Self-Efficacy Scale Research Articles

Effects of home care and e-mobile training/consultancy on women's postpartum symptoms and breastfeeding self-efficacy: a randomized clinical trial.

Most women experience breastfeeding problems and need changes due to postpartum physical symptoms and low breastfeeding self-efficacy. Postpartum home care and e-mobile training/consultancy has been introduced to address this issue. This study was conducted as a randomized controlled interventional study. The sample of the study consisted of 75 (home care group = 25, control group = 25, e-mobile training/consultancy group = 25) women who met the sample selection criteria, agreed to participate in the study, and were hospitalized in the postpartum ward of a City Hospital. Data were collected through the Personal Information Form, the Postpartum Physical Symptom Severity Scale and the Breastfeeding Self-Efficacy Scale (BSES). In all postpartum stages, a statistically significant difference was detected between the home care, e-mobile training/consultancy and control group women in terms of the Postpartum Physical Symptoms Severity Scale and BSES total mean scores (P < .05). Interviews showed that the home care group had the lowest Postpartum Physical Symptom Severity Scale total mean scores and the highest BSES total mean scores (P < .05). Postpartum home visits and e-mobile training/consultancy should be considered a routine part of postpartum care. It is effective in reducing postpartum physical symptoms and increasing breastfeeding self-efficacy. In line with the results of this study, the use of home care and e-mobile training/consultancy is recommended to decrease physical symptoms and increase breastfeeding self-efficacy.

Effect of fatigue on quality of life in patients with rheumatoid arthritis: the chain mediating role of resilience and self-efficacy

ObjectivesExploring the effect of resilience and self-efficacy in mediating the chain between fatigue and quality of life(QOL) in patients with rheumatoid arthritis (RA).MethodsFrom June 2022 to November 2022, 423 RA patients were chosen by a convenience sample method from two tertiary care facilities in Chengdu, Sichuan Province. General Information Questionnaire, Bristol Multidimensional Scale of Fatigue in Patients with Rheumatoid Arthritis, SF−12 Health Survey Short Form, Chinese version of the ten-item psychological Resilience Scale, and Chinese-language Arthritis Self-Efficacy Scale, an 8-element version, were among the questionnaires used.ResultsIn the physical component summary( PCS), self-efficacy, psychological resilience, and self-efficacy were all significantly mediated by fatigue (total effect mediated 8.88%). In the mental component summary (MCS), fatigue (total effect mediated 10.79%), self-efficacy (total effect mediated 8.99%), psychological resilience, and self-efficacy (total effect mediated 2.01%) were all significantly mediated by fatigue.ConclusionFatigue in RA patients can affect the quality of life both directly and indirectly through the mediating effects of psychological resilience, self-efficacy, and the chain mediating effect of psychological resilience-self-efficacy.

Psychometric evaluation of the Indonesian version of paternal breastfeeding self-efficacy scale- short form: A confirmatory factor analysis

BackgroundFathers play a significant role in supporting sustaining exclusive breastfeeding. It is crucial to assess paternal confidence in assisting mothers during breastfeeding. Research aimThis study evaluated the psychometric properties of the Paternal Breastfeeding Self-Efficacy Scale- Short Form among Indonesian fathers. MethodsA cross-sectional study was conducted among 462 fathers whose wives gave birth to the baby in public hospitals in Indonesia. The internal consistency and test-retest reliability were examined using Cronbach's alpha and intraclass correlation coefficient. We evaluated the convergent, divergent, predictive, and construct validity. ResultsConfirmatory factor analysis demonstrated a one-factor structure model with satisfactory fit indices. The Cronbach's alpha (0.96), McDonald's Omega coefficient (0.97), and intraclass correlation coefficient (0.99) indicated an excellent reliability of the scale. The father's breastfeeding self-efficacy was positively correlated with the mother's breastfeeding self-efficacy (r= 0.251, p < .001), and negatively associated with symptoms of depression (r = -0.150, p < .01) and anxiety (r = -0.314, p < .001). We also found a positive correlation between BSES-SF and exclusive breastfeeding at two weeks postpartum (r = 0.538, p < .001). Fathers who were employed and their partner was multipara, had a vaginal birth, practiced skin-to-skin contact and rooming-in, and exclusive breastfeeding were more confident to support their partner's breastfeeding. ConclusionsThe Indonesian version of the paternal Breastfeeding Self-Efficacy Scale- Short Form is a reliable and valid tool for screening and assessing fathers’ confidence in assisting mothers in breastfeeding.

The relationship between students' computational estimation skills and mathematical self-efficiency

The factors related to estimating skills are twofold: cognitive and affective perspectives. Perception of self-efficacy in mathematics, one of the affective factors, is essential for the individual's capacity, abilities, and self-belief in mathematics for the mathematics course. The present study examined the relationship between students' computational estimation skills and mathematical self-efficacy perceptions. For this purpose, two sets of instruments were used as data collection tools: a computational estimation skills task and a mathematical self-efficacy perceptions scale. A correlational design was used in this study, and a total of 83 eighth-grade students participated in the research. As a result, it was concluded that there was a moderately positive and statistically significant relationship between computational estimation skills and mathematical self-efficacy perceptions. Students experience more stress when making estimations compared to mathematical computations whose results are specific. In addition, students mostly need to correct their estimations in questions related to computations with fractions, and they mostly use the rounding strategy when making estimations. These results are further discussed in relation to the perspective of supporting children’s abilities for estimations at the primary school.

Strengthening the mental health literacy and self-efficacy of school counsellors using “MDAS” module: A pilot project in Malaysia

Mental health difficulties affect children and adolescents pervasively. School counsellors serve as frontliners to support the students in need, but often face challenges from the complexity of their cases. This study aims to develop a training module named MDAS (Mental Health disorder, Developmental disorders, Attachment and Self-compassionate) program to improve the school counsellors’ mental health knowledge and counselling self-efficacy. The Module was adapted from Child and Adolescent Mental Health Training Module for Specialist 2009 (Second Edition). The study adopted a one group pre-test/post-test design to assess 28 school counsellors at 0-month and 4-month after the training. The scales used were Counselling Self-Efficacy scale (COSE), Mental Health Literacy Scale (MHLS) and Self-Compassionate Scale – Short Form (SCS-SF). Post-training, there were significant increment of COSE and MHLS scores ( p &lt; .001 and p &lt; .046) with Cohen’s d of 1.01 and 0.58. Four of the COSE subscales (micro skills, counselling process, cultural competence and dealing with difficult clients’ behaviour) significantly increased after MDAS training ( p &lt; .001, p = .006, p = .001 and p = .01). In addition to increasing the counselling capacity of school counsellors, our training module can serve as a promising platform for mental health professionals and counsellors.

Writing Self-Efficacy and Affect Across Genres: An Exploratory Factor Analysis with Upper-Elementary Students

The purpose of the study was to develop a measure of motivation with upper-elementary learners that addressed self-efficacy and affect across the genres of persuasion and story writing. Research has found relationships between writing achievement and several motivational constructs. Indeed, motivational scales/questionnaires exist that examine self-efficacy and affect, but little research has examined whether learners’ responses remain consistent across genres. The study developed scales of self-efficacy and affect for writing in general, narrative writing, and persuasive writing. An exploratory factor analysis was employed examining factors across the genres of narration and persuasion and on the general scale from 281 learners (n = 144 female) in grades 3 to 5. Three factors were extracted across scales and results found statistically significant differences by grade on affect, grammar, and processes, across scales while female learners had higher self-efficacy and affect; genre differences were detected for processes and tasks. Limitations as well as implications for research are discussed.

Impact of narrative nursing cognition, self-efficacy, and social support on the practices of registered nurses in China: a structural equation modeling analysis

BackgroundNarrative nursing is a novel approach according with humanistic care, which has been shown to be effective in improving health outcomes for both patients and nurses. Nevertheless, few studies have investigated the status of narrative nursing practice among nurses, and a comprehensive understanding of factors influencing this practice remains elusive.DesignThis was an observational, cross-sectional study using convenience sampling method.MethodsAfter obtaining the informed consent, a total of 931 registered nurses from three hospitals in China were investigated. Data were collected using the Social Support Rating Scale, the General Self-efficacy Scale, and the Knowledge-Attitude-Practice Survey of Clinical Nurses on Narrative Nursing. All the scales were validated in the Chinese population. The questionnaire results were verified by an independent investigator. Factors influencing narrative nursing practice were determined through a series of analyses, including independent sample t-tests, one-way ANOVA, and Pearson correlations. Subsequently, path analysis was performed and a structural equation model was established.ResultsThe score of narrative nursing practice in this study was 30.26 ± 5.32. The structural equation model showed a good fit, with a Root Mean Square Error of Approximation (RMSEA) of 0.007 (90%CI: 0.000, 0.047). Both social support and narrative nursing attitude could directly affect narrative nursing practice (βsocial support = 0.08, P < 0.001; βattitude = 0.54, P < 0.001) and indirectly influence it via self-efficacy (βsocial support = 0.04, P < 0.001; βattitude = 0.06, P < 0.001). In addition, narrative nursing knowledge (β = 0.08, P < 0.001) and the nurses’ growth environment (β=-0.06, P < 0.001) also affected the practice of narrative nursing.ConclusionNarrative nursing in China is at a medium level and could be influenced by several personal and environmental factors. This study highlighted the critical role of nursing management in the advancement of narrative nursing practices. Nurse managers should prioritize specialized training and cultivate supportive environments for nurses to improve their narrative nursing practices.

Association of support group leader experience with Scleroderma Patient-centered Intervention Network Support group Leader EDucation Program outcomes: Secondary analysis of a two-arm parallel partially nested randomized controlled trial

Introduction/Objective: The Scleroderma Patient-centered Intervention Network Support group Leader EDucation Program was found in a randomized controlled trial to substantially improve leader self-efficacy. Whether the program is effective for leaders with different levels of experience, including candidate leaders with no prior experience and leaders with ⩽3 years experience or ⩾4 years experience, is not known. The objective of the present post hoc secondary analysis was to evaluate outcomes by leader experience, age, and education. Methods: The trial was a pragmatic, two-arm partially nested randomized controlled trial with 1:1 allocation to intervention or waitlist control. Eligible participants were existing or candidate support group leaders. The 13-session leader training was delivered in groups of five to six participants weekly via videoconference in 60- to 90-min sessions. The primary outcome was leader self-efficacy, measured by the Support Group Leader Self-efficacy Scale (SGLSS) immediately post-intervention. Secondary outcomes were Support Group Leader Self-efficacy Scale scores 3 months post-intervention and emotional distress, leader burnout, and volunteer satisfaction post-intervention and 3 months post-intervention. Leaders were classified as having no experience, ⩽3 years experience, or ⩾4 years experience. Results: A total of 148 participants were randomized to intervention (N = 74) or waitlist (N = 74). Compared to leaders with ⩾4 years of experience, Support Group Leader Self-efficacy Scale scores were non-statistically significantly higher post-intervention for leaders with 0–3 years experience and lower for leaders with no experience. The 3 months post-intervention Support Group Leader Self-efficacy Scale scores were significantly lower for leaders without experience and similar for leaders with 0–3 years to those with ⩾4 years experience. There were no differences by experience on other outcomes or by age and education on any outcomes. Conclusion: Support group leader education improved leader self-efficacy but was most effective for leaders with experience prior to initiating the program. Trial Registration: NCT03965780; registered on May 29, 2019.

The Effect of Flipped Classroom Model and Kahoot for Intramuscular Injection Training on Nursing Students’ Knowledge, Skills and Self-Efficacy Levels

Objective: To investigate the effects of using a flipped classroom model and Kahoot for intramuscular injection skill training on the knowledge, skill, and self-efficacy levels of nursing students. Methods: The quasi-experimental study was conducted with a total of 180 nursing students (intervention group n=95, control group n=85). Data were collected using a “Knowledge Level Questionnaire,” “Psychomotor Skill Control Form,” and the “General Self-Efficacy Scale”. The flipped classroom model was used in the intervention group. In addition, the multiple-choice questions in Kahoot were asked to both groups. Results: The final test knowledge scores and general self-efficacy scores of the students in the intervention group were found to be statistically higher than the students in the control group (P&amp;lt;.001). The psychomotor skill scores of the students in the intervention group were statistically higher than the students in the control group (P=.010). Regarding the use of Kahoot, the percentage of correct answers for each question was significantly higher for the intervention group than the control group (P&amp;lt;.05). Conclusion: It can be said that the flipped classroom model and Kahoot are effective in intramuscular injection training. The flipped classroom model and Kahoot could also be used for the teaching of other basic nursing skills.

Psychological Balances in the Digital World: Dynamic Relationships Among Social Media Addiction, Depression, Anxiety, Academic Self-Efficacy, General Belongingness, and Life Satisfaction.

In the present era, the rapidly growing social media trends of the digital age have the potential to affect the psychological well-being of individuals. In this context, understanding how Social Media Addiction (SMA) interacts with various factors is important to understanding its potential impact on individuals' psychosocial health. In particular, the prevalence of SMA and its strong relationship with important variables such as anxiety, depression, stress, academic self-efficacy, general belongingness, and life satisfaction have received considerable attention from researchers and the society. This research aims to address the relationship between SMA and these variables in a holistic manner. The research further explored the relationship between life satisfaction and depression, anxiety, academic self-efficacy, and general belongingness. The research is based on a study conducted with 616 students (388 female and 228 male; 17-32 age range) at a state university in the Southeast of Turkey. Personal information form, Smartphone Addiction Scale, Depression Anxiety Stress Scale, Academic Self-Efficacy Scale, General Belongingness Scale, and Life Satisfaction Scale were used as data collection tools. Using a structural equation modeling approach, the research not only examined the significant relationships but also examined the mediating and moderating effects in more detail. According to the research results, SMA significantly affects academic self-efficacy, general belongingness, depression, stress and anxiety. Academic self-efficacy and general belongingness both impact life satisfaction. However, SMA does not have a significant effect on life satisfaction. Moreover, it is revealed general belongingness play effective roles in the relationship between SMA and life satisfaction. As a result of the research, it was revealed that gender plays a moderating role in the relationship between SMA and life satisfaction. It has been observed that gender has a moderating role in the relationships between academic self-efficacy, general belongingness, depression, anxiety and stress and life satisfaction. Conversely, there is no moderating influence of gender on the impact of SMA on academic self-efficacy, general belongingness, depression, anxiety, or stress. Consequently, the relationships between SMA and other variables play an important role in understanding their effects on individuals' mental health.

Predicting oral hygiene practices through health behavior, perceived stress and self-efficacy in undergraduate dental students of Pakistan: a national survey

BackgroundDental students face the rigorous demands of coursework, which can lead to feelings of inadequacy and stress. These pressures can negatively influence self-efficacy and cause neglect in practicing healthy behaviors that encompass oral health. Identifying the associations of these variables with oral hygiene practices can help in the formulation of interventions tailored toward supporting young students. Therefore, this study aimed to investigate the impact of health behaviors, perceived stress and self-efficacy on oral hygiene practices among undergraduate dental students in Pakistan.MethodsA national online survey was carried out among 904 students across the dental colleges of Pakistan. The survey assessed general health behaviors such as tobacco use, sleep, and exercise, among other demographic variables. Perceived stress was evaluated via the Perceived Stress Scale (PSS-10), and self-efficacy was evaluated via the General Self-Efficacy Scale (GSES). Twice daily brushing, brushing for 2 min, and changing toothbrushes after 3 months informed oral hygiene practice of the participants.ResultsThe students experienced moderate perceived stress (20.82 ± 5.92) and high self-efficacy (29.19 ± 5.43). The majority of participants were in their third year (31.9%), were female (65.9%), and resided in home during their studies (64.4%). Perceived stress was observed to have no significant effect on the oral practice of participants. Female gender, non tobacco user, regular exercise, frequent dental visits and higher self-efficacy were associated with good oral hygiene practices.ConclusionsThe results highlight the importance of addressing stress, enhancing self-efficacy and encouraging healthy behaviors among dental students to improve their oral health, which could be reflected in their professional practice and personal well-being. This study contributes to the understanding of behavioral determinants and emphasizes the need for supportive measures to foster better health behaviors in future dental professionals.

The relationship between college students' learning engagement and academic self-efficacy: a moderated mediation model.

Despite the return of college students to campus in the post-pandemic era, the deep influence of COVID-19 on learning approaches persists. Existing research has explored fewer mechanisms underlying academic self-efficacy and learning engagement. In line with social cognitive theory, the psychological resilience framework, and vocational socialization theory, this research investigated academic self-efficacy, professional commitment, psychological resilience, and academic engagement among college students in the post-pandemic era. In this research, the focus was on understanding the impact of academic self-efficacy on learning engagement, taking into account gender as a moderator and psychological resilience and professional commitment as mediators. We conducted a survey with 1,032 college students in Henan Province, China, utilizing the Psychological Resilience Scale, Academic Self-Efficacy Scale, College Student Learning Engagement Questionnaire, and College Student Professional Commitment Scale. SPSS and the Process plugin were used to assess mediating and moderating effects. Academic self-efficacy significantly and positively correlates with college students' commitment to learning. The positive anticipation of learning engagement facilitated by academic self-efficacy exerts its effect through the fully parallel mediation of psychological resilience and professional commitment. Notably, the mediation effect of professional commitment was greater than that of psychological resilience. Further research found that the mediation of professional commitment was moderated by gender, with female students demonstrating stronger perceptions of professional commitment associated with elevated levels of learning engagement. Gender did not exhibit a significant moderating effect on psychological resilience. College students' academic self-efficacy, professional commitment, and psychological resilience must be addressed to enhance their learning engagement.

Online Disease Management Training for Older Adults With Osteoarthritis: A Randomized Controlled Trial.

Using online methods in health education is an effective method that provides individual services to older adults with limited access to health services and allows for low-cost and continuous communication. The study was completed with 52 older adults diagnosed with osteoarthritis, including 26 intervention and 26 control participants. For data collection, a Patient Information Form, Visual Analogue Scale, the Western Ontario and McMaster Universities Osteoarthritis Index, Self-Efficacy Scale in Arthritis, World Health Organization Quality of Life Instrument-Older Adults Module and a Telephone Counselling Follow-up Form were used. Individuals in the intervention group were provided with online training for the first 4weeks and telephone counselling for the following 4weeks. Scales were applied to both groups. The scales were applied to both groups at the first, second and last measurements. It was determined that there was a significant difference between the total pain and functional status scores of the individuals in the intervention and control groups at the second and last measurement (p<0.05), while the average scores of the intervention group were lower control group. The total self-efficacy score and quality of life total score of the intervention group were statistically significantly higher than the total score of the control group (p<0.05). As a result of the research, it was found that online education and telephone counselling given to elderly individuals with osteoarthritis were effective in reducing pain severity and improving functional status, self-efficacy and quality of life. The trial was registered at ClinicalTrial.gov (NCT04816474/2021-08-10/https://register. gov/).

An Evaluation of the First Clinical Posting in Psychiatry of the Competency-Based Medical Education (CBME) Curriculum for Undergraduate Medical Students in India.

The new competency-based medical education (CBME) curriculum presents an opportunity to address the many deficiencies in undergraduate (UG) psychiatry education in India. There are no published reports of such evaluations of psychiatry teaching programs based on the new CBME curriculum. We performed a cross-sectional evaluation of the first clinical posting in psychiatry of the new CBME curriculum using the following metrics: clinical skills, knowledge, attitudes towards psychiatry, self-efficacy in performing the specific learning objectives (SLOs), and satisfaction with specific teaching-learning and assessment methods implemented. The mean knowledge score after the posting was significantly higher compared to the mean knowledge score at baseline (7.79 vs 5.45, p<0.001). The mean clinical skills score after the posting was 13.77 (0-20 range). Improvement was noted in the mean scores on all three sub-scales of the attitudes toward psychiatry scale. However, the improvement in scores was statistically significant only on the 'Stigma of Psychiatry' sub-scale. The mean scores on the items of the self-efficacy scale were between 63.41 and 77.73 (0-100 range). The mean scores on all items of the satisfaction scale were between 4 (somewhat satisfied) and 5 (very satisfied). We have described an evaluation of the first clinical posting in psychiatry of the new CBME curriculum. The posting was effective in imparting knowledge and clinical skills and potentially bringing about favorable changes in the attitudes toward psychiatry among UG medical students. The students also perceived confidence in performing the SLOs and were satisfied with the teaching-learning methods and assessment methods implemented.

Meditating role of career sustainability in the relationship between teachers’ self-efficacy and job satisfaction and subject well-being

The main purpose of this study, explore the mediating role of career sustainability in the relationships between teacher self-efficacy, job satisfaction, and subjective well-being. Teachers should have an acceptable level of satisfaction regarding self-efficacy, career sustainability, and job satisfaction to secure well-being. In a sense, this claim mandates revealing the relationships between these variables. Accordingly, we collected data from 369 Turkish language teachers aged 24–55 years employed in public schools using the Teacher Self-Efficacy Scale, Short Index of Job Satisfaction, Career Sustainability Scale, and Subjective Well-Being Scale and tested a mediation model to seek answers to our hypotheses. We collected the data using an online questionnaire battery web-based survey (Google Forms) which was created using data collection measures and demographic items. After creating the survey using Google Forms, we distributed it through various channels such as email lists, social media platforms, and professional networks (e.g., teacher WhatsApp groups, teacher Telegram groups, etc.). Respondents were invited to participate in the survey voluntarily. The findings showed that career sustainability mediated the relationships between teacher self-efficacy, job satisfaction, and subjective well-being. Accordingly, we may claim that teachers with desirable career sustainability are likely to have increased job satisfaction and well-being, contributing to their self-efficacy. This research emphasises the essential significance of career sustainability in the overall well-being and work satisfaction of teachers. Future study should investigate treatments aimed at improving career sustainability and examine these linkages in other cultural settings.

Severity of Pain Catastrophizing and Its Associations With Cognitive Flexibility and Self-Efficacy in Patients With Rheumatoid Arthritis.

Pain catastrophizing in patients with rheumatoid arthritis exacerbates negative pain-related outcomes, such as anxiety, depression, and pain intensity. Therefore, it is essential to investigate the severity of pain catastrophizing and the factors contributing to it among these patients. The present study aimed to assess the severity of pain catastrophizing and its association with cognitive flexibility and self-efficacy in a sample of Iranian patients with rheumatoid arthritis. A descriptive correlational study was conducted on 220 rheumatoid patients referred to a rheumatology clinic affiliated with Birjand University of Medical Sciences, Birjand, Iran. The instruments used to collect data included a demographic form, the Pain Catastrophizing Scale, the Cognitive Flexibility Inventory, and the Arthritis Self-Efficacy Scale. The data were analysed using SPSS version 24. The mean age of the participants was 53.25±12.41years, and the mean duration of their disease was 6.63±3.39years. The majority of participants, specifically 61.8%, reported high levels of pain catastrophizing. An inverse and significant correlation was found between pain catastrophizing and cognitive flexibility (p<0.001). Likewise, pain catastrophizing exhibited an inverse and significant correlation with self-efficacy and all its dimensions (p<0.001). The results of the multiple linear regression analysis indicate that the final significant predictors of pain catastrophizing were cognitive flexibility (β=-0.34, p<0.001) and self-efficacy (β=-0.53, p<0.001). These predictors were found to significantly explain 51% of the variance in catastrophizing. Through psychosocial interventions aimed at enhancing pain self-efficacy and cognitive flexibility, healthcare providers can hope to reduce pain catastrophizing and its adverse effects in patients with rheumatoid arthritis.

The Impact of Group Psychological Counseling on Counseling Self-Efficacy: A Mixed-Methods Study

This study aims to examine the impact of group counseling practice conducted with undergraduate psychological counseling and guidance (PCG) students on their counseling self-efficacy levels. The study group consisted of 36 third-year students enrolled in the Group Counseling Principles and Techniques course in the spring semester of 2019 at the Department of PCG at Atatürk University. Since the course content was theoretical and students needed to have fundamental knowledge related to the course, it was taught theoretically for the first 7 weeks (until the midterm exam). After the midterm, group counseling practice was conducted with students divided into three groups for the remaining 7 weeks. The researcher led the sessions, and the students participated as group members. The Counselor Activity Self-Efficacy Scales was administered immediately before and one week after the practice. After the practice, students were also asked to fill out a semi-structured form to evaluate their group experiences. This study was designed using the explanatory sequential design, one of the mixed research methods. The quantitative aspect of the research was conducted as a single-group pretest-posttest design, one of the weak experimental designs. In analyzing the quantitative data, the Paired Samples t-Test was used for pretest-posttest comparisons. For the qualitative aspect, content analysis was performed on the forms filled out by the students. The study found that group counseling practice significantly increased the counseling self-efficacy of the counselor candidates, and the students’ qualitative responses supported this finding. Furthermore, students indicated that the practice contributed to their development in both professional skills and personal relationships. It is observed that individual counseling practices are generally emphasized in psychological counselor education. Considering the inadequacy of group counseling practices in counselor education and the lack of research addressing the contributions of these practices to the personal and professional development of psychological counselors, it is evaluated that the results of this research will contribute to the field.

Comparison of self-efficacy in cardiopulmonary resuscitation position by a single rescue: over-the-head or lateral position?

Self-efficacy can speed up and improve quality of cardiopulmonary resuscitation (CPR), but it will be difficult to achieve if using a bag-valve-mask (BVM) by a single rescue. This study aimed to compare the differences of self-efficacy when performing CPR in the lateral and over-the-head (OTH) positions using a BVM device in a single rescue. A quasi-experimental with a post-test-only group design approach. This study involved 100 respondents divided into two groups, namely 50 respondents in the lateral position and 50 in the OTH position. Respondents' self-efficacy was assessed using the resuscitation self-efficacy scale (RSES). The statistical test used was Mann-Whitney. The results of this study showed that the OTH group had a higher level of self-efficacy, 46 (92%), than the lateral group, 40 (80%). In addition, the results of the Mann-Whitney statistical test also obtained p-value=0.000 (α=0.05) and mean rank value (OTH=63.30, lateral=37.70), indicating that there was a difference in self-efficacy between the OTH and lateral positions, with the OTH group having higher self-efficacy compared to the lateral group. Therefore, if CPR is performed by a single rescue with a BVM device, it can be performed with the OTH position.

Delay Discounting and BMI in Hypertensives: Serial Mediations of Self-Efficacy, Physical Activity and Sedentary Behavior.

Our study aimed to examine the association between delay discounting (DD) and body mass index (BMI) in individuals with hypertension. Additionally, we sought to explore and compare the potential mediating effects of self-efficacy, physical activity and sedentary behavior in this association. A cross-sectional survey was conducted in two cities in the Jiangsu province of China, specifically Nanjing and Yangzhou, from March to June 2023. A total of 972 hypertensive patients completed the questionnaire (M age = 64.7 years, SD age = 8.2 years, 54.2% female). Participants engaged in a money choice experiment on computers, provided their height and weight, and completed the International Physical Activity Questionnaire-Short Form (IPAQ-SF) and General Self-Efficacy Scale (GSES). The experimental program was generated using the programming software E-Prime version 2.0. Multiple hierarchical regression analysis was conducted to identify potential covariates. Two serial mediation models were conducted using PROCESS macro 4.1 in SPSS 27.0. Physical activity and sedentary behavior were designated as M2 to investigate and contrast their respective mediating effects in the association between delay discounting and body mass index. Self-efficacy, physical activity, and sedentary behavior served as mediators in the relationship between delay discounting and BMI. Self-efficacy accounted for 14.9% and 14.3% of the total effect in Models 1 and 2, respectively, while physical activity and sedentary behavior each accounted for 14.9% and 9.5% of the total effect, respectively. The serial mediation effects of self-efficacy and physical activity, as well as self-efficacy and sedentary behavior, were significant (B = 0.01, 95% CI [0.01, 0.02]; B = 0.01, 95% CI [0.002, 0.01]), collectively contributing 2.1% and 2.4% of the total effect. Sedentary behavior played a smaller mediating role compared to physical activity in this association. The results indicated that self-efficacy, physical activity and sedentary behavior could act as mediators in the association between delay discounting and BMI, thus potentially mitigating the risk of obesity in hypertensive individuals.

The chain mediating effects of self-efficacy and social support on family function and anxiety in male infertility patients.

Infertility, an escalating public health issue, exacerbates psychological distress, especially anxiety, among affected individuals. This study explores the intricate relationships between family function, self-efficacy, and social support in moderating anxiety levels in male infertility patients. Understanding these dynamics offers valuable insights for crafting effective psychological interventions. This study involved 202 male infertility patients through convenience sampling, employing the Self-Efficacy Scale, Social Support Rating Scale, Family Function Scale, and Anxiety Self-Rating Scale for assessment. Structural equation modeling (SEM) with Bootstrap analysis was utilized to explore the relationships among these variables. Analysis of 202 male infertility patients revealed a notable prevalence of anxiety (67.8%), with family function directly and indirectly influencing anxiety levels through self-efficacy and social support. SEM highlighted the mediating roles of self-efficacy and social support between family function and anxiety, demonstrating significant direct (family function on anxiety) and indirect effects (family function to anxiety via social support and self-efficacy). Notably, a chain mediation effect, where family function impacts anxiety through the sequential influence of social support and self-efficacy, accounted for a significant portion of the total effect on anxiety. These findings emphasize the critical role of enhancing family function, self-efficacy, and social support to reduce anxiety among this population. This study underscores the significant impact of family function on the psychological well-being of male infertility patients, with self-efficacy and social support serving as pivotal mediators. Improving these factors could effectively mitigate anxiety, suggesting that interventions targeting family dynamics, self-efficacy enhancement, and social support networks are essential for addressing the psychological distress associated with infertility. Future research should consider these dynamics to develop more comprehensive treatment and intervention strategies aimed at this vulnerable group.