Supplements purchase intention: young consumer's perspective

PurposeThis study aims to investigate the factors that influence young consumers' purchase intention towards dietary supplements (DS) in Malaysia.Design/methodology/approachThe supplement industry in Malaysia has been growing rapidly recently due to a paradigm shift in healthcare management, from curative to prevention. Thus, it has sparked interest to conduct a study on the factors that influence young consumers' purchase intentions towards DS. With a response rate of 74.5%, a survey questionnaire was used to elicit data from 149 Gen-Y respondents who consume supplements on a regular basis.FindingsThe results revealed that the influencing factors towards purchase decisions among these Gen-Y respondents aged between 17 and 25 are based on product knowledge and product quality. The implications of these findings and directions for future research are outlined at the end of this paper.Originality/valueThis study offers empirical insights from the perspective of an emerging digital economy on the factors that influence young consumers' purchase intentions towards DS in Malaysia.

Mediating effect of mindfulness level on the relationship between marital quality and postpartum depression among primiparas.

BACKGROUND: Postpartum depression refers to a depressive episode or depressive symptoms up to 12 mo after delivery. Trait mindfulness has presented a protective factor for postpartum depressive symptoms and proved efficient in improving relationship satisfaction among couples. AIM: To investigate the correlations among mindfulness, marital quality, anxiety, and depression in a large city in western China during the post-corona virus infectious disease-2019 era and determine whether trait mindfulness mediates the relationship between marital quality and postpartum anxiety and depression among primiparas. METHODS: A cross-sectional study was conducted. The self-administered questionnaire was submitted online through smartphones. The levels of mindfulness, anxiety, depression, and marital quality were respectively investigated by the mindful attention awareness scale (MAAS), the self-rating anxiety scale (SAS), the self-rating depression scale (SDS), and the marriage perception scale (MPS) in these enrolled Han and Tujia primiparas. RESULTS: No statistical significance was observed in the prevalence of postpartum anxiety and depression, nor scores of MAAS and MPS-Total in different regions or ethnicities (P > 0.05). However, MPS-Marital interaction (P < 0.05), MPS-Family relationship (MPS-FR) (P < 0.01), and MPS-Marital conflict (MPS-MC) (P < 0.01) scores of urban primiparas were higher than those of rural primiparas. The MPS-MC score of Han primiparas was higher than that of Tujia primiparas (P < 0.05). Negative correlations were observed between MAAS and SAS (r = -0.457, P < 0.01), and MAAS and SDS (r = -0.439, P < 0.01). SAS has revealed a highly positive correlation with SDS (r = 0.720, P < 0.01) and a weak negative correlation with MPS (r = -0.200, P < 0.05). Besides, a weak negative correlation was observed between MAAS and MPS-MC (r = -0.184, P < 0.05), and a weak positive correlation was noticed between SAS and MPS-MC (r = -0.225, P < 0.01). Mediation analysis demonstrated a full mediation effect of mindfulness level on the relationship between MPS-FR and postpartum anxiety (P < 0.05, 95%CI: -0.384 to 0.033), MPS-MC and postpartum anxiety (P < 0.01, 95%CI: 0.027-0.193), MPS-FR and postpartum depression (P < 0.05, 95%CI: -0.365 to 0.031), and MPS-MC and postpartum depression (P < 0.01, 95%CI: 0.022-0.206). CONCLUSION: Mindfulness demonstrates negative correlations with marital conflict, postpartum anxiety and depression, and it may have cross-ethnic and trans-regional characteristics. Although the mindfulness levels have revealed no significant mediating effect between the total score of marital quality and postpartum depression in this study, it demonstrates a full mediation effect on the relationships between family relationships, marital conflict, and postpartum anxiety and depression.

The impact of perceived risk of online takeout packaging and the moderating role of educational level.

With the rapid development of e-commerce and the impact of COVID-19, online takeout has become the first choice of more and more consumers. Previous research has indicated that food packaging is of great significance to marketing performance, yet very little is known about the mechanisms through which food packaging pollution risk affects online takeout consumption. This study proposes an expanded model of the Theory of Planned Behavior (TPB) by incorporating the Concept of Perceived Risk (CPR) to analyze the mechanism of consumers' packaging pollution risk perception (PPRP) on their purchasing intention toward online takeout. Online survey was performed to collect data from 336 valid respondents in China, which was analyzed using structural equation modeling. The research findings verify the effectiveness of the TPB in the context of Chinese online takeout. Notably, the PPRP of online takeout was found to have a significant negative impact on consumers' attitudes, subjective norms, and perceived behavioral control (PBC). It was also confirmed that consumers' attitudes, subjective norms, and PBC regarding online takeout partially mediate the negative relationship between PPRP and purchase intention. In addition, the findings corroborate the granular nuances among three groups concerning consumers' education level. The results do not only provide suggestions to the online takeout industry but also contribute theoretical value and practical significance for the improvement of sustainable food consumption.

Successful collaboration between smart city consortium and Hong Kong Government in Covid-19 dashboard: the case of leadership in practice

Purpose>This paper aims to discover why such a public partnership project had been successful with a non-profit third-party alliance such as a smart city consortium (SCC) promoting smart city development.Design/methodology/approach>This descriptive case study is primarily based on analysing data collected from various texts, public statements, media interviews and three semi-structured interviews with key members involved in the Covid-19 dashboard project.Findings>The data and analysis reviews that both interpersonal and interorganisational trust, dedication and proactiveness of the leaders at SCC were major contributing factors to why SCC was able to partner with the Hong Kong Government in the Covid-19 dashboard in the first place and that the success was also a direct outcome of effective mass collaborative knowledge management activities.Research limitations/implications>The research in leadership attributes and activities in the non-profit alliance has been few and this collaborative partnership between the alliance and the government is an example of the importance of further research in smart city leadership.Practical implications>In deploying projects for mass collaboration and knowledge sharing in smart city development (which is multi-disciplinary in nature). there are still many new and evolving organisational practices and leadership matters that many business leaders and city managers can learn from.Social implications>Smart city development projects involve the notion of sharing data in an open environment enabled by software and mediating tools. Successful projects such as this Hong Kong Covid-19 dashboard which serves a diverse audience can further promote the importance of an open data policy regime for the benefit of the public.Originality/value>This case study covers a highly original and unique case study with the leaders at the SCC and representatives from the Hong Kong Government.

Organizational-Based Resources as Determinants of Nurses' Job Performance in Malaysia: The Mediating Role of Motivation

Jururawat merupakan salah satu kepakaran dalam cabang bidang perubatan dan kesihatan yang mempunyai ahli yang paling ramai dalam bidang tersebut. Prestasi kerja jururawat merupakan penentu utama bagi kualiti penjagaan kepada pesakit. Memandangkan peningkatan bilangan pesakit yang dimasukkan ke hoisptal dan peningkatan permintaan oleh pesakit yang semakin tinggi jangkaannya, keperluan untuk mempertingkatkan prestasi dan kualiti penyampaian perkhidmatan jururawat menjadi penting. Dengan menggunakan teori Conservation of Resources (COR), kajian ini berhasrat untuk memeriksa kesan amalan pengurusan sumber manusia yang dikenali sebagai sumber berasaskan organisasi (dalam bentuk penyertaan dan pampasan) terhadap prestasi kerja jururawat (tugas dan kontekstual) dengan motivasi sebagai pengantara. Analisis statistic dijalankan dengan menggunakan teknik Partial Least Squares (PLS) terhadap 354 data soal selidik dikutip daripada kalangan jururawat berkerja di Hospital awam Malaysia. Hasil dapatan dinyatakan bahawa keduadua amalan pengurusan sumber manusia memberi kesan secara langsung dan positif terhadap motivasi. Begitu juga, motivasi didapati mengantara perhubungan kedua-dua penyertaan dan pampasan dengan kedua-dua dimensi prestasi kerja (tugas dan kontekstual). Kajian ini telah memberi cadangan yangpenting kepada penyelia jurawat supaya memotivasi jurawat dengan menggalakkan mereka membuatn keputusan dan melibatkan diri dalam urusan hospital.Alternate :In a healthcare setting, nurses are the majority of healthcare specialists, thus making their job performance the key determinant of patient's care quality. Given the rising number of patients being admitted to public hospitals and the increasing demands imposed by patients and their higher expectations, the need to further improve nurses' performance and quality of service delivery becomes imperative. The Conservation of Resources (COR) theory is used to investigate the influence of human resource management methods (HRMPs), which represent organizational-based resources (in the form ofparticipation and compensation) on nurses 'job performance (task performance and contextual performance) with motivation as the mediator. Partial Least Squares (PLS) technique was used to analyse the data collected from 354 nurses attached with Malaysian public hospitals. The results disclosed that both HRMPs have direct and positive effects on motivation. Similarly, motivation mediated the link between involvement and compensation with task and contextual performance. Similarly, motivation mediated the link between involvement and compensation with task and contextual performance. This study has offered a vital recommendation to the nurse supervisors to motivate the nurses by giving more prospects for them to engage in making decisions and participating in hospital affairs.

Examining the Link among Agility, Knowledge Management Practices and Firm Performance: Empirical Evidence from Electrical and Electronics Manufacturing Firms

Kajian ini menyelidikperhubungan antara ketangkasan dan pengurusan pengetahuan terhadap prestasi syarikat secara empirikal di kalangan syarikat perkilangan elektrik dan elektronik di Malaysia. Kajian ini dijalani melalui tinjauan survei, dan menerima 85 respons dari kalangan syarikat perkilangan. Hasil kajian menunjukkan bahawa amalan pengurusan pengetahuan mengantarai hubungan antara ketangkasan dan prestasi syarikat, yang sejajar dengan teori Pandangan Berasaskan Pengetahuan (Knowledge Based View - KBV), di mana pengetahuan adalah sesuatu aset syarikat. Penemuan empirikal ini menyokong konsep berpandukan teori, iaitu ketangkasan bergantung kepada pengurusan pengetahuan. Implikasi untuk mempraktikkan pengurus dalam syarikat perkilangan adalah dua ganda, iaitu ketangkasan dilaksanakan secara sendirian sahaja tidak menyebabkan peningkatan prestasi syarikat, dan hanya salah satu faktor yang dilaksanakan adalah tidak optimum.Alternate :The study empirically investigates the relationship between agility and knowledge management practices on firm performance among the electrical and electronics manufacturing firms in Malaysia. The study was conducted using a survey method. A total of 85 manufacturing firms participated in this study. The findings showed that knowledge management practices mediate the relationship between agility and firm performance, which is in line with the Knowledge-Based View (KBV) where knowledge is an asset of the firm. The findings also empirically support the theoretical conceptualization of agility as co-dependent on knowledge management. The implications for practising managers within manufacturing firms are twofold, where agility alone does not lead to increasedfirm performance, and the implementation of only one of the factors is suboptimal.

Global prevalence of resilience in health care professionals: A systematic review, meta-analysis and meta-regression.

AIMS: This review aims to examine the prevalence estimate of low resilience among health care professionals and identify the factors affecting the prevalence. BACKGROUND: Health care professionals experience high levels of stress. Understanding the health care professionals' resilience may provide an insight into how they perform in a highly stressed environment. EVALUATION: A comprehensive search of 11 databases was conducted. Studies that provided prevalence rates for low resilience among health care professionals working in a health care setting were included. Meta-analyses, sensitivity, subgroup analyses and meta-regression were conducted. KEY ISSUES: Among 27,720 studies, 41 studies (N = 17,073) across 16 countries were included. The prevalence of low resilience was 26% (95% CI: 20-32). Subgroup analyses indicated that types of resilience measures affect resilience prevalence significantly. A higher prevalence of low resilience was observed among allied health professions during the COVID-19 pandemic in the Middle East. CONCLUSIONS: This review indicated the prevalence of low resilience and type of resilience measurement instruments that affected the prevalence. IMPLICATIONS FOR NURSING MANAGEMENT: This review provides a roadmap to design tailored, discipline-specific and sustainable resilience training for nurses. Nursing managers should monitor the working hours and workload of nursing staffing in order to provide a protective working environment. This is a systematic review, and the PROSPERO registration number is CRD42021235350.

Smartphone Ownership, Digital Literacy, and the Mediating Role of Connectedness and Loneliness In Improving The Wellbeing among Community-Dwelling Singaporean Older Adults of Low Socio-Economic Status (preprint)

Importance: Safe-distancing measures used during the COVID-19 pandemic may exacerbate social isolation and loneliness with their attending negative consequences. Digital technology may mitigate the negative impact of safe-distancing measures; however, older adults of low socioeconomic status (SES) who may not be digitally literate remain a vulnerable population. Objective: To examine the relationship between digital literacy and social connectedness, loneliness, wellbeing, and quality of life (QOL) amongst older adults. To identify demographic factors associated with smartphone ownership, digital literacy, and willingness to enroll in a home-based digital literacy program. Design: Cross-sectional study. Setting: Convenience sampling of older adults receiving financial aid or living in rental flat referred to a volunteer-led digital literacy program.Participants: 302 community dwelling older adults who are ≥55 years old. Main Outcomes: Smartphone ownership, self-reported digital literacy, willingness to enroll in a digital literacy program; social connectedness (Lubben Social Connectedness Scale, LSNS-6), loneliness (UCLA 3-item scale, UCLA-3), wellbeing (Personal Wellbeing Score), and QOL (EQ-5D-3L [utility index], EQ VAS). Results: Social digital literacy had a positive indirect effect on both the wellbeing and QOL (mediated by social connectedness and perceived loneliness) of older adults, while instrumental digital literacy had a negative indirect effect on the two outcomes. 59.9% of participants owned an internet-enabled phone (smartphone). The median digital literacy index is 3 (score ranging from 0 to 13). Older adults who are younger and more educated were more likely to own a smartphone; while older adults who are more educated, Chinese (ethnic majority), have a smartphone, and lower digital literacy index were more likely to enroll in a home-based digital literacy education program.Conclusions and Relevance: During the COVID-19 pandemic, community dwelling older adults of low SES are socially isolated, lonely, and have low digital literacy. Interventions to improve digital literacy (especially the social domain) may help to reduce social isolation and loneliness, ultimately improving wellbeing and QOL.

Determinants of Intention to Purchase Bottled Water Based on Business Online Strategy in China: The Role of Perceived Risk in the Theory of Planned Behavior.

With the development of the network economy, especially the promotion and popularization of mobile networks, traditional offline businesses are further integrated with online businesses, promoting the development of business online strategies. However, with the growth of enterprises' business, their negative externalities on the environment have gradually become prominent, further affecting sustainable consumption. The relationships between businesses, the environment, and consumption have become the focus of attention. China's fast-growing bottled water companies face similar challenges. The pollution that occurs due to bottled water packaging poses great threats to consumers. Hence, this study extended the Theory of Planned Behavior (TPB) by integrating three risk aspects, namely, water pollution risk perception (WPRP), non-degradable package pollution risk perception (NPPRP), and false information risk perception (FIRP), to examine the consumers' perceptions toward these risk aspects before purchasing bottled water online. This study employed a cross-sectional approach to collect data from online consumers via a survey method. A total of 401 valid samples were collected and then analyzed via a structural equation model using the AMOS statistical package. The results showed that attitude (AT), subjective norm (SN), and perceived behavior control (PBC) toward online bottled water purchase had significant and positive effects on the consumers' purchase intentions (PIs). However, under the influence of risk perception, the consumers' attitudes, SNs and PBC became suppressed by WPRP, and SN became suppressed due to the impact of FIRP. Furthermore, the negative impacts of NPPRP and FIRP on PI were partially mediated by AT, SN and PBC. Meanwhile, WPRP imposed the most significant direct effect on PI. The study results will help businesses to develop better online strategies to reduce the risk perception of bottled water and provide theoretical value and practical guidance for realizing sustainable consumption.

Improvement to the subjective well-being of pet ownership may have positive psychological influence during COVID-19 epidemic.

The COVID-19 epidemic and government intervention measures may have adverse effects on people's mental health. To explore the influence of pets on the intervention of people's psychological problems during the COVID-19 epidemic, an online survey was carried out between April 9 and April 29, 2020. A total of 756 participants replied to this questionnaire. Mental health variables were assessed, and the comparison of behavior changes among pet owners and pets on positive mental well-being during COVID-19 epidemic. Comparative analysis was performed; compared with individuals without pets (n = 575), pet owners (n = 181) had a higher prevalence of insomnia (p = 0.006). Living in Wuhan city was a risk factor for people with psychological stress (p < 0.05). Dog owners exhibited lower than average scores of insomnia and uncertainty of infection than cat owners (p = 0.004). People with more than one pet exhibited lower than average scores of depression than having one pet (p = 0.040). For analysis of psychological effects of pets on people, the role of pets in subjective feeling and positive psychological changes of pet owner was significantly different. Pet owners relieve that psychological pressure through behavioral changes towards their pets in early stage. Pets provided positive subjective well-being and psychological effects for their owners.

Government Intervention Measures Effectively Control COVID-19 Epidemic in Wuhan, China.

The Coronavirus disease 2019 (COVID-19) outbreak has been brought under control through a nationwide effort, and now it has become a global pandemic and the situation seems grim. We summarized the measures taken in Wuhan and analyzed the effects to comprehensively describe the factors involved in controlling the COVID-19 in China. In China, several measures such as the lockdown of Wuhan, restriction of traffic and communities, increasing hospital beds, nationwide support from medical staff, epidemic prevention equipment and supplies, and establishment of makeshift shelter hospitals have been taken. The lockdown of Wuhan reduced the propagation of cases to other cities in Hubei province and throughout China, traffic and community restrictions reduced the flow of population and the spread of disease, increasing wards and beds and medical personnel reduced the incidence of severe cases and mortality, the establishment of the Fangcang shelter hospitals provided a good isolation and monitoring environment, and further reduced the spread and fatality of the disease. The fact that China was able to control the spread of COVID-19 within three months without a specific drug or vaccine suggests that these measures are more adequate and effective.

Decreased prealbumin level is associated with increased risk for mortality in elderly hospitalized patients with COVID-19.

OBJECTIVES: High-risk patients ≥65 y of age with coronavirus disease 2019 (COVID-19) tended to have lower serum prealbumin concentrations. The aim of this study was to investigate the association of prealbumin at baseline on COVID-19-related mortality in elderly patients (≥65 y of age). METHODS: We non-selectively and consecutively collected participants from Tongji Hospital in Wuhan from January 17 to February 17, 2020. Univariate and multivariate logistic regression models were employed to evaluate the correlation between prealbumin and in-hospital outcomes (in-hospital mortality, admission to the intensive care unit [ICU], and mechanical ventilation) in elderly patients with COVID-19. Linear trend was performed by entering the median value of each category of prealbumin tertile as a continuous variable and was visually confirmed by using generalized additive models. Interaction and stratified analyses were conducted as well. RESULTS: We included 446 elderly patients with COVID-19 in the final analyses. In-hospital mortality was 14.79%. Of the 446 patients, 15.47% were admitted to the ICU and 21.3% required mechanical ventilation. Compared with patients in the highest tertile, the prealbumin of patients in the lowest tertile had a 19.09-fold higher risk for death [odds ratio (OR), 20.09; 95% confidence interval (CI), 3.62-111.64; P = 0.0006], 25.39-fold higher risk for ICU admission (OR, 26.39; 95% CI, 4.04-172.39; P = 0.0006), and 1.8-fold higher risk for mechanical ventilation (OR, 2.8; 95% CI, 1.15-6.78; P = 0.0227) after adjustment for potential confounders. There was a linear trend correlation between serum prealbumin concentration and risk for in-hospital mortality, ICU admission, and mechanical ventilation in elderly patients with COVID-19 infection. CONCLUSION: Prealbumin is an independent risk factor of in-hospital mortality for elderly patients with COVID-19. Assessment of prealbumin may help identify high-risk individuals ≥65 y of age with COVID-19.

Acute Kidney Injury Is Associated With In-hospital Mortality in Older Patients With COVID-19.

BACKGROUND: The epidemic of COVID-19 presents a special threat to older adults. However, information on kidney damage in older patients with COVID-19 is limited. Acute kidney injury (AKI) is common in hospitalized adults and associated with poor prognosis. We sought to explore the association between AKI and mortality in older patients with COVID-19. METHODS: We conducted a retrospective, observational cohort study in a large tertiary care university hospital in Wuhan, China. All consecutive inpatients older than 65 years with COVID-19 were enrolled in this cohort. Demographic data, laboratory values, comorbidities, treatments, and clinical outcomes were all collected. Data were compared between patients with AKI and without AKI. The association between AKI and mortality was analyzed. RESULTS: Of 1764 in-hospital patients, 882 older adult cases were included in this cohort. The median age was 71 years (interquartile range: 68-77), 440 (49.9%) were men. The most presented comorbidity was cardiovascular diseases (58.2%), followed by diabetes (31.4%). Of 882 older patients, 115 (13%) developed AKI and 128 (14.5%) died. Patients with AKI had higher mortality than those without AKI (68 [59.1%] vs 60 [7.8%]; p < .001). Multivariable Cox regression analysis showed that increasing odds of in-hospital mortality are associated with higher interleukin-6 on admission, myocardial injury, and AKI. CONCLUSIONS: Acute kidney injury is not an uncommon complication in older patients with COVID-19 but is associated with a high risk of death. Physicians should be aware of the risk of AKI in older patients with COVID-19.