Structural equation modeling for evaluating the user perceptions of E-learning effectiveness in higher education

A crucial prerequisite for sustainable e-learning is the understanding of learners’ preferences for various pedagogical strategies, technologies, and the management of learning resources. This paper presents an empirical study aiming to empirically test the theoretical (pedagogies, technologies and management) (PTM) model on the preference of learners and on the perceived impact of the effectiveness of e-learning. This study uses structural equation modelling (SEM) to identify the critical dimensions in the PTM model for augmenting the effectiveness of e-learning. This leads to the development of a PTM model with the path coefficients showing weak to strong relationships ranging from 0.15 to 0.42 with acceptable significance levels. The results support the hypothesis that management, technology, resources and metadata ontology dimensions affect the effectiveness of elearning both directly and indirectly through enhancing the management effectiveness of learning resources. However, the result does not support positive influence of pedagogical strategy per se on e-learning effectiveness. The implications of this study indicate the criticality of effective management of learning resources to enhance e-learning effectiveness.

The addition of depression to the Framingham Risk Equation model for predicting coronary heart disease risk in women

BACKGROUND: Depression is widely considered to be an independent and robust predictor of Coronary Heart Disease (CHD), however is seldom considered in the context of formal risk assessment. We assessed whether the addition of depression to the Framingham Risk Equation (FRE) improved accuracy for predicting 10-year CHD in a sample of women.

DESIGN: A prospective, longitudinal design comprising an age-stratified, population-based sample of Australian women collected between 1993 and 2011 (n=862).

METHODS: Clinical depressive disorder was assessed using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders (SCID-I/NP), using retrospective age-of-onset data. A composite measure of CHD included non-fatal myocardial infarction, unstable angina coronary intervention or cardiac death. Cox proportional-hazards regression models were conducted and overall accuracy assessed using area under receiver operating characteristic (ROC) curve analysis.

RESULTS: ROC curve analyses revealed that the addition of baseline depression status to the FRE model improved its overall accuracy (AUC:0.77, Specificity:0.70, Sensitivity:0.75) when compared to the original FRE model (AUC:0.75, Specificity:0.73, Sensitivity:0.67). However, when calibrated against the original model, the predicted number of events generated by the augmented version marginally over-estimated the true number observed.

CONCLUSIONS: The addition of a depression variable to the FRE equation improves the overall accuracy of the model for predicting 10-year CHD events in women, however may over-estimate the number of events that actually occur. This model now requires validation in larger samples as it could form a new CHD risk equation for women.