Developing Microlearning and Counseling Chatbots for Preventing Online Doxing and Shaming among University Students: Feasibility and Usability Study

Given the high suicide risk among people with schizophrenia and other mental disorders and the significance of intervention in the daily life setting, tailored gatekeeper training is necessary for families of people with mental disorders. This study evaluated the effectiveness of a suicide prevention education program for families of people with mental disorders (SPEM-F), developed by the Korea Foundation for Suicide Prevention. Fifty-nine family members of people with mental disorders were recruited from eight community psychiatric rehabilitation centers in Korea and enrolled in a cluster randomized controlled trial. Four facilities were randomized to the experimental group (n=30) and four to the control group (n=29). The study parameters were measured at baseline, post-intervention, and 1-month follow-up; the effects of SPEM-F (90 minutes, conducted offline) were analyzed using repeated-measures analysis of variance. The dependent variables were suicide-related knowledge, attitude, self-efficacy, preventive behavioral intention, and family problem-solving communication. The experimental group showed significant increases in suicide-related knowledge (p<0.001), self-efficacy (p<0.05), and preventive behavioral intention (p<0.01) compared with the control group until the 1-month follow-up, including an upward trend in improved family problem-solving communication (p=0.069). The results confirm that SPEM-F is an effective evidence-based gatekeeper training program for families of people with mental disorders, as it focuses on knowledge, self-efficacy, preventive behavioral intention, and communication improvement. As families of people with mental disorders including schizophrenia, are both highly motivated and close to people at high risk for suicide, SPEM-F can effectively promote suicide prevention and gatekeeper activities.

In the context of global fighting against the unexpected COVID-19 pandemic, how to promote the public implementation of preventive behavior is the top priority of pandemic prevention and control. This study aimed at probing how the media would affect the public’s preventive behavior and excessive preventive intention accordingly. Data were collected from 653 respondents in the Chinese mainland through online questionnaires and further analyzed by using partial least squares structural equation modeling (PLS-SEM). Taking risk perception, negative emotions, and subjective norms as mediators, this study explored the impact of mass media exposure and social networking services involvement on preventive behavior and excessive preventive intention. Based on differences in the severity of the pandemic, the samples were divided into the Wuhan group and other regions group for multi-group comparison. The results showed that mass media exposure had a significant positive impact on subjective norms; moreover, mass media exposure could significantly enhance preventive behavior through subjective norms, and social networking services involvement had a significant positive impact on negative emotions; meanwhile, social networking services involvement promoted excessive preventive intention through negative emotions.

Background- Antipsychotics medications are also called ‘neuroleptics or major tranquilizer. They are effective in the treatment of acute and chronic manifestations of schizophrenia and other psychotic conditions Without drug treatment, an estimated 72% of individual who have experienced a psychotic episode relapse within a year. This relapse rate can be reduced to about 23% with continuous medication administration. Aims and Objectives-1. To Assess the Knowledge Regarding Management of Adverse Effects of Antipsychotics before and after implementation of planned teaching program among staff nurses. 2. To Assess the Attitude Regarding Management of Adverse Effects of Antipsychotics before and after implementation of planned teaching program among staff nurses. 3. To find out the correlation between of post test knowledge score and post test attitude score regarding management of adverse effects of antipsychotics among staff nurses. 4. To find out the association between of pre test knowledge score regarding management of adverse effects of antipsychotics among staff nurses with demographic variables. And 5. To find the association between of pre test attitude score regarding management of adverse effects of antipsychotics among staff nurses with demographic variables. Material and Method- Quasi Experimental Research approach used with One Group pre-test and post-test Design. The investigator has used simple random Sampling Techniques for selecting 60 Staff nurses. A Structured Knowledge Questionnaire and Likert’s Attitude Scale were prepared to assess the Knowledge and Attitude of the samples. Result- Mean pre-test knowledge score was 12.62 while Mean post-test knowledge score was 21.55 and the difference was 8.93. The Standard Deviation (SD) of pre-test and post-test knowledge was 2.48 and 2.47 respectively. The calculated ‘t’ value is 29.91which higher than the tabulated ‘t’ value 2.00, which indicates the increased knowledge. Mean Pre-test attitude score was 63.15 while Mean Post-test attitude score was 79.43 and the difference was 16.28. The Standard Deviation (SD) of pre-test and post-test attitude was 4.07 and 3.63 respectively. The calculated ‘t’ value is 26.46 which higher than the tabulated ‘t’ value 2.00, which indicates the increased attitude. The Correlation Coefficient was obtained using Karl Pearson's formula which yielded r=0.155. It suggests Positive Correlation between the Post-test Knowledge Score and Post-test Attitude Score of Samples. Association of selected Demographic Variables with the Pretest Knowledge and Attitude score was computed using Chi Square test and it showed that there is no Significant association between them. Data demonstrated that there was significant increase in the Knowledge and Attitude on Management of adverse effects of antipsychotics after Implementation of Planned Teaching Programme. Hence it is proved that Planned Teaching Programme on Management of adverse effects of antipsychotics was effective in improving knowledge and attitude among Staff nurses working in govt. Hospital for Mental health at Gujarat state.

P69 Intent to Change Surveys: A Promising and Practical Approach for Evaluating Adult Single-Session Education

Effective self-care practices are important for university students’ well-being. However, many students struggle to sustain these practices due to low motivation with existing digital self-care tools. While gamification shows potential, its effectiveness is often limited by implementations that lack robust theoretical foundations or alignment with psychological and motivational theories. This study aims to utilise gamification to encourage university students to practice self-care. The study evaluates two versions of a self-care application prototype: Version A (without gamification) and Version B (with gamification), utilising the Wheel of Sukr framework. A pilot study was conducted to refine experimental procedures, followed by a main experiment with 20 undergraduate students. Data collection included pre-test forms, the User Engagement Scale-Short Form (UES-SF), the System Usability Scale (SUS), and qualitative feedback. Wilcoxon Signed-Rank tests showed significant differences favouring Version B (Z = -2.354, p = 0.019) for user engagement metrics, including focused attention, aesthetic appeal, and reward factors. Qualitative feedback indicates that students found gamification elements such as points, badges, and weather-based recommendations engaging, though some noted the added complexity as a usability challenge. The average SUS score for Version B was 80.63, indicating high usability. The findings suggest that adapting the Wheel of Sukr framework may provide a structured design approach for integrating gamification into student self-care applications, enhancing engagement while maintaining usability. This approach offers practical implications for the design of future theory-driven digital health interventions.

Introduction: Pain management in pediatric population is a very important and crucial aspect of nursing care. Though there is improved understanding of the physiological and psychological effects of unrelieved pain in children, still so many research evidences show that pediatric nurses are having inadequate knowledge, unfavorable attitude and poor practices regarding assessment and management of pain in children. A study was conducted with the objectives to develop and evaluate the effectiveness of pain management guidelines in terms of knowledge, attitude and practices of nursing personnel working in pediatric units, determine the relationship between knowledge and attitude and knowledge and practice and seek association of knowledge and practices with selected variables Methodology: A pre-experimental approach and one group pretest-posttest design was selected. The tools were a structured knowledge questionnaire, attitude scale and an observation checklist. Pain management guidelines were developed based on expert opinion and review of literature. Sixty nursing personnel who met the sampling criteria were selected by purposive sampling. On day 1, pretest of knowledge and attitude ware administered and the pain management practices were observed. On the same day, pain management guidelines were given to them with small group discussion. Demonstration of pain assessment and management during painful procedure was given in small groups. On seventh day, posttest of knowledge and attitude was administered. Posttest practices were observed. Results: Findings of the study revealed that the mean posttest knowledge score was significantly higher than the mean pretest knowledge score with a mean difference of 5.18 (P<0.05). The mean posttest attitude score was significantly higher than the mean pretest attitude score with a mean difference of 12.43 (P<0.05). The mean posttest practice score was significantly higher than the mean pretest practice score with a mean difference of 3.1 (P<0.05). There was a significant positive relationship between knowledge and attitude (P<0.05). There was also a significant positive relationship between knowledge and practices (P<0.05). The knowledge and practices of nursing personnel regarding pain management were not associated with years of experience, professional qualification and In-service education on pain management. Conclusion: Knowledge deficit, unfavorable attitude and poor practices existed regarding pain management in children. Pain management guidelines were found to be effective in enhancing the knowledge, changing the attitude and improving the practices of nursing personnel.

This article describes the psychometric properties of the Emotional Metric Outcomes (EMO) questionnaire and the System Usability Scale (SUS) using data collected as part of a large-sample unmoderated usability study (n = 471). The EMO is a concise multifactor standardized questionnaire that provides an assessment of transaction-driven personal and relationship emotional outcomes, both positive and negative. The SUS is a well-known standardized usability questionnaire designed to assess perceived usability. In previous research, psychometric evaluation using data from a series of online surveys showed that the EMO and its component scales had high reliability and concurrent validity with loyalty and overall experience metrics but did not find the expected four-factor structure. Previous structural analyses of the SUS have had mixed results. Analysis of the EMO data from the usability study revealed the expected four-factor structure. The factor structure of the SUS appeared to be driven by item tone. The estimated reliability of the SUS (.90) was consistent with previous estimates. The EMO and its subscales were also quite reliable, with the estimates of reliability for the various EMO scales ranging from .86 to .96. Regression analysis using SUS, EMO, and Effort as predictors revealed different key drivers for the outcome metrics of Satisfaction and Likelihood-to-Recommend. The key recommendations are to include the EMO as part of the battery of poststudy standardized questionnaires, along with the SUS (or similar questionnaire), but to be cautious in reporting SUS subscales such as Usable and Learnable.

The Influence of Cervical Cancer Knowledge, Preventive Behavioral Intention on Cervical Cancer Screening of Nursing Students

The scientific literature suggests that a low self-efficacy for condom use may be related to many risky behaviors for HIV transmission in young people. We analyze the self-efficacy of condom use among youth, the existence of gender differences and the relationship with other relevant variables in HIV prevention. The "Self-Efficacy Condom Use Subscale", included in the AIDS Prevention Questionnaire (Ballester, Gil and Giménez, 2007), was administrated to 3540 university students (50.9% women, 49.1% men). The results showed that the sample obtained medium-high scores on self-efficacy, showing the lowest scores when behavior involves their sexual control at the time of excitation. Statistically significant differences were obtained in different situations according to gender. In this regard, women perceived themselves higher condom use self-efficacy than men, especially when their suggestion about condom use might cause a negative evaluation to the partner; and unless than men those relating to public domain (buying condoms). Moreover, self-efficacy correlated significantly with preventive behavior intention, increased self-reported frequency of condom use and perceived effectiveness of condoms in HIV prevention. Future preventive interventions should include an element of self-efficacy and a differentiated perspective by gender. �&lt;s-��'�'AR-SA;mso-bidi-language: AR-SA'&gt;It seems that the perceived quality of life in patients with personality disorders, drug or mental health consumers, is determined by the concomitant presence of other psychopathology on Axis I. This concomitant should be targeted for therapeutic intervention.

Objective: The demand for pediatric developmental evaluations has far exceeded the workforce available to perform them, which creates long significant wait times for services. A year-long clinician training using the Extension for Community Healthcare Outcomes (ECHO®) model with monthly meetings was conducted and evaluated for its impact on primary care clinicians’ self-reported self-efficacy, ability to administer autism screening and counsel families, professional fulfillment, and burnout. Methods: Participants represented six community health centers and a hospital-based practice. Data collection was informed by participant feedback and the Normalization Process Theory via online surveys and focus groups/interviews. Twelve virtual monthly trainings were delivered between November 2020 and October 2021. Results: 30 clinicians participated in data collection. Matched analyses (n = 9) indicated statistically significant increase in self-rated ability to counsel families about autism (Pre-test Mean = 3.00, Post-test Mean = 3.89, p = 0.0313), manage autistic patients’ care (Pre-test Mean = 2.56, Post-test Mean = 4.11, p = 0.0078), empathy toward patients (Pre-test Mean = 2.11, Post-test Mean = 1.22, p = 0.0156) and colleagues (Pre-test Mean = 2.33, Post-test Mean = 1.22, respectively, p = 0.0391). Unmatched analysis revealed increases in participants confident about educating patients about autism (70.59%, post-test n = 12 vs. 3.33%, pre-test n = 1, p = 0.0019). Focus groups found increased confidence in using the term “autism”. Conclusion: Participants reported increases in ability and confidence to care for autistic patients, as well as empathy toward patients and colleagues. Future research should explore long-term outcomes in participants’ knowledge retention, confidence in practice, and improvements to autism evaluations and care.

Objectives. Culturally relevant education is needed to improve rates of successful kidney transplantation among Hispanic patients with end-stage renal disease (ESRD). This study examined whether patients’ knowledge about kidney disease, postoperative care, and proactive health practices improved after watching a telenovela series about ESRD.Design. 334 ESRD patients and 94 family members/caregivers were assigned to watch a telenovela (‘Fixing Paco,’ a bilingual health education film) or receive standard of care at a transplant center or at a dialysis clinic. Outcomes for pre-transplant patients assigned to standard of care at dialysis centers or at a transplant center were compared to pre-transplant patients in the treatment condition (standard of care + telenovela).Results. Knowledge and behavioral intention scores at baseline across conditions and locations were similar, suggesting that assignment resulted in comparable groups at baseline. Using linear regression, this study found statistically significant improvements in knowledge scores among the telenovela group as compared to the standard of care groups. The telenovela group also had greater improvements in behavioral intention scores compared to the standard of care groups. Family members assigned to the telenovela group had significant improvements in knowledge scores as compared to the standard of care groups.Conclusion. Being well informed about ESRD and adopting proactive health behaviors are important mechanisms in improving transplantation outcomes. These findings suggest that knowledge about kidney disease, postoperative care, and proactive health practices could be improved by viewing a telenovela. Implications, limitations, and directions for future research are discussed.

This study examines the ability of the Theory of Planned Behavior to account for mothers' intentions to limit the frequency of their infants' sugar consumption. One group of mothers (experimental) was exposed to a dental health education program designed to promote this behavior, the other (control) group was not. Each group of mothers was interviewed twice; the intervention was delivered to mothers in the experimental group immediately after their first interview. The interviews incorporated measures of the key constructs in the Theory of Planned Behavior (attitudes to behavior, subjective norms, perceived behavioral control, and behavioral intentions). Results indicated that the addition of perceived behavioral control resulted in small but significant increments in the amount of explained variance in intentions, thereby supporting the theory. Although the change in intentions to perform the advocated behavior was not significantly greater in the experimental group than in the control group, there was a significant change in attitudes to the behavior in the experimental group but no such change in the control group. Moreover, amount of change in behavioral intentions was significantly correlated with amount of change in attitudes, but not with amount of change in subjective norms or perceived behavioral control. Analysis of behavioral beliefs indicated that the attitude change reflected a change in a specific behavioral belief that was targeted in the intervention. Further analyses focused on the role played by direct experience of the behavior and show that such experience tended to enhance the role of perceived behavioral control in intention formation, apparently because mothers who have older children have discovered that they have relatively little control over frequency of child's sugar consumption. The implication of these results for the Theory of Planned Behavior are discussed.

In this research the aim to describe of to know the students in teaching writing anecdote text using discovery learning at SMKN 1 Rengasdengklok. The research used experimental method one group pretest-postest design. The population of this research was taken from second-grade students of SMKN 1 Rengasdengklok. While the sample was 25 students of class X TKR 3, the instrument used in this research was tested pretest and posttest and lesson plan of teaching material. Data analysis show that the result of this research is the mean of pretest was 39, 32 and after students got the treatment mean of posttest was 70,46. The result of this research the students teaching writing anecdote text increase of 31.14. whilethgeresult of T-sig was (2-tailed) 0,000. Based on the data above, the hypothesis in this research was accepted, because the mean of posttest was higher than a mean of the pretest. It is concluded that discovery learning method improves students writing anecdote text at SMKN 1 Rengasdengklok.

Introduction: Diabetes is the non-communicable chronic health issue that affects people in the world wide. Studies shows that India is the second largest diabetes populated country in the world. Long standing uncontrolled diabetes leads to many systemic complications; diabetic ulcer foot is one among them that result in loss of foot or amputation and in severe cases even death. Objectives: this study investigated the pre and post test level would healing with infra-red radiation and also compared pre and post test mean score and found the demographic influences of the diabetic clients. Materials and methods: in a quantitative pre experimental one group pre-test post test design 75 diabetic ulcer foot clients who met the sampling criteria were included as sample. Consecutive sampling method was used to select the sample as they report to OPD or admitted as inpatient. Following pre-test Infra-red radiation was applied for 10 days and the post test was done seventh and tenth day. Result: The pre test mean and standard deviation were 51.5067 and 4.21828 respectively and the post test mean and standard deviation were 20.32 and 3.673 respectively. The” t” value was 68.352. Client’s demographic variables like education and occupation had significant influences in the wound healing process.

Shellfish harvesting holds cultural significance for Alaska Native coastal communities, yet consuming untested shellfish poses serious health risks, with Alaska Natives facing disproportionately higher exposure to shellfish toxins. Traditional knowledge has historically informed risk mitigation, but climate change is altering exposure patterns, diminishing the predictability of exposures and challenging the reliability of traditional practices. In response, the Southeast Alaska Tribal Ocean Research (SEATOR) network—a tribally led initiative—maintains a near real-time toxin data website, while the Sitka Tribe of Alaska has developed culturally grounded environmental education programming to enhance toxin risk awareness and support safe harvesting practices. This study assesses the impact of a middle school program aimed at increasing awareness of toxin risks, promoting safe harvesting, and encouraging the use of the SEATOR website to check toxin levels. Using the Theory of Planned Behavior (TPB), we evaluated shifts in children’s beliefs and behavioral intentions regarding shellfish harvesting and toxin exposure risk mitigation. Participants included 50 middle school students across three communities in Southeast Alaska—Sitka, Hoonah, and Juneau. Research activities included pre- and post-program surveys and interviews and a one-year follow-up survey. Using the survey data, we used generalized estimating equation linear regression to investigate pre-post program changes in TPB beliefs and behavioral intentions related to shellfish harvesting and consumption and a specific risk reduction strategy: checking the SEATOR website for toxin levels. We also assessed how changes in TPB beliefs relate to changes in harvesting and risk reduction behavioral intentions. Interviews were intended to contextualize the changes in beliefs and behavioral intentions measured in surveys. Results indicated pre-post program shifts. Overall, participants reported more positive perceptions and increased behavioral intentions towards shellfish harvesting and checking the SEATOR website, but differences emerged across sites and reported race. Participants’ understanding of the risk reduction strategy and confidence in their ability to check the SEATOR website increased and suggests that encouraging the use of an accessible risk reduction strategy is effective in promoting the adoption of safe environmental and health behaviors. Participants also indicated that family involvement in harvesting shaped perceptions, underscoring the need for family engagement in youth environmental education. Our findings emphasize that culturally tailored environmental education that integrates risk perception and practical risk reduction strategies within local ecological and cultural contexts can influence children’s safe harvesting intentions. This work suggests the broader applicability of culturally informed ocean literacy programs in promoting public health and environmental stewardship.