The rapid integration of digital technologies into teaching, learning, and assessment has created new avenues through which technology-facilitated gender-based violence (TFGBV) may occur in school settings. Existing scholarship has examined TFGBV mainly through the lenses of cyberbullying, digital safety, and student well-being. At the same time, emerging work has also begun to conceptualise digital assessment systems as sites of structural and institutional gendered risk. Building on this systems-level perspective, this conceptual paper shifts attention to the pedagogical and interactional layer of digital assessment, examining how teachers' assessment design and oversight decisions may shape the conditions under which TFGBV becomes more or less likely. Developed through a critical interdisciplinary literature review, the paper draws on Bronfenbrenner's ecological systems theory, digital citizenship frameworks, and classroom assessment scholarship to examine how learning management systems, peer assessment tools, collaborative online assignments, and social media-integrated assessment activities may create conditions conducive to gendered harassment, image-based abuse, and exclusionary behaviour among learners of all genders. The paper proposes the Assessment-Mediated Digital Ethics (AMDE) framework, a theoretically grounded but not yet empirically validated model integrating gender-responsive assessment design, embedded digital behavioural expectations, and structured teacher oversight. AMDE is presented as a complementary pedagogical extension of existing justice-oriented approaches to digital assessment and TFGBV, rather than as a claim of first conceptualisation. The framework provides a basis for future empirical research examining teacher-mediated assessment practices and their relationship to digital safety, ethical participation, and TFGBV risk across diverse educational contexts. Responsibility for TFGBV prevention is understood as shared among teachers, learners, schools, families, technology providers, and policymakers.
Although knowledge and stigma about suicide are important factors in suicide prevention, there are no validated instruments available in Hungary. Our goal was to validate the Literacy of Suicide Scale—Short Form (LOSS-SF) and the Stigma of Suicide Scale—Short Form (SOSS-SF) in Hungarian. An anonymous online survey was administered to a self-selected online convenience sample of 954 participants of 38.0 years (SD: 14.8) of age. Our study used a descriptive, correlational, cross-sectional design. Confirmatory factor analysis results indicate a good model fit for a three-factor structure of the SOSS-SF scale. Invariance testing revealed that the scale is valid across gender, age and former suicide ideation. LOSS-SF had an acceptable unidimensional model fit as a two-parameter logistic (2PL) IRT (Item Response Theory) based survey, and results showed good infit–outfit with appropriate item discrimination and difficulty measures. The results show that the two instruments show sound psychometric properties and construct validity within this sample. While the Hungarian versions of the SOSS-SF and the LOSS-SF provide useful tools for assessing suicide stigma and suicide literacy in research settings, further validation on nationally representative samples may be required in case population-level norms are needed to inform national policy-makers.
Introduction: Registered dietitians (RDs) are frequently asked to provide guidance and expertise on dietary supplements; however, few assessment tools are available to objectively evaluate their knowledge in this area. A standardized instrument may help identify educational gaps and support the development of supplement-related competencies within dietetics education and practice. Methods: The 25-item Dietary Supplement Knowledge Assessment Tool for Registered Dietitians (DSKAT-RD) was developed to assess key areas of dietary supplement knowledge, including safety, efficacy, regulation, quality, and evidence-based research. Twelve subject-matter experts independently rated the relevance of each item on a 4-point scale. Item-Level Content Validity Index (I-CVI) values were calculated, with ratings of 3 or 4 considered content valid and ≥0.78 considered acceptable. Quantitative ratings and qualitative feedback guided revisions for clarity, accuracy, relevance, and response-option quality. Revised items were reviewed by a 3-member expert subgroup until consensus was reached. Results: Expert review demonstrated high content validity for the DSKAT-RD. Item-level Content Validity Index (I-CVI) values ranged from 0.75 to 1.00, with 24 of 25 items (96%) meeting the predefined acceptability criterion of ≥0.78. Nineteen items (76%) achieved an I-CVI of 1.00, and the Scale-Level Content Validity Index using the average method (S-CVI/Ave) was 0.97. Six items underwent additional review and revision based on quantitative ratings and qualitative expert feedback related to wording, response options, scientific or regulatory accuracy, and content alignment. Following secondary review by three subject-matter experts, all 25 items were retained in the final instrument. Conclusions: The DSKAT-RD demonstrated strong evidence of content validity and provides a structured method for assessing dietary supplement knowledge among RDs.
Background Patient education is an important component of nursing care, influencing treatment outcomes, quality of life, and healthcare costs. However, educational practices are often generalized and may not address patients’ individual needs, health literacy, or socio-cultural contexts. Individualized patient education tailors content to patients’ characteristics, goals, and capabilities, and enhances adherence, satisfaction, and clinical outcomes. Existing tools mainly focus on general aspects of patient education, such as educational quality or provider competencies, and no comprehensive patient-centered tool has been established to assess the individualized nature of patient education. This may constrain systematic assessment and improvement of individualized educational practices. Therefore, this protocol aims to conceptualize individualized patient education, develop a measurement tool, and evaluate its psychometric properties. Methods This two-phase exploratory sequential mixed-methods study will be conducted in educational hospitals affiliated with Tabriz University of Medical Sciences, northwest Iran. Phase 1 will involve hybrid concept analysis, including a literature review and directed qualitative study using semi-structured interviews with patients with chronic diseases and their family members until data saturation, followed by directed content analysis to clarify the concept, identify provisional dimensions, and generate initial items, which will be evaluated quantitatively. Phase 2 will assess the tool’s psychometric properties. Face and content validity will be evaluated using qualitative feedback and the Impact Score, Content Validity Ratio, Content Validity Index, and Modified Kappa coefficient. Construct validity will be examined using exploratory and confirmatory factor analyses in SPSS v.24 and AMOS v.24, with independent samples of at least 200 participants per analysis. Reliability will be assessed using Cronbach’s alpha, McDonald’s omega, and test-retest stability. Interpretability and feasibility will also be evaluated. Discussion If the tool demonstrates adequate validity and reliability, it may provide a standardized measure for assessing individualized educational interventions and support quality improvement, patient engagement, and evidence-informed health education strategies.
The validity of assessment instruments is a crucial aspect in ensuring the quality of learning evaluations in Islamic Religious Education (PAI). However, there are still evaluation instruments that are developed without considering the alignment of indicators, constructs, and measurement objectives, which may result in inaccurate data. This study aims to examine the concepts, types, testing procedures, and methods for determining the validity of assessment instruments through a literature review. The method used is library research with a descriptive qualitative approach. Data were obtained from various books, scientific journals, and relevant documents, and then analyzed descriptively. The results of the study indicate that the validity of an instrument encompasses logical validity and empirical validity, which complement each other in ensuring the accuracy of measurements. Validity testing was conducted systematically through construct definition, development of a test blueprint, expert validation, instrument pilot testing, and statistical analysis. A valid instrument is capable of producing data that is accurate, credible, and supports sound educational decision-making.
Anxiety symptoms can cause distress and interfere with social, occupational, and everyday functioning. Cognitive behavioural therapy (CBT) is a structured psychological intervention widely used in the treatment of anxiety disorders. This manuscript is based on the dissertation titled "A Study to Assess the Effectiveness of Cognitive Behavioural Therapy Among Patients with Severe Anxiety Disorder". The dissertation reports Beck Anxiety Inventory (BAI) results for 20 participants: 12 (60%) were in the minimal or "not at all" category, five (25%) in the mild category, two (10%) in the moderate category, and one (5%) in the severe category. These findings describe the anxiety-severity profile of the sample. The available results do not include verified pre-treatment and post-treatment scores, a comparison-group analysis, or inferential statistics sufficient to establish CBT effectiveness. The reported data therefore cannot demonstrate that CBT reduced anxiety in this sample. Findings should be interpreted cautiously because of the small sample and limited information about recruitment, participant characteristics, and intervention delivery.
This quantitative comparative investigation evaluated and contrasted levels of state-trait anxiety and generalized anxiety symptoms between early and late adolescent cohorts (N = 100). A cross-sectional comparative survey design was employed using standardized psychometric instruments: the 40-item State-Trait Anxiety Inventory (STAI) and the Generalized Anxiety Disorder-7 scale (GAD-7). Non-parametric Mann-Whitney U tests and chi-square independence analyses revealed no statistically significant differences in overall anxiety scores between early and late adolescents across all dimensions (p > .26). However, over 47% of participants across both groups met clinical severity cut-offs ?10on GAD-7). State and trait anxiety demonstrated a robust positive association (? = 0.81, p < .001). The findings underscore an urgent imperative for universal, stage-independent psychological screening and preventive mental health frameworks within educational environments.
Discipline assessment in elementary schools is essential for systematically monitoring students’ character development and providing a basis for continuous guidance. However, effective assessment depends not only on the availability of instruments but also on consistent implementation and the appropriate use of assessment results. This study aimed to describe the implementation of discipline attitude assessment instruments and the disciplinary behavior of students at SD Negeri 071206 Taluzusua. The study employed a qualitative approach with a descriptive method. The informants consisted of two homeroom teachers and one subject teacher selected purposively based on their direct involvement in teaching and attitude assessment. Data were collected through in-depth interviews, observations, and documentation, then analyzed through data reduction, data display, and conclusion drawing. Data credibility was strengthened through source, technique, and time triangulation. The findings indicated that instrument implementation involved three stages: planning, assessment, and utilization of results. Teachers used observation sheets and attitude assessment journals to assess punctuality, compliance with rules, and responsibility for completing assignments. Students generally demonstrated fairly good discipline, although their behavior was not yet consistent across all indicators. Assessment results were used to provide reminders, guidance, reinforcement, and continuous character development. These findings highlight the importance of systematic assessment and appropriate follow-up in fostering discipline in elementary schools. ABSTRAK Penilaian sikap kedisiplinan penting dilakukan di sekolah dasar untuk memantau perkembangan karakter peserta didik secara sistematis dan menjadi dasar pembinaan yang berkelanjutan. Namun, keberhasilan penilaian tidak hanya ditentukan oleh ketersediaan instrumen, tetapi juga oleh konsistensi penggunaannya dan pemanfaatan hasilnya. Penelitian ini bertujuan mendeskripsikan implementasi instrumen penilaian sikap kedisiplinan dan gambaran kedisiplinan peserta didik di SD Negeri 071206 Taluzusua. Penelitian menggunakan pendekatan kualitatif dengan metode deskriptif. Informan terdiri atas dua wali kelas dan satu guru mata pelajaran yang dipilih secara purposive. Data dikumpulkan melalui wawancara mendalam, observasi, dan dokumentasi, kemudian dianalisis melalui reduksi data, penyajian data, dan penarikan kesimpulan. Keabsahan data diperkuat melalui triangulasi sumber, teknik, dan waktu. Hasil penelitian menunjukkan bahwa implementasi instrumen meliputi perencanaan, pelaksanaan penilaian, dan pemanfaatan hasil. Guru menggunakan lembar observasi dan jurnal penilaian untuk menilai ketepatan waktu, kepatuhan terhadap aturan, dan tanggung jawab dalam menyelesaikan tugas. Kedisiplinan peserta didik secara umum cukup baik, tetapi belum konsisten. Hasil penilaian dimanfaatkan untuk memberikan pengingat, arahan, penguatan, dan pembinaan karakter secara berkelanjutan.
Aims and background: The sleep-wake cycle and sleep consolidation are essential to children's growth and development.There is a paucity of studies on the sleep characteristics and the effect of electronic media on them in healthy Indian infants and toddlers.The objectives were to assess the sleep characteristics of healthy Indian infants and toddlers and to examine the impact of electronic media on them.Materials and methods: This was a cross-sectional study at a tertiary center in India, among healthy children aged 3-36 months.Those with concurrent illness (e.g., gastroenteritis, respiratory illness) were excluded.A Hindi version of the Revised Brief Infant Sleep Questionnaire (BISQ-R) was used to assess sleep patterns.Results: A total of 100 children were enrolled during the study period; their median (IQR) age was 12.1 (3.5, 18) months, with most of them being males (74%).The median (IQR) total sleep duration was 11 (10.0,13.3) hours.Electronic media exposure was noted in 83 (83%) children.Of them, 27 (32.5%)children were exposed to ≥1 hour/day.There was no significant difference in sleep duration, night awakenings, or wakefulness between media-exposed and media-unexposed groups in children.Similarly, there was no significant effect of media exposure on sleep characteristics.Conclusion: Sleep duration in infants and toddlers was below the international recommendation.A majority of children had exposure to electronic media, and one-third had exposure of at least 1 hour.Approximately three-fourths of parents didn't perceive the child's sleep problems.Clinical significance: There is an urgent need to routinely evaluate sleep characteristics in infants and toddlers and to increase awareness of sleep hygiene and media exposure among parents.
Objectives Cross-cultural equivalence translations of the widely used Implicit Theories of Intelligence Scale (ITIS) into Chinese are limited. Past research has focused on Western educational contexts, and Eastern cultural perspectives have been overlooked. This study aimed to translate and validate the Chinese version of the ITIS, and assess the growth mindset in undergraduate medical students. Methods This study was conducted among final-year undergraduate medical students in Fujian, China. Following forward and back-translation of the Implicit Theories of Intelligence Scale (ITIS), cognitive interviews were conducted with students to assess the clarity and comprehensibility of the translated items, followed by an online survey distributed through medical schools. Construct validity, convergent validity, and discriminant validity were evaluated using confirmatory factor analysis. Internal consistency was assessed using Cronbach's alpha and composite reliability (CR), while test–retest reliability was evaluated separately for the Fixed Mindset and Growth Mindset dimensions using the intraclass correlation coefficient (ICC). Results A total of 444 responses were obtained. Confirmatory factor analysis supported a two-factor structure with satisfactory model fit ( χ 2 = 52.293, df = 17, CMIN/DF = 3.076, CFI = 0.984, NFI = 0.977, RFI = 0.962, IFI = 0.984, TLI = 0.974, RMSEA = 0.068, SRMR = 0.059). Standardized factor loadings were satisfactory, while CR values were 0.908 for Fixed Mindset and 0.910 for Growth Mindset, and AVE values were 0.713 and 0.717, respectively, supporting convergent validity. Discriminant validity was supported by the Fornell–Larcker criterion, AVE values exceeding the corresponding maximum shared variance values, and HTMT ratios below 0.90. Test–retest reliability differed between the two dimensions: the Fixed Mindset dimension demonstrated moderate temporal stability (ICC = 0.662, 95% CI: 0.443–0.806), whereas the Growth Mindset dimension showed limited temporal stability (ICC = 0.159, 95% CI: −0.158–0.446). The mean scores for Fixed Mindset items ranged from 2.64 (SD = 1.09) to 2.86 (SD = 1.56), whereas those for Growth Mindset items ranged from 3.81 (SD = 1.16) to 3.96 (SD = 1.21), indicating relatively stronger endorsement of fixed-mindset beliefs in this sample. Conclusions The Chinese version of the ITIS is a valid and reliable instrument for assessing the intelligence mindset of medical students.
Introduction Digital romantic media may shape young adults' beliefs about intimacy, yet existing measures rarely assess relationship beliefs that jointly address autonomy, non-coercion, equality, and mutual growth. This study developed and validated the Sustainable Intimate Relationship Beliefs Scale (SIRBS) among Chinese college students. Methods An online survey yielded a final analytic sample of 2,008 participants, which was randomly divided for exploratory and confirmatory factor analyses. Reliability, factor-level convergent and discriminant evidence, measurement invariance, criterion-related associations, mediation, and moderation were also examined. Results The final 12-item scale comprised three correlated but conceptually distinct dimensions: Non-materialistic Relationship Beliefs, Low Control Tolerance, and Egalitarian Growth Beliefs. Confirmatory factor analysis supported the correlated three-factor model (CFI = 0.995, TLI = 0.993, RMSEA = 0.036, SRMR = 0.026). Internal consistency was satisfactory (Cronbach's alpha = 0.845; McDonald's omega total = 0.91), and composite reliability ranged from 0.878 to 0.967. Omega hierarchical (0.59) and explained common variance (0.39) indicated limited saturation by a single general factor. Approximate measurement invariance was supported across male-female gender groups and romantic relationship experience groups. SIRBS scores were positively associated with media literacy and negatively associated with unsustainable romantic-script internalization. Discussion The findings support the three subscale scores as the primary basis for construct-specific interpretation. The total score may be used as a secondary broad composite but should not be interpreted as a strictly unidimensional trait.
Sleep and circadian disturbances in Alzheimer’s disease (AD) affect patients and caregivers, but clinical action depends on the syndrome, measurement, and outcome under consideration. This narrative review links sleep assessment to indication-based care while distinguishing symptomatic benefit, physiological target engagement, and disease modification. A purposive literature search was supplemented by targeted checks of PubMed-indexed and original publisher records through 4 October 2026. Selected studies are described by population, AD ascertainment, comparator, and measured endpoint rather than assigned formal evidence-certainty grades. Actigraphy characterizes behavioral rest–activity patterns; melatonin timing and temperature rhythms address endogenous circadian physiology under controlled conditions. Polysomnography and quantitative electroencephalography characterize respiratory events, sleep architecture, and oscillatory activity. These measurements inform different questions and do not independently assign AD etiology or cognitive-functional stage. Clinical priorities include confirmed obstructive sleep apnea, cognition-adapted insomnia care, irregular sleep timing, medication-related effects, parasomnias, limb symptoms, and excessive daytime sleepiness. Interpretation incorporates hypoxemia, treatment exposure, comorbidity, caregiver support, and competing diagnoses. Randomized sleep benefits remain distinct from observational cognitive associations or exploratory imaging and cerebrospinal fluid changes. Human and animal studies of arousal circuits, protein dynamics, inflammation, and fluid transport provide mechanistic context, with conflicting results interpreted according to the actual experimental endpoint. The review provides a clinically organized account of selected evidence, not a comprehensive treatment ranking. Sleep care and cognitive-etiologic assessment should proceed in parallel, with follow-up matched to patient function, safety, and the specific treatment goal.
Curriculum changes in Indonesia place assessment as a key supporting factor in the learning process, as it provides authentic information on student competency development and helps teachers design more effective and targeted learning. This study aims to describe the English language assessment process in the Merdeka curriculum, which includes diagnostic, formative, and summative assessments. The approach used included a literature review, gathering information through exploration of various sources. Content analysis was used to analyze the data. The research findings revealed that in addition to the form of English assessment, there were also changes in assessment: non-cognitive diagnostic assessment and cognitive assessment were removed at the beginning of the 2021 Merdeka curriculum implementation in the second year, 2022. Formative and summative assessments were then continued in the first year of the Merdeka curriculum implementation in 2021 until 2025 using an in-depth learning approach. Formative assessments are conducted during the learning process, while summative assessments are conducted after a certain learning period. Teachers must conduct diagnostic, formative, and summative assessments to understand the strengths and weaknesses of student learning throughout the learning process and adapt teaching to each student's abilities and characteristics. The research results can be used as a reference for implementing assessment in the Merdeka curriculum
Automotive electrical-system education requires an understanding of circuit principles and component functions, yet evaluations based on class averages can obscure individual differences and assessment limitations. This study examined changes in test performance before and after instruction recorded as problem-based learning in a headlamp and starter-system unit for Grade XI vocational automotive students. A one-group design was used to analyse 34 matched pre-test and post-test scores on a 0-to-100 scale. Descriptive statistics, paired t tests, Wilcoxon signed-rank tests, an exact sign test, standardized mean change, normalized gains, bootstrap confidence intervals, and exploratory analyses of baseline scores and gains were conducted. Mean scores increased from 71.91 to 95.88, representing a gain of 23.97 points. Thirty-two students improved, while two recorded lower post-test scores. All paired-change tests indicated statistically significant differences, with p values below 0.001, and the standardized within-student effect size was 1.09. An inverse association between baseline performance and arithmetic gain requires caution because the measures are mathematically linked. Seventeen students attained the maximum post-test score, indicating substantial ceiling concentration that may limit the assessment's discrimination at higher achievement levels. The results document a large, widespread improvement in recorded scores following the instructional unit. However, the absence of a comparison group prevents causal attribution of the improvement to problem-based learning. Student-level analysis and scrutiny of assessment properties offer a more informative basis for evaluating learning gains in vocational education.
OBJECTIVE: To conduct a national environmental scan of child hearing health-related services and databases as part of the Australian National Child Hearing Health Outcomes Registry program, and to identify system-level barriers and enablers to developing a coordinated Learning Health System for deaf and hard-of-hearing children. METHODS: A cross-sectional national survey of organisations providing hearing health-related services or managing data for Australian deaf and hard-of-hearing children. The survey examined the scope and practices related to data collection, standardisation, interoperability, stewardship, and governance. RESULTS: Ninety-nine respondents from 92 organisations delivering 290 services participated. The scan identified a disjointed data landscape. Standardised data were limited, with inconsistent capture of key variables across organisations and 49.4% rating their data quality as acceptable or good. Interoperability was constrained by heterogenous data practices, including use of multiple databases (34.3%), limited external reporting (24.2%) and lack of accessible data dictionaries (71.9%). Stewardship and data governance arrangements were variable, with fewer than half of organisations reporting formal consent (47.6%), privacy statements (51.2%) or ethics oversight (38.1%). Despite these challenges, 56.5 and 54.8% of organisations expressed interest in data linkage and research participation, indicating readiness for coordinated system development. CONCLUSION: Despite Australia's substantial investment in newborn hearing screening and hearing health-related services, fragmented data systems limit Australia's ability to monitor outcomes, equity and system performance in child hearing health. However, strong stakeholder interest in data linkage provides important momentum. These findings inform policy and service planning, and support staged development of a national child deafness Learning Health System through the Australian National Child Hearing Health Outcomes Registry.
Introduction Research on associations between pornography viewing and sexual violence has been limited by the absence of validated instruments that differentiate exposure along a violence continuum within pornographic practices, with existing measures focused on consumption frequency or problematic patterns rather than on the specific content consumed. The Pornography Violence Exposure Scale (PVES) was developed to assess exposure to pornographic content graded across three violence levels: non-violent material and domination-without-pain (Level 1), coercive content (Level 2), and explicit physical aggression (Level 3). Methods A cross-sectional study with 2,181 Spanish young adults aged 18–35 years who reported viewing pornography examined factor structure, measurement invariance across sex and age, convergent, nomological, and incremental validity, and discriminative capacity for sexual violence outcomes via Receiver Operating Characteristic (ROC) analysis. Results A bifactor model demonstrated good fit (CFI = 0.978, TLI = 0.957, RMSEA = 0.076), with a dominant general factor (ωH = 0.84, ECV = 0.81) capturing graded exposure to violent content. Strict measurement invariance was supported across sex and age groups. Convergent correlations with sexual violence outcomes (mean | r | = 0.24) substantially exceeded near-zero nomological associations with sexual function and partner-evaluation indicators (mean |r| = 0.03), and the general factor produced significant incremental validity for both victimization (Δ R 2 = 0.088) and perpetration (Δ R 2 = 0.200), with acceptable discrimination for perpetration (AUC = 0.753). Discussion The PVES is the first psychometrically validated instrument for measuring differentiated exposure to violent pornographic content, enabling more precise investigation of content-specific associations with sexual violence outcomes.
