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Objectives: The Negative Adjustment Scale (NAS) is used to measure adjustment to having a sibling with a disability. However, several adaptations to the scale have been made, and implementation varies across studies and countries. This study examined the psychometric properties across different versions and provides directions for future use and development of the NAS. Methods: The sample comprised 400 siblings aged 6–16 years old from Norway, the Netherlands and Belgium. Measurement invariance was assessed across age groups (8–11 vs. 12–16 years) and translations (Norwegian vs. Dutch), using a multi-group confirmatory factor analysis. The psychometric properties of the parent version were assessed among 102 parents from the Dutch sample. Results: The internal consistency of the NAS was acceptable to good in all versions. A single factor model held across age groups and translations, although higher order invariance was not supported. The child and parent report versions of the NAS did not significantly correlate. Conclusions: The NAS generally has sufficient psychometric properties. However, these vary across age groups, translations, and informants, causing the NAS to be less appropriate for comparisons between groups. Further adaptation of the NAS or developing a new scale for siblings of children with disabilities, is advised. [ABSTRACT FROM AUTHOR]

This study evaluated the psychometric properties of the Chinese translation of the Self-Determination Inventory: Parent/Teacher Report (Chinese SDI: PTR). The Chinese SDI: PTR was used in an online survey of parents of students with intellectual disabilities (N = 340) and parents of students without disabilities (N = 354) to explore their perspectives on their children's self-determination. Factor structure, measurement invariance, and latent differences across the Chinese SDI: PTR groups were examined. The findings suggest that the data fit a single-factor structure and that the same set of items can be utilized for parents of students with and without intellectual disabilities. However, parents of students with intellectual disabilities tended to exhibit more variability in their scores and reported lower scores on the Chinese SDI: PTR than parents of students without disabilities. Implications for future research and practice are also discussed. [ABSTRACT FROM AUTHOR]

Though genetic testing is recommended for children diagnosed with autism spectrum disorder (ASD), both internal (e.g. parents' and providers' valuation of genetic testing) and external (e.g. insurance coverage) barriers exist, and exploration of these factors is required to close the gap between provider recommendations and parent follow-through. In a sample of 290 parents, we explored (a) how parents' ASD-related etiological beliefs and symptom attributions, as well as income, affected genetic testing completion; and (b) whether these factors influence parents' hopes or concerns about genetic testing. Principal component analysis (PCA) was used to investigate the factor structure of the ASD attribution measure used, which revealed a different factor structure from previous studies. Binomial logistic regression analyses indicated that parents were less likely to complete genetic testing when they believed their children's ASD was caused by their own personal attributes (e.g. their own stress, behaviors, attitudes, etc.). Parents' hopefulness about the utility of genetic testing increased when they observed more ASD symptoms. Results support the importance of understanding how parents' perceptions about ASD influence receptivity to and follow-through on genetic testing recommended by providers. Such information may enhance researchers' knowledge of parental decision-making regarding genetic testing and improve clinical care for ASD-affected families. [ABSTRACT FROM AUTHOR]

Teen economic abuse (TEA) is an understudied form of adolescent relationship abuse with limited measures available to assess prevalence. The purpose of this article is to assess the underlying dimensions of survey items (developed with youth) to refine measurement of and validate the structures comprising TEA and examine differences in prevalence of TEA perpetration (Prp) and victimization (Vct) by demographic characteristics. This cross-sectional, online survey was conducted between July and September 2021. Youth ages 13–19 who read English and reside in the United States were eligible to complete this study. Recruitment occurred through a national violence prevention listserv with an emphasis on reaching organizations serving youth who are unhoused, juvenile justice and child welfare-system involved, identifying as sexual or gender minorities, or from communities of color. Based on exploratory and confirmatory factor analysis, negative binomial regression models were run to assess associations of demographic characteristics, with levels of TEA Vct and Prp. Adolescents who identify as White reported significantly more types of TEA exposures than their American Indian or Alaskan Native (adjusted incident rate ratios = 1.3; 95% CI = [1.1, 1.4]), Hispanic Latino (1.2 [1.1, 1.4]), and Multiracial peers (2.4 [1.8, 3.1]). Gender diverse adolescents (1.14 [1, 1.3]) and cisgender females (1.08 [1, 1.2]) had significantly more types of TEA exposures than cisgender males. Those with past-year physical or sexual violence in dating relationships reported more types of TEA exposures (4.1 [3.8, 4.4]) than those who had not experienced such violence. Adolescents with exposure to foster care or homelessness had more types of TEA (1.3 [1.2, 1.4]) than those without such experiences. Healthcare providers serving youth should be aware of how economic abuse manifests in adolescent relationships when providing support and resources for youth, especially those who are system-involved or experiencing housing instability. Findings also highlight the need for education about TEA and economic justice in violence prevention programs. [ABSTRACT FROM AUTHOR]

This study presents a novel predictive factor analysis of air-to-air engagement outcomes using a decade of air combat manoeuvring data (2009-2019) from the Air Combat Manoeuvring Instrumentation (ACMI) system of the Republic of Korea Air Force (ROKAF). The objective was to construct and evaluate an air-to-air combat hit prediction model using the ACMI system data to identify the critical factors influencing engagement outcomes. This methodology encompasses data preprocessing, feature engineering, binary classification model development, and model interpretation. This study utilises 17 features, including the attitude and speed of both aircraft, along with five additional features derived from the domain knowledge of the relative positions of the two aircraft. Four machinelearning algorithms were employed: logistic regression, random forest, XGBoost, and CatBoost. The best-performing model achieved an accuracy of 83.0 %, noticeably outperforming the baseline at 76.2 %. The analysis revealed that positional information is more crucial than attitude information in predicting engagement outcomes, with the spatial separation between aircraft emerging as the most influential factor. This study showcasings a standard procedure for utilising ACMI system data and demonstrating the effectiveness of machine learning in analysing air combat data. [ABSTRACT FROM AUTHOR]

Objective: This study aims to determine the validity and reliability of the Turkish version of the Tinetti Falls Efficacy Scale (TFES) in older adults. In addition, TFES was compared with other scales such as the Timed Up and Go Test (TUG), Fall Risk Self-Questionnaire Scale (FRQS), Activity-Specific Balance Confidence Scale (ABC), and Tinetti Balance and Gait Test (TBT&TGT) in the study. Method: The study included 100 older adults living in the community. The participants' sociodemographic information was recorded. Their cognitive status was evaluated with the Mini-Mental State Examination. The validity of TFES was evaluated with TUG, FRQS, ABC, and TBT&TGT. For test-retest reliability, 51 individuals were re-evaluated 5 to 7 days later by the same physiotherapist under the same conditions. Result: Test-retest reliability was calculated with the intraclass correlation coefficient. The internal consistency of the items of the TFES was calculated by Cronbach's alpha analysis. Explanatory and confirmatory factor analyses were used to determine the validity. In reliability tests, the Cronbach alpha value was.888, and the intraclass correlation coefficient was 0.983. In addition, when the relationship between TFES and other scales is examined, it is found that it is statistically significant with TUG and FRQS and has positive and moderate correlations (in order of P  = .000; r = 0.470; P  = .000; r = 0.584); it is statistically significant with ABC and TBT&TGT and has negative and moderate correlations (in order of P  = .000; r = −0.540; P  = .000; r = −0.420). Conclusion: This study demonstrated that the Turkish version of the TFES is a valid and reliable scale for older adults. This study will be a guide for health professionals working in this field to be used in future studies. [ABSTRACT FROM AUTHOR]

Extending the time patients spend in the emergency department (ED) not only diminishes the quality of care but also heightens the potential for harm and adversely impacts patient satisfaction. However, there exists a dearth of accessible information regarding the length of stay (LOS) in emergency departments and the factors associated with it in Indonesia. This study aims to analyze the factors that influence the LOS of patients in the emergency department of a public hospital in Padang, Indonesia. This research design is a cross-sectional approach. The sample was patients who visited the ED in a tertiary public hospital in Padang (n = 328). The data collected from the medical records included length of stay, mode of arrival, case type, triage scale, diagnostic examination, specialist consultation needs, and needs for admission. Data analysis was performed using the chi-square statistical test and binary logistic regression. The percentage of patients with LOS > 6 h in the emergency department was 29 %. There was a significant relationship between the triage scale, diagnostic tests, and the need for hospitalization with LOS (p < 0.05). The results of the multivariate analysis showed that the case type and the need for admission to hospitalization influence 12.4 % of LOS in ED. This study enriches our comprehension of the variables exerting the most substantial impact on the average duration of stay in the emergency department of a hospital in Indonesia. The findings will assist policymakers in crafting enduring strategies to optimize patient flow in the emergency department. [ABSTRACT FROM AUTHOR]

Purpose: Construction experts acknowledge the adverse effects of rework on project performance. However, the limited understanding of its underlying causes remains a significant challenge. Therefore, this study aimed to thoroughly investigate the sources of construction rework. Design/methodology/approach: A mixed review using bibliometric analysis as a quantitative method and content analysis as a qualitative method was performed to understand the current knowledge in the field. The Web of Science (WoS) was selected for its comprehensive collection of major research articles and integrated analytical tools for generating representative data. The study involved an extensive bibliometric analysis of 107 journal articles on rework causes from 1991 to 2023. RStudio Bibliometrix, an R statistical programming package, was used to analyze rework origins. This method involved mapping the research landscape, identifying research gaps and analyzing emerging trends. Findings: The causes of rework can be classified into three main clusters: human- and contractual-based rework causes, design-, quality- and project management-based rework causes and organizational-based rework causes. Originality/value: Although several studies have addressed rework causes from various perspectives and methods, the topic has not been investigated holistically. This study is the first to leverage the quantitative and qualitative analytical capabilities of the RStudio Bibliometrix package. Innovative approaches, including the use of metrics, such as the h-index, thematic mapping and trend topic analysis, were employed for a comprehensive understanding of rework causes. [ABSTRACT FROM AUTHOR]

Background: The Heart Failure Somatic Perception Scale (HFSPS) is an 18-item instrument used to assess how bothersome are common signs and symptoms of heart failure (HF). To date, the psychometric properties of the HFSPS have been tested in American, Italian, and Japanese samples. Objective: The aim of this study was to evaluate the validity and reliability of the HFSPS in a population of Lebanese patients living with HF. Methods: A rigorous translation and back-translation process was performed. Cultural appropriateness ratings were assessed by an expert panel. Exploratory factor analysis was conducted to confirm construct validity, whereas an independent t test using the Minnesota Living With HF Questionnaire's scores was conducted to confirm convergent validity. Pearson correlation was performed to confirm discriminant validity using the Self-Care in HF Index Management subscale, whereas predictive validity was evaluated using the Control Attitudes Scale-Revised. Internal consistency reliability was evaluated using Cronbach α. Results: A total of 109 patients (mean age, 63.66 ± 10.55 years; 69.7% male) were included. A series of exploratory factor analyses was conducted and resulted in a 4-factor model. Cronbach α was 0.869. Convergent (high correlation with total Minnesota Living With HF Questionnaire; r = 0.762, P <.0001), discriminant (no correlation with self-care management; r = 0.180, P =.078), and predictive (significant correlation with the Control Attitudes Scale-Revised; r = −0.523, P <.0001) validity was supported. Conclusion: The reliability and validity of the HFSPS were supportive in this Middle Eastern sample. The HFSPS can be used to assess how bothersome HF symptoms are to improve their management. [ABSTRACT FROM AUTHOR]

Background: Camouflaging or camouflaging autistic traits—strategies that hide social impairments to match societal norms—has been linked to empathy and depressive symptoms in autism research. Much epidemiological evidence has further revealed that characteristics of autism and autistic traits are distributed continuously throughout the general population. Nonetheless, the relationship between these variables in the Chinese general population is unclear. Method: The present study aimed to elucidate the relationships between autistic traits, empathy, camouflaging, and depressive symptoms in a subclinical sample of 1215 Chinese university students of ages 18–27, using self-report assessments. Results: Correlational analysis revealed that autistic traits, camouflaging, and depressive symptoms were significantly intercorrelated. Empathy was significantly correlated with autistic traits and camouflaging. Mediation analysis revealed that camouflaging mediated the positive link between autistic traits and depressive symptoms. Moderated mediation analysis further indicated that the first stage mediated path (autistic traits → camouflaging) was weaker for students with lower levels of empathy. Conclusions: The results suggest that camouflaging is a key contributor in the positive association between autistic traits and depressive symptoms, and that empathy help stimulate the development and maintenance of camouflaging. [ABSTRACT FROM AUTHOR]

The methodological approach of this cross-sectional confirmatory research was aimed at analyzing the dominant basic motor abilities and situational motor abilities, their general and partial contribution and prediction of the level of success of performance and behaviour in individual components of football as a prerequisite for a more complete explanation and projection of objective indicators of the competence framework of success in the game of football of the researched sample. The starting point was the assumption that this approach enables confirmation or correction of previous proceedings and procedures in the process of selecting young football players for their top achievements in the mature stage of their football career. The specific aim of this work is to determine individual and characteristic typical group profiles of basic motor and specific motor abilities based on different levels of success in different components of the game of football. The research was carried out on a sample of 110 young football players from Sarajevo aged from 12 to 14 years. Seventeen variables were used to assess basic motor skills, 11 variables for the estimation of situationalmotor abilities, and 8 variables for evaluating success in football. The results are a significant incentive for the improvement of selection technology of young football players because they offer an opportunity to model morphological, motor, situational-motoric, diagnostic, prognostic framework with clear indicators requirements and reference values for the ontogeny age of the sample. [ABSTRACT FROM AUTHOR]

Objectives: Motivation is the most influential factor in the drive and performance of adolescents with cerebral palsy (CP). As identification and analysis of volition in Iranian adolescents with CP seem to be essential, designing appropriate tools for assessing their motivation is crucial. To achieve this goal, we developed an adolescent... [ABSTRACT FROM AUTHOR]

The utilization of Public Private Partnerships (PPPs) has become widely prevalent as an innovative approach for procuring public infrastructure projects. Risk transfer/allocation is one of the main reasons for this widespread adoption and considered a critical success factor for a PPP. Given the importance of equitable risk allocation, this study identified and analysed 10 key risk allocation criteria. Experts with experience in PPP projects in New Zealand were surveyed through an empirical questionnaire to obtain industry-wide data. Mean score analysis and factor analysis were then used to analyse the collected data. In order to ensure the validity of the analysis results, appropriate statistical tests such as Cronbach's Alpha, Kaiser-Meyer-Olkin (KMO) statistic and Bartlett's test of Sphericity were conducted. Result indicate that the most important criteria for risk allocation are "risk foresight", "minimize risk loss" and "response to risk". Furthermore, factor analysis showed that the identified RAC can be classified into three component groups namely "risk management expertise", "core risk management capability" and "risk management strategy". This study aims to provide PPP stakeholders with useful insights into the most effective measures for achieving equitable risk allocation. To achieve this, the study recommends to consider the risk management capabilities of both the public and private sectors in light of the identified RACs/groupings. The results of the study are expected to assist PPP stakeholders in developing strategies that can enhance risk management and achieve a fair distribution of risks. [ABSTRACT FROM AUTHOR]

Exercise tracking technology use is associated with exercise psychopathology in adolescents; however, research is yet to identify components of such technology that can predict maladaptive exercise at this age. This research assessed the relationship between exercise tracking technology use and exercise psychopathology in adolescents. Development of a new measure of exercise tracking behaviours/attitudes was also conducted. Adolescents (N = 327; aged 12–15, mean = 13.64 years (SD =.95); n = 168 girls) participated in this multi-phase study. Following factor analysis to develop and validate the new measure, relationships between exercise tracking behaviours/attitudes and compulsive exercise were explored. Key components of such technology (e.g. pressure to achieve exercise-related goals) were significantly associated with higher compulsive exercise in adolescents. However, using technology to simply monitor their own exercise behaviours was significantly associated with positive exercise and mental wellbeing outcomes. Prospective research should assess how exercise tracking can predict exercise psychopathology changes and mental wellbeing throughout adolescent development. [ABSTRACT FROM AUTHOR]

Dockless bicycle-sharing system substantially impacts the present docked bicycle-sharing usage in the urban transportation system. This study explores such effects using usage data of docked bicycle-sharing systems in Xi'an before and after launching the dockless bicycle-sharing system. The influence period is divided into the no-influence stage, transition stage, and stabilization stage. The hotspot analysis method is employed to identify the most influenced areas. The geographically weighted regression model is then revised to determine the response of socioeconomic factors considering the launches of the dockless bicycle-sharing system. The results reveal that the critical impact of the dockless bicycle-sharing system on the docked system. Specifically, the weekly usage share of docked bicycle-sharing declined ranged from 0.51 % to 41.4 % in transition stage. Furthermore, population density, job density, per capita income, and per capita GDP are identified as the key contributing factors based on spatial analysis, where for each 1 % increase in the four indicators, docked bicycle-sharing system's usage decreases by 1.014 %, 1.182 %, 2.021 %, and 0.904 %, respectively. [ABSTRACT FROM AUTHOR]

This research explores strategies for thriving amidst uncertainty through a financial blueprint for public budgets, focusing on key factors like budgetary resilience (BR), stability (BS), sustainability (BSu), empowerment (BE), preparedness (BP), governance (BG), inclusion priorities (BIP), and agility (BA). Analysing data from 1,200 respondents and audited financial reports for 2023/24, statistical methods such as exploratory and confirmatory factorial analysis, and Cronbach’s Alpha were used to assess relationships among these factors. Results highlight BR’s role in economic development, while BS and BSu enhance financial stability and reduce debt. BE fosters employment and social stability, emphasizing robust planning. BP ensures accurate management in uncertain conditions, and BG reduces corruption and strengthens accountability. These insights offer valuable guidance for policymakers and financial managers aiming to enhance public budget stability and sustainability. [ABSTRACT FROM AUTHOR]

Purpose - This study aims to provide empirical evidences on how post-pandemic travel intentions are formed in relation to the influences of travel motivations and pandemic-related factors (i.e., pandemic anxiety, health consciousness, and pandemic resilience). Also, this study aims to understand the differences in this travel intentions' formation between potential and repeat visitors. Methodology/Design/Approach - An online survey was distributed to Indonesian potential and repeat visitors travelling to Australia, collecting 500 valid questionnaires. The factor analysis and hierarchical multiple regression were used to understand the influences of travel motivations, pandemic anxiety, health consciousness, and pandemic resilience in determining potential and repeat visitors' travel intentions. Findings - The findings indicated that pandemic anxiety, health consciousness, and pandemic resilience jointly influenced the motivation-intention relationships for both potential and repeat visitors. Potential visitors' travel intentions were primarily driven by pandemic resilience, whereas repeat visitors' intentions were significantly influenced by novelty seeking, social seeking motivations, and health consciousness. Originality of the research - By developing and testing a model that integrates travel motivations and pandemic-related factors in determining potential and repeat visitors' travel intentions, this offers valuable insights for destination marketers, aiding in the sector's recovery during and following challenging times. [ABSTRACT FROM AUTHOR]

Background: Callous-unemotional traits (CUT) are an antisocial personality trait, which can be present in people with autism spectrum disorder (ASD), especially in relation to difficulties in empathy. These traits are related to challenging behaviors, such as aggressive behavior, which may occur in people with ASD. Method: This study aimed to expand the understanding of the role of CUT in adults with ASD and intellectual disability (ID). Eighty-three adults with a diagnosis of ASD and ID participated in the study. Results: Mediation analyses found that CUT indirectly mediated the relationship between ASD symptomatology and the frequency of self-injuries and stereotypies, but not aggression. Conclusions: It is considered that CUT may have a protective effect on the presence of individual challenging behaviors in adults with ASD and ID. The apparent relationship between CUT and executive functioning was discussed. CUT traits may be considered as a variable to contemplate in relation to interventions in challenging behaviors in the ASD population, especially in those individuals who show aggression-related behaviors and who have a higher executive level. [ABSTRACT FROM AUTHOR]

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that occurs during the developmental period and affects overall cognitive, emotional, social, and physical health. Comprehensive screening for ASD can assist in diagnosis and intervention planning. The primary aim of this study was to develop and validate a screening tool for ASD based on the diagnostic guidelines of the International Classification of Diseases (ICD-11). The Social-Emotional Rating Scale for Autism Spectrum Disorder (SERA) was validated with 504 participants, including healthcare professionals who have worked with individuals with ASD and parents/primary caregivers of children with ASD. A confirmatory factor analysis on 78 participants with ASD and 27 participants without ASD indicated a good fit for the data. As an intervention planning tool, the developed SERA appears promising for identifying a person's social-emotional functioning level in line with autistic characteristics. [ABSTRACT FROM AUTHOR]

This study examines the supply and demand for chicken meat and fresh cow's milk in Norway and argues that understanding demand as being co-constituted and interrelated with supply is crucial for reducing consumption. This study takes a constructivist systems of provision perspective to examine the chain of activities that links production and consumption. Analyzing how the use of chicken meat and fresh cow's milk has evolved through socially and historically contingent processes in Norway, the article describes how these products became commonplace through state involvement, nutritional advice, companies, and consumers. The demand for liquid milk decreased in the 1980s, providing a rare insight into a system of provision in decline, although both government and industry actors wanted the situation to be otherwise. This study highlights that the milk-provision system failed to address the factors that contributed to the decline in milk consumption, which worsened the situation for dairy farmers. This is contrasted with the case of chickens, which represents a story of expanded demand through industrial intensification and new food norms. Under the presumption that a theory that explains an increase in demand must also be able to explain a decrease in demand, the analysis highlights the factors that caused a reduction in fresh milk consumption and the factors that led to growth in the demand for chicken meat. The article concludes that a constructivist perspective allows for a more nuanced understanding of the making and unmaking of demand through processes of alignment/misalignment with established political, economic, and societal goals. [ABSTRACT FROM AUTHOR]

Background: Getting consumers to adopt healthier eating habits continues to be a puzzle for marketers and policymakers all over the globe. Nevertheless, research continues to identify factors that can influence consumers' food consumption. Aim: The purpose of this research is to explore how one relatively unexplored factor, namely the cleanliness of the surrounding environment, can affect perceptions and consumption. Methods: An online survey experiment presenting participants with either a clean or dirty environment scenario and asking subsequent questions about their dining experience was utilized. Results: Participants in a clean (vs. dirty) environment perceived their food to be healthier, fresher, and of higher quality, relative to a dirty environment. This effect, in turn, mediated the relationship between condition and perceptions of meal quality. Conclusion: Clean environmental conditions, though not directly related to the food products provided at food venues, can nevertheless have a strong influence on consumers' dining experience. [ABSTRACT FROM AUTHOR]

To investigate the current status and related influencing factors of self-management stages in older patients with chronic pain. A cross-sectional study. A total of 326 older patients with chronic pain were selected as the study subjects in five city districts from December 2022 to June 2023. We used a general information survey form, a numerical rating scale, a pain stages of change questionnaire, a health literacy assessment instrument for patients with chronic pain, and a psychological inflexibility in pain scale to collect relevant information from participants. Univariate analysis and multiple ordinal logistic regression analysis were conducted to identify the relevant influencing factors of the self-management stages. The self-management stages of older patients with chronic pain were as follows: precontemplation stage (n = 52; 16.0%), contemplation stage (n = 103; 31.6%), action stage (n = 62; 19.0%), and maintenance stage (n = 109; 33.4%). Regression results showed that average monthly household income, smoking history, pain duration, health literacy, and psychological inflexibility were the influencing factors for the self-management stages of older patients with chronic pain. In this study, the self-management stages of older patients with chronic pain still needed to be improved. Suitable personalized pain self-management strategies should be developed based on identified factors affecting patients to improve their self-management stages. Nursing professionals can use research survey findings to identify patients at low levels of self-management stage and develop personalized intervention strategies based on various influencing factors. For example, nurses can provide practical smoking cessation guidance to assist older chronic pain patients in improving their lifestyle. Nurses can also seek support from family members to collectively offer better medical care and nursing services for the patient if financially feasible. Secondly, as our study has demonstrated, patients' health literacy and psychological flexibility were poor. Nurses can utilize available clinical resources to offer educational materials, such as portable handbooks and online videos, covering pain-related knowledge, managing pain medication, and coping strategies like massage and exercise. Combining this approach with mental health education, such as relaxation therapy, can help patients better understand their pain and actively participate in their self-management. In addition, nursing staff should pay more attention to the self-management stages of older chronic pain patients, and the assessment of self-management stages can be included in clinical pain management for patients. Regular assessment will help track more patients needing attention and make timely adjustments to their pain management plans. [ABSTRACT FROM AUTHOR]

Background: More than 350,000 U.S. infants are admitted to the neonatal intensive care unit (NICU) annually and likely experience discomfort. Although nurse perceptions of infant symptoms, suffering, and quality of life (QOL) are valuable, the availability of standardized assessment tools to measure these concepts are limited. Purpose: To provide preliminary evidence of the internal structure, reliability, and validity of the Nurse Perception of Infant Condition (NPIC) scale. Methods: Infants were enrolled from a Level IV NICU in the U.S. Midwest. Nurses reported on their perceptions of the infant symptom experience and their expectations for infant survival. Weekly behavioral observations of infants were obtained before and after standard delivery of care to obtain a comfort score. Results: 237 nurses who cared for 73 infants completed 569 surveys over 28 months. All NPIC items were significantly correlated with each other (P < .001). Factor analysis revealed strong evidence of a 2-factor structure (survival and suffering subscales). Both subscales demonstrated good to excellent internal consistency. Together the 2 factors explained 82% of the variability in the scale responses. Limited validity evidence was found. Implications for Practice and Research: Evidence was found to support the internal structure and reliability of the NPIC scale. However, further item development and refinement is needed to increase the utility NPIC scale in clinical and research settings. The development of improved assessments of the infant NICU experience is warranted. Nurse perceptions of infant suffering or poor QOL may have implications for their expectations for infant survival and possibly care delivery. [ABSTRACT FROM AUTHOR]

Copyright of Electronic Journal of Research in Educational Psychology is the property of Editorial of the University of Almeria (Spain) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Electronic Journal of Research in Educational Psychology is the property of Editorial of the University of Almeria (Spain) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The TGF‐β superfamily plays a pivotal role in the regulation of adipogenesis, but little is known about the potential differential role of the three isoforms of TGF‐β, TGF‐β‐1~3. To further elucidate their role, two‐dimensionally (2D) and three‐dimensionally (3D) cultured 3T3‐L1 mouse preadipocytes were subjected to the following analyses: (a) qPCR analysis of adipogenesis‐related factors and major extracellular matrix protein (2D and /or 3D), (b) lipid staining by Oil Red O (2D) or BODIPY (3D), (c) Seahorse cellular metabolic measurement (2D), and (d) size and stiffness measurements of 3D 3T3‐L1 spheroids. In the 2D cultured 3T3‐L1 cells, mRNA expression levels of adipogenesis‐related genes and Oil Red O lipid staining intensity were significantly increased by adipogenesis and they were substantially decreased following treatment with 0.1 nm TGF‐β isoforms, with TGF‐β2 having the greater effects. Consistent with these results, treatment with TGF‐β2 resulted in suppression of mitochondrial and glycolytic functions in 2D cultured 3T3‐L1 cells. However, the inhibitory effect of TGF‐β on adipogenesis decreased under 3D spheroid culture conditions and TGF‐β isoforms did not affect adipogenesis‐induced (a) enlargement and downsizing of 3T3‐L1 spheroids, (b) increase in BODIPY lipid staining intensity, and (c) up‐regulation of the mRNA expression of adipogenesis‐related genes. The findings presented herein suggest that the three TGF‐β isoforms have different suppressive effects on adipogenesis‐related cellular properties of 2D cultured 3T3‐L1 cells and that their effects decrease under 3D spheroid culture conditions. [ABSTRACT FROM AUTHOR]

Background: Ureteropelvic junction (UPJ) obstruction is the leading cause of pediatric hydronephrosis. While open pyeloplasty is highly effective, a small proportion of children experience recurrent ureteropelvic junction obstruction (UPJO) necessitating repeat intervention. We aimed to identify potential risk factors for pyeloplasty failure. Methods: We prospectively followed 126 children undergoing open Anderson-Hynes pyeloplasty between 2019 and 2021. Demographic, clinical, anatomical, procedural, and postoperative variables were recorded. Patients were monitored for recurrence, defined as worsening hydronephrosis and/or symptoms with diuretic renogram confirmation. Univariate and multivariate analysis identified factors associated with recurrence. Results: Median age at pyeloplasty was 17 months, left side was affected in 58% and 73.8% were male. At mean 28.8 months follow-up, UPJO recurred in 9 patients (7%). The only factor significantly associated with recurrence was prolonged postoperative urinary drain leakage, specifically recurrence occurred in 50% (3/6) of cases with prolonged leakage versus 5% (6/120) without (p = 0.005). Conclusions: Open pediatric pyeloplasty has a high success rate, yet a minority of patients will experience recurrence necessitating re-intervention. Prolonged urine leakage was the sole predictor of failed repair in our cohort, likely due to inflammation and perianastomotic scarring. Meticulous surgical technique and prompt leak management are vital to optimize pyeloplasty outcomes. Children at higher risk warrant close monitoring to enable early detection and renal salvage. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study was to make the Turkish cultural adaptation of the the Stroke Activity Scale (SAS). Method: This study was designed as a methodological research. The psychometric properties of the SAS scale were evaluated by validity and reliability analyses. Results: The average age of 84 stroke patients (mean ± SD) was 59.52 ± 14.03 years. Kaiser-Meyer-Olkin (0.816) and Bartlett's Test of Sphericity (χ2 = 288.968, df = 10, p < 0.001) showed that the data set can be factored. A one-factor structure was obtained with Principal Component Analysis (PCA). The factor loads of the items obtained with PCA and Confirmatory Factor Analysis (CFA) were found to be statistically significant. The obtained chi-square statistics (χ2 = 2.227, p = 0.694), normalized chi-square/freedom (χ2/sd) value (0 ≤ 0.557 ≤ 2) and other goodness of fit indices showed good compliance. The positive highly significant correlation (r = 0.846, p < 0.001) between the SAS and Rivermead Mobility Index (RMI) scales confirmed the Concurrent validity. Cronbach's alpha (0.864) value showed high reliability and Intraclass Correlation Coefficient (ICC) value (0.983, p < 0.001) showed excellent agreement. Conclusions: In this study, which was conducted for the Turkish adaptation of the SAS scale, the 5-item and 1-factor structure was evaluated as a valid and reliable scale for evaluating the balance abilities of stroke patients living in Turkey. [ABSTRACT FROM AUTHOR]

Given the importance of mathematics identity for students continued participation and engagement with mathematics, it is important for educators and researchers to be able to explore students' mathematics identity development. However, an instrument with validity evidence that can be used to explore mathematics identity efficiently and with groups of students is not currently available. This article draws on prior research to test and validate items for a mathematics identity instrument to be used with fifth through twelfth grade students. This study includes 1559 participants from two school districts in a midwestern state in the USA. Analysis includes assessing four components of validity including content validity, internal structure, relationship to other variables, and generalization. Findings provide evidence for the reliability and validity of the items in the mathematics identity scale, giving researchers and educators a way to explore this construct efficiently. [ABSTRACT FROM AUTHOR]

Supplemental Digital Content is Available in the Text. Introduction.: A greater sense of belonging has been found to correspond with better academic performance/motivation, retention, and general mental well-being among college students. As a result, it is important to be able to meaningfully assess student physical therapists' sense of belonging. Review of Literature.: While there are questionnaires available to assess sense of belonging at the university level, it is also important to be able to assess students' sense of belonging in a narrower context, such as within their program of study. The purpose of this study was to develop and evaluate a program-specific tool, referred to as the Program Sense of Belonging (ProSB) questionnaire, that could be used to assess sense of belonging among student physical therapists. As part of this study, we examined the internal structure of the ProSB questionnaire items and assessed internal consistency. Subjects.: One hundred twenty-four student physical therapists from 2 different physical therapist education programs completed the ProSB questionnaire. Methods.: We conducted an exploratory factor analysis to examine the internal structure of the ProSB questionnaire and examined Cronbach's alpha to assess the internal consistency of the items associated with each retained factor. Results.: For the final 10-item version of the ProSB questionnaire, 2 factors were retained, which explained 57.5% of the variance (factor 1 = 30.9%, factor 2 = 26.6%). The 5 items that loaded on factor 1 were related to "social acceptance," while the 5 items that loaded on factor 2 were related to "valued competence." Both subscales exhibited acceptable levels of internal consistency (Cronbach's alpha ≥0.84). Discussion.: The ProSB questionnaire appears to capture different dimensions of student physical therapists' sense of belonging (social acceptance, valued competence) at the program level. Conclusion: Based on our preliminary findings, the ProSB questionnaire appears to be a valid tool for assessing program-level sense of belonging among student physical therapists. [ABSTRACT FROM AUTHOR]

Background: We investigated attitudes toward individuals with an intellectual disability (ID) in a Norwegian sample and tested the psychometric properties of a Norwegian translation of the Community Living Attitudes Scale – Intellectual Disability (CLAS-ID). Method: The sample was 645 adults (M = 41.9 years, SD = 13.8, 80% female). One subgroup had working experience with individuals with an ID (n = 377), and another subgroup had a family member with an ID (n = 133). Results: The four-factor structure of the CLAS-ID showed good model fit in a confirmatory factor analysis of the Norwegian translation with adequate internal consistency. Participants with working experience with ID or a family member with ID reported more favorable attitudes compared with participants without working experience or without a family member with ID, respectively. Women and older participants reported more positive attitudes compared to men and younger participants. Conclusion: The Norwegian translation of the CLAS-ID appears to be a valid tool for assessing attitudes toward individuals with an ID. Individuals with first-hand experience with individuals with an ID have more positive attitudes than those without, and women and older people have more positive attitudes than men and younger people. [ABSTRACT FROM AUTHOR]

To establish which prenatal, birth, and postnatal characteristics mediate the association between maternal educational level and having a child with obesity at five years. This is a sub analysis of a longitudinal study nested in the BMInForma (Bambini Molto In Forma) program. BMInForma is an ongoing public health multilevel intervention started in 2013 to prevent childhood obesity. A cohort of 4835 children born from 1.7.2010 to 31.12.2011 and who received well-health visit at three and five years of age in Reggio Emilia, Italy were included in the study. Maternal and child anthropometric and lifestyle data were linked with routinely collected birth data. A series of simple and multiple mediation analyses were performed. There were 232 (4.8 %) children with obesity at five year visit. Low maternal educational level was significantly associated with children's obesity at 5 years of age (Odds ratio for the total effect 1.8, 95 %CI 1.4 – 2.5), and with almost all prenatal, birth, postnatal and 3-years-old behaviors. Pre-pregnancy overweight and obesity (OW/OB) and hours in front of TV at three years were two significant mediators that explained 32 % of the total effect of maternal educational level on children with obesity at five years of age (Odds ratio for the indirect effect 1.17, 95 %CI 1.10 – 1.24). Nine percent of this effect was evinced through LGA and gestational diabetes (Odds ratio for the indirect effect 1.07, 95 %CI 1.01 – 1.13). Pre-pregnancy OW/OB was the most important mediator of the effect of maternal educational level on childhood obesity at five years. Interventions are needed to increase awareness of unhealthy behaviors in early pregnancy. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to evaluate the validity and reliability of the Korean version of the occupational coping self-efficacy for nurses (K-OCSE-N) scale. Methods: The English version of the OCSE-N scale was translated into Korean using a translation and back-translation process. Data were gathered from 213 nurses employed in a general hospital in South Korea. The content validity was assessed using the content validity index. The construct validity was verified through exploratory and confirmatory factor analyses. Criterion validity was assessed using Pearson's correlation coefficients with the job stress coping and general self-efficacy scales. Reliability was examined using item-total score correlation and Cronbach's α coefficient for internal consistency. Results: The exploratory factor analysis identified two factors that explained 61.8% of the cumulative variance: occupational burden and relational difficulty. In confirmatory factor analysis, the model exhibited adequate fit (χ²/df = 2.07, GFI = .95, SRMR = .04, RMSEA = .07, CFI = .97, and TLI = .95), with both convergent and discriminant validity deemed acceptable. The criterion validity presented a positive correlation of the K-OCSE-N with both job stress coping (r = .72, p < .001) and general self-efficacy (r = .72, p < .001). The internal consistency of the scale using Cronbach's α for the total items was .89. Conclusion: The K-OCSE-N scale is a valid and reliable tool for measuring nurses' occupational coping self-efficacy. This study suggests that various intervention studies can use the scale to assess and strengthen nurses' occupational coping self-efficacy in nursing practice. [ABSTRACT FROM AUTHOR]

Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The present study evaluated the psychometric properties of Problematic Internet Use (PIU) instruments and their correlation with psychological distress and time spent on Internet activities among university students in Ghana. Methods: In the present cross-sectional survey design study, 520 participants (35.96% female) were recruited with a mean age of 19.55 years (SD = 1.94) from several university departments (i.e., Behavioral Sciences, Materials Engineering, Nursing and Midwifery, and Biochemistry and Biotechnology) of Kwame Nkrumah University of Science and Technology (KNUST) between 19 July and 04 August, 2023. Participants completed a survey that included the following measures: the Gaming Disorder Test (GDT), Gaming Disorder Scale for Adolescents (GADIS-A), Internet Gaming Disorder Scale-Short Form (IGDS9-SF), Bergen Social Media Addiction Scale (BSMAS), Smartphone Application Based Addiction Scale (SABAS), Nomophobia Questionnaire (NMP-Q), and the external criterion measure: Depression Anxiety Stress Scale-21 (DASS-21). Confirmatory factor analysis (CFA) was carried out to evaluate the structure of the instruments. Cronbach's α, McDonald's ω, and composite reliability were used to evaluate internal consistency. Pearson correlation was used to examine the associations between the scores of instruments assessing PIU, time spent on Internet activities, and the level of psychological distress. Results: Model fits confirmed the (i) unidimensional structure of the GDT, BSMAS, SABAS, IGDS9-SF, (ii) two-factor structure of the GADIS-A, and (iii) four-factor structure of the NMP-Q. Additionally, the study found that different types of PIU were significantly associated with psychological distress and time spent on related Internet activities. Conclusion: The six instruments validated in the present study demonstrated very good to excellent psychometric properties when applied to university students in Ghana. The significant associations between Internet-related disorders, time spent on Internet-related activities, and psychological distress highlight the importance of addressing issues of PIU among this population. [ABSTRACT FROM AUTHOR]

Importance: The Adult Executive Functioning Inventory (ADEXI)—a short, practical, self-report questionnaire accessible across diverse adult populations and languages—was used to assess executive functions (EFs), primarily inhibition and working memory. Objective: To examine the construct validity of the ADEXI Hebrew version through exploratory factor analysis (EFA) and convergent validity by correlating scores with similar measures of EF. Design and Setting: Cross-sectional study using online anonymous surveys. Participants: Nonclinical sample of 239 adults, 74.1% women, ages 18 to 80 yr (Mage = 44.19 yr, SD = 12.89). Outcomes and Measures: The Hebrew version of the 14-item ADEXI, a demographic questionnaire, and the Dysexecutive Questionnaire (DEX). Results: Descriptive statistics, Cronbach's α EFA using varimax rotation, and Pearson's correlations were used. Total internal consistency was good (α =.86). Unlike the two factors in the original English version, our construct validity through EFA revealed three factors—inhibition, working memory, and, uniquely, flexibility—that accounted for 55.71% of the variance. Convergent validity was supported by medium to large significant correlations (r =.29–.76) between the ADEXI and the DEX subscales and total scores. Conclusions and Relevance: Our findings offer psychometric evidence to support using the Hebrew version of the ADEXI for EF assessments in adult Hebrew-speaking populations. Plain-Language Summary: The Adult Executive Functioning Inventory (ADEXI) assesses three key components: inhibition, working memory, and cognitive flexibility. In this study, we examined the construct validity of the Hebrew version of the ADEXI to assess executive functions. Our findings support using the ADEXI in Hebrew-speaking populations. The ADEXI offers occupational therapy practitioners serving Hebrew-speaking populations in their practice a validated tool for assessing executive functions. The Adult Executive Functioning Inventory (ADEXI) offers occupational therapy practitioners serving Hebrew-speaking populations a validated tool for assessing executive functions. [ABSTRACT FROM AUTHOR]

The study aimed to develop and validate a new coronavirus disease (COVID-19) anxiety scale. Three independent studies were done to achieve the stated aim of the research. Study 1 explored the factor structure of the scale. Study 2 aimed at confirming the factor structure and establishing test–retest reliability of NCAS. Study 3 aimed to test the incremental validity of the new scale over two most widely used scale (FCV-19S & CAS). EFA resulted in a three-dimensional factor structure with 4, 3, 5 items in 'anxiety pertaining to threat posed by COVID-19', 'Anxiety pertained to public policies' and 'Anxiety pertaining to societal consequences' respectively. CFA confirmed the findings of EFA and a higher order of 'COVID-19 anxiety' was also established. The test–retest reliability was found to be 0.91. NCAS shared 48% variance with FCV-19S (fear of COVID-19 scale) and 27% with CAS (Coronavirus anxiety scale). NCAS has significant incremental validity over FCV-19S and CAS in predicting self-reported mental health and life satisfaction. The scale would help in identifying people's specific anxiety related to COVID-19, which would further help in their intervention/treatment. [ABSTRACT FROM AUTHOR]

To measure the performance in activities of daily living and obtain reference charts in normal developing children. This is a cross-sectional survey study. We identified relevant items suitable to describe a wide range of daily life activities and set up a self-administered questionnaire. An initial set of items underwent a correlation analysis integrated with clinical judgment, to remove those items providing limited additional information. Factor analysis was used to identify latent variables, enabling the grouping of selected items into specific skill-related areas. For each latent variable, a model was developed to represent the progression of performance in activities of daily living as the child advanced in age. We collected data related to 3079 children, 1478 females and 1601 males, of median (IQR) 10.7 (7.2) years of age. The initial 268-item set was reduced to 154-item related to 14 domains and gathered into 30 latent variables. The results describe the age-related performance in activities of daily living and produce reference values associated to an Italian population of normal children less than 18 years of age. • Reference charts on the level of independence in daily living in paediatrics. • The first comprehensive description of the development of skills in activities of daily living in normal developing children. • A tool to assess children at risk of impairment in developing skills in activities of daily living. [ABSTRACT FROM AUTHOR]

This concurrent, mixed-methods case study explores faculty valuation of economic and social rewards after participating in at least one of four educational development programs offered by our Center of Teaching and Learning (CTL) at a large, public, R1 institution. We wanted to know if the effectiveness of such programs might vary depending on the availability of economic or social rewards. To find out, we used factor analysis, t-tests, and thematic analysis on quantitative and qualitative responses from 108 faculty in an 11-item survey. Faculty reported that the value of community and importance of a stipend were important for collaborative pedagogical growth and motivation for sharing results, respectively. Both are essential for implementing change in pedagogical knowledge and practice. The findings underscore the importance of integrating both economic and social rewards because each works differently to engage faculty participants. Study implications include considerations for program design and suggestions for future research. [ABSTRACT FROM AUTHOR]

Introduction: Dental schools have a primary responsibility to devise a curriculum that enhances students' confidence and knowledge in orthodontic case analysis. This study aims to compare the confidence levels and performance of undergraduate students in orthodontic case screening, moderated by faculty in a lecture‐based format against their self‐analysis of the same cases 1 year later, using a case‐based and flipped learning approach. Materials and methods: This study involved 100 fifth‐year students. The same group received predoctoral orthodontics training through an instructor‐centered, didactic approach in their fifth year and a case‐based, student‐centered, flipped classroom approach in their sixth year. At the end of each semester, the students completed an orthodontic case analysis and a self‐reflection survey. Results: This study found no significant differences in diagnostic capabilities for orthodontic findings between the two methods studied. However, the self‐evaluation survey data revealed an increase in students' confidence levels. This was specifically in terms of carrying out independent orthodontic case diagnosis, effectively communicating with orthodontic specialists, and their comfort in approaching orthodontic cases following the flipped classroom approach. Despite increased confidence in case diagnosis, the results showed that final‐year students are uncertain about creating initial treatment plans and referring cases at an early stage. Conclusion: Despite no observed improvement in students' orthodontic diagnostic abilities after another semester of student‐centered learning, their confidence in diagnosing orthodontic cases was notably enhanced. [ABSTRACT FROM AUTHOR]

The aim was to investigate the mediating role of emotional regulation and emotional expression in the relationship between autistic traits and empathy in Saudi students. Participants were undergraduate students at Umm Al-Qura University. A total of 398 questionnaires were sent out, and 260 valid questionnaires were received. Descriptive statistics and correlation analysis were conducted on the variables hypothesized in the study; on this basis, the structural process model modeling method was used to examine the impact of autistic trait empathy after controlling for factors unrelated to age and gender. This study investigated the relationship between empathy, emotional expression, cognitive reappraisal, and autistic traits in Saudi students. A statistical analysis to test the posited hypotheses was undertaken using IBM SPSS Statistics, version 26. Key descriptive statistics were undertaken using the software, making it possible to study the distributions of successive measured variables. The results found that autistic traits can directly and negatively predict empathy, and also through negative emotional expression and cognitive reappraisal can indirectly predict empathy, and can even predict empathy through the chain mediation of negative emotional expression and positive emotional expression to cognitive reappraisal. However, autistic traits did not predict empathy through positive emotional expression. [ABSTRACT FROM AUTHOR]

Burnout can significantly impact practitioners and their co-workers, and hence patients. There are no data for the prevalence of burnout in French ENT specialists, or for associated risk factors. A French national cross-sectional online survey was performed on the initiative of the ENT National Professional Council (CNPORL), contacting all ENT specialists whose e-mail address was known to the French Society of ENT, the National Professional Council or the National ENT Union. The 22-question Maslach Burnout Inventory (MBI) was sent out, along with 16 extra questions on possible risk factors. The study sought to assess the prevalence and severity of burnout, using the MBI, and to analyze risk factors. Among the 1936 physicians, 406 contacted responded to the questionnaire (21%). Mean age was 47 ± 14 years (range, 25–77 years); 53% male, 47% female. 196 (48%) reported burnout, including 20 (5%) severe burnout. Independent risk factors for burnout of whatever severity, comprised social interaction issues, history of identified burnout, and medicolegal pressures. Social interaction issues were independently associated with specifically severe burnout. Burnout affected almost half of respondents. There are identifiable risk factors, for which improvements could be implemented. [ABSTRACT FROM AUTHOR]

The objective of the current study is to analyze the time spent on leisure activities in Budapest, considering five influencing factors. Data were collected from Google Popular Time (GPT) via location services using Python, resulting in a dataset of 1336 entries from July 2022. The analysis utilized the Ordered Logit Model (OLM). According to the outcomes, about 17% of visitors allocate significant time to leisure, while half spend relatively less. Leisure time is positively influenced by ratings and location but negatively affected by security levels. This study demonstrates the utility of GPT data for understanding individual behavior, offering valuable insights for decision-makers, tourism managers, and planners. Additionally, it sheds light on leisure-related traffic patterns, aiding in the identification of popular locations and peak time periods for leisure activities. This information can indirectly impact traffic flow in specific areas. [ABSTRACT FROM AUTHOR]

Background: Black race, inadequate health literacy, and poor perceived control are predictors of increased cardiovascular disease (CVD) risk. The purpose of this study was to explore the relationships among race, health literacy, perceived control, and CVD risk while controlling for known risk factors in incarcerated men. Methods: We included data from 349 incarceratedmen to examine race and CVD risk (Framingham Risk Score) using a serial mediation model with health literacy and perceived control using 95%confidence intervals (CIs) from 5000 bootstrap samples. Results: Of the participants (age, 36 ± 10; education, 12 ± 2; bodymass index, 28.3 ± 5.0), 64.2%wereWhite and 35.8%were Black. Black incarcerated men were younger (P = .047) with lower levels of health literacy (P < .001). All 3 indirect effects of race on CVD were significant, whereas the direct effect of race was not. Black incarcerated men had higher levels of CVD risk through health literacy (a1b1 = 0.3571; 95%CI, 0.0948-0.7162) and lower levels of CVD risk through perceived control (a2b2 = -0.1855; 95%CI, -0.4388 to -0.0077). Black incarceratedmen had higher levels of CVD risk through health literacy influenced by perceived control (a1b2d21 = 0.0627; 95% CI, 0.0028-0.1409), indicating that despite the protective effect of higher levels of perceived control in Black incarcerated men, CVD risk remained higher compared with their White counterparts. Conclusion: Future CVD risk reduction interventions in incarcerated men, specifically Black incarcerated men, should include goals of improving health literacy and perceived control as modifiable risk factors. [ABSTRACT FROM AUTHOR]

Background: Ventricular assist device (VAD) implantation has become an alternative treatment for patients with end-stage heart failure. In Germany, valid and reliable instruments to assess health-related quality of life in patients with VAD are lacking. Objective: The aim of this study was to present the psychometric validation of the German version of the Quality of Life with a Ventricular Assist Device questionnaire. Methods: In a multicenter, cross-sectional study, 393 participants (mean age, 58.3 years; 85.8%male, 60.3%bridge to transplant, and 72.8%living with VAD for =2 years) completed the German Quality of Life with a Ventricular Assist Device questionnaire of physical, emotional, social, cognitive, and meaning/spiritual domains. Item and confirmatory factor analyses were conducted to test item difficulty and discrimination and the underlying structure, respectively. To examine internal consistency, Cronbach a was assessed. Convergent construct validity was tested using the Kansas City Cardiomyopathy Questionnaire and the Patient Health Questionnaire-9. Readability was examined using Flesch Reading Ease index and Vienna Factual Text Formula. Results: The Quality of Life with a Ventricular Assist Device showed reasonable itemdifficulty (Ptotal = .67) and mostly moderate to high discriminatory power (rit > 0.30). In confirmatory factor analysis, root-mean-square error of approximation (0.07) was acceptable for model fit, but no other indices. Acceptable internal consistency was found (a = 0.79), with the exception of the cognitive domain (α = 0.58). The overall questionnaire and single domains demonstrated convergent validity (r = 0.45, P < .001). The questionnaire showed adequate readability (Flesch Reading Ease, 64.11; Vienna Factual Text Formula, 6.91). Conclusion: Findings indicate a promising standardized clinical instrument to assess health-related quality of life in patients with VAD. [ABSTRACT FROM AUTHOR]

First generation college students (FGCSs) may undergo challenging cultural transitions as they acculturate to higher education. Such challenges may include perceived loss of home ties, navigating unfamiliar social rules, and academic acculturative stress. The Academic Acculturative Stress Scale (AAS Scale) was designed to measure these experiences of FGCSs. The sample was comprised of undergraduates at a large public university. Items were created and factor analyzed to evaluate content validity. Mean AAS Scale scores were compared using a 2 (FGCS status) X 2 (gender) factorial analysis of variance. Correlations with students' reported social support, self-esteem, life satisfaction, and depressive symptomatology evaluated criterion validity. A significant two-way interaction for FGCS status and gender for AASS showed that FGCS women reported doing worse than did non-first-generation students, while FGCS men said they were doing better compared to others. Future research should evaluate support needs of FGCS women for successful degree completion. [ABSTRACT FROM AUTHOR]

Providing certificates to companies is to maintain the existence of the company and to be more competitive. The existence of certification service companies in Indonesia from year to year is increasing, and this will provide its phenomenon in maintaining customers among companies in charge of this service because every company in charge of this certification service will compete with each other to retain customers and attract customers from other companies in a similar field. This study aims to determine whether the intention to recertify is influenced by mediating variables, namely customer satisfaction and relationship commitment, or predictor variables, namely service quality, from certification service companies. In addition, this study synergises two intermediary factors, namely customer satisfaction and relationship commitment, in examining service quality on recertification. Factor analysis in this survey is to test the indicators of questions or statements as forming factors. The test results of the factors show that all values meet the validity and reliability. The service quality of the product or service produced by the company greatly affects customer satisfaction and relationship commitment. Because recertification is indirectly influenced by service quality. If customers have the intention to recertify, it is not influenced by customer satisfaction based on service quality but is influenced by relationship commitment. Ongoing communication is an essential factor in maintaining relationship commitment between the company and the client. [ABSTRACT FROM AUTHOR]

Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Colombian Journal of Psychiatry / Revista Colombiana de Psiquiatria is the property of Asociacion Colombiana de Psiquiatria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Students' engagement with feedback is vital for the learning process. It is widely acknowledged that technology can enhance students' engagement with feedback, however, research on technology generated feedback tools emphasise that different technologies have varying impacts on students' engagement. There is a gap in the research shedding light on students' engagement with feedback from quiz platforms. This mixed13 methods study aims to examine the extent to which and how students engage with feedback on the Quizizz platform, drawing from Fredrick et al.'s (2004) framework of student engagement, including affective engagement, behavioural engagement, and cognitive engagement. Data was collected from a questionnaire with 294 respondents who were learning English as a foreign language at a private university in Vietnam and 3 focus group interviews with 15 participants. The findings indicate that participants moderately engaged with feedback from the quiz platform, and these engagements were quite complex. Moreover, data from the interviews revealed aspects of the quiz platform that can enhance students' engagement with feedback. Additionally, an Exploration Factor Analysis was conducted to explore the structure of the questionnaire measuring students' engagement with feedback, which confirms the usefulness of the framework in measuring students' engagement with feedback from an interactive platform. The implications for using a quiz platform regarding students' feedback literacy were discussed. [ABSTRACT FROM AUTHOR]