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Purpose: The purpose of the present study was to examine the mediating role of emotion dysregulation on the association between attachment with parents and non-suicidal self-injury (NSSI) in Taiwanese undergraduates. Methods: A total of 399 university students from Taiwan (mean age = 20.35 years) completed online self-report measures assessing attachment with parents, emotion dysregulation and self-harming behaviors. Results: Structural equation modeling indicated that attachment with parents and emotion dysregulation each had a direct association with NSSI. Emotion dysregulation partially mediated the correlation between attachment with parents and NSSI among Taiwanese young adults. Seventy-two participants (18%) reported engaging in NSSI in the past year. Conclusions: The results indicate that NSSI is a prominent health concern among Taiwanese young adults. For young adults from Taiwan or East Asian cultures, targeting emotion dysregulation in NSSI prevention and intervention could be beneficial. [ABSTRACT FROM AUTHOR]

Improving nutritional intake contributes to maintaining the health and quality of life of the older population and reducing individual and societal healthcare costs. We collaborated with two community service hubs and a public health center in Taipei's Daan District to develop a personalized community-based health and nutrition program using service design. The design was validated through a model encompassing perceived usefulness, service experience, perceived value, and behavioral intention, analyzed using PLS-SEM modeling on 76 individuals. The results showed bidirectional influences among these factors. This study provides practical recommendations for formulating public health policies and health promotion programs for older adults. [ABSTRACT FROM AUTHOR]

During the COVID-19 pandemic, the well-being of older adults has been highlighted as a significant public health concern. In this study, we investigated the role of psychological resilience in mediating the relationship between positive self-perceptions of aging (SPA) and the subjective well-being (SWB) of community-dwelling older adults in Taiwan during the pandemic. We collected data through face-to-face interviews conducted from October 2021 to February 2022, involving 1,095 participants aged 50 years or above residing in a southern city in Taiwan. More than half of the study participants were female, aged 65 or older, and had less than a high school education. More than two thirds were married and/or living with partners. More than a third had two or more noncommunicable diseases. We calculated scores for SWB, positive SPA, and psychological resilience and examined correlations among the outcome and predictor variables. Our findings indicated that higher positive SPA was significantly associated with better SWB among community-dwelling older adults in Taiwan and that this association was mediated by psychological resilience. Specifically, after controlling for covariates, structural equation modeling (SEM) analysis revealed a significant main effect of positive SPA on SWB (b = 0.412, β = 0187, and p < 0.001), while bootstrap mediation analysis showed a statistically significant indirect mediating effect from positive SPA on SWB via psychological resilience (0.597, 95% bootstrap CIs = [0.445, 0.749], and p < 0.001). These findings highlight the potential importance of cultivating positive self-perceptions of aging and implementing resilience-centered interventions to promote well-being among Chinese older adults in the community. [ABSTRACT FROM AUTHOR]

Background and objectives: Nurses tend to exhibit higher rates of presenteeism compared to other professions. Presenteeism can cause the work performance of nurses to suffer, jeopardizing their own and their patients' safety and leading to decreased quality of care and increased risks of errors. However, there is a lack of a validated assessment tool for presenteeism in Taiwan. Thus, the purpose of this study was to develop a Nursing Staff Presenteeism Scale (NSPS). Methods: To develop questionnaire items, participants from three medical centers in Taiwan were recruited. Through convenience sampling, 500 nurses who met the selection criteria were recruited from November 1, 2022 to January 18, 2023. The scale was developed based on a systematic literature review, a previous study, and expert consultation, and 50 items were initially generated. After removing three items that lacked discriminative power, the reliability and validity of the remaining 47 items were evaluated. An exploratory factor analysis was used to establish the construct validity. A confirmatory factor analysis and structural equation modeling for cross-validation were used to assess relationships of factors with items and the overall NSPS. Results: The final scale consisted of 44 items assessed on a five-point Likert scale that loaded onto three different factors of physical or mental discomfort (18 items), work performance (15 items), and predisposing factors (11 items). These three factors were found to explain 63.14% of the cumulative variance. Cronbach's alpha for the overall final scale was 0.953. The item-to-total correlation coefficients ranged 0.443 to 0.795. Conclusions: The NSPS exhibited satisfactory reliability and validity. It can be applied to assess the level of presenteeism among clinical nurses and provide medical institutions with information regarding the causes of presenteeism, predisposing factors, and the impacts of presenteeism on their work performance to enhance the safety and quality of clinical care. [ABSTRACT FROM AUTHOR]

Taiwan's music festival landscape has blossomed, attracting global music enthusiasts with its cultural richness and diverse offerings. Using structural equation modeling (SEM), a survey of festival-goers revealed the intricate relationships among factors like skill performance, self-congruence, ambiance, and consumer interaction, shaping authenticity, satisfaction, destination loyalty, and behavioral intentions. Interestingly, memory was identified as a moderating role, which interlinking satisfaction, behavioral intentions, and destination loyalty. These findings provide both theoretical insights and practical strategies for enhancing festival experiences and cultivating destination loyalty within Taiwan's thriving music scene. [ABSTRACT FROM AUTHOR]

Enhancing legal compliance towards corporate anti-corruption has become a tendency to assure corporate operation sustainable. Corruption that jeopardizes construction supervision, project management, operation maintenance remains a governance challenge in public construction and procurement. The research purpose is to explore the impact factors for anti-corruption legal compliance towards top 5 engineering consulting companies in the Taiwan construction industry. A comprehensive literature review brings 8 hypotheses based on the Structural Equation Modeling (SEM) involving 28 stems for a 5-scale Likert questionnaire. The pilot survey with 22 effective returns demonstrates the validation for the questionnaire. The comprehensive survey collects 314 valid returns from top engineering consulting firms and proves that 5 out of 8 hypotheses stand. The findings conclude the legal compliance framework and top 5 impact factors: commitment, ethical management policy, organization and responsibility, prevention programs, and legal compliance policy. The contributions lie on (1) the identification and ranking for the impact factors, and (2) establishment of legal compliance framework toward corporate legal compliance and anti-corruption for top engineering consulting firms in the Taiwan construction industry. The legal compliance framework is correspondingly built to present how engineering consulting companies carry out anti-corruption legal compliance to assure corporate operation sustainable. [ABSTRACT FROM AUTHOR]

Background: Chronic kidney disease (CKD) refers to permanent damage to the kidneys that occurs gradually over time. Further progression may be preventable depending on its stage. Purpose: This study was developed to evaluate the effect of a health literacy education program (HLEP) on mental health and renal functioning in patients with CKD. Methods: A single-blind, randomized controlled trial study was conducted. Data were collected from March 25 to December 18, 2021. Participants were randomly assigned to either the experimental group (n = 42), which received multidisciplinary care and HLEP, or the control group (n = 42), which received multidisciplinary care only. Data were collected at baseline (T1), Month 3 (T2), and Month 6 (T3), and the data included patient characteristics, estimated glomerular filtration rate, and responses to the Mandarin Multidimensional Health Literacy Questionnaire and Beck Depression Inventory. Results: After 6 months of the HLEP intervention, the results of generalized estimating equations analysis showed that, compared with the control group, the experimental group had significantly higher health literacy at Month 3 (β = −3.37, 95% CI [−5.68, −1.06]), significantly improved depression at Month 3 (β = −2.24, 95% CI [−4.11, −0.37]) and Month 6 (β = −4.36, 95% CI [−6.60, −2.12]), and a significantly higher estimated glomerular filtration rate at Month 6 (β = 5.87, 95% CI [1.35, 10.38]). Conclusions/Implications for Practice: The findings of this study may provide a reference for healthcare providers to educate patients with Stage 3–4 CKD using the HLEP. Positive effects on health literacy, depression, and renal function in patients with Stage 3–4 CKD were observed in the short term. Findings from this study may facilitate the implementation of multidisciplinary and nurse-led strategies in primary care to reinforce patients' health literacy, self-care ability, and adjustment to CKD as well as delay disease progression. [ABSTRACT FROM AUTHOR]

The present study aimed to investigate the associations among supportive parenting, function-oriented appraisal of peer conflict, and peer conflict resolution (i.e., compatibility, compromise, self-sacrifice, utility, and escape). It was hypothesized that adolescents' function-oriented appraisal of peer conflict mediates the relationship between their perceived supportive parenting and their tendency to adopt different resolution strategies in peer conflict. Chinese adolescents aged 15 to 18 years were recruited from Taiwan as participants, and 498 valid responses were obtained. By utilizing structural equation modeling, the present study found the following results: (1) perceived supportive parenting was positively associated with adolescents' tendency to adopt the compatibility and compromise resolution strategies but negatively associated with their tendency to adopt the escape resolution strategy; (2) perceived supportive parenting was positively associated with adolescents' function-oriented appraisal of peer conflict, which was positively related to their tendency to adopt the compatibility, compromise, and self-sacrifice resolution strategies but negatively related to their tendency to adopt the escape resolution strategy; and (3) the mediating role of adolescents' function-oriented appraisal of peer conflict in the relationship between their perceived supportive parenting and their tendency to adopt different peer conflict resolution strategies was significant. We discuss the implications and limitations of these findings. Highlights: Chinese adolescents' perceived supportive parenting was related to their appraisals and resolutions of peer conflicts. Chinese adolescents' perceived supportive parenting was positively related to their function-oriented appraisal of peer conflict. Chinese adolescents' function-oriented appraisal of peer conflict was positively associated with their tendency to adopt compatibility, compromise, and self-sacrifice resolution strategies but negatively associated with their tendency to adopt the escape resolution strategy. [ABSTRACT FROM AUTHOR]

Taiwan has become a pioneer in light electric vehicles (LEVs) despite limited government support (GS) and the perceived risks (PR) that discouraged the public from buying them. This article aims to confirm these two factors as key determinants for LEV adoption in Taiwan. The method relies on confirmatory factor analysis and structural equation modeling to test the behavioral intention (BI) of Tainan youth to adopt LEVs. In particular, the method extends the theory of planned behavior by addressing GS and PR while testing behavioral control (BC) as mediator and demographics as moderator. The report's findings confirm the mediating role of BC but do not confirm the effect of subjective norm. Young adults emphasized GS as a key factor influencing their adoption of LEVs. These findings are further discussed to bridge literature gaps of early stage adoption. The article also explores the implications of its research findings and offers recommendations for future research. [ABSTRACT FROM AUTHOR]

Purpose: This study is based on the stimulus–organism–response (SOR) model to examine how job demands and technology overload affect work stress for workers using video conferencing apps (VCAs) in organizations during the COVID-19 pandemic. Moreover, the moderating effect of technology self-efficacy was tested in the model on the relationship between technology overload and work stress. Design/methodology/approach: An online survey was conducted to investigate workers on PTT forums in Taiwan. A sample was obtained of 253 workers, and structural equation modeling was conducted using AMOS to test the hypotheses. Findings: Job demands positively affect work stress through information overload, communication overload and system feature overload. Moreover, high technology self-efficacy may weaken the relationship between technology overload and work stress. Research limitations/implications: The study may have sample bias because our sample was obtained from an online survey on social networking sites. Regarding the theoretical implications, this study demonstrated that technology overload, as an internal organism, is a critical mediator influencing the relationship between job demands (stimulus) and work stress (response). Thus, this study extended the applicability of the SOR model in the context of working with VCAs in organizations. Practical implications: Company managers need to effectively control the information amount, communication interruptions and system features of social media at optimum levels for workers. Moreover, companies should recruit workers with high technology self-efficacy or provide technology training and technology-related consulting to those with low technology self-efficacy. Originality/value: The extant work stress knowledge is extended to workers using VCAs in organizations. [ABSTRACT FROM AUTHOR]

Aims: To examine how nurses' self‐efficacy impacts professional engagement (professional opportunities exploration and workplace improvement participation), nurses' turnover intention and further on actual turnover. Background: The problem of nursing shortage has become a common global issue. Nurses' self‐efficacy could reduce nurses' turnover intention. However, whether professional engagement could connect nurses' self‐efficacy and their actual turnover remains unknown. Design: This study adopts a three‐wave follow‐up design. Methods: This study uses proportionate random sampling to survey nurses in a large medical centre in Taiwan. Totally, 417 participants were enrolled from December 2021 to January 2022 (first wave) and followed up from February 2022 to March 2022 (second wave). The data of nurses' actual turnover (or not) were traced in May 2022 (third wave). STROBE statement was chosen as the EQUATOR checklist. Results: Self‐efficacy was positively linked to outcome expectation, which is positively linked to professional opportunities exploration. Self‐efficacy was positively linked to career interest and workplace improvement participation. Professional engagement was negatively linked to nurses' intention to leave the target hospital, which was positively linked to actual turnover. Conclusion: This study uniquely finds that professional engagement is the key to the mechanism underlying the influence of nurse' self‐efficacy on their actual turnover. Impact: Our findings impact nursing management that professional engagement is as well important as nurses' self‐efficacy, with an aim to maintain the professional nursing workforce. Patient or Public Contribution: Nurses complete the questionnaires, return them to the investigators and permit investigators to check their personnel data. [ABSTRACT FROM AUTHOR]

Aim: This quasi‐experimental study aimed to explore effects of walking exercise on disease activity, sleep quality, and quality of life among individuals with systemic lupus erythematosus. Methods: After recruiting people with systemic lupus erythematosus from a hospital in Taiwan between October 2020 and June 2021, participants were free to opt to receive one walking exercise programme plus standard care for 3 months or to membership of a control group receiving routine care. Primary outcomes included Systemic Lupus Erythematosus Disease Activity Score, the Pittsburgh Sleep Quality Scale, and a quality‐of‐life scale for patients with systemic lupus erythematosus, namely, LupusQoL. These scales were administered first, at baseline and later, within 1 week following completion of the intervention. Between‐group effects were compared using generalized estimating equations with adjustment for baseline variables. Results: The experimental and control groups each included 40 participants. Multivariate analysis indicated that adding the walking exercise programme into routine care elevated sleep quality and LupusQoL (the latter in the subscales of physical health, planning, and intimate relationships), except for disease activity. Conclusion: Findings of this study supported the addition of walking exercise as part of routine care for people with systemic lupus erythematosus and may be a reference in the provision of adequate care for these patients. Summary statements: What is already known about this topic? Systemic lupus erythematosus is a lifelong autoimmune disease that affects any organs throughout the body, thus insidiously causing negative impacts on the affected patients.Today, use of exercise programmes such as walking exercise has been studied as a remedy for many medical conditions, but its effectiveness in minimizing the symptoms of distress among people with systemic lupus erythematosus is unknown. What this study adds? Participants with systemic lupus erythematosus who opt to receive the walking exercise programme for 3 months in addition to routine care experience improved sleep quality and quality of life compared with those receiving routine care alone. The implications of this paper: In accordance with the belief that "an ounce of prevention is worth a pound of cure," early implementation of an exercise programme should be considered in addition to routine care for patients with systemic lupus erythematosus.Evidence from this research could provide empirically informed and robust data for healthcare policymakers and in turn might help to reduce the incidence of morbidity among patients with systemic lupus erythematosus. [ABSTRACT FROM AUTHOR]

Resilience has been reported to attenuate psychological burden and promote mental health. Military personnel constitute a population with a high psychological burden and poor sleep quality and are thus at a high risk of depression. This study is aim to examine the mechanism underlying the effects of resilience on perceived stress, sleep quality, and depression among Taiwanese army military personnel. A cross‐sectional survey was conducted between May 2020 and February 2021. Participants comprised 1505 voluntary army military service personnel aged 20 years or older; they completed self‐reported questionnaires measuring their perceived stress, resilience, sleep quality, and depression. Data were analysed using structural equation modelling. The results indicated that the association between resilience and depression was partially mediated by perceived stress and sleep quality. Perceived stress is a significant mediator on the association between resilience and depression. A high level of sleep disturbance was observed in this population and results found that sleep quality showed a slight partial mediation effect on the association between resilience and depression. Resilience can alleviate the effects of stress, which in turn alleviates depression among military personnel. Promoting resilience‐enhancing education and mitigating environmental barriers to sleep is essential for reducing depressive symptoms among military personnel. [ABSTRACT FROM AUTHOR]

The living environment might play an important role in shaping the pro-environmental intentions of the people. However, there was limited research on how the living environments influenced the pro-environmental intentions of people. The objectives of this study are to evaluate the direct effects of physical and social environments on pro-environmental intentions as well as the mediating effects of environmental attitudes and life satisfaction. Structural Equation Modeling was used with data extracted from the 2020 Taiwan Social Change Survey database (n = 1671). Results showed direct positive associations of both physical and social environments with pro-environmental intentions (β = 0.133 and β = 0.076, respectively) as well as indirect positive associations via the life satisfaction-mediating pathway (β = 0.031 and β = 0.044, respectively). The physical environment negatively influenced pro-environmental intentions through the environmental attitude pathway (β = − 0.255) with unpleasant neighborhood enhancing the pro-environmental intentions of residents. Taken together, the overall effect of the physical environment was negative (β = − 0.093) while that of the social environment was positive (β = 0.109). The most important factors for the physical and social environments were disturbance and livability in north, central and south Taiwan, neighborhood pollution and interestingness in east Taiwan. Accordingly, minimizing disturbance and neighborhood pollution of the physical environment could have the highest effect on pro-environmental intentions enhancement in western and eastern Taiwan, respectively. For the social environment, improving livability in the west and interestingness in the east would have an even larger impact on pro-environmental intentions. This study emphasized the importance of neighborhood environment on the environmental intentions of the people. The study also identified the important factors for policymakers to target to achieve the best effect on improving environmental intentions. [ABSTRACT FROM AUTHOR]

In the context of smartphone-mediated family communication, the study investigates relationships of nomophobia and phubbing with affective effects of smartphone use among emerging adults. This web survey examines 714 Taiwanese young users utilising smartphones to communicate with parents. Structural equation modelling results show that nomophobia is positively associated with affective benefit (presence-in-absence) and cost (unwanted obligation and threat to privacy) of using smartphone, while phubbing is positively related to unwanted obligation and threat to privacy. Additionally, presence-in-absence shows a positive association with family cohesion, while unwanted obligation has a negative relationship, and threat to privacy shows no influence. Moreover, the study develops a nomophobia measure with sub-dimensions (information anxiety, social panic and losing online connectedness). Gender is the only demographic factor affecting nomophobia. Implications of smartphone's ABCCT impacts on family cohesion are discussed. [ABSTRACT FROM AUTHOR]

Based on the case of the national electronic identification card (New eID) policy in Taiwan, this study integrated the government's components with a privacy calculus model to analyze factors which affect personal data disclosure intention. Partial least squares structural equation modeling (PLS-SEM) was used to analyze the survey data and explore how citizens balance benefits and risks associated with the New eID issue. The research results suggested that financial compensation, personalized services, and service compatibility can enhance cognition of privacy-related benefits of citizens, while this cognition will further increase willingness to authorize their personal data. Moreover, the impact of government elements on citizens' willingness to authorize their personal information also has statistical backings. Citizens' cognition of privacy-related risks, however, has no statistical effect within the model, which is contrary to findings from previous studies. The study attempted to make contributions to supplementing the connotation of an extant theoretical framework, and discussed the privacy-related questions concerning digital government. [ABSTRACT FROM AUTHOR]

Purpose: In this study the authors examined the impact of employees' collaborative behaviours with colleagues and customers (i.e. employee–employee collaboration and employee–customer collaboration) on their creative self-efficacy and service innovation from the perspective of service-dominant logic. The authors also examined the differences between frontline and non-frontline fitness service employees in our research model. This study aims to discuss the aforementioned objectives. Design/methodology/approach: Participants were fitness-centre employees in Taiwan recruited via convenience sampling. A total of 410 participants completed our online survey, and the authors analysed the data using partial least squares structural equation modelling (PLS-SEM). Findings: The authors found that collaboration with both colleagues and customers had a positive impact on employees' creative self-efficacy. Collaboration with colleagues directly affected service innovation, while collaboration with customers indirectly affected service innovation via creative self-efficacy. In addition, there was a significant difference between frontline and non-frontline employees in our research model. Specifically, the path from collaboration with customers to creative self-efficacy was stronger for frontline employees, and the path from creative self-efficacy to service innovation was stronger for non-frontline employees. Originality/value: This study improves the understanding of the way in which different collaborative behaviours promote employees' creative self-efficacy and service innovation. Further, it is the first to identify the difference between frontline and non-frontline employees and it shows how the effects of collaborative behaviours differ between them in the context of fitness services. [ABSTRACT FROM AUTHOR]

Aim: This study aimed to explore the association between multimorbidity patterns with/without frailty and future mortality among Taiwanese middle‐aged and older adults through a population‐based cohort study design. Methods: Data were collected from the Taiwan Longitudinal Study on Aging. The data were obtained from Wave 3, with the multimorbidity patterns in the years of 1996 being analyzed through latent class analysis. Frailty was defined using the modified Fried criteria. The association between each disease group with/without frailty and mortality was examined using logistic regression, with the reference group as the Relatively healthy group without frailty. Survival analysis was performed using Cox regression, and the follow‐up period of mortality was from 1 January 1996 to 31 December 2012. Results: A total of 4748 middle‐aged and older adults with an average age of 66.3 years (SD: 9.07 years) were included. Four disease patterns were identified in 1996, namely the Cardiometabolic (21.0%), Arthritis‐cataract (11.9%), Relatively healthy (61.6%), and Multimorbidity (5.5%) groups. After adjusting for all covariates, the Relatively healthy group with frailty showed the highest risk for mortality (odds ratio: 3.66, 95% confidence interval [95% CI]: 2.24–5.95), followed by the Cardiometabolic group with frailty (odds ratio: 3.58, 95% CI: 1.96–6.54), Multimorbidity group with frailty (odds ratio: 2.28, 95% CI: 1.17–4.44), Multimorbidity group without frailty (odds ratio: 1.44, 95% CI: 1.01–2.04), and the Cardiometabolic group without frailty (odds ratio: 1.24, 95% CI: 1.04–1.49). Conclusions: Frailty plays an important role in mortality among middle‐aged and older adults with distinct multimorbidity patterns. Middle‐aged and older adults with a relatively healthy multimorbidity pattern or a cardiometabolic multimorbidity pattern with frailty encountered dismal outcomes. Geriatr Gerontol Int 2023; 23: 684–691. [ABSTRACT FROM AUTHOR]

The living environment might play an important role in shaping the pro-environmental intentions of the people. However, there was limited research on how the living environments influenced the pro-environmental intentions of people. The objectives of this study are to evaluate the direct effects of physical and social environments on pro-environmental intentions as well as the mediating effects of environmental attitudes and life satisfaction. Structural Equation Modeling was used with data extracted from the 2020 Taiwan Social Change Survey database (n = 1671). Results showed direct positive associations of both physical and social environments with pro-environmental intentions (β = 0.133 and β = 0.076, respectively) as well as indirect positive associations via the life satisfaction-mediating pathway (β = 0.031 and β = 0.044, respectively). The physical environment negatively influenced pro-environmental intentions through the environmental attitude pathway (β = − 0.255) with unpleasant neighborhood enhancing the pro-environmental intentions of residents. Taken together, the overall effect of the physical environment was negative (β = − 0.093) while that of the social environment was positive (β = 0.109). The most important factors for the physical and social environments were disturbance and livability in north, central and south Taiwan, neighborhood pollution and interestingness in east Taiwan. Accordingly, minimizing disturbance and neighborhood pollution of the physical environment could have the highest effect on pro-environmental intentions enhancement in western and eastern Taiwan, respectively. For the social environment, improving livability in the west and interestingness in the east would have an even larger impact on pro-environmental intentions. This study emphasized the importance of neighborhood environment on the environmental intentions of the people. The study also identified the important factors for policymakers to target to achieve the best effect on improving environmental intentions. [ABSTRACT FROM AUTHOR]

Aims and Objectives. The purpose of this study was to investigate the prevalence of job burnout among Taiwanese nurses, specifically exploring the mediating role of workplace social support in the association between nurses' stressors and this burnout. Background. Nurses confront high-stress, high-stakes work environments due to evolving disease patterns and growing healthcare needs. The nurse-patient ratio in Taiwan is higher than in other countries, necessitating effective strategies to mitigate nurse burnout and enhance the quality of patient care. Design. A cross-sectional study design was employed. Methods. From January to April 2019, 500 nurses were recruited from a medical center in Kaohsiung City, southern Taiwan. Participants completed a questionnaire addressing workplace social support, stressors faced by nurses, and job burnout. Data were analyzed using descriptive statistics, one-way analysis of variance, t-test evaluations, Pearson's correlation analyses, and a structural equation model with maximum likelihood estimation. Results. The findings revealed that a portion of nurses experienced high rates of personal burnout (7.20%), work-related burnout (5.00%), and client-related burnout (4.80%). The relationships among workplace social support, nurses' stressors, and job burnout were all substantial, exhibiting correlation coefficients ranging from −0.318 to 0.828. The direct effect of nurse stress on job burnout was 0.551, comprising 90.7% of the cumulative effect. In contrast, the indirect effect of nurse stress on job burnout, considering workplace social support, amounted to 9.3% of the total effect, with a value of 0.056. Conclusions. The study underscored the importance of addressing job burnout among nurses in Taiwan. Workplace social support may function as a mediating factor in the relationship between nurses' stressors and job burnout. Implications for Nursing Management. The results suggest that healthcare administrators should prioritize workplace social support initiatives. These efforts could help identify and address nurses' stressors, promote work-life balance, and reduce nurse-patient ratios and work overload. [ABSTRACT FROM AUTHOR]

Previous studies suggested that athletes' psychological capital level is related to life stress and burnout. Therefore, the purpose of this study was to explore the influences of university baseball athletes' psychological capital on their life stress and burnout and provide practical suggestions for athletes and coaches to reduce their life stress and burnout. In this study, we used athletes' control variables (grade, year of training experience, and training days per week) and psychological capital (self-efficacy, hope, optimism, and resilience) to predict their life stress and burnout. A total of 428 division I baseball athletes from 16 teams of the national college baseball sports league in Taiwan participated in this survey, with a return rate of 89.2%. Partial least squares structural equation modeling was used to test the relationships among the above-mentioned variables. The results showed that the athletes demographics such as grade (β = 0.03, p > 0.05) and years of baseball training experience (β = 0.00, p > 0.05) had no significant influences on athlete burnout, while the days of baseball training per week (β = 0.32, p < 0.05) had a positive influence on athlete burnout. As for psychological capital, self-efficacy (β = −0.09, p < 0.05), hope (β = −0.27, p < 0.05), and optimism (β = −0.20, p < 0.05) had negative influences on life stress, while resilience (β = −0.07, p > 0.05) had no significant influences on life stress. Hope (β = −0.20, p < 0.05) had negative influences on athlete burnout, while self-efficacy (β = −0.00, p > 0.05), optimism (β = −0.06, p > 0.05), and resilience (β = −0.01, p > 0.05) had no significant influences on athlete burnout. Life stress (β = 0.52, p < 0.05) had significant influences on the burnout. Based on our research findings, suggestions were made to reduce the athletes' life stress and athlete burnout. [ABSTRACT FROM AUTHOR]

Objective: To investigate the associations of specific cognitive functions and with the frailty trajectory among older Taiwanese adults. Methods: At baseline, 730 community-dwelling older adults were recruited from outpatient clinics of a general hospital. Frailty status was defined using phenotype criteria. Global cognition was assessed using the modified Telephone Interview of Cognitive Status and Mini-Mental State Examination (MMSE). The Mattis Dementia Rating Scale (MDRS) and Digit Symbol Substitution Test were used to evaluate 6 cognitive domains: attention, initiation/perseveration, construction, conceptualization, memory, and processing speed. The group-based trajectory model was used to identify latent frailty trajectory groups and the multinomial logistic regression was to examine the relationships of specific cognitive functions with frailty trajectory. Results: Among 485 participants (168 men, 317 women, and mean age: 71.1 ± 5.5 years) completed 2 annual follow-up assessments, three frailty trajectory groups of improvement, no-change, and progression were identified. After adjusting for baseline frailty status, age, sex, global cognition, regular exercise habit, and number of comorbidities, higher scores on MDRS's initiation/perseveration (odds ratio [OR] = 0.85; 95% CI = 0.75-0.95) and attention (OR = 0.63; 95% CI = 0.38-1.00), respectively, were significantly associated with lower risk of frailty progression. Conversely, no significant association was detected between MMSE or TICSM scores and frailty improvement or progression. Conclusion: Specific cognitive functions of initiation/perseveration and attention, rather than global cognition, may be more useful to predict frailty progression, thus allowing the identification of at-risk older adults. [ABSTRACT FROM AUTHOR]

Background: Fatigue is associated with multidimensional factors in heart failure patients. Investigating longitudinal changes in fatigue and its association in patients undergoing cardiac surgery is needed to create interventions for improving fatigue during recovery. Aims: This study examined the trajectory of fatigue and its associated factors over time in patients undergoing cardiac surgery. Methods: This longitudinal study enrolled 125 patients undergoing cardiac surgery in northern Taiwan. Patients completed questionnaires before surgery, at discharge, and at 1, 3 and 6 months post‐discharge. Fatigue was measured using the General Fatigue Scale. Generalised estimating equation models were fitted to identify variables associated with fatigue over time. This study complied with the STROBE checklist. Results: The sample (mean age = 60.70 ± 10.42) was mostly male (68%). High fatigue was found in 73.6% of patients before cardiac surgery and significantly decreased over the six months after discharge. NYHA III/IV, lower haemoglobin level, more symptom distress, poor sleep quality, higher anxiety and depression and lower social and family support were significantly associated with an increase in fatigue levels over time. Compared with before discharge, decreases in sleep quality at 1, 3 and 6 months were significantly associated with an increase in fatigue levels (p <.001). The increases in social support (B = 0.20, p =.016) and family support (B = 0.37, p =.002) at 6 months were significantly associated with an increase in the fatigue scores. Conclusion: Fatigue was common and associated with symptoms, sleep quality, emotion and social support in patients undergoing cardiac surgery. In addition to symptom management, improving sleep quality and social support are important to manage fatigue for the long‐term care of patients undergoing cardiac surgery. Relevance to clinical practice: Patient education on symptom management, sleep hygiene and family support is suggested to improve fatigue in patients recovering from cardiac surgery. [ABSTRACT FROM AUTHOR]

This study is dedicated to m-commerce and examines the key factors determining loyalty to online food delivery (OFD) services in Indonesia, Taiwan, and New Zealand, as these countries have faced varying degrees of pandemic severity. The data analysis using Partial Least Square Structural Equation Modeling (PLS-SEM) shows that the quality of both food and e-service, satisfaction, perceived value, and trust are significant predictors of loyalty in all countries. Food quality drives consumer loyalty, contentment, and perceived value in Indonesia and Taiwan, but e-service quality is the main determinant in New Zealand. These differences can be attributed to the status quo of the OFD service market in the three countries pre-Covid, cultural factors, the pandemic severity, and consumer access to other distribution channels. Best practice recommendations for marketing managers associated with OFD are presented. [ABSTRACT FROM AUTHOR]

Background: Studies indicated that patients with advance directives (ADs) have a generally better quality of life near death. Yet, the concept of ADs is relatively new in East Asian countries. This study examined the associations between health literacy, pro-individualism in end-of-life (EOL) decisions (i.e., EOL pro-individualism), and master-persistence personality traits with the willingness to complete ADs. Methods: The data is from a representative data of 1478 respondents from the 2022 Taiwan Social Change Survey. Generalized structural equation modeling (GSEM) was used to conduct path analysis. Results: Nearly half of the respondents (48.7%) were willing to complete ADs. Health literacy has direct and indirect effects through EOL pro-individualism values on the willingness to complete ADs. Noncognitive factors such as mastery-persistence personality traits and EOL pro-individualism values enhanced the willingness to complete ADs. Conclusion: A personalized communication strategy, mindful of personality dimensions and cultural values, can address individual fears and concerns, promoting the benefits of advance care planning (ACP). These influences can provide a roadmap for healthcare providers to customize their approach to ACP discussions, improving patient engagement in AD completion. [ABSTRACT FROM AUTHOR]

Retirement preparation is an issue of global concern. The public and private sectors have implemented solutions in the workplace such that participants turn their knowledge into actions through exploration. Yet, research is scarce regarding the associations between these three levels of knowledge, exploration, and implementation. This study aimed to develop a retirement preparation scale for middle-aged and older adult employees in Taiwan and examine the relations between the three levels. After each question indicator passed validity and reliability tests, the overall scale was subjected to initial validation of the measurement model using structural equation modeling. The key model indicators were analyzed using the best-fit model. The scale has an acceptable model fit with the collected data. There were 27 indicators covering 9 dimensions, and each indicator within the corresponding dimension had good reliability and validity. The results indicated that Taiwanese employees with relatively better knowledge of retirement planning are more aware of the importance of retirement preparation. However, the lack of significant employee engagement toward retirement preparation resulted in a lack of motivation to turn knowledge into implementation. Engagement in retirement preparation is a key determinant in individuals turning their knowledge into implementation. This study suggests that companies should help their employees explore retirement preparation options such that they can combine knowledge and involvement to improve retirement life quality. [ABSTRACT FROM AUTHOR]

The purpose of this study was to examine the association between age-friendliness of a city, loneliness and depression moderated by internet use among older people during the coronavirus disease 2019 (COVID-19) pandemic. The survey was from 'The 2020 Survey of Needs Assessment for a Safe Community and Age-Friendly City' in Xinyi District, Taipei, which was conducted by face-to-face interviews with community-based older adults who were aged 65 and above from one district of Taipei City from May to June 2020 (n  = 335). Partial least square structural equation modeling and the SPSS PROCESS macro were used for data analysis. Two domains of an age-friendly city (housing and community support and health service s) were found to be associated with reduced loneliness, while one (respect and social inclusion) was associated with decreased depression. The age-friendliness of cities mitigates depression through moderator (internet use) and mediation (loneliness) mechanisms. Although some age-friendly domains of the city reduced loneliness and depression directly, the age-friendliness–loneliness-depression mechanism held true only for older adults who used the internet and not for nonusers. Maintaining the age-friendliness of an environment is beneficial to mental health, and internet use is a necessary condition to gain optimum benefits from age-friendly initiatives. Policy suggestions are discussed. [ABSTRACT FROM AUTHOR]

As life expectancy is prolonged, older people may face increased burdens related to supporting multi-generational family members. This study is aimed toward examining the effects of such an emerging type of informal care on the well-being of caregivers. Participants aged 50 and over from the Taiwan Longitudinal Study on Aging (1996–2007, n = 4,217) were analyzed. We categorized caregiving status according to different care recipients: 1) older adults only, 2) grandchildren only, 3) both older adults and grandchildren (dual caregiving), and 4) non-caregivers. Well-being was measured based on depressive symptoms and degree of life satisfaction. Generalized Estimation Equation models were used to examine the association between types of caregiving and the caregivers' state of well-being. After adjusting for all covariates, caregivers of older adults had significantly more depressive symptoms and less life satisfaction than non-caregivers, especially when caregiving for adults with ADL problems. In contrast, caregivers of grandchildren were not significantly affect either depression or life satisfaction as compared with non-caregivers. Interestingly, caregiving for both older adults and grandchildren had no significant effect on depression but positively affected the degree of life satisfaction. Our findings highlight that simultaneously taking care of both older adults and grandchildren can buffer negative feelings in caregivers or even improve their mental health. [ABSTRACT FROM AUTHOR]

Drawing on gamification literature, this study develops a research model to examine whether gamification features as environmental stimulus antecedents to learners' organismic experiences in using massive open online courses (MOOCs) can affect their response on MOOCs and learning outcomes. The proposed research framework, rooted in the stimulus-organism-response model, provides a strong foundation for understanding these hypothesized relationships. Sample data for this study were collected from learners who had experience in taking the gamified MOOCs provided by the MOOC platform launched by a well-known university in Taiwan, and 307 usable questionnaires were analyzed using structural equation modeling. This study verified that three types of gamification features including achievement-related gamification features, immersion-related gamification features, and social interaction-related gamification features positively influenced learners' internal experiences in using MOOCs (i.e., cognitive involvement, flow experience, and social presence), which jointly expounded their continuance intention of MOOCs, and this in turn enhanced their perceived impact on learning. Overall, this study's results offered enough evidence to strongly support all of the hypothesized links and the research model. Besides, the results of the mediation analysis confirmed that learners' internal experiences and continuance intention of MOOCs fully mediated the effects of their perceived gamification features on perceived impact on learning. [ABSTRACT FROM AUTHOR]

In recent years, online gaming and cyber pornography have become problematic activities among Internet users. When individuals immerse themselves in these activities, the experience of flow can negatively influence users' physical and mental health and interpersonal relationships. Thus, this study analyzed the mediating roles of self-consciousness and peer relationships in the relationships between online gaming, cyber pornography, and physical and mental health. We obtained data from fifteen senior high schools in Taiwan (N = 1838 students; first year, 996 students, and second year, 842 students) by conducting a 2-year longitudinal survey. Statistical analyses were performed using structural equation modeling. The results indicated that adolescents' online gaming was positively associated with their physical and mental health; however, it was negatively associated with their self-consciousness. In addition, when they became absorbed in cyber pornography, they lost track of time and lost self-consciousness, and it influenced their peer relationships. Self-consciousness and peer relationships mediated the relationships between cyber pornography and participants' physical and mental health. We identified relationships between online gaming, cyber pornography, elements of flow, and physical and mental health. The findings of this research can offer guidelines for policy makers and educators who evaluate adolescents' Internet use and behavior to provide proper access to Internet use and promote by building a healthy Internet environment in educational activities. [ABSTRACT FROM AUTHOR]

The purpose of this study was to investigate the associations between beliefs about filial piety, implicit theories of romantic relationships, and relational intimacy in romantic relationships among Chinese youth. We surveyed 205 youths in Taiwan who were in romantic relationships to learn their beliefs about filial piety, implicit beliefs about romantic relationships, and relational intimacy. The results of our structural equation modeling showed that beliefs about reciprocal filial piety are positively associated with relational intimacy and beliefs about the growth of romantic relationships are negatively associated with beliefs about destiny. In addition, authoritarian parenting can lessen relational intimacy by instilling stronger beliefs about destiny in romantic relationships. However, beliefs about growth in romantic relationships are not associated with relational intimacy. [ABSTRACT FROM AUTHOR]

Background: Worldwide, 60% of people use social media. Excessive and/or addictive use of social media termed "problematic social media use", has been reported to negatively influence psychological and physiological health. Therefore, we proposed an illustrated model to investigate the associations between social media addiction, psychological distress and food addiction among Taiwanese university students. Methods: A total of 598 participants (mean age = 22.8 years) completed an online survey comprising the Bergen Social Media Addiction Scale (BSMAS) assessing social media addiction, the Depression Anxiety and Stress Scale (DASS-21) assessing psychological distress, and the Yale Food Addiction Scale 2.0 (YFAS 2.0) assessing food addiction. Results: Structural equation modeling showed the significant associations between BSMAS and DASS-21 (standardized coefficient [β] = 0.45; p < 0.01) and between DASS-21 and YFAS 2.0 (β = 0.43; p < 0.01). In addition, mediation effect with 100 bootstrapping samples showed the indirect effect of DASS-21 in the association between BSMAS and YFAS 2.0 Conclusions: The present study details the relationships between social media addiction and psychological distress as well as food addiction. The results suggest the need for interventions aimed at reducing these negative outcomes. Coping strategies for improving self-control or reducing weight-related stigma, such as food consumption monitoring or mindfulness, could be adopted for at-risk individuals to address these problems. Plain English summary: Social media addiction has been found to have psychological and physiological impacts on individuals' health. In order to better understand the role of social media addiction, the present study constructed a model to investigate the potential mechanism of social media addiction in affecting the individuals' food addiction level. The findings showed a clear pathway between social media addiction and food addiction with the involvement of psychological distress. Accordingly, we suggested that individuals with the potential risk of social media addiction should pay attention to their psychological status and food intake. The potential effect of weight-related stigmatization would also need to be considered, strategies such as mindfulness or food consumption monitoring would be beneficial to address the issues. [ABSTRACT FROM AUTHOR]

Due to its accurate representation of parent–child interaction quality in Confucian‐influenced cultures, contemporary filial piety, which refers to general beliefs about how children are expected to behave toward their parents, has drawn increasing attention in academia. However, how filial piety associates with intimate relationships beyond the family setting is less clear. This study examined the relation between dual filial piety (i.e., reciprocal filial piety and authoritarian filial piety) and romantic relationship quality among Chinese youths. We explored a mediational model in which we tested whether dual autonomy (i.e., individuating autonomy and relating autonomy) would help explain how Chinese youths' beliefs in filial piety are linked to the quality of their romantic relationships. A total of 605 youths from Macau (N = 291) and Taiwan (N = 314) who are currently or once romantically involved participated in the study. We employed structural equation modeling to analyze the data. Results showed within‐culture invariance regarding the direct and indirect associations between filial piety, autonomy, and romantic relationship quality. Specifically, young people in both Macau and Taiwan who endorsed higher reciprocal filial piety had more individuating autonomy, which in turn contributed to them having higher quality romantic relationships. [ABSTRACT FROM AUTHOR]

In the post-COVID-19 era, with tourism activity beginning to revitalize, the behavioral intention of tourists has emerged as the focus of much research interest. While previous studies have suggested that tourists' perceived risk affects behavioral intention, it has not been found that perceived risk is influenced by other factors that affect behavioral intention in the post-COVID-19 era. This study constructs a research model to understand how tourists' perceived risk influences emotional attachment to destinations and tourists' behavioral intention through crisis communication and NPI. Through face-to-face interviews, this study conducted a survey and collected data from 1047 tourists who visited Dadaocheng's renowned Chinese herbal street in Taiwan and examined the causal relationships through structural equation modeling. The results indicated that an increase in perceived risk had a positive effect on crisis communication and NPI and affected tourists' behavioral intentions through emotional attachment to the destination. This study provides an opportunity to establish an essential contribution to post-disaster crisis management, which may serve as a marketing reference for tourism operators in the post-COVID-19 era, as well as to address future pandemic challenges. [ABSTRACT FROM AUTHOR]

This study aimed to examine the factors affecting the relationship between stress and anxiety in critically ill patients. A cross-sectional research paradigm was employed to enroll patients admitted to the medical intensive care unit (ICU) of a medical university hospital. Partial least squares structural equation modeling (PLS-SEM) was used to examine the data. A total of 90 ICU patients were included in this study; 56 were men and 34 were women. The patients' mean age was 65.3 years. Only the emotional responses dimension of illness was significantly positively correlated with stress. However, the emotional responses dimension of illness representation, acute physiology and chronic health evaluation system (APACHE) score, age, and education level were significantly positively correlated with anxiety. Nevertheless, treatment control was significantly negatively correlated with anxiety. Overall, illness representations (emotional responses and treatment control), APACHE score, age, and education were important predictors of anxiety, with an explanatory power of 37.9%. We recommend that for clinically relevant practice, besides focusing on ICU patients' illness representation, attention should also be paid to their individual characteristics, such as differences in age and education levels. [ABSTRACT FROM AUTHOR]

This study examined the relationships among home-based parental involvement, study habits, and academic achievement using structural equation modeling. The sample consisted of 566 eighth-grade students in Taiwan, and their mean age was 14.35. The data for home-based parental involvement and study habits was collected in the first survey wave in September 2016, and the data for academic performance was collected in the second survey wave in May 2017. The results showed that two major psychological constructs of home-based parental involvement, involvement and monitoring behaviors, were significantly correlated with academic achievement. While appropriate involvement behaviors were positively related to achievement, inappropriate monitoring behaviors were negatively related to achievement. Moreover, the bootstrapping results demonstrated that study habits fully mediated the relationship between home-based parental involvement and achievement. These findings support the generalization of one part of Hoover-Dempsey and Sandler's model of parental involvement to an Asian culture. [ABSTRACT FROM AUTHOR]

The history of community policing has now reached a half-century mark, but evidence regarding its effectiveness in reducing fear of crime has been inconsistent. A closer examination of existing research suggests that there must be an underlying process linking community policing and community residents' fear of crime. Thus, this study draws on Putnam's theoretical framework to test a conceptual mechanism of social capital underlying the association between elements of community policing and residents' feelings of safety. Using survey data from a sample of Taiwanese residents, this study applies structural equation modeling to assess the potential mediating effect of social capital. The results suggest community policing is positively associated with residents' social capital, residents' social capital is positively associated with their feelings of safety, and community policing has a significant indirect effect on residents' feelings of safety through residents' social capital. Based on the findings of this study, suggestions for future research and criminal justice policy are provided. [ABSTRACT FROM AUTHOR]

Project-based learning is among the most common learning approaches aimed at conveying professional standards and best practices to students in programming courses. However, team projects commonly impose problems related to responsibility sharing, such as low effort or inequality in contributions. This paper presents a collaborative programming assessment system featuring a code quality assessment function with specific metrics to measure individual contributions. Student engagement data is used to detect nonconformities in collaboration using a learning analytical approach. Latent profile analysis was used to detect four theoretical team profiles differentiated by team effort (2 levels) and within-team collaboration (2 levels). We demonstrated the efficacy of assessing code to evaluate team dynamics and student behaviour, wherein efforts to resolve coding style failures can be used as a proxy by which to estimate the taskwork awareness of team members. Submission data from 146 students in 41 web-programming projects revealed four behavioural patterns that could potentially hinder the effective functioning of programming teams: free-riding, social loafing, the bystander effect, and lone wolves. We also demonstrated the applicability of automated programming assessment systems to the monitoring of learning progress, thereby facilitating timely interventions to correct difficulties at the team level. [ABSTRACT FROM AUTHOR]

Purpose: This study examined the relationships between service encounter, perceived value, and repurchase intention in the fitness service sector through the theoretical lens of service-dominant logic. In addition, the mediating role of perceived value and the moderating role of service innovativeness were examined. Design/methodology/approach: Participants (n = 806) were drawn from fitness center customers in Taiwan using a convenience sampling technique. Partial least square structural equation modeling was used to test the hypotheses in the research model. Findings: The results showed that service encounter had a positive impact on perceived value, which in turn affected repurchase intention. Moreover, the full mediating effect of perceived value was identified in the relationship between service encounter and repurchase intention. In addition, service innovativeness positively moderated the effect of service encounter on repurchase intention. Originality/value: This study provides empirical evidence on the impact of staff-customer interactions (i.e. service encounter) on customers' perceptions and behaviors and identifies the critical role of perceived value as a mediating mechanism as well as a facilitating role of service innovativeness in enhancing repurchase intention. [ABSTRACT FROM AUTHOR]

Emotion is a compelling factor in the retention and job satisfaction of professionals, and the impacts of emotional feelings and reactions have become an indispensable issue in the nursing workforce. Drawing on the cognitive theory of emotions, this study bridges the research gap to investigate the relationships among emotional blackmail, emotional intelligence, job satisfaction, and turnover intentions of nurses. A cross-sectional design was used to collect data from a sample of 374 full-time nurses in Northern Taiwan. Hypotheses were tested and analyzed by means of SPSS 22, structural equation modeling (SEM), and PROCESS v3.3. The results revealed the direct relationships between emotional blackmail, job satisfaction, and turnover intentions, and job satisfaction partially mediated the relationship between emotional blackmail and turnover intentions. However, there is no statistical support that emotional intelligence moderates the relationships between emotional blackmail and job satisfaction and turnover intentions. Healthcare organizations must take the initiative and form strategies that will help balance nurses' work stresses. These strategies should aim to reduce unnecessary demands from supervisors, patients, and co-workers, as well as in the socio-emotional domain. [ABSTRACT FROM AUTHOR]

Purpose: This paper aims to examine how situational factors with social support affecting purchase intention in social commerce (SC). In Taiwan's SC, the relationship between trust belief and purchase intention has always been a key issue. Design/methodology/approach: This study presents a research model that comprises five hypothesis with five constructs, including situational factors, social support, senses, trust belief and purchase intention. The model is tested on data collected from 532 valid samples in Taiwan, using structural equation modeling. The results show that, in order of importance, control senses and raise mediation trust belief reach the better purchase intention. Findings: The findings of the study provide practical insights in understanding how seller should notice consumer's trust belief, in order to enhance purchase intention for the SC as a whole. Originality/value: Much existing consumer behavior research is focused on decision making rather than the trust belief themselves. Accordingly, analyzing how senses influence trust belief and purchase intention is an important issue in SC. [ABSTRACT FROM AUTHOR]

In response to the emergency management caused by COVID-19, Taiwan began to impose a name-based rationing system for the purchase of face masks by having consumers visit physical stores and preorder them online. By doing so, the risk of face mask shortages caused by panic buying was reduced. To understand consumers' willingness to switch from buying face masks at physical stores to preordering them online, we used a push-pull-mooring (PPM) model to measure related dimensions. We administered an online questionnaire survey and collected 233 valid responses. In the present study, perceived risk (including time risk, psychological risk and social risk) was treated as a second-order formative indicator, while pull effect was measured by the variables of critical mass and alternative attraction. Mooring effect was measured by switching cost. Through structural equation modeling (SEM), perceived risk, as well as critical mass and alternative attraction, had a significant effect on switching intention, while switching cost had no significant relationship with switching intention. This study investigated whether perceived risk (time risk, psychological risk and social risk), critical mass, alternative attraction and switching cost can serve as references for purchase behaviors amid future emergency management, through the prism of population migration theory, and proposed recommendations for their promotion and implementation. [ABSTRACT FROM AUTHOR]

Purpose: This study examined the relationships among service quality, perceived value, and perceived risk to determine the customer satisfaction in Taiwan's online food delivery since the outbreak of COVID-19. Design/methodology/approach: The 200 valid questionnaires were received from people of all ages who have the experience of using online food delivery at least once per week in Taiwan. The data were analyzed through reliability and validity analysis, confirmatory factor analysis, and structural equation model. Findings: The results revealed that both service quality and perceived value positively impacted customer satisfaction, perceived risk negatively impacted perceived value, and service quality positively impacted perceived value. Practical implications: This study proposed online food delivery companies to force all delivery personnel fully vaccinated and encouraged contactless service while under the severe pandemic. Originality/value: This study is conducted under the COVID-19 pandemic on how customer satisfaction will be affected by online food delivery in Taiwan. [ABSTRACT FROM AUTHOR]

BACKGROUND: Women with newly diagnosed ovarian cancer who receive chemotherapy experience distressing symptoms and reduced quality of life (QOL). Previous study results identifying changes in symptom distress and QOL over time are limited. OBJECTIVES: This study examined the trajectory of symptom distress and QOL among women with newly diagnosed ovarian cancer from before their first chemotherapy appointment to two weeks after completing six cycles of chemotherapy. METHODS: A longitudinal design was used to examine symptom distress and QOL in 36 participants across eight time points. Generalized estimating equation analyses identified how participants’ symptom distress and QOL changed over time. FINDINGS: Psychological symptom distress was highest at baseline and then decreased. Physical symptom distress increased at the second chemotherapy cycle. Similar results were found for QOL, with the lowest QOL reported after the fifth cycle. [ABSTRACT FROM AUTHOR]

Social media (SM) are crucial channels for the spread of information on COVID-19. However, they have rarely been explored. This study examined three types of social media use (SMU): SM usage time, passive SMU (PSMU), active SMU (ASMU) and investigated the relationships among three type of SMU, anxiety, and coping strategies. We recruited 1,150 adults in Taiwan for this study. Although past research found that ASMU is associated with well-being and that PSMU is associated with negative emotions, the findings of this study indicated that only ASMU could significantly predict anxiety; PSMU and SM usage time could not predict anxiety. The reason may be that individuals with unmet basic needs may depend on ASMU to satisfy their need for relatedness, competence, and autonomy. However, compared with PSMU, ASMU is more likely to be immersed anxiety due to its continuous exposure to COVID-19 news. The results regarding the paths between SMU and coping strategies were similar; a greater predictive coefficient existed between ASMU and avoidant coping, whereas the other two types of SMU were non-significant or weak predictors of coping strategies. Individuals may post things indicating that the pandemic is slowing down or is not scary to reduce their anxiety, deny the severity of issues, and cope with stress. On the whole, this study found that ASMU involving the pandemic can be used to predict psychological consequences and avoidant coping. [ABSTRACT FROM AUTHOR]

Coronavirus disease (COVID-19) has spread all over the world and has impacted tourism globally, with countries taking various measures such as travel restrictions, border closures, lockdowns, or quarantines to contain the virus. Tourists' motivation has also been affected by COVID-19, but so far, the literature has not yet discussed their concern over COVID-19 as well as the relationships among their motivation, involvement, and behavior intention. Therefore, this study fills the gap in the literature by taking cycling tourism as an example to understand the involvement of tourists concerning COVID-19 and presents the depth and breadth of its effects upon tourism. Due to the challenge of face-to-face, on-site investigation, we employ an online survey for data collection, use exploratory factor analysis to extract the main factors of motivation, involvement, and behavior intention, and set up a structural equation model to examine the relationships among the three factors. The results show that COVID-19 has positively and significantly affected motivation and involvement. Motivation positively and significantly affects involvement, and involvement affects motivation and behavior intention. The main finding herein is that motivation does not affect behavior, but involvement does mediate between the motivation and behavior of cyclists during COVID-19. Therefore, people may perceive the risk of health and wellbeing through such involvement. [ABSTRACT FROM AUTHOR]

Employing Oliver's disconfirmation theory as a theoretical basis, we examined the relationships between school teachers' attitudes, expectations and satisfaction with collaborating with school counsellors. Also, structural equation modelling was used to determine the effects of counsellors' professional traits on teacher satisfaction. Stratified sampling yielded a sample of 395 homeroom teachers from 26 public schools in Taoyuan City, Taiwan, representing a 94.4% response rate. We found: (1) teachers were highly satisfied with their collaborations with school counsellors, (2) teachers' collaborative attitudes and expectations were significant predictors of their satisfaction, supporting Oliver's theory, and (3) counsellor's professional traits significantly affected teachers' collaborative attitudes, expectations, and satisfaction. [ABSTRACT FROM AUTHOR]

With rapid technological developments toward a knowledge-based economy, service innovation has become indispensable for companies to gain a competitive advantage. This study delineates the relationships between knowledge utilization, entrepreneurial creativity, service innovation, performance-orientation culture, and competitiveness culture. We collected 207 usable questionnaires from Taiwan’s cultural and creative industry. Entrepreneurs were asked to complete a survey on their experience with knowledge management and service innovation. The data were analyzed by structural equation modeling. The results show that entrepreneurial creativity mediates the relationship between knowledge utilization and service innovation. Competitiveness culture is the sole positive moderator of the relationship between knowledge utilization and service innovation. The perspective that knowledge utilization embodies competitiveness culture complements the gap of previous service innovation, suggesting that cultural and creative firms can achieve service innovation through competitiveness culture based on knowledge utilization. To strengthen the competitiveness culture in firms, entrepreneurs must compare their skills with competitors, improve their position in the market, and make themselves more adventurous and adaptable. In addition, a culture of competitiveness landscape should be considered to establish and strengthen the service innovation program in the cultural and creative ecosystems for the benefit of all stakeholders. This study contributes to the knowledge management, organizational culture, competitiveness, and service innovation literature and reinforces existing findings. It also enriches creativity-oriented service innovation and competitiveness research. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to explore the subgroups of symptom severity and impact of their trajectories on quality of life in lymphoma survivors. Methods: Secondary data were analysed from a prospective study with four‐time measures: before treatment (T1), during treatment (T2), treatment completion (T3) and 10 weeks after treatment (T4). Data were analysed using descriptive statistics, group‐based trajectory model and generalised estimation equation. Results: Fifty nine of 61 participants completed three‐time measure (mean age = 60.43 years, male‐predominant). The changes in symptom severity over time were divided into two subgroups: slight‐stable group (n = 54, 89%) and mild‐fickle group (n = 7, 11%). Pain, tiredness and sleeping trouble were the predominant symptoms. The quality of life change in the slight‐stable group was significantly better than that of the mild‐fickle group (B = 13.35, SE = 3.53, p < 0.001). The overall quality of life at T2, T3 and T4 was better than it was at T1. Conclusion: The different trajectories of symptom severity significantly influenced quality of life changes in lymphoma survivors. Healthcare providers must be aware that there is a group of lymphoma survivors with relatively severe symptoms when newly diagnosed, compared to the opposite. More attention must be paid to this group, in addition to providing in‐time symptom management. [ABSTRACT FROM AUTHOR]

Aims: To examine the relationships among effort ensuring robots' smooth operation (EERSO), time pressure, missed care, and nurses' turnover intention, and how robot performance moderates such relations. Background: Robots may reduce nurses' workload but typically still require some effort of nurses for robots' smooth operation. However, the negative impact of EERSO on nurses' workplace outcomes is unknown. Methods: This study used a two‐wave follow‐up design. Data were collected in a medical center in Taiwan, with first wave collected in 2019 and second wave collected between 2019 and 2020. A total of 331 participants were followed through the two waves. Results: EERSO is positively linked to missed care and time pressure. Time pressure is also positively linked to missed care and turnover intention. Positive robot performance weakens the positive link between EERSO and time pressure. Conclusion: Using robots may help reduce nurses' workload, but it also requires nurses' efforts to maintain robots' continuous operation, that is, EERSO. It may adversely impact nursing professional workplaces. Implications for Nursing Management: Nurse managers should reduce nurses' time pressure whilst suggest hospital managers to seek robots that require minimal EERSO. [ABSTRACT FROM AUTHOR]