The spread of COVID-19 misinformation highlights the need to correct misperceptions about health and science. Research on climate change suggests that informing people about a scientific consensus can reduce misinformation endorsement, but these studies often fail to isolate the effects of consensus messaging and may not translate to other issues. We therefore conduct a survey experiment comparing standard corrections with those citing a scientific consensus for three issues: COVID-19 threat, climate change threat, and vaccine efficacy. We find that consensus corrections are never more effective than standard corrections at countering misperceptions and generally fail to reduce them with only one exception. We also find that consensus corrections endorsed by co-partisans do not reduce misperceptions relative to standard corrections, while those endorsed by opposition partisans are viewed as less credible and can potentially even provoke a backfire effect. These results indicate that corrections citing a scientific consensus, including corrective messages from partisans, are less effective than previous research suggests when compared with appropriate baseline messages.
Objective. The transition from pediatric to adult care for youth with childhood-onset systemic lupus erythematosus (SLE) is a vulnerable period. Adverse outcomes during this transition include gaps in care, unscheduled health care utilization, loss of insurance, and high disease activity. The objective of this study was to examine the clinical care teams' perspective on the psychosocial factors associated with transition outcomes, which are poorly understood in this population. Methods. We conducted in-depth interviews with clinical care team members who interact with childhood-onset SLE patients during transfer from pediatric to adult rheumatology. A semistructured interview guide was used to prompt participants' perspectives about the psychosocial factors associated with the transition process for patients with childhood-onset SLE. Audio recordings were transcribed and analyzed using the constant comparative method. We stopped conducting interviews once thematic saturation was achieved. Results. Thirteen in-depth interviews were conducted. Participants included pediatric rheumatologists (n = 4), adult rheumatologists from both academic and private practice settings (n = 4), nurses (n = 2), a nurse practitioner, a social worker, and a psychologist. We identified several themes deemed by clinical care teams as important during the transition, including the impact of the family, patient resilience and coping mechanisms, the role of mental health and emotional support, and the need for education, peer support, and social connectedness. Conclusion. We identified several psychosocial themes that clinical team members believe impact the transition of patients with childhood-onset SLE into adult care. The role of parental modeling, youth resilience, mental health and emotional care, improved childhood-onset SLE education, and structured peer support and social connectedness are highlighted, which may be amenable to interventions. SUBJECTS AND METHODS Setting and sample. This study employed a constructivist grounded theory approach to identify emergent themes within the interview data (9). Constructivist The content is solely the responsibility of the authors and does not necessarily represent the official views of Children's Health.
Background: The diagnosis of autism spectrum disorder (ASD) cases is increasing in Taiwan. Genetic testing for children with ASD offers several potential benefits and is available with out-of-pocket expenses. Parents play a pivotal role in having their children with ASD tested; therefore, understanding their perceptions of, and perceived barriers to genetic testing is vital. Methods: Semi-structured interviews were conducted with 39 parents of children with ASD in Taiwan. Interviews were recorded and transcribed verbatim. NVivo 12 software (QSR International, Doncaster, Australia) was used to facilitate an inductive coding methodology. Results: The majority of participants (74.4%) supported ASD genetic testing for their children with ASD, citing reasons such as clarifying ASD etiology, well-informed family planning, contributing to ASD research, and early ASD detection and intervention. Others indicated that they were either against such testing (17.9%), or unsure (7.7%) about whether to take their children with ASD for genetic testing. Those who were opposed reported that their main concerns related to perceptions of no value of genetic testing, potential for family conflict, and financial difficulties. Conclusions: Most of the parents of children with ASD that we interviewed expressed favorable views of ASD genetic testing. There exists a need to increase parental access to education and counseling, and to include testing coverage in Taiwanese national health insurance.
The evolution of the software architecture has been progressively shifting to emphasize modularity, isolation, scalability, agility, and loose coupling. Service-oriented architecture (SOA) has started to gain popularity in this direction. Micro-services are a lightweight SOA that aim to largely scale applications while ensuring isolation and distribution. Modularity is sometimes left behind or difficult to achieve with fine-grained distribution of programmer responsibilities. In this paper, we propose an automatic modularity enforcement (AME) framework during the software development life cycle (SDLC) through intermediate representation. Our idea was inspired by automatic software development for building a scalable application. We implemented this framework to support visual software development using the Java Spring Boot Micro-service tool.
Introduction Coping mechanisms and emotional regulation are important contributors to psychosocial health during stressful life events. We sought to describe the coping and emotional responses of persons with childhood-onset systemic lupus erythematosus during the transfer from pediatric to adult healthcare. Methods Semi-structured in-depth one-on-one interviews were conducted with 13 young women aged 18–24 of minority background who had transferred to adult care in a public hospital system. Thematic analysis was used to identify themes motifs from the data. Results Participants described the use of (1) problem-focused coping such as the use of clear communication and self-education, (2) adaptive emotion-focused coping such as cognitive reframing and acceptance, (3) social coping including support-seeking, (4) meaning-making coping including positive religious framing and viewing events as learning opportunities for growth, and (5) disengaged coping including denial and social isolation. A range of emotional responses associated with the transfer were described including fear, anger, loss, and feelings of empowerment and excitement. Conclusion Effective coping and emotional regulation are modifiable factors that may impact transfer-related outcomes and psychosocial health. Addressing coping mechanisms is relevant to the optimized transfer to adult care.
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