PurposeThe purpose of this research is to investigate the influence of perceived social media marketing activities on consumer-based brand equity, mainly predicated on the S-O-R model. Furthermore, brand experience is tested as a mediator of the relationship between perceived social media marketing activities and consumer-based brand equity, whereas co-creation behaviour is also examined as a moderator on the relationship between perceived social media marketing activities and brand experience.Design/methodology/approachA structured survey questionnaire was developed and distributed to social media users from a large private university in Malaysia. A total of 253 valid responses were obtained. Hypotheses were tested employing partial least squares structural equation modelling (PLS-SEM).FindingsThe results indicated that perceived social media marketing activities have a significant positive influence on consumer-based brand equity. In addition, brand experience mediates the relationship between perceived social media marketing activities and consumer-based brand equity. Surprisingly, co-creation behaviour was found to have no moderating effect on the relationship between perceived social media marketing activities and brand experience. Furthermore, using the PROCESS macro, we found that the indirect effect of perceived social media marketing activities on consumer-based brand equity through brand experience is not moderated by co-creation behaviour.Originality/valueThis research further extended the current knowledge by demonstrating that the influence of perceived social media marketing activities on consumer-based brand equity is mediated by brand experience. Also, this research utilised the strength of PLS–SEM in dealing with higher-order constructs, allowing us to develop and test a parsimonious model that is useful for practitioners.

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This study assesses the impact of fitness centers' servicescape on individual behavior, exploring the mediating role of the Emotional Response between servicescape dimensions and individual behavior amongst customers of the Malaysian fitness industry. Consumers place great emphasis on the surrounding environmental stimuli which facilitates engagement during active fitness activity. 200 samples were collected from six different Malaysian fitness franchises and questions focused mainly on members perceptions of servicescape and how this affects behavior. Multiple linear regression and mediation model analysis reveals positive direct effects of the Physical and Natural dimensions of servicescape on individual behaviour, whilst mediating effects of Emotional Response are present for indirect relationships of Social and Natural dimension on individual behaviour. The results of this study serve to help the management of the fitness centers' servicescape which will encourage more members' engagement during their fitness regime while improving word of mouth marketing through their increased satisfaction.

Background The COVID‐19 pandemic has generated many mental health problems worldwide. People living with HIV (henceforth known as PLHIV) bear a higher mental health burden in comparison with the general population. Therefore, their risk of mental health problems may be elevated during the pandemic. Methods We conducted a systematic review and meta‐analysis to assess the prevalence of depression, anxiety, psychological stress, insomnia and loneliness among PLHIV during the COVID‐19 pandemic. Observational studies in four databases published from 1 January 2020 to 30 April 2021 investigating the prevalence of mental health conditions during the COVID‐19 pandemic were searched, and 197 articles were retrieved. After the processes of duplication removal, eligibility screening and full‐text assessment, 10 articles were included in the systematic review and six articles for meta‐analyses. A random‐effects model was applied to derive the pooled prevalence of mental health conditions. The risk of bias was assessed using the STROBE checklist. Results Overall, the pooled prevalence rates of (moderate‐to‐severe) depression and anxiety among PLHIV were 16.9% [95% confidence interval (CI): 3.8%–30.0%] and 23.0% (95% CI: 12.0%–34.0%), respectively. Conclusions More research is needed to investigate the mechanism by which the pandemic affects the mental health of PLHIV. Support and programmes are needed to ameliorate the mental health problems in this marginalized population.

Purpose-The purpose of this paper was to better understand the underrepresentation of Muslim women living in Australia in physical activity and in group-fitness classes in particular. The authors contend that the Australian fitness industry has ignored the needs of this group through stereotypical islamophobic views focusing on religious dictates as the prime barrier for participation of this group. This study debunks this myth showing that motivations for exercise are complex and multi-faceted. Design/methodology/approach-The authors conducted interviews and a focus group with 27 Muslim women living in Australia. Through this method, the authors explored the role of religiosity and national culture in attitudes towards participation in exercise, gym attendance and group fitness classes. Findings-The authors confirmed that while religion impacted the form and place of exercise options, it did not impact the overall motivation to engage in exercise. This study found that group-fitness classes offered by gyms did not particularly appeal to this group of women, partially due to their religion (this form of exercise being too aggressive and immodest) and partially due to their ethnic background. Exercise options that were more social were favoured. The authors found that notions of femininity and culturally embedded expectations for the role of women were more powerful predictors of exercise engagement and choice of exercise type. Research limitations/implications-This research is exploratory in nature and as such its findings are restricted to the small sample. To extend this study's implications, a larger empirical study should be conducted and needs to also consider the intersection between national culture and religiosity on decision-making. Practical implications-This study has practical implications for the fitness industry attempting to attractive new markets in a multi-cultural population. To attract Muslim women, gyms and fitness centres need to consider providing appropriate areas for women to exercise that allow them to maintain their modesty. To attract this segment, fitness products that are focused on a holistic approach to wellness and highlight opportunities for social interaction should be developed. Focusing on this group as a market segment needs to include a broader contextualisation of their lifestyles and individual situations and should not just focus on their religion. Social implications-The requirements of the Muslim religion for women to adopt conservative dress and to avoid contact with men do hinder their ability and also their desire to exercise to maintain a healthy mind and body. Many of these women would like to exercise but find it difficult to find the right settings and form of exercise that suits their needs. Engaging in exercise with others is also an important way for these women to integrate into their communities and to assimilate with the national culture. Originality/value-This research is original in that it is one of the first to explore attitudes of Muslim women towards e...

The commercial fitness industry is booming in Malaysia and the competition that has built up means it is becoming more difficult to entice new members to fitness establishments. This research investigates the needs of those who are engaging with the services of these commercial fitness operators and analyses how this engagement plays a role in determining overall satisfaction with service. The Scale of Service Quality for Recreational Sport (SSQRS) was used for data collection and reveals that members are drawn more to interaction, outcome, physical environment quality and the engagement they receive from a gym membership more than to the programs that are offered. This study's findings contribute to the development of marketing strategies to support sustainable growth of the fitness industry.

Background and significance: There a sizable body of research addressing the evaluation of eHealth/health information technology (HIT) readiness using a standard readiness model in the domain of IS. However, there is a general lack of reliable indicators used in measuring readiness assessment factors, resulting in limited predictability. The availability of reliable measuring tools could help improve outcome of readiness assessments.Objective: Determining the predictive relevance of developed HIT model Materials and methods:We collected quantitative data from clinical and non-clinical (administrators) staff at Komfo Anokye Teaching Hospital (KATH), Kumasi Ghana using the traditional in-person distribution of paper-based survey, popularly known as drop and collect survey (DCS). We then used PLS-SEM path analysis to measure the predictive relevance of a block of manifest indicators of the readiness assessment factors.Results and discussion: Three important readiness assessment factors are thought to define and predict the structure of the KATH HIT/eHealth readiness survey data (Technology readiness (TR); Operational resource readiness (ORR); and Organizational cultural readiness (OCR). As many public healthcare organizations in Ghana have already gone paperless without any reliable HIT/eHealth guiding policy, there is a critical need for reliable HIT/eHealth regulatory policies readiness (RPR) and some improvement in HIT/eHealth strategic planning readiness (core readiness). Conclusion:The final model (R 2 = 0.558 and Q 2 = 0.378) suggest that TR, ORR, and OCR explained 55.8% of the total amount of variance in HIT/eHealth readiness in the case of KATH and the relevance of the overall paths of the model was predictive. Fit values (SRMR = 0.054; d_ULS = 6.717; d_G = 6.231; Chi 2 = 6,795.276; NFI = 0.739). Generally, the GoF for this SEM are encouraging and can substantially be improved.

Behavioral flexibility (BF) performance is influenced by both psychological and physiological factors. Recent evidence suggests that impulsivity and blood glucose can affect executive function, of which BF is a subdomain. Here, we hypothesized that impulsivity, fasting blood glucose (FBG), glucose changes (ie, glucoregulation) from postprandial blood glucose (PBG) following the intake of a 15-g glucose beverage could account for variability in BF performance. The Stroop Color-Word Test and the Wisconsin Card Sorting Test (WCST) were used as measures of BF, and the Barratt Impulsiveness Scale (BIS-11) to quantify participants' impulsivity. In Study 1, neither impulsivity nor FBG could predict performance on the Stroop or the WCST. In Study 2, we tested whether blood glucose levels following the intake of a sugary drink, and absolute changes in glucose levels following the intake of the glucose beverage could better predict BF. Results showed that impulsivity and the difference in blood glucose between time 1 (postprandial) and time 2, but not blood glucose levels at time 2 per se could account for variation in performance on the WCST but not on the Stroop task. More specifically, lower impulsivity scores on the BIS-11, and smaller differences in blood glucose levels from time 1 to time 2 predicted a decrease in the number of total and perseverative errors on the WCST. Our results show that measures of impulsivity and glucoregulation can be used to predict BF. Importantly our data extend the work on glucose and cognition to a clinically relevant domain of cognition.