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Patients can become educator-influencers in promoting the public's understanding of health and illness; however, the underlying motivations driving their engagement in this role remain unclear. Drawing from the Self-Determination Theory, this study explores the motivations of patients-turned-influencers in sharing eating disorders (ED) experiences and information on Chinese social media. Through semi-structured interviews with 33 patient influencers, this study examines the motivations associated with three psychological needs: autonomy, competence, and relatedness.

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With the rapid development of the digital age, in the business field, gamified marketing has been applied to practice by more and more enterprises, and has been studied by many scholars in the field of academic research. However, the existing research mainly focuses on the impact of gamification marketing activities itself on consumer behavior, and lacks the exploration of the design and mechanism of gamification marketing itself. The purpose of this paper is to find out the influence factors of gamification marketing language style on consumers' brand attitudes, and the empirical results have important theoretical significance and practical implication.

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When should doctors nudge? Nudging and preference-sensitive care.

J Med Ethics

January 2025

Centre for the Study of Professions (SPS), Oslo Metropolitan University, Oslo, Norway

When should doctors nudge their patients towards the treatments they think are best? If the nudge is compatible with the patient giving informed consent, then the nudge could be permissible. To be compatible with informed consent, the nudge must, at minimum: (1) not make the patient's understanding worse and (2) not make it hard for the patient to resist consenting. Arguably, many nudges will meet these criteria.

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Advance Directives at Sea: legal and ethical considerations.

Int Marit Health

January 2025

Faculty of Law, University of Macau, E32 Avenida da Universidade Taipa, 999078 Macao, China.

This paper delves into the unexplored area of Advance Directives (ADs) in maritime surroundings, diving into the moral and legal quandaries that crop up when these directives are used at sea. ADs, which include durable powers of attorney and living wills, are essential documents that indicate a person's wishes for healthcare in the event of incapacitation. Global variations in legal recognition pose ethical questions, particularly in non-regulated jurisdictions.

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Student negotiated syllabus and students' engagement and academic procrastination: A mixed-method study.

Acta Psychol (Amst)

December 2024

Education Graduate School, De La Salle University -Dasmarinas, Dasmarinas, Cavite 4115, Philippines. Electronic address:

Participatory approaches in education, such as syllabus negotiation, have been suggested to enhance student autonomy, engagement, and self-regulation. However, their impact on academic procrastination and engagement still needs to be explored. The main objective of the study was to investigate the impact of the negotiated syllabus on EAP learners' engagement and procrastination in a higher education context.

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