Self-perception Questionnaire Research Articles

Análise de validação e confiabilidade do Questionário Emocional da Vertigem-CIEV em versão traduzida para o Português-Brasileiro

ABSTRACT Purpose To determine the internal consistency and reliability of the “Questionário de Impacto Emocional da Vertigem (CIEV)” and to validate the instrument with respect to the Dizziness Handicap Inventory (DHI) in a sample of individuals with balance disorders. Methods 38 subjects participated in the study, males and females, aged from 23 to 85 years, who presented dizziness, vertigo, and/or falls complaints and attended to the Vestibular Disorders clinic at the University Hospital. Individuals with hearing complaints and/or tinnitus unrelated to dizziness, previous psychiatric comorbidities, and/or cognitive impairments were excluded. We performed an anamnesis and collected complementary data from the medical records. After that, the self-perception questionnaires, DHI, and CIEV, were applied. Statistical analysis was performed in which the Cronbach’s alpha verified the internal consistency of the CIEV. Reliability and validity of the CIEV related to the DHI were calculated using Intraclass Correlation Index (ICC) and Pearson’s correlation test, respectively. Results There was a statistically significant correlation between the scores obtained, for both reliability and validation analysis (p<0.001). The mean ICC showed a moderate correlation between the total scores (0.695) and a strong correlation with the physical, emotional, and functional DHI domains (0.706 to 0.869), being the emotional aspect the highest degree (0.869). Pearson’s correlation showed strong correlation between the total scores (r=0.820) and varied from moderate to strong, with strongest correlations to the DHI emotional domain (r=0.788). Conclusion The outcomes illustrate important contribution to validation parameters to consider clinical use of the CIEV in the Brazilian population, aiming to identify emotional aspects in patients with balance disorders.

Validation and reliability analysis of the Questionnaire on the Emotional Impact of Vertigo-CIEV version translated to the Brazilian Portuguese language.

To determine the internal consistency and reliability of the "Questionário de Impacto Emocional da Vertigem (CIEV)" and to validate the instrument with respect to the Dizziness Handicap Inventory (DHI) in a sample of individuals with balance disorders. 38 subjects participated in the study, males and females, aged from 23 to 85 years, who presented dizziness, vertigo, and/or falls complaints and attended to the Vestibular Disorders clinic at the University Hospital. Individuals with hearing complaints and/or tinnitus unrelated to dizziness, previous psychiatric comorbidities, and/or cognitive impairments were excluded. We performed an anamnesis and collected complementary data from the medical records. After that, the self-perception questionnaires, DHI, and CIEV, were applied. Statistical analysis was performed in which the Cronbach's alpha verified the internal consistency of the CIEV. Reliability and validity of the CIEV related to the DHI were calculated using Intraclass Correlation Index (ICC) and Pearson's correlation test, respectively. There was a statistically significant correlation between the scores obtained, for both reliability and validation analysis (p<0.001). The mean ICC showed a moderate correlation between the total scores (0.695) and a strong correlation with the physical, emotional, and functional DHI domains (0.706 to 0.869), being the emotional aspect the highest degree (0.869). Pearson's correlation showed strong correlation between the total scores (r=0.820) and varied from moderate to strong, with strongest correlations to the DHI emotional domain (r=0.788). The outcomes illustrate important contribution to validation parameters to consider clinical use of the CIEV in the Brazilian population, aiming to identify emotional aspects in patients with balance disorders.

Adaptação e Validação Transcultural do Questionário de Autoperceção de Inteligência Emocional

Abstract The assessment of emotional intelligence is limited by the lack of psychometrically valid instruments. The present study aimed at cross-culturally adapting and validating the Emotional Intelligence Self-perception Questionnaire (EIQ-SP) in samples of Brazilian and Portuguese university students. Within this scope, in a sample of 1,074 students, reliability, construct-related validity, and criterion-related validity were analyzed. Additionally, metric invariance between the two samples and between genders was assessed. EIQ-SP showed appropriate psychometric qualities in its validation for use in Brazil, maintaining Mayer and Salovey’s four-branch model. With a short application time, simple and objective language, its small number of questions makes it an attractive and valuable instrument to investigate Emotional Intelligence.

The Influence of COVID-19 on University Students' Well-Being, Physical Activity, Body Composition, and Strength Endurance.

Very few scientific studies have simultaneously evaluated changes in well-being (WB), physical activity (PA), and strength endurance (SE) based on results from before and during the COVID-19 pandemic. The aim of the study was to assess WB, PA, and SE levels, as well as body composition parameters in university students before and during the pandemic. The study included 30 males and 30 females (mean age: 21.7 ± 2.51 and 21.6 ± 2.34 years, respectively). Well-being using the Self-Perception Questionnaire (POMS), PA from the Polish regular version of the International Physical Activity Questionnaire (IPAQ), body composition parameters using the InBody 270 analyzer, and SE based on the results of a 12 min test involving a Concept 2PM-5 rowing ergometer were assessed before and during the pandemic. An assessment of university students' WB revealed a significant increase in variables such as tension, depression, anger, confusion, and a significant decline in vigor (p < 0.05). In both sexes, PA and SE decreased significantly-from 2115.4 to 1822.8 METs-min/week and from 2184.5 to 2035 m, respectively, in males, and from 1793.5 to 1699.8 METs-min/week and from 2021.5 to 1943.8 m, respectively, in females. At the same time, body mass and BMI values increased significantly (p < 0.001) in both females and males. The COVID-19 pandemic caused a significant decrease in WB, PA and SE levels in young females and males, and led to a significant increase in their body mass and BMI.

Evaluating Post-Injury Functional Status among Patients Presenting for Emergency Care in Kigali, Rwanda

Despite high injury-related morbidity, approaches for evaluating post-injury functional status after emergency care are poorly characterized in resource-limited settings. This study evaluated the feasibility of standardized disability assessments among patients presenting with significant trauma to the Centre Hospitalier Universitaire de Kigali ED in Rwanda from January–June 2020. The functional status at 28-days post-injury was assessed using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS-2), the Katz Activities of Daily Living (ADL) Scale, and self-reported functional state. The primary outcome was a descriptive profile of the disability status at 28-days post-injury. The WHODAS 2.0, Katz ADL Scale and patients’ self-perceived functional status was compared using Kendall’s rank correlation coefficient. Twenty-four patients were included. The most common injury mechanism was road traffic accident (70.8%); 58.3% of patients had traumatic brain injury. The self-perception questionnaire and the Katz ADL scale were strongly correlated with the WHODAS 2.0 scale; however, self-perception was not well correlated with the ADL scale. Post-injury morbidity was high and morbidity assessment was feasible, with a strong correlation between patients’ self-perceived functional status and the WHODAS-2 scale. Structured post-injury assessments may serve to inform the development of rehabilitation services in Rwanda, although larger studies are needed to inform such initiatives.

Differences in self-perception and social gender status in children with gender incongruence.

Background: Gender incongruent children report lower self-perception compared to the norm population. This study explored differences in self-perception between children living in their gender role assigned at birth and children living in their experienced gender role.Method: The self-perception questionnaire was administered to 312 children referred to the Center of Expertise on Gender Dysphoria ‘Amsterdam UMC’. Social transition status was determined by parental interviews. 2 (social transition) by 2 (sex assigned at birth) ANCOVA’s were conducted.Results: Children living in their assigned gender role reported comparable self-perception to children living in their experienced gender role. Birth assigned girls living in their assigned gender role reported poorer self-perception on ‘athletic competence’, compared to girls living in their experienced gender role. Birth assigned boys living in their assigned gender role reported poorer on ‘scholastic competence’ and ‘behavioral conduct’ compared to boys living in their experienced gender role.Conclusions: Social transition did not show to affect self-perception. Self-perception was poorer for birth assigned boys living in their experienced gender role. For birth assigned girls this was reversed. Future studies should give more insight in the role of social transitions in relation to child development and focus on other aspects related to self-perception.

Digital teaching competence of university teachers: A comparative study at two European universities

This study analysed the level of digital competence of 910 university teachers at one Spanish and one Polish university, using a self-perception questionnaire based on the DigCompEdu framework. For this purpose, a quantitative methodology was used with the aim of finding out the situation at both institutions through focusing on gender, professional category, and areas of knowledge of the participants. The results showed that the university teachers generally perceived themselves as having an intermediate level of digital competence. In this sense, it was observed that the elements selected for analysis (university, gender, and professional category) can have direct implications for the results and that there are significant differences depending on the group to which they belong. Implications for practice or policy: Digital teaching competence need to be improved in the university context. Gender influences the self-perceived level of digital teaching competence and this needs to be considered in the university practices and policies. University teachers at the levels of junior lecturer and teaching assistant show better digital teaching competence and this needs to be considered in the university practices and policies.

The Relationship Between Perceptions of Physical Self-Worth, Subdomain Importance, and Physical Fitness in Adolescents With Low Motor Competence: An Exploratory Study

ABSTRACT Purpose: Adolescent perceptions of their physical self-worth (PSW) and the component domains draw upon physical attributes, such as motor competence, physical fitness, and self-perceptions, which in turn enhance the desire to engage in physical activity. Whilst these relationships have been researched in populations with typical motor development, little is known of the interplay of these contributors to PSW with those with low motor competence (LMC). Even less is known of how importance placed on particular physical subdomains may be used by the adolescent with LMC to mitigate negative effects on their perceptions of PSW. Method: Thirty-four adolescents with low motor competence, 25 boys and 9 girls (M age = 13.89 yrs, SD = 1.49), completed the McCarron Assessment of Neuromuscular Development (MAND), the Children’s Physical Self-Perception Questionnaire (C-PSPP) and a range of physical fitness tests. Results: All self-perception subdomain score was lower than importance ratings. Physical fitness measures were also low but were not significantly associated with PSW. However, the higher importance scores relative to physical self-perceptions resulted in greater discrepancy scores in all subdomains. Conclusion: Adolescents with LMC have low PSW, and low self-perceptions relative to importance ratings for most physical self-subdomains. These discrepancies, rather than actual fitness, potentially reduce their motivation to be physically active.

Safety Compliance in a Sample of Italian Mechanical Companies: The Role of Knowledge and Safety Climate.

The accident rate in the Italian mechanical sector is still too high, and evidence-based interventions to improve safety performance are essential. To better address this, our study contributes to the understanding of how to promote safety compliance through safe behaviours by using a sample of Italian mechanical workers (n = 109). Before and after scheduled safety training, intervention data on organizational factors, as well as on individual factors affecting safety-related behaviours, were collected. Particularly, data were collected using multiple sources, including self-perception questionnaires (to measure the safety climate among the management and colleagues and the safety attitude), paper and pencil tests (to measure safety knowledge), and observations by personnel with experience in observation tasks (to measure safety behaviours objectively). A model class of competing general linear models was built to determine which of the models was best suited for predicting safety-related behaviours. The results showed that both knowledge and the management’s safety climate effectively promoted safety compliance. Crucial implications for the effectiveness of active teaching methods, along with the need for continuous training and the prominent role of the management team members in giving, through their actions, further relevance to the need to respect rules and procedures, were revealed. Finally, practical implications for researchers, corporate decision makers, government agencies, and international bodies are discussed.

Fonoaudiologia em estética da face: efeito de duas estratégias para musculatura supra-hioidea

ABSTRACT Purpose: to verify the effects of tongue pressure exercises against the incisive papilla, used both alone and in combination with functional swallowing training, on the electrical activity of the suprahyoid muscles and the self-perception of aesthetic changes in the submandibular region. Chi-square, Fisher’s exact, Mann-Whitney, Kruskal Wallis, and Wilcoxon tests were used. The significance level was set at 5%. Methods: an experimental, analytical, prospective study on 27 women, aged 30 to 78 years, divided into two treatment groups (G1 and G2), and a control group (CG). Individuals were submitted to 8 weeks of training, in which G1 performed only tongue pressure exercises against the incisive papilla, and G2 performed the same exercises in combination with swallowing training, while CG was not submitted to any intervention. The suprahyoid muscle electrical activity was obtained with surface electromyography at the beginning and end of the study when subjects also answered a self-perception questionnaire on possible aesthetic results. Pearson’s chi-square, Fisher’s exact, Mann-Whitney, Kruskal Wallis, and Wilcoxon tests were used. The significance level was set at 5%. Results: statistically significant differences were found between the initial and final electrical activity in both G1 and G2, which was not found in CG. There was no significant difference between the groups regarding their self-perception of visual or muscle improvements. Conclusion: both strategies analyzed were equally effective to increase suprahyoid muscle recruitment, though with no impact on the self-perception of aesthetic changes in the submandibular region.

Do athletes know the morphology of their longitudinal plantar arch?

The foot corresponds to the body segment that allows the exchange of forces between the support surface and the athlete's body; itsmorphology and function influence the quality of movement and body alignment. Moreover, the foot morphology can be modified according to the different adaptations that different sports cause, such as running, sport combat and team sports. This work aimed to define the knowledge that a sample of athletes has about their Medial Longitudinal Foot Arch (MLA). A sample of 119 athletes, separated into three groups (runners, combat athletes, and team players), were given a self-perception questionnaire of their MLA. Their responses were contrasted with the Arch Index (AI), which is a reliable objective measurement of the MLA.Just 18.5% of thesample were able to identify their MLA, as 67.2% stated they did not know, and 14.3% erred in their self-diagnosis. Combat athletes had the highest percentage who correctly identified their MLA(25%). Association was found between the knowledge demonstrated by athletes and the sport they practiced (X2= 9.926, df = 4, p = 0.04). The ignorance about MLAby the athletes studied is presented as a problem of which consequences are unknown; this opens future research focused on the study of injuries caused by misalignment of the foot and the need to prescribe sports shoes as orthoses.

AudBility: confiabilidade teste-reteste em crianças com desenvolvimento típico de 6 e 7 anos

ABSTRACT Purpose to investigate the test-retest reliability of the AudBility program in typically developing children aged six-seven years. Methods 29 children, male and female, right-handed, native Portuguese speakers and adequate school performance for the age group studied, underwent previous meatoscopy, immittance measurements and the AudBility program was applied, composed of a self-perception questionnaire and auditory tasks, being analyzed the abilities of sound localization, auditory closure, figure-ground, dichotic digits test, temporal resolution, and temporal ordering of frequency and duration. The program was designed and reapplied with an interval of one week under the same conditions. The performance in each task was presented from central tendency and dispersion data and was conducted using the Intraclass Correlation Coefficient (ICC), based on the 95% confidence interval (CI). Results The analyses showed a positive and significant ICC (p&lt;0.01) for the questionnaire and auditory tasks, except for auditory closure, in the right and left ears and figure-ground in the left ear. The questionnaire mean ICC was 0.742 and ranged from −0.012 to 0.698 for the auditory tasks. Conclusion Based on mean results and upper limit of the CI, the findings showed agreement between moments, classified as good for the questionnaire and moderate to good for five of the seven auditory analyzed tasks (ICC&gt;0.05 and &lt;0.9). The results of the reliability study represent an important parameter for validating the program for the studied age group.

Popularnost onlajn nastave engleskog jezika kao stranog sa učenicima poreklom iz Istočne Azije - percepcija nastavnika

Online teaching English as a foreign language to learners from East Asia has become very popular nowadays. It is a result of the intensive socio-economic development of this region's countries, such as Japan, China, South Korea, and Taiwan, which demands new roles of individuals for successful functioning in the current world. Due to following contemporary social changes, reaching the global market and adjusting the educational system to the modern concepts, English has become their obligatory school subject. The need for better language competence implies learning and improving this global language since the early age in East Asia, not only within formal education, but within the informal one as well. The lack of qualified teachers of English language and the use of inadequate teaching approaches and methods in the standard classroom resulted in the need for additional lessons, which numerous online language platforms from this region offer. For this reason, the interest in attending these lessons increased, as well as the interest in teaching English language online. The focus of this research is to introduce the main reasons for online teaching English as a foreign language to learners from East Asia and its advantages, in order to identify general causes of this job's current popularity. It is realized through the achievement of the following aims: 1) the most frequent reasons because of which the individuals decide to teach on platforms for learning English language, which are popular among East Asian learners nowadays, are provided, and 2) the advantages of such teaching environment are examined from the teachers' point of view. This is a cross-sectional study for the purpose of which a survey of 151 respondents worldwide was conducted by means of a self-perception questionnaire. Collected data were analysed by means of SPSS 22.0 program for statistical data analysis. The results indicate that: 1) some of the most frequent respondents' reasons for online teaching English language to learners from East Asia are: flexible work schedule, working at home, getting a job easily, meeting new people and cultures, while 2) from the teachers' point of view, the most common advantages of working in such environment are: feeling comfortable while teaching, flexible work schedule, satisfactory income, contact with foreign countries and cultures and less stressful environment for teaching English language. Taking into account these results, as well as the socio-economic requirements of the process of globalization in East Asia, it may be concluded that the educational concept of Hong Kong "Learning for Life, Learning Through Life" could be the policy of many Asian countries, whose aim is to enable learners to use the English language outside the classroom and learn it in a more flexible and comprehensible way. As long as the focus of teaching is not so much on form, as it is on the language functions (Pan, 2015), there will be the need for additional improvement of the English language in the countries of East Asia. Since the interest for teaching the English language within online platforms is continuing, and there are no considerable difficulties for being employed and adjusting to such work environment, it can be concluded that the future perspective of this job position is definitely guaranteed.

Relationship between leadership coaching and nurses' resilience in hospital environments.

To analyze the relationship between leadership coaching and nurses' resilience in hospital environments. This is a cross-sectional study, carried out with nurses, nursing assistants and technicians. Nurses answered the Nurse Self-Perception Questionnaire in Leadership Exercise Questionnaire (QUAPEEL) and the Connor-Davidson Scale for Brazil-25 (CD-RISC-25BRASIL). Nursing technicians/assistants answered the Nursing Technician and Assistant Perception in Leadership Exercise Questionnaire (QUEPTAEEL). Student's t test and Pearson's correlation were used (p ≤ 0.05). There was a statistically significant difference between nurses' self-perception and nursing technicians/assistants' hetero-perception in coaching leadership exercise for the total score (p = 0.002) and in the "Give and receive feedback" (p < 0.001), "Delegate power and exert influence" (p < 0.001) and "Support the team so that the organizational results are reached" (p = 0.020) domains. There was a statistically significant correlation between all the Nurse Self-Perception Questionnaire in Leadership Exercise Questionnaire Coaching and Resilience domains. Resilience was positively related to nurses' self-perception of coaching leadership.

AudBility: test-retest reliability in typically developing children aged 6 to 7 years.

to investigate the test-retest reliability of the AudBility program in typically developing children aged six-seven years. 29 children, male and female, right-handed, native Portuguese speakers and adequate school performance for the age group studied, underwent previous meatoscopy, immittance measurements and the AudBility program was applied, composed of a self-perception questionnaire and auditory tasks, being analyzed the abilities of sound localization, auditory closure, figure-ground, dichotic digits test, temporal resolution, and temporal ordering of frequency and duration. The program was designed and reapplied with an interval of one week under the same conditions. The performance in each task was presented from central tendency and dispersion data and was conducted using the Intraclass Correlation Coefficient (ICC), based on the 95% confidence interval (CI). The analyses showed a positive and significant ICC (p<0.01) for the questionnaire and auditory tasks, except for auditory closure, in the right and left ears and figure-ground in the left ear. The questionnaire mean ICC was 0.742 and ranged from -0.012 to 0.698 for the auditory tasks. Based on mean results and upper limit of the CI, the findings showed agreement between moments, classified as good for the questionnaire and moderate to good for five of the seven auditory analyzed tasks (ICC>0.05 and <0.9). The results of the reliability study represent an important parameter for validating the program for the studied age group.

Moving together: Assessing the effectiveness of group mother-child dance and movement therapy

The effectiveness of group mother-child dance and movement therapy is presented. Eighty kindergarten (aged five to seven) children in the regular education system who were referred to therapy for various reasons took part. Participants were randomly divided into two groups: 40 children in group mother-child dance and movement therapy (group PCDMT) and 40 children in group dance and movement therapy without their mothers' participation (group DMT). The children completed the Child Self-Perception Questionnaire. The mothers completed the Child Behavior Assessment Questionnaire, the Mother’s Perception of the Mother-Child Relationship Questionnaire and the Mother’s Psychopathological Distress Questionnaire. The Therapy Assessment and Process Questionnaire was filled out by the therapists. The results show that both groups appear to have been effective in this study. The group PCDMT showed more improvement on some of the variables than the group DMT with the child alone.

Development and Psychometric Testing of the Japanese Version of the Fremantle Neck Awareness Questionnaire: A Cross-Sectional Study.

PurposeContemporary theories of pain suggest that how the body is perceived is central to the emergence of pain. The Fremantle Back Awareness Questionnaire (FreBAQ) was developed to assess body-perception specific to the back in people with chronic low back pain. However, there is no comprehensive measure to quantify self-perception of the painful area in Japanese people with neck pain. This study aimed to develop a Japanese version of a self-perception questionnaire specific to the neck and evaluate the validity and reliability of the scale using Rasch analysis.Materials and MethodsThe Fremantle Neck Awareness Questionnaire (FreNAQ-J) was developed by modifying the FreBAQ-J. One hundred people with chronic neck pain and fifty-six matched healthy controls completed the questionnaire. Rasch analysis was used to evaluate targeting, category order, unidimensionality, person fit, internal consistency, differential item functioning, and differential test functioning in the neck pain population. Validity was investigated by examining the relationship between the FreNAQ-J and clinical status.ResultsPeople with chronic neck pain endorsed FreNAQ-J items with greater frequency than healthy controls. FreNAQ-J did not reject the null hypothesis of fitting the Rasch model, had acceptable internal consistency and good test–retest reliability. Summed FreNAQ-J scores were significantly correlated with pain intensity, disability, pain-related catastrophizing and fear of movement.ConclusionThe individual items of the FreNAQ-J can be validly summed to provide a score of self-perception. The FreNAQ-J is the first scale developed for comprehensively evaluating disturbed body perception in Japanese patients with chronic neck pain.

Therapeutic Benefits of Adult Doll Play

This study explored the episodic memories and therapeutic benefits associated with adult doll play. Forty adult collectors described a significant interaction they had with their dolls and interpreted the meaning of the episode. They rated both their narratives and interpretations on 7-point scales. Then they completed four questionnaires reflecting on their motivations for joining the doll hobby, the aesthetic and therapeutic aspects of doll play, as well as play and fantasy and self-perception questionnaires developed in an earlier study. Principal components factor analyses were performed on all scales and questionnaires, and the factors were correlated. In addition, the narratives and interpretations were coded and thematically analyzed. Results show that attachment forms with imagined and situated characters during the customization and story making process. This bonding process was critical in creating meaning and rituals within the ball-jointed doll hobby. Implications for the clinical field and AI mediated devices were discussed.

Development and validation of a shoulder-specific body-perception questionnaire in people with persistent shoulder pain

BackgroundThere is evidence that people with persistent shoulder pain exhibit findings consistent with the presence of sensorimotor dysfunction. Sensorimotor impairments can manifest in a variety of ways, and further developing our understanding of sensorimotor dysfunction in shoulder pain may improve current models of care. The Fremantle Back Awareness Questionnaire (FreBAQ) has been developed to assess disturbed body perception specific to the back. The purpose of the present study was to develop a shoulder-specific self-perception questionnaire and evaluate the questionnaire in people with persistent shoulder pain.MethodsThe Fremantle Shoulder Awareness Questionnaire (FreSHAQ-J) was developed by modifying the FreBAQ. One hundred and twelve consecutive people with persistent shoulder pain completed the FreSHAQ-J. Thirty participants completed the FreSHAQ-J again two-weeks later to assess test-retest reliability. Rasch analysis was used to assess the psychometric properties of the FreSHAQ-J. Associations between FreSHAQ-J total score and clinical status was explored using correlational analysis.ResultsThe FreSHAQ-J has acceptable category order, unidimensionality, no misfitting items, and excellent test-retest reliability. The FreSHAQ-J was moderately correlated with disability and pain catastrophization.ConclusionsThe FreSHAQ-J fits the Rasch measurement model well and is suitable for use with people with shoulder pain. Given the relationship between the FreSHAQ-J score and clinical status, change in body perception may be worth assessing when managing patients with shoulder pain.

Therapeutic Benefits of Adult Doll Play

This study explored the episodic memories and therapeutic benefits associated with adult doll play. Forty adult collectors described a significant interaction they had with their dolls and interpreted the meaning of the episode. They rated both their narratives and interpretations on 7-point scales. They then completed four questionnaires reflecting on their motivations for joining the doll hobby, the aesthetic and therapeutic aspects of doll play, as well as play and fantasy and self-perception questionnaires developed in an earlier study. Principal components factor analyses were performed on all scales and questionnaires, and the factors were correlated. In addition, the narratives and interpretations were coded and thematically analyzed. Results show that attachment forms with imagined and situated characters during the customization and story making process. Attachment and bonding was critical in creating meaning and rituals within the ball-jointed doll hobby. Implications for the clinical field and AI mediated devices were discussed.