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This study is a theory-building effort to extend the risk perception attitude (RPA) framework by considering an organization-related factor. Specifically, this study examined how an organization-related factor, namely safety climate, and individual-related factors, namely risk perception and efficacy belief, jointly influence flight attendants’ occupational health and safety (OHS) information seeking intent.

About 486 flight attendants from an international air carrier, based in Hong Kong, participated in an online survey. Hierarchical regression was employed to examine the three-way interaction of risk perception, efficacy belief, and safety climate.

Results showed that safety climate moderated the effect of efficacy belief on the relationship between risk perception and OHS information seeking intent. For flight attendants who perceived a high safety climate, those who felt more efficacious had a higher intent for OHS information seeking than those who felt less efficacious. In contrast, for flight attendants who perceived a low safety climate, when they perceived a high level of risk, those with low efficacy had a higher information seeking intent than those with high efficacy.

Although the RPA framework has shown its potential to explicate how individual employees engage in OHS information seeking behavior, the framework has largely overlooked the importance of organization-related factors as an influential shaping force of individual employees’ behavior. To fill this research gap, this study extends the RPA framework by examining how safety climate moderates the relationship between risk perception and efficacy belief on flight attendants’ OHS information seeking intent. Safety climate also plays an important role in segmenting audience groups for OHS promotion.

Although Human Papilloma Virus (HPV) is the most commonly diagnosed sexually transmitted infection in the USA, much controversy exists with respect to HPV vaccination, especially among parents of adolescents. Previous research has shown that exemplars in the media influence public opinion estimates about controversial social issues. However, little is known about the underlying psychological processes of how exemplars influence public opinion formation. The purpose of this paper is to systematically explore such psychological processes based on the projection theory. To this end, the important yet controversial public health issue, the mandatory HPV vaccination, was chosen.

A two-factor (exemplar vs proportion), between-subject experiment was conducted using online newspaper articles as main stimuli. A total of 138 participants completed the study. The analytical framework comprised the Sobel test with the Bootstrap method and a series of Ordinary Least Square hierarchical regression analyses.

The higher the proportion of exemplars against the HPV vaccination in a news article was, the greater the number of individuals who became opposed to it was. And the high personal opposition translated into negative public opinion change estimation.

The findings indicate that news exemplars may influence individuals’ personal opinion formation, and, in turn, contribute to their estimations of future public opinion climate, as suggested by the projection theory. Theoretical, methodological and practical implications for journalists, health educators and policy makers are discussed.

This paper aims at describing and exploring how consumers perceive acupuncture as a medical treatment in relation to biomedicine.

Data were collected through an online survey using quota sampling. The attitudes of 879 Hong Kong residents aged 20 or above were surveyed. Questions were generated from a previous focus group study.

Factor analysis found that attitude toward acupuncture consisted of five underlying dimensions, including trust in biomedicine, risks versus benefits, cure and effectiveness, qualification and skills of acupuncturists, side effects and costs and severe aftereffects. Lack of trust in acupuncturists and perceived inferiority of acupuncture to biomedicine were the major barriers of public acceptance of acupuncture. Perceived strengths of acupuncture identified were not involving taking medicine, fewer side effects and being good for preventive care.

This study used a convenience sample recruited through personal networks, so the findings cannot automatically be generalized to the rest of the population.

There is a need to build trust in the therapy and the reputation of acupuncturists through better communication of the profession’s qualification and accreditation system, as well as dissemination of clinical evidence on a long-term basis. Consumers need to be better educated about the sensations to be expected during acupuncture and the criteria for selecting an acupuncturist.

This has been the first quantitative study focusing on Hong Kong consumers’ perceptions of acupuncture.

Distance education has been an important research issue of multimedia computing and communication. Since the instructional activities are implemented on cyberspace, how to control behaviors of students and to increase the degree of communication awareness have been a challenging issue. We propose a system based on the scaffolding theory. Behaviors of students are supervised by an intelligent control system, which is programmed by the instructor under our generic interface. The interface is built based on virtual reality and real‐time communication technologies. Students and instructors have their individual avatars that are controlled by a video game like navigation. Those behaviors that violate virtual campus regulations are detected and interceptive actions are performed. The proposed system is implemented on a Windows system and can be used for general purpose of distance education.

Purpose – The numbers of health care transparency initiatives are increasing. Despite the growing availability of quality data, there seems to be a shortage of evidence about the effects and effectiveness of such initiatives. The aim of this systematic review is to document the effects of transparency, defined as the public release of quality performance data, on hospital care outcomes.

Design/methodology/approach – Through a review of the literature, we chose 46 keywords to use in our searches and focused on empirical studies published in English between 2010 and 2015. The use of combinations of these keywords in searches of four databases (PubMed, Scopus, Web of Science, and the Cochrane Library) generated 13,849 publications. The removal of duplicates and exclusion of studies that were not empirical or not relevant to transparency and quality resulted in 39 studies to be reviewed.

Findings – Our review of the literature confirmed the growth of health care transparency efforts, led by the United States, and found mixed results regarding the effects of transparency on hospital care outcomes. For example, mortality, the most frequently researched performance measure (n = 15), exhibited this mixed pattern by having studies showing a reduction (n = 4), increase (n = 1), mixed findings (n = 4), and no significant relationship (n = 6) as a result of public release. We also found a limited number of articles related to unintended consequences of public reporting. When compared with earlier systematic reviews, there seems to be a trend in the reduction of unintended consequences. Therefore, we recommend exploration of this potential trend in future studies empirically.

Practical Implications – The research findings summarized in this systematic review can be used to understand the results of existing transparency efforts and to develop future transparency initiatives that may better enhance hospital quality performance.

Originality/value – This is the latest and most comprehensive systematic review summarizing the effects of transparency of quality metrics on hospital care outcomes.

Liberal Studies (LS), as a compulsory subject for senior secondary students (S4-6) who sit for the Diploma of Secondary Education, was introduced in 2007. There has been increased discussion about merits of the subject. This paper was written based on a study the researchers conducted with LS teachers and students to probe the role LS may play in relation to civic education. The paper aims to discuss these issues.

The study employed a qualitative methodology and a series of in-depth interviews were carried out with real LS teachers and students to tap their views about LS from their lived experience.

Findings suggest that LS, if conducted appropriately, can be one of vehicles of civic education particularly in such matters related to enhancing social awareness and the ability to partake in public affair debates. It can also be of potential use to nurturing civic virtues in support of democratic discussion. On the other hand, its relationship with real social and political participation by students was not confirmed.

This paper represents one of the first to explore about LS’s possible role in civic education with real grounded data. The paper will be of reference value to readers interested in civic education and teachers, students and policy planners of the subject.

Bali tourism faces a great threat from the pandemic issue. COVID-19 causes a sharp decline of domestic and international tourist arrivals since many countries issued travel bans. All tourism sites in Bali are closed for tourists during the pandemic as ordered by the governing law. The research investigates the solution planned and applied by the cultural tourism destination managements during and post pandemic and understands how cultural tourism in Bali adapts the new norm tourismscape from the locals' and tourists' perspectives. The research uses qualitative method wherein the data were collected in two Hindu temples in Bali namely Goa Lawah and Tirta Empul, where tourists regularly gaze at authentic cultural tourist attractions through field observations, face-to-face interviews with tourism sites managers and tourists who purposely selected to ensure they understand the case. The data were triangulated by comparing and contrasting the informant's viewpoints to understand the case. The research finds that tourism site managements have applied the international health procedures prepared by management through intensive workshops and trainings to develop their competencies dealing with tourists during and post pandemic. This research claims that collaborative managements involving temple management, pecalang, police and soldiers have been dynamically adapted in mitigating the risks of COVID-19 outbreaks within the temple sites during the pandemic which distinct from the mainstream managements.