Trust in cervical screening and attributions of blame for interval cancers following a national controversy.

OBJECTIVES: This study investigated levels of trust and attributions of blame in connection with a cervical screening programme following a controversy related to the programme's audit, incorporating an experimental test of the effectiveness of new information materials. DESIGN: We compared responses in Ireland (N = 872) to equivalent responses in Scotland (N = 400). Participants in Ireland were randomly assigned to either a treatment group that received the information materials or a control group that did not. Participants then responded to questions about their trust in cervical screening and to whom they would attribute blame in a range of scenarios describing women diagnosed with cervical cancer between screening rounds. RESULTS: Results showed that the control group in Ireland had lower trust and attributed higher blame towards screening services than participants in Scotland. However, exposure to information materials in the treatment group improved trust and reduced blame. CONCLUSIONS: The findings suggest that public controversies influence perceptions of screening programmes and underscore the importance of transparent, choice-based communication in mitigating these effects. The findings have valuable implications for screening services worldwide as all screening programmes will have associated false negative and false positive results.

A scoping review and behavioural analysis of factors underlying overuse of antimicrobials.

Background: Overuse of antimicrobials is a challenging global issue that contributes to antimicrobial resistance. Despite widespread awareness of the problem among members of the medical community and various attempts to improve prescription practices, existing antimicrobial stewardship programmes are not always effective. In our view, this may reflect limited understanding of factors that influence prescription of antimicrobials as empirical therapy, implying a need to address the psychological mechanisms behind some of the specific behaviours involved. Objectives: To identify factors that influence the antimicrobials prescription as empirical therapy, and to relate these factors to findings from behavioural science. Methods: We conducted a scoping review of the literature on the factors underlying antimicrobial prescription decisions, following the protocol designed using PRISMA guidelines. Results and conclusions: From a final sample of 90 sources, we identified ten factors important in antimicrobial prescription decisions. In the second stage of our analysis, we grouped them into five final categories: (1) nature of the decision, (2) social influences, (3) individual differences, (4) characteristics of the patient, (5) context. We analyse these categories using a behavioural science perspective.

Psychological patterns of poverty in Russia: Relationships among socioeconomic conditions, motivation, self-regulation and well-being.

This article aims to extend our understanding of the link between socioeconomic conditions and psychological variables. It focuses on the effects of five distinct socioeconomic indicators on a range of psychological variables in samples of 162 individuals living below the poverty line and 188 of their more well-off counterparts in Russia. Participants completed a questionnaire containing measures of socioeconomic indicators (i.e., income, education, perceived deprivation, subjective socioeconomic status, and childhood socioeconomic status) and psychological variables representing self-regulation, motivation, and well-being. Our main findings include: (a) significant effects of socioeconomic status on all psychological variables, which are in line with other studies seeking to answer similar questions, (b) varying importance of different socioeconomic indicators for different psychological variables, and (c) centrality of all socioeconomic indicators except childhood socioeconomic status, and of values of openness to change and self-transcendence, satisfaction with life and self-esteem in the network of relationships between socioeconomic indicators and psychological variables.

The elusive constellations of poverty.

Pepper & Nettle describe possible processes underlying what they call a behavioral constellation of deprivation (BCD). Although we are certain about the application of evolutionary models to our understanding of poverty, we are less certain about the utility of behavioral constellations. The empirical record on poverty-related behaviors is much more divergent and broad than such constellations suggest.