Breaking Down Barriers to a Suicide Prevention Helpline: Web-Based Randomized Controlled Trial.

Background: Every month, around 3800 people complete an anonymous self-test for suicidal thoughts on the website of the Dutch suicide prevention helpline. Although 70% score high on the severity of suicidal thoughts, <10% navigate to the web page about contacting the helpline. Objective: This study aimed to test the effectiveness of a brief barrier reduction intervention (BRI) in motivating people with severe suicidal thoughts to contact the suicide prevention helpline, specifically in high-risk groups such as men and middle-aged people. Methods: We conducted a fully automated, web-based, randomized controlled trial. Respondents with severe suicidal thoughts and little motivation to contact the helpline were randomly allocated either to a brief BRI, in which they received a short, tailored message based on their self-reported barrier to the helpline (n=610), or a general advisory text (care as usual as the control group: n=612). Effectiveness was evaluated using both behavioral and attitudinal measurements. The primary outcome measure was the use of a direct link to contact the helpline after completing the intervention or control condition. Secondary outcomes were the self-reported likelihood of contacting the helpline and satisfaction with the received self-test. Results: In total, 2124 website visitors completed the Suicidal Ideation Attributes Scale and the demographic questions in the entry screening questionnaire. Among them, 1222 were randomized into the intervention or control group. Eventually, 772 respondents completed the randomized controlled trial (intervention group: n=369; control group: n=403). The most selected barrier in both groups was "I don't think that my problems are serious enough." At the end of the trial, 33.1% (n=122) of the respondents in the intervention group used the direct link to the helpline. This was not significantly different from the respondents in the control group (144/403, 35.7%; odds ratio 0.87, 95% CI 0.64-1.18, P=.38). However, the respondents who received the BRI did score higher on their self-reported likelihood of contacting the helpline at a later point in time (B=0.22, 95% CI 0.12-0.32, P≤.001) and on satisfaction with the self-test (B=0.27, 95% CI 0.01-0.53, P=.04). For male and middle-aged respondents specifically, the results were comparable to that of the whole group. Conclusions: This trial was the first time the helpline was able to connect with high-risk website visitors who were hesitant to contact the helpline. Although the BRI could not ensure that those respondents immediately used the direct link to the helpline at the end of the trial, it is encouraging that respondents indicated that they were more likely to contact the helpline at a later point in time. In addition, this low-cost intervention provided greater insight into the perceived barriers to service. Follow-up research should be focused on identifying the added value of other components (eg, video or photo material) in the BRI and increasing its effectiveness, especially for men and middle-aged people.

Think and Choose! The Dual Impact of Label Information and Consumer Attitudes on the Choice of a Plant-Based Analog.

This study explored the impact of various label information (extrinsic attributes) and sociodemographic and attitudinal factors (intrinsic attributes) on Brazilian consumer choices, using simulated traditional and plant-based muçarela cheese as the model product. The research was conducted in two phases: the first involved a structured questionnaire assessing attitudinal dimensions such as Health Consciousness, Climate Change, Plant-based Diets, and Food Neophobia, along with sociodemographic data collection. The second phase comprised a discrete choice experiment with (n = 52) and without (n = 509) eye tracking. The term "Cheese" on labels increased choice probability by 7.6% in a general survey and 15.1% in an eye tracking study. A prolonged gaze at "Cheese" did not affect choice, while more views of "Plant-based product" slightly raised choice likelihood by 2.5%. Repeatedly revisiting these terms reduced the choice probability by 3.7% for "Cheese" and 1% for "Plant-based product". Nutritional claims like "Source of Vitamins B6 and B12" and "Source of Proteins and Calcium" boosted choice probabilities by 4.97% and 5.69% in the general and 8.4% and 6.9% in the eye-tracking experiment, respectively. Conversely, front-of-package labeling indicating high undesirable nutrient content decreased choice by 13% for magnifying presentations and 15.6% for text. In a plant-based subsample, higher environmental concerns and openness to plant-based diets increased choice probabilities by 5.31% and 5.1%, respectively. These results highlight the complex dynamics between label information, consumer understanding, and decision-making.

Evaluation of Problem-Based Learning Experiences Addressing Health Promotion in the Fourth Grade of Primary School.

BACKGROUND: The global issues of overweight and sedentary lifestyles require comprehensive responses from health systems. Despite this, health education remains fragmented and sporadic. This study aims to target primary school children to instil healthy habits using active learning strategies, with a specific focus on promoting a healthy diet and physical activity. METHODS: This study employed problem-based learning (PBL) projects with fourth-grade primary students to encourage the acquisition of healthy habits. Conducted over four consecutive years at a two-line school, the study utilised an opportunity sample, evaluating intervention and control groups by comparing their corresponding scores. The control groups consisted of 54 students, while the intervention group included 159 students. Data collection involved pre-test and post-test questionnaires to measure outcomes. RESULTS: Differential evaluation scores revealed significantly higher results in the intervention groups compared to the control groups, with an average score increase of 3.62 points in control groups and 6.94 points in intervention groups, particularly in attitudinal competencies. The strategies employed facilitated the development of crucial skills such as information search, synthesis, representation, analysis, decision making, teamwork, and intrapersonal awareness. Additionally, they significantly broadened the knowledge acquired regarding healthy habits. CONCLUSIONS: The problem-based learning approach proved effective in helping children understand the importance of making healthy choices and encouraged the integration of such habits into their daily lives. These findings suggest that active learning strategies can significantly enhance health education and promote long-term healthy behaviours among primary school children.

Certainty in holistic thinking and responses to contradiction: Dialectical proverbs, counter-attitudinal change and ambivalence.

The present research examined whether consideration of individuals' certainty in their holism can enhance the ability of this individual difference to predict how they respond to contradiction-relevant outcomes. Across four studies, participants first completed a standardized measure of holistic-analytic thinking. Then, they rated how certain they were in their responses to the holism scale or were experimentally induced to feel high or low certainty. Next, participants were exposed to dialectical proverbs (Study 1a and 1b), to a counter-attitudinal change induction (Study 2), or to a paradigm of attitudinal ambivalence (Study 3). Results revealed that participants with higher certainty in their holistic thinking exhibited higher preference for dialectical proverbs (Study 1a and 1b), changed their attitude less following a counter-attitudinal task (Study 2) and showed weaker correspondence between objective and subjective ambivalence (Study 3). Beyond examining new domains and discovering novel findings, the present work was designed to be the first to show moderation of previously identified effects in the domain of holistic thinking and responses to contradiction.

Understanding COVID-19-Related Behaviors, Worries, and Attitudes among Chinese: Roles of Personality and Severity.

During the COVID-19 pandemic, people exhibited various forms of adjustments. This study examines how situational factors (i.e., the severity of COVID-19) and individual differences (i.e., the HEXACO traits) affect one's COVID-19-related responses regarding behaviors (i.e., mask-wearing and hoarding), worries (i.e., worrying about infecting and spreading COVID-19), and attitudes (i.e., discrimination and empathy toward people infecting COVID-19) in China. With a sample of 927 participants, our results show that the severity of COVID-19 was predictive of all the responses, and its predictive value was more pronounced relative to personality traits. Concerning the association between personality traits and responses, Honesty-Humility and Conscientiousness were predictive of one's behaviors, Emotionality was predictive of one's worries, and almost all the HEXACO traits were associated with one's attitudes toward people infected with COVID-19. This study sheds some light on understanding how situations and individual differences shape one's responses in a time of emergency.

The Attitudinal Style and Its Potential for Hybridization with Other Pedagogical Models: A Narrative Review.

The 'Attitudinal Style' (AS) enhances the democratic and engaging learning process by improving student motivation and attitudes. Its adaptability, transferability, and applicability make it suitable for hybridization with other pedagogical models (PMs). This study explores the possibilities of blending AS with other PMs for classroom applications, emphasizing the use of formative and shared assessments to maximize efficiency. Adopting a Narrative Review methodology, the research delves into ten academic databases, identifying seven publications that meet the inclusion criteria for a detailed analysis. These publications propose pedagogical approaches for sports, body expression, natural environments, and physical conditioning. They highlight the potential of integrating AS with other PMs to not only enrich physical education (PE) experiences but also introduce innovative teaching methods for various physical activities. The evidence from these sources suggests that combining AS with other PMs serves as a robust strategy to enhance the overall educational experience in PE.

Game-changing perspectives: A dataset on student perceptions of sustainable mobility pre- and post escape room intervention.

The dataset aims to examine the prior and acquired knowledge in an Escape Room (ER) experience on sustainable mobility. In addition, the data could also be used to identify possible correspondences between some mobility behaviors and the predisposition to learn sustainable mobility concepts to foster attitude change. To meet these objectives, an ER on sustainable mobility was conducted and a questionnaire was given before and after the activity to 173 students from various schools between 5th grade of primary school and 1st year of compulsory secondary school (10-13 years old). The questionnaire was divided into two parts. The first part included social demographics questions (gender, family members, place of residence) and mobility habits (number of cars in the family, bus use, cycling). The second part included questions related to sustainable mobility topics with 14 items. Data was collected between December 2022 and February 2023.

Body Uneasiness, Body Figure Perception, and Body Weight: Factor Structure and Longitudinal Measurement Invariance of a Set of Attitudinal and Perceptual Body Image Assessment Tools in Adolescents.

Body image is a multifaceted construct that includes attitudinal and perceptual components, but its attention has mainly been focused on the facet of body dissatisfaction. The present longitudinal study extended the validation of a multifacet attitudinal questionnaire, the Body Uneasiness Test (BUT), against perceptions of body shape and weight. A convenient sample of adolescents took part in a 2-year unbalanced panel study (5 waves). The participants completed the BUT questionnaire and selected their perceived actual, ideal, and reflected body figures along the Contour Drawing Rating Scale; ideal/actual and ideal/normative body mass index discrepancies were also included. After replicating the expected five-factor structure of the BUT items, results from confirmatory factor analysis revealed that the five BUT scales loaded on an attitudinal dimension, whereas the perceived body figures and the discrepancy indices were on a perceptive domain. Such a two-domain structure of body image measures showed gender and seasonal (1-year) measurement invariance, whereas longitudinal 6-month and 18-month invariance partially failed. Overall, the present findings support the validity of the Body Uneasiness Test in adolescence, further demonstrating a preliminary multidimensional structure of body image onto which attitudinal and perceptual body image-related measures were projected.

The effects of explicit reasoning on moral judgements.

We report four experiments that investigate explicit reasoning and moral judgements. In each experiment, some subjects responded to the "footbridge" version of the trolley problem (which elicits stronger moral intuitions), whereas others responded to the "switch" version (which elicits weaker moral intuitions). Experiments 1-2 crossed the type of trolley problem with four reasoning conditions: control, counter-attitudinal, pro-attitudinal, and mixed reasoning (both types of reasoning). Experiments 3-4 examine whether moral judgements vary based on (a) when reasoners engage in counter-attitudinal reasoning, (b) when they make the moral judgement, and (c) by the type of moral dilemma. These two experiments comprised five conditions: control (judgement only), delay-only (2-minute wait then judgement), reasoning-only (reasoning then judgement), reasoning-delay (reasoning, then 2-minute delay, then judgement), and delayed-reasoning (2-minute delay, then reasoning, then judgement). These conditions were crossed with the type of trolley problem. We find that engaging in some form of counter-attitudinal reasoning led to less typical judgements (regardless of when it occurs), but this effect was mostly restricted to the switch version of the dilemma (and was strongest in the reasoning-delay conditions). Furthermore, neither pro-attitudinal reasoning nor delayed judgements on their own impacted subjects' judgements. Reasoners therefore seem open to modifying their moral judgements when they consider opposing perspectives but might be less likely to do so for dilemmas that elicit relatively strong moral intuitions.

People's perception of changes in their abortion attitudes over the life course: A mixed methods approach.

Research examining the extent that people's attitudes toward abortion vary across the life course is mixed. Some studies do not show a strong relationship between abortion attitudes and life stage, while others do find strong associations in both directions-older age associated with both more and less favorable attitudes toward legal abortion. Taken together, these findings suggest that individual attitudes toward abortion are static for some but malleable for others. Little is known about the prevalence, reasons, and directionality of attitude changes. This explanatory sequential mixed methods study investigates people's perceptions of whether, how, why, and for whom their abortion attitudes may have changed over their life course. We qualitatively investigated the reasons (e.g., experiences, life events) that triggered changes in respondents' abortion attitudes and quantitatively explored the sociodemographic factors associated with the perceived direction of those changes. The quantitative data come from a 2020 online survey completed by 1501 English and Spanish-speaking adults in the US. Qualitative data were collected from a subsample (n = 24) of the survey respondents who indicated interest in a follow-up in-depth interview. Our findings indicate that access to information and knowledge played an important role in changing abortion attitudes across a spectrum of support or opposition. For those who indicated becoming more opposed to abortion over time, experiencing parenthood was an important trigger for change and family/religious upbringing were key to shaping attitudes. For those who became more supportive of abortion over time, empathy for women was an important trigger for change and disagreeing with or distancing oneself from family/religious upbringing were key to shaping their attitudes. If attitudinal change occurs, becoming more supportive of abortion over the life-course is more common than becoming more opposed, however there are some nuances across age and gender. Understanding the different factors that influence attitudinal change regarding abortion has important implications for public opinion research and possible ramifications for abortion legality.

Exposure to Extremely Partisan News from the Other Political Side Shows Scarce Boomerang Effects.

A narrow information diet may be partly to blame for the growing political divides in the United States, suggesting exposure to dissimilar views as a remedy. These efforts, however, could be counterproductive, exacerbating attitude and affective polarization. Yet findings on whether such boomerang effect exists are mixed and the consequences of dissimilar exposure on other important outcomes remain unexplored. To contribute to this debate, we rely on a preregistered longitudinal experimental design combining participants' survey self-reports and their behavioral browsing data, in which one should observe boomerang effects. We incentivized liberals to read political articles on extreme conservative outlets (Breitbart, The American Spectator, and The Blaze) and conservatives to read extreme left-leaning sites (Mother Jones, Democracy Now, and The Nation). We maximize ecological validity by embedding the treatment in a larger project that tracks over time changes in online exposure and attitudes. We explored the effects on attitude and affective polarization, as well as on perceptions of the political system, support for democratic principles, and personal well-being. Overall we find little evidence of boomerang effects.

Disturbed body schema, perceptual body image, and attitudinal body image in patients with borderline personality disorder.

Background: Borderline personality disorder (BPD) is a severe mental disorder that affects attitudes toward the body. However, whether this condition also affects body schema and perceptual body image remains unclear. Previous questionnaire-based studies found dissatisfaction with one's body in patients with BPD. In addition to attitudinal body image, our study investigates whether body schema and perceptual body image are disturbed in patients with BPD. Method: Our study included 31 patients diagnosed with BPD (25 women) and 30 healthy individuals (19 women) (Mage = 29 for both groups). The SCID-5-PD interview was used to determine personality disorder. Attitudinal body image was measured using the Body Attitude Test (BAT) factors. Body schema and perceptual body image were measured by two conditions of a body representation task, the body portraying method (BPM). Results: BPD patients achieved higher scores in all three BAT factors and were more susceptible to misinformation in both conditions of BPM. Based on the results, BPD patients appear to have more negative attitudes toward their bodies and worse perceptual body image and body schema. Conclusion: The novel finding of our study is that, besides the previously found attitudinal dissatisfaction with the body, individuals with BPD also show disturbances at the levels of body schema and perceptual body image. Our findings concerning disturbances in body schema and perceptual body need further research into their etiological factors and provide new therapeutic targets for the treatment of BPD.

Exploring the role of TESOL and digital technology in attitudinal change and sustainable learning for students of higher education.

PURPOSE: This study explores the potential of TESOL (Teaching English to Speakers of Other Languages) in encouraging attitudinal change and long-term learning and how digital technology might influence this process. The significance of the study lies in its insights to educators and policymakers to enhance language education quality and promote sustainable learning in higher education. Using a socio-cultural theoretical framework, the study presents a novel perspective on integrating digital technology into language education for improved learning outcomes. Additionally, the findings can facilitate the development of inventive teaching methods incorporating digital technology, resulting in better language education outcomes in higher education. METHODOLOGY: The population comprised faculty members of Chinese universities. Data was collected through a standardized questionnaire from 307 respondents and analyzed using Mplus. FINDINGS: The findings can be incorporated into language instruction rules to enhance language acquisition and advance intercultural understanding. Based on the study's findings, researchers can conduct additional research on applying digital technology in language instruction and investigate its potential to support long-term learning and attitude development. As they work to create successful techniques for encouraging sustainable learning habits and good attitudes toward language acquisition, TESOL practitioners, educators, policymakers, and researchers will be impacted by the findings. PRACTICAL IMPLICATIONS: The findings can help TESOL practitioners create efficient teaching methods that encourage long-term learning habits and favorable attitudes toward language learning. Language teachers can use the results to improve their instruction methods and their effects on student learning. ORIGINALITY/VALUE: Social and cultural theory supports this study's model. The approach helps in defining and measuring the TESOL, sustainable Learning. The study further established the moderating role of digital technology and the mediating part of Improved self-efficacy and self-regulated Learning.

Contributions of one hypothetical model of predictive relationships between psychological skills and emotional intelligence in university student-athletes: A cross-sectional study.

Psychological skills are considered in sport psychology as indispensable capabilities to analyze the athlete's own vision of his or her own personality. These skills encompass self-confidence, positive and negative coping control, attentional control, visual-imaginative control, motivational level, and attitudinal control. The significance of this research lies in demonstrating the relationship established between each of the dimensions of emotional intelligence and the constituent skills of the personality. As such, this study aims to investigate the relationship between the seven factors related to psychological skills and emotional intelligence (attention, clarity, and emotional regulation). The sample comprises 163 university students pursuing degrees in Physical Activity and Sports Sciences, [70,9% (N = 117) men and 27.9% (N = 46) women] with a mean age of 20.33 years. As assessment instruments, we used two validated and standardized scales, the IPED and the TMMS-24. The main findings of this work allow us to affirm the existence of a relationship between the three dimensions of emotional intelligence and the control of both positive and negative coping, attentional control, visual-imaginative control, motivational level, and attitudinal control. In conclusion, this study underscores the necessity of cognitive and emotional training, in addition to physical training, to enhance these skills among both male and female athletes.

A study on the emotional and attitudinal behaviors of social media users under the sudden reopening policy of the Chinese government.

Introduction: Since the outbreak of the COVID-19 pandemic, the Chinese government has implemented a series of strict prevention and control policies to prevent the spread of the virus. Recently, the Chinese government suddenly changed its approach and lifted all prevention and control measures. This sudden change in policy is expected to lead to a widespread outbreak of COVID-19 in China, and the public and local governments are not adequately prepared for the unknown impact on society. The change in the "emergency" prevention and control policy provides a unique research perspective for this study. Methods: The purpose of this study is to analyze the public's attitudes and emotional responses to COVID-19 under the sudden opening policy, identify the key factors that contribute to these attitudes and emotions, and propose solutions. In response to this sudden situation, we conducted data mining on topics and discussions related to the opening of the epidemic on Sina Weibo, collecting 125,686 interactive comments. We used artificial intelligence technology to analyze the attitudes and emotions reflected in each data point, identify the key factors that contribute to these attitudes and emotions, explore the underlying reasons, and find corresponding solutions. Results: The results of the study show that in the face of the sudden release of the epidemic, the public mostly exhibited negative emotions and behaviors, with many people experiencing anxiety and panic. However, the gradual resumption of daily life and work has also led some people to exhibit positive attitudes. Conclusion: The significance of this study is to help the government and institutions understand the impact of policy implementation on users, and to enable them to adjust policies in a timely manner to respond to potential social risks. The government, emergency departments, and the public can all prepare for similar situations based on the conclusions of this study.

Metacognitive effects of attitudinal (in)congruence on social media: relating processing fluency, subjective knowledge, and political participation.

Introduction: Encountering political disagreements in our daily lives can discourage us from participating in democratic processes. To date, research has mainly focused on social motives or attitudinal mechanisms to explain this phenomenon. In the present study, we adopt a different approach and highlight metacognitive effects of attitudinal (in)congruence on processing fluency (i.e., perceived ease of processing) and subjective knowledge as well as their relationship with behavioral outcomes such as the intention to politically participate. Methods: In a pre-registered online experiment (N = 1,258), participants saw a political social media post with six opinionated user-generated comments. These comments either all matched (congruent condition) or contradicted (incongruent condition) participants' personal opinions. Processing fluency, issue specific subjective knowledge, and intention to politically participate were then measured using established self-report scales. Results: In line with our hypotheses, the congruent stimuli evoked a higher feeling of processing fluency than the incongruent ones (d = 0.21). Furthermore, participants in the congruent condition indicated a higher intention to politically participate (d = 0.23) and rated their own knowledge on the topic as higher (d = 0.22) than participants in the incongruent condition-even though the factual knowledge gain should be equal in both conditions. Finally, we observed positive relationships between processing fluency and subjective issue knowledge (ß = 0.11) as well as between subjective issue knowledge and issue-specific political participation (ß = 0.43). Discussion: Our findings highlight the importance of considering metacognitive constructs such as subjective knowledge to explain political behaviors and suggest that attitudinal congruence influences the way we perceive our own knowledge and information processing.

Hypnotic and direct suggestions affect attitudes toward seeking professional psychological help.

This study investigated the impact of hypnotic suggestions on improving attitudes toward seeking professional psychological help (ATSPPH). The study administered the Chinese version of the ATSPPH scale on 303 college students, of which 61 with low levels of ATSPPH were recruited as the participants (male: 18; female: 43). All participants were tested with the Harvard Group Scale of Hypnotic Susceptibility, Form A, prior to the formal experiment and assigned with balancing hypnotic susceptibility in hypnotic suggestion, relaxation, or control groups. The main results were as follows: (1) counter-attitudinal information significantly improved explicit ATSPPH only for the hypnotic suggestion and relaxation groups, (2) the hypnotic suggestion group exhibited improvement in implicit ATSPPH and (3) a difference was observed between explicit and implicit attitudes in the process of providing counter-attitudinal information when changing ATSPPH.

Climate-friendly food-choice intentions among emerging adults: extending the theory of planned behavior with objective ambivalence, climate-change worry and optimism.

Climate-friendly food choices are still relatively rarely addressed in studies investigating climate engagement, particularly among young people. To address this research gap, we conducted a questionnaire study with senior high school students (N = 474). Our overarching theoretical framework is the Theory of Planned Behavior (TPB), which we extended with emotional factors (climate-change worry and optimism) and attitudinal ambivalence. We found that all factors included, except for optimism, correlated with the food-choice intentions. In multiple regression analyses, worry was the second strongest predictor, after attitudes. Moreover, a measure of objective ambivalence moderated the correlation between attitudes and intentions by weakening it. The results support the validity of using the TPB model when explaining intentions to make climate-friendly food choices among emerging adults. However, our results suggest that it is also important to consider emotions-in this case climate-change worry-and the existence of conflicting evaluations about choosing climate-friendly food.

Methods to assess ambivalence towards food and diet: a scoping review.

BACKGROUND: Ambivalence towards food and diet, which favours behavioural inertia, might be a barrier to adopting healthier eating behaviours. Measuring it can help researchers to better understand its relationship with behaviour change and design interventions aimed at resolving it. In this scoping review, we map and describe methods and tools employed in studies to assess, measure or classify the ambivalence of participants towards food- and diet-related attitude objects. METHODS: In accordance with Joanna Briggs Institute guidance for conducting scoping reviews, we retrieved peer-reviewed studies from MEDLINE, CINAHL, PsycINFO, Web of Science, FSTA and Food Science Source and preprints from PsyArXiv and MedRxiv. Two independent reviewers screened the articles. We considered for inclusion peer-reviewed studies and preprints that assessed the ambivalence of participants of any age, sex or sociodemographic group towards food and diet. RESULTS: We included 45 studies published between 1992 and 2022, which included participants from 17 countries. Eighteen methods were employed across the included studies to assess different types of ambivalence (felt, potential or cognitive-affective), the most frequent of which were the Griffin Index, the Subjective Ambivalence Questionnaire, the MouseTracker Paradigm and the Orientation to Chocolate Questionnaire. CONCLUSION: This scoping review identified several methods and tools to assess different types of ambivalence towards food- and diet-related objects, providing an array of options for future studies.