Search Results (3,302)

Introduction/Objectives: Patient-centered communication is essential in oncology care, where healthcare professionals often manage emotionally demanding conversations, uncertainty, complex decisions, and patient involvement in care. However, the relationship between communication knowledge, empathic listening, and practical communication skills remains insufficiently examined. This study aimed to examine the associations between communication knowledge, empathic listening, and interpersonal communication skills among healthcare professionals involved in oncology care. Methods: A cross-sectional study was conducted in Croatia from May to November 2025 on a convenience sample of 138 healthcare professionals involved in oncology care. Communication knowledge was assessed using a study-specific questionnaire, empathic listening using an adapted Active Empathic Listening Scale, and interpersonal communication skills using an adapted Interpersonal Communication Skills Inventory. Because the instruments were adapted to the oncology care context, their dimensions were examined using exploratory factor analysis and interpreted as sample-specific exploratory constructs. Descriptive statistics, correlation analyses, and multiple linear regression analyses were performed. Results: Clear message delivery and assertiveness had the highest self-reported score, whereas emotional interaction management had the lowest. Communication knowledge was not an independent predictor of communication skills dimensions. Processing and responding positively predicted clear message delivery and assertiveness (β = 0.361; p = 0.001; R² = 13.4%), while noticing emotional and nonverbal cues negatively predicted emotional interaction management (β = −0.234; p = 0.032; R² = 7.6%). The explained variance of the models was low. Conclusions: The findings suggest limited but potentially relevant associations between selected dimensions of empathic listening and self-reported communication skills in oncology care. Communication knowledge, measured using a study-specific exploratory instrument, was not independently associated with communication skills. Because of the exploratory design, self-report measures, adapted instruments, and convenience sampling, the results should be interpreted with caution. Full article

The patron saint celebrations of the colonias of Afro-Colombian migrants from the South Pacific region in Cali (Colombia) provide a significant context for understanding the perseverance of paisanaje (a shared experience of origin) bonds and ritual vitality in migration contexts. Organized consistently since the 1960s, these celebrations bring together dispersed communities year after year, activating and reshaping memories, emotions, and collective identities. Building on this celebratory perseverance, this article explores the factors that produce and sustain the emotional and social commitments that transcend the celebration itself. Drawing on the theory of interaction rituals, the concepts of collective effervescence, and embodied memory, this study proposes interpreting these celebrations as spaces where emotion, memory, and social time intertwine. This is based on the understanding that the ritual experience enacts the community through a shared repetition that brings the past to life and projects the expectation of reunion. For this analysis, this study draws on research conducted between 2015 and 2018 and a reflective re-examination of this material in 2026, which included participant observation at 10 celebrations and semi-structured interviews with members of 7 hometown communities or colonias. The results show that longing—the tension between the joy of reunion and the melancholy for what is absent—acts as a constitutive emotional state and the primary amplifier of the ritual’s emotional energy, adding precision to Collins’s model of how energy accumulates and enables the continuity of communal bonds. Full article

Background/Objectives: Medical social work is performed in hospital teams, but evidence remains limited on how medical social workers’ perceived communication and cooperation with physicians and nurses are associated with occupational outcomes. Methods: Using the medical social work module of the China Social Work Longitudinal Survey 2019 (CSWLS2019), this cross-sectional study examined job satisfaction, personal accomplishment, self-rated service quality, and emotional exhaustion. We constructed a four-item communication-and-cooperation index and estimated ordinary least squares (OLS) models with HC3 heteroskedasticity-robust standard errors and city fixed effects. Robustness and exploratory supplementary checks assessed sample definition, alternative specifications, single-item ordered logit models, decomposed components, moderation, and a supplementary seemingly unrelated regression (SUR) system. Results: The index was positively associated with job satisfaction (b = 0.260, p = 0.0010), personal accomplishment (b = 0.416, p = 0.0335), and self-rated service quality (b = 0.151, p = 0.0275). Its association with emotional exhaustion was negative but not statistically significant in the main model (b = −0.186, p = 0.1207), although it became significant in the stricter sample. Decomposed and moderation models provided limited evidence for stable component-specific or moderation patterns. Conclusions: The findings should be interpreted as exploratory associational evidence rather than causal effects. Perceived communication and cooperation with physicians and nurses appear more consistently linked to favorable occupational evaluations than to emotional exhaustion among medical social workers in China. Full article

Film posters serve as front-end visual communication media that shape viewers’ initial judgments of film genre, emotional tone, and viewing appeal. However, whether the optimal overall color configuration follows a universal rule or varies across poster types remains insufficiently examined. This study investigated how overall lightness and chroma influence the communication effects of film posters and identified type-specific optimal color intervals. Based on a cross-type poster sample library, film posters were classified into four visual grammar types: affable-entertaining, relational-emotional, spectacle-dynamic, and threat-suspenseful. Type-specific quantile thresholds for lightness and chroma were established within each category. Eye-tracking data, subjective ratings, mixed-effects response surface modeling, and constrained desirability optimization were combined to identify optimal regions of overall color configuration. The results show that no single optimal lightness–chroma interval applies across all poster types. The dominant optimal interval was low lightness–high chroma for affable-entertaining and relational-emotional posters, high lightness–low chroma for spectacle-dynamic posters, and medium lightness–high chroma for threat-suspenseful posters. These findings indicate that overall color optimization varies across poster types within the present experimental context and provide practical support for evidence-based, type-specific poster color design. Full article

Academic setbacks are common in college, yet instructor responses to poor performance vary widely and may shape students’ motivation, emotional reactions, and perceptions of faculty support. Prior work suggests that supportive communication matters, but less is known about which types of messages students prefer after academic failure or whether faculty accurately anticipate these preferences. The present research examined how college students and instructors evaluate different instructor responses to a disappointing exam grade and assessed alignment between student preferences and faculty perceptions. Using a mixed-methods design, college instructors and undergraduate students responded to parallel vignette scenarios involving a poor exam outcome and rated brief instructor comments representing three response types: solution-focused, emotional validation, and interpersonal affirmation. Participants also provided open-ended responses describing what they would say to a student or want to hear from an instructor. Across two studies, students rated affirmation as most effective, validation as moderately helpful, and solution-focused responses as least effective, despite perceiving solution-focused comments as most common in actual classrooms. Faculty in our sample rated validation and affirmation as more effective than solution-focused responses but primarily generated strategy-focused advice in their own responses. Faculty correctly anticipated students’ preference for encouragement but rarely offered such messages. These findings point to a gap between what faculty believe students value and what they typically communicate following academic setbacks, suggesting that incorporating brief affirming and emotionally responsive messages may strengthen student–teacher relationships by signaling care, understanding, and support in moments of academic difficulty. Full article

Background: Cervical cancer remains a significant health issue in Indonesia, where structural barriers, fragmented information, and sociocultural norms continue to hinder timely diagnosis and treatment. Families play a central role throughout the illness journey, yet their perspectives are often overlooked in the development of digital patient navigation systems. This study explored family experiences, caregiving challenges, and expectations for a family-centered digital navigation model, DIVA.ID, by integrating Digital Health frameworks and Family Systems Theory. Methods: A qualitative descriptive approach was employed through semi-structured, in-depth interviews with 18 purposively selected family caregivers of women with cervical cancer at a major referral hospital in West Java. Participants were selected because they were directly involved in daily care, treatment decisions, logistical support, or emotional assistance. Interviews were conducted between August and October 2025 and continued until thematic saturation was reached, as indicated by repetition of categories and the absence of new major codes in the final interviews. Data were analyzed using inductive–deductive content analysis guided by Elo and Kyngäs, with five researchers conducting independent coding, iterative code comparison, consensus meetings, and theoretical mapping. Results: Four main themes emerged: (1) family involvement in decision-making, including collective discussion, shifting authority roles, and patient autonomy; (2) caregiver burden, involving physical exhaustion, psychological distress, social restriction, stigma, financial pressure, and employment disruption; (3) psycho-spiritual coping mechanisms, including emotional sharing, prayer, crying, patience, and surrender to God; and (4) digital healthcare needs, covering BPJS guidance, treatment information, scheduling, communication pathways, shelter support, and mental–spiritual support. Mapping these themes to Digital Health frameworks and Family Systems Theory clarified how DIVA.ID could translate family experiences into practical navigation functions. Conclusions: This study provides empirical foundations for a culturally sensitive, family-centered digital navigation model in Indonesia. Rather than demonstrating effectiveness, the findings identify design requirements for DIVA.ID that should be tested in subsequent feasibility, usability, and intervention studies. Full article

This paper aims to develop a conceptual framework of digital resilience rituals in order to illuminate the ways in which media practices can be seen as adaptive responses to information stress in the context of the current digital communication environment. By incorporating the theoretical perspectives of the concept of ritual communication and the theories of resilience and salutogenesis, the current study aims to reconceptualize the use of digital media as routinized and meaning-making practices. Algorithmically curated, information-rich environments generate continuous cognitive and affective demands, experienced as information stress. In response, users engage in ritualized media practices that structure attention, regulate emotional responses, and maintain a sense of control. The model identifies three types of digital resilience rituals: orientation rituals, emotional regulation rituals, and boundary-setting rituals. Conceptually, the framework links structural characteristics of the media environment with psychological resources, positioning ritualized practices as mediating mechanisms between environmental stressors and adaptive outcomes. By doing so, the study extends ritual communication theory toward adaptive regulation in digital contexts and offers a theoretically grounded basis for future empirical research on media practices, information stress, and resilience. Full article

Background: In the context of population aging and the growing burden of chronic conditions, promoting exercise participation has become an important strategy for supporting healthy aging. However, older adults with chronic conditions often face multiple constraints related to symptom burden, risk perception, and everyday life. A theory-informed understanding of the determinants of exercise participation in this population is therefore needed. Methods: This study adopted a theory-informed qualitative descriptive design and conducted face-to-face semi-structured interviews with 30 community-dwelling older adults with chronic conditions. Purposive sampling was used to ensure variation in age, sex, chronic condition type, and exercise participation. Data were analyzed using the framework method guided by the Theoretical Domains Framework (TDF), and the resulting themes were subsequently mapped onto the Capability, Opportunity, Motivation–Behavior (COM-B) model. Results: Participants were aged 60–86 years, and most were women, had low educational attainment, came from rural backgrounds, and lived with multimorbidity. Participants described exercise participation as a day-to-day process of negotiating symptoms, risk, functional boundaries, and everyday responsibilities rather than as a simple matter of willingness. Although most participants recognized the value of exercise, many lacked disease-specific knowledge about suitable exercise types, safe intensity, progression, and warning signs. Symptom burden and functional limitations constrained exercise, but many participants used symptom-based self-regulation strategies, such as resting, slowing down, or modifying activity when discomfort occurred. Family members, peers, health professionals, and community resources could either facilitate exercise or restrict it, depending on their accessibility, continuity, specificity, and practical relevance. Continued participation was closely linked to perceived benefits, controllable risk, self-efficacy, positive emotional experience, and immediate bodily feedback. Conclusions: Exercise promotion for older adults with chronic conditions should move beyond general advice and provide disease-adapted exercise education, symptom-based self-regulation strategies, family and peer support, professional guidance, age-friendly community resources, and feedback mechanisms that support long-term maintenance. Full article

The increased use of technology-assisted distance counseling practices is one result of COVID’s impact on behavioral health, including in counselor education and the delivery of supervision. First, technology-assisted distance supervision needed for “real time” communication grew. Furthermore, there is an emergence of artificial intelligence (AI) technologies that have the potential to contribute to aspects of supervision; however, current evidence remains emerging, context-dependent, and at times mixed, warranting cautious interpretation of their effectiveness. The article offers an overview of using AI in clinical supervision, examines the benefits and potential concerns of AI from different perspectives, and considers the significance of using AI in counseling supervision. The role of AI is discussed as applied to counseling supervision including the use of AI tools, such as chatbots and reasoning AI, to detect and track sessions, note behavioral and emotional cues, aid/monitor communication and feedback, while also attending to ethical and legal consideration for its use. The article will report a range of benefits for supervisors and trainees using AI—for example, by enhancing data-driven supervision decisions, analyzing feedback trends, providing more efficient administrative monitoring, flexible/remote support, skill development, and promoting ethical decisions and self-reflection. Special attention is given to the challenges of using AI in supervision, including risks of undervaluing intuition and qualitative insights, potential for algorithms to reinforce systemic biases, risks of replacing human interaction, as well as non-compliance with HIPAA, FERPA, and ethical guidelines in data storage and privacy. The article will discuss privacy concerns, depersonalized feedback, and increased judgment-driven anxiety despite needed empathy when using AI as a tool for clinical supervision. Recommendations will also be offered for effective, ethical integration of AI in counseling supervision. Full article

Digital transformation has become an essential component of sustainable rural development, yet substantial inequalities persist in how communities access, adopt, and benefit from digital technologies. Understanding these disparities requires not only information about technological resources but also knowledge of the relational structures through which information, support, and opportunities circulate. This article presents a reproducible synthetic socio-digital network dataset designed to support the analysis of digital gaps in community-based tourism (CBT) environments. Rather than containing original respondent-level observations, the repository was computationally reconstructed from aggregate statistics derived from field studies conducted in three rural communities in the province of Guayas, Ecuador: Bucay (5 de Septiembre), Manglares Churute, and Ruta de los Chirijos. All node-level records, survey variables, and support relationships included in the repository were synthetically generated to preserve aggregate community characteristics while protecting participant confidentiality and preventing individual re-identification. The repository contains synthetic actor metadata, reconstructed socio-digital variables, directed support networks, graph representations in interoperable formats, and precomputed Social Network Analysis (SNA) indicators. The dataset includes 90 synthetic actors, more than one thousand generated support interactions distributed across multiple socio-digital dimensions, machine-readable metadata, and reusable scripts for preprocessing, validation, graph construction, and metric computation. The represented dimensions include financial assistance, training support, information exchange, technological support, social media promotion, institutional collaboration, trust, and emotional closeness. To facilitate reuse, all resources are distributed in standardized formats compatible with NetworkX, Gephi, Neo4j, and graph-learning frameworks. The repository follows FAIR principles and includes documentation intended to support transparency, reproducibility, and methodological benchmarking. Potential applications include social network analysis, graph mining, graph neural networks, digital inequality research, computational social science, community resilience studies, and educational activities. By providing an openly documented synthetic dataset and reproducible computational workflow, the repository contributes to the study of socio-digital systems, privacy-preserving data sharing, and community-level digital transformation processes. Full article

Higher-education institutions increasingly use AI-enabled chatbots, personalised communication, recommendation systems, and predictive information services in academic marketing. Adoption of these systems depends not only on technical availability, but also on institutional trust, emotional engagement, and skepticism regarding the reliability, transparency, and autonomy implications of AI. This study examines the Trust-Tech Nexus framework using stakeholder survey data collected at MIT Art, Design and Technology University, Pune, India (N = 300). The analysis combines psychometric validation, WLSMV confirmatory factor analysis for ordered indicators, and cross-validated predictive modelling. Four three-item constructs were measured with five-point Likert indicators, as follows: AI Adoption, Institutional Trust, Emotional Engagement, and AI Skepticism. Reliability and convergent validity were acceptable, and the WLSMV CFA showed strong practical fit (CFI = 0.991, TLI = 0.988, RMSEA = 0.040, SRMR = 0.039). Discriminant validity was supported by HTMT and Fornell–Larcker evidence, while Harman’s single-factor result was treated only as an initial diagnostic. Construct-only ridge regression produced positive out-of-sample predictive evidence (CV R-squared = 0.352; RMSE = 0.642; MAE = 0.501). Exploratory classification results were moderate and are interpreted only as supplementary segmentation evidence because the binary targets were derived from the AI Adoption composite. The study supports a validated four-construct measurement structure and moderate predictive association in one institutional context, while avoiding causal claims. Full article

This study examines punctuation as a paralinguistic resource in digital political discourse, focusing on its role in encoding stance in a corpus of tweets produced by Donald Trump. Drawing on a dataset of 1000 tweets, the analysis combines quantitative and qualitative approaches to identify patterns in the use of exclamatory, interrogative, and mixed punctuation forms. The findings suggest that punctuation functions systematically as a mechanism of textual amplification, shaping the expression of evaluation, emotional intensity, and interactional meaning. Repeated exclamation marks are closely associated with heightened stance and emphasis, while interrogative forms frequently function rhetorically to signal doubt and challenge rather than to request information. Mixed forms further demonstrate the flexibility of punctuation in encoding multiple layers of meaning within a single utterance. The analysis also shows that punctuation operates in close interaction with lexical intensifiers and capitalization, forming clusters of meaning that reinforce communicative force. By foregrounding punctuation as a meaningful semiotic resource, the study contributes to a more nuanced understanding of how written discourse adapts to the constraints of digitally mediated communication. It argues that punctuation should be treated as an integral component of pragmatic and discourse-analytic inquiry and highlights its role in the construction of stance in contemporary digital political discourse. Full article

Emotional well-being has become a central concern in contemporary educational research, particularly in contexts shaped by social and cultural diversity. However, dominant approaches to educational assessment continue to prioritize cognitive outcomes, often overlooking the affective dimensions of children’s everyday experiences. In this context, play emerges as a key yet underexplored process through which emotional well-being is constructed in childhood. This study aimed to analyze the role of play in the configuration of emotional well-being in sociocultural educational contexts from a sociocultural and relational perspective. A qualitative multiple-case study was conducted in two rural schools located in Mapuche territories in southern Chile, involving students, teachers, caregivers, and Mapuche knowledge holders (kimches). Data were generated through semi-structured interviews and focus groups and analyzed using inductive coding procedures supported by qualitative data analysis software. The findings indicate that play operates as a socioemotional ecology through which children participate in collective forms of life, construct relationships, and experience emotional well-being in interaction with others, territory, and culturally meaningful practices. Three interconnected dimensions emerged. First, play was experienced as a relational, territorialized, and culturally situated practice sustained through participation, collective interaction, and intergenerational transmission. Second, emotional well-being emerged through enjoyment, companionship, belonging, and opportunities for social participation. Third, well-being appeared as a situated experience dependent on access to meaningful spaces, material conditions, cultural repertoires, and opportunities for play. Participants also identified tensions associated with technological change, the reduction in free play opportunities, and transformations in community life, while highlighting the potential role of schools in revitalizing culturally significant play practices such as palín and linao. These findings suggest that emotional well-being is not simply an individual psychological state but a relational and sociocultural accomplishment emerging through participation in meaningful play practices. The study contributes to interdisciplinary debates on childhood, emotional well-being, intercultural education, and sociocultural approaches to development by proposing the concept of play as a socioemotional ecology. Full article

This study examines the relationship between emotional intelligence and enterprise risk management maturity among risk leaders in Indonesia’s financial services sector, adopting a workplace accountability perspective to explain how leadership behavioural competencies support effective risk ownership, risk communication, and accountable risk decision-making. Drawing on survey data from 280 board-level executives holding the Qualified Risk Governance Professional credential, the study measures emotional intelligence using the Bar-On EQ-i and enterprise risk management maturity using the RIMS Risk Maturity Model. The findings reveal a strong and positive association between emotional intelligence and enterprise risk management maturity, with interpersonal competence and adaptability exhibiting the strongest associations with ERM maturity, while no significant differences are observed across job roles or organisational size. By empirically examining the association between leadership emotional capabilities and the institutionalisation of risk governance, the study contributes to global management and the literature on risk by extending enterprise risk management research beyond technical frameworks and compliance models, particularly within emerging market contexts. The results suggest that emotional intelligence may represent a transferable governance capability that is relevant to organisations operating in complex, uncertain, and globally interconnected environments. Practically, the study suggests that emotional intelligence development may represent a useful complement to leadership and risk capability programmes aimed at supporting risk culture, cross-functional engagement, and accountability. Full article

There is growing recognition of the health benefits that forests and green spaces provide to people. Forest bathing is a practice that promotes relaxation and human well-being through immersive, mindful experiences in forest environments. How forest bathing affects distinct dimensions of well-being is still not fully understood. In this study, we assessed changes in well-being before and after two and four forest bathing sessions and examined whether a brief introductory session on forest ecosystem services enhanced participants’ overall perception of well-being. Forty adults from a rural community in southern Chile completed the Warwick–Edinburgh Mental Well-being Scale to assess perceived well-being. Participants showed improvements in overall well-being after two sessions, with the most significant gains in relaxation, optimism, clarity of thought, and social connection. Scores remained stable between the second and fourth sessions, suggesting that initial exposure offers the most substantial benefits, while continued practice helps maintain them. Although the introductory session did not significantly affect overall well-being scores, it showed positive effects on optimism and social connection. These findings highlight forest bathing as an effective nature-based intervention to promote emotional and social well-being, with implications for policies advancing public health and sustainability goals. Full article