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Research Summary – Structure, Examples and Writing Guide

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Research Summary

Definition:

A research summary is a brief and concise overview of a research project or study that highlights its key findings, main points, and conclusions. It typically includes a description of the research problem, the research methods used, the results obtained, and the implications or significance of the findings. It is often used as a tool to quickly communicate the main findings of a study to other researchers, stakeholders, or decision-makers.

Structure of Research Summary

The Structure of a Research Summary typically include:

• Introduction : This section provides a brief background of the research problem or question, explains the purpose of the study, and outlines the research objectives.
• Methodology : This section explains the research design, methods, and procedures used to conduct the study. It describes the sample size, data collection methods, and data analysis techniques.
• Results : This section presents the main findings of the study, including statistical analysis if applicable. It may include tables, charts, or graphs to visually represent the data.
• Discussion : This section interprets the results and explains their implications. It discusses the significance of the findings, compares them to previous research, and identifies any limitations or future directions for research.
• Conclusion : This section summarizes the main points of the research and provides a conclusion based on the findings. It may also suggest implications for future research or practical applications of the results.
• References : This section lists the sources cited in the research summary, following the appropriate citation style.

How to Write Research Summary

Here are the steps you can follow to write a research summary:

• Read the research article or study thoroughly: To write a summary, you must understand the research article or study you are summarizing. Therefore, read the article or study carefully to understand its purpose, research design, methodology, results, and conclusions.
• Identify the main points : Once you have read the research article or study, identify the main points, key findings, and research question. You can highlight or take notes of the essential points and findings to use as a reference when writing your summary.
• Write the introduction: Start your summary by introducing the research problem, research question, and purpose of the study. Briefly explain why the research is important and its significance.
• Summarize the methodology : In this section, summarize the research design, methods, and procedures used to conduct the study. Explain the sample size, data collection methods, and data analysis techniques.
• Present the results: Summarize the main findings of the study. Use tables, charts, or graphs to visually represent the data if necessary.
• Interpret the results: In this section, interpret the results and explain their implications. Discuss the significance of the findings, compare them to previous research, and identify any limitations or future directions for research.
• Conclude the summary : Summarize the main points of the research and provide a conclusion based on the findings. Suggest implications for future research or practical applications of the results.
• Revise and edit : Once you have written the summary, revise and edit it to ensure that it is clear, concise, and free of errors. Make sure that your summary accurately represents the research article or study.
• Add references: Include a list of references cited in the research summary, following the appropriate citation style.

Example of Research Summary

Here is an example of a research summary:

Title: The Effects of Yoga on Mental Health: A Meta-Analysis

Introduction: This meta-analysis examines the effects of yoga on mental health. The study aimed to investigate whether yoga practice can improve mental health outcomes such as anxiety, depression, stress, and quality of life.

Methodology : The study analyzed data from 14 randomized controlled trials that investigated the effects of yoga on mental health outcomes. The sample included a total of 862 participants. The yoga interventions varied in length and frequency, ranging from four to twelve weeks, with sessions lasting from 45 to 90 minutes.

Results : The meta-analysis found that yoga practice significantly improved mental health outcomes. Participants who practiced yoga showed a significant reduction in anxiety and depression symptoms, as well as stress levels. Quality of life also improved in those who practiced yoga.

Discussion : The findings of this study suggest that yoga can be an effective intervention for improving mental health outcomes. The study supports the growing body of evidence that suggests that yoga can have a positive impact on mental health. Limitations of the study include the variability of the yoga interventions, which may affect the generalizability of the findings.

Conclusion : Overall, the findings of this meta-analysis support the use of yoga as an effective intervention for improving mental health outcomes. Further research is needed to determine the optimal length and frequency of yoga interventions for different populations.

References :

• Cramer, H., Lauche, R., Langhorst, J., Dobos, G., & Berger, B. (2013). Yoga for depression: a systematic review and meta-analysis. Depression and anxiety, 30(11), 1068-1083.
• Khalsa, S. B. (2004). Yoga as a therapeutic intervention: a bibliometric analysis of published research studies. Indian journal of physiology and pharmacology, 48(3), 269-285.
• Ross, A., & Thomas, S. (2010). The health benefits of yoga and exercise: a review of comparison studies. The Journal of Alternative and Complementary Medicine, 16(1), 3-12.

Purpose of Research Summary

The purpose of a research summary is to provide a brief overview of a research project or study, including its main points, findings, and conclusions. The summary allows readers to quickly understand the essential aspects of the research without having to read the entire article or study.

Research summaries serve several purposes, including:

• Facilitating comprehension: A research summary allows readers to quickly understand the main points and findings of a research project or study without having to read the entire article or study. This makes it easier for readers to comprehend the research and its significance.
• Communicating research findings: Research summaries are often used to communicate research findings to a wider audience, such as policymakers, practitioners, or the general public. The summary presents the essential aspects of the research in a clear and concise manner, making it easier for non-experts to understand.
• Supporting decision-making: Research summaries can be used to support decision-making processes by providing a summary of the research evidence on a particular topic. This information can be used by policymakers or practitioners to make informed decisions about interventions, programs, or policies.
• Saving time: Research summaries save time for researchers, practitioners, policymakers, and other stakeholders who need to review multiple research studies. Rather than having to read the entire article or study, they can quickly review the summary to determine whether the research is relevant to their needs.

Characteristics of Research Summary

The following are some of the key characteristics of a research summary:

• Concise : A research summary should be brief and to the point, providing a clear and concise overview of the main points of the research.
• Objective : A research summary should be written in an objective tone, presenting the research findings without bias or personal opinion.
• Comprehensive : A research summary should cover all the essential aspects of the research, including the research question, methodology, results, and conclusions.
• Accurate : A research summary should accurately reflect the key findings and conclusions of the research.
• Clear and well-organized: A research summary should be easy to read and understand, with a clear structure and logical flow.
• Relevant : A research summary should focus on the most important and relevant aspects of the research, highlighting the key findings and their implications.
• Audience-specific: A research summary should be tailored to the intended audience, using language and terminology that is appropriate and accessible to the reader.
• Citations : A research summary should include citations to the original research articles or studies, allowing readers to access the full text of the research if desired.

When to write Research Summary

Here are some situations when it may be appropriate to write a research summary:

• Proposal stage: A research summary can be included in a research proposal to provide a brief overview of the research aims, objectives, methodology, and expected outcomes.
• Conference presentation: A research summary can be prepared for a conference presentation to summarize the main findings of a study or research project.
• Journal submission: Many academic journals require authors to submit a research summary along with their research article or study. The summary provides a brief overview of the study’s main points, findings, and conclusions and helps readers quickly understand the research.
• Funding application: A research summary can be included in a funding application to provide a brief summary of the research aims, objectives, and expected outcomes.
• Policy brief: A research summary can be prepared as a policy brief to communicate research findings to policymakers or stakeholders in a concise and accessible manner.

Advantages of Research Summary

Research summaries offer several advantages, including:

• Time-saving: A research summary saves time for readers who need to understand the key findings and conclusions of a research project quickly. Rather than reading the entire research article or study, readers can quickly review the summary to determine whether the research is relevant to their needs.
• Clarity and accessibility: A research summary provides a clear and accessible overview of the research project’s main points, making it easier for readers to understand the research without having to be experts in the field.
• Improved comprehension: A research summary helps readers comprehend the research by providing a brief and focused overview of the key findings and conclusions, making it easier to understand the research and its significance.
• Enhanced communication: Research summaries can be used to communicate research findings to a wider audience, such as policymakers, practitioners, or the general public, in a concise and accessible manner.
• Facilitated decision-making: Research summaries can support decision-making processes by providing a summary of the research evidence on a particular topic. Policymakers or practitioners can use this information to make informed decisions about interventions, programs, or policies.
• Increased dissemination: Research summaries can be easily shared and disseminated, allowing research findings to reach a wider audience.

Limitations of Research Summary

Limitations of the Research Summary are as follows:

• Limited scope: Research summaries provide a brief overview of the research project’s main points, findings, and conclusions, which can be limiting. They may not include all the details, nuances, and complexities of the research that readers may need to fully understand the study’s implications.
• Risk of oversimplification: Research summaries can be oversimplified, reducing the complexity of the research and potentially distorting the findings or conclusions.
• Lack of context: Research summaries may not provide sufficient context to fully understand the research findings, such as the research background, methodology, or limitations. This may lead to misunderstandings or misinterpretations of the research.
• Possible bias: Research summaries may be biased if they selectively emphasize certain findings or conclusions over others, potentially distorting the overall picture of the research.
• Format limitations: Research summaries may be constrained by the format or length requirements, making it challenging to fully convey the research’s main points, findings, and conclusions.
• Accessibility: Research summaries may not be accessible to all readers, particularly those with limited literacy skills, visual impairments, or language barriers.

About the author

Muhammad Hassan

Researcher, Academic Writer, Web developer

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How to Write the Results/Findings Section in Research

What is the research paper Results section and what does it do?

The Results section of a scientific research paper represents the core findings of a study derived from the methods applied to gather and analyze information. It presents these findings in a logical sequence without bias or interpretation from the author, setting up the reader for later interpretation and evaluation in the Discussion section. A major purpose of the Results section is to break down the data into sentences that show its significance to the research question(s).

The Results section appears third in the section sequence in most scientific papers. It follows the presentation of the Methods and Materials and is presented before the Discussion section —although the Results and Discussion are presented together in many journals. This section answers the basic question “What did you find in your research?”

What is included in the Results section?

The Results section should include the findings of your study and ONLY the findings of your study. The findings include:

• Data presented in tables, charts, graphs, and other figures (may be placed into the text or on separate pages at the end of the manuscript)
• A contextual analysis of this data explaining its meaning in sentence form
• All data that corresponds to the central research question(s)
• All secondary findings (secondary outcomes, subgroup analyses, etc.)

If the scope of the study is broad, or if you studied a variety of variables, or if the methodology used yields a wide range of different results, the author should present only those results that are most relevant to the research question stated in the Introduction section .

As a general rule, any information that does not present the direct findings or outcome of the study should be left out of this section. Unless the journal requests that authors combine the Results and Discussion sections, explanations and interpretations should be omitted from the Results.

How are the results organized?

The best way to organize your Results section is “logically.” One logical and clear method of organizing research results is to provide them alongside the research questions—within each research question, present the type of data that addresses that research question.

Let’s look at an example. Your research question is based on a survey among patients who were treated at a hospital and received postoperative care. Let’s say your first research question is:

“What do hospital patients over age 55 think about postoperative care?”

This can actually be represented as a heading within your Results section, though it might be presented as a statement rather than a question:

Attitudes towards postoperative care in patients over the age of 55

Now present the results that address this specific research question first. In this case, perhaps a table illustrating data from a survey. Likert items can be included in this example. Tables can also present standard deviations, probabilities, correlation matrices, etc.

Following this, present a content analysis, in words, of one end of the spectrum of the survey or data table. In our example case, start with the POSITIVE survey responses regarding postoperative care, using descriptive phrases. For example:

“Sixty-five percent of patients over 55 responded positively to the question “ Are you satisfied with your hospital’s postoperative care ?” (Fig. 2)

Include other results such as subcategory analyses. The amount of textual description used will depend on how much interpretation of tables and figures is necessary and how many examples the reader needs in order to understand the significance of your research findings.

Next, present a content analysis of another part of the spectrum of the same research question, perhaps the NEGATIVE or NEUTRAL responses to the survey. For instance:

  “As Figure 1 shows, 15 out of 60 patients in Group A responded negatively to Question 2.”

After you have assessed the data in one figure and explained it sufficiently, move on to your next research question. For example:

  “How does patient satisfaction correspond to in-hospital improvements made to postoperative care?”

This kind of data may be presented through a figure or set of figures (for instance, a paired T-test table).

Explain the data you present, here in a table, with a concise content analysis:

“The p-value for the comparison between the before and after groups of patients was .03% (Fig. 2), indicating that the greater the dissatisfaction among patients, the more frequent the improvements that were made to postoperative care.”

Let’s examine another example of a Results section from a study on plant tolerance to heavy metal stress . In the Introduction section, the aims of the study are presented as “determining the physiological and morphological responses of Allium cepa L. towards increased cadmium toxicity” and “evaluating its potential to accumulate the metal and its associated environmental consequences.” The Results section presents data showing how these aims are achieved in tables alongside a content analysis, beginning with an overview of the findings:

“Cadmium caused inhibition of root and leave elongation, with increasing effects at higher exposure doses (Fig. 1a-c).”

The figure containing this data is cited in parentheses. Note that this author has combined three graphs into one single figure. Separating the data into separate graphs focusing on specific aspects makes it easier for the reader to assess the findings, and consolidating this information into one figure saves space and makes it easy to locate the most relevant results.

Following this overall summary, the relevant data in the tables is broken down into greater detail in text form in the Results section.

• “Results on the bio-accumulation of cadmium were found to be the highest (17.5 mg kgG1) in the bulb, when the concentration of cadmium in the solution was 1×10G2 M and lowest (0.11 mg kgG1) in the leaves when the concentration was 1×10G3 M.”

Captioning and Referencing Tables and Figures

Tables and figures are central components of your Results section and you need to carefully think about the most effective way to use graphs and tables to present your findings . Therefore, it is crucial to know how to write strong figure captions and to refer to them within the text of the Results section.

The most important advice one can give here as well as throughout the paper is to check the requirements and standards of the journal to which you are submitting your work. Every journal has its own design and layout standards, which you can find in the author instructions on the target journal’s website. Perusing a journal’s published articles will also give you an idea of the proper number, size, and complexity of your figures.

Regardless of which format you use, the figures should be placed in the order they are referenced in the Results section and be as clear and easy to understand as possible. If there are multiple variables being considered (within one or more research questions), it can be a good idea to split these up into separate figures. Subsequently, these can be referenced and analyzed under separate headings and paragraphs in the text.

To create a caption, consider the research question being asked and change it into a phrase. For instance, if one question is “Which color did participants choose?”, the caption might be “Color choice by participant group.” Or in our last research paper example, where the question was “What is the concentration of cadmium in different parts of the onion after 14 days?” the caption reads:

 “Fig. 1(a-c): Mean concentration of Cd determined in (a) bulbs, (b) leaves, and (c) roots of onions after a 14-day period.”

Steps for Composing the Results Section

Because each study is unique, there is no one-size-fits-all approach when it comes to designing a strategy for structuring and writing the section of a research paper where findings are presented. The content and layout of this section will be determined by the specific area of research, the design of the study and its particular methodologies, and the guidelines of the target journal and its editors. However, the following steps can be used to compose the results of most scientific research studies and are essential for researchers who are new to preparing a manuscript for publication or who need a reminder of how to construct the Results section.

Step 1 : Consult the guidelines or instructions that the target journal or publisher provides authors and read research papers it has published, especially those with similar topics, methods, or results to your study.

• The guidelines will generally outline specific requirements for the results or findings section, and the published articles will provide sound examples of successful approaches.
• Note length limitations on restrictions on content. For instance, while many journals require the Results and Discussion sections to be separate, others do not—qualitative research papers often include results and interpretations in the same section (“Results and Discussion”).
• Reading the aims and scope in the journal’s “ guide for authors ” section and understanding the interests of its readers will be invaluable in preparing to write the Results section.

Step 2 : Consider your research results in relation to the journal’s requirements and catalogue your results.

• Focus on experimental results and other findings that are especially relevant to your research questions and objectives and include them even if they are unexpected or do not support your ideas and hypotheses.
• Catalogue your findings—use subheadings to streamline and clarify your report. This will help you avoid excessive and peripheral details as you write and also help your reader understand and remember your findings. Create appendices that might interest specialists but prove too long or distracting for other readers.
• Decide how you will structure of your results. You might match the order of the research questions and hypotheses to your results, or you could arrange them according to the order presented in the Methods section. A chronological order or even a hierarchy of importance or meaningful grouping of main themes or categories might prove effective. Consider your audience, evidence, and most importantly, the objectives of your research when choosing a structure for presenting your findings.

Step 3 : Design figures and tables to present and illustrate your data.

• Tables and figures should be numbered according to the order in which they are mentioned in the main text of the paper.
• Information in figures should be relatively self-explanatory (with the aid of captions), and their design should include all definitions and other information necessary for readers to understand the findings without reading all of the text.
• Use tables and figures as a focal point to tell a clear and informative story about your research and avoid repeating information. But remember that while figures clarify and enhance the text, they cannot replace it.

Step 4 : Draft your Results section using the findings and figures you have organized.

• The goal is to communicate this complex information as clearly and precisely as possible; precise and compact phrases and sentences are most effective.
• In the opening paragraph of this section, restate your research questions or aims to focus the reader’s attention to what the results are trying to show. It is also a good idea to summarize key findings at the end of this section to create a logical transition to the interpretation and discussion that follows.
• Try to write in the past tense and the active voice to relay the findings since the research has already been done and the agent is usually clear. This will ensure that your explanations are also clear and logical.
• Make sure that any specialized terminology or abbreviation you have used here has been defined and clarified in the  Introduction section .

Step 5 : Review your draft; edit and revise until it reports results exactly as you would like to have them reported to your readers.

• Double-check the accuracy and consistency of all the data, as well as all of the visual elements included.
• Read your draft aloud to catch language errors (grammar, spelling, and mechanics), awkward phrases, and missing transitions.
• Ensure that your results are presented in the best order to focus on objectives and prepare readers for interpretations, valuations, and recommendations in the Discussion section . Look back over the paper’s Introduction and background while anticipating the Discussion and Conclusion sections to ensure that the presentation of your results is consistent and effective.
• Consider seeking additional guidance on your paper. Find additional readers to look over your Results section and see if it can be improved in any way. Peers, professors, or qualified experts can provide valuable insights.

One excellent option is to use a professional English proofreading and editing service  such as Wordvice, including our paper editing service . With hundreds of qualified editors from dozens of scientific fields, Wordvice has helped thousands of authors revise their manuscripts and get accepted into their target journals. Read more about the  proofreading and editing process  before proceeding with getting academic editing services and manuscript editing services for your manuscript.

As the representation of your study’s data output, the Results section presents the core information in your research paper. By writing with clarity and conciseness and by highlighting and explaining the crucial findings of their study, authors increase the impact and effectiveness of their research manuscripts.

For more articles and videos on writing your research manuscript, visit Wordvice’s Resources page.

Wordvice Resources

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• Which Verb Tenses to Use in a Research Paper
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Integrating Social and Behavioral Sciences Within the Weather Enterprise (2018)

Chapter: 7 summary of key findings and recommendations, summary of key findings and recommendations.

Of the many thoughts and suggestions raised in the preceding chapters, the Committee highlights the following findings and recommendations:

7.1 FINDINGS

• While efforts to advance meteorological research and numerical weather prediction must continue, realizing the greatest return on investment from such efforts requires fully engaging the social and behavioral sciences (SBS)—both to expand the frontiers of knowledge within social and behavioral science disciplines, and to foster more extensive application of these sciences across the weather enterprise.
• SBS research offers great potential not just for improving communications of hazardous weather warnings, but also for improving preparedness and mitigation for weather risks, for hazard monitoring, assessment, and forecasting processes, for emergency management and response, and for long-term recovery efforts.
• The past few decades have seen a variety of innovative research projects and activities bring social and behavioral sciences within the weather enterprise; these efforts have made demonstrable contributions both to the social and behavioral sciences and to meteorology. However, the accumulation of knowledge has been hampered by the relatively small scale, intermittency, and inconsistency of investment in these sorts of efforts.
• As current research activities demonstrate, exciting opportunities exist for advancing weather-related research that addresses important societal needs, both within the social and behavioral sciences, and across social and physical sciences. A variety of research advances are providing transformative new opportunities for expanding these contributions to the weather enterprise. For instance, new tools and models are making it possible to collect, analyze, interpret, and apply data and information both at smaller scales—for example, eye-tracking of the use of visual information—and at larger scales—for

example, through social media analyses of the spread and influence of information across social networks, and the application of big data, data analytics and cognitive computing to this context.

• Existing federal agency data collection activities by the National Oceanic and Atmospheric Administration (NOAA), the Federal Emergency Management Agency (FEMA), and the Centers for Disease Control and Prevention (CDC) could, with modest additions and greater interagency coordination, significantly expand our understanding of the social context of hazardous weather.
• Meteorologists and others in the weather enterprise could benefit from a more realistic understanding of the diverse disciplines, theories, and research methodologies used within the social and behavioral sciences; of the time and resources needed for robust SBS research; and of the inherent limitations in providing simple, universally applicable answers to complex social science questions.
• Organizations across the weather enterprise—including several federal agencies, private-sector weather companies, academic institutions, and professional societies—have shared motivations for actively contributing to the integration of SBS within the weather enterprise, through a variety of practical roles that are discussed herein.
• Numerous previous reports going back many years have highlighted needs and challenges similar to those noted here—yet many of the same challenges remain today. Recent history demonstrates that overcoming these challenges and making progress is not idea limited, but rather, is resource limited.

7.2 RECOMMENDATIONS

Social and behavioral scientific research focused on weather applications is advancing during a time of accelerating social and technological change, both within the weather enterprise and across society at large. In this context, the Committee offers a broad-based framework for action, which leverages leadership to build awareness and demand for increased capacity, and identifies key knowledge gaps to target with that increased capacity. The Committee advocates that all sectors of the weather attend to these three main areas:

Invest in Leadership to Build Awareness

Effectively integrating social and behavioral sciences into organizations that have historically been rooted in the physical sciences requires leadership at the highest levels.

Across the weather enterprise, leaders themselves need to invest time in understanding and in spreading awareness to key constituencies and stakeholders about the many ways that social and behavioral sciences can help advance their organization’s goals related to preparedness and mitigation for weather hazards; hazard monitoring, assessment, and forecasting processes; emergency management and response; and long-term recovery. To aid these efforts, federal agencies, private companies, and leading academic programs within the weather enterprise need to augment their leadership teams to include executives and managers with strong and diverse social science backgrounds.

Recommendation: Leaders of the weather enterprise should take steps to accelerate this paradigm shift by underscoring the importance of social and behavioral science (SBS) contributions in fulfilling their organizational missions and achieving operational and research goals, bringing SBS expertise into their leadership teams, and establishing relevant policies and goals to effect necessary organizational changes.

Build Capacity Throughout the Weather Enterprise

Building SBS research capacity is an enterprise-wide concern and responsibility. However, NOAA will need to play a central role in driving forward this research in order to achieve the agency’s goals of improving the nation’s weather readiness. Building capacity to support and implement SBS research depends on more sustained funding and increased intellectual resources (i.e., professional staff trained and experienced in SBS research and its effective application). Several possible mechanisms for NOAA to advance SBS capacity are described in this report, such as innovative public–private partnerships for interdisciplinary weather research, the development of an SBS-focused NOAA Cooperative Institute, or creation of SBS-focused programs within existing Cooperative Institutes. New sustained efforts by other key federal agencies, in particular the National Science Foundation (NSF), the Department of Homeland Security (DHS), and the Federal Highway Administration (FHWA), will also be critical for expanding capacity to support research and operations at the SBS-weather interface.

Just as important as the mechanisms for supporting research are the research assessment and agenda-setting activities, community-building programs, and information sharing venues that help build a professional community working at the SBS-weather interface. Some existing platforms for sustained dialogue and strategic planning among public-sector, private-sector, and academic representatives could provide an effective base for SBS-related strategic planning as well. Interagency cooperation

and collaboration could be pursued through mechanisms the federal government currently employs, such as interagency working groups or university-based research centers supported by multiple agencies.

Targeted training programs can help researchers from the social, physical, and engineering sciences better understand each other’s diversity of research methodologies, and capacities and limitations. Viable approaches include interdisciplinary or joint degree programs, training at multi- or transdisciplinary centers in team science, building on NOAA’s currently developing SBS training efforts, and utilizing existing training platforms such as FEMA’s Emergency Management Institute, and the University Corporation for Atmospheric Research (UCAR) COMET program.

Recommendation: Federal agencies and private-sector weather companies should, together with leading social and behavioral science (SBS) scholars with diverse expertise, immediately begin a planning process to identify specific investments and activities that collectively advance research at the SBS-weather interface. This planning process should also address critical supporting activities for research assessment, agenda setting, community building, and information sharing, and the development of methods to collectively track funding support for this suite of research activities at the SBS-weather interface.

In addition, the National Oceanic and Atmospheric Administration should build more sustainable institutional capacity for research and operations at the SBS-weather interface and should advance cooperative planning to expand SBS research among other federal agencies that play critical roles in weather-related research operations. In particular, this should include leadership from:

• The National Science Foundation for a strong standing program that supports interdisciplinary research at the SBS-weather interface;
• The Federal Highway Administration for research related to weather impacts on driver choices and behaviors; and
• The Federal Emergency Management Agency for research on the social and human factors that affect weather readiness, including decisions and actions by individuals, communities and emergency management to prepare for, prevent, respond to, mitigate, and recover from weather hazards.

All parties in the weather enterprise should continue to develop and implement training programs for current and next generation workforces in order to expand capacity for SBS-weather research and applications in the weather enterprise.

Focus on Critical Knowledge Gaps

Building scientific understanding of weather-related actions, behaviors, and decisions will require investing wisely in research that addresses specific knowledge gaps and will help accelerate the maturation of the field overall. The Committee identified a series of key near-term research questions that span the different stages of weather communication and decision support shown in Figure S.1 . The research questions, which are detailed in this report, can be broadly grouped into the following topical areas listed below.

Recommendation: The weather enterprise should support research efforts in the following areas:

• Weather enterprise system-focused research. To address this gap requires system-level studies of weather information production, dissemination, and evaluation; studies of how forecasters, broadcast media, emergency and transportation managers, and private weather companies create information, interact, and communicate among themselves; studies of forecaster decision making, such as what observational platforms and numerical weather prediction guidance forecasters use and how they use them; studies of how to assess the economic value of weather services; and studies of team performance and organizational behavior within weather forecast offices and other parts of the weather enterprise.
• Risk assessments and responses, and factors influencing these processes. This includes research on how to better reach and inform special-interest populations that have unique needs, such as vehicle drivers and others vulnerable to hazardous weather due to their location, resources, and capabilities. It also includes research on how people’s interest in, access to, and interpretation of weather information, as well as their decisions and actions in response, are affected by their specific social or physical context, prior experiences, cultural background, and personal values.
• Message design, delivery, interpretation, and use. Persistent challenges include understanding how communicating forecast uncertainties in different formats influences understanding and action; how to balance consistency in messaging with needs for flexibility to suit different geographical, cultural, and use contexts, including warning specificity and impact-based warnings; and how new communication and information technologies—including the proliferation of different sources, content, and channels of weather information—interact with message design and are changing people’s weather information access, interpretations, preparedness, and response.

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Our ability to observe and forecast severe weather events has improved markedly over the past few decades. Forecasts of snow and ice storms, hurricanes and storm surge, extreme heat, and other severe weather events are made with greater accuracy, geographic specificity, and lead time to allow people and communities to take appropriate protective measures. Yet hazardous weather continues to cause loss of life and result in other preventable social costs.

There is growing recognition that a host of social and behavioral factors affect how we prepare for, observe, predict, respond to, and are impacted by weather hazards. For example, an individual's response to a severe weather event may depend on their understanding of the forecast, prior experience with severe weather, concerns about their other family members or property, their capacity to take the recommended protective actions, and numerous other factors. Indeed, it is these factors that can determine whether or not a potential hazard becomes an actual disaster. Thus, it is essential to bring to bear expertise in the social and behavioral sciences (SBS)—including disciplines such as anthropology, communication, demography, economics, geography, political science, psychology, and sociology—to understand how people's knowledge, experiences, perceptions, and attitudes shape their responses to weather risks and to understand how human cognitive and social dynamics affect the forecast process itself.

Integrating Social and Behavioral Sciences Within the Weather Enterprise explores and provides guidance on the challenges of integrating social and behavioral sciences within the weather enterprise. It assesses current SBS activities, describes the potential value of improved integration of SBS and barriers that impede this integration, develops a research agenda, and identifies infrastructural and institutional arrangements for successfully pursuing SBS-weather research and the transfer of relevant findings to operational settings.

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How To Write The Results/Findings Chapter

For qualitative studies (dissertations & theses).

By: Jenna Crossley (PhD). Expert Reviewed By: Dr. Eunice Rautenbach | August 2021

So, you’ve collected and analysed your qualitative data, and it’s time to write up your results chapter. But where do you start? In this post, we’ll guide you through the qualitative results chapter (also called the findings chapter), step by step. 

Overview: Qualitative Results Chapter

• What (exactly) the qualitative results chapter is
• What to include in your results chapter
• How to write up your results chapter
• A few tips and tricks to help you along the way
• Free results chapter template

What exactly is the results chapter?

The results chapter in a dissertation or thesis (or any formal academic research piece) is where you objectively and neutrally present the findings of your qualitative analysis (or analyses if you used multiple qualitative analysis methods ). This chapter can sometimes be combined with the discussion chapter (where you interpret the data and discuss its meaning), depending on your university’s preference.  We’ll treat the two chapters as separate, as that’s the most common approach.

In contrast to a quantitative results chapter that presents numbers and statistics, a qualitative results chapter presents data primarily in the form of words . But this doesn’t mean that a qualitative study can’t have quantitative elements – you could, for example, present the number of times a theme or topic pops up in your data, depending on the analysis method(s) you adopt.

Adding a quantitative element to your study can add some rigour, which strengthens your results by providing more evidence for your claims. This is particularly common when using qualitative content analysis. Keep in mind though that qualitative research aims to achieve depth, richness and identify nuances , so don’t get tunnel vision by focusing on the numbers. They’re just cream on top in a qualitative analysis.

So, to recap, the results chapter is where you objectively present the findings of your analysis, without interpreting them (you’ll save that for the discussion chapter). With that out the way, let’s take a look at what you should include in your results chapter.

What should you include in the results chapter?

As we’ve mentioned, your qualitative results chapter should purely present and describe your results , not interpret them in relation to the existing literature or your research questions . Any speculations or discussion about the implications of your findings should be reserved for your discussion chapter.

In your results chapter, you’ll want to talk about your analysis findings and whether or not they support your hypotheses (if you have any). Naturally, the exact contents of your results chapter will depend on which qualitative analysis method (or methods) you use. For example, if you were to use thematic analysis, you’d detail the themes identified in your analysis, using extracts from the transcripts or text to support your claims.

While you do need to present your analysis findings in some detail, you should avoid dumping large amounts of raw data in this chapter. Instead, focus on presenting the key findings and using a handful of select quotes or text extracts to support each finding . The reams of data and analysis can be relegated to your appendices.

While it’s tempting to include every last detail you found in your qualitative analysis, it is important to make sure that you report only that which is relevant to your research aims, objectives and research questions .  Always keep these three components, as well as your hypotheses (if you have any) front of mind when writing the chapter and use them as a filter to decide what’s relevant and what’s not.

Need a helping hand?

How do I write the results chapter?

Now that we’ve covered the basics, it’s time to look at how to structure your chapter. Broadly speaking, the results chapter needs to contain three core components – the introduction, the body and the concluding summary. Let’s take a look at each of these.

Section 1: Introduction

The first step is to craft a brief introduction to the chapter. This intro is vital as it provides some context for your findings. In your introduction, you should begin by reiterating your problem statement and research questions and highlight the purpose of your research . Make sure that you spell this out for the reader so that the rest of your chapter is well contextualised.

The next step is to briefly outline the structure of your results chapter. In other words, explain what’s included in the chapter and what the reader can expect. In the results chapter, you want to tell a story that is coherent, flows logically, and is easy to follow , so make sure that you plan your structure out well and convey that structure (at a high level), so that your reader is well oriented.

The introduction section shouldn’t be lengthy. Two or three short paragraphs should be more than adequate. It is merely an introduction and overview, not a summary of the chapter.

Pro Tip – To help you structure your chapter, it can be useful to set up an initial draft with (sub)section headings so that you’re able to easily (re)arrange parts of your chapter. This will also help your reader to follow your results and give your chapter some coherence.  Be sure to use level-based heading styles (e.g. Heading 1, 2, 3 styles) to help the reader differentiate between levels visually. You can find these options in Word (example below).

Section 2: Body

Before we get started on what to include in the body of your chapter, it’s vital to remember that a results section should be completely objective and descriptive, not interpretive . So, be careful not to use words such as, “suggests” or “implies”, as these usually accompany some form of interpretation – that’s reserved for your discussion chapter.

The structure of your body section is very important , so make sure that you plan it out well. When planning out your qualitative results chapter, create sections and subsections so that you can maintain the flow of the story you’re trying to tell. Be sure to systematically and consistently describe each portion of results. Try to adopt a standardised structure for each portion so that you achieve a high level of consistency throughout the chapter.

For qualitative studies, results chapters tend to be structured according to themes , which makes it easier for readers to follow. However, keep in mind that not all results chapters have to be structured in this manner. For example, if you’re conducting a longitudinal study, you may want to structure your chapter chronologically. Similarly, you might structure this chapter based on your theoretical framework . The exact structure of your chapter will depend on the nature of your study , especially your research questions.

As you work through the body of your chapter, make sure that you use quotes to substantiate every one of your claims . You can present these quotes in italics to differentiate them from your own words. A general rule of thumb is to use at least two pieces of evidence per claim, and these should be linked directly to your data. Also, remember that you need to include all relevant results , not just the ones that support your assumptions or initial leanings.

In addition to including quotes, you can also link your claims to the data by using appendices , which you should reference throughout your text. When you reference, make sure that you include both the name/number of the appendix , as well as the line(s) from which you drew your data.

As referencing styles can vary greatly, be sure to look up the appendix referencing conventions of your university’s prescribed style (e.g. APA , Harvard, etc) and keep this consistent throughout your chapter.

Section 3: Concluding summary

The concluding summary is very important because it summarises your key findings and lays the foundation for the discussion chapter . Keep in mind that some readers may skip directly to this section (from the introduction section), so make sure that it can be read and understood well in isolation.

In this section, you need to remind the reader of the key findings. That is, the results that directly relate to your research questions and that you will build upon in your discussion chapter. Remember, your reader has digested a lot of information in this chapter, so you need to use this section to remind them of the most important takeaways.

Importantly, the concluding summary should not present any new information and should only describe what you’ve already presented in your chapter. Keep it concise – you’re not summarising the whole chapter, just the essentials.

Tips for writing an A-grade results chapter

Now that you’ve got a clear picture of what the qualitative results chapter is all about, here are some quick tips and reminders to help you craft a high-quality chapter:

• Your results chapter should be written in the past tense . You’ve done the work already, so you want to tell the reader what you found , not what you are currently finding .
• Make sure that you review your work multiple times and check that every claim is adequately backed up by evidence . Aim for at least two examples per claim, and make use of an appendix to reference these.
• When writing up your results, make sure that you stick to only what is relevant . Don’t waste time on data that are not relevant to your research objectives and research questions.
• Use headings and subheadings to create an intuitive, easy to follow piece of writing. Make use of Microsoft Word’s “heading styles” and be sure to use them consistently.
• When referring to numerical data, tables and figures can provide a useful visual aid. When using these, make sure that they can be read and understood independent of your body text (i.e. that they can stand-alone). To this end, use clear, concise labels for each of your tables or figures and make use of colours to code indicate differences or hierarchy.
• Similarly, when you’re writing up your chapter, it can be useful to highlight topics and themes in different colours . This can help you to differentiate between your data if you get a bit overwhelmed and will also help you to ensure that your results flow logically and coherently.

If you have any questions, leave a comment below and we’ll do our best to help. If you’d like 1-on-1 help with your results chapter (or any chapter of your dissertation or thesis), check out our private dissertation coaching service here or book a free initial consultation to discuss how we can help you.

Psst... there’s more!

This post was based on one of our popular Research Bootcamps . If you're working on a research project, you'll definitely want to check this out ...

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20 Comments

This was extremely helpful. Thanks a lot guys

Hi, thanks for the great research support platform created by the gradcoach team!

I wanted to ask- While “suggests” or “implies” are interpretive terms, what terms could we use for the results chapter? Could you share some examples of descriptive terms?

I think that instead of saying, ‘The data suggested, or The data implied,’ you can say, ‘The Data showed or revealed, or illustrated or outlined’…If interview data, you may say Jane Doe illuminated or elaborated, or Jane Doe described… or Jane Doe expressed or stated.

I found this article very useful. Thank you very much for the outstanding work you are doing.

What if i have 3 different interviewees answering the same interview questions? Should i then present the results in form of the table with the division on the 3 perspectives or rather give a results in form of the text and highlight who said what?

I think this tabular representation of results is a great idea. I am doing it too along with the text. Thanks

That was helpful was struggling to separate the discussion from the findings

this was very useful, Thank you.

Very helpful, I am confident to write my results chapter now.

It is so helpful! It is a good job. Thank you very much!

Very useful, well explained. Many thanks.

Hello, I appreciate the way you provided a supportive comments about qualitative results presenting tips

I loved this! It explains everything needed, and it has helped me better organize my thoughts. What words should I not use while writing my results section, other than subjective ones.

Thanks a lot, it is really helpful

Thank you so much dear, i really appropriate your nice explanations about this.

Thank you so much for this! I was wondering if anyone could help with how to prproperly integrate quotations (Excerpts) from interviews in the finding chapter in a qualitative research. Please GradCoach, address this issue and provide examples.

what if I’m not doing any interviews myself and all the information is coming from case studies that have already done the research.

Very helpful thank you.

This was very helpful as I was wondering how to structure this part of my dissertation, to include the quotes… Thanks for this explanation

This is very helpful, thanks! I am required to write up my results chapters with the discussion in each of them – any tips and tricks for this strategy?

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How To Write the Findings Section of a Research Paper

Posted by Rene Tetzner | Sep 2, 2021 | Paper Writing Advice | 0 |

How To Write the Findings Section of a Research Paper Each research project is unique, so it is natural for one researcher to make use of somewhat different strategies than another when it comes to designing and writing the section of a research paper dedicated to findings. The academic or scientific discipline of the research, the field of specialisation, the particular author or authors, the targeted journal or other publisher and the editor making the decisions about publication can all have a significant impact. The practical steps outlined below can be effectively applied to writing about the findings of most advanced research, however, and will prove especially helpful for early-career scholars who are preparing a research paper for a first publication.

Step 1 : Consult the guidelines or instructions that the targeted journal (or other publisher) provides for authors and read research papers it has already published, particularly ones similar in topic, methods or results to your own. The guidelines will generally outline specific requirements for the results or findings section, and the published articles will provide sound examples of successful approaches. Watch particularly for length limitations and restrictions on content. Interpretation, for instance, is usually reserved for a later discussion section, though not always – qualitative research papers often combine findings and interpretation. Background information and descriptions of methods, on the other hand, almost always appear in earlier sections of a research paper. In most cases it is appropriate in a findings section to offer basic comparisons between the results of your study and those of other studies, but knowing exactly what the journal wants in the report of research findings is essential. Learning as much as you can about the journal’s aims and scope as well as the interests of its readers is invaluable as well.

Step 2 : Reflect at some length on your research results in relation to the journal’s requirements while planning the findings section of your paper. Choose for particular focus experimental results and other research discoveries that are particularly relevant to your research questions and objectives, and include them even if they are unexpected or do not support your ideas and hypotheses. Streamline and clarify your report, especially if it is long and complex, by using subheadings that will help you avoid excessive and peripheral details as you write and also help your reader understand and remember your findings. Consider appendices for raw data that might interest specialists but prove too long or distracting for other readers. The opening paragraph of a findings section often restates research questions or aims to refocus the reader’s attention, and it is always wise to summarise key findings at the end of the section, providing a smooth intellectual transition to the interpretation and discussion that follows in most research papers. There are many effective ways in which to organise research findings. The structure of your findings section might be determined by your research questions and hypotheses or match the arrangement of your methods section. A chronological order or hierarchy of importance or meaningful grouping of main themes or categories might prove effective. It may be best to present all the relevant findings and then explain them and your analysis of them, or explaining the results of each trial or test immediately after reporting it may render the material clearer and more comprehensible for your readers. Keep your audience, your most important evidence and your research goals in mind.

Step 3 : Design effective visual presentations of your research results to enhance the textual report of your findings. Tables of various styles and figures of all kinds such as graphs, maps and photos are used in reporting research findings, but do check the journal guidelines for instructions on the number of visual aids allowed, any required design elements and the preferred formats for numbering, labelling and placement in the manuscript. As a general rule, tables and figures should be numbered according to first mention in the main text of the paper, and each one should be clearly introduced and explained at least briefly in that text so that readers know what is presented and what they are expected to see in a particular visual element. Tables and figures should also be self-explanatory, however, so their design should include all definitions and other information necessary for a reader to understand the findings you intend to show without returning to your text. If you construct your tables and figures before drafting your findings section, they can serve as focal points to help you tell a clear and informative story about your findings and avoid unnecessary repetition. Some authors will even work on tables and figures before organising the findings section (Step 2), which can be an extremely effective approach, but it is important to remember that the textual report of findings remains primary. Visual aids can clarify and enrich the text, but they cannot take its place.

Step 4 : Write your findings section in a factual and objective manner. The goal is to communicate information – in some cases a great deal of complex information – as clearly, accurately and precisely as possible, so well-constructed sentences that maintain a simple structure will be far more effective than convoluted phrasing and expressions. The active voice is often recommended by publishers and the authors of writing manuals, and the past tense is appropriate because the research has already been done. Make sure your grammar, spelling and punctuation are correct and effective so that you are conveying the meaning you intend. Statements that are vague, imprecise or ambiguous will often confuse and mislead readers, and a verbose style will add little more than padding while wasting valuable words that might be put to far better use in clear and logical explanations. Some specialised terminology may be required when reporting findings, but anything potentially unclear or confusing that has not already been defined earlier in the paper should be clarified for readers, and the same principle applies to unusual or nonstandard abbreviations. Your readers will want to understand what you are reporting about your results, not waste time looking up terms simply to understand what you are saying. A logical approach to organising your findings section (Step 2) will help you tell a logical story about your research results as you explain, highlight, offer analysis and summarise the information necessary for readers to understand the discussion section that follows.

Step 5 : Review the draft of your findings section and edit and revise until it reports your key findings exactly as you would have them presented to your readers. Check for accuracy and consistency in data across the section as a whole and all its visual elements. Read your prose aloud to catch language errors, awkward phrases and abrupt transitions. Ensure that the order in which you have presented results is the best order for focussing readers on your research objectives and preparing them for the interpretations, speculations, recommendations and other elements of the discussion that you are planning. This will involve looking back over the paper’s introductory and background material as well as anticipating the discussion and conclusion sections, and this is precisely the right point in the process for reviewing and reflecting. Your research results have taken considerable time to obtain and analyse, so a little more time to stand back and take in the wider view from the research door you have opened is a wise investment. The opinions of any additional readers you can recruit, whether they are professional mentors and colleagues or family and friends, will often prove invaluable as well.

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How To Write the Findings Section of a Research Paper These five steps will help you write a clear & interesting findings section for a research paper

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Research Guide

Chapter 7 presenting your findings.

Now that you have worked so hard in your project, how to ensure that you can communicate your findings in an effective and efficient way? In this section, I will introduce a few tips that could help you prepare your slides and preparing for your final presentation.

7.1 Sections of the Presentation

When preparing your slides, you need to ensure that you have a clear roadmap. You have a limited time to explain the context of your study, your results, and the main takeaways. Thus, you need to be organized and efficient when deciding what material will be included in the slides.

You need to ensure that your presentation contains the following sections:

• Motivation : Why did you choose your topic? What is the bigger question?
• Research question : Needs to be clear and concise. Include secondary questions, if available, but be clear about what is your research question.
• Literature Review : How does your paper fit in the overall literature? What are your contributions?
• Context : Give an overview of the issue and the population/countries that you analyzed
• Study Characteristics : This section is key, as it needs to include your model, identification strategy, and introduce your data (sources, summary statistics, etc.).
• Results : In this section, you need to answer your research question(s). Include tables that are readable.
• Additional analysis : Here, include any additional information that your public needs to know. For instance, did you try different specifications? did you find an obstacle (i.e. your data is very noisy, the sample is very small, something else) that may bias your results or create some issues in your analysis? Tell your audience! No research project is perfect, but you need to be clear about the imperfections of your project.
• Conclusion : Be repetitive! What was your research question? How did you answer it? What did you find? What is next in this topic?

7.2 How to prepare your slides

When preparing your slides, remember that humans have a limited capacity to pay attention. If you want to convey your convey your message in an effective way, you need to ensure that the message is simple and that you keep your audience attention. Here are some strategies that you may want to follow:

• Have a clear roadmap at the beginning of the presentation. Tell your audience what to expect.
• Number your slides. This will help you and your audience to know where you are in your analysis.
• Ensure that each slide has a purpose
• Ensure that each slide is connected to your key point.
• Make just one argument per slide
• State the objective of each slide in the headline
• Use bullet points. Do not include more than one sentence per bullet point.
• Choose a simple background.
• If you want to direct your audience attention to a specific point, make it more attractive (using a different font color)
• Each slide needs to have a similar structure (going from the general to the particular detauls).
• Use images/graphs when possible. Ensure that the axes for the graphs are clear.
• Use a large font for your tables. Keep them as simple as possible.
• If you can say it with an image, choose it over a table.
• Have an Appendix with slides that address potential questions.

7.3 How to prepare your presentation

One of the main constraints of having simple presentations is that you cannot rely on them and read them. Instead, you need to have extra notes and memorize them to explain things beyond what is on your slides. The following are some suggestions on how to ensure you communicate effectively during your presentation.

• Practice, practice, practice!
• Keep the right volume (practice will help you with that)
• Be journalistic about your presentation. Indicate what you want to say, then say it.
• Ensure that your audience knows where you are going
• Avoid passive voice.
• Be consistent with the terms you are using. You do not want to confuse your audience, even if using synonyms.
• Face your audience and keep an eye contact.
• Do not try reading your slides
• Ensure that your audience is focused on what you are presenting and there are no other distractions that you can control.
• Do not rush your presentation. Speak calmly and controlled.
• Be comprehensive when answering questions. Avoid yes/no answers. Instead, rephrase question (to ensure you are answering the right question), then give a short answer, then develop.
• If you lose track, do not panick. Go back a little bit or ask your audience for assistance.
• Again, practice is the secret.

You have worked so hard in your final project, and the presentation is your opportunity to share that work with the rest of the world. Use this opportunity to shine and enjoy it.

Since this is the first iteration of the Guide, I expect that there are going to be multiple typos and structure issues. Please feel free to let me know, and I will correct accordingly. ↩︎

Note that you would still need to refine some of the good questions even more. ↩︎

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The conclusion is intended to help the reader understand why your research should matter to them after they have finished reading the paper. A conclusion is not merely a summary of the main topics covered or a re-statement of your research problem, but a synthesis of key points derived from the findings of your study and, if applicable, where you recommend new areas for future research. For most college-level research papers, two or three well-developed paragraphs is sufficient for a conclusion, although in some cases, more paragraphs may be required in describing the key findings and their significance.

Conclusions. The Writing Center. University of North Carolina; Conclusions. The Writing Lab and The OWL. Purdue University.

Importance of a Good Conclusion

A well-written conclusion provides you with important opportunities to demonstrate to the reader your understanding of the research problem. These include:

• Presenting the last word on the issues you raised in your paper . Just as the introduction gives a first impression to your reader, the conclusion offers a chance to leave a lasting impression. Do this, for example, by highlighting key findings in your analysis that advance new understanding about the research problem, that are unusual or unexpected, or that have important implications applied to practice.
• Summarizing your thoughts and conveying the larger significance of your study . The conclusion is an opportunity to succinctly re-emphasize  your answer to the "So What?" question by placing the study within the context of how your research advances past research about the topic.
• Identifying how a gap in the literature has been addressed . The conclusion can be where you describe how a previously identified gap in the literature [first identified in your literature review section] has been addressed by your research and why this contribution is significant.
• Demonstrating the importance of your ideas . Don't be shy. The conclusion offers an opportunity to elaborate on the impact and significance of your findings. This is particularly important if your study approached examining the research problem from an unusual or innovative perspective.
• Introducing possible new or expanded ways of thinking about the research problem . This does not refer to introducing new information [which should be avoided], but to offer new insight and creative approaches for framing or contextualizing the research problem based on the results of your study.

Bunton, David. “The Structure of PhD Conclusion Chapters.” Journal of English for Academic Purposes 4 (July 2005): 207–224; Conclusions. The Writing Center. University of North Carolina; Kretchmer, Paul. Twelve Steps to Writing an Effective Conclusion. San Francisco Edit, 2003-2008; Conclusions. The Writing Lab and The OWL. Purdue University; Assan, Joseph. "Writing the Conclusion Chapter: The Good, the Bad and the Missing." Liverpool: Development Studies Association (2009): 1-8.

Structure and Writing Style

I.  General Rules

The general function of your paper's conclusion is to restate the main argument . It reminds the reader of the strengths of your main argument(s) and reiterates the most important evidence supporting those argument(s). Do this by clearly summarizing the context, background, and necessity of pursuing the research problem you investigated in relation to an issue, controversy, or a gap found in the literature. However, make sure that your conclusion is not simply a repetitive summary of the findings. This reduces the impact of the argument(s) you have developed in your paper.

When writing the conclusion to your paper, follow these general rules:

• Present your conclusions in clear, concise language. Re-state the purpose of your study, then describe how your findings differ or support those of other studies and why [i.e., what were the unique, new, or crucial contributions your study made to the overall research about your topic?].
• Do not simply reiterate your findings or the discussion of your results. Provide a synthesis of arguments presented in the paper to show how these converge to address the research problem and the overall objectives of your study.
• Indicate opportunities for future research if you haven't already done so in the discussion section of your paper. Highlighting the need for further research provides the reader with evidence that you have an in-depth awareness of the research problem but that further investigations should take place beyond the scope of your investigation.

Consider the following points to help ensure your conclusion is presented well:

• If the argument or purpose of your paper is complex, you may need to summarize the argument for your reader.
• If, prior to your conclusion, you have not yet explained the significance of your findings or if you are proceeding inductively, use the end of your paper to describe your main points and explain their significance.
• Move from a detailed to a general level of consideration that returns the topic to the context provided by the introduction or within a new context that emerges from the data [this is opposite of the introduction, which begins with general discussion of the context and ends with a detailed description of the research problem]. 

The conclusion also provides a place for you to persuasively and succinctly restate the research problem, given that the reader has now been presented with all the information about the topic . Depending on the discipline you are writing in, the concluding paragraph may contain your reflections on the evidence presented. However, the nature of being introspective about the research you have conducted will depend on the topic and whether your professor wants you to express your observations in this way. If asked to think introspectively about the topics, do not delve into idle speculation. Being introspective means looking within yourself as an author to try and understand an issue more deeply, not to guess at possible outcomes or make up scenarios not supported by the evidence.

II.  Developing a Compelling Conclusion

Although an effective conclusion needs to be clear and succinct, it does not need to be written passively or lack a compelling narrative. Strategies to help you move beyond merely summarizing the key points of your research paper may include any of the following:

• If your essay deals with a critical, contemporary problem, warn readers of the possible consequences of not attending to the problem proactively.
• Recommend a specific course or courses of action that, if adopted, could address a specific problem in practice or in the development of new knowledge leading to positive change.
• Cite a relevant quotation or expert opinion already noted in your paper in order to lend authority and support to the conclusion(s) you have reached [a good source would be from your literature review].
• Explain the consequences of your research in a way that elicits action or demonstrates urgency in seeking change.
• Restate a key statistic, fact, or visual image to emphasize the most important finding of your paper.
• If your discipline encourages personal reflection, illustrate your concluding point by drawing from your own life experiences.
• Return to an anecdote, an example, or a quotation that you presented in your introduction, but add further insight derived from the findings of your study; use your interpretation of results from your study to recast it in new or important ways.
• Provide a "take-home" message in the form of a succinct, declarative statement that you want the reader to remember about your study.

III. Problems to Avoid

Failure to be concise Your conclusion section should be concise and to the point. Conclusions that are too lengthy often have unnecessary information in them. The conclusion is not the place for details about your methodology or results. Although you should give a summary of what was learned from your research, this summary should be relatively brief, since the emphasis in the conclusion is on the implications, evaluations, insights, and other forms of analysis that you make. Strategies for writing concisely can be found here .

Failure to comment on larger, more significant issues In the introduction, your task was to move from the general [the field of study] to the specific [the research problem]. However, in the conclusion, your task is to move from a specific discussion [your research problem] back to a general discussion framed around the implications and significance of your findings [i.e., how your research contributes new understanding or fills an important gap in the literature]. In short, the conclusion is where you should place your research within a larger context [visualize your paper as an hourglass--start with a broad introduction and review of the literature, move to the specific analysis and discussion, conclude with a broad summary of the study's implications and significance].

Failure to reveal problems and negative results Negative aspects of the research process should never be ignored. These are problems, deficiencies, or challenges encountered during your study. They should be summarized as a way of qualifying your overall conclusions. If you encountered negative or unintended results [i.e., findings that are validated outside the research context in which they were generated], you must report them in the results section and discuss their implications in the discussion section of your paper. In the conclusion, use negative results as an opportunity to explain their possible significance and/or how they may form the basis for future research.

Failure to provide a clear summary of what was learned In order to be able to discuss how your research fits within your field of study [and possibly the world at large], you need to summarize briefly and succinctly how it contributes to new knowledge or a new understanding about the research problem. This element of your conclusion may be only a few sentences long.

Failure to match the objectives of your research Often research objectives in the social and behavioral sciences change while the research is being carried out. This is not a problem unless you forget to go back and refine the original objectives in your introduction. As these changes emerge they must be documented so that they accurately reflect what you were trying to accomplish in your research [not what you thought you might accomplish when you began].

Resist the urge to apologize If you've immersed yourself in studying the research problem, you presumably should know a good deal about it [perhaps even more than your professor!]. Nevertheless, by the time you have finished writing, you may be having some doubts about what you have produced. Repress those doubts! Don't undermine your authority as a researcher by saying something like, "This is just one approach to examining this problem; there may be other, much better approaches that...." The overall tone of your conclusion should convey confidence to the reader about the study's validity and realiability.

Assan, Joseph. "Writing the Conclusion Chapter: The Good, the Bad and the Missing." Liverpool: Development Studies Association (2009): 1-8; Concluding Paragraphs. College Writing Center at Meramec. St. Louis Community College; Conclusions. The Writing Center. University of North Carolina; Conclusions. The Writing Lab and The OWL. Purdue University; Freedman, Leora  and Jerry Plotnick. Introductions and Conclusions. The Lab Report. University College Writing Centre. University of Toronto; Leibensperger, Summer. Draft Your Conclusion. Academic Center, the University of Houston-Victoria, 2003; Make Your Last Words Count. The Writer’s Handbook. Writing Center. University of Wisconsin Madison; Miquel, Fuster-Marquez and Carmen Gregori-Signes. “Chapter Six: ‘Last but Not Least:’ Writing the Conclusion of Your Paper.” In Writing an Applied Linguistics Thesis or Dissertation: A Guide to Presenting Empirical Research . John Bitchener, editor. (Basingstoke,UK: Palgrave Macmillan, 2010), pp. 93-105; Tips for Writing a Good Conclusion. Writing@CSU. Colorado State University; Kretchmer, Paul. Twelve Steps to Writing an Effective Conclusion. San Francisco Edit, 2003-2008; Writing Conclusions. Writing Tutorial Services, Center for Innovative Teaching and Learning. Indiana University; Writing: Considering Structure and Organization. Institute for Writing Rhetoric. Dartmouth College.

Writing Tip

Don't Belabor the Obvious!

Avoid phrases like "in conclusion...," "in summary...," or "in closing...." These phrases can be useful, even welcome, in oral presentations. But readers can see by the tell-tale section heading and number of pages remaining that they are reaching the end of your paper. You'll irritate your readers if you belabor the obvious.

Assan, Joseph. "Writing the Conclusion Chapter: The Good, the Bad and the Missing." Liverpool: Development Studies Association (2009): 1-8.

Another Writing Tip

New Insight, Not New Information!

Don't surprise the reader with new information in your conclusion that was never referenced anywhere else in the paper. This why the conclusion rarely has citations to sources. If you have new information to present, add it to the discussion or other appropriate section of the paper. Note that, although no new information is introduced, the conclusion, along with the discussion section, is where you offer your most "original" contributions in the paper; the conclusion is where you describe the value of your research, demonstrate that you understand the material that you’ve presented, and position your findings within the larger context of scholarship on the topic, including describing how your research contributes new insights to that scholarship.

Assan, Joseph. "Writing the Conclusion Chapter: The Good, the Bad and the Missing." Liverpool: Development Studies Association (2009): 1-8; Conclusions. The Writing Center. University of North Carolina.

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How to Write a Conclusion for Research Papers (with Examples)

The conclusion of a research paper is a crucial section that plays a significant role in the overall impact and effectiveness of your research paper. However, this is also the section that typically receives less attention compared to the introduction and the body of the paper. The conclusion serves to provide a concise summary of the key findings, their significance, their implications, and a sense of closure to the study. Discussing how can the findings be applied in real-world scenarios or inform policy, practice, or decision-making is especially valuable to practitioners and policymakers. The research paper conclusion also provides researchers with clear insights and valuable information for their own work, which they can then build on and contribute to the advancement of knowledge in the field.

The research paper conclusion should explain the significance of your findings within the broader context of your field. It restates how your results contribute to the existing body of knowledge and whether they confirm or challenge existing theories or hypotheses. Also, by identifying unanswered questions or areas requiring further investigation, your awareness of the broader research landscape can be demonstrated.

Remember to tailor the research paper conclusion to the specific needs and interests of your intended audience, which may include researchers, practitioners, policymakers, or a combination of these.

Table of Contents

What is a conclusion in a research paper, summarizing conclusion, editorial conclusion, externalizing conclusion, importance of a good research paper conclusion, how to write a conclusion for your research paper, research paper conclusion examples.

• How to write a research paper conclusion with Paperpal? 

Frequently Asked Questions

A conclusion in a research paper is the final section where you summarize and wrap up your research, presenting the key findings and insights derived from your study. The research paper conclusion is not the place to introduce new information or data that was not discussed in the main body of the paper. When working on how to conclude a research paper, remember to stick to summarizing and interpreting existing content. The research paper conclusion serves the following purposes: 1

• Warn readers of the possible consequences of not attending to the problem.
• Recommend specific course(s) of action.
• Restate key ideas to drive home the ultimate point of your research paper.
• Provide a “take-home” message that you want the readers to remember about your study.

Types of conclusions for research papers

In research papers, the conclusion provides closure to the reader. The type of research paper conclusion you choose depends on the nature of your study, your goals, and your target audience. I provide you with three common types of conclusions:

A summarizing conclusion is the most common type of conclusion in research papers. It involves summarizing the main points, reiterating the research question, and restating the significance of the findings. This common type of research paper conclusion is used across different disciplines.

An editorial conclusion is less common but can be used in research papers that are focused on proposing or advocating for a particular viewpoint or policy. It involves presenting a strong editorial or opinion based on the research findings and offering recommendations or calls to action.

An externalizing conclusion is a type of conclusion that extends the research beyond the scope of the paper by suggesting potential future research directions or discussing the broader implications of the findings. This type of conclusion is often used in more theoretical or exploratory research papers.

Align your conclusion’s tone with the rest of your research paper. Start Writing with Paperpal Now!  

The conclusion in a research paper serves several important purposes:

• Offers Implications and Recommendations : Your research paper conclusion is an excellent place to discuss the broader implications of your research and suggest potential areas for further study. It’s also an opportunity to offer practical recommendations based on your findings.
• Provides Closure : A good research paper conclusion provides a sense of closure to your paper. It should leave the reader with a feeling that they have reached the end of a well-structured and thought-provoking research project.
• Leaves a Lasting Impression : Writing a well-crafted research paper conclusion leaves a lasting impression on your readers. It’s your final opportunity to leave them with a new idea, a call to action, or a memorable quote.

Writing a strong conclusion for your research paper is essential to leave a lasting impression on your readers. Here’s a step-by-step process to help you create and know what to put in the conclusion of a research paper: 2

• Research Statement : Begin your research paper conclusion by restating your research statement. This reminds the reader of the main point you’ve been trying to prove throughout your paper. Keep it concise and clear.
• Key Points : Summarize the main arguments and key points you’ve made in your paper. Avoid introducing new information in the research paper conclusion. Instead, provide a concise overview of what you’ve discussed in the body of your paper.
• Address the Research Questions : If your research paper is based on specific research questions or hypotheses, briefly address whether you’ve answered them or achieved your research goals. Discuss the significance of your findings in this context.
• Significance : Highlight the importance of your research and its relevance in the broader context. Explain why your findings matter and how they contribute to the existing knowledge in your field.
• Implications : Explore the practical or theoretical implications of your research. How might your findings impact future research, policy, or real-world applications? Consider the “so what?” question.
• Future Research : Offer suggestions for future research in your area. What questions or aspects remain unanswered or warrant further investigation? This shows that your work opens the door for future exploration.
• Closing Thought : Conclude your research paper conclusion with a thought-provoking or memorable statement. This can leave a lasting impression on your readers and wrap up your paper effectively. Avoid introducing new information or arguments here.
• Proofread and Revise : Carefully proofread your conclusion for grammar, spelling, and clarity. Ensure that your ideas flow smoothly and that your conclusion is coherent and well-structured.

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Remember that a well-crafted research paper conclusion is a reflection of the strength of your research and your ability to communicate its significance effectively. It should leave a lasting impression on your readers and tie together all the threads of your paper. Now you know how to start the conclusion of a research paper and what elements to include to make it impactful, let’s look at a research paper conclusion sample.

How to write a research paper conclusion with Paperpal?

A research paper conclusion is not just a summary of your study, but a synthesis of the key findings that ties the research together and places it in a broader context. A research paper conclusion should be concise, typically around one paragraph in length. However, some complex topics may require a longer conclusion to ensure the reader is left with a clear understanding of the study’s significance. Paperpal, an AI writing assistant trusted by over 800,000 academics globally, can help you write a well-structured conclusion for your research paper. 

• Sign Up or Log In: Create a new Paperpal account or login with your details.  
• Navigate to Features : Once logged in, head over to the features’ side navigation pane. Click on Templates and you’ll find a suite of generative AI features to help you write better, faster.  
• Generate an outline: Under Templates, select ‘Outlines’. Choose ‘Research article’ as your document type.  
• Select your section: Since you’re focusing on the conclusion, select this section when prompted.  
• Choose your field of study: Identifying your field of study allows Paperpal to provide more targeted suggestions, ensuring the relevance of your conclusion to your specific area of research. 
• Provide a brief description of your study: Enter details about your research topic and findings. This information helps Paperpal generate a tailored outline that aligns with your paper’s content. 
• Generate the conclusion outline: After entering all necessary details, click on ‘generate’. Paperpal will then create a structured outline for your conclusion, to help you start writing and build upon the outline.  
• Write your conclusion: Use the generated outline to build your conclusion. The outline serves as a guide, ensuring you cover all critical aspects of a strong conclusion, from summarizing key findings to highlighting the research’s implications. 
• Refine and enhance: Paperpal’s ‘Make Academic’ feature can be particularly useful in the final stages. Select any paragraph of your conclusion and use this feature to elevate the academic tone, ensuring your writing is aligned to the academic journal standards. 

By following these steps, Paperpal not only simplifies the process of writing a research paper conclusion but also ensures it is impactful, concise, and aligned with academic standards. Sign up with Paperpal today and write your research paper conclusion 2x faster .  

The research paper conclusion is a crucial part of your paper as it provides the final opportunity to leave a strong impression on your readers. In the research paper conclusion, summarize the main points of your research paper by restating your research statement, highlighting the most important findings, addressing the research questions or objectives, explaining the broader context of the study, discussing the significance of your findings, providing recommendations if applicable, and emphasizing the takeaway message. The main purpose of the conclusion is to remind the reader of the main point or argument of your paper and to provide a clear and concise summary of the key findings and their implications. All these elements should feature on your list of what to put in the conclusion of a research paper to create a strong final statement for your work.

A strong conclusion is a critical component of a research paper, as it provides an opportunity to wrap up your arguments, reiterate your main points, and leave a lasting impression on your readers. Here are the key elements of a strong research paper conclusion: 1. Conciseness : A research paper conclusion should be concise and to the point. It should not introduce new information or ideas that were not discussed in the body of the paper. 2. Summarization : The research paper conclusion should be comprehensive enough to give the reader a clear understanding of the research’s main contributions. 3 . Relevance : Ensure that the information included in the research paper conclusion is directly relevant to the research paper’s main topic and objectives; avoid unnecessary details. 4 . Connection to the Introduction : A well-structured research paper conclusion often revisits the key points made in the introduction and shows how the research has addressed the initial questions or objectives. 5. Emphasis : Highlight the significance and implications of your research. Why is your study important? What are the broader implications or applications of your findings? 6 . Call to Action : Include a call to action or a recommendation for future research or action based on your findings.

The length of a research paper conclusion can vary depending on several factors, including the overall length of the paper, the complexity of the research, and the specific journal requirements. While there is no strict rule for the length of a conclusion, but it’s generally advisable to keep it relatively short. A typical research paper conclusion might be around 5-10% of the paper’s total length. For example, if your paper is 10 pages long, the conclusion might be roughly half a page to one page in length.

In general, you do not need to include citations in the research paper conclusion. Citations are typically reserved for the body of the paper to support your arguments and provide evidence for your claims. However, there may be some exceptions to this rule: 1. If you are drawing a direct quote or paraphrasing a specific source in your research paper conclusion, you should include a citation to give proper credit to the original author. 2. If your conclusion refers to or discusses specific research, data, or sources that are crucial to the overall argument, citations can be included to reinforce your conclusion’s validity.

The conclusion of a research paper serves several important purposes: 1. Summarize the Key Points 2. Reinforce the Main Argument 3. Provide Closure 4. Offer Insights or Implications 5. Engage the Reader. 6. Reflect on Limitations

Remember that the primary purpose of the research paper conclusion is to leave a lasting impression on the reader, reinforcing the key points and providing closure to your research. It’s often the last part of the paper that the reader will see, so it should be strong and well-crafted.

• Makar, G., Foltz, C., Lendner, M., & Vaccaro, A. R. (2018). How to write effective discussion and conclusion sections. Clinical spine surgery, 31(8), 345-346.
• Bunton, D. (2005). The structure of PhD conclusion chapters.  Journal of English for academic purposes ,  4 (3), 207-224.

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• Open access
• Published: 01 May 2024

Hospital performance evaluation indicators: a scoping review

• Shirin Alsadat Hadian   ORCID: orcid.org/0000-0002-1443-1990 1 ,
• Reza Rezayatmand   ORCID: orcid.org/0000-0002-9907-3597 2 ,
• Nasrin Shaarbafchizadeh   ORCID: orcid.org/0000-0001-7104-2214 3 ,
• Saeedeh Ketabi   ORCID: orcid.org/0000-0002-6778-5645 4 &
• Ahmad Reza Pourghaderi   ORCID: orcid.org/0000-0003-2682-2160 5  

BMC Health Services Research volume  24 , Article number:  561 ( 2024 ) Cite this article

285 Accesses

Metrics details

Hospitals are the biggest consumers of health system budgets and hence measuring hospital performance by quantitative or qualitative accessible and reliable indicators is crucial. This review aimed to categorize and present a set of indicators for evaluating overall hospital performance.

We conducted a literature search across three databases, i.e., PubMed, Scopus, and Web of Science, using possible keyword combinations. We included studies that explored hospital performance evaluation indicators from different dimensions.

We included 91 English language studies published in the past 10 years. In total, 1161 indicators were extracted from the included studies. We classified the extracted indicators into 3 categories, 14 subcategories, 21 performance dimensions, and 110 main indicators. Finally, we presented a comprehensive set of indicators with regard to different performance dimensions and classified them based on what they indicate in the production process, i.e., input, process, output, outcome and impact.

The findings provide a comprehensive set of indicators at different levels that can be used for hospital performance evaluation. Future studies can be conducted to validate and apply these indicators in different contexts. It seems that, depending on the specific conditions of each country, an appropriate set of indicators can be selected from this comprehensive list of indicators for use in the performance evaluation of hospitals in different settings.

Peer Review reports

Healthcare is complex [ 1 ] and a key sector [ 2 ] that is now globally faced with problems of rising costs, lack of service efficiency, competition, and equity as well as responsiveness to users [ 3 ]. One estimate by the WHO has shown a yearly waste of approximately 20–40% of total healthcare resources because of inefficiency [ 4 ]. European countries have spent on average 9.6% of their gross domestic product (GDP) on healthcare in 2017 and 9.92% in 2019. Germany, France, and Sweden reported the highest healthcare expenditures in Europe in 2018 (between 10.9% and 11.5% of GDP) [ 5 ]. In the U.S., healthcare spending consumes 18% of the GDP, which is likely to eclipse $6 trillion by 2027 [ 6 ].

Hospitals, as the biggest consumers of health system budgets [ 7 ], are the major part of the health system [ 8 ]. In many countries 50–80% of the health sector budget is dedicated to hospitals [ 8 , 9 ]. As a result, hospital performance analysis is becoming a routine task for every hospital manager. On the one hand, hospital managers worldwide are faced with difficult decisions regarding cost reduction, increasing service efficiency, and equity [ 10 ]. On the other hand, measuring hospital efficiency is an issue of interest among researchers because patients demand high-quality care at lower expenses [ 11 ].

To address the above mentioned need to measure hospital performance, implementing an appropriate hospital performance evaluation system is crucial in any hospital. In doing so, hospital administrators use various tools to analyse and monitor hospital activities [ 1 ], which need well-defined objectives, standards and quantitative indicators [ 12 ]. The latter are used to evaluate care provided to patients both quantitatively and qualitatively and are often related to input, output, processes, and outcomes. These indicators can be used for continuous quality improvement by monitoring, benchmarking, and prioritizing activities [ 13 ]. These parameters are developed to improve health outcomes and to provide comparative information for monitoring and managing and formulating policy objectives within and across health services [ 12 ]. Studies thus far have used their own set of indicators while evaluating hospital performance, which could be context dependent. In addition, those studies have mostly used a limited set of indicators that focus on few dimensions (2–6 dimensions) of hospital performance [ 14 , 15 , 16 , 17 , 18 ].

Therefore, comprehensive knowledge of potential indicators that can be used for hospital performance evaluation is necessary. It would help choose appropriate indicators when evaluating hospital performance in different contexts. It would also help researchers extend the range of analysis to evaluate performance from a wider perspective by considering more dimensions of performance. Although performance is a very commonly used term, it has several definitions [ 19 , 20 ], yet, it is often misunderstood [ 21 ]. Therefore, some researchers have expressed confusion about the related terms and considered them interchangeable. These terms are effectiveness, efficiency, productivity, quality, flexibility, creativity, sustainability, evaluation, and piloting [ 21 , 22 , 23 ]. Thus, this scoping review aimed to categorize and present a comprehensive set of indicators that can be used as a suitable set for hospital performance evaluation at any needed level of analysis, i.e., clinical, para-clinical, logistical, or departmental, and relate those indicators to the appropriate performance dimensions. The uniqueness of this paper is that it provides its readers with a comprehensive collection of indicators that have been used in different performance analysis studies.

Materials and methods

We conducted a scoping review of a body of literature. The scoping review can be of particular use when the topic has not yet been extensively reviewed or has a complex or heterogeneous nature. This type of review is commonly undertaken to examine the extent, range, and nature of research activity in a topic area; determine the value and potential scope and cost of undertaking a full systematic review; summarize and disseminate research findings; and identify research gaps in the existing literature. As a scoping review provides a rigorous and transparent method for mapping areas of research, it can be used as a standalone project or as a preliminary step to a systematic review [ 24 ]. While a systematic review (qualitative or quantitative) usually addresses a narrow topic/scope and is a method for integrating or comparing findings from previous studies [ 25 ].

In our study, we used the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist following the methods outlined by Arksey and O’Malley [ 26 ] and Tricco [ 27 ]. A systematic search for published and English-language literature on hospital performance evaluation models was conducted, using three databases, i.e., PubMed, Scopus, and Web of Science, from 2013 to January 2023. Initially, the identified keywords were refined and validated by a team of experts. Then, a combination of vocabularies was identified by the authors through a brainstorming process. The search strategy was formulated using Boolean operators. The title and abstract of the formulas were searched in the online databases. The search query for each database is presented in Table  1 .

In the screening process, relevant references related to hospital performance evaluation were screened and abstracted into researcher-developed Microsoft® Excel forms by dual independent reviewers and conflicting information was provided by other reviewers.

The inclusion criteria were as follows: focused only on the hospital setting, available full text and written in English. We excluded studies that focused on health organization indicators, not specifically on hospital indicators; articles without appropriate data (only focused on models and not indicators; or qualitative checklist questionnaires); and articles that focused only on clinical or disease-related indicators, not hospital performance dimensions, and provided very general items as indicators, not the domains of the indicators themselves. Then, a PRISMA-ScR Checklist was used to improve transparency in our review [ 28 ].

To extract the data, researcher-developed Microsoft® Excel forms (data tables) were designed. The following data were subsequently extracted into Microsoft®Excel for synthesis and evaluation: title, author, article year, country, indicator category, study environment (number of hospitals studied), study time frame, indicator name, number of indicators, indicator level (hospital level, department level), evaluation perspective (performance, productivity, efficiency, effectiveness, quality, cost, safety, satisfaction, etc. ) , study type (quantitative or qualitative), indicator subtype (input (structure), process, output (result), outcome and impact), and other explanations. To create a descriptive summary of the results that address the objectives of this scoping review, numerical summarization was also used.

The purpose of creating the main category and the evaluation perspective section was to develop them and create new categories, which focused on the type of indicators related to the performance term. For example, in the “Category” section, the names of the departments or wards of the hospital (such as hospital laboratories, pharmacies, clinical departments, and warehouses) and in the “Evaluation perspective” section, various terms related to the evaluation of hospital performance were extracted. These two types were used after extracting their information under the title “performance dimension”.

The indicators’ levels were collected to determine the level of performance evaluation with the relevant index. Some indicators were used to evaluate the performance of the entire hospital, some were used to evaluate the performance of hospital departments, and some were used to evaluate the performance at the level of a specific project. For example, several indicators (such as bed occupancy ratio, length of stay, and waiting time) were used to evaluate the performance of the entire hospital, and other indicators (such as laboratory department indicators, energy consumption indicators, and neonatal department indicators) were used only to measure the performance of specific departments. This sections were used under the title “category”. The “category” and “indicator’s name” sections were defined according to the results of the “subcategory” section.

The subtypes of indicators (input (structure), process, output(result), outcome and impact) were defined based on the chain model, and each of the selected indicators was linked to it (Appendix 1 ). As a result of the chain model, inputs were used to carry out activities, activities led to the delivery of services or products (outputs). The outputs started to bring about change (outcomes), and eventually, this (hopefully) contributed to the impact [ 29 ]. The classification of the set of input, process, output, outcome and impact indicators was such that readers could access these categories if necessary according to their chosen evaluation models. The term was used under the title “Indicators by types”.

The type of study was considered quantitative or qualitative for determining whether an indicator was able to perform calculations. In this way, readers can choose articles that use quantitative or qualitative indicators to evaluate hospital performance.

We included 91 full-text studies (out of 7475) in English published between 2013 and January 2023 (Fig.  1 ), approximately 40% of which were published between 2020 and 2023. More than 20% of the retrieved studies were conducted in Iran and USA.

Study selection and data abstraction

Study characteristic

As shown in Table  2 , in 85% of the reviewed studies, a number of hospitals (1 to 3828 hospitals, 13,221 hospitals in total) were evaluated. More than 90% of the studies used a quantitative approach. In more than 70% of the studies, hospital evaluation occurred at the department level, which can also be divided into three levels: administrative, clinical ward, and paramedical department. In addition, the administrative departments consist of 13 departments, including financial management [ 48 , 55 , 61 , 67 , 68 , 80 , 83 , 109 , 113 ], supply chain management and warehouse [ 15 , 43 , 84 ], value-based purchasing [ 33 , 85 ], human resource management [ 97 , 101 ], medical equipment [ 32 , 87 ], health information management department [ 90 ], information systems [ 106 ], nutritional assessment [ 93 ], energy management [ 30 , 45 , 92 ], facility management [ 52 , 53 ], building sustainability and resilience [ 35 ], research activities [ 44 ], and education [ 107 ].

The clinical wards consisted of 8 wards, namely, emergency departments (EDs) [ 16 , 39 , 56 , 57 , 69 , 70 , 89 ], surgery departments [ 58 , 62 , 63 , 91 , 102 ], intensive care units (ICUs) [ 47 , 64 , 65 ], operating rooms (ORs) [ 38 , 88 , 108 ], surgical intensive care units (SICUs) [ 111 ], obstetrics and gynecology department [ 59 ], neonatal intensive care units (NICUs) [ 74 , 103 ] and quality of care [ 18 , 31 , 40 , 50 , 72 , 92 , 95 , 112 ] indicators. The paramedical departments consisted of 3 departments, pharmacy [ 60 , 76 , 98 ], laboratory and blood bank [ 37 , 42 , 43 , 49 ], and outpatient assessment [ 86 ] indicators.

With regard to data categorization, firstly, a total of 1204 indicators in 91 studies were extracted and after detailed examination, 43 indices (such as hospital ownership, level of care, admission process, and personal discipline) were removed due to their generality and impossibility of calculation in the hospital environment. Then, 1161 performance indicators were entered in this research and were categorized based on the performance criteria (more details about the indicators can be found in Appendix 1 ). Secondly, 145 functional dimensions, including divisions based on different departments and units of the hospital, were defined according to several focus group discussions with 5 health experts. Then, re-categorization and functional summarization were performed, after which 21 performance dimensions were finalized.

As shown in Table  4 , the 21 performance dimensions were divided into three parts: category, subcategory, and related indicators. Additionally, according to the hospital levels, there were three categories: ‘organizational management’, ‘clinical management’, and ‘administrative management’. Then, according to the type of indicators, fifteen subcategories were defined for the 110 selected main indicators.

Performance dimensions

The ‘productivity’ dimension focuses on indicators reflecting the macro-performance of the hospital, considering that this index is more effective and efficient. The ‘efficiency’ dimension focuses on general performance indicators for the optimal use of resources to create optimal output in the hospital. The ‘effectiveness’ dimension is a general performance indicator with an outcome view. The ‘speed’ dimension focuses on the indicators that show attention to the service delivery time and the speed of the procedures. The ‘development’ dimension focuses on matters related to employees’ and students’ training and related training courses. In terms of ‘safety’ dimension, there were issues related to patient safety, unwanted and harmful events, and hospital infections.

The “quality of work life” dimension emphasizes matters related to personnel volume and work conditions. The ‘quality’ dimension is related to the quality of service provided in different parts of the hospital and possible complications in improving the quality of services. The ‘satisfaction’ dimension focuses on the satisfaction of patients, employees, and their complaints. The ‘innovation’ dimension relates to the research process and its output. The ‘appropriateness’ dimension involves proper service from clinical departments, pharmaceutical services, and patient treatment. The ‘evaluation’ dimension focuses on the indicators related to the assessment scores of the para-clinical departments of the hospital.

The ‘profitability’ dimension focuses on the overall output indicators for income and profitability. The ‘cost’ dimension focuses on indicators related to general expenditures and the average cost per bed and patient and budgeting. The ‘economy’ dimension is related to financial rates and their indicators. The ‘coherence’ dimension emphasizes the indicators related to the continuity of the service delivery process. The ‘patient-centeredness’ dimension focuses on the indicators related to the patient’s experience of the facility, environment, treatment processes, communications, and relevant support for the patient. The ‘equity’ dimension studies indicators related to social and financial justice and life expectancy. The ‘relationship’ dimension evaluates the process of consultations and discussions required during the patients’ care provided by the treatment team. The ‘sustainability’ dimension focuses on indicators related to energy standards. The ‘flexibility’ dimension focuses on the hospital’s response to the crisis.

According to Table  4 , most studies focused on ‘efficiency’, ‘productivity’, ‘safety’ and ‘effectiveness’ as performance dimensions in 54, 53, 38 and 37 studies, respectively (40–70% of studies). In the ‘efficiency’ subcategory, resource management, supportive unit assessment, and human resource management indicators were the first to third most common indicators used in 26, 23 and 22 studies, respectively (approximately 25% of the studies).

In addition, for the ‘efficiency’ dimension, ‘medical staff numbers’, ‘emergency department bed numbers’, and ‘nonmedical staff numbers’ were reported in 16, 13, and 11 studies, respectively (between 20 and 30% of the studies). For the ‘productivity’ subcategory, ‘bed utilization rate’ and ‘service delivery and treatment’ were reported in 50% and 20% of the studies, respectively (46 and 19 out of 91).

Additionally, for the ‘productivity’ dimension, the ‘length of stay’ indicator was used more than others and reported in approximately 80% of the studies (43 out of 53), followed by the ‘bed occupancy rate’ in approximately 40% of the studies (21 out of 53). The ‘bed turnover ratio’ and ‘hospitalization rate’ were also reported in 12 studies. Furthermore, for ‘safety’ dimensions, all indicators were in the ‘patient safety’ subcategory, which has been reported in 38 studies, and ‘complications’, ‘accidents or adverse events’, and ‘incidents or errors rates’ were the most concentrated indicators by researchers in 13, 12, and 11 studies, respectively. The performance dimension of ‘effectiveness’ was presented in 37 studies (40%), with only two indicators, ‘mortality rate’ in 29 studies and ‘readmission rate’ in 23 studies.

Performance categories

Considering the three categories shown in Table  4 , ‘organizational management’ indicators were more commonly used among the other two categories (‘clinical’ and ‘administrative’) and were present in more than 85% of the studies (78 out of 91). Two categories, ‘clinical management’ and ‘administrative management’, were reported in 62 and 51 studies, respectively.

Performance subcategories

Considering the 14 subcategories shown in Table  4 , both the ‘bed utilization rate’ and ‘patient safety’ indicators were mentioned in 46 studies and were more common among the other subcategories. The second most common indicator of the ‘financial management’ subcategory was reported in 38 studies. At the third level, both the ‘human resource management’ and ‘time management’ indicators were presented in 31 studies. The ‘paramedical’ subcategory indicators were presented in less than 10% of the studies [ 60 , 96 , 97 , 98 , 106 , 113 ].

Performance indicators

According to the indicator columns in Table  3 , the most used indicators in reviewed studies were the length of stay, mortality rate, and readmission rate in 47%, 32%, and 25% of studies, respectively. Bed occupancy rate and non-personnel costs were reported in 23% of studies. Additionally, among the 110 indicators, 16 indicators, namely, the lab cancellation rate, exam-physician ratios, number of coded diagnoses, number of medical records, laboratory sample/report intervals, medical information request time, safety standards in the archives, nutritional risk screening, imaging quality control failures, errors in medical reports, average impact factor, nutritional measures, laboratory scoring, imaging inspection, discharge process and emergency response rate, were reported in less than 1% of the studies.

The classification of the indicators in Table  4 was performed based on the chain model, which included the input, process, output, outcome and impact. The assignment of the indicators to each category was performed according to the experts’ opinions. For instance, the number of publications by academic member of an academic hospital and the average impact factor of those publications were considered outcome indicators. As depicted in the Table  4 , most studies (80%) focused more on output indicators. Additionally, fifteen studies focused on introducing and extracting some of the input, process, output, outcome and impact indicators; among those, only one study [ 96 ] has examined the input, process, output and impact indicators simultaneously.

Additionally, in approximately 42% (36 out of 91) of the studies, the indicators’ definitions, formulas, or descriptions have been illustrated, while less than 10% of the studies have defined measuring units, standard or benchmark units for all studied indicators [ 15 , 43 , 45 , 51 , 52 , 57 , 67 ].

Overall, nine studies related to hospital performance evaluation were conducted using systematic review methodologies (five systematic reviews [ 16 , 29 , 30 , 56 , 113 ], two literature reviews [ 79 , 80 ], one narrative review [ 98 ] and one brief review [ 92 ]). Most of these studies focused on extracting performance indicators from one or more hospital departments (e.g., the emergency department) [ 16 , 56 ], hospital laboratory and radiology information systems [ 106 ], supply chain performance [ 29 ], resources and financial results and activity [ 113 ], hospital water consumption [ 30 ], and the pharmaceutical sector [ 98 ]. Other reviews included a three-step process to review, evaluate and rank these hospital indicators in a systematic approach [ 16 ], or to evaluate performance indicator models to create an interactive network and visualize the causal relationships between performance indicators [ 79 ]; moreover, some have focused on the importance of indicators to ensure adequate coverage of the relevant areas of health care services to be evaluated [ 92 ].

Only one scoping review aimed to identify current assessments of hospital performance and compared quality measures from each method in the context of the six qualitative domains of STEEEP (safety, timeliness, effectiveness, efficiency, equity, and patient-centeredness) of the Institute of Medicine (IOM) in accordance with Donabedian’s framework and formulating policy recommendations [ 115 ].

In addition, 21 studies divided performance indicators into 2 to 6 dimensions of performance. Also, the reviewed studies included 2–40 indicators in zero [ 29 , 30 , 98 ] to 6 domains [ 34 ]. Moreover, none of the studies have tried to comprehensively summarize and categorize the performance indicators in several categories, focusing on all the indicators reflecting the performance of the entire hospital organization, or the indicators of administrative units or clinical departments.

In this scoping review, a unique set of hospital performance evaluation indicators related to the various performance dimensions was categorized from 91 studies over the past ten years.

Similarly, in a study, 19 performance dimensions, 32 sub-dimensions, and 138 indicators were extracted from only six studies. Those dimensions were described by all studies included in the review, but only three studies specified the relevant indicators, and the list provided for all possible indicators was not comprehensive. Also, despite current review, there was no classification of indicators based on the hospital levels: managerial, clinical, or organizational levels [ 116 ]. Another study has similarly investigated the performance evaluation indicators of the hospital in such a way that among 42 studies, 111 indicators were presented in the four categories: input, output, outcome, and impact. But, there was no classification of indicators based on performance dimensions and hospital levels [ 117 ].

In this study, the importance of categorized indicators, for the first time to our knowledge, was determined based on their frequency of use in the published literature (Appendix 2 ). The ‘Organizational management’ indicators were the most common compared with the other two categories (‘clinical’ and ‘administrative’). It could be because of the fact that the indicators such as ‘bed occupancy rate’, ‘average length of stay’, ‘mortality rate’, ‘hospital infection rate’, and ‘patient safety’ are easier to be registered in hospital software compared to other indicators, and also they better reflect the overall performance of hospital. Thus, researchers are more interested in using these indicators.

Considering 14 subcategories, indicators related to three subcategories i.e. bed utilization, patient safety and financial management are the most frequent used indicators for hospital performance evaluation. It reflects the need of hospital managers to increase the profitability of hospital in one hand, and to control cost on the other hand. As a results, researchers have paid special attention to ‘cost income’, ‘profitability’, ‘economic’, etc., as indicators for evaluating hospital performance.

When considering indicators by type, more studies have focused on output indicators, while input indicators were the least common used. This might be because of the fact that at hospital level, it is difficult for managers to change those inputs such as ‘beds’, ‘human resources’, ‘equipment and facilities’. In addition, due to the complexity of interdepartmental relationships in hospitals, process indicators seemed to provide more variety for analysis than input indicators, so they were more often used. As mentioned above, output indicators were the most used indicators for hospital performance evaluation due to their ease of calculation and interpretation.

The main purpose of this paper was to identify a comprehensive set of indicators that can be used to evaluate hospital performance in various hospital settings by being distilled into a smaller and more related set of indicators for every hospital or department setting. future studies could be designed to validate each set of indicators in any specific context. In addition, they could investigate the relationship between the indicators and their outcomes of interest and the performance dimension each could address. This will enable hospital managers to build their own set of indicators for performance evaluation both at organization or at department level. Also it should be mentioned that.

Although some previous studies have provided definitions for each indicator and determined the standard criteria for them, this was not done in this study because the focus of this study was to provide a collection of all the indicators used in hospital performance evaluation, which resulted in the identification of more than a thousand indicators without limiting to specific country or context. So while preparing a smaller set of indicators, specific conditions of each country, such as the type of health system and its policy, the type of financing system, and the structure of services, should be taken into account to select appropriate indicators.

In addition, although it is important to examine the scope of each article to compare the list of indicators and the relationships between the dimensions of the hospital in terms of size and type and between the number and type of selected indicators, this was considered beyond the scope of this review due to the high number of indicators, which made the abovementioned investigations impossible. Future studies could do that while working with a smaller set of indicators.

This review aimed to categorize and present a comprehensive set of indicators for evaluating overall hospital performance in a systematic way. 1161 hospital performance indicators were drawn from 91 studies over the past ten years. They then were summarized into 110 main indicators, and categorized into three categories: 14 subcategories, and 21 performance dimensions This scoping review also highlighted the most frequent used indicators in performance evaluation studies which could reflect their importance for that purpose. The results of this review help hospital managers to build their own set of indicators for performance evaluation both at organization or at department level with regard to various performance dimensions.

As the results of this review was not limited to any specific country or context, specific conditions of each country, such as the type of health system and its policy, the type of financing system, and the structure of services, should be taken into account while selecting appropriate indicators as a smaller set of indicators for hospital performance evaluation in specific context.

Availability of data and materials

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

Abbreviations

Gross domestic product

Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews

Emergency departments

Intensive care unit

Operating room

Surgical intensive care unit

Neonatal intensive care unit

Readmission rate

Quality Control

Medication use evaluation

safety, timeliness, effectiveness, efficiency, equity, and patient-centeredness

Institute of Medicine

Abdullah A, Ahmad S, Athar MA, Rajpoot N, Talib F. Healthcare performance management using integrated FUCOM-MARCOS approach: the case of India. Int J Health Plann Manage. 2022;37(5):2635–68.

Article   PubMed   Google Scholar  

Pestana M, Pereira R, Moro S. Improving health care management in hospitals through a productivity dashboard. J Med Syst. 2020;44(4):87.

Amos D. A practical framework for performance measurement of facilities management services in developing countries’ public hospitals. J Facil Manag. 2022;20(5):713–31.

Article   Google Scholar  

Ahmed S, Hasan MZ, MacLennan M, Dorin F, Ahmed MW, Hasan MM, et al. Measuring the efficiency of health systems in Asia: a data envelopment analysis. BMJ Open. 2019;9(3):e022155.

Article   PubMed   PubMed Central   Google Scholar  

Mitkova Z, Doneva M, Gerasimov N, Tachkov K, Dimitrova M, Kamusheva M, et al. Analysis of healthcare expenditures in Bulgaria. Healthc. 2022;10(2):274.

Patrinely JR, Walker SH, Glassman GE, Davis MJ, Abu-Ghname A, Khan U, et al. The importance of financial metrics in physician funding and performance evaluation. Plast Reconstr Surg. 2021;147:1213–8.

Article   CAS   PubMed   Google Scholar  

Buathong S, Bangchokdee S. The use of the performance measures in Thai public hospitals. ASIAN Rev Acc. 2017;25(4):472–85.

Google Scholar  

Imani A, Alibabayee R, Golestani M, Dalal K. Key indicators affecting hospital efficiency: a systematic review. Front Public Heal. 2022;10:830102.

Mahdiyan S, Dehghani A, Tafti AD, Pakdaman M, Askari R. Hospitals’ efficiency in Iran: a systematic review and meta-analysis. J Educ Health Promot. 2019;8(1):126.

PubMed   PubMed Central   Google Scholar  

Amos D, Musa ZN, Au-Yong CP. Performance measurement of facilities management services in Ghana’s public hospitals. Build Res Inf. 2020;48(2):218–38.

Feibert DC, Andersen B, Jacobsen P. Benchmarking healthcare logistics processes–a comparative case study of Danish and US hospitals. Total Qual Manag Bus Excell. 2019;30(1–2):108–34.

Gün I, Yilmaz F, Şenel IK. Efficiency analysis of health systems in world bank countries. Arch Heal Sci Res. 2021;8(2):147–52.

Breyer JZ, Giacomazzi J, Kuhmmer R, Lima KM, Hammes LS, Ribeiro RA, et al. Hospital quality indicators: a systematic review. Int J Health Care Qual Assur. 2019;32(2):474–87.

Regragui H, Sefiani N, Azzouzi H. Improving performance through measurement: the application of BSC and AHP in healthcare organization. In: Equipe De Recherche, Ingénierie, Innovation Et Management Des Systèmes Industriels, Université Abdelmalek Saadi. Tanger, Morocco: Institute of Electrical and Electronics Engineers Inc; 2018. p. 51–6.

Ghozali MT, Latifah DN, Darayani A. Analysis of Drug Supply Management of the Pharmacy Warehouse of Prof. Dr. Soerojo Mental Health Hospital, Magelang, Indonesia. Clin Schizophr Relat Psychoses. 2021;15:1–6.

Etu EE, Monplaisir L, Aguwa C, Arslanturk S, Masoud S, Markevych I, et al. Identifying indicators influencing emergency department performance during a medical surge: a consensus-based modified fuzzy Delphi approach. PLoS ONE. 2022;17(4 April):e0265101.

Article   CAS   PubMed   PubMed Central   Google Scholar  

Lin C-Y, Shih F-C, Ho Y-H. Applying the balanced scorecard to build service performance measurements of medical institutions: An AHP-DEMATEL approach. Int J Environ Res Public Health. 2023;20(2):1022.

Backman C, Vanderloo S, Forster AJ. Measuring and improving quality in university hospitals in Canada: the collaborative for excellence in healthcare quality. Health Policy (New York). 2016;120(9):982–6.

Ghalem Â, Okar C, Chroqui R, Semma E. Performance: A concept to define. In: Performance: A concept to define. LOGISTIQUA 2016; 2016. p. 1–13.

Sonnentag S, Frese M. Performance Concepts and Performance Theory. In 2005. p. 1–25.

Tangen S. Demystifying productivity and performance. Int J Prod Perform Manag. 2005;54:34–46.

Elena-Iuliana I, Maria C. Organizational Performance – A Concept That Self-Seeks To Find Itself. Ann - Econ Ser Constantin Brancusi Univ Fac Econ. 2016;4(4):179–83.

Riratanaphong C, Van der Voordt T, Sarasoja A. Performance Measurement in the context of CREM and FM. In: Per Anker Jensen, Theo Van der Voordt CC, editor. The added value of facilities management: concepts, findings and perspectives. Lyngby Denmark: Polyteknisk Forlag; 2012. p. 1–21.

Pham M, Rajić A, Greig J, Sargeant J, Papadopoulos A, Mcewen S. A scoping review of scoping reviews: advancing the approach and enhancing the consistency. Res Synth Methods. 2014;5:371–85.

Chaney M. So you want to write a narrative review article? J Cardiothorac Vasc Anesth. 2021;35:3045–9.

Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19–32.

Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med. 2018;169(7):467–73.

Tricco A, Lillie E, Zarin W, O’Brien K, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med. 2018;169(7):467–73.

Dolatabad AH, Mahdiraji HA, Babgohari AZ, Garza-Reyes JA, Ai A. Analyzing the key performance indicators of circular supply chains by hybrid fuzzy cognitive mapping and Fuzzy DEMATEL: evidence from healthcare sector. Environ Dev Sustain. 2022;1–27.

Batista KJM, da Silva SR, Rabbani ERK, Zlatar T. Systematic review of indicators for the assessment of water consumption rates at hospitals. Water Supply. 2020;20(2):373–82.

Beta G, Role D, Berloviene D, Balkena Z. PATIENTS’ SATISFICATION AS THE QUALITY INDICATOR OF NURSING. In: Lubkina V, Kaupuzs A, Znotina D, editors. SOCIETY INTEGRATION EDUCATION, VOL VI: PUBLIC HEALTH AND SPORT, RESEARCHES IN ECONOMICS AND MANAGEMENT FOR SUSTAINABLE EDUCATION. 2020. p. 79–88.

Bhardwaj P, Joshi NK, Singh P, Suthar P, Joshi V, Jain YK, et al. Competence-based assessment of biomedical equipment management and maintenance system (e-Upkaran) using benefit evaluation framework. CUREUS J Med Sci. 2022;14(10):e30579.

Cheon O, Song M, Mccrea AM, Meier KJ. Health care in America: the relationship between subjective and objective assessments of hospitals. Int PUBLIC Manag J. 2021;24(5):596–622.

Craig KJT, McKillop MM, Huang HT, George J, Punwani ES, Rhee KB. US hospital performance methodologies: a scoping review to identify opportunities for crossing the quality chasm. BMC Health Serv Res. 2020;20(1):640.

Cristiano S, Ulgiati S, Gonella F. Systemic sustainability and resilience assessment of health systems, addressing global societal priorities: Learnings from a top nonprofit hospital in a bioclimatic building in Africa. Renew Sustain ENERGY Rev. 2021;141:110765.

Dadi D, Introna V, Santolamazza A, Salvio M, Martini C, Pastura T, et al. Private Hospital Energy Performance Benchmarking Using Energy Audit Data: An Italian Case Study. Energies. 2022;15(3):1–16.

Dawande PP, Wankhade RS, Akhtar FI, Noman O. Turnaround time: an efficacy measure for medical laboratories. CUREUS J Med Sci. 2022;14(9):e28824.

De Sousa LR, Mazzo A, De Almeida ACF, Tonello C, Lourençone LFM. Evaluation of quality indicators in the management of an operating room at a tertiary-level hospital. Med. 2022;55(1):1–8.

Drynda S, Schindler W, Slagman A, Pollmanns J, Horenkamp-Sonntag D, Schirrmeister W, et al. Evaluation of outcome relevance of quality indicators in the emergency department (ENQuIRE): study protocol for a prospective multicentre cohort study. BMJ Open. 2020;10(9):e038776.

Fekri O, Manukyan E, Klazinga N. Appropriateness, effectiveness and safety of care delivered in Canadian hospitals: a longitudinal assessment on the utility of publicly reported performance trend data between 2012–2013 and 2016–2017. BMJ Open. 2020;10(6):e035447.

Galloa AJO, Ramírez CA. Evaluating Colombian public hospitals productivity during 2004–2015. A luenberger-indicator approach. Rev Gerenc Y Polit Salud. 2020;19:1–23.

Gebreyes M, Sisay A, Tegen D, Asnake A, Wolde M. Evaluation of laboratory performance, associated factors and staff awareness towards achieving turnaround time in tertiary hospitals, Ethiopia. Ethiop J Health Sci. 2020;30(5):767–76.

Gnanaraj J, Kulkarni RG, Sahoo D, Abhishekh B. Assessment of the Key Performance Indicator Proposed by NABH in the Blood Centre of a Tertiary Health Care Hospital in Southern India. Indian J Hematol Blood Transfus. 2022;39:308–16.

Horenberg F, Lungu DA, Nuti S. Measuring research in the big data era: the evolution of performance measurement systems in the Italian teaching hospitals. Health Policy (New York). 2020;124(12):1387–94.

Hwang DK, Cho J, Moon J. Feasibility study on energy audit and data driven analysis procedure for building energy efficiency: bench-marking in Korean hospital buildings. Energies. 2019;14(15):3006.

Jaskova D. Efficiency of management, processes in a private hospital. Entrep Sustain Issues. 2021;9(1):436–46.

Jebraeily M, Valizadeh MA, Rahimi B, Saeidi S. The development of a clinical dashboard for monitoring of key performance indicators in ICU. J Iran Med Counc. 2022;5(2):308–17.

Kang Y, Kim M, Jung K. The equity of health care spending in South Korea: testing the impact of publicness. Int J Environ Res Public Health. 2020;17(5):1775.

Abou Tarieh RR, Zayyat R, Naoufal RN, Samaha HR. A case study exploring the impact of JCI standards implementation on staff productivity and motivation at the laboratory and blood bank. Heal Sci Rep. 2022;5(1):e497.

Kadoic N, Simic D, Mesaric J, Redep NB. Measuring quality of public hospitals in croatia using a multi-criteria Approach. Int J Environ Res Public Health. 2021;18:19.

Khalilabad T, Amir N, Asl P, Raeissi Shali M, Niknam N. Assessment of clinical and paraclinical departments of military hospitals based on the Pabon Lasso Model. J Educ Health Promot. 2020;9:1–6.

Lai JHK, Hou H, Edwards DJ, Yuen PL. An analytic network process model for hospital facilities management performance evaluation. Facilities. 2022;40(5–6):333–52.

Lai J, Yuen PL. Identification, classification and shortlisting of performance indicators for hospital facilities management. Facilities. 2021;39(1–2):4–18.

Lin CS, Chiu CM, Huang YC, Lang HC, Chen MS. Evaluating the operational efficiency and quality of Tertiary hospitals in Taiwan: the application of the EBITDA Indicator to the DEA Method and TOBIT Regression. Healthcare. 2022;10(1):58.

Matos R, Ferreira D, Pedro MI. Economic analysis of portuguese public hospitals through the construction of quality, efficiency, access, and financial related composite indicators. Soc Indic Res. 2021;157(1):361–92.

Morisod K, Luta X, Marti J, Spycher J, Malebranche M, Bodenmann P. Measuring health equity in emergency care using routinely collected data: a systematic review. Heal Equity. 2021;5(1):801–17.

Nik Hisamuddin R, Tuan Hairulnizam TK. Developing key performance indicators for emergency department of teaching hospitals: a mixed fuzzy Delphi and nominal group technique approach. Malays J Med Sci. 2022;29(2):114–25.

Ramírez Calazans A, Paredes Esteban RM, Grijalva Estrada OB, Ibarra Rodríguez MR. Assessment of quality indicators in pediatric major outpatient surgery. Influence of the COVID-19 pandemic. Cir Pediatr. 2023;36(1):17–21.

PubMed   Google Scholar  

Shaqura II, Gholami M, Akbari Sari A. Assessment of public hospitals performance in Gaza governorates using the Pabón Lasso Model. Int J Health Plann Manage. 2021;36(4):1223–35.

Al-Jazairi AS, Alnakhli AO. Quantifying clinical pharmacist activities in a tertiary care hospital using key performance indicators. Hosp Pharm. 2021;56(4):321–7.

Aloh HE, Onwujekwe OE, Aloh OG, Nweke CJ. Is bed turnover rate a good metric for hospital scale efficiency? A measure of resource utilization rate for hospitals in Southeast Nigeria. Cost Eff Resour Alloc. 2020;18(1):1–8.

Bari S, Incorvia J, Ahearn O, Dara L, Sharma S, Varallo J, et al. Building safe surgery knowledge and capacity in Cambodia: a mixed-methods evaluation of an innovative training and mentorship intervention. Glob Health Action. 2021;14(1):1998996.

Bari S, Incorvia J, Iverson KR, Bekele A, Garringer K, Ahearn O, et al. Surgical data strengthening in Ethiopia: results of a Kirkpatrick framework evaluation of a data quality intervention. Glob Health Action. 2021;14(1):1–11.

Bastos LSL, Hamacher S, Zampieri FG, Cavalcanti AB, Salluh JIF, Bozza FA. Structure and process associated with the efficiency of intensive care units in low-resource settings: an analysis of the CHECKLIST-ICU trial database. J Crit Care. 2020;59:118–23.

Bastos LSL, Wortel SA, de Keizer NF, Bakhshi-Raiez F, Salluh JIF, Dongelmans DA, et al. Comparing continuous versus categorical measures to assess and benchmark intensive care unit performance. J Crit Care. 2022;70:154063.

Kocisova K, Hass-Symotiuk M, Kludacz-Alessandri M. Use of the dea method to verify the performance model for hospitals. E M Ekon A Manag. 2018;21(4):125–40.

Lee D, Yu S, Yoon SN. Analysis of hospital management based on the characteristics of hospitals: focusing on financial indicators. Glob Bus Financ Rev. 2019;24(3):1–13.

Mirzaei A, Tabibi SJ, Nasiripour AA, Riahi L. Evaluating the feasibility of financial variables of health: A hospital administrator’s viewpoint. Galen Med J. 2016;5(1):25–30.

Middleton S, Gardner G, Gardner A, Considine J, FitzGerald G, Christofis L, et al. Are service and patient indicators different in the presence or absence of nurse practitioners? The EDPRAC cohort study of Australian emergency departments. BMJ Open. 2019;9(7):e024529.

Nobakht S, Jahangiri K, Hajinabi K. Correlation of performance indicators and productivity: A cross sectional study of emergency departments in Tehran, Iran during year 2016. Trauma Mon. 2018;23(5):1–6.

Nuti S, Grillo Ruggieri T, Podetti S. Do university hospitals perform better than general hospitals? A comparative analysis among Italian regions. BMJ Open. 2016;6(8):e011426.

Petrovic GM, Vukovic M, Vranes AJ. The impact of accreditation on health care quality in hospitals. Vojnosanit Pregl. 2018;75(8):803–8.

Pirani N, Zahiri M, Engali KA, Torabipour A. Hospital efficiency measurement before and after health sector evolution plan in Southwest of Iran: a DEA-panel data study. Acta Inf Med. 2018;26(2):106–10.

Profit J, Gould JB, Bennett M, Goldstein BA, Draper D, Phibbs CS, et al. The association of level of care with NICU quality. Pediatrics. 2016;137(3):44–51.

Rahimi H, Bahmaei J, Shojaei P, Kavosi Z, Khavasi M. Developing a strategy map to improve public hospitals performance with balanced scorecard and dematel approach. Shiraz E Med J. 2018;19(7):1–12.

Ahmed S, Hasan MZ, Laokri S, Jannat Z, Ahmed MW, Dorin F, et al. Technical efficiency of public district hospitals in Bangladesh: a data envelopment analysis. COST Eff Resour Alloc. 2019;17:17.

Rahman MH, Tumpa TJ, Ali SM, Paul SK. A grey approach to predicting healthcare performance. Meas J Int Meas Confed. 2019;134:307–25.

Sajadi HS, Sajadi ZS, Sajadi FA, Hadi M, Zahmatkesh M. The comparison of hospitals’ performance indicators before and after the Iran’s hospital care transformations plan. J Educ Health Promot. 2017;6:89.

Si S-L, You X-Y, Liu H-C, Huang J. Identifying key performance indicators for holistic hospital management with a modified DEMATEL approach. Int J Environ Res Public Health. 2017;14(8): 934.

Váchová L, Hajdíková T. Evaluation of Czech hospitals performance using MCDM methods. In: A SI, G WS, C D, editors. Department of exact methods, faculty of management, university of economics, Prague, Jarošovská 1117, Jindřichuv Hradec, vol. 37701. Czech Republic: Newswood Limited; 2017. p. 732–5.

Xenos P, Yfantopoulos J, Nektarios M, Polyzos N, Tinios P, Constantopoulos A. Efficiency and productivity assessment of public hospitals in Greece during the crisis period 2009–2012. Cost Eff Resour Alloc. 2017;15(1):6.

Zhang L, Liu R, Jiang S, Luo G, Liu H-C. Identification of key performance indicators for hospital management using an extended hesitant linguistic DEMATEL Approach. Healthc (Basel Switzerland). 2019;8(1):7.

Aksezer CS. A nonparametric approach for optimal reliability allocation in health services. Int J Qual Reliab Manag. 2016;33(2):284–94.

Cagliano AC, Grimaldi S, Rafele C. Assessing warehouse centralization and outsourcing in the healthcare sector: an Italian case study. In: Department of Management and Production Engineering, Politecnico Di Torino, Corso Duca Degli Abruzzi 24, Torino, 10129. Italy: AIDI - Italian Association of Industrial Operations Professors; 2017. p. 244–50.

Cefalu MS, Elliott MN, Setodji CM, Cleary PD, Hays RD. Hospital quality indicators are not unidimensional: a reanalysis of Lieberthal and Comer. Health Serv Res. 2019;54(2):502–8.

Gao H, Chen H, Feng J, Qin X, Wang X, Liang S, et al. Balanced scorecard-based performance evaluation of Chinese county hospitals in underdeveloped areas. J Int Med Res. 2018;46(5):1947–62.

Gonnelli V, Satta F, Frosini F, Iadanza E. Evidence-based approach to medical equipment maintenance monitoring. In: V HEO, V J, editors. University of Florence, Dept. of Information Engineering. Florence, Italy: Springer; 2017. p. 258–61.

Helkio P, Aantaa R, Virolainen P, Tuominen R. Productivity benchmarks for operative service units. ACTA Anaesthesiol Scand. 2016;60(4):450–6.

Khalifa M, Zabani I. Developing emergency room key performance indicators: What to measure and why should we measure it? J. M, A. H, P. G, A. K, M.S. H, editors. Vol. 226. King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia: IOS Press BV; 2016. p. 179–182.

Ajami S, Ebadsichani A, Tofighi S, Tavakoli N. Medical records department and balanced scorecard approach. J Educ Health Promot. 2013;2:7.

Bosse G, Mtatifikolo F, Abels W, Strosing C, Breuer J-P, Spies C. Immediate outcome indicators in perioperative care: a controlled intervention study on quality improvement in hospitals in Tanzania. PLoS One. 2013;8(6):e65428.

Hung K-Y, Jerng J-S. Time to have a paradigm shift in health care quality measurement. J Formos Med Assoc. 2014;113(10):673–9.

Jeejeebhoy KN, Keller H, Gramlich L, Allard JP, Laporte M, Duerksen DR, et al. Nutritional assessment: comparison of clinical assessment and objective variables for the prediction of length of hospital stay and readmission. Am J Clin Nutr. 2015;101(5):956–65.

Kittelsen SAC, Anthun KS, Goude F, Huitfeldt IMS, Häkkinen U, Kruse M, et al. Costs and quality at the hospital level in the nordic countries. Heal Econ (United Kingdom). 2015;24:140–63.

Koné Péfoyo AJ, Wodchis WP. Organizational performance impacting patient satisfaction in Ontario hospitals: a multilevel analysis. BMC Res Notes. 2013;6: 509.

Li CH, Yu CH. Performance evaluation of public non-profit hospitals using a BP Artificial neural network: the case of Hubei Province in China. Int J Environ Res Public Health. 2013;10(8):3619–33.

Liu K, Jain S, Shi J. Physician performance assessment using a composite quality index. Stat Med. 2013;32(15):2661–80.

Lloyd GF, Bajorek B, Barclay P, Goh S. Narrative review: Status of key performance indicators in contemporary hospital pharmacy practice. J Pharm Pract Res. 2015;45(4):396–403.

Mehrtak M, Yusefzadeh H, Jaafaripooyan E. Pabon Lasso and data envelopment analysis: a complementary approach to hospital performance measurement. Glob J Health Sci. 2014;6(4):107–16.

Mohammadi M, Ziapoor A, Mahboubi M, Faroukhi A, Amani N, Pour FH, et al. Performance evaluation of hospitals under supervision of Kermanshah medical sciences using pabonlasoty diagram of a five-year period (2008–2012). Life Sci J. 2014;11:77–81 ( 1 SPECL. ISSUE) ).

Niaksu O, Zaptorius J. Applying operational research and data mining to performance based medical personnel motivation system. In: Vilnius University, Institute of Mathematics and Informatics. Lithuania: IOS; 2014. p. 63–70.

Córdoba S, Caballero I, Navalón R, Martínez-Sánchez D, Martínez-Morán C, Borbujo J. Analysis of the surgical activity in the dermatology department of Fuenlabrada University Hospital, Madrid, Spain, between 2005 and 2010: determination of the standard operating times. Actas Dermosifiliogr. 2013;104(2):141–7.

Profit J, Kowalkowski MA, Zupancic JAF, Pietz K, Richardson P, Draper D, et al. Baby-MONITOR: a composite indicator of NICU Quality. Pediatrics. 2014;134(1):74–82.

Rabar D, Pap N. Evaluation of crotia’s regional hospital effiency: an application of data envelopment analysis . Bacher U, Barkovic D, Dernoscheg KH, LamzaMaronic M, Matic B, Runzheimer B, editors. Interdisciplinary Management Research IX. 2013;9:649–59.

Ramos MCA, da Cruz LP, Kishima VC, Pollara WM, de Lira ACO, Couttolenc BF. Performance evaluation of hospitals that provide care in the public health system, Brazil. Rev Saude Publica. 2015;49:1–9.

Schuers M, Joulakian MB, Griffon N, Pachéco J, Périgard C, Lepage E, et al. In: S IN, de PM AM, editors. Quality indicators from laboratory and radiology information systems. A. G. Volume 216. France: IOS; 2015. pp. 212–6. Department of Biomedical Informatics, Rouen University Hospital, Rouen Cedex, 76031,.

Tabrizi JS, Saadati M, Sadeghi-Bazargani H, Ebadi A, Golzari SEJ. Developing indicators to improve educational governance in hospitals. Clin Gov. 2014;19(2):117–25.

Costa A Jr, aS., Leão LE, Novais MA, Zucchi P. An assessment of the quality indicators of operative and non-operative times in a public university hospital. Einstein (Sao Paulo). 2015;13(4):594–9.

Coyne JS, Helton J. How prepared are US hospitals for the affordable care act? A financial condition analysis of US hospitals in 2011. J Health Care Finance. 2015;41(3).

Davis P, Milne B, Parker K, Hider P, Lay-Yee R, Cumming J, et al. Efficiency, effectiveness, equity (E-3). Evaluating hospital performance in three dimensions. Health Policy (New York). 2013;112(1–2):19–27.

Flatow VH, Ibragimova N, Divino CM, Eshak DSA, Twohig BC, Bassily-Marcus AM, et al. Quality outcomes in the surgical intensive care unit after electronic health record implementation. Appl Clin Inf. 2015;6(4):611–8.

Article   CAS   Google Scholar  

Fonseca JRS, Ramos RMP, Santos AMP, Fonseca APSS. Policy effects on the quality of public health care: evaluating Portuguese public hospitals’ quality through customers’ views. Cent Eur J Public Policy. 2015;9(2):122–40.

Hadji B, Meyer R, Melikeche S, Escalon S, Degoulet P. Assessing the Relationships Between Hospital Resources and Activities: A Systematic Review. J Med Syst. 2014;38(10):1–21.

Hajduová Z, Herbrik G, Beslerová S. Application of DEA in the environment of Slovak hospitals. Invest Manag Financ Innov. 2015;12(4):148–53.

Thomas Craig KJ, McKillop MM, Huang HT, George J, Punwani ES, Rhee KB. U.S. hospital performance methodologies: a scoping review to identify opportunities for crossing the quality chasm. BMC Health Serv Res. 2020;20(1):640.

Carini E, Gabutti I, Frisicale EM, Di Pilla A, Pezzullo AM, de Waure C, et al. Assessing hospital performance indicators. What dimensions? Evidence from an umbrella review. BMC Health Serv Res. 2020;20(1):1038.

Rasi V, Delgoshaee B, Maleki M. Identification of common indicators of hospital performance evaluation models: a scoping review. J Educ Health Promot. 2020;9(1):63.

Xenos P, Yfantopoulos J, Nektarios M, Polyzos N, Tinios P, Constantopoulos A. Efficiency and productivity assessment of public hospitals in Greece during the crisis period 2009–2012. COST Eff Resour Alloc. 2017;15:15.

Shaqura II, Gholami M, Sari AA. Evaluation of performance at Palestinian public hospitals using Pabon Lasso model. Int J Health Plann Manage. 2021;36(3):896–910.

Li J, Seale H, Ray P, Wang Q, Yang P, Li S, et al. E-Health preparedness assessment in the context of an influenza pandemic: a qualitative study in China. BMJ Open. 2013;3(3):e002293.

Huang C-Y, Lai C-H. Effects of internal branding management in a hospital context. Serv Ind J. 2021;41(15–16):985–1006.

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Shirin Alsadat Hadian and Reza Rezayatmans and Saeedeh Ketabi: Study conceptualization and design. Acquisition of data: Shirin Alsadat Hadian, Reza Rezayatmand. Analysis and interpretation of data: Shirin Alsadat Hadian, Reza Rezayatmand, Nasrin Shaarbafchizadeh, Saeedeh Ketabi. Drafting of the manuscript: Shirin Alsadat Hadian, Reza Rezayatmand. Critical revision of the manuscript for important intellectual content: Reza Rezayatmand, Nasrin Shaarbafchizadeh, Saeedeh Ketabi, Ahmad Reza Pourghaderi.

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Hadian, S.A., Rezayatmand, R., Shaarbafchizadeh, N. et al. Hospital performance evaluation indicators: a scoping review. BMC Health Serv Res 24 , 561 (2024). https://doi.org/10.1186/s12913-024-10940-1

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The Media and Sexual Violence Among Adolescents: Findings from a Qualitative Study of Educators Across Vietnam

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• Katherine M. Anderson   ORCID: orcid.org/0000-0001-9675-3653 1 ,
• Alicia Macler 1 ,
• Irina Bergenfeld   ORCID: orcid.org/0000-0003-2601-2854 2 ,
• Quach Thu Trang 3 &
• Kathryn M. Yount   ORCID: orcid.org/0000-0003-1917-1574 2 , 4  

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Growing access to technology and media has presented new avenues of influence on youth attitudes and norms regarding sexuality and sexual violence, as well as new technological pathways through which to perpetrate sexual violence. The aim of this research was to understand contextual influences on and needs for scale-up of sexual violence prevention programming in the media-violence context of Vietnam. We conducted 45 interviews with high school teachers ( n  = 15), university lecturers ( n  = 15), and affiliates from youth-focused community service organizations ( n  = 15) from across Vietnam. Additionally, we conducted four sector-specific focus groups with a sub-sample of interview participants ( k  = 4, n  = 22). Media and technology were brought up consistently in relation to sexual violence prevention and sexual health information. Key informants noted that, in Vietnam, generational differences in acceptability of sex and lack of comprehensive sexuality education intersect with new technological opportunities for exposure to sexual information and media. This creates a complex landscape that can promote sexual violence through priming processes, instigate mimicry of violent media, and presents new opportunities for the perpetration of sexual violence though technology. Development of comprehensive sexual education, including violence prevention education, is imperative, with consideration of age-specific needs for Vietnamese youth.

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Introduction

Prevalence of sexual violence globally in asia/pacific and in vietnam.

Sexual violence, defined as a sexual act committed or attempted in the absence of freely given consent, is a worldwide public health challenge (Basile et al., 2014 ). Sexual violence includes contact-based acts, such as non-consensual sexual intercourse, and non-contact-based acts, such as sexual harassment, unwanted exposure to sexual situations, and non-consensual filming and/or dissemination of explicit photographs (Basile et al., 2014 ). Globally, at least 35.6 percent of all women ages 15 years or older have reported experiencing sexual violence (World Health Organization (WHO), 2021 ). Men also may experience sexual violence; however, the global prevalence of exposure to sexual violence for men is much lower than for women (Institute for Health Metrics and Evaluation [IHME], 2017 ). Moreover, men are shown to perpetrate the majority of instances of sexual violence (James-Hawkins et al., 2019 ). Survivors of sexual violence are at heightened risk of experiencing immediate and long-term negative physical and mental health outcomes, as well as adverse social outcomes, such as diminished academic achievement (Amar & Gennaro, 2005 ; Fielding-Miller et al., 2021 ; Gonzales et al., 2005 ).

Southeast Asia has a high lifetime prevalence of physical or sexual violence by a partner or sexual violence by a non-partner; over 34% of women ages 15 to 49 in Southeast Asia report at least one of these experiences (WHO, 2021 ). In select countries of the Asia–Pacific region, 24.3% of men reported ever perpetrating sexual partner violence, and 10.9% of men had perpetrated non-partner rape in their lifetime (Fulu et al., 2013 ). Of men who reported non-partner rape, 57.6% reported perpetrating rape more than one time (Fulu et al., 2013 ). In Vietnam, sexual violence remains understudied and likely under-reported, though the available data suggest that sexual violence victimization is widespread (Pham, 2015 ; Winzer et al., 2019 ). According to the 2019 Vietnam survey of violence against women, 13.3% of women reported ever experiencing sexual violence by a husband or partner, and 9.0% reported ever experiencing sexual violence by a non-partner (MOLISA & UNFPA, 2020 ). However, other estimates gauge sexual violence victimization as more pervasive, with almost 20% of women 20 to 24 years reporting sexual violence victimization since the age of 15 (Le et al., 2019 ). Across age groups, adolescent women 15–19 years and young women 20–24 years are reported to experience the highest and second highest rates of non-partner sexual violence since age 15, at 24% and 17%, respectively (MOLISA & UNFPA, 2020 ).

Theories of Media and Violence

Several theories exist to explain how media influences cognition and behavior (Valkenburg et al., 2016 ), with variation by context, modality of the media, and predisposing personal factors. These include routine activity theory, which posits that individuals can be motivated to enact violence or another crime when an available victim, an offender, and the absence of a protective force or guardian for the potential victim converge (Aizenkot, 2022 ; Kumar et al., 2021 ; Madero-Hernandez & Fisher, 2012 ; Räsänen et al., 2016 ; Van Ouytsel et al., 2018 ) and social ecology theory, which emphasizes the role of the social environment (Lou et al., 2012 ; Stokols, 1992 ).

For purposes of the current analysis, we are informed by a combination of theories that conceptually overlap and build upon each other, including mimicry, sexual script theory, social cognitive theory, and cultivation theory. In the immediate aftermath of media exposure to violence, enacted violence is thought to operate through priming processes, arousal processes, and mimicking behaviors (Huesmann, 2007 ). The third of these, mimicry, is the imitation of behaviors seen in media (Huesmann, 2007 ), and is a common theme in theories of violence. Sexual script theory embraces the concept of mimicry by asserting that individuals model their sexual expectations, norms, desires, and decisions after portrayals of sex in their culture, such as in media (Wiederman, 2015 ), while social cognitive theory and social learning theory employ the similar concept of observational learning (Bandura, 2001 ; Bandura & Walters, 1977 ). Both social cognitive theory and social learning theory have been applied to the context of media, sexual activity, and violence (Brem et al., 2021 ; Hedrick, 2021 ; Hust et al., 2019 ; Marshall et al., 2021 ; Sun et al., 2016 ; Walker, 2021 ). Youth employ observational learning regularly as part of development (Fryling et al., 2011 ), including in cases of observed violence (Flannery et al., 2007 ). Observational learning typically occurs over time (Bandura, 2008 ), with replication of observed behaviors lasting well beyond the observed event (Fryling et al., 2011 ). According to cultivation theory, which also has been applied to media-violence research (Hedrick, 2021 ; Moorman, 2022 ), greater and repeated use of media is associated with greater acceptance of the norms and beliefs conveyed by that media (Morgan et al., 2014 ). Compounding this, repeated observation of arousing content can, in turn, cause desensitization, in which negative reactions to events like violence can become dampened over time, allowing viewing or participation in violence without negative affect (Huesmann, 2007 ). Notably, these theories lack significant consideration of youth as critical thinkers, with the assumption that they absorb witnessed behaviors with limited processing prior to reenactment. Literature supports more complex processes, such as emotion regulation and rumination (Brimmel et al., 2023 ; Felix et al., 2022 ; McComb & Mills, 2021 ), which we acknowledge and consider in our theoretical approach.

Pathways to Sexual Knowledge and Violence: Media Exposure and Use

Paradoxically, the global rise of technological connectivity has created new pathways to access sexual information and to execute sexual violence, the impacts of which may not be fully captured by existing data. Technology increasingly is used to access mass media sources, including informational media, such as news and informational websites, social media, such as social networking sites, or entertainment media, such as films. Most adolescents and young adults use the internet for health information-seeking (Buhi et al., 2009 ; Santor et al., 2007 ), with sexual health searched more often than any other health topic (Buhi et al., 2009 ). For many, the internet is the primary source of information, even with recognition that schools and medical professions may be better sources of information (Shih et al., 2015 ).

In Southeast Asia, an estimated 17% of individuals have used media to learn about sex (Gesselman et al., 2020 ). This gathering of information may lead to positive, neutral, or negative information about sex, to the extent that informational media and entertainment media may contribute indirectly to sexually violent behaviors, wherein content may reinforce harmful normative beliefs about sexual violence and may normalize or even promote contact- and non-contact forms of sexually violent behavior. This is aligned with theory of priming processes, wherein associations made in media are impressed upon viewers. Mobile sex-tech is technology used to enhance sexuality through information and connections with other people, such as through dating apps, among other activities (Gesselman et al., 2020 ). Sex-tech can be used for finding dating or sexual partners, and sending sexual images, videos, or message to others, known as sexting. In one study, an estimated 28.3% of individuals in Southeast Asia reported ever using sex-tech to find a sexual partner, and 60.1% had engaged in sexting, with approximately 45% having sent images and 28% having send videos (Gesselman et al., 2020 ). The anonymity of some of these platforms, as well as the independence with which they can be accessed by youth may lead to circumstances described by routine action theory, in which a lack of authority represents an opportunity for unhealthy action.

The rapid proliferation of internet and phone access also has vastly increased access to media that may contain biased framing of sexual violence, or sexually explicitly material (SEM), media demonstrating sexual acts, but not necessarily violent sexual acts (Owens et al., 2012 ; Peter & Valkenburg, 2016 ). An analysis of representation of sexual violence in German online news media found the perpetuation of rape myths and the portrayal of victims as weak and passive women (Schwark, 2017 ). In a study of English-language news articles from Pakistan, India, and the UK, it was found that gender-based violence messaging focused on rape, rather than sexual violence more broadly (Manzoor et al., 2023 ). Both studies demonstrate how prevailing ideologies normalizing sexual violence and minimizing different types of sexual violence may be perpetuated. While estimates of adolescent exposure to SEM vary globally (Peter & Valkenburg, 2016 ), studies in urban Vietnam confirm that large majorities of adolescents and emerging adults access SEM. A recent national study found that 84% of adolescents 15–18 years had ever been exposed to SEM (Nguyen et al., 2021 ), and a study of first-year male University students in Hanoi found that 41% had been exposed to media-based violent SEM in the prior 6 months (Bergenfeld et al., 2022a ). Direct viewing of this content may provoke mimicry of violence by viewers, in alignment with sexual script theory. Notably, exposure to SEM may occur through passive intake or through active seeking of explicit materials. A 2011 analysis demonstrated that 83% of the top 20 Nielsen-rated adolescent television shows contained SEM (Neilsen Company, 2011 ), while a more recent content analysis of popular Western television shows watched by teens and young adults reached similar conclusions about the common nature of sexual violence and sexual abuse (Kinsler et al., 2019 ). Other avenues for passive exposure to SEM include video games, music, music videos, and films (Peter & Valkenburg, 2016 ). In studies of pornography, which is inherently explicit and often actively sought out, 88% of videos included physical aggression or violence towards women (Bridges et al., 2010 ; Foubert et al., 2011 ). These represent additional opportunities for priming of the association of sex with violence, with cultivation theory suggesting that repeated use increases the likelihood of adopting the beliefs presented in media.

Some of these paths of exposure to media on sexual violence also are tools for sexually violent behavior. Initially consensual sexting may quickly transition to unwanted exposure to sexual images or videos if one party does not seek consent. Informational and social media forums to share comments can become a vehicle for written sexual harassment of an individual. Images or videos shared consensually with a partner can be harnessed for blackmail or nonconsensual sharing via media. These direct, non-contact forms of sexually violent behavior are known as Technology Facilitated Sexual Violence (TFSV). They may include the distribution of explicit photographs and videos without consent, the sharing of unsolicited explicit content, and the use of online platforms for sexual harassment (Powell & Henry, 2019 ). In some western countries, lifetime TFSV exposure may be as high as 17% (Patel & Roesch, 2022 ), with higher prevalence among youth (Gámez-Guadix et al., 2015 ; Powell & Henry, 2019 ). Moreover, social media provides opportunities to facilitate in-person contact and non-contact sexual violence. Conversations on social media, both anonymous and not, may become an opportunity to convince someone to have an in-person meeting, either consensually or through manipulation of power dynamics; one party may have the intent of perpetrating sexual violence, physically, through nonconsensual documentation of sexual behavior, or through other means.

Harms of Media/Technology on Violent Attitudes and Behavior

A growing body of evidence supports the harmful outcomes related to sexual material in media/technology, including the perpetuation of inequitable gender roles, rape mythology, negative self-worth, and sexually violent behavior. Several harmful outcomes also are associated with TFSV victimization, including technology use related to sex generally, such as sexting. In a Hong Kong-based study, individuals who took part in sexting had higher levels of body surveillance and shame than those who did not (Liong & Cheng, 2019 ); in some settings, youth may frame TFSV in dating relationships, such as demands to engage in sexting, as requests for “proof of love” (Fernet et al., 2023 ). Sexting itself has been associated with risky sexual behavior, substance use, depression (Gesselman et al., 2020 ) and self-harm among adolescents (Wachs et al., 2021 ).

In Western countries, exposure to SEM and especially violent SEM has been associated with more accepting attitudes about sexual violence and with sexually violent behavior (Rodenhizer & Edwards, 2019 ). In the global West and Asia, such exposure is associated with permissive sexual attitudes and gender-stereotypical sexual beliefs among adolescents (Peter & Valkenburg, 2016 ). Across studies, male study participants’ attitudes and behaviors regarding sexual and domestic violence were more strongly affected by exposure than females’ (Rodenhizer & Edwards, 2019 ). A recent meta-analysis found that greater overall media consumption was associated with higher rape myth acceptance (Hedrick, 2021 ), with general pornography, violent pornography, and sports media accounting for most of this association. In a recent longitudinal study in Vietnam, a dose–response relationship was observed between the frequency of exposure to violent SEM with non-contact and contact sexually violent (Bergenfeld et al., 2022a ).

Benefits of Media/Technology for Violence Prevention

Conversely, access and exposure to information on safe sexual behavior and the prevention of sexual violence can lead to positive outcomes among adolescents. Qualitative studies of women in the USA, Canada, and India have suggested that women who access non-violent sexual content associated this exposure with positive sexual exploration and development of sexual identity, opportunities for sex-positive education and exploration of readiness for sex, improved sexual connectedness in relationships, normalization of sexual desires, and improved acceptance of their bodies and sexualities (Arrington-Sanders et al., 2015 ; Attwood et al., 2018 ; Chowkhani, 2016 ; McKeown et al., 2018 ). Two qualitative studies conducted in urban Thailand and Vietnam found that adolescent girls use social media to develop their sexuality, express desires, and exercise sexual agency in settings where female expressions of sexuality are restricted and access to accurate sexual information is limited (Boonmongkon et al., 2013 ; Fongkaew & Fongkaew, 2016 ; Ngo et al., 2008 ). In a Hong Kong-based study, individuals who had participated in sexting had more comfort with nudity (Fernet et al., 2023 ), and sexting generally may contribute to increased emotional connection and satisfaction in relationships as well as freedom of sexual expression (Gesselman et al., 2020 ).

Social media also may provide a space for people to share sexual experiences and to seek support. In Hong Kong, “confessional” social media pages have enabled users to ask questions, seek advice around sex from peers, and receive peer support (Yeo & Chu, 2017 ). Social support, in turn, may indirectly reduce the risk of sexual violence victimization (Ybarra et al., 2015 ). In recent years, social media has been used strategically to disclose experiences of sexual violence and to provide social support to survivors (Alaggia & Wang, 2020 ), though some studies find that survivors of sexual violence do not reap the same benefits of public sharing of experiences as much as individuals who experienced less stigmatized trauma, such as a natural disaster (Delker et al., 2020 ). Also, the survivors of sexual violence may interpret and identify their experiences differently based on prevalence of sexual violence cases in the media (Newins et al., 2021 ).

Various forms of media have served as a tool to disseminate widely accurate and relevant information about sex and sexual violence to teen audiences (Todaro et al., 2018 ). Young people have cited increased comfort accessing information about sex online compared to other mediums (Lim et al., 2014 ), and reduced embarrassment for adolescents who are uncomfortable discussing sex with their parents (Lou et al., 2012 ). Qualitative research in Vietnam has found that parents would like accessible information about sex on the internet (Do et al., 2017 ). Numerous technology-based interventions relating to sexual violence exist, however, only a portion include content relating to violence prevention, rather than identification or survivor support, and those that do are largely focused on North America (Huang et al., 2022 ). In one systematic review of mobile sex-tech, which included 15 articles of technology-related interventions with sexual violence information, only 27% contained content on sexual violence prevention, and none contained information on the impacts of sexual violence (Huang et al., 2016 ). Nevertheless, two systematic reviews of tech-based interventions for intimate partner violence (IPV) found that IPV prevention in combination with access to telehealth services showed promise to reduce the risk of violence victimization (Anderson et al., 2021 ; El Morr & Layal, 2020 ), while a third did not identify any significant effects (Linde et al., 2020 ). Notably, the reviewed studies focused on interventions with women as potential victims, rather than men as potential perpetrators (Huang et al., 2022 ). While careful development is essential to prevent unintended consequences, such as increasing adherence to rape myths (Nicolla & Lazard, 2023 ), online programming in the U.S. and Vietnam have been successful in decreasing sexually violent behavior among university men (Yount et al., 2023b ; Salazar et al., 2014 ; Yount et al., 2020 ). In a randomized controlled trial of an “edutainment” program to reduce sexual violence, program participants had increased knowledge of the illegality of sexual violence and increased victim empathy (Yount et al., 2022 ), through which Vietnamese men had lower odds of past-year sexually violence behavior after program participation (Yount et al., 2023b ; Yount et al., 2020 ). This may demonstrate a pathway to reduced sexually violent behavior through the effective use of media with young people.

The aim of this paper is to elucidate the state of media usage relating to sexual violence among Vietnamese youth, according to educational and programmatic partners across Vietnam, using the research question “What is the perceived influence of social media on sexual violence among youth according to educators in Vietnam?” Further, we seek to describe the implications of media usage relating to sex and sexual violence, both positive and negative, and identify lessons and pathways to improve sexual health and sexual violence programming for Vietnamese youth. While literature is available on media, sex, and sexual violence globally and broadly in Southeast Asia, little of this research focuses on Vietnam specifically, and little from the perspective and framing of implementation of sexual violence prevention. This information may allow for effective, targeted programming and/or engagement in media to reduce sexual violence and promote gender equitable attitudes among youth.

Vietnam, located in Southeast Asia, is home to 96 million people, and 13.70% of the population are aged 15 to 24 years (General Statistical Office [GSO] of Vietnam, 2020 ). Fifty-four recognized ethnic groups are represented within the population of Vietnam, with 85% of individuals self-identifying as Kinh (Hiwasaki & Minh, 2022 ). Currently classified as a lower middle-income country, Vietnam’s population typically still resides in rural areas (70%) (World Bank, 2022 ); however, Vietnam has seen steady economic growth and diversification over the past 20 years, alongside declines in poverty (Do et al., 2021 ; Nguyen et al., 2020 ). Literacy is almost universal, and the gender gap in number of years of schooling is relatively narrow (United Nations Development Program [UNDP], 2022 ) though women less often participate in the workforce than men (69% v. 79%), and working women earn substantially less than their male counterparts (United Nations Development Program [UNDP]), 2022 ).

Nearly all individuals in urban and rural settings have access to electricity, and most (70%) of the Vietnamese population has access to the internet (Mobile Marketing Association, 2019 ). In 2019, there were 141 phone subscriptions per 100 inhabitants, and nearly all internet users are estimated to own a smartphone, such that over 80% of the population over age 15 is connected to online content (Mobile Marketing Association, 2019 ). Approximately 68% of the rural population own a smartphone, and as of 2019, was connected to the internet an average of 3 hours per day; of which 40% was spent on messaging apps in communication with others (Mobile Marketing Association, 2019 ).

As of 2019, 90% of young adults (18–29 years old) in Vietnam were using smartphones (Silver et al., 2019 ), while 72 million people (accounting for 73.7% of the population) use social media in Vietnam. Between January 2020 and January 2021 alone, the number of Vietnam’s social media users increased approximately by 10.8% (2021). Approximately 65% of Vietnamese youth (aged 16–30, N  = 1200) use the internet daily; a study of social media use among Vietnamese youth engage with social media for an average of 4.3 hours a day and primarily use it to talk with friends and receive updated news (Doan et al., 2022 ). Commonly used applications include Facebook, YouTube, and Zalo, with interactivity on YouTube and Zalo being highest with news and entertainment accounts (Doan et al., 2022 ; Hanns Seidel Foundation, 2021 ).

Social media in Vietnam is currently regulated under the Law on Cyber Security (National Assembly of Vietnam, 2018 ), and the Decision 874/QD-BTTTT (2021) on the Code of Conduct on social media, to protect “the national security,” relating to “moral values, culture, and traditions of Vietnamese people” (Ministry of Information & Communications, 2021 ; My, 2022 ) While no specific definition of these terms is provided, Decree 15/2020/ND-CP outlines financial punishment of 10 million VND to 20 million VND ($500—$1,000) for violation of regulations on use of social media, including “promoting bad customs, superstition, lustful materials which are not suitable for the nation’s fine customs and traditions.” In sum, access to smartphones, online media, and networking apps are widespread in Vietnam, particularly among youth, and laws regulating access to online content are nascent.

Participants

Recruitment strategies are described elsewhere (Yount et al., 2023a ). In brief, a multi-pronged approach was used to identify key informants from universities, high schools, and civil society organizations (CSOs) who conduct programs related to sexual and reproductive health and rights. Once initial potential participants were contacted, the research team employed snowball sampling to diversify the participant pool, with consideration to institutional setting (university, high school, CSO), region of Vietnam in which the institution was located (North, Central, South), and gender.

Participants were invited via email to complete interviews until a total sample of 45 was achieved, with an even distribution of 15 participants each from university, high school, and CSO settings. Of 45 interviewed participants, 32 were invited to participate in focus groups, based on their knowledge of sexual violence programming. A total of 22 individuals agreed to participate in focus group discussions, resulting in four focus groups: one with high school teachers ( n  = 7), two with university lecturers ( n  = 6 and n  = 3), and one with key informants from CSOs ( n  = 6).

Measures and Procedure

We conducted a qualitative study of key informants from high schools, universities, and civil society organizations (CSOs) across all regions of Vietnam, which included in-depth interviews and focus group discussions, a mixed-methods approach which is useful for research that has multiple objectives (Hennink et al., 2020 ). Overarching findings from the parent study are presented elsewhere (Yount et al., 2023a ). This analysis focuses on narrative segments related to the media, which was identified as a highly salient theme worthy of a separate, in-depth analysis.

In the parent qualitative study, the binational research team developed three guides for data collection. A semi-structured key informant interview guide contained open-ended questions about sexual violence among youth populations; gender and sexual norms among youth populations; causes, effects, and strategies to prevent sexual violence among youth; and factors influencing sexual violence prevention programming. Interviews were chosen to reduce social desirability bias, as recommended when discussing sensitive topics (Hennink et al., 2020 ). Two guides were developed for use in focus group discussions. Focus groups were selected for this objective as they allow for the identification of a range of perspectives and facilitate the justification of ideas (Hennink et al., 2020 ). First, a viewing guide elicited opinions and responses to the web-based sexual violence prevention program, GlobalConsent (Yount et al., 2022 ). The guide asked participants to rate on a five-point scale the feasibility and acceptability of program elements, and to elaborate upon their reasoning for the rating. The focus group facilitator collected the completed guides and used them in combination with a focus group guide to prompt discussion during the focus groups. The focus group guide aligned with the domains of the Consolidated Framework for Implementation Research (CFIR) (Damschroder et al., 2009 ). Questions were open-ended and assessed facilitators and barriers to sexual violence prevention programming, with prompts drawn from feedback in the viewing guide. This method was used to ascertain consensus, when possible. Of note, none of the data collection guides contained direct questions about social media, internet use, or technology-based sexual violence information dissemination other than reference to GlobalConsent. When participants raised these topics, facilitators asked follow-up questions to elucidate their opinions and experiences. All data collection forms have been previously published and are publicly available (Yount et al., 2023a ).

All data were collected using audio calls through the Zoom videoconferencing system. Two research staff members trained in qualitative research methods from the Center for Creative Initiatives in Health and Population completed data collection. At the beginning of each interview or focus group, the staff members explained the purpose of the study and reminded participants that they would not be asking for any private or potentially sensitive personal information. All interviews and focus groups were recorded using the Zoom videoconference platform. Interviews lasted 45–90 min, and focus groups lasted 120–150 min. Upon completion of data collection, interview participants were compensated with $20 USD. Focus group participants were compensated $30 USD for viewing GlobalConsent and completing the viewing guide materials, and $20 USD for participating in the focus group discussion.

Data Analysis

Data collectors saved digital recordings on a password-protected cloud-based research drive, and a professional transcription service transcribed all recordings verbatim. The research team verified random sections of the Vietnamese transcriptions against the original recordings. Verified Vietnamese transcripts then were translated into English, and a research team member proficient in the Vietnamese and English languages and cultures checked random segments of the English transcripts against the Vietnamese transcripts for accuracy of the translation and its meaning as intended in the original Vietnamese. Audio recordings were destroyed following quality checks of the written transcripts and translations.

Study team members analyzed the English transcripts using deductive and inductive techniques to identify initial themes and media-related sub-themes. Two doctoral-level study team members developed a codebook based on the interview guides and CFIR domains, inclusive of definitions, and revised it iteratively following repeated readings by other study team members. Team-based coding was used to code each transcript in MaxQDA.

All content related to media originally was coded using a single broad inductive code in the first round of coding. For this analysis, all coded segments related to media then were extracted and saved in a single document. Two graduate-level trained researchers independently reviewed this document to identify inductive sub-themes applicable to the data. The researchers then met to discuss the inductive sub-themes, reconcile discrepancies through inter-coder agreement, and to review the need for further theme identification. This latter step ultimately was not taken due to the high level of concurrence between the initially identified inductive subthemes. Inter-coder reliability was not calculated to avoid implied objectivity or undue precision (O’Connor & Joffe, 2020 ).

Finally, the coders created a salience matrix to visualize the presence or absence of each theme within each transcript, in order to qualitatively and quantitatively represent the salience of each them across all transcripts. Representative quotes for each sub-theme were identified to contextualize the findings with sector and gender of interview participants, and sector only for focus group participants, as statements were not individually identifiable in the focus groups. Participant characteristics are reported in Table  1 .

Accessibility and Quality of Information about Sex and Sexual Relationships

Many community partners, including more than half of participants employed as university lecturers or CSO affiliates, noted that media is highly accessible to young people in Vietnam, particularly through the internet, such that information about sex and sexual relationships can be easily found. Further, according to many participants, students seek out information independently, rather than rely upon schools to provide information. According to one participant, “Young people now have access to information easily, so they can learn things themselves. When we …distribute free condoms to advocate for safe sex, it comes to my surprise that students actually know about condoms” (University Lecturer, Woman). Another participant clarified that easy access to information about sex was generally a benefit of media access, specifically for young women, “ … nowadays, I think with the age of technology development, it would be easy for [young people] to look for information to help protect themselves [from unwanted pregnancy]” (University Lecturer, Woman).

A few participants described this high general access to information about sex as empowering for young people in Vietnam. One participant stated, for example, that “When they [the youth] need information, they are very proactive and find it very quickly themselves” (University Lecturer, Woman). However, several participants, and particularly participants affiliated with CSOs, expressed concern that the quality of available information on sex and sexual relationships is variable, and some “unregulated” available content may be inaccurate and may lack the comprehensiveness that adolescents need. One participant shared, “In recent years, access to the internet makes it easy for people to retrieve a lot of information, including unregulated ones, especially for adolescents and youth. People are not fully informed” (CSO Affiliate, Woman). Elaborating on this potential for youth to gain incomplete knowledge through internet sources, another participant noted, “…I can see that the young generation has learnt on their own via the internet … even though the young have somewhat an understanding about safer sex, their source of information is not adequate and they still lack orientation” (University Lecturer, Woman). This lack of orientation was seen as an important barrier to the practice of safe and consensual sex.

A few participants expressed additional concern about the volume and appropriateness of information available online, given the lack of formal sex/sexuality education, and given the willingness of students to actively see information themselves: “…sometimes the information is too much for them. …there really isn't anyone to teach them the skills to say no. So really they mostly depend on their instinct or information that they find out on their own rather than having orientation” (University Lecturer, Woman). When the information availabe online is “too much,” according to some participants, students may experience potentially harmful outcomes. Participants discussed how the abundance of ostensibly tempting, unregulated, and confusing information could overwhelm youth seeking information, with one participant explaining, “[online] we also receive many opinions, different kinds of feedback, even some pages, organizations, and activists …. I think it [creates] a rather chaotic environment …[Youth] can feel confused since they don't know which side to take, they are not sure which side is the right one” (CSO Affiliate, Woman).

About one third of participants from high school and university settings attributed this confusion to the lack of up-to-date “official” information, with one lecturer noting, “they have too much information and couldn’t find any official information,” calling the available official sources of information “extremely limited and old school” (University Lecturer, Woman). Many paricipants believed such official information was vital to provide young people with accurate information about sex. A CSO-affiliated participant shared,

Now it's easy, everyone has a smartphone. Google does not charge, so just google it. ... However, [youth] are not sure which document is official and standard. What they need the most is the most up-to-date materials with information and knowledge constantly updated. The source of information must be official and in accordance with the standards. (CSO Affiliate, Woman )

Despite substantial agreement across participants that youth needed more access to “official” information about sex, the meaning of “official” in the context of information on sex in the media varied. One participant distinguished information from medical sources and that from the government and schools, with the latter sources being indicated as preferrable, while medical sources, such as hospitals, may contribute to the potentially overwhelming, “unregulated” information online: “There are also many video clips or guideline on other social networks… Some hospitals also post these contents, both foreign and Vietnamese. [It’s] available, but maybe there’re too many, with no sources from the Government or schools.” (CSO Affiliate, Woman)

Other participants echoed the idea of “official” sources originating with the government, with one stating, “…online, I have not seen much. Besides, I think there is no official training program [on this topic] by the Ministry of Education yet” (CSO Affiliate, Woman). The absence of an official training program complicated the role of schools and universities, who were noted as potentially playing a significant role in the dissemination of information, but only once it exists: “And when the information is official, it will be shared by the school, the university, or the student community. It is also considered an official channel” (CSO Affiliate, Woman). Only one participant discussed non-governmental organizations as a source for “official” information: “If we talk about official sources of information, it is definitely the type of absolutely official sources like UNWOMEN or …multinational organizations working on gender. They provide much more credible information” (CSO Affiliate, Woman).

Media Depictions of Sexual Activity and Normalization of Sexual Violence

Some participants noted the lack of official information regarding sex and sexual relationships as intersecting meaningfully with narrow, sensational depictions of sexual violence and the normalization of sexual coercion, non-consent, and sugar-daddy relationships in the media. These depictions were described as occurring in the news media, television, and in online media content, including but not limited to pornography. One participant shared that the news media was not adept at conveying the complex nuances of sexual consent, arguing that this source of information was “unable to distinguish at a more delicate level, that things may start out as consensual, but could become non-consensual later” (University Lecturer, Woman). Only extreme cases of sexual violence were cited as worth covering by news media, masking other forms of sexual violence. As a focus-group discussion participant explained, “[the news media] only care about the major events … if there is a case where the students …make a girl to drink and it leads to a rape, and that spreads among students… [the media] will immediately jump in to investigate and interview” (University Lecturer). Further, according to another participant, the news media’s presentation of information on cases of sexual violence often ignore the voices and experiences of women and experts in the field.

Some participants also described the silencing of women’s experiences relating to sex and sexual violence as common in the movies. Some participants described movies from Southeast Asia as reinforcing rigid gender stereotypes, including women’s passivity and submission to masculine coercion, as well as the normalization of non-consent. A CSO affiliate shared, “…for example, in Chinese and Korean dramas, we may see scenes where the female character doesn't like it, but the male keeps kissing, and then, in the end, those two have a sweet night. I feel such things are injected into girls’ heads” (CSO Affiliate, Woman). One high-school teacher corroborated the above depiction of sex in Southeast Asian movies in this way:

…in Korean/Chinese movies or love novels that the young usually read and watch, the main characters typically force their partner into having unwanted sex or physical contacts, such as hugs or kisses. Consequently, the readers form a notion that it is okay for the male to force such activities, and the female does like it. (High School Teacher, Woman)

Reinforcing the normalization of sexual violence and non-consent in mainstream movies available to Vietnamese youth, some participants, particularly university lecturers, discussed how pornography contains harmful depictions of sexual activity that they believe drives a desire among men to imitate, including violent behaviors or behaviors that would make female partners uncomfortable. As demonstrated by the experiences of one university lecturer, exposure to pornographic material was expansive, and occurred from a young age:

…men from old to young have seen this type of [sexually explicit] film and are influenced by the erotic and sadistic elements in the film. These factors often stimulate the curiosity of men and make them want to try more. Young people are especially curious about this issue. I once did a project to provide computers for elementary schools …after 6 months of operation, when I accessed the search history, there were many pornographic websites in it. The 5th graders at that school watched sex movies. Even though they did not type the right words, they still watched and even discussed the contents of the movies. (University Lecturer, Man)

Some participants believed that youth generally were not aware that violent actions portrayed in such movies would be considered sexual violence, but rather normal sexual encounters that should be used as a guide. One university lecturer stated, “…young people think that if they do the same thing [as pornography], they will be professional, and this mindset causes young people to commit acts of sexual violence that they themselves do not know,” (University Lecturer, Woman). Several participants emphasized that the risk of imitating sexually explicit material, and at times violent sexually explicit material, was heightened because official information about healthy sexual relationships was lacking and so could not counter adolescents’ interpretations of SEM as normal forms of sexual interaction.

Concurrently, some participants, and particularly high school teachers, perceived a rise in portrayals of transactional sex in online media that capitalize on gender-stereotypical roles and economic power imbalances, particularly manifesting in “sugar-daddy” relationships among young people. One CSO affiliate shared, “… the most current trend [on dating apps] is sugar-daddy and sugar-mommy, which is why people nowadays joke that formerly, you could only purchase a single ticket for one-night stands, but now you can purchase a multiple-round ticket.” (CSO Affiliate, Woman). According to one high school teacher’s experience, sugar-daddy and sugar-mommy relationships were normalized in online media: “Last year, for example, there were so many cases of sugar babies—sugar daddies. They even made short clips to gain views and likes and created videos to post on YouTube to make money.” (High School Teacher, Woman). Another participant from a CSO contrasted her own personal experiences with those of youth only a few years younger: “My age is pretty close to them [but] when I was their age, those types of [transactional] relationships weren’t that common around me and not on the media either. Now it’s much more popular in the media…. These things are normalized because it’s common among young people” (CSO Affiliate, Woman).

Mixed Consequences and Opportunities from Young People’s Engagement with Media

To many focus group and interview participants, including many of high school teachers and university lecturers, increased access to and interaction with media, the lack of reliable information on sexual relationships and sexual violence, and media portrayals and normalization of non-consensual and violent relationships led to increased risk of sexual violence victimization among youth. The accessibility of communication with unknown persons provided by internet access was viewed as facilitating these cases of violence by providing opportunities for youth to be taken advantage of. A CSO affiliate spoke to this point, saying, “They [youth] often use communication apps to date or have sex (slang). Even those children of 15, 16 age… showed their bodies online as requested by older men” (CSO Affiliate, Man).

Several participants elaborated that youth they were familiar with also were at risk of non-consensual recording and distribution of content. Over one-third of high school teachers discussed these risks, and a participant who worked with a youth-centered CSO detailed them, saying, “…some people lure students into the toilet to secretly film them. … [some are] paying students to go to their living space to perform sex, then record clips…. On paid sex viewing websites, many videos with private sex scenes are posted to get money" (CSO Affiliate, Man). This non-consensual sharing of explicit sexual material was not limited to circumstances of non-consensual recording but could also originate in the consensual sharing of videos or images among youth, or between youth and adults. This content was described as potential material for blackmail and manipulation: “Four cases that I handled last year had to do with online erotic messaging via Zalo or text messages: boys and girls, they exchanged erotic images, but the boy saved those images and used them to blackmail the girl." (University Lecturer, Man) According to some participants, they didn’t believe youth understood the risks of content sharing, even to a single person: “The images uploaded on the Internet can be viewed by millions of people. People do not think of it as a danger to themselves. There are cases where private pictures/videos are spread out right in the school. Students did not think that it could be able to be exposed.” (CSO Affiliate, Man).

Conversely, some participants acknowledged benefits to increased access and exposure to media. The internet provides forums where youth who had experienced sexual violence could connect with other survivors, fostering social support: “Nowadays, the young can share their story with some groups or forums on the Internet. …though talking about their situations on the Internet didn’t get them the professional support they needed, they did receive a certain level of empathy and emotional support” (CSO Affiliate, Woman). Another participant noted that the internet provided a layer of privacy that could not be achieved through in-person contact, easing feelings of embarrassment or discomfort in seeking support: “I think they would talk to their friends… [but] talking [in person] could be embarrassing, and they would be afraid that someone might overhear them, so I think they would send messages over Zalo, Facebook.” (University Lecturer, Woman)

Furthermore, social forums on the internet were seen by some participants as providing space for young people to ask questions, to be exposed to different opinions, and to gather a variety of perspectives to inform themselves better: “In this era, information is very accessible. However, what really helps is a space where they feel safe to share their views on this topic. And after sharing, they can also listen to other people's opinions to conclude what is right, what is reasonable, what is not reasonable, and what is needed to be changed?” (University Lecturer, Woman).

Media as a Tool for Sexual Education and Sexual Violence Prevention

Despite participants’ perceptions of the mixed outcomes related to high accessibility of heterogeneous information about sex and sexual relationships and the high use by young people of media for this information, many participants noted that media was a powerful and important tool for disseminating information about sex and sexual violence and for engaging youth. One high school teacher shared, “…with the advance of technology in today's society, we can create websites, Facebook pages, or TikTok channels…to share information about sexual violence and ways to prevent it. I think this is a way for the young to access reliable sources of information more easily” (High School Teacher, Woman). How information is presented in media also was discussed, with some participants highlighting that media can be a tailored medium of information to youth. The flexibility of media as a medium, and particularly online media was noted as a major facilitator or tailoring information. An CSO-based participant shared: “We can run several media projects that propagate sex education content such as talk shows, minigames, etc.… There are certain levels of flexibility for communicating with students of this age, especially in a time when sex education is still something we are aiming at" (CSO Affiliate, Woman). Finally, some participants, particularly those affiliated with CSOs, noted a key feature of media as a potentially effective tool was the ability to reach large populations:

The biggest advantage of youth groups like us, or young NGOs working in the social field, we know about social media, and we use it quite proficiently… Hence, I feel that is our huge advantage, especially if we want to spread the knowledge about sexual violence on the media and social networks. That's quite true because, among our 150,000 followers, 78 - 80% of them are young people aged from 18-20 years old. (CSO Affiliate, Woman)

Other participants echoed these sentiments, with one university lecturer suggesting that existing institutional resources could be leveraged, saying, “I think the best method would be using websites, the ones that are familiar to students, or pages of the student community " (University Lecturer, Woman). This strategy was cited as providing the sense of an “official” channel of information, and more clearly delineating between “official” and “unofficial.” Other partnerships also were discussed, including working with media channels: “I think we can also use the help of media news channels and authorities to spread more awareness and attract attention to the topic of sexual violence.… By doing this, the young do not have to actively learn about it … their mindset about sexual violence can be formed unconsciously" (High School Teacher, Woman). By these means, participants recognized media as potentially facilitating norms change through the efforts of activists and educators, underscoring the perceived power of media as a tool, “…not just to inform people, but also advocate for public opinions.” (University Lecturer).

Despite the numerous positive features of media as an educational tool, a few participants noted limitations. One participant shared, “I can't force them to visit only this page, go to that page, or tell them that they can only read materials related to learning and mustn’t watch movies. That is very difficult" (High School Teacher, Woman). Another participant pointed out that, despite the accessibility of information on the internet, neither access to nor use of the internet to seek out information were universal, potentially leaving vulnerable populations out of media-based programming:

Not everyone can have access to social media, or to the internet. Not everyone has time…. For me, the people who don't … have the conditions to do it are the people we need to approach most. Because those people are people who don't have much access to the mass media, to both information and knowledge sources on gender and sexual violence. (CSO Affiliate, Woman)

Even with these limitations, several of participants acknowledged that media already has shifted norms in Vietnam. One participant said of the youth with whom they work, “With the influence of social media such as YouTube, Tiktok, or Facebook, young people view sexual intercourse at this age as something normal. They think it is no longer a shame as in older times; they even openly share about it instead of keeping it a secret as before" (CSO Affiliate, Woman). Another key informant shared the impact of media on independent decision-making among youth, stating that media has given youth freedom through access to information. Finally, one participant commented on the increasing globalization allowed by media, and the profound impacts of exposure to different ideas:

I believe that the power of media and other means of connecting people, such as social networks, is quite large… There is also the openness of social media, where Vietnamese adolescents are more exposed to Western culture through concepts like freedom of expression and self-expression. Furthermore, girls are no longer constrained by the old concept of virginity. Boys, on the other hand, have more opportunities to study abroad and interact with people from different cultures, resulting in more cultural exchange. There are also an increasing number of reality shows on television about love and romance. As a result, they have a wealth of resources at their disposal to learn more about sex. (CSO Affiliate, Woman)

Leveraging of these resources, participants agreed, could be used to promote sexual health and decrease sexual violence among Vietnamese youth, empowering adolescents to shift social norms and promote increased gender equity.

Summary and Interpretation of Findings

In interviews and focus groups regarding sexual violence prevention among adolescents in Vietnam, high school teachers, university lectures, and affiliates of youth-focused CSOs expansively discussed the role of media and technology in the context of sexual violence and sexual education for Vietnamese youth. Primarily, interview and focus group participants expounded upon the high availability of access to media through technology, and particularly media relating to sex. However, the information presented in this media varies widely, according to participants, with some media that is incorrect or inappropriate for youth, and few available sources of information that were classified as “official.” Respondents shared that the available media—including news media, informational websites, social networking platforms, video streaming platforms, and mobile applications—depict sexual activity that is coercive or violent, normalize transactional sex, reinforce normative beliefs about inequitable gender roles, and prompt mimicry of sexual violence.

Given the high prevalence of youth information-seeking about sex through media (Buhi et al., 2009 ; Santor et al., 2007 ), including in Southeast Asia (Gesselman et al., 2020 ; Ngo et al., 2008 ; Nguyen, 2007 ) and Vietnam, specifically, the availability of accurate and appropriate information on sex and sexual violence is imperative to the education of youth globally. In line with behavioral health theories that integrate mimicry and observational or social learning, such as sexual script theory (Wiederman, 2015 ) and social cognitive/social learning theory (Bandura, 2001 ; Bandura & Walters, 1977 ), participants stated that youth they were familiar with imitated the sexual situations and actions they viewed in media, including violent sexual acts without the consent of their partner. This echoes previous findings of the role of observational learning in the contexts of media, violence, and sexual activity, previously identified associations between exposure to SEM, sexual attitudes, and gender-stereotypical sexual beliefs in the global West and Asia (Gesselman et al., 2020 ; Peter & Valkenburg, 2016 ), and recent findings on a dose–response relationship between SEM and sexually violent behavior among young men in Vietnam (Bergenfeld et al., 2022a ). Participants stated that non-consent was normalized in movies and television, passively reinforcing the violent and coercive sexual behaviors, while news media both sensationalized and neglected to portray the nuances of sexual violence and consent. According to cultivation theory, repeated exposure to portrayals and normalization of sexual violence may promote greater acceptance of and desensitization to violence (Morgan et al., 2014 ), which may provide insight into why some participants reported that youth did not know that nonconsensual sexual acts were in fact sexual violence.

Participants also discussed the implications of this increased access to media relating to sex, with both negative and positive outcomes delineated. Media was cited as increasing opportunities for sexual violence in two main ways. First, youth were put at risk through connecting with unknown people via messaging or networking sites, leading to vulnerable in-person meetings. Indeed, almost 30% of individuals in Southeast Asia are thought to have used sex-tech for finding sexual partners (Gesselman et al., 2020 ), indicating willingness to put oneself in situations that may be conducive to sexual violence. Second, youth were put at risk through the sharing of their own sexually explicit media with others, either privately or publicly. An estimated 60.1% of individuals in Southeast Asia report sending sexually explicit messages, including images and videos (Gesselman et al., 2020 ), which have the potential to then be shared beyond the original recipient without consent. Non-sexually explicit photos posted on social media were also described as a pathway for sexual harassment or TFSV.

By contrast, media also provided forums for learning, exploration, and social support, which participants noted is promising for sexual education and prevention of sexual violence. Social media and blogs were cited as potential sources of diverse opinions and experiences, corroborating previous findings of young women in Southeast Asia using the internet to explore and develop sexual identities and gain accurate information about sex (Boonmongkon et al., 2013 ; Fongkaew & Fongkaew, 2016 ; Ngo et al., 2008 ), and seek advice and social support about sex and sexual violence (Alaggia & Wang, 2020 ; Yeo & Chu, 2017 ). The significant portion of Vietnamese young adults on social media (Silver et al., 2019 ) also marks this as an ideal pathway for education and prevention of sexual violence, as identified by interview and focus group participants.

Interestingly, while participants recognized the diversity of the sources of information on the internet and the impossibility of "forcing" students to view "official” channels, they did not discuss the importance of media literacy education, which may help students to identify the useful/good vs. harmful information. It may be important to emphasize students as agents for change—once they are equipped with the knowledge and skills to analyze media sources with discernment and more accurate knowledge of sexual violence and consent. Media literacy education in high school and university contexts may offer a normatively acceptable pathway to increased critical analysis of sexual and sexually violent content in media, and may not face the same barriers that have been outlined to implementing sexual violence prevention education in Vietnam (Yount et al., 2023a ). This strategy may complement ongoing violence prevention efforts, particularly in high schools given that average educational attainment is projected to exceed 12 years in Vietnam among children of school-entry age (United Nations Development Program (UNDP), 2022 ). Such programs that have been successfully implemented in the United States may be appropriate for adaptation to the context of Vietnam (Scull et al., 2018 , 2022 ).

Limitations and Strengths of Analysis

Some limitations and several strengths of this analysis are notable. First, qualitative research is not generalizable but generates salient themes that may be explored more systematically in future surveys involving representative samples of young people. Second, the data are perceptions of the behavior of young people from high-school teachers, university lecturers, and CSO affiliates and should not be interpreted as the actual behavior of young people. Relatedly, there is a possibility of polysemy in interpretation of media, wherein messaging may be interpreted semantically differently by different individuals (Ewoldsen et al., 2022 ), with implications for processing and actions taken following viewing. Educators may not only interpret media they see differently from their students, but students in one cultural group, class, or educational environment may view or interpret media differently from others, limiting the interpretations educators may be privy to. Only comprehensive inclusion of diverse educators—for the circumstances of this analysis—or youth can capture these multiple interpretations. While significant efforts were made to engage educators from across geographic regions and genders, these efforts may not be sufficient to capture all educator interpretations, let alone those of youth. Despite these caveats, the sample of participants is highly diverse, representing men and women living in urban and rural areas and key informants from diverse youth-serving institutions across all regions of Vietnam. Moreover, the participants in the study, because of their profession and high degree of interaction with young people, are important key informants to query, as knowledgeable adults from their own vantage point. Finally, the team used theory on media and violence to inform a nuanced interpretation of the data and its alignment with results from prior empirical research. The findings provide important insights about possible next steps to understand and to address young people’s use of the media and the diverse and sometimes countervailing ways in which it may help or harm young people’s encounters with sexual violence.

Implications for Research and Sexual Violence Prevention Programming

The findings from this analysis are a strong call for more research among youth in Vietnam, especially surrounding the needs for comprehensive sex education and TFSV. The increased prevalence of TFSV also warrants including this outcome in measures of sexual violence, such as those used in population-based surveys. Thus, large-scale surveys among high-school studies and university studies to document in representative school-based samples the various ways in which media and violence intersect, and at what developmental ages, would provide critical groundwork for developing educational programming that meets the most salient needs at each developmental stage. Expanded research is needed on youth media literacy and the needs of educational systems to facilitate implementation of sexual violence programming (Yount et al., 2023a ). Finally, given increasing access among youth globally to media-related technology and the internet, more work is needed to understand the implications of this access for sexual violence and sexual health, particularly among youth in low- and middle-income countries.

From the perspective of sexual health and sexual violence programming, the findings from this analysis are suggestive of some common and some age-specific needs of young people in Vietnam. First, there is a clear call for official, science-based curricula on sex and sexual violence that is developmentally tailored to high school and university students. A stronger need may exist for comprehensive sexuality education at the high-school level, including education on healthy relationships and media literacy. It may be beneficial to incorporate international standards, such as those suggested in the UNESCO Comprehensive Sexuality Education Implementation Toolkit (UNESCO, 2023 ), into newly developed curricula. Existing effective programs delivered through technology to university students (Yount et al., 2022 ) may be adaptable for the context of high school students, facilitating continuous sexual health and sexual violence education through high school and university. At the university level, there may be a more salient need for sexual violence prevention programming that educates adult students about the nature and scope of sexual violence, the importance of obtaining active consent for sex, the role of (media disseminated) gender norms in perpetuating myths about rape, masculine privilege, and ideas that are harmful to healthy sexual relationships (Bergenfeld et al., 2022b , 2022c ). Notably, peers themselves are an important source of norms about sexual violence alongside media; as such, comprehensive sexual violence prevention programming must address both media- and peer-related risk factors for sexually violent behavior (Yount et al., 2022 ). Furthermore, there is a need for education at both the high-school and university levels about the safety of online dating and social networking so that students are better informed about the risks at the outset of their engagement with online social-network and dating aps. Finally, there is a need for comprehensive education about the types of sexually explicit material that may heighten risks of sexually violent behavior for both groups, given the high prevalence of exposure at a young age in Vietnam (Bergenfeld et al., 2022a ).

Conclusions

The rise in availability and exposure to media among youth globally and in Vietnam has raised new educational needs on sexual violence prevention and sexual health information. New and adapted curricula, with age-specific programmatic elements, may help to mediate the impacts of media on perpetration of violence.

Aizenkot, D. (2022). The predictability of routine activity theory for cyberbullying victimization among children and youth: Risk and protective factors. Journal of Interpersonal Violence, 37 (13–14), NP11857-NP11882. https://doi.org/10.1177/0886260521997433

Article   PubMed   Google Scholar  

Alaggia, R., & Wang, S. (2020). “I never told anyone until the #metoo movement”: What can we learn from sexual abuse and sexual assault disclosures made through social media? Child Abuse & Neglect, 103 , 104312. https://doi.org/10.1016/j.chiabu.2019.104312

Article   Google Scholar  

Amar, A. F., & Gennaro, S. (2005). Dating violence in college women: Associated physical injury, healthcare usage, and mental health symptoms. Nursing Research, 54 (4), 235–242. https://doi.org/10.1097/00006199-200507000-00005

Anderson, E. J., Krause, K. C., Meyer Krause, C., Welter, A., McClelland, D. J., Garcia, D. O., Ernst, K., Lopez, E. C., & Koss, M. P. (2021). Web-based and mHealth interventions for intimate partner violence victimization prevention: A systematic review. Trauma, Violence, & Abuse, 22 (4), 870–884. https://doi.org/10.1177/1524838019888889

Arrington-Sanders, R., Harper, G. W., Morgan, A., Ogunbajo, A., Trent, M., & Fortenberry, J. D. (2015). The role of sexually explicit material in the sexual development of same-sex-attracted Black adolescent males. Archives of Sexual Behavior, 44 (3), 597–608. https://doi.org/10.1007/s10508-014-0416-x

Article   PubMed   PubMed Central   Google Scholar  

Attwood, F., Smith, C., & Barker, M. (2018). ‘I’m just curious and still exploring myself’: Young people and pornography. New Media & Society, 20 (10), 3738–3759. https://doi.org/10.1177/1461444818759271

Bandura, A. (2001). Social cognitive theory: An agentic perspective. Annual Review of Psychology, 52 (1), 1–26. https://doi.org/10.1146/annurev.psych.52.1.1

Bandura, A. (2008). Observational learning. In The international encyclopedia of communication . https://doi.org/10.1002/9781405186407.wbieco004

Bandura, A., & Walters, R. H. (1977). Social learning theory . Prentice Hall. https://doi.org/10.1177/105960117700200317

Book   Google Scholar  

Basile, K. C., Smith, S. G., Breiding, M. J., Black, M. C., & Mahendra, R. (2014). Sexual violence surveillance: Uniform definitions and recommended data elements . https://www.cdc.gov/violenceprevention/pdf/sv_surveillance_definitionsl-2009-a.pdf

Bergenfeld, I., Cheong, Y. F., Minh, T. H., Trang, Q. T., & Yount, K. M. (2022a). Effects of exposure to sexually explicit material on sexually violent behavior among first-year university men in Vietnam. PLoS ONE, 17 (9), e0275246.

Bergenfeld, I., Lanzas, G., Trang, Q. T., Sales, J., & Yount, K. M. (2022b). Rape myths among university men and women in Vietnam: A qualitative study. Journal of Interpersonal Violence , 37 , NP1401–NP1431. https://doi.org/10.1177/0886260520928644

Bergenfeld, I., Tamler, I., Sales, J. M., Trang, Q. T., Minh, T. H., & Yount, K. M. (2022c). Navigating changing norms around sex in dating relationships: A qualitative study of young people in Vietnam. Sexuality & Culture , 26 , 514–530.

Boonmongkon, P., Ojanen, T. T., Samakkeekarom, R., Samoh, N., Iamsilpa, R., Topananan, S., Cholratana, M., & Guadamuz, T. E. (2013). ‘She met her (boy) friend online’: Negotiating gender identity and sexuality among young Thai women in online space. Culture, Health & Sexuality, 15 (10), 1162–1174. https://doi.org/10.1080/13691058.2013.809609

Brem, M. J., Garner, A. R., Grigorian, H., Florimbio, A. R., Wolford-Clevenger, C., Shorey, R. C., & Stuart, G. L. (2021). Problematic pornography use and physical and sexual intimate partner violence perpetration among men in batterer intervention programs. Journal of Interpersonal Violence, 36 (11–12), NP6085–NP6105. https://doi.org/10.1177/0886260518812806

Bridges, A. J., Wosnitzer, R., Scharrer, E., Sun, C., & Liberman, R. (2010). Aggression and sexual behavior in best-selling pornography videos: A content analysis update. Violence against Women, 16 (10), 1065–1085. https://doi.org/10.1177/1077801210382866

Brimmel, N., Bijttebier, P., & Eggermont, S. (2023). Pathways to depressive symptoms in a digital environment: The role of trait affectivity and mediation of media response styles in adolescence. Journal of Youth and Adolescence, 52 (5), 1100–1112. https://doi.org/10.1007/s10964-023-01750-5

Buhi, E. R., Daley, E. M., Fuhrmann, H. J., & Smith, S. A. (2009). An observational study of how young people search for online sexual health information. Journal of American College Health, 58 (2), 101–111. https://doi.org/10.1080/07448480903221236

Chowkhani, K. (2016). Pleasure, bodies and risk: Women’s viewership of pornography in urban India. Porn Studies, 3 (4), 443–452. https://doi.org/10.1080/23268743.2016.1147374

Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4 (1), 1–15. https://doi.org/10.1186/1748-5908-4-50

Delker, B. C., Salton, R., McLean, K. C., & Syed, M. (2020). Who has to tell their trauma story and how hard will it be? Influence of cultural stigma and narrative redemption on the storying of sexual violence. PLoS ONE, 15 (6), e0234201. https://doi.org/10.1371/journal.pone.0234201

Do, L. A. T., Boonmongkon, P., Paek, S. C., & Guadamuz, T. E. (2017). ‘Hu Hong’ (bad thing): Parental perceptions of teenagers’ sexuality in urban Vietnam. BMC Public Health, 17 (1). https://doi.org/10.1186/s12889-017-4133-y

Do, Q. A., Le, Q. H., Nguyen, T. D., Vu, V. A., Tran, L. H., & Nguyen, C. T. T. (2021). Spatial impact of foreign direct investment on poverty reduction in Vietnam. Journal of Risk and Financial Management, 14 (7), 292. https://doi.org/10.3390/jrfm14070292

Doan, L. P., Le, L. K., Nguyen, T. T., Nguyen, T. T. P., Le, M. N. V., Vu, G. T., Latkin, C. A., Ho, C. S. H., Ho, R. C. M., & Zhang, M. W. B. (2022). Social media addiction among Vietnam youths: Patterns and correlated factors. International Journal of Environmental Research and Public Health, 19 (21), 14416. https://doi.org/10.3390/ijerph192114416

Ewoldsen, D. R., Hoewe, J., & Grady, S. (2022). A cognitive processing framework for media interpretation. Journal of Media Psychology, 34 (2), 65–76. https://doi.org/10.1027/1864-1105/a000326

El Morr, C., & Layal, M. (2020). Effectiveness of ICT-based intimate partner violence interventions: A systematic review. BMC Public Health, 20 (1). https://doi.org/10.1186/s12889-020-09408-8

Felix, E. D., Janson, M., Fly, J., & Powers, J. (2022). Social-cognitive mediators of the relationship of media exposure to acute mass violence and distress among adolescents. American Journal of Orthopsychiatry, 92 (1), 1–10. https://doi.org/10.1037/ort0000580

Fernet, M., Hébert, M., Brodeur, G., Guyon, R., & Lapierre, A. (2023). Youth’s experiences of cyber violence in intimate relationships: A matter of love and trust. Journal of Child Sexual Abuse, 32 (3), 296–317. https://doi.org/10.1080/10538712.2023.2167678

Fielding-Miller, R., Shabalala, F., Masuku, S., & Raj, A. (2021). Epidemiology of campus sexual assault among university women in Eswatini. Journal of Interpersonal Violence, 36 (21–22), NP11238–NP11263. https://doi.org/10.1177/0886260519888208

Flannery, D. J., Vazsonyi, A. T., & Waldman, I. D. (Eds.). (2007). The Cambridge handbook of violent behavior and aggression . Cambridge University Press. https://doi.org/10.1017/9781316847992

Fongkaew, W., & Fongkaew, K. (2016). My space, my body, my sexual subjectivity: Social media, sexual practice and parental control among teenage girls in urban Chiang Mai. Culture, Health & Sexuality, 18 (5), 597–607. https://doi.org/10.1080/13691058.2015.1091948

Foubert, J. D., Brosi, M. W., & Bannon, R. S. (2011). Pornography viewing among fraternity men: Effects on bystander intervention, rape myth acceptance and behavioral intent to commit sexual assault. Sexual Addiction & Compulsivity, 18 (4), 212–231. https://doi.org/10.1080/10720162.2011.625552

Fryling, M. J., Johnston, C., & Hayes, L. J. (2011). Understanding observational learning: An interbehavioral approach. The Analysis of Verbal Behavior, 27 (1), 191–203. https://doi.org/10.1007/bf03393102

Fulu, E., Warner, X., Miedema, S., Jewkes, R., Roselli, T., & Lang, J. (2013). Why do some men use violence against women and how can we prevent it? Quantitative findings from the United Nations multi-country study on men and violence in Asia and the Pacific . UNDP, UNFPA, UN Women and UNV.

Google Scholar  

Gámez-Guadix, M., Almendros, C., Borrajo, E., & Calvete, E. (2015). Prevalence and association of sexting and online sexual victimization among spanish adults. Sexuality Research and Social Policy, 12 (2), 145–154. https://doi.org/10.1007/s13178-015-0186-9

General Statistical Office (GSO) of Vietnam. (2020). Completed results of the 2019 Viet Nam population and housing census . https://www.gso.gov.vn/en/data-and-statistics/2020/11/completed-results-of-the-2019-viet-nam-population-and-housing-census/

Gesselman, A. N., Druet, A., & Vitzthum, V. J. (2020). Mobile sex-tech apps: How use differs across global areas of high and low gender equality. PLoS ONE, 15 (9), e0238501. https://doi.org/10.1371/journal.pone.0238501

Gonzales, A. R., Schofield, R. B., & Schmitt, G. R. (2005). Sexual assault on campus: What colleges and universities are doing about it . Retrieved from National Criminal Justice Reference Service website: http://www.ncjrs.gov/pdffiles1/nij/205521.pdf .

Hanns Seidel Foundation. (2021). Country report: Vietnam as a digital society . https://southeastasia.hss.de/download/publications/26_-_Country_Report_2021_Vietnam_as_aDigital_Society.pdf

Hedrick, A. (2021). A meta-analysis of media consumption and rape myth acceptance. Journal of Health Communication, 26 (9), 645–656. https://doi.org/10.1080/10810730.2021.1986609

Hennink, M., Hutter, I., & Bailey, A. (2020). Qualitative research methods (2nd ed.). Sage.

Hiwasaki, L., & Minh, T. T. (2022). Negotiating marginality: Towards an understanding of diverse development pathways of ethnic minorities in Vietnam. Journal of International Development, 34 (8), 1455–1475. https://doi.org/10.1002/jid.3646

Huang, E., Williams, H., Hocking, J., & Lim, M. (2016). Safe sex messages within dating and entertainment smartphone apps: A review. JMIR MHealth and UHealth, 4 (4), e124. https://doi.org/10.2196/mhealth.5760

Huang, K. Y., Kumar, M., Cheng, S., Urcuyo, A. E., & Macharia, P. (2022). Applying technology to promote sexual and reproductive health and prevent gender based violence for adolescents in low and middle-income countries: Digital health strategies synthesis from an umbrella review. BMC Health Services Research, 22 (1), 1373. https://doi.org/10.1186/s12913-022-08673-0

Huesmann, L. R. (2007). The impact of electronic media violence: Scientific theory and research. Journal of Adolescent Health, 41 (6 Suppl 1), S6-13. https://doi.org/10.1016/j.jadohealth.2007.09.005

Hust, S. J. T., Rodgers, K. B., Ebreo, S., & Stefani, W. (2019). Rape myth acceptance, efficacy, and heterosexual scripts in men’s magazines: Factors associated with intentions to sexually coerce or intervene. Journal of Interpersonal Violence, 34 (8), 1703–1733. https://doi.org/10.1177/0886260516653752

Institute for Health Metrics and Evaluation (IHME). (2017). Global Burden of Disease Study 2017 . https://vizhub.healthdata.org/gbd-results/

James-Hawkins, L., Salazar, K., Hennink, M. M., Ha, V. S., & Yount, K. M. (2019). Norms of masculinity and the cultural narrative of intimate partner violence among men in Vietnam. Journal of Interpersonal Violence, 34 (21–22), 4421–4442. https://doi.org/10.1177/0886260516674941

Kinsler, J. J., Glik, D., de Castro Buffington, S., Malan, H., Nadjat-Haiem, C., Wainwright, N., & Papp-Green, M. (2019). A content analysis of how sexual behavior and reproductive health are being portrayed on primetime television shows being watched by teens and young adults. Health Communication, 34 (6), 644–651. https://doi.org/10.1080/10410236.2018.1431020

Kumar, P., Gruzd, A., & Mai, P. (2021). Mapping out violence against women of influence on twitter using the cyber-lifestyle routine activity theory. American Behaviorsal Scientist, 65 (5), 689–711. https://doi.org/10.1177/0002764221989777

Le, T. M., Morley, C., Hill, P. S., Bui, Q. T., & Dunne, M. P. (2019). The evolution of domestic violence prevention and control in Vietnam from 2003 to 2018: A case study of policy development and implementation within the health system. International Journal of Mental Health Systems, 13 , 41. https://doi.org/10.1186/s13033-019-0295-6

Lim, M. S., Vella, A., Sacks-Davis, R., & Hellard, M. E. (2014). Young people’s comfort receiving sexual health information via social media and other sources. International Journal of STD & AIDS, 25 (14), 1003–1008. https://doi.org/10.1177/0956462414527264

Linde, D. S., Bakiewicz, A., Normann, A. K., Hansen, N. B., Lundh, A., & Rasch, V. (2020). Intimate partner violence and electronic health interventions: Systematic review and meta-analysis of randomized trials. Journal of Medical Internet Research, 22 (12), e22361. https://doi.org/10.2196/22361

Liong, M., & Cheng, G. H. (2019). Objectifying or liberating? investigation of the effects of sexting on body image. Journal of Sex Research, 56 (3), 337–344. https://doi.org/10.1080/00224499.2018.1438576

Lou, C., Cheng, Y., Gao, E., Zuo, X., Emerson, M. R., & Zabin, L. S. (2012). Media’s contribution to sexual knowledge, attitudes, and behaviors for adolescents and young adults in three Asian cities. Journal of Adolescent Health, 50 (3 Suppl), S26-36. https://doi.org/10.1016/j.jadohealth.2011.12.009

Madero-Hernandez, A., & Fisher, B. S. (2012). Routine activity theory . Oxford University Press. https://doi.org/10.1093/oxfordhb/9780199747238.013.0027

Manzoor, M. A., Hassan, S. U., Muazzam, A., Tuarob, S., & Nawaz, R. (2023). Social mining for sustainable cities: Thematic study of gender-based violence coverage in news articles and domestic violence in relation to COVID-19. Journal of Ambient Intelligence and Humanized Computing, 14 , 14631–14642. https://doi.org/10.1007/s12652-021-03401-8

Marshall, E. A., Miller, H. A., & Bouffard, J. A. (2021). Bridging the theoretical gap: Using sexual script theory to explain the relationship between pornography use and sexual coercion. Journal of Interpersonal Violence, 36 (9–10), NP5215-NP5238. https://doi.org/10.1177/0886260518795170

McComb, S. E., & Mills, J. S. (2021). Young women’s body image following upwards comparison to Instagram models: The role of physical appearance perfectionism and cognitive emotion regulation. Body Image, 38 , 49–62. https://doi.org/10.1016/j.bodyim.2021.03.012

McKeown, J. K., Parry, D. C., & Penny Light, T. (2018). “My iPhone changed my life”: How digital technologies can enable women’s consumption of online sexually explicit materials. Sexuality & Culture, 22 , 340–354. https://doi.org/10.1007/s12119-017-9476-0

Ministry of Information and Communications. (2021). On the promulgation of a code of behavior on social networks . https://thuvienphapluat.vn/van-ban/Cong-nghe-thong-tin/Quyet-dinh-874-QD-BTTTT-2021-Bo-Quy-tac-ung-xu-tren-mang-xa-hoi-478154.aspx

Mobile Marketing Association. (2019). The state of mobile in rural Vietnam 2018/2019 . https://www.thinkwithgoogle.com/_qs/documents/7268/The_State_of_Mobile_in_Rural_Vietnam_Report.pdf

MOLISA, & UNFPA. (2020). Summary report: Results of the National Study on Violence against Women in Viet Nam 2019—Journey for Change. Ministry of Labour, Invalids, and Social Affairs

Moorman, J. D. (2022). Unmarried black women’s sexual socialization: The role of dating, motherhood, and intimate partner violence across media types. Sex Roles, 87 (5–6), 289–305. https://doi.org/10.1007/s11199-022-01316-y

Morgan, M., Shanahan, J., & Signorielli, N. (2014). Cultivation theory in the twenty-first century. In R. S. Fortner & P. M. Fackler (Eds.), The handbook of media and mass communication theory (pp. 480–497). Wiley. https://doi.org/10.1002/9781118591178.ch26

My, D. (2022). Content of the code of conduct on social media in Vietnam . LawNet. https://lawnet.vn/thong-tin-phap-luat/en/dan-su/content-of-the-code-of-conduct-on-social-media-in-vietnam-108595.html

National Assembly of Vietnam. (2018). Law on cybersecurity . https://ttpc.hcmiu.edu.vn/wp-content/uploads/2018/12/LU%E1%BA%ACT-AN-NINH-M%E1%BA%A0NG-2018_ENG.doc

Newins, A. R., Wilson, L. C., & Kanefsky, R. Z. (2021). What’s in a label? The impact of media and sexual assault characteristics on survivor rape acknowledgment. Journal of Traumatic Stress, 34 (2), 405–415. https://doi.org/10.1002/jts.22626

Ngo, A. D., Ross, M. W., & Ratliff, E. A. (2008). Internet influences on sexual practices among young people in Hanoi, Vietnam. Culture, Health & Sexuality, 10 (S1), S201–S213. https://doi.org/10.1080/13691050701749873

Nguyen, H. T. T., Nguyen, C. V., & Nguyen, C. V. (2020). The effect of economic growth and urbanization on poverty reduction in Vietnam. Journal of Asian Finance, Economics and Business, 7 (7), 229–239. https://doi.org/10.13106/jafeb.2020.vol7.no7.229

Nguyen, L., Tran, T., Nguyen, T., Nguyen, D., Beazley, H., & Giang, M. (2021). Exposure to sexually explicit Internet material among adolescents: A study in Vietnam. Health Psychology Report, 9 (3), 227–239. https://doi.org/10.5114/hpr.2020.99394

Nguyen a, P. (2007). “Relationships based on love and relationships based on needs”: Emerging trends in youth sex culture in contemporary urban Vietnam. Modern Asian Studies, 41 (2), 287–313. https://doi.org/10.1017/S0026749X05002258

Nicolla, S., & Lazard, A. J. (2023). Social media communication about sexual violence may backfire: Online experiment with young men. Journal of Health Communication, 28 (1), 28–37. https://doi.org/10.1080/10810730.2023.2174214

Neilsen Company. (2011). State of the media: Trends in TV viewing-2011 TV Upfronts . https://www.yumpu.com/en/document/read/11588713/state-of-the-media-trends-in-tv-viewing-2011-tv-upfronts-nielsen

O’Connor, C., & Joffe, H. (2020). Intercoder reliability in qualitative research: debates and practical guidelines. International Journal of Qualitative Methods, 19 . https://doi.org/10.1177/1609406919899220

Owens, E. W., Behun, R. J., Manning, J. C., & Reid, R. C. (2012). The impact of internet pornography on adolescents: A review of the research. Sexual Addiction & Compulsivity, 19 (1–2), 99–122. https://doi.org/10.1080/10720162.2012.660431

Patel, U., & Roesch, R. (2022). The prevalence of technology-facilitated sexual violence: A meta-analysis and systematic review. Trauma Violence & Abuse, 23 (2), 428–443. https://doi.org/10.1177/1524838020958057

Peter, J., & Valkenburg, P. M. (2016). Adolescents and pornography: A review of 20 years of research. Journal of Sex Research, 53 (4–5), 509–531. https://doi.org/10.1080/00224499.2016.1143441

Pham, T. T. G. (2015). Using education-entertainment in breaking the silence about sexual violence against women in Vietnam. Asian Journal of Women’s Studies, 21 (4), 460–466. https://doi.org/10.1080/12259276.2015.1106858

Powell, A., & Henry, N. (2019). Technology-facilitated sexual violence victimization: Results from an online survey of australian adults. Journal of Interpersonal Violence, 34 (17), 3637–3665. https://doi.org/10.1177/0886260516672055

Räsänen, P., Hawdon, J., Holkeri, E., Keipi, T., Näsi, M., & Oksanen, A. (2016). Targets of online hate: Examining determinants of victimization among young finnish facebook users. Violence and Victimization, 31 (4), 708–726. https://doi.org/10.1891/0886-6708.Vv-d-14-00079

Rodenhizer, K. A. E., & Edwards, K. M. (2019). The impacts of sexual media exposure on adolescent and emerging adults’ dating and sexual violence attitudes and behaviors: A critical review of the literature. Trauma, Violence, & Abuse, 20 (4), 439–452. https://doi.org/10.1177/152483801771774

Salazar, L. F., Vivolo-Kantor, A., Hardin, J., & Berkowitz, A. (2014). A web-based sexual violence bystander intervention for male college students: Randomized controlled trial. Journal of Medical Internet Research, 16 . https://doi.org/10.2196/jmir.3426

Santor, D. A., Poulin, C., LeBLANC, J. C., & Kusumakar, V. (2007). Online health promotion, early identification of difficulties, and help seeking in young people. Journal of the American Academy of Child and Adolescent Psychiatry, 46 (1), 50–59. https://doi.org/10.1097/01.chi.0000242247.45915.ee

Schwark, S. (2017). Visual representations of sexual violence in online news outlets. Frontiers in Psychology, 8 , 774. https://doi.org/10.3389/fpsyg.2017.00774

Scull, T. M., Dodson, C. V., Geller, J. G., Reeder, L. C., & Stump, K. N. (2022). A media literacy education approach to high school sexual health education: Immediate effects of media aware on adolescents’ media, sexual health, and communication outcomes. Journal of Youth and Adolescence, 51 (4), 708–723.

Scull, T. M., Kupersmidt, J. B., Malik, C. V., & Keefe, E. M. (2018). Examining the efficacy of an mHealth media literacy education program for sexual health promotion in older adolescents attending community college. Journal of American College Health, 66 (3), 165–177.

Shih, P., Han, K., Poole, E. S., Rosson, M., & Carroll, J. (2015). iConference proceedings . Newport Beach, CA: IDEALS.

Silver, L., Smith, A., Johnson, C., Jiang, J., Anderson, M., & Rainie, L. (2019). Use of smartphones and social media is common across most emerging economies . Pew Research Center. https://www.pewresearch.org/internet/2019/03/07/use-of-smartphones-and-social-media-is-common-across-most-emerging-economies/

Stokols, D. (1992). Establishing and maintaining healthy environments: Toward a social ecology of health promotion. American Psychologist, 47 (1), 6–22. https://doi.org/10.1037/0003-066X.47.1.6

Sun, C., Bridges, A., Johnson, J. A., & Ezzell, M. B. (2016). Pornography and the male sexual script: An analysis of consumption and sexual relations. Archives of Sexual Behavior, 45 (4), 983–994. https://doi.org/10.1007/s10508-014-0391-2

Todaro, E., Silvaggi, M., Aversa, F., Rossi, V., Nimbi, F., Rossi, R., & Simonelli, C. (2018). Are social media a problem or a tool? New strategies for sexual education. Sexologies, 27 (3), e67–e70. https://doi.org/10.1016/j.sexol.2018.05.006

UNESCO. (2023). Comprehensive Sexuality Education Implementation Toolkit . https://csetoolkit.unesco.org/

United Nations Development Program (UNDP). (2022). Human Development Report 2021/2022 . https://hdr.undp.org/content/human-development-report-2021-22

Valkenburg, P. M., Peter, J., & Walther, J. B. (2016). Media effects: Theory and research. Annual Review of Psychology, 67 (1), 315–338. https://doi.org/10.1146/annurev-psych-122414-033608

Van Ouytsel, J., Ponnet, K., & Walrave, M. (2018). Cyber dating abuse victimization among secondary school students from a lifestyle-routine activities theory perspective. Journal of Interpersonal Violence, 33 (17), 2767–2776. https://doi.org/10.1177/0886260516629390

Wachs, S., Wright, M. F., Gámez-Guadix, M., & Döring, N. (2021). How are consensual, non-consensual, and pressured sexting linked to depression and self-harm? The moderating effects of demographic variables. International Journal of Environmental Research and Public Health, 18 . https://doi.org/10.3390/ijerph18052597

Walker, G. R. (2021). “Out there it’s YOLO”: Youth perspectives on a mass media HIV- and gender-based violence campaign in South Africa. African Journal of AIDS Research, 20 (1), 79–87. https://doi.org/10.2989/16085906.2021.1872666

Wiederman, M. W. (2015). Sexual Script Theory: Past, Present, and Future. In J. DeLamater & R. F. Plante (Eds.), Handbook of the sociology of sexualities (pp. 7–22). Springer International Publishing. https://doi.org/10.1007/978-3-319-17341-2_2

Chapter   Google Scholar  

Winzer, L., Krahé, B., & Guest, P. (2019). The scale of sexual aggression in Southeast Asia: A review. Trauma, Violence, & Abuse, 20 (5), 595–612. https://doi.org/10.1177/1524838017725312

World Bank. (2022). World Bank Open Data: Vietnam . https://data.worldbank.org/country/vietnam

World Health Organization. (2021). Violence against women prevalence estimates, 2018: Global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women . World Health Organization. https://www.who.int/publications/i/item/9789240022256

Ybarra, M. L., Mitchell, K. J., Palmer, N. A., & Reisner, S. L. (2015). Online social support as a buffer against online and offline peer and sexual victimization among U.S. LGBT and non-LGBT youth. Child Abuse & Neglect, 39 , 123–136. https://doi.org/10.1016/j.chiabu.2014.08.006

Yeo, T. E. D., & Chu, T. H. (2017). Sharing “sex secrets” on Facebook: A content analysis of youth peer communication and advice exchange on social media about sexual health and intimate relations. Journal of Health Communication, 22 (9), 753–762. https://doi.org/10.1080/10810730.2017.1347217

Yount, K. M., Anderson, K. M., Trang, Q. T., & Bergenfeld, I. (2023a). Preventing sexual violence in Vietnam: Qualitative findings from high school, university, and civil society key informants across regions. BMC Public Health, 23 (1), 1114. https://doi.org/10.1186/s12889-023-15973-5

Yount, K. M., Cheong, Y. F., Bergenfeld, I., Trang, Q. T., Sales, J. M., Li, Y., & Minh, T. H. (2023b). Impacts of GlobalConsent, a web-based social norms edutainment program, on sexually violent behavior and bystander behavior among university men in Vietnam: Randomized controlled trial. JMIR Public Health and Surveillance, 9 , e35116. https://doi.org/10.2196/35116

Yount, K. M., Bergenfeld, I., Anderson, K. M., Trang, Q. T., Sales, J. M., Cheong, Y. F., & Minh, T. H. (2022). Theoretical mediators of GlobalConsent: An adapted web-based sexual violence prevention program for university men in Vietnam. Social Science and Medicine, 313 , 115402. https://doi.org/10.1016/j.socscimed.2022.115402

Yount, K. M., Minh, T. H., Trang, Q. T., Cheong, Y. F., Bergenfeld, I., & Sales, J. M. (2020). Preventing sexual violence in college men: A randomized-controlled trial of GlobalConsent. BMC Public Health, 20 (1). https://doi.org/10.1186/s12889-020-09454-2

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Acknowledgements

We would like to thank the participants who generously contributed their time and thoughts to this research, as well as Dr. Minh Tran Hung, the site principal investigator for this research.

Funding was provided by the Anonymous Foundation.

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Anderson, K.M., Macler, A., Bergenfeld, I. et al. The Media and Sexual Violence Among Adolescents: Findings from a Qualitative Study of Educators Across Vietnam. Arch Sex Behav (2024). https://doi.org/10.1007/s10508-024-02869-7

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Received : 21 August 2023

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Published : 10 May 2024

DOI : https://doi.org/10.1007/s10508-024-02869-7

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