Developing a model for online support group use, empowering processes and psychosocial outcomes for individuals living with HIV/AIDS

This study examined the mechanism through which online support group (OSG) participation may promote patient empowerment among 340 individuals living with HIV/AIDS. Results from structural equation modelling revealed that greater use of OSGs was associated with more frequent occurrence of the empowering processes as measured by receiving useful information, receiving social support, finding positive meaning and helping others. Receiving useful information and finding positive meaning were related to higher levels of adaptive coping and lower levels of maladaptive coping, while receiving social support and helping others were related to higher levels of self-care self-efficacy, which in turn was related to higher levels of adaptive coping, and lower levels of maladaptive coping. Finally, higher levels of maladaptive coping were related to poorer quality of life, while higher levels of adaptive coping were related to better quality of life. Results suggest that OSG participation may offer some benefits for those living with HIV/AIDS.     

临床路径模式对甲状腺切除术住院费用及住院日影响的比较分析

本文通过采用定量研究的方法,探讨临床路径模式对甲状腺切除术住院费用及住院日的影响并进行对比分析.研究显示我们在优化路径时应考虑将年龄和合并症等不可控因素转化为可控因素的有力措施,并加强药品监督管理,有效地利用卫生资源,以进一步完善现行路径.     

慢性硬膜下血肿患者临床路径实施效果分析

临床路径是确保医疗质量、控制医疗成本和优化医疗服务流程的管理工具.本文通过对实施临床路径前后的各项管理指标进行对比分析,探讨临床路径在慢性硬膜下血肿患者中的应用成效.研究表明通过实施临床路径,缩短了住院时间,降低了住院费用,提高了患者满意度,提高了医疗资源的有效利用率,降低了医疗资源消耗,有利于促进医院质量管理持续改进.     

Validating the coping scale for Chinese athletes using multidimensional Rasch analysis

Objective

The Coping Scale for Chinese Athletes (CSCA) was developed and validated using classic testing theory in 2004 (Chung, Si, Lee, & Liu, 2004). This study aimed to validate CSCA using multidimensional Rasch analysis with the ConQuest software programme.

Method

The sample in this study comprised 367 athletes from mainland China. A Multidimensional Rating Scale model was applied to investigate the validity of the four-dimension scale. Standard fit statistics (Infit and Outfit MNSQ) and Differential item functioning (DIF) were computed to examine the model-data fit. Test reliability and category functioning were also checked.

Results

The item difficulty and the athletes’ trait level of coping were calibrated along the same latent trait scale. Three items were removed from the scale due to misfit with the Rasch model. No DIF across gender was found for the remaining 21 items. Test reliabilities for the four subscales ranged from 0.66 to 0.76. The results also indicated that the original 5-category rating scale structure did not function well.

Conclusion

The multidimensional Rasch analysis supported that the 21-item CSCA measures four latent traits of coping of Chinese athletes as expected. The results also demonstrated advantages of multidimensional Rasch analysis over unidimensional Rasch analysis as well as traditional approach in examining the quality of multidimensional scale in sport settings.     

Non-target language processing in Chinese-English bilinguals: a study of event-related potential

The event-related brain potential (ERP) technique was used to investigate the neural mechanism of non-target language processing in Chinese-English bilinguals. Participants were presented with a mixed list of Chinese and English words and required to make conceptual decisions for words in one language and ignore words in the other non-target language. Regardless of whether the nontarget word was in Chinese or English, the ERPs they elicited were modulated by word frequency, suggesting that their meaning had been accessed. The N400 peak was delayed in the English as the non-target language condition, probably because participants were less proficient in English. The results suggest that the non-target language can be processed during conceptual tasks with participants' proficiency in this language being a critical factor.     

How Buddhist beliefs relate to blood donation intention: The role of moral attentiveness and self-monitoring

Buddhism is prevalent in Asia and has been growing in Western countries. Its perspectives have subtle influences on people’s ways of thinking and behaving. This study focuses on the association between Buddhist beliefs and blood donation intention. We draw on a social-cognitive perspective to delineate how this link is mediated by moral attentiveness and moderated by self-monitoring. Data were collected via online surveys, and 508 respondents were included in the final sample. We used Hayes’ PROCESS macro and simple slope analysis to assess all relationships in our moderated mediation model. Results indicated that Buddhist beliefs were positively related to blood donation intention, and moral attentiveness mediated this relationship. Moreover, self-monitoring was found to moderate the direct relationship between Buddhist beliefs and moral attentiveness, as well as the indirect relationship between Buddhist beliefs and blood donation intention through moral attentiveness. The associations were strengthened with increased self-monitoring. This research provides a nuanced explanation of the manner in which Buddhist beliefs are associated with blood donation intention. Blood donation recruitment campaigns can incorporate instrumental elements of Buddhist teachings, such as the pursuit of moral perfection, the cultivation of the virtues of unselfishness, benevolence and understanding, and the laws of Karma. Meanwhile, mindfulness as a core practice in Buddhism can be utilized to improve moral attentiveness and self-monitoring, thereby promoting blood donation intention.     

试论清代易学转型中的图学批判与汉学复萌

清初图学批判运动与乾嘉汉学复萌之间相隔数十年,两者在批判宋代以先天、河洛为代表的图书易学上秉持一致态度,但在对治《易》正途的理解上,前者认为当效法王弼、程颐之易学,以义理研习为务;而后者则高扬“汉学”大旗,力主恢复两汉象数易学的传统。因此,图学批判运动实与“汉学”无涉,清代易学中之“汉学”范畴理当适度缩减,将其起点延后至惠栋。“汉宋之争”说和“两派六宗”说分别将两汉象数易与宋代图书易、义理易与象数易相对立,然而两说均无法在二分法中合理安置象数易学、义理易学与图书易学的位次及关系。以象数、义理、图书三分,可以成为对历史上易学类型划分的修正方案。     

道德信息对面孔吸引力判断的无意识调节

抽象语言信息是否能够影响知觉?本研究在审美领域对此进行考察,探索无意识获取的道德信息是否影响个体对相应面孔吸引力的知觉判断。结果发现个体对面孔吸引力的知觉判断受到内隐道德信息的调节,且调节效应与面孔本身吸引力水平无关; 另外,面孔审美判断的反应时受到道德美丑和面孔吸引力的共同影响,尤其当两类信息相矛盾时被试需要更长的时间进行判断。研究结果表明抽象的社会道德信息可以对面孔吸引力的知觉判断产生自上而下的调节。     

Enhancing Social Entrepreneurial Intentions through Entrepreneurial Creativity: A Comparative Study Between Taiwan and Hong Kong

Attention toward social entrepreneurship has increased worldwide, particularly within younger generations. Based on the identified model of social entrepreneurial intentions, this study proposed a multiple mediation framework to examine the mediating role of entrepreneurial creativity for university students. It also compared the differences between Taiwanese (N = 311) and Hong Kong students (N = 311). Through a survey using both online and offline channels, the results of Study 1 confirmed the factor structures of the 3 scales, involving 5 antecedents of social entrepreneurial intention (i.e., empathy, moral obligation, self-efficacy, perceived social support, and prior experience with social problems), 2 factors of entrepreneurial creativity (i.e., originality and usefulness), and 2 factors of social entrepreneurial intention (i.e. conviction and preparation). The results of Study 2 supported the proposed multiple mediation model across regions. Prior experience with social problems, perceived social support, and originality were identified as the 3 most influential factors affecting the social entrepreneurial intentions of university students. The major differences between Taiwan and Hong Kong involved prior experience, empathy, self-efficacy, perceived social support, and usefulness.