AI in medical education: the moderating role of the chilling effect and STARA awareness.

BACKGROUND: The rapid growth of artificial intelligence (AI) technologies has been driven by the latest advances in computing power. Although, there exists a dearth of research on the application of AI in medical education. METHODS: this study is based on the TAM-ISSM-UTAUT model and introduces STARA awareness and chilling effect as moderating variables. A total of 657 valid questionnaires were collected from students of a medical university in Dalian, China, and data were statistically described using SPSS version 26, Amos 3.0 software was used to validate the research model, as well as moderated effects analysis using Process (3.3.1) software, and Origin (2021) software. RESULTS: The findings reveal that both information quality and perceived usefulness are pivotal factors that positively influence the willingness to use AI products. It also uncovers the moderating influence of the chilling effect and STARA awareness. CONCLUSIONS: This suggests that enhancing information quality can be a key strategy to encourage the widespread use of AI products. Furthermore, this investigation offers valuable insights into the intersection of medical education and AI use from the standpoint of medical students. This research may prove to be pertinent in shaping the promotion of Medical Education Intelligence in the future.

Social climate profiles in adolescent sports: Associations with enjoyment and intention to continue.

This study explored whether adolescent sports participants' perceptions of the social climate fall into distinct profiles, and whether these profiles are related to enjoyment and intention to continue. A Latent Profile Analysis using 313 Australian sports participants (Mage = 13.03 years) revealed four distinct profiles: positive social climate (45.1%), diminished social climate (19.8%), positive coach relationship quality (19.8%), and positive friendship quality (15.3%). Individuals within the positive social climate and the positive coach relationship quality profiles reported relatively higher levels of enjoyment and intention to continue than individuals in the diminished social climate and the positive friendship quality profiles. Indirect path analyses found the social climate profiles were linked with intention to continue through enjoyment. Results highlight the value of investigating multiple dimensions of the social climate and suggest that the coach may be of particular importance in this age group. Findings have implications for understanding youth sports participation and preventing dropout.

Chinese Consumers' Attitudes toward and Intentions to Continue Using Skill-Sharing Service Platforms.

The sharing economy has rapidly transformed traditional consumption patterns worldwide. The emergence of skill-sharing services-which allow individuals to share their skills, abilities, and time through online platforms-has recently garnered attention. In China, the demand for skill-sharing services continues to grow, as these services effectively meet consumer needs. To understand this growing demand, this study aims to explore users' attitudes and intentions toward the use of skill-sharing service platforms in the Chinese market. A survey was conducted that incorporated 500 Chinese users who had used skill-sharing service platforms over the previous three months. A total of 409 datasets were analyzed, using structural equation modeling and multiple group analysis, in AMOS 24.0. The results showed that performance expectancy, effort expectancy, social influence, facilitating conditions, and self-efficacy positively influenced users' attitudes toward skill-sharing services, while privacy, functionality, and safety risks negatively affected these attitudes. Users' attitudes toward skill-sharing services significantly enhanced their intentions to continue using them, with the level of trust playing a crucial moderating role between attitude and the intention to continue using these services. These findings provide a significant theoretical and practical foundation for the further development of skill-sharing service platforms, the optimization of marketing strategies, and future research.

The Structural Relationship between Exercise Passion, Sports Confidence, and Exercise Continuation Intention for Taekwondo Players: Moderating the Effect of the Coach's Support.

This study examined the relationship between "exercise passion", sports confidence, exercise continuation intention, and the moderating effect of the coach's support to provide basic data for Taekwondo players and instructors. A total of 428 data items were obtained using purposive sampling. Data were analyzed using frequency analysis, reliability analysis, correlation analysis, confirmatory factor analysis, structural equation model analysis, and moderating effect analysis via SPSS and AMOS version 24.0. It was found that "harmony passion" had a positive effect on all variables of sports confidence. Additionally, two variables of exercise passion had a positive effect on exercise continuation intention. Furthermore, sports confidence was identified as a variable that increased the intention to continue exercising. The coach's support played a partial role as a moderating variable for exercise passion, sports confidence, and exercise continuation intention. It was concluded that the athlete's passion for sports and sports confidence were important variables that increased Taekwondo athletes' exercise continuation intention. Moreover, the active support and interest of a coach who is able to meet the athlete's needs and exercise situation are also required.

Game not over: Explaining older adults' use and intention to continue using a gamified eHealth service.

BACKGROUND: Gamification within eHealth services can increase eHealth adoption. However, little is known about factors affecting adoption of gamified eHealth among older adults. In this study, we sought to explain the (continued) use of a gamified eHealth service among older adults (55+). METHODS: Participants used a gamified eHealth service, focusing on falls prevention, for 4 weeks and completed a post-test questionnaire based on the Technology Acceptance Model. We used Partial Least Squares Structural Equation Modeling to analyse our data. RESULTS: Seventy-two older adults participated with a mean age of 65.1 years (SD = 7.0). Our results show that first, perceived ease of use affected use of the service (use duration: ß = 0.303, R2 = 0.130, and use frequency: ß = 0.304, R2 = 0.107). Second, perceived usefulness affected the intention to continue using the service (ß = 0.754, R2 = 0.640). Third, use of the service did not predict the intention to continue using it. Furthermore, enjoyment affected perceived usefulness (ß = 0.783, R2 = 0.563) and aesthetics affected perceived ease of use (ß = 0.634, R2 = 0.652). CONCLUSIONS: This study refutes the expected relation between use and intention to continue use a gamified eHealth service. Additionally, we learned that using theoretical approaches focusing on technology acceptance, are not suitable for explaining (continued) use of gamified eHealth services.

Antecedents of continuance intention in online learning systems among vocational college students: The moderating effect of gender.

Background: The primary objective of this study is to ascertain whether the Expectation Confirmation Model can be expanded by external variables including computer anxiety, social interaction, and self-efficacy to better understand the intention to continue using online learning systems in the post-pandemic era among vocational college students. Moreover, this research argues that the intention to continue using online learning systems among students may be gender-sensitive. Methods: The researchers surveyed 482 students from eight vocational colleges in Jiangxi Province using a structured questionnaire. Partial Least Squares Structural equation modeling is used to verify the research model. Results: The outcomes demonstrate that the proposed model adequately explains the continuous use intention for online learning systems at a 76.6% confidence level. All of the newly introduced variables in the ECM are shown to be significant and relevant to explicate continuous use intention. Our survey results show that gender differences in intention to continue using online learning systems exist objectively, but this difference is not a natural difference. Conclusion: This research fills a void in the current literature on online learning and probes into how learning may be made more long-lasting in intricate environments.

Understanding the determinants of e-wallet continuance usage intention in Malaysia.

The present research aims to investigate the determinants of e-wallet continuance usage intention in Malaysia using extending Technology Continuance Theory (TCT) via examining four variables, namely price benefit, trust, habit, and operational constraints. This paper adopts a quantitative approach to collect data with non-probability sampling using the purposive sampling technique. An online survey was conducted and a total of 379 respondents submitted their answers. The obtained results have shown that continue use of e-wallet is not affected by perceived usefulness (PU) and trust. However, there is a significant influence associated with perceived ease of use (PEU), PU, and satisfaction toward user's attitude that, in turn, substantially impacts the users' intention to continue to use e-wallet. This is one of the prior studies exploring Malaysian's intention to continue using e-wallet, using the TCT model as the research framework, and through examining four variables adopted from the literature, including price benefit, habit, trust, and operational constraints. The practical implications for the service providers and policymakers from the present findings can be used to develop strategies to gain a sustainable, competitive advantage, and promote continuous intention of e-wallet usage.

Occupational commitment and job satisfaction mediate effort-reward imbalance and the intention to continue nursing.

AIM: Occupational commitment and job satisfaction are major predictors of the intention to continue nursing. This study's purpose was to verify the mediating effects of job satisfaction and three components of occupational commitment on the relationship between effort-reward imbalance and the intention to continue nursing. METHODS: A self-report questionnaire was distributed to 3977 nurses by the nursing department of 12 hospitals in the Tohoku and Kanto districts of Japan in 2013. Of these, 1531 (response rate: 38.5%) nurses returned the questionnaire by mail and the complete data that were provided by 1241 nurses (valid response rate: 31.2%) were analyzed. RESULTS: Structural equation modeling showed that the effort-reward ratio had negative effects on job satisfaction and affective and normative occupational commitment. Job satisfaction and affective and normative occupational commitment had positive effects on the intention to continue nursing, whereas the effort-reward ratio had no direct effect on the intention to continue nursing. Continuance occupational commitment was not a mediator, but it positively influenced the intention to continue nursing. CONCLUSION: The findings suggest that it is important to increase job satisfaction and affective and normative occupational commitment in order to enhance their buffering effects on the relationship between job stress and the intention to continue nursing. Measures to increase continuance occupational commitment also would be an effective method of strengthening the intention to continue nursing. Improvements in these areas should contribute to an increase in nurses' intention to continue nursing and prevent the loss of this precious human resource from the health sector.

Climas empowering y disempowering, necesidades psicológicas e intención de práctica deportiva futura en jóvenes deportistas / Empowering and disempowering climates, psychological needs and future sports practice intention in young athletes

Resumen Introducción: El objetivo principal de este trabajo es conocer la interrelación entre la percepción de los climas empowering y disempowering generados por los entrenadores (nivel equipo) con la satisfacción y frustración de las necesidades psicológicas básicas, y estas, a su vez, con las intenciones de continuar y abandonar la práctica deportiva (nivel individual) en jóvenes deportistas. Método: Participaron 251 deportistas mexicanos (M = 13.22, DT = 1.28) pertenecientes a 19 equipos. Se les aplicó una batería de cuestionarios para la recolección de datos y se realizó un análisis multinivel de ecuaciones estructuradas. Resultados: El modelo de ecuaciones estructurales reveló asociaciones positivas entre las percepciones de climas empowering desde una perspectiva grupal sobre la satisfacción de necesidades psicológicas básicas y de estas sobre las intenciones de continuar la práctica deportiva desde una perspectiva individual, así como entre las percepciones de un clima disempowering sobre la frustración de las necesidades psicológicas básicas y de estas sobre las intenciones de abandono. Conclusión: Los hallazgos de este estudio sugieren en un nivel aplicado que el clima empowering actúa como catalizador del bienestar psicológico y como protector de la aparición de frustración, mientras que el clima disempowering facilita el desarrollo de respuestas psicológicas desadaptativas en el deporte.

Abstract Introduction: The main objective of this work is to know the interrelation between the perception of empowering and disempowering climates generated by coaches (team level) with basic psychological needs satisfaction and frustration, and these in turn, with the intentions to continue and abandon sports practice (individual level) in young athletes. Method: 251 Mexican athletes participated (M = 13. 22, SD = 1.28) belonging to 19 teams. A battery of questionnaires was applied for data collection and a multilevel structured equation analysis was performed. Results: The structural equation model revealed positive associations between perceptions of empowering climates from a group perspective on the satisfaction of basic psychological needs and of these on intentions to continue practicing sports from an individual perspective; as well as between perceptions of a disempowering climate on the frustration of basic psychological needs and of these on intentions to drop out. Conclusion: The findings of this study suggest at an applied level that the empowering climate acts as a catalyst of psychological well-being and as a protector against the occurrence of frustration, while the disempowering climate facilitates the development of maladaptive psychological responses in sport.