BeCause of the Effect the role of health messages ordering on behavioral change intention.

Health messages are central to the field of public health in influencing behavioral change, and previous research does not offer a univocal answer on the most effective ordering of health outcomes and (un)healthy behaviors within health communication. An archival study revealed that online mass-media communicators tend to mention behaviors first. This strategy was questioned in two experimental studies (Ntot=158) examining the impact of word order on behavioral intention. Specifically, by manipulating the mentioning order of health outcomes (i.e., effect-first vs. effect-later) within a health message, results revealed a subtle role of word-order. English and Italian middle-aged men were more willing to change unhealthy habits after being exposed to a health-related message following the effect-first order rather than the effect-later order. Besides extending the comprehension of the role of word-order in socio-cognitive processes, our findings provide health communicators feedback about subtle linguistic strategies while dealing with health messages construction.

Pharmacy-based interventions to increase vaccine uptake: report of a multidisciplinary stakeholders meeting.

BACKGROUND: Despite the existence of efficacious vaccines, the burden of vaccine-preventable diseases remains high and the potential health benefits of paediatric, adolescent and adult vaccination are not being achieved due to suboptimal vaccine coverage rates. Based on emerging evidence that pharmacy-based vaccine interventions are feasible and effective, the European Interdisciplinary Council for Ageing (EICA) brought together stakeholders from the medical and pharmacy professions, the pharmaceutical industry, patient/ageing organisations and health authorities to consider the potential for pharmacy-based interventions to increase vaccine uptake. We report here the proceedings of this 3-day meeting held in March 2018 in San Servolo island, Venice, Italy, focussing firstly on examples from countries that have introduced pharmacy-based vaccination programmes, and secondly, listing the barriers and solutions proposed by the discussion groups. CONCLUSIONS: A range of barriers to vaccine uptake have been identified, affecting all target groups, and in various countries and healthcare settings. Ease of accessibility is a potentially modifiable determinant in vaccine uptake, and thus, improving the diversity of settings where vaccines can be provided to adults, for example by enabling community pharmacists to vaccinate, may increase the number of available opportunities for vaccination.

The first, the least and the last: Spatial asymmetries in memory and their relation to script trajectory.

Serial positioning biases are well documented and generally take a U-shaped form, with better memory for first (primacy) and last items (recency). Here, we test the hypothesis that the relative strength of primacy and recency depends on script direction. When presented with large arrays of images, people are expected to first direct attention to the side where they usually start reading (in our case, left among Italian, and right among Arabic speakers) and to then scan the remaining images along the habitual text trajectory. Besides supporting the predicted scanning direction with an eye-tracker methodology, Study 1a (n = 56 Italians) provides evidence for a spatial memory advantage for images positioned to the left. Study 1b (n = 34 Italians) shows that people are aware of the asymmetric scanning and the memory advantage deriving from it. Study 3 (n = 67 Italian and n = 44 Arabic speakers) shows opposite memory biases in the two samples, with best performance for images on the left among Italian and for images on the right among Arabic speakers. Together these studies contribute to the growing literature showing that scanning habits due to script direction exert a subtle influence on basic cognitive processes.

Left-handers' struggle in a rightward wor(l)d: The relation between horizontal spatial bias and effort in directed movements.

Five studies investigated the role of handedness and effort in horizontal spatial bias related to agency (Spatial Agency Bias, SAB). A Pilot Study (n = 33) confirmed the basic assumption that rightward writing requires greater effort from left- than from right-handers. In three studies, Italian students (n = 591 right-handed, n = 115 left-handed) were found to start drawings on the left, proceeding rightward (Study 1a, 1b), and to draw moving objects with a rightward orientation in line with script direction (Study 1c). These spatial asymmetries were displayed stronger by left- than by right-handed primacy school children, arguably due to the greater effort involved in learning how to write in a rightward fashion. Once writing has become fully automatic (high school) right- and left-handed students showed comparable spatial bias (Study 1c). The hypothesized role of effort was tested explicitly in Study 2 in which 99 right-handed adults learned a new (leftward) spatial trajectory through an easy or difficult motor exercise. The habitual rightward bias was reliably reduced, especially among those who performed a difficult task requiring greater effort. Together, findings are largely in line with the body specificity hypothesis (Casasanto, 2011 ) and suggest that spatial asymmetries are learned and unlearned most efficiently through effortful motor exercises.

Mobilize Is a Verb: The Use of Verbs and Concrete Language Is Associated With Authors' and Readers' Perceptions of a Text's Action Orientation and Persuasiveness.

In three studies, we investigated the role of linguistic features characterizing texts aiming to mobilize others. In Study 1 (N = 728), participants produced a leaflet either mobilizing others to engage in an action or expressing their thoughts about that action, and evaluated how action-oriented their text was. Mobilizing texts included more verbs and concrete words, and the presence of these linguistic characteristics was positively linked to participants' evaluations of their messages as action-oriented. In Studies 2 and 3 (N = 557 and N = 556), independent groups of participants evaluated texts produced in Study 1. Readers' perceptions of texts as action-oriented were associated with the same linguistic features as in Study 1 and further positively linked to perceived message effectiveness (Study 2) and behavioral intention (Study 3). The studies reveal how encoding and decoding of verbs and concrete words serve as distinct persuasive tools in calls to action.

Unequal by malice, protesters by outrage: Agent perceptions drive moralization of, and collective action against, inequality.

Economic inequality does not encounter strong protests even though individuals are generally against it. One potential explanation of this paradox is that individuals do not perceive inequality as caused by intentional agents, which, in line with the Theory of Dyadic Morality (Schein & Gray, 2018), should prevent its assessment as immoral and consequently dampen moral outrage and collective action. Across three studies, we test and confirm this hypothesis. In Studies 1 (N = 395) and 2 (N = 337), the more participants believed that inequality is human driven and caused by intentional agents, the more they moralized inequality, felt outraged and wanted to engage in collective action. This was confirmed in Study 3 (N = 243) through an experimental design. Thus, our research shows that agent perception is crucial in the moralization of economic inequality and, more broadly, that morality can be a powerful motivator and effectively mobilize people to action.

Why are some countries rich and others poor? development and validation of the attributions for Cross-Country Inequality Scale (ACIS).

Understanding lay theories on the causes of economic inequality is the first step to comprehending why people tolerate, justify, or react against it. Accordingly, this paper aims to develop and validate with two cross-sectional studies the Attributions for Cross-Country Inequality Scale (ACIS), which assesses how people explain cross-country economic inequality-namely, the uneven distribution of income and wealth between poor and rich countries. After selecting and adapting items from existing scales of attributions for poverty and wealth, in Study 1, we tested the factorial structure of this initial pool of items in three countries with different levels of economic development and inequality, namely, Italy (n = 246), the UK (n = 248), and South Africa (n = 228). Three causal dimensions emerged from the Exploratory Factor Analysis: "rich countries" (blaming the systematic advantage of and exploitation by rich countries), "poor countries" (blaming the dispositional inadequacy and faults of poor countries), and "fate" (blaming destiny and luck). The retained items were administered in Study 2 to three new samples from Italy (n = 239), the UK (n = 249), and South Africa (n = 248). Confirmatory Factor Analysis (CFA) corroborated the factorial structure of the ACIS, and Multi-Group CFA supported configural and metric invariances of the scale across countries. In addition, we show internal consistency and construct validity of the scale: the scale correlates with relevant constructs (e.g., beliefs about cross-country inequality and ideological orientation) and attitudes toward relevant policies related to international redistribution and migration. Overall, the scale is a valid instrument to assess causal attribution for cross-national inequality and is reliable across countries. By focusing on resource distribution from an international perspective, this scale will allow researchers to broaden the discussion on economic inequality to a global level.

Tax the élites! The role of economic inequality and conspiracy beliefs on attitudes towards taxes and redistribution intentions.

Taxation is one of the most widely acknowledged strategies to reduce inequality, particularly if based on progressivity. In a high-powered sample study (N = 2119) we investigated economic inequality and conspiracy beliefs as two key predictors of tax attitude and support for progressive taxation. We found that participants in the high economic inequality condition had lower levels of tax compliance and higher levels of conspiracy beliefs and support for progressive taxation. Furthermore, the effect of the experimental condition on tax compliance was mediated by conspiracy beliefs. Finally, conspiracy belief scores were positively associated with support for progressive taxation. Our results provide evidence that attitudes towards taxation are not monolithic but change considering the aims and targets of specific taxes. Indeed, while the perception of economic inequality prompts the desire for equal redistribution, it also fosters conspiracy narratives that undermine compliance with taxes.

Economic inequality increases the number of hours worked and decreases work-life balance perceptions: longitudinal and experimental evidence.

International institutions' attention to work-life balance (WLB) demonstrates the global breadth of this issue. Yet the scientific community has thus far paid little attention to its structural underpinnings and to the interplay between these macro-level underpinnings and individual psychological factors. We examine the contextual role of economic inequality at the national level as a significant factor influencing working time and WLB perceptions using multiple empirical strategies. In the first set of studies (1a and 1b), we compared countries with different levels of inequality (Study 1a with 37 countries, Study 1b with longitudinal data from 34 countries, N = 254) and found increased working time and reduced WLB in highly unequal countries. In a pilot study (N = 81) and in the pre-registered Studies 2 (N = 338) and 3 (N = 499) we corroborated this evidence with an experimentally induced inequality perception, reporting an indirect effect of inequality on WLB (Studies 2 and 3) and working time (Study 3) through status anxiety and competitiveness. In Study 2, we manipulated socio-economic class in addition to economic inequality, showing that the detrimental effect of inequality on WLB is especially marked for participants assigned to a low-class condition. This research contributes to an integrated understanding of the impact of economic inequality and socio-economic class in shaping WLB and provides useful insights for organizations to develop context-specific policies to improve employees' WLB that take both individual and structural factors into account.

Do unbiased people act more rationally?-The case of comparative realism and vaccine intention.

Within different populations and at various stages of the pandemic, it has been demonstrated that individuals believe they are less likely to become infected than their average peer. This is known as comparative optimism and it has been one of the reproducible effects in social psychology. However, in previous and even the most recent studies, researchers often neglected to consider unbiased individuals and inspect the differences between biased and unbiased individuals. In a mini meta-analysis of six studies (Study 1), we discovered that unbiased individuals have lower vaccine intention than biased ones. In two pre-registered, follow-up studies, we aimed at testing the reproducibility of this phenomenon and its explanations. In Study 2 we replicated the main effect and found no evidence for differences in psychological control between biased and unbiased groups. In Study 3 we also replicated the effect and found that realists hold more centric views on the trade-offs between threats from getting vaccinated and getting ill. We discuss the interpretation and implication of our results in the context of the academic and lay-persons' views on rationality. We also put forward empirical and theoretical arguments for considering unbiased individuals as a separate phenomenon in the domain of self-others comparisons.

It Matters to Whom You Compare Yourself: The Case of Unrealistic Optimism and Gender-Specific Comparisons.

Unrealistic Optimism (UO) appears when comparing participants' risk estimates for themselves with an average peer, which typically results in lower risk estimates for the self. This article reports nuanced effects when comparison varies in terms of the gender of the peer. In three studies (total N = 2,468, representative sample), we assessed people's risk estimates for COVID-19 infections for peers with the same or other gender. If a peer's gender is not taken into account, previous studies were replicated: Compared with others, participants perceived themselves as less likely to get infected with COVID-19. Interestingly, this effect was qualified by gender: Respondents perceived women as less threatened than men because women are perceived as more cautious and compliant with medical guidelines.

An Independent Study to Compare Compliance, Attitudes, Knowledge, and Sources of Knowledge about Pneumococcal Vaccinations among an Italian Sample of Older Adults.

BACKGROUND: Streptococcus pneumoniae is one of the leading causes of pneumoniae deaths, especially among elderly individuals, with the vaccine being the primary prevention instrument. However, information on national vaccine coverage among the elderly population is scarce and sparse. METHODS: A survey involved a representative sample of Italians older than 65 years (n = 600), who agreed to participate in the study through a phone interview. Participants' self-reported pneumococcal vaccination status, vaccine literacy, information source, and risk perception related to the infection and to vaccines-adverse reactions were assessed. RESULTS: The reported vaccination status is very low (11.2%), with respondents largely uninformed about vaccination opportunities. The results also show that the predominant (and most effective) source of information is healthcare providers, with vaccine hesitancy being positively linked to risk perception related to disease and negatively linked to risk perception of vaccine adverse reactions. CONCLUSIONS: This study suggests the need to collect data to systematically monitor vaccination coverage and calls for information campaigns to improve elderly literacy to increase vaccination uptake.

The Spatial Ingroup Bias: Ingroup Teams Are Positioned Where Writing Starts.

In four studies, we test the hypothesis that people, asked to envisage interactions between an ingroup and an outgroup, tend to spatially represent the ingroup where writing starts (e.g., left in Italian) and as acting along script direction. Using soccer as a highly competitive intergroup setting, in Study 1 (N = 100) Italian soccer fans were found to envisage their team on the left side of a horizontal soccer field, hence playing rightward. Studies 2a and 2b (N = 219 Italian and N = 200 English speakers) replicate this finding, regardless of whether the own team was stronger or weaker than the rival team. Study 3 (N = 67 Italian and N = 67 Arabic speakers) illustrates the cultural underpinnings of the Spatial Intergroup Bias, showing a rightward ingroup bias for Italian speakers and a leftward ingroup bias for Arabic speakers. Findings are discussed in relation to how space is deployed to symbolically express ingroup favoritism (Spatial Ingroup Bias) versus shared stereotypes (Spatial Agency Bias).

The indirect effect of a focus group for psoriatic patients on their caregivers.

Psoriasis is a chronic skin disease involving not only epidermic damages but also psychological distress for patients and their family caregivers. Little is known about the effects of a psychological support for psoriatic patients on their caregivers' well-being. The goal of the present study was to investigate the indirect effects of the participation in a dynamic focus group reserved for psoriatic patients on their caregivers in terms of quality of life. The study involved 52 psoriatic patients and 41 family caregivers. Patients' wellbeing was assessed using the dermatology quality of life index, hospital anxiety and depression scale. The impact of the disease on caregivers was assessed using the family dermatology life quality index (FDLQI). Data were analyzed with linear mixed models. The caregivers of psoriatic patients involved in the psychodynamic focus group reported levels of FDLQI that decreased over time, therefore showing an improvement in their quality of life in relation to the pathology of their relatives; the caregivers of patients who did not participate in the psychodynamic focus group, instead, had levels of FDLQI that were stable over time. The results provide preliminary evidence that the group setting of the Psychodynamic Focus Group may alleviate the negative impact of psychosomatic disease on the caregivers.

Language and motor processing in reading and typing: Insights from beta-frequency band power modulations.

Power modulations of the EEG activity within the beta-frequency band were investigated across silent-reading and copy-typing tasks featuring emotionally negative and neutral words in order to clarify the interplay between language and motor processing. In reading, a single desynchronization surfaced 200-600 ms after target presentation, with a stronger power-decrease in lower beta frequencies for neutral compared to negative words. The typing task revealed two distinct desynchronizations. A first one surfaced within spatio-temporal coordinates closely resembling those of the desynchronization observed in the reading task, thus pointing towards a common origin at the level of linguistic processing of the input word stimuli. Additionally, a second motor-related desynchronization surfaced during the typed response, from 700 to 2000 ms after stimulus onset. Here, words' emotional connotation affected the higher beta band. The comparison between tasks thus suggests that different beta desynchronizations reflect distinct EEG landmarks for language and motor processing. Further, the effect of emotional connotation on the motor-related desynchronization of the typing task suggests that language processing can propagate its influence onto the stage of motor response execution, pointing against a serial flow of information from language onto motor processing.

Viral suspicions: Vaccine hesitancy in the Web 2.0.

A huge and diverse amount of information is available online. In 4 studies, we provided complementary evidence about the psychosocial processes involved in online information gathering about vaccinations and the associated relation with trust in their safety. Study 1 investigated the relation between Italian Google inquiries and vaccine coverage for 0- to 2-year-old Italian children from 2000 and 2015, showing a correlation that turned negative over time. In Study 2, participants randomly assigned to a message providing a dual perspective (false balance condition) endorsed more conspiracy beliefs, which, in turn, reduced trust in vaccines compared with provaccine, antivaccine, and control messages. In Study 3, participants actively selected Google outputs that were in line with their opinion, and this confirmatory bias was particularly strong among participants distrusting vaccination. This association was disrupted by the exposure to provaccine messages, but only if antivaccine alternatives were absent. In Study 4, exposure to online comments questioning the human papilloma virus vaccination influenced attitudes toward the vaccination in a sample of not-yet-vaccinated young women. Practical implications for the way that media cover vaccination topics and for interventions addressing vaccine hesitancy are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

What drives the spatial agency bias? An Italian-Malagasy-Arabic comparison study.

In Western cultures, human interactions are generally envisaged such that the agent appears on the left, the recipient on the right, with action flowing from left to right. Here we explore the joint influence of 2 mechanisms driving such spatial asymmetries: the embodiment of script direction and the order in which subject and object are mentioned. A comparison of 3 language communities (Italian, Malagasy, Arabic) differing in script direction (left-right for Italian and Malagasy and right-left for Arabic) and in subject-object order (subject-verb-object in Italian and Arabic and verb-object-subject in Malagasy) provides evidence for the assumption that both mechanisms contribute to the spatial asymmetry.