Cultivating physician empathy: a person-centered study based in self-determination theory

While physician empathy is a vital ingredient in both physician wellness and quality of patient care, consensus on its origins, and how to cultivate it, is still lacking. The present study examines this issue in a new and innovative way, through the lens of self-determination theory. Using survey methodology, we collected data from N = 177 (44%) students at a Canadian medical school. We then used a person-centered approach (cluster analysis) to identify medical student profiles of self-determination (based on trait autonomy and perceived competence in learning) and how the learning environment impacted empathy for those in each profile. When the learning environment was more autonomy-supportive, students experienced higher satisfaction and lower frustration of their basic psychological needs in medical school, as well as greater empathy towards patients. The translation into increased empathy, however, was only evident among the students with higher self-determination at baseline. Results from this study suggest that autonomy-supportive learning environments will generally support medical students' psychological needs for optimal motivation and well-being, but whether or not they lead to empathy towards patients will depend on individual differences in self-determination. Findings and their implications are discussed in terms of developing theory-driven approaches to cultivating empathy in medical education.

Understanding the importance of weight management: a qualitative exploration of lived individual experiences

PURPOSE

To explore the lived experiences and motivations of individuals engaged in weight management, focusing on psychological, societal, health-related, and personal factors influencing their motivations.

METHODS

A descriptive exploratory approach, guided by the Self-Determination Theory (SDT), was followed and semi-structured interviews were conducted with ten adults actively involved in weight management. Thematic analysis identified key themes across four domains: (i) psychological motivation (extrinsic and intrinsic), (ii) societal influence (body image, social norms, media influence), (iii) health consciousness (priority of health, health concerns), and (iv) family support and past weight management experiences (learned habits, supportive environment).

RESULTS

The findings revealed a nuanced interplay of intrinsic and extrinsic motivations, societal expectations, health priorities, and the impact of family support on weight management. Aligning with SDT, the study emphasizes the role of autonomy, competence, and relatedness in shaping individual motivations for weight management.

CONCLUSIONS

The study provides valuable insights for tailoring interventions aimed at enhancing well-being by addressing the psychological, societal, health-conscious, and familial factors that influence motivations in weight management.

Promoting mental health in higher education: towards a model of well-being factors in emerging adulthood

PURPOSE

This study aims to contribute to the development of a theoretical model that is useful for enhancing well-being/positive mental health with pedagogical resources that enable the acquisition of skills and knowledge, particularly during Emerging Adulthood.

METHODS

This paper enquires into the role of well-being promotion in higher education following the dual-factor model of mental health difficulties and wellbeing. The study narratively reviews the main well-being models and presents a compared theoretical synthesis examining the dimensions that promote or facilitate the presence of well-being using a promotion approach.

RESULTS

The study identifies 14 dimensions involved in wellbeing-emotional, psychological and social factors-that can be potentially improved through learning processes. Drawing on empirical and theoretical studies on emerging adult population, a factorial model is proposed. Preliminary factor interactions are examined paying close attention to the cognitive processes that explain or affect their relationship with well-being, the possible correlations between them and particularities of emerging adults.

CONCLUSION

Wellbeing factors can be particularly targeted by educational promotion, as they can be developed through learning processes. An integrative model that provides a broad perspective can assist in pedagogical design and defining educational goals for these learning processes involved in wellbeing promotion.

The relationship between the environment and physical activity-related motivational trajectories

The study explores motivational profiles for physical activity, using self-determination theory's full continuum of motivational regulations, and examines their stability over three months. Furthermore, it investigates whether physical environment and community characteristics are associated with transitioning between profiles, as well as the sociodemographic differences in these motivational transition pathways. Data were collected from 305 U.S. residents at three time points. The three profiles-'low in motivation' (23.5 % of the sample in wave 1), 'self-determined motivation' (41.4 %), and 'ambivalent motivation' (35.0 %)-were relatively stable. Staying in the low-in-motivation profile was negatively associated with being active in social settings, community support, perceived environmental restorativeness, and availability of physical activity opportunities. Having a higher education and income, being male, employed, married or in a partnership, and identifying as White were associated with being in a motivationally positive profile in the last wave of the study. These profiles reported higher activity and life satisfaction.

The relationship between fear of missing out, digital technology use, and psychological well-being: A scoping review of conceptual and empirical issues

Given the rise of digital technology and its assumed impact on psychological well-being, this scoping review systematically examines the literature on Fear of Missing Out (FoMO), which is assumed to play a pivotal role in this dynamic. Although adverse effects of FoMO are commonly assumed, there is still no consensus on the nature of the phenomenon or its relations with psychological well-being and digital technology use, making a scoping review essential. To address this need, we comprehensively assess the conceptualizations of the construct of FoMO and its roles in relation to well-being and digital technology use. We conducted a literature search in PubMed, Ebsco/APA PsycINFO, and Web of Science (period 2013 to July 7, 2023), screening 4121 articles at the title and abstract level and assessing 342 full-text articles for eligibility, ultimately including 106 articles. The review revealed a fragmented FoMO literature, emphasizing the need for conceptual clarity to address critical gaps and inconsistencies in existing research. Consensus exists on FoMO's essence-an unpleasant feeling arising from missed social experiences driven by activity comparison. However, debates include FoMO's associated affective states and conceptual boundaries, as well as the need to disentangle FoMO as a trait or state. The review also underscored FoMO's multifaceted roles in well-being and digital technology use, highlighting the need for causal research, theoretical guidance, and unified terminology to advance understanding in the FoMO literature.

Causality orientations and spontaneous mental contrasting

Mental contrasting is a motivational behavior change strategy necessary for strong goal commitment. Meanwhile, general causality orientations are motivational patterns that represent individuals' motivation for behavior change and the reason for their goal commitment. The current study explored whether causality orientations predict spontaneous mental contrasting in Chinese university students. Study 1 investigated whether academic autonomy, control, and amotivated orientations correlate with spontaneous mental contrasting about an important academic goal. The findings of Study 1 reveal that autonomy orientation did not correlate with mental contrasting, whereas control and amotivated orientations were negatively correlated with mental contrasting. Study 2 investigated whether priming autonomy and control orientations, in addition to the neutral condition, would induce spontaneous mental contrasting about an academic goal related to the students' research topic. The results of Study 2 revealed that the autonomy condition orientation did not differ significantly from the controlled orientation condition. However, when compared to the neutral condition, the autonomy condition significantly predicted mental contrasting, whereas the controlled orientation condition did not show any significant difference. In Study 2, the autonomy-oriented participants generated more spontaneous mental contrast than the control orientation and neutral conditions. The findings show that controlled and amotivated orientations predicted negative mental contrasting. As a result, controlled and amotivated students must learn how to use mental contrasting to achieve high levels of goal commitment and achievement. Lastly, the study discussed its implications, limitations, and suggestions for future research.

Self-efficacy and autonomous motivation are associated with lower sugar-sweetened beverage consumption in low-income overweight and obese mothers of young children

Sugar-sweetened beverage (SSB) consumption is strongly associated with obesity. Autonomous motivation and self-efficacy, key concepts of self-determination theory, may influence SSB consumption. Low-income mothers of young children experience disproportionate rates of obesity. Whether autonomous motivation and self-efficacy are associated with SSB consumption in low-income mothers of young children is unknown. This exploratory secondary data analysis explored whether autonomous motivation or self-efficacy were associated with SBB consumption using data from a lifestyle intervention for low-income, overweight or obese mothers with young children. Participants (N = 311) completed surveys assessing autonomous motivation, self-efficacy, and SSB consumption at baseline, after the 16-week intervention, and at 3-month follow-up. Using baseline data, we performed linear regression models to explore associations of self-efficacy and autonomous motivation with SSB consumption. We also performed mixed effects models to explore whether autonomous motivation or self-efficacy were associated with SSB consumption over time. At baseline, a one-point increase in autonomous motivation and self-efficacy were associated with 4.36 (p < 0.001) and 6.43 (p = 0.025) fewer ounces of SSB consumption per day, respectively. In longitudinal models, SSB consumption decreased over time. Change in SSB consumption was associated with self-efficacy (B = -4.88; p = 0.015) and autonomous motivation (B = -2.29; p = 0.008). Our findings suggest self-efficacy and autonomous motivation may influence SSB consumption among mothers of young children with overweight and obesity. Further investigation should explore if self-efficacy and autonomous motivation have long-term effects on SSB consumption.

Someone just posted on Instagram: Conspicuous consumption, anticipated engagement, and trait mindfulness

The practice of "flexing," showing off one's wealth and status, gradually penetrates daily life on various social media platforms, most notably Instagram. We investigated the extent to which exposure to conspicuous consumption by a stranger stimulated the viewers' materialistic aspiration and whether this effect could be mediated by anticipated engagement and moderated by trait mindfulness. A large number of Instagram users in Indonesia (N = 2,296, 75.30% female; Mage = 31.14 years old, SDage = 7.09) completed the trait mindfulness scale, randomly received a single Instagram photo showcasing luxury material vs. experiential purchase, provided an estimate of the intensity of love and comment from other viewers (i.e., anticipated engagement), and filled out the materialistic aspiration scale. Participants exposed to material purchase reported higher aspiration than those exposed to experiential purchase, but lower anticipated engagements also reduced materialistic aspiration. Participants with higher trait mindfulness were better at distinguishing the effects of conspicuous consumption on anticipated engagement and materialistic aspiration. These findings indicate that the viewers' anticipation of collective attention could reverse the impact of exposure to conspicuous consumption and the potential of trait mindfulness as an anti-mimetic quality for situational materialism.

Longitudinal associations among basic psychological need satisfaction at school, self-esteem, and suicidal ideation from middle childhood to early adolescence: Disentangling between‑ and within‑person associations

INTRODUCTION

The current study aimed to examine the longitudinal associations among basic psychological need satisfaction at school (BPNSS), self-esteem, and suicidal ideation (SI), including whether self-esteem functioned as a mediator of the relations between BPNSS and SI at the within-person level after disentangling between- and within-person associations encompassing middle childhood to early adolescence.

METHODS

A total of 650 Chinese students (53.54% boys, Mage = 9.95, SD = 0.75 at Time 1) completed measures on four occasions across 1.5 years, using 6-month intervals. Random intercept cross-lagged panel models were applied to disaggregate between- and within-person effects, thus providing greater confidence in elucidating the causal relations among study variables.

RESULTS

The results showed that at the within-person level: (a) BPNSS negatively predicted SI; (b) BPNSS positively predicted self-esteem; (c) Self-esteem negatively predicted SI; and (d) BPNSS indirectly predicted SI via self-esteem.

CONCLUSION

These findings advanced the literature by demonstrating longitudinal associations among BPNSS, self-esteem, and SI at the within-person level, and highlighting the significance of distinguishing between- and within-person effects in developing prevention and intervention programs aimed at reducing SI over time from middle childhood to early adolescence.

Extrinsic goals benefit capitalism but not well-being. Rethinking the economy's goal for a healthier future

The dramatic rise in non-communicable diseases around the world but notably in high-income countries like the UK is a manifestation of a global economic system-capitalism-that prioritizes wealth over health. A decade ago, the former WHO Director-General, Margaret Chan highlighted how 'efforts to prevent non-communicable diseases go against the business interests of powerful economic operators' [United Nations. (2013) Take Action for the Sustainable Development Goals. https://www.un.org/sustainabledevelopment/sustainable-development-goals/ (last accessed 16 February 2024)]. While there is a growing literature on how politics and economics influence population health-for better or worse-less attention has been given to exploring how economic systems like capitalism influence people's psychological well-being. To fill this gap, the following article examines how the continued pursuit of economic growth under capitalism (neoliberal free-market forms especially) impacts well-being through challenging basic psychological needs for security, autonomy, competence and relatedness. In doing so, I hope to shed important light on the sources and possible solutions to our growing health and social problems, and stimulate a conversation on how to achieve a healthier future for us all.

Comparing observed and preferred instruction in robotic surgery

BACKGROUND

The unique setup of robotic surgery challenges the traditional instructional dynamic between surgical learners and teachers. Previous studies have posited difficulties such as reliance on observational learning and ease of takeover. However, we lack understanding of how these instructional challenges manifest and are perceived by learners. Improving instruction has the potential to optimize education and performance in robotic surgery.

METHODS

In this qualitative study, we conducted robotic case observations and learner interviews focusing on instruction in robotic surgery. We deductively generated codes in a theory-informed manner after review of the instructional literature in surgery, medicine, and other fields. We applied these codes in a rigorous directed content analysis of field notes and transcripts to identify themes.

RESULTS

Thirty-eight faculty, fellows, and residents participated in 10 robotic cases and 20 semistructured interviews. Observed practices on the basis of case observations differed substantially from preferred practices on the basis of interview data. Using 37 codes, we identified 4 main themes related to instruction in robotic surgery: contextualization, individualization, autonomy, and multimodality. We contrasted observed and preferred instruction in each of these areas to generate instructional considerations that may better align preferences and practices.

CONCLUSIONS

We observed several suboptimal instructional practices that contradicted preferred ways of learning. We suggested robotic-specific instructional considerations such as using multimodality to promote active learning and to reduce ambiguity. We also provided considerations applicable to all types of surgery, such as to include rationale to promote learning consolidation and to frame operative steps to allow trainees to plan their participation.

Navigating the school transition: Within- and between-person associations between adolescents' academic self-efficacy, school relatedness, and intrinsic academic motivation

Adolescents with higher levels of the basic psychological needs of competence, autonomy, and relatedness report better school functioning compared to their peers with lower levels of these needs. This study extended previous work by examining associations in within-person changes of these psychological needs in the school context, with a special focus on the secondary school transition period. We examined within-person relations between academic self-efficacy, intrinsic academic motivation, and school relatedness. Dutch adolescents (N = 290; Mage = 11.58 years, SD = 0.44 at T1) who were in their last year of primary school were followed for four waves across 2 years. Results from random-intercept cross-lagged panel models (RI-CLPMs) showed moderate to strong positive concurrent associations between academic self-efficacy, intrinsic academic motivation, and school relatedness at both the within- and between-person levels. Moreover, within-person increases in school relatedness predicted increases in intrinsic academic motivation 6 months later. Thus, it is vital that researchers, teachers, and educators are aware that social connections and belongingness are important after the school transition for increasing intrinsic academic motivation.

Strategic deception in call centers: impacts on well-being, cognition, and work motivation

The literature indicated that deceivers in face-to-face communication experience psychological strains derived from guilt or distress associated with violating conversational rules. We proposed that this also applies to telephone-mediated deception. Drawing insights from the theoretical and empirical literature, we surmised that strategic trickery utilized by outsourced call center agents would elicit adverse psychological reactions that have unfavorable impacts on their well-being, cognition, and work motivation. We used structural equation modeling to test our hypotheses using data from a sample of 554 outsourced Filipino call service agents who worked graveyard shifts to cater to mainly American customers. The results suggested that strategic deception increases the experience of cognitive dissonance while negatively impacting psychological well-being and intrinsic work motivation. The results also showed that dissonance negatively influences well-being and intrinsic motivation and partially mediates the deception-motivation relationship. Unlike previous findings, however, our multivariate analyses revealed that well-being and motivation were not correlated. Our original findings have theoretical and practical implications.

The mediation roles of self-regulation and problematic internet use: How maladaptive parenting during the COVID-19 pandemic influenced adolescents' academic procrastination in the postpandemic era

INTRODUCTION

In the transition to the postpandemic era, adolescents are working to shift their focus back to school. However, the prevalence of academic procrastination is reflective of that the aftereffects of the pandemic are persisting. Literature documents the increases in the negative parenting behaviors and internet use of adolescents during the pandemic. The excessive internet use has to do with adolescents' self-regulatory capabilities and self-regulation is profoundly shaped by parents' parenting practices. Given the connections among these factors, the present study seeks to understand how maladaptive parenting practices during the pandemic influenced adolescents' academic procrastination postpandemic through the mediation of self-regulation and problematic internet use.

METHOD

Using three waves of data from a total of 1062 Chinese adolescents (Mage = 14.9 years old, SD = 1.6, 13-18 years old; 45% female), we used structural equation modeling to examine the direct effect of maladaptive parenting on academic procrastination and its indirect effect via self-regulation and problematic internet use.

RESULTS

Maladaptive parenting during the pandemic did not directly predict adolescent academic procrastination post-pandemic. Yet, maladaptive parenting indirectly influenced academic procrastination both through self-regulation solely and self-regulation and problematic internet use sequentially.

CONCLUSION

The findings demonstrate that parents can contribute to adolescents' academic procrastination by influencing their self-regulation ability, which further impacts their internet use. Self-regulation serves as a robust mediator between parenting and adolescents' problematic behaviors related to internet use and learning. Implications for parents and intervention oriented toward adolescents are discussed.

The promises and challenges of AI-based chatbots in language education through the lens of learner emotions

The integration of AI-based chatbots in language education has garnered significant attention, yet the interplay between chatbots and positive psychology remains underexplored. Filling this gap through a critical analysis of existing theories, measurement scales, and empirical evidence, this paper evaluates the potential benefits and drawbacks of incorporating AI chatbots in language learning environments and how AI chatbots may positively or negatively impact emotional dimensions of language acquisition. The findings unravel that the primary advantages of the AI chatbots are personalized instruction with rapid feedback, a decrease in anxiety levels and a surge in motivation, greater learner independence and self-directed learning, and the fostering of metacognitive abilities. Conversely, the identified obstacles encompass restricted emotional awareness, a deficiency in genuine human interaction, ethical dilemmas and privacy issues, as well as the potential reinforcement of biases and stereotypes. By highlighting the importance of learner emotions in the language learning process, this conceptual analysis review underscores the need for a nuanced understanding of how AI chatbots can support or hinder emotional engagement and motivation. The paper discusses the impacting factors of AI-based chatbots in language education, and strategies for addressing challenges and optimizing chatbot-learner interactions, such as incorporating affective computing techniques and designing culturally-sensitive chatbots. Finally, the article outlines future research directions, emphasizing the need for validated emotion scales in chatbot assisted language learning contexts, longitudinal studies, mixed-methods research, comparative analyses, and investigations into the role of chatbots in fostering emotional intelligence and intercultural competence.

Modeling learning-oriented motivation in health students: a system dynamics approach

BACKGROUND

Evidence shows that motivational practices focused on utility, importance, and autonomy shape university students' motivational orientation toward learning. On the other hand, the relationship between these variables and motivational orientation toward learning is not linear and requires models that describe their behavior over time.

METHOD

In this study, mathematical modeling based on system dynamics methodology is used to simulate in health students the temporal dynamics of the motivational orientation toward learning based on the behavior of these variables in different scenarios.

RESULTS

The results indicate that a) Mastery is sensitive to changes in frequency when importance and autonomy practices are performed; b) the development of Mastery is critical in the first three semesters of academic life, but its loss is hardly recoverable even when practices are incorporated in subsequent semesters; c) Utility-focused motivational practices have no significant effect on the development of learning-oriented motivation.

CONCLUSION

These findings have significant practical implications for higher education. Understanding the critical role of Mastery in the early stages of academic life and the limited potential for recovery if lost can help raise awareness of the importance of early implementation of motivational practices focused on relevance and autonomy.

The role of transformational leadership in the associations between coach-athlete relationship and team resilience: A study on elite football players

This study explores the relationship between the quality of coach-athlete relationships, transformational leadership style, and team resilience in elite football players. The coach-athlete relationship is an essential factor affecting many performance-related properties of athletes, such as mental health, psychological needs, motivation, and resilience. The study examines how the quality of coach-athlete relationships explains the team resilience feature through transformational leadership. The research group includes 210 elite players from the Super League, First League, Second League, and Third Leagues of the Turkish Football Federation (TFF) in the 2020-2021 football season. The study used descriptive and relational models to explore the current state of the dependent and independent variables and examine their relationships. The findings revealed insights into the mediating role of the coach's transformational leadership qualities, highlighting how the quality of coach-athlete relationships impacts team resilience.

Developmental Trajectories of Intrinsic and Extrinsic Goals From Early to Late Adolescence and the Association with Internalizing and Externalizing Problems

Although numerous studies have explored the causes and consequences of intrinsic and extrinsic life goals, the developmental trend of life goals during adolescence has not been well understood. To address this research gap, this study explored the developmental changes of the pursuit of intrinsic and extrinsic goals during early, middle, and late adolescence, and examined the relation between life goals and internalizing/externalizing problems from a developmental perspective. A total of 4703 Chinese adolescents from primary (N = 1819, 47.8% girls, Mage T1 = 9.34, SDage T1 = 0.58), middle (N = 1525, 47.5% girls, Mage T1 = 12.47, SDage T1 = 0.59), and high school (N = 1646, 51.9% girls, Mage T1 = 15.45, SDage T1 = 0.65) participated in this two-year, three-wave longitudinal study. The results revealed that the pursuit of intrinsic goals increased among primary school students, but decreased among middle and high school students. Conversely, the pursuit of extrinsic goals exhibited a consistent increase among adolescents in primary, middle, and high school. Girls have higher initial levels of intrinsic goals than boys in primary school, and boys' intrinsic goals declined faster than girls' in middle school. Additionally, the initial level and developmental rate of intrinsic goals among three developmental stages were significantly associated with internalizing/externalizing problems, with lower initial level, slower growth rate, and faster decline rate being associated with more internalizing and externalizing problems. The significant association between the initial level and developmental rate of extrinsic goals and internalizing/externalizing problems were mainly observed among late adolescents, with higher initial level and growth rate being associated with more internalizing and externalizing problems. These findings delineate the differences in developmental trends between intrinsic and extrinsic goals, underscore the robust relation between intrinsic goals and internalizing/externalizing problems, and figure out the development-stage differences in the relation between extrinsic goals and internalizing/externalizing problems.

Evaluating the Let's Move It intervention programme theory for adolescents' physical activity: Theorized psychosocial mechanisms of behavioural changes

OBJECTIVES

Behaviour change theories have extensively been used in health behaviour change interventions and their programme theories. However, they are rarely evaluated in randomized field studies. The Let's Move It intervention targeted various psychosocial constructs to increase adolescents' physical activity. A theory-based process evaluation aiming to illuminate the trial findings as well as to test the programme theory used is conducted. Specifically, we investigate whether the intervention influenced the theorized determinants of change immediately post-intervention and after 1 year, and whether these determinants were associated with changes in physical activity.

DESIGN

A cluster-randomized controlled trial (n = 1166).

METHODS

We measured theorized determinants with self-report, and physical activity (PA) with accelerometry and self-report. The effects are evaluated with repeated measures ANOVA and regression models.

RESULTS

No changes were detected in most theorized determinants but intervention arm reported higher enactment of behaviour change techniques used during intervention immediately post-intervention and lower descriptive norms for PA throughout. Autonomous motivation was associated with PA immediately post-intervention.

CONCLUSIONS

The lack of intervention effects may be due to many factors, for example insensitive measures, ceiling effects. However, reporting these null effects advances understanding of behaviour change processes. We introduce methodologic possibilities for future intervention programme theory evaluation efforts.

Green investment and dividend payouts: An intercontinental perspective

In this research paper, we conduct an examination of the impact of green investments on dividend policies within both polluting and environmentally friendly firms. Utilizing two distinct model assumptions, we analyze a global sample of firms from 21 countries spanning the period from 2013 to 2022 to derive our primary empirical findings and perform robustness tests. Our analysis incorporates two estimation techniques: Ordinary Least Squares (OLS) and System-GMM (Generalized Method of Moments). Our findings reveal that green investment policies have a positive influence on environmentally friendly companies while exerting a detrimental effect on the dividend distributions of polluting companies. This influence is statistically and economically significant. Furthermore, our results remain consistent when employing alternative tests based on agency costs, other stakeholders and before and during Covid-19. On the other hand, when we used system-GMM method, our results also showed that green investment policies have a positive influence on environmentally friendly companies while exerting a detrimental effect on the dividend distributions of polluting companies.

Effects of Social Exclusion on Self-Evaluation: Domain Discrepancy Based on the Big Two Model

Prior studies have demonstrated the detrimental effects of social exclusion on an individual's self-perception. Nonetheless, existing literature has predominantly focused on its impact on global self-esteem, often neglecting the nuanced effects of various reasons for social exclusion on distinct dimensions of self-evaluation, such as agency and communion. Based on the Big Two model perspective, the present research aims to examine the differential impacts of social exclusion on the distinct dimensions of self-evaluation, namely agency and communion, considering the reasons for social exclusion. It is hypothesized that social exclusion affects different facets of self-evaluation-agency and communion-depending on the context of exclusion. Study 1 identified negative correlations between perceived social exclusion and self-evaluation measures through questionnaires, including global self-esteem and the self-concepts of agency and communion, within a sample of 483 participants (283 females). Studies 2a (n = 93; 75 females) and 2b (n = 91; 66 females), which employed a recall paradigm to manipulate social exclusion in the domains of communion and agency, respectively, revealed that communion exclusion diminished communal self-evaluation, and agency exclusion significantly reduced both agentic and communal self-evaluation. These findings highlight the necessity of distinguishing various types of social exclusion and their distinct effects on the dimensions of self-concept. The research has important implications for the development of interventions aimed at enhancing individual psychological well-being and promoting inclusive social environments.

Fostering health behaviour change in overweight male football fans through the European Fans in Training (EuroFIT) program: A Self-Determination Theory perspective

The European Fans in Training (EuroFIT) program integrated need-supportive motivational strategies from Self-Determination Theory (SDT) in the design of a healthy lifestyle program delivered to overweight or obese male football fans (n = 1113; mean age of 45.9 [SD = 9.0] years old and BMI of 33.2 kg/m2 [SD = 4.6]) in professional football club settings in the UK, Portugal, Norway and the Netherlands. With a critical realist approach, we developed a structured thematic framework analysis based on Self-Determination Theory (SDT) to investigate the process of change in men who participated in the EuroFIT randomized controlled trial (RCT). We examined whether men's experiences of the social context of EuroFIT, and whether their engagement with the program's motivational strategies supported or frustrated their basic psychological needs while attempting to change their lifestyle behaviours. We found that men in all countries perceived the social contexts of the EuroFIT program as mostly needs-supportive, and that they found engagement with most of the program components helpful in supporting their psychological needs when initiating health behaviour changes. However, some of the program elements in the EuroFIT program were perceived as needs-frustrating by some participants and need-supportive by others. Implications for the use of need-supportive motivational strategies in designing future lifestyle interventions in sport settings to promote health behaviour change among male football fans are discussed.

Academic motivation and contextual influences in well-being for students with disabilities in higher education

Objective: The purpose of this study was to utilize self-determination theory (SDT) incorporating the person-environment contextual factors as a framework to examine how the SDT factors may interact with functional disability and contextual factors to influence well-being for students with disabilities in higher education. Methods and participants: A quantitative descriptive design utilizing a convenience sample of 210 students with disabilities in higher education was used. Results: The final regression model accounted for 64% of the variance in well-being. When controlling for all other predictor variables in the model, functional disability, autonomy, learning competence, and relatedness were found to be predictive of well-being, with autonomy being the strongest predictor of well-being, followed by relatedness, learning competence, and functional disability. Conclusion: This study offers critical insights for higher education institutions, emphasizing the need for fostering environments that prioritize autonomy, competence, and relatedness to promote the well-being of students with disabilities.

The Developmental Trajectory of Chinese Adolescents' Self-Compassion and its Relationship with Parenting Styles: a Longitudinal Study

Abundant evidence highlights the psychological and interpersonal benefits of self-compassion during adolescence, yet the developmental trajectory and influencing factors during this period remain relatively unexplored. This study investigated the developmental trajectory of self-compassion and illustrated the longitudinal relationship between parenting styles and self-compassion using latent growth curve models (LGCM), cross-lagged panel models (CLPM) and random-intercept cross-lagged panel models (RI-CLPM) in a sample of Chinese youth (N = 871; Mage = 15.21, SD = 0.73; 45.4% girls) across two years. Results demonstrated an increase developmental trend of self-compassion over two years. The parallel process LGCMs suggested that changes in parental autonomy support was positively related to the changes in self-compassion, whereas the relationship between parental psychological control and self-compassion was significant only at initial levels. CLPM consistently supported a bidirectional relationship between parental autonomy support and self-compassion in Chinese youth at between-person level. Although within-person changes in the study variables were not significant in a bidirectional manner based on the results of RI-CLPMs, changes in parental autonomy support/parental psychological control and self-compassion were concurrently associated. These results suggested that besides stable connections between parenting styles and adolescents' self-compassion, changes in parenting styles and self-compassion are developmentally linked as well. Overall, this study underscores the potentially beneficial impact of parental autonomy support on adolescent self-compassion and reveals nuanced effects of parental psychological control within the Chinese cultural context.

Associations between motivational factors and burnout syndrome among elite skiers

The present research investigated the association between a series of motivational factors and burnout syndrome among elite skiers at the contextual level within the Hierarchical Model of Intrinsic and Extrinsic Motivation (HMIEM). There are 352 subjects (258 males, 94 females, aged 18 to 25 years) across five skiing events from three sport universities in this study. Four psychological scales related to motivational factors and burnout syndrome were completed by subjects. Overall, the result showed that a task-involving climate had a positive relationship with basic psychological needs, eliciting a positive pathway to autonomous motivation, and thus negatively affecting burnout syndromes. On the other hand, an ego-involving climate had a negative relationship with basic psychological needs, eliciting a negative pathway to amotivation, and then positively affecting burnout syndromes. The results underscore the intricate associations between a variety of motivational factors and athletes' burnout syndrome, supporting the need to incorporate burnout syndrome elements into the outcomes of HMIEM sequence.

Effect of the Partners in Play Intervention on Parents' Autonomy-Supportive Guiding Behaviour and Children's Self-Regulation

Compelling evidence supports the foundational importance of early self-regulation (SR). It also supports parents in the home environment as having the foremost influence on early development. Yet, prevailing approaches to support early SR growth have tended to leverage early education and clinical settings. Partners in Play (PiP) was developed as a sustainable approach for parents to learn how and when to support children through experiences of self-regulation challenges in the home learning environment. This study reports the first randomised control trial evaluation of the PiP program, with 21 parent-child dyads (consisting of twelve girl-mother dyads, eight boy-mother dyads, and one boy-father dyad; mean child age = 4.12 years, SD = 0.65). Dyads were randomised to a PiP intervention group (n = 10), which entailed four online parent information sessions and four out-of-home guided practice dyadic play sessions across 8 weeks, or an active control group (n = 11). The primary outcome was parent autonomy support, and the secondary outcome was child SR. Results indicated a significant increase in parents' use of autonomy support and a non-significant but moderate-sized effect on child SR. This innovative proof-of-concept program and evaluation provides a roadmap for effecting change in parental support during children's play, to the prospective benefit of important abilities such as child SR. Analyses show promise for a parent-based model toward parent behaviour change and child SR improvement.

Identifying precondition configurations of mathematics anxiety among middle school students in China: using NCA and QCA approaches

Introduction

Addressing mathematics anxiety is important to ensure that students achieve good academic performance and maintain their mental health during the critical middle school period. However, previous studies have focused on the separate effects of the preconditions for mathematics anxiety, ignoring the interaction of factors. Therefore, this study aims to identify the determinants of mathematics anxiety from the perspective of complex systems via necessary condition analysis (NCA) and qualitative comparative analysis (QCA). To the best of our knowledge, this is the first study to identify configurations of preconditions of mathematics anxiety among middle school students.

Methods

A total of 183 middle school students aged 16 to 19 years (M age = 17.47, SD = 0.89) in China participated in this cross-sectional study. The outcome variable of the study is mathematics anxiety, and the condition variables include mathematics grade, parental support, learning motivation, learning planning, and learning interest.

Results

The necessity condition analysis shows that not all the condition variables constitute the necessity condition of mathematics anxiety alone. Four paths for the influence of multiple condition variables on mathematics anxiety are identified via the configuration analysis. Notably, even students with high mathematics scores and learning interest still experience mathematics anxiety due to a lack of practical parental support and learning motivation. High levels of parental support can exacerbate the mathematics anxiety of students under two conditions: 1) a lack of learning motivation and learning plans, and 2) interest in learning but low mathematics scores and unclear learning plans.

Discussion

This study highlights the need to consider the comprehensive impact of mathematics anxiety, and the findings will help educators and researchers identify the different characteristics of mathematics anxiety in student populations.

Reciprocal relationships among parental psychological control, emotion regulation ability, and subjective well-being of adolescents: Disentangling between- and within-person effects

BACKGROUND

Although research has demonstrated that parental psychological control is associated with the subjective well-being of adolescents, the lack of longitudinal studies that investigate whether or not bidirectional associations exist between the two and their potential mediating mechanisms has continued to date. In addition, previous studies have not rigorously distinguished between- and within-person effects. Thus, this study investigated longitudinal bidirectional associations between parental psychological control and the subjective well-being of adolescents. The study further examined the mediating role of emotion regulation ability.

METHODS

A total of 1365 Chinese adolescents (boys: 53.2 %; Mage = 14.68 years, SD = 1.56) participated in a three-wave longitudinal study with annual assessments. Random intercept cross-lagged panel models were utilized to separate between- and within-person variation.

RESULTS

After controlling for between-person variance, the results revealed that adolescents with low levels of subjective well-being reported high levels of parental psychological control after one year. Emotion regulation ability played a bidirectional mediating role in the relationship between psychological control and subjective well-being. That is, psychological control and subjective well-being mutually influenced each other through emotion regulation ability.

LIMITATIONS

Assessments of the key study variables were provided by adolescents. Moreover, the study considered a combination of the mothers' and fathers' use of psychological control without differentiating between paternal and maternal psychological control.

CONCLUSIONS

The findings highlight the importance of interventions that target emotion regulation ability, which contributes to breaking the negative cycle between controlling parenting and the well-being of adolescents.

Parental Psychological Control and Risk-Taking among Taiwanese Adolescents and Emerging Adults: Benefit Perception as a Mediator

Youth risk-taking behaviors present important public health concerns due to their prevalence and potential adverse consequences, underscoring the need for research and prevention strategies to promote youth's healthy development. The present research examined the relationship between parental psychological control and risk-taking behaviors via benefit perception among high school and college students in Taiwan. Using a cross-sectional design, the study surveyed 378 participants to assess maternal and paternal psychological control, benefit perception, and engagement in risk-taking behaviors. Results indicated no significant difference in psychological control or benefit perception between high school and college students. However, college students reported higher levels of risk-taking behaviors, such as risky driving, alcohol use, and unprotected sex. Both maternal and paternal psychological control positively correlated with benefit perception and risk-taking behaviors. Furthermore, benefit perception mediated the relationship between psychological control and risk-taking behavior among high school and college students. These findings suggested that parental psychological control indirectly influenced youth risk-taking by shaping their perceptions of the benefits of such behaviors. The study highlights the importance of promoting autonomy-supportive parenting to reduce risk-taking behaviors and advocates for programs that enhance decision-making skills among adolescents and emerging adults.

Emotional exhaustion weakens the relationship between social media use and knowledge sharing behavior

PURPOSE

Knowledge sharing behavior is crucial for ensuring organizational success, fueling innovation, solving problems, and informing decision-making. While social media platforms offer powerful tools for employees to share knowledge, the intricate relationship between social media use and knowledge sharing behavior remains unclear. Few studies have examined the influencing mechanisms of emotional exhaustion on the above relationships, especially through self-determination perspective.

DESIGN/METHODOLOGY/APPROACH

As knowledge is inherently private to the individual, grounded in self-determination theory, this study employed a moderated mediation analysis to explore the internal mechanisms of social media use on employee knowledge sharing behavior. The survey of 356 full-time employees was collected from a large environmental protection group in China. Hypotheses are tested using hierarchical regression analysis and bootstrap tests.

FINDINGS

The results show that social media use positively affects employee knowledge sharing behavior; knowledge sharing intention partially positively mediates the influence of social media use on knowledge sharing behavior; emotional exhaustion negatively moderates the relationship between social media use and knowledge sharing intention.

CONTRIBUTION OF RESEARCH

The study identifies how two styles of social media use - work-related purpose and social-related purpose - affect knowledge sharing behavior. It significantly advances the understanding of social media use on knowledge sharing behavior from self-determination perspective.

PRACTICAL IMPLICATIONS

This study has several important practical implications for organizations seeking to facilitate employee knowledge sharing behavior through social media use. Organizations should improve employees' knowledge sharing intention and avoid emotional exhaustion.

Promoting students' autonomous motivation for the ongoing curriculum using a 'Societal Impact Project' with basic psychological needs characteristics

PURPOSE

Autonomous motivation is important for university students, but it remains a challenge to stimulate their autonomous motivation for their curricula. We developed an extracurricular intervention (Societal Impact Project) with basic psychological needs supportive characteristics such as learning with self-defined problems relevant to curriculum and society, collaborative group work, and coaching by a teacher. This study aims at evaluating the intervention in fostering students' autonomous motivation for their regular curricula.

METHODS

We conducted a quasi-experimental study, using between-group pre- and post-test design. Participants from the intervention and control group completed a survey before and after the intervention, which measured the satisfaction of three basic psychological needs, autonomous motivation, controlled motivation, enjoyment, value, and well-being within their regular curricula. We compared the post-test differences between the two groups while controlling for pre-test scores.

RESULTS

Students in the intervention group had greater enjoyment in their regular curricula and perceived their regular curricula to have more value compared to students in the control group. The other variables did not differ significantly between the two groups in the post-test.

CONCLUSION

The intervention is effective for improving students' enjoyment and perceived value in their regular curricula. The variables with non-significant differences indicate the difficulty to alter students' basic psychological needs and motivation in their regular curricula, even after participating in a long-term intervention.

Self-appreciation is not enough: exercise identity mediates body appreciation and physical activity and the role of perceived stress

Introduction

This study explores the relationship between body appreciation and physical activity, focusing on the mediating role of exercise identity and the moderating effect of perceived stress. While individuals with positive body image are generally thought to engage in proactive physical activity, it remains unclear whether this positive attitude necessarily promotes exercise.

Methods

We conducted a short-term longitudinal survey, recruiting 345 college students 28 (100 females, 245 males; M age = 22.94, SD = 5.99) who completed questionnaires at two-week intervals for a total of three times within four weeks. Body appreciation, exercise identity, perceived stress, and physical activity were measured for the participants separately.

Results

The results demonstrated that body appreciation positively predicted physical activity, exercise identity partially mediated the positive effect of body appreciation on physical activity, and perceived stress played a moderating role in body appreciation and exercise identity.

Discussion

These results highlight the significant role of body appreciation in influencing physical activity through exercise identity, with perceived stress further moderating this relationship. The study underscores the importance of promoting body appreciation and regulating stress to enhance physical activity engagement among college students.

Physiological and Psychological Effects of Short-Term Recreational Football in Adults 60

Recreational football has shown growing evidence that it could be played safely in adults aged 60+ and that it is physically beneficial. Less is known about the psychological aspects, except for the lived experiences of players. The aim of the present study was to analyze both physiological and psychological effects of short-term recreational football. Fifteen participants took part in a six-week training program of recreational football played at a walking pace with two sessions of 1 h and 30 m per week. Physical fitness was assessed before and after the training period and psychological questionnaires were given at the same time. Body mass and body mass index were significantly decreased, but no other significant effects were found on physical fitness. Participants experienced less frustration related to psychological needs (autonomy and competence). Six weeks were too short to observe significant physical improvements while psychological benefits were already experienced. In this short period, psychological aspects seem predominant. These effects may encourage to long-term adhesion. The activity has the potential to keep adults 60+ exercising, which is important for maintaining good global health and seeing physical changes later.

Physical activity moderated the mediating effect of self-control between bullying victimization and mobile phone addiction among college students

This study aims to investigate the relationship between bullying victimization and mobile phone addiction (MPA) among college students, taking into consideration the mediating role of self-control and the moderating role of physical activity. A self-report survey was administered to college students from 4 universities in Guangxi, Liaoning, and Hunan provinces in China. Participants were asked to report their experiences of bullying victimization, level of MPA, self-control, and physical activity. Descriptive statistics, correlation analysis, and regression analysis were conducted to analyze the data. Mediation and moderation models were subsequently established to examine the relationships between variables. The results indicated a positive correlation between bullying victimization and MPA among college students. Additionally, bullying victimization was negatively correlated with self-control. Bullying victimization significantly predicted MPA, and self-control partially mediated this relationship. Furthermore, physical activity moderated the association between bullying victimization and self-control among college students. The findings suggest that self-control plays a partial mediating role in the relationship between bullying victimization and MPA among college students. Moreover, physical activity weakens the association between bullying victimization and self-control. Therefore, promoting physical activity to reduce MPA among college students who have experienced bullying victimization is highly recommended.

Effect of health conditions and community program participation on physical activity and exercise motivation in older adults

Physical activity (PA) declines with age, with chronic health conditions a contributing factor. Exercise motivation (EM), a factor of PA adherence, may be promoted through community program participation. The purpose was to investigate the effect of health conditions and community program participation on PA and EM. Surveys comprising of demographics, physical activity (PASE), and exercise motivation (BREQ-2), were distributed. Significant differences were found for PA between community program participants with and without a health condition. A significant main effect for health condition existed on several subscales of EM: identified regulation and intrinsic regulation, and for obesity on amotivation, identified regulation, and intrinsic regulation. Significant differences existed between community exercise program participants (N = 77) and non-participants (N = 145) for amotivation (p < 0.001), identified regulation (p < 0.001), and intrinsic regulation (p < 0.001). The presence of a health condition appears to impact EM. Community program participation positively influenced EM, potentially negating the effect of health condition.

Daily within-fluctuations in need frustration and implications for employee recovery and well-being: A mixed-methods study

INTRODUCTION

Daily variations in frustration of basic psychological needs (autonomy, competence, and relatedness) have received limited attention. This mixed-methods study examines such daily variations and their relations to recovery from work and employee well-being.

METHOD

The study uses multilevel modeling of repeated measures through daily surveys from a period of 8 working days across 2 consecutive weeks, combined with in-depth interviews. A sample of 54 Norwegian health-care workers completed a total of 242 daily surveys, and follow-up interviews were conducted with 10 participants.

RESULTS

Quantitative results showed that need frustration at work fluctuates from day to day, with competence frustration notably impairing recovery (i.e., lower psychological detachment and relaxation) and increasing ill-being (i.e., higher exhaustion and negative work affect). Autonomy frustration was related to increased exhaustion and sleep complaints, while relatedness frustration showed no significant relation to recovery, ill-being, or sleep. Qualitative findings corroborated and expanded on these results, offering deepened insights into how competence and, sometimes, relatedness need frustration hampered the recovery process and sleep.

CONCLUSION

The results of the current study add to the scarce body of literature on daily fluctuations in need frustration at work and its adverse consequences.

Time for you and for me: compassionate goals predict greater psychological well-being via the perception of time as nonzero-sum resources

An experience sampling survey showed that when people seek to support others' well-being in a given interaction, they experience greater life satisfaction, fulfillment of psychological needs, and lower time pressure through the perception that time spent on others is also time spent on themselves (i.e., nonzero-sum perception of time). In contrast, interpersonal goals to appear competent showed weaker positive indirect effects on psychological well-being, while goals to appear likable showed no significant indirect effects, and goals to avoid an undesirable self-image showed negative indirect effects. Spending time on others feels fulfilling rather than depleting when people have compassionate goals.

Hope for the best or prepare for the worst? Calm perseverance, not vigilant monitoring, contributes to adolescent life satisfaction

OBJECTIVE

Which kind of self-regulatory strategies contribute to life satisfaction in adolescence?

MATERIALS AND METHODS

In the present research, we tested two competing hypotheses arguing that either a strategy of vigilant monitoring of opportunities for working towards goal achievement or a calm perseverance strategy steadily working towards goals in a slower pace would promote life satisfaction in a large and diverse sample of adolescents. We also tested whether the employment of these strategies would hinge on perceptions of goal importance and goal attainability.

RESULTS

Employing a longitudinal design, we found support that calm perseverance was the sole significant predictor of life satisfaction regardless of goal perceptions. Vigilant monitoring only contributed indirectly to life satisfaction through its positive effects on calm perseverance. Using a calm perseverance strategy was supported by perceiving one's goals as attainable.

DISCUSSION AND CONCLUSION

These findings bear important implications for self-regulation theory that has highlighted goal progress as a prerequisite for well-being.

From Pixels to Palate: Communication around #vegan on Instagram and its relation with eating intentions

Social media is an increasingly important yet understudied context for eating behaviors in general and veganism in particular. In four studies, we first explored and described the information environment the platform Instagram presents related to veganism. Second, we examined how engaging with this environment is associated with offline eating intentions via psychological mechanisms. We scraped datasets of Instagram posts tagged with #vegan (44,316 posts in total) and employed network analysis with their hashtags (Study 1), as well as clustering with images and sentiment analysis with texts (Study 2). Studies 3 (N = 117) and 4 (N = 251) used online surveys to investigate associations between different forms of engaging with social media content, psychological constructs, and offline eating intentions. Posts about veganism were frequently related to food, health and fitness, cosmetics, and photography. Images most often depicted food (34.7%), non-food products (30.4%), people (7.9%), and animals (2.0%). The sentiment of most posts was positive. Being exposed to Instagram content about veganism was more strongly and consistently associated with eating intentions than active forms of engagement. Attitude and self-identity emerged as the most relevant mechanisms for these effects. Food is the most prominent yet not sole topic among posts about veganism on Instagram, and hashtags used in this context partially relate to motives for following a vegan diet. Exposure to this information environment might influence offline eating decisions via psychological mechanisms. With growing usage and its potential influence, social media should receive increasing attention in (health) psychological research and practice.

Linking Perfectionism with Moral Behaviors in Sport: The Mediating Role of Burnout and Moral Disengagement

Purpose: Research has identified a range of intrapersonal variables associated with moral behaviors in sport. However, research investigating how perfectionism and burnout are associated with prosocial and antisocial behavior toward teammates and opponents in sport has received scant attention. In the present study, we address this issue by examining whether perfectionism is associated with prosocial and antisocial behavior in sport directly and indirectly via burnout and moral disengagement. Method: A total of 312 team sport players completed validated measures for each variable. Results: Path analyses revealed that perfectionistic concerns had a negative relationship with prosocial behavior toward teammates and an indirect positive association with antisocial behavior toward both teammates and opponents via being positively associated with burnout, which in turn, was positively associated with moral disengagement. In contrast, perfectionistic strivings had a positive association with prosocial behavior toward teammates, and an indirect positive association with antisocial behavior toward teammates and opponents via moral disengagement. Conclusion: Our findings offer new insights into how perfectionism and burnout are associated with prosocial and antisocial behavior in sport, as well as highlight the need to consider perfectionistic tendencies and approaches to help reduce burnout and moral disengagement in the regulation of antisocial behavior in sport.

Self-Perceived Burden as a Mediator Between Perceived Partner Responsiveness and Fertility Intentions in Women With Inflammatory Bowel Disease

This study investigates the role of self-perceived burden as a mediating factor in the association between perceived partner responsiveness and fertility intentions in women of reproductive age diagnosed with inflammatory bowel disease. A sample of 366 female inflammatory bowel disease patients from Changsha, China, was recruited using convenience sampling. Participants completed assessments, including the Impact of Perceived Partner Responsiveness Scale, Self-Perceived Burden Scale, Fertility Intentions Questionnaire, and a demographic questionnaire. Results indicated a moderate-to-low level of fertility intentions (mean score: 5.33 ± 2.21), with corresponding moderate levels of self-perceived burden (mean score: 30.01 ± 10.02) and perceived partner responsiveness (mean score: 52.80 ± 17.03). Positive correlations were observed between perceived partner responsiveness and fertility intentions and negative correlations between self-perceived burden and fertility intentions. The relationship between perceived partner responsiveness and fertility intentions was found to be partially mediated by self-perceived burden. These findings highlight the significance of perceived partner responsiveness and self-perceived burden in shaping fertility intentions among women with inflammatory bowel disease.

"It is not all glowing and kale smoothies": An exploration of mental health difficulties during pregnancy through women's voices

OBJECTIVES

This study aimed to explore the experiences of women with moderate-to-severe mental health difficulties during pregnancy, with a focus on establishing their psychological needs. Psychological distress caused by mental health difficulties during pregnancy is common and can significantly impact women and their babies. However, women's subjective experiences of difficulties with their mental health throughout pregnancy, alongside their experiences of staff, services and treatments are less well understood.

DESIGN

In this qualitative study, an Interpretive Phenomenological Analysis (IPA) approach was used.

METHODS

Semi-structured interviews were conducted with participants recruited via a regional Perinatal Mental Health Service. Interviews were transcribed and analysed following the IPA methodology.

RESULTS

Five superordinate themes were identified which represented the lived experiences of the 11 participants on their journey through pregnancy whilst living with mental health difficulties and subsequent psychological distress: (i) Feeling the 'wrong' feelings, (ii) Societal pressures and a desire for greater acceptance, (iii) Searching for answers despite a lack of resources, (iv) What made a difference and (v) Experiences and expectations of service provision. Within these themes, 13 subordinate themes were also identified.

CONCLUSIONS

These themes highlight the need for greater awareness and acceptance of mental health difficulties during pregnancy as well as postnatally. While perinatal mental health services are evolving, there is still an urgent requirement for services to continue to develop to meet women's needs, as well as to develop the role of clinicians as facilitators of engagement with needs-matched care.

Medical students' motivations for participating in an elective focused on social inequalities and health disparities

In this study, we examine students' reasons for pursuing elective training focused on medical racism and systemic health inequities at a midwestern medical school. Data collection included semi-structured interviews with students who participated in an optional course focused on these topics. We analyzed their motivations, goals, and interests using reflexive thematic analysis and created three themes based on students' responses. Theme (1) "pre-existing conditions" focuses on students' knowledge, beliefs, worldviews and experience prior to the class. Theme (2) "enacting change" examines their desires to become effective physicians and improve medicine overall. Theme (3) "creating community" considers their preferences for a supportive and connected learning and social environment. We discuss the findings within the context of adult learning theory and Self-Determination Theory. The research provides insight about the overt and underlying factors that drive medical students' participation in training focused on social inequality. We also share recommendations for curriculum development and future research based on the patterns we found in students' discussions of their needs and expectations.

Exploring Regular Exercisers' Experiences with Readiness/Recovery Scores Produced by Wearable Devices: A Descriptive Qualitative Study

Meta-session autoregulation, a person-adaptive exercise programming approach, is characterized by individuals' matching exercise demands specifically to their current readiness states. Some consumer wearables provide 'recovery' or 'readiness' scores, computed primarily based on heart rate variability. Despite the growing popularity of consumer wearables and interest in person-adaptive programming, limited research exists on how exercisers interact, interpret and use these scores. This study explores individuals' experiences with wearable devices and their associated readiness or recovery scores. Seventeen regular exercisers who owned and used a Whoop™ band or Oura™ ring for at least 3 months participated in a one-on-one virtual semi-structured interview. Interviews were analyzed using reflexive thematic analysis, with themes supported by 'in-vivo' quotes. This paper focuses on three key themes for a comprehensive demonstration. Theme 1, 'It's more about how I can make adjustments to optimize my programming,' (MPR) highlights users' intended use of wearables for guiding training decisions. Theme 2, 'So many things outside of training modifications have changed,' (Misty) reveals that users also modify non-exercise behaviors to manage and optimize their scores. Theme 3, 'You can't really capture the complexities of a human on a device' (Letty) underscores users' recognition of the limitations and errors associated with these devices emphasizing self-reliance to further direct behavioral adjustments. While wearable devices provide a numeric approach to measuring readiness and recovery, users prioritize self-awareness, flexibility, and personal judgment for exercise decisions. Understanding these experiences, in addition to exploring the psycho-behavioral aspects of user interactions, can contribute to refining meta-session autoregulation.

Profiles of Family and School Experiences and Adjustment of Adolescents During the Transition to High School

Although family and school experiences play an important role in adolescents' adjustment during the transition to high school, most prior studies investigated the effects of these experiences in isolation; their joint implications for both adolescents' concurrent and long-term adjustment outcomes are less clear, and the potential role of individual characteristics within such associations remains understudied. Based on 525 10th graders (Mage = 15.48, SDage = 0.71, 43.6% boys) who participated in a longitudinal study, the present research aimed to identify distinct family and school experience profiles among first-year high school students and examine their associations with adolescents' internalizing problems and externalizing problems, both concurrently and 18 months later. Latent profile analysis revealed four distinctive profiles: thriving, low resources-moderate family risk, developmental stress-high parental conflicts, and developmental stress-high peer victimization profiles. The other three profiles (vs. the thriving profile) reported significantly higher levels of concurrent internalizing problems; while these differences diminished after 18 months. However, the enduring impacts of these profiles on internalizing problems persisted among adolescents with higher levels of environmental sensitivity. Additionally, adolescents characterized by two developmental stress profiles (vs. the thriving profile) exhibited significantly higher levels of externalizing problems both currently and longitudinally. Findings underscore the importance of identifying at-risk populations among adolescents during the transition to high school by including both family and school experiences when examining environmental influence on their adjustment, as well as the necessity to take individual environmental sensitivity into account when examining these associations.

The social class of orthopedic rehabilitation patients: Are there differences in subjective health, return to work motivation, and participation in aftercare interventions?

This longitudinal quasi-experimental study examines the relationship between social class, subjective health, motivation to return to work (RTW) following medical rehabilitation, and participation in aftercare interventions, utilizing the Social Cognitive Theory of Social Class. To do so, a prospective multicentric study was conducted. The analysis was based on data from N = 1044 orthopedic rehabilitation patients in three clinics in Germany. Latent growth curve models, fixed-effect linear regression models, and multilevel binomial logistic regression were employed for data analysis. As hypothesized, the findings demonstrate that lower social class is associated with poorer subjective health, while higher social class is linked to increased solipsistic motives, characterized by pursuing personal goals in the context of RTW. Conversely, individuals from lower social classes exhibit contextualist motives, which indicate a focus on social and environmental threats influencing their motivation to RTW. Surprisingly, social class does not significantly impact participation in aftercare interventions, probably due to low variance and potentially the successful inclusion within the German healthcare system. These findings emphasize the importance of considering diverse motivation profiles derived from the Social Cognitive Theory of Social Class. The study contributes to our understanding of the social determinants of health and has implications for reducing health disparities by highlighting the motivational aspects, including solipsistic and contextualist motives, associated with social class.

Validation of the Coach Behavior in Sports Questionnaire: Towards dynamic assessments using the circumplex model for coach behavior

The development of the circumplex model for coach behavior recently provided researchers an integrative model to assess coach behavior. While the circumplex model has currently only been deployed in cross-sectional research designs using the Situations in Sports questionnaire (SISQ), it has clear potential within research on dynamics of coach behavior. However, the SISQ consists of vignette-based situations and is too extensive for such frequent administrations. Within the present study we therefore developed the Coach Behavior in Sports Questionnaire (CBSQ), a 32-item alternative for the SISQ which consists of general items rather than vignette-based situations. First, content validity of 54 initial pilot CBSQ items was tested in a sample of 34 expert coaches. Second, construct validity, predictive validity, and reliability of the 32-item CBSQ was tested in a sample of 689 athletes and 420 coaches. Third, within-person variability of coach behavior was longitudinally assessed using the 32-item CBSQ during a five-week training and game period in a sample of 31 coach-athlete dyads. The 32-item CBSQ showed to be a valid and reliable alternative for the SISQ. Also, coach behavior showed considerable within-person variability over the five-week period in all coaching styles and approaches. Additionally, a 24, 16, and 12-item version were tested to provide even shorter alternatives. The CBSQ opens new horizons for future longitudinal research and coach reflection programs based on the circumplex model for coach behavior.

OPTIMAL theory's claims about motivation lack evidence in the motor learning literature

Motivation is commonly recognized by researchers and practitioners as a key factor for motor learning. The OPTIMAL theory of motor learning (Wulf & Lewthwaite, 2016) claims that practice conditions that enhance learners' expectancies for future successful outcomes or that are autonomy supportive are motivating, thus leading to better learning. To examine the current evidence of the association between motivation and motor learning, we searched the literature for studies that manipulated expectancies and/or autonomy support. Specifically, our goals were to assess whether these manipulations resulted in group differences in motivation and, if so, whether increased motivation was associated with learning advantages. Results showed that out of 166 experiments, only 21% (n = 35) included at least one measure of motivation, even though this is the main factor proposed by OPTIMAL theory to explain the learning benefits of these manipulations. Among those, only 23% (n = 8) found group-level effects on motivation, suggesting that these manipulations might not be as motivating as expected. Of the eight experiments that found a group-level effect on motivation, five also observed learning benefits, offering limited evidence that when practice conditions increase motivation, learning is more likely to occur. Overall, the small number of studies assessing motivation precludes any reliable conclusions on the association between motivation and motor learning from being drawn. Together, our results question whether manipulations implemented in the research lines supporting OPTIMAL theory are indeed motivating and highlight the lack of sufficient evidence in these literatures to support that increased motivation benefits motor learning.

Facing and dealing with emotional turbulence: Living with newly diagnosed Parkinson's disease

INTRODUCTION

The experiences of living with Parkinson's disease (PD) from the perspective of newly diagnosed persons with PD (PwPD) have not been previously described.

AIM

This study aimed to gain a better understanding of the impact of living with the early stages of PD.

METHODS

A qualitative interview study was conducted among nine persons, seven men and two women, from southern Sweden. Participants had a median age of 71 (min-max, 64-77) years and had been diagnosed with PD for a median of 5 (min-max, 2-12) months. Interviews were recorded and analysed using systematic text condensation.

RESULTS

The analysis resulted in one core category, Facing and dealing with emotional turbulence, and four categories with 2-3 subcategories each: Something is wrong (Vague signs of change; Losing control); The going gets tough (Recalling; Lack of motivation); Losing direction (Uncertainties; Frightened of disease progression) and Dealing with life (Avoiding social situations; Hope and despair; Ease worries).

CONCLUSION

Newly diagnosed PwPD face emotional turbulence with increasing challenges in managing everyday basic needs. Impaired functioning affects self-esteem and identity, which calls for strategies to overcome emotional reactions of embarrassment, frustration and worry. A sense of lost control and direction increased as the future became more uncertain. The participants' emotional burden and struggle to find a reason to go on or some solution to their new situation left them with both hope and despair. Our results suggest that a person-centred needs-based approach may help newly diagnosed PwPD deal with their new life situation.

Reciprocal Relationship Between Learning Interest and Learning Persistence: Roles of Strategies for Self-Regulated Learning Behaviors and Academic Performance

Learning interest (internal driving motivation) and learning persistence (explicit behaviors) are important factors affecting students' academic development, yet whether they operate reciprocally and how to bolster them are still issues requiring attention. This study aimed to examine the reciprocal relationship between learning interest and persistence as well as the potential mechanisms behind the relationship from the perspectives of internal self-regulation and external feedback (i.e., academic performance). 510 students (Mage = 13.71, SD = 1.77, 44.1% girls) were tracked for one year using questionnaires. Results showed that higher learning interest was linked to greater subsequent learning persistence and vice versa; and both predicted each other over time indirectly through academic performance and the multiple mediating paths from strategies for self-regulated learning behaviors to academic performance. Ancillary analysis verifies the robustness of these results. The findings not only provide evidence of a dynamic relationship between learning motivation and behaviors, highlighting the important role of positive performance feedback in leading to a benign cycle, but also contribute to understanding the potential avenue (i.e., teaching strategies for self-regulation) for optimizing student learning.