What Role Does Activity Engagement Play in the Association between Cognitive Frailty and Falls among Older Adults? Evidence from Rural Shandong, China

Gerontology ◽  
2020 ◽  
Vol 66 (6) ◽  
pp. 593-602
Author(s):  
Dan Zhao ◽  
Jie Li ◽  
Peipei Fu ◽  
Wenting Hao ◽  
Yemin Yuan ◽  
...  
Keyword(s):  
Older Adults ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Cognitive Frailty ◽  
Activity Engagement ◽  
Mediating Role ◽  
Falls In Older Adults ◽  
The Relationship ◽  
Rural Older Adults

<b><i>Introduction:</i></b> Previous studies have demonstrated the relationship between cognitive frailty and falls among older adults. Activity engagement (AE) is known to be related to falls in older adults but the subject has been limited to empirical study. This study aimed to explore the mediating role of AE between cognitive frailty and falls among older adults in rural Shandong, China. <b><i>Methods:</i></b> A total of 3,242 rural seniors (age ≥60 years; 63.6% women) were included in this cross-sectional study. Regression and bootstrap analyses were performed to explore the mediating role of AE between cognitive frailty and falls. <b><i>Results:</i></b> The prevalence of falls was 13.1% and the prevalence of cognitive frailty was 6.6% among the participants. AE mediated the association between cognitive frailty and falls (95% CI 0.077–0.223). However, the direct effect was no longer significant after being adjusted for AE (95% CI –0.037 to 0.684; <i>p</i> = 0.078). <b><i>Conclusion:</i></b> Cognitive frailty was found to be associated with falls among rural older adults, and AE mediated this association. More attention should be paid to promote AE among Chinese rural older adults with cognitive frailty.

scholarly journals Burnout and posttraumatic stress symptoms in police officers exposed to traumatic events: the mediating role of ruminations

2021 ◽  
Author(s):  
Nina Ogińska-Bulik ◽  
Zygfryd Juczyński
Keyword(s):  
Police Officers ◽  
Traumatic Events ◽  
Cross Sectional Study ◽  
Significant Prognostic Factor ◽  
Ptsd Symptoms ◽  
Cross Sectional ◽  
Mediating Role ◽  
Stress Symptoms ◽  
The Relationship

Abstract Purpose Police work carries the risk of burnout in the form of exhaustion and disengagement from work. Police officers are also exposed to traumatic events and the development of PTSD. The main aim of the cross-sectional study was to determine the mediating role played by rumination in the relationship between burnout and PTSD among police officers. It also examines whether burnout is a significant prognostic factor for PTSD symptoms. Methods Data were obtained from a sample of 120 police officers. Of these one hundred, mostly men (83%), aged 23–47 years (M = 33.06, SD = 5.61), confirmed the experience of traumatic events in connection with their professional work. Three standard measuring tools were used: The Posttraumatic Checklist for DSM-5, The Oldenburg Burnout Inventory OBI, and The Event-Related Rumination Inventory. Results The introduction of intrusive ruminating as an intermediary variable made the relationship between job burnout and PTSD non-significant, which indicates full mediation. The introduction of deliberate rumination as a mediator weakens the relationship between burnout and PTSD, which indicates partial mediation. It indicates that police officers who are burnout and who additionally tend to ruminate about experienced traumatic events are more likely to PTSD than police officers who are only burned out. Conclusion Intervention programs for police officers should focus on strengthening stress management resources in the form of developing deliberate ruminations, thus allowing the experienced situations to be given a new meaning and to allow better coping.

Price satisfaction and producer loyalty: the role of mediators in business to business relationships in Kenyan mango supply chain

2016 ◽  
Vol 118 (5) ◽  
Author(s):  
Sarah Mutonyi ◽  
Karin Beukel ◽  
Amos Gyau ◽  
Carsten Nico Hjortsø
Keyword(s):  
Study Design ◽  
Design Methodology ◽  
Cross Sectional Study ◽  
Relative Price ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mediating Role ◽  
The Relationship ◽  
Business To Business

Purpose The purpose of this paper is to investigate which dimensions of price satisfaction influence producers’ trust in buyers and assess the mediating role of such trust in the relationship between price satisfaction and producer loyalty in fresh fruit supply chains. Design/methodology/approach A cross-sectional study design using both semi-structured interviews and structured questionnaires was used. The study was conducted in the eastern part of Kenya and included 600 smallholders. Data was analysed using structural equation modelling. Findings The results show that price fairness, price reliability, and relative price are dimensions of price satisfaction that affect producers’ trust in the buyer. Moreover, trust between the producer and the buyer is found to be a strong mediator between price satisfaction and producer loyalty. The findings support recent studies about trust and its mediating role. Research limitations/implications The paper is based on a cross-sectional study design, limiting the causal inferences which can be drawn. Producers’ preferences change with time and future studies should be based on longitudinal designs. Originality/value This paper shows the relationship between the multidimensional nature of price satisfaction and producer loyalty with trust as a mediating variable in the business-to-business (B2B) context. Although B2B relationships have been shown to be of great importance for smallholders in enhancing business performance with their buyers, little attention has been given to the role of trust as a mediator. This study offers interesting insights into the how trust plays a mediating role between price satisfaction and loyalty in a developing country context.

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