Mediator Of Relationship Research Articles

The benefits of making peace with pain: chronic pain acceptance moderates the indirect effect of perceived burdensomeness between pain severity and suicidal cognitions.

The purpose of this study was (1) to examine the degree to which perceived burdensomeness mediates the relationship between pain severity and suicidal cognitions and (2) to determine whether this mediated relationship was moderated by pain acceptance. We predicted that high levels of pain acceptance would buffer relationships on both paths of the indirect effect. Two-hundred seven patients with chronic pain completed an anonymous self-report battery of measures, including the Chronic Pain Acceptance Questionnaire, the Interpersonal Needs Questionnaire, the Suicidal Cognitions Scale, and the pain severity subscale of the West Haven-Yale Multidimensional Pain Inventory. Conditional process models were examined with Mplus. Chronic pain acceptance significantly moderated both paths of the mediation model. Results from the conditional indirect effect model indicated that the indirect effect was significant for those with low (b = 2.50, P = .004) and medium (b = 0.99, P = .01) but not high (b = 0.08, P = .68) levels of pain acceptance and became progressively stronger as pain acceptance scores decreased. The nonlinear indirect effect became nonsignificant at acceptance scores 0.38 standard deviation above the mean-a clinically attainable treatment target. Higher acceptance mitigated the relationship between pain severity and perceived burdensomeness and the relationship between perceived burdensomeness and suicidal cognitions in this clinical sample of patients experiencing chronic pain. Findings indicate that any improvement in pain acceptance can be beneficial, and they provide clinicians with a clinical cut-point that might indicate lower vs higher suicide risk.

Investigating the Predictors of Telemedicine Service Usage Intention in China During the COVID-19 Pandemic: An Extended Technology Acceptance Perspective.

Introduction: In China, digital health and telemedicine services grew particularly rapidly during the COVID-19 pandemic. The goal of this study was to examine the effects of technology acceptance model (TAM) predictors, previous social media health service exposure, and telemedicine experience on individual telemedicine service usage intention within the extended theoretical framework of TAM and TAM2. Methods: The study adopted a cross-sectional survey to collect data (N = 1,088) through a Chinese online panel provider (wenjuan.com). Structural equation modeling was performed to examine relationships between the variables in the proposed model. Results: Our results indicated that technology anxiety (TA) was negatively related to perceived ease of use (PEOU) and usage intention. PEOU mediated the relationship between TA and usage intention. Social media health information consumption was positively associated with perceived usefulness (PU). Previous telemedicine satisfaction was positively related to PEOU and PU, but the direct relationship between satisfaction with telemedicine and usage intention was not found to be significant. Besides, PEOU and PU mediated the relationship between previous telemedicine satisfaction and usage intention. Conclusions: Findings of the study not only contribute to literature pertaining to telemedicine promotion by identifying important mediation relationships but also help identify potential users and provide a convenient internet-based promotion channel since they reveal that social media health information consumption is positively related to PU of telemedicine services.

Airway microbiota and immune mediator relationships differ in obesity and asthma

Asthma and obesity are both complex conditions characterized by chronic inflammation, and obesity-related severe asthma has been associated with differences in the microbiome. However, whether the airway microbiome and microbiota-immune response relationships differ between obese persons with or without nonsevere asthma is unestablished. We compared the airway microbiome and microbiota-immune mediator relationships between obese and nonobese subjects, with and without mild-moderate asthma. We performed cross-sectional analyses of the airway (induced sputum) microbiome and cytokine profiles from blood and sputum using 16S ribosomal RNA gene and internal transcribed spacer region sequencing to profile bacteria and fungi, and multiplex immunoassays. Analysis tools included QIIME 2, linear discriminant analysis effect size (aka LEfSe), Piphillin, and Sparse inverse covariance estimation for ecological association inference (aka SPIEC-EASI). Obesity, irrespective of asthma status, was associated with significant differences in sputum bacterial community structure and composition (unweighted UniFrac permutational analysis of variance, P= .02), including a higher relative abundance of Prevotella, Gemella, and Streptococcus species. Among subjects with asthma, additional differences in sputum bacterial composition and fungal richness were identified between obese and nonobese individuals. Correlation network analyses demonstrated differences between obese and nonobese asthma in relationships between cytokine mediators, and these together with specific airway bacteria involving blood PAI-1, sputum IL-1β, GM-CSF, IL-8, TNF-α, and several Prevotella species. Obesity itself is associated with an altered sputum microbiome, which further differs in those with mild-moderate asthma. The distinct differences in airway microbiota and immune marker relationships in obese asthma suggest potential involvement of airway microbes that may affect mechanisms or outcomes of obese asthma.

RETRACTED: Exploring the sustainable consumption behavior in emerging countries: The role of pro‐environmental self‐identity, attitude, and environmental protection emotion

AbstractThe paper examines the sustainable consumption behavior of two emerging countries, China and India. The conceptual framework incorporates egoistic value, social consumption motivation, altruistic values (stimulus factors), pro‐environmental self‐identity, attitude (mediators and organism factors), sustainable consumption behavior (response factor), and environmental protection emotion as a moderating factor, using stimulus‐organism‐response theory. We collected 658 original survey data from China (n = 337) and Indian (n = 321) customers via convenience and purposive sampling methods and analyzed the data with structural equation modeling. Intriguingly, the results show that (a) stimulus factors such as egoistic and altruistic values and social consumption motivation had a positive influence on pro‐environment self‐identity and attitude and sustainable consumption behavior in both countries, (b) pro‐environment self‐identity had a positive effect on the attitude of both countries' consumers (c) while mediation factors (pro‐environment self‐identity and attitude) had a significantly positive mediation relationship between stimulus and response factors, and (d) environmental protection emotion significantly moderated the relationship between stimulus, organism factors, and response factors of two countries. The study contributes to the current body of knowledge in sustainable marketing by examining the rapidly growing phenomenon of sustainable consumer behavior in two Asian countries.

Residential greenness, air pollution and incident neurodegenerative disease: A cohort study in China

BackgroundNeurodegenerative disease has a great adverse impact on population's death and disability worldwide. However, the association of air pollution and residential greenness with neurodegenerative disease and their potential mechanisms still remain uncertain. MethodsWe used data from a population-based prospective cohort in Ningbo, China. Exposure to PM2.5, PM10 and NO2 were assessed by land-use regression (LUR) models and residential greenness was estimated by Normalized Difference Vegetation Index (NDVI). Our primary outcomes were all neurodegenerative diseases, Parkinson's disease (PD) and Alzheimer's disease (AD). Cox proportional hazards regression models were used to examine the association of air pollution and residential greenness with risk of incident neurodegenerative disease. Furthermore, we also explored the potential mediation relationship and effect modification between greenness and air pollutants. ResultsDuring the follow-up period, we identified a total of 617 incident neurodegenerative diseases, 301 PD and 182 AD. In single-exposure models, PM2.5 was positively associated with all outcomes (e.g. AD hazard ratio (HR): 1.41, 95 % confidence interval (CI): 1.09–1.84, per interquartile range (IQR) increment), whereas residential greenness showed protective effects (e.g. neurodegenerative disease, HR: 0.82, 95%CI: 0.75–0.90, per IQR increment for NDVI in 1000 m buffer). NO2 was positively associated with risk of neurodegenerative disease and PM10 was associated with neurodegenerative disease and AD. In two-exposure models, after adjustment for PM2.5, the association for greenness generally attenuated towards null. Moreover, we identified the significant modification effect of greenness on PM2.5 on additive and multiplicative scales. ConclusionIn this prospective study, we found that exposure to higher residential greenness and lower concentrations of particulate matter were associated with lower risk of neurodegenerative disease, PD and AD. Residential greenness could modify the association of PM2.5 with neurodegenerative disease.

Psychological distress and workplace risk inequalities among conservation professionals

AbstractWorkplaces can be sources of both stress and support, affecting employees' mental health and productivity. Yet, little research has investigated variability in workplace risk factors for poor mental health in conservation. We aimed to explore how patterns of psychological distress—a state of emotional disturbance—and associated workplace risk factors vary between conservation job roles. Working with three case study organizations in India, South Africa, and Cambodia, we surveyed 280 field‐based, office‐based, and research staff. Moderate or severe psychological distress was reported by 28.9%. Field‐based practitioners reported a greater imbalance between workplace efforts and rewards (0.35 standard deviation (SD), 95% credibility interval (CI) 0.03–0.67) than their colleagues, which was associated with greater psychological distress (0.24 SD, 95% CI 0.10–0.39). After controlling for this mediated relationship, researchers reported greater psychological distress than field‐based practitioners (0.37 SD, 95% CI 0.02–0.72). However, when accounting for all direct and indirect effects, there was no overall difference in distress between roles. Employers, funders, professional societies, and other institutions seeking to support conservationists' mental health should understand and offer support tailored to role‐specific challenges. Doing so might enhance conservationists' wellbeing while strengthening their ability to reverse global nature loss.

Role conflict, need frustration and supervisor support: a moderated-mediation model of employee voice and silence

PurposeDrawing on the conservation of resources theory, the purpose of this paper is to examine whether role conflict is associated with frustration of employees’ basic needs and whether need frustration is associated with withdrawal in the form of reduced voice and increased silence. This paper also investigates if supervisor support mitigates potential detrimental outcomes of need frustration.Design/methodology/approachIn this survey-based study, 201 full-time employees participated. Self-reports regarding voice and silence behaviors at work were collected as were perceptions of role conflict, need frustration and supervisor support.FindingsThe results of this study support the proposed moderated mediation relationships for both employee voice and silence behaviors. Specifically, need frustration mediates the relationship between role conflict and the two outcome variables. Perceived supervisor support moderates the path between need frustration and both voice and silence behaviors.Practical implicationsEmployees are an organization’s first line of defense against potential accidents, inefficiencies and other organizational crises. When they perceive their needs are not met and they are not supported by their supervisors, employees are likely to seek to protect themselves from further resource loss by withholding feedback even if such feedback may enhance organizational effectiveness and prevent organizational crises.Originality/valueGiven that voice and silence are not opposites of each other, it is important to study both in a single study, as this study does. This study proposes and tests a heretofore untested explanation for the relationship between role conflict and voice and silence. The authors identify a buffer with potential to mitigate the negative effects of need frustration.

Mindfulness and green purchase intention: A mediated moderation model uncovering the role of ethical self-identity

Ecological economists seek alternatives to capitalism that might establish societies that prioritize respect for the planet. Building on recent conceptual works, the current research adopts a self-determination perspective on human motivation to propose a mediated moderation model in which mindfulness affects green purchase intentions (GPI). Specifically, a self-ethical identity might mediate the relationship between dispositional mindfulness and GPI, and mindfulness training should enhance this effect. The test of the proposed model, with 778 members of the general population in France, affirms the hypothesized relationships, including a positive relation between trait mindfulness and GPI that is significantly mediated by self-ethical identity. Attending mindfulness training also has a moderating effect on this mediated relationship. The current study accordingly contributes to ongoing research designed to understand the potential benefits of mindfulness for resolving sustainability challenges.

Functional diversity and team innovation: A study on the mediating role of social cohesion in primary care teams.

Bringing together professionals with different knowledge and skills comes with the opportunity to spur the innovativeness of primary care teams. Nevertheless, empirical evidence shows that it is not self-evident that these innovations are also realized. The social categorization theory suggests that a better understanding of whether these potential team innovations are realized can be obtained by looking at the social cohesion of such teams. The aim of this study was to study the relationship between functional diversity and team innovation in primary care teams by examining the mediating role of social cohesion. Survey responses and administrative data of 887 primary care professionals and 75 supervisors in 100 primary care teams were analyzed. Structural equation modeling was used to examine a curvilinear mediated relationship among functional diversity and team innovation through social cohesion. The findings show a positive relationship between social cohesion and team innovation as expected. Contrary to the expectations, the relationship between functional diversity and social cohesion is insignificant, and the results show an inverted U-shaped relationship between functional diversity and team innovation instead. This study reveals an unexpected inverted U-shaped relationship between functional diversity and team innovation. This relationship is not mediated by social cohesion; however, social cohesion is still a significant predictor of team innovation. Policymakers should be aware of the relevance as well as the complexity of creating social cohesion in functionally diverse primary care teams. As long as it remains unknown how social cohesion is stimulated in functionally diverse teams, it seems best for the team innovation to prevent bringing together too many, but also too few, different functions.

Metamemory and Self-Compassion as Protective Factors in the Relationship Between Benevolent Ageism and Environmental Mastery.

The present study examined the interrelationships between benevolent ageism, metamemory, self-compassion, and environmental mastery. By assessing older adults' perceptions of overaccommodative behaviors, we found greater perceptions of benevolent ageist experiences, or well-intended patronage, related to lower levels of environmental mastery, effectively managing one's own affairs, in a sample of 202 older adults. Additionally, this relationship is mediated by metamemory, or self-perceptions of memory abilities, as greater perceptions of benevolent ageism experiences indirectly predicted less environmental mastery through having decreased metamemory confidence. Finally, this mediated relationship is moderated by self-compassion, or kindness and acceptance towards oneself, in that self-compassion interacts with benevolent ageism to predict metamemory, which in turn predicts environmental mastery. Self-compassion is part of a growing literature on intervening variables that helping professionals can teach older adults to mitigate the relationship between ageism and their overall well-being alongside efforts to diminish the pervasiveness of ageism in society.

The Influence of Mediators on the Relationship Between Antenatal Opioid Agonist Exposure and the Severity of Neonatal Opioid Withdrawal Syndrome.

(1) To evaluate the direct (un-mediated) and indirect (mediated) relationship between antenatal exposure to opioid agonist medication as treatment for opioid use disorder (MOUD) and the severity of neonatal opioid withdrawal syndrome (NOWS), and (2) to understand the degree to which mediating factors influence the direct relationship between MOUD exposure and NOWS severity. This cross-sectional study includes data abstracted from the medical records of 1294 opioid-exposed infants (859 MOUD exposed and 435 non-MOUD exposed) born at or admitted to one of 30 US hospitals from July 1, 2016, to June 30, 2017. Regression models and mediation analyses were used to evaluate the relationship between MOUD exposure and NOWS severity (i.e., infant pharmacologic treatment and length of newborn hospital stay (LOS)) to identify potential mediators of this relationship in analyses adjusted for confounding factors. A direct (un-mediated) association was found between antenatal exposure to MOUD and both pharmacologic treatment for NOWS (aOR 2.34; 95%CI 1.74, 3.14) and an increase in LOS (1.73days; 95%CI 0.49, 2.98). Delivery of adequate prenatal care and a reduction in polysubstance exposure were mediators of the relationship between MOUD and NOWS severity and as thus, were indirectly associated with a decrease in both pharmacologic treatment for NOWS and LOS. MOUD exposure is directly associated with NOWS severity. Prenatal care and polysubstance exposure are potential mediators in this relationship. These mediating factors may be targeted to reduce the severity of NOWS while maintaining the important benefits of MOUD during pregnancy.

Determining the Role of Employee Engagement in Nurse Retention along with the Mediation of Organizational Culture.

In today's unpredictable environment, the rapid emergence of the COVID-19 pandemic has shaken the world and its healthcare infrastructure immensely. As nurses are the building blocks of the healthcare personnel labor market, organizations should develop tactics that aid in their retention. With a solid theoretical foundation in self-determination theory, this study aims to understand the role of employee engagement in keeping nurses in 51 hospitals in the Northern Indian region, along with the mediation of organizational culture through smart PLS. In a complementary mediation relationship with organizational culture, nurse retention is positively correlated with employee engagement.

Perceived instructional environment and English achievement: The mediating role of student engagement

This study examined the mediating role of student engagement in the relationship between students’ perception of the instructional environment and English course achievement. The study sample consisted of 456 volunteer students studying in the 6th grade of secondary school in Türkiye. Structural equation modeling was used to examine the mediation relationship between variables. According to the analysis, REACT explains 66% of the SES variance, and both REACT and SES explain 37% of the achievement variance. Moreover, mediational pathways going through SES significantly predicted achievement. In addition, the study determined that SES played a partial mediating role in the relationship between REACT and English achievement. Based on the finding in this study that 90% of the total effect of REACT on achievement is realized through SES, it can be said that teachers can increase students’ achievements in English by supporting their participation in lessons.

In search of a suitable way to deploy Triple-A capabilities through assessment of AAA models' competitive advantage predictive capacity

PurposeTo determine how to best deploy the Triple-A supply chain (SC) capabilities (AAA-agility, adaptability and alignment) to improve competitive advantage (CA) by identifying the Triple-A SC model with the highest CA predictive capability.Design/methodology/approachAssessment of in-sample and out-of-sample predictive capacity of Triple-A-CA models (considering AAA as individual constructs) to find which has the highest CA predictive capacity. BIC, BIC-Akaike weights and PLSpredict are used in a multi-country, multi-informant, multi-sector 304 plant sample.FindingsGreater direct relationship model (DRM) in-sample and out-of-sample CA predictive capacity suggests DRM's greater likelihood of achieving a higher CA predictive capacity than mediated relationship model (MRM). So, DRM can be considered a benchmark for research/practice and the Triple-A SC capabilities as independent levers of performance/CA.Research limitations/implicationsDRM emerges as a reference for analysing how to trigger the three Triple-A SC levers for better performance/CA predictive capacity. Therefore, MRM proposals should be compared to DRM to determine whether their performance is significantly better considering the study's aim.Practical implicationsResults with our sample justify how managers can suitably deploy the Triple-A SC capabilities to improve CA by implementing AAA as independent levers. Single capability deployment does not require levels to be reached in others.Originality/valueFirst research considering Triple-A SC capability deployment to better improve performance/CA focusing on model's predictive capability (essential for decision-making), further highlighting the lack of theory and contrasted models for Lee's Triple-A framework.

Satisfaction With Governmental Risk Communication Both Increases and Decreases COVID-19 Mitigation Behaviours.

Objectives: Over 3years of the COVID-19 pandemic, and intense societal and governmental response, a wealth of research has examined risk perceptions and public risk mitigation behaviours. The vast majority of this inquiry has focused on health risks. Nevertheless, as a "total social fact" influencing nearly every aspect of quotidian life, the pandemic engenders a wide range of risk perceptions. Methods: Via a survey (N = 4,206) of representative samples of the general public in five European countries (Germany, Norway, Sweden, Switzerland, United Kingdom), we explore perceptions of a range of personal/public health, economic, and societal risks. We also investigate the effects of perceptions of official governmental risk communication in one's country on risk perceptions and risk mitigation behaviours. Results: Structural equation modelling reveals that whilst perceptions of effective risk communication directly increase behaviours that mitigate COVID-19 health risks, these same perceptions indirectly decrease behaviour frequency via a mediated relationship with societal risk perceptions. Conclusion: The findings highlight the import of governmental authorities analysing and communicating about the range of risk perceptions citizens might have about a "total social fact" such as COVID-19.

The revelations of Q. Dissemination and resonance of the QAnon conspiracy theory among US Evangelical Christians and the role of the Covid-19 crisis

Previous studies show that the QAnon conspiracy theory is especially popular among American evangelical Christians. The paper investigates the reasons behind this relationship. We hypothesize a mediation relationship between evangelical dogma and how it is practiced on the one hand and the susceptibility for conspiracy thinking on the other hand. We argue that evangelicalism due to its biblicism is characterized by the belief that its perception of reality holds absolute truth (nomization), that the world can be clearly divided into good and evil (Manichaeism), and that salvation can be achieved through political means (immanent eschatology). Those beliefs, in turn, in the uncertain times of the Covid crisis resonate with the cognitive (epistemic), the affective (moral), and conative (eschatological) elements of conspiracy theories. Using data of waves 46 (March 2019), 68 (April 2020), and 73 (September 2020) of the American Trends Panel, conducted by the PEW Research Center we show respective mediation effects: Evangelical Christians are particularly convinced that their religion alone holds absolute truth and that religion has not enough influence on politics. The latter also correlates with the conspiracy belief that “powerful people intentionally planned the Covid outbreak”. QAnon support again is linked both to such Covid related conspiracy thinking and the three elements of nomization, Manichaeism, and immanent eschatology.

The Black Unicorn Effect: Micro-daily Events and Satisfaction Decrease the COVID-19 Xenophobia, but Only for Those With Low Levels of Neuroticism.

Drawing on the behavioral concordance model and the trait activation theory, this study examined how and when daily micro-events influence COVID-19 xenophobic attitudes. First, we examined the mediating role of satisfaction, and then, tested the moderating role of neuroticism in the mediated relationship. Overall, 340 working adults volunteered to participate in this study. The findings revealed that (1) satisfaction mediated the negative relationship between daily micro-events and xenophobic attitudes and (2) neuroticism moderated this relationship such that xenophobic attitudes increased for neurotic individuals, even when their satisfaction increased. Our findings contribute to understanding the relationship between daily micro-events and COVID-19 xenophobia and provide empirical evidence for the combined effects of personality factors and affective factors on xenophobic attitudes. Furthermore, we evidence the existence of the black unicorn effect, that is, neurotic individuals tend to transpose their neurotic cognitions and emotions to xenophobic attitudes despite the uplifting and satisfying nature of positive events.

The Effect of Container Shipping Supply Chain Integration on Operational Performance: The Mediating Role of Information Sharing

Purpose - Conventional supply chains (SCs) must identify facilitating roles, such as port or terminal operators, shipping companies, and freight forwarders in executing the various logistical activities that support the organizational strategies of shippers. Meanwhile, supply chain collaborative practices can engender a willingness to share relevant and mutually helpful information. To this end, this study seeks to identify the impact of supply chain integration (SCI) on information sharing (IS) and the operational performance (OP) of Korea’s container-shipping industry from the perspective of social capital.
 Design/methodology - We established the research model for this study based on previous studies. In administering the survey, we obtained 149 valid responses from employees working in liner-shipping companies and freight forwarders in Korea. With the collected questionnaires, the study’s hypotheses were tested using SPSS 26.0 and AMOS 26.0 Findings - The results indicate the existence of a mediated relationship where the impact of SCI on OP is mediated by IS. The effect of external integration (EI) on OP is fully mediated by information quality (IQ) and information-sharing content (ISC). Furthermore, EI, IQ and ISC partially mediate the relationship between internal integration (II) and OP.
 Originality/value - This study expands SCI contexts, where ISC and IQ respectively serve as bridges between EI and OP which has crucial implications for container-shipping companies in terms of improving their performance.

Determinan Kesejahteraan Keuangan: Peran Mediasi Perencanaan Keuangan

Financial well-being is a problem for society in Indonesia today as reflected in the increasing poverty rate in 2021. The study intends to explore the determinants of financial well-being which include internal locus of control, financial experience, financial planning, and demographic factors of marital status. This study aims to determine the role of financial planning in mediating the effect of financial experience on financial management and to what extent marital status moderates the mediated relationship. The research sample is 160 families living in the cities of Surabaya, Sidoarjo and Gresik. Hypothesis testing was carried out using partial least squares structural equation modeling (PLS-SEM). The results of the study prove that locus of internal control, financial experience, financial planning, and marital status significantly increase financial well-being. The research findings also prove that financial planning mediates the effect of financial experience on financial well-being. Research implies the importance of someone to carry out financial planning earlier, be more able to control themselves, and increase experience related to financial products in order to improve financial well-being.
 Keywords: Financial Well-Being; Financial Planning; Internal Locus of Control; Financial Experience; Marital Status

Leaders’ knowledge hiding and front-line employee service sabotage

ABSTRACT Purpose: Utilizing social learning theory, this paper investigates a theoretical model that links knowledge hiding by leaders to employee service sabotage via moral disengagement (MD). It also investigates an important boundary condition by analyzing the role of leader-member exchange on both leaders’ knowledge hiding-moral disengagement (relationship) and on the overall indirect relationship between leaders’ knowledge hiding (LKH) and front-line service sabotage (SS). Utilizing a three-wave research design, data were collected using a structured questionnaire from 265 employees working in the service sector. The results reveal strong support for the proposed moderated mediation model. Leaders’ knowledge hiding is a strong significant predictor of employees’ service sabotage directly and via moral disengagement. We found that leader-member exchange accentuated the association between leaders’ knowledge hiding and moral disengagement in addition to accentuating the mediated relationship. The study enhances our understanding of the consequences of leaders’ knowledge hiding for service and, in particular, service sabotage. The study is one of the few to investigate leader as opposed to employee knowledge hiding in service organizations. The findings highlight that service organizations need to take proactive stems to minimize the hiding of knowledge by leaders because of its determinant consequences for service sabotage.