{"id":424032,"date":"2026-08-21T00:33:06","date_gmt":"2026-08-20T16:33:06","guid":{"rendered":"https:\/\/library.usj.edu.mo\/?post_type=tnc_col_19631_item&#038;p=424032"},"modified":"2026-08-24T12:20:14","modified_gmt":"2026-08-24T04:20:14","slug":"biopsychosocial-factors-associated-with-medically-assisted-reproduction-screenivf-validation-and-application-in-china","status":"publish","type":"tnc_col_19631_item","link":"https:\/\/library.usj.edu.mo\/zh\/student-thesis-dissertation\/biopsychosocial-factors-associated-with-medically-assisted-reproduction-screenivf-validation-and-application-in-china\/","title":{"rendered":"BIOPSYCHOSOCIAL FACTORS ASSOCIATED WITH MEDICALLY ASSISTED REPRODUCTION: SCREENIVF VALIDATION AND APPLICATION IN CHINA"},"content":{"rendered":"<p>AIMS: THIS STUDY AIMED TO DESIGN, IMPLEMENT, AND EVALUATE A COMMUNITY-BASED LIFE-AND-DEATH EDUCATION PROGRAM FOR YOUTH VOLUNTEERS SERVING THE ELDERLY IN MACAO. THE RESEARCH SOUGHT TO INVESTIGATE THE PROGRAM&#8217;S EFFECTIVENESS IN ENHANCING PARTICIPANTS&#8217; DEATH COPING COMPETENCE, REDUCING DEATH ANXIETY, AND IMPROVING LIFE ATTITUDE, AS WELL AS TO ASSESS ITS FEASIBILITY AND ACCEPTABILITY IN A COMMUNITY SETTING. METHODOLOGY: THE STUDY EMPLOYED A CONVERGENT MIXED-METHODS, QUASI-EXPERIMENTAL DESIGN WITH AN EXPERIMENTAL GROUP (N = 49) AND A WAITLIST CONTROL GROUP (N = 44). QUANTITATIVE DATA WERE COLLECTED AT PRE-TEST, POST-TEST, AND A THREE-MONTH FOLLOW-UP USING THE COPING WITH DEATH SCALE (CDS-C), TEMPLER&#8217;S DEATH ANXIETY SCALE (C-TDAS), AND THE LIFE ATTITUDES SCALE (LAI-SF), AND WERE ANALYZED USING LINEAR MIXED-EFFECTS MODELS. CONCURRENTLY, QUALITATIVE INQUIRY WAS CONDUCTED WITH THE EXPERIMENTAL GROUP THROUGH SEMI-STRUCTURED IN-DEPTH INTERVIEWS AND PROCESS EVALUATION FORMS, WITH DATA ANALYZED USING THEMATIC ANALYSIS. RESULTS: QUANTITATIVE RESULTS REVEALED A STATISTICALLY SIGNIFICANT AND LASTING IMPROVEMENT IN DEATH COPING COMPETENCE FOR THE EXPERIMENTAL GROUP COMPARED TO THE CONTROL GROUP (P &lt; .001). HOWEVER, NO SIGNIFICANT DIFFERENCES WERE FOUND BETWEEN THE GROUPS FOR DEATH ANXIETY OR LIFE ATTITUDE. QUALITATIVE ANALYSIS SHOWING THE PROGRAM TO BE HIGHLY FEASIBLE (74.2% RETENTION RATE) AND ACCEPTABLE (73.5% ATTENDANCE RATES). PARTICIPANTS REPORTED THAT THE PROGRAM PROVIDED A SAFE SPACE FOR DISCUSSION AND PRACTICAL INTERACTIVE TOOLS, LEADING TO A COGNITIVE REFRAMING OF THEIR VIEWS ON LIFE AND DEATH, AND ENHANCING THEIR COURAGE AND COMMUNICATION SKILLS FOR DISCUSSING DEATH-RELATED TOPICS IN BOTH FAMILY AND VOLUNTEER SETTINGS. DISCUSSION: THIS RESEARCH PROVIDES AN EVIDENCE-BASED, REPLICABLE BLUEPRINT FOR LIFE-AND-DEATH EDUCATION PROGRAMS FOR COMMUNITY ORGANIZATIONS IN MACAO. IT IS RECOMMENDED THAT FUTURE PROGRAMS EXTEND THEIR DURATION TO FACILITATE DEEPER EMOTIONAL PROCESSING AND TAILOR CONTENT TO MACAO&#039;S SPECIFIC LEGAL AND CULTURAL REALITIES (E.G., ADVANCE DIRECTIVES). FURTHERMORE, ADOPTING A &quot;&quot;TRAIN THE TRAINER&quot;&quot; MODEL THAT PRIORITIZES KEY GROUPS LIKE UNIVERSITY STUDENTS AND TEACHERS, ALONG WITH ESTABLISHING A PROFESSIONAL CERTIFICATION SYSTEM, WOULD CONTRIBUTE TO THE PROGRAM&#039;S SUSTAINABLE DEVELOPMENT AND DISSEMINATION. CONCLUSION: THIS STUDY IS THE FIRST IN MACAO TO SYSTEMATICALLY VALIDATE A LIFE-AND-DEATH EDUCATION INTERVENTION FOR A NON-HEALTHCARE POPULATION (YOUTH VOLUNTEERS), FILLING A GAP IN THE EXISTING LITERATURE. AGAINST THE CULTURAL BACKDROP OF DEATH TABOOS PREVALENT IN CHINESE SOCIETIES, THIS RESEARCH OFFERS A CULTURALLY SENSITIVE AND EVIDENCE-BASED MODEL. ITS FINDINGS HOLD SIGNIFICANT VALUE FOR COMMUNITY ORGANIZATIONS, EDUCATORS, AND POLICYMAKERS IN MACAO AND OTHER CHINESE REGIONS AIMING TO PROMOTE LIFE-AND-DEATH EDUCATION.<\/p>","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","class_list":["post-424032","tnc_col_19631_item","type-tnc_col_19631_item","status-publish","format-standard","hentry","tnc_tax_19912-psychology","tnc_tax_19818-english","tnc_tax_19716-faculty-of-health-and-enviornmental-sciences","tnc_tax_19659-master-thesis","tnc_tax_19651-doctoral"],"taxonomy_info":[],"featured_image_src_large":false,"author_info":[],"comment_info":0,"featured_img":false,"coauthors":[],"author_meta":{"author_link":"https:\/\/library.usj.edu.mo\/zh\/author\/emilychan\/","display_name":"emily chan"},"relative_dates":{"created":"Posted 5 \u5929 ago","modified":"Updated 2 \u5929 ago"},"absolute_dates":{"created":"Posted on 21 8 \u6708, 2026","modified":"Updated on 24 8 \u6708, 2026"},"absolute_dates_time":{"created":"Posted on 21 8 \u6708, 2026 12:33 \u4e0a\u5348","modified":"Updated on 24 8 \u6708, 2026 12:20 \u4e0b\u5348"},"featured_img_caption":"","tax_additional":{"tnc_tax_19912":{"linked":["<a href=\"https:\/\/library.usj.edu.mo\/zh\/programme\/psychology\/\" class=\"advgb-post-tax-term\">PSYCHOLOGY<\/a>"],"unlinked":["<span class=\"advgb-post-tax-term\">PSYCHOLOGY<\/span>"],"slug":"tnc_tax_19912","name":"PROGRAMME"},"tnc_tax_19818":{"linked":["<a href=\"https:\/\/library.usj.edu.mo\/zh\/language\/english\/\" class=\"advgb-post-tax-term\">ENGLISH<\/a>"],"unlinked":["<span class=\"advgb-post-tax-term\">ENGLISH<\/span>"],"slug":"tnc_tax_19818","name":"LANGUAGE"},"tnc_tax_19765":{"linked":[],"unlinked":[],"slug":"tnc_tax_19765","name":"SUPERVISOR(S)"},"tnc_tax_19716":{"linked":["<a href=\"https:\/\/library.usj.edu.mo\/zh\/faculty-research-unit\/faculty-of-health-and-enviornmental-sciences\/\" class=\"advgb-post-tax-term\">FACULTY OF HEALTH AND ENVIRONMENTAL SCIENCES<\/a>"],"unlinked":["<span class=\"advgb-post-tax-term\">FACULTY OF HEALTH AND ENVIRONMENTAL SCIENCES<\/span>"],"slug":"tnc_tax_19716","name":"FACULTY \/ RESEARCH UNIT"},"tnc_tax_19659":{"linked":["<a href=\"https:\/\/library.usj.edu.mo\/zh\/resource-type\/master-thesis\/\" class=\"advgb-post-tax-term\">THESIS &amp; DISSERTATION<\/a>"],"unlinked":["<span class=\"advgb-post-tax-term\">THESIS &amp; DISSERTATION<\/span>"],"slug":"tnc_tax_19659","name":"Document Type"},"tnc_tax_19651":{"linked":["<a href=\"https:\/\/library.usj.edu.mo\/zh\/degree-level\/doctoral\/\" class=\"advgb-post-tax-term\">DOCTORAL<\/a>"],"unlinked":["<span class=\"advgb-post-tax-term\">DOCTORAL<\/span>"],"slug":"tnc_tax_19651","name":"DEGREE LEVEL"}},"series_order":"","_links":{"self":[{"href":"https:\/\/library.usj.edu.mo\/zh\/wp-json\/wp\/v2\/tnc_col_19631_item\/424032","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/library.usj.edu.mo\/zh\/wp-json\/wp\/v2\/tnc_col_19631_item"}],"about":[{"href":"https:\/\/library.usj.edu.mo\/zh\/wp-json\/wp\/v2\/types\/tnc_col_19631_item"}],"replies":[{"embeddable":true,"href":"https:\/\/library.usj.edu.mo\/zh\/wp-json\/wp\/v2\/comments?post=424032"}],"version-history":[{"count":1,"href":"https:\/\/library.usj.edu.mo\/zh\/wp-json\/wp\/v2\/tnc_col_19631_item\/424032\/revisions"}],"predecessor-version":[{"id":433404,"href":"https:\/\/library.usj.edu.mo\/zh\/wp-json\/wp\/v2\/tnc_col_19631_item\/424032\/revisions\/433404"}],"wp:attachment":[{"href":"https:\/\/library.usj.edu.mo\/zh\/wp-json\/wp\/v2\/media?parent=424032"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}