Yes / Population ageing and fiscal austerity are set to increase the reliance on family carers, who already provide much of the support for people with long term health conditions. Although most carers are willing, providing care can be hugely stressful, affecting mental and physical health1 and resulting in social isolation and financial hardship.2 When under strain, carers are less likely to be effective, increasing the risk that the care recipient is admitted to hospital or a care home.3 Health systems could reduce strain on family carers by routinely considering carers’ needs alongside patients’ needs in everyday healthcare decisions—a concept we term “carer proofing”. / none

<p dir="ltr">This study investigates healthcare decision-making dynamics among adults diagnosed with autism spectrum disorder (ASD) without intellectual disability (ID), focusing on the influence of the egocentric norm concept and comparing it to neurotypical (NT) individuals. Employing a quasi-experimental design and meticulously developed vignettes, the research gathers quantitative and qualitative data from Prolific survey responses, exploring nuances in decision processes. The findings reveal substantial disparities in response patterns between individuals with ASD without ID and NT counterparts, emphasizing the significance of the egocentric norm. Factor analysis and structural equation modeling support the validity of the questions and highlight egocentric norms’ impactful role in health-related decisions.</p><p dir="ltr">Qualitatively, themes within both groups illuminate unique decision-making processes, including enduring support from significant others, autonomy trends, and reliance on digital resources. The study contributes nuanced insights for healthcare practitioners, policymakers, and educators, emphasizing the need for tailored interventions that resonate with the distinctive decision-making dynamics of individuals with ASD without ID. While acknowledging limitations related to sample characteristics and reliance on self-reported data, the study provides an in-depth understanding of the interplay between the egocentric norm, Reasoned Action Approach (RAA) concepts, and other influential factors in healthcare decision-making.</p>

This purpose of this quantitative study was to examine health beliefs among Caribbean-born university students regarding acceptance or rejection of influenza vaccination among populations at institutions of higher education. In addition, acculturation was addressed as a factor affecting cultural health beliefs. A survey was completed by 98 students enrolled at Florida International University during the spring 2018 semester. Linear regression was used to analyze whether cultural health beliefs and acculturation were predictive of beliefs about influenza vaccination and beliefs about perceived barriers to influenza vaccination. The study findings showed cultural health beliefs of the students were statistically significant predictors of their beliefs about influenza vaccination and perceived barriers to influenza vaccination. Also, the levels of acculturation were a statistically significant predictor of students' cultural health beliefs and beliefs about perceived barriers to influenza vaccination. After 5+ years of acculturation in the United States, the students surveyed still held cultural beliefs and perceived barriers to influenza vaccination that contributed to their lack of acceptance of the vaccination. The information gained from this study gives credence to the need for designing health interventions and health messages on influenza vaccination that are culture specific for a college-age population if influenza vaccination acceptance is to be promoted.