Mapping the moral foundations of the European Union: Why a lack of moral diversity may undermine perceived EU legitimacy.

The stability and effectiveness of supranational organizations, like the European Union (EU), will improve when citizens perceive them as legitimate. Across three studies, two of which were preregistered, and a preregistered pilot study, we combined EU legal expertise with social psychological theory on morality to understand how perceived EU legitimacy is influenced by a sense of moral alignment with the EU. We propose that, currently, the EU gives more weight to values linked to "individualizing" moral foundations (e.g. compassion, social justice, and equality) than to values linked to "binding" moral foundations (e.g. patriotism, religion, and traditionalism). As this may leave people who endorse binding moral foundations feel unrepresented, we investigated whether the EU could gain legitimacy by appealing to values that resonate with binding moral foundations. In study 1, text analyses revealed that the European Commission President's State of the Union speeches indeed appeal more to individualizing than to binding moral foundations. Study 2 (n = 595) provided correlational evidence that the negative relationship between binding moral foundations and perceived EU legitimacy was mediated by lower moral alignment with EU law. Finally, study 3 (n = 567) showed through an experiment that reframing or rebalancing EU law to better align it with binding moral foundations could increase perceived EU legitimacy among people who endorse these moral foundations. The results illustrate the importance of understanding and attending to moral diversity among EU citizens. More generally, our work shows how a collaboration between social psychology and law contributes to safeguarding the legitimacy of supranational organizations.

Fostering Design Thinking mindset for university students with NPCs in the metaverse.

This study investigates the efficacy of Non-Player Characters (NPCs) in the metaverse as a tool for enhancing the design thinking mindset of university students. Utilizing a controlled experimental design, we compared the design thinking competencies of two student groups: those who interacted with NPCs in the metaverse and those who did not. Over design thinking mindset questionnaire and four assignments, we measured dimensions of design thinking, including Human centeredness, Empathy, Mindfulness and awareness of process, Holistic view; Problem reframing; Team Working; Multi-/inter-/cross-disciplinary collaborative teams, Open to different perspectives/diversity, using a t-test for statistical significance. The findings reveal that NPCs significantly foster the development of Empathy, Problem reframing, and Open to different perspectives/diversity skills, which are essential to design thinking. In contrast, no significant effect was observed in the areas of human-centeredness, process awareness, team working, and collaboration in diverse disciplines. The use of NPCs was particularly impactful in complex tasks, as evidenced by the increasing effectiveness observed in later assignments. The results underscore the selective benefits of NPCs in metaverse learning environments, suggesting that their integration should be strategically targeted to enhance specific design thinking skills. The study suggests a potential for NPCs to play a significant role in long-term learning strategies, where a step-by-step skill acquisition could culminate in advanced design thinking tasks. These insights pave the way for educators to develop nuanced curricula that leverage the strengths of NPCs and for further research to optimize their use in educational metaverse platforms.

Reframing Communication about Fall Prevention Programs to Increase Older Adults' Intentions to Participate.

INTRODUCTION: Falls and fall-related injuries in community-dwelling older adults are a growing global health concern. Despite effective exercise-based fall prevention programs (FPPs), low enrollment rates persist due to negative connotations associated with falls and aging. This study aimed to investigate whether positive framing in communication leads to a higher intention to participate in an FPP among community-dwelling older adults. METHODS: We conducted a two-sequence randomized crossover study. We designed two flyers, a standard flyer containing standard terminology regarding FPPs for older adults, and a reframed flyer highlighting fitness and activity by reframing 'fall prevention' as an 'exercise program' and 'old' as 'over 65 years'. With a Mann-Whitney U test, we investigated group differences regarding the intention to participate between the flyers. A sensitivity analysis and subgroup analyses were performed. We conducted qualitative thematic analysis on open-ended answers to gain a deeper understanding of participants' intention to participate. RESULTS: In total, we included 133 participants. Findings indicated a significantly higher intention to participate in the reframed flyer (median = 4; interquartile range = 1-6) compared to the standard flyer (median = 2; interquartile range = 1-4) (p = 0.038). Participants favored more general terms such as 'over 65 years' over 'older adults'. Older adults who were female, not at high fall risk, perceived themselves as not at fall risk, and maintained a positive attitude to aging showed greater receptivity to positively-framed communications in the reframed flyer. Additionally, already being engaged in physical activities and a lack of practical information about the FPP appeared to discourage participation intentions. DISCUSSION: The results in favor of the reframed flyer provide practical insights for designing and implementing effective (mass-)media campaigns on both (inter)national and local levels, as well as for interacting with this population on an individual basis. Aging-related terminology in promotional materials hinders engagement, underscoring the need for more positive messaging and leaving out terms such as 'older'. Tailored positively framed messages and involving diverse older adults in message development are essential for promoting participation in FPPs across various population subgroups to promote participation in FPPs among community-dwelling older adults.

Responsibility to future generations: A strategy for combatting climate change across political divides.

Individuals and governments often fail to take action to address climate change owing largely to widespread politicization of the issue and related discourse. In response to recent appeals for non-partisan approaches to pro-environmentalism, we propose that highlighting one's responsibility to future generations (RFG) could offer promise across the political spectrum. We argue that RFG may be effective because it is widely endorsed, uncorrelated with demographic indicators and less tied to political ideology compared to other forms of responsibility, such as personal responsibility for climate change mitigation. Across six main and seven supplementary studies (N = 161,633), we provide evidence for these claims. RFG is not only widely endorsed across countries and demographic groups but it also significantly predicts various measures of pro-environmental behaviour, both in correlational and pre-registered experimental contexts. These findings confirm established effects, reconcile inconsistencies and suggest prioritizing intergenerational responsibility may effectively reshape climate change narratives for the most resistant parties.

Self-management eHealth solutions for menopause - a systematic scoping review.

OBJECTIVE: The purpose of this scoping review was to highlight the current scientific evidence on eHealth-based information tools for menopause in terms of quality, requirements and previous intervention outcomes. METHODS: We systematically searched electronic databases (Embase, CINAHL, Cochrane Library, Global Health Database [Ovid], Web of Science, ClinicalTrials.gov [NLM], LIVIVO Search Portal [ZB MED] and Google Scholar) from 1974 to March 2022 for relevant records. RESULTS: Our search yielded 1773 records, of which 28 met our inclusion criteria. Thirteen of 28 selected studies were cross-sectional with qualitative content analysis of websites about menopause; 9 studies were cohort studies examining the impact of an eHealth intervention; two studies were randomized controlled trials comparing eHealth tools with conventional ones; and four studies were non-systematic literature reviews. CONCLUSION: This scoping review highlights the potential of eHealth-based information tools for the management of menopause and shows that most eHealth-based information tools are inadequate in terms of readability and the balanced view on information. Providers of eHealth-based information tools should pay attention to a participatory design, readability, balance of content and the use of multimedia tools for information delivery to improve understanding.

Captains on call: A qualitative investigation of an intervention to support children with retinoblastoma undergoing regular eye examinations.

BACKGROUND: Retinoblastoma is a rare childhood ophthalmic cancer that requires frequent eye examinations under anaesthesia and painful or distressing procedures. This can cause significant anxiety for children and their families. OBJECTIVE: We evaluated a Starlight Children's Foundation programme, 'Captains on Call', at the Queensland Children's Hospital, which aims to provide positive distraction and reduce stress, anxiety and pain during the perioperative journey for children in the retinoblastoma treatment pathway. This study examined the impact of the programme on the perioperative experience of the children and their families, using a qualitative design. METHODS: This study was conducted in a paediatric operating suite at a tertiary-level children's hospital in Australia. We interviewed a parent from 20 families (from a cohort of 40 families, including 44 children), whose children received treatment or screening for retinoblastoma, focusing on the programme's impact on the child and family at various stages during the perioperative journey. We undertook a thematic analysis of transcribed interviews. RESULTS: We identified two themes, each with two sub-themes: (1) the programme positively contributed to the overall treatment journey, by addressing different needs at different times, and helping to reframe a traumatic medical experience, and (2), the programme supported the whole family unit by empowering children through play, and adopting a family systems approach which recognised the impact of cancer treatment on the whole family. CONCLUSION: This study highlights the value of the Captains on Call programme in supporting children with retinoblastoma and their families during perioperative visits. The Captains, particularly as non-medicalised professionals in a healthcare setting, built trust and rapport with the children through play over repeated episodes of care. The interprofessional collaborative approach with a reflective cycle of practice extended it beyond a programme providing simple distraction. Other retinoblastoma services may benefit from implementing a similar approach.

Do we need to reframe risk once again?

Twenty years ago we wrote an article entitled 'Re-framing risk: The changing context of disaster mitigation and preparedness'. We sought to summarise the changes that were underway at the time in the discourse on disaster risk. At the time the article was seen as rather provocative as it sought to summarise the way that new perspectives were emerging in how we perceived risk. Ben Wisner nudged us to reflect on what happened to that reframing and whether it may be time to re-frame things once again. This reflection has led to several streams of thought.

Exploring tailored virtual emotion regulation approaches for individuals with emotional eating.

BACKGROUND: Emotional eating is a complex problem fostering obesity and resulting from maladaptive emotion regulation. Traditional behavioural weight loss interventions have shown insignificant effect. They can be improved by targeting the specific needs of individuals with emotional eating. OBJECTIVE: The current study explored a tailored online approach with the aim to positively influence affect (positive and negative) and emotion regulation by applying one of three exercises: body scan, opposite action, and positive reappraisal. DESIGN: An embedded mixed-method design (questionnaire data (t0, t1, t2) and perceived usefulness of exercises in t2) was used to evaluate the effects of a two-week online quasi-experimental pilot study. SUBJECTS/SETTING: In total, 80 participants with self-reported emotional eating difficulties (DEBQ-E; Memo = 3.48, SD = .64, range 1.62-4.92) finished baseline measurements; 15 completed the intervention. The study sample was predominantly female (95%), from 18 till 66 (Mage = 38,0 ± SD = 14.25). RESULTS: Participants reported that the exercises helped them to pay attention to their physical sensations, and to see positive aspects in negative matters. The exercises were considered difficult by the participants, with too little explanation, and dull, due to minor variation. The observed changes revealed small, and moreover, not significant improvements of the three exercises on positive and negative affect and overall emotion dysregulation. Although the quantitative results did not reach significance, the qualitative data highlighted which aspects of the tailored exercises may have contributed to mood and emotion regulation outcomes. A notable observation in the present study is the substantial dropout rate, with the number of participants decreasing from 80 at baseline (T0) to 15 at the post-intervention stage (T2). CONCLUSIONS: Future studies should identify tailored online exercises in emotion regulation skills in more detail and explore the contexts in which they are most effective in a personalized virtual coach virtual coach to be developed for individuals with emotional eating. Given the high dropout rate, more emphasis should be given to a proper presentation of the exercises, as well as more explanation of their usefulness and how to perform them.

Emotional eating is eating in response to negative emotions, and is problematic because it may lead to overweight, depression, and low self-image. People with emotional eating behaviour have difficulty regulating emotions and need mental healthcare but may feel too ashamed to seek help. Moreover, healthcare is not always available at the time of need. Our goal in this research project is to develop a virtual coach application that is available 24/7. This study examined what users of such an application would think of a series of online exercises that can help you recognize and take control of your own negative emotions. We wanted participants to tell us what they thought of the exercises. We also measured whether performing the exercises had an effect on how a person felt (well-being) and whether their skills in handling their own emotions improved.The outcome was that participants found the exercises insightful, but that completion was dull. It also revealed that the measured effects were small.

Are reframing strategies more effective than empathy in processing trauma reports? A pilot study.

Listening to trauma reports can lead to the development of symptoms associated with secondary traumatization. This is particularly relevant for psychotherapists in practice, where psychologists need to estabilish effective strategies for processing and coping with such emotionally challenging events. This explorative study investigated adaptive reframing strategies for future therapists listening to trauma stories compared to feeling empathy for the client. In a mixed design, 42 postgraduate psychology students were randomly instructed to objectively distance themselves, reappraise, or feel empathetic while watching a video of a presumed trauma patient reporting a single violent act. An overall ANOVA did not reveal a difference between the reframing groups and the empathy group (between subjects manipulated) in their skin conductance level and heart rate variability during the video, as well as their change in state depression and state anxiety over the three measurements (before the video, after the video, and 2 days later). Nevertheless, an explorative t-test showed a significantly weaker rise in state depression and state anxiety from before the video to after the video in the reframing groups compared to the empathy group. This supports the suggestion that reframing strategies can be discussed as a protective factor against health issues such as secondary traumatization in therapists and should be examined in further studies in more detail.

A Randomized Controlled Trial of a Parent-Led Memory-Reframing Intervention to Reduce Distress and Pain Associated with Vaccine Injections in Young Children.

Children remember their memories of pain long after the painful experience is over. Those memories predict higher levels of future pain intensity. Young children's memories can be reframed to be less distressing. Parents and the way they reminisce about past events with their children play a key role in the formation of pain memories. A novel parent-led memory-reframing intervention changed children's memories of post-surgical pain to be less distressing. The intervention efficacy in the context of vaccine injections is unclear. This registered randomized controlled trial (NCT05217563) aimed to fill this gap. Seventy-four children aged 4.49 years (SD = 1.05) and scheduled to obtain two COVID-19 vaccine injections and one of their parents were randomized to receive: (1) standard care; (2) standard care and memory-reframing information; and (3) standard care and memory-reframing information with verbal instructions. Children reported their pain after vaccine injections. One week after the first vaccination, children reported memory of pain. Parents reported their use of memory-reframing strategies and intervention feasibility and acceptability. The intervention did not result in significant differences in children's recalled or future pain. Parents rated the intervention as acceptable and feasible.

Managing Intractable Natural Resource Conflicts: Exploring Possibilities and Conditions for Reframing in a Mine Establishment Conflict in Northern Sweden.

Natural resource management (NRM) increasingly relies on communicative measures to enable reframing in intractable conflicts. Reframing occurs when disputants change their perceptions of a conflict situation, and/or their preferences for dealing with it. However, the types of reframing possible, and the conditions under which they can occur, remain unclear. Through an inductive and longitudinal analysis of a mine establishment conflict in northern Sweden this paper explores to what extent, how, and under what conditions reframing can occur in intractable NRM conflicts. The findings reveal the difficulty in achieving consensus-oriented reframing. Despite multiple dispute resolution efforts, the disputants' perceptions and preferences became increasingly polarized. Nonetheless, the results suggest that it is possible to enable reframing to the extent that all disputants can understand and accept each other's different perceptions and positions, i.e., meta-consensus. Meta-consensus hinges on neutral, inclusive, equal, and deliberative intergroup communication. However, the results show that intergroup communication and reframing are significantly informed by institutional and other contextual factors. For example, when implemented within the formal governance system in the investigated case, intergroup communication lagged in quality and did not contribute to meta-consensus. Moreover, the results show that reframing is strongly influenced by the nature of the disputed issues, actors' group commitments, and the governance system's distribution of power to the actors. Based on these findings, it is argued that more efforts should focus on how governance systems can be configurated so that high-quality intergroup communication and meta-consensus can be enabled and inform decision making in intractable NRM conflicts.

Impact of Old Age on an Occupation's Image Over 210 Years: An Age Premium for Doctors, Lawyers, and Soldiers.

As older adults continue to contribute to the labor force, it is critical that perceptions of them reflect these contributions. We explore whether portraying older adults based on their occupational roles instead of their age is linked to more positive sentiments and test the possibility of an age premium. We created the largest historical corpus of American English-a 600-million-word dataset with over 150,000 texts-spanning 210 years (1810-2019). Top descriptors (N = 675,213) of nouns related to age, occupation, and age × occupation over 21 decades were compiled and rated for valence (negative-positive) on a 5-point scale. Occupational role-based framing was associated with more positive portrayals than age-based framing. Positive portrayals of older lawyers increased by 22.6% over 210 years. Older doctors (-1.4%) and older soldiers (-10.7%) experienced a decline in positive portrayals, though sentiments toward older doctors, lawyers, and soldiers remained more positive than those toward older adults.

Anti-Ageism for Gerontologists.

We argue that gerontologists are products of our ageist culture and that we both perpetuate ageism and suffer from internalized ageism ourselves. We make ageist comments, deny our own age, fail to teach students to recognize and confront ageism, and use language that otherizes and categorizes older people. Gerontologists are in ideal positions to confront ageism through our scholarly work, teaching, and community engagement. However, we suggest that, despite our deep gerontological knowledge, we do not have enough awareness, knowledge, and skills for taking anti-ageism actions in these arenas of our professional lives. We offer some suggestions for confronting ageism, including self-study, increasing content on ageism in the classroom and beyond, pointing out ageist language and behaviors to colleagues and students, working with diversity, equity and inclusion offices on campus, and giving careful consideration to our research approaches and academic writing. To go forward, we must increase awareness about ageism and gain skills in promoting anti-ageism.

Could we use the comfort score instead of the numeric rating pain score? A proof of concept pilot study.

INTRODUCTION: Asking patients about pain in the Emergency Department (ED) when deriving a pain score may aggravate perception of pain due to the nocebo-effect. A strategy for diminishing this nocebo-effect is cognitive reframing. Cognitive reframing of the frequently used pain score (PS) in the ED could theoretically be obtained by using the comfort score (CS). The aim of this study was to evaluate whether or not the CS and PS are interchangeable and therefore, whether or not the CS could safely be used in ED patients. METHODS: In this prospective pilot study we enrolled patients with pain visiting the ED. Participants were asked for both PS and CS in randomized order. CS were inverted (ICS) and compared with PS using the using the Wilcoxon signed rank test. Secondarily we evaluated for patient score preference. RESULTS: In total 100 patients were enrolled. The median PS in these participants was 6 (IQR 4-7) and median ICS was 5 (IQR 3-6). In total, 15 (15%) of the PS and ICS were identical Medians did not differ significantly (p = .115). In 33% of the participants the total difference between the PS and ICS was >2. Participants preferred to be asked for PS over CS (43 vs 15%, p < .00). CONCLUSION: This proof of concept study suggest interchangeability of the PS and the ICS in patients with pain in the ED. However, while not statistically significant, 33% of the patients had a possible clinical significant difference in score outcome, potentially over- or underestimating the patients pain. Whether or not this can be used as a tool for cognitive reframing to reduce perception of pain and medication consumption has yet to be studied.

Beyond COVID: Reframing the Global Problematique with STiP (Systems Thinking in Practice).

Since 2019 humanity has been subjected to the perturbations of pandemic, economic disruption, war, civil unrest and changes in whole-Earth dynamics associated with a human-induced Anthropocene. Each perturbation is like a wave-front breaking on the shore of our historical ways of thinking and acting, increasingly unfit for our human circumstances. This challenge to humanity is not new. In 1970 the French term 'problematique' was coined to refer to a set of 49 interrelated global problems; the classic description of wicked and tame problems was published soon after, yet little progress has been made towards answering the question: what purposeful action will aid human flourishing, create and sustain a viable space for humanity, in our ongoing co-evolution with the Anthropocene-Biosphere? A case for innovation in our ways of knowing and doing is made based on arguments that our social world is constrained by: (i) explanations we accept that are no longer relevant to our circumstances; (ii) outdated historical institutions (in the institutional economics sense) that contribute as social technologies to a broader human created and ungoverned technosphere; (iii) inadequate theory-informed practices, or praxis, and (iv) governance-systems no longer adequate for purpose. Practitioners of knowledge science and systems science are urged to act reflexively to critically evaluate the traditions-of-understanding out of which they think and act.

The social response to child sexual abuse: Examining parents, perpetrators, professionals and media responses as described in survivors' testimonies to the Israeli Independent Public Inquiry.

BACKGROUND: CSA is an extremely adverse experience, and its prompt and early disclosure is vital. Whether the effects of disclosure are positive or negative depends largely on the recipients' reactions to the disclosure. Early disclosure of abuse could help end the abuse, prevent repeated victimization, protect other children, enable psychological interventions, and make it possible to hold the perpetrator(s) accountable. OBJECTIVE: Spotlighting the societal responsibility regarding CSA, the current study was designed to examine how adult survivors of CSA perceived and experienced various actors' responses to the CSA, as well as the impact of these responses on their lives. METHODS: Qualitative inductive thematic analysis was carried out on 35 written narratives of adult survivors of CSA submitted to the Israeli Independent Public Inquiry into CSA. RESULTS: The results pointed to several actors responding to CSA, and delved into the perceived responses of the parents, preparators, professionals and media. CONCLUSION: The discussion emphasizes the crucial role of social responses to CSA, while addressing the various actors and their dynamics. The journey to justice through the inquiry process is being challenged throughout the social discourse highlighted in the current study. There is an urgent need to provide public platforms for survivors to share their testimonies to mitigate the stigmatization of CSA, which will hopefully promote more just societies.

The Use of Reframing: Increasing the Importance of Lifestyle Medicine.

Lifestyle behavior modification is an essential component to prevention and treatment of non-communicable diseases worldwide. For the last 40 years, studies have recognized that there is suboptimal training of physicians in lifestyle medicine and its implementation in clinical settings. The lack of nutrition and exercise counseling occurring in the medical office does not reflect the high level of evidence supporting its use. Lifestyle behavior counseling is complex; as are the individualized needs of patients. Therefore, we suspect that the lack of knowledge in nutrition and exercise prescriptions are not the only barriers to providing optimal care. Reframing lifestyle medicine interventions like nutrition and exercise from adjunctive to central to treatment and reframing the role of the physician therein may be necessary to address important barriers to overall lifestyle behavioral counseling.

Age Advocacy on Twitter over 12 years.

BACKGROUND AND OBJECTIVES: Discussions on age-related issues have begun taking place in earnest, but exactly what dominates public consciousness about these issues is a topic that has yet to kindle scholarly attention. This study analyzes tweets uploaded by age advocacy organizations that have attracted the highest levels of engagement on Twitter. RESEARCH DESIGN AND METHODS: We collected 403,426 tweets from 53 accounts. These tweets were posted over 12 years from 2009 to 2021. After applying our exclusion criteria and collating the top 1% of tweets with the highest levels of engagement, 2,054 tweets were retained for analysis. Both inductive and deductive approaches informed our qualitative content analysis. RESULTS: Five themes emerged. 'Issues Related to Alzheimer's Disease or Dementia' (Theme 1) formed the majority of tweets (62%; N=1,278). Theme 2 'Rising Health Care or Retirement Costs' was the second largest theme (25%; N=506). 7% of the tweets were on 'Reframing Aging and Combating Ageism' (Theme 3; N=138). 'Matters Affecting Caregivers' surfaced in Theme 4 (4%; N=81). 2% of the tweets were on 'Intersectional Concerns' (Theme 5; N=51). DISCUSSION AND IMPLICATIONS: As age advocacy organizations step up to engage the public constructively in matters regarding later life, there is a compelling need to quell public anxiety about old age and to sensitize society to the struggles confronted by older adults. In undertaking the range of activities needed to do so, age advocacy organizations should consolidate efforts even as they rethink existing strategies to effectuate change.

How Much Do Severely Injured Athletes Experience Sport Injury-Related Growth? Contrasting Psychological, Situational, and Demographic Predictors.

Sport injury-related growth (SIRG) describes the possibility for athletes to benefit psychologically from an injury. The present, preregistered online study examined an international sample of 335 athletes with impressive athletic biographies who sustained a severe sport-related injury. Expanding the extant literature, we empirically contrasted numerous psychological, situational, and demographic predictors of perceived SIRG-specifically, athletes' optimism, coping style, self-efficacy, athletic identity, social support, need satisfaction, and injury centrality. Our data first provide empirical evidence for perceived SIRG, even when statistically controlling for a potential social-desirability bias in athletes' responses. In addition, frequentist and Bayesian regression analyses showed that several psychological variables predicted perceived SIRG-particularly athletes' informational social support, positive reframing, optimism, and injury centrality. Finally, post hoc mediation analyses showed how these psychological variables account for different levels of perceived SIRG as a function of demographic variables. Theoretical and practical implications are discussed, along with directions for future research.