Search Results (2,437)

This systematic integrative review examines methodological frameworks used to evaluate educational technologies in biomedical higher education. We synthesize five complementary approaches frequently reported in the literature: the Technology Acceptance Model (TAM), the Unified Theory of Acceptance and Use of Technology (UTAUT), the System Usability Scale (SUS), Technology Readiness Levels (TRL), and the ARCS motivational model. Each framework addresses distinct but interrelated dimensions of evaluation, including technology acceptance and intention to use, perceived usability and user experience, technological maturity and implementation risk, and learner motivation. Drawing on representative studies in e-learning platforms, virtual and extended reality environments, and clinical simulation, we discuss the strengths, limitations, and common pitfalls of applying these models in isolation. Based on this synthesis, we propose a pragmatic, multi-phase evaluation workflow that aligns usability, acceptance, motivation, and technological maturity across different stages of educational technology development and adoption. Finally, we outline exploratory future perspectives on how existing evaluation models might need to evolve to address emerging AI-driven, immersive, and haptic technologies in biomedical education. This abstract was prepared in accordance with PRISMA 2020 for Abstracts, ensuring structured reporting and transparency. Full article

Background/Objectives: Older adults often face nutrition challenges due to mobility issues, chronic conditions, and limited access to adequate nutrition. Digital and technology-based interventions, including those with nutrition education, nutrition counseling and Medically Tailored Meals [MTMs], can help address these barriers. However, the extent and characteristics of such programs in the United States remain unclear. This scoping review aimed to map the existing evidence on digital and technology-based (“digi-tech”) nutrition interventions for older adults in the United States, with particular attention to the presence, characteristics, and gaps related to MTMs. Methods: This scoping review followed the PRISMA-ScR framework to map existing evidence on technology-enabled nutrition care interventions for older adults aged ≥ 60 years in the United States. Systematic searches were conducted across multiple databases, yielding 18,177 records. Following title and abstract screening, full-text review, and eligibility assessment, 16 intervention studies were included. Study designs comprised randomized controlled trials, quasi-experimental and non-randomized studies, mixed-methods feasibility studies, pilot studies, and one retrospective longitudinal cohort study. Data were extracted on study design, population characteristics, intervention components, technology modalities, outcomes, feasibility, acceptability, and reported barriers. Results: Interventions varied in duration [8 weeks to ≥12 months] and content. Foci ranged from remote nutrition education and mobile app-based tracking to multicomponent interventions integrating exercise, nutrition counseling, health literacy, and meal delivery. Telehealth was the most commonly used technology modality, followed by mobile health applications, wearable devices, and online educational platforms. Most interventions reported high feasibility and acceptability, with improvements in diet quality, adherence to healthy eating patterns, clinical measures such as HbA1c and blood pressure, and functional performance. Common implementation barriers included declining technology use over time, digi-tech literacy, and access to devices or the internet. Notably, no studies evaluated a digi-tech-based MTMs intervention exclusively for older adults in the U.S. Conclusions: Digital and technology-based nutrition interventions show promise for improving dietary and health outcomes in older adults, but there is insufficient empirical evidence. Future research might develop and evaluate hybrid digi-tech intervention models that leverage the potential of digi-tech tools while addressing barriers to technology adoption among older adults. Full article

This study evaluates China’s National Smart Education Platform (NSEP) as a national digital reform aligned with SDG 4 (quality education) and SDG 10 (reduced inequalities), yet evidence remains limited on whether such platforms reduce urban–rural gaps in real-world use and outcomes. A quantitative, stratified, random survey of students, teachers, and administrators used validated scales to measure perceived ease of use (PEOU), perceived usefulness (PU), user satisfaction (US), behavioral intention (BI), engagement level (EL), learning outcomes (LO), and system quality (SQ). The measures demonstrated strong reliability. Hierarchical regression analyses supported an extended technology acceptance model (TAM): SQ, PEOU, and PU significantly predicted US and BI, with PU showing the strongest effect. Interaction effects indicated context-sensitive adoption and the results suggested a persistent rural disadvantage in adoption even after accounting for key predictors. Mediation analyses further showed that US and BI transmitted technology beliefs to LO. Nevertheless, urban–rural gaps remained evident, particularly in PEOU and SQ, and teachers consistently reported a lower PEOU than students and administrators. These findings suggest that NSEP has the potential to support SDG-oriented digital equity, but closing urban–rural gaps requires teacher-centered design, improved usability and system reliability, and targeted infrastructure and capacity-building support in rural contexts. Full article

The rapid emergence of generative artificial intelligence (GAI) is reshaping academic work in higher education. While classical technology acceptance models primarily emphasize cognitive and instrumental determinants, the adoption of GAI also raises ethical concerns related to trust in AI systems and the protection of personal and institutional data. To address this gap, this study examines the determinants of GAI acceptance and use among academic staff in Slovenian higher education institutions by applying a UTAUT-based model that integrates trust and privacy. In this study, GAI is conceptualized as a class of text-based generative AI tools commonly used in academic practice, including applications such as ChatGPT, Copilot, Scholar AI, Gemini, Consensus, and similar systems. A quantitative research design was employed, based on a structured online survey administered to academic staff across 20 higher education institutions in Slovenia (n = 201). Data were analyzed using multilevel confirmatory factor analysis and generalized estimating equations. The results indicate that performance expectancy and attitude toward using significantly predict behavioral intention to use GAI (B = 0.49, p < 0.001 for both), while behavioral intention is the primary predictor of actual use behavior (B = 0.93, p < 0.001). Effort expectancy is positively associated with use behavior independent of behavioral intention (B = 0.23, p = 0.012), whereas trust does not show a statistically significant association with use behavior (B = 0.05, p = 0.458) or behavioral intention (B = −0.01, p = 0.840). Privacy exhibits a positive, but non-statistically significant, association with use behavior (B = 0.12, p = 0.058). The findings highlight the relevance of considering both cognitive and ethical factors when examining generative AI adoption in academic contexts and provide initial empirical insights for refining UTAUT-based frameworks in the context of emerging AI technologies. Full article

Corporate Social Responsibility (CSR) has evolved into a strategic governance framework through which organisations address environmental sustainability, stakeholder expectations, and long-term institutional viability. In knowledge-intensive organisations such as universities, Green Artificial Intelligence (GAI) is increasingly recognised as an internal CSR agenda. GAI can reduce digital and energy-related environmental impacts while enhancing educational and operational performance. This study examines how higher education leaders, as organisational decision-makers, form intentions to adopt GAI within institutional CSR and digital sustainability strategies. It focuses specifically on leadership intentions to implement key GAI practices, including Smart Energy Management Systems, Energy-Efficient Machine Learning models, Virtual and Remote Laboratories, and AI-powered sustainability dashboards. Grounded in the Unified Theory of Acceptance and Use of Technology (UTAUT), the study investigates how performance expectancy, effort expectancy, social influence, and facilitating conditions shape behavioural intentions to adopt GAI. Survey data were collected from higher education leaders across Saudi universities, representing diverse national and cultural backgrounds within a shared institutional context. The findings indicate that facilitating conditions, performance expectancy, and social influence significantly influence adoption intentions, whereas effort expectancy does not. Gender and cultural context also moderate several adoption pathways. Generally, the results demonstrate that adopting GAI in universities constitutes a governance-level CSR decision rather than a purely technical choice. This study advances CSR and digital sustainability research by positioning GAI as a strategic tool for responsible digital transformation and by offering actionable insights for higher education leaders and policymakers. Full article

The growth of generative artificial intelligence (GAI), remarkably, Large Language Models (LLMs) such as ChatGPT, converts the educational environment by empowering intelligent, data-driven education and curriculum design innovation. This study aimed to assess the integration of LLMs into higher education to foster curriculum design, learning outcomes, and innovative work behaviour (IWB). Specifically, this study investigated how LLMs’ perceived usefulness (PU) and perceived ease of use (PEOU) can support educators to be engaged in IWB—idea generation (IG), idea promotion (IP), opportunity exploration (OE), and reflection (Relf)—employing a web-based survey and targeting faculty members. A total of 493 replies were obtained and found to be valid to be analysed with partial least squares structural equation modelling (PLS-SEM). The results indicated that PU and PEOU have a significant positive impact on the four dimensions of IWB in the context of LLMs for curriculum development. The evaluated model can assist in bridging the gap between AI technology acceptance and educational strategy by offering some practical evidence and implications for university leaders and policymakers. Additionally, this study offered a data-driven pathway to advance higher education IWB through the adoption of LLMs. Full article

Urban sustainability has become a defining governance challenge as smart cities increasingly integrate artificial intelligence (AI) into public service delivery and decision-making. While AI-enabled systems promise efficiency and responsiveness, growing concerns regarding trust, legitimacy, and citizen engagement suggest that technological adoption alone does not guarantee sustainable urban outcomes. Existing studies have largely emphasized technological performance or individual adoption, paying limited attention to the governance mechanisms through which AI acceptance translates into sustainability co-creation. To address this gap, this study develops and empirically examines the AI–Urban Citizen Sustainability Co-Creation Framework (AI–CSCF) within the context of smart cities in Thailand. A quantitative survey was conducted with 1002 citizens across three smart city settings, and structural equation modeling (SEM) was employed to examine the relationships among AI acceptance, trust in AI, citizen adaptability, and sustainability co-creation. The results indicate that AI acceptance functions as a foundational condition shaping trust in AI and citizen adaptability, through which its influence on sustainability co-creation is indirectly transmitted. Trust in AI emerges as a key mediating mechanism linking AI-enabled governance to participatory sustainability outcomes. These findings underscore the importance of human-centered and trustworthy AI governance that strengthens citizen trust, enhances adaptive capacities, and positions citizens as active co-creators of sustainable urban development aligned with SDG 11. Full article

The rapid adoption of generative artificial intelligence (AI) in higher education has intensified a pedagogical dilemma: while AI tools can increase immediate classroom engagement, they do not necessarily foster the self-regulated learning (SRL) capacities required for ethical and reflective professional practice, particularly in human-service fields. In this two-time-point, pre-post cohort-level (repeated cross-sectional) evaluation, we examined a six-week AI-integrated curriculum incorporating explicit SRL scaffolding among social work undergraduates at a Taiwanese university (pre-test N = 37; post-test N = 35). Because the surveys were administered anonymously and individual responses could not be linked across time, pre-post comparisons were conducted at the cohort level using independent samples. The participating students completed the AI-Enhanced Learning Attitude Scale (AILAS); this is a 30-item instrument grounded in the Technology Acceptance Model, Attitude Theory and SRL frameworks, assessing six dimensions of AI-related learning attitudes. Prior pilot evidence suggested an engagement regulation gap, characterized by relatively strong learning process engagement but weaker learning planning and learning habits. Accordingly, the curriculum incorporated weekly goal-setting activities, structured reflection tasks, peer accountability mechanisms, explicit instructor modeling of SRL strategies and simple progress tracking tools. The conducted psychometric analyses demonstrated excellent internal consistency for the total scale at the post-test stage (Cronbach’s α = 0.95). The independent-samples t-tests indicated that, at the post-test stage, the cohorts reported higher mean scores across most dimensions, with the largest cohort-level differences in Learning Habits (Cohen’s d = 0.75, p = 0.003) and Learning Process (Cohen’s d = 0.79, p = 0.002). After Bonferroni adjustment, improvements in the Learning Desire, Learning Habits and Learning Process dimensions and the Overall Attitude scores remained statistically robust. In contrast, the Learning Planning dimension demonstrated only marginal improvement (d = 0.46, p = 0.064), suggesting that higher-order planning skills may require longer or more sustained instructional support. No statistically significant gender differences were identified at the post-test stage. Taken together, the findings presented in this study offer preliminary, design-consistent evidence that SRL-oriented pedagogical scaffolding, rather than AI technology itself, may help narrow the engagement regulation gap, while the consolidation of autonomous planning capacities remains an ongoing instructional challenge. Full article

Background: The acceptance of new vaccines under uncertainty—such as during the COVID-19 pandemic—poses a major public health challenge because efficacy and safety information is still evolving. Methods: We propose an integrative analytical framework that combines a theory-based model of vaccine acceptance—the cognitive–affective–normative (CAN) model—with machine-learning techniques (decision tree regression, random forest, and Extreme Gradient Boosting) and SHapley Additive exPlanations (SHAP) integrated into an importance–performance map (IPM) to prioritize determinants of vaccination intention. Using survey data collected in Spain in September 2020 (N = 600), when the AstraZeneca vaccine had not yet been approved, we examine the roles of perceived efficacy (EF), fear of COVID-19 (FC), fear of the vaccine (FV), and social influence (SI). Results: EF and SI consistently emerged as the most influential determinants across modelling approaches. Ensemble learners (random forest and Extreme Gradient Boosting) achieved stronger out-of-sample predictive performance than the single decision tree, while decision tree regression provided an interpretable, rule-based representation of the main decision pathways. Exploiting the local nature of SHAP values, we also constructed SHAP-based IPMs for the full sample and for the low-acceptance segment, enhancing the policy relevance of the prioritization exercise. Conclusions: By combining theory-driven structural modelling with predictive and explainable machine learning, the proposed framework offers a transparent and replicable tool to support the design of vaccination communication strategies and can be transferred to other settings involving emerging health technologies. Full article

Upcycled foods (UFs) are foods that are produced from ingredients that would otherwise be wasted and are considered a sustainable solution to the issue of food waste. However, since consumers’ responses to these foods will ultimately determine their success, there is a need to identify the factors that affect such responses. This systematic review is intended to contribute to fulfilling this need. A literature search was conducted in Scopus on 10 July 2025. Following the PRISMA protocol and setting selected inclusion criteria (scientific papers on consumer evaluation of UFs published since 2010 in English), 54 research articles (83 studies) were analyzed. The findings are discussed through the lens of the Total Food Quality model, where product cues, combined with consumers’ characteristics and perceptions, develop consumers’ ultimate responses, such as general attitude (analyzed in 91.7% of the reviewed studies), purchase intention (77.4%), sensory evaluation (69.2%), and willingness to pay (66.7%). Despite the general positive consumer attitudes toward UFs, translation into actual purchasing behavior is not immediate, and consumer awareness appears to be a major obstacle. However, the analysis of the literature suggests promising strategies to widen the acceptance and consumption of UFs. These entail the use, for example, of informational tools (e.g., claims and certifications), which can be differentiated to target consumers with different levels of knowledge and appreciation of UFs. In addition, targeting specific consumer segments (e.g., environmentalists) can promote a faster acceptance and spread of UFs, while providing information about the nature of UFs will likely help to reduce relevant barriers, such as price sensitivity, risk aversion, and food and technology neophobia. Full article

Blockchain is widely promoted as a tool for enhancing transparency, trust, and sustainability in business, yet little is known about how creative micro, small, and medium enterprises (MSMEs) in emerging economies can meaningfully adopt it for finance and accounting purposes in times of global uncertainty. This study explores how blockchain can be harnessed for transparent and sustainable accounting in Indonesian creative MSMEs amid rapid digital disruption. Using an exploratory qualitative design, we conducted semi-structured, in-depth interviews with 18 owners and key decision-makers across diverse creative subsectors and analysed the data thematically through an integrated Technology Acceptance Model (TAM) and Diffusion of Innovation (DOI) lens. The findings show that participants recognise blockchain’s potential benefits for transaction transparency, verifiable records, intellectual property protection, and secure payments, but adoption is constrained by technical complexity, financial constraints, limited digital and accounting capabilities, and perceived regulatory and reputational risks. Government initiatives are seen as important for legitimacy yet insufficient without concrete guidance, capacity-building, and financial support. The study extends TAM–DOI applications to blockchain-enabled accounting in creative MSMEs and highlights the need for sequenced, ecosystem-based interventions to translate blockchain’s technical promise into accessible, ESG- and SDG-oriented accounting solutions in the creative economy. Full article

Remote Indigenous communities experience persistent inequities in access to fresh and nutritious foods due to the fragility of perishable food supply chains (PFSCs). Disruptions across procurement, transportation, storage, retail, and limited local production restrict access to perishable foods, contributing to food insecurity and diet-related health risks. This scoping literature review synthesizes evidence from 84 peer-reviewed, grey, and unpublished sources across fourteen countries to map PFSC management (PFSCM) challenges affecting food access in remote Indigenous communities worldwide and to synthesize reported practices implemented to address these challenges. PFSCM challenges were identified across all supply chain levels, and five categories of reported practices emerged: PFSC redesign strategies, forecasting and decision-support models, technological innovations, collaboration and coordination mechanisms, and targeted investments. These findings informed the development of a multi-scalar conceptual framework comprising seven interconnected PFSCM clusters that organize how reported practices are associated with multiple food access dimensions, including quantity, affordability, quality, safety, variety, and cultural acceptability. This review contributes an integrative, system-oriented synthesis of PFSCM research and provides a conceptual basis to support future scholarly inquiry, comparative inquiry, and policy-relevant discussion of food access and health equity in remote Indigenous communities. Full article

This study investigates cross-cultural differences in public perception of mobility electrification by applying natural language processing (NLP) techniques to social media discourse in Germany and China. Using a large language model (LLM), this study conducted sentiment analysis and zero-shot text classification on over 10,000 posts to explore how citizens in each country engage with the topic of electric mobility. Results reveal that while infrastructure readiness is a dominant concern in both contexts, German discourse places greater emphasis on environmental impact, often reflecting skepticism toward sustainability claims. On the other hand, Chinese discussions highlight technological advancement and infrastructure expansion, with comparatively limited focus on environmental concerns. These findings show the importance of culturally tailored policy and communication strategies in supporting the public acceptance of electric mobility. By demonstrating how artificial intelligence-driven large-scale social media data analysis can be used to analyze public sentiment across linguistic and cultural contexts, this study contributes methodologically to the emerging field of computational social science and offers practical insights for mobility policy in diverse national settings. Full article

Urban air mobility solutions such as drone taxi services are increasingly viewed as a promising response to congestion, sustainability, and smart-city mobility challenges. However, the large-scale adoption of such services depends on users’ perceptions of service experience, trust, and readiness to engage with emerging technologies. This study investigates the determinants of sustainable adoption of drone taxi services in the United Arab Emirates (UAE) by examining technology readiness and service experience factors, interpreted through conceptual alignment with the Technology Acceptance Model (TAM) and the Unified Theory of Acceptance and Use of Technology (UTAUT). A structured questionnaire was administered to potential users, capturing perceptions related to optimism, innovation readiness, efficiency, control, privacy, insecurity, discomfort, inefficiency, and perceived operational risk, along with behavioral intention to adopt drone taxi services. Measurement reliability and validity were rigorously assessed using Cronbach’s alpha, composite reliability, average variance extracted (AVE), and the heterotrait–monotrait (HTMT) criterion. The validated latent construct scores were subsequently used to estimate a structural regression model examining the relative influence of each factor on adoption intention. The results indicate that privacy assurance and perceived control exert the strongest influence on behavioral intention, followed by optimism and innovation readiness, while negative readiness factors such as discomfort, insecurity, inefficiency, and perceived chaos demonstrate negligible effects. These findings suggest that in technologically progressive contexts such as the UAE, adoption intentions are primarily shaped by trust-building and empowerment-oriented perceptions rather than deterrence-based concerns. By positioning technology readiness and service experience constructs within established TAM and UTAUT theoretical perspectives, this study contributes a context-sensitive understanding of adoption drivers for emerging urban air mobility services. The findings offer practical insights for policy makers and service providers seeking to design user-centric, trustworthy, and sustainable drone taxi systems. Full article

This study investigates the factors influencing Chinese K-12 teachers’ adoption of generative artificial intelligence (GenAI) for instructional purposes by extending the Technology Acceptance Model (TAM) with pedagogical beliefs, perceived intelligence, perceived ethical risks, GenAI anxiety, and demographic moderators. Drawing on a theory-driven framework, survey data were collected from 218 in-service teachers across K-12 schools in China. The respondents were predominantly from urban schools and most had prior GenAI use experience. Eight latent constructs and fourteen hypotheses were tested using structural equation modeling and multi-group analysis. Results show that perceived usefulness and perceived ease of use are the strongest predictors of teachers’ intention to adopt GenAI. Constructivist pedagogical beliefs positively predict both perceived usefulness and intention, whereas transmissive beliefs negatively predict intention. Perceived intelligence exerts strong positive effects on perceived usefulness and ease of use but has no direct effect on intention. Perceived ethical risks significantly heighten GenAI anxiety, yet neither directly reduces adoption intention. Gender, teaching stage, and educational background further moderate key relationships, revealing heterogeneous adoption mechanisms across teacher subgroups. The study extends TAM for the GenAI era and highlights the need for professional development and policy initiatives that simultaneously strengthen perceived usefulness and ease of use, engage with pedagogical beliefs, and address ethical and emotional concerns in context-sensitive ways. Full article