A person-oriented approach to hand hygiene behaviour: Emotional empathy fosters hand hygiene practice

Objectives: Adopting a social-psychological approach, this research examines whether emotional empathy, an affective reaction regarding another’s well-being, fosters hand hygiene as this affects other’s health-related well-being extensively.

Design: Three studies tested this notion: (a) a cross-sectional study involving a sample of health care workers at a German hospital, (b) an experiment testing the causal effect of empathy on hand hygiene behaviour and (c) an 11-week prospective study testing whether an empathy induction affected disinfectant usage frequency in two different wards of a hospital.

Main outcome measures: Self-reported hand hygiene behaviour based on day reconstruction method was measured in Study 1, actual hand sanitation behaviour was observed in Study 2 and disinfectant usage frequency in two different hospital wards was assessed in Study 3.

Results: Study 1 reveals an association of empathy with hand hygiene cross-sectionally, Study 2 documents the causal effect of empathy on increased hand sanitation. Study 3 shows an empathy induction increases hand sanitiser usage in the hospital.

Conclusions: Increasing emotional empathy promotes hand hygiene behaviour, also in hospitals. Besides providing new impulses for the design of effective interventions, these findings bear theoretical significance as they document the explanatory power of empathy regarding a distal explanandum (hand hygiene).     

The systematic identification of content and delivery style of an exercise intervention

Objective: This study explored the utility of using behaviour change taxonomies and checklists to systematically assess the content and delivery of behavioural support for physical activity delivered through an established exercise-referral scheme.

Design: An observation study was conducted whereby 22% of initial consultations were observed and audio-recorded, using quota sampling stratified by exercise-referral advisor.

Main outcome measures: Content was independently coded by two researchers, to assess; (i) completeness in delivering the programme protocol, (ii) behaviour change techniques delivered (defined using the CALO-RE taxonomy) and (iii) delivery style according to the Behaviour Change Counselling Index (BECCI).

Results: Protocol completeness was 63.6% (range 35.6–74.6%). The behaviour change techniques delivered most consistently were ‘providing information about where and when to perform the behavior’ (86%) and ‘setting outcome goals’ (82%). Other evidence-based techniques such as self-monitoring were infrequently observed. Variation in BECCI scores indicated that advisors could, but did not consistently, provide a client-centred service.

Conclusion: This study highlights how theoretically informed taxonomies can be useful in evaluating service delivery within applied practice, providing a meaningful way of assessing the completeness of protocol delivery relative to evidence. The provision of feedback to practitioners based on such objective criteria also facilitated positive academic-practitioner communication.     

Principle of Care and Giving to Help People in Need

Theories of moral development posit that an internalized moral value that one should help those in need—the principle of care—evokes helping behaviour in situations where empathic concern does not. Examples of such situations are helping behaviours that involve cognitive deliberation and planning, that benefit others who are known only in the abstract, and who are out‐group members. Charitable giving to help people in need is an important helping behaviour that has these characteristics. Therefore we hypothesized that the principle of care would be positively associated with charitable giving to help people in need, and that the principle of care would mediate the empathic concern–giving relationship. The two hypotheses were tested across four studies. The studies used four different samples, including three nationally representative samples from the American and Dutch populations, and included both self‐reports of giving (Studies 1–3), giving observed in a survey experiment (Study 3), and giving observed in a laboratory experiment (Study 4). The evidence from these studies indicated that a moral principle to care for others was associated with charitable giving to help people in need and mediated the empathic concern–giving relationship. © 2016 The Authors. European Journal of Personality published by John Wiley & Sons Ltd on behalf of European Association of Personality Psychology     

Mixed‐methods Evaluation of the Good Behaviour Game in English Primary Schools

Inclusivity of all children in education and within educational settings is an important value and goal. Yet, where settings and practices are not oriented for inclusivity and engagement, some children can struggle with academic tasks and are often marginalised and exhibit disruptive behaviours. The study reported here addresses the social nature of school as a community for learning through a mixed‐methods concurrent triangulation evaluation of the implementation of the Good Behaviour Game (GBG) in six primary (elementary) schools with 10 classes and 222 children in Oxfordshire, England. The Teacher Observation of Classroom Adaptations ‐ Revised (TOCA‐R) was administered in individual interviews with class teachers. Additionally, individual semi‐structured interviews were conducted with teachers, coaches and head teachers (n = 22). In a pre–post design, improvements in child adaptation were observed on all TOCA‐R subscales. In an integrative analysis that brought together quantitative and qualitative findings, pupil improvement was identified in three major areas: inclusion and social participation, behaviour, and concentration. Interview results also highlighted the substantial practical challenges associated with implementing and using the GBG in schools in the UK. Overall, the results of this study support the idea that social relationships within the school community, between pupils and between pupils and teachers, provide an important context for learning and social development. Copyright © 2016 John Wiley & Sons, Ltd.     

Predictors of Antisocial and Prosocial Behaviour of Bystanders in Workplace Mobbing

When will bystanders of workplace mobbing show antisocial or prosocial behaviour toward the victim? Results of a 2 × 2 vignette study (N = 177) suggest that high perceived responsibility of the victim for the onset of the mobbing evokes anger and consequently antisocial bystander behaviour, whereas low perceived responsibility generates sympathy and consequently prosocial bystander behaviour. The results further indicate that bystanders will show more antisocial behaviour and less prosocial behaviour toward the victim when they anticipate stigma by association. The implications of these results for interventions seeking to influence bystanders' behaviour in the context of workplace mobbing and for further research on this bystander behaviour are discussed. Copyright © 2015 John Wiley & Sons, Ltd.     

Changing self-reported physical activity using different types of affectively and cognitively framed health messages,in a student population

The present research focused upon the power of different messages to increase self-reported physical activity (PA). Five hundered and ninety six participants were randomised to one of five conditions that varied in the content of message: short-term affective, short-term cognitive, long-term affective, long-term cognitive and a no message control. PA was measured at baseline and follow-up (seven days later) was done using the Godin Leisure Time Exercise Questionnaire over the subsequent seven day period. The affective short-term message (ASM) was shown to be equally effective at increasing self-reported PA as a cognitive long-term message. Furthermore, when controlling for baseline activity levels, the ASM emerged as being the message that produced the highest levels of self-reported PA at follow-up. The findings point to the value of distinguishing between health messages in terms of the focus on affective and cognitive outcomes and the temporal nature of the outcomes (short-term or long-term).     

Sleep duration and health correlates among university students in 26 countries

The aim of this study was to investigate sleep duration and its health correlates in university students from 26 low-, middle- and high-income countries. Using anonymous questionnaires and anthropometric measurements, data were collected from 19417 undergraduate university students (mean age 20.8, SD = 2.8) from 27 universities from 26 countries across Asia, Africa and the Americas. Results indicate that the average number of self-reported hours of sleep was 7.07 (CI = 7.04–7.09), with the prevalence of reporting ≤6, 7–8, and ≥9?h sleep duration of 39.2, 46.9, and 13.9%, respectively. Multinomial logistic regression found that sociodemographic variables, health risk behaviour and health status variables were found to be associated with short and long sleep duration.     

Pedestrian compliance and cross walking speed adaptation due to countdown timer installations: A self report study

Although they are aware of the possible risk, a high number of pedestrians still violate the red light indication and cross the road illegally. This hazardous behaviour may cause incidents between them and the road vehicles. In order to reduce this illegal behaviour, the traffic signals are equipped with countdown timers, in order to provide more information and decrease pedestrians’ noncompliant behaviour. The main purpose of the present paper is to investigate the influence of countdown timers on pedestrians’ compliance regarding their crossing behaviour at intersections as well as to examine the parameters affecting walking speed adaptation. In the context of this analysis two regression models were developed. The first model is a binary logistic regression model which examines pedestrians’ self reported compliance. The results showed that the gender, the age, the perceived comfort and the seconds remaining for the onset of red light are the main parameters that affect compliance. The second model is an ordinal regression model which examines the factors that make pedestrians adapt their walking speed as they are crossing the road and are informed by the countdown timers about the second remaining for the termination of the green phase. The results of the second model revealed that the age, the compliance and the perceived assistance that the countdown timer provides for the walking speed adaptation affect the minimum remaining time before a pedestrian accelerates.     

Introducing human factors in pedestrian crossing behaviour models

The objective of this research is the development of pedestrian crossing choice models on the basis of road, traffic and human factors. For that purpose, a field survey was carried out, in which a panel of 75 pedestrians were asked to take 8 short walking trips (each one corresponding to a different walking and crossing scenario) in the Athens city centre in Greece, allowing to record their crossing behaviour in different road and traffic conditions. The same individuals were asked to fill in a questionnaire on their travel motivations, their mobility characteristics, their risk perceptions and preferences with respect to walking and road crossing, their opinion on drivers, etc. The walking and crossing scenarios’ data were used to develop mixed sequential logit models of pedestrian behaviour on the basis of road and traffic characteristics. The modelling results showed that pedestrian crossing choices are significantly affected by road type, traffic flow and traffic control. The questionnaire data were used to estimate human factors (components) of pedestrian crossing behaviour by means of principal component analysis. The results showed that three components of pedestrian crossing behaviour emerge, namely a “risk-taking and optimisation” component reflecting the tendency to cross at mid-block in order to save time, etc., a “conservative” component, concerning individuals with increased perceived risk of mid-block crossing, who also appear to be frequent public transport users, and a “pedestrian for pleasure” component, bringing together frequent pedestrians, walking for health or pleasure, etc. The introduction of these components as explanatory variables into the choice models resulted in improvement of the modelling results, indicating that human factors have additional explanatory power over road and traffic factors of pedestrian behaviour. Therefore, the development of integrated choice and latent variables models appears to be an appropriate field for further research.     

The effect of job stress on self-reported safety behaviour in container terminal operations: The moderating role of emotional intelligence

This study empirically examined the moderating effects of emotional intelligence on job stress and self-reported safety behaviour in the context of container terminal operations using survey data collected from 430 respondents who worked in the container terminals in Taiwan. A hierarchical regression analysis was used for data analysis. The research findings indicate that job stress negatively affects safety behaviour in terms of safety compliance, as well as emotional intelligence positively affects safety behaviour in terms of safety participation and safety compliance. Results also indicated that emotional intelligence plays a moderating role on the relationships between job stress and safety compliance. The theoretical and practical implications from the research findings are discussed.