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Search Results (319)

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16 pages, 5613 KiB  
Article
Unraveling the Dynamics of Mental and Visuospatial Workload in Virtual Reality Environments
by Guillermo Bernal, Hahrin Jung, İsmail Emir Yassı, Nelson Hidalgo, Yodahe Alemu, Tyler Barnes-Diana and Pattie Maes
Computers 2024, 13(10), 246; https://doi.org/10.3390/computers13100246 - 26 Sep 2024
Viewed by 532
Abstract
Mental workload, visuospatial processes and autonomic nervous system (ANS) activity are highly intertwined phenomena crucial for achieving optimal performance and improved mental health. Virtual reality (VR) serves as an effective tool for creating variety of controlled environments to better probe these features. This [...] Read more.
Mental workload, visuospatial processes and autonomic nervous system (ANS) activity are highly intertwined phenomena crucial for achieving optimal performance and improved mental health. Virtual reality (VR) serves as an effective tool for creating variety of controlled environments to better probe these features. This study investigates the relationship between mental and visuospatial workload, physiological arousal, and performance during a high-demand task in a VR environment. We utilized a modified version of the popular computer game TETRIS as the task, involving 25 participants, and employed a physiological computing VR headset that simultaneously records multimodal physiological data. Our findings indicate a broadband increase in EEG power just prior to a helper event, followed by a spike of visuospatial engagement (parietal alpha and beta 0-1-3 s) occurring concurrently with a decrease in mental workload (frontal theta 2–4 s), and subsequent decreases in visuospatial engagement (parietal theta at 14 s) and physiological arousal (HRV at 20 s). Regression analysis indicated that the subjective relief and helpfulness of the helper intervention was primarily driven by a decrease in physiological arousal and an increase in visuospatial engagement. These findings highlight the importance of multimodal physiological recording in rich environments, such as real world scenarios and VR, to understand the interplay between the various physiological responses involved in mental and visuospatial workload. Full article
(This article belongs to the Special Issue Extended or Mixed Reality (AR + VR): Technology and Applications)
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<p><b>Left</b>: Plot of live physiological data stream from Galea headset (left screen), TETRIS VR environment (right screen), User wearing VR headset. <b>Right</b>: Outline of experiment procedure. For each of the two sessions, participants completed two pre-experiment questionnaires. Then, a headset fitting session was conducted. Once the headset was fitted, calibration data was collected (regular and eyes-closed). After a brief tutorial session, participants played either the intervention or control version of TETRIS. After completion of the game, the participant filled out two post-experiment questionnaires, and was debriefed on the session.</p>
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<p>Figures show the significant deviations from baseline for EEG and PPG signals before and after the helper event. (<b>a</b>) Frontal Theta power collapsed for electrodes Fp1, Fp2, Fz. (<b>b</b>) Parietal Theta power collapsed for electrodes POz, PO3, PO4. (<b>c</b>) Frontal Beta power collapsed for electrodes Fp1, Fp2, Fz. (<b>d</b>) Parietal Beta power collapsed for electrodes POz, PO3, PO4 (<b>e</b>) Frontal alpha power collapsed for electrodes Fp1, Fp2, Fz. (<b>f</b>) Parietal alpha power collapsed for electrodes POz, PO3, PO4. (<b>g</b>) Heart rate, in beats per minute, deviation from baseline. (<b>h</b>) RMSSD, a measure of HRV, deviation from baseline.</p>
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<p>Figures show the significant deviations from baseline for EEG and PPG signals before and after the helper event. (<b>a</b>) Frontal Theta power collapsed for electrodes Fp1, Fp2, Fz. (<b>b</b>) Parietal Theta power collapsed for electrodes POz, PO3, PO4. (<b>c</b>) Frontal Beta power collapsed for electrodes Fp1, Fp2, Fz. (<b>d</b>) Parietal Beta power collapsed for electrodes POz, PO3, PO4 (<b>e</b>) Frontal alpha power collapsed for electrodes Fp1, Fp2, Fz. (<b>f</b>) Parietal alpha power collapsed for electrodes POz, PO3, PO4. (<b>g</b>) Heart rate, in beats per minute, deviation from baseline. (<b>h</b>) RMSSD, a measure of HRV, deviation from baseline.</p>
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<p>Estimated vs observed performance improvement—Estimated performance improvement is shown on the x-axis and observed performance improvement on the y-axis. Performance improvement is estimated as a linear combination of selected physiological signals that significantly deviate from baseline activity following the appearance of a helper during gameplay.</p>
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<p>Estimated vs observed questionnaire responses - For each of the four questionnaire responses regarding the helper, estimated vs observed questionnaire responses are displayed. Questions 1, 2 and 4 showed statistically significant (<span class="html-italic">p</span> &gt; 0.05) models.</p>
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18 pages, 1924 KiB  
Article
Safety, Efficiency, and Mental Workload in Simulated Teledriving of a Vehicle as Functions of Camera Viewpoint
by Oren Musicant, Assaf Botzer and Bar Richmond-Hacham
Sensors 2024, 24(18), 6134; https://doi.org/10.3390/s24186134 - 23 Sep 2024
Viewed by 334
Abstract
Teleoperation services are expected to operate on-road and often in urban areas. In current teleoperation applications, teleoperators gain a higher viewpoint of the environment from a camera on the vehicle’s roof. However, it is unclear how this viewpoint compares to a conventional viewpoint [...] Read more.
Teleoperation services are expected to operate on-road and often in urban areas. In current teleoperation applications, teleoperators gain a higher viewpoint of the environment from a camera on the vehicle’s roof. However, it is unclear how this viewpoint compares to a conventional viewpoint in terms of safety, efficiency, and mental workload. In the current study, teleoperators (n = 148) performed driving tasks in a simulated urban environment with a conventional viewpoint (i.e., the simulated camera was positioned inside the vehicle at the height of a driver’s eyes) and a higher viewpoint (the simulated camera was positioned on the vehicle roof). The tasks required negotiating road geometry and other road users. At the end of the session, participants completed the NASA-TLX questionnaire. Results showed that participants completed most tasks faster with the higher viewpoint and reported lower frustration and mental demand. The camera position did not affect collision rates nor the probability of hard braking and steering events. We conclude that a viewpoint from the vehicle roof may improve teleoperation efficiency without compromising driving safety, while also lowering the teleoperators’ mental workload. Full article
(This article belongs to the Special Issue On-Board and Remote Sensors in Intelligent Vehicles-2nd Edition)
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<p>Left panel-position of the simulated cameras. Right panel-Teledriver (top right) and Driver (bottom right) viewpoints on three monitors of 27″ with a forward field of view of 135°.</p>
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<p>A map of the simulated route and significant points along it. Red arrows indicate three key locations where navigation errors sometimes occurred because participants did not respond correctly to the direction signs (with blue background). These signs are depicted at the bottom of the figure.</p>
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<p>Completion time ratio between the teledriver and driver viewpoints (<span class="html-italic">x</span>-axis) by driving challenge (<span class="html-italic">y</span>-axis). Notes: (1) The ratio estimates are based on a mixed-effects model to control for repeated observations. (2) Asterisks represent statistical significance: * <span class="html-italic">p</span> value &lt; 0.05, ** <span class="html-italic">p</span> value &lt; 0.01, *** <span class="html-italic">p</span> value &lt; 0.001. (3) Below each confidence interval line, we specify the mean [SD] time (in seconds) to complete the corresponding challenge with the teledriver (in the numerator) and driver (in the denominator) viewpoints. We note that the estimates of the mixed effect model (see note 1) slightly differ from the simple ratio of the means. For example, for pedestrian crossing (last line in <a href="#sensors-24-06134-f003" class="html-fig">Figure 3</a>), the mixed model estimate of 1.03 is different from the ratio of 12.9 s and 10.9 s that we write below it.</p>
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<p>Survival analysis. The survival probability is on the <span class="html-italic">y</span>-axis and the route distance is on the <span class="html-italic">x</span>-axis. Note: The two-sided horizontal arrows designate the driving challenges, with longer arrows for longer road segments.</p>
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<p>The probability (<span class="html-italic">y</span>-axis) of braking events (left panel) and steering events (right panel) as a function of camera viewpoints (separate lines) and acceleration thresholds (ranging from 2 to 8 m/s<sup>2</sup> on the <span class="html-italic">x</span>-axis).</p>
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<p>The ratio of maximal braking (left panel) and steering (right panel) intensity between the teledriver and driver viewpoints during the various driving challenges (<span class="html-italic">y</span>-axis). Notes: (1) Asterisks represent statistical significance: * <span class="html-italic">p</span> value &lt; 0.05, ** <span class="html-italic">p</span> value &lt; 0.01, *** <span class="html-italic">p</span> value &lt; 0.001. (2) Below each confidence interval line, we specify the mean [SD] of the braking/steering max intensity for the teledriver (in the numerator) and driver (in the denominator) viewpoints. We note that the estimates of the mixed effect model slightly differ from the simple deviation of the means (see a similar note below <a href="#sensors-24-06134-f003" class="html-fig">Figure 3</a>).</p>
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<p>Teledriver and driver viewpoints on the six subscales of the NASA-TLX. Notes: (1) Asterisks represent statistical significance: * <span class="html-italic">p</span> value &lt; 0.05, ** <span class="html-italic">p</span> value &lt; 0.01.</p>
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12 pages, 433 KiB  
Review
Workload-Related Issues among Nurses Caring for Patients with Behavioral and Psychological Symptoms of Dementia: A Scoping Review
by Younhee Kang and Chohee Bang
Healthcare 2024, 12(18), 1893; https://doi.org/10.3390/healthcare12181893 - 21 Sep 2024
Viewed by 613
Abstract
Background/Objectives: As the elderly population grows, the prevalence of dementia is rising, with 70–95% of patients in hospital settings exhibiting problematic behaviors such as aggression. These behaviors significantly contribute to increased nursing workloads, affecting nurses’ well-being and patient care quality. This study aims [...] Read more.
Background/Objectives: As the elderly population grows, the prevalence of dementia is rising, with 70–95% of patients in hospital settings exhibiting problematic behaviors such as aggression. These behaviors significantly contribute to increased nursing workloads, affecting nurses’ well-being and patient care quality. This study aims to review workload-related issues among nurses caring for dementia patients, highlighting the need for targeted interventions to mitigate stress and improve care quality. Methods: A scoping review was conducted using the five-stage framework of Arksey and O’Malley. The literature search covered studies published between 2013 and 2023, focusing on quantitative research about nurses’ workload-related stress when managing patients with dementia and problematic behaviors. Databases such as PubMed and PsycINFO were searched, and 13 studies were selected based on predefined inclusion and exclusion criteria. Results: The review revealed that problematic behaviors, particularly aggression, significantly increase nurses’ stress and workload. This stress has negative consequences on nurses’ physical and mental health, often leading to burnout, decreased job satisfaction, and a decline in care quality. Inadequate staffing and support systems exacerbate these issues. Conclusions: Targeted education, sufficient staffing, and support are essential to reduce the workload and stress experienced by nurses caring for dementia patients. Implementing these strategies can enhance the quality of care provided and improve the well-being of healthcare professionals. Full article
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<p>Flow chart of the literature search process. Domestic research databases. RISS (Research Information Sharing Service); KISS (Korean Studies Information Service System); DBpia (Digital Bibliographic Information Access).</p>
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16 pages, 1181 KiB  
Review
A Narrative Review of Burnout Syndrome in Medical Personnel
by Andreea-Petra Ungur, Maria Bârsan, Andreea-Iulia Socaciu, Armand Gabriel Râjnoveanu, Răzvan Ionuț, Letiția Goia and Lucia Maria Procopciuc
Diagnostics 2024, 14(17), 1971; https://doi.org/10.3390/diagnostics14171971 - 6 Sep 2024
Viewed by 1429
Abstract
Burnout among healthcare workers has been extensively studied since its initial recognition in 1960, with its defining characteristics established by Maslach in 1982. The syndrome, characterized by emotional exhaustion, depersonalization, and low personal accomplishment, is exacerbated by work-related stress and has profound implications [...] Read more.
Burnout among healthcare workers has been extensively studied since its initial recognition in 1960, with its defining characteristics established by Maslach in 1982. The syndrome, characterized by emotional exhaustion, depersonalization, and low personal accomplishment, is exacerbated by work-related stress and has profound implications for individual and societal well-being. Methods: A review of the literature, including PubMed searches and analyses of risk factors and protective measures, was conducted to assess the prevalence, impacts, and biomarkers associated with burnout among healthcare workers. Various instruments for evaluating burnout were examined, including the widely used Maslach Burnout Inventory, alongside specific tools tailored to different occupational populations. Results: Healthcare workers, particularly physicians, exhibit significantly higher rates of burnout compared to the general population. Factors such as night shifts, workload, and exposure to biohazards contribute to elevated burnout risk. Biomarkers like cortisol, melatonin, and thyroid hormones have been linked to burnout, highlighting physiological implications. Conclusions: Burnout poses significant challenges to healthcare systems globally, impacting patient care, worker retention, and overall well-being. Identifying and addressing risk factors while promoting protective factors such as resilience and social support are crucial in mitigating burnout. Further research into prevention strategies and biomarker monitoring is warranted to support the mental and physical health of healthcare workers. Full article
(This article belongs to the Special Issue Advances in Mental Health Diagnosis and Screening)
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<p>PubMed search results for “burnout” between 1967 and January 2023.</p>
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<p>Unavoidable risk factors for burnout.</p>
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<p>Avoidable risk factors for burnout.</p>
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<p>Signs of depression [<a href="#B87-diagnostics-14-01971" class="html-bibr">87</a>,<a href="#B88-diagnostics-14-01971" class="html-bibr">88</a>].</p>
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14 pages, 416 KiB  
Article
Caring for the Caregivers: Improving Mental Health among Health Professionals Using the Behavioral Health Professional Workforce Resilience ECHO Program
by Jeffrey W. Katzman, Laura E. Tomedi, Navin Pandey, Kimble Richardson, Stephen N. Xenakis, Sarah Heines, Linda Grabbe, Yasmin Magdaleno, Ankit Mehta, Randon Welton, Kelly Lister, Kelly Seis, Antoinette Wright, Shannon McCoy-Hayes and Joanna G. Katzman
Healthcare 2024, 12(17), 1741; https://doi.org/10.3390/healthcare12171741 - 31 Aug 2024
Viewed by 793
Abstract
Behavioral health professionals are at high risk for burnout and poor mental health. Our objective was to understand the impact of the Behavioral Health Providers Workforce Resiliency (BHPWR) ECHO Program on the resilience and burnout of participating behavioral health professionals. We assessed the [...] Read more.
Behavioral health professionals are at high risk for burnout and poor mental health. Our objective was to understand the impact of the Behavioral Health Providers Workforce Resiliency (BHPWR) ECHO Program on the resilience and burnout of participating behavioral health professionals. We assessed the first two years (March 2022 to March 2024) of the BHPWR ECHO, a national program operating from the University of New Mexico (N = 1585 attendees), using a mixed-methods design. We used a retrospective pre/post survey (n = 53 respondents) and focus interviews with 1–3 participants (n = 9 participants) to assess for changes in knowledge and confidence and assess changes in burnout and resilience. We found that participants increased their knowledge of how to respond when (1) their workload was more than they could manage, (2) they felt that they lacked control, (3) their work did not feel rewarding, and (4) they were experiencing compassion fatigue. They increased their confidence in (1) building a support system and (2) using the wellness tools taught in the course. Respondents were less burnt out (score: 26.0 versus 17.8, p < 0.01) and more resilient (29.9 versus 34.9, p < 0.01) compared to when they started attending the program. Tele-mentoring programs like the BHPWR ECHO Program may improve wellness among health care professionals. Full article
(This article belongs to the Special Issue Mental Health in Healthcare Workers)
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<p>Participant attendance by ECHO, BHPWR ECHO Program, 28 March 2022 to 25 March 2024, N = 1585.</p>
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22 pages, 5679 KiB  
Article
Mental Workload as a Predictor of ATCO’s Performance: Lessons Learnt from ATM Task-Related Experiments
by Enrique Muñoz-de-Escalona, Maria Chiara Leva and José Juan Cañas
Aerospace 2024, 11(8), 691; https://doi.org/10.3390/aerospace11080691 - 22 Aug 2024
Viewed by 582
Abstract
Air Traffic Controllers’ (ATCos) mental workload is likely to remain the specific greatest functional limitation on the capacity of the Air Traffic Management (ATM) system. Developing computational models to monitor mental workload and task complexity is essential for enabling ATCOs and ATM systems [...] Read more.
Air Traffic Controllers’ (ATCos) mental workload is likely to remain the specific greatest functional limitation on the capacity of the Air Traffic Management (ATM) system. Developing computational models to monitor mental workload and task complexity is essential for enabling ATCOs and ATM systems to adapt to varying task demands. Most methodologies have computed task complexity based on basic parameters such as air-traffic density; however, literature research has shown that it also depends on many other factors. In this paper, we present a study in which we explored the possibility of predicting task complexity and performance through mental workload measurements of participants performing an ATM task in an air-traffic control simulator. Our findings suggest that mental workload measurements better predict poor performance and high task complexity peaks than other established factors. This underscores their potential for research into how different ATM factors affect task complexity. Understanding the role and the weight of these factors in the overall task complexity confronted by ATCos constitutes one of the biggest challenges currently faced by the ATM sphere and would significantly contribute to the safety of our sky. Full article
(This article belongs to the Section Air Traffic and Transportation)
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<p><sup>ATC</sup>Lab-Advanced initial scenario screen during data collection stage. Outbound air traffic is displayed in green, while inbound air traffic in blue.</p>
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<p>(<b>a</b>) ISA scale, 5 min intervals; (<b>b</b>) ISA scale, 2 min intervals.</p>
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<p>(<b>a</b>) Air-traffic density through intervals for experimental condition 1; (<b>b</b>) air-traffic density through intervals for experimental condition 2.</p>
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<p>Performance ratings (conflict rate), air-traffic density, left and right pupil size variation and subjective mental workload reports (ISA scale) during experimental scenario development for experimental condition 1. Vertical red dotted lines indicate the position of the local maxima in conflict rate and their alignment with the remaining measures. Orange line in pupil size variation indicate left pupil, while blue line indicate right pupil.</p>
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<p>Cross-correlation chart for pupil size (right pupil as reference) and performance ratings during low-performance peaks for experimental condition 1. The blue and red dotted lines show where the cross-correlation is maximized (Lag 1) and minimized (Lag −1), respectively, while the green dotted line shows the position of Lag 0.</p>
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<p>Cross-correlation chart for subjective reports and performance ratings during low-performance peaks for experimental condition 1. The blue and red dotted lines show where the cross-correlation is maximized (Lag 2) and minimized (Lag −2), respectively, while the green dotted line shows the position of Lag 0.</p>
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<p>Performance ratings (conflict rate), air-traffic density, left and right pupil size variation and subjective mental workload reports (ISA Scale) during experimental scenario development for experimental condition 2. Vertical red dotted lines indicate the position of the local maxima in conflict rate and their alignment with the remaining measures. Orange line in pupil size variation indicate left pupil, while blue line indicate right pupil.</p>
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<p>Cross-correlation chart for pupil size (right pupil as reference) and performance ratings during low-performance peaks for experimental condition 2. The blue and red dotted lines show where the cross-correlation is maximized (Lag 3) and minimized (Lag −2), respectively, while the green dotted line shows the position of Lag 0.</p>
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<p>Cross-correlation chart for subjective reports and performance ratings during low-performance peaks for experimental condition 2. The blue and red dotted lines show where the cross-correlation is maximized (Lag 1) and minimized (Lag −4), respectively, while the green dotted line shows the position of Lag 0.</p>
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<p>Histograms for subjective mental workload reports (ISA scale), performance ratings (conflict rate), air-traffic density and left and right pupil size for experimental condition 1.</p>
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<p>Histograms for subjective mental workload reports (ISA scale), performance ratings (conflict rate), air-traffic density and left and right pupil size for experimental condition 2.</p>
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9 pages, 232 KiB  
Communication
Does COVID-19 Revamp Nurses’ Compassion? Post-Pandemic Approach in Qatar
by George Vellaramcheril Joy, Kamaruddeen Mannethodi, Albara Mohammad Ali Alomari, Kalpana Singh, Nesiya Hassan, Jibin Kunjavara and Badriya Al Lenjawi
COVID 2024, 4(8), 1227-1235; https://doi.org/10.3390/covid4080087 - 6 Aug 2024
Viewed by 708
Abstract
Aim: This study aimed to identify self-compassion among staff nurses after the COVID-19 pandemic in Qatar. Design: Descriptive cross-sectional survey design. Methods: Anonymous data were collected through an online survey using Microsoft Forms from 300 nurses in 14 health facilities in Qatar. The [...] Read more.
Aim: This study aimed to identify self-compassion among staff nurses after the COVID-19 pandemic in Qatar. Design: Descriptive cross-sectional survey design. Methods: Anonymous data were collected through an online survey using Microsoft Forms from 300 nurses in 14 health facilities in Qatar. The organization had almost 10,000 nursing staff working in different facilities. Data were gathered using a structured online questionnaire and included socio-demographic information, and the Self-Compassion Scale—Short Form was used to collect the remaining data. Correlation, t-test, and ANOVA analyses were conducted. Results: Nurses in the study showed high self-compassion. Among the sub-domain ‘mindfulness’, they showed comparatively high scores (7.96 ± 1.55), and the lowest score was for ‘isolation’ (6.15 ± 1.99). The score for ‘self-kindness’ was 7.29 ± 1.55, that for ‘self-judgement’ was 6.79 ± 2.01, that for ‘common humility’ was 6.62 ± 1.47, and that for the sub-domain ‘over-identified’ was 6.47 ± 1.91. Mindfulness scores were high among the nurse leaders. Moreover, over-identified scores were high among the nurses who were currently working under COVID-19 at the time of data collection. Conclusions: Nurses faced many difficulties while working during the COVID-19 pandemic, including a heavy workload and tension. The current study’s findings add to our understanding of how COVID-19 affected the development of self-compassion. A rise in mindfulness, which aids nurses in managing stress at work and building resilience, further underscores an increase in nurses’ acceptance of the COVID-19 pandemic. The findings also highlight how crucial it is to encourage self-compassion in individuals and offer them emotional support at such times, especially when there is a significant risk factor for mental health, such as COVID-19. Full article
(This article belongs to the Special Issue COVID and Post-COVID: The Psychological and Social Impact of COVID-19)
9 pages, 232 KiB  
Article
The Impact of Match Workload and International Travel on Injuries in Professional Men’s Football
by Steve den Hollander, Gino Kerkhoffs and Vincent Gouttebarge
Sports 2024, 12(8), 212; https://doi.org/10.3390/sports12080212 - 1 Aug 2024
Viewed by 712
Abstract
There are concerns over the impact of the congested international match calendar on professional footballers’ physical and mental well-being, and injury susceptibility. This study aimed to determine whether there were differences in match workload and international travel between injured and non-injured male football [...] Read more.
There are concerns over the impact of the congested international match calendar on professional footballers’ physical and mental well-being, and injury susceptibility. This study aimed to determine whether there were differences in match workload and international travel between injured and non-injured male football players over two elite competition seasons. An observational, retrospective, case–control study was conducted using data from the 2021/2022 and 2022/2023 seasons of five top-tier European men’s football leagues. Student t-tests were used to compare cumulative match workload and international travel data over a 28-day period preceding 1270 injuries and 2540 controls. There were significant differences in match workload and international travel variables between the injured groups (all injuries and hamstring injuries) and the control group. Match workload variables were higher (p < 0.01), recovery variables lower (p < 0.01), and international travel variables higher (p < 0.01). An overload of match workload and international travel contribute to increased injury susceptibility in professional men’s football. This emphasizes the need to address international match calendar concerns, including the number of games per season, the frequency of back-to-back games, and international travel requirements. Additionally, the findings highlight the importance of monitoring player match workloads, and implementing squad rotations and tailored training programs to mitigate injury risks. Full article
25 pages, 7301 KiB  
Article
The Burden of Administrative Household Labor—Measuring Temporal Workload, Mental Workload, and Satisfaction
by Erik Dethier, Gunnar Stevens and Alexander Boden
Soc. Sci. 2024, 13(8), 404; https://doi.org/10.3390/socsci13080404 - 30 Jul 2024
Viewed by 656
Abstract
This research paper investigates the temporal and mental workload as well as work satisfaction regarding bureaucratic, administrative household labor, with a focus on socio-demographic differences. The study utilizes a paid online survey with 617 socio-demographically distributed participants. The results show significant differences in [...] Read more.
This research paper investigates the temporal and mental workload as well as work satisfaction regarding bureaucratic, administrative household labor, with a focus on socio-demographic differences. The study utilizes a paid online survey with 617 socio-demographically distributed participants. The results show significant differences in the temporal workload of different chore categories and in the quality of work, whereby satisfaction and mental workload are examined. In addition, the influences of gender, age, and education are analyzed, revealing differences in temporal and mental workload as well as work satisfaction. Our findings confirm prevailing literature showing that women have lower work satisfaction and a higher workload. In addition, we also discovered that younger people and groups of people with higher incomes have a higher level of satisfaction and a higher workload. In our study, a perceived high mental workload does not necessarily go hand in hand with a low level of satisfaction. This study contributes to the understanding of the bureaucratic burden on adults in their households and the variety of activities to manage private life. Full article
(This article belongs to the Section Work, Employment and the Labor Market)
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<p>Frequency and duration comparison. Note: The dots represent the median.</p>
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<p>Perceived mental workload and satisfaction. Note: The dots represent the median.</p>
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14 pages, 518 KiB  
Article
Anxiety Evolution among Healthcare Workers—A Prospective Study Two Years after the Onset of the COVID-19 Pandemic Including Occupational and Psychoemotional Variables
by Fernanda Gil-Almagro, Fernando José García-Hedrera, Cecilia Peñacoba-Puente and Francisco Javier Carmona-Monge
Medicina 2024, 60(8), 1230; https://doi.org/10.3390/medicina60081230 - 29 Jul 2024
Viewed by 747
Abstract
Background and objectives: Although previous research has found a high prevalence of anxiety during the COVID-19 pandemic among healthcare workers, longitudinal studies on post-pandemic anxiety and predictor variables have been less abundant. To examine the evolution of anxiety in healthcare workers from the [...] Read more.
Background and objectives: Although previous research has found a high prevalence of anxiety during the COVID-19 pandemic among healthcare workers, longitudinal studies on post-pandemic anxiety and predictor variables have been less abundant. To examine the evolution of anxiety in healthcare workers from the beginning of the pandemic until one and a half years later, analyzing the influence of occupational and psychosocial variables, as well as their possible predictors. Materials and Methods: This was a prospective longitudinal design with three periods of data collection: (1) between 5 May and 21 June 2020, (2) six months after the end of the state of alarm (January–March 2021), and (3) one year after this second assessment (April–July 2022), in which generalized anxiety (GAD-7) was evaluated, as well as occupational and psycho-emotional variables (i.e., social support, self-efficacy, resilience, and cognitive fusion) in healthcare workers in direct contact with COVID-19 patients in Spain. Results: A high prevalence of anxiety was found, with a clear decrease over time. Associations were found between anxiety and certain sociodemographic and work variables (i.e., years of experience, p = 0.046; COVID-19 symptoms, p = 0.001; availability of PPE, p = 0.002; workload, p < 0.001; family contagion concern, p = 0.009). Anxiety maintained negative relationships with social support (p < 0.001), self-efficacy (p < 0.001), and resilience (p < 0.001) and positive associations with cognitive fusion (p < 0.001). Cognitive fusion seemed to be a clear predictor of anxiety. Conclusions: Our findings suggest that social support, self-efficacy, and resilience act as buffers for anxiety, whilst cognitive fusion was found to be a clear risk factor for anxiety. It is important to emphasize the risk role played by cognitive fusion on HCWs as a clear risk factor for stressful work events. The findings emphasize the need to implement specific interventions to promote the mental well-being of healthcare workers, particularly in crisis contexts such as the COVID-19 pandemic. Full article
(This article belongs to the Section Psychiatry)
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<p>Anxiety averages for the sample at the different time points.</p>
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8 pages, 455 KiB  
Article
Is the Medical Oncology Workforce in Canada in Jeopardy? Findings from the Canadian Association of Medical Oncologists’ COVID-19 Impact Survey Series
by Lauren Jones, Bruce Colwell, Desiree Hao, Stephen Welch, Alexi Campbell and Sharlene Gill
Curr. Oncol. 2024, 31(8), 4284-4291; https://doi.org/10.3390/curroncol31080319 - 27 Jul 2024
Viewed by 832
Abstract
The COVID-19 (C19) pandemic introduced challenges in all areas of the Canadian healthcare system. Along with adaptations to clinical care environments, there was increasing concern about physician burnout during this time. The Canadian Association of Medical Oncologists (CAMO) has examined the effects of [...] Read more.
The COVID-19 (C19) pandemic introduced challenges in all areas of the Canadian healthcare system. Along with adaptations to clinical care environments, there was increasing concern about physician burnout during this time. The Canadian Association of Medical Oncologists (CAMO) has examined the effects of the pandemic on the medical oncology (MO) workforce. A series of four multiple choice web-based surveys distributed to MOs who were identified using the Royal College of Physicians and Surgeons directory and CAMO membership in May 2020 (S1), July 2020 (S2), December 2020 (S3), and March 2022 (S4). Descriptive analyses were performed for each survey, and a Chi-square test (α = 0.05) was used to assess factors associated with planned change in practice in S4. The majority of respondents work in a comprehensive cancer center S1/S2/S3/S4 (87%/86%81%/88%) and have been in practice >10 years (56%/61%/50%/64%). The most commonly reported personal challenges were physical (60%) and mental (60%) wellness. In S4, 47% of MOs reported dissatisfaction with their current work–life balance. In total, 83% reported that their workload has increased since the beginning of C19, and 51% of MOs reported their future career plans have been impacted by C19. In total, 56% of respondents are considering retiring or reducing total working hours in the next 5 years. Since the onset of the C19 pandemic, there are concerns identified with wellness, increasing workload, and job dissatisfaction among MOs, associated with experienced staff who have >10 years in practice. As rates of cancer prevalence rise and treatments become more complex, it is crucial to address the concerns raised in these surveys to ensure that we have a stable MO workforce in the future. Full article
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<p>Personal wellness trends throughout the C19 pandemic.</p>
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21 pages, 2765 KiB  
Article
Combined Effects of Moderate Hypoxia and Sleep Restriction on Mental Workload
by Anaïs Pontiggia, Pierre Fabries, Vincent Beauchamps, Michael Quiquempoix, Olivier Nespoulous, Clémentine Jacques, Mathias Guillard, Pascal Van Beers, Haïk Ayounts, Nathalie Koulmann, Danielle Gomez-Merino, Mounir Chennaoui and Fabien Sauvet
Clocks & Sleep 2024, 6(3), 338-358; https://doi.org/10.3390/clockssleep6030024 - 23 Jul 2024
Viewed by 721
Abstract
Aircraft pilots face a high mental workload (MW) under environmental constraints induced by high altitude and sometimes sleep restriction (SR). Our aim was to assess the combined effects of hypoxia and sleep restriction on cognitive and physiological responses to different MW levels using [...] Read more.
Aircraft pilots face a high mental workload (MW) under environmental constraints induced by high altitude and sometimes sleep restriction (SR). Our aim was to assess the combined effects of hypoxia and sleep restriction on cognitive and physiological responses to different MW levels using the Multi-Attribute Test Battery (MATB)-II with an additional auditory Oddball-like task. Seventeen healthy subjects were subjected in random order to three 12-min periods of increased MW level (low, medium, and high): sleep restriction (SR, <3 h of total sleep time (TST)) vs. habitual sleep (HS, >6 h TST), hypoxia (HY, 2 h, FIO2 = 13.6%, ~3500 m vs. normoxia, NO, FIO2 = 21%). Following each MW level, participants completed the NASA-TLX subjective MW scale. Increasing MW decreases performance on the MATB-II Tracking task (p = 0.001, MW difficulty main effect) and increases NASA-TLX (p = 0.001). In the combined HY/SR condition, MATB-II performance was lower, and the NASA-TLX score was higher compared with the NO/HS condition, while no effect of hypoxia alone was observed. In the accuracy of the auditory task, there is a significant interaction between hypoxia and MW difficulty (F(2–176) = 3.14, p = 0.04), with lower values at high MW under hypoxic conditions. Breathing rate, pupil size, and amplitude of pupil dilation response (PDR) to auditory stimuli are associated with increased MW. These parameters are the best predictors of increased MW, independently of physiological constraints. Adding ECG, SpO2, or electrodermal conductance does not improve model performance. In conclusion, hypoxia and sleep restriction have an additive effect on MW. Physiological and electrophysiological responses must be taken into account when designing a MW predictive model and cross-validation. Full article
(This article belongs to the Section Human Basic Research & Neuroimaging)
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<p>Performance to the MATB-II tracking task (<b>A</b>), NASA-TLX subjective scores (<b>B</b>), and accuracy (ACC) and reaction time (RT) to the auditory task ((<b>C</b>) and (<b>D</b>), respectively) in the four experimental conditions (Habitual sleep/Normoxia, Habitual sleep/Hypoxia, Sleep restriction/Normoxia, Sleep restriction/Hypoxia) and at the three MW difficulty levels (Low, Medium, High) * is a significant difference with the Habitual sleep/Normoxia condition, <span class="html-italic">p</span> &lt; 0.05).</p>
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<p>Changes in peripheral oxygen saturation (SpO<sub>2</sub>), respiratory (breathing rate), and cardiac parameters (heart rate and heart rate variability parameters) in the four experimental conditions (Habitual sleep/Normoxia, Habitual sleep/Hypoxia, Sleep restriction/Normoxia, Sleep restriction/Hypoxia) and at the three MATB-II MW difficulty levels (Low, Medium, High) * is a significant difference with the Habitual sleep/Normoxia condition, <span class="html-italic">p</span> &lt; 0.05).</p>
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<p>Changes in physiological Eye tracking parameters in the four experimental conditions (Habitual sleep/Normoxia, Habitual sleep/Hypoxia, Sleep restriction/Normoxia, Sleep restriction/Hypoxia) and at the three MATB-II MW difficulty levels (Low, Medium, High). Pupil size in raw values (<b>A</b>), pupil size in Z-score (<b>B</b>), an example of the Pupil Dilatation Response (PDR) at the three MATB-II MW difficulty levels (<b>C</b>), amplitude and latency ((<b>D</b>) and (<b>E</b>), respectively) of PDR. * is a significant difference with the Habitual sleep/Normoxia condition, <span class="html-italic">p</span> &lt; 0.05).</p>
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<p>(<b>A</b>). Correlation analysis (with Pearson coefficient, R and P) between physiological parameters and MATB-II tracking performance in the four experimental conditions (Habitual sleep/Normoxia, Habitual sleep/Hypoxia, Sleep restriction/Normoxia, Sleep restriction/Hypoxia). Only parameters showing a significant correlation (corrected <span class="html-italic">p</span> &lt; 0.05) with MATB-II tracking performance (RMSD value) in Habitual sleep/Normoxia were presented. <span class="html-italic">p</span> values take into account multiple comparison corrections [<a href="#B27-clockssleep-06-00024" class="html-bibr">27</a>] (<b>B</b>): examples of repeated-measures correlations between MATB-II tracking performance (RMSD values) and heart, breathing rate, and amplitude and Z-score of the PDR response in the four experimental conditions.</p>
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<p>Illustration of the four subtasks of the Multi-Attribute Task Battery (MATB)-II and the auditory Oddball-like task: SYSTEM MONITORING (<b>A</b>) task in the upper left corner where participants had to respond as quickly as possible to scale fluctuations via keystrokes, TRACKING (<b>B</b>) task in the upper corner where participants had to keep a tracker as close to the center with a joystick, COMMUNICATIONS (<b>D</b>) task in the bottom left corner where participants had to only answer broadcast messages that matched their call signs and RESSOURCE MANAGEMENT (<b>E</b>) task in the bottom right corner that required participants to keep tanks’ levels as close to target level as possible (2500 for the left and 1000 for right) by managing eight pumps. AUDITORY ODDBALL-LIKE (<b>F</b>) task that requires ignoring frequent tone and detecting infrequent auditory stimulus. (<b>C</b>) A workload rating survey is not a task but an automatic evaluation of the temporal progression; no action is required.</p>
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<p>The study protocol. The order of conditions is: Habitual sleep Normoxia (HSNO), Habitual sleep Hypoxia (HSHY), Sleep restriction Normoxia (SRNO), Sleep restriction Hypoxia (SRHY). The levels of MATB-II difficulty (low, medium, or high) are randomized. Black square: NASA-TLX test.</p>
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13 pages, 651 KiB  
Article
Compassion Fatigue in a Cohort of South Italian Nurses and Hospital-Based Clinical Social Workers Following COVID-19: A Cross-Sectional Survey
by Rosaria De Luca, Mirjam Bonanno, Maria Grazia Maggio, Antonino Todaro, Carmela Rifici, Carmela Mento, Maria Rosaria Anna Muscatello, Milva Veronica Castorina, Paolo Tonin, Angelo Quartarone, Maria Elena Pugliese and Rocco Salvatore Calabrò
J. Clin. Med. 2024, 13(14), 4200; https://doi.org/10.3390/jcm13144200 - 18 Jul 2024
Viewed by 854
Abstract
Background/Objective: The COVID-19 pandemic has led to a significant increase in the workloads of healthcare workers (HCWs). The fear of contracting the new virus with the frequent medical consequences has affected their mental health. As a result, they are at high risk [...] Read more.
Background/Objective: The COVID-19 pandemic has led to a significant increase in the workloads of healthcare workers (HCWs). The fear of contracting the new virus with the frequent medical consequences has affected their mental health. As a result, they are at high risk of compassion fatigue (CF). In this multicentric study, as a primary objective, we evaluate the incidence and/or prevalence of CF in a cohort of Italian nurses and HCWs (hospital-based clinical social workers of neurological patients) who have contracted SARS-CoV-2 infection. Our secondary aim is to evaluate the difference in experiencing CF between subjects with and without long-term COVID. Methods: In this study, 101 HCWs attending three different neurorehabilitation settings (the Neurorehabilitation Unit of the “Bonino Pulejo” Neurolesi Center of Messina, the Neurorehabilitation Department of Crotone, and the Psychiatric Unit of the University Hospital of Messina) were enrolled from May 2021 to May 2023. Data were collected through self-administered semi-structured interviews. Results: We observed high percentages of CF difficulties in both nurses and HCWs, related to mood alteration in 57.7%, headaches in 44.4%, and fatigue in 62%. Higher percentages were found in individuals with long-term COVID-19, including mood alteration in 93.9%, headache in 88.6%, and memory-related problems in 98.5%. Conclusions: The complexity of a patient’s care pathway, especially in chronic disease situations, requires an enormous commitment that can lead to burnout and CF, which should be considered to initiate preventive interventions aimed at helping “those who help”, for the well-being of patients, healthcare teams, and healthcare organizations. Full article
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<p>Flow chart for patient inclusion in cross-sectional studies, adapted from CONSORT diagram 2010.</p>
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<p>The list of CF-related symptoms reported on the questionnaires, for each category.</p>
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23 pages, 7235 KiB  
Article
Rapid Mental Workload Detection of Air Traffic Controllers with Three EEG Sensors
by Hui Li, Pei Zhu and Quan Shao
Sensors 2024, 24(14), 4577; https://doi.org/10.3390/s24144577 - 15 Jul 2024
Cited by 1 | Viewed by 679
Abstract
Air traffic controllers’ mental workload significantly impacts their operational efficiency and safety. Detecting their mental workload rapidly and accurately is crucial for preventing aviation accidents. This study introduces a mental workload detection model for controllers based on power spectrum features related to gamma [...] Read more.
Air traffic controllers’ mental workload significantly impacts their operational efficiency and safety. Detecting their mental workload rapidly and accurately is crucial for preventing aviation accidents. This study introduces a mental workload detection model for controllers based on power spectrum features related to gamma waves. The model selects the feature with the highest classification accuracy, β + θ + α + γ, and utilizes the mRMR (Max-Relevance and Min-Redundancy) algorithm for channel selection. Furthermore, the channels that were less affected by ICA processing were identified, and the reliability of this result was demonstrated by artifact analysis brought about by EMG, ECG, etc. Finally, a model for rapid mental workload detection for controllers was developed and the detection rate for the 34 subjects reached 1, and the accuracy for the remaining subjects was as low as 0.986. In conclusion, we validated the usability of the mRMR algorithm in channel selection and proposed a rapid method for detecting mental workload in air traffic controllers using only three EEG channels. By reducing the number of EEG channels and shortening the data processing time, this approach simplifies equipment application and maintains detection accuracy, enhancing practical usability. Full article
(This article belongs to the Section Intelligent Sensors)
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<p>Human brain rhythms: delta wave (1–4 Hz), theta wave (4–8 Hz), alpha wave (8–13 Hz), beta wave (13–30 Hz), and gamma wave (above 30 Hz).</p>
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<p>Flowchart of the experiment.</p>
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<p>After collecting the data, the data were processed, and the feature was selected according to classification accuracy. Based on the feature data, the metal workload detection model was developed and optimized.</p>
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<p>After completing the task corresponding to each scenario, the subjects filled in the NASA-TXL scale. The figure above displays the results of the NASA-TXL scale filled in by 41 subjects after completing the 4 scenarios.</p>
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<p>According to the workload variations scenario, we identified four classifications. The classification results can be observed in the figure above. It can be seen that the classification accuracy of β + θ + α + γ is the highest regardless of the classification method.</p>
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<p>The figure above illustrates the changes in the various evaluation features of the model after inputting EEG data from different subjects. Among them, subjects 7, 17, and 32 correspond to poorer detection results.</p>
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<p>The number of features was set to 10 (the 10 best channels corresponding to each subject), and the results are shown above. It can be seen that the optimal channel combination for the 41 subjects is not exactly the same. However, the distribution of the better-performing channels is concentrated.</p>
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<p>Counting the number and frequency of occurrences of the better-performing channels, it can be seen that channels 36–41 occur more frequently. These channels outperform others in over 80% of the subjects.</p>
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<p>Controller at work.</p>
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<p>The figure above illustrates the impact of six channels with or without ICA processing on the average detection accuracy. It is evident that the presence or absence of ICA processing has a minimal effect on the average detection accuracy of channels 36, 37, and 39. Furthermore, the utilization of ICA processing does not significantly affect the detection accuracy of these channels.</p>
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<p>The figure above illustrates the distribution of the four types of typical noise components that are mainly processed by ICA processing.</p>
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<p>The figure above illustrates the distribution of channel locations for the EEG devices used in this paper.</p>
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<p>The figure above illustrates the variation in maximum detection accuracy, minimum detection accuracy, and average detection accuracy for different numbers of channels (the channel or combination of channels with the highest average detection rate at that specific number of channels).</p>
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24 pages, 2239 KiB  
Article
From E-Commerce to the Metaverse: A Neuroscientific Analysis of Digital Consumer Behavior
by Alessandro Fici, Marco Bilucaglia, Chiara Casiraghi, Cristina Rossi, Simone Chiarelli, Martina Columbano, Valeria Micheletto, Margherita Zito and Vincenzo Russo
Behav. Sci. 2024, 14(7), 596; https://doi.org/10.3390/bs14070596 - 13 Jul 2024
Viewed by 1722
Abstract
The growing interest in consumer behavior in the digital environment is leading scholars and companies to focus on consumer behavior and choices on digital platforms, such as the metaverse. On this immersive digital shopping platform, consumer neuroscience provides an optimal opportunity to explore [...] Read more.
The growing interest in consumer behavior in the digital environment is leading scholars and companies to focus on consumer behavior and choices on digital platforms, such as the metaverse. On this immersive digital shopping platform, consumer neuroscience provides an optimal opportunity to explore consumers’ emotions and cognitions. In this study, neuroscience techniques (EEG, SC, BVP) were used to compare emotional and cognitive aspects of shopping between metaverse and traditional e-commerce platforms. Participants were asked to purchase the same product once on a metaverse platform (Second Life, SL) and once via an e-commerce website (EC). After each task, questionnaires were administered to measure perceived enjoyment, informativeness, ease of use, cognitive effort, and flow. Statistical analyses were conducted to examine differences between SL and EC at the neurophysiological and self-report levels, as well as between different stages of the purchase process. The results show that SL elicits greater cognitive engagement than EC, but it is also more mentally demanding, with a higher workload and more memorization, and fails to elicit a strong positive emotional response, leading to a poorer shopping experience. These findings provide insights not only for digital-related consumer research but also for companies to improve their metaverse shopping experience. Before investing in the platform or creating a digital retail space, companies should thoroughly analyze it, focusing on how to enhance users’ cognition and emotions, ultimately promoting a better consumer experience. Despite its limitations, this pilot study sheds light on the emotional and cognitive aspects of metaverse shopping and suggests potential for further research with a consumer neuroscience approach in the metaverse field. Full article
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<p>Task segmentation.</p>
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<p>Descriptive plots with 95% CI error bars of BATR (<b>a</b>), WL (<b>b</b>), MI (<b>c</b>), and EI (<b>d</b>), split according to phase (EEx, PEx, PEv, PAc) and environment.</p>
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<p>Descriptive plots with 95% CI error bars of the self-reports split according to dimension (PE, PI, PEOU, flow, CES) and environment (SL—white dot, EC—black dot).</p>
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<p>Heatmaps of Spearman’s correlations for both SL (<b>a</b>) and EC (<b>b</b>) environments. Significance levels are marked as follows: * <span class="html-italic">p</span> &lt; 0.05, ** <span class="html-italic">p</span> &lt; 0.01, *** <span class="html-italic">p</span> &lt; 0.001.</p>
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