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Search Results (910)

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Keywords = perceived social value

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23 pages, 730 KB  
Article
She Wants Safety, He Wants Speed: A Mixed-Methods Study on Gender Differences in EV Consumer Behavior
by Qi Zhu and Qian Bao
Systems 2025, 13(10), 869; https://doi.org/10.3390/systems13100869 - 3 Oct 2025
Abstract
Against the backdrop of the rapid proliferation of electric vehicles (EVs), gender-oriented behavioral mechanisms remain underexplored, particularly the unique pathways of female users in usage experience, value assessment, and purchase decision-making. This study constructs an integrated framework based on the Stimulus–Organism–Response (SOR) model, [...] Read more.
Against the backdrop of the rapid proliferation of electric vehicles (EVs), gender-oriented behavioral mechanisms remain underexplored, particularly the unique pathways of female users in usage experience, value assessment, and purchase decision-making. This study constructs an integrated framework based on the Stimulus–Organism–Response (SOR) model, leveraging social media big data to analyze in depth how gender differences influence EV users’ purchase intentions. By integrating natural language processing techniques, grounded theory coding, and structural equation modeling (SEM), this study models and analyzes 272,083 pieces of user-generated content (UGC) from Chinese social media platforms, identifying key functional and emotional factors shaping female users’ perceptions and attitudes. The results reveal that esthetic value, safety, and intelligent features more strongly drive emotional responses among female users’ decisions through functional cognition, with gender significantly moderating the pathways from perceived attributes to emotional resonance and cognitive evaluation. This study further confirms the dual mediating roles of functional cognition and emotional experience and identifies a masking (suppression) effect for the ‘intelligent perception’ variable. Methodologically, it develops a novel hybrid paradigm that integrates data-driven semantic mining with psychological behavioral modeling, enhancing the ecological validity of consumer behavior research. Practically, the findings provide empirical support for gender-sensitive EV product design, personalized marketing strategies, and community-based service innovations, while also discussing research limitations and proposing future directions for cross-cultural validation and multimodal analysis. Full article
15 pages, 483 KB  
Article
Psychological, Symptom-Related, and Lifestyle Predictors of Health-Related Quality of Life in Hungarian Women with Endometriosis
by Zsófia Kovács-Szabó, Pongrác Ács, Viktória Prémusz, Alexandra Makai and Márta Hock
J. Clin. Med. 2025, 14(19), 7004; https://doi.org/10.3390/jcm14197004 - 3 Oct 2025
Abstract
Background: This study was a cross-sectional online survey aimed at examining health-related quality of life and the effect of different symptoms and lifestyle factors on health-related quality of life in a sample of women with endometriosis in Hungary. Methodology: A cross-sectional [...] Read more.
Background: This study was a cross-sectional online survey aimed at examining health-related quality of life and the effect of different symptoms and lifestyle factors on health-related quality of life in a sample of women with endometriosis in Hungary. Methodology: A cross-sectional online survey was carried out in a sample of women with endometriosis. Self-edited and Hungarian versions of validated questionnaires were used to assess health-related quality of life (Sf-36-Health Survey—SF-36), pain (Numeric Rating Scale-NRS), effect of pelvic pain on everyday life (Pelvic Pain Impact Questionnaire—PPIQ), perceived stress levels (Perceived Stress Scale—PSS), and physical activity (Global Physical Activity Questionnaire—GPAQ). Data analysis was conducted using IBM SPSS Statistics 28.0, and the level of significance was set at p < 0.05. Multivariate linear regression analysis was performed to examine the effect of different lifestyle factors, pain-related, and physical symptoms on the participants’ health-related quality of life (HrQoL). Results: The health-related quality of life of Hungarian women with endometriosis in our sample was significantly lower than the latest Hungarian normative values. Multiple linear regression analyses revealed that psychological, pain-related, and lifestyle factors significantly predicted HrQoL across SF-36 subscales in women with endometriosis (all models, p < 0.001; Adjusted R2 = 0.274–0.654). Pain self-efficacy (PSEQ) was a consistent positive predictor that was significantly associated with better scores in five SF-36 domains, including physical and social functioning. Perceived stress (PSS) is a strong negative predictor that particularly affects emotional well-being, energy/fatigue, and social functioning. Pain interference (PPIQ) was linked to poorer HrQoL in seven out of eight SF-36 domains, while average pain intensity (NRS) negatively predicted Physical Functioning and General Health. Vigorous physical activity was positively associated with Social Functioning, whereas moderate activity had no significant effect. Among the demographic factors, only age was negatively associated with Physical Functioning; BMI and education were not significant predictors. Conclusions: Psychological, lifestyle, and symptom-related factors play key roles in health-related quality of life among women with endometriosis. Self-efficacy was a strong positive predictor, whereas perceived stress and pain interference were linked to poorer outcomes. High-intensity physical activity supported better social functioning. These findings highlight the need for multidisciplinary interventions targeting psychological support, pain management, and physical activity to improve quality of life in this population. Full article
(This article belongs to the Section Obstetrics & Gynecology)
13 pages, 248 KB  
Article
The Determination of Halal Food Perceptions Among University Students Receiving Islamic Theology Education: The Case of Istanbul, Berlin, and Kuala Lumpur
by Tolga Çetinkaya
Religions 2025, 16(10), 1265; https://doi.org/10.3390/rel16101265 - 2 Oct 2025
Abstract
This study investigates the perceptions of halal food among theology students from three culturally diverse cities: Istanbul, Berlin, and Kuala Lumpur. As individuals receiving formal religious education, theology students are expected to exhibit strong awareness of Islamic dietary principles. Utilizing a quantitative research [...] Read more.
This study investigates the perceptions of halal food among theology students from three culturally diverse cities: Istanbul, Berlin, and Kuala Lumpur. As individuals receiving formal religious education, theology students are expected to exhibit strong awareness of Islamic dietary principles. Utilizing a quantitative research design, data were collected from 210 participants via online surveys using validated Likert-type scales measuring halal awareness, halal literacy, religious commitment, social influence, perceived behavioral control, price value, hedonic motivation, and consumption habits. One-way ANOVA and post hoc Tukey tests revealed significant differences between cities in nearly all variables. Students in Kuala Lumpur consistently demonstrated higher scores, indicating a stronger alignment with institutionalized halal systems and collectivist cultural norms. Berlin participants reported lower awareness and influence levels, likely reflecting a more secular and individualistic environment. Istanbul students fell between the two, showing strong religious motivation but less structural support. The findings highlight how halal food perceptions are shaped not only by individual religiosity but also by cultural, political, and economic contexts. This study contributes to the literature by offering a cross-cultural perspective on halal consumption and underscores the importance of integrating structural and cultural factors into religious food behavior research. Full article
(This article belongs to the Special Issue Islamic Practical Theology)
34 pages, 1029 KB  
Article
Integrating Project-Based and Community Learning for Cross-Disciplinary Competency Development in Nutrient Recovery
by Diana Guaya, Juan Carlos Romero-Benavides, Natasha Fierro and Leticia Jiménez
Sustainability 2025, 17(19), 8820; https://doi.org/10.3390/su17198820 - 1 Oct 2025
Abstract
This study presents a vertically integrated Project-Based Learning (PBL) and Community-Based Learning (CBL) framework that connects postgraduate and undergraduate programs in Applied Chemistry and Agricultural Engineering. Postgraduate students synthesized zeolite-based materials for nutrient recovery, which were subsequently applied by undergraduate students in field [...] Read more.
This study presents a vertically integrated Project-Based Learning (PBL) and Community-Based Learning (CBL) framework that connects postgraduate and undergraduate programs in Applied Chemistry and Agricultural Engineering. Postgraduate students synthesized zeolite-based materials for nutrient recovery, which were subsequently applied by undergraduate students in field trials conducted in collaboration with rural farming communities. The project was evaluated using rubrics, surveys, focus groups, and reflective journals. Results demonstrated substantial development of technical, communication, and critical thinking skills, with students highlighting the value of linking theory to practice. Community feedback confirmed the perceived benefits of the material for soil improvement and fertilizer efficiency, while also underscoring the need for sustained engagement. Despite challenges such as curricular coordination and resource constraints, the model effectively fostered interdisciplinary learning and social impact. These findings highlight the contribution of this sequentially instructional design to STEM education by connecting research, teaching, and outreach within a constructivist, sustainability-oriented approach. Full article
(This article belongs to the Special Issue Advances in Engineering Education and Sustainable Development)
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21 pages, 851 KB  
Article
The Impact of Psychological and Risk Factors on Tourists’ Loyalty Toward Nature-Based Destinations
by Abdullah Al Mahruqi, Ibtisam Al Abri, T. Ramayah and Lokman Zaibet
Tour. Hosp. 2025, 6(4), 197; https://doi.org/10.3390/tourhosp6040197 - 1 Oct 2025
Abstract
Tourist loyalty is vital for destination success, fostering repeat visits and positive word-of-mouth. This study explores the psychological and safety-related factors driving tourist loyalty to natural attractions in Oman, a rising destination known for its stability and safety. Using Social Cognitive Theory as [...] Read more.
Tourist loyalty is vital for destination success, fostering repeat visits and positive word-of-mouth. This study explores the psychological and safety-related factors driving tourist loyalty to natural attractions in Oman, a rising destination known for its stability and safety. Using Social Cognitive Theory as a foundation, the research incorporates perceived risk and novelty seeking as key moderating variables. Data were collected via an online survey of 165 international tourists and analyzed through Partial Least Squares Structural Equation Modeling (PLS-SEM). Findings show that attachment, satisfaction, and novelty seeking significantly affect both attitudinal and behavioral loyalty. While perceived value strongly influences behavioral loyalty, its impact on attitudinal loyalty appears more complex, suggesting possible unobserved mediators. Additionally, risk perception and novelty seeking moderate the link between destination familiarity and loyalty, underscoring the role of tourists’ internal evaluations of safety and desire for new experiences. This study advances the limited literature on tourist loyalty in developing countries by integrating psychological and risk-related dimensions. It offers actionable insights for tourism planners and marketers in Oman: emphasizing the country’s safety reputation, improving satisfaction levels, and crafting experiences that blend familiarity with novelty can enhance tourist loyalty and ensure sustained competitiveness in the global tourism market. Full article
(This article belongs to the Special Issue Customer Behavior in Tourism and Hospitality)
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26 pages, 842 KB  
Article
Exploring Customer Perceptions of Business Model Innovation in Family Economic Groups: Evidence from Ecuador
by Ana Belén Tulcanaza-Prieto, Alexandra Cortez-Ordoñez, Jairo Rivera and Chang Won Lee
Sustainability 2025, 17(19), 8793; https://doi.org/10.3390/su17198793 - 30 Sep 2025
Abstract
This study investigates the determinants of customers’ perception of business model innovation (BMI) and its impact on customer satisfaction (CS), customer loyalty (CL), and firm sustainability (FS) within Ecuadorian family economic groups (EFEGs). It also examines the moderating role of perceived BMI in [...] Read more.
This study investigates the determinants of customers’ perception of business model innovation (BMI) and its impact on customer satisfaction (CS), customer loyalty (CL), and firm sustainability (FS) within Ecuadorian family economic groups (EFEGs). It also examines the moderating role of perceived BMI in the relationships between CS, CL, and FS. Data were collected through an online survey yielding 342 valid responses, using a structured instrument that included socio-demographic variables, perceived EFEG characteristics, and nine validated constructs. Reliability and validity were corroborated through exploratory and confirmatory factor analyses, while structural equation modeling (SEM) and multiple regression analyses were employed to test the proposed relationships. The results reveal that socially responsible consumption (SRC), technological/digital customer skills (TCS), value creation innovativeness (VCrI), value proposition innovativeness (VPI), and value capture innovativeness (VCI) significantly influence customers’ perception of BMI. In turn, BMI positively influences CS, CL, and FS, and moderates the relationships between CS and FS, and CL and FS, though it does not significantly moderate the CS–CL relationship. These findings are consistent with previous research on European family firms, emphasizing the relevance of innovation capabilities, entrepreneurial orientation, and socioemotional wealth in enhancing adaptability and performance in family-owned businesses. This study contributes novel empirical evidence on BMI in the context of an emerging economy dominated by family firms. It underscores BMI as a dynamic capability crucial for fostering customer engagement, improving competitiveness, and ensuring long-term sustainability. Managerial implications suggest that EFEG managers should prioritize digital integration, service innovation, and transparency to strengthen customer trust and loyalty. Future research should broaden the scope to include other Latin American contexts, integrate internal organizational perspectives, and explore intergenerational dynamics and digital transformation processes to deepen understanding of BMI in family business ecosystems. Full article
32 pages, 569 KB  
Article
The Impact of ESG Management by Automobile Companies on Consumer Purchase Intention
by Jangwoo Kim, Euntack Im and Gwangyong Gim
Sustainability 2025, 17(19), 8733; https://doi.org/10.3390/su17198733 - 29 Sep 2025
Abstract
Amid rising sustainability demands, the automotive industry must understand how its Environmental, Social, and Governance (ESG) management influences consumer purchase decisions for high-involvement products. This study investigates this relationship by examining the mediating roles of brand value, perceived quality, and corporate trust. To [...] Read more.
Amid rising sustainability demands, the automotive industry must understand how its Environmental, Social, and Governance (ESG) management influences consumer purchase decisions for high-involvement products. This study investigates this relationship by examining the mediating roles of brand value, perceived quality, and corporate trust. To test the research model, we analyzed survey data from Korean automotive market consumers using partial least-squares structural equation modeling. The findings reveal that governance transparency and social responsibility significantly enhance corporate trust and brand value, which are the primary drivers of purchase intention. In contrast, environmental initiatives do not directly foster trust, and the effect of perceived quality is fully mediated by brand value and corporate trust. This study advances value-driven consumption theory by demonstrating that non-financial ESG dimensions—especially governance and social responsibility—can supersede functional quality in shaping purchase decisions in high-involvement contexts. These findings suggest that automakers should prioritize governance and social initiatives as strategic levers to build trust and strengthen long-term consumer loyalty. Full article
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26 pages, 3553 KB  
Article
Influence of Pre-Service Training on STEM Teachers’ Attitudes Toward ICT-Enhanced Teaching: Mediating Roles of Perceived Ease of Use and Perceived Usefulness
by Yingqian Zhang and Jiabin Zhu
Behav. Sci. 2025, 15(10), 1328; https://doi.org/10.3390/bs15101328 - 28 Sep 2025
Abstract
Integrating information and communication technology (ICT) into STEM education enhances instructional quality and cultivates students’ interdisciplinary problem-solving. STEM teachers’ attitudes—driven by perceived ease of use (PEOU) and perceived usefulness (PU)—are pivotal in ICT adoption, and pre-service training offers a vital opportunity to shape [...] Read more.
Integrating information and communication technology (ICT) into STEM education enhances instructional quality and cultivates students’ interdisciplinary problem-solving. STEM teachers’ attitudes—driven by perceived ease of use (PEOU) and perceived usefulness (PU)—are pivotal in ICT adoption, and pre-service training offers a vital opportunity to shape these attitudes. Yet, empirical studies investigating how specific training strategies influence ICT attitudes via PEOU and PU remain scarce. Using a mixed-methods approach combining questionnaires and interviews, the results indicate that pre-service training significantly improved STEM teachers’ attitudes toward ICT-enhanced teaching. Socially interactive strategies (role models and collaboration) enhanced attitudes via PEOU by boosting confidence and reducing technology-related anxiety, cognitive design strategies (reflection and instructional design) operated through PU by emphasizing ICT’s pedagogical value, and experiential feedback strategies (authentic experience and feedback) influenced attitudes through both PEOU and PU, fostering integrated technical and pedagogical development. These findings support an integrated SQD–TAM framework and provide practical guidance for designing pre-service STEM teacher programs to promote sustained ICT adoption in China, and meanwhile highlights the importance of strategically sequencing training to cultivate both technological competence and pedagogical insight among future STEM educators. Full article
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18 pages, 386 KB  
Article
Do Perceived Values Influence User Identification and Attitudinal Loyalty in Social Robots? The Mediating Role of Active Involvement
by Hua Pang, Zhen Wang and Lei Wang
Behav. Sci. 2025, 15(10), 1329; https://doi.org/10.3390/bs15101329 - 28 Sep 2025
Abstract
With the rapid advancement of artificial intelligence, the deployment of social robots has significantly broadened, extending into diverse fields such as education, medical services, and business. Despite this expansive growth, there remains a notable scarcity of empirical research addressing the underlying psychological mechanisms [...] Read more.
With the rapid advancement of artificial intelligence, the deployment of social robots has significantly broadened, extending into diverse fields such as education, medical services, and business. Despite this expansive growth, there remains a notable scarcity of empirical research addressing the underlying psychological mechanisms that influence human–robot interactions. To address this critical research gap, the present study proposes and empirically tests a theoretical model designed to elucidate how users’ multi-dimensional perceived values of social robots influence their attitudinal responses and outcomes. Based on questionnaire data from 569 social robot users, the study reveals that users’ perceived utilitarian value, emotional value, and hedonic value all exert significant positive effects on active involvement, thereby fostering their identification and reinforcing attitudinal loyalty. Among these dimensions, emotional value emerged as the strongest predictor, underscoring the pivotal role of emotional orientation in cultivating lasting human–robot relationships. Furthermore, the findings highlight the critical mediating function of active involvement in linking perceived value to users’ psychological sense of belonging, thereby elucidating the mechanism through which perceived value enhances engagement and promotes sustained long-term interaction. These findings extend the conceptual boundaries of human–machine interaction, offer a theoretical foundation for future explorations of user psychological mechanisms, and inform strategic design approaches centered on emotional interaction and user-oriented experiences, providing practical guidance for optimizing social robot design in applications. Full article
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14 pages, 689 KB  
Article
Attitudes Toward Social Media Versus Voting Among Adolescents and Youth in a Politicized Context: Chile Before and After the 2019 Social Uprising (2018–2022)
by Rodrigo Torres
Behav. Sci. 2025, 15(10), 1318; https://doi.org/10.3390/bs15101318 - 26 Sep 2025
Abstract
Following Chile’s October 2019 Social Uprising, social media increased as a key arena for youth political expression, leading us to investigate how adolescents (15–17) and young adults (18–21 and 22–24) transformed their attitudes toward social media as a more effective tool than voting [...] Read more.
Following Chile’s October 2019 Social Uprising, social media increased as a key arena for youth political expression, leading us to investigate how adolescents (15–17) and young adults (18–21 and 22–24) transformed their attitudes toward social media as a more effective tool than voting to voice people’s demands. To this end, we analyzed nationally representative data from the 9th National Youth Survey (2018–2019, pre-Uprising) and the 10th National Youth Survey (2021–2022, post-Uprising), employing bivariate tests and multiple linear regressions to assess age-group differences and sociopolitical predictors: political interest, satisfaction with democracy, and political identification. Our findings indicate that, in the post-Social Uprising period, support for social media over voting increased across all cohorts. This increase was statistically significant, with the largest rise observed among adolescents. Moreover, young people with lower political interest and weaker political identification were more likely to value social media over voting, while those more satisfied with democracy also tended to perceive social media as an effective channel for voicing people’s demands. Taken together, these results underscore the transformative impact of sociopolitical crises on digital engagement patterns, particularly among less politicized youth, and highlight the importance of developmental and motivational distinctions when designing civic-education programs and online engagement strategies tailored to adolescents versus young adults. Full article
(This article belongs to the Section Social Psychology)
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11 pages, 283 KB  
Article
What Motives Influence Parents’ Commitment to Their Children’s Sport Participation in the United States?
by Katherine N. Alexander, Daniel J. M. Fleming, Mitchell Olsen, Travis E. Dorsch and Kat V. Adams
Int. J. Environ. Res. Public Health 2025, 22(10), 1473; https://doi.org/10.3390/ijerph22101473 - 24 Sep 2025
Viewed by 41
Abstract
Background: The public often places value on youth sport involvement in the United States due to its potential to foster positive outcomes for participants. Although sport parents are key socializers and provide access to appropriate participation opportunities for children, less is known [...] Read more.
Background: The public often places value on youth sport involvement in the United States due to its potential to foster positive outcomes for participants. Although sport parents are key socializers and provide access to appropriate participation opportunities for children, less is known about how their perceptions of their child’s motives influence their sport commitments. Purpose: Therefore, the purpose of the present study was to understand how parents’ perceptions of their child’s motives for sport participation were associated with time/travel sport commitments. Methods: Participants (N = 1250) were parents in the United States reporting on their child’s youth sport participation. Measures assessed their perceptions of their child’s motives for sport involvement, how many hours per week and months per year they engaged in sport, and how far they tended to drive to facilitate sport opportunities. Multiple regressions were utilized. Results: Analyses revealed that the number of months per year was positively predicted by motives for being physically healthy and spending time with friends. Similarly, being with friends was a positive predictor of the number of weekly hours spent in organized sport and having fun positively predicted the distance driven to participate. Motives for becoming more physically attractive negatively predicted time and travel commitments. Conclusions: Overall, the present study sheds light on how the ways parents perceive their children’s motivations for participating in youth sport influences parents’ commitment to facilitating sport participation opportunities for their children. Full article
(This article belongs to the Section Exercise and Health-Related Quality of Life)
21 pages, 1786 KB  
Article
Valuable Prognostic Role of Disability, Pain, Anxiety, and Depression Scales in Instrumented Lumbar Spine Surgery for Degenerative Pathology: The SAP-LD Study
by Anita Simonini, Pier Paolo Panciani, Riccardo Bergomi, Giorgio Saraceno, Carlo Brembilla, Gabriele Capo, Nicola Montemurro, Claudio Rossi, Edoardo Agosti, Linda Gritti, Gennaro Salierno, Marco Maria Fontanella and Luca Zanin
Brain Sci. 2025, 15(10), 1035; https://doi.org/10.3390/brainsci15101035 - 24 Sep 2025
Viewed by 79
Abstract
Background: Degenerative lumbar spine disease is a prevalent cause of chronic low back pain that significantly impairs daily function and quality of life. While conservative management is the first line of treatment, many patients ultimately require instrumented lumbar spine surgery. However, postoperative outcomes [...] Read more.
Background: Degenerative lumbar spine disease is a prevalent cause of chronic low back pain that significantly impairs daily function and quality of life. While conservative management is the first line of treatment, many patients ultimately require instrumented lumbar spine surgery. However, postoperative outcomes vary considerably, with emerging evidence suggesting that preoperative psychological factors such as anxiety, depression, and pain catastrophizing may influence recovery. The SAP-LD (Scale for Anxiety and Pain in Lumbar Degeneration) study was designed to assess the prognostic role of these psychological and physical parameters in surgical outcomes. Methods: This prospective observational study enrolled 70 adult patients with degenerative lumbar spine pathology scheduled for instrumented surgical treatment at the University of Brescia and ASST Spedali Civili di Brescia between March and December 2024. Preoperative assessments included demographic, clinical, and radiologic data along with validated scales: the Oswestry Disability Index (ODI), 36-Item Short Form Health Survey (SF-36), Visual Analogue Scale (VAS), Pain Catastrophizing Scale (PCS), and Hospital Anxiety and Depression Scale (HADS). Follow-up evaluations were performed at 45 days and at 6 months, and statistical analyses were conducted using correlation tests, ANOVA, and regression modeling. Results: The demographic analysis of the 70 enrolled patients shows a balanced gender distribution (38 females, 34 males) with a mean age of 61 years (range 23–81). The educational level distribution indicates that the majority of patients (44.29%) have a secondary education level, while 35.71% have a tertiary education level. Regarding employment status, 50% of the patients are retired or not working. Patients with clinically significant anxiety and/or depression showed higher levels of perceived pain, pain catastrophizing, and disability at baseline. These patients reported significantly worse scores on the Visual Analogue Scale (VAS), Pain Catastrophizing Scale (PCS), and Oswestry Disability Index (ODI). The Oswestry Disability Index (ODI) demonstrates a clinically significant improvement (reduction) in disability between the preoperative period (t0) and the 45-day follow-up (t2), with the median decreasing from 39.00 to 13.00. However, there is a partial regression at the 6-month follow-up (t3), with the median increasing to 27.00. For the SF-36 Health Survey, the General Health subscale shows an improvement between t0 and t2 (median increasing from 55.00 to 60.00), followed by a slight decrease at t3 (median 55.00). Similar patterns are observed in most other subscales, with initial improvement followed by partial regression. The Pain Catastrophizing Scale (PCS) shows a substantial reduction in catastrophizing between t0 and t2 (median decreasing from 16.00 to 3.00), followed by an increase at t3 (median 11.00), though still below baseline levels. Pain intensity as measured by the Visual Analogue Scale (VAS) shows a significant reduction at t2 (median decreasing from 5.00 to 3.00), but increases again at t3 (median 6.00), even exceeding the preoperative level. For the Hospital Anxiety and Depression Scale (HADS), no significant differences were observed across time points, with values indicating mild symptoms throughout the study period. Correlation analyses confirmed that higher preoperative anxiety and depression scores were predictive of poorer postoperative outcomes. Specifically, higher HADS scores at baseline are associated with higher ODI scores (increased disability) at all time points (p = 0.002), higher VAS scores (increased pain) at all time points (p = 0.015), and lower scores on SF-36 subscales, particularly Emotional Well-being (p = 0.00023) and Social Functioning (p = 0.002). Higher PCS scores at baseline are associated with higher ODI scores at all time points (p = 0.001), higher VAS scores at all time points (p = 0.008), and lower scores on SF-36 subscales, particularly Pain (p = 0.00023) and Physical Functioning (p = 0.04254). The mixed linear models analysis confirms these findings, showing that the ODI score decreases significantly between t0 and t2 (p = 0.00023) and increases between t2 and t3, though this increase is not statistically significant (p = 0.079). For VAS scores, there is a significant decrease between t0 and t2 (p = 0.00023) and a significant increase between t2 and t3 (p = 0.04254). Patients with elevated preoperative HADS scores tended to have slower recovery trajectories and reported lower satisfaction levels. These findings reinforce the prognostic value of psychological assessments in spine surgery and suggest that targeted psychological interventions could improve patient outcomes. Conclusions: By identifying psychological predictors of postoperative recovery, this study underscores the importance of integrating preoperative psychological screening into routine clinical practice. The results suggest that a multidisciplinary approach, including both surgical and psychological care, could enhance long-term functional outcomes and quality of life for patients undergoing instrumented lumbar spine surgery. Full article
(This article belongs to the Special Issue Novel Techniques in Spine Neurosurgery)
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22 pages, 574 KB  
Article
Why Organizational Commitment and Work Values of Veterans Home Caregivers Affect Retention Intentions: A Social Exchange Theory Perspective
by Szu-Han Yeh and Kuo-Chung Huang
Healthcare 2025, 13(19), 2396; https://doi.org/10.3390/healthcare13192396 - 23 Sep 2025
Viewed by 181
Abstract
Background/Objectives: The stability of caregiver manpower plays a crucial role in the operation of long-term care institutions. This study adopts Social Exchange Theory as the theoretical foundation to construct the psychological mechanism through which organizational commitment and work value influence retention intention via [...] Read more.
Background/Objectives: The stability of caregiver manpower plays a crucial role in the operation of long-term care institutions. This study adopts Social Exchange Theory as the theoretical foundation to construct the psychological mechanism through which organizational commitment and work value influence retention intention via job involvement. Against the backdrop of Taiwan’s intensifying aging society and the increasing service demands of the veterans’ support system, Veterans Homes have gradually become indispensable within the long-term care system. Therefore, the primary objective of this study is to explore the formation mechanism of retention intention among caregivers in Veterans Homes. Methods: Data analysis was conducted using structural equation modeling, with 447 valid samples collected from caregivers across 16 Veterans Homes in Taiwan. Results: The results indicate that, in the process of forming retention intention, job involvement serves as a mediator between organizational commitment and work value on retention intention and demonstrates significant mediating effects. Conclusions: These findings suggest that when caregivers perceive value realization and organizational identification in their work, they are more likely to exhibit active engagement, thereby strengthening their tendency to remain employed. Furthermore, the study reveals that the effect of organizational commitment on job involvement is stronger than that of work value, indicating that exchange motives triggered by emotional bonds carry greater implications for retention. In conclusion, organizational support and personal value perceptions stimulate emotional engagement, which further influences caregivers’ decisions to remain in long-term service and ultimately shape their retention behavior. Full article
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20 pages, 325 KB  
Article
Integrating Environmental, Social, and Governance (ESG) Factors into the Investment Returns of American Companies
by Rachana Manoj Lunawat, Mahmoud Elmarzouky and Doaa Shohaieb
Sustainability 2025, 17(19), 8522; https://doi.org/10.3390/su17198522 - 23 Sep 2025
Viewed by 210
Abstract
This study investigates the influence of Environmental, Social, and Governance (ESG) factors on the financial performance of publicly traded U.S. companies between 2013 and 2023. Using a balanced panel dataset of 386 S&P 500 firms and 4246 firm-year observations, the analysis applies panel [...] Read more.
This study investigates the influence of Environmental, Social, and Governance (ESG) factors on the financial performance of publicly traded U.S. companies between 2013 and 2023. Using a balanced panel dataset of 386 S&P 500 firms and 4246 firm-year observations, the analysis applies panel data regression models with fixed effects to evaluate the association between ESG scores and two financial indicators: Return on Assets (ROA) and Tobin’s Q. The results reveal a modest association with ROA, but a significantly stronger link with Tobin’s Q, suggesting that while ESG practices may not substantially boost short-term profitability, they are positively perceived by investors and contribute to long-term market value. These findings are consistent with stakeholder and signalling theories, indicating that strong ESG performance reflects effective management and lower investment risk. The limited impact on ROA may stem from the initial costs of implementing ESG initiatives. This study highlights practical implications for corporate leaders and policy-makers, advocating for ESG integration as a long-term value driver. Future research should explore alternative ESG rating systems and consider sectoral dynamics and broader market influences. Full article
(This article belongs to the Section Economic and Business Aspects of Sustainability)
25 pages, 663 KB  
Article
The Dual-Driven Mechanism of “Value and Need” Influencing Consumers’ Continuous Purchase Behavior in Blind Box Consumption
by Linglin Zhou, Juncheng Mu and Chun Yang
Sustainability 2025, 17(18), 8452; https://doi.org/10.3390/su17188452 - 20 Sep 2025
Viewed by 409
Abstract
This study, grounded in the Stimulus-Organism-Response (S-O-R) model and incorporating a sustainable consumption perspective, investigates how the characteristics and marketing strategies of blind box products influence continuous purchase behavior through perceived value and perceived needs. Empirical evidence reveals that perceived needs are crucial [...] Read more.
This study, grounded in the Stimulus-Organism-Response (S-O-R) model and incorporating a sustainable consumption perspective, investigates how the characteristics and marketing strategies of blind box products influence continuous purchase behavior through perceived value and perceived needs. Empirical evidence reveals that perceived needs are crucial for sustained purchases, with significant impacts from intellectual property (IP) characteristics and uncertainty, highlighting the core role of emotional resonance and experiential stimulation. In the context of sustainable consumption, long-term consumption is based on rational cognition of product value. Consumers form a dual cognitive understanding of “value” and “needs” regarding blind boxes, with these two acting as mediating variables linking antecedents and behaviors. Perceived sustainable value is increasingly becoming an important factor in decision-making. IP and economic attributes positively influence continuous purchases, while social attributes have an insignificant effect on perceived needs, reflecting the priority of individual needs recognition, with sustainable consumption pursuits gradually integrating. Identity recognition indirectly influences continuous purchases through perceived value and needs, validating the “identity–perception–behavior” logic, with sustainable consumption concepts also participating in this transmission. This research constructs an S-O-R framework suitable for blind boxes, enriching the model’s application in emerging industries. It reveals a dual-driving mechanism, providing a basis for understanding the rational logic of “irrational consumption” and the practice of sustainable consumption in the blind box field. It clarifies the priority of individual and group needs and the path of sustainable consumption. The conclusions offer references for blind box product design (strengthening IP, balancing attributes, integrating sustainable concepts), marketing (reasonable use of uncertainty, focusing on individuals, guiding sustainable behavior), and industry development (guiding rational consumption, promoting transformation, and fostering sustainable development). Full article
(This article belongs to the Special Issue Consumption Innovation and Consumer Behavior in Sustainable Marketing)
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