Many young elite athletes do not meet their daily energy and nutrient requirements. However, little research has been done on why these athletes do not meet their daily needs. The aim was to research the barriers and ...Many young elite athletes do not meet their daily energy and nutrient requirements. However, little research has been done on why these athletes do not meet their daily needs. The aim was to research the barriers and motivators of young Dutch elite athletes to optimize their nutritional intake. Quantitative and qualitative research was conducted among 8 handball and 4 volleyball players at the Dutch National Sports Center (17.2 ± 0.8 years). First, the nutritional intake was tracked through food diaries and analyzed in Nutritics. Thereupon, five semi-structured interviews based on the COM-B model were carried out. The interviews were transcribed and coded. The athletes had a reduced intake of energy, carbohydrates, vitamins A, C, E, D, calcium, potassium, zinc, and iron compared to their requirements. Seven themes for optimizing their nutritional intake emerged in the interviews: needs assessment, practical translation, portion size, lack of time, involvement, individuality, and food distribution. Barriers that the athletes experienced were that they did not know what their total daily nutritional needs were and how this translates into practice. In addition, the portion size at dinner was too small. They also had little time to eat a full meal due to time pressure from training and school. On the other hand, motivators were receiving meal options to translate their needs into practice with a distribution of moments when they need to eat. Covering these topics in nutritional workshops where athletes actively participate with more individual focus, could contribute to the optimization of their nutritional intake.展开更多
AIM To study the uptake, barriers and motivators of influen-za, pneumococcal, meningococcal and pertussis vaccines among members of public in Arabian Gulf countries.METHODS A cross-sectional survey among the Gulf Coop...AIM To study the uptake, barriers and motivators of influen-za, pneumococcal, meningococcal and pertussis vaccines among members of public in Arabian Gulf countries.METHODS A cross-sectional survey among the Gulf Cooperation Council(GCC) countries' residents. Data collected electronically through a smartphone app. The survey variables aimed to investigate the respondents' awareness about vaccines against influenza, pneumococcal, meningococcal and pertussis infections. Collected data concerning the respondents' socio-demographic characteristics, their perception toward vaccine uptake and the factors that motivate or demotivate them from taking influenza vaccine. The data were analysed statistically using the SPSS v.23.0. Differences in the characteristics of users from different countries were quantified through bivariate analysis. Other important variables and controlling factors were studied using logistic regression. RESULTS A total of 1812 respondents participated in the study. Their mean age was 27 years, 82% were male and 24% had ≥ 1 chronic diseases. The overall uptake of influenza vaccine was 17%(21% among "at risk" people) and ranged from 15% in Saudi Arabia to 24% in Qatar. Doctor's advice(23%) and a perception of having low body immunity(21%) were the main cited reasons for being vaccinated, whereas unawareness about the vaccine(43%) was the main barrier. The overall uptake of pneumococcal vaccine in the preceding three years was 22%(25% among "at risk" individuals) and ranged from 0% in Bahrain to 79% in Kuwait. The overall uptake of pertussis vaccine was 16%(31% among "vulnerable" people), and ranged from 7% in Saudi Arabia to 75% in Oman. The overall uptake of meningococcal vaccine was 20%(29% among the "at risk" people) and ranged from 3% in Oman to 50% in Bahrain.CONCLUSION The vaccination uptake across GCC countries is suboptimal and varies widely across the countries. Further research is needed to unearth the reasons and formulate action plan.展开更多
Objective:For people living with HIV(PLHIV),strict adherence to highly active antiretroviral therapy(HAART)is the key to effective treatment and retention in human immunodeficiency virus(HIV)care.There are many factor...Objective:For people living with HIV(PLHIV),strict adherence to highly active antiretroviral therapy(HAART)is the key to effective treatment and retention in human immunodeficiency virus(HIV)care.There are many factors which promote or halt the antiretroviral therapy(ART)adherence practices.Therefore,the present study aimed to examine the HAART adherence levels and to explore patients’views about barriers and facilitators to HIV treatment adherence.Methods:Semi-structured interviews were conducted among 15 PLHIV at the ART clinic of Dr.Ram Manohar Lohia Hospital,New Delhi.Interviews were audio-recorded in the local Hindi language,and bilingual experts(English and Hindi)transcribed verbatim.Qualitative data were coded for themes and subthemes and analyzed using a phenomenological approach as per thematic content analysis.Results:Feeling of hopelessness,delayed ART initiation,difficult initial phase of ART,forget to take ART on time,fear of disclosure of HIV diagnosis,lack of privacy and negative social support,and impact of lockdown due to COVID-19 were revealed as significant barriers to ART adherence.At the same time,commitment to raise and educate children,ART to increase life span,maintain oneself to be physically fit and healthy,only a single pill per day,very supportive counselors and health-care professionals,and hope to give birth to a healthy child were identified as facilitators of HIV retention.Conclusion:Understanding patient’s perception about ART adherence,its motivational and barrier factors which are directly affecting ART adherence and retention of PLHIV in HIV treatment and follow-ups are of utmost importance to improve ART adherence during HIV patient care services.展开更多
Electric vehicles(EVs)have the potential to mitigate the severity of significant concerns including environmental pollution and reliance on fossil fuels;however,despite strong governmental promotional efforts,their ma...Electric vehicles(EVs)have the potential to mitigate the severity of significant concerns including environmental pollution and reliance on fossil fuels;however,despite strong governmental promotional efforts,their market penetration is still at the nascent stage.This paper empirically investigates the factors that affect the consumers'intention to adopt EVs by conducting an exhaustive literature review.The initial search resulted in 1,690 publications,but after a thorough exclusion process,537 articles were deemed relevant and were sorted by source,publication year,country of origin,data collection method,and research domain.The results revealed the influential factors over individuals’desire to adopt an EV were categorized into four main types(contextual,situational,demographic,and psychological);situational factors,that can act as both barriers and motivators,had the most influencing components.The most cited barriers to adoption of EVs were found to be the lack of charging stations availability and their limited driving range.The most cited motivators to EV adoption were found to be reduction in air pollution and the availability of policy incentives.The findings of this study may guide policymakers in formulating effective transportation and energy policies,as well as provide guidance to those who are responsible for designing EVs that fit the needs and demands of potential consumers.展开更多
Across four studies,we explore the impact of solitude on consumers’reliance on feelings versus reasons in decision making,along with the underlying mechanism and boundary conditions.The results indicate that solitude...Across four studies,we explore the impact of solitude on consumers’reliance on feelings versus reasons in decision making,along with the underlying mechanism and boundary conditions.The results indicate that solitude individuals(vs.non-solitude)would prefer feeling-based strategy in decision-making,resulting in a higher intention of choosing the affectively superior option over the cognitively superior option(Study 1).Self-focus plays the underlying mechanism in the solitude effect(Study 2).Moreover,we also examine two boundary conditions:motivation(Study 3)and temporal orientation(Study 4),which indicates that involuntary motivation and future orientation can mitigate the solitude effect on affective processing.These findings provide insights into consumers’judgments of product attributes and selection of decision-making strategies according to their situations.展开更多
This editorial highlights a recently published study examining the effectiveness of music therapy combined with motivational interviewing(MI)in addressing an-xiety and depression among young and middle-aged patients f...This editorial highlights a recently published study examining the effectiveness of music therapy combined with motivational interviewing(MI)in addressing an-xiety and depression among young and middle-aged patients following percuta-neous coronary intervention.It further explores existing evidence and potential future research directions for MI in postoperative rehabilitation and chronic disease management.MI aims to facilitate behavioral change and promote healthier lifestyles by fostering a trusting relationship with patients and enhan-cing intrinsic motivation.Research has demonstrated its effectiveness in posto-perative recovery for oncological surgery,stroke,organ transplants,and gastroin-testinal procedures,as well as in managing chronic conditions such as diabetes,obesity,and periodontal disease.The approach is patient-centered,adaptable,cost-effective,and easily replicable,though its limitations include reliance on the therapist’s expertise,variability in individual responses,and insufficient long-term follow-up studies.Future research could focus on developing individualized and precise intervention models,exploring applications in digital health management,and confirming long-term outcomes to provide more compre-hensive support for patient rehabilitation.展开更多
The research topic of the author’s PhD dissertation is“The Impact of Motivation Cultivation on English Autonomous Learning among University Students in Hunan,China—A Mediating Role of Learning Strategy.”Within thi...The research topic of the author’s PhD dissertation is“The Impact of Motivation Cultivation on English Autonomous Learning among University Students in Hunan,China—A Mediating Role of Learning Strategy.”Within this topic,three key variables are identified:the dependent variable(DV),the independent variable(IV),and the mediating variable(MV).Specifically,the DV refers to English autonomous learning,the IV refers to motivation,and the MV refers to learning strategy.The research establishes that the MV(learning strategy)is an integral component of information processing theory(IPT).Consequently,the dissertation incorporates integrative and instrumental motivation theories alongside IPT as its foundational theoretical framework.This paper aims to explore the theoretical framework of the PhD dissertation in detail,focusing on the interplay of these three theories.展开更多
Everyone certainly has a dream city in their heart,whether it is a romantic city like Paris or a fast-paced city like Shanghai.However,my dream city is a place where modernization coexists(共存)with history and nature...Everyone certainly has a dream city in their heart,whether it is a romantic city like Paris or a fast-paced city like Shanghai.However,my dream city is a place where modernization coexists(共存)with history and nature harmoniously.It’s a place that resembles a highly motivated(激励)youth with courage,strong willpower and ambition.Now let me introduce.展开更多
[Objectives]To explore the effects of motivational interviewing intervention based on the transtheoretical model(TTM)on psychological resilience and self-management in patients undergoing finger reimplantation after a...[Objectives]To explore the effects of motivational interviewing intervention based on the transtheoretical model(TTM)on psychological resilience and self-management in patients undergoing finger reimplantation after amputation.[Methods]The patients with finger replantation due to fractures admitted from October 2024 to June 2025 were divided into either the control group or the observation group according to the random number table method,with 40 cases in each group.The control group received conventional perioperative care,while the observation group underwent motivational interviewing based on TTM framework on the basis of the control group.The psychological resilience and self-management levels of the two patient groups were then compared following their respective care interventions.[Results]The psychological resilience and self-management scores of the patients were significantly higher than those of the control group after the intervention,with the difference being statistically significant(P<0.05).[Conclusions]Motivational interviewing based on the TTM can effectively improve the psychological resilience and self-management in patients undergoing severed finger reimplantation,while effectively reducing the occurrence of vascular crisis.展开更多
The purpose of this study was to examine the knowledge,attitude,motivation and behavior of the community before and after the experiment,and also to determine the effect of the experiment on increasing knowledge,attit...The purpose of this study was to examine the knowledge,attitude,motivation and behavior of the community before and after the experiment,and also to determine the effect of the experiment on increasing knowledge,attitude,motivation,and behavior related to the construction of family toilets in coastal areas.The study was conducted in Pangkep and Maros Regencies.Atotal of 50 heads of families were selected as participants using the purposive sampling method.25 participants became the experimental group and 25 people became the control group.The research variables included knowledge,attitudes,motivation,and behavior of the community in building family toilets before and after the experiment.Data collection through tests,questionnaires,and observations to each participant.The research instruments were knowledge tests,questionnaires,and observations.Data analysis used descriptive and inferential statistical analysis,with the t-test.The results of the study showed that based on the experiment,knowledge had a significant effect with a correlation coefficient of 0.94,attitudes had an effect of 0.91,motivation was 0.756,and behavior was 0.865.It can be concluded that the construction of family toilets in the coastal areas of Pangkep and Maros Regencies,before the experiment,the knowledge,attitudes,motivation,and behavior of the community were in the low category,and after the experiment increased significantly to the high category. In addition, the results of the analysis showed that the experiment had a significant effect on increasing theknowledge, attitudes, motivation, and behavior of the community towards the construction of family toilets in coastal areas.展开更多
This study systematically investigates adverb translation in political texts through quantitative and qualitative analysis under the theoretical framework of“political equivalence,”utilizing the Government Work Repo...This study systematically investigates adverb translation in political texts through quantitative and qualitative analysis under the theoretical framework of“political equivalence,”utilizing the Government Work Report(2001-2024)as its database.The research aims to reveal the evolutionary trajectory of translation strategies across different historical periods and their underlying socio-cultural motivations.Findings demonstrate a notable shift in adverb translation strategies within political texts:transitioning from faithful reproduction to adaptive transformation.Throughout this progression,translations maintain discursive coherence while increasingly conforming to English idiomatic conventions,ultimately achieving dynamic equilibrium between accurate conveyance of political connotations and compliance with target-language norms.展开更多
With the deepening of cross-cultural educational cooperation between China and Malaysia,the cross-cultural challenges that Chinese overseas students face in Malaysia due to language and cultural differences have becom...With the deepening of cross-cultural educational cooperation between China and Malaysia,the cross-cultural challenges that Chinese overseas students face in Malaysia due to language and cultural differences have become increasingly prominent.Focusing on Chinese graduate students at a public university in Malaysia where English is the medium of instruction,this study employs a scale survey method in conjunction with IBM SPSS 26.0 and Smart PLS 4.0 for data analysis to quantitatively explore the level of language anxiety and its relationship with cross-cultural adaptability and learning motivation.The results indicate that most Chinese graduate students experience notable language anxiety,which is significantly negatively correlated with cross-cultural adaptability,especially academic adaptability,but is not related to learning motivation.Furthermore,the study reveals the complex influencing mechanism of language anxiety within multicultural educational environments and offers suggestions for improvement tailored to Malaysia’s unique educational context.These include utilizing technological tools for language interventions,optimizing classroom teaching strategies,enhancing language learning motivation through external incentives,strengthening training for cross-cultural adaptation skills,and promoting deeper cross-cultural communication.This study provides theoretical support and practical references for alleviating language anxiety and enhancing the cross-cultural adaptability of Chinese overseas students.展开更多
This study investigates the psychological and cultural motivations that underpin charitable giving in Sri Lanka,with particular attention to whether such behaviour can be considered genuinely altruistic.While charitab...This study investigates the psychological and cultural motivations that underpin charitable giving in Sri Lanka,with particular attention to whether such behaviour can be considered genuinely altruistic.While charitable acts are commonly perceived as selfless,this research highlights the complex and often contradictory nature of the motivations involved.Using a qualitative approach,semi-structured interviews were conducted with individuals who regularly engage in charitable activities.Thematic analysis revealed three overarching categories of motivation.The first,obliged motives stem from social expectations and religious duty.The second,independent motives reflect personal values and intrinsic satisfaction.The third,ambivalent motives are a novel category that captures the simultaneous interplay between self-serving and other-oriented intentions.The emergence of ambivalent motives is especially significant,as it challenges binary distinctions between altruism and egoism,suggesting that charitable giving frequently serves psychological,social,and existential needs alongside prosocial goals.The findings support established psychological frameworks such as Self-Determination Theory and the Theory of Planned Behavior,while also highlighting the unique cultural dynamics of Sri Lankan society,particularly the influence of Buddhist ethics and collectivist values.These cultural factors shape both the meaning and practice of giving,embedding it within broader narratives of moral obligation,social harmony,and spiritual merit.Ultimately,the study concludes that while charitable giving in Sri Lanka may outwardly appear altruistic,it is often driven by a complex mixture of internal and external motives,suggesting that authenticity in giving is rarely absolute but rather contextually and psychologically mediated.展开更多
This study aims to explore the unconscious motivations underlying migration in Niger, with an emphasis on understanding the phenomenon of pathological travel. Its aim is to identify the unconscious factors of patholog...This study aims to explore the unconscious motivations underlying migration in Niger, with an emphasis on understanding the phenomenon of pathological travel. Its aim is to identify the unconscious factors of pathological travel among migrants. Pathological travel, as discussed in the scientific literature on psychopathology, is characterised by movements initiated under the influence of delusions, hallucinations or other serious psychiatric disorders. The aim of this research is to contribute to our understanding of how these unconscious factors influence migration decisions. Using a retrospective analysis of five cases, this study examines the psychological and psychiatric dimensions of migration, particularly among patients referred to the psychiatry department of the Niamey National Hospital between 2017 and 2018. The five cases analysed, representing 12% of a cohort of 40 migrant patients, suffered from chronic psychotic disorders, including schizophrenia and chronic hallucinatory psychosis. By means of diagnostic interviews and categorical sorting, three main unconscious motivations were identified: the delusional state with themes of filiation and persecution, the hallucinations that dictated the travel behaviour, and the dissociative states manifested by depersonalisation and derealisation. It also emerges from this analysis that pathological travel often involves prolonged journeys on foot and without purpose. Thus, untreated mental illness plays a significant role in shaping and influencing individual and social behaviour. The results of this study have important implications for public health and migration policy. They highlight the need to integrate health assessments into migration management systems, particularly in regions serving as transit hubs for migrants. The research also highlights the need for culturally sensitive psychiatric interventions to address the interaction between pre-existing mental disorders and migration. This study contributes to a better understanding of the psychological dimensions of migration by highlighting the importance of addressing mental health as an integral part of humanitarian action. The knowledge gained paves the way for future research to explore this understudied aspect of migration on a broader scale.展开更多
Objective:To explore the effect of comprehensive nursing based on protection motivation theory in elderly patients with hypertension.Methods:The study period was from August 2023 to May 2025.During this period,40 elde...Objective:To explore the effect of comprehensive nursing based on protection motivation theory in elderly patients with hypertension.Methods:The study period was from August 2023 to May 2025.During this period,40 elderly patients with hypertension who visited the hospital were selected and divided into an observation group(comprehensive nursing based on protection motivation theory,n=20)and a control group(routine nursing,n=20)based on a random number table method.Nursing indicators were compared between the two groups.Results:After nursing,the diastolic blood pressure(80.12±2.31 mmHg)and systolic blood pressure(136.05±3.47 mmHg)in the observation group were significantly different from those in the control group(P<0.05).The scores of health behaviors(nutrition,exercise,health responsibility,and psychological comfort)in the observation group were higher than those in the control group(P<0.05).After nursing,the scores of compliance and negative emotional indicators in the observation group were better than those in the control group(P<0.05).The scores of psychological function(66.31±5.84),physical function(66.57±6.28),material function(61.85±6.21),and social function(69.51±7.25)in the observation group were higher than those in the control group(P<0.05).Conclusion:During the treatment of elderly patients with hypertension,the application of a comprehensive nursing program based on protection motivation theory is beneficial for regulating blood pressure levels,significantly improving health behaviors and quality of life,alleviating negative emotions,and improving treatment compliance to some extent.This approach is feasible for promotion.展开更多
Cardiac rehabilitation is a crucial multidisciplinary approach to improve patient outcomes.There is a growing body of evidence that suggests that these programs contribute towards reducing cardiovascular mortality and...Cardiac rehabilitation is a crucial multidisciplinary approach to improve patient outcomes.There is a growing body of evidence that suggests that these programs contribute towards reducing cardiovascular mortality and recurrence.Despite this,cardiac rehabilitation is underutilized and adherence to these programs has been a demonstrated barrier in achieving these outcomes.As a result,there is a growing focus on innovating these programs,especially from the standpoint of digital health and personalized medicine.This editorial discusses the possible roles of large language models,such as their role in ChatGPT,in further personalizing cardiac rehabilitation programs through simplifying medical jargon and employing motivational interviewing techniques,thus boosting patient engagement and adherence.However,these possibilities must be further investigated in the clinical literature.Likewise,the integration of large language models in cardiac rehabilitation will be challenging in its nascent stages to ensure accurate and ethical information delivery.展开更多
Anxiety,motivation,and strategy have long been seen as critical in second language acquisition.This study presents a systematic review of the literature on these variables in terms of their relationship with one anoth...Anxiety,motivation,and strategy have long been seen as critical in second language acquisition.This study presents a systematic review of the literature on these variables in terms of their relationship with one another,their effects on learning outcomes,and how they are affected by technology-assisted tools in the teaching of Chinese as a second language.This study includes 24 articles for the review study based on the criteria and process of the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocol(PRISMA-P)and the clustering techniques of VOSviewer.It is found that 1)anxiety,motivation,and strategy were interrelated,that is,motivation was negatively associated with anxiety but positively related to strategy,while strategy could positively predict anxiety;2)anxiety could both positively and negatively affect learning outcomes,while motivation and strategy could both positively and insignificantly influence learning outcomes;3)the technology-assisted tools used in the classroom could both positively and negatively affect the levels of these variables and learning outcomes in the L2 Chinese context.The need to explore more complicated relationships between language-specific individual variables themselves and other possible factors that affect these variables,such as cultural ones,are also discussed for future research.展开更多
With the continuous advancement of artificial intelligence(AI)technology,personalized learning systems are increasingly applied in higher education.Particularly within STEM(Science,Technology,Engineering,and Mathemati...With the continuous advancement of artificial intelligence(AI)technology,personalized learning systems are increasingly applied in higher education.Particularly within STEM(Science,Technology,Engineering,and Mathematics)education,AI demonstrates significant advantages through adaptive learning pathways,instant feedback,and individualized resource allocation.However,current research predominantly focuses on the technical architecture and application effectiveness of such systems,with insufficient exploration of how AI-enabled personalized learning systems influence university students’learning motivation and academic achievement through educational psychological mechanisms.This paper adopts an educational psychology perspective to construct a causal mechanism model linking“learning motivation-learning behavior-academic achievement.”Findings indicate that AI-powered personalized learning systems enhance learning autonomy,boost self-efficacy,and optimize feedback mechanisms.These effects collectively stimulate university students’learning motivation in STEM disciplines,thereby promoting academic achievement.Building upon empirical research,this paper proposes implications for educational practice and policy formulation,emphasizing the necessity of advancing higher education reform through the dual influence of technology and psychological mechanisms.展开更多
Based on previous experience,learning to avoid or seek certain specific stimuli again in the future is crucial for survival.Our brains are wired to assign a particular valence-either positive or negativeas a result of...Based on previous experience,learning to avoid or seek certain specific stimuli again in the future is crucial for survival.Our brains are wired to assign a particular valence-either positive or negativeas a result of sensory stimuli,and it is this valence that serves as the foundational motivation for our subsequent actions.Simply put,all motivational actions fall into two categories:pleasure-seeking behavior guided by positive emotional valence,and pain-avoiding behavior driven by negative emotional valence[1].The ability to shift from one emotional valence to another is an important characteristic of affective states,while the instability of emotional states underlies many psychiatric disorders,highlighting the clinical importance of managing and understanding these fluctuations.This ability to adapt emotional responses can be attained by modulating the gain across distinct neural pathways,thus enabling the nuanced and smooth assignment of valence through the strengthening or weakening of circuit activity[1,2].展开更多
文摘Many young elite athletes do not meet their daily energy and nutrient requirements. However, little research has been done on why these athletes do not meet their daily needs. The aim was to research the barriers and motivators of young Dutch elite athletes to optimize their nutritional intake. Quantitative and qualitative research was conducted among 8 handball and 4 volleyball players at the Dutch National Sports Center (17.2 ± 0.8 years). First, the nutritional intake was tracked through food diaries and analyzed in Nutritics. Thereupon, five semi-structured interviews based on the COM-B model were carried out. The interviews were transcribed and coded. The athletes had a reduced intake of energy, carbohydrates, vitamins A, C, E, D, calcium, potassium, zinc, and iron compared to their requirements. Seven themes for optimizing their nutritional intake emerged in the interviews: needs assessment, practical translation, portion size, lack of time, involvement, individuality, and food distribution. Barriers that the athletes experienced were that they did not know what their total daily nutritional needs were and how this translates into practice. In addition, the portion size at dinner was too small. They also had little time to eat a full meal due to time pressure from training and school. On the other hand, motivators were receiving meal options to translate their needs into practice with a distribution of moments when they need to eat. Covering these topics in nutritional workshops where athletes actively participate with more individual focus, could contribute to the optimization of their nutritional intake.
基金Supported by Medication Safety Research Chair,Deanship of Research Chairs,King Saud University
文摘AIM To study the uptake, barriers and motivators of influen-za, pneumococcal, meningococcal and pertussis vaccines among members of public in Arabian Gulf countries.METHODS A cross-sectional survey among the Gulf Cooperation Council(GCC) countries' residents. Data collected electronically through a smartphone app. The survey variables aimed to investigate the respondents' awareness about vaccines against influenza, pneumococcal, meningococcal and pertussis infections. Collected data concerning the respondents' socio-demographic characteristics, their perception toward vaccine uptake and the factors that motivate or demotivate them from taking influenza vaccine. The data were analysed statistically using the SPSS v.23.0. Differences in the characteristics of users from different countries were quantified through bivariate analysis. Other important variables and controlling factors were studied using logistic regression. RESULTS A total of 1812 respondents participated in the study. Their mean age was 27 years, 82% were male and 24% had ≥ 1 chronic diseases. The overall uptake of influenza vaccine was 17%(21% among "at risk" people) and ranged from 15% in Saudi Arabia to 24% in Qatar. Doctor's advice(23%) and a perception of having low body immunity(21%) were the main cited reasons for being vaccinated, whereas unawareness about the vaccine(43%) was the main barrier. The overall uptake of pneumococcal vaccine in the preceding three years was 22%(25% among "at risk" individuals) and ranged from 0% in Bahrain to 79% in Kuwait. The overall uptake of pertussis vaccine was 16%(31% among "vulnerable" people), and ranged from 7% in Saudi Arabia to 75% in Oman. The overall uptake of meningococcal vaccine was 20%(29% among the "at risk" people) and ranged from 3% in Oman to 50% in Bahrain.CONCLUSION The vaccination uptake across GCC countries is suboptimal and varies widely across the countries. Further research is needed to unearth the reasons and formulate action plan.
文摘Objective:For people living with HIV(PLHIV),strict adherence to highly active antiretroviral therapy(HAART)is the key to effective treatment and retention in human immunodeficiency virus(HIV)care.There are many factors which promote or halt the antiretroviral therapy(ART)adherence practices.Therefore,the present study aimed to examine the HAART adherence levels and to explore patients’views about barriers and facilitators to HIV treatment adherence.Methods:Semi-structured interviews were conducted among 15 PLHIV at the ART clinic of Dr.Ram Manohar Lohia Hospital,New Delhi.Interviews were audio-recorded in the local Hindi language,and bilingual experts(English and Hindi)transcribed verbatim.Qualitative data were coded for themes and subthemes and analyzed using a phenomenological approach as per thematic content analysis.Results:Feeling of hopelessness,delayed ART initiation,difficult initial phase of ART,forget to take ART on time,fear of disclosure of HIV diagnosis,lack of privacy and negative social support,and impact of lockdown due to COVID-19 were revealed as significant barriers to ART adherence.At the same time,commitment to raise and educate children,ART to increase life span,maintain oneself to be physically fit and healthy,only a single pill per day,very supportive counselors and health-care professionals,and hope to give birth to a healthy child were identified as facilitators of HIV retention.Conclusion:Understanding patient’s perception about ART adherence,its motivational and barrier factors which are directly affecting ART adherence and retention of PLHIV in HIV treatment and follow-ups are of utmost importance to improve ART adherence during HIV patient care services.
基金The authors gratefully acknowledge the support and generosity of the Center for Transportation Equity,Decisions and Dollars(CTEDD),without which the present study could not have been completed.
文摘Electric vehicles(EVs)have the potential to mitigate the severity of significant concerns including environmental pollution and reliance on fossil fuels;however,despite strong governmental promotional efforts,their market penetration is still at the nascent stage.This paper empirically investigates the factors that affect the consumers'intention to adopt EVs by conducting an exhaustive literature review.The initial search resulted in 1,690 publications,but after a thorough exclusion process,537 articles were deemed relevant and were sorted by source,publication year,country of origin,data collection method,and research domain.The results revealed the influential factors over individuals’desire to adopt an EV were categorized into four main types(contextual,situational,demographic,and psychological);situational factors,that can act as both barriers and motivators,had the most influencing components.The most cited barriers to adoption of EVs were found to be the lack of charging stations availability and their limited driving range.The most cited motivators to EV adoption were found to be reduction in air pollution and the availability of policy incentives.The findings of this study may guide policymakers in formulating effective transportation and energy policies,as well as provide guidance to those who are responsible for designing EVs that fit the needs and demands of potential consumers.
文摘Across four studies,we explore the impact of solitude on consumers’reliance on feelings versus reasons in decision making,along with the underlying mechanism and boundary conditions.The results indicate that solitude individuals(vs.non-solitude)would prefer feeling-based strategy in decision-making,resulting in a higher intention of choosing the affectively superior option over the cognitively superior option(Study 1).Self-focus plays the underlying mechanism in the solitude effect(Study 2).Moreover,we also examine two boundary conditions:motivation(Study 3)and temporal orientation(Study 4),which indicates that involuntary motivation and future orientation can mitigate the solitude effect on affective processing.These findings provide insights into consumers’judgments of product attributes and selection of decision-making strategies according to their situations.
文摘This editorial highlights a recently published study examining the effectiveness of music therapy combined with motivational interviewing(MI)in addressing an-xiety and depression among young and middle-aged patients following percuta-neous coronary intervention.It further explores existing evidence and potential future research directions for MI in postoperative rehabilitation and chronic disease management.MI aims to facilitate behavioral change and promote healthier lifestyles by fostering a trusting relationship with patients and enhan-cing intrinsic motivation.Research has demonstrated its effectiveness in posto-perative recovery for oncological surgery,stroke,organ transplants,and gastroin-testinal procedures,as well as in managing chronic conditions such as diabetes,obesity,and periodontal disease.The approach is patient-centered,adaptable,cost-effective,and easily replicable,though its limitations include reliance on the therapist’s expertise,variability in individual responses,and insufficient long-term follow-up studies.Future research could focus on developing individualized and precise intervention models,exploring applications in digital health management,and confirming long-term outcomes to provide more compre-hensive support for patient rehabilitation.
基金Swan College of Central South University of Forestry and Technology Teaching Reform Research Project“The Impact of Teachers’Task-Based Teaching Method on English Interpreting Learning among University Students in Hunan,China”(SWXYJGPJ27)Swan College of Central South University of Forestry and Technology Scientific Research Project“The Impact of Integrative Motivation and Instrumental Motivation on English Autonomous Learning among University Students in Hunan,China--A Mediating Role of Learning Strategy”(SYXY202441)。
文摘The research topic of the author’s PhD dissertation is“The Impact of Motivation Cultivation on English Autonomous Learning among University Students in Hunan,China—A Mediating Role of Learning Strategy.”Within this topic,three key variables are identified:the dependent variable(DV),the independent variable(IV),and the mediating variable(MV).Specifically,the DV refers to English autonomous learning,the IV refers to motivation,and the MV refers to learning strategy.The research establishes that the MV(learning strategy)is an integral component of information processing theory(IPT).Consequently,the dissertation incorporates integrative and instrumental motivation theories alongside IPT as its foundational theoretical framework.This paper aims to explore the theoretical framework of the PhD dissertation in detail,focusing on the interplay of these three theories.
文摘Everyone certainly has a dream city in their heart,whether it is a romantic city like Paris or a fast-paced city like Shanghai.However,my dream city is a place where modernization coexists(共存)with history and nature harmoniously.It’s a place that resembles a highly motivated(激励)youth with courage,strong willpower and ambition.Now let me introduce.
基金Supported by 2023 Shiyan Taihe Hospital Fund Project(2023JJXM024).
文摘[Objectives]To explore the effects of motivational interviewing intervention based on the transtheoretical model(TTM)on psychological resilience and self-management in patients undergoing finger reimplantation after amputation.[Methods]The patients with finger replantation due to fractures admitted from October 2024 to June 2025 were divided into either the control group or the observation group according to the random number table method,with 40 cases in each group.The control group received conventional perioperative care,while the observation group underwent motivational interviewing based on TTM framework on the basis of the control group.The psychological resilience and self-management levels of the two patient groups were then compared following their respective care interventions.[Results]The psychological resilience and self-management scores of the patients were significantly higher than those of the control group after the intervention,with the difference being statistically significant(P<0.05).[Conclusions]Motivational interviewing based on the TTM can effectively improve the psychological resilience and self-management in patients undergoing severed finger reimplantation,while effectively reducing the occurrence of vascular crisis.
文摘The purpose of this study was to examine the knowledge,attitude,motivation and behavior of the community before and after the experiment,and also to determine the effect of the experiment on increasing knowledge,attitude,motivation,and behavior related to the construction of family toilets in coastal areas.The study was conducted in Pangkep and Maros Regencies.Atotal of 50 heads of families were selected as participants using the purposive sampling method.25 participants became the experimental group and 25 people became the control group.The research variables included knowledge,attitudes,motivation,and behavior of the community in building family toilets before and after the experiment.Data collection through tests,questionnaires,and observations to each participant.The research instruments were knowledge tests,questionnaires,and observations.Data analysis used descriptive and inferential statistical analysis,with the t-test.The results of the study showed that based on the experiment,knowledge had a significant effect with a correlation coefficient of 0.94,attitudes had an effect of 0.91,motivation was 0.756,and behavior was 0.865.It can be concluded that the construction of family toilets in the coastal areas of Pangkep and Maros Regencies,before the experiment,the knowledge,attitudes,motivation,and behavior of the community were in the low category,and after the experiment increased significantly to the high category. In addition, the results of the analysis showed that the experiment had a significant effect on increasing theknowledge, attitudes, motivation, and behavior of the community towards the construction of family toilets in coastal areas.
基金supported by College Student Innovation Training Program(202410289163Y).
文摘This study systematically investigates adverb translation in political texts through quantitative and qualitative analysis under the theoretical framework of“political equivalence,”utilizing the Government Work Report(2001-2024)as its database.The research aims to reveal the evolutionary trajectory of translation strategies across different historical periods and their underlying socio-cultural motivations.Findings demonstrate a notable shift in adverb translation strategies within political texts:transitioning from faithful reproduction to adaptive transformation.Throughout this progression,translations maintain discursive coherence while increasingly conforming to English idiomatic conventions,ultimately achieving dynamic equilibrium between accurate conveyance of political connotations and compliance with target-language norms.
基金funded by the 2022 Annual Key Research Project on Theoretical and Practical Studies of Ideological and Political Education for University Students in GuangxiSpecial Focus on University Counselors:Exploration and Practice of a Cultivation Ecosystem for Cultivating Both Moral Character and Talent Through “One Virtue+Two Lines+Three Stages+Four Micro-Education Methods” for Ideological and Political Education in Universities from the Perspective of Peer Language Systems,Project No.:2022MSZ031
文摘With the deepening of cross-cultural educational cooperation between China and Malaysia,the cross-cultural challenges that Chinese overseas students face in Malaysia due to language and cultural differences have become increasingly prominent.Focusing on Chinese graduate students at a public university in Malaysia where English is the medium of instruction,this study employs a scale survey method in conjunction with IBM SPSS 26.0 and Smart PLS 4.0 for data analysis to quantitatively explore the level of language anxiety and its relationship with cross-cultural adaptability and learning motivation.The results indicate that most Chinese graduate students experience notable language anxiety,which is significantly negatively correlated with cross-cultural adaptability,especially academic adaptability,but is not related to learning motivation.Furthermore,the study reveals the complex influencing mechanism of language anxiety within multicultural educational environments and offers suggestions for improvement tailored to Malaysia’s unique educational context.These include utilizing technological tools for language interventions,optimizing classroom teaching strategies,enhancing language learning motivation through external incentives,strengthening training for cross-cultural adaptation skills,and promoting deeper cross-cultural communication.This study provides theoretical support and practical references for alleviating language anxiety and enhancing the cross-cultural adaptability of Chinese overseas students.
文摘This study investigates the psychological and cultural motivations that underpin charitable giving in Sri Lanka,with particular attention to whether such behaviour can be considered genuinely altruistic.While charitable acts are commonly perceived as selfless,this research highlights the complex and often contradictory nature of the motivations involved.Using a qualitative approach,semi-structured interviews were conducted with individuals who regularly engage in charitable activities.Thematic analysis revealed three overarching categories of motivation.The first,obliged motives stem from social expectations and religious duty.The second,independent motives reflect personal values and intrinsic satisfaction.The third,ambivalent motives are a novel category that captures the simultaneous interplay between self-serving and other-oriented intentions.The emergence of ambivalent motives is especially significant,as it challenges binary distinctions between altruism and egoism,suggesting that charitable giving frequently serves psychological,social,and existential needs alongside prosocial goals.The findings support established psychological frameworks such as Self-Determination Theory and the Theory of Planned Behavior,while also highlighting the unique cultural dynamics of Sri Lankan society,particularly the influence of Buddhist ethics and collectivist values.These cultural factors shape both the meaning and practice of giving,embedding it within broader narratives of moral obligation,social harmony,and spiritual merit.Ultimately,the study concludes that while charitable giving in Sri Lanka may outwardly appear altruistic,it is often driven by a complex mixture of internal and external motives,suggesting that authenticity in giving is rarely absolute but rather contextually and psychologically mediated.
文摘This study aims to explore the unconscious motivations underlying migration in Niger, with an emphasis on understanding the phenomenon of pathological travel. Its aim is to identify the unconscious factors of pathological travel among migrants. Pathological travel, as discussed in the scientific literature on psychopathology, is characterised by movements initiated under the influence of delusions, hallucinations or other serious psychiatric disorders. The aim of this research is to contribute to our understanding of how these unconscious factors influence migration decisions. Using a retrospective analysis of five cases, this study examines the psychological and psychiatric dimensions of migration, particularly among patients referred to the psychiatry department of the Niamey National Hospital between 2017 and 2018. The five cases analysed, representing 12% of a cohort of 40 migrant patients, suffered from chronic psychotic disorders, including schizophrenia and chronic hallucinatory psychosis. By means of diagnostic interviews and categorical sorting, three main unconscious motivations were identified: the delusional state with themes of filiation and persecution, the hallucinations that dictated the travel behaviour, and the dissociative states manifested by depersonalisation and derealisation. It also emerges from this analysis that pathological travel often involves prolonged journeys on foot and without purpose. Thus, untreated mental illness plays a significant role in shaping and influencing individual and social behaviour. The results of this study have important implications for public health and migration policy. They highlight the need to integrate health assessments into migration management systems, particularly in regions serving as transit hubs for migrants. The research also highlights the need for culturally sensitive psychiatric interventions to address the interaction between pre-existing mental disorders and migration. This study contributes to a better understanding of the psychological dimensions of migration by highlighting the importance of addressing mental health as an integral part of humanitarian action. The knowledge gained paves the way for future research to explore this understudied aspect of migration on a broader scale.
文摘Objective:To explore the effect of comprehensive nursing based on protection motivation theory in elderly patients with hypertension.Methods:The study period was from August 2023 to May 2025.During this period,40 elderly patients with hypertension who visited the hospital were selected and divided into an observation group(comprehensive nursing based on protection motivation theory,n=20)and a control group(routine nursing,n=20)based on a random number table method.Nursing indicators were compared between the two groups.Results:After nursing,the diastolic blood pressure(80.12±2.31 mmHg)and systolic blood pressure(136.05±3.47 mmHg)in the observation group were significantly different from those in the control group(P<0.05).The scores of health behaviors(nutrition,exercise,health responsibility,and psychological comfort)in the observation group were higher than those in the control group(P<0.05).After nursing,the scores of compliance and negative emotional indicators in the observation group were better than those in the control group(P<0.05).The scores of psychological function(66.31±5.84),physical function(66.57±6.28),material function(61.85±6.21),and social function(69.51±7.25)in the observation group were higher than those in the control group(P<0.05).Conclusion:During the treatment of elderly patients with hypertension,the application of a comprehensive nursing program based on protection motivation theory is beneficial for regulating blood pressure levels,significantly improving health behaviors and quality of life,alleviating negative emotions,and improving treatment compliance to some extent.This approach is feasible for promotion.
文摘Cardiac rehabilitation is a crucial multidisciplinary approach to improve patient outcomes.There is a growing body of evidence that suggests that these programs contribute towards reducing cardiovascular mortality and recurrence.Despite this,cardiac rehabilitation is underutilized and adherence to these programs has been a demonstrated barrier in achieving these outcomes.As a result,there is a growing focus on innovating these programs,especially from the standpoint of digital health and personalized medicine.This editorial discusses the possible roles of large language models,such as their role in ChatGPT,in further personalizing cardiac rehabilitation programs through simplifying medical jargon and employing motivational interviewing techniques,thus boosting patient engagement and adherence.However,these possibilities must be further investigated in the clinical literature.Likewise,the integration of large language models in cardiac rehabilitation will be challenging in its nascent stages to ensure accurate and ethical information delivery.
文摘Anxiety,motivation,and strategy have long been seen as critical in second language acquisition.This study presents a systematic review of the literature on these variables in terms of their relationship with one another,their effects on learning outcomes,and how they are affected by technology-assisted tools in the teaching of Chinese as a second language.This study includes 24 articles for the review study based on the criteria and process of the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocol(PRISMA-P)and the clustering techniques of VOSviewer.It is found that 1)anxiety,motivation,and strategy were interrelated,that is,motivation was negatively associated with anxiety but positively related to strategy,while strategy could positively predict anxiety;2)anxiety could both positively and negatively affect learning outcomes,while motivation and strategy could both positively and insignificantly influence learning outcomes;3)the technology-assisted tools used in the classroom could both positively and negatively affect the levels of these variables and learning outcomes in the L2 Chinese context.The need to explore more complicated relationships between language-specific individual variables themselves and other possible factors that affect these variables,such as cultural ones,are also discussed for future research.
文摘With the continuous advancement of artificial intelligence(AI)technology,personalized learning systems are increasingly applied in higher education.Particularly within STEM(Science,Technology,Engineering,and Mathematics)education,AI demonstrates significant advantages through adaptive learning pathways,instant feedback,and individualized resource allocation.However,current research predominantly focuses on the technical architecture and application effectiveness of such systems,with insufficient exploration of how AI-enabled personalized learning systems influence university students’learning motivation and academic achievement through educational psychological mechanisms.This paper adopts an educational psychology perspective to construct a causal mechanism model linking“learning motivation-learning behavior-academic achievement.”Findings indicate that AI-powered personalized learning systems enhance learning autonomy,boost self-efficacy,and optimize feedback mechanisms.These effects collectively stimulate university students’learning motivation in STEM disciplines,thereby promoting academic achievement.Building upon empirical research,this paper proposes implications for educational practice and policy formulation,emphasizing the necessity of advancing higher education reform through the dual influence of technology and psychological mechanisms.
基金supported by grants from the Key-Area Research and Development Program of Guangdong province(2019B030335001)the National Natural Science Foundation of China(32200815)the China Postdoctoral Science Foundation(2022M721218).
文摘Based on previous experience,learning to avoid or seek certain specific stimuli again in the future is crucial for survival.Our brains are wired to assign a particular valence-either positive or negativeas a result of sensory stimuli,and it is this valence that serves as the foundational motivation for our subsequent actions.Simply put,all motivational actions fall into two categories:pleasure-seeking behavior guided by positive emotional valence,and pain-avoiding behavior driven by negative emotional valence[1].The ability to shift from one emotional valence to another is an important characteristic of affective states,while the instability of emotional states underlies many psychiatric disorders,highlighting the clinical importance of managing and understanding these fluctuations.This ability to adapt emotional responses can be attained by modulating the gain across distinct neural pathways,thus enabling the nuanced and smooth assignment of valence through the strengthening or weakening of circuit activity[1,2].
