Author Archives: author

Accelerated the Mechanics of Science and Insight through Mind Genomics and AI: Policy for the Citrus Industry

DOI: 10.31038/MGSPE.2024412

Abstract

The paper introduces a process to accelerate the mechanics of science and insight. The process comprises two parts, both involving artificial intelligence embedded in Idea Coach, part of the Mind Genomics platform.. The first part of the process identifies a topic (policy for the citrus industry), and then uses Mind Genomics to understand the three emergent mind-sets of real people who evaluate the topic, along with the strongest performing ideas for each mind-set. Once the three mind-sets are determined, the second part of the process introduces the three mind-sets and the strongest performing elements to AI in a separate ‘experiment’, instructing Idea Coach to answer a series of questions from the point of view of each of the three mind-sets. The acceleration can be done in a short period of time, at low cost, with the ability to generate new insight about current data. The paper closes by referencing the issues of critical thinking and the actual meaning of ‘new knowledge’ emerging from a world of accelerated mechanics of science and insight.

Introduction

Traditionally, policy has been made by experts, often consultants to the government, these consultants being experts in the specific topic, in the art and science of communication, or both. The daily press is filled with stories about these experts, for example the so-called ‘Beltway Bandits’ surrounding Washington D.C [1]. It is the job of these experts to help the government decide general policy and specific implementation. The knowledge of these experts helps to identify issues of importance to the government groups to whom they consult. The ability of these expert to communicates helps to assure that the policy issues on which they work will be presented to the public in the most felicitous and convincing manner. At the same time that these experts are using the expertise of a lifetime to guide policy maker, there is the parallel world of the Internet, source of much information, and the emerging world of AI, artificial intelligence, with the promise of supplanting or perhaps more gently, the promise of augmenting, the capabilities and contributions of these expert. Both the internet and AI have been roundly attacked for the threat that they pose [2]. It should not come as a surprise that the world of the Internet has been accused of being replete with false information, which it no doubt is [3]. AI receives equally brutal attacks, such as producing false information [4] an accusation at once correct and capable of making the user believe that AI is simply not worth considering because of the occasional error [5]. The importance of public policy is already accepted, virtually universally. The issue is not the general intent of a particular topic, but the specifics. What should the policy emphasize? Who should be the target beneficiaries of the policy? What should be done, operationally, to achieve the policy? How can the policy be implemented? And finally, in this short list, what are the KPI’s, the key performance indicators by which a numbers-hungry administration can discover whether the policy is being adopted, and whether that adoption is leading to desire goals.

Theory and Pragmatics: The origin of this Paper

This paper was stimulated by the invitation of HRM to attend a conference on the Citrus Industry in Florida, in 2023. The objective of the conference was to bring together various government, business and academic interests to discuss opportunities in the citrus industry, specifically for the state of Florida in the United States, but more generally as well. Industry-center conferences of this type welcome innovations from science, often with an eye on rapid application. The specific invitation was to share with the business, academic and government audiences new approaches which promised better business performance. The focus of the conference was oriented towards business and towards government. As a consequence, the presentation to the conference was tailored to show how Mind Genomics as a science could produce interesting data about the response to statements about policy involving the business of citrus. As is seen below, the material focused on different aspects of the citrus industry, from the point of view of government and business, rather than from the point of view of the individual citrus product [6-9].

The Basic Research Tool: Mind Genomics

At the time of invitation the scope of the presentation was to share with the audience HOW to do a Mind Genomics study, from start to finish. The focus was on practical steps, rather than theory, and statistics. As such the presentation was to be geared to pragmatics, about HOW to do the research, WHAT to expect, and how to USE the results. The actual work ended up being two projects, the first project to get some representative data using a combination of research methods and AI, AI to generate the ideas and then research to explore the ideas with people. The second part, done recently, almost five months after the conference, expanded the use of AI to further analyze the empirical results, opening up new horizons for application.

Project #1: Understanding the Mind of the Ordinary Person Faced with Messages about Citrus Policy

The objective of standard Mind Genomics studies is to understand how people make decisions about the issues of daily life. If one were to summarize the goals of this first project, the following sentence would do the best job, and ended up being the sentence which guided the efforts. The sentence reads: Help me understand how to bring together consumers, the food trade, and the farmer who raises citrus products, so we can grow the citrus industry for the next decade. Make the questions short and simple, with ideas such as ‘how’ do we do things. The foregoing is a ‘broad stroke’ effort to under what to do in the world of the everyday. The problem is general, there are no hypotheses to test, and the results are to be in the form of suggestions. There is no effort to claim that the results tell us how people really feel about citrus, or what they want to do when the come into contact with the world of citrus as business, as commerce, as a regulated piece of government, viz., the agriculture industry. In simple terms, the sentence in bold is a standard request that is made in industry all the time, but rarely treated as a topic to be explored in a disciplined manner. Mind Genomics works by creating a set of elements, messages about a topic, and mixing/matching these elements to create small vignettes, combinations comprising a minimum of two messages and a maximum of four messages. The messages are created according to an underlying structure called an experimental design. The respondent, usually sitting at a remote computer, logs into the study, reads a very short introduction to the study, and then evaluates a set of 24 vignettes, one vignette at a time. The entire process takes less than 3-4 minutes and proceeds quickly when the respondents are members of an on-line panel and are compensated for their participation by the panel company. The Mind Genomics process allows the user to understand what is important to people, and at the same time prevents the person from ‘gaming’ the study to give the correct answer. In most studies, the typical participant is uninterested in the topic. The assiduous researcher may instruct the participant to pay attention, and to give honest answers, but the reality is that people tend to be interested in what they are doing, not in what the researcher wants to investigate. As a consequence, their answers are filled with a variety of biases, ranging from different levels of interest and involvement to distractions by other thoughts. The Mind Genomics process works within these constraints by assuming that the respondent is simply a passive observer, similar to a person driving through their neighborhood, almost in an automatic fashion. The person takes in the information about the road, traffic, and so forth, but does not pay much attention. At the end, the driver gets to where they are going, but can barely remember what they did when asked to recall the steps. This seems to be the typical course of events. The systematic combinations mirror these different ‘choice points.’ The assumption is that the respondent simply looks at the combination, and ‘guesses’, or at least judges with little real interest. Yet, the systematic variation of the elements in the vignettes ends up quickly revealing what elements are important, despite the often heard complain that ‘I was unable to see the pattern, so I just guess.’

The reasons for the success of Mind Genomics are in the design and the execution [10-12].

  1. The elements are created with the mind-set of a bookkeeper. The standard Mind Genomics study comprises four questions (or categories), each question generating four answers (also called element). The questions and answers can be developed by professionals, by amateurs, or by AI. This paper will show how AI can generate very powerful, insight questions and answers, given a little human guidance by the user.
  2. The user is required to fill in a templated form, asking for the questions (see Figure 1, Panel A). When the user needs help the AI function (Idea Coach) can recommend questions once Idea Coach is given a sense of the nature of the topic. Figure 1, Panel B shows the request to Idea Coach in the form of a paragraph, colloquially called a ‘squib.’ The squib gives the AI a background, and what is desired. The squib need not follow a specific format, as long as it is clear. The Idea Coach returns with sets of suggested questions. The first part of the suggest questions appears in Figure 1, Panel C, showing six of the 15 questions returned by the AI-powered Idea Coach. The user need only scroll through to see the other suggestions. The user can select a question, edit it, and then move on. The user can run many iterations to create different sets of questions and can either edit the squib or edit the question, or both. At the end of the process, the user will have created the four questions, as shown in Figure 1, Panel D. Table 1 shows a set of questions produced by the Idea Coach, in response to the squib.
  3. The user follows the same approach in order to create the answers. This time, however, the squib does not need to be typed in by the user. Rather, the question selected by the user, and after editing, becomes the squib for Idea Coach to use. For this project, Figure 1, Panel D shows the four squibs, one for each question. Idea Coach once again returns with 15 answers (elements) for each squib. Once again the Idea Coach can be used, so that the Idea Coach becomes a tool to help critical thinking, providing sequential sets of 15 answers (elements). From one iteration to another the 15 answers provided by Idea Coach differ for the most part, but with a few repeats Over 10 or so iterations it’s likely that most of the answers will have been presented.
  4. Once the user has selected the questions, and then selected four answers for each question, the process continues with the creation of a self-profiling questionnaire. That questionnaire allows the user to find out how the respondent thinks about different topics directly or tangentially involved with the project. The self-profiling questionnaire has a built-in pair questions to record the respondent’s age (directly provided), and self-described gender. For all questions except that of age, the respondent is instructed to select the correct answer to the question, the question presented on the screen, the answers presented in a ‘pull-down’ menu which appears when the corresponding question is selected for answering.
  5. The next step in the process requires the user to create a rating scale (Figure 2, Panel A). The rating scale chosen has five points as show below. Note that the scale comprises two parts. The first part is evaluative viz., how does the respondent feel (hits a nerve vs hot air). The second part is descriptive (sounds real or does not sound real). This two-sided scale enables the user to measure both the emotions (key dependent variable for analysis), as well as cognitions. For this study, the focus will be on the percent of ratings that are either 5 or 4 (hitting a nerve). Note that all five scale points are labelled. Common practice in Mind Genomics studies has been to label all the scales for the simple reason that most users of Mind Genomics results really are not focused on the actual numbers, but on the meaning of the numbers.
    Here’s a blurb you just read this morning on the web when you were reading stuff.. What do you think
    1=It’s just hot air … and does not sound real
    2=It’s just hot air … but sounds real
    3=I really have no feeling
    4=It’s hitting a nerve… but does not sound real
    5=It’s hitting a nerve .. and sounds real
  6. The user next create a short introduction to the study, to orient the respondent (Figure 2, Panel B). Good practice dictates that wherever possible the user should provide as little information about the topic as possible. The reason is simple. It will be from the test stimuli, the elements in the 4×4 collection, or more specifically the combinations of those elements into vignette, that the respondent will make the evaluation and assign the judgment. The purpose of the orientation is to make the respondent comfortable and give general direction. The exceptions to this dictum come from situations, such the law, where knowledge of other factors outside of the material being presented can be relevant. Outside information is not relevant here.
  7. The last step of the setup consists of ‘sourcing’ the respondents (Figure 2, Panel C). Respondents can be sourced from standing panels of pre-screened individuals, or from people one invites, etc. Good practice dictates working with a so-called online panel provider, which for a fee can customize the number and type of respondent desired. With these online panel providers the study can be done in a matter of hours.
  8. Once the study has been set-up, including the selection of the categories and elements (viz, questions and answers), the Mind Genomics platform creates combinations of these elements ‘on fly’, viz., in real time, doing so for each respondent who participates in the study. It is at the creation of the vignettes where Mind Genomics differentiates itself from other approaches. The conventional approach to evaluating a topic uses questionnaires, with the respondent present with stand alone ideas in majestic isolation, one idea at a time. The idea or topic might be a sentence, but the sentence has the aspects of a general idea, such as ‘How important is government funding for a citrus project.’ The goal is to isolate different, relevant ideas, focus the mind of the respondent on each idea, one at a time, obtain what seems to be an unbiased evaluation of the idea, and then afterwards to the relevant analyses to obtain a measure of central tendency, viz., an average, a median, and so forth. The thinking is straightforward, the execution easy, and the user presumes to have a sense of the way the mind of the respondent works, having given the respondent a variety of ‘sterile ideas’, and obtained ratings for each of the separate ideas.Figure 3 shows a sample vignette as the respondent would see it. The vignette comprises a question at the topic, a collection of four simple statements, without any connectives, and then the scale buttons on the bottom. The respondent is presented with 24 of these vignettes. Each vignette comprises a minimum of two and a maximum of four elements, in the spare structure shown in Figure 3. There is no effort made to make the combination into a coherent whole. Although the combinations do not seem coherent, and indeed they are not, after a moment’s shock the typical respondent has no problem reading through the vignette, as disconnected as the elements are, and assigning a rating to the combination. Although many respondents feel that they are ‘guessing,’ the subsequent analysis will reveal that they are not.

    The vignettes are constructed by an underlying plan known as an experimental design. The experimental design for these Mind Genomics studies calls for precisely 24 combinations of elements, our ‘vignettes’. There are certain properties which make the experimental design a useful tool to understand how people think.

    a. Each respondent sees a set of 24 vignettes. That set of vignette suffices to do a full analysis on the ratings of one respondent alone, or on the ratings of hundreds of respondents. The design is explicated in Gofman & Moskowitz.

    b.  The design calls for each element to appear five times in 24 vignettes and be absent 19 times from the 24 vignettes.

    c.  Each question or category contributes at most one element to a vignette, often no elements, but never two or more elements. In this way the underlying experimental design ensures that no vignette every present mutually contradictory information, which could easily happen if elements from the same category appeared together, presenting different specifics of the same type of information.

    d.  Each respondent evaluates a different set of vignettes, all sets structurally equivalent to each other, but with different combinations [13]. The rationale underlying this so-called ‘permutation’ approach is that the researcher learns from many imperfectly measured vignettes than from the same set of vignettes evaluated by different respondents in order to reduce error of measurement. In other words, Mind Genomics moves away from reducing error by averaging out variability to reducing error by testing a much wider range of combinations. Each combination tested is subject to error, but the ability to test a wide number of different combinations allows the user to uncover the larger pattern. The pattern often emerges clearly, even when the measurements of the individual points on the pattern are subject to a lot of noise.

    The respondent who evaluates the vignettes is instructed to ‘guess.’ In no way is the respondent encouraged to sit and obsess over the different vignettes. Once the respondent is shown the vignette and rates it, the vignette disappears, and a new vignette appears on the screen. The Mind Genomics platform constructs the vignettes at the local site where the respondent is sitting, rather than sending the vignettes through the email.

    When the respondent finishes evaluating the vignettes, the composition of the vignette (viz., the elements present and absent) is sent to the database, along with the rating (1-5, as show above) as well as the response time, defined as the number of seconds (to the nearest 100th) elapsing between the appearance of the vignette on the respondent’s screen and the respondent’s assignment of a rating.

    The last pieces of information to be added comprise the information about the respondent generated by the self—profiling questions, done at the start of the study, and a defined binary transformation of the five-point rating to a new variable, called convenient R54x.. Ratings 5 and 4 (hitting nerve) were transformed to the value 100; . Ratings 3,2,1 (not hitting a nerve) were transformed to the value 0. To the transformed values 0 or 100, respectively, was added a vanishingly small random number (<10-5). The rationale for the random number is that later the ratings would be analyzed by OLS (ordinary least-squares) regression and then by k-means clustering, with the focus on the coefficients to emerge from OLS regression as inputs to the clustering. To this end it was necessary to ensure that all respondent data would generate meaningful coefficients from OLS regression, a requirement only satisfied when the newly created binary variables were all different from each other. Adding the vanishingly small random number to each newly created binary variable ensured that variation.

  9. The analysis of the ratings follows two steps once the ratings have been transformed to R54x. The first step uses OLS (ordinary least-squares) regression, at the level of the individual respondent. OLS regression fits a simple linear equation to the data, relating the presence/absence of the 16 elements to the variable R54x. The second step uses k-means clustering (Likas et. al., 2003) to divide the respondents into groups, based upon the pattern of the coefficients for the equation.

Table 1: Questions provided to the user by AI embedded in Idea Coach

tab 1
 
 

fig 1

Figure 1: Set up for the Mind Genomics study. Panel A shows the instructions to provide four questions. Panel B shows the input to Idea Coach. Panel C shows the first part of the output from Idea Coach, comprising six of the 15 questions generated. Panel D shows the four questions selected, edited, and inserted into the template.

fig 2

Figure 2: Final steps in the set-up of the study. Panel A shows the rating scale; the user types in the rating question select the number of scale points, and describe each scale point. Panel B shows the short orientation at the start of the study. Panel C shows the request to source respondents.

fig 3

Figure 3: Example of a four-element vignette, together with the rating question, the 5-point rating scale, and the answer buttons at the bottom of the screen.

The equation is expressed as: R54x = k1A1 + k2A2 … k16D4. The OLS regression program has no problem creating an equation for each respondent, based upon the prophylactic step of having added a vanishingly small random number to each transformed rating. That prophylactic step ensures that the OLS regression will never encounter the situation of ‘no variation in the dependent variable’, R54x.

Once the clustering has finished, the cluster program assigns each respondent first into one of two non-overlapping clusters, and second into one of three non-overlapping clusters. In the nomenclature of Mind Genomics these clusters are called ‘mind-sets’ to recognize the fact that they represent different points of view.

Table 2 presents the coefficients for the Total Panel, then for the two-mind-set solution, and then for the three-mind-set solution. Only positive coefficients are shown. The coefficient shows the proportion of time a vignette with the specific element generate a value of 100 for variable R54x. There emerges a large range in the numerical values of 16 coefficients, not so much for the Total Panel as for the mind-sets. This pattern of large difference across mind-sets in the range of the coefficients for R54x makes sense when we consider what the clustering is doing. Clustering is separating out groups of people who look at the topic in the same way, and do not cancel each other. When we remove the mutual cancellation through clustering the result is that all of the patterns of coefficients in a cluster are similar. The subgroup no longer has averages of numbers from very high to very low for a single element, an average which suppressed the real pattern. No longer do the we have the case that the Total Panel ends up putting together streams flowing in different directions. Instead, the strengths of different mind-sets becomes far more clear, more compelling, and more insights driven.

Table 2: Coefficients for the Total Panel, and then for the two-mind-set solution, and then for the three-mind-set solution, respectively.

tab 2

 

We focus here on the easiest take, namely, to interpret the mind-set. It is hard to name mind-sets 1 of 2 and 2 of 2. In contrast, it becomes far easier to describe the different mind-sets. We look only at the very strong coefficients; those score 21 or higher.

  1. Mind-Set 1 of 3-Focus on interacting with users, include local rowers, consumers, businesses which grow locally, and restauranteurs.
  2. Mind-Set 2 of 3-Focus on publicizing benefits to consumers.
  3. Mind-Set 3 of 3-Focus on communication.

Table 2 shows a strong consistency within the segments, a consistency which seems more art than science. The different groups emerge clearly, even though it would be seemingly impossible to find patterns among the 24 vignettes, especially recognizing that each respondent ended up evaluating a unique set of vignettes. The clarity of the mind-set emerges again and again in Mind Genomics studies, despite the continue plaint by study respondents that they could not ‘discover the pattern’ and ended up ‘guessing.’ Despite that plaint, the patterns emerging make overwhelming sense, disposing of the need of some of the art of storytelling, the ability to craft an interesting story from otherwise boring and seemingly pattern-less data. A compelling story emerges just from looking at what element are shade, for each mind-set. Finally, the reason for the clarity ends up being the hard-to-escape reality that the elements all are meaningful in and of themselves. Like the reality of the everyday, each individual element, like each individual impression of an experience, ‘makes sense’.

The Summarizer: Finding Deeper Meanings in the Mind-set Results

Once the study has finished, the Mind Genomics platform does a thorough ‘work-up’ of the data, creating models, creating tables of coefficients, etc. As part of this the Mind Genomics platform applies a set of pre-specified queries to the set of strong performing elements, operationally defined as those elements with coefficients of 21 or higher. The seemingly artificial lower limit of 21 comes from analysis of the statistical properties of the coefficients, specifically at what value of coefficient can user feel that the pattern of coefficients is statistically robust, and thus feel the pattern to emerge has an improved sense of reality. The Summarizer is programmed to write these short synopses and suggestions, doing so only with the tables generated by the Mind Genomics platform, as shown above in Table 2. Thus, for subgroups which generate no coefficients of 21 or higher, the Summarizer skips those subgroups. Finally, the summarizer is set up to work for every subgroups defined in the study, whether age, gender, or subgroup defined by the self-profiling classification question in which respondent profile themselves on topics relevant to the study.

Table 3 shows the AI summarization of the results for each of the three mind-sets. The eight summarizer topics are:

  1. Strong performing elements
  2. Create a label for this segment
  3. Describe this segment
  4. Describe the attractiveness of this segment as a target audience:
  5. Explain why this segment might not be attractive as a target audience:
  6. List what is missing or should be known about this segment, in question form:
  7. List and briefly describe attractive new or innovative products, services, experiences, or policies for this segment:
  8. Which messages will interest this segment?

Table 3: The output of the AI-based Summarizer applied to the strong performing elements from each of the mind-sets in the three-mind-set solution.

tab 3(1)

tab 3(2)

tab 3(3)

tab 3(4)

tab 3(5)

tab 3(6)

tab 3(7)
 

Part 2: AI as a Tool to Create New Thinking, Create New Hypotheses

During the past six months of experience with AI embedded in Idea Coach, a new and unexpected discovery emerged, resulting from exploratory work by author Mulvey. The discovery was that the squib for Idea Coach could be dramatically expanded, moving it beyond the request for questions, and into a more detailed request. The immediate reaction was to explore how deeply the Idea Coach AI could expand the discovery previously made. Table 4 shows the expanded squib (bold), and what the Idea Coach returned with later on. The actual squib was easy to create, requiring only that the user copy the winning elements for each mind-set (viz., elements with coefficients of 21 or higher). Once these were identified and listed out, squib was further amplified by a set of six questions. Idea Coach returned with the answers to the six questions for each of the three mind-sets, and then later did its standard analysis using the eight prompts. These appear in Table 4. It is important to note that Table 4 contains no new information, but simply reworks the old information. In reworking that old information, however, the AI creates an entirely new corpus of suggestions of insights. From this simple demonstration emerges the realization that the sequence of Idea Coach, questions, answers, results, all emerging in one hour or less for a set of 100 respondents or fewer, can be further used to springboard the investigations, and create new insights. These insights should be tested, but it seems likely that a great deal of knowledge can be obtained quickly, at very low cost, with no risk.

Table 4: AI ‘super-analysis’ of results from an earlier Mind Genomic study, revealing three mind-sets, and the strong performing elements for each mind-set.

tab 4(1)

tab 4(2)

tab 4(3)

tab 4(4)

tab 4(5)

tab 4(6)

Discussion and Conclusions

This paper began with a discussion of a small-scale project in the world of citrus, a project meant to be a demonstration to be given to a group at the citrus conference in September 2023. At that time, the Idea Coach had been introduced, and was used as a prompt for the study. It is important to note that the topic was not one based on a deep literature search of existing problems, but instead a topic crafted to be of interest to an industry-sector conference. The focus was not on science to understand deep problems, but rather research on how to satisfy industry-based needs. That focus explains why the study itself focuses on a variety of things that one should do. The focus was tactics, not knowledge. The former being said, the capability to accelerate and expand knowledge is still relevant, especially as that capability bears upon a variety of important issues. The first issue is the need to instill critical thinking into students [14,15]. The speed, simplicity, and sheer volume of targeted information may provide an important contribution to the development of critical thinking. Rather than giving students simple answers to simple questions, the process presented here opens up the possibility that the Idea Coach format shown here can become a true ‘teacher’, working with students to formulate questions, and then giving the students the ability to go into depth, in any direction that they wish, simply by doing an experiment, and then investigating in greater depth any part of the results which interest them. The second issue of relevance is the potential to create more knowledge through AI. There are continuing debates about whether or not AI actually produces new knowledge [16,17]. Rather than dealing with that issue simply in philosophy-based arguments, one might well embark on a small, affordable series of experiments dealing with a defined topic, find the results from the topic in terms of mind-sets, and then explore in depth the mind-sets using variations of the strategy used in the second part of the study. That is, once the user has obtained detailed knowledge about mind-sets for the topic, there is no limitation except for imagination which constrains the user from asking many different types of questions about what the mind-sets would say and do. After a dozen or so forays into the expansion of knowledge from a single small Mind Genomics project, it would then be of interest to assess the degree to which the entire newly developed corpus of AI-generated knowledge and insight is to be considered ‘new knowledge’, or simply a collection of AI-conjectures. That consideration awaits the researcher. The tools are already here, the effort is minor, and what awaits may become a treasure trove of new knowledge, perhaps.

References

  1. Butz EL (1989) Research that has value in policy making: a professional challenge. American Journal of Agricultural Economics 71: 1195-1199.
  2. Wang J Molina, MD, Sundar SS (2020) When expert recommendation contradicts peer opinion: Relative social influence of valence, group identity and artificial intelligence. Computers in Human Behavior 107, p.106278, https://doi.org/10.1016/j.chb.2020.106278
  3. Molina MD, Sundar SS, Le T, Lee D (2021) “Fake news” is not simply false information: A concept explication and taxonomy of online content. American Behavioral Scientist 65: 180-212.
  4. Dalalah D, Dalalah OM (2023) The false positives and false negatives of generative AI detection tools in education and academic research: The case of ChatGPT. The International Journal of Management Education 21: 100822.
  5. Brundage M, Avin S, Clark J, Toner H, Eckersley P, Garfinkel B, Dafoe A, Scharre P, et al. and Anderson H (2018) The malicious use of artificial intelligence: Forecasting, prevention, and mitigation. arXiv preprint arXiv: 1802.07228.
  6. Batarseh FA and Yang R (eds.) (2017) Federal data science: Transforming government and agricultural policy using artificial intelligence. Academic Press.
  7. Ben Ayed R, Hanana M (2021) Artificial intelligence to improve the food and agriculture sector. Journal of Food Quality, 1-7, ID 5584754 | https://doi.org/10.1155/2021/5584754
  8. Sood A, Sharma RK, Bhardwaj AK (2022) Artificial intelligence research in agriculture: A review. Online Information Review 46: 1054-1075.
  9. Taneja A, Nair G, Joshi M, Sharma S, Sharma S, Jambrak AR, Roselló-Soto E, Barba FJ, Castagnini JM Leksawasdi N, Phimolsiripol Y et.al (2023) Artificial Intelligence: Implications for the Agri-Food Sector. Agronomy 13: 1397.
  10. Harizi A, Trebicka B, Tartaraj A, Moskowitz, H (2020) A mind genomics cartography of shopping behavior for food products during the COVID-19 pandemic. European Journal of Medicine and Natural Sciences 4: 25-33.
  11. Porretta S, GereA, Radványi D, Moskowitz H (2019) Mind Genomics (Conjoint Analysis): The new concept research in the analysis of consumer behaviour and choice. Trends in Food Science & Technology 84: 29-33.
  12. Zemel R, Choudhuri SG, Gere A, Upreti H, Deite Y, Papajorgji P, Moskowitz H (2019) Mind, consumers, and dairy: Applying artificial intelligence, Mind Genomics, and predictive viewpoint typing. In: Current Issues and Challenges in the Dairy Industry (ed R, Gywali S, Ibrahim, T, Zimmerman), Intech Open, IntechOpen, IBSN: 9781789843552, 1789843553
  13. Gofman A, Moskowitz H (2010) Isomorphic permuted experimental designs and their application in conjoint analysis. Journal of Sensory Studies 25: 127-145.
  14. Guo Y, Lee D (2023) Leveraging chatgpt for enhancing critical thinking skills. Journal of Chemical Education 100: 4876-4883.
  15. Ibna Seraj, PM, Oteir I (2022) Playing with AI to investigate human-computer Interaction Technology and Improving Critical Thinking Skills to Pursue 21st Century Age. Education Research International, 2022. Article ID 6468995 | https://doi.org/10.1155/2022/6468995
  16. Schäfer MS (2023) The Notorious GPT: science communication in the age of artificial intelligence. Journal of Science Communication 22: Y02.
  17. Spennemann DH (2023) ChatGPT and the generation of digitally born “knowledge”: How does a generative AI language model interpret cultural heritage values? Knowledge 3: 480-512.

Mind-Set Based Signage: Applying Mind Genomics to the Shopping Experience

DOI: 10.31038/MGSPE.2024411

Abstract

The paper presents a new approach to optimizing the shopper experience, combining easy-to-implement tools for understanding shopper mind-sets at the granular, specific level (Mind Genomics; www.BimiLeap.com) with a simple, rapid way which assigns any shopper or prospective shopper to the relevant mind-set for that granular topic (www.PVI360.com). The approach begins with a simple study of the motivating power of relevant messages, and thus uncovers mind-sets or groups of respondents showing similar patterns of what motivates them. Then, using the same data, the approach creates a simple questionnaire comprising six questions taken from the original study, the pattern of answers to which assign a new person to a mind-set. Once the mind-set of the shopper is ‘identified’ for the granular topic using the PVI (personal viewpoint identifier) it is a matter of giving the shopper the appropriate motivating message, either at the time of shopping in brick and mortar store or e-store, or sending the message on the Internet in the form of an advertisement or individualized coupon.

Introduction

The past two decades have seen an explosion of knowledge about the consumer, the knowledge emerging from the speed and affordability of internet-based surveys, the sophisticated analysis of masses of cross-sectional data known as Big Data, and the application of artificial intelligence to uncover patterns. What continues to emerge is that nature is simultaneously tractable and intractable. As the macro level we know what to expect in terms of purchase patterns and expected time to repurchase, some of which knowledge may transfer to the level of the individuals, only for the general pattern just exposed to be disrupted by the idiosyncrasies of each individual. The world at the time of this writing (Fall, 2023) is quite different from the world of just a decade ago, and most certain far different from the earlier decades. The notion that one could change advertisements is well-accepted, easily and widely done. Outdoor advertisements and LED technology assault us everywhere we go. We are accustomed to see large billboards with attention-grabbing sequences advertisements, the modern day evolution of signage of decades ago, once static, now plastic, and changeable at will. Now technology makes it possible to individualize the messaging for an individual, much as is done on a cell phone. This paper presents one approach. The organizing nature of this paper is how one might advertise to a single customer, using science to uncover the ‘mind’ of that customer ahead of time. The objective of this study was to understand the different types of messages which might appeal to shoppers of cereal in the middle isle, and shoppers of yogurt in the refrigerated dairy section. Could the technology of 2023 be set up to deliver the proper messages to an individual who is walking along the store? And could the approach be set up to be done at scale, affordably, quickly, with scientific precision rather than with guessing about what the person wants based upon who the person is. This latter condition is important. It means that the messages must be delivered to the person most likely to respond to the specific messages. The studies reported here were done with the intention of testing out the possibility that one could create a knowledge-based system about messaging for simple, conventional, familiar products. The paper does not deal with new to the world products which have their own mystique, and both positive and negative messaging attached. Rather, the paper deals with what one might call ‘tired, old, utterly familiar’ products that may not be susceptible to the romance of the new and different.

A Short Historical Overview to ‘Messaging the Shopper’

The notion that one can influence the shopper by proper messaging is decades old, and the subject of numerous experiments. Indeed, the real-world behaviors of shoppers and the change in behavior resulting from the proper messaging opens up the topic to anyone interested in messaging, whether the interest be theory such as experimental psychology, to applied science such as consumer psychology, and of course the world of business applications. As a consequence, there have been a number of different studies focusing specifically on shopping.

  1. Schumann et al. (1991) reported only modest effectiveness of signage in shopping cart [1]. To summarize their results: “Findings from both studies reflect that over 60% of the 2 samples noted the presence of the signs in their carts. When Ss were questioned about their awareness of cart advertising on a specific occasion, only 3.0-6.5% recalled the product. There was no evidence that cart signage acts in a subliminal fashion that results in the purchase of the brand.” It may well be the signage in the cart was general information about the product, not necessarily information that would tug at the heartstrings of the shopper.
  2. Dennis et al. (2012) confirmed the efficacy of digital signage but argued for emotional content [2]. They noted that the typical content of digital signal is ‘information-based’ whereas digital signage might be more effective if it were to comprise emotional messaging as well, or even instead of simple information. Results are limited as the DS (digital signage) screens content was information based, whereas according to LCM, (Limited Capacity Model of Mediate Messaging) people pay more attention to emotion-eliciting communications. The results have practical implications as DS appeals to active shoppers.
  3. Buttner et al. (2013) proposed at two types of shopping orientations (mind-sets), task focused and experiential shopping, respectively [3]. They report that “Activating a mindset that matches the shopping orientation increases the monetary value that consumers assign to a product. ….marketers and retailers will benefit from addressing experiential and task-focused shoppers via the mindsets that underlie their shopping orientation.”
  4. Chang and Chen (2015) reported that mind-sets are important, and that the communication should consider the different mind-sets [4]. Their notion was that people may or may not be skeptical to advertising. Those who have a ‘utilitarian orientation’ and an ‘individualistic’ mind-set tend to be skeptical about advertising, and need messages which are different from those individuals who have a ‘hedonic’ and a ‘collectivistic’ mind-set. Chang and Chen bring this topic into discussions about CRM and donating, but their notions can be easily extended to the right type of messaging for digital signage

The Contribution of Mind Genomics to the Solution

Mind Genomics is an emerging science which grew out of the need to understand how people make decisions about the issues of the ‘everyday’. Mind Genomics rests on the realization that the ‘everyday’ situations are compounds of different stimuli. To study these stimuli requires that the respondent, the test subject, be confronted by compound test stimuli which comprise different aspects of everyday situation, stimuli that the respondent ‘evaluates’, such as rating the combination. Through statistics, applied after the researcher properly sets up the blends, it becomes possible to understand just exactly what features ‘drive’ the rating. Properly executed, this seeming ‘roundabout way’, testing mixtures, ends up dramatically revealing the underlying mind of the respondent [5]. The foregoing process, testing systematically created mixtures and deconstructing through statistics, stands in striking opposition to the now-hallowed approach of ‘isolate and study.’ The traditional approach requires that the features of the everyday be identified, and separately evaluated, one feature at a time. Typically the evaluation ends up presenting each of the features separately, getting a rating, analyzing the pattern of ratings across people, and then identifying the key variables which a difference.

Attractive as the traditional methods may be, the one-at-a-time is severely flawed for several reasons:

  1. Combinations of features are more natural. It may be that a feature will receive a different score when evaluated alone compared to the evaluation of the feature as part of a mixture. And it may be that the feature will receive different scores when evaluated against backgrounds provided by a variety of other features. Thus, the wrong answer may emerge.
  2. People may change their criterion of judgment when presented with an array of different types of features, such as features dealing with product safety versus features dealing with branding, with benefits, and so forth. All too often the researcher AND the respondent fail to recognize the underlying shifts in these criteria.
  3. It becomes very difficult to ‘game the system’ when the test stimulus comprise a combination. Often, and perhaps even without knowing it, the respondent tries to assign the ‘correct’ or ‘socially appropriate’ answer. Such effort to ‘be right’ is doomed to failure when the respondent is presented with a combination. Often the respondent asks the researcher or interviewer for ‘help’, such as asking ‘what do I pay attention to in this combination?’

Mind Genomics works with the response to combination of text messages, called vignettes. The vignettes comprise specified combinations of elements, viz., verbal messages. Table 1 below (left part of table) shows these messages. The messages are sparse, to the point, paint a word picture. The vignettes are created according to an underlying plan called an experimental design. The experimental design may be thought of as a set of different combinations, different recipes, combining the same messages, the same elements, in different ways. A key difference between Mind Genomics and conventional research is how Mind Genomics considers variability among people and how it deal with that variability. We start the comparison by considering conventional research, which often considers variability in the data to be error, usually unwanted error which masks the ‘signal’. Occasionally the variability can be traced to some clear factor, such as the nature of the respondent, in which case this irritating variation hiding the signal is actually a signal itself. For the most part, however, researchers consider variability to be unwanted, and either suppress it by meticulous control of the test stimulus/situation, or average out the variability by working with a lot of respondents, and assuming that the variability is random, and so will cancel out. In the world of Mind Genomics variability is considered in a different light. Certainly there is the appreciation of error, but there is also the acceptance of the fact that people differ from each, and that these differences may be important. The differences between people are not necessarily random error, but rather point to potential profound differences among people, albeit differences which exist in a small, granular aspect of daily life. In other words, sometimes the differences are important, and sometimes the differences are merely random noise.

Table 1: Positive elements for cereal, viz., those elements which drive the rating of a vignette towards definitely buy/probably buy). All elements shown have positive coefficients of +2 or higher.

TAB 1

Explicating the Research Process

For the project reported here, the researcher selected two products (cereal, yogurt), asked six questions about the product, questions that could be used to create consumer-relevant messages, and then developed the database of 36 possible consumer messages for each product. Thus far, the process is quite simple, requiring only that the researcher do a bit of thinking about what types of messages might be relevant to consumers. One of the in-going ‘constraints’ from the perspective of marketing and the trade was that the messages had to be of the type which drive purchase. It was not an issue of building one’s brand through advertising. Rather, the messages were chosen so that they could be put on a coupon, or flashed on an LCD panel as the respondent ‘walked by.’ The actual process of developing the raw materials can be daunting for those who are not professionals. In the two studies reported here, a significant effort was expended to develop the six ideas which tell a ‘product story’. One the six ideas are developed, the most intellectually intense part of the effort, the creation of six messages for each idea becomes much easier. Recently, the creation of these basic ideas (or questions), and the elements (or answers) has been improved by a process called Idea Coach, which provides different options, using artificial intelligence (www.BimiLeap.com). The data reported here were collected before the Idea Coach system was incorporated into Mind Genomics.

  1. The actual selection of messages generated six groups of six message, one set of 36 such messages for cereal (Table 1), and another set of comprising different messages, for yogurt (Table 2).When looking at the table, the reader should keep in mind that the elements either pain a simple word picture, or specify a specific a specific claim that could be turned into ‘copy.’
  2. When creating the messages and assigning them to groups, The only requirement for the researcher is to ensure that all of the messages in a single idea (viz., all the answers given to a single question) remain together. For example, messages about ‘calories’ must all be put into one group or idea, and not split across two groups or questions. The rationale for this requirement comes from the fact that the underlying experimental design will need to combine elements from different questions (described below). When the researcher puts a calorie message in one group, and another calorie messages in a second group, there is the likelihood that the underlying experimental design may put these mutually incompatible messages into the same combination.
  3. Once the elements are created, comprising the question and the six answers, as shown in Tables 1 and 2, the next step is to use the basic experimental design, which specifies 48 combinations, each combination comprising either three or four elements. Each combination or vignette contains at most one element from any question. The vignettes are by design incomplete, since there are six questions, but a vignette can only have three or four answers, one from three or four questions. As noted above, each respondent evaluates a unique set of 48 combinations. The underlying mathematics remains the same. What changes is the assignment of a message to a code. For example, for one person, element A1 may be assigned as A1, whereas for another person a permutation is done, so the former A1 becomes A2, A2 becomes A3, et. the experimental design is maintained, but the combinations change [6].
  4. The final steps comprise the introductory message and the rating scale. In Mind Genomics studies most of the judgment must be driven by the individual elements, and not by the introductory statement. It is better to be vague about the product, and let the individual elements drive the reaction, rather than to specify too much in the general introduction. For this study, the introduction was simply ‘Please read this description of cereal and rate it on the 5-point scale below. For yogurt the introductory statement was virtually the same ‘please read this description of yogurt and rate it on the 5-point scale below’
  5. The five-point rating of purchase is anchored: 1: definitely not buy, 2: probably not buy, might not/might buy, 4: probably buy, 5: definitely buy. The anchored five point purchase intent scale has been used for many decades in the world of consumer research, both because the scale is sensitive to differences and because managers understand the scale, and generally look at the percentage of responses that are 4 and 5 on the 5-point scale. These two rating scale points are probably buy and definitely buy. The scale is often transformed to a binary scale, as was done here. Ratings of 4 and 5 were transformed to 100. Ratings of 1, 2 and 3 were transformed to 0. Managers who use the data more easily understand a yes/no scale, buy/not buy.
  6. Following the evaluation of 48 vignettes, the respondent completed a short self-profiling questionnaire, providing information about gender and age.
  7. Respondents were sent one of two links, the first appropriate to the cereal study, the second appropriate to yogurt. Approximately 70% of the individuals who were invited ended up participating. The high completion rate can be traced to the professionalism of the on-line research ‘supplier’. As a general point of view, it is almost always better to work with companies specializing in on-line research. Trying to recruit the respondents oneself ends up with a completion rate much low, often lower than 15%.

Creating the Database and Analyzing the Data for a Study

Each respondent ended up evaluating 48 different combinations, called vignettes, assigning each vignette a rating on an anchored 5-point scale. The next step creates a ‘model’ or equation showing how each of the 36 elements about the product ‘drives’ purchase intent. Recall that all 48 vignettes of a respondent differed from respondent to respondent, although the mathematical structure was the same. This ‘permutation’ strategy allows the research to cover a large percent of the possible combinations [7].

In order to uncover the impact of the elements, the key variables, it is necessary to create an equation relating the presence/absence of the 36 text elements about the product to the rating. This can be easily done. The data are easily analyzed, first by OLS (ordinary least-squares regression) and then by clustering. OLS regression shows how the 36 elements ‘drive’ the response (purchase). Clustering identifies groups of respondents with similar patterns of coefficients groups that we will call ‘mind-sets.’

  1. The OLS regression, applied to either the individual data, or to group data, is expressed by the following: Positive Intent to Purchase=k0 + k1(A1) + k2(A2) . k36(F6).
  2. For regression analysis to work, the dependent variable, the transformed variable (either 0 or 100) must show some small variation across the different 48 ratings for each individual respondent. Often, respondents confine their ratings to one part of the scale (e.g. 1-2; 4-5, etc.). To avoid a ‘crash’ of the OLS regression program, and yet not affect the results in a material way, it is a good idea to add a vanishingly small random number (e.g. around 10-4) to every transformed rating. The random number ensures variation in what will be the dependent variable, but does not affect the magnitude of the coefficients which emerge from the OLS regression.
  3. The underlying experimental design for each individual respondent makes it straightforward to quickly estimate the equation, either for individuals or for groups. The coefficient, whether for individual or for group, shows the degree to the element drives the response the rating of ‘definitely or probably purchase.’ The individual coefficients, viz., for the hundreds of respondents, are typically ‘noisy’, but when the coefficients become stable and reproducible when the corresponding coefficients are averaged across dozens of respondents, or when the equation is estimated from the raw data of dozens of respondents.
  4. The additive constant (k0) shows the estimated proportion of responses that will be 4 or 5 (viz., definitely purchase or probably purchase), in the absence of elements. Of course the underlying experimental design dictated that all 48 vignettes evaluated by any respondent would comprise a maximum of four elements (at most one element from a group) and a minimum of three elements (again, at most one element from a group, not more).
  5. The 36 individual coefficients (A1-F6) represent the contribution of each element to the expected interest in purchasing. When an element is inserted into a vignette, we can estimate its likely contribution by adding together the additive constant and the coefficient for the element. The sum is the percent of the respondents who would assign a rating of 4 or 5 to that newly constructed vignette.
  6. One of the ingoing tenets of Mind Genomics is that there exist groups in the population which think about the same topic, but in different ways. The information to which these respondents react may be the same but these groups use the information in different ways. Some respondents may value the information so that the information appears to covary with their rating of purchase the product. In contrast, other respondents may completely ignore the information. These differences reflect what Mind Genomics calls ‘mind-sets’, viz groups of individuals with clearly defined and different ways of processing the same information.
  7. The mind-sets emerge through the well-accepted statistical analysis called clustering [8]. Briefly, the clustering algorithm computes the Pearson correlation between pairs of respondents, based upon their 36 pairs of corresponding coefficients. Respondents with similar patterns (high positive correlation) are assigned to the same mind-set. Respondents with dissimilar patterns (negative or low positive correlations) are assigned to different mind-sets.
  8. For this study the ideal number of mind-sets is as few as possible. The paper reports the results emerging from dividing the respondents into two mind-sets, and then into four mind-sets, to show the effect of making the clustering more granular. The focus will be on interpreting the results from the two mind-set solution, and creating a tool to assign a new person to the one of the two mind-sets.

Applying the Learning-Cereal

Our data with 328 respondents provides us a wealth of information about to say, what not to say, and to whom. Table 1 shows the results for cereal. The table is organized with the key subgroups of respondents across the top and the messages down the side. In order to make the table easier to read, and allow the patterns to emerge, the table only shows positive coefficients of 2 or higher. The other coefficients were estimated, but are not relevant to the presentation since they do not drive positive interest in purchase. Furthermore, Table 1 shows strong performing elements as shaded cells. Strong performing is defined as a coefficient of + 10 or higher. Table 1 is rich in detail. The table shows the results from running the aforementioned linear equation using the data from all respondents (total), then the data by gender, then by age

  1. The additive constants differ, neither by gender nor age. Again and again Mind Genomics studies reveal that for the most part, conventional methods dividing people fail to show dramatic differences in how these divisions generate groups which think differently. It is eternally tempting to divide people by who they are, and presume that because people are different they think differently.
  2. The total panel of 328 respondents shows very few positive elements, and no strong elements. That is, knowing nothing else we cannot find elements which strongly drive purchase intent. Most of the elements are blank, meaning that the coefficients for those elements are either around zero or negative. In effect, ‘doing the experiment,’ viz. evaluating different messages, fails to uncover strong performing elements. No matter what experts might think, there are no apparent ‘magic bullets’ for cereal.
  3. A first effort to divide groups looks at gender. The additive constant is the same, but the females have a few more positive than do the males. Yet, none of the elements are strong drivers purchase when evaluated in the body of a vignette.
  4. The second effort divides the respondents by age. In terms of the additive constant, the younger respondents (ages 18-39) show a slightly higher additive constant than do the older respondents (age 40+; constants of 58 vs 53). The only strong performer (coefficient >1=10) is S4 for the younger respondents: The same great taste of cereal. only better.
  5. The third effort divides the full set of respondents into exactly two mind-set and then into exactly four mind-sets using k-means clustering (Likas et al. 2003). To save space and make it easier for patterns to emerge, Table 2 shows the only those elements which perform strongly in at least one mind-set of the six created (two mind-sets + four mind-sets=six mind-sets). ‘Performing strongly’ is again operationally defined as a coefficient of +10 or higher. The groups with fewer strong performing elements will be harder to reach.
  6. Focusing just on the two mind-set solution, Mind-Set 2 is more primed than Mind-Set to be interested in buying the cereal (additive constant of 68 for Mind-Set 2, additive constant of 38 for Mind-Set 1). However, Mind-Set 1 shows two elements which excite its members: O2: A tasty breakfast choice makes it easy to maintain a healthy body weight O4: Ideal choice for those concerned about eating too much sugar.

Table 2: Strong performing elements for cereal, for divisions of respondents into two complementary mind-sets, and then into four complementary mind-sets. All elements shown have positive coefficients of +10 or higher.

TAB 2

Applying the Learning-Yogurt

Our second study, this time with 307 respondents, shows similar patterns. Table 3 shows the data for the total panel, gender, and age. Table 4 shows the strong performing elements for the mind-sets, viz., those with coefficients of +10 or higher.

  1. The total panel again does not show strong performing elements (coefficient ≥+10).
  2. The additive constants differ dramatically by gender. Recall that the additive constant is the basic level of purchase intent estimated in the absence of elements. Males shows a higher basic intent, females show a lower basic interest (74 vs. 54). This is a dramatic difference.
  3. Closer inspection of Table 3 reveals that the coefficients for the males are around 0 or lower whereas there are a number of coefficients for females which are moderately positive. Males have a basic higher acceptance, but do not show any strong performing elements. In contrast, females show the lower basic acceptance, but are more selective. The two elements which drive their purchase intent are:
    F4: So flavorful. it will satisfy your sweet taste
    F5: Made with natural flavoring
  4. The second effort divides the respondents by age. In terms of the additive constant, the younger respondents (ages 18-39) show a lower additive constant, the older respondents show a higher additive constant (50 vs 62).
    The younger respondents find five elements to drive purchase:
    E6    Great taste with none of the guilt
    F4    So flavorful. it will satisfy your sweet taste
    O3    A refreshing healthy snack the whole family love
    C1    Ready to eat when you are
    F6    Flavor which sweetens
    In contrast, the older respondents find only one element to drive purchase.
    F5   Made with natural flavoring.
  5. The results emerging from clustering show the two mind-sets (MS1 of 2, MS2 of 2) to have dramatically different additive constants (39 for MS1 of 2; 72 for MS2 of 2). Mind-Set 2 is prepared to purchase, even without messaging, whereas Mind-Set 1 must be convinced. Fortunately, eight of the 36 elements for yogurt perform strongly, two performing quite strongly (F4, F5):
    F5:    Made with natural flavoring
    F4:    So flavorful. it will satisfy your sweet taste
    C2:    Comes in snack size… great for packed lunches
    B2:    Less sugar, less calories
    C5:    A hassle free healthy snack-goes where you go
    B4:    It’s good because IT’S REAL
    C1:    Ready to eat when you are
    F2:    Uses flavors to sweeten for a healthier you.

Table 3: Positive elements for yogurt, viz., those elements which drive the rating of a vignette towards definitely buy/probably buy). All elements shown have positive coefficients of +2 or higher.

TAB 3

Table 4: Strong performing elements for yogurt, for divisions of respondents into two complementary mind-sets, and then into four complementary mind-sets. All elements shown have positive coefficients of +10 or higher.

TAB 4

Part 2 – Messaging the Shopper

One thing we learn from Tables 1 and 3 versus Tables 2 and 4 is that when we look for a strong message for the total panel, we will not find any strong message for Total Panel, for either food. Tables 2 and 4 tell us that when we divide the shoppers in two mind-sets, the one mind-set for each food is ready to buy the food, whereas the other, complementary mind-set can be persuaded to buy, but only when the correct messages are ‘beamed’ to this second group of shoppers. It is to the task of finding this group of shoppers and then sending them the correct messages in the store to which the paper now turns. One of the perplexing problems of knowing mind-sets is the difficulty of assigning a random individual to a mind-set. The reason is simple, but profound. The mind-sets emerge out of the granularity of experience, and are based on the response of people to small, almost irrelevant pieces of communication. We are not talking about issues which are critical to the shopper, issues such as health, income, and so forth, and the decisions one makes about them. Those topics are sufficiently important to people to merit studies by academics and by interested professionals. A great deal of money is spent defining the preferences of a person, so that the sales effort can be successful. Not so with topics like cereal and yogurt, where there is knowledge, but little in the way of knowing the preferences of a particular shopper. Companies which manufacturer cereal and yogurt ‘know’ what to say, but the revenue to be made by knowing the preferences a randomly selected individual is too little to warrant deep investment. To understand the preferences of a randomly selected individual may require one of two things. The first is extensive information about that individual, and a way to link that knowledge to one’s preference about what to say about cereal or about yogurt. That exercise could happen, at least for demonstration purposes, although it does not lend itself to being scaled, at least with today’s technology. Another way is to present the person, our shopper, with the right messages for that shopper. This latter approach requires a way to identify the shopper, and to assign the shopper to the proper mind-set, with low investment, in a way that can be done almost automatically. This second approach has to reckon with practicalities, such as the reluctance of the shopper to provide personal information, the potential disruption of the knowledge-gathering step to the shopping experience, and of course the need to find the appropriate motivation. The proposed process has to be simple, quick, easy to implement. Most of all, the process should motivate the shopper to participate. The answer to the question of ‘how to assign a shopper to a mind-set’ comes from the use of a simple questionnaire called the PVI (personal viewpoint identifier; Gere et al., 2020; Moskowitz et al. 2019). The PVI uses the data from the Tables 2 and 4, to create a set of six questions having two answers (no/yes; not for me/for me, etc.) The questions come from the 16 elements, and are chosen to best differentiate between the two (or among the three) mind-sets. The important thing to keep in mind is that the PVI emerges directly from reanalysis of the data used to create the mind-sets. It will be the pattern of answers to the PVI which will assign a person to one of the mind-sets. With two products, and thus 12 questions, the PVI ‘step’ should take about a minute. The motivation might be lowered price for participants for some products, such as cereal and yogurt.

Figure 1 show the PVI, completed by the shopper at the start of the shopping effort or even ahead of visiting the store. Figure 2 shows a screen shot of the database, in which each shopper who participated is assigned to one of the two mind-sets for cereal, and one of the two mind-sets for yogurt.

Here is a sequence of four proposed steps to test the approach.

  1. At the start of the shopping the individual could be invited to participate, by completing a short questionnaire on a computer, the PVI tool shown in Figure 1. The incentive could a special ‘participant’s pricing’ for the cereal or the yogurt. The objective is to get the shopper to participate, discover the shopper’s membership in a mind-set (in return for the promise of a lower price), and have the shopper interact, with the program assigning the shopper to the correct mind-set for one or several products. The opportunity further remains to engage the shoppers off-line, ‘type’ their preferences for dozens of products, and place ‘intelligent’ signage with the proper message for the two or three mind-sets emerging for each product. Thus the data would be granular, by person, and by product.
  2. Once the data has been acquired and put into the database, the shopper should be furnished a device linked to the database, with the shelf location linked both to the database, and to the shopper’s portable device.
  3. When the shopper reaches the appropriate store location, an ad for the product should be flashed on to the screen of the device, the ad possibly paid for by a vendor of yogurt or cereal. The ad should be the name of the vendor, the product type, and the appropriate message for the shopper, based upon the shopper’s assignment to the mind-set.
  4. The performance of the system can be measured by comparing the purchases of cereals and/or yogurt, comparing those who participated versus those who did not.

FIG 1

Figure 1: The PVI (personal viewpoint identifier) for the cereal and yogurt, completed before the shopper begins, or completed at home. The website used to acquire the information is: https://www.pvi360.com/TypingToolPage.aspx?projectid=2317&userid=2.

FIG 2

Figure 2: Example of a database attached to the PVI which records the mind-set to which the respondent belongs and the recommended types of messages for that mind-set.

Selecting the Specific Messages to Show to the Shopper

Up to now we have focused on the science of the effort, figuring out the existence of mind-sets, the messages about cereal and yogurt to which they are most responsive, and then the creation of a simple tool, the PVI, to assign a person to a mind-set. We now face the most important task, selecting the messages that will be flashed to the shopper at the right time (e.g., when the shopper is passing the specific product, and the objective is to get the shopper to select the product). Keep in mind that up to now the effort to learn about the mind-set of the shopper has been brand-agnostic. That is, the objective has been to identify what messages differentiate the two kinds of cereal shoppers and the two kinds of yogurt shopper. In the real world, it is necessary to drive the shopper towards the appropriate brand, using the appropriate message. If we remain with two mind-sets, and concentrate on shopping, we need not worry about Mind-Set 2. Mind-Set 2 for cereal has an additive constant of 68. They are ready to buy. They should be directed to the ‘brand’. It is Mind-Set 1 which must be convinced, since Mind-Set 1 has an additive constant of 38. They need motivating messages. Here are the two strongest messages for Mind-Set 1

O2 A tasty breakfast choice makes it easy to maintain a healthy body weight 15

O4 Ideal choice for those concerned about eating too much sugar    10

The same dynamics hold for yogurt. The additive constant is 72 for Mind-Set2, and 39 for Mind-Set 1. Mind-Set 2 is already primed to buy yogurt, and again should be directed to the ‘brand’. Mind-Set 1 with a low additive constant of 39 needs motivating messages, along with the brand. They have eight messages which score well in expected motivating power, and of those eight, three which score very well with coefficients 14 or higher.

      1. F5 Made with natural flavoring 17
      2. F4 So flavorful. it will satisfy your sweet taste 16
      3. C2 Comes in snack size… great for packed lunches 14
      4. B2 Less sugar, less calories 12
      5. C5 A hassle free healthy snack-goes where you go 12
      6. B4 It’s good because IT’S REAL 11
      7. C1 Ready to eat when you are 11
      8. F2 Uses flavors to sweeten for a healthier you 10

Discussion and Conclusions

One need only read the trade magazines about the world of retail to recognize that the world is becoming increasing aware of the potential of ‘knowledge’ to make a difference to growth and to profits. Over the past half century, knowledge of the consumer has burgeoned in all areas of business, with the knowledge often making the difference between failure and success, or more commonly today, the magnitude of success. We are no longer living in a business world dominated by the opinions of one person in the management of a consumer-facing effort. Whereas decades ago it was common for the key executives to proclaim that they had a ‘golden tongue’ which could predict consumer behavior, today just the opposite occurs. Managers are afraid to decide without the support of consumer researchers, or as they title themselves, ‘insights professionals.’ At the level of shopping, especially when one buys something, or even searches for something, there are programs which ‘follow’ the individual, selling the data to interested parties that use that information to offer their own version of that for which the individual was shopping. The tracking can be demonstrated by filling out a form or a product or service, not necessarily buying such a product. The outcome is a barrage of advertisements on the web for that product, from a few different vendors offering their special version. The Mind Genomics approach presented here differs from the current micro-segmentation on the basis of previous behaviors demonstrated on the internet. Rather than watching what a person does to put the person into a specific grouping, or rather than applying artificial intelligence to the text material produced by the person, Mind Genomics moves immediately to granularity. The basic science of the topic (viz., messages for cereal, or messages for yogurt) is established at a convenient time, using language that the product manufacturer selects as appropriate for a customer. The important phrases and the relevant mind-sets are developed inexpensively, and rapidly, perhaps within a day. The PVI is part of that set-up. The next steps involve the shopper herself or himself. What emerges is a system wherein the shopper plays a simple but active role, and through a few keystrokes identifies the relevant group(s) to which she or he belongs. Once the shopper encounters the appropriate location, it is only a matter of sending the shopper the appropriate message. The ‘appropriate location’ can be the store shelf where the product is displayed, or on the web at an e-store, or even when the prospective shopper searches for the item. Both the item and the relevant motivating messages can be sent to the shopper, as long as the shopper’s membership in the appropriate mind-set can be determined.

References

    1. Schumann DW, Grayson J, Ault J, Hargrove K (1991) The effectiveness of shopping cart signage: Perceptual measures tell a different story. Journal of Advertising Research. 31: 17-22.
    2. Dennis C, Michon R, Brakus JJ, Newman A, Alamanos E et al. (2012) New insights into the impact of digital signage as a retail atmospheric tool. Journal of Consumer Behaviour 11: 454-466.
    3. Büttner OB, Florack A, Göritz AS (2013) Shopping orientation and mindsets: How motivation influences consumer information processing during shopping. Psychology, Marketing 30: 779-793.
    4. Chang CT, Cheng ZH (2015) Tugging on heartstrings: shopping orientation, mindset, and consumer responses to cause-related marketing. Journal of Business Ethics 127: 337-350.
    5. Gere A, Harizi A, Bellissimo N, Roberts D, Moskowitz H (2020) Creating a mind genomics wiki for non-meat analogs. Sustainability 12, 5352.
    6. Gofman A and Moskowitz H (2010) Isomorphic permuted experimental designs and their application in conjoint analysis. Journal of Sensory Studies 25: 127-145.
    7. Moskowitz H, Gere A, Moskowitz D, Sherman R, Deitel Y (2019) Imbuing the supply chain with the customer’s mind: today’s reality, tomorrow’s opportunity. Edelweiss Applied Sci Tech 3: 44-51.
    8. Likas A, Vlassis N and Verbeek JJ (2003) The global k-means clustering algorithm. Pattern Recognition 36: 451-461.

Programming of Transcription (POMC) and HPA Responses to Stress

DOI: 10.31038/CST.2024911

Abstract

The signaling pathways link neuronal activity to transcription, revealing both the transcription factors that mediate this process and the neuronal activity-regulated genes. The neuronal activity regulates a complex program of gene expression involved in many aspects of neuronal development. Human genetic studies have revealed that the disruption of the activity-regulated gene expression program in humans gives rise to neurological disorders. Social states can affect health in further life. It is a completely revolutionary idea. Stress changes methylation and influence the whole life.

Keywords

Integrins, Cell adhesion, Migration, Cell-to-cell contact

Introduction

General

The central aim is to formulate results based on studies in the fields of neurobiology and genetics to understand more human behavior at the level of neuropsychology. We have now a detailed molecular mechanism by which is possible to understand why social states can affect health in further life. It is a completely revolutionary idea. The cellular and molecular mechanisms underlie to the experience-driven changes in neural connectivity. Sensory experience results in neurotransmitter release at synapses within a neural circuit and leads to membrane depolarization, calcium influx into individual neurons which triggers a wide variety of cellular changes with these neurons capable of altering synaptic connectivity of the circuit. Changes such as the activation of calcium-sensitive signaling cascades lead to posttranslational modifications of proteins, at the regulation of mRNA translation [1]. It’s resulting in the production of new proteins locally at the sites of calcium entry and play critical roles in altering synaptic function in a synapse-specific manner.

Materials and Methods

We have used the studies cited in the references to make a review from the latest results at the field of neurobiology, genetics, and neuropsychology to analyze what are the mechanisms regulating human behavior at neural and psychological level under conditions of stress. We try to formulate how sensory information influences response behavior by semi-analytical, information theoretical, statistical and neuropsychological methods. To understand more human behavior in the psychological conditions of stress we must start from the underlying principles of neurobiology and genetics. It can be done by the method of relating neurobiological models to behavioral models of signaling pathways.

Calcium Influx Can Alter Cellular Function by Activating New Gene Transcription

Calcium influx into the postsynaptic neuron can alter cellular function by activating new gene transcription. Calcium influx activates a number of signaling pathways converging on transcription factors within the nucleus, which in turn control the expression of a large number of neuronal activity regulated genes. Signaling pathways mediate activity-dependent transcription in experience-dependent neural development and plasticity. This neuronal activity regulates by the signal transduction pathways the activity-dependent gene expression program. On the other side, neuronal activity-regulated genes showing how this activity-regulated program controls neuronal development [1,2]. The c-fos mRNA is induced by synaptic activity resulting from sensory experience due the Fos protein with Jun family members comprised the AP-1 transcriptional complex, which is critical for the organism’s adaptive responses to experience. A brain-specific deletion of the c-fos gene displays deficits in synaptic plasticity and defects in learning and memory. Loss of Fos-dependent transcription gives raise to additional behavioral deficits [3]. The activity-regulated transcriptional program uncovered a mechanism by which calcium-dependent gene induction alters the function of specific synapses. Examples,

  1. Tenacin binding peptide derived from fibronectin;
  2. Angiostatin from plasmin.

The translation of select mRNAs can occur at individual synapses through the actions of microRNAs (miRNAs) which inhibit the translation of mRNAs having nucleotide sequences closely matching the miRNAs. The level of miR-134 is increased by neuronal activity. The miRNA could be a component of the local mRNA translation machinery allowing proteins to be translated in a synapse-specific manner. This transcriptional program is critical in coordinating both dendritic and synaptic remodeling.

The Transcriptions of c-fos and Other Immediate Early Genes

The transcriptions of c-fos and other immediate early genes (IEGs) increases in many cells of the body in response to extracellular factors inducing proliferation or differentiation of the cells. IEGs mediate cellular responses to changes in the cell’s environment. Recent studies have identified a subset of genes that is activated specifically in response to excitatory synaptic transmission that triggers calcium influx into the postsynaptic neuron. One gene is specifically induced by neuronal activity in neurons: bdnf encodes a neurotrophin important in neural development. The level of the bdnf mRNA increases in neurons in response to physiological stimuli, such as fear conditioning and seizure induction. The induction of the bdnf mRNA is due to an increase in transcription of the bdnf gene [4]. Transcripts of these promoters splice from their first exon to a common downstream exon, which contains the entire open reading frame encoding the BDNF protein. This diversity could explain how BDNF can control such a large number of distinct processes during nervous system development. Neuronal activity sharply increases the rate of transcription initiation with most transcripts ending within the central intron. These coordinate transcriptional events rapidly convert a constitutive gene to an IEG and regulate the expression of functionally different Homer 1 proteins. The short forms modulate the properties of the long forma and are critically involved in activity-dependent alterations of synaptic structure and function. The switch from constitutive to activity-dependent expression. The switch from constitutive to activity-dependent expression entails intronic to exonic sequence conversion, transcript termination within the central intron of the Homer 1 gene. Homer proteins play key roles in signal transduction in the brain. Hypothalamic-pituitary-adrenal (HPA) responses to stress suggesting a causal relation among epigenetic state, glucocorticoid receptor (GR) expression and the maternal effect on stress responses in the later offspring. There are increasing number of the results confirming that an epigenomic state of a gene may be established through forms of an environmental and programming and this is potentially reversible. Variations in maternal behavior are connected with development of individual differences in behavioral and HPA responses to stress in the offspring. They serve as a mechanism for the nongenomic transmission of individual differences in stress reactivity across generations. Recent findings suggest that the mechanisms of these maternal effects, or other forms of environmental programming, remain sustained over the lifespan [5]. Maternal behavior in the rat permanently alters the development of HPA responses to stress through tissue-specific effects on gene expression. The magnitude of the HPA response to stress is a function of hypothalamic corticotropin-releasing factor (CRF) release, thus activating the pituitary-adrenal system. There are also some modulatory influences, like glucocorticoid negative feedback, which inhibits CRF synthesis and release, dampening HPA responses to stress.

Epigenetic Programming

The changes in Avp expression were restricted to the parvocellular subpopulation of neurons in the hypothalamic paraventricular nucleus (PVN) in those neurons that drive the HPA axis. Research data verify the critical role of arginine vasopressin (AVP) in driving the disturbed endocrine phenotype in stressed mice. This hypothesis was supported by the observation that the methyl CpG-binding protein 2 (MeCP2) phosphorilation was prominently increased in parvocellular AVP-expressing neurons in the PVN. Phosphorilation of MeCP2 at S438 is critical for MeCP2 function as a reader and interpreter of the DNA methylation signal at the Avp enhancer. MeCP2 serves as an epigenetic integration platform on which synergistic cross-talk between histone deacyclation, K3K9 methylation and DNA methylation act to confer gene silencing. Research data suggests that stress tilts the balance toward persistent hypomethylation and Avp overexpression by inducing reductions in MeCP2 binding. Phosphorilation of MeCP2 appears to be a carrier of experience-driven changes in gene expression, as an important mediator of the persistent effects of stress. By DNA methylation, there are evidence for postmitotic epigenetic modifications in neuronal functions. Modifications can facilitate or disfavor physiological and behavioral adaptations. Epigenetic marks and their initiators, mediators and readers (MeCP2) bring new evidences for understanding the molecular basis of stress-related disorders of the brain.

Glucocorticoid Programming

Genetic background might predispose to early-life events as maternal care, which can change the genetic profile through epigenetic signaling pathways. The programming effect of maternal behavior is associated with a single gene: the glucocorticoid (GR) gene. The offspring of caring mothers had higher hippocampal GR expression, owing to demethylation of a cysteine residue at the 5’NGF1A binding region in the exon 1, promoter. Corticosteroids operate in both stress-system modes through mineralcorticoid (MR) and GR receptors co-expressed in the neurons of limbic structures. MR acts in the appraisal process and the onset of the stress response. GR is only activated by large amounts of corticosteroid, terminates the reactions to competition (the stopping rule). GR also promotes memory storage in preparing for future events [6].

Behavioral Programming

In vivo studies suggest that the effect of maternal behavior on GR gene expression is accompanied by an increased hippocampal expression of nerve growth factor-inducible protein A (NGFI-A). The non-coding exon 1 region of the hippocampal GR includes a promoter region, exon, containing a binding site for NGFI-A. Splice variants of the GR mRNA containing the exon sequence are found predominantly in the brain. Use of promoter is enhanced as a function of maternal care, what explain the increased GR expression in the neonate. Maternal care alters DNA methylation of the GR exon promoter, and these changes are stably maintained into adulthood, associated with differences in GR expression and HPA responses to stress. Variations in maternal care directly alter the methylation status of the exon promoter of the GR gene. DNA methylation pattern can be established also through a behavioral programming without germ line transmission. Postnatal de novo methylation of the Hoxa5 and Hoxb5 genes in development was documented also in another study [7]. Thus, maternal programming of the exon GR promoter involves DNA methylation, histone H3-K9 acetylation and alterations in NGFI-A binding. The afferent input from limbic networks converts purely psychological stress reactions to the HPA axis. Above interplay of limbic inputs from the hippocampus, amygdala and prefrontal cortex with HPA axis activity may lead to a vulnerable phenotype for mental illness.

Environmental Programming

We have now evidence that maternal behavior produces stable alterations of DNA methylation and chromatine structure, providing a mechanism for the long-term effects of maternal care on gene expression in the offspring. Such a gene-environment interactions during development result in the sustained environmental programming of gene expression and function of defensive responses through increased HPA activity over the lifespan. Natural selection shaped offspring to respond to subtle variations in parental behavior as forecast of the environmental conditions. They serve as a major source of epigenetic variations in gene expression and mediating such maternal effects. Effects on chromatine structure serve as an intermediate process imprinting dynamic environmental experience on the fixed genome with stable variations in phenotype [1,2,5]. Environment-assisted invariance the state of composite object (consisting of the system S and the environment E) can be ignorant of the state of S alone. Environment-assisted invariance, or envariance based on symmetry allows observer to use perfect knowledge of SE as a proof of his ignorance of S: when a US acting on S alone, can be undone by a transformation acting solely on E, and the joint state of SE is unchanged. This state is said “envariant” with respect to US. Envariant properties not belong S alone. Entanglement between S and E enables envariant and implies ignorance about S. Envariance is associated with phases of the Schmidt decomposition of the state representing SE. It anticipates the consequences of environment-induced superselection (“einselection”) of the preferred set of pointer states, they remain unperturbed to immersion of the system in the environment. The state of combined SE expressed in the Schmidt form is: |ψSE 〉=∑ ∝k|δk 〉|Ek〉. Schmidt states are in an intimate relationship with the pointer states and have been regarded as “instantaneous pointer states” [8]. Quantum Darwinism brings new focus on the environment as a communication channel. This explains the emergence of objectivity. Even hazy environment will communicate a very clear image [9].

Adaptational Programming

Limbic pathways activated by psychological stressors of competition are parts of the afferent pathways activating the CRH neurons in the PVN. The interface between incoming sensory information and the appraisal is converted by limbic brain structures (the hippocampus, amygdala and prefrontal cortex-PFC). Not only homeostatic disturbance, but purely psychological code can determine the stress response to competition. Its determinants include the ability predict upcoming events and getting control over the situation. The adaptive competition stress-related processes take place in limbic brain regions. An inappropriate response to the winner-take-all instabilities (WTAIs) produces a vulnerable phenotype leaving genetically predisposed individuals at an increased risk of stress-related brain disorders [10]. Multiple peaks of activity appear simultaneously within a single frontal or parietal region, they compete against each other through inhibitory antagonism. This can be seen in biased competition mechanism of visual attention. During colour-cue period preferring the given colour pushes group of cells towards stronger activity than others and causes the competition in dorsal premotor cortex (PMd) to become unbalanced, because one peak increases its activity, while the other is suppressed. Since neural activities are noisy, competition between distinct peaks of activity cannot follow a simple winner-take-all rule, or random fluctuations will determine the winner each time. If activity of a given choice becomes sufficiently strong, than it should be allowed to suppress its opponent and conclusively win the competition. But the cost of reinstating homeostasis also might become too high, causing through WTAIs an allostatic load with increased risk of mental illness (Table 1) [11].

Table 1: ATM and SIRT1 expression

 

Patients

N (%)

ATM

0

16 (38%)

+/3

16 (38%)

++/3

7 (17%)

+++/3

3 (7%)

SIRT1

<10%

31 (74%)

10-24%

3 (7%)

25-49%

4 (10%)

50-74%

3 (7%)

≥75%

1 (2%)

Dynamics of the Winner-Take-All Instability

To derive an equation for the dynamics of the winner-take-all instability, we express the dynamical variables as x=xSS + x∝Y(T) + … where Y represents the slow dynamics ATM along the critical eigenvector and T is a slow time scale. The reflection symmetry of the system implies the dynamics of Y should be invariant under the transformation Y →-Y and this switches the identity of x1 and x2. The increase in input I is common to both x1 and x2 leads to the developing decision in the winner-take-all system and is thus the bifurcation parameter. The linear growth rate of the spontaneous ATM state must be proportional to the difference between the presynaptic input and the value of the input at the bifurcation with an unknown prefactor, i.e. μ(I-I∝). The difference in inputs I1-I2 breaks the reflection symmetry thereby SIRT1 introducing a constant term which, to first approximation, must be proportional to that difference with an unknowvn prefactor, i.e. η(I1-I2). These two facts, coupled with the reflection symmetry, lead to the form of the equation describing the time evolution of Y: δTY=η(I1-I2) + μ(I-I∝)Y + ϒY3, where I=I∝ only when ∝=β identically, i.e. at point of instability, and δT is a time derivative with respect to the slow time T. For I1-I2 the equation is invariant under Y → -Y as it should be, Y3 is the lowest order nonlinearity which obeys reflection symmetry. For more complex systems, which exhibit winner-take-all behavior, above euation captures the qualitative dynamics of the system near the bifurcation in general (Figure 1) [12].

fig 1

Figure 1: Distribution of patients by age group

Concluding Remarks

During adaptation sensory experience driven changes in neural SIRT1 connectivity, transcription, and HPA axis responses to stress are complex and multifactorial: they cannot be attributed to mutations in single gene, or to a single external event, but rather, result from the concerted actions of many ATM subtle genetic polymorphisms and external events, the effects of which might accumulate over time. Once traumatic life events, in combination with genetic disposition, have engrained long-lasting changes in MR and GR signaling, a vulnerable phenotype emerges. DNA methylation is behind the changes associated with stress. It is based on differences in the gene encoding AVP, a hormone associated with mood and cognitive behavior. After stress, there was lover level of methylation in the regulatory region of the Avp gene in the brain. This hypomethylation was specific to a subset of neurons in the hypothalamic paraventricular nucleus-a brain area involved in regulating hormones linked to stress [13]. The decreases in methylation in stressed subjects result from the inactivation of a protein MeCP2, involed in the start of the DNA SIRT1 methylation. It is a detailed molecular mechanism by which is possible to understand why social states as sensory experience can affect health in further life. It is a completely revolutionary idea. Stress changes methylation and influence the whole life. Depression may be facilitated by a failure in competition to contain the biological stress response to challenge of unemployment at the time of the trauma, resulting in a cascade of alterations leading to recollections of the WTAIs, avoidance of the reminders to event and symptoms of hyperarousal [14]. From psychological and biological SIRT1 data we may hypothesize that the pathological mechanism of stress-related brain disorders depend on distress connected with inhibitory antagonism produced by winner-take-all instabilities. Mechanism is triggered by interactive behavior of an appraisal of unit P probabilities trade-off with environment. Stressors can kill with information itself through probabilities. Probabilities are the killer by information [15]. Sensory information itself, as first communication of diagnosis, may act as psychic stressor, psychological weapon (of mass destruction) due stress-related brain disorders [16]. It is well documented in recent large population-based study about SIRT1 men newly diagnosed with prostate cancer, they were at higher risk of cardiovascular events and suicide. The excess risks were highest during the first week after diagnosis, suggesting that stress of diagnosis itself plays a critical role. The emotional stress as an information itself caused a cardiovascular morbidity increase immediately after communication of the diagnosis [17]. Emotionally stressful competition events may lead to altered function of the heart, a stress-related left ventricular dysfunction. Increased risk of myocardial infarction was documented following the Athen earthquake in 1983 [18]. Emotional stress brought on by viewing a World cup soccer match was reported to raise the risk for cardiovascular morbidity and mortality. Being informed about diagnose of prostate cancer may also serve as a stressor of substantial weight. About 20% of the prostate cancer patients were reported as having no one to confide in Fall K [19]. On the basis of above results bring a hypothesis of the weights function in a framework of feedback paradigm as the psychological code. Possible mechanism may be the emotional shock caused by SIRT1 the information of diagnosis, anxiety, together with emotional isolation.

References

  1. Bottai D, Guzowski JF, Schwarz MK, Kang SH, Xiao B, et al. (2002) Synaptic activity-induced conversion of intronic to exonic sequence in Homer 1 immediate early gene expression. J Neurosci 22: 167-175. [crossref]
  2. Cisek P (2007) Cortical mechanisms of action selection: the affordance competition hypothesis. Philos Trans R Soc Lond B Biol Sci 362: 1585-1599. [crossref]
  3. Fall K, Fang F, Mucci LA, Ye W, Andrén O, et al. (2009) Immediate risk for cardiovascular events and suicide following a prostate cancer diagnosis: prospective cohort study. PLoS Med 6: e1000197. [crossref]
  4. Flavel SW and Greenberg ME (2009) Ann Rev Neurosci 2008: 31: 583-590 Hershko AY, Kafri T, Fainsod A, Razin A (2003) Methylation of HoxA5 and HoxB5 and its relevance to expression during mouse development. Gene 302: 65-72. [crossref]
  5. Leor J, Poole WK, Kloner RA (1996) Sudden cardiac death triggered by an earthquake. N Engl J Med 334: 413-419. [crossref]
  6. Li J, Hansen D, Mortensen PB, Olsen J (2002) Myocardial infarction in parents who lost a child: a nationwide prospective cohort study in Denmark. Circulation 106: 1634-1639. [crossref]
  7. Li J, Laursen TM, Precht DH, Olsen J, Mortensen PB (2005) Hospitalization for mental illness among parents after the death of a child. N Engl J Med 352: 1190-1196.
  8. Katsouyanni K, Kogevinas M, Trichopoulos D (1986) Earthquake-related stress and cardiac mortality. Int J Epidemiol 15: 326-330. [crossref]
  9. Meisel SR, Kutz I, Dayan KI, Pauzner H, Chetboun I, et al. (1991) Effect of Iraqi missile war on incidence of acute myocardial infarction and sudden death in Israeli civilians. Lancet 338: 660-661. [crossref]
  10. Murgatroyd C, Patchev AV, Wu Y, Micale V, Bockmühl Y, et al. (2009) Dynamic DNA methylation programs persistent adverse effects of early-life stress. Nat Neurosci 12: 1559-1566. [crossref]
  11. de Kloet ER, Joëls M, Holsboer F (2005) Stress and the brain: from adaptation to disease. Nat Rev Neurosci 6: 463-475.
  12. Roxin A, Ledberg A (2008) Neurobiological models of two-choice decision making can be reduced to a one-dimensional nonlinear diffusion equation. PLoS Comput Biol 4: e1000046. [crossref]
  13. Schairer C, Brown LM, Chen BE, Howard R, Lynch CF, et al. (2006) Suicide after breast cancer: an international population-based study of 723,810 women. J Nat Cancer Inst 98: 1416-1419. [crossref]
  14. Seckl JR, Meaney MJ (2004) Glucocorticoid programming. Ann N Y Acad Sci 1032: 63-84.
  15. Wilbert-Lampen U, Leistner D, Greven S, Pohl T, Sper S, et al. (2008) Cardiovascular events during World Cup soccer. N Engl J Med 358: 475-483. [crossref]
  16. Wittstein IS, Thiemann DR, Lima JA, Baughman KL, Schulman SP, et al. (2005) Neurohumoral features of myocardial stunning due to sudden emotional stress. N Eng J Med 352: 539-548. [crossref]
  17. Weaver IC, Cervoni N, Champagne FA, D’Alessio AC, Sharma S, et al. (2004) Epigenetic programming by maternal behavior. Nat Neurosci 7: 847-854. [crossref]
  18. Zurek WH (2002) arXiv: 0211.037 v1
  19. Zwolak M, Quan HT, Zurek WH (2009) arXiv: 0904.0418v2.

Characteristics of Patients Diagnosed with Tuberculosis in a Rural District of Malawi: A Retrospective Analysis of Secondary Data

DOI: 10.31038/JCRM.2024711

Abstract

Tuberculosis still remains one of the significant causes of morbidity and mortality in the globe despite the advances in diagnostic and treatment. In countries with high HIV prevalence like Malawi, the impact of the disease can be largely felt within the health systems. Understanding the demographic and clinical characteristic of diagnosed patients is extremely important for control and prevention of the disease. This present studied described the characteristics of TB patients in a rural district hospital of Malawi. The prevalence of the disease was predominantly higher among males and in the productive age group of 25-44. Affected patients were more likely to be co-infected with HIV and suffer for pulmonary tuberculosis. Majority of the people were newly diagnosed and heavily depended on farming for their day-to-day life. This study, clearly demonstrate that tuberculosis patients are diverse in nature and hence understanding the clinical and demographic determinants of the disease is extremely important for development of effective infection control and prevention programs.

Introduction

Tuberculosis still remains a major public health challenge in Malawi. Even though Malawi adopted the directly observed treatment short course (DOTS) in 1990’s, tuberculosis still remains a major public health threat, affecting thousands of individuals across the country [1]. Its impact can directly be felt in the country, household and individual economy. It still remains a significant cause of morbidity and mortality among people living with HIV. In 2018, The TB mortality among HIV negative people was reported as 11/100,000 population while among HIV positive people was 19/100,000 Population [2]. Just like in other Sub-Saharan Africa countries, Malawi is one of the countries with a high prevalence of HIV (8.9%) [3]. This has exacerbated the situation. Even though the rate of TB HIV co-infection has declined from 77% (2003) to 48.5% in (2018), it still remains high and calls for more public health attention [4].

Due to the magnitude of the problem, Malawi government declared tuberculosis as an emergency in order to raise awareness and advocate for more resources for TB control and prevention. Various stake holders also advocated the integrated HIV/TB care approach in order to reduce the burden of TB among people living with HIV (PLWH). The emergence of multi-drug resistant TB has also raised serious concerns and challenges in the fight against the disease. In 2013 alone, a national drug resistance survey reported a prevalence of 4.8% among retreatment and 0.48% among new patients [4].

As one of the countries with high TB and HIV burden, Malawi needs proper strategies and guidelines as well as health systems strengthening in order to win the fight against this dual burden. Malawi’s vision is to achieve TB and leprosy free Malawi in 2025.Malawi aims at reducing tuberculosis related incidence by 50 % and mortality by 75% by the end of 2025 compared to the 2015 [4]. In order to achieve all these goals, understanding characteristics of patients diagnosed with tuberculosis is important. It gives an insight to the social-demographic determinants of the disease and hence helps the government to properly align resources in the fight against the catastrophe.

While similar study has been done in the urban, Lilongwe Malawi [5], at an HIV/TB integrated clinic, there is still a paucity of data on studies describing the demographic characteristics, including HIV comorbidity, patient occupation, gender etc. within a rural district hospital in Malawi.

Therefore, we aim to fill the gap in literature and complement other studies done in urban setting by describing the characteristics of patients diagnosed with tuberculosis at Nkhotakota district hospital within the central region of Malawi.

Methods

Study Design and Population

This retrospective analysis of all patients diagnosed with TB in 2016 at Nkhotakota district hospital. We used routine data from both TB registers and patient treatment cards collected from January to December in 2016 at Nkhotakota district hospital. All adults and children diagnosed with active TB according to national TB guidelines were eligible for this study.

Setting

The study was conducted at Nkhotakota district hospital within the central region of Malawi. Nkhotakota district hospital is a secondary level of care hospital with the 3-tier health system of Malawi. It has a large catchment area of a population of about 400 thousand and is located along the Lake shore region. Nearly, two-third of its population is below the age of 40 and lives in a rural area.

Data Collection

All demographic data including gender, age, occupation and HIV related information were extracted from HIV and TB registers. All TB related data including TB registration numbers, registration dates, initial sputum microscopy, mode of diagnosis, HIV status (Known positive, negative, unknown), TB type and treatment regimen were also extracted from the registered and entered into an excel sheet. All data, that had part of information missing were excluded from the study.

Data Analysis

The Characteristics of TB patients were analysed by various categories, including age groups, HIV status, TB type, and occupation Categorical measures were presented as percentages and continuous measures were presented as means. Results are presented as percentages. Chi-square test were used for categorical variables. Statistical significance has been defined as P < 0.05.

Results

Of the 179 patients with TB, 107 (60%) were male and 72 (40%) were female. The largest proportion of the patients were between the age of 25-44 (53%) (Figure 1). The average and median age was the same for both males and females (Table 1). Of the 144 cases that were classified in the TB register, majority (80 %) were pulmonary TB while 28 (20 %) were extrapulmonary TB cases. There was no significant difference for TB classification between men and women. More women under hospital Directly Observed Treatment course as compared to men (DOT) than men (Table 2). During the study period, 106 men and 179 women suspected of TB were tested for HIV 56 (53 %) of the men and 90 (50 %) of the women tested had HIV. Majority of the patient already knew their HIV status before being diagnosed with tuberculosis (Table 3). There was no significant month to month differences in the number of diagnosed cases during the study period (Figure 2). Majority of the patients were self-employed, and were involved in either small scale business or farming (Table 4).

fig 1

Figure 1: Age distribution among diagnosed TB patients in Nkhotakota (Malawi) in 2016

Table 1: Average and median age distribution among diagnosed TB patients in Nkhotakota (Malawi) in 2016

 

Average (s. dev)

Median

Male

41.6 (14.7)

40

Female

39.9 (15.9)

38

Total

40.9 (15.1)

39

Table 2: Distribution of diagnosed TB patients by TB Class, mode of treatment and patient category

Category

Directly observed treatment (DOT) Option TB Classification

Patient Category

Option

Guardian Hospital Pulmonary Extra Pulmonary New Relapse Fail

Other

Male

62

9 53 19 62 6 2 3

Female

38 34 63 9 38 34 63

9

Table 3: Patient distribution by HIV status and time of HIV test

Category

HIV Test Time of HIV Test
Option Negative Positive Unknown Before Report

After Report

Male

51

56 0 97 9

Female

89 90 0 160

19

fig 2

Figure 2: Patient distribution by month of diagnosis

Table 4: Distribution of occupation among TB suspects in Nkhotakota (Malawi) in 2016

Farmer

68

Business

30

Housewife

20

Fisherman

10

Student

9

Teacher

4

Driver

4

Retired

3

Laborer

3

Drop Out

2

Health

2

Other

12

N/A

12

Total

179

Discussion

This is one of the studies done in a rural Malawian district to describe the characteristics of patients diagnosed with Tuberculosis. We noted several characteristics of tuberculosis patients that are necessary for patient management. Our study noted that majority of patients were male, and within the productive age group of 25-44. This finding is comparable to a similar study that was done in 2012. This study reported the largest proportion of patients to be between the ages of 25-34 [4]. This demographic distribution is extremely important. This is also the group that is highly hit by HIV with the prevalence ranging as high as 10.5% [3]. HIV weakens the immune system and predispose the affected individual to active tuberculosis disease. Indeed, the rate of HIV/TB co-infection has always been reported to be high in Malawi. In 2013, alone, 56% of tuberculosis patients were reported to have HIV [6]. The socio-economic impact of tuberculosis on this group can also not be undermined. This is the group that is supposed to be economically productive. Our findings also agree with national findings from the national tuberculosis prevalence survey, where majority of patients were males [4].

Our study also reveals majority of the patients have pulmonary tuberculosis. This is also in line with the national data, where nearly 65% of all TB patients had pulmonary TB [4]. The rate of transmission of pulmonary TB is higher as compared to other forms of TB. With the high prevalence, there is a need for strong surveillance systems, to actively trace all contacts and screen them for tuberculosis.

Our present study also demonstrates that majority of our patients had HIV and already knew their status before diagnosis. The timing of HIV diagnosis in relationship to the diagnosis of tuberculosis is important. TB is an opportunistic disease. The coming in of universal ART coverage has led to a decrease in number of notified cases of tuberculosis. If the prevalence of the disease among people living with HIV still remains high, it may be assumed that there is poor adherence to ART. The high levels of TB/HIV co-infection have prompted the government and various stakeholders to call for an integrated TB and HIV program at all levels of care to ensure widespread implementation of interventions which reduce the burden of TB among People Living with HIV (PLHIV) and those which reduce the burden of HIV among notified TB case.

Most of the cases in this study were newly diagnosed and preferred home treatment, especially men. While there were reports of treatment failure, most of the people were successfully treated. Directly observed treatment short course was introduced to ensure strict adherence to TB treatment, thereby reducing the number of cases of drug resistant TB. However, in this present study, only few men preferred hospital treatment. This may be explained by the partially poor health seeking behaviours among men, hence most of them don’t want to return to hospital. When the government declared tuberculosis an emergency in 2007, one of the campaigns was universal access to tuberculosis treatment. As a result of the declaration there have been campaigns to shift from centralized institutional DOTS services to more innovative ways of reaching out to all target population groups with quality assured diagnosis and care regardless of socio-economic status and geographical location [6].

Majority of the patients in this study were farmers, probably owing to the fact that most of them resides in rural areas were, farming forms part of day-to-day life. This is a group that is already economically struggling and living in poor households, with overcrowding conditions. This increases risk of transmission of the disease.

Conclusion

This present study clearly demonstrates that tuberculosis patient varies by age, gender, HIV status and TB Type. If the country is to achieve sustainable development goals and win the fight against HIV and Tuberculosis, there is a need for increased commitment and collaborative action across all stake holders. This also highlights for the need of an operational research within rural district hospitals. The integrated HIV/TB programs should be advocated for and closely monitored for its success. The high prevalence of pulmonary TB (smear positive) also calls for increased effort on infection control, in order to curb the spread of the disease. Lastly, ensuring strict adherence, either by direct observation or family empowerment would be necessary to reduce cases of drug resistant TB.

Declarations

Ethics Approval and Consent to Participate

The study didn’t require full review by the national ethics committee, as there was no direct involvement with patients.

However, a written ethical waiver was provided by the district research and ethics committee and permission was granted by the district medical officer to collect data at the facility. There was no direct involvement with patient.

Consent for Publication

Consent to publish this material was sought from the district health office and it was granted.

Availability of Data and Materials

The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.

Competing Interests

The authors declare that they have no competing interests

Funding

This study was partly funded by Clinical Research, Education and Management Services Ltd (CREAMS) under the student training package. The funding only covered data collection and analysis.

Acknowledgement

We would like to acknowledge CREAMS for financial help and also, we would like to acknowledge the management of Nkhotakota DHO for their unwavering support.

References

  1. Global tuberculosis report 2020 [Internet]. [cited 2023 Feb 5]. Available from: https://www.who.int/publications/i/item/9789240013131
  2. World Health Organization. (‎2018)‎. Global tuberculosis report 2018. World Health Organization. https://apps.who.int/iris/handle/10665/274453. License: CC BY-NC-SA 3.0 IGO
  3. Second population survey of HIV in Malawi summary report 2022. [internet]. [cited 2023 Feb 5. Available from: https://phia.icap.columbia.edu.
  4. Ministry of health of Malawi. National tuberculosis and leprosy control strategic plan 2021-2025. https://shorturl.at/afFK6
  5. Feldacker C, Tweya H, Keiser O, Weigel R, Kalulu M, et al. (2012) Al Characteristics of adults and children diagnosed with tuberculosis in Lilongwe, Malawi: findings from an integrated HIV/TB clinic. https://doi.org/10.1111/j.1365-3156.2012.03041.x
  6. National tuberculosis and leprosy control strategic plan 2021-2025 http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/200

The Effect of Sodium Humate on Some Carcass Parameters, Caecal Metabolites and Excretion in Broiler Chickens

DOI: 10.31038/NRFSJ.2024712

Abstract

In the experiment was studied the effect of the addition of sodium humate to feed mixtures on carcass characteristics, relative weight of organs, fermentation process in caecum and dropping quality. Overall, one hundred one-day-old broiler chicks were assigned in two equal groups. Birds of the experimental group were fed with diets supplemented with sodium humate (in amount 5 g.kg-1 during the first two weeks and 7 g.kg-1 from the 3rd to the 6th week). The experimental period lasted 6 weeks. The carcass yield and relative weights of the monitored internal organs were not statistically significantly affected compared to the control group. The addition of sodium humate led to an increase in the proportion of abdominal fat, significantly in cocks (P<0.05). The level of short-chain fatty acids (except for butyric acid) and the pH value in the caecum content were not significantly influenced by the addition of sodium humate. The content of butyric acid was significantly higher in the experimental group than in the control group (P˂0.05). The dry matter content of chicken droppings was not significantly affected, but the addition of sodium humate led to a significant decrease in the content of crude protein (P<0.01), which may contribute to reducing the environmental burden from poultry farms.

Keywords

Humic substances, Carcass yield, Caecal fermentation, Dropping quality, Poultry

Introduction

In recent years, interest in humic substances and their possible use in animal nutrition have increased in research. These are substances of natural origin occurring in rock sediments, peat, brown coal and lignite. Humic substances are products of chemical and biological degradation of dead plant and animal tissues. Humic acids, fulvic acids and humin are considered the main fractions of humic substances [1]. Humic acids form the highest quality fraction of humic substances [2]. The ability to bind ions is given by their polyanionic character [3]. Together with calcium and magnesium, they form calcium and magnesium humates that are insoluble in water, which affect the favorable technological properties of soils. With sodium and potassium, they form sodium and potassium humate, which are characterized by good solubility in water. They have the ability to bind a number of heavy metals (e.g. Cd, Pb, Zn, Hg), with which they form difficult-to-dissolve compounds and thus limit their movement in the soil and uptake by plants [4].

Nowadays, humic substances are used in agriculture (both in plant and animal production), in industry, in veterinary and human medicine, pharmacology and in the field of environmental protection. In plant production, they are mainly used as fertilizer in the form of humates [3]. Humic acids and their sodium salts are permitted for oral use in horses, ruminants, swine and poultry for the treatment of diarrhoea, dyspepsia and acute intoxications [5]. The results of various studies show that the addition of humic substances to diets or water can lead to an increase in the intensity of animal growth, to an improvement in feed conversion ratio, to a decrease in mortality [6-11], to increase carcass yield [6,12] and can also affect the chemical composition of the meat [13-15]. Their positive influence may consist in increasing the use of nutrients from the feed through the stabilization of the intestinal microflora [16,17] or through increasing the height of the villi of the intestinal mucosa, which leads to an increase in the absorption surface [6,7]. Their positive effects on animal immunity were also recorded [18-20]. However, it follows from the results of various studies that the influence of humic substances can be different depending on the composition and amount of administered humic substances, on the method of their application (in feed or water) or on the type of animals used.

The objective of this experiment was to study the influence of sodium humate on carcass characteristic, processes of digestive tract and dropping quality in broiler chicks.

Materials and Methods

Animals and Experimental Design

One hundred one-day-old unsexed chickens (ROSS 308) were included in the experiment, which were divided into two groups (n = 50) and placed on deep litter while observing standard environmental conditions. Lighting was continuous throughout the whole experimental period. The experiment was carried out in accredited stables of the Department of animal nutrition and husbandry at the University of Veterinary Medicine and Pharmacy in Košice in compliance with the EU regulations concerning the protection of experimental animals. The experiment was carried out with the consent of the institutional Animal Care and University Ethics Committee.

During the experiment, the chickens were fed with complete feed mixtures based on corn, wheat and soybean meal according to the growth phases: starter diet (1st-2nd week), grower diet (3rd-5th week), and finisher diet (6th week). No antibiotic growth promoters or anticoccidial drugs were used in the diets.

The first group designated as the control group, was without the addition of the monitored substances. In the second group, sodium humate (dry matter 84.8%, humic acids 63.2%, ash 36.9%) was added to the mentioned feed mixtures at the expense of wheat in the amount of 5 g.kg-1 of diet in the first phase and 7 g.kg-1 of diet in the second and third phase of fattening. Diets and drinking water were provided ad libitum over the whole experimental period. Composition of diets used in respective experimental periods is shown in Table 1.

Table 1: Composition of the experimental diets

 

Control group

Sodium humate group
Starter Grower Finisher Starter Grower

Finisher

Ingredients (g.kg-1)
Maize

435

500 500 435 500 500

Wheat

121 90 104 116 83

97

Soybean meal

360

330 310 360 330 310

Vegetable oil

40 40 50 40 40

50

Limestone

20

16 15 20 16 15

Vitamin-mineral premix

201 202 203 201 202

203

Lysine

4

4 1 4 4 1

Sodium humate

5 7

7

Chemical analysis
Dry matter (g)

897

900 894 898 897 906

Crude protein (g.kg-1 DM)

250 231 219 249 232

222

Crude fibre (g.kg-1 DM)

37

44 43 40 37 38

Crude ash (g.kg-1 DM)

82 67 66 74 66

69

Ether extract (g.kg-1 DM)

70

72 80 72 69 78

Calculated analysis

ME (MJ/kg DM)

13

13 14 13 13

14

DM: Dry Matter; ME: Metabolizable Energy
1Vitamin and Mineral premix (per kg): Ca 95 g, P 135 g, Na 75 g, Mg 5 g, DL-methionine 80 g, vit.A 600,000 IU, D3 135,000 IU, E 900 mg, K3 150 mg, panthotenic acid 600 mg, niacin 4000 mg, cholin chloride 20,000 mg, B6 150 mg, B12 900 μg, biotin 3000 μg, folic acid 76,000 μg, vit. C 2000 mg, Fe 1500 mg, Cu 500 mg, Zn 3000 mg, Mn 5000 mg, I 25 mg, Se 23 mg, Co 10 mg;
2Vitamin and Mineral premix (per kg): Ca 100 g, P 135 g, Na 75 g, Mg 5 g, DL-methionine 80 g, vit. A 425,000 IU, D3 84,000 IU, E 900 mg, K3 100 mg, pantotenic acid 420 mg, niacin 3400 mg, cholin chloride 14,200 mg, B6 100 mg, B12 640 μg, biotin 2150 μg, folic acid 54,500 μg, vit.C 1400 mg, Fe 1500 mg, Cu 500 mg, Zn 3000 mg, Mn 5000 mg, I 25 mg, Se 23 mg, Co 10 mg;
3Vitamin and Mineral premix (per kg): Ca 110 g, P 145 g, Na 75 g, Mg 9 g, DL-methionine 55 g, vit. A 370,000 IU, D3 135,000 IU, E 900 mg, K3 95 mg, panthotenic acid 370 mg, niacin 3880 mg, cholin chloride 14,000 mg, B6 95 mg, B12 560 μg, biotin 1850 μg , folic acid 47,000 μg, vit.C 1240 mg, Fe 1500 mg, Cu 500 mg, Zn 3000 mg, Mn 5000 mg, I 25 mg, Se 23 mg, Co 10 mg.

Sampling and Measurements

Internal organs (liver, heart, spleen, bursa of Fabricius, and pancreas) were obtained on the 14th and 35th days of the experiment from eight chickens from each group after they were weighed and killed. The relative weight of internal organs is expressed as a percentage of the live body weight of chickens. On the 35th day of the experiment, the contents of the caecum were obtained from seven chickens from each group, in which the pH and concentration of short-chain fatty acids (acetic, propionic, butyric, and lactic acid) were determined. The pH value of caecum contents was determined by pH-meter (Consort C830, Belgium). The concentration of short-chain fatty acids was analysed by isotachophoresis using a two-capillary isotachophoretic analyser (EA100, VILLA LABECO, Slovak Republic).

The faeces were collected thrice a day every day during the second and fifth week. The collection of faeces from random chickens in each group was made on clean solid base immediately after excretion to eliminate any contamination with raw feed or feathers. Composite samples from each group in appropriate amounts were frozen and kept at-18 °C until analysis for dry matter and crude protein content.

At the end of the trial (42nd day), the birds were left for 10-12 h without feed, weighed and slaughtered, processed by decapitation, neck, feathers and feet removal and evisceration. Twenty birds per group (ten from each sex) were used for evaluation of carcass yield and abdominal fat pad (percentage carcass weight). The carcass yield is expressed as a percentage of the carcass weight from the body weight before slaughter.

The chemical compositions of the diets and faeces were determined analytical methods according to the EC Commission Regulation 152/2009 [21].

Statistical Analysis

Statistical evaluation of the effects of sodium humate on monitored parameters was done by unpaired t-test with the statistical software GraphPad Prism 8.0. For all statistical calculations, the significance was considered as a value of P < 0.05. Data are presented as means ± standard error of means (SEM).

Results and Discussion

The carcass yield of broiler chickens was not statistically significantly affected by the addition of sodium humate to feed mixtures (Table 2). These results agree with the results of other studies in which the effect of humic substances was observed in chickens [22-24] and quails [25]. El-Husseiny et al. [26] reported opposite results in their experiment, where the carcass yield of chickens that received a feed mixture with the addition of humic substances in a concentration of 0.25 and 0.125% was significantly higher than in the group without the addition of humic substances. A significantly higher carcass yield was also recorded in broiler chickens that were fed feed with the addition of humic acids in 0.6% concentration [12].

Table 2: Effect of sodium humate on carcass yield and abdominal fat pad

Treatments

Carcass yield

(%)

Abdominal fat

(%)

Female
Control

74.02

2.03

Sodium humate

73.71

2.22

SEM

0.297

0.148

P-value

0.624

0.534

Male
Control

73.74

1.38a

Sodium humate

73.57

2.09b

SEM

0.278

0.154

P-value

0.769

0.016

SEM: Pooled standard error of the mean
Values marked with a different superscript in the same column are statistically significantly different (abP < 0.05).

A higher percentage of abdominal fat was recorded in the sodium humate-supplemented group than in the control group (Table 2). A statistically significant difference was found in cocks (P < 0.05). Ozturk et al. [27] also noted an increase in abdominal fat under the influence of humic substances in broiler chickens.

The results of present study are not in agreement with the findings of El-Husseiny et al. [26], who reported that the addition of humates to feed can lead to a reduction in abdominal fat in broiler chickens. A decrease in the percentage of abdominal fat due to the addition of humic substances to the feed was also recorded in Japanese quail [6].

The relative weight of the internal organs was not statistically significantly affected by the addition of the monitored substance compared to the control group (Table 3).

Table 3: Effect of sodium humate on relative weight of some internal organs

Treatments

Liver

(%)

Heart

(%)

Spleen

(%)

Bursa of Fabricius

(%)

Pancreas

(%)

On the 14th day
Control

3.493

0.681 0.066 0.226 0.389

Sodium humate

3.493 0.745 0.061 0.257

0.395

SEM

0.076

0.017 0.003 0.011 0.024

P-value

0.999 0.062 0.451 0.172

0.906

On the 35th day
Control

2.015

0.588 0.099 0.266 0.210

Sodium humate

2.079 0.538 0.087 0.258

0.204

SEM

0.082

0.025 0.004 0.016 0.009

P-value

0.711 0.336 0.150 0.819

0.763

SEM: Pooled standard error of the mean

Similar results were recorded by Karaoglu et al. [22], Kaya and Tuncer [23] and Arif et al. [9]. Likewise, Rath et al. [28] reported no changes in the relative weights of heart, liver and spleen in broiler roosters receiving humic acid-enriched feed at 1.0 and 2.5% concentration compared to the control group, but the weight of the bursa of Fabricius was significantly higher in the group with 2.5% concentration of humic acid. This indicates a positive immunostimulating effect of humic acids. ELnaggar and El-Kelawy [10] also noted the enlargement of the bursa of Fabricius due to humic acids.

On the other hand, Abdel-Mageed [6], who investigated the effect of supplementing humic substances in the diet of Japanese quail, noted a significant increase in the relative weight of the liver.

Short-chain fatty acids produced by microbial fermentation of carbohydrates in the gastrointestinal tract are beneficial for the animal. They are used by the host organism as a source of energy, and their presence in the digestive tract leads to a decrease in pH of the intestinal content, which can inhibit pathogenic bacteria and can accelerate the proliferation of intestinal epithelial cells [29].

Feeding sodium humate in the concentration used had no significant effect on the concentration of acetic, propionic and lactic acid in the contents of the caecum (Table 4). However, the content of butyric acid, which has a positive effect on the growth of epithelial cells in the gastrointestinal tract [30], was significantly higher in the experimental group than in the control group (P ˂ 0.05). The pH value of the caecum content was not significantly affected.

Table 4: Effect of sodium humate on pH and concentration of short-chain fatty acids in the caecum content

Treatments

pH Acetic acid Propionic acid Butyric acid Lactic acid
(mmol.L-1) (mmol.L-1) (mmol.L-1)

(mmol.L-1)

Control

6.93

145.95 27.22 8.78a 29.18

Sodium humate

6.75 145.00 20.82 12.89b

35.50

SEM

0.056

4.713 1.943 0.936 2.866

P-value

0.099 0.925 0.101 0.021

0.287

SEM: Pooled standard error of the mean
Values marked with a different superscript in the same column are statistically significantly different (abP < 0.05).

Our results are partly consistent with the results reported in the study by Shermer et al. [31]. The addition of humate in amounts of 5 and 10 g.kg-1 of the feed mixture had no significant effect on the concentration of acetic, propionic, isobutyric, isovaleric, valeric as well as butyric acid in the content of the caecum of broiler chickens. Similar results were recorded in broiler chickens that were given diets with the addition of natural humic substances in amounts of 5 and 7 g.kg-1 [32].

The dry matter content in chicken droppings was not significantly affected by the addition of sodium humate (Figure 1a). Although in the second week of the experiment a slightly higher content of crude protein in chicken droppings was detected in the experimental group (Figure 1b), in the fifth week a significantly lower crude protein content was recorded in this group than in the control group (P < 0.01).

fig 1

Figure 1: Effect of sodium humate on content of (a) dry matter and (b) crude protein in droppings (abP < 0.01)

We also recorded similar results in our earlier study, in which we investigated the use of natural humic substances in the fattening of broiler chickens [32]. This significant reduction in the content of nitrogenous substances in chicken droppings indicates a better utilization of nitrogenous substances from the feed. This leads to the decrease of volatile ammonia emerging by microbial fermentation in the litter. A higher concentration of ammonia in the air of stud areas negatively affects health and performance of animals as well as health of farm staff [33].

Conclusion

The carcass yield and relative weights of the observed internal organs were not significantly affected by the addition of sodium humate to the diets. However, a higher proportion of abdominal fat was recorded in the experimental group than in the control group (significantly in cocks), significantly higher the content of butyric acid in the contents of the caecum and significantly lower content of crude protein in chicken droppings. The significant decrease in the content of crude protein in the dry matter of chicken droppings indicate that sodium humate can contribute to reducing the burden on the environment from poultry farms.

Acknowledgment

This work was supported by Slovak project VEGA No. 1/0402/20.

References

  1. Stevenson FJ (1994) Humus Chemistry: Genesis, Composition, Reactions. Wiley-Inter-Science: New York, NY, USA. 34-41.
  2. Islam KMS, Schuhmacher A, Gropp J M (2005) Humic acid substances in animal agriculture. Pakistan Journal of Nutrition 4: 126-134.
  3. Veselá L, Kubal M, Kozler J, Innemanová P (2005) Structure and properties of natural humic substances of the oxyhumolite type. Chemické listy 99: 711-717.
  4. Vrba V, Huleš L (2006) Humus-soil-plant (2) Humus and soil. cz, Available from https://biom.cz/cz/odborne-clanky/humus-puda-rostlina-2-humus-a-puda (Last modified November 14, 2006), ISSN: 1801-2655 (in Czech).
  5. EMEA (1999) Committee for veterinary medicinal products. Humic acids and their sodium salts. Available from emea.eu.int/pdfs/vet/mrls/055499en.pdf (Last modified April 21, 2008. Accessed February 1999).
  6. Abdel-Mageed MAA (2012) Effect of dietary humic substances supplementation on performance and immunity of Japanese quail. Egyptian Poultry Science Journal 32: 645-660.
  7. Taklimi SMS, Ghahri H, Isakan MA (2012) Influence of different levels of humic acid and esterified glucomannan on growth performance and intestinal morphology of broiler chickens. Agricultural Sciences 3: 663-668.
  8. Mirnawati YR, Marlida Y (2013) Effects of humic acid addition via drinking water on the performance of broilers fed diets containing fermented and non-fermented palm kernel cake. Archiva Zootechnica 16: 41-53.
  9. Arif M, Rehman A, Saeed M, Abd El-Hack MZ, Arain MA, et al. (2016) Impacts of dietary humic acid supplementation on growth performance, some blood metabolites and carcass traits of broiler chicks. Indian Journal of Animal Sciences 86: 1073-1078.
  10. ELnaggar AS, El-Kelawy MI (2018) Effect of humic acid supplementation on productive performance, blood constituents, immune response and carcass characteristics of sasso chicken. Egyptian Journal of Animal Production 55: 75-84.
  11. Hammod AJ, Zeny ZAH, Mahdi AS, Alfertosi KA (2021) Probiotic and humic acid as feed additives and their effects on productive and economic traits of broiler. Indian Journal of Ecology 48: 35-37.
  12. Marcinčáková D, Mačanga J, Nagy J, Marcinčák S, Popelka P, et al. (2015) Effect of supplementation of the diet with humic acids on growth performance and carcass yield of broilers. Folia Veterinaria 59: 165-168.
  13. Ozturk E, Ocak N, Coskun I, Turhan S, Erener G (2010) Effects of humic substances supplementation provided through drinking water on performance, carcass traits and meat quality of broilers. Journal of Animal Physiology and Animal Nutrition 94: 78-85. [crossref]
  14. Semjon B, Marcinčáková D, Koréneková B, Bartkovský M, Nagy J, et al. (2020) Multiple factorial analysis of physicochemical and organoleptic properties of breast and thigh meat of broilers fed a diet supplemented with humic substances. Poultry Science 99: 1750-1760. [crossref]
  15. Gálik B, Hrnčár C, Gašparovič M, Rolinec M, Hanušovský O, et al. (2023) The effect of humic substances on the meat quality in the fattening of farm pheasants (Phasianus colchicus). Agriculture 13: 295.
  16. Agboola AF, Omidiwura BRO, Amole AO, Olanrewaju OA, Adeniran YE (2021) Influence of humic acid supplemented diets on intestinal microbiome and laying performance of egg-type chicken. Nigerian Journal of Animal Production 48: 276-286.
  17. Omidiwura BRA, Olajide OC, Olaniyan OS (2022) Potentials of pepper elder (Peperomia pellucida) and humic acid as feed additives in noiler chicken production. Nigerian Journal of Animal Production 49: 86-94.
  18. Mudroňová D, Karaffová V, Pešulová T, Koščová J, Maruščáková IC, et al. (2020) The effect of humic substances on gut microbiota and immune response of broilers. Food and Agricultural Immunology 31: 137-149.
  19. Mudroňová D, Karaffová V, Semjon B, Naď P, Koščová J, et al. (2021) Effects of dietary supplementation of humic substances on production parameters, immune status and gut microbiota of laying hens. Agriculture 11: 744.
  20. Bujňák L, Hreško Šamudovská A, Mudroňová D, Naď P, Marcinčák S, et al. (2023) The effect of dietary humic substances on cellular immunity and blood characteristics in piglets. Agriculture 13: 636.
  21. European Commission. Commission Regulation (EC) No 152/2009 of 27 January 2009 laying down the methods of sampling and analysis for the official control of feed. Off. J. Eur. Union 54: 1-130.
  22. Karaoglu M, Macit M, Esenbuga N, Durdag H, Turgut L, Bilgin ÖC (2004) Effect of supplemental humate at different levels on the growth performance, slaughter and carcass traits of broilers. International Journal of Poultry Science 3: 406-410.
  23. Kaya CA, Tuncer SD (2009) The effects of humates on fattening performance, carcass quality and some blood parameters of broilers. Journal of Animal and Veterinary Advances 8: 281-284.
  24. Jaďuttová I, Marcinčáková D, Bartkovský M, Semjon B, Harčárová M, et al. (2019) The effect of dietary humic substances on the fattening performance, carcass yield, blood biochemistry parameters and bone mineral profile of broiler chickens. Acta Veterinaria Brno 88: 307-313. [crossref]
  25. Sahin T, Aksu Elmali D, Kaya I, Sari M, Kaya O (2011) The effect of single and combined use of probiotic and humate in quail (Coturnix coturnix Japonica) diet on fatttening performance and carcass parameters. Kafkas Üniversitesi Veteriner Fakültesi Dergisi 17: 1-5.
  26. El-Husseiny OM, Abdallah AG, Abdel-Latif KO (2008) The influence of biological feed additives on broiler performance. International Journal of Poultry Science 7: 862-871.
  27. Ozturk E, Ocak N, Turan A, Erener G, Altop A, Cankaya S (2012) Performance, carcass, gastrointestinal tract and meat quality traits, and selected blood parameters of broilers fed diets supplemented with humic substances. Journal of the Science of Food and Agriculture 92: 59-65. [crossref]
  28. Rath NC, Huff WE, Huff GR (2006) Effects of humic acid on broiler chickens. Poultry Science 85: 410-414.
  29. Van der Wielen PW, Biesterveld S, Notermans S, Hofstra H, Urlings BA, et al. (2000) Role of volatine fatty acids in development of the cecal microflora in broiler chickens during growth. Applied and Environmental Microbiology 66: 2536-2540. [crossref]
  30. Canani RB, Di Costanzo M, Leone L (2012) The epigenetic effects of butyrate: potential therapeutic implications for clinical practice. Clinical Epigenetics 4: 1-7. [crossref]
  31. Shermer CL, Maciorowski KG, Bailey CA, Byers FM, Ricke SC (1998) Caecal metabolites and microbial populations in chickens consuming diets containing a mined humate compound. Journal of the Science of Food and Agriculture 77: 479-486.
  32. Hreško Šamudovská A, Bujňák L, Zigo F (2022) Carcass characteristic, caecal metabolites and dropping quality in broiler chickens fed diets containing a humic substances. Asian Journal of Agriculture and Food Sciences 10: 133-138.
  33. Abd El-Hakim AS, Cherian G, Ali MN (2009) Use of organic acid, herbs and their combination to improve the utilization of commercial low protein broiler diets. International Journal of Poultry Science 8: 14-20.

What Makes ‘Healthful Food’ vs. A ‘Food Healthful’: Using AI to Coach People to Ask Good Questions

DOI: 10.31038/NRFSJ.2024711

Abstract

This paper addresses the emerging opportunity to learn how to ask better questions, and think critically using an AI based tool, Idea Coach. The tool allows the user to define the topic, as well as specify the nature of the question though an easy-to-use interface (www.BimiLeap.com). The tool permits the user to change the topic slightly and discover the changes in the questions which then emerge. Idea Coach provides sets of 15 topic questions per iteration, along with summarizing the themes inherent in the questions, and suggests innovations based on the questions. The paper illustrates the output of the Idea Coach for four similar phrase describing food: Healthful food; Healthy Food; Good for Health; Health Food, respectively. The output, produced in a matter of minutes, provides the user with a Socratic-type tutor to teach concepts and drive research efforts.

Introduction-thinking Critically and the Importance of Asking Good Questions

A look through the literature of critical thinking reveals an increasing recognition of its importance, as well as alternative ways of how to achieve it [1,2]. It should not come as a surprise that educators are concerned about the seeming diminution of critical thinking [3,4]. Some of that diminution can be traced to the sheer attractiveness of the small screen, the personal phone or laptop, which can provide hours of entertainment. Some of the problem may be due to the effort to have people score well on standardized tests, a problem that the late Professor Banesh Hoffmann of Queens College recognized six decades ago in his pathbreaking book, The Tyranny of Testing, first published in the early 1960’s [5].

That was then, the past. Given today’s technology, the ability to tap into AI, artificial intelligence, the availability of information at one’s fingertips, the ability to scan hordes of documents on the internet, what are the next steps?. And can the next steps be created so that they can serve the purposes of serious inquiry, e.g., social policy on the one hand, science on the other, designed for students as well as for senior users? When the next steps can be used by students, they end up generating a qualitative improvement in education.

Previous papers in this ‘series’, papers appearing in various journals, have presented a systematized approach to ‘understanding’ how people think. The approach, originally called IdeaMap and then RDE (Rule Developing Experimentation), and now finally Mind Genomics, focused on creating a framework which required users to create four questions, each with four answers [6]. The actual process was to have the user create a study name, come up with the four ‘questions which tell a story’, and then for each question come up with four stand-alone-answers, phrases. The actual process was to mix these standard alone answers (called elements), present the combinations of answers (vignettes), instruct the respondent (survey participant) to rate the vignette on a defined rating scale, one vignette at a time, and then analyze the data to link the elements to the ratings. Figure 1 shows the process.

fig 1

Figure 1: The first steps in the Mind Genomics process. Panel A shows the creation of a study, including the name. Panel B shows the request for four questions which ‘tell a story.’

This exercise, introduced thirty years ago in the early version called IdeaMap® ended up revealing the difficulties experienced with asking good questions. The users of IdeaMap® comprised professionals at market research companies scattered around the world. These users were familiar with surveys, had no problems asking questions, but needed ‘coaching’ on creating questions which ‘told a story’.

As IdeaMap® grew, it became increasingly obvious that many users wanted to create a version of surveys. Users were comfortable with surveys. The requirement for a survey was to identify the different key areas of a topic and instruct the survey-taker to rate each topic using a set of questions prepared by the user. Expertise was demonstrated in the topics that the user selected, the instructions to the survey taker, and occasionally in the analysis. The user who discovered a new subtopic, e.g., one corresponding to a trend, could make an impression simply by surveying that new topic. Others prided themselves on the ability to run surveys which were demonstrably of lower bias and bias-free, or at least pontificated on the need to reduce bias. Still others were able to show different types of scales, and often times novel types of analyses of the results [7]. What was missing, however, was a deeper way to think about the problem, one which provided a new level of understanding.

The Contribution, or Rather the ‘Nudge’ Generated by the User Experience in Mind Genomics

The first task of the researcher after setting up the study is to create the four questions (Figure 1). It is at this step that many researchers become dismayed, distressed, and demotivated. Our education teaches us to answer questions. Standardized scores are based on the performance, viz.., right versus wrong. There is the implicit bias that progress is measured by the number of right answers. The motto ‘no child left behind’ often points to the implicit success of children on these standardized tests. There is no such similar statement such as ‘all children will think critically.’ And, most likely were that to be a motto, it would be laughed at, and perhaps prosecuted because it points to the inequality of point. We don’t think of teaching children to think critically as being a major criterion for advancing them into their education.

The introduction of Mind Genomics into the world of research and then into the world of education by working with young children revealed the very simplicity of teaching critical thinking, albeit in a way which was experiential and adult oriented [6]. Early work with very bright students showed that a few of them could understand how to provide ideas for Mind Genomics, and with coaching could even develop new ideas such as the reasons for WWI or what it was like to be a teenagers in the days of ancient Greece. These efforts, difficult as they were, revealed that with coaching and with a motivated young person one could get the person to think in terms of sequence of topics which related a story.

It was clear from a variety of studies that there was a connection between the ability to use the Mind Genomics platform and the ability to think. Those who were able to come up with a set of questions and then four answers to each question seemed to be quite smart. There were also students who were known to be ‘smart’ in their everyday work, but who were experiencing one or another difficulty while trying to come up with ideas. These frustrated respondents did not push forward with the study. Indeed, many of the putative users of Mind Genomics gave up in frustration, simply abandoning the process. Often they requested that the Mind Genomics process should provide them with the four questions. The answers were never an issue with these individuals, only the questions.

The response to the request for questions ended up being filled by the widespread introduction of affordable and usable AI, in the form of Chat GPT [8]. The inspiration came from the realization that were the questions to be presented to Chat GPT in a standardized form, with the user able to add individuating verbiage it might well be possible to create a ‘tutor’ which could help the user. And so was born Idea Coach, in the early months of 2023, shortly after the widely heralded introduction of Chat GPT to what turned out to be a wildly receptive audience of users.

The early approach of Idea Coach was to allow the user to type in the request for questions, at which point the Idea Coach would return with 30 questions. The sheer volume of putative questions was soon overwhelming, an embarrassment of riches. It was impossible for the user to read the questions and make a selection. Eventually the system was fixed to generate 15 questions rather than 30, to record the questions for later presentation to the user, to allow the user to select questions and re-rerun the effort, or even to edit the questions. Figure 2 shows an example of the request to the Idea Coach, and the return o f a set of questions, along with the hance to select 1-4, or to rerun or to edit the requests and rerun.

fig 2

Figure 2: Screen shots showing the location where the user types in the ‘squib’, viz the prompt (Panel A), and some questions which emerge from an iteration using that prompt.

The ultimate use of the Idea Coach turned out to be a massive simplification in the use of the Mind Genomics program, BimiLeap (Big Mind Learning App), along with the welcome acceptance by school age students who found it easy, and ‘fun’ [9-11]. The effort to create the Idea Coach along with mentoring the young students make it possible for them to do studies, at first guided, and then later on their own. Later on, the Idea Coach would end up providing answers to the questions, with the AI provided the text to the AI in the form of the actual question.

Moving Beyond the Research Process into What Idea Coach Actually Can Contribute

The initial experiences with Idea Coach were confined to setting up the raw material for the Mind Genomics process, namely the specification of the four questions, and then for each question the specification of the four answers. The earliest inkling of the power of Idea Coach to help critical thinking emerged from meetings with two young researchers, both of school age. It was during the effort to set up studies that they asked to run the Idea Coach several times. It was watching their faces which revealed the emerging opportunity. Rather than focusing on the ‘task’, these young school children seemed to enjoy reading the answers, at least for two, sometimes three iterations. They would read the answers and then press re-run, just to see what changed, what new ideas. It was then that the notion f using Idea Coach as a Socratic tutor emerged, a tutor which would create a book of questions about a topic.

Not every user was interested in using the Idea Coach to provide sets of questions for a topic, but there were some. Those who were interested ended up going through the question development process about two or three times, and then moved on, either to set up the study, or in cases of demonstration to other topics outside of the actual experience.

Over time, the Idea Coach was expanded twice, first to give answers as well as to suggest questions, and then to provide am Excel book of all efforts to create questions, and to create answers, each effort generating a separate tab in the Excel book. After the questions and answers had been registered in the study, and even before the user continued with the remaining parts of the set-up (viz., self-profiling classification questions, respondent orientation, scale for the evaluation) the Idea Coach produced a complete ‘idea book.’ The idea book comprised the one page for each iteration, whether question or answer, and then a series of AI-generated summarizations, listed below.

  1. Actual set of 15 questions
  2. Key Ideas
  3. Themes
  4. Perspectives
  5. What is missing
  6. Alternative Viewpoints
  7. Interested Audiences
  8. Opposing Audiences
  9. Innovations

The objective of the summarization was to make Idea Coach into a real Socratic tutor which asked questions, but also a provider of different points of view extractable from the set of 15 questions or 15 answers on a single Excel tab. That is, the Idea Coach evolved into a teaching tool, the basic goal to help the user come up with questions, but the unintended consequence being the creation of a system to educate the user on a topic in a way that could not be easily done otherwise.

The ‘time dimension’ of the process is worth noting before the paper shows the key results for the overarching topic of ‘health + food’. The creation of the squib to develop the questions requires about 2-3 minutes, once the user understands what to do. Each return of the 15 questions requires about 10-15 seconds. The editing of the squib to create a new question requires about a minute. Finally, the results are returned after the user completes the selection of four questions and the selection of four answers for each. A reasonable size Excel-based Idea book with about 30 total pages, questions, answers, AI summarization, in finished form thus emerges within 25-30 minutes. It is important to note that some of the questions will repeat, and there will overlaps from iteration to iteration. Even so, the Idea Coach, beginning at it did to ameliorate the problem of frustration and lack of knowledge ended up being a unique teaching guide, truly a Socrates with a PhD level degree. The correctness of information emerging is not relevant. What is relevant is the highlight of ideas and themes for the user to explore.

How Expressions of the Idea of ‘Health’ Generate Different Key Ideas and Suggested Innovations

Food and health are becoming inseparable, joined together at many levels. It is not the case that food is the same as health, except for some individuals who conflate the two. Yet it is obvious that there exists a real-world, albeit complex between what we eat and how healthy we are. These connections manifest themselves in different ways, whether simply the co-variation of food and health [9], the decisions we make about food choice [12,13], our immediate thoughts about what makes a food healthy or healthful [14], and finally but not least, how we respond behaviorally and attitudinally to claims made by advertisers and information provided by manufacturers [15,16].

The notion of critical thinking emerged as a way to investigate the differences in the way people use common terms to describe food and health. After many discussions about the topic, it became increasingly obvious that people bandied about terms conjoining health and food in many ways. The discussions failed to reveal systematic differences. The question then emerged as to whether critical thinking powered by AI could generate clear patterns of difference in language when different expressions about food and health were used as the starting points. In simple terms, the question became simply like ‘do we see differences when we talk a healthful food versus a health food?’

What Makes a Food HEALTHFUL?

The first phrase investigated about foods and health is ‘What makes a food HEALTHFUL?’ The focus is on the word ‘healthful’ to express the main idea Table 1 shows the question as presented in the squib, the 15 key ideas which emerge, an AI summarization of the key ideas by the new AI program, QuillBot [8,17] and finally suggested innovations based on the ideas. The bottom line for HEALTHFUL is that the output ends up providing a short but focused study guide to the topic created by the interests of the user, open to being enhanced by the user at will, and in reality, in minute.

Table 1: AI results regarding the phrase ‘What makes a food healthful?’ The table is taken directly from the outputs of Idea Coach (key ideas, innovations) and from Quillbot®.

table 1

What Makes a Food HEALTHY?

The second phrase investigated about foods and health is ‘What makes a food HEALTHY? The terms ‘healthy’ and ‘healthful’ are used interchangeably in modern usage, although there is a subtle but profound difference. The word ‘healthful’ refers to the effect that the food has on a third party, such as a person. The word ‘healthy’ refers to the food itself, as if the food were the third party. It is precisely this type of thinking, which is part of the world of critical thinking, although the issue might go further to deal with the different implications of these two words.

The reality of the differences between healthful and healthy is suggested by Table 2, but not strongly. Table 2 again suggests a many-dimensional world of ideas surrounding the word ‘healthy’ when combined with the food. There is once again the reference to the food itself, as well as to the person. The key difference seems to be ‘morphological’, viz., the format of the output of AI. In Table 1 the key ideas were so numerous that the key ideas themselves generated different aspects to each idea. In contrast, Table 2 shows a far sparser result.

One clear opportunity for teaching critical thinking now emerges. That opportunity is to discuss the foregoing observation about the different morphologies of the answers, the reasons which might underly the reasons, and the type of ideas and innovations which emerge.

Table 2: AI results regarding the phrase ‘What makes a food healthy?’ The table is taken directly from the outputs of Idea Coach (key ideas, innovations) and from Quillbot®.

tab 2

Table 3: AI results regarding the phrase ‘What makes a good for health?’ The table is taken directly from the outputs of Idea Coach (key ideas, innovations) and from Quillbot®.

tab 3(1)

tab 3(2)

What Makes a HEALTH FOOD?

The fourth and final phrase investigated is ‘Health Food’. Table 4 shows the results emerging from the AI analysis. Once again AI returns with relatively simple ideas.

Table 4: AI results regarding the phrase ‘What makes a health food?’ The table is taken directly from the outputs of Idea Coach (key ideas, innovations) and from Quillbot®.

tab 4

1. Meal delivery services that focus on providing healthy, balanced meals with optimal nutritional profiles.
2. Cooking classes or workshops that teach individuals how to cook using healthy ingredients and techniques.
3. Apps or websites that provide information on the nutritional content and ingredients of commonly consumed foods and beverages.
4. Nutritional labeling on restaurant menus to make it easier for individuals to make healthier choices when dining out.
5. Community gardens or urban farming initiatives that promote access to fresh, organic produce in urban areas.
6. Policies and regulations that require food manufacturers to disclose the amount of added sugars in their products.
7. Nutrient-dense food products or snacks that provide essential vitamins, minerals, and protein in a convenient and portable form.
8. Schools implementing nutrition education programs that teach children about the importance of healthy eating and the impact of food choices on their overall health.
9. Digital health platforms or apps that offer personalized nutrition plans based on an individual’s specific nutrient needs and goals.
10. Food labeling systems that use color-coded labels or symbols to indicate the nutritional quality of a product, making it easier for consumers to make healthier choices.

Discussion and Conclusions

The objective of this study is to explore the different ways of learning how to ask questions. A great deal of today’s research follows the path of the so-called ‘hypothetico-deductive’ system. The researcher begins with a hypothesis and runs an experiment to confirm or disconfirm that hypothesis, viz., to falsify if possible. The focus is often on the deep thinking to link the hypothesis to the experiment, then to analyze the results in a way which provides a valid answer [18]. The vast majority of papers in the literature begin with this approach, with the actual science focusing on the ability to test the hypothesis, and maybe add that hypothesis to our knowledge, a task often colloquially called ‘plugging holes in the literature.’

Mind Genomics, an emerging approach to the issues of everyday life, does not begin with hypothesis, and does not the scientific logic of Popper, and the notion of hypothesis drive research. Instead, Mind Genomics begins as an explorer or cartographer might begin, looking for relations among variables, looking for regularities in nature, without however any underlying hypothesis about how nature ‘works’. As a consequence, the typical experiment in Mind Genomics begins by an interesting conjecture about what might be going on in the mind of a person regarding a topic. The outcome of a set of Mind Genomics experiments ends up being an aggregate of snapshots of how people think about different topics, this collection of snapshots put into a database for others to explore and summarize.

With the foregoing in mind, the topic of coming up with interesting questions becomes a key issue in Mind Genomics. If the approach is stated simply as ‘asking questions, and getting answers to these questions’, with no direct theory to guide the question, then in the absence of theory how the system can move forward? The science of Mind Genomics is limited to the questions that people can ask. How can we enable people to ask better questions, to explore different areas of a topic with their questions. And in such a way expand this science based on question and answer.

Acknowledgment

Many of the ideas presented in this paper have been taken from the pioneering work of the late Professor Anthony G. Oettinger of Harvard University, albeit after a rumination period going on to almost 60 years [19].

References

  1. Chin C, Brown DE (2002) Student-generated questions: A meaningful aspect of learning in science. International Journal of Science Education 24: 521-549.
  2. Washburne JN (1929) The use of questions in social science material. Journal of Educational Psychology 20: 321-359.
  3. Huitt W (1998) Critical thinking: An overview. Educational Psychology Interactive 3: 34-50.
  4. Willingham DT (2007) Critical thinking: Why it is so hard to teach? American Federation of Teachers Summer 2007: 8-19.
  5. Hoffmann B, Barzun J (2003) The tyranny of testing. Courier Corporation.
  6. Moskowitz HR (2012) Mind Genomics’: The experimental, inductive science of the ordinary, and its application to aspects of food and feeding. Physiology and Behavior 107: 606-613. [crossref]
  7. Slattery EL, Voelker CC, Nussenbaum B, Rich JT, Paniello RC, et al. (2011) A practical guide to surveys and questionnaires. Otolaryngology–Head and Neck Surgery 144: 831-837.
  8. Fitria TN (2021) QuillBot as an online tool: Students’ alternative in paraphrasing and rewriting of English writing. Englisia: Journal of Language, Education, and Humanities 9: 183-196.
  9. Kornstein B, Rappaport, SD, Moskowitz H (2023a) Communication styles regarding child obesity: Investigation of a health and communication issue by a high school student researcher using Mind Genomics and artificial intelligence. Mind Genomics Studies in Psychology Experience 3: 1-14.
  10. Kornstein B, Deitel Y, Rapapport SD, Kornstein H, Moskowitz H (2023b) Accelerating and expanding knowledge of the everyday through Mind Genomics: Teaching high school students about health eating and living. Acta Scientific Nutritional Health 7: 5-22.
  11. Mendoza CL, Mendoza CI, Rappaport S, Deitel J, Moskowitz H (2023) Empowering young people to become researchers: What do people think about the different factors involved when shopping for food? Nutrition Research and Food Science Journal 6: 1-9.
  12. Caplan P (2013) Food, health and identity. Routledge.
  13. Rao M, Afshin A, Singh G, Mozaffarian D (2013) Do healthier foods and diet patterns cost more than less healthy options? A systematic review and meta-analysis. BMJ open 3: p.e004277. [crossref]
  14. Monteiro CA (2009) Nutrition and health. The issue is not food, nor nutrients, so much as processing. Public Health Nutrition 12: 729-731. [crossref]
  15. Bouwman LI, Molder H, Koelen MM, Van Woerkum CM (2009) I eat healthfully but I am not a freak. Consumers’ everyday life perspective on healthful eating. Appetite 53: 390-398. [crossref]
  16. Nocella G, Kennedy O (2012) Food health claims–What consumers understand. Food Policy 37: 571-580.
  17. Ellerton W (2023) The human and machine: OpenAI, ChatGPT, Quillbot, Grammarly, Google, Google Docs, & humans. Visible Language 57: 38-52.
  18. Kalinowski ST, Pelakh A (2023) A hypothetico-deductive theory of science and learning. Journal of Research in Science Teaching.
  19. Bossert WJ, Oettinger AG (1973) The integration of course content, technology and institutional setting. A three-year report. 31 May 1973. Project TACT, Technological Aids to Creative Thought.

Women-Led Climate Change Solution Satellites: A Key Contributor to Social and Economic Empowerment of Women in Uganda

DOI: 10.31038/AWHC.2024711

Abstract

Background: Climate change poses a significant threat to communities across the globe. Whereas low and middle income countries contribute the least to this problem, they are often most affected by the consequences. In addition, women are often disproportionately affected by climate change-related occurrences. To address these issues, Women Climate Centers International (WCCI) Uganda initiated a project to empower women through the promotion of climate change solution enterprises in Uganda. The purpose of this research was to establish the impact of this approach on women social and economic empowerment and quality of life.

Methods: The study employed a cross-sectional approach, collecting both quantitative and qualitative data among 96 women purposively selected for their involvement in WCCI climate-smart enterprises in Uganda. A digitized structured questionnaire was used to gather quantitative data while a structured Focus Group Discussion (FGD) guide were used to aid qualitative data collection. The quantitative data was analyzed statistically using Stata version 15 to provide descriptive and statistics while Atlas ti9 was used to thematically analyze the qualitative data after transcribing of audios recorded during the interviews.

Results: About 38% (36/96) of the women make briquettes, 51% (49/96) make soap and 95.8% (92/96) are generating income from the enterprises. More than half 59.4% (57/96) of the women are confident in running their businesses sustainably while 38.5% (37/96) had trained 4-5 community women each, with the knowledge obtained from the satellites. Over 62% (59/96) of women strongly agreed to an improved sense of belonging within their community, 94.8% (91/96) noticed an improvement in their community engagement and collaboration while 63.5% (61/96) strongly agreed to better treatment from family and neighborhood. Conversely, 22.9% (22/96) of the women had ever experienced intimate or gender-based violence in their life, half of these had experienced it in the previous six months, but only 18.2% (2/11) would attribute their recent experience to engaging in entrepreneurship under WCCI. Economically, 57.3% (55/96) of the women saw a significant increase in their income, and 56.3% (54/96) in their household income. About 76% (73/96) had acquired some personal or household assets using income from the enterprises, and 65% (62/96) had joined a women’s group, Savings and Credit Cooperative Organization (SACCO), or local governing bodies since their training with WCCI. Furthermore, 82.3% mentioned that there was a positive difference in the way their husbands treated them ever since they attained financial independence. Lastly, the majority of the women, 63.6% (61/96) strongly agreed, and 29.2% (28/96) agreed that their quality of life and well-being had improved since becoming part of the climate change solution satellites. The qualitative findings strongly corroborated the quantitative.

Conclusions: Overall, participation in these entrepreneurial initiatives has brought about tangible improvements in social cohesion, economic empowerment, and the perceived quality of life and well-being for a significant majority of women involved, demonstrating the positive impact of the WCCI climate change solution satellites on their lives and communities.

Keywords

Women-led, Climate change solution satellites, Entrepreneurship, Empowerment

Introduction and Background

Globally, women and girls from marginalized communities face intersecting challenges related to gender inequalities, economic empowerment, and the profound impacts of climate change [1-3]. Regarding climate change, the complex web of vulnerabilities that these women encounter is rooted in a global context where women are both disproportionately affected by the adverse consequences but underrepresented in efforts to address and mitigate these effects [4]. The African region has witnessed an increase in average temperatures, changes in rainfall patterns, and an increase in extreme weather events such as floods, droughts, and conflicts over natural resources, which exert a disproportionate toll on the developing world including Uganda [3,5,6]. These climate shocks have significant implications for agriculture, food security and livelihoods [1,7] and burdensome for women, as they play crucial roles in agricultural production, water collection, natural resource management, and household well-being [8].

While the concept of climate-smart enterprises is gaining traction in East Africa, women-led initiatives in this sector remain scarce [9]. Recognizing the critical need to address these interconnected challenges, Women Climate Centers International (WCCI) [10], embarked on a transformative initiative in Uganda. This initiative sought to empower women through comprehensive training encompassing climate-smart solutions, livelihood strategies, and economic and social empowerment. In the first project year, WCCI has engaged 100 women and girls organized in 10 women-led grassroots groups that belong to 3 different satellites (Gomba, Butambala and Mukono), seamlessly integrating women’s entrepreneurship with grassroots climate resilience initiatives. Through these groups, WCCI conducted extensive trainings, emphasizing climate-smart solutions, livelihoods, and economic and social empowerment, leadership, and management, and fundamental entrepreneurship skills. WCCI trained the women in making climate-smart products such as briquettes, liquid and bar soap, herbal vaseline, fireless stoves, water tanks/jars, and bio-sand filters. The women were also trained to engage in Vermiculture, Agroforestry farming, and Bio-intensive farming including double digging, moist gardens, sack gardens, mixed cropping and mushroom growing, apiary (and liquid manuring year-round food production. Furthermore, WCCI Uganda facilitated the establishment and registration of the 10 women-led enterprises, with full support throughout the registration process. This registration made these enterprises eligible for government funding via the community demand-driven development funds especially the Parish Development Model [11]. WCCI offered 4 full days of training in business development and planning to all 100 women to ensure that they have the needed skills to develop, plan, and run their businesses. WCCI also provided vital business support equipment tailored to each satellite’s needs, ensuring they could efficiently produce, sell, and thrive. Importantly, these innovative approaches are expected to extend WCCI’s impact beyond parishes, fostering sustainable social and economic empowerment and quality of life within communities.

This innovative approach aimed to foster community-driven strategies from a single learning and training center (satellite) for long-term climate adaptation, mitigation, and resilience, including carbon sequestration. Through targeted training programs, mentorship, access to finance, and networking opportunities, women can enhance their entrepreneurial capabilities, understand the principles of climate-smart practices, and develop innovative business models that are environmentally sustainable and socially inclusive. Ultimately, by fostering the establishment of women-led climate smart enterprises, Uganda can unlock the untapped potential of women, create sustainable livelihoods, and promote economic resilience and sustainable practices in the face of climate change. Central to this initiative is the aspiration to establish women-led climate-change solution enterprises, recognizing the critical role women can play in driving economic growth, creating employment opportunities, and advancing gender equality and social inclusion. By aligning with Uganda’s National Development Plan 3 [12], these enterprises aim to serve as catalytic models for sustainable community development.

As these enterprises continued on their transformative journey, it was essential to evaluate the holistic impact on the social and economic empowerment and quality of life of the women involved, as well as any unintended consequences such as gender-based violence. The research sought to illuminate the transformative potential of the one-stop climate change solution center model, exemplified by these satellite initiatives, to contribute insights to inform future initiatives, strengthening WCCI’s mission to empower women and communities in their pursuit of climate resilience, economic growth, and enhanced overall wellbeing.

The Study Methods

Study Design and Study Area

The study employed a cross-sectional approach, collecting both quantitative and qualitative data from the women. The study was conducted in the three intervention groups including Gomba, Butambala and Mukono. The three districts are located in the central region of Uganda. Gomba district is a rural district which was formed in 2010 by an Act of Parliament, breaking away from Mpigi District. It is bordered by Mubende District to the west and north, Mityana District to the northeast and Butambala District to the east. Kalungu district, Bukomansimbi district and Sembabule district lie to the south of Gomba district. The district lies approximately 97 kilometers (60 mi), by road, southwest of Kampala, the capital and largest city of Uganda. Gomba district receives lower precipitation than the neighbouring districts and livestock farming is a major economic activity, supplemented with subsistence agriculture [13]. Butambala district was too created by an act of parliament, and became operational on 1 July 2010, having been split off of Mpigi district. This district is bordered by Gomba district to the west and north-west, Mityana District to the north-east, Mpigi District to the east and south, and Kalungu District to the south-west. The district headquarters at Gombe are approximately 68 kilometers (42 mi), by road, south-west of Kampala. Subsistence agriculture and small-scale animal husbandry are the backbone of Butambala district’s economy [14]. Mukono district is one of the fastest growing areas in Uganda and is located along the Kampala-Jinja highway. The district is bordered by Kayunga district to the north, Jinja district to the east, Kalangala district to the south-west, Kira Town and Wakiso district to the west, and Luweero district to the north-west. The town of Mukono is about 21 kilometers (13 mi) by road, east of Kampala. The district has a favorable climate, abundant rainfall, rich flora and fauna, and proximity to urban areas [15].

Study Population

Data was collected from women actively engaged in climate change solution satellites supported by Women Climate Centers International (WCCI) Uganda.

Sample Size and Sampling

Of the 100 women currently supported by through the satellites, 96 were engaged in this study and 4 were unavailable at the time of data collection. All the 96 participants were selected purposively because of being beneficiaries of the program. Both quantitative and qualitative data were collected from the same participants.

Data Collection Criteria

A digitized Kobo collect toolbox questionnaire was used to conduct surveys with the participants to gather quantitative data on specific aspects of their experiences and observations related to the contribution of climate change solution satellites. The surveys included predefined questions covering areas such as economic empowerment, social cohesion and collaboration, climate change knowledge, and quality of life.

Qualitatively, a structured Focus Group Discussion (FGD) guide was used to elicit data to complement the surveys. A total of six FGDs were conducted, two per district and each FGD comprised 10 women. The FGDs were moderated by a male qualitative data collection expert who was assisted by a female note taker. These FGDs were conducted in Luganda, the local dialect, and focused on open-ended questions that encouraged participants to share their experiences and perceptions in more detail.

Quality Control and Assurance

Both qualitative and quantitative tools were translated to Luganda and the researchers ensured to only recruit research assistants who were conversant with Luganda, the local dialect. Research assistants with a good command of English were recruited to conduct interviews, however, the interviews were conducted in a language most comfortable to the respondent. Research assistants were trained on the research protocol and ethical issues surrounding the study. To ensure data accuracy and consistency, the digitized tool was designed with skips, hints, and prompts to ensure that the research assistants filled in the data the way they were supposed to. Furthermore, the research assistants were supervised during the actual data collection exercise. The supervisors ensured that the tool was checked and field edited, if necessary, to ensure completeness of data before data entry.

Data Management and Analysis

Quantitative Data: Quantitative data was field edited for consistency and accuracy daily. Data materials were secured under lock and key and were only accessed by the study team. The data was downloaded from the Kobo collect web-based server, accessible on the link; (https://eu.kobotoolbox.org/#/forms/aN7ejaQfnbe4dGyp53YySM/data/table) and loaded onto Microsoft Excel for further cleaning and visualization. The data was then imported to STATA version 15 for statistical analysis. Descriptive analysis was done to generate the mean and the standard deviation for continuous variables and proportions for categorical variables. Frequency tables as well as figures were used to present these results.

Qualitative Data: All qualitative interviews were digitally recorded with permission from respondents and transcribed verbatim. The transcripts were proofread before importing them into a qualitative data management software-Atlas.ti9. Data coding and analysis were conducted subsequently. An initial codebook using a sample of two transcripts was developed. The developed codebook was then applied to the entire atlas project with any emerging codes being added in the process. Thematic analysis was used and results were presented using themes with typical quotations from different interviews to summarize social cohesion and collaboration, economic empowerment, and quality of life and well-being.

Results

Socio-demographic Characteristics of the Study Respondents

A third 33.3% (32/96) of the women were aged between 26-30 years, 44.8% (43/96) were of the Anglican religion, 67.7% (65/96) were married and 75% (72/96) had attained the primary level of education. The majority 41.8% (40/96) were from Gomba district (Table 1).

Table 1: Socio-demographic characteristics of the women engaged in climate change solution satellite enterprises in Uganda.

Variable

Category Frequency (n=96)

Percentage (%)

Age 18-25

13

13.5

26-30

32

33.3

31-35

27

28.1

36+

24

25.0

Religion Anglican

43

44.8

Catholic

29

30.2

Pentecostal

17

17.7

Muslim

7

7.3

Marital status Never married

16

16.7

Married

65

67.7

Separated/divorced

15

15.6

Education level Primary level

72

75%

Secondary level

22

22.9

Tertiary level

2

2.1

District of residence

Gomba

40

41.8

Butambala

26

27.1

Mukono

30

31.3

Status of Women-led Climate Solution Satellite

Table 2 shows the status of the women-led climate change solution satellites in Uganda. All women involved in the study were part of a satellite. About 38% (36/96) were engaged in briquette making while 51% (49/96) were making soap. The majority of the respondents 70.8% (68/96) mentioned that their enterprises were registered with the district authorities while 95.8% (92/96) mentioned that their businesses were generating them income. About 18% (17/96) faced taxes and licensing as a main challenge, 13% (12/96) faced issues with the market for their products while 11.5% (11/96) found scaling and growth difficult. Additionally, on a scale of 1-10, the mean(SD) level of confidence to run the enterprise sustainably was 6.8(1.81), while 59.4% (57/96) of the women rated their confidence between 7-10. More than a third of the women, 38.5% (37/96) had trained up to 5 or more community women each, with the knowledge obtained from the satellites.

Table 2: Status of Women-led Climate Solution Satellites in Uganda

Variable

Categories

Frequency (n=96)

Percentage (%)

Climate change solution – products being made Briquettes

36

37.5

Water tanks/bio-sand filters

2

3.1

Fireless cook stoves

9

13.9

Agro-forestry farming

11

16.9

Bio-intensive farming

3

4.6

Soap making

49

51.0

Others

17

26.1

Enterprise registered with the district authorities? Yes

68

70.8

No

28

29.2

Is the business generating you any income yet Yes

92

95.8

No

4

4.2

Challenges faced in running the enterprise Taxes and licensing

17

17.7

Market for products

12

12.5

Scaling and growth

11

11.5

Risk management

9

13.9

Others

1

1.5

Rate your level of confidence in running the enterprise sustainably

Mean(SD)=6.80(1.81)

1-3

4

4.2

4-6

35

36.5

7-10

57

59.4

Number of women personally trained with the knowledge from the satellite 0-1

40

41.7

2-3

19

19.8

4-5

37

38.5

Qualitatively, six focus group discussions were held with the women. These brought forward insights across the three districts of Gomba, Butambala, and Mukono, highlighting the collaborative nature of product-making among small groups, both for personal gain and communal development. Participants emphasized mutual support, group training, and the positive impact of acquired skills, enabling them to engage in various income-generating activities, from making briquettes and soap to cultivating vegetables and trees. Notably, the cultivation of home vegetables emerged as a significant achievement, not only economically but also in enhancing household food security and familial support. Respondents were quoted saying;

“We are in groups; some are of 10 people others 15 but not more than that. In most cases we do our things together, as in as the big group for the district. We come together for trainings and even for making our products. We support each other in case one of us has a problem. Most of us make these products as a group but also as individuals and we sell them in our communities.” (Participant 1, FGD, Gomba district)

“They told us to assist 5 other women each and some of us have gone beyond that. We gather the women and teach them. Sometimes, you team up with a politician and they help to teach the people which encourages community development.” (Participant 3, FGD, Gomba district)

“Ever since we joined the trainings, we learned so much. We make briquettes, liquid soap, tablet, and bar soap, we also make Vaseline. We have done so many things which have helped us to generate income and save.” (Participant 1, FGD, Butambala)

“We also cultivate nursery beds; we donate and plant some of our trees in schools freely. We make charcoal, soap, and cooking stoves and sell them to people. We also cultivate leafy vegetables because almost all the ladies here have homegrown vegetables, which they sell to people.” (Participant 2, FGD, Gomba)

“The cultivation of home vegetables is so good because it’s amazing for visitors when they find your yard full of vegetables. Then our husbands used to purchase vegetables from the market when they found those that they liked like Nakatti, but now they find it at home.” (Participant 3, FGD, Gomba)

“I have found growing crops as the easiest for me. We were taught how to look after banana plants, and coffee plants, which helped us to cultivate even without fertilizers since we use the home trash as manure in our gardens to be able to pay our children’s school fees.” (Participant 8, FGD, Mukono)

Social Cohesion and Community Engagement among the Women

The majority of the women, 61.5% (59/96) strongly agreed that their participation in the women-led climate change solution satellites had improved their sense of belonging within their community, 94.8%% (91/96) noticed an improvement in their community engagement and collaboration since their involvement in the enterprise, while 63.5% (61/96) strongly agreed that their family treats them better ever since joining the satellites. A similar proportion further strongly agreed that people in their neighborhoods treat them better since joining the women-led climate change solution satellites (Table 3).

Table 3: Social cohesion and community engagement among the women engaged in climate change solution satellites.

Variable

Category

Frequency (n=96)

Percentage

(%)

Participation in the women-led climate change solution satellite improved my sense of belonging within my community. Strongly agree

59

61.5

Agree

34

35.4

Neutral

3

3.1

Noticed an improvement in community engagement and collaboration since involvement in the satellite activities?

Strongly agree

41

42.7

Agree

50 52.1

Neutral

5

5.2

My family treats me better since joining the women-led climate change solution satellite Strongly agree

61

63.5

Agree

29

30.2

Neutral

6

6.3

People in my neighborhood treat me better since joining the women-led climate change solution satellite

Strongly agree

61

63.5

Agree

32

33.3

Neutral

3

3.1

The narratives from the FGDs revealed profound shifts in social dynamics due to the collaborative efforts within WCCI projects. Participants emphasized the development of robust relationships transcending geographical boundaries. The once fragmented communities now exhibit solidarity, as evidenced by the warm welcome received in various households across different towns. Moreover, the newfound friendships extended beyond project members, fostering positive interactions with neighboring villages. This solidarity was born from a spirit of collaboration, where knowledge sharing and support became the norm. The collective efforts in constructing local stoves and utensil stands showcased a shared commitment to cleanliness and community welfare. The projects acted as catalysts for forming friendships, bridging gaps, and nurturing a sense of mutual admiration and respect, ultimately enhancing social cohesion and fostering a network of supportive relationships within these communities.

“We have developed very good relationships, I live in Kanyonyi town council, and I didn’t know any ladies from Kifampa, Mpenja or Kabulassobi, but as of now, once you arrive at the home of one of your project colleagues, even their children welcome you to the home which portrays a good working relationship. Additionally, on the villages where we train ladies, the relationships there are very good because back then ladies used to be very jealous of us, but right now they are not jealous anymore. They realize that once we learn something, we mobilize and teach them, which has improved our relationships with people so much, and even their husbands are very supportive of us because they see the good we are doing with their wives.” (Participant 5, FGD, Gomba”

This project has aided us so much as ladies, we mobilize ourselves and go to a colleague’s home and construct for them a local stove, and a utensil stand all in the fight for cleanliness. (Participant 7, FGD, Butambala)

 “The people in the places where we reside became our friends. They know when we are supposed to come for the project meetings and even remind us. Some ladies come to us and want to support us while others request to join our program. We are admired and we are held in high regard wherever we reside.” (Participant 1, FGD, Mukono)

“We have made friends we wouldn’know if it wasn’t for this project. We have made friends from various communities, so I am personally happy about this.” (Participant 8, FGD, Gomba)

Intimate Partner and Gender-Based Violence Experiences

Table 4 shows experiences related to an intimate partner or gender-based violence. Overall, 22.9% (22/96) of the women had ever experienced intimate/ gender-based violence in their life. Of these, half, 50% (11/22) had experienced it in the previous six months, but only 18.2% (2/11) would attribute their experience to engaging in entrepreneurship. The majority 74% (71/96) of the respondents agreed that they have seen an improvement in the way their husbands treat them since they joined the satellites.

Table 4: Intimate partner and Gender-Based violence experiences among the women engaged in climate change solution satellites in Uganda.

Variable

Category Frequency (n=96)

Percentage

(%)

Ever experienced any intimate partner or gender-based violence in your life Yes

22

22.9

No

74

77.1

Experienced any intimate partner or gender-based violence in the last 6 months. Yes

11

50.0

No

11

50.0

Would you attribute this violence to your engagement in entrepreneurship Yes

2

18.2

No

9

81.8

Noticed improvement in the way my partner treats me since I joined WCCI Strongly agree

11

11.5

Agree

71

74.0

Neutral

8

8.3

Strongly disagree

6

6.2

The narratives indicate a tangible positive impact on reducing intimate partner and gender-based conflicts through increased education, shared responsibilities, financial empowerment, and altered perceptions of women’s roles within their households and society. Participants noted a distinct transformation in family dynamics, citing fewer reported cases of marital conflicts and domestic violence since the inception of the programs. Increased education and engagement in income-generating activities emerged as pivotal factors redirecting attention away from potential conflict points. The shared responsibilities and shared understanding cultivated through the trainings contributed to more harmonious households, characterized by decreased tension and fewer disputes over childcare and financial obligations. Moreover, the financial independence and changed perceptions of women’s value within households led to a shift in power dynamics, generating respect and diminishing instances of disrespect and marital discord.

“I am the senior woman in my community and back then I was always called to settle cases of women fighting with their husbands all the time, but ever since we started mobilizing ladies to come for these project trainings, ladies now have what things to do. To be honest I have now spent 5 months without being called for such family fights, but before, I used to attend to cases for like 2 families each day. Right now, those cases are unheard of, even at the police station ladies are no longer reporting such cases, which is a good change that’s been brought by these projects.” (Participant 5, FGD, Gomba)

On the issue of family fights, ever since I started coming for these projects, I got enough education to now understand how to handle my family. Secondly, I have things that take up my time compared to the gossip I used to be involved in to try and find out what my husband has been up to. I now have things to occupy me because if I am not doing home chores, I am running my businesses which takes up most of my time and leaves me no time for fights. I now have a lot to do to avoid such fights at home.” (Participant 7, Mukono)

“… before we used to be fighting with the men to take care of the children and their fees. But now we came to terms with our husbands, and they too got some education about shared responsibilities and now there is less fighting in homes. Life has really changed so much.” (Participant 4, FGD, Butambala)

“To add on, even my own husband now sees high value in me and cannot easily mess around with other women. This is because he must first consider whether the person he is messing with can favorably compete with me, and these projects have weighed us up so much on the men’s weighing scale, for which I am so grateful.” (Participant 10, FGD, Mukono)

“Before, I was so disrespected at home because even when he asked me what I had to offer, I couldn’t even show a penny. But now those words cannot come out of him because he knows that I have personal money now. So, that alone brought my home at peace and now we can sit and agree on certain issues, and he calmed down the disrespect he had towards me. That helped me even in society in that whenever they see me, there’s respect because I changed so much and they ask themselves whether I stole the money from someone, they think I went to the Statehouse, but I don’t even know where it is, I just do my projects.” (Participant 2, FGD, Gomba)

Contribution of the Women-led Climate Change Solution Satellites on Individual and Household Income and Financial Stability

Table 5 shows the contribution of the climate change solution satellites to the economic empowerment of women in Uganda. More than half 57.3% (55/96) of the women mentioned that participating in the satellite activities significantly increased their income, 56.3% (54/96) saw some improvement in their household income and 76% (73/96) had acquired some personal or household assets using income from the enterprise. Electronics (42.7%), furniture (24%), and rented/bought land (21.9%) were the most mentioned assets that were acquired by the women. Over 76% (73/96) of the women plan to acquire assets in the future using income from the satellite enterprises.

Table 5: Contribution of the women-led climate change solution satellites on individual and household income and financial stability in Uganda.

Variable

Category Frequency (n=96)

Percentage

(%)

The participation in the climate change solution satellite affected individual income Increased significantly

55

57.3

Increased moderately

36

37.5

Remained unchanged

5

5.2

The enterprise had a noticeable impact on household income and financial stability

Considerable improvement

42

43.7

Some improvement

54

56.3

Acquired personal or household assets with income from the climate change solution satellite

Yes

73

76.0

No

23

24.0

If yes, which assets were acquired so far

Rented/bought land

21

21.9

Constructed a house, roofed/repaired a house

19

19.8

Car, truck, bicycle, motorcycle

3

3.1

Furniture

23

24.0

Electronics

41

42.7

Others

30

31.3

Plan to acquire any other assets in the coming 3 months

Yes

73

76.0

No

23

24.0

If yes, which assets

Electronics

13

13.5

Furniture

19

19.8

Land

31

32.3

Construct house

17

17.7

Car, truck, motorcycle

7

7.3

Others

27

28.1

Qualitatively, participants highlighted tangible improvements in their standards of living, evident through enhanced household conditions and increased financial stability. Engaging in skill-building activities such as liquid soap making and briquette production became collective family endeavors, involving both children and spouses, resulting in augmented household income. The acquired skills not only boosted individual businesses but also elevated their marketability, as exemplified by one participant’s improved catering services and the plan to acquire business transportation assets. Participants expressed a newfound self-control toward expenditure, demonstrating a shift from impulsive spending habits to thoughtful financial management. They acknowledged the significance of savings, with aspirations to invest in property or business expansions, showcasing a long-term commitment to financial growth and sustainability. These narratives collectively illustrate the tangible impact of climate change solution projects on individual and household incomes, fostering financial prudence.

“I see an improvement in the standards of living amongst all the women, especially those of us who manage our money well. Even our homes have improved in standard too.” (Participant 3, FGD, Butambala)

“Yes, it has helped us with the children, in that they have learnt some of these skills like liquid soap making, because they actively participate while we make it at home. We make briquettes and they also participate, as well as the husbands too, so more money comes in for all of us.” (Participant 4, FGD, Mukono)

 “As a catering person, I saved money from these projects and invested in my business and this made me exemplary and marketable because my services were improved. I bought tents and chairs which made me a very presentable service provider and my services were highly demanded. I desire to purchase a vehicle that can transport my business assets in the future and in God’s name I know that I will purchase it.” (Participant 1, FGD, Gomba)

“Back then as ladies we never used to mind how much we had versus what we spent. Hawkers used to come around our communities and we would buy from almost all of them, but that has changed now. You must assess whether you need that item being hawked and ask yourself how much you made in the past month, and what improvements you need to make in your business, before purchasing say a bed cover from a hawker. Ever since we were trained, ladies have now learnt the importance of money, they appreciate saving and they know their responsibilities. It’s hard to find a lady who doesn’t save now.” (Participant 7, FGD, Butambala)

“Personally, I save the money I get from my business and in my saving group, we split profits annually so, I’ll be getting my share on 12th December and I want to use those savings to purchase an acre of land because I want to rear my cow on the same land as I live. So, I am hopeful that in the coming year, I will achieve it.” (Participant 6, FGD, Gomba)

Meaningful Participation of the Women in Livelihood/Economic Decision-making

About 65% (62/96) of the women had joined a women’s group, Savings and Credit Cooperative Organization (SACCO), or local governing body since their training with WCCI and 46.8% (29/62) had a leadership position in that body. Of those with leadership positions, 37.9% (11/29) were at the level of chairperson/vice chairperson while the rest were at secretary, treasurer, mobilizer or councilor level. Additionally, 79.3% (23/29) of the women in leadership rated high, the impact of the WCCI training on their decision to join leadership. Desire for personal growth and development (79.3%), Recognition of my abilities and potential (69%), and Desire to create a positive change (55.2%) were the most mentioned reasons for taking up leadership positions. Furthermore, 47.9% (46/96) jointly made economic/livelihoods decisions with their husbands, 81.2% (78/96) had recently been involved in livelihood/economic decisions while 82.3% mentioned that there was a positive difference in the way their husbands treat them ever since they started making their own money and being empowered. Less than a quarter 22.9% (22/96) acknowledged that their husbands do not support their work with the enterprise (Table 6).

Table 6: Meaningful participation of the Women in livelihood/economic decision-making opportunities at community and household level in Uganda.

Variable

Category Frequency

(n=96)

Percentage

(%)

Joined a women group, SACCO or local governing body since the training with WCCI Yes

62

64.6

No

34

35.4

Hold a leadership position on that women group, SACCO or local governing body Yes

29

46.8

No

33

53.2

Leadership position held on the women group or local leadership body or committee Chairperson/vice chairperson

11

37.9
Secretary/treasurer/mobilizer/councilor 18

62.1

Rate the impact of the training on your decision to join leadership and ability to serve in that capacity High impact

23

79.3

Moderate impact

6

20.7

Reasons for deciding to take up this leadership position Desire for personal growth and development

23

79.3

Passion for climate change cause

14

48.3

Recognition of my abilities and potential

20

69.0

Desire to create positive change

16

55.2

Need for representation and gender equality

6

20.7

Previous experience

1

3.5

Previously engaged in any advocacy meetings supporting women economic empowerment in your community Yes

51

53.1

No

45

46.9

In your household, who primarily makes decisions regarding economic activities and livelihoods Husband/male household member(s)

12

12.5

Jointly made by and female household members

46

47.9

Respondent/female household members

35

36.5

Others

3

3.1

Recently been involved in any livelihood/economic decision Yes

78

81.2

No

18

18.8

If yes, specify the type of livelihood/economic decision-making activities you have been part of. Income generation and business planning

67

44.7

Investment decisions

43

28.7

Market research

4

2.7

Pricing and sales strategy

3

2.0

Financial management and budgeting

31

20.7

Others

2

1.3

Make my own decisions regarding spending income Yes

80

83.3

No

16

16.7

Keep and spend my income by myself Yes

81

84.4

No

15

15.6

If no, who keeps or spends your income My husband

13

86.7

Other person

2

13.3

Okay with this, does this happen because of a mutual understanding between you and your partner Yes

83

86.5

No

13

13.5

Come for trainings and meetings with the knowledge of husband Yes

81

84.4

No

15

15.6

If No, does he stop you from coming for training/meetings? Yes

81

84.4

No

15

15.6

Noticed a difference in the way husband treats you since starting making own money and being empowered No difference

17

17.7

Yes, positive difference

79

82.3

Husband doesn’t support my work with the enterprise Agree

22

22.9

Neutral

15

15.6

Disagree

17

17.7

Strongly disagree

42

43.8

In the realm of livelihood and economic decision-making, the narratives from FGD participants highlighted the impact of WCCI initiatives on women’s empowerment and assertiveness in various spheres. Participants mentioned a transformation in self-perception and assertiveness, indicating newfound confidence and self-esteem among participants. The program also cultivated the courage to engage actively in public forums, a stark contrast to previous shyness and avoidance of meetings. Furthermore, the narratives conveyed the evolution of participants into role models and trainers, and hence can be consulted on various aspects. Crucially, participants shared instances of enhanced agency in economic decision-making within their households. The shift from a scenario where men previously controlled household finances to a situation where women assertively communicate their plans while maintaining harmony in decision-making signifies a tangible shift in gender dynamics and increased agency for women in economic matters.

“WCCI has been helpful to some extent because it has created a working relationship with the government and they both know and respect each other. In my observation, WCCI has helped to make us strong women who believe in ourselves in that if you have decided to do something, you must believe it in your heart. We are on committees that are making decisions in our communities.” (Participant 3, FGD, Gomba)

“I have gained a lot of self-esteem, even when speaking in public I am more confident compared to before when I used to be shy and sometimes, I would even dodge the meetings but it’s not the case anymore and whenever I am phoned, I know that I have an important call to which I respond.” (Participant 2, FGD, Butambala)

“The other thing I’ve gained is that I have become an example for other ladies, and I am also a trainer to them of the skills I gained.” (Participant 5, FGD, Mukono)

“We used to have money back then, and the men would take it from us. But now, when he asks for it, I tell him that I have plans for my money and we still come to an agreement, without him thinking that I have refused to give him money, but I have other things to use it for.” (Participant 5, FGD, Gomba)

Overall Quality of Life and Well-being among the Women

When asked if their overall well-being and quality of life have improved since becoming part of the climate-smart enterprise, the majority of the women, 63.6% (61/96) strongly agreed, 29.2% (28/96) agreed and 5.2% (5/96) were neutral. None of the women disagreed (Figure 1).

FIG 1

Figure 1: Perception on quality of life and overall wellbeing among the women

Through the diverse discussions, participants conveyed transformative personal and communal changes spurred by engagement in WCCI projects. These initiatives not only empowered women economically but also fostered improved family dynamics and social recognition. Participants highlighted a shift in household dynamics, with husbands now supportive and involved, and even prompting participation in the projects. Moreover, individual transformations were evident, reflected in enhanced self-esteem, improved appearance, and upgraded living standards. Participants celebrated tangible improvements in cleanliness, financial independence, diversified diets, and sustainable practices, demonstrating a profound shift in mindset towards environmental stewardship.

“… before, our husbands would get angry whenever we left home to come engage in such projects, but now they are steadily adjusting because we are very open about the dates when the projects will take place. So, the men have calmed down on realizing how much these projects have aided us. Even expenditures at home weighed down on men since we are now able to chip in on some of the home expenses. The husbands now even remind us of the dates when we are supposed to attend the projects. The improvement has been so evident in that even the children acknowledge that back then, they used to be chased from school due to lack of school fees, but now it’s no more.” (Participant 2, FGD, Gomba)

“I did not look like this before, the first thing I did with my money was to make sure I look good, and I am no longer looked down upon wherever I go. So, I see a big improvement from the ratchet I used to be to now looking better, it’s a very awesome change we should clap for ourselves.” Participant 6, FGD, Butambala

The other thing I had forgotten is that these trainings have improved cleanliness at home. A lady who is part of WCCI has a significantly decent home compared to those who are not in the project. We as ladies are very proud of these improvements. (Participant 1, FGD, Mukono)

“I used to just sit at home without much to do, but ever since WCCI came, it taught me so many things so right now I do my projects and have some personal money on me, and I have a job that I do, and doesn’t put me on pressure, I do it from my home without paying rent; customers come at my home without me having to hawk, schools too come and pick from my home. It has helped me a lot since I used to just sit at home back then. I am more satisfied with life now.” (Participant 5, FGD, Gomba)

“I used to eat cassava with tea and no sauce, but now life has changed. I can go and purchase beef, fish, and any sauce because the money is available. Even the dress code has changed.” (Participant 4, FGD, Buambala)

“I learned how to handle nature more than I used to before I could cut down trees but now, I look at trees like my own children and I cannot cut them down because it feels like I am cutting down my child like I’m ruining my child’s future.” (Participant 7, FGD, Mukono)

Discussion

The study aimed to assess the feasibility of Women-led climate change solution satellites on women’s social and economic empowerment and quality of life in the face of climate change in Uganda. The findings earlier shown are discussed per the objective below.

Collective Action in Women-led Climate Change Solution Satellites Influences Social Cohesion and Community Engagement

A noteworthy aspect of this project lies in its ‘train the trainer’ model, which has yielded substantial social impact while justifying the claim that empowering women through training can have far-reaching effects. Beyond individual skill acquisition, the project has employed a strategy where trained women become mentors, disseminating knowledge and skills within their communities. This ‘train the trainer’ approach has catalyzed a transformative shift among the women, not just as beneficiaries but as active agents of change within their communities.

The majority of participants reported significant improvements in their sense of belonging, increased community engagement, and notably better treatment from their families and neighbors. These outcomes are emblematic of a deeper societal transformation facilitated by these women-turned-trainers. By imparting their acquired knowledge and skills and actively engaging in communal projects, they have redefined their roles within their communities. Their involvement as both conveyors of expertise and active contributors to communal endeavors has elevated their status and influence, positioning them as key contributors to community progress.

Moreover, the collaborative nature of their work within the group-learning from each other, practicing in front of fellow satellite members-has fostered a supportive environment that nurtures confidence and competence. This newfound confidence not only improved their individual capacities but also equipped them to meaningfully contribute to larger communal initiatives. The ‘train the trainer’ model not only enhanced individual capabilities but also served as a catalyst for community development through knowledge dissemination and collaborative engagement.

Gender inequality, poverty, and other economic challenges are among the major causes of intimate and gender-based violence globally [16]. Given the high poverty levels of not only women but the general rural population in Uganda, it is understandable to unearth a 22% prevalence of intimate partner or gender-based violence among the respondents. The World Health Organization recommends seven strategies for prevention and reduction of violence against women, among which is the empowerment of women; Poverty reduction and creating an enabling environment [17], which were all targeted outcomes of this project. This evaluation indicated a 50% reduction in intimate partner and gender-based violence, with only 2 out of 11 individuals who had recent experiences attributing the violence to their engagement in entrepreneurship and the majority alluding to better treatment from their husbands. The trainings and empowerment given to women may have played a critical role in managing intimate and gender-based violence as has been deduced by earlier scholars [18,19].

The Economic Impact of Women-led Climate Change Solution Satellites on Individual and Household Income and Financial Stability

Significant proportions of the respondents mentioned an increase in their individual and household income, with some already purchasing property including gadgets, furniture, and land, using the newly found income. This result confirmed a partially achieved goal of the project; to positively impact women’s economic status and financial sustainability. The achievement can be explained by WCCI’s efforts in training the women on how to manage their finances including self-control towards expenditure, a saving culture and skilling in income-generating projects. WCCI engages the women in skill-building activities such as making soap, vaseline, and briquette among others that can be sold within the community to generate income and also supports them with the pre-requisite equipment for enhanced production. Skilling of women and trainings on financial literacy coupled with start-up support have been associated with economic empowerment in Uganda and other settings globally [20-22]. Through the “train the trainer model” which the women have wholesomely embraced and already practicing, this transformation can be transitioned to entire communities to contribute to the achievement of Sustainable Development Goal (SDG) 1; eradicating extreme poverty for all people everywhere by 2030 [23].

This evaluation also revealed the participation of women in decision-making ventures both in the community and in the households regarding livelihoods and economic development. Over 60% of the women joined women groups, SACCOs or local governing bodies and 47% of these were in leadership. These findings can be explained by the fact that WCCI emphasizes transformation in self-perception and assertiveness, which are key in interpersonal relationships and leadership [24,25] and can collaborate the newfound confidence and self-esteem among participants to join groups and even take up leadership positions. The program also cultivated the courage to engage actively in public forums, a stark contrast to previous shyness and avoidance of meetings, and women evolving into role models and trainers, who can be consulted on various aspects. The women are also gradually joining in decision-making at home, contributing ideas and funds for household development projects. The majority of the women mentioned keeping, planning for, and spending their money on things they find important unlike before when they used to spend randomly or simply give the money to their husbands to spend. This could be as a result of understanding the value of money, and the fact that these women have financial goals and have been taught to gradually grow their businesses and achieve more rather than being comfortable in their poverty.

The Overall Well-being and Quality of Life Improvements among Women Engaged in Climate Change Solution Satellites

Almost all the women in the study agreed that their overall well-being and quality of life has improved since becoming part of the climate-change solution satellites. The transformation can be attributed to the different gains from associating with WCCI. The nexus of economic empowerment heightened self-esteem, improved personal appearance, hygiene, financial autonomy, diverse dietary habits, enhanced family dynamics with increased support from husbands, improved treatment within families, and elevated social recognition collectively signify an elevated quality of life among the participants. According to the World Health Organization [26], the physical and psychological aspects of one’s life, their level of independence, social relationships, and the environment are key determinants of one’s quality of life and are the domains in the WHO quality of life assessment (WHOQOL) tool. These findings show that even though WCCI did not apply the standard 100-item WHO assessment tool, the women’s claim of improved quality of life and overall well-being is to a greater extent in accordance with the standard measurements as spelled out in the WHO’s quality of life user manual [26]. The findings therefore imply that WCCI’s model of women’s transformation through the climate change solution satellites is achieving their intended results, however, more standard assessments could be needed to further ascertain these findings.

Strengths and Limitations

The study encompassed a relatively large sample size (96 women), providing a diverse pool of participants engaged in different entrepreneurial activities related to climate change solutions. The study also collected data across various thematic areas, including social, economic, and personal aspects, offering a holistic view of the impacts of women’s engagement in entrepreneurship. The combination of quantitative and qualitative insights provides a comprehensive understanding of the women’s experiences and the findings indicated tangible outcomes such as increased income, asset acquisition, and improved social cohesion, highlighting the practical implications. On the other hand, there could be biases in self-reporting, especially regarding sensitive issues like experiences of violence or attributing them to entrepreneurship, which might lead to underreporting or misinterpretation. To address this, the women were made aware of the importance of giving accurate information and that their responses would be anonymous. The data collection process was also conducted by people who are not part of the trainers to try and make the participants comfortable to air out their issues. In addition, whereas the study highlights positive outcomes associated with entrepreneurship and WCCI training and support, establishing a direct causal link between participation and outcomes might be challenging due to external factors not accounted for in the study. The study however tried to focus on specific attributes provided to the participants through WCCI trainings and eliminated possible external factors.

Conclusions

Overall, participation in these entrepreneurial initiatives has brought about tangible improvements in social cohesion, economic empowerment, and the perceived quality of life and well-being for a significant majority of women involved, demonstrating the positive impact of the WCCI climate change solution satellites on their lives and communities. Through the train the train-the-trainer approach that has been embraced by the women and community, the program ought to be scaled up to enable more women to benefit, contributing to SDG 1.

Declarations

Data and Materials Availability

The data used in this study is available upon reasonable request from the corresponding author.

Ethics Approval and Consent to Participate

Informed consent was obtained from all participants for both the structured surveys and FGDs conducted, after ensuring that they understood the purpose of the research, their rights, and the confidentiality of their responses. The research was also approved by the Uganda Christian University Research and Ethics Committee-approval number UCUREC-2023-55. Measures were also taken to protect the anonymity and confidentiality of participants’ identities and responses.

Authors’ Contributions

All authors conceptualized the study. CHM, AT and GB participated in data collection, and drafted the first manuscript, CHM, GB, AT, RA, RWN, EM, and SD reviewed the first manuscript draft. All authors read and approved the final manuscript.

Funding

Support for this research was made possible through funding support of the Forum for Women and Development (FOKUS) in partnership with the sisters of Joseph and Climate Justice Resilience. The information provided does not necessarily reflect the views of the funders.

Conflict of Interest

Authors Comfort Hajra Mukasa, Godliver Businge, Rosemary Atieno, Rose Wamalwa Nyarotso, Elaine McCarty, Sarah Diefendorf are employed by Women Climate Centers International. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

  1. Women, Gender Equality and Climate Change. 2023 [cited 2023 28th May]; Available from: https://shorturl.at/flxFO
  2. Increasing women’s economic equality would reduce poverty for everyone. 2023 [cited 2023 6th June]; Available from: https://www.oxfam.org/en/why-majority-worlds-poor-are-women.
  3. Akinbami CAO, et al. (2019) Exploring potential climate-related entrepreneurship opportunities and challenges for rural Nigerian women. Journal of Global Entrepreneurship Research 9: 19.
  4. Cardella GM, BR Hernández-Sánchez, JC Sánchez-García (2020) Women entrepreneurship: A systematic review to outline the boundaries of scientific literature. Frontiers in Psychology 11: 1557. [crossref]
  5. Njuguna Nu, TA Théophile (2023) KEYS TO CLIMATE ACTION.
  6. Climate change exacerbates violence against women and girls. 2023 [cited 2023 7th June]; Available from: https://shorturl.at/oqwJY
  7. Tol RS (2018) The economic impacts of climate change. Review of Environmental Economics and Policy.
  8. Hernández Martínez A (2023) Climate change on rural women in East Africa: analysis of consequences and recommendations from a gendered approach.
  9. Nchanji EB, et al. (2022) Gender differences in climate-smart adaptation practices amongst bean-producing farmers in Malawi: The case of Linthipe Extension Planning Area. Frontiers in Sustainable Food Systems.
  10. WCCI-Uganda. WCCI-Uganda is responsible for community training and regional project management. 2023 [cited 2023 28/11]; Available from: https://www.climatecenters.org/wcci-uganda.
  11. Ministry of Local Government-The Parish Development Model. 2021 [cited 2023 28/11]; Available from: https://molg.go.ug/parish-development-model/.
  12. N A T I O N A L P L A N N I N G A U T H O R I T Y, THIRD NATIONAL DEVELOPMENT PLAN (NDPIII) 2020/21-2024/25. 2020, N A T I O N A L P L A N N I N G A U T H O R I T Y,: Kampala, Uganda.
  13. Gomba District Local Government. History. 2023 [cited 2023 27/11]; Available from: https://gomba.go.ug/district/history.
  14. Butambala District Local Government. History. 2023 [cited 2023 27/11]; Available from: https://butambala.go.ug/.
  15. Mukono District Local Government. History. 2023 [cited 2023 28/11]; Available from: https://mukono.go.ug/.
  16. Sanjel S (2013) Gender-based violence: a crucial challenge for public health. Kathmandu University medical journal 11: 179-184. [crossref]
  17. Violence against women. 2021 [cited 2023 22/Nov]; Available from: https://www.who.int/news-room/fact-sheets/detail/violence-against-women.
  18. Ellsberg M, et al. (2015) Prevention of violence against women and girls: what does the evidence say? The Lancet 385: 1555-1566.
  19. Kiani Z, et al. (2021) A systematic review: Empowerment interventions to reduce domestic violence? Aggression and violent behavior 58: 101585.
  20. Kiconco B (2023) The contribution of the presidential initiative for skilling a girl child on women’s economic empowerment in Kampala District, Uganda. 2023, Makerere University.
  21. Ghosh A (2023) Skilling Women in Non-Traditional Livelihoods: Pathways to Women’s Economic Empowerment-Policy Brief. Available at SSRN 4551736.
  22. Singh V (2018) Empowering Women through Skill Development: Interlinking Human, Financial and Social Capital. Productivity. 58.
  23. Sustainable Development Goals-No poverty. 2023 [cited 2023 11th/12]; Available from: https://www.un.org/sustainabledevelopment/poverty/.
  24. Ames D (2009) Pushing up to a point: Assertiveness and effectiveness in leadership and interpersonal dynamics. Research in organizational behavior 29: 111-133.
  25. April K, N Sikatali (2019) Personal and interpersonal assertiveness of female leaders in skilled technical roles. Effective Executive 22: 33-58.
  26. WHO, WHO quality of life user manual. 2012.

Remote Healthcare Experienced Under COVID-19 Infection

DOI: 10.31038/IJNM.2024514

 

The author primarily engages in health consultations, mainly during weekends and year-end holidays, at the “novel coronavirus infection consultation hotline” established by prefectures and other entities. This consultation service mainly handles general inquiries, including those from individuals undergoing home treatment who wish to seek medical attention, individuals who tested positive at hospitals or private PCR centers, and those who tested positive using over-the-counter antigen test kits, among others. The Ministry of Health, Labour and Welfare (2022) defines telemedicine as acts related to health promotion and medical care utilizing information and communication devices. In a broad sense, considering telemedicine, the efforts of the health consultation hotline can also be regarded as part of telemedicine. In this paper, while introducing the actual operation of the novel coronavirus infection consultation hotline, I would like to consider expectations and prospects for telemedicine.

The “novel coronavirus infection consultation hotline” and the ferocity of the 8th wave

The novel coronavirus infection consultation hotline established by prefectures and other entities operates 24 hours a day with nurses responding to inquiries. Consultation topics mainly revolve around COVID-19, including general medical inquiries from individuals undergoing home treatment or identified as close contacts, as well as inquiries regarding hotel accommodation requests, reporting of positive cases, definitions of close contacts, quarantine periods, and fever-related consultations. Nurses, who serve as operators, conduct interviews regarding symptoms, onset dates, presence and severity of fever and respiratory symptoms, SpO2 levels if available, urinary output, ability to drink water, and other symptoms such as headaches, fatigue, joint pain, nausea/vomiting, diarrhea, conjunctivitis, and taste/smell disorders. In the case of fever consultations, they often guide individuals to general fever clinics, but they also act as a bridge to connect individuals with health authorities when hotel accommodation is requested or administrative assistance is needed. During the peak of the 8th wave from December 2022 to early January 2023, concerns arose due to the overlap of the seasonal influenza epidemic with the resurgence of COVID-19 infections, leading to increased strain on fever clinics and potential obstacles for those in need of medical attention. Consequently, the government urged the population to respond according to the risk of progression to severe illness if symptoms such as sore throat or fever appeared. For those at low risk of severe illness, the government encouraged minimizing unnecessary visits to fever clinics and instead promoted the utilization of health follow-up centers such as the “novel coronavirus infection consultation hotline.” During the year-end and New Year holidays in the midst of the 8th wave, operators often handled nearly 100 consultations per day, reflecting the intense pressure on fever clinics. Looking back on consultations during this period, cases were observed where individuals with fever were unable to find hospitals for consultation or failed to connect via phone after being referred to fever clinics. Such situations led to psychological distress for individuals, and operators were sometimes subjected to verbal abuse and insults.

Reconsidering Communication

The nurses serving as operators are healthcare professionals, yet they haven’t undergone specialized training for this role. Instead, they rely on their knowledge and experience as nurses to assess the urgency of inquiries and suggest appropriate responses. Therefore, they aim to listen attentively to callers, acknowledging their worries and concerns, and provide tailored information. Their goal isn’t to correct misunderstandings but to empathetically support callers. As for the author, affiliated with the basic nursing education department at a university, they teach nursing fundamentals and daily living assistance. Communication is often the first thing nursing students learn. It involves message exchange between sender and receiver through a channel. Non-verbal elements like facial expressions and gestures are absent over the phone, posing challenges as operators can’t sense needs as in face-to-face interactions. Callers’ backgrounds vary widely, affecting the noise and circumstances heard during calls. Operators still perceive “expressions” conveyed by callers’ voices. For instance, “My one-year-old has a 39°C fever,” “Family members are getting infected, and I’ve had a fever and sore throat since yesterday,” “I’ve called doctors and hospitals all morning but can’t get through. Is there a hospital I can visit?” Operators empathize with callers’ urgent situations, striving to address their needs. During the 8th wave, limited available medical facilities necessitated tailored responses based on severity risk. For instance, confirming home test kits or fever medication availability, suggesting home monitoring if possible, and encouraging contact if further help is needed. However, some callers insisted on hospital visits, leading to challenging situations. Some strongly desired testing, despite being asymptomatic. Operators, empathizing with their anxiety, recommended free testing for residents or approved antigen test kits. Flexibility was key alongside standardized responses. Reading callers’ “expressions” was crucial. Some found relief expressing anxiety. This reaffirmed the importance of listening. Reconsidering communication made the significance of face-to-face interactions evident.

Expectations and Prospects for Telemedicine

So far, we’ve looked at an example of telemedicine based on the practices of the novel coronavirus infection consultation hotline. With the spread of the COVID-19 pandemic, the significance of telemedicine is increasingly being recognized, isn’t it? In nursing education, remote education utilizing Information and Communication Technology (ICT) is expanding due to the impact of COVID-19. While discussions on the merits and demerits of telemedicine and education are diverse, there seems to be a growing sense of expectation for the utilization of ICT from the perspective of infection control and the continuity of healthcare and education. On the other hand, research on the adverse effects of online habits using communication devices such as smartphones on the human body and the reality of communication is also progressing. Sakaki et al. (2022) point out the poor quality of online communication and demonstrate that online communication is completely ineffective in situations where interaction between hearts is necessary. They argue that the greatest advantage of online communication is the ability to communicate with people in distant locations, emphasizing that online communication is merely a “means” and a “bridge.” We sincerely hope that health follow-up centers such as the “novel coronavirus infection consultation hotline” introduced this time can continue to provide support to infected individuals and those around them. It’s not easy to make accurate judgments and provide empathetic support based solely on the “expressions” in voices in the absence of face-to-face communication. However, considering the characteristics of the virus and the perspective of infection control, the demand for information provision and health consultation services through methods other than face-to-face interactions is expected to continue to grow. It is essential to utilize online platforms according to the situation and context without losing sight of the essence of communication.

A Collaborative Approach between Programs: Improving Communication Access with Deaf People through Nursing Simulation

DOI: 10.31038/IJNM.2024513

 
 

According to the Institute of Medicine [1], the desired goal of patient-centered health care is for practitioners to be “respectful of and responsive to individual patient preferences, needs, and values” (Institute of Medicine, 2001, para. 1) [1]. Patient-centeredness relies on effective communication [2]. Dialogue is essential for health care settings, requiring the patient to receive important information from the medical professional, as well as the medical professional understanding and responding to important information that the patient conveys. Research has shown that better health care outcomes are achieved when patients have a positive relationship and interaction with their health care provider [3]. However, when patients identify with a culture and use a first language that is different from their health care provider, they may experience service and information barriers when seeking medical treatment, resulting in less adherence to treatment plans or avoidance of seeking medical care [4]. The exchange of medical information, even at routine office visits, can become perilous when the patient cannot fully participate in discussions regarding safe uses of medications, or complex, even risky, decision-making expectations (Hedding & Kaufman, 2012), A medical appointment with a deaf patient without appropriate communication accommodations can result in miscommunication, misinformation, misdiagnosis, and mistrust. Deaf people often experience inequities in health care which lead to poor health (Barnett et al., year) and lower health literacy (significant gaps in basic health knowledge) than their non-deaf counterparts [5]. Too often, medical appointments for deaf patients continue without the use of an interpreter, due in part to a lack of awareness by providers of the importance of communication accommodation or the lack of available interpreters (Ebert & Heckerling, 1995, as cited in [6]. This combination of potential lower health literacy, lack of interpreters, and health care providers who are unaware or unprepared to meet this population’s specific needs highlights the frustration of countless deaf people. The exchange of medical information, even at routine office visits, can become perilous when the patient cannot fully participate in discussions regarding safe uses of medications, or complex, even risky, decision-making expectations (Hedding & Kaufman, as cited in Swabey & Malcom, 2012) [6].

Faculty of two distinct programs at a large midwestern university created an opportunity to experience patient-centered service provision with deaf volunteers. Nursing faculty wanted their students to experience the dynamics of engaging patients who are deaf and use American Sign Language (ASL) as their primary language. Deaf people whose primary language is ASL, which is distinct from English with its own complex grammar and distinct syntax, vocabulary, and discourse style [7], require special communication access considerations. Simulation in health care education is designed to replicate real clinical situations in a safe environment. The International Nursing Association for Clinical Simulation and Learning (INACSL) states that the specific purpose of simulation is to “promote, improve, or validate a participant’s performance” [8]. Validating the importance of simulation, some nursing boards have approved up to 100% replacement of traditional clinical hours with simulation in specialty areas such as pediatric and obstetrical nursing [9,10]. Thus, simulation can be a bridge between classroom and clinical environments and as a venue in which to address communication access concerns for deaf patients.

The scenario lasted 20 minutes. During the first 10 minutes, nursing students performed a comprehensive physical exam. After approximately 10 minutes, students were encouraged to begin discharge teaching with interpreting students to facilitate communication with the deaf parent. After that, the 20-minute debriefing session began. Interpreting students reversed roles at this point. The debriefing was facilitated by an experienced nurse who gave each group of students a series of questions to discuss. In order to compare the perceived effectiveness of the simulation, a Mann-Whitney test statistic was calculated. Two questions were posed to participants that evaluated their self-perception of the effectiveness of the simulation. The first, “I am better able to communicate healthcare information to a deaf parent” was rated on a Likert-scale (1: completely disagree; 2: mostly disagree; 3: slightly disagree; 4: slightly agree; 5: mostly agree; 6: completely agree). Results indicated a statistically significant difference between groups of students (U=173.00, p=0.020), indicating that nursing students (Median=6) were more likely to agree with the question than interpreting students (Median=5). The second question, “Will this simulation affect the way you communicate with a deaf person or their family member?” was also rated on a Likert-scale (1: definitely not; 2: probably not; 3: possibly; 4: probably; 5: very probably; 6: definitely). However, the difference between Nursing (Median=5) and interpreting students (Median=5) was not statistically significant (U=83.50, p=0.195).

Results were statistically significant for both the first (D=0.270, p<0.001) and second (D=0.258, p<0.001) prompt, indicating that a randomly selected response from this sample is significantly more likely to be positive than negative on either prompt. Nursing students were more likely to provide the highest rating regarding ability to communicate healthcare information to deaf parents than interpreting students. This simulation experience allowed nursing and interpreting students to understand and appreciate the role of the other and to enact strategies to improve communication. Both groups of participants found the simulated experience to be beneficial and felt it gave them a safe environment in which to practice. Faculty initiating this partnership recognized many potential benefits to both programs in preparing their students to provide services to deaf people in a specialized setting. Nursing students were able to work with individuals who processed language in a different way than they were accustomed to. Interpreting students were able to relate medical information to deaf people in a realistic, dynamic, and unrehearsed setting. Both interpreting and nursing students’ responses were positive, stating the advantages of practicing vital nursing and communication skills with a deaf parent in a safe environment. Collaboration among interpreting and nursing students in simulation may enhance understanding and provide authentic practice opportunities of unique accommodations to achieve patient-centered health care.

References

  1. Institute of Medicine (2001) Committee on quality of health care in America. Crossing the quality chasm: A new health system for the 21st century. National Academies Press.
  2. Barnett S, McKee M, Smith SR, Pearson TA (2011) Deaf sign language users, health inequities, and public health: Opportunity for social justice. Preventing Chronic Disease 8. [crossref]
  3. Raymond CW (2014) Conveying information in the interpreter-mediated medical visit: The case of epistemic brokering. Patient Education and Counseling 97: 38-46. [crossref]
  4. Messias DK, McDowell L, Estrada RD (2009) Language interpreting as social justice work: Perspectives of formal and informal healthcare interpreters. Advances in Nursing Science 32: 128-143. [crossref]
  5. Pollard RQ, Barnett S (2009) Health-related vocabulary knowledge among deaf adults. Rehabilitation Psychology 54: 182-185. [crossref]
  6. Swabey LA, Malcolm M (2012) In our hands: Educating healthcare interpreters. (Gallaudet University Press).
  7. Valli C, Lucas C, Mulrooney K, Villanueva M (2011) Linguistics of American Sign Language: An introduction (5th ed.). (Gallaudet University Press).
  8. INACSL Standards Committee. (2016, December). INACSL Standards of Best Practice: SimulationSM Participant evaluation. Clinical Simulation in Nursing 12(S) (December, 2016): S26-9.
  9. Ohio Administrative Code, Chapter 4723-5 (2017). Nursing Education Programs. Ohio Board of Nursing.
  10. Iezzoni L, O’Day BL, Killeen M, Harker H (2004) Communicating about health care: Observations from persons who are deaf or hard of hearing. Annals of Internal Medicine 140: 356-362. [crossref]

Mental Impairment Negatively Impacts People’s Lives

DOI: 10.31038/IJNM.2024512

 

People have to interact with each other to sell or buy goods or services and exchange ideas when necessary, as no one can produce or own everything and know all. How a person interacts with others defines individual behaviour; it reflects the capacity to process essential data, make decisions, and cooperate with clients, collaborators, and partners. People’s collaborative work supposes respect, truthfulness, and adherence to social norms. Usually, in a family, there are sentimental interactions between its members. Whether sentimental or not, human relationships advance if reasonable actions follow. When love dominates relationships, some misjudges are easily tolerated, but displaying erroneous data or thinking inaccuracy is unacceptable for business partners. Out-of-ordinary behaviour can originate in genetics or medical disorders determined by external, internal factors affecting brain function, or it can be an expression of uneducated, impulsive reactions to various external stimuli, sometimes a combination of them.

Individual judgment may be altered more or less, transitory or permanent; consequently, their actions deviate from conventionality. Such thinking nonconformities disappoint collaborators and may lead to a relationship disruption sooner or later. The affected emotional life of the collaborators implied in such relationships, usually by repetition, can determine medical problems: depression, endocrine system abnormalities, arterial hypertension, type 2 diabetes, and so on. In addition, the collaborators’ altered emotional health determines sorrowful moments for their loved ones, extending suffering gradually in the large family or community. For this reason, abnormal thinking and acting must be promptly recognized and treated to avoid negative consequences for others and the production process.

To determine an individual’s mental health, healthcare providers should assess their abnormal behaviours along with their medical and social history, relationships, and professional accomplishments. In the community, we should support one another when needed. The business partners may terminate their relationship with a collaborator who displays impaired judgment and engages in deviant actions. On the other hand, medical teams will collaborate with the patient and their family to improve their health and maintain production continuity whenever possible. Job assignments will be made according to the individual’s mental abilities, if necessary. People with transient or permanent cognitive impairment are often unaware of their condition. Patients with mental impairment need to have an understanding of their disorder and work together with medical professionals on a therapy plan. Healthcare professionals must identify the cause of the mental disorder and develop appropriate treatments. Effective management of this condition involves collaboration with patients to follow the therapy plan, including their participation in decision-making and communication with loved ones for emotional support, both in the short and long term. Accessing informative online programs for knowledge improvement and communication with virtual assistants as necessary can help cultivate self-awareness, refine interaction with others, and ensure a better personal and social life, especially for those with mental impairments.

Improving one’s mental health is beneficial for both healthcare providers and end-users. It enhances the quality of life, patient experience, and family satisfaction for the end-users, positive comments following, and determining an increase in investment returns, business growth, and continuity, improves personal reputation, and leads to a successful professional and social life for healthcare professionals.