Racial bias in perceptions of children's pain.

Across eight experiments, we investigated whether adult perceivers (both lay perceivers and elementary school teachers) evaluate children's pain differently depending on the child's race. We found evidence that adults varying in racial and ethnic identities (but primarily White) believed 4- to 6-year-old Black children felt less pain than 4- to 6-year-old White children (Experiments 1-7), and this effect was not moderated by child sex (Experiments 6-7). We also examined perceptions of life hardship as a mediator of this race-to-pain effect, finding that adults evaluated Black children as having lived harder lives and thus as feeling less pain than White children (Experiments 1-3). Finally, we examined downstream consequences for hypothetical treatment recommendations among samples of both lay perceivers and elementary school teachers. We found that adults' perceptions of pain sensitivity were linked with hypothetical pain treatment decisions (Experiments 5a-7). Thus, we consistently observed that adults' race-based pain stereotypes biased evaluations of 4- to 6-year-old children's pain and may influence pain care. This racial bias in evaluations of young children's pain has implications for psychological theory and equitable treatment of children's pain. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Women exaggerate, men downplay: Gendered endorsement of emotional dramatization stereotypes contributes to gender bias in pain expectations.

The current work tested whether perceivers believe that women, relative to men, are likely to exaggerate versus downplay pain, an effect we refer to as the gender-pain exaggeration bias. The gender-pain exaggeration bias was operationalized as the extent to which perceivers believe women, relative to men, claim more pain than they feel. Across four experiments, we found that women were expected to exaggerate pain more than men and men were expected to downplay pain more than women (Studies 1-4). Further, judgments that women were more emotionally dramatizing than men contributed to this gender-pain exaggeration bias (Studies 2 and 4). We also assessed whether perceiver-level differences in endorsement of gendered emotional dramatization stereotypes (Studies 3-4) moderated this gender-pain exaggeration bias and found that endorsement of gendered emotional dramatization stereotypes moderated this bias. In sum, we document a relative gender-pain exaggeration bias wherein perceivers believe women, relative to men, to be emotionally dramatizing and therefore more likely to exaggerate versus downplay their pain. This bias may lead perceivers to interpret women's, relative to men's, pain reports as overstatements, inauthentic, or dramatized. Thus, the current work may have implications for well-documented biases in perceptions of (i.e., underestimating) and responses to (i.e., undertreating) women's pain.

Denver pain authenticity stimulus set (D-PASS).

We introduce the Denver Pain Authenticity Stimulus Set (D-PASS), a free resource containing 315 videos of 105 unique individuals expressing authentic and posed pain. All expressers were recorded displaying one authentic (105; pain was elicited via a pressure algometer) and two posed (210) expressions of pain (one posed expression recorded before [posed-unrehearsed] and one recorded after [posed-rehearsed] the authentic pain expression). In addition to authentic and posed pain videos, the database includes an accompanying codebook including metrics assessed at the expresser and video levels (e.g., Facial Action Coding System metrics for each video controlling for neutral images of the expresser), expressers' pain threshold and pain tolerance values, averaged pain detection performance by naïve perceivers who viewed the videos (e.g., accuracy, response bias), neutral images of each expresser, and face characteristic rating data for neutral images of each expresser (e.g., attractiveness, trustworthiness). The stimuli and accompanying codebook can be accessed for academic research purposes from https://digitalcommons.du.edu/lsdl_dpass/1/ . The relatively large number of stimuli allow for consideration of expresser-level variability in analyses and enable more advanced statistical approaches (e.g., signal detection analyses). Furthermore, the large number of Black (n = 41) and White (n = 56) expressers permits investigations into the role of race in pain expression, perception, and authenticity detection. Finally, the accompanying codebook may provide pilot data for novel investigations in the intergroup or pain sciences.

Gulf of Mexico Coastal County Resilience to Natural Hazards.

Using a Cumulative Resilience Screening Index (CRSI) that was developed to represent resilience to natural hazards at multiple scales for the United States, the U.S. coastal counties of the Gulf of Mexico region of the United States are compared for resilience for these types of natural hazards. The assessment compares the domains, indicators and metrics of CRSI, addressing environmental, economic and societal aspects of resilience to natural hazards at county scales. The index was applied at the county scale and aggregated to represent states and two regions of the U.S. Gulf of Mexico (GOM) coastline. Assessments showed county-level resilience in all GOM counties was low, generally below the U.S. average. Comparisons showed higher levels of resilience in the western GOM region while select counties Louisiana, Mississippi and Alabama exhibited lowest resilience (<2.0) to natural hazards. Some coastal counties in Florida and Texas represented the highest levels of resilience seen along the GOM coast. Much of this increased resilience appears to be due to higher levels of governance and broader levels of social, economic and ecological services.

National Hazards Vulnerability and the Remediation, Restoration and Revitalization of Contaminated Sites-2. RCRA Sites.

Natural hazards can be powerful mechanisms that impact the restoration of Resource Conservation and Recovery Act (RCRA) contaminated sites and the community revitalization associated with these sites. Release of hazardous materials following a natural hazard can impact communities associated with these sites by causing the release of hazardous or toxic materials. These releases can inhibit the restoration of the sites, thus altering the long-term sustainable community revitalization. Hazard-related contaminant releases in areas characterized by large populations can create problems equal to those posed by the original site clean-up. Similarly, natural hazards can enhance the probability of future issues associated with the renovated sites. This manuscript addresses the co-occurrence of 12 natural hazards (singly and in combination) at individual RCRA sites. The co-occurrence was determined by the co-location of exposure likelihoods determined from the Cumulative Resilience Screening Index (CRSI) and the site locations for RCRA facilities provided by Environmental Protection Agency. Results showed that several natural hazards were likely to occur at RCRA facilities and these occurrences should be included in management and policy evaluations of these sites.

National Hazards Vulnerability and the Remediation, Restoration and Revitalization of Contaminated Sites-1. Superfund.

Natural hazards can be prominent and powerful mechanisms that impact the remediation and restoration of contaminated sites and the revitalization of communities associated with these sites. The potential for hazardous material releases following a natural disaster can exacerbate the impact of contaminated sites by causing the release of toxic or hazardous materials and inhibiting the restoration of the site as well as altering the long-term sustainable revitalization of adjacent communities. Disaster-related hazardous releases, particularly in population-dense areas, can create problems as difficult as the original site clean-up. Similarly, exposure of contaminated sites to natural hazards can enhance the probability of future issues associated with the site. This manuscript addresses the co-occurrence of 12 natural hazards (singly and in combination) and individual Superfund sites.

Developing a digital intervention for cancer survivors: an evidence-, theory- and person-based approach.

This paper illustrates a rigorous approach to developing digital interventions using an evidence-, theory- and person-based approach. Intervention planning included a rapid scoping review that identified cancer survivors' needs, including barriers and facilitators to intervention success. Review evidence (N = 49 papers) informed the intervention's Guiding Principles, theory-based behavioural analysis and logic model. The intervention was optimised based on feedback on a prototype intervention through interviews (N = 96) with cancer survivors and focus groups with NHS staff and cancer charity workers (N = 31). Interviews with cancer survivors highlighted barriers to engagement, such as concerns about physical activity worsening fatigue. Focus groups highlighted concerns about support appointment length and how to support distressed participants. Feedback informed intervention modifications, to maximise acceptability, feasibility and likelihood of behaviour change. Our systematic method for understanding user views enabled us to anticipate and address important barriers to engagement. This methodology may be useful to others developing digital interventions.

Renewed: Protocol for a randomised controlled trial of a digital intervention to support quality of life in cancer survivors.

INTRODUCTION: Low quality of life is common in cancer survivors. Increasing physical activity, improving diet, supporting psychological well-being and weight loss can improve quality of life in several cancers and may limit relapse. The aim of the randomised controlled trial outlined in this protocol is to examine whether a digital intervention (Renewed), with or without human support, can improve quality of life in cancer survivors. Renewed provides support for increasing physical activity, managing difficult emotions, eating a healthier diet and weight management. METHODS AND ANALYSIS: A randomised controlled trial is being conducted comparing usual care, access to Renewed or access to Renewed with brief human support. Cancer survivors who have had colorectal, breast or prostate cancer will be identified and invited through general practice searches and mail-outs. Participants are asked to complete baseline measures immediately after screening and will then be randomised to a study group; this is all completed on the Renewed website. The primary outcome is quality of life measured by the European Organization for Research and Treatment of Cancer QLQ-c30. Secondary outcomes include anxiety and depression, fear of cancer recurrence, general well-being, enablement and items relating to costs for a health economics analysis. Process measures include perceptions of human support, intervention usage and satisfaction, and adherence to behavioural changes. Qualitative process evaluations will be conducted with patients and healthcare staff providing support. ETHICS AND DISSEMINATION: The trial has been approved by the NHS Research Ethics Committee (Reference 18/NW/0013). The results of this trial will be published in peer-reviewed journals and through conference presentations. TRIAL REGISTRATION NUMBER: ISRCTN96374224; Pre-results.

Regionalizing resilience to acute meteorological events: Comparison of regions in the U.S.

Using a Climate Resilience Screening Index (CRSI) that was developed to represent resilience to acute weather events at multiple scales for the United States, nine regions of the United States are compared for resilience for these types of natural hazards. The comparison examines the domains, indicators and metrics of CRSI addressing environmental, economic and societal aspects of resilience to acute climate events. The index uses indicators and metrics that assess ecosystem, economic, governance and social services at county scales. The index was applied at the county scale and aggregated to represent select regions of the United States. Comparisons showed higher levels of resilience in the Northeast and West while counties in the Southeast and South-Central regions exhibited lower resilience to acute climate events.

EPA Leadership on Science, Innovation, and Decision Support Tools for Addressing Current and Future Challenges.

When the U.S. Environmental Protection Agency (EPA) was established nearly 50 years ago, the nation faced serious threats to its air, land, and water, which in turn impacted human health. These threats were effectively addressed by the creation of EPA (in 1970) and many subsequent landmark environmental legislations which in turn significantly reduced threats to the Nation's environment and public health. A key element of historic legislation is research aimed at dealing with current and future problems. Today we face national and global challenges that go beyond classic media-specific (air, land, water) environmental legislation and require an integrated paradigm of action and engagement based on (1) innovation based on science and technology, (2) stakeholder engagement and collaboration, and (3) public education and support. This three-pronged approach recognizes that current environmental problems, include social as well as physical and environmental factors, are best addressed through collaborative problem solving, the application of innovation in science and technology, and multiple stakeholder engagement. To achieve that goal, EPA's Office of Research and Development (ORD) is working directly with states and local communities to develop and apply a suite of accessible decision support tools (DST) that aim to improve environmental conditions, protect human health, enhance economic opportunity, and advance a resilient and sustainability society. This paper showcases joint EPA and state actions to develop tools and approaches that not only meet current environmental and public health challenges, but do so in a way that advances sustainable, healthy, and resilient communities well into the future. EPA's future plans should build on current work but aim to effectively respond to growing external pressures. Growing pressures from megatrends are a major challenge for the new Administration and for cities and states across the country. The recent hurricanes hitting Texas and the Gulf Coast, part of the increase in extreme weather events, make it clear that building resilient infrastructure is a crucial step to sustainability.