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All Journal Makara Human Behavior Studies in Asia Makara Journal of Health Research
Ahadzadeh, Ashraf Sadat
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Health-related Cognitive Factors and Intention to Adopt mHealth: The Mediating Influence of Attitude Ahadzadeh, Ashraf Sadat; Ong, Fon Sim; Wu, Shin Ling
Makara Human Behavior Studies in Asia Vol. 27, No. 1
Publisher : UI Scholars Hub

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Mobile health (mHealth) is an important service that has remarkable effects on the development of the health care system. Health-related cognitive factors, such as perceived susceptibility (PSU), perceived severity (PSE), and health consciousness (HC), are associated with health-related technology adoption behavior. However, the underlying mechanisms of these associations have not been studied sufficiently. Attitude toward technology is a key construct in health psychology because it has a central role in motivating and changing behavior. Individuals’ attitude toward a particular behavior is expected to have a strong association with the behavior. This study aimed to examine how attitude toward mHealth plays a mediating role in the relationship between health-related cognitive factors (i.e., PSU, PSE, HC) and behavioral intention (BI) to adopt mHealth. A convenient sample of 374 Malaysian adults composed of 229 females and 149 males was recruited. These respondents completed a survey that measured PSU, PSE, HC, attitude toward mHealth, and BI to adopt mHealth. PSU and HC were significantly associated with BI to use mHealth, whereas PSE had no significant relationship with BI to use mHealth. Attitude toward mHealth mediated the relationship between two health-related cognitive factors (i.e., PSU and HC) and BI to adopt mHealth. The mediation results suggest that although BI to use mHealth is driven by health-related factors, it is facilitated by positive feelings toward health technology. Implications and recommendations for future research are presented.
Examining the Psychometric Properties of the Big Three Perfectionism Scale–Short Form (BTPS-SF) among Malaysian Chinese Students at a Private University Lee, Kam-Fong; Ahadzadeh, Ashraf Sadat; Wu, Shin Ling
Makara Journal of Health Research Vol. 30, No. 1
Publisher : UI Scholars Hub

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Background: Perfectionism is increasingly prevalent among young adults and is a significant predictor of pathological and behavioral outcomes. Despite its relevance, validated and reliable measures of perfectionism tailored to university students, particularly within the Malaysian cultural and academic context, are lacking. This study addresses this gap by examining the psychometric properties of the BTPS-SF among Chinese students at a private university in Malaysia. Methods: Data were collected using a cross-sectional design with convenience and snowball sampling from 380 students aged 18–25 years, predominantly from a Chinese student population. Results: The results of the exploratory factor analysis, conducted using principal axis factoring with oblimin rotation, provided preliminary evidence for a three-factor structure of the BTPS-SF—namely, rigid, self-critical, and narcissistic perfectionism—as distinct dimensions. Together, these three factors explained 58.29% of the total variance, with factor loadings ranging from 0.35 to 0.79. Each dimension demonstrated acceptable internal consistency ranging from 0.80 to 0.84, supporting its suitability for use in academic, clinical, and nonclinical settings. Conclusions: This study supports the reliability of the BTPS-SF as a multidimensional measurement tool, demonstrating its efficacy in capturing the three main dimensions of perfectionism: rigid, self-critical, and narcissistic. This facilitates comprehensive analysis and offers a robust foundation for future research on student perfectionism. The study's limitations and recommendations for further research are discussed.
Co-Authors Lee, Kam-Fong Ong, Fon Sim Wu, Shin Ling