scholarly journals The Mediating Role of the Patient Health Engagement Model on the Relationship Between Patient Perceived Autonomy Supportive Healthcare Climate and Health Literacy Skills

Author(s):  
Serena Barello ◽  
Lorenzo Palamenghi ◽  
Guendalina Graffigna

Individuals with low health literacy (HL) are known to have poorer health outcomes and to have higher mortality rates compared to individuals with higher HL; hence, the improvement of HL is a key outcome in modern healthcare systems. Healthcare providers are therefore asked to support patients in becoming more and more engaged in their healthcare, thus augmenting their literacy skills. Our main hypothesis is that the well-known relationship between patients’ perceived autonomy supportive healthcare climate and HL skills is mediated by the Patient Health Engagement Model (PHE-model) which describes the patients’ progressive maturation of a psychological readiness to become active players in their healthcare. The purpose of this study was to formulate a hypothetical structural equation model (SEM) linking an autonomy-supportive healthcare climate to PHE-model and HL. A cross-sectional survey design was employed involving 1007 Italian chronic patients. The hypothetical model was tested using SEM to verify the hypothesized mediation of the PHE-model between autonomy-supportive healthcare climate and HL. Results show that the theoretical model has a good fit indexes and that PHE-model fully mediates the relationship between autonomy-supportive healthcare climate and HL. This finding suggests healthcare systems to implement a new paradigm where patients are supported to play an autonomous role in their own healthcare.

Author(s):  
Serena Barello ◽  
Lorenzo Palamenghi ◽  
Guendalina Graffigna

Individuals with low health literacy (HL) are known to have poorer health outcomes and to have higher mortality rates compared to individuals with higher HL: hence, the improvement of HL is a key outcome in modern healthcare systems. Healthcare providers are therefore asked to support patients’ literacy skills by encouraging the implementation of autonomy-supportive patient centered communication (PCC), which in turn requires the enhancement of patient engagement. Our main hypothesis is that the well-known relationship between autonomy-supportive PCC and HL is mediated by patient engagement which is known to play a role in HL promotion and that is related to PCC as well. The purpose of this study was to formulate a hypothetical structural equation model (SEM) linking PCC to patient engagement and HL. A cross-sectional survey design was employed involving 1007 Italian chronic patients. The hypothetical model was tested using SEM to verify the hypothesized mediation of patient engagement between PCC and HL. Results show that the theoretical model has a good fit indexes and that patient engagement fully mediates the relationship between PCC and HL. This finding suggests healthcare systems to implement a new paradigm where patients are supported to play an autonomous role in their own healthcare.


2021 ◽  
Vol 12 (1) ◽  
pp. 85-101
Author(s):  
Seda Gündüzalp

Abstract The current digital environment offers a unique access opportunity to information, tools, and sources for teachers to educate and teach using digital. It is vital for teachers, who have important roles to raise future generations, to have information literacy and digital literacy skills. It is essential that teachers who educate individuals raised with a technology called the Z generation to have both, information literacy and digital literacy skills. Within this context, the present study aims to define the relationship between information literacy skills and digital literacy skills of teachers in the age of digitalization, in which the transformation has been experienced in the education sector. A cross-sectional survey was used within this study, which was prepared according to the quantitative research paradigm. The research includes random and disproportionate cluster sampling methods and focuses on teachers who worked in a preschool, or in primary, secondary and high schools in the Eastern and Southeast Anatolia Regions in the 2018–2019 academic year. Structural equation modeling was used to determine to what extent teachers’ information literacy skills predict their digital literacy skills. The relationship between the teachers’ information literacy and digital literacy skills was calculated using Pearson product-moment correlation coefficient, and the frequency, percentage, arithmetic mean, and standard deviation values of the data collected from teachers through scales were calculated. As a result of the analysis, one of the results is that the teachers’ information literacy skills affect their digital literacy skills positively.


2015 ◽  
Vol 4 (1) ◽  
pp. 63-86 ◽  
Author(s):  
Dale Hample ◽  
Adam S. Richards

Serial argument theory explains recurring conflict within personal relationships. The theory specifies that an arguer’s goals influence his/her tactics, leading to argument outcomes which include effects on the relationship. We extend this model in two ways. First we suggest that attachment styles predict serial argument goals. Second, we hypothesize that taking conflict personally (TCP) is an outcome of such arguments. University students (N = 682) completed a cross-sectional survey about their attachment styles and felt personalization regarding a serial argument they experienced. A structural equation model tested relationships between attachment styles, goals, tactics, outcomes, and TCP. Results indicated that attachment styles predict goals of serial arguing and serial argument outcomes predict TCP. The study shows that attachment styles have modest but statistically significant effects on goals of serial arguing in close relationships and that the tactics used in serial arguing predict the degree to which people take recurring conflict personally.


2020 ◽  
Vol 34 (3) ◽  
pp. 201-216 ◽  
Author(s):  
Thilo Kunkel ◽  
Rui Biscaia ◽  
Akiko Arai ◽  
Kwame Agyemang

This research explored the role of athlete on- and off-field brand image on consumer commitment toward the athlete and associated team, preference by the athlete’s sponsor, and the mediating effect of consumers’ self-brand connection on these relationships. Data were collected from fans of soccer players through a cross-sectional survey promoted on social media platforms. A partial least squares structural equation model examined the direct effects of both athlete brand dimensions on athlete commitment, team commitment, and athlete sponsor preference, and the indirect effects mediated via self-brand connection. The results indicate that an athlete’s on-field image is significantly related to athlete sponsor preference, while the off-field image influences athlete commitment and team commitment. Self-brand connection is influenced by athlete off-field image and mediates the relationship between off-field image and athlete commitment. This study contributes to a better understanding of how to manage athlete brands and linkages between fans, athletes, and associated entities.


2021 ◽  
pp. 073346482110283
Author(s):  
Padmore Adusei Amoah ◽  
Adwoa Owusuaa Koduah ◽  
Razak M. Gyasi ◽  
Kingsley Atta Nyamekye ◽  
David R. Phillips

We examined the moderating role of social capital (SC) in the association of socioeconomic status (SES) and health literacy (HL) with oral health (OH) status and the intentions to use OH services (IUOHS) among older Ghanaians. Data were derived from a cross-sectional survey ( n = 522) and analyzed using ordinal and binary logistic regressions. Bridging SC moderated the relationship between HL and oral health status ( B = 0. 0.117, p < .05) and the association of SES with IUOHS (adjusted odds ratio [AOR] = 1.144; 95% confidence interval [CI] = [1.027, 3.599]). Trust modified the association between HL and IUOHS (AOR = 1.051; 95% CI = [1.014, 3.789]). Bonding SC moderated the association between SES and oral health status (B = 0.180, p < .05). However, bonding SC negatively modified the association between SES and IUOHS (AOR = 0.961; 95% CI = [0.727, 0.997]). Cognitive and structural SC modify the associations of SES and HL with OH and IUOHS.


Organizational commitment among employees is important to determine organizational effectiveness as employees with higher organizational commitment have higher motivation to stay with their organization. In recent years, previous studies have shown that the teachers’ organizational commitment are low and moderate. Therefore, this study focuses on the effect of work passion toward organizational commitment with work intention as the mediator. The objectives of this study was to determine the effect of work passion on work intention and organizational commitment among teachers and to determine the role of work intention as a mediator in the effect of work passion on organizational commitment among teachers. This study employed a cross-sectional survey involving 355 school teachers in Malaysia through multi-stage cluster sampling technique. Data were analyzed using descriptive analysis, while confirmatory factor analysis (CFA) and structural equation modeling (SEM) were used to determine the fitness of the model with the data. Findings showed that organizational commitment and work passion among school teachers were moderate, while work intention was at a higher level. SEM analysis showed that the model has a good fit with CMIN/df= 3.22, GFI = 0.95, CFI=0.97, TLI=0.95, RMSEA=0.08. In addition, job factors have a significant direct effect on work intention and organizational commitment. Results also showed that work intention mediated the relationship between work passion and organizational commitment. The results of this imply the importance of work passion and work intention in enhancing organizational commitment among teachers in Malaysia.


2021 ◽  
Author(s):  
Naoko Tsukamoto ◽  
Aya Watanabe ◽  
Yukiko Katagiri ◽  
Mikiko Kudo ◽  
Yuka Funaki ◽  
...  

Abstract Background: The purpose of this study is to elucidate the relationship between fundamental daily living habits and health literacy exhibited by self-care behaviour in sixth-grade students in Japanese elementary schools by verifying the association of actual status of fundamental daily living habits with awareness of behavioural and health contingencies and healthy behavioural choices.Methods: In this study, a cross-sectional survey was undertaken with 287 sixth-grade students in Japanese elementary school. The questionnaire consisted of three elements of status of basic lifestyle habits, behavioural and health contingencies, and healthy behavioural choices.Results: These results indicate that while fundamental daily living habits are formed by including behavioural and health contingencies, the association of awareness of contingencies and behavioural choices with their actual status is not clear. It is found that during childhood, there is a risk of interruption in the awareness about the acquired behaviours and health contingencies, and it is evident that sustaining such awareness is necessary.Conclusions: This study makes a significant contribution to the literature because there are very few studies on children’s fundamental daily living habits from a health literacy viewpoint and it is not clear whether the fundamental daily living habits are associated with self-care ability as health literacy.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Kirubel Biruk Shiferaw ◽  
Binyam Chakilu Tilahun ◽  
Berhanu Fikadie Endehabtu ◽  
Monika Knudsen Gullslett ◽  
Shegaw Anagaw Mengiste

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Muhammad Saeed Shahbaz ◽  
Mudaser Javaid ◽  
Syed Hasnain Alam Kazmi ◽  
Qamar Abbas

Purpose Branding plays a vital role in the success of every organization and even industry. In Islamic countries, every organization must consider Sharia rules while strategy making. Nowadays, the supply chain is considered a major tool of branding and marketing. After an extensive literature review, it has been found that the studies that test the marketing advantages (MAs) and sustainable competitiveness through branding are scarce. The purpose of this study is to empirically examine the relationship between branding and MAs and mediating the role of sustainable competitiveness. Design/methodology/approach This is a quantitative study. An instrument was adopted, and data were collected. The researchers tested the hypotheses from the survey data from 179 electronic organizations. The data ware analyzed through structural equation modeling to examine the proposed hypothesis of this study. Findings The findings indicate that the relationship among dimensions of branding attitude and MAs were supported (expect reliability). Additionally, this study also revealed that a sustainable competitive variable plays a substantial role as a mediating variable in those relationships. Research limitations/implications This study is a cross-sectional survey. Consequently, the limited sample size from the electric industry may affect the power of generalizability. The next study may be demonstrated for other industries to respect the nature of the branding and MAs among the managerial staff of other industries. Practical implications This study will help managers to understand how to use the supply chain as branding for their MAs through sustainable competitiveness. Originality/value This study adds practical value to the literature on sustainable competitive, branding and MA and supply chain. The study shows that sustainable competitiveness has varying mediating effects on industry value.


2018 ◽  
Vol 7 (3) ◽  
pp. 261-279 ◽  
Author(s):  
Eli Lejonberg ◽  
Eyvind Elstad ◽  
Lise Vikan Sandvik ◽  
Trond Solhaug ◽  
Knut-Andreas Christophersen

Purpose The purpose of this paper is to discuss how different styles of mentoring in teacher education relate to mentor characteristics. Pre-service teachers often want practical advice. However, in Norway, school mentors have traditionally been encouraged to promote reflection rather than offering advice. This study seeks to explore the relationship between mentors’ support for reflection based and clear mentoring (a relatively direct approach to mentoring) and mentors’ self-efficacy and effort. Design/methodology/approach Using structural equation modelling of cross-sectional survey data (from 272 school mentors), the researchers in this study tested empirical interrelations between reflection-based mentoring, clear mentoring, mentor efficacy and effort. Clear mentoring was a reasonably consistent construct, while refection-based mentoring was a more elusive concept. Findings Effort was associated with support for reflection, while self-efficacy was moderately related to clear mentoring and reflection-based mentoring. The results illustrate that reflection-based methods are demanding for mentors. If direct approaches are more effective, additional evidence would be required to support mentor training that heavily emphasises reflection. Research limitations/implications Longitudinal and quasi-experimental studies are needed to support inferences about causality. Variable omission may have influenced the models. More research is needed to better understand the concept of reflection-based mentoring. Originality/value This paper contributes to the mentoring field by examining mentors’ preference for reflection based and clear mentoring and how such preferences are related to self-efficacy and effort. It also contributes to general and theoretical discussions about the relationships between beliefs about mentoring and mentor characteristics.


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