plasticity, mechanisms of how neural circuits are reconfigured to cope with social dominance are poorly described. Here, we describe how the posterior tuberculum nucleus (PT), which integrates sensory social information to modulate spinal motor circuits, is morphologically and functionally influenced by social status. We combined non-invasive behavioral monitoring of motor activity (startle escape and swim) and histological approaches to investigate how social dominance affects the morphological structure, axosomatic synaptic connectivity, and functional activity of the PT in relation to changes in motor behavior. We show that dopaminergic cell number significantly increases in dominants compared to subordinates, while PT synaptic interconnectivity, demonstrated with PSD-95 expression, is higher in subordinates compared to dominants. Secondly, these socially induced morphological differences emerge after one week of dominance formation and correlate with differences in cellular activities illustrated with higher phosphor-S6 ribosomal protein expression in dominants compared to subordinates. Thirdly, these morphological differences are reversible as the social environment evolves and correlates with adaptations in startle escape and swim behaviors. Our results provide new insights of the neural bases of social behavior that may be applicable to other social species with similar structural and functional organization.

A new dimension of leaf economic spectrum: temporal instability of relationships among genotypes.

Leaf economic spectrum (LES) relationships have been studied across many different plant lineages and at different organizational scales. However, the temporal stability of the LES relationships is largely unknown. We used the wild blueberry system with high genotypic diversity to test whether trait-trait relationships across genotypes demonstrate the same LES relationships found in the global database (GLOPNET) and whether they are stable across years. We studied leaf structure, photosynthesis, and leaf nutrients for 16 genotypes of two wild blueberry species semi-naturally grown in a common farm in Maine, USA, across 4 yr. We found substantial variation in leaf structure, physiology, and nutrient traits within and among genotypes, as well as across years in wild blueberries. The LES trait-trait relationships (covariance structure) across genotypes were not always found in all years. The trait syndrome of wild blueberries was shifted by changing environmental conditions over the years. Additionally, traits in 1 yr cannot be used to predict those of another year. Our findings show that LES generally holds among genotypes but is temporally unstable, stressing the significant influence of trait plasticity in response to fluctuating environmental conditions across years, and the importance of temporal dimensions in shaping functional traits and species coexistence.

Tonia Marketaki’s The Price of Love (1983): The Corfu of class differences and universal archetypes

Tonia Marketaki’s I timi tis agapis (The Price of Love, 1983) is a film adaptation of the novel Honour and Money (1912) by renowned Greek author Konstantinos Theotokis (1872-1923), the plot of which is set in Corfu in the early 20th century and revolves around a romance doomed to fail due to economic and social factors. As the article points out, before Marketaki’s film, mainstream Greek cinema portrayed Corfu from a tourist perspective, with a few unconventional productions showing the island in an unflattering light. In The Price of Love, Marketaki departed from these traditions by capturing the island’s beauty in pictorial compositions, giving it a fairytale quality. She combined this fairytale charm with Theotokis’s social criticism and changed or added scenes to Honour and Money that expanded Theotokis’s political commentary or gave it psychoanalytic dimensions. Marketaki’s Corfu, the article argues, is a setting where significant social differences and Jung’s universal, archetypal opposites intersect. The Price of Love thus encourages viewers to see the island in a new light and prompts a broader consideration of audiovisual representations of islands as part of a dialogue with previous or contemporary reconstructions and other disciplines. The article supports its argument through a comparative analysis of the film and the novel, also drawing material from Marketaki’s archive.

Who feels they contribute to U.S. society? Helping behaviors and social class disparities in perceived contributions.

Americans in lower (vs. higher) social class contexts are less likely to believe they contribute to society. Helping others by giving one's time is an important way of contributing to others that also varies with social class. Five studies (N = 7,326) investigated whether one source of the social class disparity in perceived contributions is a default model that considers helping distant others (i.e., bridging help, e.g., volunteering) as more of a contribution than helping close others (i.e., bonding help, e.g., caring for family members). In Study 1, Americans in lower (vs. higher) social class contexts perceived they contribute less to society (i.e., self-perceived contributions, Part A) and believed others perceive them as contributing less (i.e., metaperceived contributions, Part B). Studies 2-4 provide evidence for a default model of social good: Americans across social class contexts and even helpers themselves perceived bridging help as more of a contribution than bonding help, in part, because bridging help is perceived as reflecting more choice to help. With a representative sample (Midlife Development in the United States), Study 5 finds that Americans in lower (vs. higher) social class contexts engaged in relatively less bridging help and more bonding help. However, bridging help served as a stronger pathway to feelings of contributing than bonding help did. Together, these studies suggest that people in lower social class contexts may experience a psychological inequality, in part, because some of the forms of help that are most accessible, familiar, and practiced are widely perceived as less of a contribution. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Trends in socioeconomic inequality in e-cigarette use among adolescents in South Korea.

The global rise in e-cigarette use among adolescents is alarming, with associated socioeconomic inequalities posing potential public health risks. This study examined trends in the socioeconomic inequality in e-cigarette use among South Korean adolescents to inform future regulatory directions. Socioeconomic inequalities in e-cigarette use among Korean adolescents were assessed using data from the Korea Youth Risk Behavior Web-based Survey (KYRBS) from 2011 to 2023. The Concentration Index, a well-established method for measuring health inequalities, was employed. Additionally, this study investigated how the smoking behaviors of family members and friends influence socioeconomic inequality in e-cigarette use among Korean adolescents, using a decomposition analysis. The Concentration Index values showed a clear, fluctuating downward trend over 13 years, from -0.12 (95% CI: -0.13 - -0.10) in 2011 to -0.24 (95% CI: -0.26 - -0.21) in 2023. Decomposition analysis revealed that smoking among peer groups, including friends and siblings, was the primary contributor to socioeconomic inequality in e-cigarette use, followed by maternal smoking. Socioeconomic inequalities in adolescent e-cigarette use in South Korea are widening, particularly among low socioeconomic status groups. The impact of peer groups on socioeconomic inequalities in e-cigarette use among adolescents is concerning.

VIOLÊNCIA SIMBÓLICA NO TRABALHO DOCENTE: UM RELATO DE EXPERIÊNCIA

This report aims to address the issue of symbolic violence in the school environment, more precisely in teaching practice. This fact needs to be discussed, as it has gained notoriety in the studies of different thinkers. This type of violence, in the educational sphere, is not a recent fact and is not considered an act of physical aggression, however, it is related and structured, according to Pierre Bourdieu, under the absolutist cultural imposition of social class on other subjects. The presence of this phenomenon in the school context is quite evident, where the reproduction of the aforementioned type of violence is observed in the pedagogical action, that is, in the practical action of the teacher, in the classroom, in relation to the student, which is called by the french sociologist already mentioned symbolic violence.

Ecology stereotypes exist across societies and override race and family structure stereotypes.

Perceivers hold ecology stereotypes-beliefs about how the environments others live in shape their behavior. Drawing upon a life history perspective, we examine the stereotypes people hold about those who live in relatively harsh and unpredictable ecologies. First, across diverse demographic groups and societies (the United States, India, Japan, Romania, the United Kingdom), people believe that individuals who live in harsh and unpredictable environments engage in "faster" behaviors (n = 2,078; ds from .80 to 2.14)-that they are more impulsive, sexually unrestricted, opportunistic, and invest less in education and their own children (Studies 1, 2, and 3). Second, these ecology stereotypes seem to underlie certain Black/White race stereotypes held by White perceivers in the United States (Study 1) and family structure stereotypes (i.e., growing up in a single-mother home) held by perceivers in both Japan and the United States (Studies 4a and 5a). Supporting this, the application of these race and family structure stereotypes is overridden or attenuated when perceivers are presented with direct information about a specific person's ecology (Studies 1, 4A, and 5B). Third, beliefs that there is high ecological mobility within a society reduce the magnitude of ecology stereotypes (Study 3), as one would expect if ecology stereotypes function to help perceivers better predict others' behavior. Last, ecology stereotypes do not seem to be just general valence biases or to simply reflect social class stereotypes. In sum, ecology stereotypes may be an influential but relatively unexamined type of stereotype, with broad implications for thinking about other group stereotypes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Geochemical and Documentary Topography of a Medieval Silver Valley: Detection of Workshops and Identification of Their Function

ABSTRACTThis paper presents the interdisciplinary investigation (archaeology, geochemistry, history) of a medieval silver and lead production site located in southern France, in the Minier valley (Occitanie, Aveyron, Le‐Viala‐du‐Tarn). In order to identify the production sites, in situ geochemical surveys were carried out using a portable X‐ray fluorescence spectrometer and differential GPS, guided on the analysis of medieval archival sources. The cartographic representation of the metal concentrations in the surface horizons shows significant enrichment of zinc and lead in the vicinity of the mines. This first type of enrichment makes it possible to highlight the activities of separation of sphalerite and silver‐bearing galena. The galena thus isolated on the hillsides is then transported to the vicinity of watercourses, where it is crushed, washed, and smelted. These secondary activities result in a last type of enrichment in which only lead is found in large quantities. The cross‐referencing of the information made it possible to overcome the challenges related to the location of the mineral processing workshops, which were often invisible on the surface. The medieval workshops have been located and a function suggested, outlining the first trends in the spatial and social division of labour and providing a solid corpus for future archaeological excavations. Finally, this study highlights the persistence of significant metal contamination in the soils of a rural valley and encourages the consideration of former mining areas when examining the environmental impact of metal production.

Social inequalities in adult mortality across Europe (18th-21st centuries): A critical analysis of theories and evidence

This study examines the historical evolution of socioeconomic disparities in adult mortality, with a focus on European societies. Despite the widespread improvements in population health, social inequalities in mortality are a pervasive phenomenon nowadays. This paper employs a critical analysis of both theoretical and empirical literature to investigate major international studies and their findings on longevity differences associated with socioeconomic status from the nineteenth century to the early twenty-first century. Findings reveal that adult mortality trajectories have differed notably across social classes and regions, with some areas exhibiting disparities before the demographic transition and others showing inequalities emerging later. Understanding these long-term health inequality trends sheds light on the changing influence of medical advances and their interplay with economic growth, educational disparities, environmental factors, state roles, and production distribution, which have shaped mortality disparities through different development stages. These factors elucidate the international heterogeneity of results until the mid-twentieth century and offer explanatory insights into observed north-south patterns in Europe. Our findings contribute to a deeper understanding of how advancements in public health, economic development, and social policies have shaped health outcomes over centuries. The implications of this research inform ongoing debates and health policy, emphasizing a nuanced interpretation of historical data to craft effective strategies that address health inequalities today.

Prospective association of the Mediterranean diet with the onset of cardiometabolic multimorbidity in a UK-based cohort: the EPIC-Norfolk study

BackgroundCardiometabolic multimorbidity (CMM), defined as the co-occurrence of two or more cardiometabolic diseases, including myocardial infarction (MI), stroke, and type 2 diabetes (T2D), is an increasing public health challenge. While poor diet is a known risk factor for a first cardiometabolic disease (FCMD), the relationship with subsequent occurrence of CMM is less studied. ObjectiveThis study aims to investigate the prospective association between baseline adherence to the Mediterranean diet and the onset of CMM across various follow-up durations. MethodsWe used data from the EPIC-Norfolk cohort study of 21,900 adults, aged 40-79 free of prevalent MI, stroke, and T2D at baseline (1993-1997). A median-based Mediterranean diet score (m-MDS) and a pyramid-based MDS (pyr-MDS) were used to measure baseline adherence to the Mediterranean diet. Multi-state modelling was employed to investigate associations with the FCMD and the subsequent CMM event. ResultsOver the entire follow-up period of 21.4 years (median), we observed 5028 FCMD and 734 CMM events. Multi-state analysis indicated that the association between baseline Mediterranean diet and the risk of CMM may be stronger in shorter follow-up durations. Particularly, baseline pyr-MDS was significantly associated with the risk of subsequent CMM transitioning from FCMD when follow-up durations were limited to 10 and 15 years, with HR (95% CI) being 0.67 (0.53, 0.84) and 0.80 (0.70, 0.92) per SD increase in pyr-MDS, respectively. Additionally, we observed that the risk of CMM transitioning from FCMD was modified by social class across shorter to longer follow-ups, where the impact of baseline Mediterranean diet was only significant in non-manual workers. ConclusionsBaseline adherence to the Mediterranean diet was potentially associated with a lower risk of CMM transitioning from FCMD, particularly during shorter follow-up periods.

Beyond papers: understanding the making of citizenship in the Foreigners’ Tribunals of Assam

ABSTRACT This paper questions the hyper fixation on papers in producing citizens or proving citizenship, arguing that not papers but the agglomeration of legal, bureaucratic and social processes produce citizenship in Assam’s Foreigners’ Tribunals (FTs). Based on ethnographic fieldwork with members (presiding over cases), lawyers, border police officials and victims of citizenship examination processes, this paper shows that citizenship cannot be easily proved or disproved based on the possession or absence of papers, as the ‘truth’ about one’s citizenship is produced equally outside these courts. One’s citizenship status inside the court depends on a series of procedural, documentary and certificatory correlations accompanied by social performances (testimonies from family and community members). This is contingent on the truth produced outside through the suspicion of being a ‘foreigner’, easily cast in terms of one’s physical appearance, social class, religion and language. Community structures outside courts also enable certain groups to be documented easily, aiding the production of the legal truth required inside for establishing citizenship status. Therefore, the way suspicion is informed and legal technicalities are deployed to generate information and knowledge along with the role of family and community social networks all contribute towards establishing one as a citizen or a ‘foreigner’.

Differences in Health Care Expenditures by Cancer Patients During Their Last Year of Life: A Registry-Based Study.

During the last year of life, persons with cancer should probably have similar care needs and costs, but studies suggest otherwise. A study of direct medical costs (excluding costs for expensive prescription drugs) was performed based on registry data in Stockholm County, which covers 2.4 million inhabitants, for all deceased persons with cancer during 2015-2021. The data were mainly analyzed with the aid of multiple regression models, including Generalized Linear Models (GLMs). In a population of 20,431 deceased persons with cancer, the costs increased month by month (p < 0.0001). Higher costs were mainly associated with lower age (p < 0.0001), higher risk of frailty, as measured by the Hospital Frailty Risk Scale (p < 0.0001), and having a hematological malignancy. In a separate model, where those 5% with the highest costs were identified, these variables were strengthened. Sex and socio-economic groups on an area level had little or no significance. Systemic cancer treatments during the last month of life and acute hospitals as place of death had only a moderate impact on costs in adjusted models. Higher costs are mainly related to lower age, higher frailty risk and having a hematological malignancy, and the effects are both statistically and clinically significant despite the fact that expensive drugs were not included. On the other hand, the costs were mainly comparable in regard to sex or socio-economic factors, indicating equal care.

A Study on Baul Lalon Shah's Songs of Humanity in Communication Theory Perspective

This article explores the songs of Baul Lalon Shah, a prominent figure in the classical folklore of 19th-century Bengal under British rule. Lalon's music, deeply rooted in humanism, transcends caste, religion, and social divisions, emphasizing unity, equality, and peace. As a member of the Baul community, Lalon integrated diverse religious philosophies, including Hinduism, Tantric Buddhism, and Sufi Islam, into a unique spiritual discourse centred on humanity. His songs advocate for the primacy of humanism over religious and societal binaries. Despite their profound philosophical contributions, Lalon's songs have not been analyzed using rhetorical methods thoroughly. This study seeks to fill that gap by applying rhetorical analysis to examine the humanistic philosophy embedded in Lalon Shah's works. By doing so, it aims to reveal the enduring significance of his message in Bengali society and contribute to the broader discourse on global humanism. Disseminating these insights can play a transformative role in cultural and philosophical spheres.

Postoperative analgesia in patients undergoing thoracotomy: A comparison between total intravenous anesthesia and inhalation anesthesia

Objective: Propofol is more effective than inhalational anesthesia; however, the results for the management of acute pain remain controversial. Therefore, this study aimed to determine the incidence of acute pain after inhalation anesthesia and total intravenous anesthesia among patients who underwent thoracotomy at our hospital. Methods: We conducted a single center retrospective observational study using data from electronic medical records. Sixty patients aged ≥20 years with American Society of Anesthesiologists physical status class I or II who underwent regular and emergency thoracotomy between January 1, 2016, and January 1, 2020, at Chungbuk National University Hospital were included in this study. The anesthesia and postoperative pain records of those who received total intravenous anesthesia (n=30) and inhalation anesthesia (n=30) were retrospectively reviewed. The pain score on the numeric rating scale (NRS) was evaluated at 2, 8, 24, and 30 hours postoperatively. Results: The average NRS score of patients who received total intravenous anesthesia was lesser than that of those who received inhalational anesthesia. Moreover, the difference in the NRS scores at eight hours postoperatively was statistically significant (P &lt;0.05). Patients who received inhalational anesthesia had a higher pain score and experienced more severe pain than those who received intravenous anesthesia. Conclusions: Total intravenous anesthesia with propofol-remifentanil provided better analgesia for acute postoperative pain in patients who underwent thoracotomy than inhalational anesthesia, suggesting it may be considered the combination of choice for thoracic surgery.Abbreviations: ASA: American Society of Anesthesiologists, CRTS: Chronic post-thoracotomy pain syndrome, GABA: Gamma-aminobutyric acid, IL: Interleukin, NRS: numeric rating scale.doi: https://doi.org/10.12669/pjms.40.10.9907How to cite this: Lee JY, Jeong ST, Hwang JH, Park SH. Postoperative analgesia in patients undergoing thoracotomy: A comparison between total intravenous anesthesia and inhalation anesthesia. Pak J Med Sci. 2024;40(10):2219-2222. doi: https://doi.org/10.12669/pjms.40.10.9907This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

On-Demand Delivery Platforms and Restaurant Sales

Restaurants are increasingly relying on on-demand delivery platforms (e.g., DoorDash, Grubhub, and Uber Eats) to reach customers and fulfill takeout orders. Although on-demand delivery is a valuable option for consumers, whether restaurants benefit from or are being hurt by partnering with these platforms remains unclear. This paper investigates whether and to what extent the platform delivery channel substitutes restaurants’ own takeout/dine-in channels and the net impact on restaurant revenue. Empirical analyses show that restaurants overall benefit from on-demand delivery platforms—these platforms increase restaurants’ total takeout sales while creating positive spillovers to customer dine-in visits. However, the platform effects are substantially heterogeneous, depending on the type of restaurants (independent versus chain) and the type of customer channels (takeout versus dine-in). The overall positive effect on fast-food chains is four times as large as that on independent restaurants. For takeout, delivery platforms substitute independent restaurants’ but complement chain restaurants’ own takeout sales. For dine-in, delivery platforms increase both independent and chain restaurants’ dine-in visits by a similar magnitude. Therefore, the value of delivery platforms to independent restaurants mostly comes from the increase in dine-in visits, whereas the value to chain restaurants primarily comes from the gain in takeout sales. Further, the platform delivery channel facilitates price competition and reduces the opportunity for independent restaurants to differentiate with premium services and dine-in experience, which may explain why independent restaurants do not benefit as much from on-demand delivery platforms. This paper was accepted by D. J. Wu, information systems. Funding: Z. Li is grateful to the National Science Foundation Division of Social and Economic Sciences for support provided through the CAREER award [Grant 2243736]. Supplemental Material: The online appendix and data files are available at https://doi.org/10.1287/mnsc.2021.01010 .

Marx and the Big Mac: An Empirical Exploration of Marx’s Exploitation Theory for Introductory Economics Courses

Undergraduate economics courses have low relevance, belonging, and growth mindset levels. For instance, Bayer et al. found that less than 30 percent of the students in their sample strongly agreed with the statement “The class gave me a useful framework for thinking about important issues.” Integrating pluralist methodologies into introductory economics classes may be one solution for overcoming this issue. This article introduces an empirical activity designed to teach students about Marx’s theory of exploitation. The activity utilizes the 10-K annual report from a publicly traded company, in this case, McDonald’s, to analyze the rate of exploitation of workers. Through this exercise, students delve into the theory of exploitation, analyze data from the 10-K, calculate the rate of exploitation, and engage in discussions about its application to contemporary social and political issues. JEL Classification: A22, P16, B24

Think Aloud Videos and Assessment in an Introductory Economics Class for Undergraduate Students

This paper demonstrates the value of an innovative test preparation strategy, applied over multiple semesters to one principles of macroeconomics class. The professor makes a video of himself taking a copy of the test students are preparing for, talking aloud about how to think about the question and work through the solution. A natural experiment occurred one semester when the professor was unable to provide the think-aloud preparation video, but other, standard preparation materials were in place. It is demonstrated that students increase their scores on other questions in the same modules by an average of 7.6 percentage points with think-aloud videos. Think aloud interventions are shown to be an effective tool to enhance student content learning.