Covariance Structure Analysis Research Articles

Width undulation drives flow convergence routing in five flashy ephemeral river types across a dry summer subtropical region

AbstractDuring the last decade, meter‐resolution topo‐bathymetric digital elevation models (DEMs) have become increasingly utilized within fluvial geomorphology, but most meter‐scale geomorphic analyses are done on just one to a few rivers. While such analyses have contributed greatly to our collective understanding of river discharge‐topography interactions, which is applicable in both river restoration design and environmental flow regulation contexts, their generalizability across a range of river types remains largely unevaluated. This study assessed the dominance of a single hydro‐morphodynamic mechanism, flow convergence routing, in 35 ephemeral rivers divided among five river types in California's South Coast region by answering five questions. Geomorphic covariance structure (GCS) analysis was performed on longitudinal standardized width and standardized, detrended bed elevation spatial series from meter‐resolution DEMs. All river types had coherent, multi‐scalar structures of longitudinal fluvial topography, implicating a process‐morphology link. GCS metrics revealed that landform patterning was consistent with the requirements of the morphodynamic mechanism of flow convergence routing. Thus, that process was found to be a broadly relevant channel altering mechanism among sites, but its relationship with water stage differed between river types. Specifically, river types in unconfined valleys exhibited a strong bankfull width control over base flow bed undulations, with no obvious flood‐stage control over bankfull landform patterning. River types in partially confined valleys also exhibited strong bankfull width control over base flow bed undulations, but their bankfull landform patterns appear to have coalesced with coherent width and bed elevation undulations during flood flows. Finally, metrics for confined river types showed that it takes higher magnitude, less frequent floods to set their coherent width and bed elevation undulations, but even these channels do exhibit flow convergence routing when given enough discharge for sufficient duration.

Demand-side effects of urban green spaces: How attractiveness helps overcome subjective barriers to health behaviours

The contribution of Urban Green Spaces (UGSs) to public health is a critical topic. Existing research predominantly examines the relationship between enhanced UGSs characteristics — such as availability, accessibility, and usability — and residents’ health, highlighting how these attributes can mitigate objective barriers to health behaviours in UGSs from a supply-side perspective. However, few studies have explored the demand-side effects of UGSs, particularly in how potential visitors overcome subjective barriers to health behaviours. This study hypothesizes that Perceived UGSs Quality (PUGSQ), including attractive qualities like environmental aesthetics and open space publicness, promotes health behaviours in UGSs (HB_UGS) by enhancing residents’ self-efficacy in overcoming subjective barriers (OBSE). An online cross-sectional study was conducted in China in 2020, employing covariance structure analysis to examine the mediating role of OBSE between PUGSQ and HB_UGS. The findings indicate that augmenting PUGSQ bolsters potential visitors’ belief in their ability to overcome subjective barriers to visiting UGSs or participating in activities therein, thereby promoting sustained and regular health behaviours. The mediation model is applicable across varying activity intensities and whether activities are undertaken alone or in groups. OBSE demonstrates a partial mediating effect in the low-activity-intensity group, and full mediating effects in the medium-high-activity-intensity group, the lone activity group and the collective activity group. These results suggest that, in addition to the well-documented passive role of UGSs in health promotion from a supply-side perspective — which predominantly engages visitors’ willpower resources — UGSs can also assume a more active role from a demand-side perspective. This active role involves mobilizing visitors’ desire resources and potentially lessening the strain on their willpower resources, thus offering a more nuanced understanding of UGS’s influence on health behaviours. The position of UGSs in health promotion thus rises from ‘just nice to have’ to ‘essential to have’.

Associations of rumination, behavioral activation, and perceived reward with mothers' postpartum depression during the COVID-19 pandemic: a cross-sectional study.

The COVID-19 pandemic has led to increased social isolation for mothers, and rumination exacerbates postpartum depression in mothers with poor social support. Although behavioral activation can help to decrease their depressive symptoms, the mechanism by which behavioral activation reduces postpartum depression remains unclear. We examined the effects of rumination and behavioral activation on depression in postpartum women by examining a model mediated by subjective reward perception. A questionnaire was administered to 475 postpartum women (Age: Mean = 30.74 years, SD = 5.02) within 1 year of childbirth using an Internet survey. The measurements included perinatal depression, rumination, and behavioral activation, and we assessed environmental reward. To control for confounding variables, we assessed psychiatric history, social support, parenting perfectionism, and COVID-19 avoidance. Eighty-four (17.68%) mothers had possible postpartum depression. The covariance structure analysis showed that not only was there a direct positive path from rumination to postnatal depression but also a negative path via reward perception. This finding indicated that the COVID-19 pandemic could have increased depression in many of the mothers. Rumination not only directly relates to postpartum depression, but it could also indirectly relate to postpartum depression by decreasing exposure to positive reinforcers. In addition, having a history of psychiatric illness increases the effect of rumination on postpartum depression. These findings suggest that psychological interventions are needed to reduce rumination and increase contact with positive reinforcements to reduce postpartum depression, especially for high-risk groups.

Related factors to illness perception of individuals with diabetic foot ulcers: A structural equation modelling test

BackgroundDiabetic foot is a common and severe complication of diabetes with limited movement, emotional distress, and poor quality of life. Illness perception was introduced to improve patients’ psychological status and quality of life with diabetic foot ulcers. The aim of the study is to explore the related factors of illness perception, and to structure an illness perception model of patients with diabetic foot ulcers. MethodsWe recruited 208 patients with diabetic foot ulcers from six hospitals from April 2021 to February 2022. A multicentered cross-sectional study was conducted to collect the data. Questionnaires included illness perception, coping behavior, emotional status, and quality of life. We performed multiple linear regression analysis with illness perception as the dependent variable, and evaluated the goodness of fit of the resulting structural equations models based on covariance structural analysis. ResultsIllness perception was negatively related to coping behavior and quality of life, and it was positively correlated with yield-coping behavior, anxiety, and depression. The pain, diabetes duration, quality of life, yield-coping strategy, and sex were the factors that affected illness perception in patients with DFUs (P＜0.05). The resulting model was found to exhibit goodness of fit. ConclusionIllness perception had an especially strong and direct impact on quality of life, depression, and anxiety. Therefore, it is significant to improve illness perception in patients with DFUs, and provide positive support based on cognitive behavioral therapy to improve illness perception, quality of life, and emotional status.

Development of a scale to evaluate the rest levels of male workers

Objectives "Rest" has two aspects: "repose," to recover from physical or mental fatigue, and "restore," to re-establish physical, mental, and social health. Many male workers work for prolonged hours, and despite stress, they do not apply coping behaviors, unlike female workers. Consequently, taking sufficient rest is difficult for male workers. The aim of this study was to develop a scale incorporating multiple factors to evaluate the state in which male workers take rest.Methods A questionnaire survey was conducted involving 330 male workers aged 20-59 years who had been engaged in two manufacturing industries. The questionnaire items were created with reference to an interview survey of male workers in the literature. After discussing with industrial hygiene experts and conducting a pretest to obtain surface validity, 70 items were used for analyses. In the exploratory factor analysis, promax rotation was used with the maximum likelihood method. In the confirmatory factor analysis, goodness of fit was confirmed with the covariance structure analysis. Health-related quality of life, job stress, work engagement, sleep, and self-assessment of rest were used to examine concurrent validity.Results With the exploratory factor analysis, we introduced a scale containing 15 items, including three subscales: filling with spirit, enthusiasm for work, and recovery from fatigue. The reliability coefficient (Cronbach's alpha) of the three subscales and the overall scale ranged from 0.79 to 0.88 and 0.89, ensuring internal consistency. The confirmatory factor analysis showed a generally good fit. Their scores were correlated with many items of the health-related quality of life, job stress, work engagement, sleep, and self-assessment of rest.Conclusions A 15-item "Rest Evaluation Scale" was created to evaluate the state in which male workers in the manufacturing industries take rest. Since the validity, reliability, and concurrent validity of this scale were satisfactory, this scale was considered to be an index evaluating the state of rest of male workers.

Inhibitory action of B-type natriuretic peptide on adrenocorticotropic hormone in patients with acute coronary syndrome.

In addition to the classical actions of hemodynamic regulation, natriuretic peptides (NPs) interact with various neurohumoral factors that are deeply involved in the pathophysiology of cardiovascular diseases. However, their effects on the hypothalamic-pituitary-adrenal (HPA) axis, which is activated under acute high-stress conditions in acute coronary syndrome (ACS), remain largely unknown. We investigated the impact of plasma B-type NP (BNP) on plasma adrenocorticotropic hormone (ACTH)-cortisol levels during the acute phase of ACS ischemic attacks. The study population included 436 consecutive patients with ACS for whom data were collected during emergency cardiac catheterization. Among them, biochemical data after acute-phase treatment were available in 320 cases, defined as the ACS-remission phase (ACS-rem). Multiple regression analyses revealed that plasma BNP levels were significantly negatively associated with plasma ACTH levels only during ACS attacks (P < 0.001), but not in ACS-rem, whereas plasma BNP levels were not significantly associated with plasma cortisol levels at any point. Accordingly, covariance structure analyses were performed to clarify the direct contribution of BNP to ACTH by excluding other confounding factors, confirming that BNP level was negatively correlated with ACTH level only during ACS attacks (β = -0.152, P = 0.002), whereas BNP did not significantly affect ACTH in ACS-rem. In conclusion, despite the lack of a significant direct association with cortisol levels, BNP negatively regulated ACTH levels during the acute phase of an ACS attack in which the HPA axis ought to be activated. NP may alleviate the acute stress response induced by severe ischemic attacks in patients with ACS.NEW & NOTEWORTHY BNP negatively regulates ACTH during a severe ischemic attack of ACS in which hypothalamic-pituitary-adrenal axis ought to be activated, indicating an important role of natriuretic peptides as a mechanism of adaptation to acute critical stress conditions in humans.

Optimal Physical Activity Is Associated with the Reduction of Depressive Symptoms via Neuroticism and Resilience

Background: Personality traits, such as neuroticism, that results in vulnerability to stress, and resilience, a measure of stress coping, are closely associated with the onset of depressive symptoms, whereas regular physical activity habits have been shown to reduce depressive symptoms. In this study, the mediating effects of neuroticism and resilience between physical activity duration and depressive symptoms were investigated by a covariance structure analysis. Methods: Between April 2017 and April 2018, 526 adult volunteers were surveyed using self-administered questionnaires. Demographic information, habitual physical activity duration (PAD), neuroticism, and resilience were investigated. The effects of these factors on depressive symptoms were analyzed by a covariance structure analysis. This study was conducted with the approval of the Medical Ethics Committee of Tokyo Medical University. Results: The dose–response curves of physical activity duration and depression scores were U-shaped: the optimal physical activity duration for the lowest depression score was 25.7 h/week. We found that the greater the difference from the optimal PAD, the higher the neuroticism and the lower the resilience, and the more severe the depressive symptoms. Covariance structure analysis demonstrated that neuroticism and resilience significantly and completely mediated the effects of the difference from the optimal PAD on depressive symptoms (coefficient of determination R2 = 0.349). Conclusion: Our study suggests that there is an optimal PAD that reduces depressive symptoms, and that a greater difference from the optimal PAD increases depressive symptoms through neuroticism and resilience.

The Association between Atherosclerotic Disease Risk Factors and Serum 25-Hydroxyvitamin D Concentration in Japanese Subjects.

Recent studies have described that vitamin D deficiency/insufficiency is associated with hypertension, insulin resistance, and dyslipidemia, which are major components of metabolic syndrome causing atherosclerosis. Therefore, we investigated the relationship between serum 25-hydroxyvitamin D [25(OH)D] concentration and atherosclerotic disease risk factors in healthy Japanese adults. In the present cross-sectional study, 1,177 subjects (348 males and 829 females) aged 20-72 y living in Japan (34.7-35.0ºN) were evaluated for vitamin D status by measuring serum 25(OH)D concentration. Atherosclerotic disease risk factors were defined as the presence of two or more of the following three risk factors: high blood pressure, dyslipidemia, and hyperglycemia. The percentages of vitamin D deficient and insufficient subjects were 33% and 46% in males and 59% and 32% in females, respectively. Subjects with atherosclerotic disease risk factors were significantly older and had higher BMI than those without it in both sexes. Male subjects with atherosclerotic disease risk factors had significantly lower physical activity and serum 25(OH)D concentration than those without it. In a logistic regression analysis adjusted for confounding factors, serum 25(OH)D concentration showed a significant inverse association with risk factors of atherosclerotic disease in males (OR=0.951, 95%CI: 0.906-0.998), but not in females. A covariance structure analysis also suggested that serum 25(OH)D level has a direct association with risk factors of atherosclerotic disease. In conclusion, we have demonstrated that low serum 25(OH)D level is a significant factor for increased atherosclerotic disease risk factors in males.

Association of Serum Oxysterols with Cholesterol Metabolism Markers and Clinical Factors in Patients with Coronary Artery Disease: A Covariance Structure Analysis.

Oxysterols have been implicated in the pathogenesis of cardiovascular diseases. Serum levels of oxysterols could be positively correlated with cholesterol absorption and synthesis. However, physiological regulation of various serum oxysterols is largely unknown. The aim of this study was to investigate the relationship between clinical factors and cholesterol metabolism markers, and identify oxysterols associated with cholesterol absorption and synthesis in patients with coronary artery disease. Subjects (n = 207) who underwent coronary stenting between 2011 and 2013 were studied cross-sectionally. We measured lipid profiles including serum oxysterols. As for the serum biomarkers of cholesterol synthesis and absorption, oxysterol levels were positively correlated with campesterol and lathosterol. Covariance structure analysis revealed that dyslipidemia and statin usage had a positive correlation with "cholesterol absorption". Statin usage also had a positive correlation with "cholesterol synthesis". Several oxysterols associated with cholesterol absorption and/or synthesis. In conclusion, we elucidated the potential clinical factors that may affect cholesterol metabolism, and the associations between various oxysterols with cholesterol absorption and/or synthesis in patients with coronary artery disease.

Prevalence and correlation of multiple chemical sensitivity and electromagnetic hypersensitivity with age, sex, and depression in the Japanese population: a retrospective study

BackgroundIn Japan, there are currently no definitive conclusions regarding the characteristics of multiple chemical sensitivity (MCS) and electromagnetic hypersensitivity (EHS). This study aimed to determine the prevalence and correlation of MCS and EHS with age, sex, and depression in the Japanese population.MethodsAn anonymous self-report questionnaire was distributed to 2,007 participants. Variables such as MCS, EHS, depression score, and demographic characteristics were individually evaluated using the U-test, chi-squared test, and correlation analyses. Moreover, we performed a covariance structure analysis to build a structural equation model.ResultsOlder individuals and women were more likely to exhibit MCS and EHS symptoms. Moreover, depression was correlated with MCS and EHS.ConclusionsAlthough MCS and EHS are strongly correlated, they exhibit distinct characteristics and symptoms, indicating that they can be regarded as separate conditions.

Does applying a circular business model lead to organizational resilience? Mediating effects of industry 4.0 and customers integration

This article presents groundbreaking research that analyses the direct relationship between the adoption of circular economy business models and organizational resilience. In addition, the research model tests the mediating effects of both the adoption of Industry 4.0 technologies and customer integration initiatives on that relationship. The data used was collected from manufacturing companies operating in an emerging market and was analyzed using covariance structure analysis. The research hypotheses were confirmed, supporting the assumption that adopting a circular economy model enhances organizational resilience. Industry 4.0 technologies and customer integration initiatives are shown to be sources of dynamic capabilities that enable firms to recognize and adapt to market opportunities and threats, and to prepare resources accordingly to achieve resilience by means of business circularity.

A structural model of nursing students’ performing communication skills

Purpose: The purpose of this study was to construct and test a structural model of nursing students’ performing communication skills.Methods: The data collection was conducted from October 13 to October 20, 2020. The participants were 286 students from nursing colleges located in three cities. The data analysis method was a covariance structure analysis with using IBM SPSS statistics version 23.0 and AMOS 21.0 statistical programs.Results: The hypothetical model showed a proper fit with the data: root mean square error of approximation=.08, standardized root mean square residual=.06, adjusted goodness of fit=.85, normed fit index=.91, and comparative fit index=.94. The model fit indices were normed to fit index=2.96. Statistically significant explanatory variables for the performing communication skills of nursing students were peer support, emotional intelligence, ethical sensitivity, and communication self-efficacy. The variables accounted for 66.1% of the performing communication skills of nursing students.Conclusion: Based on the above results, it appears necessary to develop strategies for improving the performing communication skills of nursing students, and having positive effects on health outcomes of the subjects by considering the variables of peer support, emotional intelligence, ethical sensitivity, and communication self-efficacy. Such strategies could potentially have positive effects on the health outcomes of the patients.

Depressive rumination and trait anxiety mediate the effects of childhood victimization on adulthood depressive symptoms in adult volunteers.

Prior studies have reported that childhood victimization experiences substantially augment the risk of depression and suicide in adulthood. Several of our previous studies suggested that childhood experiences of victimization interact with the quality of parenting experienced in childhood, childhood experiences of abuse, neuroticism, and other factors to influence depressive symptoms in adulthood. In this study, it was hypothesized that "childhood victimization" worsens "trait anxiety" and "depressive rumination", and that "trait anxiety" and "depressive rumination" are mediators that worsen "depressive symptoms in adulthood". The following self-administered questionnaires were completed by 576 adult volunteers: Patient Health Questionnaire-9, State-Trait Anxiety Inventory form Y, Ruminative Responses Scale, and Childhood Victimization Rating Scale. Statistical analyses were performed by Pearson correlation coefficient analysis, t-test, multiple regression analysis, path analysis, and covariance structure analysis. Path analysis demonstrated that the direct effect was statistically significant for the paths from childhood victimization to trait anxiety, depressive rumination, and depressive symptom severity. Moreover, the indirect effect of childhood victimization on depressive rumination mediated by trait anxiety was statistically significant. The indirect effects of childhood victimization on depressive symptom severity mediated by trait anxiety and depressive rumination were statistically significant. Furthermore, the indirect effect of childhood victimization on depressive symptom severity mediated by both trait anxiety and depressive rumination was statistically significant. We found that childhood victimization directly and adversely influenced each of the above factors, and indirectly worsened adulthood depressive symptoms with trait anxiety and depressive ruminations as mediating factors. The present study is the first to clarify these mediation effects. Therefore, the results of this study suggest the importance of preventing childhood victimization and the importance of identifying and addressing childhood victimization in patients with clinical depression.

Affective temperaments mediate the effect of childhood maltreatment on bipolar depression severity

AbstractAimBipolar disorder is a leading disorder contributing to global disease burden, and bipolar depression often becomes severe and refractory. Therefore, clarifying the pathophysiology of bipolar disorder is an urgent issue. Previous reports suggested that factors, such as affective temperaments and childhood maltreatment, aggravate bipolar depression severity. However, to our knowledge, no reports to date have clarified the interrelationship between the above factors and bipolar depression severity. We here hypothesized that childhood maltreatment worsens bipolar depression severity via increasing affective temperaments. To test this hypothesis, a covariance structural analysis was conducted.MethodsThe following information was evaluated for a total of 75 people with bipolar disorder using self‐administered questionnaires: demographic characteristics, depressive symptoms (Patient Health Questionnaire‐9), history of childhood maltreatment (Child Abuse and Trauma Scale), and affective temperaments (Temperament Evaluation of Memphis, Pisa, Paris, and San Diego Autoquestionnaire). The results were analyzed using covariance structure analysis.ResultsA significant indirect effect of childhood maltreatment on bipolar depression severity via increasing affective temperaments was identified, whereas the direct effect of childhood maltreatment was not significant.ConclusionOur results reveal that affective temperaments can mediate the adverse effects of childhood maltreatment on the severity of bipolar depression.

청년의 정치효능감이 사회신뢰와 정부신뢰에 미치는 영향 연구

The younger generation has become the focus of various policies proposed by political circles, including those discussed during South Korea’s recent 20th presidential election. Despite the prioritization of “fairness,” which is considered the most important value by the younger generation, and efforts to secure their votes, political circles have failed to gain their sympathy. Numerous surveys have shown that the younger generation perceives society as unfair, which leads to a decline in trust in the government and society.&#x0D; This study attempted to analyze the relationship between the political efficacy of the younger generation, social fairness, and trust in the government and society. To accomplish this, descriptive statistical analysis, exploratory factor analysis, reliability analysis, and covariance structure analysis were conducted. The results indicate that the internal and external political efficacy of young people has a positive effect on government trust and social trust through social fairness. Thus, enhancing the political efficacy and social fairness of the younger generation is necessary to increase their trust in the government and society. The study concludes by presenting theoretical and political implications.

Mediating Effects of Trait Anxiety and State Anxiety on the Effects of Physical Activity on Depressive Symptoms.

Previous studies have reported that physical activity can prevent the onset of depression and reduces anxiety. In the present study, the hypothesis that total physical activity time influences depressive symptoms via state and trait anxiety was tested by a path analysis. Self-administered questionnaires were used to survey 526 general adult volunteers from April 2017 to April 2018. Demographic information, physical activity, and state and trait anxiety were investigated. The association between physical activity time and depressive symptoms was expressed as a U-shape curve. The results of the covariance structure analysis showed that differences from the optimal physical activity time (DOT) had direct positive effects on state and trait anxiety. DOT affected depressive symptoms only via trait anxiety, and this was a complete mediation model. The present study suggests that an optimal physical activity time exists for depressive symptoms. The path model demonstrated an association between the three factors of optimal physical activity time, trait anxiety, and depressive symptoms, and the effect was fully mediated by trait anxiety.

A Structural Analysis of the Effects on the Lifestyle and Health Status of Exercise Class Participants Owing to COVID-19 Prevention Measures

Objectives: In this study, we aimed to clarify and measure the interrelationships among decrease in communication, exercise, and physical and mental health under COVID-19 prevention measures, restricting individuals from going out of the house. Methods: Participants included 540 middle-aged and older adults who are regular exercise class members. The survey was conducted between April 15 and May 10, 2020. For the self- administered questionnaire survey, a municipal employee of City A and an exercise instructor visited the home of each participant to collect the survey data. The survey items were sex, age, limitation of going out, feeling of inactivity, interaction with others, health status, and forgetfulness; a covariance structural analysis was performed to clarify the interrelationship between lifestyle and health status. Results: Restrictions on going out due to the COVID-19 prevention measures were associated with the physical and mental health of middle-aged and older adults who regularly attended exercise classes because they enforced inactivity and decreased the frequency of conversation. Conclusions: Several waves of COVID-19 may arrive in Japan in the future. Therefore, it is necessary to implement measures to prevent secondary health damage and not focus only on infection prevention.

Development of a Daily Living Self-Efficacy Scale for Older Adults in Japan

Older adults tend to experience decreased enjoyment and fulfillment in life, social interactions, and independent living, with aging. These situations often result in lower levels of daily living self-efficacy in activities, which is one of the factors resulting in a decline in the quality of life (QOL) among older individuals. For this reason, interventions that help maintain daily living self-efficacy among older adults may also help maintain a good QOL. The objective of this study was to develop a daily living self-efficacy scale for the elderly that can be used to evaluate the effects of interventions aimed at enhancing self-efficacy. An expert meeting involving specialists in dementia treatment and care was held, to prepare a draft for a daily living self-efficacy scale. In the meeting, previous studies on self-efficacy among older adults, which were collected in advance, were reviewed, and the experiences of the specialists were discussed. Based on the reviews and discussions, a draft of a daily living self-efficacy scale comprising 35 items was prepared. This study on daily living self-efficacy was conducted from January 2021 to October 2021. The internal consistency and concept validity of the scale were evaluated based on the assessment data. The mean age ± standard deviation of the 109 participants was 84.2 ± 7.3 years. The following five factors were extracted based on factor analysis: Factor 1, "Having peace of mind"; Factor 2, "Maintaining healthy routines and social roles"; Factor 3, "Taking personal care of oneself"; Factor 4, "Rising to the challenge"; and Factor 5, "Valuing enjoyment and relationships with others". The Cronbach's alpha coefficient exceeded 0.7, thereby suggesting sufficiently high internal consistency. Covariance structure analysis confirmed sufficiently high concept validity. The scale developed in this study was confirmed to be sufficiently reliable and valid, and when used during dementia treatment and care to assess the levels of daily living self-efficacy among older adults, it is expected to contribute to the improvement of QOL among older adults.

Confirmatory Factor Analyses in Psychological Test Adaptation and Development

Confirmatory Factor Analyses in Psychological Test Adaptation and Development

対面とオンラインによる企業内技術研修の満足度を規定する要因の分析

This study aims to evaluate how satisfaction of technical training courses in in-house education was influenced by comprehension, goal achievement and training design factors: difficulties, trainers′ instruction ways, training materials and training volumes. Covariance structure analysis was conducted on questionnaire answer data from approximately 16,000 participants of training courses, which were classified into lecture and practical training types in comparison of face-to-face classes with online classes. The analysis revealed that goal achievement had a significant effect on satisfaction, and comprehension had an indirect effect on satisfaction through goal achievement. The influence of the training design factors on satisfaction, comprehension and goal achievement differed significantly with training types. In particular, the difficulties showed no significant effect on comprehension in online lecture-type trainings. This indicates subjective difficulties of online class participants may be different from those of face-to-face class participants.