Search Results (8)

The model upon which acceptance and commitment therapy is based posits that its outcomes are mediated by increased psychological flexibility as a core process. Of the six subprocesses contributing to psychological flexibility, self-as-context has been investigated the least due to a lack of adequate assessment. An evaluation of the psychometric properties of at least one such measure—the Self-as-Context Scale (SACS)—has been primarily limited to nonclinical populations. To address this omission, we administered the SACS to students (N = 132) seeking psychological services from their university counseling center. A confirmatory factor analysis failed to find an adequate fit for a previously reported two-dimensional model of the SACS, suggesting that only total scores may be appropriate in research and practice involving clinical samples. All 10 items satisfactorily loaded on a single factor to produce reliable total scaled scores, which were, as expected, significantly lower for our participants than those from a general college student sample. Even lower scores were obtained for outpatients of a psychology training clinic compared to our sample, which provided additional support for the known-groups validity of the SACS. The limitations of the findings and implications for further investigations of the measure’s psychometric and functional properties are discussed. Full article

Background/Objectives: Communication skills are a core professional competency for dental hygienists. Accordingly, it is vital to develop a systematic scale that can objectively predict the relationship among communication skills and job satisfaction and various psychosocial factors. This study aimed to develop and validate the Patient-Centered Communication Competency Scale (PCCS) in dental hygienists for dental health service. Methods: Initial items were generated through a literature review, expert content validity assessment, and a preliminary survey. An online survey was conducted with 400 dental hygienists working in dental clinics and hospitals. Construct validity was examined using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), while reliability was assessed with Cronbach’s alpha. Results: The preliminary 38-item scale was refined through five rounds of EFA, resulting in an 11-item scale with three subscales: Assertiveness, Empathy, and Respect. CFA results indicated good model fit (χ²/df = 1.749, RMR = 0.027, RMSEA = 0.061, GFI = 0.941, NFI = 0.911, IFI = 0.960, CFI = 0.959, TLI = 0.949), demonstrating strong convergent and discriminant validity. The PCCS also demonstrated high internal consistency (Cronbach’s alpha = 0.862) and criterion validity, confirmed by its positive correlation with self-efficacy and job satisfaction. Conclusions: The proposed PCCS is a valid and reliable tool for assessing and improving dental hygienists’ communication skills, with potential applications in training programs and communication competency research in dental settings. Full article

As an emerging model, self-service fitness centers are reshaping the consumer fitness experience globally. Recognizing the pivotal role of customer loyalty in the sustainable operation and management of fitness service enterprises, this study aims to uncover the factors and mechanisms affecting loyalty in these centers. Specifically, it addresses how service quality, convenience, and customer satisfaction influence Word-of-Mouth intentions and repatronage intentions while examining the differences in these relationships under service methods with staff and without staff. Employing PLS-SEM, an empirical analysis of 552 customer questionnaires from four self-service fitness centers in China’s top-tier cities was conducted. The results underscore positive correlations among the constructs in the structural model, emphasizing the significance of enhancing service quality and reducing customer efforts in loyalty management. Notably, service convenience emerged as a crucial driver of service quality. This convenience, mediated by service quality and satisfaction, significantly promotes Word-of-Mouth intentions and repatronage intentions. Additionally, marked differences were observed in these relationships based on the presence or absence of staff. This study investigates customer loyalty in self-service fitness centers for the first time, analyzing the differences in these relationships based on service methods with or without staff offering targeted strategies for fitness centers leveraging self-service technologies. Full article

Marketing researchers agree that use innovativeness leads to variety-seeking behavior in service usage in service contexts. As fitness consumers are high-frequency users, user behavior can be enriched by exploring the moderating effect of self-efficacy. This study explores the moderating effect of self-efficacy on the relationship between fitness use innovativeness and usage patterns (usage variety and usage frequency), and investigates their mediation effects on satisfaction and revisit intention. A sample of 234 participants from one of the largest public fitness centers was employed to test the conceptual framework. The findings show that fitness use innovativeness has a positive relationship with usage variety but has no effect on usage frequency. However, self-efficacy demonstrated its moderation effects on the relationships between fitness use innovativeness and usage variety and usage frequency. The evidence of the moderation effect of self-efficacy conforms to the theory of the use-diffusion model. We finally developed a matrix of fitness innovators to illustrate related managerial implications for each segment. Full article

Introduction. Intrinsic motivation is essential for establishing life-long positive behaviors. In Physical Education (PE), this variable may have a significant impact on students’ choice of adhering to an active lifestyle both in the short and long term. Many tools have been developed for the assessment of intrinsic motivation, among which the Intrinsic Motivation Inventory (IMI) was built based on the Self-Determination Theory. The aim of this study is to examine a version of the IMI adapted to PE (IMI-PE). Methods. A total of 660 customers of a Sports Service Center responded to the IMI-PE and 39 individuals carried out a test–retest of the tool within two weeks. Results. The initial model including the original pool of items showed low indexes of goodness of fit. However, the removal of item 6, 8, 13, and 14 led to excellent parameters for the four-factor model (CFI = 0.96, and SRMR = 0.0420). Internal consistency and reliability analyses confirmed the robustness of such model. The final IMI-PE, comprising 14 items distributed into four factors, represents a robust assessment tool for the analysis of intrinsic motivation in PE. Full article

(1) Background: Healthcare workplace violence has been a focused issue in the whole world. The rate of the occurrence is pretty high in every country. The emergency room is a high risk and high frequency place for violence to occur. Under the medical service demands from people, it is quite easy to bring about conflicts. This leads to serious physical and mental harm to nurses. When suffering from physical and mental injuries, resilience is a protective factor away from negative influence. It is rare to explore and study how the nurses’ resilience ability, workplace violence and turnover intention are related. Thus, the aim of this study is to understand resilience as a mediator effect in emergency nurses toward the workplace violence. (2) Methods: A cross-sectional survey study was used to collect information from emergency room nurses of a medical center in northern Taiwan. There were 132 samples in total. Three research instruments were included as follows: Hospital Workplace Violence Prevention Questionnaire, Connor-Davidson Resilience Scale, and Turnover Intention Scale. Statistical analysis using t-test, ANOVA, Correlation, as well as Sobel test were used in this study. (3) Results: The results revealed that the average age was 29.5 ± 5.6. Almost 58% of nurses experienced workplace violence. Twelve percent of nurse had experienced physical violence and 53.8% had experienced mental violence. There was significant relationship between shift personnel and religious believers. To the people who suffered physical violence, there was a significant relationship between emergency room working years and the total working years. There was significant difference between those who had suffered mental violence and religious believers. Female nurses suffered mental violence to a much higher extent than male nurses. There was a significant relationship between nurses’ working years, the total working years, resilience, and turnover intention. Resilience was not the mediator for workplace violence toward turnover intention in this study. (4) Conclusions: The outcome of this study suggested that on an individual level, nurses can enhance self-protection and communication skills to decrease workplace violence. For emergency environment settings, designing a good working environment, visitors’ restriction, avoiding working alone, and enhancing supervising alarm system are recommended. As for hospital administrators, fitness for work and to set up a project team is necessary. These can be references in planning prevention on workplace violence and promoting quality of workplace and patient safety in the future. Full article

Studies comparing provider and patient views and experiences of self-management within primary healthcare are particularly scarce in disadvantaged settings. In this qualitative study, patient and provider perceptions of self-management were investigated in five socio-economically disadvantaged communities in Stockholm. Twelve individual interviews and four group interviews were conducted. Semi-structured interview guides included questions on perceptions of diabetes diagnosis, diabetes care services available at primary health care centers, patient and provider interactions, and self-management support. Data was analyzed using thematic analysis. Two overarching themes were identified: adopting and maintaining new routines through practical and appropriate lifestyle choices (patients), and balancing expectations and pre-conceptions of self-management (providers). The themes were characterized by inherent dilemmas representing confusions and conflicts that patients and providers experienced in their daily life or practice. Patients found it difficult to tailor information and lifestyle advice to fit their daily life. Healthcare providers recognized that patients needed support to change behavior, but saw themselves as inadequately equipped to deal with the different cultural and social aspects of self-management. This study highlights patient and provider dilemmas that influence the interaction and collaboration between patients and providers and hinder uptake of self-management advice. Full article

The purpose of this study is to evaluate the perception of healthcare professionals in improving the quality of services in healthcare centers by deploying the platform of Enterprise Resource Planning (ERP). Individual attributes, organizational impression, information, and the system quality of ERP have been used to evaluate the overall influence of integrated planning systems on health care service quality. A mixed methods approach is used to collect and examine data through triangulation. Data for the empirical study was collected from 279 medical professionals of five healthcare organizations operating in the city of Lahore, Pakistan, through a self-administered questionnaire. Descriptive statistics squared multiple correlations and reliability coefficients were used as data analysis tools. Moreover, the goodness of fit test of the structural model was conducted through AMOS 20. All given dimensions of ERP are postulated to have a positive effect on healthcare service quality. The results reveal that the use of an enterprise planning system has a positive impact on individuals, organizational information quality, and system quality in healthcare services. The study further concludes that a well implemented ‘Enterprise Resource Planning System’ results in better system output and enables healthcare professionals to provide better healthcare service quality. Full article