Sample T-test Research Articles

Examining the Effects of Cognitive Behavioral Therapy With a Virtual Agent on User Motivation and Improvement in Psychological Distress and Anxiety: Two-Session Experimental Study.

Cognitive behavioral therapy (CBT) is a valuable treatment for mood disorders and anxiety. CBT methods, such as cognitive restructuring, are employed to change automatic negative thoughts to more realistic ones. This study extends on previous research conducted by the authors, focused on the process of correcting automatic negative thoughts to realistic ones and reducing distress and anxiety via CBT with a virtual agent. It was aimed to investigate whether the previously applied virtual agent would achieve changes in automatic negative thoughts when modifications to the previous experimental paradigm are applied and when user motivation is taken into consideration. Furthermore, thepotential effects of existing participant knowledge concerning CBT or automatic thoughts were explored. A single-group, 2-session experiment was conducted using a within-group design. The study recruited 35 participants from May 15, 2023, to June 2, 2023, via Inter Group Corporation, with data collection following from June 5 to June 20, 2023, at Nara Institute of Science and Technology, Japan. There were 19 male and 16 female participants (age range: 18-50 years; mean 33.66, SD 10.77 years). Participants answered multiple questionnaires covering depressive symptomatology and other cognitive variables before and after a CBT session. CBT was carried out using a virtual agent, who participants conversed with using a CBT dialogue scenario on the topic of automatic negative thoughts. Session 2 of the experiment took place 1 week after session 1. Changes in distress and state anxiety were analyzed using a Wilcoxon signed-rank test and t-test for paired samples. The relationships of motivation with cognitive changes and distress or anxiety changes were investigated via correlation analysis. Multiple linear regression was used to analyze the potential predictive qualities of previous knowledge of CBT and automatic negative thoughts regarding outcome measures. Significant reductions in distress (all P<.001) and state anxiety (all P<.003) emerged throughout the first and second experimental sessions. The CBT intervention increased participants' recognition of their negative thinking and their intention to change it, namely their motivation to change it. However, no clear correlations of motivation with changes in distress or anxiety were found (all P>.04). Participants reported moderate subjective changes in their cognition, which were in part positively correlated with their motivation (all P<.007). Lastly, existing knowledge of CBT did not predict reductions in distress during the first session of the experiment (P=.02). CBT using a virtual agent and a CBT dialogue scenario was successful in reducing distress and anxiety when talking about automatic negative thoughts. The promotion of client motivation needs to be critically considered when designing interventions using CBT with a virtual agent, and further experimental investigations on the causal influences between motivation and outcome measures need to be conducted.

Overloaded Vertebral Body Following Consecutive Three-Level Hybrid Surgery Comparing with Anterior Cervical Discectomy and Fusion.

Based on the varying number and relative positions of cervical disc replacement (CDR) and anterior cervical discectomy and fusion (ACDF) procedures, three-segment hybrid surgery (HS) presents a diverse structural approach. Currently, the potential differential effects of HS with different segment combinations and surgical procedures on overloaded vertebral body (OVB) occurrence remain unexplored. The purpose of this retrospective study is to compare the clinical and radiological outcomes of HS and ACDF in treating cervical degenerative disc disease (CDDD), aiming to provide further insights into OVB. This study included patients with three-level CDDD who underwent ACDF or HS at our institution. Eligible patients were divided into three groups: Type I (one-level CDR and two-level ACDF), Type II (two-level CDR and one-level ACDF), and ACDF (three-level ACDF). For radiographic analysis, patients were further divided into the Replacement Segment Group and the Nonreplacement Segment Group based on the presence of replacement segments above and below the OVB. Clinical outcomes were evaluated using visual analog scale (VAS) scores for neck and arm pain, Japanese Orthopedic Association (JOA) scores, and neck disability index (NDI) scores. The cervical radiological parameters assessed included (1) vertebral cross-sectional area (CSA), (2) wedge angle (WA), (3) anterior vertebral height (AH), (4) posterior vertebral height (PH), and (5) Hounsfield unit (HU) values. Statistical methods included paired t-test, ANOVA test, and chi-square test. Independent samples t-test, Mann-Whitney U test, and Wilcoxon signed-rank test were used to compare the differences between two groups according to the results of normal distribution test. A total of 123 patients, evenly distributed among three groups, were included and were well matched in terms of demographic characteristics. The likelihood of vertebral body collapse (VBC) was notably higher in the ACDF group (41.5%) compared with the Type I (17.9%) and Type II (8.9%) groups (p < 0.01). Following surgery, both at 3 and 6 months, the ACDF group demonstrated higher VAS neck scores and NDI scores compared with the Type I and Type II groups (p < 0.01). Additionally, the WA and AH values of the upper and lower adjacent OVB were consistently lower in the ACDF group than in the Type I and Type II groups at 6 and 12 months and at the final follow-up (p < 0.01). Notably, in the Nonreplacement Segment Group, WA significantly decreased at 12 months postoperatively and at the final follow-up compared with the Replacement Segment Group (p < 0.01). Three levels of HS appear to reduce stress concentrations and alleviate morphological changes in OVB. The occurrence of more VBC patients with OVB was associated with the use of Zero-P or Zero-P VA implants.

The Improvement in English Listening Comprehension Competence of the Tenth-Grade Students Through using Podcasts: A Case Study

The growing development of the internet brings many opportunities to both English teachers and learners since they can access diverse resources, among which podcasts are considered one of the valuable tools for those who want to master English language skills, especially listening. This study aims to investigate the use of podcasts as a medium to enhance the tenth graders’ listening comprehension competence. Involving 80 tenth graders at an upper secondary school in Dak Lak province, Vietnam, who were divided into a control group and an experimental group, the study mainly employed a combination of quantitative and qualitative approaches to measure the improvement in students’ listening competence. The tools used for collecting the data were questionnaires, interviews, the pre-test, and the post-test. With the help of the statistical software SPSS version 20.0, a paired sample t-test was conducted to assess the statistical significance of the findings, and the descriptive statistics, including sum, mean, and percentage of each variable, were also found and analyzed. The results indicated that students were eager to use podcasts as a listening tool, thanks to their familiarity and accessibility. Despite some challenges during practice, podcasts effectively helped improve the learners’ listening skills. Specifically, the students overcame the common difficulties that hinder their English listening comprehension, such as limited vocabulary, unfamiliar grammar, poor comprehensive listening ability, and pronunciation challenges. To conclude, it is recommended that students be consistent with podcast practice, and teachers should give enough instructions so that the best results can be achieved.

The Effect of Dietary Approaches to Stop Hypertension (DASH) Plan on Quality of Life in Hypertensive with Acute Coronary Syndrome Patients

Objective: The aim of the study was to evaluate the effect of Dietary Approaches to Stop Hypertension (DASH) on quality of life in hypertensive patients with acute coronary syndrome (ACS). Methods: This study was designed and conducted with 34 patients using a single-group and pre-test/post-test design in two public hospitals. Descriptive characteristics of the patients were obtained through a questionnaire. The questionnaire included socio-demographic characteristics, dietary habits, physical activity levels and quality of life using the MacNew Heart Disease Health-Related Quality of Life scale. The DASH diet plan was planned individually based on the daily energy requirement and explained to the patients. Patients were requested to achieve maximum adherence to the DASH diet plan for 12 weeks. Patients’ adherence to the DASH diet and quality of life were compared at the baseline and at study completion using SPSS 25.0 paired sample t-test. Results: Patients’ adherence to the DASH diet showed a statistically significant increase compared to the baseline (p

한반도 주변 해역 표층 수온 그래프를 해석하는 과정에서 중학생들이 인식하는 인지적 부담에 대한 연구

Objectives The purpose of this study is to identify the cognitive load that middle school students perceive in interpreting of sea surface temperature around the Korean Peninsula according to the type of graph, and to help middle school teachers develop teaching and learning materials by providing information related to cognitive load. Methods For This, we collected and analyzed data on the fixation duration and pupil diameter of middle school students(N=32) while interpreting of sea surface temperature around the Korean Peninsula using the eye tracker(Tobii Pro Glass 2 model). And we conducted an independent sample t-test using the Exel on two eye tracking data to confirm the cognitive load between the two groups. Results The results were as follows. First, the fixation duration rate was higher in the data area than in the legend area when middle school students read the sea surface temperature at the contoured graph. However, it was the opposite when they read the sea surface temperature at the colored graph. They depended on the legend area when reading the colored graph rather than when reading the contoured graph. Second, In all the processes of middle school students interpreting the graph, their pupil diameter was expanded compared to the standard pupil diameter. Their pupil diameter expanded more and more as they progressed to Step 1(the activity of reading temperature), Step 2(the activities to compare temperature gradients), and Step 3(the activities to find cause of the same temperature). The middle school students’ pupil diameter was further expanded when interpreting the colored graph rather than when interpreting the contoured graph. Conclusions Middle school students had more cognitive load when interpreting the colored graph rather than when interpreting the contoured graph. And they had more cognitive load in high-level activities than in low-level activities in the process of interpreting graphs. Therefore, it is necessary to reconstruct the graph of sea surface temperature around the Korean Peninsula to relieve the middle school students’ cognitive load.

Effects of collaborative learning-based food literacy program on healthy eating behavior and hemoglobin A1c among older adults with uncontrolled type 2 diabetes: A randomized controlled trial study in Thailand.

Uncontrolled type 2 diabetes mellitus (T2DM) is a prevalent issue among older adults. Healthy eating behavior (HEB) is a significant factor contributing to blood sugar control. It is a complex behavior that requires knowledge, attitudes, and skills in food literacy, which can be achieved through collaborative learning by nurses. Although collaborative learning has successfully improved food literacy and HEB among adults and older adults in general, its effectiveness has not been investigated among older adults with uncontrolled T2DM. This randomized controlled trial aimed to examine the effects of the Collaborative Learning-Based Food Literacy Enhancement Program (CLFLEP) on HEB and hemoglobin A1c (HbA1c) levels among older adults with uncontrolled T2DM. Participants were 80 older adults with uncontrolled T2DM attending primary care units (PCUs) or sub-district health promotion hospitals in northern Thailand. They were randomly assigned to either the experimental group (n = 40) or the control group (n = 40). The experimental group received the CLFLEP to enhance four domains of food literacy through five major elements of collaborative learning, while the control group received standard care. Data were collected between January and June 2023 using the Demographic Data Form, the Eating Behavior Questionnaire, the HbA1c test, and the Short Food Literacy Questionnaire. Data analysis involved descriptive statistics for demographic characteristics and independent t-test and paired sample t-test for HEB and HbA1c based on intention-to-treat (ITT) and per-protocol (PP) analyses. The experimental group had a higher HEB score than the control group (p <0.001 for ITT and PP) and higher than their scores before program participation (p <0.001 for ITT and PP). The effect size (Cohen's d) was 1.46. The experimental group also had a lower HbA1c level than the control group (p = 0.002 for ITT and PP) and lower than their levels before program participation (p = 0.005 for ITT and 0.001 for PP). The effect size (Cohen's d) was 0.70. The CLFLEP was effective in promoting food literacy, HEB, and blood sugar control. Nurses can be trained to use this program to provide collaborative health education for older adults with uncontrolled T2DM. Nursing administrators can use these findings to develop organizational policies that enhance nurses' competencies as educators skilled in collaborative learning. TCTR20221222005 [Thai Clinical Trials Registry].

Comparisons and associations of psychological factors and the number of painful sites in wheelchair basketball athletes with and without shoulder pain: A cross-sectional case-control study

Objective To compare psychological factors and the number of painful sites between wheelchair basketball athletes (WBA) with and without shoulder pain and examine their associations with shoulder pain. Design A cross-sectional, case-control study. Methods Forty-three WBA participated. Shoulder pain was assessed with the Wheelchair User's Shoulder Pain Index (WUSPI), pain catastrophizing with the Pain Catastrophizing Scale (PCS), kinesiophobia by the Tampa Kinesiophobia Scale (TKS), self-efficacy with the General Self-Efficacy Scale (GSES), and the number of painful sites using the Nordic Musculoskeletal Questionnaire. Disability and sport-related data were collected. Spearman’s correlation coefficients were calculated. Mann-Whitney U and independent samples t-tests were used for between-group comparisons. Results Athletes with shoulder pain (n = 21) had an increased number of painful sites (P < .050) and higher PCS (P = .003). The WUSPI exhibited moderate associations with the number of painful sites during the last year (rho = .581) and past seven days (rho = .602), and PCS (rho = .470), and a weak association with the TKS (rho = .333)(P < .050). The number of painful sites with disability exhibited moderate associations with PCS (rho = .427) and GSES (rho = –.473)(P < .050). WBA classification levels showed moderate associations with the WUSPI (rho = –.400) and the number of painful sites during the last year (rho = –.437), and a weak association with the number of painful sites during past seven days (rho = –.315)(P < .050). The PCS showed weak associations with the number of painful sites during the last year (rho = .365) and the past seven days (rho = .398)(P < .050). Conclusions Results suggest considering WBA classes, pain catastrophizing, self-efficacy and multisite pain in the pain management of WBA.

Improving Mental Health Knowledge and Reducing Mental Health Stigma Among Public Safety Personnel: Comparison of Live vs. Online Psychoeducation Training Programs

This study evaluates the effectiveness of a brief psychoeducation training program in reducing mental health stigma, both toward others and oneself, among public safety personnel, while also comparing the relative effectiveness of in-person and online training modalities. In total, 1686 public safety personnel in Florida received psychoeducation on the mental health impacts of public safety work. Participants completed pre- and post-training questionnaires assessing demographics, mental health knowledge, and mental health stigma toward others and themselves. Among the participants, 871 completed the training online, and 44 completed the training in-person. A paired samples t-test assessed changes in knowledge from pre- to post-test, and 2 × 2 repeated measures ANOVAs analyzed stigma-related data. Mental health knowledge increased and mental health stigma toward others decreased post-training, with no differences between training modalities. No changes in mental health self-stigma were found. Police officers reported significantly greater self-stigma than firefighters. Firefighters and dispatchers reported significantly less stigma toward others than police officers. This study found that both in-person and online psychoeducation can similarly improve mental health knowledge and reduce stigma toward others, which may help reduce barriers to seeking care.

Application of interactive software in classrooms: a case of GeoGebra in learning geometry in secondary schools in Uganda

The incorporation of subject-specific technologies in teaching and learning mathematics has been extensively investigated in different areas outside Uganda. The benefits are extensive, although the adoption of these technologies has been threatened by teachers needing help to apply them effectively for instruction. While this alone would aptly justify a comprehensive assessment of its applicability on the local scene, the post-COVID-19 era dynamics escalated its urgency and relevance. Thus, third-year pre-service mathematics teachers’ knowledge and aptitude to use GeoGebra in teaching and learning geometry were developed in this study. In addition, the consequence of using this software on students’ achievement in geometry was investigated using a quantitative research approach. Ninety-four third-year pre-service mathematics teachers completed a three-week intensive capacity-building workshop using GeoGebra. Their self-ratings on their technological pedagogical content knowledge (TPACK) before and after the training were measured using a self-administered questionnaire. A total of 406 students from four schools in Central Uganda participated in the quasi-experiment, with 199 and 207 students assigned to the experimental and control groups, respectively. Pre- and post-achievement tests were meted out to the students. While descriptive statistics showed a positive change in the teachers’ technological knowledge (TK), technological pedagogical knowledge (TPK), technological content knowledge (TCK), and TPACK, independent samples t-tests revealed a substantial difference in the post-test mean scores between the two groups since the experimental group students outshone those in the control group. These findings are consistent with global literature, and thus, schools in Uganda should adopt the use of GeoGebra through a continuous capacity-building approach, while considering the challenges and limitations associated with the software.

Influence of VIVO Mobile Brand Sponsorship of Sports Events on Consumer Purchase Intention

Effective sports sponsorship necessitates consideration of multiple factors. Previous scholars have primarily focused on the brand assets of sponsors and enhancement of the reputation that sponsoring brings to businesses. There has been limited exploration from the perspective of sports events themselves in terms of brand assets and the direct impact of these assets on sponsor audience purchase intention. This research aims to analyze the influences of VIVO mobile brand sponsorship including brand assets, brand fit, and audience engagement of sports events on consumer purchase intention. The research framework was laid on the stimulus-organism-response model. The sample size was 400 audience who attended the 22nd FIFA World Cup held in Guangzhou, China. Statistics used to analyze data were descriptive statistics including frequency, percentage, mean, and standard deviation; and inferential statistics including independent samples t-test, One-way ANOVA, LSD, simple linear regression, and multiple linear regression at the statistical significance level of 0.05. The results found that most of the respondents were male, married, aged 25-35 years old, educational level high school or vocational school, had monthly income of 5,000-10,000 yuan, and company employee. The hypotheses results found that age and occupation affect consumer purchase intention. Event brand assets including event brand image and event brand awareness has positive relation with consumer purchase intention with multiple correlation (R) = .566. The ability to predict the analytical equation is 31.70%. Brand fit and audience engagement influenced consumer purchase intention with correlation (R) = 0.485 and 0.469 accordingly. Keywords: brand assets, brand fit, audience engagement, purchase intention, sports sponsorship

Examining Bhutanese Science Teachers’ Epistemic Views of Scientific Inquiry

AbstractScientific inquiry is regarded as the bedrock of science education in Bhutan. Bhutanese science teachers, for example, are increasingly required to possess accurate and deep epistemic views of scientific inquiry. Hence, this cross-sectional study was carried out to examine Bhutanese science teachers’ epistemic views of scientific inquiry. The study recruited 301 science teachers using convenience and snowball sampling procedures. Data was collected using Views About Scientific Inquiry (VASI) questionnaire administered through an online survey mode and analysed using descriptive statistics and inferential statistical methods. Findings from this study revealed Bhutanese science teachers as being ignorant of epistemic aspects related to questions and hypotheses, procedures of investigations, results, and procedures of investigations, scientific data and scientific evidence, and scientific explanations and scientific theories. The independent sample t-test revealed no significant difference between Bhutanese male and female science teachers’ epistemic views of scientific inquiry (p &gt; .05). The one-way ANOVA revealed significant differences amongst Bhutanese science teachers’ epistemic views of scientific inquiry based on academic qualification (p &lt; .05). The Tukey HSD post hoc test, however, showed the differences existing only between science teachers with master’s degree and certificate qualification in favour of the former (p &lt; .05). The three-way ANOVA revealed Bhutanese science teachers’ epistemic views of scientific inquiry as being independent of individual and interaction effects of school type, teaching subject, and teaching experience (p &gt; .05).

EFFECTIVENESS OF AL-QURAN THERAPY IN REDUCING THE LEVEL OF AUDITORY HALLUCINATIONS

Introduction: Auditory hallucinations, which involve hearing voices that are not present, can severely impact an individual’s mental health and quality of life if left untreated. Qur'anic therapy, which involves reciting verses from the Qur’an, is believed to help calm the mind and reduce hallucination symptoms. The purpose of this community service initiative is to teach staff and patients to incorporate Qur'anic therapy into their daily routines, supporting both spiritual and psychological healing. Methods: This community service was conducted at the Pasuruan Social Rehabilitation Home with 35 clients experiencing auditory hallucinations who were coherent, cooperative, and Muslim. The aim was to provide Al-Quran therapy for 2 weeks, with each session lasting 5 minutes. The effectiveness of the therapy was measured using self-reported frequency of hallucinations and staff observations, with data analyzed through a paired sample t-test or Wilcoxon signed-rank test, depending on the distribution, to assess any significant reduction in the auditory hallucinations. Results: Some of the results experienced by patients after receiving Al-Quran therapy are that patients are more peaceful when experiencing auditory hallucinations. The patient also said that reading the Al Quran could be a distraction when the patient had auditory hallucinations. On average, 60% of patients' hallucinations were mild, 37.1% were moderate, and 2.9% had severe hallucinations. Conclusion: These findings indicate that Al-Quran therapy can be used as an effective method to reduce the frequency of auditory hallucinations in schizophrenia patients at the Pasuruan Social Rehabilitation Home. These findings have important implications for the management and care of patients with auditory hallucinations, as well as providing a therapeutic alternative that can improve patients' quality of life.

An Evaluation of the Mindless to Mindful (M2M) Intervention on Exercise Self-Regulation and Fat Mass Loss: A Case Study.

To evaluate the impact of the Mindless to Mindful intervention on fat mass loss in adults. This was a single-group case study. A fitness center delivered by certified fitness professionals. 222 adults who participated in M2M as a team or as individuals, and 195 completed the entire intervention (attrition rate = 12.16%). M2M was an 8-week behavior change intervention with tailored coaching, group moderate-to-vigorous exercise (MVE) and self-regulation techniques. Participants completed a demographic questionnaire, the Jackson-Pollock 4-site body fat measure, brief self-control scale, self-compassion scale, and a daily exercise log. Paired sample t-tests were used to determine differences within groups and a one-way ANOVA was used to determine the differences between groups (P-value <.05). Participants engaged in an average of 4.88h (SD = 2.04) of MVE per week. There was a significant decrease in fat mass (M = £7.65; P < .001) and increase in self-control (t = 6.248, P < .001, d = .300) and self-compassion (t = 4.314, P < .001, d = .165). Self-monitoring, group exercise, and individualized coaching can promote self-regulation and fat mass loss.

Comparison of Problem-based Learning and Didactic Lecture as a Teaching–Learning Method among Undergraduate Medical Students: An Interventional Study

Background Didactic lecture (DL) is a teaching method that has been there for a long time in our educational system, but student involvement is minimal. Problem-based learning (PBL) differs in that it involves students in the learning process. Various skills are learned, such as self-learning, group discussion, communication skills, teamwork and knowledge retention. Critical thinking, analysis and the ability to solve real problems are some benefits of PBL, which can help medical students understand clinical scenarios and analyse, interpret and come up with possible solutions based on sound knowledge. Thus, there is a need to assess the effectiveness of PBL in recall, interpretation and problem-solving skills as compared to the traditional lecture method, as there are very few Indian studies related to PBL in Indian medical students. Materials and Methods A non-randomised interventional study was carried out in the Department of Pharmacology at East Point Medical College, Bengaluru. Groups A and B, each with 60 medical students, participated in PBL and DL for either of the two competencies (myocardial infarction and iron deficiency anaemia). After the completion of the DL and PBL sessions, 20 multiple-choice questions (MCQs) were given to the students. The effectiveness of the teaching method was determined by comparing the mean scores of MCQs of both groups. Results The group scores were compared using an independent sample t-test and expressed as mean ± standard deviation. The total mean score of PBL for the topic myocardial infarction (11.00 ± 2.64, p value = .001) was statistically significant compared with the total mean score in the DL group (9.38 ± 2.52), and the total mean score of PBL for the topic iron deficiency anaemia (15.28 ± 3.53, p value = .001) was significant compared to the total mean score in the DL group (12.98 ± 3.61), respectively. The mean score for recall and problem-solving for the topic of myocardial infarction was statistically significant in the PBL group compared to the DL group. The mean score for recall, interpretation and problem-solving for the topic of iron deficiency anaemia was statistically significant in the PBL group compared with the DL group. Conclusion PBL showed marked improvement in recall, interpretation and problem-solving abilities compared with DL. So, including PBL as a teaching–learning method can promote active and student-centered learning.

Pain in Biologic-Treated Rheumatoid Arthritis Patients: The Role of Illness Perception Before and After the COVID-19 Pandemic.

We aimed to assess the role of the COVID-19 pandemic in the association of clinical, physical, and psychological factors with pain in Rheumatoid Arthritis (RA) patients. We included 103 RA patients (81.6% females; mean age 56.1±13.8years). Patients filled out the VAS-pain, GAD-7, PHQ-9, MFI-20, and B-IPQ. Paired sample t-tests, correlations, and multiple regression analyses were used to analyse the data. Our results showed significantly worsened pain in the data collected post-pandemic (p≤0.05). Pre-pandemic, the final regression models showed an association between functional disability (β=0.24; p≤0.05), illness perception (β=0.34; p≤0.05) and pain. In post-pandemic models, significant associations were found between fatigue (β=0.33; p≤0.01) and illness perception (β=0.36; p≤0.01) with pain. Positive illness perception was able to alleviate the associations between fatigue and depression with pain before and after the pandemic. Findings indicate that patients with RA may have been negatively affected by the COVID-19 pandemic given their vulnerability. Even though pharmacological treatment was not interrupted, post-pandemic results showed significantly higher levels of experienced pain. Therefore, in addition to biological therapy, non-pharmacological interventions, including psychological support aimed at diminishing negative illness perception, may be beneficial in reducing RA-related pain, especially when dealing with a crisis.

Utilizing Virtual Reality in the Treatment of Subacromial Impingement Syndrome: Enhancing Efficacy Through Integration with the Simple Shoulder Test and Pain Arch Test

&lt;span lang="ES"&gt;Subacromial impingement syndrome (SIS) is a prevalent cause of shoulder pain and dysfunction. This study investigates the impact of virtual reality (VR) therapy on shoulder function, joint dysfunction, and pain in SIS patients, comparing its effectiveness to traditional rehabilitation methods. Materials and Methods: Over 50 weeks, 288 participants with SIS were recruited and divided into two groups: an experimental group (EG) receiving VR-augmented therapy and a control group (CG) undergoing conventional rehabilitation. Recovery was assessed using the Painful Arch Test and Simple Shoulder Test (SST) at key intervals (T0, T1, T2, and T3). Statistical analysis was conducted to evaluate recovery times and functional improvements. Results: The EG showed significantly faster recovery with a mean duration of 6.04 weeks compared to 7.01 weeks for the CG (p = 0.0041), as determined by the Welch Two Sample t-test. The 95% confidence interval (0.3137 to 1.6330) confirmed the reliability of these findings. The VR group demonstrated sustained functional improvements, as evidenced by narrower interquartile ranges and more stable SST scores over time, particularly by Session 18, indicating reduced variability and faster recovery compared to the CG. Conclusion: VR therapy significantly accelerates recovery in SIS patients, offering faster and more consistent outcomes compared to conventional rehabilitation. These findings highlight the potential of VR as a non-invasive and effective treatment for improving shoulder function in SIS. Further research is warranted to explore its long-term efficacy and potential for personalized rehabilitation programs.&lt;/span&gt;

The Effect of Gossiping Group Activities Toward Fluency in Speaking at the 10th Grade Of MAN 3 Agam

This research was motivated by the findings of the researcher during observations and interviews at the 10th grade of MAN 3 Agam. Researcher found that students often used pause fillers such as "hmm" and "eee", and had low vocabulary mastery that hindered fluency in speaking. They also had difficulty expressing ideas and opinions, so the speed and tempo of speaking were affected. The study aimed to determine the effect of gossiping group activities on students' speaking fluency. The study used a type of experimental research, namely a quasi-experiment with a nonequivalent control group design. The sample in this study was selected using a random technique and the selected class was XE.2 class as the control class and XE.4 class as the experimental class. Instruments in the form of oral speaking tests that had been validated with content validity and assessed with inter-rater reliability. Data analysis included prerequisite tests for normality and homogeneity, and utilized Paired sample t-Tests and Independent sample t-Tests to test hypotheses. From the results of data analysis, it was concluded that gossiping group activities had a significant effect on improving students' speaking fluency.

Pathways to Sustainability: Empowering Indigenous Communities through Recycling Education

Recycling is a critical component of sustainable waste management, helping to conserve resources, reduce pollution, and mitigate climate change. Despite its importance, awareness, and participation in recycling activities remain low, particularly among indigenous populations who often have limited exposure to modern environmental practices. This study investigates the impact of a recycling awareness program conducted within an indigenous community in Cameron Highlands, Pahang, Malaysia. The program included a pre-program survey to assess participants' awareness, understanding, and participation in recycling activities, followed by an educational session on general recycling practices and e-waste management. A post-program survey was conducted to measure the effectiveness of the program. The use of paired sample t-tests reveals significant improvements in participants' knowledge and attitudes toward recycling. The findings provide compelling evidence that targeted educational programs can significantly enhance recycling awareness and participation within Indigenous communities, contributing to broader environmental sustainability goals. The study underscores the need for the implementation of similar programs in other less exposed communities as well as continuous engagement and collaboration with local authorities to sustain and expand recycling initiatives.

An open pilot of GROW, a responsive parenting intervention for young children with brain injuries: preliminary efficacy

Purpose Families experience stress and burden following their child’s traumatic brain injury (TBI). Parenting styles are related to parent stress and child behavior problems and executive dysfunction. Parent-child interactions are shown to be a promising intervention target. We aimed to examine the preliminary efficacy of Gaining Real life skills Over the Web (GROW) in improving responsive parenting and reducing parent stress and depression in parents of children ages 0-4 who experienced TBI. Method Participants (n = 11) were parents of children four years old or younger, at the time of enrollment, and previously hospitalized overnight for TBI. Parent-reported measures included the Center for Epidemiologic Studies Depression Scale, Parenting Stress Inventory—Short Form, and Patient-Reported Outcomes Measurement Information System. Recordings of parent-child interactions were coded using the Play and Learning Strategies coding scheme. Study hypotheses were analyzed using independent samples t-tests, chi square analyses, and linear mixed models. Results Parental warmth (t=-3.64, p = 0.001, d=.97), responsiveness (t=-2.09, p = 0.047, d = 0.70), and verbal stimulation (t=-2.30, p = 0.029, d = 0.75) increased significantly from pretreatment to posttreatment. Improvements in parental warmth were maintained 3 months posttreatment (t=-3.15, p = 0.004, d = 1.16). There were no significant changes in depression, parental stress, or quality of life. Conclusions Results provide preliminary support for the efficacy of GROW in improving responsive parenting for children following early TBI. Future directions include tailoring GROW to better fit the needs of families and testing the utility through a randomized control trial.

Development of interactive manipulative motion learning media using adobe animate for elementary school students

Over the past few years, there has been a growing recognition of the importance of integrating technology into educational practices to engage students more effectively. Traditional PE methods and limited resources have hindered effective learning, necessitating new approaches. This research aimed to develop innovative, interactive learning media based on adobe animate to enhance elementary students’ learning outcomes in manipulative movement skills—a crucial component of Physical Education (PE) that fosters physical, social, emotional, and cognitive development. Utilizing the research and development (RD) method with Borg and Gall's ten-stage model, the study involved experts and participants from five elementary schools in Purwokerto City. Following a structured process of preliminary study, planning, development, field trials, product revisions, and large-scale testing, data were analyzed using SPSS software. Expert evaluations rated the media and material highly (91.25% and 87.50%, respectively), indicating strong acceptance and usability. Field trials showed increased student motivation and engagement, demonstrating the effectiveness of the interactive approach. Large-scale trials confirmed significant improvements in learning outcomes, with interactive media exhibiting greater efficacy compared to conventional methods. The paired sample t-tests revealed a statistically significant increase in learning outcomes, where Group A (utilizing interactive media) achieved a p-value of 0.001, whereas Group B (employing traditional methods) obtained a p-value of 0.040. The findings emphasize the critical role of incorporating innovative technologies like Adobe Animate in PE programs, offering a model for developing impactful learning media across diverse educational settings. Moreover, they stress the necessity for ongoing adaptation and feedback integration to sustain media relevance and effectiveness over time. Future research could investigate the long-term impacts of interactive media on varied subjects and learning environments, as well as explore possibilities for customizing instructional materials based on individual student needs.