Abstract :
This study investigates the relationships between parental relationship, parental guidance, learning motivation, and academic performance among public medical university students in Henan Province, China, with learning motivation examined as a mediating variable. Using a quantitative design, data were collected from 517 students across two public medical universities and analysed using Partial Least Squares Structural Equation Modelling (PLS-SEM). The results show that both parental relationship and parental guidance significantly enhance learning motivation, but only parental guidance has a direct positive effect on academic performance. Learning motivation was a strong predictor of academic performance and partially mediated the relationship between parental guidance and performance, while mediation for parental relationship was not significant. These findings, interpreted through Self-Determination Theory, Social Cognitive Theory, and the Stimulus–Organism–Response framework, underscore the importance of structured parental guidance in fostering student success. The study offers practical implications for universities and parents to collaborate in creating motivation-supportive environments and recommends future research incorporating broader parental influence variables and longitudinal designs.
Keywords :
Parental relationship, Parental guidance, Learning motivation, Academic performance, Medical StudentsReferences :
- Caiga, B. T., & Liujian, C. (2024). Academic Motivation, Support, and Self-Efficacy Among Medical Masters Degree Students in Guizhou, China. Asia Pacific Journal of Management and Sustainable Development, 12(3 Part 1), 1-1.
- Cai, Q., Lin, Y., & Yu, Z. (2024). Factors influencing learner attitudes towards ChatGPT-assisted language learning in higher education. International Journal of Human–Computer Interaction, 40(22), 7112-7126.
- Chen, X., Allen, J. L., & Hesketh, T. (2023). The influence of individual, peer, and family factors on the educational aspirations of adolescents in rural China. Social Psychology of Education, 26(3), 735-759.
- Chen, X., & Hesketh, T. (2021). Educational aspirations and expectations of adolescents in rural China: Determinants, mental health, and academic outcomes. International Journal of Environmental Research and Public Health, 18(21), 11524.
- Deci, E. L., & Ryan, R. M. (1985). The general causality orientations scale: Self-determination in personality. Journal of research in personality, 19(2), 109-134.
- Fathi, L., Bakhtiarpour, S., & Mahdad, A. (2024). The Association Between Parental Academic Support and Students’ Academic Well-Being: The Mediating Role of Academic Resilience. Educational Research in Medical Sciences, 13(1).
- Geng, Yihang, Wang, Shuangling, Li, Yuying, Xie, Qiong, Zhang, Min & Sun, Wei. (2022). Analysis of the current situation of learning motivation and its influencing factors among clinical medical students. China Health Statistics (02), 257-259+262.
- Gonzalez-DeHass, A. R., Willems, P. P., & Holbein, M. F. D. (2005). Examining the relationship between parental involvement and student motivation. Educational psychology review, 17(2), 99-123.
- Guo, W., Wang, J., Li, N., & Wang, L. (2025). The impact of teacher emotional support on learning engagement among college students mediated by academic self-efficacy and academic resilience. Scientific Reports, 15(1), 3670.
- Guy-Evans, O. (2020). Bronfenbrenner’s ecological systems theory. Simply Psychology, 10518-046.
- Hasan, M., Amalia, A., Supatminingsih, T., Nurdiana, N., & Nurjannah, N. (2023). How Do Teacher Creativity, Parental Guidance, Learning Methods and Interest in Learning Affect the Quality of Student Learning in Elementary Schools?. Jurnal Ilmiah Sekolah Dasar, 7(2), 249-261.
- Infortuna, C., Yang, X., Wang, R., Pandolfo, G., Cazorla, I., Dupont, J., … & Battaglia, F. (2025). Medical students’ distress during the transition to the endemic phase of COVID-19 in China: The association with temperament traits and attachment styles. AIMS Public Health, 12(1), 1-15.
- Lerner, R. E., Grolnick, W. S., Caruso, A. J., & Levitt, M. R. (2022). Parental involvement and children’s academics: The roles of autonomy support and parents’ motivation for involvement. Contemporary Educational Psychology, 68, 102039.
- Lin, J., & Zhan, M. (2024). The influence of university management strategies and student resilience on students well-being & psychological distress: investigating coping mechanisms and autonomy as mediators and parental support as a moderator. Current Psychology, 43(31), 25604-25620.
- Lin, X., Hu, Y., Chen, C., & Zhu, Y. (2023). The influence of social support on higher vocational students’ learning motivation: The mediating role of belief in a just world and the moderating role of gender. Psychology Research and Behavior Management, 1471-1483.
- Liu, J., Peng, P., Zhao, B., & Luo, L. (2022). Socioeconomic status and academic achievement in primary and secondary education: A meta-analytic review. Educational Psychology Review, 34(4), 2867-2896.
- Lu, C. (2023). A study on the relationship between parental emotional warmth, teacher-student relationships, peer trust and hope among rural adolescents. Current Psychology, 42(33), 29403-29417.
- Mahmoudi, A., & Najafi, O. (2024). Investigating the effect of academic motivation and perfectionism on academic achievement with the mediating role of exam anxiety in medical students. Horizon of Medical Education Development.
- Ma, J., & Hu, L. (2025). Harnessing Research Pressure: A Dual Chain Mediation Effects of Achievement Motivation and Research Anxiety on Innovative Behavior Under Challenge-Hindrance Research Stressors. Psychology Research and Behavior Management, 831-850.
- Mammadov, S., & Schroeder, K. (2023). A meta-analytic review of the relationships between autonomy support and positive learning outcomes. Contemporary Educational Psychology, 75, 102235.
- Marlina, Y., Sulaeman, M., Sutrisna, A., Siregar, M., & Azka, A. (2023). Parental Support for Independent Learning and Student Learning Motivation in The Post Pandemic Era. EDUTEC: Journal of Education And Technology, 6(4), 735-745.
- Martinek, D., Zumbach, J., & Carmignola, M. (2022). How much pressure do students need to achieve good grades?—The relevance of autonomy support and school-related pressure for vitality, contentment with, and performance in school. Education Sciences, 12(8), 510.
- Messerer, L. A., Karst, K., & Janke, S. (2023). Choose wisely: intrinsic motivation for enrollment is associated with ongoing intrinsic learning motivation, study success and dropout. Studies in Higher Education, 48(1), 137-150.
- Mirmoghtadaie, Z., Shakiba, Z., Shafian, S., & Ahmady, S. (2023). Explanation of A Framework for the Effective Implementation of E-Learning at Universities of Medical Sciences: A Mixed Exploratory Method. Strides in Development of Medical Education, 20(1), 48-57.
- Pianta, R. C. (1992). Child-parent relationship scale. Unpublished measure, University of Virginia, 427.
- Rafiee-Vardanjani, L., Arsalani, N., Mohammadi-Shahbolaghi, F., & Tabrizi, K. N. (2025). Self-Management in Hemodialysis Patients: A Concept Analysis. Journal of Nursing and Midwifery Sciences, 12(2).
- Ren, Z., & Du, Q. (2024). The influence of COVID-19 pandemic on college students’ academic performance and the construction of a learning ability warning system. Frontiers in Public Health, 12, 1454406.
- Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American psychologist, 55(1), 68.
- Ryan, R. M., & Deci, E. L. (2020). Intrinsic and extrinsic motivation from a self-determination theory perspective: Definitions, theory, practices, and future directions. Contemporary educational psychology, 61, 101860.
- Ryan, R. M., & Deci, E. L. (2022). Self-determination theory. In Encyclopedia of quality of life and well-being research (pp. 1-7). Cham: Springer International Publishing.
- Ryan, R. M., & Deci, E. L. (2024). Self-determination theory. In Encyclopedia of quality of life and well-being research(pp. 6229-6235). Cham: Springer International Publishing.
- Shao, Y., & Kang, S. (2022). The link between parent–child relationship and learning engagement among adolescents: The chain mediating roles of learning motivation and academic self-efficacy. In Frontiers in Education (Vol. 7, p. 854549). Frontiers Media SA.
- Skinner, E. A., & Raine, K. E. (2022). Unlocking the positive synergy between engagement and motivation. In Handbook of research on student engagement(pp. 25-56). Cham: Springer International Publishing.
- Tang, K. P., Chen, C. Y., Wu, M. S., Chen, T. T., Wu, B. W., & Tsai, P. F. (2019). Correlation between early clinical exposure environment, attitudes toward basic medicine, and medical students’ basic science learning performance. BMC medical education, 19, 1-8.
- Tang, Y. M., Chen, P. C., Law, K. M., Wu, C. H., Lau, Y. Y., Guan, J., … & Ho, G. T. (2021). Comparative analysis of Student’s live online learning readiness during the coronavirus (COVID-19) pandemic in the higher education sector. Computers & education, 168, 104211.
- Tătaru, D. A., Bonțea, M. G., Matei, C., & Buzlea, C. (2024). Investigating Common and Effective Teaching Methods in Continuing Medical Education: A Review Study. Archives of Pharmacy Practice, 15(1-2024), 1-6.
- Torkani, F., Ahmadi, S. H., Binazir, A., Fath, M. M., Shafigh, N., Asadiparvar-Masouleh, H., & Vasli, P. (2025). The relationship between health-related quality of life and academic success in nursing students: the mediating role of academic burnout and academic motivation. BMC Medical Education, 25(1), 42.
- Wang, Q., Ma, H., Zhang, X., Xun, J., & Chen, J. (2023). The impact of the future time perspective on student learning motivation and autonomous learning behaviours in the context of a work-based program. Asia Pacific Journal of Education, 43(3), 790-804.
- Wang, Z., & Zheng, B. (2023). Achievement emotions of medical students: do they predict Self-regulated learning and burnout in an Online Learning Environment?. Medical education online, 28(1), 2226888.
- Wu, H., Li, S., Zheng, J., & Guo, J. (2020). Medical students’ motivation and academic performance: the mediating roles of self-efficacy and learning engagement. Medical education online, 25(1), 1742964.
- Yang, D., Chen, P., Wang, K., Li, Z., Zhang, C., & Huang, R. (2023). Parental involvement and student engagement: a review of the literature. Sustainability, 15(7), 5859.
- Zhang, F., Jiang, Y., Huang, S., Ming, H., Ren, Y., & Wang, L. (2021). Family socioeconomic status, parental involvement, and academic achievement: The moderating role of adolescents’ subjective social mobility. The Journal of Early Adolescence, 41(9), 1425-1454.

