scholarly journals Elderly patients’ decision-making embedded in the social context: a mixed-method analysis of subjective norms and social support

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Kirti D. Doekhie ◽  
Martina Buljac-Samardzic ◽  
Mathilde M. H. Strating ◽  
Jaap Paauwe
JMIR Aging ◽  
10.2196/12496 ◽  
2019 ◽  
Vol 2 (2) ◽  
pp. e12496 ◽  
Author(s):  
Zakkoyya H Lewis ◽  
Maria C Swartz ◽  
Eloisa Martinez ◽  
Elizabeth J Lyons

Background Physical activity (PA) is critical for maintaining independence and delaying mobility disability in aging adults. However, 27 to 44% of older adults in the United States are meeting the recommended PA level. Activity trackers are proving to be a promising tool to promote PA adherence through activity tracking and enhanced social interaction features. Although social support has been known to be an influential behavior change technique to promote PA, how middle-aged and older adults use the social interaction feature of mobile apps to provide virtual support to promote PA engagement remains mostly underexplored. Objective This study aimed to describe the social support patterns of middle-aged and older adults using a mobile app as part of a behavioral PA intervention. Methods Data from 35 participants (mean age 61.66 [SD 6] years) in a 12-week, home-based activity intervention were used for this secondary mixed method analysis. Participants were provided with a Jawbone Up24 activity monitor and an Apple iPad Mini installed with the UP app to facilitate self-monitoring and social interaction. All participants were given an anonymous account and encouraged to interact with other participants using the app. Social support features included comments and likes. Thematic coding was used to identify the type of social support provided within the UP app and characterize the levels of engagement from users. Participants were categorized as superusers or contributors, and passive participants were categorized as lurkers based on the literature. Results Over the 12-week intervention, participants provided a total of 3153 likes and 1759 comments. Most participants (n=25) were contributors, with 4 categorized as superusers and 6 categorized as lurkers. Comments were coded as emotional support, informational support, instrumental support, self-talk, and other, with emotional support being the most prevalent type. Conclusions Our cohort of middle-aged and older adults was willing to use the social network feature in an activity app to communicate with anonymous peers. Most of our participants were contributors. In addition, the social support provided through the activity app followed social support constructs. In sum, PA apps are a promising tool for delivering virtual social support to enhance PA engagement and have the potential to make a widespread impact on PA promotion. Trial Registration ClinicalTrials.gov NCT01869348; https://clinicaltrials.gov/ct2/show/NCT01869348


2018 ◽  
Author(s):  
Zakkoyya H Lewis ◽  
Maria C Swartz ◽  
Eloisa Martinez ◽  
Elizabeth J Lyons

BACKGROUND Physical activity (PA) is critical for maintaining independence and delaying mobility disability in aging adults. However, 27 to 44% of older adults in the United States are meeting the recommended PA level. Activity trackers are proving to be a promising tool to promote PA adherence through activity tracking and enhanced social interaction features. Although social support has been known to be an influential behavior change technique to promote PA, how middle-aged and older adults use the social interaction feature of mobile apps to provide virtual support to promote PA engagement remains mostly underexplored. OBJECTIVE This study aimed to describe the social support patterns of middle-aged and older adults using a mobile app as part of a behavioral PA intervention. METHODS Data from 35 participants (mean age 61.66 [SD 6] years) in a 12-week, home-based activity intervention were used for this secondary mixed method analysis. Participants were provided with a Jawbone Up24 activity monitor and an Apple iPad Mini installed with the UP app to facilitate self-monitoring and social interaction. All participants were given an anonymous account and encouraged to interact with other participants using the app. Social support features included comments and likes. Thematic coding was used to identify the type of social support provided within the UP app and characterize the levels of engagement from users. Participants were categorized as superusers or contributors, and passive participants were categorized as lurkers based on the literature. RESULTS Over the 12-week intervention, participants provided a total of 3153 likes and 1759 comments. Most participants (n=25) were contributors, with 4 categorized as superusers and 6 categorized as lurkers. Comments were coded as emotional support, informational support, instrumental support, self-talk, and other, with emotional support being the most prevalent type. CONCLUSIONS Our cohort of middle-aged and older adults was willing to use the social network feature in an activity app to communicate with anonymous peers. Most of our participants were contributors. In addition, the social support provided through the activity app followed social support constructs. In sum, PA apps are a promising tool for delivering virtual social support to enhance PA engagement and have the potential to make a widespread impact on PA promotion. CLINICALTRIAL ClinicalTrials.gov NCT01869348; https://clinicaltrials.gov/ct2/show/NCT01869348


2020 ◽  
Vol 44 (2) ◽  
pp. 300-327 ◽  
Author(s):  
Lluís Garay Tamajón ◽  
Soledad Morales Pérez

Resource branding has become a cocreated process carried out within virtual brand communities (VBCs), which boost the social connectivity of users and contribute to placemaking. However, due to the very nature of VBCs, branding strategies rely on user engagement to succeed. The present study has performed a multidimensional and mixed-method analysis of almost 4,000 entries in the Facebook and Twitter VBCs of two renowned European music festivals, Sónar and Primavera Sound (Barcelona), to show the benefits of understanding the different components that comprise festival engagement and the relationships between them. Results show the importance of considering different festival brands and their main VBCs to develop a strategy based on the structure of each VBC user as well as the most prominent dimensions of user engagement and the inherent relationships between them. In addition, the consideration of “ongoing” engagement is a potential research pathway for exploring brand engagement beyond mere attendance.


2019 ◽  
Vol 101 ◽  
pp. 129-142 ◽  
Author(s):  
Jorien van Hoorn ◽  
Holly Shablack ◽  
Kristen A. Lindquist ◽  
Eva H. Telzer

2020 ◽  
Vol 31 (12) ◽  
pp. 1585-1601 ◽  
Author(s):  
Gabriele Chierchia ◽  
Blanca Piera Pi-Sunyer ◽  
Sarah-Jayne Blakemore

Adolescence is associated with heightened social influence, especially from peers. This can lead to detrimental decision-making in domains such as risky behavior but may also raise opportunities for prosocial behavior. We used an incentivized charitable-donations task to investigate how people revise decisions after learning about the donations of others and how this is affected by age ( N = 220; age range = 11–35 years). Our results showed that the probability of social influence decreased with age within this age range. In addition, whereas previous research has suggested that adults are more likely to conform to the behavior of selfish others than to the behavior of prosocial others, here we observed no evidence of such an asymmetry in midadolescents. We discuss possible interpretations of these findings in relation to the social context of the task, the perceived value of money, and social decision-making across development.


Author(s):  
James Lindley Wilson

Democracy uniquely respects an important set of persons’ autonomy claims. Along with standard first-order autonomy claims to act without interference, persons have second-order autonomy claims to authority over the social context of their choice. These second-order claims are grounded in the same ideal self-direction that grounds first-order claims. One triggers another’s second-order claims when one directs another’s will by shaping the context of her choice, or when one implicates another’s will by shaping the nature of her responsibility for her actions. When a basic structure exists in which individuals continuously direct and implicate one another’s wills, each person has a second-order autonomy claim to authority over the terms of that structure. Because each person is equally entitled to respect for her autonomy, each is equally entitled to authority over the basic structure. Political equality—the equal authority of each citizen over the terms of common life—therefore uniquely respects these autonomy claims of each citizen. We therefore have non-instrumental, autonomy-based reasons to support democratic decision-making.


2019 ◽  
Vol 2019 (1) ◽  
pp. 13452
Author(s):  
Bruce Barry ◽  
Oyku Arkan ◽  
Joseph P. Gaspar ◽  
Brian Gunia ◽  
Jessica Alynn Kennedy ◽  
...  

2020 ◽  
Vol 72 (1-3) ◽  
Author(s):  
Kumarashwaran Vadevelu

ABSTRACT This mixed-method study analysed the impact of the transition of transgender adolescents and young adults on their social support systems as well as its consequences in the Provinces of Pattani, Yala, and Narathiwat, Southern Thailand. With the aid of open-ended, semi-structured questionnaires, interviews were conducted focussed on how they had experienced their sexual identity, the levels of their feminine, inner selves, the different ways in which they expressed their femininity, the ages at which they had started transitioning, and the unique consequences of their transitioning in society. Content analysis identified the themes and sub-themes that emerged from the data analysis. The research concluded that transitioning had negative effects on the lives of respondents and on the social support systems which they had relied on for acceptance, recognition, inclusion in society, and for ongoing help in addressing adjustment challenges. The study recommended ways whereby acceptance of and social support for transitioning adolescents and young adults might be advanced.


2018 ◽  
Author(s):  
Lou Safra ◽  
Coralie Chevallier ◽  
Stefano Palminteri

AbstractDepression is characterized by a marked decrease in social interactions and blunted sensitivity to rewards. Surprisingly, despite the importance of social deficits in depression, non-social aspects have been disproportionally investigated. As a consequence, the cognitive mechanisms underlying atypical decision-making in social contexts in depression are poorly understood. In the present study, we investigate whether deficits in reward processing interact with the social context and how this interaction is affected by self-reported depression and anxiety symptoms. Two cohorts of subjects (discovery and replication sample:N= 50 each) took part in a task involving reward learning in a social context with different levels of social information (absent, partial and complete). Behavioral analyses revealed a specific detrimental effect of depressive symptoms – but not anxiety – on behavioral performance in the presence of social information, i.e. when participants were informed about the choices of another player. Model-based analyses further characterized the computational nature of this deficit as a negative audience effect, rather than a deficit in the way others’ choices and rewards are integrated in decision making. To conclude, our results shed light on the cognitive and computational mechanisms underlying the interaction between social cognition, reward learning and decision-making in depressive disorders.


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