Search Results (1,537)

The rapid integration of artificial intelligence (AI) accelerates the need for continuous skill acquisition. Consequently, this increases the importance of lifelong learning while raising fundamental questions about pedagogical interaction and human social values. To remain competitive, individuals must constantly acquire new skills and enhance existing ones. The aim of the article is to evaluate the stability of individual social value systems and the role of pedagogical interaction in lifelong learning during AI integration. The study uses a quantitative survey (N = 160) with a retrospective self-assessment model based on Schwartz’s Theory of Basic Human Values. The study processed data in IBM SPSS using non-parametric tests (Wilcoxon signed-rank, Kruskal–Wallis, Kendall’s rank correlation) to analyze how digital skills and sociodemographics influence technology perception. Findings reveal core value systems remain statistically stable; AI integration causes no internal value conflict. Digital skill level, rather than age, is the most significant factor in AI perception. While participants highly rate AI’s potential to customize learning, they express concerns regarding technological dependence. In the lifelong learning ecosystem, AI is viewed as a didactic tool rather than an educator replacement, as technology cannot provide essential social interaction and emotional support. Finally, higher education fosters a critical attitude toward AI’s ethical risks. Full article

Background: Diabetes is a growing public health crisis across the Arab region, where rapid urbanization, dietary transitions, and physical inactivity have contributed to some of the highest diabetes rates globally. Despite a growing recognition of the problem, most diabetes prevention efforts in the region remain small-scale or insufficiently adapted to the sociocultural realities of adults living in the UAE. Evidence-based diabetes prevention strategies, such as the United States’ Centers for Disease Control Diabetes Prevention Program (DPP), reduce the risk of developing diabetes but remain underutilized. Methods: The objectives of this study were to (1) describe the systematic cultural adaptation of the Evidence-based Intervention for Diabetes Prevention (EID) using the Framework for Reporting Adaptations and Modifications–Expanded (FRAME), and (2) assess the preliminary acceptability of the adapted materials through formative focus groups. Results: Materials were culturally tailored to address both deep and surface structures. Deep structure adaptations incorporated Arab cultural values, social norms, and religious practices, including Ramadan-specific content. The original 26-session curriculum was condensed to 12 weekly sessions based on prior research and stakeholder input. Surface-level adaptations included translation into Arabic and development of culturally relevant educational videos. Three formative focus groups (n = 7 total participants) provided preliminary findings of strong acceptability of simplified, culturally relevant, and digitally supported materials. Conclusions: This work will inform the adaptation of an evidence-based lifestyle change program aimed at preventing type 2 diabetes in high-risk individuals to better meet the needs of adults living in the UAE. While some countries have created their own national diabetes prevention efforts, like the United Kingdom, there is notably no similar program in the Arab world. Full article

Background/Objectives: Duchenne muscular dystrophy (DMD) is a rare progressive neuromuscular disorder associated with increasing care demands. Despite the critical role of caregivers, their physical activity (PA) levels and health-related quality of life (HRQoL) have not been sufficiently investigated. This study aimed to compare PA levels and HRQoL between caregivers of children with DMD and caregivers of typically developing children. Methods: This cross-sectional observational study included 44 individuals: caregivers of children with DMD (n = 22) and caregivers of typically developing children (n = 22). The 36-Item Short-Form Health Survey (SF-36) was used for assessing HRQoL and the International Physical Activity Questionnaire—Short Form (IPAQ-SF) for determining PA levels. Results: IPAQ-SF-derived metabolic equivalent of task (MET) values and PA levels were similar between the groups (DMD caregivers: 1744.63 ± 1163.22, controls: 1945.09 ± 1042.12; p > 0.05). Caregivers of children with DMD demonstrated significantly poorer scores in several SF-36 domains, including vitality, social functioning, role limitations due to physical problems, bodily pain, and mental health (p < 0.05), with the largest difference observed in role limitations due to emotional problems (DMD caregivers: 45.27 ± 28.33, controls: 84.83 ± 24.63; p < 0.05). Physical functioning and general health perception scores were comparable (p > 0.05). Conclusions: Caregivers of children with DMD experience substantial impairments in multiple HRQoL domains, particularly those related to psychosocial well-being and pain, despite comparable PA levels and physical functioning. These findings suggest that reduced HRQoL is not directly explained by PA alone and highlight the need for multidisciplinary interventions targeting psychological health, pain management, and social well-being. Full article

This study examines the relationship between individuals’ perceptions of corporate social responsibility (CSR) and their job-seeking intentions, with a particular focus on the mediating role of personal values and attitudes toward social responsibility. The research was conducted in Romania’s south-west region between June and September 2025, using a stratified sample of 453 respondents. Data were analyzed using SMART-PLS 3.0 through structural equation modeling. The results indicate a positive association between perceived CSR and job-seeking intention, with personal values and attitudes toward CSR significantly mediating this relationship. The findings suggest that participants in this study who perceive organizations as socially responsible also report higher levels of organizational attractiveness, particularly when there is alignment between personal and organizational values. At the same time, the results highlight that consistent CSR practices are associated with stronger perceptions of employer attractiveness. Overall, the study suggests that CSR is closely linked to employment-related attitudes and intentions, supporting the view that alignment between individual values and organizational ethical principles represents an important dimension of contemporary human resource strategies. Full article

Due to the health information asymmetry, the upsurge of Patient Online Communities (POCs) and Patient Social Media groups has increased the importance of electronic word-of-mouth (eWOM) in health care, influencing individuals’ health decisions, as well as a medical organization’s image. This study investigates the association between the multidimensional perceived value of patients and their eWOM intentions in health care services, based on Art Weinstein’s adapted Perceived Value framework. According to this framework, perceived value comprises perceived quality, perceived service outcome, non-monetary costs, and organizational image. Data were collected from 210 Cardiology patients and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Findings of this study revealed that perceived value is positively associated with eWOM intentions within this sample, which highlights the practical importance of enhancing patient experience. As perceived value improves, it may be associated with increased patient-generated content in the form of eWOM. This study provides practical insights and contributes to the understanding of the patients’ perceived value in engaging in health-related eWOM. Full article

Background: The development of an efficacious preventive human immunodeficiency virus (HIV) vaccine remains a central goal of global HIV elimination efforts, yet biological performance alone will not determine a future vaccine’s public health impact. Method: This review draws on behavioral science, communication research, vaccine implementation, and HIV prevention literature to identify cognitive, social, and structural challenges that are likely to shape public acceptance and uptake of a future HIV vaccine, as well as to outline evidence-based opportunities for addressing them. Results: Based on the available literature, mental models of both HIV and vaccination will be a critical determinant of how communities consider a future vaccine, particularly given that emerging mRNA and adjuvanted platforms may generate side effects that could be easily misinterpreted and that highly effective long-acting pre-exposure prophylaxis (PrEP) options already exist and will shape how individuals evaluate a vaccine’s relative value. HIV-related stigma further complicates this landscape by making vaccination a socially interpreted behavior, unlike some other vaccination efforts. Together, these factors suggest that hesitancy and misalignment between public understanding and scientific evidence are predictable and should be anticipated rather than addressed reactively. At the same time, decades of HIV prevention implementation research have established an evidence base for vaccine communication, and existing community engagement infrastructure offers a foundation upon which future rollout efforts can build. We highlight three evidence-based strategies as particularly promising levers for encouraging acceptance and adoption. Conclusions: We conclude with recommendations for HIV vaccine researchers and healthcare professionals to invest in formative research, build community partnerships in advance of vaccine availability, and pilot integrated delivery models within existing HIV prevention services. Full article

For students with Special Educational Needs in their Emotional and Social Development (SEN-ESD), school interactions can intensify distrust in adults or foster corrective relational experiences. Physical Education (PE) presents a dual-natured context for this group: while curricula promote social–emotional skill development, students are particularly dependent on sensitive teacher interactions. Yet, no study has examined how recognition, as the prerequisite for inclusion, is negotiated in these teacher–student interactions. This Grounded Theory study reconstructed these negotiation processes and explains them through a Honneth–Prengel recognition framework. Using an iterative design, we conducted and analysed semi-structured interviews with 18 PE teachers and 22 students with SEN-ESD in German regular secondary schools until theoretical saturation. Constant comparative analysis and iterative open and axial coding revealed the dimension of interactional dignity (property: level of affirmation; ranging from low ↔ high). Five patterns detail its constitution through three core domains: relational security, fairness and voice, and valuing individual skills. Interactions are strained by perceptual discrepancies, one concerning what counts as just and the other whose reality is recognised. Furthermore, a systemic grading paradox emerged, which may function as institutional misrecognition and may risk double marginalization for students with SEN-ESD, who are assessed on their very area of need in PE. Findings suggest that addressing this requires structural reform beyond teacher practice. Inclusive PE needs resources for individualised pedagogy, teachers who acknowledge individual needs and realities, and systemic reform of assessment practices. Full article

This paper develops a dynamic signaling framework to analyze how educational investment evolves under imperfect information and how the informational value of credentials changes over time. It addresses a central question: under what conditions do signaling equilibria become fragile, and how does this fragility generate educational overinvestment and credential inflation in equilibrium? The model features heterogeneous productivity groups and endogenous educational choices, in which education plays both a signaling and a productive role. Informational frictions and wage-setting mechanisms jointly determine equilibrium configurations, allowing for separation, pooling, and mixed equilibria. The analysis shows that separating equilibria are inherently fragile: when signaling costs decline or when the share of lower-productivity workers becomes sufficiently small, incentives for imitation intensify, progressively eroding informational differentiation. This fragility gives rise to a cascade mechanism of overinvestment, whereby individuals increase educational attainment beyond efficient levels to preserve relative positioning. As a result, signaling distortions propagate across educational levels, generating persistent credential inflation and weakening the informational content of degrees. The framework also identifies conditions under which mixed equilibria may dominate separating equilibria in terms of aggregate welfare, particularly when the proportion of low-productivity workers is limited. By incorporating a productive dimension of education, the model distinguishes between pure signaling rents and genuine productivity gains, providing a unified interpretation of overeducation, declining returns to credentials, and persistent wage dispersion. Finally, the analysis characterizes an optimal taxation scheme that eliminates inefficient signaling rents while preserving incentives for productivity-enhancing investment. Taken together, the results highlight how equilibrium fragility, informational distortions, and strategic educational measures provide a unified explanation for diploma inflation, equilibrium segmentation, and persistent deviations from socially optimal investment levels. Full article

Ethno Sense is defined as a culturally mediated cognitive–perceptual capacity through which individuals discern, select, and interpret mathematically salient structures in socially situated practices. The increasing recognition of mathematics as a culturally situated practice has prompted growing interest in integrating cultural contexts into mathematics education. Approaches such as ethnomathematics and Realistic Mathematics Education emphasize the importance of culture and meaningful contexts; however, a critical gap remains in explaining how individuals perceive and recognize mathematical structures within culturally embedded experiences. This entry addresses this gap by introducing Ethno Sense as a novel conceptual construct. Conceptualized as a pre-formal layer of mathematical cognition, it explains how culturally conditioned perception, interpretive schemas, and value systems shape the recognition of mathematical meaning prior to formalization. It proposes a mechanism comprising contextual indexing, schema activation and selection, and value-informed interpretation. These processes operate dynamically to guide engagement with culturally meaningful phenomena and the identification of mathematical relevance. The entry further positions Ethno Sense as an epistemological foundation for Ethno-Realistic Mathematics Education, supporting authentic context selection and progressive mathematization. By foregrounding culturally mediated perception, it shifts attention from problem solving to recognizing situations as mathematically meaningful. This study contributes a unifying theoretical construct linking cultural experience and mathematical cognition, and outlines implications for practice and future research on culturally situated learning. Ultimately it offers a lens for understanding reciprocal relationships between culture and mathematics across educational contexts. Full article

Purpose: This study presents an evidence gap map (EGM) of recent empirical survey-based research on decent work published between 2022 and 2025. The aim is to systematically visualize where empirical evidence has accumulated and to identify persistent knowledge gaps across key dimensions, populations, regions, outcomes, and methodological approaches, thereby informing future research agendas and evidence-informed policy development. Design/methodology/approach: A systematic mapping review was conducted following established guidance for evidence gap maps. Searches were performed in major bibliographic databases using a focused strategy to identify studies explicitly engaging with the decent work construct. Empirical quantitative studies based on survey methods were screened against predefined eligibility criteria. A total of 214 studies published between January 2022 and 2025 were included and coded using a structured framework covering decent work dimensions, population characteristics, geographic context, methodological design, and outcome variables. Evidence gap maps were constructed using matrix-based visualizations to display evidence density and gaps. Findings: Despite a substantial increase in publication volume since 2022, the evidence base remains unevenly distributed. Empirical research continues to concentrate on a limited subset of decent work dimensions and individual-level outcomes, while dimensions related to social dialogue and employment security receive comparatively little attention. Vulnerable worker populations—including persons with disabilities, domestic workers, and gig economy workers—remain critically underrepresented. Methodologically, cross-sectional designs predominate, with longitudinal and multilevel approaches still relatively scarce. Geographic coverage is similarly uneven, with research activity concentrated in a limited number of regions. Research limitations/implications: By systematically mapping recent empirical survey-based evidence, this study highlights persistent misalignments between theoretical ambitions, policy priorities, and empirical practice. The findings provide a structured basis for prioritizing future research and for aligning psychological research on decent work more closely with equity-oriented policy objectives. Originality/value: This study is the first evidence gap map focusing specifically on recent empirical survey-based research on decent work. By applying a rigorous EGM approach to post-2021 literature, it offers a structured overview of this segment of the evidence base and identifies priority areas where empirical knowledge remains limited. Full article

Patients with chronic kidney disease (CKD) frequently experience depressive symptoms, which substantially impair their quality of life. To facilitate the early identification of high-risk individuals, this study aimed to develop a predictive model for assessing depression risk among CKD patients. This study was based on data from the China Health and Retirement Longitudinal Study (CHARLS) 2018 wave, including 1777 middle-aged and elderly participants with self-reported CKD diagnosed by a physician. Depressive symptoms were assessed using the 10-item Center for Epidemiologic Studies Depression Scale (CES-D 10). A total of 29 variables were included, covering lifestyle factors, health status, comorbidities, and sociodemographic characteristics. The Elastic Net algorithm was employed to select 11 features with the highest predictive value. Seven machine learning models, including XGBoost and support vector machine (SVM), were compared, with CHARLS 2020 data used as a temporal validation set. In the multi-model comparison, XGBoost demonstrated discrimination performance comparable to logistic regression (LR), SVM, and multilayer perceptron (MLP) (DeLong test, p > 0.05). However, considering its superior calibration performance and ability to capture nonlinear interactions, XGBoost was selected as the final model. In the validation set, the model achieved an area under the curve (AUC) of 0.8017 and an accuracy of 72.39%. SHAP analysis further revealed the nonlinear effects of predictors, with life satisfaction, sleep duration, and self-rated health showing high contributions and negative associations with depression risk, whereas limitations in activities of daily living (ADL), physical pain, and digestive system diseases were significantly associated with an increased risk of depression. Overall, the risk of depression in CKD patients is influenced by multiple dimensions, including psychological cognition, quality of life, physical function, and social environment. The predictive model developed in this study may provide a valuable reference for the early screening of high-risk populations. However, its applicability to non-CKD populations requires further validation. Full article

Family farming (FF) in Paraguay faces structural challenges related to institutional fragmentation, territorial inequalities, and limited coordination among stakeholders. In this context, the department of Itapúa provides a relevant case for analyzing how the relational structure of actors shapes territorial governance dynamics. This study examines how the network of actors involved in FF is configured and what this structure reveals about coordination processes, using a Social Network Analysis (SNA) approach. Based on 40 surveys conducted between April and May 2024, a directed and weighted network comprising 35 actors was constructed, including institutional, technical, productive, and market-related stakeholders. The analysis focuses on the intensity and structure of relationships shaping flows of information, resources, and territorial organization. The results reveal a relatively cohesive but functionally differentiated network. Technical actors and public institutions—particularly municipalities and the Ministry of Agriculture and Livestock (MAG)—occupy central and intermediary positions that facilitate coordination and information flows. In contrast, individual producers and market vendors remain in peripheral positions, limiting their influence within the network. The network structure combines elements of bonding and bridging social capital, although the limited presence of weak ties may constrain innovation and the incorporation of new actors. These findings point to a form of distributed territorial governance characterized by interdependence among actors, but also by structural asymmetries and coordination gaps between functional domains. Based on the results, the study highlights the need to strengthen coordination mechanisms, improve the integration of peripheral actors, and promote new connections between less articulated groups. Overall, this study provides empirical evidence on territorial governance in FF systems in Paraguay and demonstrates the value of SNA as a tool for analyzing coordination processes in rural contexts in Latin America. Full article

Background: Smoking cessation outcomes vary widely across individuals, yet clinic-based services often rely on uniform intervention strategies. Understanding heterogeneity in smoking behaviors, co-occurring health behaviors, and cessation-related psychological profiles may help refine community-based cessation services. This study aimed to identify distinct subgroups of smokers enrolled in public health center-based smoking cessation clinics and to examine differences in cessation outcomes and related characteristics across subgroups. Methods: Data from 21,105 newly enrolled adults attending 16 public health center-based smoking cessation clinics in C Province were drawn from the Smoking Cessation Service Integrated Information System of the National Tobacco Control Center. Latent class analysis was conducted using five indicators: time to first cigarette, cigarettes per day, prior quit attempts, alcohol use, and physical activity. Associations between latent class membership, covariates, and distal outcomes were examined using a three-step approach. Results: Four distinct latent classes were identified: Sedentary heavy smokers (46.8%), Active social heavy smokers (34.6%), Inactive-nicotine addictive-light smokers (13.6%), and Active lifestyle light smokers (5.0%). The latent classes showed different socioeconomic, smoking-related, and cessation-related confidence. Six-month cessation successes differed across classes, with higher abstinence among light-smoking classes and among Sedentary Heavy Smokers relative to Active Social Heavy Smokers. Conclusion: These findings highlight the value of person-centered profiling for informing more precise, context-sensitive cessation strategies and support the integration of behavioral and environmental considerations into community-based tobacco control programs. Full article

Adolescence constitutes a developmental stage marked by increased vulnerability to the adoption of consumption behaviors shaped by individual, social, and contextual determinants. This study aimed to examine the association between cumulative psychosocial vulnerability and the consumption of alcohol, coffee, and energy drinks among adolescents in Romania, employing a composite behavioral score designed to capture personal, social, and contextual stability. This cross-sectional study included 521 adolescents, with data collected during the COVID-19 pandemic when schooling was entirely online. Alcohol, coffee, and energy drink consumption were analyzed using Pearson correlations and binary logistic regressions. The composite behavioral score was constructed as the mean of standardized indicators, with higher values reflecting lower levels of psychosocial vulnerability. Results indicate that the composite behavioral score is negatively and significantly associated with alcohol consumption (r = −0.150, p = 0.001; OR = 0.51, 95% CI [0.33–0.80], p = 0.002), indicating a lower likelihood of consumption among adolescents with more stable psychosocial profiles. In contrast, the score was not significantly associated with coffee or energy drink consumption. Analyses also revealed significant differences in the composite behavioral score by gender (Cohen’s d = −0.82), with boys exhibiting higher vulnerability, and by residential environment (Cohen’s d = −1.15), with adolescents from rural areas—particularly boys—showing higher levels of psychosocial vulnerability. A secondary composite score, excluding demographic variables, was also computed to assess the robustness of the observed associations, with only area of residence remaining a significant predictor. In conclusion, the findings are consistent with the hypothesis that cumulative psychosocial vulnerability is relevant for explaining alcohol consumption in adolescence but not for coffee or energy drink use. These results highlight the need for a conceptual distinction between consumption behaviors with a normative status and those more clearly associated with psychosocial risk, as well as the importance of prevention interventions tailored to the specific characteristics of each type of consumption. Full article

The ongoing academic debate on interpreting the disenchantment and re-enchantment of modern society remains unresolved. This study traces the theoretical genealogies of enchantment, disenchantment, and re-enchantment, proposing that enchantment is not a fixed concept but a dynamically evolving and reconstructed process. Focusing on sacred mountain circumambulation—a traditional pilgrimage ritual deeply entrenched in Tibetan cultural contexts—this study employs qualitative methods, conducting semi-structured interviews with 33 contemporary Tibetan youth to examine the manifestations of enchantment within this practice. Findings reveal that, against the backdrop of globalization and China’s social transformation, Tibetan youths’ circumambulation practices exhibit several emerging characteristics in organizational patterns, material preparation, modes of action, degree of ritual participation, and intergenerational differences. Within this pilgrimage activity, the process of disenchantment is evident as Tibetan youth attain higher levels of cultural and educational literacy. Traditional foundations of enchantment, such as taboos associated with sacred mountains and utilitarian motivations, persist. Simultaneously, new forms of enchantment with distinctly modern features—including topophilia and emotional value—are steadily emerging. The results suggest that disenchantment does not entail the demise of enchantment, nor does re-enchantment signify a return to traditional enchantment. Instead, sacred mountain circumambulation embodies the cognitive and perceptual process through which Tibetan youth engage with, understand, and negotiate enchantment via their individual lived experiences. This research not only uncovers the evolving significance of circumambulation in modern society but also offers a fresh perspective on how enchantment adapts and endures within contemporary contexts. Full article