The role of psychosocial variables in breast self-examination practice: Results from focus group discussions in Surabaya, Indonesia.

INTRODUCTION: Breast cancer is a global life-threatening disease. Breast self-examination (BSE) followed by timely diagnosis and treatment is a viable screening method for populations with limited health care access such as Indonesia. Knowledge of the beliefs underlying BSE could benefit the development of future health education efforts to promote BSE and breast cancer awareness among Indonesian women, with the ultimate aim to achieve early detection and promote long-term survivals. The purpose of this study was to explore the underlying beliefs of BSE among women in Surabaya, Indonesia in accordance with the reasoned action approach (RAA) framework. Moreover, we investigated what these women considered an effective approach to improve breast awareness and promote BSE in their social networks. METHOD: The participants included 62 women aged 18-55 (M = 32,9) in Surabaya, Indonesia who were divided into nine focus groups. Directed content analysis was employed to analyze the data. RESULTS: Six psychosocial determinants of performing BSE emerged from the analysis: knowledge, attitude and beliefs, risk perception, norms, perceived behavior control, and intention. Furthermore, the participants identified face-to-face meetings with visual media and healthcare professionals as effective channels to enhance breast awareness. CONCLUSION: This study sheds light on the application of the RAA for BSE, and reveals the importance of face-to-face meetings involving healthcare professionals and women's social networks for breast education.

Breast self-examination as a route to early detection in a lower-middle-income country: assessing psychosocial determinants among women in Surabaya, Indonesia.

BACKGROUND: Breast cancer has become a public health concern in Indonesia. Regular breast self-examination (BSE) is considered an important first step for its early detection, especially in countries with limited healthcare access, as it is the case in Indonesia. This study aimed to confirm and assess the psychosocial determinants of intention to perform BSE and BSE performance. METHODS: The cross-sectional study was conducted on 204 women aged 18-65 years in Surabaya, Indonesia. A 64-item survey was conducted, included variables from the Reasoned Action Approach, and the Health Belief Model, presented questions about demographics, breast cancer knowledge, and behavior related to BSE. RESULTS: Most women (72.5%) expressed intention to perform BSE; however, only 7.8% and 2.9% performed BSE per week and per month, respectively, in the past year. Breast cancer knowledge and attitudes towards BSE were uniquely associated with BSE performance. Perceived behavioral control (PBC) and BSE attitudes were unique correlates of intention. Perceived benefits and barriers and subjective norms were significantly associated with intention and BSE behavior in bivariate analyses. CONCLUSIONS: Breast screening education should incorporate strategies for improving attitudes towards BSE, PBC, and breast cancer knowledge with perceived benefits and barriers and subjective norms as relevant targets.

The mental health continuum-short form: The structure and application for cross-cultural studies-A 38 nation study.

OBJECTIVE: The Mental Health Continuum-Short Form (MHC-SF) is a brief scale measuring positive human functioning. The study aimed to examine the factor structure and to explore the cross-cultural utility of the MHC-SF using bifactor models and exploratory structural equation modelling. METHOD: Using multigroup confirmatory analysis (MGCFA) we examined the measurement invariance of the MHC-SF in 38 countries (university students, N = 8,066; 61.73% women, mean age 21.55 years). RESULTS: MGCFA supported the cross-cultural replicability of a bifactor structure and a metric level of invariance between student samples. The average proportion of variance explained by the general factor was high (ECV = .66), suggesting that the three aspects of mental health (emotional, social, and psychological well-being) can be treated as a single dimension of well-being. CONCLUSION: The metric level of invariance offers the possibility of comparing correlates and predictors of positive mental functioning across countries; however, the comparison of the levels of mental health across countries is not possible due to lack of scalar invariance. Our study has preliminary character and could serve as an initial assessment of the structure of the MHC-SF across different cultural settings. Further studies on general populations are required for extending our findings.

Grandiose narcissism, unfounded beliefs, and behavioral reactions during the COVID-19 pandemic.

A theoretical perspective on grandiose narcissism suggests four forms of it (sanctity, admiration, heroism, rivalry) and states that these forms conduce to different ways of thinking and acting. Guided by this perspective, we examined in a multinational and multicultural study (61 countries; N = 15,039) how narcissism forms are linked to cognitions and behaviors prompted by the COVID-19 pandemic. As expected, differences in cognitions and behaviors across narcissism forms emerged. For example, higher narcissistic rivalry predicted lower likelihood of enactment of COVID-19 prevention behaviors, but higher narcissistic sanctity predicted higher likelihood of enactment of COVID-19 prevention behaviors. Further, whereas the heroism, admiration, and rivalry narcissism forms acted in a typically antisocial manner, with high narcissism predicting greater endorsement of unfounded health beliefs, the sanctity form acted in a prosocial manner, with higher narcissism being linked to lower endorsement of unfounded COVID-19 health beliefs. Thus, the findings (a) support the idea of four narcissism forms acting differently, and (b) show that these differences reflect a double-edged sword, sometimes linking to an anti-social orientation, and sometimes linking to a pro-social orientation.

Academic Cyberslacking: Why Do Students Engage in Non-Academic Internet Access During Lectures?

Introduction: University students, as members of the digital generation, often access the internet for non-academic purposes while attending lectures in the classroom. Internet access for non-academic purposes during lectures is known as academic cyberslacking. This study aims to test the effects of media multitasking, self-efficacy, self-regulation, social media engagement, and Attention, Relevance, Confidence, and Satisfaction (ARCS) motivation, on the engagement in academic cyberslacking by university students. Methods: The participants were 1485 university students, who had previously engaged in academic cyberslacking during lectures. The research instruments in this study were an academic cyberslacking scale, a media multitasking self-efficacy scale, a self-regulation scale, a social media engagement scale, and an ARCS motivation scale. The research model and hypotheses are tested using structural equation model (SEM) by Lisrel. Confirmatory factor analysis (CFA) is also used to analyze all the instruments. The respondents' demographic data were analyzed using SPSS. Results: The results showed that it is only media multitasking self-efficacy and social media engagement which have any significant effects regarding academic cyberslacking. Self-regulation and ARCS motivation do not have direct association with academic cyberslacking. Conclusion: Students do academic cyberslacking during lectures. Media multitasking self-efficacy and social media engagement can predict students' academic cyberslacking. It is recommended that students direct their involvement in the digital environment to more constructive efforts during lectures.

Survey data of determinants related to Covid-19 preventive behaviors during the second waves in Indonesia using the reasoned action approach.

The dataset presented in this article examines preventive behaviors related to Covid-19 among Indonesians, i.e., wearing a mask, hand washing, and distancing, and its related determinants. Data collection was carried out when Indonesia was facing the second waves due to the rapid transmission of the Delta variant virus. The data assessing socio-demographic information, beliefs related to Covid-19 preventive behaviors based on the reasoned action approach, general beliefs about Covid-19, and Covid-19 preventive behaviors, from 18th June to 18th August 2021, gathering a total of 863 completed responses. The sampling technique in this online survey used a combination of purposive and snowball sampling methods to gather the participants via social media such as Instagram, Twitter, Facebook, and WhatsApp throughout Indonesia. The survey data were analyzed using frequency distributions and bivariate correlation analysis. The data will help to understand the psychosocial determinants of Covid-19 preventive behaviors and provide insight for the development of behavior change intervention to limit the spread of Covid-19 among Indonesians.

The fear of COVID-19 scale: Its structure and measurement invariance across 48 countries.

Coronavirus disease (COVID-19) has been a source of fear around the world. We asked whether the measurement of this fear is trustworthy and comparable across countries. In particular, we explored the measurement invariance and cross-cultural replicability of the widely used Fear of COVID-19 scale (FCV-19S), testing community samples from 48 countries (N = 14,558). The findings indicate that the FCV-19S has a somewhat problematic structure, yet the one-factor solution is replicable across cultural contexts and could be used in studies that compare people who vary on gender and educational level. The validity of the scale is supported by a consistent pattern of positive correlations with perceived stress and general anxiety. However, given the unclear structure of the FCV-19S, we recommend using latent factor scores, instead of raw scores, especially in cross-cultural comparisons. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Determinants of early breast cancer presentation: a qualitative exploration among female survivors in Indonesia.

OBJECTIVE: Early presentation with breast cancer symptoms is crucial to the effectiveness of treatment and the affected women's long-term survival. However, in Indonesia, 60-70% of breast cancer patients first present themselves to the hospital in an advanced stage. Knowledge about the determinants of breast cancer early presentation could inform efforts to promote healthcare seeking at earlier symptomatic stages. In the current study, we explored the psychosocial determinants of early presentation among female breast cancer survivors. METHODS: Face-to-face semi-structured interviews were conducted with 23 female breast cancer survivors in Surabaya, Indonesia (mean age = 49.8 years). Directed content analysis approach was used to analyse the data. RESULTS: Half of the respondents underwent breast cancer screening prior to onset of symptoms. Nine determinants of breast cancer early presentation were reflected in the women's responses: (lack of) knowledge, perceived behavioural control, previous health related experiences and risk perceptions, attitudes and beliefs, norms, competing priorities, financial issues, instrumental factors, and health provider factors. CONCLUSION: Health promotion efforts should focus on both internal and external psychosocial determinants related to the breast cancer early presentation, and on involving women's social environment as target for education. Additionally, providing accessible and affordable healthcare is important for early presentation.

Religious schema and tolerance towards alienated groups in Indonesia.

National discourses that are acceptable by the alienated groups determine the level of public tolerance towards those groups. This study thus examined the relationships between religious schema and tolerance of two alienated groups in Indonesia, namely, the atheists and believers in indigenous faiths. Additionally, the study explored the differences in tolerance of these two groups across university cohorts encompassing discrete social climates and curricula. This cross-sectional study involved several universities with differing demographic makeup. The analysis results revealed that the characteristics of the evaluated target group determined the significance of the associations between the dimensions of religious schema and tolerance. Moreover, students in homogeneous educational and social environments tended to exhibit low levels of tolerance towards alienated groups. This study highlighted the importance of scrutinising the functions of intergroup exposure and dialogues in improving intergroup understanding, acceptance, and tolerance within a plural society.

Structure of Dark Triad Dirty Dozen Across Eight World Regions.

The Dark Triad (i.e., narcissism, psychopathy, Machiavellianism) has garnered intense attention over the past 15 years. We examined the structure of these traits' measure-the Dark Triad Dirty Dozen (DTDD)-in a sample of 11,488 participants from three W.E.I.R.D. (i.e., North America, Oceania, Western Europe) and five non-W.E.I.R.D. (i.e., Asia, Middle East, non-Western Europe, South America, sub-Saharan Africa) world regions. The results confirmed the measurement invariance of the DTDD across participants' sex in all world regions, with men scoring higher than women on all traits (except for psychopathy in Asia, where the difference was not significant). We found evidence for metric (and partial scalar) measurement invariance within and between W.E.I.R.D. and non-W.E.I.R.D. world regions. The results generally support the structure of the DTDD.

The role of religious beliefs and collective narcissism in interreligious contact on university students.

The rise of exclusive puritanism movements challenges several communities to live in peaceful coexistence. This research aimed to observe the level of interreligious contact among university students. This was a threefold study. The first part was an initial inquiry to construct an interreligious contact scale. The second sought to see the inferential association between interreligious contact, belief in religious teachings (i.e. religious fundamentalism, kindly religious belief, and meta-religion endorsement), and collective narcissism. The third part was to investigate differences in those variables between students who joined student political organizations with religion-based ideology and those who did not. There were 381 respondents from various religious backgrounds (e.g. Muslim, Christian, and other) participating in this research. The result of the exploratory factor analysis indicated a unidimensionality of the interreligious contact scale. Regression analysis found that religious fundamentalism and collective narcissism made individuals less likely to exhibit interreligious contact. However, kindly religious belief and meta-religion endorsement encouraged interreligious contact. In addition, an independent sample t-test suggested that there was a difference in the inclusivism level between religion-based student organization members and non-members. Members of such organization tended to exhibit a lower level of interreligious contact, while their level of religious fundamentalism and collective narcissism were higher compared to their non-member counterparts.

Do Students Really Use Internet Access for Learning in the Classroom? : Exploring Students' Cyberslacking in an Indonesian University.

University students, as 'digital natives', use the internet for learning in the classroom. However, the availability of internet access in the classroom becomes a challenge, because students also engage in non-academic internet access during lectures. The use of the internet during lectures for non-academic purpose is called cyberslacking. Self-regulated learning (SRL) and media multi-tasking efficacy (MME) are considered to be important factors contributing to cyberslacking. The participants in this study were students in a private university in Indonesia (N = 423). The results show that only self-regulated learning made any significant contribution to cyberslacking in the classrooms. Further research should be conducted to consider external factors, such as instructors' contributions, classrooms circumstances and the university policy towards internet usage.