Refinement and Psychometric Properties of the Self-Efficacy for Sleep Hygiene Inventory.

The purpose of this study was to determine key concepts of self-efficacy for sleep hygiene among young adults/college students and sleep experts, and to refine the Self-Efficacy for Sleep Hygiene Inventory. The Self-Efficacy for Sleep Hygiene Inventory was revised using input from young adult focus groups and experts. Information from focus groups informed instrument revision. The revised instrument was distributed using an electronic survey to young adults age 18-26 years for a total sample of 296. A principal component analysis with Varimax Orthogonal Rotation was conducted resulting in a three-factor solution. Cronbach's alphas were: .85 for Behaviors to Adopt (nine items), .79 for Manage Mindset and Environment (eight items), .70 for Behaviors to Avoid (eight items), and .88 for the inventory (twenty-five items). Initial psychometric testing of the Self-Efficacy for Sleep Hygiene Inventory-Revised indicates that it is a reliable measure of self-efficacy for sleep hygiene in young adults age 18-26 years.

Simulation to Enhance Empathy of Nursing Students Toward Patients With Alcohol Use Disorder: A Mixed-Methods Study.

BACKGROUND: Empathy can be challenging when caring for individuals with alcohol use disorders (AUDs). PURPOSE: This study examined the effectiveness of simulation for enhancing the empathy of nursing students toward patients with AUD. METHODS: A mixed-methods study used a pretest-posttest intervention measurement of empathy with the Comprehensive State Empathy Scale (CSES) and focus groups. Quantitative data were analyzed with t tests, whereas thematic analysis evaluated the qualitative data. RESULTS: No significant differences were found between pre- and post-CSES scores. The subscales of empathic concern and shared affect were significant: empathic concern, t55 = - 2.16, P = .04, and shared affect, t55 = -2.16, P = .02. Empathic imagination reached significance for students with personal experience with someone with an AUD, t54 = -2.39, P = .02. CONCLUSIONS: Additional research is warranted regarding the effect of simulation on empathic concern, shared affect, and empathic imagination toward individuals with AUD.

Five (plus or minus one): The point at which an assemblage of individuals is perceived as a single, unified group.

At what point is an assemblage of individuals perceived as a single, unified group? And how do demographic characteristics of these individuals influence perceptions of groupness? To answer these questions, we conducted four studies in which participants viewed sets of images that varied in the number of individuals depicted, and then identified the number of persons at which the assemblage was perceived to be a single, unified group. Across four studies, we manipulated the gender and race composition of the persons depicted. The results suggest that five (plus or minus one) people constitutes the point at which a collection of persons is perceived less like separate individuals and more like a single, unified group. However, the demographic complexity of the assemblage also influences perceived groupness. The number of individuals required to be perceived as a unified group is larger for diverse, compared to homogeneous, assemblages of individuals.

Dementia care boot camp: interprofessional education for healthcare students.

Dementia prevalence is increasing exponentially and has a profound effect on individuals diagnosed as well as their family caregivers. Dementia care should be patient focused, not task or medically oriented. Patient-centered dementia care requires more staff time, is complex, and, as a result, financially threatens the healthcare system. Therefore, professionals must be prepared to meet the needs of this growing population. The aims of this mixed methods study were to examine the effect of a 16-h interprofessional program on healthcare students' dementia knowledge, attitudes toward people with dementia, confidence for dementia care and empathy, and to understand the relationships among the listed variables. Nursing, occupational therapy assistant, pharmacy, and psychology students participated in a 16-h team-based learning Dementia Care Bootcamp. Students reported significant improvements in dementia attitudes and knowledge, confidence for dementia care and empathy immediately after Bootcamp and 3 months later. Significant relationships among listed variables were noted. Qualitative data complemented the quantitative findings. In addition, the concept of dementia care competency emerged. Students recognized the benefits of learning about, with and from others from diverse professions. Interprofessional education has great potential to improve students' ability to care for people with dementia.

Influence of Tai Chi on Self-Efficacy, Quality of Life, and Fatigue Among Patients With Cancer Receiving Chemotherapy: A Pilot Study Brief.

Purpose: While exercise is an effective intervention used to minimize side effects associated with chemotherapy, tai chi (TC) exercise for persons actively receiving chemotherapy remains understudied. The purposes of this study were to (a) evaluate the effects of TC on self-efficacy, quality of life (QOL), and cancer-related fatigue (CRF) and (b) understand the experience and perceived benefits of patients taking chemotherapy involved in a TC program. Design: An explanatory sequential mixed methods study with a dominant qualitative strand was used to explore the differences between an intervention group participating in TC (n = 3) and a nonexercising, wait-listed comparison group (n = 3). Method: Following 8-weeks of TC classes, a focus group was conducted with the intervention group. Pretest/posttest scores for CRF, self-efficacy, and QOL were analyzed using t tests to compare the means between and within groups. Thematic analysis was used to interpret transcripts. Quantitative and qualitative results were compared to determine congruence between findings. Findings: Qualitative findings revealed increased mind/body strength. Quantitative scores trended toward improved CRF, self-efficacy, and QOL. Findings from the two strands supported one another. Conclusions: Tai chi is an effective and feasible exercise for individuals with cancer receiving chemotherapy. This mind-body exercise appears to provide benefits beyond improved physical functioning.

Revisiting the difference between instrumental and terminal values to predict (stimulating) prosocial behaviours: The transcendental-change profile.

Past research suggests that the connection between values and people's behaviour may not be as straightforward and robust as has been claimed. We propose that a more holistic and discriminative view that acknowledges the influence of a specific combination of values on specific kinds of behaviour is needed. In the current project, we test two hypotheses regarding the transcendental-change profile (TCP). First, that TCP is characterized by a combination of the readiness to engage in those challenges (instrumental) that can make the world a better place (terminal). Second, the centrality of the TCP facilitates performance of those prosocial actions that are perceived as stimulating and global. The results of five studies support the reliability and validity of this conceptualization of TCP (Studies 1 and 2), and show that when the prosocial initiative is perceived as either global (Study 3) or stimulating (Studies 4 and 5), the TCP is the strongest predictor of the willingness and commitment to engage in such prosocial action.

Does Feeling Empathy Lead to Compassion Fatigue or Compassion Satisfaction? The Role of Time Perspective.

Research has shown that feeling empathy sometimes leads to compassion fatigue and sometimes to compassion satisfaction. In three studies, participants recalled an instance when they felt empathy in order to assess the role time perspective plays in how empathizers perceive the consequences of empathy. Study 1 revealed that college students perceive empathy as having more negative consequences in the short term, but more positive consequences in the long term. Study 2 showed that service industry professionals perceive the consequences of feeling empathy for customers who felt bad as less negative, and the consequences of feeling empathy for people who felt good as less positive, in the long as opposed to the short term. Because Studies 1 and 2 confounded time perspective with event specificity a third study was conducted in which event specificity was held constant across time perspectives. The same pattern of results emerged. The results of these studies indicate that perceptions of the effects of feeling empathy, whether positive or negative, become less extreme over time. These findings shed light on the relation between empathy and compassion fatigue and satisfaction by suggesting that situations that initially are experienced as stressful can over time make the empathizer stronger.

How is your day going? Reciprocity Norm in Everyday Communication.

In 6 experiments, we manipulated the length of a communication message to assess reciprocity norm-following behaviour during conversational interaction. In Studies 1 and 2, scripts of different length were used in an online chat, and chat logs were analysed. In Studies 3 and 4, participants e-mailed scripts that varied in length to acquaintances, and replies were analysed. In Studies 5 and 6, a confederate initiated conversations with either strangers or acquaintances and recorded the amount of time the person responded. The results suggest that conversation partners reciprocate length across different communication media, regardless of the depth of the information disclosed.

Local versus Global Perceptual Scope, Empathic Concern, and Helping Preferences in Multiple-Victim Situations.

Previous research on the one-among-others effect has shown that inducing empathic concern towards a victim presented alongside with a small number of other victims enhances (a) the perception of this set of victims as separate and different individuals (instead of as a group), and (b) the preference to help them individually (rather than collectively). We propose that inducing a local (vs. global) perceptual scope increases (vs. lessens) these two outcomes. In this work, participants first reported their perception of an ad that showed a victim depicted as one-among-others and, afterwards, were unexpectedly asked to indicate their preference for giving the victims either "individualized", "collective", or "equal" assistance. In Experiment 1 (N = 48), we manipulated the participants' local (vs. global) perceptual scope and allowed empathy concern to occur naturally. In Experiment 2 (N = 213), we manipulated both the perceptual scope and empathy concern. Overall, results showed that the combined presence of local scope and empathic concern increased the awareness of others (η p 2 = .203 and .047, 95% CI = [0.05, 0.35] and [0.03, 0.13], ps < .03) and the preference for individualized assistance (zs = 2.08 and 2.74, ps < .02). Lastly, we discuss the theoretical and practical implications of perceiving a set of victims as individuals (rather than as a group) in need.

Feeling at hospitals: perspective-taking, empathy and personal distress among professional nurses and nursing students.

When facing a person in need, professional nurses will tend to adopt an objective perspective compared to nursing students who, instead, will tend to adopt an imagine-other perspective. Consequently, professional nurses will show lower vicarious emotional reaction such as empathy and distress. Using samples from Spain (Studies 1 and 2) and United states (Study 3), we compared perspective taking strategies and the emotional responses of nurses and nursing students when perceiving a sick child (Study 1) and a sick adult (Studies 2 and 3). Taken together, the results supported our hypotheses. We discuss the applied value of considering the relationship between perspective-taking and its emotional consequences for the nursing profession.

Evaluating the relation between psychopathy and affective empathy: two preliminary studies.

It is widely believed that impairment in an ability to experience affective empathy for others is a central feature of psychopathy. The authors tested this assumption by covertly manipulating and measuring state experiences of emotional contagion and empathic concern in college undergraduates and male forensic inpatients. Surprisingly, they found little evidence of a negative association between psychopathy and affective empathy in either sample. In those instances in which associations were found, they tended to indicate that higher psychopathy was associated with increased affective empathy. Follow-up analyses also revealed that psychopathy was positively associated with pervasive experiences of sadness, anger, and fear, and negatively associated with pervasive experiences of happiness among nonforensic individuals. This research raises questions about existing conceptualizations of interpersonal affect in psychopathy and offers suggestions for advancing future understanding of the role-played by emotional processes in psychopathy.