Search Results (1,308)

Personality traits are essential to understanding individual differences in values, attitudes, behaviours, and cognitive-emotional reactions to climate change (CC). Prosocial traits (empathy and altruism) and nature relatedness (NR), that is, the subjective sense of connection with the natural world, have been linked both to pro-environmental behaviours (PEB) and to CC-related psychological distress. As these reactions are increasingly common in the context of CC, it is crucial to distinguish their adaptive components from their maladaptive ones, namely, by identifying which psychological predictors most strongly promote PEB, in order to design targeted interventions and communication strategies that effectively foster sustainable action. This study examined whether CC-worry, CC-distress, and CC-impairment mediate the relationships between prosocial traits, NR, and PEB. A community sample of 577 adults (mean age = 32.62 ± 14.71 years; 64.6% women) completed self-report measures of the abovementioned study variables, and a multiple mediation model using structural equation modelling was tested. Prosocial traits and NR were positively associated with CC-related psychological distress and PEB, and CC-worry and CC-distress showed significant mediating roles, whereas CC-impairment did not. The model explained 40% of PEB’s variance. Overall, CC-worry and CC-distress appear to function as adaptive, motivational processes that link positive traits and nature connection to environmental action, while CC-impairment reflects a maladaptive, unconstructive response that may index the more pathological end of climate change-related psychological distress. Full article

Snakebite envenoming is classified as a Neglected Tropical Disease and causes mortality, morbidity, and economic impacts for hundreds of thousands of people per year, particularly in tropical, low- and middle-income countries. Most research on snakebite interventions focuses on improving clinical management rather than bite prevention. However, prevention may provide a better mechanism to minimise snakebite impacts, particularly in rural areas where access to effective medical treatment is limited. This study reports on the preliminary testing phase of a participatory workshop intervention run in rural Uganda in 2022–23, which used a community engagement approach designed to reduce snakebites through discussing snake behaviour and biology. A mixed methods survey and semi-structured interviews were conducted, both with workshop attendees and non-attendees, after the delivery of the workshops. We found that a fearful attitude toward snakes often led to human–snake conflict, with snake killings occurring commonly, and some bites occurring during attempted killings. Workshops appeared to challenge negative attitudes, as understanding snake behaviour seemed to build compassion toward snakes and therefore has the potential to reduce human–snake conflict. Those who attended workshops were more likely to suggest ‘giving snakes space,’ rather than attempting to kill them, and were more likely to suggest hospital treatment if bitten. We also found that many effective methods for snakebite prevention are already known to the community, but those who attended the workshop were aware of a wider range of prevention methods and were more likely to implement less ecologically damaging and more effective strategies. This emphasises that appropriate knowledge resides within the community to prevent snakebites, and so community engagement approaches can improve prevention practices while recognising that the ownership and knowledge for such changes is generated by the local people themselves. Full article

Background/Objectives: Adolescence represents a critical period for the formation of lifestyle habits that often persist into adulthood, significantly shaping long-term health outcomes and contributing to the development of non-communicable diseases. This study aims to assess the impact of Food Game, a secondary school-based programme, delivered throughout the academic year, to promote healthy eating, physical activity, and sustainability awareness among students. Methods: As part of the Food Game programme, 184 adolescents aged 14–16 years from the Milan area (Italy) completed two questionnaires, administered before and after the intervention (November 2024, April 2025), evaluating dietary habits, lifestyle behaviours, and attitudes toward sustainability. This uncontrolled intervention study assessed dietary changes using a composite score [0–14], with higher scores indicating healthier eating patterns. Pre–post intervention differences were analysed using paired t-tests for continuous variables and McNemar’s test for categorical variables. Results: After participation in Food Game, a significant improvement in mean dietary score from 7.6 to 8.2 (p < 0.001) occurred. Overall, 28.3% of the students worsened their score and 53.2% improved (≥1-point increase), including a significant improvement (≥2-point increase) in 29.4%. Fruit, vegetable, and fish intake increased, while consumption of meat, processed meat, and snacks decreased (p < 0.05). Waste recycling did not change (94.6%), and tap water non-significantly increased. No significant changes were observed in water intake, physical activity, screen time, or addictive behaviours. Conclusions: These findings support the potential of peer-led gamified interventions to promote healthier eating in youth. Future controlled studies are required to rigorously evaluate the Food Game programme’s effectiveness in relation to adolescents’ diet, lifestyle, and sustainability habits. Full article

Unsafe disposal of pesticide waste remains a critical environmental and public health issue in developing agricultural systems. This study examined cocoa farmers’ disposal behaviours and their determinants across Nigeria’s major cocoa-producing regions using an explanatory sequential mixed-methods design. Quantitative data were collected from 391 farmers, followed by 23 in-depth interviews to contextualise behavioural drivers. Results showed that knowledge of pesticide risks and availability of disposal facilities significantly predicted safer disposal practices (R² = 0.469, p < 0.05), whereas age had a negative influence. Qualitative findings revealed that negative attitudes, social norms, and limited infrastructure reinforced unsafe behaviours, while membership in farmers’ associations promoted safer practices through peer learning. A joint display demonstrated convergence between structural enablers (collection cages, extension support) and behavioural factors (knowledge, attitudes, norms). The study identifies a dual challenge of systemic shortcomings and behavioural inertia, suggesting that regulatory action alone is insufficient without farmer engagement and education. Policy and extension programmes should prioritise collection infrastructure, association-based training, and Integrated Pest Management to promote sustainable pesticide waste management. These insights advance understanding of pesticide disposal behaviour and offer actionable guidance for environmental governance in low- and middle-income agricultural contexts. Full article

Cybersecurity has become one of the top priorities in Saudi Arabia, playing a key role in achieving Vision 2030 and advancing the kingdom’s position in digital transformation. This study investigates how cybersecurity knowledge, attitudes, and awareness influence user behaviours in health applications within Saudi Arabia. An online cross-sectional survey was distributed between March and April 2025 among Saudi Arabian residents. The collected data (n = 629) were analyzed using Smart PLS Structural Equation Modelling (SEM) to assess the relationships among the study constructs. The majority of the participants (61.4%) were between the age of 18 and 24, and 87.6% reported using health applications such as Sehhaty or Labayh to manage their health information. Results demonstrated that all three constructs significantly predicted cybersecurity behaviours: knowledge showed the strongest influence (β = 0.372), followed by attitude (β = 0.343) and awareness (β = 0.199), with all paths being statistically significant (p < 0.05). The model explained substantial variance in cybersecurity behaviours. Knowledge, attitude, and awareness significantly predict cybersecurity practices in healthcare application contexts. Findings highlight the critical need for targeted educational interventions focusing on cybersecurity knowledge enhancement and awareness programmes to promote safer digital health behaviours and strengthen patient data protection in Saudi Arabia’s healthcare system. Full article

Insecticide resistance is a growing threat to global food security, with several major pests in Australian broad-acre systems already showing high resistance levels. Integrated Pest Management (IPM) can reduce insecticide reliance and slow resistance evolution, yet adoption remains low. Using the redlegged earth mite (Halotydeus destructor, RLEM) as a case study, we examined how knowledge gaps and risk attitudes influence insecticide use and broader pest management. An online survey of grain growers and advisors in RLEM-affected regions revealed that, despite widespread resistance to synthetic pyrethroids and organophosphates, and most respondents identifying with an IPM mindset, these insecticides remain frequently used. Advisors demonstrated greater overall knowledge than growers, but substantial gaps persisted across both groups, including awareness of field resistance and familiarity with national resistance management guidelines. Risk aversion showed a stronger and more consistent influence on management decisions than knowledge, shaping both growers’ and advisors’ recommendations. These findings highlight demographic and attitudinal factors that can undermine resistance management. While centred on RLEM, the behavioural drivers identified here likely influence pest control decisions across a range of pest species and farming systems. Full article

Sustainable diet transitions are required to protect human and planetary health, and consumers are important food systems actors who can foster positive changes. However, little is known about how consumers perceive the concept of sustainable diets. This study explored perceptions of sustainable diets across five high- and middle-income countries: Japan, Indonesia, Italy, Canada, and Mexico. Semi-structured interviews were conducted with 184 young adults (30–45 per country), and transcripts were analyzed using values coding to understand the values, attitudes, and beliefs that shape behaviours related to sustainable diets. Results revealed that defining “sustainable eating” was challenging for participants across all countries. While participants’ values regarding sustainable diets were often context-specific with marked differences across countries, common themes across countries included concern about food waste and packaging and the belief that sustainability should be the responsibility of all actors across the food system, not just the individual. These findings indicate that food policy should address both individual and systemic dimensions of food sustainability, specifically prioritizing strategies for waste and packaging infrastructure. Furthermore, public health strategies must be values-oriented and culturally tailored to ensure they resonate with local consumer priorities. Full article

This study investigated the influence of awareness, knowledge, and risk perceptions on environmental attitudes and behaviours in Türkiye, specifically in the context of climate change, using structural equation modelling (SEM). Data were collected from all 81 provinces covering the seven geographical regions of the country. The results revealed that awareness and risk perception have the strongest direct impact on pro-environmental behaviour. Environmental attitudes also demonstrated a significant positive effect, though the findings suggest that high awareness and risk perception can directly drive action even independently of attitude. Uniquely, this study fills a critical gap in the developing country literature by demonstrating that in Türkiye, perceiving the risk translates directly into action, contrasting with the ‘value-action gap’ often observed in Western contexts. Practically, the findings suggest that policymakers should prioritize risk-communication strategies and disaster-preparedness drills over passive information campaigns to effectively stimulate pro-environmental behaviours. Full article

Product placement has become an integral part of contemporary marketing communication, aiming to influence consumer attitudes and purchasing behaviour through subtle brand exposure in audiovisual media. Despite its growing prevalence, the effectiveness of product placement in shaping purchase intentions remains influenced by various demographic and behavioural factors. This study examines how demographic and economic factors jointly shape consumer responses to product placement and identifies the key determinants of consumers’ likelihood of purchasing products featured in audiovisual media. Data for the study were collected through a questionnaire survey and analysed using a combination of non-parametric subgroup tests, contingency-based association analysis, and machine-learning classification methods to assess both marginal group differences and multivariate interaction patterns. In addition to inferential testing, predictive models were developed using CART and alternative modelling techniques to verify the robustness of the identified predictors across analytical frameworks. The results reveal statistically significant generational and economic heterogeneity in awareness of product placement and purchase probability, highlighting the dominant role of age in shaping purchasing behaviour. The findings contribute to a deeper understanding of behavioural segmentation in audiovisual marketing and provide insights for optimising marketing communication strategies within audiovisual content. Full article

Background/Objectives: Patient-level factors strongly influence antimicrobial resistance (AMR) through the pressure applied to healthcare professionals to prescribe antibiotics even for self-limiting viral infections, enhanced by knowledge and attitude concerns. This includes Africa, with high levels of AMR. However, validated measurement tools for African primary healthcare (PHC) are scarce. This study evaluated the reliability, structural validity, and interpretability of the Community Antimicrobial Use Scale (CAMUS) in South Africa. Methods: A cross-sectional survey was conducted with 1283 adults across 25 diverse public PHC facilities across two provinces. The 30-item theory-based tool underwent exploratory and confirmatory factor analysis (EFA/CFA), reliability, and validity testing. Results: EFA identified a coherent five-factor structure: (F1) Understanding antibiotics; (F2) Social and behavioural norms; (F3) Non-prescribed use; (F4) Understanding of AMR; and (F5) Attitudes. Internal consistency was strongest for knowledge and misuse domains (alpha approximation 0.80). Test–retest reliability was good-to-excellent (ICC: 0.72–0.89). CFA confirmed acceptable composite reliability (CR ≥ 0.63). Although average variance extracted (AVE) was low for broader behavioural constructs, indicating conceptual breadth, it was high for AMR knowledge (0.737). Construct validity was supported by positive correlations with health literacy (r = 0.48) and appropriate use intentions (r = 0.42). Measurement error metrics (SEM = 1.59; SDC = 4.40) indicated good precision for group-level comparisons. Conclusions: CAMUS demonstrated a theoretically grounded structure with robust performance in knowledge and misuse domains. While social and attitudinal domains require refinement, we believe the tool is psychometrically suitable for group-level antimicrobial use surveillance and programme evaluation in South African PHC settings and wider to help with targeting future educational programmes among patients. Full article

Climate change is the greatest health threat of the 21st century, with healthcare contributing approximately 4–5% of global greenhouse gas emissions. Decarbonising healthcare, the deliberate reduction of emissions across all healthcare activities, is essential to reduce the health sector’s environmental impact while maintaining equitable, high-quality care. Preparing future health professionals for sustainable, low-carbon practice is increasingly recognised as critical; however, education on healthcare decarbonisation remains inconsistent and weakly embedded in curricula. This scoping review mapped existing educational resources for pre-registration health profession students. Following the JBI methodology, six databases (Scopus, Web of Science, MEDLINE, CINAHL, PsycINFO, and GreenFILE) were searched in April 2025 (updated in October 2025). Data were thematically analysed. In total, 32 studies met inclusion criteria, comprising 17 mixed-methods, 11 quantitative, and 4 qualitative designs. Most interventions were multimodal, addressing sustainability or climate change through simulation, digital, formal, or didactic methods. Knowledge and attitudes were the most frequently evaluated outcomes. Thematic analysis identified knowledge and awareness, attitudes and emotional responses, behavioural intent and action, identity formation through collaborative learning, and barriers to decarbonisation. Findings suggest that blended, interactive, and technology-enhanced education improves knowledge, attitudes, and identity, but sustained impact requires longitudinal, skills-based, and policy-aligned interventions to drive meaningful healthcare decarbonisation action. Full article

This study examined Croatian consumer attitudes towards fresh pork from the Black Slavonian pig, focusing on the following sustainability dimensions: environmental, social, economic sustainability, and animal welfare. A survey of 410 consumers was conducted in June 2021, using an online questionnaire assessing consumption habits, breed knowledge, and socio-demographic characteristics. Factor analysis identified four key dimensions: attention to animal welfare, support for local production and biodiversity, origin and information, and price and intrinsic quality. Cluster analysis revealed three distinct consumer segments: conscious consumers (32.4%), value-oriented consumers (37.3%), and uninvolved meat consumers (30.2%). Multinomial logistic regression showed that age, region, family economic status, and place of purchase significantly predicted cluster membership (Nagelkerke R² = 0.251, classification accuracy = 52.9%), while gender, education level, and household composition did not. Conscious consumers were characterised by older age, higher income, and a preference for direct purchasing channels, while value-oriented consumers favoured supermarkets and mid-range pricing. These findings highlight the need for improved consumer education, transparent labelling, targeted marketing strategies, and enhanced policy support to promote sustainable indigenous pig breed production and conservation. Full article

Education and post-licencing training programmes for novice drivers are widely implemented to improve road safety, yet their effectiveness remains debated. This study evaluates short-term attitudinal changes relating to participation in a mandatory post-licencing training programme for novice drivers in Slovenia. A within-subject pre–post survey methodology was used to evaluate self-reported driving attitudes across six safety-related domains among 225 novice drivers at a Slovenian driving training centre in 2024. Paired t-tests revealed minor yet statistically significant improvement following the programme in perceived support for the additional driver training, lowered overconfidence, heightened care in speeding and intersection behaviour, and enhanced attitudes towards vehicle operation and utilization of safety equipment. Attitudes regarding attention and adherence to traffic regulations showed negligible shifts, indicating a strong baseline attitude towards safe driving. The findings indicate a modest but fairly consistent short-term change in attitudes after programme participation. Due to the lack of a control group and dependence on self-reported data, the findings should be seen as evaluative rather than causative, necessitating more longitudinal and behavioural research to evaluate long-term and behavioural effects. Full article

The Erasmus+ YOU4BLUE project represents an interdisciplinary educational initiative aimed at fostering a youth culture of sustainability through hands-on learning, scientific literacy, and critical thinking focused on the marine environment. The project aimed to encourage lasting behavioural change and empower young people to act. It engaged secondary school students aged 14 to 18 on three Mediterranean islands (Sardinia, Crete, and Mallorca) through a blended Place-Based Education (PBE) model that integrates online learning with local, experiential activities. Forty-nine students completed a pre-assessment questionnaire measuring baseline marine ecosystem knowledge, sustainability-related behaviours, and attitudes toward the sea. Following three international exchanges involving the learning activities, roughly the same cohort of students completed post-activity surveys assessing self-perceived knowledge gains and intercultural interaction. Qualitative data from emotional mapping, field observations, and group reflections complemented the quantitative analysis. The results indicate substantial self-perceived increases in students’ understanding of marine ecosystems (+1.0 to +1.7 points on a 5-point scale), enhanced collaboration with international peers, and strengthened environmental awareness. Across all three sites, students applied their learning by co-designing proposals addressing local coastal challenges, demonstrating emerging civic responsibility and the ability to integrate scientific observations into real-world problem solving. These findings suggest that combining place-based education, citizen science, and participatory methods can effectively support the development of sustainability competences among youth in coastal contexts. This study contributes empirical evidence to the growing literature on education for sustainable development and highlights the value of blended, experiential, and intercultural approaches in promoting environmentally responsible behaviour. Full article

Reducing dependency on chemical pesticides is a core ambition of the European Green Deal, yet adoption of low-input practices remains uneven. This systematic review synthesizes evidence on the behavioural determinants of European farmers’ knowledge, attitudes, and practices (KAP) regarding sustainable pesticide use and evaluates the role of digital tools in facilitating Integrated Pest Management (IPM). Following PRISMA 2020 guidelines, we analysed 65 peer-reviewed articles published between 2011 and 2025, which were identified through Scopus and Web of Science. The synthesis reveals that while pro-environmental attitudes drive the intention to change, actual behaviour is frequently inhibited by loss aversion, ‘clean field’ social norms, and perceived economic risks. Digital tools—specifically Decision Support Systems (DSSs) and precision technologies—demonstrate technical potential to reduce pesticide loads but are constrained by the same behavioural barriers: a lack of trust in models, perceived complexity, and costs. Consequently, we propose a Psycho-Digital Integration Framework which posits that digital innovation acts as a catalyst only when embedded in systemic enablers—specifically green insurance schemes and independent advisory networks. These mechanisms are critical to redistribute perceived agricultural risk and bridge the gap between technical potential and behavioral adoption. Full article