UNASSIGNED: Globalization has increased the importance of multicultural research to address health disparities and improve healthcare outcomes for underrepresented communities. The International Nursing Network for HIV Research (The Network) serves as a platform for researchers to collaborate on cross-cultural and cross-national HIV studies. This article discusses the Network\'s approach to overcoming barriers in multicultural and multinational research in a qualitative context.
UNASSIGNED: The network created a protocol to guide decision-making throughout the translation process of qualitative data collected from participants in their native languages. The protocol includes aspects of why, when, what, who, how, where, and by what means the translation is completed.
UNASSIGNED: The protocol has allowed researchers to enhance the validity, reliability, and cultural sensitivity of translation process, ensuring the clarity and impact of their research findings.
UNASSIGNED: Rigorous translation practices promote cross-cultural understanding and respect for participants\' perspectives, fostering global collaborations and knowledge exchange.

The persistent debates over pornography have often focused on differences between males and females, not only in the frequency of consumption or the type of material consumed, but also on the different ways that individuals may perceive sexually explicit images and respond to them. Some of these differences may be due to sex differences in a number of factors including sexual strategies, pathogen or sexual disgust, and own mate value as well as within sex differences in these factors. Previous studies have demonstrated that perceptions of sexually explicit images are influenced by the sex of the target in the image and the target\'s emotional affect, as well as sex of the respondent, their sexual orientation, short-term mating orientation, and disgust measures. However, these previous studies were conducted with participants from the United States alone. This study compared the findings from these US samples to those from non-Western ones (Philippines and Brazil) in order to examine the replicability across cultures of the US results as well as whether some variables (religiosity, for example) account for more or less of the variance in perceptions in different populations. Results indicated that there were some differences in terms of the amount of variance in perceptions explained by different variables across populations. Participant and stimuli related variables explained more variance in the Philippines while individual difference variables accounted for more variance in Brazil.

We examined whether people with high BMI sampled from two different countries were more susceptible to behavioural change via an implicit, rather than explicit, intervention. We measured BMI and used three types of cue interventions (implicit vs explicit healthy lifestyle cue vs neutral cue) to examine their impact on our participants\' food choice using the Fake Food Buffet. Healthiness of the meal chosen was measured by the percentage of healthy food items in the meal. Portion size of their chosen meal was operationalised by the total number of food items chosen and its total calorie content was also estimated. Participants were recruited from the United Kingdom (N = 264) and Indonesia (N = 264). Our results indicated that while explicit food cues were overall more effective, implicit cues were a more effective strategy to change food choice behaviours among individuals with high BMI. Participants with high BMI were more likely to regulate the healthiness of their meal and less likely to regulate its portion size or calorie content. The efficacy of our healthy eating interventions was cross-culturally generalizable. Our study supports previous research that implicit cues of a healthy lifestyle might be a more effective behavioural change strategy for individuals with high BMI.

When thinking about possibility, one can consider both epistemic and deontic principles (i.e., physical possibility and permissibility). Cultural influences may lead individuals to weigh epistemic and deontic obligations differently; developing possibility conceptions are therefore positioned to be affected by cultural surroundings. Across two studies, 251 U.S. and Chinese 4-, 6-, and 8-year-olds sampled from major metropolitan areas in Texas and the Hubei, Sichuan, Gansu, and Guangdong Provinces judged the possibility of impossible, improbable, and ordinary events. Across cultures and ages, children judged ordinary events as possible and impossible events as impossible; cultural differences emerged in developing conceptions of improbable events. Whereas U.S. children became more likely to judge these events possible with age, Chinese children\'s judgments remained consistent with age: Chinese 4- to 8-year-olds judged these events to be possible ∼25% of the time. In Study 2, to test whether this difference was attributable to differential prioritization of epistemic versus deontic constraints, children also judged whether each event was an epistemic violation (i.e., required magic to happen) and a deontic violation (i.e., would result in someone getting in trouble). With age, epistemic judgments were increasingly predictive of possibility judgments for improbable events for U.S. children, and decreasingly so for Chinese children. Contrary to our predictions, deontic judgments were not predictive. We propose that cultural valuation of norms might shape children\'s developing intuitions about possibility. We discuss our findings in light of three accounts of possibility conceptions, suggesting ways to integrate cultural context into each.

BACKGROUND: The change in the efficacy of antimicrobial agents due to their misuse is implicated in extensive health and mortality related concerns. The Antibiotics Use Questionnaire (AUQ) is a theory driven measure based on the Theory of Planned Behaviour (TpB) factors that is designed to investigate drivers of antibiotic use behaviour. The objective of this study is to replicate the factor structure from the pilot study within a similar Australian confirmation cohort, and to extend this through investigating if the factor structure holds in a Chinese-identifying cohort.
METHODS: The AUQ was disseminated to two cohorts: a confirmation cohort similar to the original study, and a Chinese identifying cohort. Data analysis was completed on the two data sets independently, and on a combined data set. An orthogonal principal components analysis with varimax rotation was used to assess the factor structure, followed by general linear models to determine the influence of the TpB factors on reported antibiotic use.
RESULTS: 370 participant responses from the confirmation cohort, and 384 responses from the Chinese-identifying cohort were retained for analysis following review of the data. Results showed modest but acceptable levels of internal reliability across both cohorts. Social norms, and the interaction between attitudes and beliefs and knowledge were significant predictors of self-reported antibiotic use in both cohorts. In the confirmation cohort healthcare training was a significant predictor, and in the Chinese-identifying cohort education was a significant predictor. All other predictors tested produced a nonsignificant relationship with the outcome variable of self-reported antibiotic use.
CONCLUSIONS: This study successfully replicated the factor structure of the AUQ in a confirmation cohort, as well as a cohort that identified as culturally or legally Chinese, determining that the factor structure is retained when investigated across cultures. The research additionally highlights the need for a measure such as the AUQ, which can identify how differing social, cultural, and community factors can influence what predicts indiscriminate antibiotic use. Future research will be required to determine the full extent to which this tool can be used to guide bespoke community level interventions to assist in the management of antimicrobial resistance.

BACKGROUND: Empathy is vital for quality nursing care in acute mental health settings. Although different explanations of mental illnesses shape mental health clinicians\' empathy towards people with mental illnesses, it is unclear how such findings translate to the culturally diverse nursing context.
OBJECTIVE: The study investigated nursing students\' empathy towards people with depression and their perceived clinical utility of biological and psychosocial explanations of depression in Australia and Singapore, focusing on two factors of cultural difference: relational mobility and cultural tightness.
METHODS: We used a cross-sectional research design with a repeated-measures component.
METHODS: The sample included 211 nursing students from Australia and Singapore. Participants were predominantly female (81 %), with ages ranging from 18 to 57 years (M = 26.51, SD = 7.61).
METHODS: Participants completed a vignette-based online questionnaire containing measures of empathy, perceived clinical utility, relational mobility, and cultural tightness.
RESULTS: Nursing students\' empathy in response to the biological and psychosocial explanations of depression differed in Australia (biological: M = 2.96, SD = 0.89, 95 % CI [2.80, 3.13]; psychosocial: M = 3.56, SD = 0.91, [3.39, 3.73]) but not in Singapore (biological: M = 3.05, SD = 0.91, [2.87, 3.23]; psychosocial: M = 3.25, SD = 0.93, [3.06, 3.43]). Relational mobility mediated cross-cultural variances in empathy, b = -0.16, SE = 0.06, 95 % CI [-0.29, -0.05], and perceptions of clinical utility, b = -0.08, SE = 0.05, [-0.20, -0.00], when depression was explained psychosocially.
CONCLUSIONS: Nursing students\' empathy and perceived clinical utility of explanations of depression are shaped differently across cultures in part due to relational mobility and cultural tightness. As such, embedding cultural awareness education in nursing curricula to address any culturally rooted biases towards people with mental illnesses may present a promising avenue to optimise nursing students\' empathy towards people with mental illnesses.

In the McGurk effect, visual speech from the face of the talker alters the perception of auditory speech. The diversity of human languages has prompted many intercultural studies of the effect in both Western and non-Western cultures, including native Japanese speakers. Studies of large samples of native English speakers have shown that the McGurk effect is characterized by high variability in the susceptibility of different individuals to the illusion and in the strength of different experimental stimuli to induce the illusion. The noisy encoding of disparity (NED) model of the McGurk effect uses principles from Bayesian causal inference to account for this variability, separately estimating the susceptibility and sensory noise for each individual and the strength of each stimulus. To determine whether variation in McGurk perception is similar between Western and non-Western cultures, we applied the NED model to data collected from 80 native Japanese-speaking participants. Fifteen different McGurk stimuli that varied in syllable content (unvoiced auditory \"pa\" + visual \"ka\" or voiced auditory \"ba\" + visual \"ga\") were presented interleaved with audiovisual congruent stimuli. The McGurk effect was highly variable across stimuli and participants, with the percentage of illusory fusion responses ranging from 3 to 78% across stimuli and from 0 to 91% across participants. Despite this variability, the NED model accurately predicted perception, predicting fusion rates for individual stimuli with 2.1% error and for individual participants with 2.4% error. Stimuli containing the unvoiced pa/ka pairing evoked more fusion responses than the voiced ba/ga pairing. Model estimates of sensory noise were correlated with participant age, with greater sensory noise in older participants. The NED model of the McGurk effect offers a principled way to account for individual and stimulus differences when examining the McGurk effect in different cultures.

UNASSIGNED: The purpose of this review was to highlight the need to consider factors other than language when adapting tests across cultural groups and to offer a list of tests that have been adapted for use among patients from or descended from Latin American Countries. Despite efforts in the field through publications and workshops, the authors were aware of continued errors in cross-cultural assessment of these patients, resulting in misdiagnosis and unintentional inequitable care. Thus, we sought to reinforce the existing literature.
UNASSIGNED: We reviewed the literature pertaining to cross-cultural adaptation of neuropsychological measures. Relevant papers were identified by our institution\'s Academic Enhanced Search Option (AcESO) Database, PubMed, and Google Scholar.
UNASSIGNED: 102 papers, articles, and other published literature were reviewed describing issues related to the adaptation of tests for groups originally from or descended from Latin American Countries residing in the United States.
UNASSIGNED: It is imperative that tests be appropriately developed or adapted for the target population with appropriate normative data available, and ideally administered by a fluent speaker trained in assessment. Inappropriate use of tests not adapted for a particular patient\'s language and country of origin can result in misdiagnosis, potentially resulting in harm to the individual.

BACKGROUND: The Stroke Self-Efficacy Questionnaire (SSEQ) measures the self-confidence of the individual in functional activities after a stroke. The SSEQ is a self-report scale with 13 items that assess self-efficacy after a stroke in several functional domains.
OBJECTIVE: The purpose was to translate the Stroke Self-Efficacy Questionnaire into Urdu Language and to find out the validity and reliability of Urdu SSEQ among stroke patients.
METHODS: The cross-cultural validation study design was used. Following COSMIN guidelines, forward and backward translation protocols were adopted. After pilot testing on 10 stroke patients, the final Urdu version was drafted. A sample of 110 stroke patients was used to evaluate the validity and reliability of the SSEQ-U. Content and Concurrent validity were determined. The intraclass correlation coefficient and Cronbach\'s alpha were used to measure internal consistency and test-retest reliability. Data analysis was performed using SPSS 25.
RESULTS: The final version was drafted after application on 10 stroke patients. Content validity was analyzed by a content validity index ranging from 0.87 to 1. The internal consistency was calculated by Cronbach\'s alpha (α > 0.80). Test-retest reliability was determined by the Intra-class correlation coefficient (ICC2,1=0.956). Concurrent validity was determined by correlations with other scales by using the Spearman correlation coefficient; moderate to strong correlations (positive and negative) were found with the Functional Independence Measure (r = 0.76), Beck Depression Inventory (r=-0.54), Short Form of 12-item Scale (r = 0.68) and Fall Efficacy Scale (r = 0.82) with p < 0.05.
CONCLUSIONS: The Urdu version was linguistically acceptable and accurate for stroke survivors for determining self-efficacy. It showed good content and concurrent validity, internal consistency and test-retest reliability.

This cross-cultural study seeks to (a) investigate the internal structure of the English version of the Satisfaction With Life Scale (SWLS) when administered to non-native English speakers (i.e., Asian individuals and (b) test for measurement invariance with its Italian counterpart). The whole sample comprises 338 participants, including 167 Asian international university students residing in the United States (50.3% females; Mage = 23.82, SD = 3.78) and 171 Italian university students living in Italy (69.6% females; Mage = 22.38, SD = 4.24). The dimensionality of the scale is assessed through confirmatory factor analysis (CFA), and multi-group confirmatory factor analysis (MG-CFA) is employed to examine measurement invariance. The results confirm the one-dimensionality of the SWLS [χ2 = 9.815; df = 5; CFI = 0.989; TLI = 0.977; SRMR = 0.027]. Furthermore, achieving full strict invariance indicates that the SWLS items exhibit similar structures across both samples. The scale shows satisfactory internal reliability (α = 0.863, ω = 0.866). Overall, this study supports the cross-validity of the English version of the SWLS and underscores its robustness and suitability for assessing life satisfaction among non-native English speakers.