public understanding

公众理解
  • 文章类型: Journal Article
    背景:本研究探讨了他们在理解心理健康相关污名中的作用。它的动机是需要在教育和基于接触的反污名化公共卫生努力的主导框架之外的替代理论方法,表现出混合效应。具体来说,它解决了在污名研究中需要一个更细致入微的框架,这是一个敏感的对话,通过这种对话,人们将自己与心理健康和耻辱联系起来。
    方法:研究采用了探索性混合方法,包括对529篇新闻报道的分析,20次焦点小组讨论,和19个一对一的采访,所有关于与被认为有精神疾病经历的人共同生活安排的陈述。在收敛三角设计中使用主题分析和自然语言处理来分析数据。
    结果:我们发现心理健康和疾病是通过一个总体的自我/其他主题和五个从属主题:正常/异常,伤害/非伤害,有界/无界,道德/不道德。尽管熟悉心理困扰和对精神疾病的现代解释,对社会认同的关注以精神疾病为主要永久性代表,以异常标记的负面人格形式,伤害,距离,和不道德。此外,对个人脆弱性的担忧,包括历史上根深蒂固的对传染病的恐惧,有动机的远离精神疾病的表现,而不是中立的描绘。
    结论:主题在解决与心理健康相关的污名方面的理论和方法潜力不足,特别是他们能够描述文化激励人们抵制和复制耻辱的动态方式,部分是通过矛盾,缺席,紧张,和表述上的歧义。提供了关于主题如何在通用模型上支持心理健康运动中的生态策略的批判性讨论,强调需要了解群体知识和联系动态,以减轻不利影响。主题公共卫生意外后果混合方法行为改变自然语言处理。
    BACKGROUND: This study examines the role of themata in understanding mental health-related stigma. It is motivated by the need for alternative theoretical-methodological approaches beyond the dominant frameworks in education and contact-based anti-stigma public health efforts, which have shown mixed effects. Specifically, it addresses the need for a more nuanced framework in stigma research, one that is sensitive to the dialogues through which people relate themselves to mental health and stigma in context.
    METHODS: The research employs an exploratory mixed-methods approach, including the analysis of 529 news reports, 20 focus group discussions, and 19 one-to-one interviews, all concerning representations of shared living arrangements with someone perceived to have experiences of mental illness. Thematic analysis and natural language processing are used within a convergent triangulation design to analyze the data.
    RESULTS: We found that mental health and illness were communicated through an overarching Self/Other thema and five subordinate themata: normal/abnormal, harm/non-harm, bounded/non-bounded, and moral/immoral. Despite familiarity with psychological distress and \'modern\' explanations of mental illness, concerns about social identity motivated representations of mental illness as a predominantly permanent, negative form of personhood marked by abnormality, harm, distance, and immorality. Additionally, concerns about personal vulnerability, including historically rooted fears of contagion, motivated distancing representations of mental illness, rather than neutral portrayals.
    CONCLUSIONS: Themata have under-developed theoretical and methodological potential for addressing mental health-related stigma, particularly in their ability to describe the dynamic ways in which culture motivates people to both resist and reproduce stigma, partly through ambivalences, absences, tensions, and ambiguities in representation. A critical discussion is provided on how themata may support ecological strategies in mental health campaigns over generic models, emphasizing the need to understand group knowledge and contact dynamics to mitigate adverse effects. Themata Public Health Unintended Consequences Mixed Methods Behaviour Change Natural Language Processing.
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  • 文章类型: Journal Article
    (1)背景:全厚度肩袖撕裂(RCT)影响60岁以上的25%和80岁以上的50%;但是,关于公众理解的数据很少;(2)方法:主要结果是利用关于解剖学和功能的36个问题的调查来确定公众对随机对照试验的基线理解,危险因素,诊断和治疗选择,和期望。其次,我们评估了作者为增进理解而制作的教育视频和信息讲义的效果.在5个月的时间内,从资深作者的诊所和在线讨论平台招募≥18岁的参与者;(3)结果:382个人完成了基线调查:56%的男性,64%高加索人,27%至少拥有硕士学位,56%的人很少或没有RCT知识。平均正确答案分数从47%提高到68%。男性,高等教育水平,医疗保健经验,对RCT的自我评价较高的了解与较高的调查绩效显着相关(p<0.001);(4)结论:基线时公众对RCT的了解较差,人口统计因素与调查绩效相关。教育干预有效地增强了参与者的理解。通过关注常见的误解,这些数据可以帮助临床医生调整患者的期望,提高患者的治疗效果.
    (1) Background: Full-thickness rotator cuff tears (RCTs) impact 25% of those over 60 and 50% over 80; however, minimal data exists on public understanding; (2) Methods: The primary outcome was to determine the public\'s baseline understanding of RCTs utilizing a 36-question survey regarding anatomy and function, risk factors, diagnosis and treatment options, and expectations. Secondarily, we evaluated the effect of an educational video and informational handout created by the authors to improve understanding. Participants ≥ 18 years were recruited from the senior author\'s clinic and online discussion platforms over a 5-month period; (3) Results: Baseline surveys were completed by 382 individuals: 56% men, 64% Caucasian, 27% with at least a master\'s degree, and 56% with very little or no RCT knowledge. Mean correct answer scores improved from 47% to 68% posteducational intervention (p < 0.001). Males, higher education level, healthcare experience, and a higher self-rated understanding of RCTs were significantly correlated with higher survey performance (p < 0.001); (4) Conclusions: The public\'s knowledge of RCTs at baseline was poor, with demographic factors correlating with survey performance. The educational intervention effectively enhanced participants\' understanding. By focusing on common misconceptions, this data can help clinicians align patient expectations and enhance patient outcomes.
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  • 文章类型: Journal Article
    在早期激发对科学的兴趣对于STEM教育很重要。这项工作详细介绍了利用蝴蝶豌豆花(Clitoriaternatea)中发现的花青素的教育活动。这项活动是为官方教室设置而开发的,在线,和/或在父母或教育者的指导下在家。7至14岁的小学生和高中生用热水直接从丁香中提取花色苷pH指示剂。学生能够使用该指标及其广泛的颜色来比较不同家庭解决方案的酸度和碱度。记录的大多数回答表明,学生使用指标推理和随后的化学反应来正确区分酸和碱并比较它们的优势。总的来说,这项活动应用无毒和容易获得的指标从蝴蝶豌豆花协助向年轻学生介绍酸碱化学的各种概念,包括酸/碱强度和pH,溶质溶解,中和反应,和定性分析。
    Stimulating interest in science at an early age is important for STEM education. This work details an educational activity utilizing the anthocyanins found in the butterfly pea flower (Clitoria ternatea). This activity was developed for use in official classroom settings, online, and/or at-home with parental or educator guidance. Primary and high school students aged 7 to 14 performed a straightforward extraction of anthocyanin pH indicators from Clitoria ternatea with hot water. Students were able to use this indicator and its vast range of colors to compare the acidity and basicity of different household solutions. Most responses recorded show that students used reasoning from the indicator and a subsequent chemical reaction to correctly differentiate acids from bases and compare their strengths. Overall, this activity\'s application of non-toxic and easily accessible indicators from the butterfly pea flower assisted in introducing young students to various concepts in acid-base chemistry, including acid/base strength and pH, solute dissolution, neutralization reactions, and qualitative analysis.
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  • 文章类型: Journal Article
    背景:COVID-19大流行造成了大量人员伤亡,超负荷的医院,降低了许多人的福祉,并在全球范围内产生了巨大的负面经济影响。当英国人民准备恢复时,与2021年11月24日发现新Omicron变体有关的不确定性威胁到了这些计划。因此,有一个重要的需要,可以提供的,部分,通过新闻传播信息,我们在这里检查。
    方法:我们使用主题建模,从Omicron出现的大约一个月内发表的近1,500篇英国新闻文章中提取50个主题。我们进行了方差分析,以比较整周之间的主题,从2021年第48周开始。
    结果:记录新变体的三个主题(Omicron起源,病毒变异,新变种的新闻)以及提到不包括加强剂的疫苗接种,苏格兰第一部长声明(通信)旅行禁令和戴口罩(限制)以及市场和投资(域名和事件)的影响随着时间的推移而减少(所有ps<.01)。一些主题在第二周或第三周的代表性较低,前后的值较高:政府的紧急情况建议科学咨询小组(通讯),美国的情况,欧洲局势(其他国家和地区)所有PS<.01。涉及症状和病例的几个主题-例如,感染的上升,住院治疗,大流行的节日,轻度症状和护理;限制和措施-例如,财政援助,圣诞节和B计划限制和新年;以及后果和事件的领域-例如,比如政治,NHS和患者,零售和航空公司,以增加代表性为特征,(所有PS<.01)。其他主题的特点是不太规律或不重要的模式。
    结论:新闻中感官的变化与与Omicron有关的官方话语的变化紧密匹配,并反映了感染的轨迹及其局部后果。
    The COVID-19 pandemic has caused numerous casualties, overloaded hospitals, reduced the wellbeing of many and had a substantial negative economic impact globally. As the population of the United Kingdom was preparing for recovery, the uncertainty relating to the discovery of the new Omicron variant on November 24 2021 threatened those plans. There was thus an important need for sensemaking, which could be provided, partly, through diffusion of information in the press, which we here examine.
    We used topic modeling, to extract 50 topics from close to 1,500 UK press articles published during a period of approximately one month from the appearance of Omicron. We performed ANOVAs in order to compare topics between full weeks, starting on week 48 of 2021.
    The three topics documenting the new variant (Omicron origins, Virus mutations, News of a new variant) as well as mentions of vaccination excluding booster, Scotlands First minister statement (Communications) travel bans and mask wearing (Restrictions) and the impact of market and investing (Domains and events) decreased through time (all ps < .01). Some topics featured lower representation at week two or three with higher values before and after: Government\'s Scientific Advisory Group for Emergencies recommendations (Communications), Situation in the US, Situation in Europe (Other countries and regions), all ps < .01. Several topics referring to symptoms and cases-e.g., rises of infections, hospitalisations, the pandemic the holidays, mild symptoms and care; restrictions and measures-e.g., financial help, Christmas and Plan B, restrictions and New Year; and domains of consequences and events-e.g., such as politics, NHS and patients, retail sales and airlines, featured increasing representation, (all ps < .01). Other topics featured less regular or non-significant patterns.
    Changes in sensemaking in the press closely matched the changes in the official discourse relating to Omicron and reflects the trajectory of the infection and its local consequences.
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  • 文章类型: Journal Article
    沿海生态系统面临前所未有的人类压力和气候变化的累积影响。总之,这些威胁使沿海地区面临更大的危险过程,使社区极易受到沿海风险的影响,并挑战沿海管理范式。忽视公众对沿海风险管理的看法可能是短视的,因此,沿海风险缓解和适应努力取得成功的障碍。因此,这项研究旨在全面确定公众对沿海风险管理的看法和偏好,通过混合方法的方法。定量研究占3028名参加基于人群的调查的参与者。这项定性研究占320名参与者对电子访谈做出了回应。独立分析数据并进行三角测量以进行进一步解释。这项研究的证据表明,公民优先考虑沿海系统的内在价值,当赞成风险适应策略时。因此,强调了基于生态系统的适应措施,不利于灰色基础设施。此外,由于公共当局的高度不信任,公众似乎敦促从技术官僚过渡到参与式沿海管理,其中公众的偏好是合法的。因此,为了分散沿海治理,公民表现出积极参与沿海管理的积极意愿。讨论了这项研究的结果,以便为制定量身定制的沿海管理举措和政策工具提供指导。预计这将有效地加强沿海社区对危险过程的抵御能力,并增强公民对沿海管理的参与。
    Coastal ecosystems are exposed to unprecedented levels of human pressure and to the cumulative effects of climate change. Altogether, these threats have been exposing coastal areas to augmented hazardous processes, leaving communities highly vulnerable to coastal risks and challenging the coastal management paradigm. Disregarding public perceptions of coastal risk management may be myopic and, thus, an obstacle to the success of the efforts towards coastal risks\' mitigation and adaptation. Therefore, this study aims at comprehensively ascertain public perception and preferences for coastal risk management, through a mixed-methods approach. The quantitative study accounted for 3028 participants that enrolled in the population-based survey. The qualitative study accounted for 320 participants that responded to the e-interview. Data were analysed independently and triangulated for further interpretation. Evidence from this study suggests that citizens prioritize the intrinsic value of coastal systems, when favouring a risk adaptation strategy. Therefore, ecosystem-based adaptation measures were highlighted, in detriment of grey infrastructure. Additionally, and due to the reported high levels of public authorities\' distrust, the public seems to urge for a transition from a technocratic to a participatory coastal management, in which public\'s preferences are legitimized. Consequently, and in order to decentralize coastal governance, citizens demonstrated a proactive disposition to actively engage in coastal management. Findings from this study were discussed in order to provide guidance to the development of tailored coastal management initiatives and policy tools, which are expected to be effective at enhancing coastal communities\' resilience to hazardous processes and augmenting citizens\' engagement in coastal management.
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  • 文章类型: Systematic Review
    证据清楚地表明,从孕前到婴儿期的早期营养和非营养环境以及身体活动水平对儿童的健康有终身影响。然而,这一信息必须有效地传达给父母和其他利益相关者,如祖父母,卫生专业人员,政策制定者和更广泛的社区,以便发生积极的变化。本系统综述探讨了如何在各种人群中测量对早期生活环境的长期影响的认识和理解,以及是否有明显的模式。通过搜索Embase检索了十篇文章,Medline和Scopus数据库,用于同行评审研究,旨在评估参与者对早期暴露与成人健康之间联系的知识。符合条件的文章跨越了广泛的国家,人口群体和研究方法。使用专题分析确定了三个共同主题:1.研究人员倾向于将参与者对问题的理解(为什么)与关键短语和营养指南(什么)的知识混为一谈;2.由于难以概念化长期风险,研究人员和参与者都倾向于短期思维;3.在理解证据的复杂性方面面临挑战,导致过于简单化和过分强调母亲因素。综合这些发现,强调了多层次的重要性,全社会的方法来传达证据,目标是影响政策决定,并为父母和准父母建立社区支持基础,为所有人的长期福祉创造一个健康的早期生活环境。
    Evidence clearly indicates that the nutritional and non-nutritional environment and level of physical activity during the early-life period from preconception through infancy has a lifelong impact on the child\'s health. However this message must be communicated effectively to parents and other stakeholders such as grandparents, health professionals, policymakers and the wider community in order for positive change to occur. This systematic review explores how both awareness and understanding of the long-term effects of the early-life environment have been measured in various populations and whether any patterns are evident. Ten articles were retrieved via a search of Embase, Medline and Scopus databases for peer-reviewed studies designed to assess participants\' knowledge of the links between early-life exposures and adult health. Eligible articles spanned a wide range of countries, population groups and research methods. Three common themes were identified using thematic analysis: 1. a tendency for researchers to conflate participant understanding of the issue (the WHY) with a knowledge of key phrases and nutrition guidelines (the WHAT); 2. bias in both researchers and participants towards short-term thinking due to difficulty conceptualising long-term risk; and 3. challenges in comprehending the complexity of the evidence resulting in oversimplification and the overemphasis of maternal factors. Taken together these findings underscore the importance of a multi-level, whole-of-society approach to communicating the evidence, with the goal of influencing policy decisions as well as building a foundation of community support for parents and prospective parents to create a healthy early-life environment for the long-term wellbeing of all.
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  • 文章类型: Journal Article
    在对心理治疗和药物治疗抑郁症的替代方案重新产生兴趣的同时,关于不同利益相关者如何看待精神病电治疗干预(PEI)的风险和收益的数据有限,包括电惊厥治疗(ECT)和深部脑刺激(DBS)。为了解决这个差距,我们进行了48次半结构化访谈,包括16名精神病医生,16名被诊断患有抑郁症的人,和16名公众。提供比较的基础,我们要求参与者还将每种模式与抑郁症的一线治疗以及用于非精神疾病的神经外科手术进行比较.在所有利益相关者群体中,感知记忆丧失是ECT最常提及的潜在风险.所有利益相关者群体中讨论最多的好处是效率和快速反应。精神科医生在讨论ECT时最经常提到的有效性,而患者和公众在讨论DBS时这样做了。作为一个整体,这些数据凸显了利益相关者对电子产品风险和收益的对比观点。
    Amid a renewed interest in alternatives to psychotherapy and medication to treat depression, there is limited data as to how different stakeholders perceive of the risks and benefits of psychiatric electroceutical interventions (PEIs), including electroconvulsive therapy (ECT) and deep brain stimulation (DBS). To address this gap, we conducted 48 semi-structured interviews, including 16 psychiatrists, 16 persons diagnosed with depression, and 16 members of the general public. To provide a basis of comparison, we asked participants to also compare each modality to front-line therapies for depression and to neurosurgical procedures used for non-psychiatric conditions. Across all stakeholder groups, perceived memory loss was the most frequently mentioned potential risk with ECT. The most discussed benefits across all stakeholder groups were efficacy and quick response. Psychiatrists most often referenced effectiveness when discussing ECT, while patients and the public did so when discussing DBS. Taken as a whole, these data highlight stakeholders\' contrasting perspectives on the risks and benefits of electroceuticals.
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  • 文章类型: Journal Article
    近年来,在国家和欧盟(EU)一级做出了一致的政治努力,以促进健康食品的消费。欧盟委员会(EC)表示需要在欧盟一级建立统一和强制性的包装前营养标签(FOPL)系统。欧共体将在2022年底前通过该提案。我们的研究工作旨在通过Twitter了解欧盟公众对FOPL的讨论,通过分析推文内容,情绪,和映射网络特征。使用Twitter应用程序编程接口(API)执行Tweet搜索和数据收集,没有时间或语言限制。使用QRSNvivo软件包对内容进行编码并进行主题分析。使用QSRNvivo进行自动情绪分析,用Gephi0.9.2进行网络分析。总共发布了4,073条推文,大部分来自英国,西班牙,和法国。Twitter上讨论中出现的主题包括食品标签的类型,食品工业,健康vs.食品标签中的不健康食品,欧盟法规,政治冲突,科学和教育。Nutri-Score主导了Twitter上的讨论。Twitter用户对一般主题持负面看法,对食品行业持更积极的态度,而对政治冲突的话语则表现出负面情绪。网络分析表明,国家之间几乎不存在集中式通信。我们的结果表明,Twitter上对FOPL的讨论仅限于非常有限的人群,似乎有必要向广大消费者通报现有和即将推出的FOPL计划。教育计划应使消费者能够了解什么是健康饮食以及它与FOPL的关系。不管现有的标签系统。
    In recent years, concerted political efforts have been made at the national and European Union (EU) level to promote the consumption of healthy foods. The European Commission (EC) expressed the need for a harmonized and mandatory front-of-pack nutrition labeling (FOPL) system at the EU level. The EC will adopt the proposal by the end of 2022. Our research work aims to understand the public discourse on FOPL in the EU via Twitter, by analyzing tweet content, sentiment, and mapping network characteristics. Tweet search and data collection were performed using the Twitter application programming interface (API), with no time or language restrictions. The content was coded with the QRS Nvivo software package and analyzed thematically. Automatic sentiment analysis was performed with QSR Nvivo, and network analysis was performed with Gephi 0.9.2. A total of 4,073 tweets were posted, mostly from the UK, Spain, and France. Themes that have emerged from the discussion on Twitter include the types of food labeling, food industry, healthy vs. unhealthy foods in the context of food labeling, EU regulation, political conflicts, and science and education. Nutri-Score dominated the discussion on Twitter. General topics were perceived negatively by Twitter users with more positive sentiments toward the food industry, while negative sentiments were observed toward the discourse of political conflicts. The network analysis showed that a centralized communication was hardly existed between countries. Our results reveal that the discussion of FOPL on Twitter is limited to a very limited group of people, and it seems necessary to inform a wide range of consumers about existing and upcoming FOPL schemes. Educational programs should empower consumers to understand what a healthy diet is and how it relates to FOPL, regardless of the existing labeling system.
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  • 文章类型: Journal Article
    人工智能(AI)正在成为我们日常体验的一部分,并有望在未来许多年内越来越多地融入日常生活。因此,这对那些从事产品开发的人来说很重要,研究,和公共政策,以了解公众对人工智能的看法是如何形成的。在这项研究中,我们进行了焦点小组和在线调查,以确定美国公众持有的人工智能知识,并判断娱乐媒体是否对美国人如何看待人工智能产生重大影响。我们发现,美国公众对人工智能的了解是零散的:有些人对什么是人工智能,什么不是人工智能有很好的理解,但很多人没有。当了解AI可以做什么时,大多数受访者认为人工智能可以“取代人类工作”,但很少有人认为它可以“感受情感”。“大多数受访者对人工智能的未来和影响持乐观态度,虽然有三分之一不确定。大多数受访者也不认为他们可以与AI建立情感纽带或感到舒适。关于娱乐媒体对人工智能感知的影响,我们发现人们对娱乐媒体中的AI的信念与他们对现实中的AI的信念之间存在显着关系(p<0.5)。那些认为AI在娱乐媒体中被真实地描述的人更有可能将AI视为潜在的情感伴侣或世界末日机器人,而不是想象AI接管工作或作为监视工具进行操作。
    Artificial intelligence (AI) is becoming part of our everyday experience and is expected to be ever more integrated into ordinary life for many years to come. Thus, it is important for those in product development, research, and public policy to understand how the public\'s perception of AI is shaped. In this study, we conducted focus groups and an online survey to determine the knowledge of AI held by the American public, and to judge whether entertainment media is a major influence on how Americans perceive AI. What we found is that the American public\'s knowledge of AI is patchy: some have a good understanding of what is and what is not AI, but many do not. When it came to understanding what AI can do, most respondents believe that AI could \"replace human jobs\" but few thought that it could \"feel emotion.\" Most respondents were optimistic about the future and impact of AI, though about one third were not sure. Most respondents also did not think they could develop an emotional bond with or be comfortable being provided care by an AI. Regarding the influence of entertainment media on perceptions of AI, we found a significant relationship (p < 0.5) between people\'s beliefs about AI in entertainment media and their beliefs about AI in reality. Those who believe AI is realistically depicted in entertainment media were more likely to see AIs as potential emotional partners or apocalyptic robots than to imagine AIs taking over jobs or operating as surveillance tools.
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