BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their...BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their RTW process.Hence,scientific research is necessary to explore the barriers and facilitating factors of returning to work for young and middle-aged CRC survivors.AIM To examine the current RTW status among young and middle-aged CRC survivors and to analyze the impact of RTW self-efficacy(RTW-SE),fear of progression(FoP),eHealth literacy(eHL),family resilience(FR),and financial toxicity(FT)on their RTW outcomes.METHODS A cross-sectional investigation was adopted in this study.From September 2022 to February 2023,a total of 209 participants were recruited through a convenience sampling method from the gastrointestinal surgery department of a class A tertiary hospital in Chongqing.The investigation utilized a general information questionnaire alongside scales assessing RTW-SE,FoP,eHL,FR,and FT.To analyze the factors that influence RTW outcomes among young and middle-aged CRC survivors,Cox regression modeling and Kaplan-Meier survival analysis were used.RESULTS A total of 43.54%of the participants successfully returned to work,with an average RTW time of 100 days.Cox regression univariate analysis revealed that RTW-SE,FoP,eHL,FR,and FT were significantly different between the non-RTW and RTW groups(P<0.05).Furthermore,Cox regression multivariate analysis identified per capita family monthly income,job type,RTW-SE,and FR as independent influencing factors for RTW(P<0.05).CONCLUSION The RTW rate requires further improvement.Elevated levels of RTW-SE and FR were found to significantly increase RTW among young and middle-aged CRC survivors.Health professionals should focus on modifiable factors,such as RTW-SE and FR,to design targeted RTW support programs,thereby facilitating their timely reintegration into mainstream society.展开更多
BACKGROUND Postpartum depression(PPD)represents a significant public health concern,adversely affecting both new mothers and their infants.Despite routine early screening,PPD can persist beyond the initial postpartum ...BACKGROUND Postpartum depression(PPD)represents a significant public health concern,adversely affecting both new mothers and their infants.Despite routine early screening,PPD can persist beyond the initial postpartum months,with notably high incidence rates even one year after childbirth.Persistent PPD has been associated with poor developmental outcomes in infants,highlighting the need for continued monitoring and support during this critical period.Understanding the broader impacts of persistent PPD is essential for developing effective interventions to improve maternal and infant well-being.AIM To explore the impact of persistent PPD on infant developmental behavior and maternal self-efficacy.METHODS We recruited 60 postpartum women who experienced persistent depression after childbirth in our hospital from January 2020 to December 2024 as the research subjects.The study collected basic characteristics of both infants and mothers,analyzed the self-efficacy of the mothers and the developmental behaviors of the infants,and conducted a correlation analysis to examine the relationship between postpartum persistent depression in mothers and the developmental behaviors and self-efficacy of infants.The Bootstrap method was used to verify the significance of the mediating effect.RESULTS The basic characteristics of infants and mothers show that 53.33%are male,58.33%are born via vaginal delivery,88.33%have a normal body mass index,51.67%are aged between 25 and 29 years,70%are non-agricultural workers,51.67%have a per capita household income over 4000 yuan,96.67%are full-term births,and 58.33%of the fathers are aged between 26 and 32 years.In terms of infant development behavior,the gross motor skills score is relatively low(38.44±12.15).Regarding maternal self-efficacy,the skill score(45.68±5.49)and mental activity score(46.37±3.72)are both at a low level.Correlation analysis reveals that postpartum persistent depression is significantly negatively correlated with maternal self-efficacy and infant development behavior(β=-0.439,-0.657,P<0.001),while self-efficacy is positively correlated with infant development behavior(β=0.728,P<0.001).The path coefficient and Bootstrap method test indicate that self-efficacy acts as a mediator between postpartum persistent depression and infant development behavior,accounting for 54.80%of the effect(P<0.05),while the direct effect of postpartum persistent depression on infant development behavior is 45.20%(P<0.05).CONCLUSION Persistent PPD significantly negatively impacts infant developmental outcomes,with maternal self-efficacy serving as a partial mediator.These findings suggest that interventions targeting both depressive symptoms and selfenhancement may effectively promote infant health development.展开更多
BACKGROUND Extended care based on self-efficacy theory to elderly patients with intertrochanteric fractures will provide data reference to optimize the care plan of these patients,reduce patients’concurrent mental di...BACKGROUND Extended care based on self-efficacy theory to elderly patients with intertrochanteric fractures will provide data reference to optimize the care plan of these patients,reduce patients’concurrent mental diseases,and improve prognosis.AIM To analyze the value of extended nursing based on the self-efficacy theory in older patients with intertrochanteric fractures.METHODS Older patients with intertrochanteric fractures(n=88)admitted to our hospital between January 2021 and December 2024 were randomly divided into two groups-the control group(n=44,routine nursing)and the observation group(n=44,extended nursing)-via balloting and treated for 12 weeks.The mental state,pain severity,limb function,and self-nursing ability of all patients before and after nursing were analyzed.RESULTS After nursing,the Hamilton Anxiety Scale and General Self-Efficacy Scale scores of patients in the two groups improved.Notably,Hamilton Anxiety Scale and General Self-Efficacy Scale scores in the observation group were lower and higher,respectively,than those in the control group(P<0.05).The pain severity in the observation group(2.64±0.22)was lower than that in the control group(2.85±0.41)(P<0.05).The recovery rate of limb function was higher in the observation group than in the control group(P<0.05).In addition,the self-nursing ability scores of the patients in both groups increased,with a significantly higher score in the observation group(P<0.05).CONCLUSION Extended nursing based on the self-efficacy theory can significantly improve mental state,relieve pain,and promote the recovery of limb function and self-nursing ability in older patients with intertrochanteric fractures.展开更多
Drawing upon self-determination theory,this study examines the effects of vicarious abusive supervision on third-party’s self-efficacy and task performance within organizational contexts.Data were collected via surve...Drawing upon self-determination theory,this study examines the effects of vicarious abusive supervision on third-party’s self-efficacy and task performance within organizational contexts.Data were collected via surveys from 337 employees across diverse organizations.The results indicate that vicarious abusive supervision significantly undermines both self-efficacy and task performance among employees who are indirectly exposed to such behavior but not directly targeted.Furthermore,self-efficacy serves as a mediator between vicarious abusive supervision and task performance;however,this mediating effect is attenuated for employees with a high promotion focus.These findings provide valuable theoretical and practical insights,particularly in the domain of organizational behavior,by emphasizing the critical role of promotion focus in mitigating the negative effects of vicarious abusive supervision.This research contributes to the organizational behavior literature by shifting the focus from the traditional supervisor-subordinate dynamic to a third-party perspective,thereby enriching our understanding of how vicarious abusive supervision impacts employees within organizational settings.The study underscores the importance of self-efficacy and promotion focus as key factors in unethical leadership contexts.展开更多
This study examines how training opportunities influence teachers’job satisfaction,emphasizing the mediating effect of AI self-efficacy among primary and secondary school teachers in Wuhan,China.Current research empl...This study examines how training opportunities influence teachers’job satisfaction,emphasizing the mediating effect of AI self-efficacy among primary and secondary school teachers in Wuhan,China.Current research employed a quantitative,cross-sectional design.Data were collected using an online questionnaire from 655 primary and secondary school teachers in Wuhan.Structural equation modelling(PLS-SEM)was utilized for data analysis.Results confirmed significant positive relationships between training opportunities and both AI self-efficacy and job satisfaction.Besides,AI self-efficacy was found to significantly mediate the relationship between training opportunities and job satisfaction.This study contributes to the body of knowledge by empirically showed the relatively unexplored psychological pathway(AI self-efficacy)linking training opportunities to job satisfaction within AI-intensive educational contexts.The findings enhance understanding of how structured training in AI can positively influence teachers’attitudes and job-related outcomes.Educational policymakers and administrators can utilise these findings to develop specialised training programs,thereby improving teacher self-efficacy,job satisfaction and overall effectiveness in responding to technology changes.展开更多
Objective:To explore the effects of problem-oriented nursing on self-efficacy and compliance behavior of patients undergoing coronary intervention.Methods:Seventy patients who underwent coronary intervention in a hosp...Objective:To explore the effects of problem-oriented nursing on self-efficacy and compliance behavior of patients undergoing coronary intervention.Methods:Seventy patients who underwent coronary intervention in a hospital from March 2024 to February 2025 were selected and divided into the control group(n=35)and the observation group(n=35)by using the randomized numeric table method.The control group implemented conventional clinical care,and the observation group was given problem-oriented nursing intervention on the basis of conventional care.The self-efficacy,negative psychological state,medical compliance behavior,and quality of life improvement of patients in the two groups were compared.Results:Before nursing intervention,the difference in the scores of patients’role function,symptom management,emotion management,nurse-patient communication and exchange and other dimensions between the control group and the observation group was not statistically significant(P>0.05).After nursing intervention,the scores of all indexes of the two groups were significantly higher,and the difference between the two groups was statistically significant(P<0.05).Before nursing intervention,the difference in the scores of patients’anxiety and depression status between the control group and the observation group was not statistical significance(P>0.05).However,after nursing intervention,the negative psychological state of the two groups improved significantly,and the difference between the groups was statistically significant(P<0.05).The total excellent rate of patients’compliance behavior in the observation group was 97.14%,which was significantly higher than that of the control group,which was 74.29%,with a statistically significant difference(P<0.05).The patients of the observation group had a higher psychological state,social function,physical condition,emotional condition and other dimension scores of patients in the observation group were significantly higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:The implementation of problem-oriented nursing care for patients undergoing coronary intervention can not only significantly improve their self-efficacy and enhance their compliance behavior,but also positively improve their negative emotions of anxiety and depression,and improve their quality of life.展开更多
This study examines how organizational support influences the career adaptability of novice university teachers in Guangdong,China,and the mediating role of teacher self-efficacy.Drawing on social cognitive theory and...This study examines how organizational support influences the career adaptability of novice university teachers in Guangdong,China,and the mediating role of teacher self-efficacy.Drawing on social cognitive theory and organizational support theory,we hypothesized that organizational support would positively predict career adaptability through self-efficacy.A cross-sectional survey was conducted with 326 novice teachers(with 1–3 years of teaching experience)from 12 universities in Guangdong.Data were analyzed using correlation analysis,hierarchical regression,and bootstrap.Results showed that:(1)organizational support was positively associated with both self-efficacy(r=0.62,P<0.001)and career adaptability(r=0.58,P<0.001);(2)self-efficacy fully mediated the relationship between organizational support and career adaptability(indirect effect=0.24,95%CI[0.18,0.31]),with a partial reduction in the direct effect fromβ=0.35 toβ=0.17(P<0.05);(3)female teachers reported higher self-efficacy than males(P<0.05),and teachers with 2 years of experience showed significantly higher adaptability than those with 1 year(P<0.05).The findings highlight the critical role of self-efficacy in translating organizational support into adaptability,providing empirical evidence for universities to design targeted support strategies.展开更多
Objectives:Suicidal ideation is a strong predictor of suicide deaths,which refers to the consideration or desire to give up one's own life.Left-behind children in rural China are more vulnerable to psychological p...Objectives:Suicidal ideation is a strong predictor of suicide deaths,which refers to the consideration or desire to give up one's own life.Left-behind children in rural China are more vulnerable to psychological problems and suicidal ideation compared to their non-left-behind peers.The aim of the current study was to examine two potential protective factors,negotiable fate belief and coping self-efficacy,and to test the mediating role of coping self-efficacy in the relationship between negotiable fate belief and suicidal ideation.We also analyzed gender differences in this mediation model.Methods:Across-sectional survey was conducted in rural areas ofChina.A sample of 526 left-behind children(285 males,54.18%;241 females,45.82%;Meanage=13.29 years,SD=0.97 years)was recruited to complete the Negotiable Fate Belief Scale,Coping Self-Efficacy Scale,and the Positive and Negative Suicide Ideation Inventory-Negative Scale.We used structural equation modeling to test the mediation model and multigroup analysis to test the moderation effect of gender.Results:Negotiable fate belief is negatively correlated with suicidal ideation(r=-0.13,p<0.01).Moreover,coping self-efficacy mediates the relationship between negotiable fate belief and suicidal ideation(β=-0.06,95%confidence interval(CI)[-0.12,-0.02]),accounting for 35.29%of the total effect.Finally,the mediating effect of coping self-efficacy was found to be significant only for female left-behind children(male:95%CI[-0.09,0.07];female:95%CI[-0.16,-0.01]).For female left-behind children,the mediating effect was complete,with a coefficient of-0.06,accounting for 85.71%of the total effect.Conclusions:The relationship between negotiable fate belief and suicidal ideation among rural left-behind children is mediated by coping self-efficacy,and this mediation effect was moderated by gender.This study provides a theoretical explanation for how cultivating the belief in negotiable fate and coping self-efficacy is effective for reducing suicidal ideation of rural left-behind children.展开更多
Public participation is crucial in mitigating disasters.Stemming from the ongoing debate on benefit-and risk-driven approaches to landslide mitigation,this study seeks to uncover the factors and underlying mechanisms ...Public participation is crucial in mitigating disasters.Stemming from the ongoing debate on benefit-and risk-driven approaches to landslide mitigation,this study seeks to uncover the factors and underlying mechanisms that affect farmers'willingness to participate in landslide prevention and mitigation(WPLPM).Conducted in Heifangtai,Gansu Province,China,renowned as the"landslide natural laboratory",this research employs multiple linear regression analysis on data from 399 questionnaires to pinpoint the key determinants of farmers'WPLPM.The findings reveal:(1)the"risk perception paradox"exists—farmers have high-risk perception but low WPLPM;(2)the impact of risk perception on WPLPM is tempered by self-efficacy related to fund,learning ability,and operation ability,offering an insight into the"risk perception paradox";and(3)There are significant positive influences of farmers'benefit perception,social network,and perceived responsibility on their WPLPM.Based on these insights,the study offers targeted policy recommendations.展开更多
Background:Despite increasing attention to parental educational anxiety in China’s educational system,the underlying mechanisms through which this anxiety affects adolescent academic performance remain unclear.This s...Background:Despite increasing attention to parental educational anxiety in China’s educational system,the underlying mechanisms through which this anxiety affects adolescent academic performance remain unclear.This study aims to investigate how parental educational anxiety influences academic outcomes through depression and self-efficacy while considering the role of problematic social media use in today’s digital age.Methods:Data analysis was conducted using stratified random cluster sampling techniques.Participants for this study were recruited from middle and high schools in China.The sample comprised 2579 traditional two-parent families,each consisting of a pair of parents and one child.The commencement of data collection occurred in March 2024.A range of analytical techniques was employed to examine the relationship between parental education anxiety and student academic performance,including bivariate correlations,path analysis,mediation analysis,and moderation analysis.Results:The study findings revealed that parental educational anxiety negatively predicted student academic performance(β=−0.510,t=−35.011,p<0.001).Furthermore,a significant and negative relationship was identified between student depression and self-efficacy(β=−0.179,t=−8.336,p<0.001),which was chain-mediated.Additionally,problematic social media use moderated the relationship between parental educational anxiety and student academic performance(p<0.001),with stronger negative effects at higher levels of social media use.Conclusion:This study demonstrates that parental educational anxiety has both direct and indirect negative associationswith student academic performance through complex psychological pathways.The findings reveal a sequential mediation mechanism where parental educational anxiety first influences student depression,which in turn affects self-efficacy,ultimately impacting academic performance.The strength of these relationships is notably moderated by problematic social media use,with higher levels of social media engagement amplifying the negative association between parental educational anxiety and academic outcomes.These findings illuminate the complex interplay between family dynamics,student mental health,and educational achievement in the contemporary digital age.展开更多
This study aimed to explore the mediating roles of self-efficacy and intrinsic motivation on the relationship between teacher autonomy and teacher job satisfaction.Data were from the Teaching and Learning International...This study aimed to explore the mediating roles of self-efficacy and intrinsic motivation on the relationship between teacher autonomy and teacher job satisfaction.Data were from the Teaching and Learning International Survey(TALIS 2018),with a sample of 3131 junior high school teachers(female=2337;male=794)from Shanghai,China.The mediating effect was analyzed using structural equation modeling.The results showed that teacher autonomy was positively associated with teacher job satisfaction,self-efficacy,and intrinsic motivation.Both self-efficacy and intrinsic motivation were associated with teacher job satisfaction.Self-efficacy was associated with teacher intrinsic motivation.Self-efficacy and intrinsic motivation not only served as independent mediators between teacher autonomy and teacher job satisfaction but also played a chain mediating role.Moreover,the separate mediating effect of self-efficacy was the most significant.Findings are consistent with the job demands-resources model by which diminished teacher autonomy ould explain lower teacher job satisfaction.展开更多
This study explores the interaction of responsible leadership,supportive climate,and creative self-efficacy in enhancing knowledge sharing among employees in the banking sector.Data from 314 employees(42%Females,58%Ma...This study explores the interaction of responsible leadership,supportive climate,and creative self-efficacy in enhancing knowledge sharing among employees in the banking sector.Data from 314 employees(42%Females,58%Males)were analyzed using structural equation modeling(SEM)and a time-lagged survey design.The analysis revealed a higher responsible leadership to be associated with both creative self-efficacy and knowledge sharing.Additionally,the study found that supportive climate moderation to significantly,strengthening the relationship between responsible leadership and knowledge sharing.Creative self-efficacy partially mediated this relationship to be stronger.The results indicate that responsible leadership and a supportive climate are crucial socio-cognitive mechanisms for enhancing knowledge sharing in organizations.The banking sector should aim to promote collaborative work partnerships implementing responsible leadership practices and cultivating supportive work environments to bolster organizational growth and competitiveness.展开更多
This study explored the role of learning engagement in the relationship between academic self-efficacy and self-directed learning ability among nursing students.Participants were 328 Chinese nursing students(male=11.3...This study explored the role of learning engagement in the relationship between academic self-efficacy and self-directed learning ability among nursing students.Participants were 328 Chinese nursing students(male=11.3%,female=88.7%;mean age=20.86 years;SD=1.75 years).The participants completed surveys on academic self-efficacy(Academic Self-efficacy Scale),learning engagement(Learning Engagement Scale),and self-directed learning ability(Self-directed Learning Instrument).Hayes regression-based PROCESS macro analysis revealed that learning engagement mediated the relationship between academic self-efficacy and self-directed learning ability.The hierarchical regression analysis showed higher academic self-efficacy to be associated with self-directed learning ability.Additionally learning engagement was associated with higher self-directed learning ability.Based on thesefindings,there is a need for interventions to improve students’self-directed learning ability through increasing their academic self-efficacy and enhancing learning engagement.展开更多
This study examined the effects of design thinking pedagogy on undergraduates’career decision-making selfefficacy and employability in career education.Using a quasi-experimental design,Chinese college students(N=93)...This study examined the effects of design thinking pedagogy on undergraduates’career decision-making selfefficacy and employability in career education.Using a quasi-experimental design,Chinese college students(N=93)were participants in two wings.The experimental group(n=47)received the design thinking pedagogy,while the control group(n=46)followed the regularly teacher-centered method.The students completed the career decision-making self-efficacy scale and employability scale before and after the intervention.Independent samples t-test results showed that design thinking pedagogy significantly improves students’career decision-making self-efficacy and employability.The ANCOVA results showed that the pretest scores of career decision-making self-efficacy and employability had no significant association with the experimental intervention.There was no interaction between the treatment and pretest scores.It would seem that experimental design thinking pedagogy implemented in career guidance courses has little effect compared to the usual course presentation.Nonetheless,prospects for the implementation of design thinking-guided learning activities to support interdisciplinary learning for improved higher education and career development outcomes need further exploration.展开更多
We examined the relationship between social support and career adaptability,as well as the mediating roles of proactive personality and career decision-making self-efficacy in this process.A total of 1354 Chinese coll...We examined the relationship between social support and career adaptability,as well as the mediating roles of proactive personality and career decision-making self-efficacy in this process.A total of 1354 Chinese college students(female=964;mean age=19.53 years,SD=1.33 years)completed an online questionnaire.Path analysis indicated that social support was positively associated with higher levels of career adaptability.Both proactive personality and career decision-making self-efficacy served as parallel mediators,strengthening the relationship between social support and career adaptability.The complete chain mediation analysis revealed that social support influences career adaptability primarily through proactive personality,which in turn enhances career decision-making self-efficacy,further contributing to increased career adaptability.These findings extend career capital theory by demonstrating that social and psychological resources jointly facilitate career adaptability.展开更多
Objective:This study aimed to investigate the effect of empowerment-based interventions on selfefficacy and self-care capacity among adults with sickle cell disease(SCD).Methods:A randomized control trial was conducte...Objective:This study aimed to investigate the effect of empowerment-based interventions on selfefficacy and self-care capacity among adults with sickle cell disease(SCD).Methods:A randomized control trial was conducted[NCT06296654].A total of 76 patients were recruited by using a cluster sampling technique in the two health centers in Bahrain from February to May 2022 and randomly allocated to the intervention group(n=38)or control group(n=38).The intervention group received the empowerment-based intervention implemented through structured small-group discussion sessions,individualized consultations(5A model:assess,advise,agree,assist,and arrange),and follow-up sessions,while the control group received routine health education.The Sickle Cell Self-Efficacy Scale(SCSES)and the Appraisal of the Self-Care Agency Scale-Revised(ASA-R)were measured at baseline and one month after the intervention among two groups of patients.Results:A total of 68 patients completed the study(36 patients in the intervention group and 32 patients in the control group).After the intervention,the score of SCSES in the intervention group was 37.0(35.0,39.8)higher than the control group 28.0(25.2,32.0)(U=-6.121,P<0.001);the score of ASA-R in the intervention group was 61.0(58.3,65.0)higher than the control group 49.0(43.3,53.0)(U=-0.653,P<0.001).Conclusion:Adopting the empowerment-based intervention using the 5As model effectively improves self-efficacy and self-care capacity among patients with SCD.展开更多
This study investigated proactive personality effects on employment preparation and the mediating roles of self-efficacy and career exploration behaviors in this relationship.The study sample comprised 445 university ...This study investigated proactive personality effects on employment preparation and the mediating roles of self-efficacy and career exploration behaviors in this relationship.The study sample comprised 445 university students(68.3%female;aged 20 to 24)from a university in central China.The participants completed measures to assess proactive personality,employment preparation,self-efficacy,and career exploration behaviors.Structural equation modeling analysis results indicated that proactive personality predicted higher employment preparation;Self-efficacy and career exploration behaviors partially mediated this relationship.Specifically,career exploration behaviors had a stronger mediating effect than self-efficacy on the total effect(34.71%vs.28.89%).The findings suggest proactive personality is key to employment preparation through self-belief and willingness to explore the job market.Higher education career counseling and mental health education programs should provide targeted training to promote career exploration by the student’s personal attributes for best match employment preparation.展开更多
Objective:Based on the breathing exercise derived from the self-efficacy theory,this study aims to construct a breathing exercise intervention program according to the conditions of patients with chronic heart failure...Objective:Based on the breathing exercise derived from the self-efficacy theory,this study aims to construct a breathing exercise intervention program according to the conditions of patients with chronic heart failure,to improve their cardiac function,relieve dyspnea,enhance their quality of life,and further enrich the research on the efficacy of respiratory rehabilitation exercises for patients with chronic heart failure.Method:A total of 98 inpatients with chronic heart failure admitted to the hospital from April 2024 to April 2025 were selected and randomly divided into an intervention group and a control group,with 49 patients in each group.The patients in the control group received conventional nursing,while the patients in the intervention group received the breathing exercise intervention program based on the self-efficacy theory in addition to the conventional nursing of the control group,with interventions conducted through guidance,psychological support,health education,and other methods.The conditions of patients in both groups before and after the intervention were observed.Results:After 1 month and 3 months of intervention,in terms of improving the degree of dyspnea in patients of both groups,the main effect of intervention and the time effect on the degree of dyspnea were statistically significant(F=13.948,P<0.001;F=38.423,P<0.001).Moreover,there was an interaction between the time factor and the intervention factor in both groups(F=113.763,P<0.001).In terms of increasing the 6-minute walking distance,the main effect and time effect in both groups were statistically significant(F=7.371,P=0.008;F=459.405,P<0.001),and there was an interaction effect between the time factor and intervention factor in both groups(F=177.180,P<0.001).After 1 month and 3 months of intervention,in terms of improving the level of exercise self-efficacy,the main effect of intervention and the time effect in both groups were statistically significant(F=6.860,P=0.01;F=25.133,P<0.001),and there was an interaction between the time factor and the intervention factor(F=159.576,P<0.05).Conclusion:Breathing exercise based on the self-efficacy theory is helpful to improve the sense of efficacy of patients with chronic heart failure,enable them to persist in breathing exercise for a long time,further alleviate their dyspnea,promote the recovery of cardiopulmonary function,and enhance their quality of life.Breathing exercise based on the self-efficacy theory can be used as a simple,home-based intervention method to provide corresponding help for patients with chronic heart failure during the rehabilitation period.展开更多
BACKGROUND Adolescence is a critical period marked by significant psychological changes.This study explores how self-efficacy and parental parenting styles may influence the risk of severe depression among teens.The h...BACKGROUND Adolescence is a critical period marked by significant psychological changes.This study explores how self-efficacy and parental parenting styles may influence the risk of severe depression among teens.The hypothesis is that higher self-efficacy and authoritative parenting patterns will be negatively correlated with severe depression in adolescents.AIM To investigate the correlation between self-efficacy,parenting patterns and major depression in adolescents,and to provide guidance for mental intervention.METHODS Using a cross-sectional survey design,the data were collected through a questionnaire survey.Patients with major depression and healthy adolescents in the hospital control group were selected as the study objects.The General Self-Efficacy Scale,the Parenting Style Evaluation Scale,and the Beck Depression Inventory were used as research instruments.Data input and statistical analysis were performed,including descriptive statistics,correlation analysis,through SPSS software.RESULTS The study found that depressed patients had significantly lower self-efficacy than healthy controls,and parenting style was significantly associated with depressive symptoms in terms of emotional warmth and understanding,punishment severity,and denial.Specifically,parental emotional warmth and understanding were significantly negatively associated with depressive symptoms,while parental punishment severity and denial were significantly positively associated with depressive symptoms.Self-efficacy showed a significant negative correlation with depressive symptoms,indicating that higher self-efficacy had lower depressive symptoms.CONCLUSION Adolescent major depressive disorder patient was significantly associated with their parenting style and selfefficacy.Higher self-efficacy is associated with decreased depressive symptoms,so improving adolescent selfefficacy and improving parenting style are important.展开更多
Objective:To assess the psychometric properties of the Thai version of the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)in individuals with chronic illnesses.Although originally developed and tested in a Weste...Objective:To assess the psychometric properties of the Thai version of the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)in individuals with chronic illnesses.Although originally developed and tested in a Western context,its applicability in Asian populations,including Thailand,remains inadequately explored.Methods:Psychometric tests were guided by COSMIN principles.This included the translation of the English version into Thai based on the ISPOR framework.Nine nursing experts evaluated the content validity.Data were obtained from a multicenter cross-sectional study conducted between July and November 2022.This study included individuals with chronic conditions from 16 primary care centers in Thailand.We tested the structural validity using exploratory factor analysis(EFA)and confirmatory factor analysis(CFA),and concurrent validity in relation to the Self-Care of Chronic Illness Inventory version 4.c(SC-CII-v4.c).We tested the scale’s reliability with McDonald’s u,Cronbach’s a,and the intraclass correlation coefficient(ICC).Results:The Thai SCSES-v3.0 demonstrated excellent content validity(k¼1.00).Thefinal analysis included a total of 385 participants.The EFA with thefirst split-half subsample(n¼193)extracted a twofactor structure.One reflected SCSES for maintenance and monitoring behaviors and another captured SCSES for management behaviors(item 6e10).CFA with the second split-half subsample(n¼192)and the overall sample(n¼385)supported the scale’s two-factor model with high factor loadings.Each dimension and the overall SCSES-v3.0 positively correlated with each scale and the overall SC-CII-v4.c.McDonald’s u and Cronbach’s a(both ranged 0.91e0.94)and ICC(ranged 0.95e0.96),indicated excellent internal reliability and test-retest reliability,respectively.Conclusions:The identification of a valid and reliable two-factor model for the Thai SCSES-v3.0 renders it a valuable tool for clinicians and investigators,facilitating the assessment of self-efficacy in self-care across diverse contexts.展开更多
基金Supported by the Chongqing Medical University Program for Youth Innovation in Future Medicine,No.W0019Chongqing Municipal Education Commission’s 14th Five-Year Key Discipline Support Project,No.20240101 and No.20240102。
文摘BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their RTW process.Hence,scientific research is necessary to explore the barriers and facilitating factors of returning to work for young and middle-aged CRC survivors.AIM To examine the current RTW status among young and middle-aged CRC survivors and to analyze the impact of RTW self-efficacy(RTW-SE),fear of progression(FoP),eHealth literacy(eHL),family resilience(FR),and financial toxicity(FT)on their RTW outcomes.METHODS A cross-sectional investigation was adopted in this study.From September 2022 to February 2023,a total of 209 participants were recruited through a convenience sampling method from the gastrointestinal surgery department of a class A tertiary hospital in Chongqing.The investigation utilized a general information questionnaire alongside scales assessing RTW-SE,FoP,eHL,FR,and FT.To analyze the factors that influence RTW outcomes among young and middle-aged CRC survivors,Cox regression modeling and Kaplan-Meier survival analysis were used.RESULTS A total of 43.54%of the participants successfully returned to work,with an average RTW time of 100 days.Cox regression univariate analysis revealed that RTW-SE,FoP,eHL,FR,and FT were significantly different between the non-RTW and RTW groups(P<0.05).Furthermore,Cox regression multivariate analysis identified per capita family monthly income,job type,RTW-SE,and FR as independent influencing factors for RTW(P<0.05).CONCLUSION The RTW rate requires further improvement.Elevated levels of RTW-SE and FR were found to significantly increase RTW among young and middle-aged CRC survivors.Health professionals should focus on modifiable factors,such as RTW-SE and FR,to design targeted RTW support programs,thereby facilitating their timely reintegration into mainstream society.
基金Supported by the Key Medical Research Project of Hebei Province in 2020,No.20201360.
文摘BACKGROUND Postpartum depression(PPD)represents a significant public health concern,adversely affecting both new mothers and their infants.Despite routine early screening,PPD can persist beyond the initial postpartum months,with notably high incidence rates even one year after childbirth.Persistent PPD has been associated with poor developmental outcomes in infants,highlighting the need for continued monitoring and support during this critical period.Understanding the broader impacts of persistent PPD is essential for developing effective interventions to improve maternal and infant well-being.AIM To explore the impact of persistent PPD on infant developmental behavior and maternal self-efficacy.METHODS We recruited 60 postpartum women who experienced persistent depression after childbirth in our hospital from January 2020 to December 2024 as the research subjects.The study collected basic characteristics of both infants and mothers,analyzed the self-efficacy of the mothers and the developmental behaviors of the infants,and conducted a correlation analysis to examine the relationship between postpartum persistent depression in mothers and the developmental behaviors and self-efficacy of infants.The Bootstrap method was used to verify the significance of the mediating effect.RESULTS The basic characteristics of infants and mothers show that 53.33%are male,58.33%are born via vaginal delivery,88.33%have a normal body mass index,51.67%are aged between 25 and 29 years,70%are non-agricultural workers,51.67%have a per capita household income over 4000 yuan,96.67%are full-term births,and 58.33%of the fathers are aged between 26 and 32 years.In terms of infant development behavior,the gross motor skills score is relatively low(38.44±12.15).Regarding maternal self-efficacy,the skill score(45.68±5.49)and mental activity score(46.37±3.72)are both at a low level.Correlation analysis reveals that postpartum persistent depression is significantly negatively correlated with maternal self-efficacy and infant development behavior(β=-0.439,-0.657,P<0.001),while self-efficacy is positively correlated with infant development behavior(β=0.728,P<0.001).The path coefficient and Bootstrap method test indicate that self-efficacy acts as a mediator between postpartum persistent depression and infant development behavior,accounting for 54.80%of the effect(P<0.05),while the direct effect of postpartum persistent depression on infant development behavior is 45.20%(P<0.05).CONCLUSION Persistent PPD significantly negatively impacts infant developmental outcomes,with maternal self-efficacy serving as a partial mediator.These findings suggest that interventions targeting both depressive symptoms and selfenhancement may effectively promote infant health development.
文摘BACKGROUND Extended care based on self-efficacy theory to elderly patients with intertrochanteric fractures will provide data reference to optimize the care plan of these patients,reduce patients’concurrent mental diseases,and improve prognosis.AIM To analyze the value of extended nursing based on the self-efficacy theory in older patients with intertrochanteric fractures.METHODS Older patients with intertrochanteric fractures(n=88)admitted to our hospital between January 2021 and December 2024 were randomly divided into two groups-the control group(n=44,routine nursing)and the observation group(n=44,extended nursing)-via balloting and treated for 12 weeks.The mental state,pain severity,limb function,and self-nursing ability of all patients before and after nursing were analyzed.RESULTS After nursing,the Hamilton Anxiety Scale and General Self-Efficacy Scale scores of patients in the two groups improved.Notably,Hamilton Anxiety Scale and General Self-Efficacy Scale scores in the observation group were lower and higher,respectively,than those in the control group(P<0.05).The pain severity in the observation group(2.64±0.22)was lower than that in the control group(2.85±0.41)(P<0.05).The recovery rate of limb function was higher in the observation group than in the control group(P<0.05).In addition,the self-nursing ability scores of the patients in both groups increased,with a significantly higher score in the observation group(P<0.05).CONCLUSION Extended nursing based on the self-efficacy theory can significantly improve mental state,relieve pain,and promote the recovery of limb function and self-nursing ability in older patients with intertrochanteric fractures.
文摘Drawing upon self-determination theory,this study examines the effects of vicarious abusive supervision on third-party’s self-efficacy and task performance within organizational contexts.Data were collected via surveys from 337 employees across diverse organizations.The results indicate that vicarious abusive supervision significantly undermines both self-efficacy and task performance among employees who are indirectly exposed to such behavior but not directly targeted.Furthermore,self-efficacy serves as a mediator between vicarious abusive supervision and task performance;however,this mediating effect is attenuated for employees with a high promotion focus.These findings provide valuable theoretical and practical insights,particularly in the domain of organizational behavior,by emphasizing the critical role of promotion focus in mitigating the negative effects of vicarious abusive supervision.This research contributes to the organizational behavior literature by shifting the focus from the traditional supervisor-subordinate dynamic to a third-party perspective,thereby enriching our understanding of how vicarious abusive supervision impacts employees within organizational settings.The study underscores the importance of self-efficacy and promotion focus as key factors in unethical leadership contexts.
文摘This study examines how training opportunities influence teachers’job satisfaction,emphasizing the mediating effect of AI self-efficacy among primary and secondary school teachers in Wuhan,China.Current research employed a quantitative,cross-sectional design.Data were collected using an online questionnaire from 655 primary and secondary school teachers in Wuhan.Structural equation modelling(PLS-SEM)was utilized for data analysis.Results confirmed significant positive relationships between training opportunities and both AI self-efficacy and job satisfaction.Besides,AI self-efficacy was found to significantly mediate the relationship between training opportunities and job satisfaction.This study contributes to the body of knowledge by empirically showed the relatively unexplored psychological pathway(AI self-efficacy)linking training opportunities to job satisfaction within AI-intensive educational contexts.The findings enhance understanding of how structured training in AI can positively influence teachers’attitudes and job-related outcomes.Educational policymakers and administrators can utilise these findings to develop specialised training programs,thereby improving teacher self-efficacy,job satisfaction and overall effectiveness in responding to technology changes.
文摘Objective:To explore the effects of problem-oriented nursing on self-efficacy and compliance behavior of patients undergoing coronary intervention.Methods:Seventy patients who underwent coronary intervention in a hospital from March 2024 to February 2025 were selected and divided into the control group(n=35)and the observation group(n=35)by using the randomized numeric table method.The control group implemented conventional clinical care,and the observation group was given problem-oriented nursing intervention on the basis of conventional care.The self-efficacy,negative psychological state,medical compliance behavior,and quality of life improvement of patients in the two groups were compared.Results:Before nursing intervention,the difference in the scores of patients’role function,symptom management,emotion management,nurse-patient communication and exchange and other dimensions between the control group and the observation group was not statistically significant(P>0.05).After nursing intervention,the scores of all indexes of the two groups were significantly higher,and the difference between the two groups was statistically significant(P<0.05).Before nursing intervention,the difference in the scores of patients’anxiety and depression status between the control group and the observation group was not statistical significance(P>0.05).However,after nursing intervention,the negative psychological state of the two groups improved significantly,and the difference between the groups was statistically significant(P<0.05).The total excellent rate of patients’compliance behavior in the observation group was 97.14%,which was significantly higher than that of the control group,which was 74.29%,with a statistically significant difference(P<0.05).The patients of the observation group had a higher psychological state,social function,physical condition,emotional condition and other dimension scores of patients in the observation group were significantly higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:The implementation of problem-oriented nursing care for patients undergoing coronary intervention can not only significantly improve their self-efficacy and enhance their compliance behavior,but also positively improve their negative emotions of anxiety and depression,and improve their quality of life.
基金supported by the Teaching Quality and Teaching Reform Project of Dongguan City University(JY2022022301).
文摘This study examines how organizational support influences the career adaptability of novice university teachers in Guangdong,China,and the mediating role of teacher self-efficacy.Drawing on social cognitive theory and organizational support theory,we hypothesized that organizational support would positively predict career adaptability through self-efficacy.A cross-sectional survey was conducted with 326 novice teachers(with 1–3 years of teaching experience)from 12 universities in Guangdong.Data were analyzed using correlation analysis,hierarchical regression,and bootstrap.Results showed that:(1)organizational support was positively associated with both self-efficacy(r=0.62,P<0.001)and career adaptability(r=0.58,P<0.001);(2)self-efficacy fully mediated the relationship between organizational support and career adaptability(indirect effect=0.24,95%CI[0.18,0.31]),with a partial reduction in the direct effect fromβ=0.35 toβ=0.17(P<0.05);(3)female teachers reported higher self-efficacy than males(P<0.05),and teachers with 2 years of experience showed significantly higher adaptability than those with 1 year(P<0.05).The findings highlight the critical role of self-efficacy in translating organizational support into adaptability,providing empirical evidence for universities to design targeted support strategies.
基金funded by the 2023Laibin City Philosophy and Social Science Research Project(No.2023LBZS035)2024Guangxi Student Innovation and Entrepreneurship Training Program Project(No.S202411546046X)2025 Research Project of Guangxi Science&Technology Normal University(No.GXKS2025YB020).
文摘Objectives:Suicidal ideation is a strong predictor of suicide deaths,which refers to the consideration or desire to give up one's own life.Left-behind children in rural China are more vulnerable to psychological problems and suicidal ideation compared to their non-left-behind peers.The aim of the current study was to examine two potential protective factors,negotiable fate belief and coping self-efficacy,and to test the mediating role of coping self-efficacy in the relationship between negotiable fate belief and suicidal ideation.We also analyzed gender differences in this mediation model.Methods:Across-sectional survey was conducted in rural areas ofChina.A sample of 526 left-behind children(285 males,54.18%;241 females,45.82%;Meanage=13.29 years,SD=0.97 years)was recruited to complete the Negotiable Fate Belief Scale,Coping Self-Efficacy Scale,and the Positive and Negative Suicide Ideation Inventory-Negative Scale.We used structural equation modeling to test the mediation model and multigroup analysis to test the moderation effect of gender.Results:Negotiable fate belief is negatively correlated with suicidal ideation(r=-0.13,p<0.01).Moreover,coping self-efficacy mediates the relationship between negotiable fate belief and suicidal ideation(β=-0.06,95%confidence interval(CI)[-0.12,-0.02]),accounting for 35.29%of the total effect.Finally,the mediating effect of coping self-efficacy was found to be significant only for female left-behind children(male:95%CI[-0.09,0.07];female:95%CI[-0.16,-0.01]).For female left-behind children,the mediating effect was complete,with a coefficient of-0.06,accounting for 85.71%of the total effect.Conclusions:The relationship between negotiable fate belief and suicidal ideation among rural left-behind children is mediated by coping self-efficacy,and this mediation effect was moderated by gender.This study provides a theoretical explanation for how cultivating the belief in negotiable fate and coping self-efficacy is effective for reducing suicidal ideation of rural left-behind children.
基金funded by National Social Science Foundation of China(Grant Number 24&ZD164)。
文摘Public participation is crucial in mitigating disasters.Stemming from the ongoing debate on benefit-and risk-driven approaches to landslide mitigation,this study seeks to uncover the factors and underlying mechanisms that affect farmers'willingness to participate in landslide prevention and mitigation(WPLPM).Conducted in Heifangtai,Gansu Province,China,renowned as the"landslide natural laboratory",this research employs multiple linear regression analysis on data from 399 questionnaires to pinpoint the key determinants of farmers'WPLPM.The findings reveal:(1)the"risk perception paradox"exists—farmers have high-risk perception but low WPLPM;(2)the impact of risk perception on WPLPM is tempered by self-efficacy related to fund,learning ability,and operation ability,offering an insight into the"risk perception paradox";and(3)There are significant positive influences of farmers'benefit perception,social network,and perceived responsibility on their WPLPM.Based on these insights,the study offers targeted policy recommendations.
基金support from the Liaoning Provincial Social Science Fund for Youth Projects(Grant ID:L24CSH003).
文摘Background:Despite increasing attention to parental educational anxiety in China’s educational system,the underlying mechanisms through which this anxiety affects adolescent academic performance remain unclear.This study aims to investigate how parental educational anxiety influences academic outcomes through depression and self-efficacy while considering the role of problematic social media use in today’s digital age.Methods:Data analysis was conducted using stratified random cluster sampling techniques.Participants for this study were recruited from middle and high schools in China.The sample comprised 2579 traditional two-parent families,each consisting of a pair of parents and one child.The commencement of data collection occurred in March 2024.A range of analytical techniques was employed to examine the relationship between parental education anxiety and student academic performance,including bivariate correlations,path analysis,mediation analysis,and moderation analysis.Results:The study findings revealed that parental educational anxiety negatively predicted student academic performance(β=−0.510,t=−35.011,p<0.001).Furthermore,a significant and negative relationship was identified between student depression and self-efficacy(β=−0.179,t=−8.336,p<0.001),which was chain-mediated.Additionally,problematic social media use moderated the relationship between parental educational anxiety and student academic performance(p<0.001),with stronger negative effects at higher levels of social media use.Conclusion:This study demonstrates that parental educational anxiety has both direct and indirect negative associationswith student academic performance through complex psychological pathways.The findings reveal a sequential mediation mechanism where parental educational anxiety first influences student depression,which in turn affects self-efficacy,ultimately impacting academic performance.The strength of these relationships is notably moderated by problematic social media use,with higher levels of social media engagement amplifying the negative association between parental educational anxiety and academic outcomes.These findings illuminate the complex interplay between family dynamics,student mental health,and educational achievement in the contemporary digital age.
文摘This study aimed to explore the mediating roles of self-efficacy and intrinsic motivation on the relationship between teacher autonomy and teacher job satisfaction.Data were from the Teaching and Learning International Survey(TALIS 2018),with a sample of 3131 junior high school teachers(female=2337;male=794)from Shanghai,China.The mediating effect was analyzed using structural equation modeling.The results showed that teacher autonomy was positively associated with teacher job satisfaction,self-efficacy,and intrinsic motivation.Both self-efficacy and intrinsic motivation were associated with teacher job satisfaction.Self-efficacy was associated with teacher intrinsic motivation.Self-efficacy and intrinsic motivation not only served as independent mediators between teacher autonomy and teacher job satisfaction but also played a chain mediating role.Moreover,the separate mediating effect of self-efficacy was the most significant.Findings are consistent with the job demands-resources model by which diminished teacher autonomy ould explain lower teacher job satisfaction.
文摘This study explores the interaction of responsible leadership,supportive climate,and creative self-efficacy in enhancing knowledge sharing among employees in the banking sector.Data from 314 employees(42%Females,58%Males)were analyzed using structural equation modeling(SEM)and a time-lagged survey design.The analysis revealed a higher responsible leadership to be associated with both creative self-efficacy and knowledge sharing.Additionally,the study found that supportive climate moderation to significantly,strengthening the relationship between responsible leadership and knowledge sharing.Creative self-efficacy partially mediated this relationship to be stronger.The results indicate that responsible leadership and a supportive climate are crucial socio-cognitive mechanisms for enhancing knowledge sharing in organizations.The banking sector should aim to promote collaborative work partnerships implementing responsible leadership practices and cultivating supportive work environments to bolster organizational growth and competitiveness.
基金supported by the Medical and Health Communication Research Center of Zigong Academy of Medical Sciences(No.YXJKCB-2024-06)the Demonstration Project for Consolidating the Scientific and Educational Support for Medical Talents(Scientific Research Team for improving the Service Quality of“the Elderly and the Young”).
文摘This study explored the role of learning engagement in the relationship between academic self-efficacy and self-directed learning ability among nursing students.Participants were 328 Chinese nursing students(male=11.3%,female=88.7%;mean age=20.86 years;SD=1.75 years).The participants completed surveys on academic self-efficacy(Academic Self-efficacy Scale),learning engagement(Learning Engagement Scale),and self-directed learning ability(Self-directed Learning Instrument).Hayes regression-based PROCESS macro analysis revealed that learning engagement mediated the relationship between academic self-efficacy and self-directed learning ability.The hierarchical regression analysis showed higher academic self-efficacy to be associated with self-directed learning ability.Additionally learning engagement was associated with higher self-directed learning ability.Based on thesefindings,there is a need for interventions to improve students’self-directed learning ability through increasing their academic self-efficacy and enhancing learning engagement.
基金supported by Hanshan Normal University Research Initiation Program(QD2024214).
文摘This study examined the effects of design thinking pedagogy on undergraduates’career decision-making selfefficacy and employability in career education.Using a quasi-experimental design,Chinese college students(N=93)were participants in two wings.The experimental group(n=47)received the design thinking pedagogy,while the control group(n=46)followed the regularly teacher-centered method.The students completed the career decision-making self-efficacy scale and employability scale before and after the intervention.Independent samples t-test results showed that design thinking pedagogy significantly improves students’career decision-making self-efficacy and employability.The ANCOVA results showed that the pretest scores of career decision-making self-efficacy and employability had no significant association with the experimental intervention.There was no interaction between the treatment and pretest scores.It would seem that experimental design thinking pedagogy implemented in career guidance courses has little effect compared to the usual course presentation.Nonetheless,prospects for the implementation of design thinking-guided learning activities to support interdisciplinary learning for improved higher education and career development outcomes need further exploration.
基金supported by“Planning Subject for the 14th Five Year Plan of National Education Sciences of China(DBA210296)”.
文摘We examined the relationship between social support and career adaptability,as well as the mediating roles of proactive personality and career decision-making self-efficacy in this process.A total of 1354 Chinese college students(female=964;mean age=19.53 years,SD=1.33 years)completed an online questionnaire.Path analysis indicated that social support was positively associated with higher levels of career adaptability.Both proactive personality and career decision-making self-efficacy served as parallel mediators,strengthening the relationship between social support and career adaptability.The complete chain mediation analysis revealed that social support influences career adaptability primarily through proactive personality,which in turn enhances career decision-making self-efficacy,further contributing to increased career adaptability.These findings extend career capital theory by demonstrating that social and psychological resources jointly facilitate career adaptability.
文摘Objective:This study aimed to investigate the effect of empowerment-based interventions on selfefficacy and self-care capacity among adults with sickle cell disease(SCD).Methods:A randomized control trial was conducted[NCT06296654].A total of 76 patients were recruited by using a cluster sampling technique in the two health centers in Bahrain from February to May 2022 and randomly allocated to the intervention group(n=38)or control group(n=38).The intervention group received the empowerment-based intervention implemented through structured small-group discussion sessions,individualized consultations(5A model:assess,advise,agree,assist,and arrange),and follow-up sessions,while the control group received routine health education.The Sickle Cell Self-Efficacy Scale(SCSES)and the Appraisal of the Self-Care Agency Scale-Revised(ASA-R)were measured at baseline and one month after the intervention among two groups of patients.Results:A total of 68 patients completed the study(36 patients in the intervention group and 32 patients in the control group).After the intervention,the score of SCSES in the intervention group was 37.0(35.0,39.8)higher than the control group 28.0(25.2,32.0)(U=-6.121,P<0.001);the score of ASA-R in the intervention group was 61.0(58.3,65.0)higher than the control group 49.0(43.3,53.0)(U=-0.653,P<0.001).Conclusion:Adopting the empowerment-based intervention using the 5As model effectively improves self-efficacy and self-care capacity among patients with SCD.
基金the“International Trade”course in the research-based teaching project of undergraduate universities in Henan Province in 2023(project approval number:121)。
文摘This study investigated proactive personality effects on employment preparation and the mediating roles of self-efficacy and career exploration behaviors in this relationship.The study sample comprised 445 university students(68.3%female;aged 20 to 24)from a university in central China.The participants completed measures to assess proactive personality,employment preparation,self-efficacy,and career exploration behaviors.Structural equation modeling analysis results indicated that proactive personality predicted higher employment preparation;Self-efficacy and career exploration behaviors partially mediated this relationship.Specifically,career exploration behaviors had a stronger mediating effect than self-efficacy on the total effect(34.71%vs.28.89%).The findings suggest proactive personality is key to employment preparation through self-belief and willingness to explore the job market.Higher education career counseling and mental health education programs should provide targeted training to promote career exploration by the student’s personal attributes for best match employment preparation.
文摘Objective:Based on the breathing exercise derived from the self-efficacy theory,this study aims to construct a breathing exercise intervention program according to the conditions of patients with chronic heart failure,to improve their cardiac function,relieve dyspnea,enhance their quality of life,and further enrich the research on the efficacy of respiratory rehabilitation exercises for patients with chronic heart failure.Method:A total of 98 inpatients with chronic heart failure admitted to the hospital from April 2024 to April 2025 were selected and randomly divided into an intervention group and a control group,with 49 patients in each group.The patients in the control group received conventional nursing,while the patients in the intervention group received the breathing exercise intervention program based on the self-efficacy theory in addition to the conventional nursing of the control group,with interventions conducted through guidance,psychological support,health education,and other methods.The conditions of patients in both groups before and after the intervention were observed.Results:After 1 month and 3 months of intervention,in terms of improving the degree of dyspnea in patients of both groups,the main effect of intervention and the time effect on the degree of dyspnea were statistically significant(F=13.948,P<0.001;F=38.423,P<0.001).Moreover,there was an interaction between the time factor and the intervention factor in both groups(F=113.763,P<0.001).In terms of increasing the 6-minute walking distance,the main effect and time effect in both groups were statistically significant(F=7.371,P=0.008;F=459.405,P<0.001),and there was an interaction effect between the time factor and intervention factor in both groups(F=177.180,P<0.001).After 1 month and 3 months of intervention,in terms of improving the level of exercise self-efficacy,the main effect of intervention and the time effect in both groups were statistically significant(F=6.860,P=0.01;F=25.133,P<0.001),and there was an interaction between the time factor and the intervention factor(F=159.576,P<0.05).Conclusion:Breathing exercise based on the self-efficacy theory is helpful to improve the sense of efficacy of patients with chronic heart failure,enable them to persist in breathing exercise for a long time,further alleviate their dyspnea,promote the recovery of cardiopulmonary function,and enhance their quality of life.Breathing exercise based on the self-efficacy theory can be used as a simple,home-based intervention method to provide corresponding help for patients with chronic heart failure during the rehabilitation period.
文摘BACKGROUND Adolescence is a critical period marked by significant psychological changes.This study explores how self-efficacy and parental parenting styles may influence the risk of severe depression among teens.The hypothesis is that higher self-efficacy and authoritative parenting patterns will be negatively correlated with severe depression in adolescents.AIM To investigate the correlation between self-efficacy,parenting patterns and major depression in adolescents,and to provide guidance for mental intervention.METHODS Using a cross-sectional survey design,the data were collected through a questionnaire survey.Patients with major depression and healthy adolescents in the hospital control group were selected as the study objects.The General Self-Efficacy Scale,the Parenting Style Evaluation Scale,and the Beck Depression Inventory were used as research instruments.Data input and statistical analysis were performed,including descriptive statistics,correlation analysis,through SPSS software.RESULTS The study found that depressed patients had significantly lower self-efficacy than healthy controls,and parenting style was significantly associated with depressive symptoms in terms of emotional warmth and understanding,punishment severity,and denial.Specifically,parental emotional warmth and understanding were significantly negatively associated with depressive symptoms,while parental punishment severity and denial were significantly positively associated with depressive symptoms.Self-efficacy showed a significant negative correlation with depressive symptoms,indicating that higher self-efficacy had lower depressive symptoms.CONCLUSION Adolescent major depressive disorder patient was significantly associated with their parenting style and selfefficacy.Higher self-efficacy is associated with decreased depressive symptoms,so improving adolescent selfefficacy and improving parenting style are important.
基金The original study wasfinancially supported by Walailak University(grant number:WU65240,Year 2022).
文摘Objective:To assess the psychometric properties of the Thai version of the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)in individuals with chronic illnesses.Although originally developed and tested in a Western context,its applicability in Asian populations,including Thailand,remains inadequately explored.Methods:Psychometric tests were guided by COSMIN principles.This included the translation of the English version into Thai based on the ISPOR framework.Nine nursing experts evaluated the content validity.Data were obtained from a multicenter cross-sectional study conducted between July and November 2022.This study included individuals with chronic conditions from 16 primary care centers in Thailand.We tested the structural validity using exploratory factor analysis(EFA)and confirmatory factor analysis(CFA),and concurrent validity in relation to the Self-Care of Chronic Illness Inventory version 4.c(SC-CII-v4.c).We tested the scale’s reliability with McDonald’s u,Cronbach’s a,and the intraclass correlation coefficient(ICC).Results:The Thai SCSES-v3.0 demonstrated excellent content validity(k¼1.00).Thefinal analysis included a total of 385 participants.The EFA with thefirst split-half subsample(n¼193)extracted a twofactor structure.One reflected SCSES for maintenance and monitoring behaviors and another captured SCSES for management behaviors(item 6e10).CFA with the second split-half subsample(n¼192)and the overall sample(n¼385)supported the scale’s two-factor model with high factor loadings.Each dimension and the overall SCSES-v3.0 positively correlated with each scale and the overall SC-CII-v4.c.McDonald’s u and Cronbach’s a(both ranged 0.91e0.94)and ICC(ranged 0.95e0.96),indicated excellent internal reliability and test-retest reliability,respectively.Conclusions:The identification of a valid and reliable two-factor model for the Thai SCSES-v3.0 renders it a valuable tool for clinicians and investigators,facilitating the assessment of self-efficacy in self-care across diverse contexts.
