Search Results (3,657)

This study aims to examine the relationships among environmental sensitivity, eco-anxiety, and sustainable consumption behavior, thereby revealing how these variables interact within the framework of sustainability psychology. Conducted with a sample of 406 university students in Türkiye, the research employed a quantitative and cross-sectional design, and the proposed relationships were tested using structural equation modeling (SEM). The findings indicate that environmental sensitivity significantly predicts sustainable consumption behavior both directly and indirectly through eco-anxiety. Eco-anxiety was found to play a partial mediating role in the relationship between environmental sensitivity and sustainable consumption. In addition, the moderating effect of gender was investigated, and no significant differences were observed between women and men regarding the structural paths of the model. Overall, the results demonstrate that sustainable consumption behaviors are shaped not only by cognitive processes but also by emotional mechanisms, suggesting that eco-anxiety, as a motivational emotional response, may strengthen sustainable behavior. This study contributes to the environmental psychology literature by theoretically and empirically highlighting the decisive role of emotional processes in shaping sustainable behavior. The findings also provide important practical implications for sustainability policies, environmental education, and communication strategies. Full article

Background: Palliative care addresses not only physical symptoms but also the social, psychological, and spiritual needs of patients. Nurses play a key role in identifying and responding to these needs, yet their perceptions and preparedness may vary. Objectives: This study aimed to explore nurses’ perspectives on the psychological, social, and spiritual needs of palliative patients, assess how well these needs are being met, and examine the influence of nurses’ self-assessed education levels on their evaluations. Methods: A cross-sectional survey was conducted among 237 registered nurses with palliative care experience in Split-Dalmatia County, Croatia. Two validated questionnaires were used to assess the perceived importance of 53 patient needs and the extent to which these needs were satisfied. Results: Findings revealed significant discrepancies between the perceived importance and satisfaction of nearly all psychological, social, and spiritual needs (p < 0.001), particularly regarding fear of death, suffering, and future uncertainty. Only 38.4% of nurses considered themselves adequately trained in palliative care, though most had some educational exposure to it. No statistical differences were found in need assessment based on nurses’ self-rated education. Most nurses reported emotional exhaustion (72.6%) and supported interdisciplinary care (95.8%), while 90.3% noted that responsibility for care often falls on families. Conclusions: Nurses recognize critical unmet needs in palliative patients and feel insufficiently prepared to address them. These findings underscore the need to improve palliative care education, provide emotional support for nurses, and implement systemic healthcare reforms to ensure comprehensive, dignified care. Full article

The architecture of spas and recreational complexes is increasingly being analyzed not only through the prism of its formal diversity but also through its functional, technical, and esthetic responses to evolving societal expectations. This article descriptively examines the context of evolving user needs and select examples representing new architectural forms integrated into the landscape, responding to the growing demand for beauty (understood subjectively), experiences, and emotional value in 21st-century tourism and recreation. The most diverse and characteristic examples were selected and described in order to maintain a broad context of analysis and illustrate contemporary changes as faithfully as possible. The descriptive approach enables a systematic and comprehensive representation of phenomena, identifying recurring patterns, spatial trends, and contextual relationships. Rather than being limited to numerical data, it provides a structured analytical framework that supports the objective documentation of architectural and urban processes. The aim of this study is to systematize selected design trends that reflect contemporary cultural aspirations and environmental concerns, and to illustrate the evolving relationship between architecture, nature, and users. The results indicate a consistent shift toward landscape-integrated, experiential, and esthetically driven architectural solutions, demonstrating that contemporary tourism facilities increasingly prioritize atmosphere, immersion in nature, and sensory engagement over traditional utilitarian design. This study concludes that beauty, understood as subjective esthetic experience, has become a key determinant in shaping new architectural forms, reinforcing the role of architecture as both a cultural expression and a tool for enhancing well-being in tourism and leisure environments. 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

Intergenerational trauma significantly affects the health and mental health of African American families, particularly women whose lives are shaped by systemic inequities and historical oppression. This scoping review examines how trauma and resilience are transmitted across generations in African American communities, with a focus on dyads such as mother–child and mother–daughter relationships and a conceptual grandmother–mother–daughter triad. The review aims to identify mechanisms of trauma transmission and resilience and to inform culturally responsive, multigenerational interventions. Peer-reviewed studies published between 2012 and 2025 were identified that included African American caregivers and children and addressed biological, psychological, social, cultural, and resilience dimensions of intergenerational processes. Data were synthesized using a dimensional conceptual analysis approach. Findings indicate that intergenerational trauma is perpetuated through chronic stress and discrimination, maternal mental health challenges, family structure and caregiving strain, and cultural narratives about strength and self-reliance. At the same time, resilience is transmitted through sensitive caregiving, spirituality and faith, social and kin support, racial socialization, and economic survival strategies that draw on cultural and historical knowledge. These results underscore the importance of addressing intergenerational trauma holistically by integrating dyadic evidence within a broader conceptual triadic framework. Culturally responsive, multigenerational interventions that leverage family and community strengths and make space for emotional vulnerability are essential for interrupting cycles of trauma and fostering healing within African American families. Full article

International shopping is a significant motive for outbound travel; however, evidence on the experiential drivers of luxury travel retail among Chinese luxury travelers remains limited. This study investigates the factors shaping overseas shopping experiences and assesses the adequacy of the luxury customer experience (LCX) framework in this episodic, time-constrained, cross-border context. A quantitative survey of Chinese luxury travelers (N = 407) was conducted and analyzed using IBM SPSS Statistics (Version [30.0], Mac) within the LCX framework. The results show that modern artistic visual merchandising positively predicts overall experience evaluation (β = 0.162, p < 0.001), and emotional connection significantly predicts repurchase intention (β = 0.197, p < 0.001). We find that overall experience evaluation and subsequent behavioral responses are shaped by specific drivers, including service-related post-purchase factors, emotional fulfillment and brand trust, visual appeal, and affective/cognitive evaluations. These results point to possible gaps in theory when LCX is used in short-term travel retail contexts. To address these gaps, we propose the transient experience, relationship quality, action outcomes, connection, and engagement (TRACE) conceptual framework for analyzing feedback-driven encounters throughout the travel experience. Overall, this study extends LCX to episodic, time-constrained contexts and introduces TRACE as a conceptual complementary model to guide future theory testing and model validation in luxury travel retail contexts. Full article

Artificial Intelligence (AI) is increasingly reshaping how cultural heritage institutions design and deliver digital visitor experiences, particularly through adaptive Augmented Reality (AR) applications. However, most existing AR deployments in museums and galleries remain static, rule-based, and insufficiently responsive to visitors’ contextual, behavioral, and emotional diversity. This paper presents ARIA (Augmented Reality for Interpreting Artefacts), a conceptual and architectural framework for AI-supported, adaptive AR experiences in cultural heritage settings. ARIA is designed to address current limitations in personalization, affect-awareness, and ethical governance by integrating multimodal context sensing, lightweight affect recognition, and AI-driven content personalization within a unified system architecture. The framework combines Retrieval-Augmented Generation (RAG) for controlled, knowledge-grounded narrative adaptation, continuous user modeling, and interoperable Digital Asset Management (DAM), while embedding Human-Centered Design (HCD) and Fairness, Accountability, Transparency, and Ethics (FATE) principles at its core. Emphasis is placed on accountable personalization, privacy-preserving data handling, and curatorial oversight of narrative variation. ARIA is positioned as a design-oriented contribution rather than a fully implemented system. Its architecture, data flows, and adaptive logic are articulated through representative museum use-case scenarios and a structured formative validation process including expert walkthrough evaluation and feasibility analysis, providing a foundation for future prototyping and empirical evaluation. The framework aims to support the development of scalable, ethically grounded, and emotionally responsive AR experiences for next-generation digital museology. Full article

In the hospitality industry, corporate social responsibility practices are getting more recognition as a strategic driver of stakeholders’ sustainable behaviors. This study creates and tests a moderated serial mediation model that connects hotel CSR activities to guests’ pro-environmental behavior (PROE). In addition, moral elevation (ME) and pro-social behaviors of guests (PSO) are posited as affective and behavioral mediating mechanisms, whereas the perceived transparency (TRA) of hotel actions is investigated as a moderator. The survey data were collected from 426 hotel guests who had stayed in hotels in the Turkish Republic of Northern Cyprus (TRNC) and used partial least squares structural equation modeling (PLS-SEM) to analyze it. The findings reveal that CSR does have a positive effect on ME, which sequentially makes ME affect PSO and PROE behavior positively. The research shows that the moderator TRA also amplifies the relationship strength between CSR and ME, which suggests that transparent actions of hotels do have a positive emotional impact on guests. The research contributes to hospitality literature and also sustainability literature by identifying ME as an emotional mechanism and TRA as a moderating condition that alter guests’ behaviors. As managerial implications, the research underlines the value of creating CSR practices that are both transparent and authentic to guests and stakeholders to ultimately maximize the engagement of guests in the context of sustainability. Full article

Hepatocellular carcinoma (HCC) is the main type of liver cancer and one of the malignancies with the highest mortality rates worldwide. HCC is associated with diverse etiological factors including alcohol use, viral infections, fatty liver disease, and liver cirrhosis (a major risk factor for HCC). Unfortunately, many patients are diagnosed at advanced stages of the disease and receive palliative treatment only. Therefore, early markers of HCC and novel therapeutic approaches are urgently needed. The endocannabinoid system is involved in various physiological processes such as motor coordination, emotional control, learning and memory, neuronal development, antinociception, and immunological processes. Interestingly, endocannabinoids modulate signaling pathways involved in cell survival, proliferation, apoptosis, autophagy, and immune response. Consistently, several cannabinoids have demonstrated potential antitumor properties in experimental models. The participation of metabotropic and ionotropic cannabinoid receptors in the biological effects of cannabinoids has been extensively described. In addition, cannabinoids interact with other targets, including several ion channels. Notably, several ion channels targeted by cannabinoids are involved in inflammation, proliferation, and apoptosis in liver diseases, including HCC. In this literature review, we describe and discuss both the endocannabinoid system and exogenous phytocannabinoids, such as cannabidiol and Δ⁹-tetrahydrocannabinol, along with their canonical receptors, as well as the cannabidiol-targeted ion channels and their role in liver cancer and its preceding liver diseases. The cannabidiol-ion channel association is an extraordinary opportunity in liver cancer prevention and therapy, with potential implications for several environments that are for the benefit of cancer patients, including sociocultural, public health, and economic systems. Full article

Background: Parents caring for preterm infants during hospital admission have unique needs. How these are addressed plays an important role in parents’ ability to cope with caregiving responsibilities. Educational programmes have proven beneficial to parents during their infant’s stay in the neonatal intensive care unit (NICU), for both parental and neonatal outcomes. Key components of parenting education during the NICU stay have been described; however, less is known about our understanding of parents’ educational needs, specifically in the South African context. Objectives: To explore parental needs and perceptions regarding a parenting education intervention provided to them while in the NICU, with a focus on programme content, structure, and mode of delivery. Methods: Three focus group discussions were conducted with mothers of preterm infants admitted to the NICU of a referral hospital in the North West province, South Africa. Inclusion criteria comprised parents of infants born in the hospital, singletons or multiples, with a gestational age below 37 weeks, and expected to stay in the NICU for at least 7 days. Discussions centred on mothers’ perceived needs regarding parenting education based on their experiences during their baby’s NICU admission. Results: Twenty-five mothers of singletons or multiples born before 37 weeks of gestation participated in the study. Three main themes were identified: (1) preference for content topics to include basic infant care, infant health and behaviours, and post-discharge related information; (2) education programme structure, which included instructional approaches and training logistics; and (3) support needs, including intrapersonal motivators, communication, and psychosocial and physical support. Conclusions: Participants recognised educational content needs that align with existing literature. However, they also emphasised the importance of addressing basic physical and emotional needs while receiving educational content, ensuring that parents feel empowered and capable of engaging with the information. Full article

Background: This study investigates the influence of emotional processing on flexor reflex responses in the upper limbs, focusing on cutaneomuscular reflexes (CMRs) and the cutaneous silent period (CSP) in patients with chronic neuropathic pain. The modulation of motor reflexes by emotions remains unclear. Methods: Fifty-one patients with chronic upper limb neuropathic pain (carpal tunnel syndrome, other neuropathies, post-burn hypertrophic scars) and twenty healthy controls underwent standardized electrodiagnostic signal acquisition. Neurophysiological assessments (CMRs, CSP, standard nerve conduction tests) and psychological evaluations (anxiety, depression, emotion processing) were conducted. Neurophysiological signal acquisition included median and ulnar nerve conduction studies recorded with an electrodiagnostic system (48 kHz sampling rate; 30–3000 Hz bandpass). CSP and CMRs were recorded from the abductor pollicis brevis using surface electrodes (bipolar belly–tendon montage) and were evoked by electrical stimulation delivered through ring electrodes, with individualized perceptual-threshold calibration. Statistical analyses examined correlations between neurophysiological and psychological measures. Results: Patients showed significantly longer duration and higher intensity of CMRs and CSP than controls (p < 0.01). CMR and CSP durations correlated positively with anxiety, depression, and alexithymia scores, and negatively with facial emotion recognition. General Linear Model analyses indicated these relations were mediated by tactile and pain perception thresholds. Conclusions: The findings support that spinal reflex responses in the upper limbs are modulated by emotional and cognitive-affective processes, especially in chronic pain contexts. This highlights the complex interaction between emotion regulation and motor control in neuropathic pain conditions. Full article

The broader aim of this research is to examine how Learning Analytics (LA) can become ethically sound, pedagogically actionable, and realistically adopted in educational practice. To address this overarching challenge, the study investigates three interrelated research questions: ethics by design, learning impact, and adoption conditions. Methodologically, the research follows an exploratory sequential multi-method design. First, a meta-synthesis of 53 studies is conducted to identify key ethical challenges in LA and to derive an ethics-by-design framework. Second, a quasi-experimental study examines the impact of interface-based LA guidance (strong versus minimal) on students’ self-regulated learning skills and academic performance. Third, a mixed-methods adoption study, combining surveys, focus groups, and ethnographic observations, investigates the factors that encourage or hinder teachers’ adoption of LA in K–12 education. The findings indicate that strong LA-based guidance leads to statistically significant improvements in students’ self-regulated learning skills and academic performance compared to minimal guidance. Furthermore, the adoption analysis reveals that performance expectancy, social influence, human-centred design, and positive emotions facilitate LA adoption, whereas effort expectancy, limited facilitating conditions, ethical concerns, and cultural resistance inhibit it. Overall, the study demonstrates that ethics by design, effective pedagogical guidance, and adoption conditions are mutually reinforcing dimensions. It argues that LA can support intelligent, responsive, and human-centred learning environments when ethical safeguards, instructional design, and stakeholder involvement are systematically aligned. Full article

This study investigates how emotionally structured online interaction networks shape consumer perception of new energy vehicle (NEV) technology. Drawing on discussion forum data from two leading NEV brands, Brand_T and Brand_B, we focus on how users respond to brand technological narratives and how these responses translate into distinct patterns of peer-to-peer interaction. Using a behavioral network analysis framework, we integrate sentiment analysis, topic modeling, and Exponential Random Graph Modeling (ERGM) to uncover the psychological and structural mechanisms underlying consumer engagement. Three main findings emerge. First, users display brand-specific emotional-cognitive profiles: Brand_T communities show broader technological engagement but more heterogeneous emotional responses, whereas Brand_B communities exhibit more emotionally aligned discussions. Second, emotional homophily is a robust driver of interaction ties, particularly in Brand_B forums, where positive sentiment clusters into dense and supportive discussion subnetworks. Third, perceived technological benefits, rather than risk sensitivity, are consistently associated with higher interaction intensity, underscoring the motivational salience of anticipated gains over cautionary concerns in shaping engagement behavior. The study contributes to behavioral science and transportation behavior research by linking consumer sentiment, cognition, and social interaction dynamics in digital environments, offering an integrated theoretical account that bridges the Elaboration Likelihood Model, social identity processes, and behavioral network formation. This advances the understanding of technology perception from static individual evaluations to dynamic, group-structured outcomes. It highlights how emotionally patterned interaction networks can reinforce or recalibrate technology-related perceptions, offering practical implications for NEV manufacturers and policymakers seeking to design psychologically informed communication strategies that support sustainable technology adoption. Full article

The electronic word of mouth (eWOM) has emerged as a communication tool that significantly influences consumers’ attitudes and purchasing behavior in the online market. Research indicates that the effect of eWOM sources, such as (strong ties, weak ties, and influencers) varies in terms of perceived value components (price, quality, emotional, and social value) and purchase intention, particularly with regard to gender. This study, which is based on the SOR framework; examines the role of eWOM as a stimulus affecting student responses and considers the mediating role of perceived value components and the moderate effect of gender. A sample of 901 students from Westbank universities was analyzed using Smart PLS software. The findings reveal that strong ties and influencer eWOM are positively associated with perceived value components and purchase intention, while weak tie eWOM does not directly correlate with purchase intention. Mediation analyses show that perceived quality and social value act as mediators of purchase intent towards eWOM sources, while emotional value specifically mediates strong relationships and influencers. Notably, price value exerts only a mediating effect on purchase intention when communicated through influencers, highlighting the unique role of the influencer in shaping price perceptions and its broad impact on all components of perceived value. Gender differences were observed in students’ responses to eWOM content; particularly in terms of price, quality, and emotional appeal but not in terms of social factors. The outcomes of this study underscore the significance of considering both the source of the message and the characteristics of the audience when formulating targeted marketing strategies. Full article

Background/Objectives: Emotional eating refers to the tendency to eat in response to emotions rather than physiological hunger and has been associated with changes in food choices and difficulties in dietary self-regulation. Whether emotional eating influences adherence to the Mediterranean diet remains unclear. This study aimed to examine the association between emotional eating and adherence to the Mediterranean diet. Methods: In this cross-sectional study, 245 adults completed the Emotional Eater Questionnaire (EEQ) and the MEDI-LITE questionnaire to assess adherence to the Mediterranean diet. Participants were classified into three emotional eating categories (NO EE, LEE, EE) and stratified by BMI (normal weight vs. overweight). Results: Higher EEQ scores were associated with greater disinhibition, stronger food preferences, and a higher sense of guilt in both BMI categories. However, adherence to the Mediterranean diet did not differ significantly across emotional eating groups, and overall MEDI-LITE scores were low in the entire sample. Correlations between emotional eating subscales and specific food groups were weak and did not show a consistent pattern. Conclusions: Emotional eating was associated with psychological and behavioral aspects of eating but was not related to adherence to the Mediterranean diet in this population. The uniformly low adherence to the Mediterranean diet may have attenuated potential associations. Further studies using more detailed dietary assessment tools and longitudinal designs are needed to clarify how emotional eating influences food choices over time. Full article