Multidimensional Construct Research Articles

Dimensions and Subcategories of Digital Maturity in General Practice: Qualitative Study.

The status of the digitalization of companies and institutions is usually measured using maturity models. However, the concept of maturity in general practice is currently unclear, and herewith we examine the question of how maturity can be measured. There is a lack of empirical work on the dimensions and subcategories of digital maturity that provide information on the assessment framework. The aim of the study was to answer the question of how many and which dimensions and subcategories describe digital maturity in general practice. An explorative, qualitative research design based on semistructured expert interviews was used to investigate the dimensions of digital maturity. Twenty experts from various areas of the health care sector (care providers, interest groups, health care industry, and patient organizations) were interviewed. The interviews were analyzed based on a content-structuring analysis according to Kuckartz and Rädiker using MAXQDA software (VERBI GmbH). In total, 6 dimensions with a total of 26 subcategories were identified. Of these, 4 dimensions with a total of 16 subcategories (1) digitally supported processes, (2) practice staff, (3) organizational structures and rules, and (4) technical infrastructure and were deductively linked to digital maturity. In addition to the use of digital solutions, digital maturity included, for example, individual, organizational, and technical capabilities and resources of the medical practice. The 2 further dimensions, (5) benefits and outcomes and (6) external framework conditions of the medical practice, were identified inductively with a total of 10 subcategories. Digital maturity was associated with the beneficial use of digitalization, for example, with efficiency benefits for the practice, and external framework conditions were associated with influencing factors such as the local patient situation in the medical practice. The results indicate that digital maturity is a multidimensional construct that is associated with many dimensions and variables. It is a holistic approach with human, organizational, and technical factors and concerns the way digitalization is used to shape patient care and processes. Furthermore, it is related to the maturity of the organizational environment as well as the benefits of a digitalized medical practice; however, this still needs to be confirmed. To measure the level of digital maturity in outpatient care as accurately as possible, maturity models should therefore be multilayered and take external influencing factors into account. Future research should statistically validate the identified dimensions. At the same time, correlations and dependencies between the measurement dimensions and their subcategories should be analyzed.

Are Family Firms More Entrepreneurial than Non-Family Firms? A Multidimensional Comparative Approach

Entrepreneurship is considered one of the key factors in facilitating a company’s pursuit of sustainable development. The findings of this study can help firms improve their entrepreneurial capacity and highlight its significance for sustainable development; therefore, the levels of entrepreneurship serve as indicators of the potentials of enterprises to achieve sustainable development goals. The existing literature has explored whether there are differences in the approaches between family and non-family firms as well as in their levels of entrepreneurship. Contributing to this ongoing debate, this article aims to compare the levels of entrepreneurship between these two types of companies in a selected small and medium-sized enterprise (SME) sector. The analysis encompasses eight dimensions of entrepreneurship: risk-taking, innovativeness, proactiveness, inter-organizational cooperation, competitiveness, diversification, flexibility, and digitalization. This study was conducted on a sample of 145 small printing companies that operated in Poland in 2023. The results of the statistical analysis revealed that family firms exhibited a higher level of entrepreneurship when treated as a multidimensional construct. Moreover, family firms outperformed non-family firms across all of the analyzed dimensions, with statistically significant differences being observed in four dimensions: innovativeness, proactiveness, diversification, and competitiveness. This study confirmed the existing indications in the literature that family firms demonstrated higher levels of entrepreneurship, which may suggest their greater potential in pursuing sustainable development. The novelty of this research lies in its multidimensional approach, which offers a comprehensive analysis that integrates eight dimensions of entrepreneurship. This allowed for a deeper understanding of entrepreneurial behaviors and attitudes when highlighting the unique characteristics of family and non-family firms. The findings are particularly relevant for the owners and managers of family and non-family businesses; they provide tools for diagnosing entrepreneurship levels in a more comprehensive manner and applying tailored management practices for addressing areas that require improvement. One limitation of this study is its focus on a single sector; this may have affected the generalizability of the results. Future research could explore governance and ownership structures when analyzing entrepreneurial dimensions—particularly in the context of family firms.

Еco-Аnxiety and Perception of Climate Change

The present study highlights the growing need to understand eco- anxiety as a significant contemporary phenomenon associated with climate change and its impact on mental health. It aims to measure eco-anxiety levels among the Bulgarian population and to assess the applicability of the scale within the Bulgarian sociocultural using an adapted version of the “Hogg Eco-Anxiety Scale” (HEAS-13). The results of the study confirm the original four-factor structure of the instrument and demonstrate that the scale possesses strong psychometric properties, making it a reliable tool for assessing eco-anxiety in Bulgaria. The study also reveals higher levels of eco-anxiety among women compared to men, suggesting a gender disparity in environmental concerns, consistent with previous studies showing that women often exhibit stronger reactions to climate change. The findings enrich the understanding of eco-anxiety as a multidimensional construct and provide an empirical basis for a deeper comprehension of environmental concerns within the Bulgarian population. The application of this scale in Bulgaria has the potential to support the development of more effective policies and programs to address the negative psychological effects of climate change, drawing attention to the need for gender-sensitive approaches and psychological support.

Individual differences in theory of mind and children’s advanced scientific reasoning in elementary school

Recently, there has been an increased interest in the associations between theory of mind (ToM), the ability to infer others’ mental states, and academic functioning in middle childhood including scientific reasoning. This study follows this trend and addresses two gaps in the literature. First, it examines whether individual differences in ToM primarily relate to children’s acquisition of advanced scientific reasoning or also help them overcome less-sophisticated conceptions. Second, it investigates the associations between scientific reasoning and distinct aspects of the multidimensional construct of ToM (here we assessed recursive ToM, interpretive ToM, and social awareness ToM). Participants were 84 8-, 9-, and 10-year-olds (41 F, 43 M) attending elementary school in northern Italy. Children were assessed for their ToM, scientific reasoning, inhibitory control, and verbal and non-verbal ability. Results showed that ToM was uniquely correlated with children’s acquisition of advanced conceptions of scientific reasoning but not with the overcoming of naïve and intermediate levels of understanding. Hierarchical regression analyses showed that this finding applies to all three ToM components and that the association between ToM and advanced scientific reasoning was independent of children’s general cognitive development (inhibitory control, and verbal and non-verbal ability). Overall, our findings suggest that ToM paves the way for more sophisticated reasoning in the science domain and that several distinct mechanisms may underlie this effect.

Intellectual Humility in the Workplace

Intellectual humility (IH), defined as the extent to which one is aware of one’s own intellectual limitations, is an understudied construct in organizational research. As a moral virtue, IH has been studied in philosophy and religion for decades. As a psychological and behavioral tendency construct, IH has gained significant attention among psychology researchers over the past decade due to rising extremism regarding social and political issues in the US and around the world. One reason for the increased research interest in IH includes the potential benefits from IH in terms of reducing social and political polarization and reducing stress and anxiety, which may improve individual overall well-being. This article provides an overview of IH as a multi-dimensional construct, its psychometric properties and nomological network, and its potential benefits in organizations and employee well-being. The article concludes with a call for more interdisciplinary research on improving our knowledge and theories of IH as well as its construct measurement considering the recent coming-of-age adoption of artificial intelligence (AI) models to harness the power of IH in sustaining individual well-being.

Empathy Development in Preschoolers With/Without Hearing Loss and Its Associations with Social-Emotional Functioning.

Empathy plays a crucial role in children's social-emotional development. There is an increasing trend in recent studies to recognize empathy as a multi-dimensional construct, consisting of three distinct hierarchical levels: emotion contagion, attention to others' feelings and prosocial behaviors (Hoffman, Motiv Emot, 14(2), 151-172, 1990). The present study is amongst the first to use a longitudinal approach to examine the development trajectories of the distinct empathic levels, based on a sample of Chinese preschoolers aged 2 to 6 years, half of the sample being deaf or hard-of-hearing (DHH). Our results showed that according to the parental observation, DHH preschoolers manifested similar extent of emotion contagion and attention to others' feelings as their TH (typically hearing) peers over preschool years. Yet, DHH preschoolers showed fewer prosocial behaviors, compared to their TH peers. As for the longitudinal associations over time, emotion contagion contributed to more internalizing and externalizing behaviors in both groups; whilst attention to others' feelings contributed to fewer internalizing behaviors in only DHH children. Prosocial behaviors contributed to better social competence, and fewer internalizing and externalizing behaviors in both DHH and TH children just as expected. These outcomes imply that the early intervention or special education may be useful to safeguard children's empathic development, shrinking the gaps between DHH and TH children; but meanwhile, cultural factors might cause latent effects on children's understandings of empathy and impact on how empathy "regulates" children's social-emotional functioning, in a Chinese cultural context.

Students' situational engagement profiles in formal and informal science learning environments

AbstractStudent engagement is widely considered to be a multidimensional construct consisting of behavioral, cognitive, and affective components. Recent research has examined student engagement in science learning contexts using holistic approaches that account for multidimensionality through the identification of engagement profiles. However, it is not yet clear whether identified science engagement profiles are consistent across different samples, different learning environments, or different modes of measurement. Using data from three extant datasets involving middle‐ and high‐school aged youth, we explored the consistency of students' situational engagement profiles across science learning environments (formal and informal) and modes of measurement (experience sampling and end‐of‐class reports). Results from latent profile analyses of students' behavioral, cognitive, and affective engagement identified four common profiles across the three datasets, though each dataset had its own unique profile solution (ranging from five to seven profiles). Consistent profiles across the three datasets included universally low, moderate, recreational, and full engagement. Three additional engagement profiles were identified (rational, purposeful, and busy engagement), though they emerged inconsistently across the samples. Findings speak to the applicability of conceptual frameworks of engagement to science learning contexts. Results are discussed considering environmental (formal vs. informal learning environments) and methodological considerations (experience sampling vs. end of class report).

The Impact of IT Equivocality on Postadoptive Use Behaviors: Development and Validation of a Multidimensional Construct

ABSTRACT In his early work, Karl Weick referred to information technology (IT) as “equivoques” to underline the conflicting interpretations that often arise among users, groups, and organizations interacting with IT. As modern IT systems support a growing variety of uses and applications, this phenomenon intensifies, with important implications for attitude formation and use behaviors. Based on individual sensemaking theory, we define perceived IT equivocality as a user’s difficulty in making sense of an IT and theorize that this psychological phenomenon manifests through perceptions of incompleteness, fragmentation, and uncertainty. Three empirical studies (n = 419, n = 411, n = 345) were conducted to validate this multidimensional construct and examine its relevance in postadoptive use settings. The results indicate that perceived IT equivocality is negatively associated with routine and innovative use and positively associated with behavioral anxiety, confirming its theorized influence on usage patterns. In closing, we discuss the importance of the IT equivocality construct to both theory and practice, along with the limitations of our work. Our distinctive contributions include 1) conceptualizing an IS-specific psychological phenomenon, 2) developing and validating a multidimensional scale, and 3) demonstrating the behavioral potency of the construct.

Interactions Among Text Formats and Reading Processes in Young Learners' L1 Reading Literacy

AbstractReading literacy is a multidimensional construct in terms of text and reading processes. Much research has examined the divisibility of the processes underlying reading, but they have treated the rest of the construct as unitary. This study extends the examination of dimensionality to a neglected area in literacy studies. It tests reading models by integrating text formats (continuous, mixed, and non‐continuous) and cognitive processes involved in reading (information retrieval, interpretation, and reflection) and their interaction in a large dataset. The study aims to complement the results of previous research by analyzing how cognitive aspects function in the meaning‐making process in various text formats. Representative samples (N = 3229) of young Hungarian L1 learners participated in the study. Data obtained from a longitudinal study in grade 2 and grade 4 is used to test the underlying measurement model of reading literacy and to explore the issue of the dimensionality of reading processes along three different text formats. Findings suggest that students' reading development trajectory and rate differs when it comes to reading texts with different formats. Text formats affect reading subskills significantly but the interaction between text and reading processes changes over time. Results provide a clearer understanding of the text format achievement gap. Implications for research and practice are discussed.

The well-being of software engineers: a systematic literature review and a theory

For decades, software engineering research and practice has focused primarily on technological and process-related factors. Today, there is a growing interest in organizational, social, and psychological factors, including well-being. Organizational studies show that well-being contributes to work outcomes, including creativity, performance, and productivity. But despite its importance, the predictors and outcomes of software engineers’ well-being as a multidimensional construct to date are under-researched. This paper reports on the multidimensional well-being of professional software engineers and generates insights for the future research in this area. 44 quantitative survey studies published between 2000 and 2023 were selected and synthesized both quantitatively and qualitatively through a systematic literature review. The results of the review were further analyzed to construct a quantitatively-testable theory, detailing the predictors and outcomes of well-being in software engineering organizations. The total number of research participants included in the selected studies is 16,086 software engineering professionals from at least 42 countries. The literature review identified various measures, constructs, and indicators of well-being, as well as its predictors and outcomes. The theory, based on cumulative results of carefully selected quantitative studies, is an attempt to “correct the record” by establishing well-being in software engineering as a meta-construct of hedonic, eudaimonic, and integrated or hedaimonic qualities predicted by different individual, team and organizational factors and impacting the functioning of software engineers and their organizations. The review highlighted the under-researched aspects of well-being in software engineering and confirmed the need for more advanced quantitative studies. We hope that the theory will benefit researchers in conducting future studies and practitioners in developing nuanced and science-based interventions for improving software engineers’ well-being.

Ethical Framework to Assess and Quantify the Trustworthiness of Artificial Intelligence Techniques: Application Case in Remote Sensing

In the rapidly evolving field of remote sensing, Deep Learning (DL) techniques have become pivotal in interpreting and processing complex datasets. However, the increasing reliance on these algorithms necessitates a robust ethical framework to evaluate their trustworthiness. This paper introduces a comprehensive ethical framework designed to assess and quantify the trustworthiness of DL techniques in the context of remote sensing. We first define trustworthiness in DL as a multidimensional construct encompassing accuracy, reliability, transparency and explainability, fairness, and accountability. Our framework then operationalizes these dimensions through a set of quantifiable metrics, allowing for the systematic evaluation of DL models. To illustrate the applicability of our framework, we selected an existing case study in remote sensing, wherein we apply our ethical assessment to a DL model used for classification. Our results demonstrate the model’s performance across different trustworthiness metrics, highlighting areas for ethical improvement. This paper not only contributes a novel framework for ethical analysis in the field of DL, but also provides a practical tool for developers and practitioners in remote sensing to ensure the responsible deployment of DL technologies. Through a dual approach that combines top-down international standards with bottom-up, context-specific considerations, our framework serves as a practical tool for ensuring responsible AI applications in remote sensing. Its application through a case study highlights its potential to influence policy-making and guide ethical AI development in this domain.

Sleep Value and Sleep Resilience are Important Dimensions of Sleep Health and We Measured Them: Methods for the Sleep Resilience and Variance in Sleep Valuation (SRVIV) Study

Abstract Sleep health is a multidimensional construct that is essential for general health and well-being. Sleep value, the amount of worth an individual places on their sleep, and sleep resilience, the ability to function emotionally, cognitively, and physically in the presence of sleep disturbances are overlooked dimensions of sleep health. To study these sleep health dimensions, we developed the Sleep Valuation Item Bank 2.0, Values Inventory, Monetary Sleep Value Questionnaire, and Sleep Resilience Questionnaire. This paper describes the methods for the Sleep Resilience and Variance in Sleep Valuation (SRVIV) Study. The SRVIV study was conducted to explore the factor structure of sleep value and sleep resilience and determine how they relate to demographic, sleep, and psychological variables. This study resulted in an analysis sample of 455 participants who were recruited by a Qualtrics team and completed a Qualtrics survey consisting of demographic, anxiety, depression, and sleep-related questionnaires, in addition to sleep value and sleep resilience questionnaires. Adult participants were recruited throughout the continental United States and were predominately female (53%), white (82%), married (50%), and had an average age of 45.4 years. The data resulting from this study can be used to address important questions in the field of sleep psychology.

Women’s Empowerment and Health: A Narrative Review

Empowerment, the process by which a person is enabled to increase control over decisions concerning their life, is a multidimensional construct that has been extensively discussed by various disciplines for more than four decades. Several empowerment models have been presented, based on different approaches. This paper proposes a four-step model, based on individual and contextual awareness and advancement. Disparate factors may positively or negatively affect empowerment, including gender, race, culture, education, financial autonomy, socioeconomic status, family, neighborhood, religion, social cohesion, civic society, and political context. Empowerment has been extensively discussed in parallel with health promotion, since it is expected to positively affect health, both on the level of the individual and community, as well as in the context of the patient–healthcare professional relationship. Considering the position of women in patriarchal societies, where women may experience feelings of powerlessness, their social position and more importantly health may be adversely affected. Gender biases that were developed due to the marginalized position of women in different societies, coupled with paternalistic approaches of healthcare professionals, may significantly contribute to higher comorbidity, albeit longer life expectancy for women. Empowerment can therefore be a powerful tool for achieving equity in health and improving women’s well-being.

Measuring domestic violence against Egyptian women and its consequent cost using a latent variable model

BackgroundDomestic Violence is a threatening worldwide problem. Its consequences against women can be dramatic, as it negatively affects women’s quality of life reflected in their general wellbeing including physical, mental, emotional and sexual health, in addition to the economic cost. Both domestic violence and its cost are multidimensional constructs that cannot be directly measured.MethodologyIn this study, a latent trait model is used by applying item response theory to measure both domestic violence and its consequent cost via thirty-five observed variables. Accordingly, the study fills a gap in the literature since it is the first attempt to examine the relationship between domestic violence and its consequent cost in Egypt using latent variable modelling rather than simple descriptive statistics. Each construct is considered as a multidimensional latent variable. The overall latent trait model also estimates the relationship between domestic violence and its consequent cost. The effect of a number of socioeconomic covariates on domestic violence is examined within the model. The proposed model is fitted to data from the 2015 Egypt Economic Cost of Gender-Based Violence Survey (ECGBVS) using Mplus software.ResultsThe study shows that psychological violence is equally important in measuring domestic violence, as physical violence. The cost resulting from domestic violence relies in its measurement both on the reduced quality of life and the monetary cost endured by the violated woman and children. For socioeconomic covariates, it is shown that domestic violence is affected by women’s and husband’s age, educational level, and husband’s occupational status.ConclusionDomestic violence is measured by summarizing four forms of violence: physical, psychological, sexual and economic violence, in a single continuous latent variable measuring “Domestic Violence”. Similarly, Cost is measured by summarizing three forms of consequent cost of violence: economic cost, cost on children and cost on women’s quality of life, in another a single continuous latent variable “Cost”. Each of these dimensions is measured by a number of aspects, reflecting the multidimensional nature of the variables. The fitted latent trait model ensured the positive relationship between Domestic Violence and its consequent multidimensional cost.

Yoga-based lifestyle intervention for healthy ageing in older adults: a two-armed, waitlist randomized controlled trial with multiple primary outcomes.

Yoga-based clinical research has shown considerable promise in varied ageing-related health outcomes in older adults. However, robust frameworks have yet to be used in intervention research to endorse yoga as a healthy ageing intervention to test the multidimensional construct of healthy ageing. This was an assessor-masked, randomized controlled trial conducted among 258 sedentary, community-dwelling older adults aged 60-80years, randomly allocated to 26-week yoga-based intervention (YBI) (n = 132) or waitlist control (WLC) (n = 126). The effectiveness of YBI was assessed through two separate global statistical tests, generalized estimating equations and rank sum-based test, against a comprehensive healthy aging panel comprised of ten markers representing the domains of physiological and metabolic, cognitive, physical capability, psychological, and social well-being. The secondary outcomes were individual primary marker scores, Klotho, inflammatory markers, and auxiliary blood markers. We could establish the healthy aging effect of the 26-week YBI over WLC using two models of global statistical test (GEE, β = 0.29; 95% CI = 0.20 to 0.38, p < 0.001), and rank sum-based test (β = 0.28, 95% CI = 0.19 to 0.36, p < 0.001). There were also significant improvements in direction of benefit at individual levels of all the aging markers. Exploratory evaluation with adopted indices from contemporary clinical trials also validated the potential of YBI for healthy aging; HATICE adapted composite score (mean difference = - 0.18; 95% CI = - 0.26 to - 0.09, p < 0.001) and healthy ageing index (mean difference = - 0.33; 95% CI = - 0.63 to - 0.02, p = 0.03). The global effect of YBI across multiple ageing-related outcomes provides a proof of concept for further large-scale validation. The findings hold a great translational value given the accelerated pace of population aging across the globe. Trial registration: CTRI/2021/02/031373.

Investigating the Effect of Religion's Dimensions on Egoistic Suicide Ideation.

The complexity of suicide as a social phenomenon has long been discussed in the literature. Scholars have always used religion to show how a social force can shape most individualistic behaviors like egoistic suicide. However, religion is not a simple unidimensional fact that can be applied to any kind of suicidal thought or behavior. The main premise of the present study is that religion consists of different aspects each of which can have different impacts on individuals' attitudes toward suicide. Operationalizing religion as a multidimensional construct this study simultaneously tested the independent effects of four dimensions of religion (religiosity, spirituality, afterlife beliefs, and religious affiliation) on attitudes toward egoistic suicide. Using data from the 2018 General Social Survey (GSS) the present study proposes running a logistic regression analysis to see if suicide attitudes are significantly influenced by religiosity, spirituality, afterlife beliefs, and religious affiliation.

Variable Presence of an Evolutionarily New Brain Structure is Related to Trait Impulsivity

BackgroundImpulsivity is a multidimensional construct reflecting poor constraint over one’s behaviors. Clinical psychology research identifies separable impulsivity dimensions that are each unique transdiagnostic indicators for psychopathology. Yet, despite this apparent clinical importance, the shared and unique neuroanatomical correlates of these factors remain largely unknown. Concomitantly, neuroimaging research identifies variably present human brain structures implicated in cognition and disorder: the folds (sulci) of the cerebral cortex located in the latest developing and most evolutionarily expanded hominoid-specific association cortices. MethodsWe tethered these two fields to test whether variability in one such structure in anterior cingulate cortex (ACC)—the paracingulate sulcus (PCGS)—was related to individual differences in trait impulsivity. 120 adult participants with internalizing or externalizing psychopathology completed a magnetic resonance imaging scan and the Three-Factor Impulsivity Index. Using precision imaging techniques, we manually identified the PCGS, when present, and acquired quantitative folding metrics (PCGS length and ACC local gyrification index). ResultsNeuroanatomical-behavioral analyses revealed that participants with leftward or symmetrical PCGS patterns had greater severity of Lack of Follow Through (LFT)—which captures inattention and lack of perseverance—than those with rightward asymmetry. Neuroanatomical-functional analyses identified that the PCGS co-localized with a focal locus found in a neuroimaging meta-analysis on a feature underlying LFT. Both quantitative folding metrics did not relate to any impulsivity dimension. ConclusionsThis study advances understanding of the neuroanatomical correlates of impulsivity and establishes the notion that the topographical organization of distinct, hominoid-specific cortical expanses underlie separable impulsivity dimensions with robust, transdiagnostic implications for psychopathology.

ФЕНОМЕН АЛОЦЕНТРИЗМУ: У ФОКУСІ ПСИХОЛОГІЧНИХ ДОСЛІДЖЕНЬ

The article analyzes the multidimensional construct of allocentrism, which is understood as a way of thinking and cognition in which a person relies on an external reference system and puts other people, not himself, in the focus of attention. Various approaches to the study of allocentrism are analyzed, including neurobiological, psychological and socio-psychological studies. It is shown that allocentrism is not a homogeneous phenomenon, but manifests itself at different levels of the human psyche, from neural processes to social behavior. Three levels of study of this phenomenon are distinguished. At the psychophysiological level, the perception of space and orientation in it are studied; methods: encephalogram, functional magnetic resonance imaging, virtual technologies. At the psychological level, the ability to take the position of another, to look at the world through their eyes is studied; methods: self-esteem scale, value questionnaires, projective methods for completing sentences, scenario stimuli. At the socio-psychological level, the ability of the individual to take into account the interests and needs of others is considered; methods: INDCOL scale, other individualism-collectivism scales. The complexity of defining and measuring allocentrism is emphasized, as it is closely intertwined with other psychological phenomena, such as decentering, collectivism, and empathy. Their common and distinctive characteristics are highlighted. Some methodological aspects of the study of allocentrism are considered, including the advantages and disadvantages of such methods as self-report questionnaires, experimental tasks, and neuroimaging. The need for more accurate and valid instruments to measure allocentrism at different levels, which will be useful in counseling and therapy, is emphasized. Key words: allocentrism, decentering, collectivism, empathy, neuropsychology, allocentric personality.

Exploring the Effect of Institutional Trust on the Relationship between Environmental Consciousness and Household Recycling Behavior.

The present paper identifies environmental consciousness and institutional trust as determinants of French households' recycling behavior. Based on Schwartz's altruistic behavior model, the study considers environmental consciousness as a multidimensional construct that would bring a richer explanation of household recycling behavior concept. Therefore, it considers the cognitive, attitudinal and behavioral dimensions as key predictors to reflect individuals' perceptions towards recycling. We provide an empirical illustration of the institutional trust role in the association between environmental consciousness and household recycling behavior. Based on the PLS-SEM modeling, we perform a survey among 1408 French respondents. The findings show a significant impact of the attitudinal and the behavioral dimensions on household recycling behavior. These outcomes extend the existing French households' recycling behavior determinants' literature. Also, institutional trust showed a significant positive direct and indirect effect (moderation) on household recycling behavior. The insignificance of the cognitive dimension has retracted some contextual insights into promoting the households' recycling behavior in France.

Voices of Hope: Leveraging Think-Aloud Cognitive Interviews to Develop a Hope Assessment Tool for Young People Living with Chronic Health Conditions.

Hope is a universal, multidimensional, and nuanced concept that may have specific meaning for young people living with chronic health conditions anticipated to last into adulthood. We previously identified definitions of hope for youth living with chronic health conditions derived from young people's and their caregivers' own words. Here, we aimed to develop a hope assessment tool to facilitate the future evaluation of interventions to support wellness and health for young people growing up with chronic health conditions; Methods: We developed Likert-type scale questions using the young people's and caregivers' definitions of hope and applied the think-aloud cognitive interview method to assess understanding and to inform sequential iteration. Interviews were recorded and insights from participant interviews were analyzed thematically. In total, 11 youth (age 12-16 years) with various chronic health conditions completed surveys and interviews over three iteration cycles. Responses to the six-point Likert-scale questions ranged from 1 (none of the time) to 6 (all of the time) (median 5). All of the young people (n = 11) reported that they do things they enjoy, either all of the time or most of the time. In contrast, only 36% felt energetic, either all or most of the time. Three themes were identified: my body and hope; my identity, self-image, and hope; and my world and hope. In addition to gaining important feedback that allowed us to improve item word choice to maximize assessment tool understanding, we gained valuable insights into the multidimensional construct of hope. Thematic analysis revealed the importance of physical symptoms and identity to the meaning of hope in the context of a young person's life. Our new hope assessment tool derived from the young people's own definition of hope has face and content validity for use in clinical and research settings to evaluate hope among pediatric patients living with chronic health conditions.