OBJECTIVE: Raising dementia awareness is essential for building a dementia-friendly community. However, existing studies have underexplored the effects of virtual reality (VR) dementia educational programs for the general public on enhancing positive attitude toward dementia. This study aimed to examine the effectiveness of a VR dementia-friendly educational program called the Drive for Dementia Readiness Inside Virtual Reality (DRIVE) program to improve attitude toward dementia of the general public.
METHODS: A two-arm randomized controlled trial was conducted. Eligibility criteria for participants included being 16 years old and above in Japan and having no professional license in healthcare and social care. We randomized individuals to attend a multi-element VR dementia-friendly educational program (intervention), including simulation, VR films, short films, lectures, and discussions or a lecture-based program (control). Data were collected three times, including at baseline, post-intervention, and 3-month follow-up. The primary outcome was attitude toward dementia. The secondary outcomes were intention of helping behavior for people living with dementia and knowledge of dementia.
RESULTS: We recruited 157 community residents, among whom 130 were included in the analysis. Although the mean changes in attitude score were not significantly different between the groups (Hedge\'s g = .26), the intention of helping behavior score was significantly higher in the intervention group (g = .49).
CONCLUSIONS: The DRIVE, a VR-based multi-element dementia-friendly educational intervention, was shown as a promising tool for significantly impacting the intention of helping behavior for people living with dementia to establish dementia-friendly communities.

Witnesses of moral violations stand up for their moral principles, despite facing substantial costs for intervening. Notwithstanding its importance, little is known whether responsibility attributions and the relation between the victim and a witness (i.e., kinship) have different effects on the intention to intervene in situations of different severity (e.g., moral courage situations). We predict an interaction between the situation\'s severity and the victims\' responsibility for their plight. In less-severe situations, witnesses would be less willing to help when they perceive the victim to be responsible for their plight. However, those who are not seen as responsible would receive more help. For more-severe situations, responsibility is predicted to have no effect. Opposite effects are predicted for the relationship between the helper and the victim. We further predict that perceived costs for helping mediates witnesses\' willingness to intervene. Two studies showed that people are more willing to help individuals who are perceived as being innocent, but only in less-severe situations. In more-severe situations, people\'s willingness to intervene increases, regardless of responsibility attributions. We did not observe effects for kinship. Moreover, we provide partial evidence that witnesses of more-severe situations indeed accept higher costs for intervention.

This article presents two cross-sectional studies that group the most relevant (and potential) factors contemplated in the bystander literature on Intimate Partner Violence Against Women, (IPVAW). We analyzed their relationship with the intention to respond to hypothetical scenarios with specific helping behaviors based on the witnesses\' gender, political ideology and on the bystander effect (study 1). We also studied them as predictors of helping behaviors (study 2). In total, 1,563 Spanish people participated in study 1 and 755 Spanish people in study 2. Participants had to study an IPVAW vignette (with a single bystander or multiple bystanders) and a control scenario (a robbery with a woman as victim or a man) and assess the perceived severity of the situation, the perceived responsibility of the victim and the aggressor(s), the personal perceived responsibility of the bystander and the intention to perform 8 helping behaviors. They also fulfilled a social desirability scale (study 1 and 2), the Inventory of Distorted Thoughts about Women and Violence and the Scale on Gender Ideology (study 2). Women tend to assess the IPVAW scenario in a way that favors displaying active helping behaviors to a greater extent than men. An individual\'s political opinion has also shown to affect the assessment and, to a lesser extent, the intention to help an IPVAW victim. The bystander effect only takes place when negative attitudes are present. When analyzing the interaction between the type of violence (gender versus non-gender-based violence) and the above-mentioned variables, the results tend to confirm previous studies. Regarding the predictors of the helping behaviors, perceived personal responsibility is key, together with victim blaming attitudes or the perceived severity of the situation. This study expands the knowledge on bystander behaviors in IPVAW contexts and offers elements to work on awareness campaigns.

In this narrative medicine essay, a retired psychiatrist emulates his father who in his sunset years helped many of his friends, family members, and loved ones navigate end-of-life illnesses and death.

OBJECTIVE: This study aims to explore the adverse impacts of abusive supervision on helping behaviors among employees, as mediating by intention to leave and moderating by Islamic work ethics (IWE).
METHODS: A quantitative approach was employed, and the sample consisted of 283 nurses working in various public sector hospitals in Pakistan. The data analysis was conducted using SPSS and AMOS with the PROCESS macro.
RESULTS: The results suggest that abusive supervision diminishes helping behavior among nurses. Additionally, the study reveals that intention to leave mediates the relationship of abusive supervision and nurses\' helping behavior. Moreover, the introduction of IWE as a boundary condition reveals that the mediated link is weaker when IWE is higher, and vice versa.
CONCLUSIONS: This study provides valuable insights for hospital authorities to develop intervention strategies and policies aimed at reducing abusive supervision in hospitals. Hospital management should also be aware of the detrimental effects of abusive supervision on nurses\' helping behaviors, which can be mitigated by promoting ethical values aligned with IWE.
CONCLUSIONS: This study makes a valuable contribution to the limited research on the link between abusive supervision and helping behaviors in hospital settings. It offers new perspectives by incorporating the Conservation of Resources theory, particularly within the healthcare sector. Furthermore, this research expands the current knowledge by investigating the mediating influence of intention to leave and the moderating effect of IWE in mitigating the adverse impact of abusive supervision on nurses\' helping behavior in Pakistan\'s public sector hospitals.

The situational model of bystander behavior is a validated 5-step process for understanding intervention in bullying and sexual harassment, yet the individual-level and contextual-level factors that facilitate the progression from one step to the next are not well understood. The purpose of the current study was to examine whether individual characteristics (social-emotional skills, affective empathy, cognitive empathy, and personal attitudes toward bullying and sexual harassment) and contextual-level factors (school climate and perceived peer attitudes toward bullying and sexual harassment) explained the association between subsequent steps of the bystander intervention model. A sample of 788 high school students completed several validated measures of these constructs. Structural equation modeling analysis revealed that each step significantly and positively predicted the next step, and the addition of a direct path from accepting responsibility to helping improved model fit. The mediational model indicated that individual-level characteristics had significant direct effects on interpreting bullying and sexual harassment as problems, accepting responsibility, and helping, and indirect effects from noticing the bullying and sexual harassment to all subsequent steps except knowing. In contrast, contextual-level effects contributed to accepting responsibility in an inverse direction.

The human tendency to help others in need has been subject to trans-, inter-, and multidisciplinary studies (e.g., anthropology, neurobiology, evolutionary psychology, economy), within the frame of studying the mechanisms and adaptive significance of human prosocial behavior. Volunteering directed to unrelated and unfamiliar individuals is one common form of such helping behavior. Helping others may be adaptive for a species at a macro-level, which in turn is mediated by neurobiological mechanisms. A key target for analysis of the neurobiological underpinnings of volunteering is the endogenous opioid system (EOS). This chapter discusses EOS activity as a potential mediator of volunteering behavior. Evidence of the congruence between EOS involvement in social group behavior and social bonding and the role of these phenomena in volunteerism is reviewed. Models and empirical evidence of the mechanisms and adaptive value of helping unrelated others are discussed and integrated, including the mammalian caregiving system, the neurobiological model of prosocial behavior, synchrony promoting social bonding, and stress-driven motivation of prosocial action in immediate needs.

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In order to explain helping strangers in need in terms of reciprocal altruism, it is necessary to ensure that the help is reciprocated and that the costs of helping are thus compensated. Competence and willingness to make sacrifices for the benefactor of the person being helped are important cues for ensuring a return on help because reciprocity would not be possible if the person being helped had neither the competence nor the inclination to give back in the future. In this study, we used vignettes and manipulated the cause of suffering strangers\' difficulties and prosociality to investigate participants\' compassion for and willingness to help the stranger. In Study 1, we measured willingness to help by using hypothetical helping behaviors that were designed to vary in cost. In Study 2, we measured willingness to help by using the checkbox method in which participants were asked to sequentially check 10 × 10 checkboxes on a webpage, which asked the participants to pay a small but real cost. In both studies, the controllability of the cause and the prosociality were found to independently affect compassion. These two factors also independently affected willingness to help, as measured by both the hypothetical questions and the checkbox method. We consequently discussed the reasons for the independent processing of the competence and behavioral tendency cues.

It has been argued that experiencing the pain of others motivates helping. Here, we investigate the contribution of somatic feelings while witnessing the pain of others onto costly helping decisions, by contrasting the choices and brain activity of participants that report feeling somatic feelings (self-reported mirror-pain synesthetes) against those that do not. Participants in fMRI witnessed a confederate receiving pain stimulations whose intensity they could reduce by donating money. The pain intensity could be inferred either from the facial expressions of the confederate in pain (Face condition) or from the kinematics of the pain-receiving hand (Hand condition). Our results show that self-reported mirror-pain synesthetes increase their donation more steeply, as the intensity of the observed pain increases, and their somatosensory brain activity (SII and the adjacent IPL) was more tightly associated with donation in the Hand condition. For all participants, activation in insula, SII, TPJ, pSTS, amygdala and MCC correlated with the trial by trial donation made in the Face condition, while SI and MTG activation was correlated with the donation in the Hand condition. These results further inform us about the role of somatic feelings while witnessing the pain of others in situations of costly helping.