Search Results (604)

Family empowerment is a key component of effective family-centered practices in healthcare, mental health, and educational services. The Family Empowerment Scale (FES) is the most commonly used instrument to evaluate empowerment in families raising children with emotional, behavioral, or developmental disorders. Despite its importance, the FES for diverse populations, especially Latinx parents, has rarely been evaluated using innovative psychometric approaches. In this study, we evaluated key dimensions and psychometric evidence of the Family Empowerment Scale (FES) for 96 Latinx parents of children with intellectual and developmental disabilities (IDD) in the United States using an exploratory graph analysis (EGA). The EGA identified a five-dimensional structure, and EGA models outperformed the original CFA 3-factor models for both parents of children with autism and other disabilities. This study identified distinct, meaningful dimensions of empowerment that reflect both shared and unique empowerment experiences across two Latinx parent groups. These insights can inform the design of culturally responsive interventions, instruments, and policies that more precisely capture and boost empowerment in Latinx families. This study contributes to closing a gap in the literature by elevating the voices and experiences of Latinx families by laying the groundwork for more equitable support systems in special education and disability services. Full article

Background/Objectives: Strengthening antimicrobial stewardship (AMS) programs is an invaluable intervention in the ongoing efforts to contain the threat of antimicrobial resistance (AMR), particularly in low-resource settings. This study evaluates the impact of the Telementoring, Education, and Advocacy Collaboration initiative for Health through Antimicrobial Stewardship (TEACH AMS), which uses the virtual Extension for Community Healthcare Outcomes (ECHO) learning model to enhance AMS capacity in Kenya, Ghana, and Malawi. Methods: A mixed-methods approach was used, which included attendance data collection, facility-level assessments, post-session and follow-up surveys, as well as focus group discussions. Results: Between September 2023 and February 2025, 77 virtual learning sessions were conducted, engaging 2445 unique participants from hospital-based AMS committees and health professionals across the three countries. Participants reported significant knowledge gain, and data showed facility improvements in two core AMS areas, including the implementation of multidisciplinary ward-based interventions/communications and enhanced monitoring of antibiotic resistance patterns. Along those lines, participants reported that the program assisted them in improving prescribing and culture-based treatments, and also evidence-informed antibiotic selection. The evidence of implementing ward-based interventions was further stressed in focus group discussions, as well as other strengthened practices like point-prevalence surveys, and development or revision of stewardship policies. Substantial improvements in microbiology services were also shared by participants, particularly in Malawi. Other practices mentioned were strengthened multidisciplinary communication, infection prevention efforts, and education of patients and the community. Conclusion: Our findings suggest that a virtual case-based learning educational intervention, providing structured and tailored AMS capacity building, can drive behavior change and strengthen healthcare systems in low resource settings. Future efforts should aim to scale up the engagements and sustain improvements to further strengthen AMS capacity. Full article

The intersection of sports and natural forests and green spaces represents an emerging interdisciplinary field with implications for public health, environmental science, and sustainable land management and refers to the variety of cultural ecosystem services demanded by people from ecosystems. This manuscript presents a systematic bibliometric and thematic analysis of 148 publications for the period 1993–2024 identified through Web of Science and Scopus, aiming to evaluate the current state of research on sports activities conducted in natural forest environments. Findings indicated a marked increase in scientific interest of this topic over the past two decades, with key contributions from countries such as England, Germany, China, and the United States. Researchers most frequently examined sports such as hiking, trail running, mountain biking, and orienteering for their capacity to provide physiological and psychological benefits, reduce stress, and enhance mental well-being. The literature analysis highlights ecological concerns, particularly those associated with habitat disturbance, biodiversity loss, and conflicts between recreation and conservation. Six principal research themes were identified: sports in urban forests, sports tourism, hunting and fishing, recreational sports, health benefits, and environmental impacts. Keyword and co-authorship analyses revealed a multidisciplinary knowledge base with evolving thematic focuses. In conclusion, the need for integrated approaches that incorporate ecological impact assessment, stakeholder perspectives, and adaptive forest governance to ensure sustainable recreational use of natural forest ecosystems is underlined. Full article

Public open spaces have recently attracted significant attention in the national development programs aimed at improving urban livability and quality of life in Saudi Arabia. While many studies have examined the design quality of public open spaces in the country, a contextualized evaluation index that takes into account users’ preferences and the nation’s social context is still lacking. This gap calls for additional field studies to better understand users’ needs and their interactions with the current urban design practices of public open spaces. This study provides deeper insights into the design quality of public open spaces in Saudi Arabia. The study first identified 16 attributes of design quality of public open spaces, and then assessed a case study, Alrabie Park in Al-Khobar city, based on field observation and a survey of users’ satisfaction levels in relation to these quality attributes The findings revealed that the average of users’ satisfaction was 3.76 out of 5.0, indicating a neutral to satisfied response. Key strengths were noted in accessibility and users’ comfort, while areas needing improvement included environmental quality and amenities and services. The study recommends the development of a national evaluation index for public open spaces to create inclusive, safe, and vibrant environments that reflect Saudi Arabia’s urban and socio-cultural context. It also emphasizes the importance of community engagement in this regard to ensure that the design of public spaces aligns well with the users’ needs and helps to create sustainable urban spaces in the city. Full article

Increasing wildfires are causing global concerns about ecosystem functioning and services. Although some wildfires are caused by natural ignitions, it is also important to understand how human ignitions and human-related factors can contribute to wildfires. While dynamic global vegetation models (DGVMs) have incorporated fire-related modules to simulate wildfires and their impacts, few models have fully considered various human-related factors causing human ignitions. Using global examples, this study aims to identify key factors associated with human impacts on wildfires and provides suggestions for enhancing model simulations. The main categories explored in this paper are human behavior and activities, socioeconomic background, policy, laws, regulations, and cultural and traditional activities, all of which can influence wildfires. Employing an integrated and interdisciplinary assessment approach, this study evaluates existing DGVMs and provides suggestions for their improvement. Full article

Grassland communities consist primarily of perennial herbaceous species, with grasses forming a dominant or significant component. These ecosystems have been utilised for economic purposes since the earliest periods of human history. In the natural environment, they fulfil numerous critical functions that, despite increasing awareness of climate change, often remain undervalued. Grasslands contribute directly to climate regulation, air purification, soil conservation, flood mitigation, and public health—all of which positively affect the well-being of nearby populations. Moreover, they satisfy higher-order human needs known as “cultural” services, providing aesthetic enjoyment and recreational opportunities. These services, in tangible terms, support the development of rural tourism. The objective of this study was to examine the perception of cultural ecosystem services provided by different types of grassland communities—meadows, pastures, and lawns. The study employed a structured questionnaire to evaluate the perceived significance and functions of these communities. Respondents assessed their aesthetic and recreational value based on land-use type. To quantify these dimensions, the study applies the Recreational and Leisure Attractiveness Index (RLAI), the Aesthetic Attractiveness Index (AAI), ranking methods, and contingent valuation techniques. Based on the respondents’ declared WTP (willingness to pay) and WTA (willingness to accept) values, statistically significant differences in the perceived value of land-use types were identified. Lawns were rated highest in terms of recreational attractiveness, meadows in terms of aesthetics, while pastures achieved the highest economic values. Significant differences were also observed depending on respondents’ place of residence and academic background. The results indicate that the valuation of cultural services encompasses both functional and psychological aspects and should be integrated into local land-use and landscape planning policies. Full article

The relationship between ecosystem services (ESs) and human well-being (HWB) is a central issue of sustainable development. However, current research often relies on qualitative frameworks or indicator-based assessments, limiting a comprehensive understanding of the relationship between natural environment and human acquisition, which still needs to be strengthened. As an element transferred in the natural–society coupling system, carbon can assist in characterizing the dynamic interactions within coupled human–natural systems. Carbon, as a fundamental element transferred across ecological and social spheres, offers a powerful lens to characterize these linkages. This study develops and applies a novel analytical framework that integrates carbon flow as a unifying metric to quantitatively assess the spatiotemporal dynamics of the land use and land cover change (LUCC)–ESs–HWB nexus in Guizhou Province, China, from 2000 to 2020. The results show that: (1) Ecosystem services in Guizhou showed distinct trends from 2000 to 2020: supporting and regulating services declined and then recovered, and provisioning services steadily increased, while cultural services remained stable but varied across cities. (2) Human well-being generally improved over time, with health remaining stable and the HSI rising across most cities, although security levels fluctuated and remained low in some areas. (3) The contribution of ecosystem services to human well-being peaked in 2010–2015, followed by declines in central and northern regions, while southern and western areas maintained or improved their levels. (4) Supporting and regulating services were positively correlated with HWB security, while cultural services showed mixed effects, with strong synergies between culture and health in cities like Liupanshui and Qiandongnan. Overall, this study quantified the coupled dynamics between ecosystem services and human well-being through a carbon flow framework, which not only offers a unified metric for cross-dimensional analysis but also reduces subjective bias in evaluation. This integrated approach provides critical insights for crafting spatially explicit land management policies in Guizhou and offers a replicable methodology for exploring sustainable development pathways in other ecologically fragile karst regions worldwide. Compared with conventional ecosystem service frameworks, the carbon flow approach provides a process-based, dynamic mediator that quantifies biogeochemical linkages in LUCC–ESs–HWB systems, which is particularly important in fragile karst regions. However, we acknowledge that further empirical comparison with traditional ESs metrics could strengthen the framework’s generalizability. Full article

Guadua amplexifolia J. Presl is a Neotropical bamboo native to southern Mexico through Central America to Colombia, where it thrives in riparian zones of the San Jorge River basin. Despite its ecological and socio-economic importance, its environmental dynamics and provision of ecosystem services remain poorly understood. This study (1) quantifies spatial and temporal land use/cover changes in the municipality of Montelíbano between 2002 and 2022 and (2) evaluates the ecosystem services that local communities derive from in 2002, 2012, and 2022, and they were classified in QGIS using G. amplexifolia. We applied a supervised classification of Landsat imagery (2002, 2012, 2022) in QGIS, achieving 85% overall accuracy and a Cohen’s Kappa of 0.82 (n = 45 reference points). For the social assessment, we held participatory workshops and conducted semi-structured interviews with artisans, fishers, authorities, and NGO representatives; responses were manually coded to extract key themes. The results show a 12% decline in total vegetated area from 2002 to 2012, followed by an 8% recovery by 2022, with bamboo-dominated stands following a similar pattern. Communities identified raw material provision (87% of mentions), climate regulation (82%), and cultural–recreational benefits (58%) as the most important services provided by G. amplexifolia. This is the first integrated assessment of G. amplexifolia’s landscape dynamics and community-valued services in the San Jorge basin, highlighting its dual function as a renewable resource and a natural safeguard against environmental risks. Our findings offer targeted recommendations for management practices and land use policies to support the species’ conservation and sustainable utilization. Full article

China’s rapid urbanization has given rise to the phenomenon of “urban villages”, which are often regarded as chaotic fringe areas in traditional studies. With the rise of the concept of resilient cities, the value of urban villages as potential carriers of sustainable development has been re-examined. This study adopted research methods such as field investigations, in-depth interviews, and conceptual sampling. By analyzing the interlinked governance relationship between Xiamen City and the urban villages in the Bay Area, aspects such as rural housing improvement, environmental governance, residents’ feedback, geographical pattern, and spatial production were evaluated. A field investigation was conducted in six urban villages within the four bays of Xiamen. A total of 45 people in the urban villages were interviewed, and the spatial status of the urban villages was recorded. This research found that following: (1) Different types of urban villages have formed significantly differentiated role positionings under the framework of regional governance. Residential community types XA and WL provide long-term and stable living spaces for migrant workers in Xiamen; tourism development types DS, HX, BZ, and HT allow the undertaking of short-term stay tourists and provide tourism services. (2) These urban villages achieve the construction of their resilience through resisting risks, absorbing policy resources, catering to the expansion of urban needs, and co-construction in coordination with planning. The multi-cultural inclusiveness of urban villages and their transformation led by cultural shifts have become the driving force for their sustainable development. Through the above mechanisms, urban villages have become the source of resilience and sustainability of healthy cities and provide a model reference for high-density urban construction. Full article

Bilingual communication is increasingly prevalent in this globally connected world, where cultural exchanges and international interactions are unavoidable. Existing automatic speech recognition (ASR) systems are often limited to single languages. However, the growing demand for bilingual ASR in human–computer interactions, particularly in medical services, has become indispensable. This article addresses this need by creating an application programming interface (API)-based platform using VOSK, a popular open-source single-language ASR toolkit, to efficiently deploy a self-evaluated bilingual ASR system that seamlessly handles both primary and secondary languages in tasks like Mandarin–English mixed-speech recognition. The mixed error rate (MER) is used as a performance metric, and a workflow is outlined for its calculation using the edit distance algorithm. Results show a remarkable reduction in the Mandarin–English MER, dropping from ∼65% to under 13%, after implementing the self-evaluation framework and mixed-language algorithms. These findings highlight the importance of a well-designed system to manage the complexities of mixed-language speech recognition, offering a promising method for building a bilingual ASR system using existing monolingual models. The framework might be further extended to a trilingual or multilingual ASR system by preparing mixed-language datasets and computer development without involving complex training. Full article

Background: China’s rapidly aging population has increased the need for effective community-based eldercare services. However, the lack of standardized, culturally relevant evaluation frameworks hinders consistent service quality assessment and improvement. Objective: This systematic review aims to identify, synthesize, and critically evaluate the existing quality indicators (QIs) currently utilized for home-based community elderly care HCEC in China. It also aims to highlight gaps to inform the development of a more comprehensive and context-appropriate quality framework. Methods: Following PRISMA guidelines, systematic searches were conducted across Web of Science, PubMed, Wiley, and CNKI databases for studies published in English and Chinese from 2008 onward. Extracted QIs from eligible studies were categorized using Donabedian’s structure–process–outcome (SPO) model. Results: Fifteen studies met the inclusion criteria, with QI sets ranging from 5 to 64 indicators. Most studies emphasized structural and procedural aspects, while outcome measures were limited. Key gaps include inconsistent terminology, insufficient medical care integration, narrow stakeholder engagement, and limited cultural adaptation of Western theoretical frameworks. Furthermore, subjective weighting methods predominated, impacting indicator reliability. Conclusions: Currently, there is no formal quality framework to guide service providers in HCEC, and therefore, quality indicators can be described as fragmented and lack cultural specificity, medical integration, and methodological robustness. Future research should prioritize developing culturally anchored and medically comprehensive QI frameworks, standardize indicator terminology, actively involve diverse stakeholders through participatory methods, and adopt hybrid methodological approaches combining subjective expert insights and objective, data-driven techniques. Alignment with established international standards, such as the OECD long-term care quality indicators, is essential to enhance eldercare quality and support evidence-based policymaking. Full article

Artificial intelligence (AI)-powered mental health chatbots have evolved quickly as scalable means for psychological support, bringing novel solutions through natural language processing (NLP), mobile accessibility, and generative AI. This systematic literature review (SLR), following PRISMA 2020 guidelines, collates evidence from 25 published, peer-reviewed studies between 2020 and 2025 and reviews therapeutic techniques, cultural adaptation, technical design, system assessment, and ethics. Studies were extracted from seven academic databases, screened against specific inclusion criteria, and thematically analyzed. Cognitive behavioral therapy (CBT) was the most common therapeutic model, featured in 15 systems, frequently being used jointly with journaling, mindfulness, and behavioral activation, followed by emotion-based approaches, which were featured in seven systems. Innovative techniques like GPT-based emotional processing, multimodal interaction (e.g., AR/VR), and LSTM-SVM classification models (greater than 94% accuracy) showed increased conversation flexibility but missed long-term clinical validation. Cultural adaptability was varied, and effective localization was seen in systems like XiaoE, okBot, and Luda Lee, while Western-oriented systems had restricted contextual adaptability. Accessibility and inclusivity are still major challenges, especially within low-resource settings, since digital literacy, support for multiple languages, and infrastructure deficits are still challenges. Ethical aspects—data privacy, explainability, and crisis plans—were under-evidenced for most deployments. This review is different from previous ones since it focuses on cultural adaptability, ethics, and hybrid public health incorporation and proposes a comprehensive approach for deploying AI mental health chatbots safely, effectively, and inclusively. Central to this review, symmetry is emphasized as a fundamental idea incorporated into frameworks for cultural adaptation, decision-making processes, and therapeutic structures. In particular, symmetry ensures equal cultural responsiveness, balanced user–chatbot interactions, and ethically aligned AI systems, all of which enhance the efficacy and dependability of mental health services. Recognizing these benefits, the review further underscores the necessity for more rigorous academic research into the development, deployment, and evaluation of mental health chatbots and apps, particularly to address cultural sensitivity, ethical accountability, and long-term clinical outcomes. Full article

This paper presents a probabilistic-temporal modeling approach for analyzing data processing stages in a personalized recommendation system for digital heritage collections. The methodology is based on (Graphical Evaluation and Review Technique) GERT network formalism, which enables the representation of complex probabilistic workflows with feedbacks and alternative branches. For each processing stage, corresponding GERT-schemes were developed, and equivalent transfer functions were derived. Using Laplace transform inversion techniques, probability density functions of processing time were recovered, followed by the calculation of key statistical metrics, including expectation, standard deviation, and quantiles. The results demonstrate that the proposed approach allows for detailed temporal performance evaluation, including the estimation of time exceedance probabilities at each stage. This provides a quantitative basis for optimizing recommendation system design and highlights the applicability of GERT-based modeling to intelligent data-driven services in the cultural domain. Full article

As research on national cultural parks advances, the significance of conducting multi-dimensional perception evaluations of their cultural ecosystem services (CESs) becomes increasingly apparent. This study examines the eight dimensions of CESs within the Grand Canal National Cultural Park from the perspective of soundscape preference. Using Tongzhou Grand Canal Forest Park as a case study, five categories of soundscapes comprising 19 sound sources were identified through the analysis of online textual data. This study then collected public preferences and perceptions of these five soundscapes via on-site questionnaires and analyzed the data using SPSS26 for correlation and IPA analyses. The results indicate that the overall evaluation of the park’s CESs is positive. There is a significant mutual influence between soundscape preference and CES perception. Specifically, the preference for natural soundscape significantly impacts the evaluation of each CES dimension, while satisfaction with leisure and entertainment is positively correlated with preferences for all types of soundscapes. Additionally, there are notable differences in soundscape preference among different age groups. These findings not only enhance our understanding of soundscape planning in national cultural parks but also provide valuable guidance for their management and design. Full article

As critical zones for ecological conservation, national parks necessitate integrated management of transportation corridors (TCs) and ecosystem service value (ESV) to advance ecological civilisation. This study investigates the TC-ESV mutual construction mechanism in the Giant Panda National Park (GPNP). This research employs the TOPSIS method to measure the development level of TCs, applies the equivalent factor method to calculate the ESV, and uses a coupling coordination model and local spatial autocorrelation analysis to evaluate their interaction patterns. The results show that TC development in the GPNP has been increasing, accompanied by a significant rise in ESV. A coupling coordination relationship exists between TCs and ESV, with notable spatial differentiation. TCs not only increase the market ESV by reducing distribution costs and facilitating the outward flow of ESV, they also improve the accessibility of national parks, promote ecotourism and cultural services, facilitate the movement of people and the exchange of knowledge, and enhance the ability of local populations and migrants to realise the ESV in the long term. However, challenges persist, including ESV conversion difficulties and TC construction’s potential impacts on ESV realisation. Therefore, we propose optimised green transport corridors and differentiated ecological compensation mechanisms, and by analysing the interaction between them, the innovation of this paper is to provide an innovative framework for sustainable spatial governance of ESV conversion and TC development in national parks, enriching the interdisciplinary approach. Full article