Standardized Path Coefficients Research Articles

Association of self-leadership and epidemic risk perception on quality of life in post-pandemic mainland of China: a cross-sectional study.

Self-leadership has proven to adjust individual psychological states and promote active behaviors to mitigate stress perception and negative lifestyle. This study aims to investigate the relationship between self-leadership, epidemic risk perception, and quality of life among the general public in post-pandemic mainland of China. Two online self-reported questionnaire surveys were carried out with 3,098 and 469 people in the Chinese mainland in February 2021 and December 2022, respectively. The univariate analysis, structural equation modeling, and fuzzy-set qualitative comparative analysis were used to analyze the data which was collected by Revised Self-Leadership Questionnaire, Perceived Risk of COVID-19 Pandemic Scale and World Health Organization Quality of Life Brief Scale. The Self-leadership was directly, moderately, and positively correlated with quality of life (Standardized path coefficients: 0.383 and 0.491, respectively; p < 0.05), and epidemic risk perception was negatively correlated with quality of life (Standardized path: 0.068 and 0.120, respectively; p < 0.05). The structural equation model for self-leadership, epidemic risk perception, and quality of life had a good fit (CFI = 0.957, 0.939 > 0.9; RSMEA = 0.058, 0.064 < 0.08, respectively) and was consistent across genders, educational levels, and types of occupations (Delata-CFI < 0.01). The core condition for achieving a high quality of life lies in maintaining a low level of self-punishment and a high level of self-cueing or a high level of self-punishment and a low level of self-cueing. In the post-epidemic era, the public can adjust their attitude toward stress by enhancing their self-leadership skills. Among various self-leadership skills, self-punishment or self-cueing may have the most significant impact on the quality of life.

Associations of vegetable and fruit intake, physical activity, and school bullying with depressive symptoms in secondary school students: the mediating role of internet addiction

BackgroundFew studies have simultaneously focused on the associations of vegetable and fruit intake, physical activity, school bullying, and Internet addiction (IA) with depressive symptoms. This study aimed to explore the direct and indirect effects of the above factors on depressive symptoms in adolescents by constructing a structural equation model (SEM).MethodsThis study was conducted in Qingdao from September to November 2021. A total of 6195 secondary school students aged 10–19 years were included in the analysis. Information on all variables was assessed using a self-administered questionnaire. An SEM was constructed with depressive symptoms as the endogenous latent variable, IA as the mediating variable, and vegetable and fruit intake, physical activity, and school bullying as the exogenous latent variables. The standardized path coefficients (β) were the direct effects between the latent variables, and the indirect effects were obtained by the product of direct effects between relevant latent variables.ResultsThe median value with the interquartile range of depressive symptom scores was 7 (3,12). Vegetable and fruit intake (β=-0.100, P<0.001) and physical activity (β=-0.140, P<0.001) were directly negatively related to depressive symptoms. While school bullying (β=0.138, P<0.001) and IA (β=0.452, P<0.001) were directly positively related to depressive symptoms. IA had the greatest impact on depressive symptoms. Vegetable and fruit intake, physical activity, and school bullying could not only directly affect depressive symptoms, but also indirectly affect depressive symptoms through the mediating effect of IA, the indirect effects and 95% confidence intervals (CIs) were -0.028 (-0.051, -0.007), -0.114 (-0.148, -0.089) and 0.095 (0.060, 0.157), respectively. The results of the multi-group analysis showed that the SEM we constructed still fit in boy and girl groups.ConclusionsThe results indicated that vegetable and fruit intake, physical activity, school bullying, and IA had a significant direct impact on depressive symptoms, among which IA had the greatest impact. In addition, both vegetable and fruit intake, school bullying, and physical activity indirectly affected depressive symptoms through the mediating effect of IA. The impact of IA on depressive symptoms should be given extra attention by schools and parents. This study provides a scientific and effective basis for the prevention and control of adolescent depressive symptoms.

Divergent changes in particulate and mineral-associated organic carbon under natural revegetation along a soil texture gradient in temperate grasslands of China

The natural revegetation of grasslands can stimulate belowground carbon inputs and facilitate the storage of soil organic carbon (SOC), which is conducive to the restoration of grassland ecosystems. Previous studies have investigated the dynamics of organic carbon (OC) in bulk soil, but paid little attention to OC fractions within aggregates. This study explored the response of OC changes in functionally distinct fractions, namely particulate organic matter (POM) and mineral-associated organic matter (MAOM), to natural restoration through systematic measurements of two grassland vegetation species at three study sites along a soil texture gradient in the Loess Plateau. In naturally restored grasslands, the SOC and OC contents of POM (POM_C) and MAOM (MAOM_C) within bulk soil and aggregates were significantly (p < 0.05) higher relative to bare land, with more effective improvement of POM_C (1.01−6.55 times) than MAOM_C (0.88−4.26 times). Compared to cover type (6.01 %−26.04 %), soil texture explained the variance of OC fractions to a greater extent (56.39 %−88.16 %). Soil texture had a larger contribution to MAOM_C in bulk soil with standardized path coefficients for total effect of 0.78 than POM_C, which had a coefficient of 0.67 (p < 0.05). Moreover, the growth rate of the MAOM_C pool exhibited a gradual decline (p < 0.001), which subsequently approached saturation level despite a persistent increase in total SOC in both bulk soil and aggregates. During soil carbon sequestration, aggregate fractions with relatively smaller particle size reached the MAOM_C saturation more easily than fractions with larger size. The findings of this study highlight the important role of soil texture in determining the saturation level of the MAOM_C pool at the regional scale. In the development of soil carbon sequestration strategies, more attention should be paid to the divergent behaviors of different SOM fractions and their distinct responses to natural restoration at larger spatiotemporal scales.

Development, validation and reliability testing of the hospice care environment scale

BackgroundWHO stated the environment is an important factor affecting the development of hospice care. The environment is the sum of factors affecting behavior besides the individual factors. Currently, a scale to comprehensively assess the hospice environment of nurse is still lacking. This study aimed to develop an instrument to investigate the environmental factors affecting hospice care of nurses.MethodsLiterature review and a semi-structured interview were conducted to form the items pool of the Hospice Care Environment Scale. Two rounds of Delphi expert consultation were conducted by 16 experts to revise the scale dimensions and entries to form the Hospice Care Environment Scale. A psychometric evaluation was then performed among 530 oncology nurses in a large tertiary oncology hospital in Hubei Province. The 500 valid questionnaires were randomly divided into two groups in a 1:1 ratio, sample 1 (n1 = 250) for item screening and sample 2 (n2 = 250) for quality evaluation of the resulting scale. Item analysis, reliability analysis, validity analysis and acceptability analysis were performed.ResultThe Hospice Care Environment Scale consists of two dimensions and 13 entries. The Cronbach’s α coefficient of the Hospice Care Environment Scale was 0.970, and the Cronbach’s α coefficient of the two dimensions were 0.952 and 0.969, respectively, with the Item-content validity index and average Scale- content validity index of the scale was both 1.000. The validation factor analysis showed the standardized path coefficients of each item were basically above 0.5, and the factor structure model was stable and suitable. The average completion time of the scale was about 3 min, which had good feasibility.ConclusionThe Hospice Care Environment Scale to assess the environment of hospice care services, has good content and construct validity and reliability. This scale can provide guidance to evaluate the hospice care environment.

Resident water conservation behaviors among different age groups in rural areas of the Weibei arid belt, China

Understanding water conservation behaviors across various age groups is crucial for developing effective water resource management strategies particularly in arid and semiarid zones. Based on a semi-structural questionnaire survey of 445 households in China's Weibei arid belt and extended Theory of Planned Behavior Model, a Structural Equation Model (SEM) was constructed to elucidate the age-related impact of water conservation knowledge, attitudes, subjective norms, and perceived control on water-saving behaviors. The results show that (1) youth group prioritizes personal hygiene and laundry activities whereas the elderly exhibit lower such requirements. (2) Water consumption varies significantly by age, with the elderly group consumes the least, averaging 62.26 L per capita per day (Lpcd), followed by the middle-aged group at 73.95 Lpcd, and the youth at the highest consumption rate of 84.60 Lpcd. (3) Influential factors on water conservation behavior differ substantially by age: Among the youth, water conservation behavior is strongly influenced by attitude in this domain (standardized path coefficient [SPC] = 0.32). The middle-aged group is influenced by subjective norms (SPC = 0.27) and attitudes toward water conservation (SPC = 0.27). Conversely, the elder group's behavior is dominated by knowledge (SPC = 0.35) and perceived control (SPC = 0.32). Given such distinct perceptions and behaviors of household water consumption, tailored water conservation strategies are essential of water conservation education through social media for youth, tiered pricing for the middle-aged, and water-saving subsidies to the elderly in the case areas.

미용인의 NCS화장품 능력단위인지와 현장활용성 및 화장품학 교과만족도 관계 연구

Objectives The purspose of this study is to analyze the effect of cosmetics National Competency Standards recognition on cosmetics subject necessity and subject satisfaction through field usability.&#x0D; Methods A survey was conducted on 304 cosmetologists who had experience in cosmetic course. To verify the research hypothesis, the structural equation model was establised and analyzed using AMOS, and bootstrapping was used to verify the mediation effect. The significance of the mediation effect was verified again through the Sobel Test.&#x0D; Results Recognition of cosmetics NCS had a positive (+) effect on field usability. Field usability had a positive (+) significant effect on the cosmetics subject necessity and had a positive (+) effect on cosmetics subject satisfaction. It was confirmed that the recognition of cosmetics NCS did not have a direct effect on the cosmetics subject necessity, and only the indirect path was significant, confirming that field usability had a complete mediation effect. In the relationship between whether it is an cosmetics NCS recognition, field usability, and cosmetics sbject satisfaction, the indirect path generates a standardized path coefficient that greatly exceeds 1.0, and the direct path was an inconsistent mediation effect with opposite sign values, confirming that the direct path had a spurious effect. This means that in the relationship between cosmetics NCS recognition and cosmetics subject satisfaction, field usability has a complete mediation effect.&#x0D; Conclusions Cosmetics NCS recognition does not have a direct effect on the necessity of cosmetics subject and satisfaction of cosmetics subject, but field usability plays a complete mediation role and has an effect. This can be said to be a result that corresponds to the characteristics of the practical-oriented beauty occupation. The cosmetics NCS should be reorganized according to the beauty occupations so that cosmetics can be used more safely and appropriately in the field of beauty work by major that utilizes cosmetics.&#x0D;

Childhood Gender Nonconformity and Sexual Orientation Disparities in Depressive Symptoms: The Role of Parental Attitudes.

Purpose: This study tested whether sexual orientation disparities in depressive symptoms are partially explained by recalled childhood gender nonconformity and whether the proportion of this association explained by childhood gender nonconformity is moderated by recalled parental attitudes toward childhood gender nonconformity. Methods: A convenience sample of young adults was recruited from two Chinese online survey platforms (272 heterosexual males, 272 bisexual males, 272 gay males, 272 heterosexual females, 272 bisexual females, and 272 lesbian females). Both mediation and moderated mediation models were conducted. Results: For both sexes, bisexual and gay/lesbian individuals reported significantly higher levels of depressive symptoms than heterosexual individuals, with total effects (standardized path coefficients) ranging from 0.25 to 0.38, all ps < 0.01. These sexual orientation disparities in depressive symptoms were partially explained by childhood gender nonconformity, with indirect effects ranging from 0.08 to 0.17, all ps < 0.001. The effect of childhood gender nonconformity on depressive symptoms was significantly moderated by parental attitudes. The mediating effect of childhood gender nonconformity on sexual orientation disparities in depressive symptoms was strongest at the more negative levels (one standard deviation [SD] above the mean) of parental attitudes and weakest at more tolerant levels (one SD below the mean) of parental attitudes. Conclusions: Childhood gender nonconformity may be a partial contributor to sexual orientation disparities in depressive symptoms and this indirect effect may be moderated by parental attitudes toward childhood gender nonconformity, with the indirect effect decreasing when parental attitudes move from negative toward more tolerant levels.

A Study on Factors Influencing Designers’ Behavioral Intention in Using AI-Generated Content for Assisted Design: Perceived Anxiety, Perceived Risk, and UTAUT

This study aims to comprehensively understand the intention to use Artificial Intelligence Generated Assistance in Design Tools (AIGC) among design students and practitioners, along with its influencing factors. Utilizing Smart-PLS software and Partial Least Squares Structural Equation Modeling (PLS-SEM) technique, we constructed a comprehensive research model. Based on 404 valid questionnaire responses, we systematically analyzed the underlying mechanisms of designers’ attitudes towards AIGC tools. The sample encompasses diverse schools and levels of professional experience, ensuring the wide applicability of research outcomes. In the data analysis process, professional statistical analysis methods, including path analysis and standardized path coefficients, were employed to ensure a profound exploration of research questions. The results indicate that performance expectancy, effort expectancy, social influence, and facilitating conditions significantly positively influence the willingness to use AIGC tools, while perceived anxiety and perceived risk exert negative impacts. This study, by integrating traditional and novel factors, provides crucial theoretical and practical guidance for the actual application of AIGC technology in the design field, offering profound insights for the future development and education of design technology.

Longitudinal relationship between grip strength and cognitive function in a European population older than 50 years: A cross-lagged panel model

ObjectivesThe aim of this study was to investigate the dynamic longitudinal relationship between grip strength and cognitive function. Methods6175 participants aged ≥50 years were included in the study using three waves of follow-up data from the Survey of Health, Ageing, and Retirement in Europe in 2015 (T1), 2017 (T2) and 2019 (T3). Cognitive function was assessed using numeracy, verbal fluency, immediate recall, delayed recall and total. The cross-lagged panel model was used for analysis. ResultsThere was a correlation between grip strength and cognitive function. Standardized path coefficient from numeracy T1 to grip strength T2 was 0.017 (p = 0.003), and from numeracy T2 to grip strength T3 was 0.014 (p = 0.012). Standardized path coefficient from grip strength T1 to numeracy T2 was 0.096 (p < 0.001), and from grip strength T2 to numeracy T3 was 0.113 (p < 0.001). Other indicators of cognitive function had similar relationships with grip strength. ConclusionsThe study found a statistically significant longitudinal and bidirectional relationship between grip strength and cognitive function in a sample of people aged ≥50 years from several European countries.

Body Part Pain Affects Subjective and Objective Handball Performance in Japanese Male National Athletes-Results of Short-Term Practical Monitoring of Athletes' Conditions.

This short-term survey examined the effect of body part pain on subjective and objective handball performance in Japanese male national handball athletes. Fourteen athletes participated in this study. Assessments of pain in 10 body parts and subjective performance (concentration and satisfaction with body movement) were performed using a visual analog scale from 0 to 10 over four consecutive training days. Monitoring of heart rate and body acceleration during training was also performed to quantify the objective performance. Path analysis and linear mixed modeling were employed to assess the relationship between body pain scores and subjective/objective handball performance. Over the four days of the study period, the body part in which most athletes reported pain was the dominant shoulder (6 of 14 athletes), followed by the dominant knee, the dominant elbow, the dominant ankle joint, and the non-dominant ankle joint (3 of 14 athletes). The path analysis revealed that pain in the dominant elbow negatively correlated with concentration (standardized path coefficient = -0.644, p = 0.00), which was associated with satisfaction with body movement (standardized path coefficient = 0.704, p = 0.00). No significant effect of body pain on objective performance (heart rate and body acceleration) was found among the athletes in this study. The results suggested that the elite athletes were practicing with pain. Even if pain does not physically affect athletes' objective performance, pain in the upper extremities, associated with the primary handball movement of throwing, may reduce the quality of practice by lowering athletes' subjective performance.

Design a Data Analytics Training System to Explore Behavioral Intention and Immersion for Internal Enterprise Education

This research delves into the integration of the CDIO framework and gamified learning into a web crawling system, aiming to elevate the innovation and practical skills of corporate trainees. The study examines the effects on learning achievement, immersion, and behavioral intentions among corporate trainees. Results indicate that those utilizing the gamified web crawling learning system exhibit enhanced learning achievement. HMSAM analysis unveils notable standardized path coefficients, wherein perceived ease of use positively influences perceived usefulness, curiosity, joy, and control. Perceived usefulness and joy significantly impact behavioral intention to use, prompting corporate trainees to express a continued willingness to use the system. These findings deepen our comprehension of CDIO and gamified learning applications in corporate education and training, emphasizing the importance of aligning educational tools with the interests and preferences of corporate trainees.

The green mindset: how consumers’ attitudes, intentions, and concerns shape their purchase decisions

Purpose. The goal of the present investigation is to find out what effect environmental concern has as a moderator between green brand positioning, green brand knowledge, social value, and perspective on the green brand among young consumers. Design/methodology/approach. Information was gathered from 407 Bangladeshi university students, both public and private. The suggested model was evaluated with the assistance of SPSS version AMOS-24, using the Structural equation Modeling (SEM) method. Findings. According to the standardized path coefficients of the SEM, the findings suggest that environmental concerns have a great deal to do with young people’s green purchasing intentions. According to the results, ‘green brand positioning’ (GBP) and ‘green brand knowledge’ (GBK), directly and indirectly via ‘Attitude towards Green Brand’ (ATGB) affect ‘Green Purchasing Intention’ (GPI). But ‘social value’ (SV) and ATGB are indirectly important factors in determining intent to buy environmentally friendly products and have no direct effect on GPI. Here, as a moderator, ‘environmental concern’ (EC) plays a vital role. Practical implications. These insights may help companies better comprehend how customers view environmentally responsible products as well as what factors influence their purchase decisions. Additionally, it is essential for businesses to appreciate the significance of educating people about environmental issues in order to increase consumer awareness and encourage more sustainable consumption habits. Originality and value. The study’s findings might be quite instructive to firms and businesses and motivate young people to make environmentally friendly purchases. One of the first studies of its kind, its findings are extremely valuable for companies seeking to understand their customers’ perspectives on green brands because they may shed light on how environmental concerns can moderate consumer behavior when it comes to purchasing environmentally friendly products.

Women's status, empowerment, and utilization of skilled delivery services in Papua New Guinea: an empirical analysis based on structural equation modeling.

Skilled birth attendants (SBA) facilitate identifying and overcoming labor problems and saving lives. With one of the highest maternal death rates in the Asia-Pacific area, SBA utilization during childbirth among Papua New Guinea (PNG) women remains low. Women's status and empowerment are important factors in maternal and child health services and critical to maternal and child health development. This study is intended to apply structural equation modeling based on data from the Demographic and Health Survey (DHS) to evaluate the causal relationship between women's status, empowerment, and SBA utilization in PNG and the mechanisms of their influence. This study employed data from the 2016-2018 Papua New Guinea Demographic Health Survey (PNG DHS), which recruited 18,175 women aged 15-49 years. A multi-stage sample and a structured questionnaire were used to collect information on maternal health, women's empowerment, and related topics. STATA 17.0 was used to describe the data, while MPLUS 8.2 was employed for structural equation modeling and pathway analysis. The two empowerment dimensions of household decision-making (standardized path coefficient, β = 0.049, p < 0.05) and access to health services (β = 0.069, p < 0.01) were positively associated with SBA utilization, while the association between attitudes toward partner violence and SBA utilization was not statistically significant. In addition, mediation analysis revealed that education indirectly influenced SBA utilization through access to health services (β = 0.011, 95% CI: 0.002, 0.022). The findings confirmed the direct and indirect effects of women's status and empowerment on SBA utilization in PNG. Therefore, a call for further evidence-based interventions in PNG and possibly Pacific Small Island Developing States (PSIDS) is needed to improve women's educational attainment, household decision-making, and access to health services to enhance maternal and newborn health and well-being.

Analysis of Prescription Compliance and Influencing Factors in Cardiac Rehabilitation after Surgery in Children with Congenital Heart Disease Based on Generalized Trust Theory.

To understand the compliance, influencing factors, and action path of family cardiac rehabilitation exercise prescriptions for children after congenital heart disease surgery. A random sampling method was used to select 200 pediatric patients and their parents from a pediatric hospital in Shanghai. Among them, 57 cases (28.5%) of children's families followed the cardiac rehabilitation exercise prescription. Path analysis showed that peak oxygen uptake exerted a negative impact on the compliance of family cardiac-rehabilitation prescriptions for patients after congenital heart disease surgery through doctor-patient trust, with a standardized path coefficient of -0.246 (P = 0.001). Disease-related knowledge exerted a positive effect on the compliance of family cardiac-rehabilitation prescriptions for children after congenital heart surgery through doctor-patient trust, with a standardized path coefficient of 0.353 (P < 0.001). The dimension of friend support in social support had a direct positive effect on the compliance of family cardiac-rehabilitation prescriptions for children after cardiac surgery, with a standardized path coefficient of 0.641 (P = 0.006). The compliance of cardiac rehabilitation exercise prescription in children with congenital heart disease is not good and is affected by many factors, and there is a complex path relationship between various factors; the kilogram oxygen consumption of the child, the disease-related knowledge of the caregiver, and social support all play important roles in the compliance of the child's family's health prescription. SCMCIRB-K2021002-1.

Structural Equation Modelling to Identify Psychometric Determinants of Medication Adherence in a Survey of Kidney Dialysis Patients.

Medication non-adherence in dialysis patients is associated with increased mortality and higher healthcare costs. We assessed whether medication adherence is influenced by specific psychometric constructs measuring beliefs about the necessity for medication and concerns about them. We also tested whether medication knowledge, health literacy, and illness perceptions influenced this relationship. This study is based on data from a cross-sectional in-person questionnaire, administered to a random sample of all adult dialysis patients at a teaching hospital. The main outcome was self-assessed medication adherence (8-Item Morisky Medication Adherence Scale). The predictors were: concerns about medications and necessity for medication (Beliefs About Medication Questionnaire); health literacy; medication knowledge (Medication Knowledge Evaluation Tool); cognitive, emotional, and comprehensibility Illness perceptions (Brief Illness Perception Questionnaire). Path analysis was performed using structural equations in both covariance and variance-based models. Necessity for medication increased (standardized path coefficient [β] 0.30 [95% CI 0.05, 0.54]) and concerns about medication decreased (standardized β -0.33 [-0.57, -0.09]) medication adherence, explaining most of the variance in outcome (r2=0.95). Medication knowledge and cognitive illness perceptions had no effects on medication adherence, either directly or indirectly. Higher health literacy, greater illness comprehension, and a more positive emotional view of their illness had medium-to-large sized effects in increasing medication adherence. These were indirect rather and direct effects mediated by decreases in concerns about medications (standardized β respectively -0.40 [-0.63,-0.16], -0.60 [-0.85, -0.34], -0.33 [-0.52, -0.13]). Interventions that reduce patients' concerns about their medications are likely to improve adherence, rather than interventions that increase patients' perceived necessity for medication. Improving patients' general health literacy and facilitating a better understanding and more positive perception of the illness can probably achieve this. Our study is potentially limited by a lack of generalizability outside of the population and setting in which it was conducted.

A68: Volleyball Coaches' Leadership Behaviors and Athletes' Competition Anxiety

Purpose: Volleyball is not only a contest between technical and tactical levels, but also a duel between psychological and tactical aspects. Coaches' leadership behaviors play a key role in athletes' trust, team effectiveness and competition status. Coaches' leadership behaviors, as perceived from the athletes' perspective, have a greater impact on athletes' competition anxiety than the actual leadership behaviors of coaches. The purpose of this study was to examine how athletes perceived the possible role of coaches' leadership behaviors on college men's volleyball players' competition anxiety and the possible mediating effect of athletic self-confidence in it was examined. Methods: 216 athletes from 18 teams in the Men's Preliminary Volleyball Event of the Fourteenth Student Games of the People's Republic of China in 2020 were selected for the study. The questionnaire contained the Coaches' Leadership Behavior Scale, the Sports Competition State Anxiety Scale-2, and the Sports Self-Esteem Scale. The data collected were tested for reliability and validity and factor analysis using SPSS25.0 statistical software; structural equation model construction, goodness-of-fit tests, validation factor analysis and mediating effect tests were conducted using AMOS22.0 software. Results: (1) Positive feedback behavior by coaches had a significant negative effect on competition anxiety (standardized path coefficient of -0.205) and sport confidence mediated the effect value between the two -0.098 (32.3% of the total effect); (2) Socially supportive behavior had a significant negative effect on competition anxiety (standardized path coefficient of -0.294) and sport confidence mediated the effect value between the two -0.163 (35.7% of the total effect); (3) Coaches' authoritarian behavior had a significant positive effect on athletes' competition anxiety (standardized path coefficient 0.090). Sport confidence mediated the effect value between the two 0.059 (39.6% of the total effect); (4) Athletes' perceived training instructional behaviors had a significant negative effect on competition anxiety (standardized path coefficient of -0.261) and sport confidence mediated the effect value between the two -0.339 (56.5% of the total effect). Conclusion: (1) Among the five dimensions of athletes' perceived coaches' leadership behaviors, college men's volleyball athletes' perceived coaches' training guidance behaviors, social support behaviors, and positive feedback behaviors significantly reduced their own competition anxiety status, but the degree of impact varied; (2) the pathway of athletic self-confidence of college men's volleyball athletes' impact on competition anxiety was verified, and it was found that athletic self-confidence significantly reduced athletes' competition anxiety to a greater extent; (3) sport self-confidence partially mediated the relationship between athletes' perceived positive feedback behaviors from coaches, training guidance behaviors, social support behaviors and authoritarian behaviors and athletes' competition anxiety.

Analysis of Factors Influencing the Quality of Teaching Mathematics and Applied Mathematics under the Orientation of OBE Philosophy

Abstract Mathematics, recognized as a foundational subject, is marked by its high level of abstraction, rigorous logic, and extensive applicability, necessitating effective reforms. This article proposes a results-based teaching model for mathematics by integrating the Outcome-Based Education (OBE) concept with fundamental mathematical principles. The study utilizes a university in GD province as a case study to implement this OBE-based teaching model. Employing factor analysis and structural equation modeling, the research explores factors influencing the quality of teaching. Descriptive and correlational analyses were conducted on the variables involved, followed by structural equation modeling to test the proposed hypotheses. The findings revealed significant positive relationships among study habits, learning ability, interest motivation, learning resistance, teaching environment, and learning environment, with correlation coefficients positive at a 0.01 confidence level. The standardized path coefficients were 0.241, 0.143, 0.255, 0.153, 0.175, and 0.124 for learning habits, learning ability, interest motivation, learning resistance, teaching environment, and learning environment, respectively. These influences significantly and positively impact the effectiveness of the mathematics teaching model, demonstrating their beneficial effects on educational outcomes.

Extension of the theory of adherence to treatment in patients with coronary heart disease

AbstractBackgroundIncreased knowledge of the concept of adherence is needed for development patient‐centered care, nursing interventions, and guidelines for patients with coronary heart disease (CHD). The aim of this study was to test and extend the Theory of Adherence to Treatment regarding informational support in patients with CHD.MethodsThe study utilized an explanatory and descriptive survey. The study was conducted in 2013 and involved 416 patients in five hospitals in Finland. The Adherence of Patients with Chronic Disease instrument and the Social Support for People with CHD instrument were used. The model was tested using structural equation modeling (SEM).ResultsSEM confirmed direct associations between motivation (β = 0.49, p &lt; 0.001) and results of care (β = 0.29, p &lt; 0.01), and indirect associations between sense of normality, fear of complications, support from nurses and next of kin, and informational support to adherence to a healthy lifestyle and medication. Informational support included information and advice on CHD risk factors, physical exercise, chest pain, medication, continuum of care, and rehabilitation. Indirect standardized path coefficients varied between 0.14 and 0.45. The model explained 45% of adherence to a healthy lifestyle and medication.ConclusionThe results of this study showed that informational support is a justified extension to the original Theory of Adherence to Treatment in Patients with CHD. Informational support seems to offer a new perspective that can be used to develop patient‐centered nursing interventions and thus support adherence to treatment by patients with a lifelong disease such as CHD.

Alexithymia is associated with insomnia in Chinese patients with schizophrenia.

Sleep disorders are prevalent among patients with schizophrenia and are associated with several negative consequences. Although, researchers have recently suggested that sleep disorders have a close correlation with alexithymia, and schizophrenia also has a strong correlation with alexithymia, there have been few studies on the relationships between schizophrenia, sleep disorders and alexithymia. Therefore, this study aimed to explore the relationships between psychiatric symptoms, alexithymia and sleep problems in patients with schizophrenia so as to provide a reference for the clinical treatment of this comorbidity. In total, 977 patients with schizophrenia were recruited for this study. The Insomnia Severity Index (ISI) was used to assess sleep disorders, and the Positive and Negative Syndrome Scale (PANSS), Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) and Toronto Alexithymia Scale (TAS) were used to evaluate clinical symptoms, cognitive functions and the ability to express emotion, respectively. The results indicated that the PANSS subscales (G-subscore) and TAS group were risk factors for insomnia in schizophrenia patients (all p < 0.05). The mediation model showed the standardized path coefficients from schizophrenia to alexithymia (β = 0.104, p < 0.001) and from alexithymia to insomnia (β = 0.038, p < 0.001) were statistically significant. The results of this study indicated that alexithymia is associated with sleep disturbance in patients with schizophrenia. These findings may provide a new avenue for the treatment of schizophrenia patients with sleep disorders.

THE INFLUENCING FACTORS OF BEHAVIOR INTENTION OF APPLYING EXPERIENTIAL TEACHING METHOD TO PROMOTE LABOR EDUCATION OF VOCATIONAL COLLEGES IN GUANGZHOU, CHINA

&#x0D; &#x0D; Purpose: The purpose of this study is to examine the main factors that influence the intention and use of experiential teaching methods in the curriculum of labor education in Guangzhou Vocational Colleges.&#x0D; Research design, data and methodology: Questionnaires and quantitative analysis were used to collect sample data. The validity and reliability of the questionnaire were tested before it was issued. The data were analyzed by confirmatory factor analysis (CFA) and structural equation modeling (SEM) to verify the goodness of fit of the model, to confirm the causality and influence degree among variables, and to test hypotheses. &#x0D; Results: The study has found that behavioral intention has the greatest influence on the use behavior and use behavior has significantly impacted Students' Performance. The standardized path coefficient of behavioral intention and use behavior was 0.505 and T-value was 7.657. The standardized path coefficient of use behavior and students’ Performance was 0.476 and t-value at 7.464. Convenience and behavior intention are the two important factors to decide whether to use experiential teaching in the curriculum of labor education. &#x0D; Conclusions: The promotion condition (0.293) and the behavioral intention (0.563) are two factors that directly affect the use behavior. Usability perception (0.064), usefulness perception (0.156) , attitude perception (0.112) and social influence perception (0.085) had indirect effects on use behavior. Use behavior (0.471) is a factor that directly affects students' academic performance. Usability perception (0.030) , usefulness perception (0.073), attitude perception (0.053) and social influence perception (0.040) , promoting condition perception (0.138) and behavior intention perception (0.265) are six factors that indirectly affect students' academic performance.