Model Fit Indices Research Articles

Influence of Classroom Management on Intermediate Level Students’ Academic Achievements in Aligarh District of Uttar Pradesh in India

This study investigates the impact of classroom management on student academic achievement at the intermediate level in Aligarh District, Uttar Pradesh, India, using Structural Equation Modeling-Partial Least Squares (SEM-PLS). A sample of 383 intermediate-level teachers was randomly selected, and student achievement data were obtained from final-year graduates. The study aims to assess the relationships between key classroom management factors—such as classroom rules, discipline methods, reward systems, and the teaching-learning process—and their influence on academic performance. SEM-PLS was employed to analyze the hypothesized model, evaluate the structural relationships between the variables, and validate measurement indicators. The results show a strong positive relationship between effective classroom management and student achievement. Key factors such as well-defined classroom rules, effective discipline, and reward systems were found to significantly influence student engagement and academic success. The model fit indices confirm the robustness of the proposed relationships. This research highlights the importance of structured classroom management in fostering student achievement and provides a comprehensive understanding of how classroom directives, rewards, and disciplinary methods contribute to learning outcomes. The findings suggest potential pathways for educational improvements and recommend further research to explore these dynamics across different educational settings using SEM-PLS.

Emotional Status, Motor Dysfunction, and Cognitive Functioning as Predictors of Quality of Life in Physically Engaged Community-Dwelling Older Adults: A Structural Equation Modeling Approach

The demographic transition has become a reality, and it demands public policies to promote physical and mental health in aging. Group exercise emerges as a cost-effective and accessible alternative to promote active aging on a large scale, but to optimize the effectiveness of these programs, it is crucial to understand the underlying mechanisms that improve quality of life. This study aimed to explore the associations between emotional status, cognitive functioning, motor dysfunction, and their relationship with quality of life in community-dwelling older adults participating in a group physical exercise program. Structural equation modeling was used to explore these relationships in a sample of 190 older adults. Emotional state directly predicted all domains of quality of life. Motor dysfunction predicts the physical health domain of quality of life. Motor dysfunction and cognitive functioning are strongly correlated with emotional status. The fit indices of the final model are acceptable, and it demonstrates that within group-exercise dynamics, emotional status is the main component of quality-of-life promotion. Therefore, professionals designing group physical exercise programs to promote active aging should consider not only physical fitness, but also the integration of psychosocial elements, offering a holistic approach to enhancing overall well-being.

Developing a Scale to Measure Public Health Nurses' Advocacy Practices in Group and Community Settings in Japan.

This study aimed to develop a scale to assess public health nurses' (PHNs') advocacy practices in groups and communities in Japan and determine its reliability and validity. This study is a cross-sectional investigation. The sample comprised PHNs across various municipalities in Japan. Anonymous self-administered questionnaires were conducted, including the attributes of PHNs, a preliminary scale, and external criteria. Reliability was assessed by calculating the alpha coefficient. To ascertain construct validity, exploratory and confirmatory factor analyses were conducted. A total of 432 questionnaires were analyzed. The scale comprised 27 items divided into five factors: "Raising awareness of the challenging situation faced by disadvantaged individuals," "Empowering disadvantaged individuals to improve their situation autonomously," "Establishing a foundation in local governments and community groups of disadvantaged individuals for advocacy initiatives," "Working toward policy changes," and "Collaborating with stakeholders and organizations to enhance the effectiveness of activities." The Cronbach's alpha coefficient for this scale was 0.945. Model fit indices included a comparative fit index of 0.907, a goodness-of-fit index of 0.840, an adjusted goodness-of-fit index of 0.806, and a root mean square approximation of 0.067. The developed scale demonstrated satisfactory reliability and validity.

Validation of the Thai Translation of the Attitudes Toward Euthanasia Scale

In Thailand, euthanasia has been a controversial topic for several decades. The assessment of attitudes toward euthanasia among medical students who will become future medical practitioners is essential for the progression of future legislation and practice. This study aimed to adapt and validate the Attitude Towards Euthanasia scale in the Thai context and measure its validity and reliability. First, the scale was translated into Thai by certified translation centers using the forward-backward technique. This cross-sectional study involved 112 Thai students. Self-reported online questionnaires and the Attitude Towards Euthanasia scale were used for data collection. The psychometric properties of the scale were analyzed using internal consistency (Cronbach’s alpha and McDonald’s Omega coefficient), reproducibility, exploratory factor analysis, and confirmatory factor analysis. Cronbach’s alpha for the Thai Attitude Towards Euthanasia scale was 0.83, and the reproducibility was acceptable, with no statistically significant difference between the first and subsequent responses for each item. The two-factor model was extracted using exploratory factor analysis, and the values of the Kaiser-Meyer-Olkin criterion and Bartlett’s test of sphericity all fell within a satisfactory range. Two- and four-factor models were analyzed for the confirmatory factor analysis, and the latter provided more acceptable model fit indices. In conclusion, the Thai Attitude Towards Euthanasia scale is valid for assessing attitudes toward euthanasia among Thai medical students.

Validity and reliability of the Japanese version of the Substance Use Stigma Mechanism Scale.

Stigma against people who have alcohol and drug problems severely affects their health and well-being. An instrument based on stigma theory assessing individual-level stigma is essential for a comprehensive understanding of their stigma. We evaluated the validity and reliability of the Japanese version of the Substance Use Stigma Mechanism Scale (SU-SMS-J) among a population who had alcohol or drug use problems. Adults with experience in substance use disorders from psychiatry outpatient departments and rehabilitation facilities participated in the self-administered questionnaire survey. Confirmatory factor analysis was conducted to test the structural validity of the 5-factor model proposed in other language versions, and factor loadings and correlation between the subscales were confirmed. The correlations between the SU-SMS-J and psychometric properties related to substance use (e.g., severity of substance use, motivation to change) were investigated to assess concurrent validity. Internal consistency was assessed using Cronbach's alpha coefficients. Data from 126 participants were analyzed. The 5-factor model was acceptable with good or reasonable model fit indices. The correlations between subscales were weak to moderate, and this result suggested the SU-SMS-J assessed different but related components of stigma: enacted, anticipated, and internalized stigma from different stigma sources (family and healthcare workers). The SU-SMS-J and subscales showed moderate concurrent validity. Internal consistency was mostly sufficient, with Cronbach's alpha coefficients of 0.86 for all items and 0.66-0.93 for subscales. The SU-SMS-J is valid and reliable for use among populations with substance use problems in various settings in Japan.

Psychometric Evaluation of the Chinese Version of the Vulvovaginal Symptom Questionnaire in Women With Breast Cancer.

To evaluate the psychometric properties of the Chinese version of the Vulvovaginal Symptoms Questionnaire for assessing vulvovaginal symptoms and symptom-related influences in women with breast cancer. A methodological study. Women with breast cancer (n = 202) were recruited from the outpatient department of a hospital. Data were collected between July 2020 and October 2021. Psychometric properties, including internal consistency, test-retest reliability and construct validity, were tested after the translation of the original English-language instrument. The construct validity was examined by testing the hypothesised relationships between the Chinese version of the Vulvovaginal Symptoms Questionnaire with validated instruments associated with quality of life and sexual function and by Confirmatory Factor Analysis. The internal consistency and test-retest reliability for the Chinese version of the Vulvovaginal Symptoms Questionnaire's total scale and four subscales were satisfactory. The construct validity was confirmed by significant correlations between scores on the Chinese version of the Vulvovaginal Symptoms Questionnaire with the Chinese version of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Cancer 30 and Quality of Life Questionnaire-Breast 23 and the Chinese version of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire 12. The Confirmatory Factor Analysis verification results showed that the traditional Chinese-language questionnaire's three- and four-factor models had acceptable model fit indices. We obtained the Chinese version of the Vulvovaginal Symptoms Questionnaire's preliminary and satisfactory psychometric properties. It can help worldwide healthcare professionals adequately assess vulvovaginal symptoms and their influences experienced by Chinese-speaking women with breast cancer. The Chinese version of the Vulvovaginal Symptoms Questionnaire can help healthcare professionals and researchers concurrently identify vulvovaginal symptoms and related influences, leading to timely and appropriate management. Well-designed and accessible healthcare services on vulvovaginal and sexual health after breast cancer diagnosis are essential for both healthcare professionals and this population. We adhered to the STROBE checklist of cross-sectional studies. No patient or public engagement..

Autistic Sensory Traits and Psychological Distress: Mediating Role of Worry and Intolerance of Uncertainty

Background/Objectives: Autistic adults exhibit core and comorbid features that can have an impact on their daily functioning and lead to considerable psychological distress. Significant and consistent associations have been identified between autism characteristics—restricted repetitive behaviors and sensory features—and high levels of stress and anxiety. For a better understanding of the issue, it is necessary to consider the cognitive aspects that can help explain variations in stress and anxiety levels among adults with autism. We therefore aimed to model the contributions of worry and intolerance of uncertainty on the relationship between autism characteristics (sensory sensitivities and repetitive behaviors) and psychological distress (stress and anxiety). Methods: The sample comprised 144 autistic individuals with a mean age of 35.15 (SD = 11.44). They participated in the study by completing an online questionnaire to assess the study variables. Most of the participants reported being diagnosed with Asperger syndrome (63.6%) or Level 1 autism spectrum disorder (27.1%). Results: The model fit index values tested through path analysis indicated a good fit (χ2 = 5.65; p = 0.13 ns; CFI = 0.993; NFI = 0.985; RMSEA = 0.079; SRMR = 0.025) and identified worry and intolerance of uncertainty as significant mediating variables within a comprehensive explanatory model. Conclusions: These findings highlight the importance of worry and intolerance of uncertainty as specific targets in interventions aimed at improving stress and anxiety problems in autistic adults.

Adaptation and Validation of Decision-Making Questionnaire Among Physicians of Obstetrics and Gynecology

Abstract: Introduction: Healthcare decision-making is a critical yet understudied aspect of medical education. It holds significant importance among healthcare professionals and influences their overall behavior. We adapted and validated the Decision-Making Questionnaire, which measures factors affecting decision-making among obstetricians and gynecologists. Methods: We used a cross-sectional survey design to establish the construct validity of the DMQ. We established content validity using the Lawshe content validity ratio and conducted a survey to establish the construct validity. Results: Exploratory factor analysis ( n = 150) revealed three factors, task-related, context-related, and individual-related, having eigenvalues greater than 1 and adequate alpha reliability. Confirmatory factor analysis ( n = 197) found adequate model fit indices. We assessed the reliability coefficient of the Decision-Making Questionnaire using Cronbach’s alpha and McDonald’s Omega coefficient, which showed an acceptable range (0.86–0.90). Hence, the scale appears to be psychometrically sound and a practical measure for obstetricians and gynecologists. Discussion: The Decision-Making Questionnaire demonstrated convergent validity by positively correlating with the Team Decision-Making Questionnaire and divergent validity by showing correlations with the measure of professional quality of life. The scale is useful for practitioners and researchers to measure factors affecting decision-making in naturalistic settings.

Development of a predictive model for adherence to pharmacological treatment in ischemic heart disease: consideration of psychosociocultural, neuropsychological, and mental health variables

Abstract Introduction Adherence to pharmacological treatment recommendations is the main preventable cause of rehospitalization and premature mortality in patients diagnosed with ischemic heart disease, which in turn, is permeated by modifiable psychosocial risk factors such as anxiety, depression, stress, type A behavior pattern, inhibitory control, attitudes and behavioral beliefs towards the disease and treatment. The objective of this study was to develop and test a model to predict adherence to pharmacological treatment in patients with ischemic heart disease undergoing coronary revascularization surgery based on psychosocial, neuropsychological and mental health variables. Material and Methods Cross-sectional study with a sample of 691 patients between 45 and 82 years of age (M= 52 years, SD= 12.15), 46% women and 54% men, diagnosed with ischemic heart disease and undergoing coronary revascularization surgery. Anthropometric, cardiovascular and psychosocial risk factors were evaluated. The scales were designed and validated to assess adherence to pharmacological treatment in ischemic heart disease by means of EFA and CFA, which showed adequate internal consistency indicators and psychometric properties. Results Using the AMOS v.24 statistical package, a path analysis was performed for the variable of adherence to pharmacological treatment, with attitudes toward the disease and treatment, behavioral beliefs, and inhibitory control (executive function) as direct predictors, explaining 54% of the variance in adherence to pharmacological treatment in ischemic heart disease, and the model fit indices were: χ2(33) =261. 19; CMIN/DF= 7.91; TLI= .893; NFI= .815; IFI= .901; CFI= .900; AGFI= .822, SRMR= 2.727; RMSEA=.053. Conclusions The findings of this research contribute to the understanding of adherence to pharmacological treatment in ischemic heart disease as a process and not only as an isolated construct, in which mental health intervenes interacting with psychosocial and cultural aspects of the patient with respect to their disease and pharmacological treatment and in turn provides evidence that inhibitory control as an executive function. This provides evidence that inhibitory control as an executive function is useful for understanding adherence to pharmacological treatment, which shows the need to incorporate in the hospital setting comprehensive psychological evaluations and interventions that allow us to predict adherence to pharmacological treatment of ischemic heart disease in order to intervene in the processes involved, which could contribute to the prevention of rehospitalization and premature mortality.

Validation of the Warwick-Edinburgh Mental Well-Being Scale for the Mental Health Surveillance (MHS) of German adults

BackgroundMental health encompasses more than just the absence of mental disorders. Thus, a Mental Health Surveillance (MHS) and reporting system for Germany should monitor mental well-being in addition to psychopathology to capture a more complete picture of population mental health. The Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) is an internationally established inventory for the integrated assessment of different aspects of mental well-being (i.e., hedonic and eudaimonic) in population samples that has not yet been validated for Germany.MethodsUsing data from a cross-sectional online survey of a convenience sample of N = 1.048 adults aged 18–79 years (51% female) living in Germany, the factorial structure, measurement invariance (age, sex) and psychometric properties of the WEMWBS in its long (14 items) and short (7 items) versions were analyzed. Additionally, correlations to relevant factors (e.g., health-related quality of life, psychological distress) were investigated as indicators of criterion validity.ResultsMeans of model fit indices did not confirm a unidimensional factor structure for either version. The three-factor-correlative models showed moderate to good fit while the bifactor model with one general mental well-being factor and three grouping factors fitted the data best. The full range of possible responses was used for all items, and the distribution of both scales was approximately normal. Moreover, the results revealed measurement invariance across sex and age groups. Initial evidence of criterion validity was obtained. Internal consistencies were α = 0.95 and α = 0.89, respectively. Average mental well-being was comparable to that of other European countries at 3.74 for the long version and 3.84 for the short version. While there were no differences by sex, comparisons between age groups revealed higher mental well-being among the older age groups.ConclusionsBoth versions of the WEMWBS showed sound psychometric characteristics in the present German sample. The findings indicate that the instrument is suitable for measuring mental well-being at the population level due to its distributional properties. These results are promising, suggesting that the scale is suitable for use in a national MHS that aims to capture positive mental health in the population as a foundation for prevention and promotion efforts within public mental health.

Modeling the predictors of health information avoidance behavior: Implications from the stimulus organism response (S-O-R) theory

The study aimed at modeling the factors that influence health information avoidance behavior, as well as measuring and validating the stimulus organism response (S-O-R) theory. A seven-factor (information overload, information sources exposure, risk perception, health information anxiety, cognitive dissonance, sadness, and health information avoidance) measurement model was used to estimate the health information avoidance behavior using the structural equation modeling (SEM). The findings show that risk perception had a significant positive influence on sadness (β = 0.492, CR = 7.445, p < 0.05), information overload exerts a significant positive impact on cognitive dissonance (β = 0.174, CR = 2.192, p < 0.05) and sadness significantly influence health information avoidance (β = 0.174, CR = 2.342, p < 0.05). Information overload exhibits a positive, but statistically non-significant influence on health information anxiety (β = 0.83, CR = 1.094, p > 0.05). The findings of SEM demonstrate acceptable model fit indices: χ2 = 1.493, DF = 732; p = 0.000; IFI = 0.931; and TLI = 0.925, CFI = 0.930, SRMR = 0.045, RMSEA = 0.044. The study concludes that risk perception, sadness, and information overload are the main predictors of health information avoidance behavior. Other factors such as health information anxiety, exposure to different information sources, and cognitive dissonance had a non-significant impact on information avoidance behavior. The findings hold significant global relevance, potentially contributing to improved information-seeking behavior research. Our study also contributes to the advancement of the S-O-R (Stimulus-Organism-Response) framework

Development and validation of knowledge, attitude, and practice scale regarding antibiotic use for Chinese medical students.

This study aimed to develop and validate a knowledge, attitude, and practice scale of antibiotic use for Chinese medical students. A five-phased procedure was adopted: (a) A item pool was constructed after literature review; (b) Delphi method was used to refine the items; (c) A pilot study was conducted to clarify the item; (d) Item analysis and exploratory factor analysis were used to finalize the scale; (e) Content validity, construct validity and reliability of the scale were analysed. The scale of 32 items, respectively 15, 9, and 8 for knowledge, attitude, and practice, was finalized. The item-level content validity ranged from 0.80 to 1.00. The scale-level content validity of the scale was 0.90. Model fit indices of total scale and the three dimensions met the criteria. Cronbach's α and the split-half coefficient were respectively 0.81 and 0.65 for the total scale. For each dimension, Cronbach's α varied from 0.68 to 0.89 and the split-half coefficient varied from 0.64 to 0.83. The scale can be used as a whole or separately, serving as an effective tool to measure medical students' knowledge, attitude, or practice regarding antibiotic use.

Relationship between employer branding and employee performance: Mediating and moderating effects of supportive work environment and compensation and benefits

Employer branding is a complex idea that is important in many different industries. It represents a company's ability to attract, engage and retain talent as well as its status as an employer. A strong employer brand transcends industry boundaries to impact the success and sustainability of businesses in today's competitive job market. The authors examined the effect of employer branding on employee performance by mediating and moderating roles of a supportive work environment and compensation and benefits respectively. The authors followed the quantitative methodology with a set of strategies and hypotheses and gathered numerical data. The data were gathered by surveying employees working in information technology sector companies in the city of Bangalore. The data analysis includes descriptive statistics, factor analysis and structural equation modeling analysis using SPSS and IBM AMOS version 28. The Cronbach’s alpha values of the reliability statistics ranged from 0.920 to 0.930 indicating the questionnaire’s internal consistency and reliability. The model fit indices CMIN/DF 1.389, CFI 0.966, GFI 0.952, TLI 0.961, IFI 0.966, NFI 0.904, SRMR 0.060, RMSEA 0.051 and PClose 0.448 indicate an excellent fit of the model. The constructs of compensation and benefits and a supportive work environment partially mediate employee performance through employer branding. The moderator’s supportive work environment strengthens the positive relationship between employee branding and employee performance. Strong employer branding is important for attracting top talent and improving employee performance in various industries but it is especially important in the IT sector.

Understanding the effect of occupational stress on sleep quality in firefighters: the modulating role of depression and burnout.

Sleep quality of firefighters can be negatively affected by occupational stressors. A cross-sectional investigation was conducted to understand how work-related stress, post-traumatic stress, burnout and depression collectively contribute to sleep quality. Professional firefighters in Northern Iran completed a survey comprised of demographic information, the Pittsburgh Sleep Quality Index, HSE's Stress Indicator Tool, the Posttraumatic Stress Disorder Checklist, Maslach's Burnout Inventory, and the Beck Depression Inventory during a work rest break. Data were analysed using structural equation modelling. Mean age of the 2339 firefighters who completed the survey was 32.30 (5.74) years. Most experienced poor sleep quality, scoring above the established cut-off of 5. Levels of work-related stress, post-traumatic stress, burnout and depression were high. Fit indices of the final theoretical model were all adequate: the obtained and adjusted goodness-of-fit indices were 0.925 and 0.917 respectively. Comparative, and incremental fit indices were 0.946 and 0.948 respectively. Root mean squared error of approximation was 0.061. Post-traumatic stress was directly and indirectly related to sleep quality through eight paths, modulated by burnout variables and depression. Work-related stress was negatively related to sleep quality through four paths modulated, by burnout variables and depression. The findings illustrate the complex relationships of work-related stress and post-traumatic stress and sleep quality. High levels of poor sleep quality in this occupation emphasise the need to develop targeted and sustainable interventions to manage occupational stressors, burnout and depression to improve sleep quality in firefighters.

Predicting language, cognition, and social skills in individuals with Autism spectrum disorder using the Arabic validation of Gilliam Autism Rating scale-Third Edition

The Gilliam Autism Rating Scale-Third Edition (GARS-3) has emerged as a pivotal instrument in the diagnostic assessment of Autism Spectrum Disorder (ASD), with its utility extending across linguistic and cultural boundaries. This study endeavors to adapt and validate the GARS-3 for the Arabic-speaking population, addressing the paucity of culturally congruent diagnostic tools in the Arab world. The primary objective is to validate the Arabic version of GARS-3 (A-GARS-3) to assess children with and without ASD, ensuring the scale’s reliability and validity within the target population. A methodical cross-sectional study design was employed, encompassing a sample of 178 participants from both educational and clinical settings in Saudi Arabia. The process involved direct translation, expert panel review, back-translation, and pilot testing to ensure semantic equivalence and cultural relevance. Data were collected using the A-GARS-3, and analyses included Exploratory and Confirmatory Factor Analysis (EFA and CFA), internal consistency reliability measures, and a One-Way Analysis of Variance (ANOVA) to establish concurrent validity. The A-GARS-3 demonstrated high internal consistency (Cronbach’s alpha = 0.971; McDonald’s omega = 0.972) and strong construct validity, with factor loadings and model fit indices substantiating the factor structure. Predictive validity was confirmed through significant correlations between the Autism Index and the subscales, particularly in the domains of social interaction and communication. The A-GARS-3 is a psychometrically sound instrument that offers reliable assessment for ASD within the Arab cultural context. The positive validation outcomes indicate that the scale is an effective, culturally adapted tool for the localized diagnosis of ASD. The validated scale has significant implications for enhancing ASD screening and diagnostic practices in Arabic-speaking regions, potentially improving early diagnosis and intervention strategies.

Standardizing a Questionnaire of Metacognitive Resources of Human Behavior Regulation in Difficult Circumstances

Modern psychology focuses on personal resources that help to overcome difficult circumstances accompanied by anxiety and stress. However, psychological diagnosis in this sphere remains understudied. The present research was an attempt to standardize a questionnaire of metacognitive regulation of human behavior in difficult circumstances. The study involved 559 participants from Tomsk (24.8% men, average age – 22.1). The exploratory factor analysis identified four factors (45.6% variance): self-control of behavior (six items, Cronbach’s alpha, α = 0.780; composite reliability = 0.863); anxiety control (four items, α = 0.823; composite reliability = 0.866); memory efficiency (three items, α = 0.817; composite reliability = 0.832); intuitive cognition of people (four items, α = 0.709; composite reliability = 0.757). Confirmation factor analysis showed high values of the model fitness indices: RMSEA = 0.044; SRMR = 0.059; CFI = 0.991; GFI = 0.986. The scales of the new questionnaire demonstrated the required external convergent validity and were found consistent with similar constructs. The study involved the following methods: D. V. Lyusin’s Emotional Intelligence Questionnaire; Subjective Risk Intelligence Scale developed by G. Craparo et al. and adapted by T. V. Kornilova and E. M. Pavlova, E. Yu. Mandrikova’s Activity Self-Organization Questionnaire, C. D. Spielberger’s Anxiety Test adapted by V. N. Karandashev, C. D. Spielberger’s Questionnaire of Personal Anxiety adapted by Yu. L. Khanin, and the Academic Motivation Scale developed by T. O. Gordeeva, O. A. Sychev, and E. N. Osin. The following scales demonstrated a good discriminative ability associated with statistically significant gender differences: self-control of behavior (p = 0.002); anxiety control (p < 0.001), and memory efficiency (p < 0.001). The questionnaire proved to be an efficient tool of studying human resources related to overcoming difficult circumstances.

Psychometric evaluation of the Chinese version of the hospital-acquired insomnia scale (HAIS) and analysis of influencing factors

BackgroundAdequate sleep and rest are essential for patient recovery; however, lack of sleep has become a common problem faced by Chinese patients during hospital stays. Reduced sleep is often associated with a higher risk of disease progression and is strongly associated with increased hospital stay. However, there is no specific tool in China to assess short-term insomnia caused by hospitalization. This study aimed to translate the Hospital-acquired Insomnia Scale (HAIS) into Chinese, test its applicability to Chinese inpatients through reliability and validity indicators, and investigate the potential influencing factors of hospital-acquired insomnia.MethodsPsychometric analysis from a sample of 679 hospitalized patients to whom the HAIS questionnaire was applied. The structural validity was assessed by exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and the content validity of the scale was assessed using the content validity index. Cronbach’s alpha coefficient, split-half reliability and test–retest reliability were calculated to evaluate the internal consistency of the scale. Multiple stepwise linear regression analysis was conducted to determine the potential correlates of hospital-acquired insomnia.ResultsEFA supported a four-factor structure with factor loadings for all dimensions greater than 0.40. CFA showed good indicators of model fit. The content validity index of the scale was 0.94. the Cronbach’s alpha of the scale was 0.915, the split-half reliability coefficient was 0.819, and the retest reliability was 0.844. Gender, age, total hours of sleep during the night, medical insurance, length of hospital stay, perceived stress level, and perceptions about sleep explained 46.2% of the variance in hospital-acquired insomnia.ConclusionThe Chinese version of HAIS has good psychometric characteristics and is an effective instrument for evaluating hospital-acquired insomnia. In addition, hospital-acquired insomnia is more common in women, of younger age, less than 5 h of sleep a night, without medical insurance, stressed, and patients with more misconceptions about sleep.

Electronic Health (eHealth) Literacy and Self-Care Behaviors—Results from a Survey of University Students in a Developing Country

eHealth literacy (eHL) is directly linked to disease prevention, health promotion, and improved healthcare outcomes. The objectives of this study are to assess undergraduate university students’ knowledge and perceived skills of finding, appraising, and applying electronic health information to health-related problems, as well as to assess the association of eHL with physical, psychological, and emotional self-care. Methods: The measurement model, comprising four correlated factors based on the 28 valid items from two reliable and valid tests, the ‘eHealth literacy scale (eHEALS)’ and ‘the self-care assessment tool (SCAT)’, was estimated using confirmatory factor analysis (CFA) among a sample of 1557 undergraduate university students in Pakistan. Results: The mean value of the eHEALS ranges between 2.90 and 3.33, indicating that the majority of the respondents had moderate levels of eHL skills. Female respondents and respondents from urban areas have greater levels of perceived eHL skills compared with their male and rural counterparts. The CFA model fit indices show that the goodness of fit values are acceptable: x2 = 7.727, p = 0.000; RMSEA = 0.065; TLI = 0.930, CFI = 0.936, IFI = 0.936, GFI = 0.890, NFI = 0.928, RFI = 0.920, PGFI = 0.754. Conclusion: Electronic health (eHealth) literacy has a strong positive association with physical, psychological, and emotional self-care. However, perceived eHL skills among undergraduate university students are moderate, making them potentially susceptible to health risks. Implications: Our study has several practical implications. Its findings can be used to devise eHealth literacy programs for developing relevant skills among undergraduate university students based on their identified needs.

Generative AI as a catalyst for HRM practices: mediating effects of trust

This study investigated the impact of generative AI tools on human resource management practices, organizational commitment, employee engagement, and employee performance. The authors also investigated the mediating role of trust in the relationship between user perception and organizational commitment. A structured questionnaire was used to collect the data from the information technology industry employees to measure the 9 reflective constructs optimism, innovativeness, ease of use, usefulness, trust, organizational commitment, vigor, dedication, and employee performance. Two constructs, ease of use and usefulness, are modeled as a higher-order construct – User Perception, whereas vigor and Dedication are modeled as another higher-order construct, Employee Engagement. The mode-fit indices were assessed for both the higher- and lower-order constructs, and the model-fit indices for both the models, higher- and lower-order constructs reveal an excellent model fit. Positive and statistically significant impacts were observed between the study constructs. The impact of organizational commitment on employee engagement was positive and statistically significant, and in turn, the impact of employee engagement on employee performance was also positive and statistically significant. Trust partially mediated the relationship between user perception and organizational commitment, fostering enhanced employee engagement and performance. The theories of technology readiness, stimulus-organization-response, and technology acceptance model were utilized in the development of the study’s theoretical framework, which provided fresh perspectives on how employee engagement, organizational commitment, and performance are influenced by user experience and trust in the context of generative AI. Theoretically, it opens up new applications such as personalized education and services, digital art, and realistic virtual assistants that were previously unfeasible or impractical for automation. The practical implications are that the field of interdisciplinary research as well as the information technology industry will be greatly impacted by generative AI. To facilitate swift adoption, the principles of generative AI are conceptualized from model-, system-, and application-level perspectives in addition to a social-technical perspective, where they are explicated and defined. In the end, our research has given future scholars a significant research agenda that will enable them to study generative AI from different theoretical perspectives while incorporating the concepts from these theories.

Assessment of the validity and reliability of edinburgh postpartum depression scale in Turkish men.

Perinatal depression (PD) affects individuals during pregnancy and early parenthood, resembling major depression. Recent research highlights paternal perinatal depression (PPD) in fathers. PPD has adverse effects on fathers and their children. This study assesses the Turkish version of the Edinburgh Postnatal Depression Scale (EPDS) for Turkish fathers, aiming to provide a tool for PPD identification. This methodological study validates the EPDS for Turkish fathers and explores associations with demographic and psychosocial factors. The study involved 295 fathers withinfants aged 2weeks to 12months. The EPDS, originally designed for perinatal depression and validated in Turkish women, was used. Fathers completed a participant information questionnaire, the EPDS, and the Beck Depression Inventory (BDI) during clinic visits. Data on sociodemographic factors, paternal roles, and pregnancy and postpartum support were collected. Mothers also completed the EPDS. Descriptive statistics, exploratory factor analysis, confirmatory factor analysis, and correlation tests were used. The study included fathers with an average age of 30.5 years, mostly with a high school education or higher. The EPDS had a mean total score of 3.1. Factor analysis suggested a three-factor structure for the EPDS in Turkish fathers, including anhedonia, anxiety, and depression. Confirmatory factor analysis validated the three-factor structure, with acceptable model fit indices. Positive correlations were found between fathers' EPDS scores, maternal EPDS scores, and paternal BDI scores. The EPDS effectively discriminated between different levels of depression severity. Various factors, such as education level and lack of support during pregnancy and after childbirth, were associated with higher EPDS scores. These findings emphasize the significance of assessing and addressing PPD in fathers, supporting the use of the EPDS as a valid tool in the Turkish context. The three-factor structure aligns with international research, highlighting the importance of a multi-dimensional approach to PPD assessment. Early intervention can mitigate PPD's impact on fathers, mothers, and children, benefiting mental health and well-being.