Sociodemographic, lifestyle, and psychological factors as controllable predictors of academic self-efficacy after reforming a medical education system; the Egyptian Nationwide experience

Abstract Background Academic self-efficacy (ASE), influenced by various sociodemographic, lifestyle, and psychological factors, is a critical determinant of academic performance in medical students. In Egypt, the medical education system underwent recent drastic changes. Therefore, we aim to explore...

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Main Authors: Ahmed Amir Samir, Ahmed Hussein Elamir, Mohamed Basyouni Helal, Yomna Goudy, Khaled Elbarbary, Mohamed El-Mezayen, Wesam Abo-Elenien, Ebtehal Hashem Abdelazim, Manar Alaa Mabrouk, the ASE-Egypt Group, Kerollos Abdelsayed
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Medical Education
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Online Access:https://doi.org/10.1186/s12909-025-06805-8
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author Ahmed Amir Samir
Ahmed Hussein Elamir
Mohamed Basyouni Helal
Yomna Goudy
Khaled Elbarbary
Mohamed El-Mezayen
Wesam Abo-Elenien
Ebtehal Hashem Abdelazim
Manar Alaa Mabrouk
the ASE-Egypt Group
Kerollos Abdelsayed
author_facet Ahmed Amir Samir
Ahmed Hussein Elamir
Mohamed Basyouni Helal
Yomna Goudy
Khaled Elbarbary
Mohamed El-Mezayen
Wesam Abo-Elenien
Ebtehal Hashem Abdelazim
Manar Alaa Mabrouk
the ASE-Egypt Group
Kerollos Abdelsayed
author_sort Ahmed Amir Samir
collection DOAJ
description Abstract Background Academic self-efficacy (ASE), influenced by various sociodemographic, lifestyle, and psychological factors, is a critical determinant of academic performance in medical students. In Egypt, the medical education system underwent recent drastic changes. Therefore, we aim to explore the effects of these changes on the variables above and, subsequently, on ASE among a national sample of Egyptian medical students. Methods We conducted a cross-sectional study across 30 Egyptian medical colleges using a validated electronic Arabic survey to evaluate sociodemographic, lifestyle behaviors, psychological factors, and ASE. Categorical variables were described using frequencies and percentages, while Continuous variables were summarized as mean and standard deviation. Bivariate analysis with post-hoc testing, Pearson’s correlation coefficient, and multivariate linear regression were employed to assess the associations between the study variables and ASE. Data analysis was performed using R Statistical Software. Results A total of 1446 participants were included, with a mean age of 20.59 ± 1.68. Of these, 61.5% (n = 890) were Females, while 94.3% (n = 1363) were single. ASE was significantly associated with certain financial status, smoking, sleeping hours, breakfast patterns, diet changes, and fluids. Stress, anxiety, and depression were associated with and correlated to poor ASE. Only depression, oversleeping, and smoking were significant predictors of worse ASE. Conclusions Multiple variables are significantly associated with, correlated to, or predictors of ASE after the recent reform in the Egyptian medical education system. Subsequently, targeted interventions to specific sociodemographic, lifestyle, and psychological factors can be adopted and assessed through future longitudinal pre-post interventional studies.
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spelling doaj-art-6ac29faa1e2e482e916fb0563820bee22025-02-09T12:42:28ZengBMCBMC Medical Education1472-69202025-02-0125111410.1186/s12909-025-06805-8Sociodemographic, lifestyle, and psychological factors as controllable predictors of academic self-efficacy after reforming a medical education system; the Egyptian Nationwide experienceAhmed Amir Samir0Ahmed Hussein Elamir1Mohamed Basyouni Helal2Yomna Goudy3Khaled Elbarbary4Mohamed El-Mezayen5Wesam Abo-Elenien6Ebtehal Hashem Abdelazim7Manar Alaa Mabrouk8the ASE-Egypt Group9Kerollos Abdelsayed10Faculty of Medicine, Al-Azhar UniversityFaculty of Medicine, Mansoura UniversityFaculty of Medicine, Menoufia UniversityFaculty of Medicine, South Valley UniversityFaculty of Medicine, Mansoura UniversityFaculty of Medicine, Alexandria UniversityFaculty of Pharmacy, Alexandria UniversityFaculty of Medicine, Zagazig UniversityFaculty of Medicine, Fayoum UniversityFaculty of Medicine, Al-Azhar UniversityMinneapolis Heart Institute FoundationAbstract Background Academic self-efficacy (ASE), influenced by various sociodemographic, lifestyle, and psychological factors, is a critical determinant of academic performance in medical students. In Egypt, the medical education system underwent recent drastic changes. Therefore, we aim to explore the effects of these changes on the variables above and, subsequently, on ASE among a national sample of Egyptian medical students. Methods We conducted a cross-sectional study across 30 Egyptian medical colleges using a validated electronic Arabic survey to evaluate sociodemographic, lifestyle behaviors, psychological factors, and ASE. Categorical variables were described using frequencies and percentages, while Continuous variables were summarized as mean and standard deviation. Bivariate analysis with post-hoc testing, Pearson’s correlation coefficient, and multivariate linear regression were employed to assess the associations between the study variables and ASE. Data analysis was performed using R Statistical Software. Results A total of 1446 participants were included, with a mean age of 20.59 ± 1.68. Of these, 61.5% (n = 890) were Females, while 94.3% (n = 1363) were single. ASE was significantly associated with certain financial status, smoking, sleeping hours, breakfast patterns, diet changes, and fluids. Stress, anxiety, and depression were associated with and correlated to poor ASE. Only depression, oversleeping, and smoking were significant predictors of worse ASE. Conclusions Multiple variables are significantly associated with, correlated to, or predictors of ASE after the recent reform in the Egyptian medical education system. Subsequently, targeted interventions to specific sociodemographic, lifestyle, and psychological factors can be adopted and assessed through future longitudinal pre-post interventional studies.https://doi.org/10.1186/s12909-025-06805-8Medical studentsAcademic self-efficacyMental healthSedentary behaviorsCross-sectionalMedical education
spellingShingle Ahmed Amir Samir
Ahmed Hussein Elamir
Mohamed Basyouni Helal
Yomna Goudy
Khaled Elbarbary
Mohamed El-Mezayen
Wesam Abo-Elenien
Ebtehal Hashem Abdelazim
Manar Alaa Mabrouk
the ASE-Egypt Group
Kerollos Abdelsayed
Sociodemographic, lifestyle, and psychological factors as controllable predictors of academic self-efficacy after reforming a medical education system; the Egyptian Nationwide experience
BMC Medical Education
Medical students
Academic self-efficacy
Mental health
Sedentary behaviors
Cross-sectional
Medical education
title Sociodemographic, lifestyle, and psychological factors as controllable predictors of academic self-efficacy after reforming a medical education system; the Egyptian Nationwide experience
title_full Sociodemographic, lifestyle, and psychological factors as controllable predictors of academic self-efficacy after reforming a medical education system; the Egyptian Nationwide experience
title_fullStr Sociodemographic, lifestyle, and psychological factors as controllable predictors of academic self-efficacy after reforming a medical education system; the Egyptian Nationwide experience
title_full_unstemmed Sociodemographic, lifestyle, and psychological factors as controllable predictors of academic self-efficacy after reforming a medical education system; the Egyptian Nationwide experience
title_short Sociodemographic, lifestyle, and psychological factors as controllable predictors of academic self-efficacy after reforming a medical education system; the Egyptian Nationwide experience
title_sort sociodemographic lifestyle and psychological factors as controllable predictors of academic self efficacy after reforming a medical education system the egyptian nationwide experience
topic Medical students
Academic self-efficacy
Mental health
Sedentary behaviors
Cross-sectional
Medical education
url https://doi.org/10.1186/s12909-025-06805-8
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