Search Results (3,482)

Lack of food security is a major threat at the local and global levels. This research focused on the design and implementation of a school garden at Carlos Albán Holguín school as a strategy to ensure food for vulnerable communities and promote environmental education. This project was structured in six stages including diagnosis, characterization, formulation, and pilot validation. Data were collected through surveys and checklists, which evaluated the garden’s conditions and students’ understanding of environmental practices. Key findings revealed significant improvements in students’ knowledge of sustainable agriculture upon implementing the garden, with 75% demonstrating outstanding comprehension and 80% effectively applying organic farming principles. Promoting and implementing urban agriculture benefits surrounding communities, reduces environmental impact, promotes social awareness of current food security challenges, and promotes economic growth in cities. The main conclusion of this research is that integrating environmental education within the school curriculum can significantly enhance food security and foster environmental stewardship. This research underscores the importance of sustainable urban gardens in addressing nutritional deficiencies and promoting sustainable agriculture practices in urban settings. Full article

Self-efficacy is related to a specific domain and is a result of capabilities and beliefs of one’s own performance in a specific domain given a specific task, depending on the levels of anxiety, motivation, feeling of success, and positive and negative rewards. Computer experience, the learning of information and communication technology tasks at school, and the use of general applications in class are known to be related to computer and information literacy. This study investigates the mediation effect of student computer self-efficacy in using general applications in these relationships using a structural equation model. The data used in this study stems from nine European educational systems participating in the International Computer and Information Literacy Study in 2018. The results show that in nearly all educational systems, the self-efficacy regarding the use of general applications has significant mediation effects in the relationship between computer and information literacy and each of the three information and communication technology variables in the model. The mediation effects are strongest for general applications in class and weakest for learning of information and communication technology tasks at school. The results are discussed against the educational systems’ context with recommendations for improving student computer self-efficacy. Full article

Migrant children’s discrimination perceptions directly affect their cultural adaptation in the city of influx. In response to migrant children, cities in China have issued relevant urban education policies such as the different-location college entrance examination policy. This study aims to investigate the impact of China’s urban educational policies on the relationship between perceptions of discrimination and acculturation among migrant children. The research sample for this paper was drawn from nine cities that pioneered the policy reform, and a total of 1436 questionnaires were collected. This study analyzed the data using multiple regression analysis and mediation effect tests. This study reveals the following: (a) Migrant children’s educational policy identity has a significant positive impact on their acculturation, whereas their perception of discrimination has a significant negative effect on their acculturation. (b) As the influence of urban educational policies increases, the negative effects of discrimination perceptions on migrant children’s school cultural adaptation, community cultural adaptation, and customs and language adaptation will all diminish. To further explore the facilitating effect of urban educational policies on the cultural adaptation of migrant children, this study proposes recommendations for the household registration system, college entrance examination admission system, and child protection system. This paper not only puts forward policy recommendations for cities of inflow but also provides a Chinese research horizon for the urban cultural adaptation of migrant children in cities of inflow. Full article

Background/Objectives: Suboptimal gestational weight gain (GWG) has been linked to increased risks of adverse maternal outcomes. Evidence linking diet in pregnancy to GWG remains limited. We assessed relationships between adherence to five dietary patterns (Planetary Health Diet [PHD], Dietary Approaches to Stop Hypertension [DASH], Alternate Mediterranean Diet [AMED], Healthy Eating Index [HEI], and Alternate Healthy Eating Index [AHEI]) and 2009 Institute of Medicine GWG categories. Methods: Women expecting singleton pregnancies participated in the NICHD Fetal Growth Studies and completed a food-frequency questionnaire (FFQ) at 8 to 13 weeks of gestation that captured their baseline diet. Adherence to each dietary pattern was calculated, with higher scores indicating greater adherence. Women were categorized into low, moderate or high adherence to each dietary pattern. Using multinomial logistic regression, we estimated adjusted odds ratios and 95% confidence intervals [OR (95% CIs)] of inadequate or excessive GWG (reference category: adequate), for high vs. low adherence to each dietary pattern. Results: In the full cohort, women with high vs. low adherence to DASH, AMED, HEI, or AHEI (but not PHD) had a 13% to 31% lowered odds of inadequate total GWG [ranging from 0.87 (0.58, 1.31) for AMED to 0.69 (0.48, 0.99) for DASH]. High adherence to DASH or HEI was associated with lower odds of inadequate first-trimester GWG, after correcting for multiple testing [DASH: 0.36 (0.22, 0.61), HEI: 0.49 (0.30, 0.79)]. No significant association was observed between any of the dietary patterns and excessive total and trimester-specific GWG. Conclusions: Greater adherence to several dietary patterns was associated with lowered odds of inadequate GWG. Future studies could characterize these diets objectively by identifying metabolite signatures and examining their associations with GWG. Full article

Ireland, historically a country of emigration, has transformed into a hub of immigration. Today, over 200 languages are spoken among its 5.25 million residents, with approximately 750,000 individuals speaking a language other than English or Irish at home. This growing linguistic diversity is increasingly reflected in Irish primary classrooms, where teachers are called upon to support students from a wide range of linguistic and cultural backgrounds). In response, Teaching English as an Additional Language (EAL) modules have expanded across initial teacher education (ITE) programs in Ireland. This study examines over two decades of teacher development initiatives, tracing a shift from an earlier bilingual model—where multilingualism was viewed primarily as second language acquisition—to a more expansive, European-informed vision of plurilingualism. Drawing on recommendations for reflexive, linguistically and culturally responsive education, this research adopts an insider/outsider discursive case study approach to explore student teachers’ preparedness to support multilingual learners in Irish primary schools. Conducted through a collaboration between an Irish teacher educator/module coordinator and an intercultural education specialist, this study employs reflexive thematic analysis) of student teachers’ self-reports from a twelve-week elective module on linguistic and cultural diversity within a Primary Bachelor of Education program. Data were drawn from surveys (n = 35) across three module iterations in 2019, 2021, and 2023. Findings indicate student teachers’ growing awareness of language teaching strategies and resources, developing positive orientations toward inclusive and plurilingual pedagogy, and emerging skills in professional collaboration. However, areas for further development include strengthening agency in navigating real-world multilingual teaching scenarios and embedding deeper reflexivity around linguistic identities, integrating students’ home language and intercultural learning. The paper concludes with recommendations to expand access to language teaching resources for diverse student profiles and support collaborative, shared EAL leadership through professional learning communities as part of teacher education reform. Full article

Professional development (PD) is crucial for teacher growth, yet research on EFL instructors in higher education remains scarce. In Indonesia, PD research focuses more on secondary and primary school teachers, and the research that emphasises EFL teachers’ professionalism is limited. However, EFL teachers’ PD plays an important role in preparing future teachers for better employment opportunities and international communication, so it is a critical component of higher education curricula. This study explores the impact of professional development programs on EFL instructors in Indonesian universities, focusing on types of professional development programs and personal initiatives. Ten EFL instructors from five different universities in Indonesia were recruited using a purposive sampling technique. Using a qualitative approach with semi-structured interviews, thematic analysis reveals that most professional development efforts are self-driven rather than institutionally supported. Key impacts of professional development programs and activities they have participated in on their professionalism include research collaboration, publication skills, ELT strategy improvements, networking, reflective teaching, and language proficiency gains. The findings underscore the need for customised professional development programs that address educators’ specific contexts, ensuring sustainable enhancements in teaching practices. This study highlights the critical role of independent professional development efforts in higher education and provides insights into structuring more impactful support systems for EFL instructors globally. Full article

In recent years, the preservation of historic university buildings has gained increasing attention, particularly in the context of fire safety, as building fires pose significant threats to these structures. In alignment with global initiatives on resilient cities and communities, a focus on enhancing fire resilience in historic university buildings has emerged. From the perspective of fire resilience in historic university buildings, this study constructs an IDIA model for evaluating fire resilience in historic university buildings based on the improved Delphi method(ID), the Interpretive Structure Model (ISM), and the Analytical Network Process (ANP). This model objectively identifies fire resilience indicators for historic university buildings, explores the interactions between influencing factors, and analyzes the priorities of factors influencing fire resilience in historic university buildings, thereby improving the overall fire resilience of the historic university building system. This research focused on the administrative and teaching buildings of the former Central South School of Architecture and Engineering on the Mafangshan Campus of Wuhan University of Technology. The results indicate that fire resistance levels, the fire water supply system and fire awareness are extremely important indicators of fire resilience in historic university buildings. This research framework contributes to understanding the fire resilience of historic university buildings and is of vital importance for building resilient communities. Full article

Background/Objectives: Despite global efforts to promote moderate-to-vigorous physical activity (MVPA) among youth, limited evidence exists regarding adolescents’ knowledge of official physical activity (PA) guidelines. The aim of this study was to assess adolescents’ knowledge of MVPA guidelines and examine its potential association with meeting PA recommendations and levels of sedentary behavior. Methods: This cross-sectional study was conducted in 2025 with a sample of 1032 adolescents (50.5% boys) from northernmost Brazil. Data were collected using a self-administered questionnaire and included information on knowledge of PA guidelines, PA levels, sedentary behavior duration, and sociodemographic characteristics. Associations were tested using logistic regression models. Results: Only 11.7% of adolescents accurately identified all components of the PA recommendations. Boys who met PA guidelines were 15.76 times more likely to be aware of the official recommendations (95% CI: 7.14–24.48), while girls had 10.05 times higher odds (95% CI: 4.43–16.67). Adolescents who were less sedentary (<3 h/day) were significantly more likely to know the guidelines, both among boys (OR = 2.00; 95% CI: 1.08–3.70) and girls (OR = 3.13; 95% CI: 1.12–8.33). Conclusions: The low level of awareness regarding official PA guidelines among adolescents is concerning, particularly given the strong association between such knowledge and the adoption of more active and less sedentary behaviors. Public health and educational strategies should prioritize health literacy in school curricula and community-based programs to promote more active lifestyles and reduce sedentary behavior among youth. Future studies should use longitudinal designs to clarify causal links and test practical interventions. Full article

Background: Effective doctor–patient communication is essential for high-quality care, especially for patients with chronic conditions requiring hemodialysis. However, there is a lack of validated tools in the Malay language to measure this communication. This study aimed to translate and validate the Doctor–Patient Communication Questionnaire (DPCQ) into Malay (MyD-PCQ) for use among patients receiving hemodialysis in Kelantan, Malaysia. Methods: A cross-sectional study was conducted with 300 patients receiving hemodialysis at Hospital Universiti Sains Malaysia. The original English DPCQ was translated and culturally adapted into Malay following international guidelines, including forward and backward translation, expert review, and cognitive debriefing. Data were collected using the Malay version of the questionnaire. Confirmatory factor analysis (CFA) assessed the construct validity, while Raykov’s rho measured internal consistency. Results: The Malay version of the DPCQ demonstrated excellent model fit in CFA (χ²/df = 1.25, p = 0.053; SRMR = 0.037; RMSEA = 0.029; CFI = 0.982; and TLI = 0.979). Factor loadings ranged from 0.493 to 0.640. The internal consistency was high, with Raykov’s rho of 0.887. The average total score among participants was 37.31 out of 60, indicating moderate perceived communication quality. Conclusions: The Malay Doctor–Patient Communication Questionnaire (MyD-PCQ) is a valid and reliable tool for assessing communication between doctors and patients receiving hemodialysis in Malaysia. Its use can help identify communication gaps, support training initiatives, and improve patient-centered care in clinical practice. Future research should evaluate its use in other settings and patient populations. Full article

Multigrade classrooms represent a widely extended educational modality in rural contexts and territories with low demographic density. This organizational model, in which a single teacher serves students from different levels in the same space, poses particular challenges but also significant pedagogical opportunities. In this systemic literature review, a total of 40 international studies were analyzed according to the PRISMA guidelines, published between 2019 and 2024 in databases such as Scopus and ERIC. The objective of this analysis is to identify the main organizational and methodological approaches, as well as the strengths and weaknesses, associated with teaching in multigrade contexts. This systematic review has been prospectively registered in the Open Science Framework (OSF) under registration number: 64rsu. A qualitative thematic analysis was employed to organize the results into five categories: organizational models, pedagogical practices, teacher training, impact on learning, and school-community links. The findings underscore the efficacy of this model in promoting educational inclusion, cooperative learning, and curricular contextualization. Nevertheless, they also underscore the necessity for specific teacher training and support policies. This review offers a comparative and critical perspective that has the potential to inform the development of more effective pedagogical and training strategies in a range of educational settings. Full article

Background/Objectives: The adolescent and youth phase is characterized by rapid physical, cognitive, and psychosocial development during which adolescents encounter numerous challenges. These challenges include experiences of sexual violence, sexually transmitted diseases, mental health issues, poverty, lack of education, social discrimination, and high fertility rates. The Adolescent and Youth-Friendly Services (AYFS) program in South Africa aims to enhance young people’s access to sexual and reproductive health services (SRHS). This study explores the healthcare providers’ (HCPs’) experiences in implementing the AYFS within public health facilities in eThekwini, KwaZulu-Natal. Methods: This exploratory, descriptive qualitative study employed individual in-depth interviews to gather data from eight HCPs. The target population consisted of HCPs working in the public health facilities that offer AYFS. A purposive sampling technique was utilized to select HCPs who met the inclusion criteria. Thematic analysis was conducted following the steps outlined by Braun and Clarke. Results: The participants consisted of black females and one male, aged 34 to 50, with 1 to 14 years of experience. The four main themes emerged from the study: appropriate service provision, HCPs’ competency, accessibility of AYFS, and adherence to the principles of beneficence and non-maleficence. Overall, HCPs reported a positive experience in implementing AYFS. Conclusions: The findings indicated that AYFS was delivered as a comprehensive package addressing the needs of adolescents; however, there is a pressing need to enhance demand-creation initiatives in schools and communities to raise awareness and promote service utilization among this vulnerable population. The implications of these findings are to ensure thorough implementation and utilization of AYFS in the country. Full article

The rapid advancement in information and communication technologies (ICT) has improved workplace productivity but also introduced new psychosocial stressors. Workplace telepressure, the urge to respond quickly to work-related messages sent via digital communication tools, often erodes employees’ psychological well-being and blurs work–life boundaries. This study, grounded in the Job Demands–Resources (JD-R) model, investigates the influence mechanism between workplace telepressure and job burnout. Using data collected from 323 middle school teachers in China, results revealed that workplace telepressure significantly predicted job burnout. In addition, work-related rumination partially mediated this relationship, indicating a cognitive mechanism linking telepressure and burnout. Furthermore, perceived organizational support moderated the relationship between work-related rumination and job burnout. Specifically, when perceived support was high, the impact of rumination on burnout was weakened. These findings provide theoretical insights and practical implications for fostering healthy work environments and promoting psychological well-being in the digital era. Full article

Climate change is a global crisis that disproportionately affects vulnerable agrarian communities, exacerbating food insecurity and health risks. This qualitative study explored the relationship between climate change and health in the following two rural sub-counties of Kilifi County, Kenya: Ganze and Magarini. In fall 2023, we conducted 16 focus group discussions with adolescent girls (14–17), young adults (18–30), and older adults (31+). Thematic analysis revealed that climate change adversely affects health through key social determinants, including economic instability, environmental degradation, limited healthcare access, food insecurity, and disrupted education. Participants reported increased food scarcity, disease outbreaks, and reduced access to medical care due to droughts and floods. Economic hardship contributed to harmful survival strategies, including transactional sex and school dropout among adolescent girls. Mental health concerns, such as stress, substance use, and suicidal ideation, were prevalent. These findings highlight the wide-ranging health impacts of climate change in agrarian settings and the urgent need for comprehensive, community-informed interventions. Priorities should include improving nutrition, reproductive and mental health services, infectious disease prevention, and healthcare access. Full article

Background/Objective: To assess vulnerable Romanian children’s knowledge, attitudes, and beliefs regarding the HPV vaccination. Methods: Vulnerable children (ethnic minorities, high social vulnerability index, or low socioeconomic status) from three schools in Cluj County, Romania, were enrolled in a short educational presentation regarding HPV and were delivered a physical questionnaire consisting of 26 items. Results: 199 vulnerable school students concluded the questionnaire with a mean age of 14.62. Most participants were unaware of the HPV infection or the HPV vaccine. Following the educational program, most participants exhibited a reasonably elevated level of knowledge, which positively correlated with the intention to vaccinate. Fifty-three per cent of respondents would vaccinate in school if the vaccine were available, fifty-four per cent would vaccinate if the product were free of charge or at minimal cost, and over sixty-four per cent would vaccinate at their doctor’s recommendation. Several knowledge items, beliefs, and attitudes towards vaccination were disclosed to influence children’s preference to participate in vaccination campaigns. Conclusions: This analysis unveiled the pivotal role of knowledge about HPV in the immunization uptake within underserved, vulnerable populations of Romanian children. An intricate interplay between vulnerability, knowledge, accessibility, and the willingness to vaccinate was impacted by several beliefs and attitudes towards HPV vaccination. Most children were willing to participate in HPV immunization campaigns, whether school-based, reimbursed, or at the doctor’s recommendation. These findings act as pillars for assembling future educational campaigns in vulnerable Romanian communities of children, aiming to enhance awareness and coverage of HPV vaccination and ensure inclusive health policies. Full article

Background/Objectives: Policy implementers play a crucial role in the effective delivery of policies aiming at promoting a healthy lifestyle in the most vulnerable populations. This study aimed to explore (a) policy implementers’ knowledge and perceptions of the policy framework promoting physical activity and healthy nutrition among children in need in Greece, and (b) self-perceived barriers and facilitators of the framework implementation. The term children in need refers to children who are at risk of poverty and/or social exclusion. Methods: A qualitative study design was employed consisting of semi-structured interviews with 25 policy implementers, who represented four delivery systems (health, social protection, food, and education sectors) from three geographical regions in Greece. Interviews were completed between November and December 2023. Thematic analysis was conducted using inductive and deductive approaches to identify key themes, following data management in the N-VIVO 14 software. Results: Commonly mentioned policies that study participants were involved in included school- and/or community-level-based behavioral interventions. Participants perceived policy implementation efforts that often relied on individual initiatives as inconsistent. Most participants argued that existing policies were not tailored to the needs of children in need. Major self-perceived barriers included limited personnel training, limited facilities and infrastructure, and lack of incentives or opportunities to encourage active participation. Major self-perceived facilitators included personnel motivation, integration of nutrition and physical education into school curricula, and provision of free school meals, which was associated with regular school attendance of children from the Roma communities. Conclusions: Individual, sociocultural, and structural issues are shown to persist across different delivery systems indicating the complexity of tackling obesogenic environments, especially among children in need. This is the first study in Greece to provide evidence on self-perceived barriers and facilitators and could inform ongoing national and European efforts to address obesogenic environments in children in need. Full article