Meeting the emotional and behavioral health needs of bereaved NICU parents
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Improving commitment to family-centered care in the NICU: a multicenter collaborative quality improvement project
Despite evidence demonstrating the positive impact of family-centered care (FCC) in the neonatal intensive care unit (NICU), FCC is not standard of care. This multi-center, quality improvement initiative aimed to increase the percentage of NICUs with FCC committees and Family Partnership Councils (FPCs).
Why do travelers discontinue using integrated ride-hailing platforms? The role of perceived value and perceived risk
Despite integrated ride-hailing platforms have provided many benefits to travelers, there are also various potential risks. This study aims to examine travelers’ discontinuance behavioral intention toward integrated ride-hailing platforms. The research framework was established by extending the theory of planned behavior (TPB) with perceived value and perceived risk. Perceived value was classified into utilitarian, hedonic, and social values, while perceived risk was classified into privacy, performance, security, and financial risks. Additionally, the factors of switch cost and personal innovativeness were included. An empirical analysis was carried out using partial least-squares structural equation modeling (PLS-SEM) based on a survey conducted in Nanjing, China. Furthermore, a multi-group analysis (MGA) was performed to examine behavioral differences across demographic variables. The findings suggest that discontinuous behavioral intention is influenced by subjective norms, perceived behavioral control, and attitude. Among them, perceived behavioral control shows the strongest impact (−0.190). Perceived value, including utilitarian, hedonic, and social dimensions, negatively influences discontinuance intention, whereas the four variables of risk perception positively affect discontinuance intention. Notably, social value, performance risk, and privacy risk act higher total effects on discontinuance intention. Switch cost is negatively associated with attitude (−0.222), and positively affects discontinuance intention (0.189). Personal innovativeness has positive and stronger effects on perceived value (0.237), negative effects on perceived risk (−0.174), and negative effects on discontinuance intention. Regarding MGA results, older travelers demonstrate a stronger impact of social value on perceived value, higher-income groups exhibit greater sensitivity to security risks, and frequent travelers prioritize utilitarian value.
Emotions and individual differences shape human foraging under threat
A common behavior in natural environments is foraging for rewards. However, this is often in the presence of predators. Therefore, one of the most fundamental decisions for humans, as for other animals, is how to apportion time between reward-motivated pursuit behavior and threat-motivated checking behavior. To understand what affects how people strike this balance, we developed an ecologically inspired task and looked at both within-participant dynamics (moods) and between-participant individual differences (questionnaires about real-life behaviors) in two large internet samples (n = 374 and n = 702) in a cross-sectional design. For the within-participant dynamics, we found that people regulate task-evoked stress homeostatically by changing behavior (increasing foraging and hiding). Individual differences, even in superficially related traits (apathy–anhedonia and anxiety–compulsive checking) reliably mapped onto unique behaviors. Worse task performance, due to maladaptive checking, was linked to gender (women checked excessively) and specific anxiety-related traits: somatic anxiety (reduced self-reported checking due to worry) and compulsivity (self-reported disorganized checking). While anhedonia decreased self-reported task engagement, apathy, strikingly, improved overall task performance by reducing excessive checking. In summary, we provide a multifaceted paradigm for assessment of checking for threat in a naturalistic task that is sensitive to both moods as they change throughout the task and clinical dimensions. Thus, it could serve as an objective measurement tool for future clinical studies interested in threat, vigilance or behavior–emotion interactions in contexts requiring both reward seeking and threat avoidance.
Determinants of consumer intention to use autonomous delivery vehicles: based on the planned behavior theory and normative activation model
Autonomous delivery vehicles (ADVs) that provide contactless services have attracted much academic and practical attention in China in recent years. Despite this, there is a lack of in-depth research on what motivates customers to embrace ADVs. The study integrates the theory of planned behavior (TPB) and normative activation model (NAM) and explores how environmental factors, situational factors, and individual factors affect original TPB constructs and ultimately consumers’ intention to use ADVs. Structural equation modeling was performed on survey data of 561 Chinese consumers through an online sampling platform. The results show that among the factors affecting consumer intention, word-of-mouth recommendations have the greatest impact, followed by perceived enjoyment, COVID-19 risk, ascription of responsibility, subjective norm, attitude, and perceived behavioral control. The results not only make important theoretical contributions to the technology acceptance fields but also provide helpful references to logistics enterprises, ADVs technology providers, and policymakers.
To choose or not to choose? A study on decision-making for virtual reality intervention in children with ADHD
Digital health interventions (DHI) using virtual reality (VR) technologies have been developed to treat attention deficit hyperactivity disorder (ADHD). While previous studies have mainly evaluated the feasibility of VR as an ADHD intervention, there is a dearth of research examining the decision-making psychology and influencing factors among parents of ADHD patients regarding the adoption of such emerging VR intervention techniques, which carry inherent risks. Building on the principles of Prospect Theory, this study highlights preference structures, belief characteristics, and community participation. The study selected 23 explanatory variables, including parents’ comprehension of VR treatment, level of trust, information sources, time and financial costs. A self-designed questionnaire was used to collect data on the willingness of parents of ADHD children to opt for VR treatment. By constructing a binary logistic regression model, we examine the preference structure, belief characteristics and decision readiness of parents of children with ADHD when choosing a virtual reality intervention policy. Parents’ choices of VR interventions for their children are complex. While parents consider the therapeutic benefits of VR, the time investment required for children’s treatment, and knowledge on VR interventions from online communities, their decisions are not always made objectively like an agent would. Instead, they frequently make choices based on a willingness to take risks, placing greater emphasis on relative rather than absolute values. Their decision-making is often swayed by online community information, resulting in choices that may not optimize benefits and sometimes disregarding financial and time costs related to their children’s health. Overall, parents of children with ADHD have demonstrated acceptance of the innovative VR intervention technique. Through examining the factors that impact preference selection, the implementation and promotion of VR intervention in ADHD treatments can be facilitated, thereby advancing the development of Digital Health Interventions (DHI). This can provide valuable insights for developing effective ADHD intervention strategies.
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