Search Results (263)

Background: This cross-sectional study examined the association between body mass index (BMI) and executive function (EF) in older adults, with a focus on the moderating role of attitudes toward own aging (ATOA). Method: A total of 431 community-dwelling elderly individuals from Yakumo Town and Kyoto City, Japan, participated between 2023 and 2024. EF was assessed using the Digit Cancellation Test (D-CAT), and ATOA was measured via a validated subscale of the Philadelphia Geriatric Center Morale Scale. Results: Multiple linear regression analyses adjusted for demographic and health covariates revealed a significant interaction between BMI and ATOA in the younger-old cohort. Specifically, higher BMI was associated with lower executive function only in individuals with lower ATOA scores. No such association was observed in those with more positive views on aging. Conclusions: These results indicate that positive psychological constructs, particularly favorable self-perceptions of aging, may serve as protective factors against the detrimental cognitive consequences of increased body mass index in younger-old populations. Full article

Integrating artificial intelligence (AI) and cause-related marketing has reshaped corporate social responsibility practices while triggering a conflict between technological instrumental rationality and moral value transmission. Building on the Persuasion Knowledge Model (PKM) and AI aversion literature, this research employs two experiments to reveal that AI disclosure exerts a unique inhibitory effect on consumers’ purchase intentions in cause-related marketing contexts compared to non-cause-related marketing scenarios. Further analysis uncovers a chain mediation pathway through consumer skepticism and advertisement attitudes, explaining the psychological mechanism underlying AI disclosure’s impact on purchase intentions. The study also identifies the moderating role of AI aversion within this chain model. The findings provide a new theoretical perspective for integrating AI disclosure, consumer psychological responses, and marketing effectiveness while exposing the “value-instrumentality” conflict inherent in AI applications for cause-related marketing. This research advances the evolution of the PKM in the digital era and offers practical insights for cause-related marketing enterprises to balance AI technology application with optimized disclosure strategies. Full article

Background: Thailand is rapidly transitioning into an aging society, creating an intergenerational caregiving gap that strains existing support systems. Objective: This study evaluated the effectiveness of “Young Care,” a community-based intervention designed to enhance youth knowledge, attitudes, and caregiving practices (KAP) toward older adults. Methods: A two-day structured training was conducted in Maha Sarakham Province in 2023 using a pre-post mixed-methods design. Middle and high school students participated in lectures, multimedia sessions, and experiential learning activities related to caregiving. Quantitative data were collected using validated KAP questionnaires, while qualitative insights were obtained from focus group discussions involving students, older persons, caregivers, and local leaders. Results: Post-intervention analysis revealed significant improvements in knowledge and attitudes (p < 0.001), accompanied by increased empathy, caregiving initiative, and a sense of moral responsibility among participants. Conclusions: The initiative fostered formal partnerships among schools, local governments, healthcare providers, and universities through memoranda of understanding. These collaborations enabled budgetary support and outreach to out-of-school youth, positioning “Young Care” as a scalable, youth-centered strategy to address Thailand’s long-term care challenges. Full article

Automated vehicles controlled by artificial intelligence are becoming capable of making moral decisions independently. This study investigates the differences in participants’ perceptions of the moral decision-maker’s permissibility when viewing scenarios (pre-test) and after witnessing the outcomes of moral decisions (post-test). It also investigates how permissibility, ten typical moral emotions, and perceived moral agency fluctuate when AI and the human driver make deontological or utilitarian decisions in a pedestrian-sacrificing dilemma (Experiment 1, N = 254) and a driver-sacrificing dilemma (Experiment 2, N = 269) from a third-person perspective. Moreover, by conducting binary logistic regression, this study examined whether these factors could predict the non-decrease in permissibility ratings. In both experiments, participants preferred to delegate decisions to human drivers rather than to AI, and they generally preferred utilitarianism over deontology. The results of perceived moral emotions and moral agency provide evidence. Moreover, Experiment 2 elicited greater variations in permissibility, moral emotions, and perceived moral agency compared to Experiment 1. Moreover, deontology and gratitude could positively predict the non-decrease in permissibility ratings in Experiment 1, while contempt had a negative influence. In Experiment 2, the human driver and disgust were significant negative predictor factors, while perceived moral agency had a positive influence. These findings deepen the comprehension of the dynamic processes of autonomous driving’s moral decision-making and facilitate understanding of people’s attitudes toward moral machines and their underlying reasons, providing a reference for developing more sophisticated moral machines. Full article

Negative weight-based attitudes are pervasive and difficult to change. One reason may be the moralization of weight: if people use higher weight as a cue for lower self-control, they may infer lower moral character, given the strong link between self-control and morality. Moralized attitudes tend to be resistant to change. Accordingly, we tested whether (1) people perceived others with higher (vs. lower) weight as having lower self-control and, in turn, morality and (2) whether targeting control-related perceptions attenuated the weight → self-control → morality links. To that end, in two preregistered experiments (see OSF), we employed intervention strategies targeting control-related perceptions to increase moral evaluations of higher-weight individuals. Specifically, we provided evidence of a higher-weight person’s (a) weight uncontrollability (Study 1) and (b) high self-control (Study 2). People perceived higher-weight targets as having lower self-control, and this predicted perceptions of lower moral character. However, as with extant weight-based attitude interventions, neither experimental intervention strategy attenuated less positive (i.e., made more positive) moral character perceptions. These findings suggest that it is not enough to intervene on control-related beliefs to reduce the moralization of weight. We suggest intervening on moral perceptions directly and the possibility that moralization of weight may be automatic, requiring interventions targeting automatic attitudes. Full article

Background: Due to their participation in patient care, pharmacists frequently face various ethical decisions that must be made. Every day, pharmacists encounter ethical challenges in any pharmaceutical workplace. This study aims to assess the attitude and awareness among pharmacy students and pharmacists regarding general and professional ethics. Methods: This study was cross-sectional, using an interview-based questionnaire. Pharmacy students from Yarmouk University volunteered to approach other pharmacy students and pharmacists to complete the questionnaire using a convenient sampling method. Results: A total of 1737 pharmacy students and pharmacists participated in this study. Among the 691 participants who are currently practicing pharmacists, 549 (79.4%) reported working in a community pharmacy. About half of the pharmacy students (53.6%) had studied a course in ethics, while 110 (15.9%) of the pharmacists had not. While students and pharmacists have shown significantly different attitudes, less than 20% of the participants demonstrated a high level of awareness regarding the pharmacy code of ethics. On the other hand, more than 60% of pharmacy students and practicing pharmacists concurred that they might permit others to carry out the duties of a pharmacist. Surprisingly, the data revealed that student pharmacists performed better than practicing pharmacists, highlighting that students appreciate the principles of professionalism and that exposure to a work environment can help modulate negative behavior and beliefs. Conclusions: These findings underscore the need for ongoing ethical education and training for both pharmacy students and practicing pharmacists to ensure that everyone in the field upholds a high standard of moral behavior in patient care. Full article

As climate change continues to endanger a sustainable global condition, a growing literature investigates how to pursue green practices to fight its effects. Individuals are the essential starting point for such bottom-up attempts, with their attitudes towards sustainability driving pro-environmental behaviors (PEBs). Objectives: Based on the available relevant literature, this scoping review aims to delve into the processes underlying people’s sustainable decision-making (SDM) associated with PEBs. Methods: A scientific literature search was performed through (a) an active database search and (b) the identification of studies via reference and citation tracking. Results were screened and selected in Rayyan. Results: Included articles (n = 30) heterogeneously reported cognitive and neural aspects of SDM shaping PEBs. These proved to (a) recruit brain areas involved in mentalizing and moral cognition (likely because of their role in processing the interplay between personal and contextual factors rather than moral considerations in themselves); (b) undergo the same modulatory influences shaping other kinds of prosocial/cooperative behaviors; and (c) include brain areas involved in attentional/monitoring and emotional/motivational processes, alongside those consistently associated with decision-making processes. Conclusions: These results help interpret the available evidence on the neuro-cognitive bases of SDM while focusing on potential interventions to foster better practices and mitigate the adverse repercussions of climate change on human and global health. Full article

The cage tilapia farming boom in Kenya’s Lake Victoria region underscores its role in food security and economic growth. Success depends on understanding producer and consumer behaviors within the value chain. Using the Theory of Planned Behavior (TPB), this study examines how attitudes (evaluations of farming/consumption), subjective norms (social pressures), perceived behavioral control (confidence in actions), environmental awareness, and moral obligation shape decisions. A survey of 66 producers and 169 consumers, analyzed via structural equation modeling (SEM), reveals key drivers. Producers are driven by positive attitudes toward profitability, technical feasibility, and sustainability, reinforced by community norms and resource access, promoting sustainable practices. Consumers prioritize health, affordability, and accessibility of cage-farmed tilapia, with environmental and ethical factors less influential. These findings highlight opportunities for targeted interventions to enhance production, boost demand, and ensure sustainable aquaculture. Full article

Although engineering institutional bodies uphold public welfare and the impact of engineering on people and society, engineering curricula rarely scaffold students to connect their technical learning with sociotechnical perspectives. This paper describes a project-based learning approach where engineering students engaged with issues faced by people experiencing homelessness to better understand the sociotechnical nature of effective, user-centered, engineering design. We conducted a quantitative assessment to determine how well and in what ways the project-based learning curriculum shifted students’ perceptions about homelessness. We collected pre-/post-survey data from students on 21 statements about their perceptions and attitudes about homelessness prior to and after an engineering project with a focus on homelessness in San Diego, CA, USA. The study aimed to measure the effectiveness of the course/project on shifting students’ perceptions from myths about homelessness towards reality, which supported the course objectives regarding diversity, inclusion, and social justice. We found that, from data from 166 students over 8 semesters, students’ perceptions had statistically significant (p < 0.05) shifts in five survey statements, which regarded beliefs about the personal choices or perceived moral decisions of those experiencing homelessness, and that students were able to more strongly identify with an engineer’s duty to care for those experiencing homelessness. Full article

Vietnam’s tourism sector has experienced rapid expansion, yielding significant economic gains, but also escalating environmental and socio-cultural challenges. This necessitates a shift toward sustainable tourism practices. This study develops and tests an integrative model combining the Theory of Planned Behavior (TPB) and Value–Belief–Norm (VBN) theory to investigate the Sustainable Consumption Behavior (SCB) of domestic travelers in Vietnam. Grounded in the country’s collectivist culture—characterized by a strong emphasis on communal values and social harmony—the research examines how rational decision-making and normative pressures jointly drive eco-friendly travel behaviors. Data were collected from 549 Vietnamese tourists through stratified sampling across three major regions, and were analyzed through a robust multi-step methodology, including Exploratory Factor Analysis, Confirmatory Factor Analysis, and structural equation modeling (SEM), supplemented by regression analysis. The SEM results indicate that the proposed model accounts for 60.8% of the variance in SCB, underscoring its explanatory power. Within the TPB framework, Attitude, Subjective Norms, and Perceived Behavioral Control significantly predict Behavioral Intention, which, in turn, mediates their influence on SCB. In the VBN component, Environmental Awareness shapes Altruistic and Biospheric Values, fostering the New Environmental Paradigm and activating Personal Norms, which exert a direct effect on SCB. This direct influence of Personal Norms, bypassing Behavioral Intention, highlights the role of implicit moral obligations in Vietnam’s collectivist cultural context and challenges Western-centric behavioral models. Beyond these frameworks, Destination Attributes and Consumer Innovativeness emerge as critical direct predictors of SCB, with Destination Attributes showing the strongest effect. Mediation analyses confirm Behavioral Intention’s central role, while moderation tests reveal that gender and travel experience modulate TPB-based relationships, suggesting the value of targeted interventions. Theoretically, this study advances TPB–VBN integration by applying it to a collectivist setting, revealing how cultural norms amplify normative influences on sustainable behavior. Practically, it advocates for strategies such as community-driven initiatives leveraging Personal Norms, educational campaigns to enhance Perceived Behavioral Control, and sustainable destination management initiatives in locations like Da Nang and Ha Long Bay. While the cross-sectional design limits causal claims, the findings provide a foundation for future longitudinal studies and cross-cultural comparisons, particularly in other collectivist societies, potentially incorporating digital engagement and policy incentives as novel factors. Full article

Objective: This study assessed hospital pharmacists’ awareness, attitudes, and behaviors regarding adverse drug reaction (ADR) reporting and explored cognitive factors shaping hospital pharmacists’ intentions to report ADRs, using the theory of planned behavior (TPB) as a framework. Methods: A cross-sectional survey was conducted among hospital pharmacists from various regions of Saudi Arabia. Data were collected on their intentions to report ADRs to the national pharmacovigilance center (NPC), along with their attitudes, subjective norms, and perceived behavioral control related to ADR reporting. Descriptive statistics summarized the data, while multivariate logistic regression analyzed the influence of TPB constructs on reporting intentions. Results: A total of 141 hospital pharmacists participated in the study. While 86.5% of them were aware of the Saudi NPC, only 30% had reported ADRs in the past year. A strong intention to report ADRs was observed in 56% of the hospital pharmacists. Additionally, 53% exhibited a highly positive attitude, 57% perceived strong social norms, 52.5% reported high perceived behavioral control, and 63.8% expressed a strong moral obligation to report ADRs. Subjective norms and moral obligation emerged as significant predictors of the hospital pharmacists’ intention to report ADRs, according to the TPB constructs. Conclusions: While awareness of the Saudi NPC among hospital pharmacists was high, ADR reporting rates were low. Enhancing education, addressing barriers, and leveraging moral and normative drivers may strengthen pharmacovigilance practices and improve ADR reporting adherence among hospital pharmacists, ultimately fostering safer healthcare delivery. Full article

The main objective of this study was to investigate European consumers’ intentions to purchase cosmetics and detergents with green ingredients made from recycled CO₂. Aiming to better understand both moral and practical criteria of consumers’ intentions, a combination of the Values-Beliefs-Norms and the Theory of Planned Behaviour models served as the basis of this study’s theoretical framework. The combination was extended with risk perception about global warming, scepticism and media influence. Online interviews were conducted with stratified samples based on gender and age distributions in France, Germany, Greece and Spain. Structural equation modelling and moderation analyses were employed to analyse the data. The results indicated that consumption intentions are generated by consumers’ biospheric values and a sequence of risk perception, awareness of consequences, and ascription of responsibility while they are directly determined (in declining order) by perceived behavioural control, personal norms, attitudes and subjective norms. Subjective norms indicated additional indirect impacts on consumption intentions through personal norms and ascription of responsibility. Moderation also indicated that the relationship between perceived behavioural control and consumption intentions is stronger in consumers, who are less sceptical towards ecological claims on packaging, while the relationship between personal norms and consumption intentions is stronger in consumers, who are less influenced by advertisements. Theoretical, managerial and social implications were derived from the results. Full article

This study systematically reviewed the effectiveness of cognitive, affective, and combined approaches in doping prevention, considering the impact of athletes’ active versus passive participation. Following the PRISMA 2020 guidelines and the PICOS framework, a literature search identified ten studies involving 3581 athletes (1094 women, 2487 men). Ten studies were included as a sample in the meta-analysis and meta-regression, which were used in the effect size calculation. This meta-analysis shows that anti-doping education programs effectively improve short-term doping intentions (ES = 0.29, p < 0.001) and anti-doping behaviors (ES = −0.27, p < 0.001), although there is a decline in the long-term effects (ES = −0.13, p = 0.009). Moral behaviors were unaffected (ES = 0.01, p < 0.001), suggesting that changing deeper values requires alternative approaches like mentorship. Passive participation negatively impacted doping intentions (ES = −0.40, p = 0.004) and behaviors (ES = −0.40, p = 0.022), highlighting the need for active engagement. Pre-experimental designs showed a negative effect on behaviors (ES = −0.74, p = 0.023), emphasizing the importance of rigorous methodologies. While anti-doping education programs effectively influence short-term attitudes and intentions, sustaining behavioral change requires continuous reinforcement and active engagement. The decline in the long-term effects suggests that standalone interventions are insufficient to instill lasting anti-doping behaviors in athletes. Full article

The legal and social perception of sexually motivated crimes has undergone profound transformations in the Czech lands from the Middle Ages to the present. Acts once considered grave moral transgressions, punishable by death, have been gradually decriminalised or even integrated into the realm of personal identity and cultural self-expression. This article examines the evolving legal frameworks and societal attitudes towards such offences, with a particular focus on their implications for family structures, inheritance rights, and genealogical continuity. By analysing historical judicial records—primarily early modern pitch books—alongside contemporary legislation, we highlight the shifting boundaries between crime, morality, and individual rights. Methodologically, this study combines a historical–legal analysis with comparative criminology to elucidate the changing regulatory mechanisms governing sexual behaviour. The findings illustrate that, while legal norms have progressively moved away from religious morality toward individual freedoms, some taboos persist, reflecting enduring social anxieties. The Czech case serves as a model for broader European trends, offering valuable insights into the interplay between law, social norms, and genealogical structures across different historical periods. Full article

Background/Objectives: Health consciousness has emerged as a key driver of healthy food purchase decisions in the post-pandemic era. Despite growing interest in health-oriented products, the psychological mechanisms through which health consciousness influences purchase intentions remain understudied. This research examined how health consciousness impacts healthy food purchase intentions through multiple psychological pathways, integrating the Theory of Planned Behavior with additional constructs. Methods: Data were collected through an online survey of 573 Peruvian consumers. Healthy foods were operationalized based on their nutritional quality, including a high nutrient content, low saturated fats and added sugars levels, and minimal processing. Structural equation modeling was employed to test the hypothesized relationships between health consciousness, attitudes, perceived behavioral control, self-identity, moral norms, and purchase intention. Results: Health consciousness demonstrated significant direct effects on all psychological mediators (attitudes: β = 0.643; perceived behavioral control: β = 0.593; self-identity: β = 0.638; moral norms: β = 0.613) and purchase intention (β = 0.163). However, only perceived behavioral control (β = 0.261) and self-identity (β = 0.107) significantly influenced the purchase intention, while the effects of attitudes and moral norms were non-significant. Conclusions: The findings challenge traditional assumptions about the primacy of attitudes in consumer decision making and highlight the importance of perceived behavioral control and self-identity in translating health consciousness into purchase intentions. Successfully promoting healthy food consumption requires strategies addressing both practical barriers and identity-related aspects of food choice, providing valuable insights for food marketers and public health initiatives. Full article