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Switching from regular salt to potassium-enriched salt lowers blood pressure and cardiovascular risk, but this intervention is underutilised by healthcare professionals. We assessed Australian healthcare professionals’ knowledge, attitudes and practices (KAP) regarding regular salt and potassium-enriched salt for hypertension management. We used mixed-methods research including surveys to quantify KAP towards regular salt and potassium-enriched salt and semi-structured interviews to gather in-depth information about knowledge, attitudes and the barriers and opportunities for recommending potassium-enriched salt use in clinical practice. Participants were general practitioners, medical specialists and allied health professionals working in Australia and caring for individuals with hypertension. Ninety-nine participants completed the survey, and thirty-six participants completed interviews. Survey participants generally had high knowledge related to regular salt; most were aware of potassium-enriched salt (94 %), but only 49 % reported familiarity with it. Of those aware, 73 % considered it safe to use and 66 % knew of the blood pressure-lowering benefits. Only 14 % had recommended it in the previous 12 months, though most interview participants were willing to recommend it in the future. Key barriers to recommendation were limited knowledge about potassium-enriched salt, insufficient time to discuss use with patients and concerns about taste, availability and affordability. The key opportunity identified was incorporating recommendations and information about potassium-enriched salt into existing resources supporting hypertension management by clinicians. Healthcare professionals are mostly aware and supportive of recommending potassium-enriched salt but lack in-depth knowledge. Advice about using potassium-enriched salt needs incorporation into clinical education programmes and hypertension management systems.
How the odds of winning a casino game are presented impacts whether individuals understand and how they perceive those odds. When framed in terms of what the player will win (return to player), younger and middle-aged adults have lower comprehension and higher perceived chances of winning than when the same odds are framed in terms of what the casino will keep (house edge), suggesting a classic framing effect. In the current study, we tested whether older (mean age = 69.01, SD = 3.02) and younger adults (mean age = 23.50, SD = 3.02) differ in their susceptibility to this framing effect and how measures of positivity, risk propensity, and financial exploitation vulnerability impact understanding and perceptions. Across both age groups, comprehension was lower and perceived chances of winning were higher in the return-to-player condition. Age alone did not predict comprehension, but older adults were less optimistic about coming out ahead, were less risk seeking, and self-reported lower financial exploitation vulnerability than younger adults. Exploratory mediation analyses revealed that lower financial exploitation vulnerability partially explained older adults’ reduced belief that they would win, particularly in the return-to-player frame. Together, these findings suggest that age differences in gambling perceptions reflect trait-level differences in financial vigilance and affective outlook rather than chronological age alone .
Maternal nutrition during pregnancy remains an important public health concern globally, including in Nigeria, with implications for both maternal and neonatal outcomes. This study explored stakeholders’ perceptions of pregnant women’s dietary practices and related factors in Ibadan, Nigeria. A qualitative design was adopted, and data collection was conducted between March and May 2024 in urban and peri-urban communities in Ibadan, Oyo State, Nigeria. Using semi-structured key informant interviews, twelve purposively selected stakeholders were interviewed, comprising frontline health workers, policymakers, informal maternal care providers (traditional birth attendants), and community leaders. Data analysis was conducted using a hybrid thematic approach supported by NVivo 12. Stakeholders reported mostly carbohydrate-dominated diets and increasing consumption of processed foods, with limited intake of proteins and vegetables, despite recommendations from health workers. Stakeholders identified a complex interplay of factors influencing the whole spectrum of dietary practices, including personal factors (e.g. age, education, income) and interpersonal influences from significant others. Other notable key drivers were community-related factors, including cultural norms and religious beliefs, as well as institutional factors such as limited access to formal antenatal care and weak policy support. These findings underscore the need for context-specific interventions, including economic empowerment, culturally sensitive nutritional education, support systems, and policies to strengthen antenatal care nutrition services, access to dietary guidelines, and engagement with informal stakeholders.
Human–carnivore relationships are complex and shaped by a multitude of socio-ecological factors. Unfortunately, human interactions with smaller, non-charismatic, solitary and elusive species remain largely overlooked. Here, we examined community perceptions towards the understudied striped hyaena Hyaena hyaena in West Bengal, India. The region has multi-use habitats shared between people and carnivores. We employed a mixed-methods approach to analyse 104 semi-structured interviews and found that local residents were less familiar with the striped hyaena’s ecology compared to other sympatric carnivores. Confusion around its identity and several misconceptions about its behaviour, including its scavenging habits, were prevalent. Two contrasting cultural identities were ascribed to the species: Gaadha, the harmless scavenger with a fearless demeanour, and Kuia, the ferocious hunter that attacks humans. Infrequent human–hyaena interactions, coupled with the influence of legends, folklore, hearsay and chance negative encounters, have probably augmented people’s misperceptions about the species. Opportunities for conservation interventions to foster human–hyaena coexistence in these shared spaces exist and need urgent attention.
This chapter leverages the lived experiences and reflections of practitioners who have engaged in collaboration at the watershed level. Through survey data and open-ended responses, the chapter explores as well as elucidates respondents’ self-reported values, goals, operational choices, and reported relationships within collaborative arrangements, stakeholders, and organizations. Results reveal that organizational characteristics, systems, perceptions of legitimacy, and other contextual factors play key roles in influencing revealed and perceived collaborative outputs and outcomes. The chapter also highlights the centrality of trust, fairness, and scientific understanding in contributing to effective partnerships. The chapter also highlights specific impediments and challenges to effective collaboration such as resource constraints, fragmented governance and institutions, and that stakeholders often held varying levels of scientific capacity. The chapter concludes by emphasizing trust-building, adaptive learning, and institutional support as important drivers of successful collaboration.
This chapter answers the book’s foundational question: Does collaboration matter? If so, how and why does collaboration improve watershed outcomes? By summarizing the previous chapter’s findings, Chapter 8 offers a complex and nuanced answer. Results suggest that collaboration does matter, although it depends on the relevant goals. For water quality, collaboration’s impact is more muted. In other words, our results suggest that collaboration does not inherently lead to measurable improvements. However, data consistently supports the idea that collaboration matters relative to social/perceived measures such as perceived water quality, stakeholder trust, engagement, and perceptions of success. These factors, as the chapter suggest, are important precursors for effective watershed collaboration. The chapter then concludes with lessons that could be applied elsewhere such as mechanisms to strengthen collaborative capacity, promoting regional organizations, leveraging technology such as blockchain, and identifying revenue stable streams.
This chapter discusses the perceptions of English variation from the earliest available commentary to the present day. Historical commentary on English variation from various sources is discussed and contrasted with contemporary accounts of the perception of variation in English. The chapter discusses commonalities in the perception of regional variation over time, examining three overarching themes: the presence of a linguistic hierarchy; the focus on the ‘best’ forms of English in areas (and occupations) proximal to the centres of power, and general concerns about language change.
Neltuma juliflora (Sw.) Raf. (Fabaceae) is one of the most problematic invasive alien plant species in Ethiopia, posing serious threats to ecosystems and pastoral livelihoods. Despite its widespread invasion, limited evidence exists on how pastoral communities perceive its impacts, particularly in the Lower Omo Valley. In this study, we surveyed 154 households in Nyangatom District using semi-structured questionnaires and conducted four focus group discussions with communities in the Kibish cluster. Our findings indicate that 73.4% of households considered N. juliflora undesirable due to its suppression of grazing species, reduction of biodiversity, and restriction of livestock mobility. Pastoralists reported using several coping and control strategies, though most were limited to small-scale clearing around homesteads rather than broader rangeland management. Logistic regression analysis showed that education level, livestock ownership, and proximity to invaded areas significantly influenced perceptions of the invasion. Overall, N. juliflora has intensified socio-ecological vulnerability by degrading rangeland resources and affecting pastoral livelihoods. The results highlight the urgent need for feasible, locally adapted, and integrated management interventions.
Our 2005 article in this journal provided a comprehensive synthesis and review of available literature then, and compared various aspects of organic versus conventionally produced alternatives. In this reflection, the authors provide a brief commentary on the impact of the publication and updates on the findings since it was published. We conclude with a brief commentary and outlook on selected issues relevant to organic versus conventional food products, and considerations and future directions.
In recent years, a growing body of literature has widely investigated the impact of role-playing simulations in teaching politics and international relations. While scholars agree that participating in simulations is helpful for the students in developing their skills, the evidence about benefits is more mixed. Moreover, the question whether all students—regardless of their demographic or academic background—benefit similarly from simulations remains largely unanswered. This article, based on a cross-national survey submitted to students from Italy and the Netherlands who have participated in the Model United Nations (MUN), provides an innovative contribution to the current literature by looking at views and opinions of students coming from different educational contexts. Our empirical results suggest that students perceive that MUN increases their skills regardless of their academic and socio-demographic background. The quantitative analysis, based on OLS regression models, reveals that the individual students’ background does not influence their perceived benefit, nor their enjoyment of the experience. MUNs appear to be educational as well as fun for all students, regardless of their age, gender, field of study, seniority, and academic homeland.
Human resource (HR) management is important for human service nonprofits because they rely on the quality of their employees for the provision of their services. Using a typology of nonprofit HR architecture developed by Ridder and McCandless (Nonprofit Volunt Sect Q 29(1):124–141, 2010), we attempt to unpack the black box between performance and HR practices. To this end, we conducted semi-structured interviews with HR managers and young employees to investigate their perceptions of HR practices in their nonprofit organizations. Based on the findings, we extend the research on HR management in nonprofit organizations and caution that success or failure of implementing HR practices may be directly influenced by the external environment.
This article delves into the dynamics of power, public ethics, and injustice to explain the tolerance towards types of corruption that challenge democracy and go far beyond the most discussed illegal ‘Market’ aspects. The aim is to explore the patterns of the more ‘Parochial’ aspects of reciprocity and kinship and the ‘Institutional’ aspects of manipulating the norms and purposes of institutions that corruption has. Using the results of two original surveys conducted simultaneously (between October 2020 and April 2021), in which citizens and politicians in Portugal were asked about eleven potentially corrupt behaviours, this study concludes that it is the normalisation of parochialism in power relations that has been indirectly promoting the maintenance of institutional mechanisms that reinforce exclusion and the adoption of unethical behaviours to restore a sense of equality. It is argued that the antidote to Tolerance towards Corruption (TtC) consists of a formula that includes the constant improvement of the regulation of ethics in public life and public policies capable of mitigating the injustices associated with deprivation.
The study aims to understand the perceptions of deprescribing in primary care for patients with a limited life expectancy.
Background:
In the setting of limited life expectancy, medications may become inappropriate when the possible harms of use outweigh the benefits. Whilst the cessation of potentially inappropriate medications is associated with improved patient outcomes, incorporating this process into routine primary care is poorly enacted.
Methods:
Qualitative interview study performed in primary care settings in the Netherlands, including primary care health professionals, patients with limited life expectancy, and their caregivers. Semi-structured interviews were conducted and analysed using inductive thematic analysis.
Findings:
Three key themes emerged: (1) facilitating well-being, (2) preventing harm, and (3) dealing with uncertainty. A key goal of mediation use is to facilitate well-being, although the perceptions of this effect may not always match the reality due to changed clinical circumstances. The decision to continue or stop medication is influenced by the wish to prevent harm and to what extent participants find ways to deal with the uncertainties facing them.
Reluctance to deprescribe medications is often related to uncertainties around ceasing medications, lack of clear clinical guidance, and the evolving situation of advanced illness. Integrating these discussions into routine primary care for patients with chronic and incurable illnesses may assist patients and healthcare professionals to address issues around medication use in a proactive manner and promote advance care planning discussions.
Social cohesion suffers when people perceive that they live among others who differ from them, even if such people live in homogeneous neighborhoods. This article shows that (1) two individuals who live in equally diverse local contexts may not perceive the same amount of diversity in that context, nor think of the boundaries of their local community in the same way; and (2) when comparing two individuals who live in equally diverse local contexts, the one who thinks they live with more minorities tends, on average, to see lower social cohesion and less collective efficacy among their neighbors. These descriptive results align with a causal framework that distinguishes the objective environment from that of the subjective context. Revealing that perceptions of social reality matter above and beyond the experience of objective context adds evidence to a theory of context effects that involves perceptions as well as experience.
While animal welfare is a growing global concern, there has been very little research into how it is understood in Iran. Cultural, religious, and legal factors influence attitudes and practices in ways not addressed by existing research. This study provides culturally grounded insights for improvement of animal welfare in Iran. Utilising a validated survey tool, we investigated the attitudes of Iranians toward the welfare of farmed, companion, and wild animals. A total of 325 responses were collected. The findings indicate that animal welfare is considered important to Iranians, with the majority expressing interest in improving the welfare practices. Despite varying degrees of familiarity with different animal species, there was a consensus on the importance of enacting laws to protect animal welfare. Most participants agreed that chickens feel pain (92.9%) and emotions (79%), whereas fewer attributed these capacities to fish, with 63.6% acknowledging pain and 59.5% acknowledging emotions. Furthermore, most of the participants agreed that animals should not endure pain in the slaughter process (97.8% agreement). While the majority of participants agreed that pre-slaughter stunning was better for the animals (78.7%), only 51.7% agreed that they would prefer to eat meat from animals that had been stunned; reflecting the traditionally held views regarding the role of stunning in Halal meat production. The results of the current study support previous findings suggesting that concern for animals may be a universal human inclination, although, in Iran, attitudes towards specific species and agricultural practices are also shaped by religious perspectives.
How do identities affect our political perceptions? Drawing on the social identity theory, we offer a new notion and empirical modeling strategy to study divergence in party placement perceptions. Our framework builds on the idea that membership in social groups has the potential to act as a social identity by systematically structuring perceptual divergence among groups. We conceptualize two consequences of social identity formation, ingroup favoritism and outgroup hostility: an ingroup effect brings a party closer to the preferred policy of the group; an outgroup effect pushes the party away. The approach permits detecting these effects and pinpoints the group-based characteristics producing perceptual polarization in multiparty systems using standard public opinion survey data. An application to the Basque region of Spain shows that over two decades, social identities around national sentiments and religion have produced the most perceptual divergence and polarization, whereas gender or social class do not structure party perceptions in the region.
This study investigated the impact of familiar versus unfamiliar environments on mobile-assisted language learning (MALL) task writing performance, English as a foreign language (EFL) writing proficiency, and learner perceptions. Fifty undergraduate students were divided into an experimental group and a control group. Both groups engaged in EFL learning in the classroom and later completed writing tasks in different learning environments outside the classroom: the experimental group in familiar environments and the control group in unfamiliar ones. Using a mobile learning system on tablet PCs, students completed five writing tasks describing resources in their environments, such as objects, people, situations, and scenarios. We assessed MALL task writing performance based on factors including the amount of writing, content quality, organization, creativity, grammar, and vocabulary, and compared results between the two groups. EFL writing proficiency was evaluated through a post-test directly related to the MALL tasks, and student perceptions of the MALL experience were measured through a survey. The results indicated that the experimental group outperformed the control group in both writing tasks and the post-test. Furthermore, the experimental group reported more positive perceptions of their MALL experience, reflected in higher emotional engagement and cognitive involvement. Based on these findings, we offer both theoretical insights into the role of familiar environments in facilitating language learning and practical suggestions for EFL teachers and researchers to incorporate real-world, contextually rich environments in MALL activities.
What is ideology? How can we discern significant, enduring ideas from more fleeting ones? With these opening questions the chapter lays out some ways scholars might investigate the impact of ideology on international history. The chapter offers how-to insights for historians to examine worldviews, national visions, and personal biases as they have shaped US foreign relations. In so doing, we are reminded to always consider our own ideologies, preconceptions, and assumptions, regardless of whether those presuppositions are more or less obvious. The chapter singles out key contested concepts – such as “civilization” and empire – and suggests a focus on language and rhetoric in approaching this subject. Biography and a concentration on people and groups is crucial to any deep investigation of ideology. The cultural embeddedness and historical context of the actors and ideas we focus on is critical to this work. International and transnational dimensions of thought are virtually omnipresent in the historical record; so, too, one must keep in mind the shaping role of markets and economic ideas and the impact of competing forms of nationalism. Overall, the chapter emphasizes the relationship between norms and ideology, the significance of religion, along with themes such as power, progress, and democracy.
This study explores psychiatrists’ perceptions of Attention-Deficit Hyperactivity Disorder (ADHD) through the lens of evolutionary psychiatry, a growing field that reframes mental disorders in the context of adaptation and survival. Evolutionary theories suggest that traits associated with ADHD, such as impulsivity, hypercuriosity and novelty-seeking, may have been adaptive in ancestral environments, though they manifest as maladaptive in structured modern contexts.
Method:
A bespoke 10-item questionnaire was developed to assess psychiatrists’ attitudes following a presentation on evolutionary perspectives of ADHD by an expert. The questionnaire allowed rating in 5-point Likert fashion and was followed by a free text box for qualitative analysis. Basic descriptive statistics and One-Way ANOVA pairwise comparisons between groups was used to test for statistical significance. A p value of <0.05 was deemed statistically significant.
Results:
Forty-two participants, including 21 consultants and 19 psychiatry trainees completed the questionnaire. All participants rated their comprehension of the presentation as high/very high. Most strongly agreed that the information presented could improve psychiatry and therapeutic outcomes. However, consultants with more than 10 years of experience were less likely than trainees to report optimism about the practical applications of evolutionary frameworks. Qualitative feedback emphasized the relevance of evolutionary perspectives in clinical practice, particularly in reducing stigma and enhancing therapeutic engagement with patients and families.
Conclusions:
While the results from this study were positive, limitations include the small sample size and lack of prepresentation baseline data. However, this study has formed part of the first step in investigating the perceptions and attitudes of psychiatrists on evolutionary perspectives on ADHD.
The popularity of keeping domesticated cats (Felis catus) indoor-only or outdoor-indoor varies according to geographical location, and both have risks and benefits. Walking cats (e.g. on leashes) may enable mitigation of roaming risks while providing outdoor access, but the practice of walking cats appears relatively uncommon and is yet to be examined in the literature. Semi-structured online interviews (21 participants across seven countries) were conducted to explore cat walking perceptions and experiences in owners who currently practise it. Interview recordings were transcribed and analysed using reflexive thematic analysis. Five main themes were generated: (1) Benefits of walking; (2) Challenges around walking; (3) Safety for walking; (4) Cat individuality and walking; and (5) Attitudes about walking across geographic contexts. Themes highlighted that participants perceived benefits of walking for both cat and owner but faced challenges largely due to dogs and their owners in addition to judgment from others in the community. The main priorities of walking were seen to be ensuring safety and attending to the individual needs of each cat. Reactions to cat walking appeared to vary according to local norms and attitudes about cats and owner-cat relationships. The subjective nature of both the concept and practice of cat walking was also emphasised. These findings provide an initial base for what the experience of walking cats can be like and highlight that further research to directly investigate the welfare impacts of walking on cats and their owners is now needed.