HIV testing intervention development among men who have sex with men in the developed world

HIV testing is a ‘gateway’ technology, enabling access to treatment and HIV prevention. Biomedical approaches to prevention, such as pre-exposure prophylaxis and treatment as prevention, require accurate and regular HIV test results. HIV testing also represents a powerful ‘teachable moment’ for behavioural prevention. An increasing range of HIV tests and the emergence of self-managed diagnostic technologies (e.g. self-testing) means there is now considerable diversification of when, where and how results are available to those who test. These changes have profound implications for intervention development and, indeed, health service redesign. This paper highlights the need for better ways of conceptualising testing in order to capitalise on the health benefits that diverse HIV testing interventions will bring. A multidimensional framework is proposed to capture ongoing developments in HIV testing among men who have sex with men and focus on the intersection of: (1) the growing variety of HIV testing technologies and the associated diversification of their pathways into care; (2) psychosocial insights into the behavioural domain of HIV testing; and (3) better appreciation of population factors associated with heterogeneity and concomitant inequities. By considering these three aspects of HIV testing in parallel, it is possible to identify gaps, limitations and opportunities in future HIV testing-related interventions. Moreover, it is possible to explore and map how diverse interventions may work together having additive effects. Only a holistic and dynamic framework that captures the increasing complexity of HIV testing is fit for purpose to deliver the maximum public health benefit of HIV testing

Perception of risk, feelings of vulnerability and effects on driving behaviour in women drivers across the lifespan.

Sustained driving in older age has implications for quality of life and mental health. Studies have shown that despite the recognised importance of driving in maintaining health and social engagement, many women give up driving prematurely or adopt self-imposed restrictive driving practices. Emotional responses to driving have been implicated in these decisions. This research examined the effect of risk perception and feelings of vulnerability on women’s driving behaviour across the lifespan. It also developed and tested a modified theory of planned behaviour intervention to positively affect driving habits. The first two studies (N=395) used quantitative analysis to model driving behaviours affected by risk perception and feelings of vulnerability, and established that feelings of vulnerability do indeed affect women’s driving behaviour, specifically resulting in increases in driving avoidance and the adoption of maladaptive driving styles. Further, that self-regulation, conceptualised as avoidance, is used by drivers across the lifespan. Qualitative analysis of focus group data (N=48) in the third study provided a deeper understanding of the variations in coping behaviours adopted by sub-groups of drivers and extended the definition of self-regulation to incorporate adaptive coping strategies. The next study (N=64) reported the construction and preliminary validation of the novel self-regulation index (SRI) to measure wider self-regulation behaviours using an objective measure of driving behaviour, a simulated driving task. The understanding gained from the formative research was used in the final study, an extended theory of planned behaviour intervention to promote wider self-regulation behaviour, measured using the previously validated self-regulation index. The intervention achieved moderate success with changes in affective attitude and normative beliefs as well as self-reported behaviour. The results offer promise for self-regulation, incorporating a spectrum of planning and coping behaviours, to be used as a mechanism to assist drivers in achieving their personal mobility goals whilst promoting safe driving

Overcoming premature smartphone obsolescence amongst young adults

Rapid smartphone replacement contributes significantly to electronic waste issues. This paper investigates determinants of premature smartphone obsolescence amongst young adults and proposes psychology-based solutions to reduce associated sustainability impacts. Activity Theory maps replacement journeys to focus interventions on problem recognition. Grounded in contemporary Installation Theory, obsolescence drivers are analysed across physical affordances, embodied competencies and social regulations. Smartphone replacement journeys are mapped through Activity Theory to focus on problem recognition as an intervention point. Expert interviews and a user survey supplement literature in investigating obsolescence factors. Solutions are then structured along Installation Theory dimensions for a systemic approach targeting underlying barriers. Solutions address the three layers of behavioural determination. Smartphone modularity addresses physical issues, like repairability and upgrade. Consumer education campaigns improve competencies and perceptions, hereby fostering longer use. A “Slow Smartphone Movement” is proposed, leveraging social strategies, including pledges and online communities, to redefine cultural obsolescence narratives and address the positional aspects of having the latest generation smartphone. Together these multilayered interventions provide actionable pathways to prolonging lifespan by fundamentally reshaping psychological ownership patterns underlying premature smartphone disposal. Rather than isolated initiatives, these synergistic solutions provide specific, evidence-based pathways to fundamentally transforming entrenched obsolescence mindsets and behaviours amongst younger demographics. The paper concludes by outlining study limitations and stating that future research must empirically evaluate the proposed solutions. The current paper investigates the determinants and consequences of premature smartphone obsolescence amongst young adults and proposes psychology-based solutions to reduce its detrimental environmental and societal impact. Activity Theory was used to define the research scope, ultimately focusing on the first stage in the buyer behaviour model, reflecting a prototypical customer journey along five consecutive decision stages. Problem recognition, essentially the perceived difference between the current and desired state of being, was subsequently analysed through the three interrelated layers of Installation Theory, physical affordances, embodied competencies, and social regulations. Eventually, potential solutions, grounded in academic literature, expert interviews, and a consumer survey, were organised along the three dimensions of installation theory, creating a holistic and effective strategy for tackling smartphone obsolescence. Smartphone modularity represents a promising starting point to address the problems associated with physical affordances, such as broken parts, worn batteries, and planned obsolescence more generally. Additionally, extensive consumer education coupled with awareness campaigns highlighting the alternatives to purchasing new products and awareness campaigns highlighting the alternatives to purchasing new products could tackle issues associated with embodied competencies. Lastly, social regulations manifested partly in the universal need for belonging and social inclusion, represent the last driver of smartphone obsolescence. Virtual communities and reward schemes could further foster lasting normative change, eventually helping redefine the detrimental consumerism culture

More than a feeling: A unified view of stress measurement for population science.

Stress can influence health throughout the lifespan, yet there is little agreement about what types and aspects of stress matter most for human health and disease. This is in part because "stress" is not a monolithic concept but rather, an emergent process that involves interactions between individual and environmental factors, historical and current events, allostatic states, and psychological and physiological reactivity. Many of these processes alone have been labeled as "stress." Stress science would be further advanced if researchers adopted a common conceptual model that incorporates epidemiological, affective, and psychophysiological perspectives, with more precise language for describing stress measures. We articulate an integrative working model, highlighting how stressor exposures across the life course influence habitual responding and stress reactivity, and how health behaviors interact with stress. We offer a Stress Typology articulating timescales for stress measurement - acute, event-based, daily, and chronic - and more precise language for dimensions of stress measurement

Psychological perspectives on public value creation

This dissertation offers an integrative perspective on the interrelation of individual purpose, public value, and organizations in society. The cumulative dissertation comprises six independently published papers that differ in terms of methodology, research context, objectives, and contribution. The first study is based on the notion that an organization’s value depends on its contributions to the common good, as perceived by the public. The purpose of this study is to provide a corporate reporting approach that incorporates societal perspectives and, thus, advances (non-)financial reporting. The second study takes an explorative approach to investigate the individual-level characteristics of people who participate in the sharing economy as users and as providers. Study 3 examines the role of age as a determinant of individuals’ entrepreneurial behavior. Building on lifespan psychology and institutional theory, it argues for a U-shaped relationship between entrepreneurs’ age and their choice to create social value for their communities and societies. Study 4 enlarges the debate on the multifaceted consequences of Corporate Social Responsibility (CSR) by discussing the relationship between organizational CSR engagement and employee work addiction, shedding light on the potential risks associated with CSR. Study 5 is a case study and deals with the German family-equity company Haniel and depicts the process of implementing a Corporate Responsibility strategy throughout a holding company and its divisions. Study 6 provides an overview of public value research conducted by Moore, Bozeman, and Meynhardt and shows how public managers can make use of two management tools, the Public Value Scorecard and the Public Value Atlas. This dissertation contributes to a deeper understanding of the drivers and outcomes of public value perceptions and helps to close some knowledge gaps while stimulating further thought and action pertaining to the multiple aspects of public value.:CHAPTER 1: FRAMEWORK PAPER CHAPTER 2: PUBLIC VALUE REPORTING: ADDING VALUE TO (NON-) FINANCIAL REPORTING CHAPTER 3: DRIVERS OF SHARING ECONOMY SUPPLY AND DEMAND: THE ROLE OF INDIVIDUAL CHARACTERISTICS CHAPTER 4: ENTREPRENEURS’ AGE, INSTITUTIONS, AND SOCIAL VALUE CREATION: A MULTI-COUNTRY STUDY CHAPTER 5: TOO MUCH OF A GOOD THING? ON THE RELATIONSHIP BETWEEN CSR AND EMPLOYEE WORK ADDICTION CHAPTER 6: HANIEL: IMPLEMENTING THE CORPORATE RESPONSIBILITY STRATEGY CHAPTER 7: PUBLIC VALUE PERFORMANCE: WHAT DOES IT MEAN TO CREATE VALUE IN THE PUBLIC SECTOR

Sedentary behaviors and adiposity in young people: causality and conceptual model

Research on sedentary behavior and adiposity in youth dates back to the 1980s. Sedentary behaviors, usually screen time, can be associated with adiposity. Although the association usually is small but significant, the field is complex, and results are dependent on what sedentary behaviors are assessed and may be mediated and moderated by other behaviors

Report on relationship management and culture change

Brisbane Water (BW), a commercialised business arm of Brisbane City Council (BCC) entered into an alliance with a number of organisations from the private sector in order to design, construct, commission and undertake upgrades to three existing wastewater treatment plants located at Sandgate, Oxley Creek, and Wacol in Brisbane. The alliance project is called the Brisbane Water Environmental Alliance (BWEA). This report details the efforts of a team of researchers from the School of Management at Queensland University of Technology to investigate this alliance. This is the second report on this project, and is called Stage 2 of the research. At the time that Stage 2 of the research project was conducted, the BWEA project was nearing completion with a further 8 months remaining before project completion. The aim of this report is to explore individuals’ perceptions of the effectiveness and functioning of the BWEA project in the latter stages of the project. The second aim of this report is to analyse the longitudinal findings of this research project by integrating the findings from Stage 1 and Stage 2 of the project. This long-term analysis of the functioning and effectiveness of the alliance is important because at the current time, researchers have little knowledge of the group developmental processes that occur in large-scale alliances over time. Stage 2 of this research project has a number of aims including assessing performance of the BWEA project from the point of view of a range of stakeholders including the alliance board and alliance management team, alliance staff, and key stakeholders from the client organisation (Brisbane Water). Data were collected using semi-structured interviews with 18 individuals including two board members, one external facilitator, and four staff members from the client organisation. Analysis involved coding the interview transcripts in terms of the major issues that were reported by interviewees

Complexity of childhood sexual abuse: predictors of current post-traumatic stress disorder, mood disorders, substance use, and sexual risk behavior among adult men who have sex with men

Men who have sex with men (MSM) are the group most at risk for HIV and represent the majority of new infections in the United States. Rates of childhood sexual abuse (CSA) among MSM have been estimated as high as 46 %. CSA is associated with increased risk of HIV and greater likelihood of HIV sexual risk behavior. The purpose of this study was to identify the relationships between CSA complexity indicators and mental health, substance use, sexually transmitted infections, and HIV sexual risk among MSM. MSM with CSA histories (n = 162) who were screened for an HIV prevention efficacy trial completed comprehensive psychosocial assessments. Five indicators of complex CSA experiences were created: CSA by family member, CSA with penetration, CSA with physical injury, CSA with intense fear, and first CSA in adolescence. Adjusted regression models were used to identify relationships between CSA complexity and outcomes. Participants reporting CSA by family member were at 2.6 odds of current alcohol use disorder (OR 2.64: CI 1.24–5.63), two times higher odds of substance use disorder (OR 2.1: CI 1.02–2.36), and 2.7 times higher odds of reporting an STI in the past year (OR 2.7: CI 1.04–7.1). CSA with penetration was associated with increased likelihood of current PTSD (OR 3.17: CI 1.56–6.43), recent HIV sexual risk behavior (OR 2.7: CI 1.16–6.36), and a greater number of casual sexual partners (p = 0.02). Both CSA with Physical Injury (OR 4.05: CI 1.9–8.7) and CSA with Intense Fear (OR 5.16: CI 2.5–10.7) were related to increased odds for current PTSD. First CSA in adolescence was related to increased odds of major depressive disorder. These findings suggest that CSA, with one or more complexities, creates patterns of vulnerabilities for MSM, including post-traumatic stress disorder, substance use, and sexual risk taking, and suggests the need for detailed assessment of CSA and the development of integrated HIV prevention programs that address mental health and substance use comorbidities.This study was supported by a Grant from the NIMH (R01 MH095624) PI: O'Cleirigh; Author time (Safren) was supported, in part, by Grant 5K24MH094214. (R01 MH095624 - NIMH; 5K24MH094214)Accepted manuscrip