IMPROVING CHRONIC ILLNESS MEDICATION ADHERENCE: A COUNTERFACTUAL THINKING-BASED MODEL OF PERSUASIVE COMMUNICATION

The World Health Organization estimates that, by 2020, the number of Americans affected by at least one chronic condition requiring medication therapy will grow to 157 million. Effective medications are a cornerstone of prevention and disease treatment, yet only about half of patients take their medications as prescribed, resulting in a common and costly public health challenge for the U.S. health care system. As with much of health care, drug adherence is primarily about human behavior. Therefore, patients who lack motivation to take their medication as prescribed cannot be forced or simply educated to take their medication; they must be persuaded and motivated to do so. However, existing literature on how persuasion-based behavioral change can be achieved for non-adherent patients is sparse. To help build more evidence on how effective communication can be used to promote drug adherence for patients who have been diagnosed with chronic illness, this research tested the effectiveness of counterfactual thinking as a message design strategy aimed at increasing drug adherence among individuals at risk for nonadherence. Findings from experiments 1 and 2 showed no effect of counterfactual thinking on medication adherence. Findings from experiment 3 showed that, in a sample of 303 patients with type 2 diabetes at risk for nonadherence, messages including upward counterfactual thinking (e.g., “if only I had taken my medication as prescribed, I would not be in the hospital right now!”), compared to messages including downward counterfactual thinking (e.g., “it could have been worse and I could have died!”) or no counterfactual thinking, increased perceptions of medication adherence self- and response efficacy, and behavioral intention to take one’s medications as prescribed. Counterfactual thinking-based messages are a promising and easy to use persuasion strategy for patients who are at risk for nonadherence. Counterfactual thinking can be incorporated in interventions aimed at increasing adherence, and in doctor-patient or pharmacist-patient communications. Future studies should replicate these findings patients who have other chronic illnesses. Furthermore, measuring actual medication adherence behavior as opposed to behavioral intention, would provide a better indicator of the effectiveness of counterfactual thinking in increasing adherence

Help a fan out? Effects of fandom type and task type on people’s behavioral intentions toward different types of fans in a collaborative effort

There is mounting evidence that fans of science fiction/fantasy media texts are more likely to be socially stigmatized than sports fans, but the implications of this stigma for social interaction have not been established. To examine the roles of fandom community membership and social context in causing social perceptions of, and behavioral intentions toward, popular media culture fandom community members, we conducted a 2 (partner fandom type: science fiction/fantasy vs. sports) × 2 (task type: social task vs. technical task) between-subjects experiment. Results reveal that the science fiction/fantasy fan was perceived as less physically attractive and more task attractive compared to the sports fan. Participants’ own science fiction/fantasy fandom interacted with partner fandom type in predicting social attraction, such that for those who were told they would be partnered with the science fiction/fantasy fan, there was a positive linear association between the participant’s own fandom and social attraction. This finding did not hold for the sports fan condition. Social and task attraction, but not physical attraction, predicted behavioral intentions toward the fans

“This is who we are!” National identity construction and the 2014 FIFA World Cup

Drawing on the literature on American nationalism and the social identity perspective, this study examines the effects of mediasport on nationalized attitudes, using both rhetorical and experimental approaches. First, a rhetorical analysis examined the nationalistic themes featured in the game promotional ad of the United States versus Ghana soccer match in World Cup 2014, linking these themes to the republicanism/liberalism paradox in American political thought. Using the social identity perspective, we predicted the effects of these themes on U.S. participants’ nationalized attitudes and tested our hypotheses using an experiment. Experimental findings indicate that exposure to nationalistic rhetoric indirectly increases uncritical patriotism, critical patriotism, and support of militarism attitudes via self-enhancement gratifications. Additionally, exposure to nationalistic rhetoric also indirectly influences uncritical patriotism via social uncertainty reduction gratifications. Our study demonstrates the utility of a mixed-method approach and points out directions for future research on the (re)construction of social identities through mediasport

Measurement of the Splitting Function in &ITpp &ITand Pb-Pb Collisions at root&ITsNN&IT=5.02 TeV

Data from heavy ion collisions suggest that the evolution of a parton shower is modified by interactions with the color charges in the dense partonic medium created in these collisions, but it is not known where in the shower evolution the modifications occur. The momentum ratio of the two leading partons, resolved as subjets, provides information about the parton shower evolution. This substructure observable, known as the splitting function, reflects the process of a parton splitting into two other partons and has been measured for jets with transverse momentum between 140 and 500 GeV, in pp and PbPb collisions at a center-of-mass energy of 5.02 TeV per nucleon pair. In central PbPb collisions, the splitting function indicates a more unbalanced momentum ratio, compared to peripheral PbPb and pp collisions.. The measurements are compared to various predictions from event generators and analytical calculations.Peer reviewe

Measurement of nuclear modification factors of gamma(1S)), gamma(2S), and gamma(3S) mesons in PbPb collisions at root s(NN)=5.02 TeV

The cross sections for ϒ(1S), ϒ(2S), and ϒ(3S) production in lead-lead (PbPb) and proton-proton (pp) collisions at √sNN = 5.02 TeV have been measured using the CMS detector at the LHC. The nuclear modification factors, RAA, derived from the PbPb-to-pp ratio of yields for each state, are studied as functions of meson rapidity and transverse momentum, as well as PbPb collision centrality. The yields of all three states are found to be significantly suppressed, and compatible with a sequential ordering of the suppression, RAA(ϒ(1S)) > RAA(ϒ(2S)) > RAA(ϒ(3S)). The suppression of ϒ(1S) is larger than that seen at √sNN = 2.76 TeV, although the two are compatible within uncertainties. The upper limit on the RAA of ϒ(3S) integrated over pT, rapidity and centrality is 0.096 at 95% confidence level, which is the strongest suppression observed for a quarkonium state in heavy ion collisions to date. © 2019 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). Funded by SCOAP3.Peer reviewe

Measurement of b jet shapes in proton-proton collisions at root s=5.02 TeV

We present the first study of charged-hadron production associated with jets originating from b quarks in proton-proton collisions at a center-of-mass energy of 5.02 TeV. The data sample used in this study was collected with the CMS detector at the CERN LHC and corresponds to an integrated luminosity of 27.4 pb(-1). To characterize the jet substructure, the differential jet shapes, defined as the normalized transverse momentum distribution of charged hadrons as a function of angular distance from the jet axis, are measured for b jets. In addition to the jet shapes, the per-jet yields of charged particles associated with b jets are also quantified, again as a function of the angular distance with respect to the jet axis. Extracted jet shape and particle yield distributions for b jets are compared with results for inclusive jets, as well as with the predictions from the pythia and herwig++ event generators.Peer reviewe

Measurement of the azimuthal anisotropy of Y(1S) and Y(2S) mesons in PbPb collisions at root s(NN)=5.02 TeV

The second-order Fourier coefficients (v(2)) characterizing the azimuthal distributions of Y(1S) and Y(2S) mesons produced in PbPb collisions at root s(NN) = 5.02 TeV are studied. The Y mesons are reconstructed in their dimuon decay channel, as measured by the CMS detector. The collected data set corresponds to an integrated luminosity of 1.7 nb(-1). The scalar product method is used to extract the v2 coefficients of the azimuthal distributions. Results are reported for the rapidity range vertical bar y vertical bar < 2.4, in the transverse momentum interval 0 < pT < 50 GeV/c, and in three centrality ranges of 10-30%, 30-50% and 50-90%. In contrast to the J/psi mesons, the measured v(2) values for the Y mesons are found to be consistent with zero. (C) 2021 The Author(s). Published by Elsevier B.V.Peer reviewe

Studies of Beauty Suppression via Nonprompt D-0 Mesons in Pb-Pb Collisions at root s(NN)=5.02 TeV

The transverse momentum spectra of D-0 mesons from b hadron decays are measured at midrapidity (vertical bar y vertical bar D-0 yield is found to be suppressed in the measured p(T) range from 2 to 100 GeV/c as compared to pp collisions. The suppression is weaker than that of prompt D-0 mesons and charged hadrons for p(T) around 10 GeV/c. While theoretical calculations incorporating partonic energy loss in the quark-gluon plasma can successfully describe the measured B -> D-0 suppression at higher p(T), the data show an indication of larger suppression than the model predictions in the range of 2 <p(T) <5 GeV/c.Peer reviewe

Discutindo a educação ambiental no cotidiano escolar: desenvolvimento de projetos na escola formação inicial e continuada de professores

A presente pesquisa buscou discutir como a Educação Ambiental (EA) vem sendo trabalhada, no Ensino Fundamental e como os docentes desta escola compreendem e vem inserindo a EA no cotidiano escolar., em uma escola estadual do município de Tangará da Serra/MT, Brasil. Para tanto, realizou-se entrevistas com os professores que fazem parte de um projeto interdisciplinar de EA na escola pesquisada. Verificou-se que o projeto da escola não vem conseguindo alcançar os objetivos propostos por: desconhecimento do mesmo, pelos professores; formação deficiente dos professores, não entendimento da EA como processo de ensino-aprendizagem, falta de recursos didáticos, planejamento inadequado das atividades. A partir dessa constatação, procurou-se debater a impossibilidade de tratar do tema fora do trabalho interdisciplinar, bem como, e principalmente, a importância de um estudo mais aprofundado de EA, vinculando teoria e prática, tanto na formação docente, como em projetos escolares, a fim de fugir do tradicional vínculo “EA e ecologia, lixo e horta”.Facultad de Humanidades y Ciencias de la Educació