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      Nomograms Predicting Self-Regulated Learning Levels in Chinese Undergraduate Medical Students

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          Abstract

          Purpose

          The purpose of this study was to construct a multi-center cross-sectional study to predict self-regulated learning (SRL) levels of Chinese medical undergraduates.

          Methods

          We selected medical undergraduates by random sampling from five universities in mainland China. The classical regression methods (logistic regression and Lasso regression) and machine learning model were combined to identify the most significant predictors of SRL levels. Nomograms were built based on multivariable models. The accuracy, discrimination, and generalization of our nomograms were evaluated by the receiver operating characteristic curves (ROC) and the calibration curves and a high quality external validation.

          Results

          There were 2052 medical undergraduates from five universities in mainland China initially. The nomograms constructed based on the non-overfitting multivariable models were verified by internal validation (C-index: learning motivation: 0.736; learning strategy: 0.744) and external validation (C-index: learning motivation: 0.986; learning strategy: 1.000), showing decent prediction accuracy, discrimination, and generalization.

          Conclusion

          Comprehensive nomograms constructed in this study were useful and convenient tools to evaluate the SRL levels of undergraduate medical students in China.

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          Most cited references25

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          Becoming a Self-Regulated Learner: An Overview

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            A social cognitive view of self-regulated academic learning.

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              Extracurricular activities associated with stress and burnout in preclinical medical students

              This study aims to assess the prevalence of stress and burnout among preclinical medical students in a private university in Beirut, Lebanon, and evaluate the association between extracurricular involvement and stress and burnout relief in preclinical medical students. A cross-sectional survey was conducted on a random sample of 165 preclinical medical students. Distress level was measured using the 12-item General Health Questionnaire (GHQ-12) while that of burnout was measured through the Maslach Burnout Inventory-Student Survey (MBI-SS). The MBI-SS assesses three interrelated dimensions: emotional exhaustion, cynicism, and academic efficacy. Extracurricular activities were divided into four categories: physical exercise, music, reading, and social activities. All selected participants responded. A substantial proportion of preclinical medical students suffered from stress (62%) and burnout (75%). Bivariate and multivariate regression analyses revealed that being a female or a 1st year medical student correlated with higher stress and burnout. Music-related activities were correlated with lower burnout. Social activities or living with parents were associated with lower academic efficacy. The high stress and burnout levels call for action. Addressing the studying conditions and attending to the psychological wellbeing of preclinical medical students are recommendations made in the study.
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                Author and article information

                Contributors
                Journal
                Front Psychol
                Front Psychol
                Front. Psychol.
                Frontiers in Psychology
                Frontiers Media S.A.
                1664-1078
                15 January 2020
                2019
                : 10
                : 2858
                Affiliations
                [1] 1Shanghai Tongji Hospital, Tongji University School of Medicine , Shanghai, China
                [2] 2Graduate School of Education, Shanghai Jiao Tong University , Shanghai, China
                [3] 3Division of Spine Surgery, Department of Orthopedics, Tongji Hospital, Tongji University School of Medicine , Shanghai, China
                [4] 4Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration (Tongji University), Ministry of Education , Shanghai, China
                [5] 5The First Affiliated Hospital of Zhengzhou University , Zhengzhou, China
                [6] 6School of Finance, Henan University of Economics and Law , Zhengzhou, China
                [7] 7Key Laboratory of Arrhythmias, Ministry of Education, Shanghai East Hospital, Tongji University School of Medicine , Shanghai, China
                [8] 8Tongji University School of Medicine, Tongji University , Shanghai, China
                [9] 9Department of Endocrinology, Tongji Hospital, Tongji University School of Medicine , Shanghai, China
                [10] 10Office of Educational Administration, Naval Medical University , Shanghai, China
                [11] 11Basic Medical College of Fudan University , Shanghai, China
                [12] 12Office of Educational Administration, Bengbu Medical College , Bengbu, China
                Author notes

                Edited by: Douglas F. Kauffman, Medical University of the Americas – Nevis, United States

                Reviewed by: Xiaonan Wang, Capital Medical University, China; Yue Wang, Fourth Military Medical University, China

                *Correspondence: Wenting Chen, chenwenting@ 123456fudan.edu.cn
                Zongqiang Huang, gzhuangzq@ 123456163.com

                These authors have contributed equally to this work and share first authorship

                This article was submitted to Educational Psychology, a section of the journal Frontiers in Psychology

                Article
                10.3389/fpsyg.2019.02858
                6974523
                32010007
                bdfdc5ed-42bd-4bc1-a735-ea645e9f7c8b
                Copyright © 2020 Yang, Zhang, Huang, Yan, Hu, Huang, Meng, Zhang, Liu, Zeng, Wei, Shen, Xuan, Li, Gong, Chen, Chen, Fan, Wu, Huang, Cheng and Yang.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 16 May 2019
                : 03 December 2019
                Page count
                Figures: 3, Tables: 2, Equations: 0, References: 26, Pages: 9, Words: 0
                Funding
                Funded by: National Natural Science Foundation of China 10.13039/501100001809
                Award ID: 81702659
                Award ID: 81501203
                Categories
                Psychology
                Original Research

                Clinical Psychology & Psychiatry
                medical undergraduate,self-regulated learning,multi-center cross-sectional study,nomogram,validation

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