Actual Practice Research Articles

Biological basis for concurrent chemoradiation in head and neck cancer: Timing matters

Given that the addition of cytotoxic chemotherapy to radiation has been shown to improve overall survival and local-regional control for select patients with head and neck cancer, concurrent chemoradiation constitutes a mainstay of treatment. In pre-clinical studies, platinum-based chemotherapy, when delivered concurrently with radiation, is intended to serve as a radio-sensitizer, potentiating the cytotoxic effects of radiation on proliferating squamous cell carcinoma cells. From a biological basis, it is thus advisable that patients begin chemotherapy and radiation as synchronously as possible to optimize the benefits of dual treatment. While most guidelines for concurrent chemoradiation recommend initiating concurrent chemotherapy on day 1 of radiation (with the administration of chemotherapy preceding radiation), the actual clinical practice may vary in the timing and sequencing of these treatments. This is largely because coordination can be challenging from a logisitical and social standpoint, leading to deviations from the standard. Indeed, we recently showed that variations in the timing of how concurrent chemoradiation is delivered are signficiant and may have clinical implications.

The Problem of Realism in Vihalemm

The Estonian philosopher Rein Vihalemm (1938–2015) wished to reform realism in the philosophy of science. He was dissatisfied with the mainstream analytic philosophy of science—scientific realism and the various anti-realisms alike. He considered these approaches theory-driven and hence too distanced from actual scientific practice. His alternative, which he called practical realism, was inspired and influenced by Joseph Rouse’s original reading of Thomas Kuhn. Moreover, Vihalemm viewed as important some lessons from Marxism, which was prevalent in Estonian philosophy during the Soviet occupation. For him, Marx himself inaugurated practical realism with his novel notion of practice that does not consider agency distinct from nature. He also mentions Kant, interpreted in a realistic manner, as a significant influence for his thesis that concepts only apply to practice. In this article, I will critically examine practical realism from the standpoint of classical pragmatism. My primary question is: what kind of realism practical realism can possibly be.

We need to change how we compute RMSEA for nested model comparisons in structural equation modeling.

Comparison of nested models is common in applications of structural equation modeling (SEM). When two models are nested, model comparison can be done via a chi-square difference test or by comparing indices of approximate fit. The advantage of fit indices is that they permit some amount of misspecification in the additional constraints imposed on the model, which is a more realistic scenario. The most popular index of approximate fit is the root mean square error of approximation (RMSEA). In this article, we argue that the dominant way of comparing RMSEA values for two nested models, which is simply taking their difference, is problematic and will often mask misfit, particularly in model comparisons with large initial degrees of freedom. We instead advocate computing the RMSEA associated with the chi-square difference test, which we call RMSEAD. We are not the first to propose this index, and we review numerous methodological articles that have suggested it. Nonetheless, these articles appear to have had little impact on actual practice. The modification of current practice that we call for may be particularly needed in the context of measurement invariance assessment. We illustrate the difference between the current approach and our advocated approach on three examples, where two involve multiple-group and longitudinal measurement invariance assessment and the third involves comparisons of models with different numbers of factors. We conclude with a discussion of recommendations and future research directions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Data Availability Statements and Data Sharing in Urology: A False Promise?

Background and objectiveIt is considered standard for authors of scientific papers to provide access to their raw data. The purpose of this study was to investigate data availability statements (DAS) and the actual availability of data in urology. MethodsThe DAS policies of the top ten urology journals were retrieved. Then 190 selected papers were classified according to their DAS status. Finally, we contacted the corresponding authors of papers that stated that data were available on request to enquire about this possibility. Key findings and limitationsAll journals either required or highly recommended a DAS. Among the selected articles, 52% (99/190) included a DAS stating data availability, most often on reasonable request to the corresponding author. A formal DAS was lacking in 29.5% (56/190) of the articles, with an additional 18.3% (35/190) citing various reasons for data unavailability. On contact, 23.4% (15/64) of corresponding authors indicated a willingness to share their data. Overall, data were unavailable in 73.7% (140/190) of cases. There was no difference between papers dealing with malignant and benign diseases. Conclusions and clinical implicationsThere is a gap between the intention to share data and actual practice in major urological journals. As data sharing plays a critical role in safeguarding the reliability of published results and in the potential for reanalysis and merging of datasets, there is a clear need for improvement. Easier access to data repositories and stronger enforcement of existing journal policies are essential. Patient summaryTo ensure the reliability of data and allow further analyses, major urology journals require authors to make their data available to other researchers when possible. However, in practice we found that data were only accessible for about a quarter of published scientific papers.

Real-World Data on the Effectiveness and Safety of Filgotinib for Ulcerative Colitis in Japanese Patients: A Single-Center Experience.

Introduction Filgotinib is a JAK-1 selective inhibitor approved for ulcerative colitis (UC) treatment in Japan. Its effectiveness has been confirmed but remains unknown in actual clinical practice. Therefore, we aimed to evaluate the effectiveness and safety of filgotinib and identify suitable patients in the Japanese population. Methods We retrospectively reviewed the background, clinical course, and laboratory data of patients treated with filgotinib 200 mg for UC between May 2022 and December 2023. Results The median observation period for the 25 patients was 232 days (interquartile ranges (IQR) 102-405). The median age of the patients was 43 years (IQR 29-55), disease duration was nine years (IQR 2-12), and 36% (9/25) of patients were biologic or small molecule naïve. The median patient-reported outcome (PRO2) and partial Mayo (pMayo) scores at agent initiation were 3 (IQR 1-4) and 4.5 (IQR 3-6), respectively. The PRO2 and pMayo scores improved significantly two weeks after treatment initiation (p < 0.05). Clinical remission rates at 24 weeks after treatment initiation were 60% (15/25) for PRO2 ≤ 1 and 52% (13/25) for pMayo ≤ 1. The Mayo endoscopic subscoresignificantly improved after filgotinib initiation (p=0.04), and the endoscopic remission rate was 47% (8/17). At 24 weeks, patients in clinical remission, compared to those not in remission, had significantly lower baseline PRO2 and pMayo scores and longer disease duration (p=0.03, p=0.03, and p=0.04, respectively). The filgotinib persistence rate was 68% (17/25), with no discontinuation because of adverse events. Patients who continued treatment had significantly lower PRO2, pMayo scores, and blood neutrophil counts at initiation than those who discontinued (p=0.02, p=0.03, and p=0.02, respectively). Conclusion Filgotinib appears to be effective and safe in Japanese patients with UC. Effectiveness and persistence were high in patients whose PRO2 and pMayo scores were low at the time of treatment initiation.

Self-Regulated Parenting: A Systematic Review of the Relations Between Effortful Control, the Big-Five, and Parenting Practices.

It is well established that parents' own self-regulation is related to adaptive parenting practices (such as warmth and sensitivity) as well as to maladaptive ones (such as laxness and over-reactivity). However, parenting practices are not solely determined by parents' self-regulation. We discuss how broad personality dimensions (drawn from the Big-Five model) relate to temperamental self-regulation (effortful control) and to parenting practices. Considering the limited empirical literature linking these three constructs, we present extant evidence for each of the dyadic connections between these three constructs. We then propose a comprehensive model that includes the plausible moderation/mediation role of different personality dimensions (such as conscientiousness and agreeableness) on the connection between self-regulation and parenting practices. This systematic review summarizes the extant empirical findings from 74 studies, linking effortful control, character and parenting practices. It is the first to systematically review and organize the accumulating knowledge regarding their relations. Based on the reviewed literature, a conceptual framework is proposed for predicting parenting practices, which are, in turn, a crucial concept predicting children's behavioral and cognitive outcomes. In doing so, it provides a theoretical basis for the importance of parental character traits, specifically conscientiousness and agreeableness, as mediators between the parent's effortful control and their actual parenting practices.

Psychosocial competences in the continuing training of French National Education professionals in 2024: A major issue in promoting health in school environment

ObjectivePromoting health, and in particular developing psychosocial competences, at school encourages the emancipation of pupils and creates a favourable school environment. Furthermore, by helping to improve academic success, they improve pupils' overall health. However, school professionals need to be trained to develop students’ psychosocial competences. The aim of this study was to describe the perceptions of French National Education professionals who have attended in-service training in psychosocial competences. MethodThis research adopts a mixed methodology. An online questionnaire was administered to 304 professionals in order to measure their levels of satisfaction and professional development following the training. Then, 14 professionals took part in individual semi-structured interviews to discuss their needs and the obstacles and levers they encountered in reinvesting what they had learned into their professional practice. ResultsThe quantitative data showed that the professionals have an average satisfaction rating ranging from 6.96 to 8.22 out of 10 depending on the variable measured, but that they need to discover more tools and practices to develop psychosocial competences (79.28%). The qualitative data reveal that continuing training enables National Education professionals to exchange ideas with their peers and to review their posture (78.57%). They were able to experiment with psychosocial competences according to their needs and modified their practices as a result of the training (57.14%). ConclusionThis study suggests that continuing training in psychosocial competences leads to changes in the attitudes and practices of National Education professionals, despite significant heterogeneity in terms of the length of training. Future research could focus on the actual practices of professionals trained in the development of psychosocial competences in order to assess the difficulties they encounter.

Secondary School English Language Teachers’ Action Research Beliefs and Practices, the Case of Secondary Schools in Mettu Town

This study examines English language teachers' beliefs about action research, their capacity to conduct it, and their actual implementation practices. It also aims to identify the disparities between the participants' beliefs and actual practices. Employing a case study design and a mixed-methods approach, the study focuses on Mettu town in Ethiopia and English teachers from three secondary schools within the town. A non-probability sampling method was used to select 31 teachers for participation. Data was collected through questionnaires and in-depth interviews. The findings reveal that the participants hold positive beliefs about action research, possess moderate competency in conducting action research, but exhibit very low levels of action research implementation. Despite their extensive teaching experience, advanced educational qualifications, and high professional status, their competency levels and action research practices fall short of expectations. These findings highlight the need for training, school-based motivation, resource availability, and reinforcement of Ethiopia's teacher development policies. The findings suggest that further research should attempt to explore the underlying contributing factors for the discrepancy between the English language teachers' beliefs and practices about action research.

A Modified Reactive Powder Concrete Made with Fly Ash and River Sand: An Assessment on Engineering Properties and Microstructure

Containing a high quantity of both fine powders and steel fiber makes reactive powder concrete (RPC) a unique kind of ultra-high strength concrete. However, the cost of manufacture, shrinkage, and hydration heat are increased when silica fume and cement are used in significant amounts. To mitigate these negative consequences and the environmental impact, this study assessed the use of fly ash (FA) with high volume combined with natural-fine river sand (NFRS) in the manufacturing of RPC. FA was utilized to partially substitute cement at 0, 20, 40, and 60 wt% in RPC mixtures that had a set water/binder ratio of 0.2. Thermal conductivity, porosity, water absorption, and compressive strength tests were performed. Furthermore, RPC's microstructure was examined using a scanning electron microscope (SEM). This study also included a cost and global warming potential analysis of RPC production. Test results indicated that a modified RPC with a 60 MPa compressive strength value could be created by using NFRS and a large amount of FA. In comparison to the reference mixture, a higher compressive strength, reduced water absorption, and lesser porosity were observed in RPC when the FA replacement amount was less than 40%. Many FA particles did not engage in the hydration reaction when the FA replacement level was more than 40%, which had a detrimental impact on the RPC's characteristics. In general, using FA to produce RPC has certain benefits for the economy and the environment. It is recommended that 40% of FA be used in actual practice.

Virtual Reality Simulation-Based Clinical Procedure Skills Training for Nursing College Students: A Quasi-Experimental Study.

Core nursing skills are emphasized in nursing education, given their vital role in nurses' competence; however, invasive nursing procedures like catheterization and enemas are infrequently performed in actual clinical practice, primarily being observed rather than executed. Virtual reality simulation training involves performing core nursing skills on virtual patients in a three-dimensional virtual reality environment, following the correct procedures. The purpose of this study is to examine the effects of VR simulation on nursing students' confidence, proficiency, task engagement, and satisfaction. The study participants included 76 second-year nursing students, with 37 in the VR group and 39 in the control group. The VR group engaged in immersive VR (IVR) training sessions including enemas, nasogastric feeding, and nelaton catheterization. Conversely, the control group practiced these skills using mannequins. Assessments evaluated confidence, proficiency, learning satisfaction, and task engagement before and after the intervention. The average age of the study participants was 21.07 years, with 78.95% being female and 21.05% being male. The study findings revealed no significant differences between the VR and control groups regarding confidence (F = 3.878, p = 0.053), task engagement (F = 0.164, p = 0.687), and learning satisfaction (F = 0.668, p = 0.416). However, the VR group demonstrated significantly higher proficiency in the overall assessment of nasogastric feeding (F = 5.389, p = 0.023) and core components of nelaton catheterization (F = 4.046, p = 0.048). The IVR program emerged as an effective and valuable teaching tool, particularly well-suited for second-year nursing students, significantly enhancing proficiency.

Predicting New Graduate Nurses’ Retention during Transition Using Decision Tree Methods: A Longitudinal Study

Background. Although retaining new nurses is imperative for the future of the nursing profession, it remains a challenging task in the healthcare industry. Understanding the career journey of new graduates as they transition from students to nurses is vital. However, longitudinal studies investigating the factors influencing retention during this period are lacking. Aim. The aim of this study is to identify the influencing factors and develop a longitudinal prediction model for new graduate nurse retention. Methods. A secondary data analysis was conducted using the New Nurse e-Cohort Study dataset from two survey periods, November–December 2020 and February–March 2022. The participants were categorized into either retention or turnover groups based on their turnover experiences. A decision tree based on classification and regression tree (CART) analysis was utilized. Results. Of the total 586 participants, 463 (79%) were in the retention group. The CART model highlighted that new nurses’ retention was significantly associated with younger age, higher readiness for practice (clinical problem-solving) during the nursing program, lower transition shock (such as confusion in professional values, loss of social support, and conflicts between theory and practice), and a higher person-environment fit (person-job fit). The predictive accuracy of the CART model was 79.7%. Conclusion. To retain new nurses, nursing educators and hospital managers should collaborate to prepare nursing students for actual practice, offer support during organizational socialization, and foster healthy professional values for competence in the workplace. Implications for Nursing Management. Transforming the educational strategies of nursing programs and hospital management policies is imperative to ultimately enhance the retention of new graduate nurses.

Exploring Chinese university English teachers’ language assessment literacy: a mixed-method study

ABSTRACT As the development of language assessment literacy (LAL) has grown to be a highly regarded and much-researched field of teacher professional education in recent decades, this study seeks to investigate the needs of in-service university English teachers for LAL development, teachers’ current level of LAL as well as factors that facilitate or impede teachers’ development of LAL. The primary aim of the study is to identify areas in which teachers require further knowledge and training in language assessment and to devise effective strategies for enhancing their language assessment competency. By running Principal Component Analysis, four dimensions were identified: assessment in language pedagogy; technical skills; language assessment for learning; and assessment principles and concepts. 871 in-service English university teachers participated in the survey. Descriptive analysis was employed to compare teachers’ assessment knowledge with their actual practice. Moreover, Chi-square test was used to examine the correlation between teacher backgrounds and their development of LAL. Results indicated that the disparities in LAL development needs between different teacher cohorts gradually diminished as teachers gained teaching experience. Teachers demonstrated their confidence in the understanding of LAL, but there was still a need to enhance their knowledge of assessment principles and concepts, as well as psychometric analysis of language assessment.

Do generational differences determine the conservation intention and behavior towards sacred trees?

Conserving sacred trees is of paramount importance for preserving biodiversity and safeguarding biocultural heritage. However, evolving perceptions across generations raise concerns about the future existence of these significant landscape elements. The objective of this study is to examine the factors influencing the intention and behavior of two generations towards sacred tree conservation. In this research, we integrate "cultural values" and "religious values" as new variables into an extended theory of planned behavior. A questionnaire survey was conducted, involving 399 individuals representing both young and old generations. Structural equation modeling was employed for data analysis. The research variables explained 57 % and 60 % of the variance in intentions and 7 % and 81 % of the variance in actual behaviors for the young and old generations, respectively. Attitude was found to be crucial in shaping intentions for both generations. Subjective norms significantly influenced the intentions of the older generation but were not observed among the younger generation. Perceived behavioral control had a positive impact on intentions in both age groups, although its effect on actual behavior varied. While it translated into conservation behavior among the older generation, it did not have the same effect on the younger generation. Furthermore, cultural and religious values positively influenced intentions in both generations, but their impact on behavior differed. While these values influenced the behavior of the older generation, they did not translate into actual conservation practices among the younger generation. These findings emphasize the interplay of generational differences, cultural values, and religious values in shaping conservation intentions and behaviors.Given the crucial role of the younger generation in the future of sacred trees, targeted conservation initiatives addressing their specific needs are essential, as they exhibit lower intentions and behaviors towards conservation. This study provides valuable insights for designing effective strategies for the sustainable conservation of sacred trees and the fostering of biocultural heritage.

Enhancing endurance performance with combined imagined and actual physical practice.

The perception of effort exerts influence in determining task failure during endurance performance. Training interventions blending physical and cognitive tasks yielded promising results in enhancing performance. Motor imagery can decrease the perception of effort. Whether combining motor imagery and physical training improves endurance remains to be understood, and this was the aim of this study. Participants (24 ± 3year) were assigned to a motor imagery (n = 16) or a control (n = 17) group. Both groups engaged in physical exercises targeting the knee extensors (i.e., wall squat, 12 training sessions, 14-days), with participants from the motor imagery group also performing motor imagery. Each participant visited the laboratory Pre and Post-training, during which we assessed endurance performance through a sustained submaximal isometric knee extension contraction until task failure, at either 20% or 40% of the maximal voluntary contraction peak torque. Perceptions of effort and muscle pain were measured during the exercise. We reported no changes in endurance performance for the control group. Endurance performance in the motor imagery group exhibited significant improvements when the intensity of the sustained isometric exercise closely matched that used in training. These enhancements were less pronounced when considering the higher exercise intensity. No reduction in perception of effort was observed in both groups. There was a noticeable decrease in muscle pain perception within the motor imagery group Post training. Combining motor imagery and physical training may offer a promising avenue for enhancing endurance performance and managing pain in various contexts.

Social Network Enhancement: Bridging and Bonding the Social Networks of Child Welfare Involved Youth

ABSTRACTA supportive social network is crucial for the well‐being of child welfare involved youth; however, their social networks are often small and/or unable to provide necessary support. Child welfare workers can play an important role in strengthening and expanding the social networks of youth. In this Norwegian study, 15 child welfare workers' experiences with social network enhancement were examined using semi‐structured interviews. Data analysis applied a social capital lens to identify whether and how this framework could enhance our understanding of this issue. Study findings highlight three main objectives, implemented to (a) strengthening the youth's existing network, (b) supporting the youth to take part in (new) social arenas and (c) cultivating the youth's social skills and relationship building. Findings suggest that this approach can contribute to the development of bonding and bridging social capital. Within all objectives and associated strategies, trusting relationships between youth and child welfare workers were considered a prerequisite for success. Several barriers and impeding factors were also identified, such as the limited size of the social networks or lack of social skills. These barriers show how social network enhancement can be complicated, in actual practice.

Paediatric oncologists' perspectives on Strategic solutions to develop Integrated Cancer Palliative Care: feedback intervention theory as an explanatory Framework.

Globally, children with cancer often experience delays in palliative care referral or are infrequently referred. Therefore, we conducted a qualitative study to gain insight from paediatric oncologists into what enables or deters palliative care referral. Strategic solutions to develop integrated palliative care was a critical study theme. In this paper, we have explained and interpreted these strategic solutions through the lens of feedback intervention theory. The study findings were interpreted using Kumar's six-step approach that enabled systematic evaluation of a theory's appropriateness and alignment with the researcher's paradigm, methodology, and study findings. It also explained how theory informed analysis and elucidated challenges or the development of new models. The feedback intervention theory appraises the discrepancy between actual and desired goals and provides feedback to improve it. Strategic solutions generated from the study findings were coherent with the aspects elucidated in theory, like coping mechanisms, levels of feedback hierarchy, and factors determining the effect of the feedback intervention on performance. Paediatric oncologists suggested integrating palliative care providers in the team innocuously, improving communication between teams, relabelling palliative care as symptom control, and working with a skilled and accessible palliative care team. The paper proposes an infinite loop model developed from the study, which has the potential to foster integrated palliative care through excellent collaboration and continuous feedback. Applying feedback intervention theory can bridge the gap between actual and desired practice for integrated cancer palliative care in paediatric oncology.

Scapholunate Ligament Reconstruction With Internal Brace Augmentation Techniques for Chronic Scapholunate Dissociation: A Clinical Follow-up Study.

The scapholunate ligament is the most important stabilizer of the scapholunate articulation. The management of chronic irreversible injuries of this ligament in the absence of preexisting arthritis of the wrist joint remains controversial. Recently, surgeons introduced a novel surgical technique using an internal brace (IB). Several biomechanical studies on this technique have been conducted using cadavers; however, very few studies have discussed the results in detail in actual clinical practice. Therefore, herein, we investigated the radiological and functional results of patients who underwent IB augmentation as a treatment for chronic scapholunate dissociation. This retrospective study was conducted from April 2018 to May 2022. Twenty-two patients with chronic scapholunate dissociation were treated using the IB augmentation technique, of whom 17 were followed-up for at least 1 year. Radiological results, including scapholunate distance, scapholunate angle, and radioscaphoid angle, were collected. Furthermore, clinical parameters, such as the visual analog scale (preoperative and at final follow-up), the Disabilities of the Arm, Shoulder, and Hand scores (preoperatively and at 3, 6, and 12 months postoperatively), and Mayo wrist scores (preoperative and at final follow-up), were measured. The scapholunate distance increased significantly in the affected wrist compared to the unaffected wrist, which improved after reconstruction in all wrist positions ( P < 0.05). Compared to the unaffected wrist, the scapholunate angle increased significantly in all positions ( P < 0.05) except for extension ( P = 0.535) and improved after reconstruction in all wrist positions. The radioscaphoid angle significantly increased compared to the angle of the unaffected wrist in all positions ( P < 0.05) except for extension ( P = 0.602) and clenched fist ( P = 0.556). This angle improved after reconstruction in all wrist positions except for extension ( P = 0.900). The visual analog scale score (7-2, preoperatively and at final follow-up) and Mayo wrist score (53-82, preoperatively and at final follow-up) improved after surgery. The Disabilities of the Arm, Shoulder, and Hand scores also improved after surgery (68, 53, 30, 7, preoperatively and at 3, 6, and 12 months postoperatively). This study revealed that scapholunate ligament reconstruction using an autologous tendon and suture tape is a good reconstruction technique that can improve clinical symptoms and radiographic parameters with a shorter operation time and fewer complications than other reconstruction methods.

Text mining analysis of retail and consumer service leaders' sustainability narratives: Are they actually true?

This study investigates the relationship between the sustainability narratives of retail and consumer services leaders and their actual sustainability practices, with a focus on the impact of these narratives on consumer perceptions and engagement. Firm-generated content (FGC) has become a significant factor influencing consumer reactions, especially in the context of sustainability claims within the retail and consumer services sectors. Our research examines the alignment of linguistic and communicative elements in sustainability communications with the actual sustainability performance of companies employing a multifaceted analytical approach including content/theme analysis, sentiment analysis, emotion detection, and readability assessments. The findings reveal that thematic content related to sustainability, emotional engagement strategies, and the clarity of communication are shown to play vital roles in enhancing consumer trust and engagement with retail and consumer services firms. Moreover, readability and polarity are critical in shaping consumer perceptions of authenticity and reliability in sustainability narratives. The study underscores the importance of transparency and authenticity in sustainability communications, demonstrating that effective messaging can significantly influence consumer engagement with retail and consumer services firms. By bridging the gap between sustainability narratives and actual practices, the research contributes to a deeper understanding of strategic communication's role in fostering sustainable consumer behavior and trust in the retail and consumer services sector.

Analysis on the Reform of English Educational Management in Colleges and Universities from the Perspective of Applied Talents Training

With the deepening of the reform process of college education, the traditional mode of college English education should also be changed to the mode of applied talent training. However, in the actual educational practice, the English teaching in many colleges and universities still follows the outdated teaching mode, which greatly affects the quality and level of English talent training in colleges and universities. This paper analyzes the problems encountered in the college English education management, and provides effective solutions for the college teachers to solve the existing problems.

Evaluation of STEM-Aligned Teaching Practices for Gifted Mathematics Teachers

&lt;b&gt;Background:&lt;/b&gt; The STEM education system has garnered significant interest due to its innovative approach in creating a multidisciplinary and integrated knowledge structure that connects science, technology, engineering, and mathematics, and allows students to apply scientific knowledge in a comprehensive and holistic manner. Consequently, evaluating the teaching methods of teachers in accordance with STEM standards is critical. This assessment should take into account various educational objectives, including cognitive, skill-based, and emotional aspects.&lt;br /&gt; &lt;b&gt;Purpose:&lt;/b&gt; This study aimed to evaluate the creative teaching practices of mathematics teachers for gifted students according to STEM standards.&lt;br /&gt; &lt;b&gt;Method:&lt;/b&gt; The study applied the descriptive analytical method and developed a rating scale for evaluating creative teaching practices based on STEM standards, verifying the psychometric properties in several ways. The study sample consisted of 64 teachers of mathematics for gifted students.&lt;br /&gt; &lt;b&gt;Results:&lt;/b&gt; The results showed that the degree of application of creative teaching practices by the teachers of gifted students according to STEM standards was at the moderate level in three domains: planning, implementation, and assessment.&lt;br /&gt; &lt;b&gt;Conclusions: &lt;/b&gt;Despite the importance of achieving integration for STEM, the actual teaching practices of teachers of the gifted according to these standards were generally average and did not reach acceptable and ambitious levels.