An official website of the United States government
BackgroundHealth care interactions may require patients to share with a physician information they believe but is incorrect. While a key piece of physicians’ work is educating their patients, people’s concerns of being seen as uninformed or incompetent by physicians may lead them to think that sharing incorrect health beliefs comes with a penalty. We tested people’s perceptions of patients who share incorrect information and how these perceptions vary by the reasonableness of the belief and its centrality to the patient’s disease. DesignWe recruited 399 United States Prolific.co workers (357 retained after exclusions), 200 Prolific.co workers who reported having diabetes (139 after exclusions), and 244 primary care physicians (207 after exclusions). Participants read vignettes describing patients with type 2 diabetes sharing health beliefs that were central or peripheral to the management of diabetes. Beliefs included true and incorrect statements that were reasonable or unreasonable to believe. Participants rated how a doctor would perceive the patient, the patient’s ability to manage their disease, and the patient’s trust in doctors. ResultsParticipants rated patients who shared more unreasonable beliefs more negatively. There was an extra penalty for incorrect statements central to the patient’s diabetes management (sample 1). These results replicated for participants with type 2 diabetes (sample 2) and physician participants (sample 3). ConclusionsParticipants believed that patients who share incorrect information with their physicians will be penalized for their honesty. Physicians need to be educated on patients’ concerns so they can help patients disclose what may be most important for education. HighlightsUnderstanding how people think they will be perceived in a health care setting can help us understand what they may be wary to share with their physicians. People think that patients who share incorrect beliefs will be viewed negatively. Helping patients share incorrect beliefs can improve care.
more »
« less
Conceptualizing Indigenous strengths-based health and wellness research using group concept mapping
Abstract BackgroundIn recent years public health research has shifted to more strengths or asset-based approaches to health research but there is little understanding of what this concept means to Indigenous researchers. Therefore our purpose was to define an Indigenous strengths-based approach to health and well-being research. MethodsUsing Group Concept Mapping, Indigenous health researchers (N = 27) participated in three-phases. Phase 1: Participants provided 218 unique responses to the focus prompt “Indigenous Strengths-Based Health and Wellness Research…” Redundancies and irrelevant statements were removed using content analysis, resulting in a final set of 94 statements. Phase 2: Participants sorted statements into groupings and named these groupings. Participants rated each statement based on importance using a 4-point scale. Hierarchical cluster analysis was used to create clusters based on how statements were grouped by participants. Phase 3: Two virtual meetings were held to share and invite researchers to collaboratively interpret results. ResultsA six-cluster map representing the meaning of Indigenous strengths-based health and wellness research was created. Results of mean rating analysis showed all six clusters were rated on average as moderately important. ConclusionsThe definition of Indigenous strengths-based health research, created through collaboration with leading AI/AN health researchers, centers Indigenous knowledges and cultures while shifting the research narrative from one of illness to one of flourishing and relationality. This framework offers actionable steps to researchers, public health practitioners, funders, and institutions to promote relational, strengths-based research that has the potential to promote Indigenous health and wellness at individual, family, community, and population levels.
more »
« less
- Award ID(s):
- 2022190
- PAR ID:
- 10658083
- Author(s) / Creator(s):
- ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; more »
- Publisher / Repository:
- Archives of Public Health
- Date Published:
- Journal Name:
- Archives of Public Health
- Volume:
- 81
- Issue:
- 1
- ISSN:
- 2049-3258
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
More Like this
-
-
Abstract BackgroundDuring the COVID-19 pandemic, many people lacked access to group fitness opportunities due to elevated risk of infection, lockdown, and closure of exercise facilities. Additionally, many people experienced higher than average rates of mental health burden (eg, anxiety and stress). To help address these needs, an existing in-person community exercise class, taught by a faculty member from an academic medical center, transitioned to an online synchronous (OS) physical fitness class via the Zoom (Zoom Video Communications) videoconferencing platform. As such, the instructor advertised the OS fitness classes through an existing email list of community members and university faculty, staff, students, or alumni email listservs. This telewellness intervention sought to create a sense of community, build social support, and promote physical and mental wellness during the COVID-19 pandemic. ObjectiveOur aim was to determine the perceived mental and physical health benefits of attending an OS fitness class for community members, including health care workers. We also assessed the use and functionality of related technologies necessary for delivering and attending the fitness classes. MethodsAn online survey questionnaire was created and tested to collect quantitative and qualitative data for an exploratory study. Data were collected to evaluate the fitness class, motivation, perceived health benefits, and related technologies. A convenience sample of people who had participated in the OS fitness classes was recruited for this study via an emailed recruitment flyer. ResultsA total of 51 participants accessed and completed the survey questionnaire. Survey participants consisted of 28 of 51 (55%) with a university affiliation, 17 of 51 (33%) with no university affiliation, and 6 of 51 (12%) who declined to state. The largest group of participants reporting full-time employment (18/51, 35%) also reported university affiliation with the academic medical center. In this group, 13 of 51 (25%) participants reported full-time employment, university affiliation, and doctoral degrees. High overall exercise class satisfaction was observed in the survey responses (mean 4.0, SD 1). Data analyses revealed significant perceived value of both mental and physical health benefits as motivating factors for participating in the OS fitness class. Challenges were identified as not being able to receive individual feedback from the instructor and the inability of some participants to see if they were in sync with the rest of the class. ConclusionsResults provide preliminary support for the use of online videoconferencing fitness platforms to promote wellness and facilitate group exercise in the community during times of high infection risk. Future studies should continue to explore perceived benefits, mental and physical wellness, best practices, and the design of related technologies.more » « less
-
Abstract Misinformation exposure can cause inaccurate beliefs and memories. These unwanted outcomes can be mitigated when misinformation reminders—veracity-labeled statements that repeat earlier-read false information—appear before corrections with true information. The present experiment used eye tracking to examine the role of attention while encoding corrective details in the beneficial effects of reminder-based corrections. Participants read headlines in a belief-updating task that included a within-subjects manipulation of correction format. They first rated the familiarity and veracity of true and false headlines (Phase 1). Then, they read true headlines that corrected false headlines or affirmed true headlines (Phase 2). The true headlines appeared (1) without veracity labels, (2) with veracity labels, or (3) with misinformation reminders and veracity labels. Finally, participants re-rated the veracity of the Phase 1 headlines and rated their memory for whether those headlines were corrected in Phase 2 (Phase 3). Reminder-based corrections led to the greatest reduction in false beliefs, best high confidence recognition of corrections, and earliest eye fixations to the true details of corrections during encoding in Phase 2. Corrections remembered with the highest confidence rating were associated with more and earlier fixations to true details in correction statements in Phase 2. Collectively, these results suggest that misinformation reminders directed attention to corrective details, which improved encoding and subsequent memory for veracity information. These results have applied implications in suggesting that optimal correction formats should include features that direct attention to, and thus support encoding of, the contrast between false and true information.more » « less
-
Abstract BackgroundGraduate education literature tends to focus on faculty careers with little attention to industry careers. However, more than one‐third of U.S. engineering doctorates enter industry. PurposeOur purpose is to understand engineering graduate students' interest in industry, academia, and government careers as it relates to their graduate engineering identities. Design/MethodA total of 249 engineering thesis master's and doctoral students completed a survey about their graduate engineering identities and career preferences. We created regression models to predict students' likelihood of pursuing careers in industry, academia, and government. Then, we used cluster analysis to understand the extent to which students are considering multiple options and used chi‐squared and ANOVA tests to compare the clusters. ResultsIn the regression model predicting an academic career, research recognition and research performance/competence were positive predictors and engineering performance/competence was a negative predictor. Regression models of industry and government described less than 10% of the variance. Four clusters emerged, which collectively demonstrate that engineering graduate students are considering careers in multiple sectors. Students with internships during graduate study were more likely to pursue industry careers. Master's students were underrepresented in the cluster with highest likelihood of an academic career. International students were keeping more options open than some domestic students. There were also differences by engineering discipline. ConclusionsEngineering graduate students are considering multiple career sectors. Advisors and education researchers should focus not only on academic career preparation but also on industry and government career preparation, particularly on preparing for multiple options simultaneously.more » « less
-
Context:Many people living in the 5 inhabited US territories experience high rates of natural hazard exposure and social vulnerability to disaster impacts. Public health workforce development and evidence-based, culturally competent approaches to disaster preparedness, response, and recovery are needed in these regions. Program:In 2020, the Natural Hazards Center established thePublic Health Disaster Research Award Programwith funding from the Centers for Disease Control and Prevention. The program’s goal is to advance public health disaster research and practice by funding, training, mentoring, and connecting researchers, students, and practitioners in historically underserved areas with high natural hazard risk. Between 2020 and 2022, 26 research teams received up to $50 000 each to investigate public health disasters in 1 or more US territories. The program also supported awardees by providing individual consultations, online trainings, feedback on report drafts, and a virtual group workshop on the public health implications of research. Awardees authored final reports and presented at a public webinar. Evaluation:In 2023, the Natural Hazards Center developed and distributed an online survey to all principal investigators. The survey evaluated how awardees advanced knowledge about public health disasters in the US territories; what skills, resources, and connections they acquired; and how they translated their research into public health applications and otherwise disseminated their findings. Discussion:Our evaluation showed that the program is advancing knowledge of understudied hazard contexts and socially vulnerable populations in the US territories and supports awardees in sharing their findings with academics, policymakers, and practitioners. Moreover, it expanded the public health disaster workforce by bringing professionals from a diverse range of disciplines and institutions into the field, and by investing in students, early career scholars, and investigators based in US territories. Researchers are working with local partners to apply their findings to practice.more » « less
- Free Publicly Accessible Full Text
-
Accepted Manuscript1.0
- Journal Article:
- https://doi.org/10.1186/s13690-023-01066-7
