Search Results (1,627)

In recent years, fall-from-height accidents have frequently occurred in construction activities, posing severe risks to workers’ safety and impeding the sustainable development of construction enterprises as well as social stability. Due to the complexity and multifactorial nature of such accidents, traditional safety risk assessment methods face significant limitations in uncovering their underlying causes. To address this issue, this study develops a novel analytical framework that integrates text mining with an improved Apriori algorithm. A standardized text preprocessing pipeline is established, including data collection, construction of a domain-specific lexicon, and synonym-based term unification. Key features are extracted using the TF-IDF method, while thematic patterns are identified through LDA topic modeling. To overcome the contextual insensitivity of conventional association rule mining, the Apriori algorithm is enhanced by introducing time-based constraints, enabling the discovery of accident causation patterns that differ between daytime and nighttime. Using 1064 accident reports from 22 provinces in China, the framework extracted 40 high-frequency accident-causing features and generated a richer set of meaningful association rules compared to the standard algorithm. The results indicate that insufficient safety protection, inadequate worker training, and management deficiencies are the predominant causes of fall-from-height accidents. Building on these insights, the study proposes targeted preventive measures. The findings make significant theoretical contributions by enhancing methodological frameworks for accident analysis while also providing practical insights to improve safety management practices in the construction industry. Full article

As social media influencers increasingly shape sustainable consumption, understanding the psychological mechanisms underlying consumer responses is essential. Drawing on social influence theory and reactance theory, this study examines how influencer characteristics affect sustainable behavioral intentions through perceived pressure and consumer reactance, while considering the moderating role of green self-identity. Using survey data from 382 respondents, the proposed model was tested using partial least squares structural equation modeling (PLS-SEM). Given the cross-sectional research design and the reliance on self-reported data, the findings should be interpreted as associational rather than strictly causal. The results show that influencer expertise, homophily, and social influence significantly increase perceived pressure. Perceived pressure, in turn, positively influences consumer reactance, which negatively affects sustainable purchase intention and positively affects avoidance intention. In addition, green self-identity significantly moderates the relationship between perceived pressure and reactance, such that consumers with a stronger green self-identity exhibit heightened sensitivity to perceived pressure and experience stronger reactance responses, indicating heightened sensitivity among environmentally self-identified consumers. These findings extend existing sustainability and influencer marketing research by revealing the dual and potentially counterproductive effects of persuasive communication. The study highlights the importance of autonomy-supportive and identity-consistent messaging for promoting sustainable consumption and provides practical guidance for designing effective influencer-based sustainability strategies. Full article

Graduate education is important for career and social mobility, but it is inaccessible to many students with disabilities. Prior research describes structural and societal barriers—including but not limited to ableism and discrimination—and their impact on graduate students with disabilities. This review discusses challenges unique to graduate education such as faculty-student power differentials, unwillingness to disclose disability for fear of appearing incapable, classification of graduate students as both students and employees, and limited applicability of formal accommodations beyond organized coursework. Informed by our lived experience as disabled graduate students and faculty, we conduct a qualitative evidence synthesis of 28 articles, theses, book chapters and reports into actionable steps graduate faculty can take to mentor and support graduate students with disabilities. Using a mentoring-across-difference framework, we endorse reciprocal mentoring relationships that support trust, mutual learning, and sustained connection between mentors and mentees. Recommendations range from developing trust, questioning ableist disciplinary and graduate program norms, advocating for students and helping students develop advocacy skills, and providing scaffolding for disabled graduate students’ learning and professional development. Full article

Young caregivers, defined as individuals under 25 years of age who provide unpaid care to a family member(s) with illness, disability, or age-related needs, remain significantly underrecognized in Canada despite their valuable contributions to the healthcare system. Limited awareness, fragmented services, and adult-centred caregiving infrastructures leave them vulnerable to social isolation, disrupted education, and poor mental health. Unlike the United Kingdom and Australia, Canada lacks a coordinated national strategy to identify and support young caregivers. This qualitative study examines caregiving organizations across multiple Canadian provinces, exploring current practices, barriers, and future visions for supporting young caregivers. Group interviews were conducted with 18 service providers from caregiving organizations in Alberta, BC and Nova Scotia. Four themes emerged through analysis: (1) The Landscape of Existing Caregiving Organizations, (2) Barriers and Challenges to Supporting Young Caregivers, (3) Navigating a Pandemic, and (4) a Journey and Vision Worth Supporting. Organizations reported a strong interest in expanding support for young caregivers with a vision for cross-sector collaboration and school-based outreach. However, challenges such as inadequate funding and a lack of formal recognition limits their capacity in building youth programs. Findings from the study highlight the need for systemic reform, including early intervention models, sustainable funding, and formal recognition of young caregivers within policy frameworks. Addressing these gaps will not only uplift young caregivers, but also strengthen Canada’s broader caregiving and healthcare ecosystem. Full article

This study examines whether sustainability information disclosure (SID) in the Arab Gulf acts as a substantive strategic tool that enhances corporate outcomes or merely serves as a symbolic gesture to maintain legitimacy. Using data from 92 listed firms across the Gulf Cooperation Council (GCC) from 2020 to 2023, the study distinguishes between the level (volume) and quality (credibility) of disclosure. It examines their respective impacts on return on assets (ROA), return on equity (ROE), and financial reporting quality. The results reveal a consistent positive association between disclosure levels and financial performance, suggesting that volume-based corporate environmental, social, and governance (ESG) reporting may support short-term legitimacy and market confidence. In contrast, disclosure quality shows weaker and less consistent effects, highlighting a potential disconnect between visibility and substance. This pattern reflects the strategic use of disclosure for symbolic compliance in the GCC, where ESG reporting is often adopted to satisfy external expectations rather than to support internal transformation or long-term value creation. The findings position sustainability disclosure as an underleveraged tool for strategic knowledge management. While current practices enhance legitimacy, they fall short of driving performance gains through internal learning or reporting integrity. Policy implications include the need for harmonised disclosure frameworks, mandatory assurance standards, and improved alignment with international ESG guidelines to strengthen the credibility and impact of corporate sustainability communication in emerging markets. Full article

Background: Evidence on the long-term impact of sapropterin in phenylketonuria (PKU) is limited. Understanding its effects on dietary restrictions, growth in children, and caregiver burden is essential to optimize PKU management. Methods: This prospective, two-year longitudinal study with a comparison group followed 33 children with PKU after sapropterin responsiveness assessment (21 responsive, 12 non-responsive). Outcomes included metabolic control, prescribed protein intake, dietary patterns, growth, psychological measures, and caregiver burden. Results: Sapropterin-responsive children increased natural protein intake from 10 g to 28 g/day at 2 years (p < 0.001), with reduced protein substitute intake (60 g [56–63] to 45 g [40–60], p < 0.05); no changes occurred in non-responsive children (p > 0.05). Animal-based foods (cheese, eggs, meat, fish) were introduced in 52% (11/21) of responsive children once tolerance exceeded approximately 25 g/day. The caregivers of responsive children reported reduced financial, familial-social, and personal burden (all p ≤ 0.05), alongside decreased food neophobia (p = 0.005) and caregiver depression (p = 0.013). In sapropterin-responsive children, weight and BMI z-scores remained stable, while height z-score increased over 24 months (p = 0.03); non-responsive children had higher weight and BMI z-scores than responsive children at 24 months (p = 0.037 and p = 0.026). Blood phenylalanine concentrations remained within recommended target ranges overall, with lower median values in responsive children at several time points. Conclusions: Sapropterin enabled more flexible, sustainable dietary management in responsive children with PKU, supporting metabolic control, growth, and improved family well-being and social participation. Equitable access to therapies and long-term dietetic support remain essential to optimize outcomes. Full article

Background: Functional impairments associated with bipolar disorder have a significant impact on daily life, including work, social relationships, and independent living. Bipolar disorder is treated with many approaches, with pharmacotherapy being the first choice; however, cases of relapse and side effects have been reported. The literature suggests that psychosocial interventions are effective in improving treatment adherence, recognizing early warning signs, enhancing self-management skills, and fostering open communication. The effects of interpersonal and social rhythm therapy (IPSRT) on circadian rhythm stability and social functioning in people with bipolar disorder remain uncertain. Therefore, this study is needed. Methods: This quasi-experimental study was conducted in the psychiatric outpatient clinic of a university hospital. Participants were recruited using convenience sampling from the psychiatric outpatient clinic. Eligible participants were then randomly allocated to either the intervention or control group using a coin-flip method. The dose of the intervention averaged 75 min per session with a weekly frequency over 12 weeks. Outcome measures included the Interpersonal Problem Areas Rating Scale, the Social Rhythm Metric Scale-II-5, and the Multnomah Community Ability Scale. Data were collected at baseline (week 0), post-intervention (week 12), and at follow-up (12 weeks post-intervention), and analyzed using repeated-measures ANOVA. Results: Participants in the IPSRT group demonstrated significant improvements in social rhythm regularity (SRM-II-5: 2.9 ± 1.3 at baseline, 3.7 ± 1.2 post-intervention, and 4.0 ± 1.5 at three-month follow-up; F = 18.5, p < 0.05, η² = 0.37). A significant between-group difference favoring IPSRT emerged at three months (t = 3.01, p < 0.05, d = 0.76). Social functioning also improved significantly in the intervention group (MCAS: 55.5 ± 7.4 at baseline, 63.7 ± 7.1 post-intervention, and 62.3 ± 6.9 at follow-up; F = 29.4, p < 0.05, η² = 0.49). Between-group differences were significant immediately post-intervention (t = 4.10, p < 0.001, d = 1.05) and at three-month follow-up (t = 2.73, p = 0.008, d = 0.72). Conclusions: IPSRT produced sustained improvements in social rhythm stability and social functioning, demonstrating its clinical value in the management of bipolar disorder. Full article

Food waste is a persistent global concern, requiring behavioral and systemic responses from consumers. The current study investigated the effect of sociodemographic factors and digital activism on food waste prevention behavior. Data from 390 respondents living in Italy (65% females, from 18 to 75 years old, grouped into four generations) were collected through an online survey covering these sections: sociodemographic variables, digital activism, knowledge, attitudes, and food waste behaviors. A Food Waste Prevention Index (FWPI) was computed to assess self-reported adherence to waste-reducing practices, and differences across three groups identified through tertiles were tested. Women displayed higher levels of digital activism; Gen Z was the most engaged generation in seeking information about food, while interest in food issues declined with age. Gender, geographical area, and dietary orientation significantly influenced food waste prevention, with women, rural residents, and individuals adopting flexitarian or vegetarian diets tending towards more virtuous behavior (higher FWPI). According to digital activism, less virtuous waste behavior (lower FWPI) was associated with a lower social media and apps usage frequency. Furthermore, higher FWPI individuals self-reported stronger sensitivity to sustainability-related topics such as circular economy, short food chains, and ethical or environmental motivations for vegetarianism. Overall, awareness and digital activism may synergistically foster more responsible food consumption, and targeted communication and digital tools can effectively support household food waste reduction strategies. Full article

Digital transformation has been widely studied for its impact on corporate performance, innovation, and efficiency, yet its effect on ESG imbalance has received little attention. We address this gap by constructing a text-based digital empowerment index from corporate annual reports of Chinese listed firms in 2010–2020, while ESG imbalance is measured using the standardized absolute difference between environmental and social responsibilities. The results reveal that digital empowerment significantly exacerbates ESG imbalance, with the effect being more pronounced in mid-central cities, competitive industries, and heavily polluting sectors. Strong governance, state ownership, and balanced resource allocation are found to mitigate this imbalance, while dynamic analysis confirms its persistence over time. These findings highlight the need for targeted policies that enhance governance capacity, promote equitable resource allocation, and address sustainability risks associated with digital transformation. Full article

This study examines the conceptualization of sustainability in heritage tourism in Saudi Arabia following the introduction of the Saudi Vision 2030 program and the country’s opening to tourism in 2019, both of which aim to diversify the economy and promote cultural heritage. A scoping review methodology based on the Arksey & O’Malley framework has been adopted; data were charted according to the Joanna Briggs Institute (JBI) charting method based on the PRISMA-ScR reporting protocol. Publications from 2019 to 2025 were systematically collected from the database and manual research, resulting in 25 fully accessible studies that met the inclusion criteria. Data were analyzed thematically, revealing six main areas of investigation, encompassing both sustainability outcomes and cross-cutting implementation enablers: heritage conservation and tourism development, architecture and urban planning, policy and governance, community engagement, marketing and technology, and geoheritage and environmental sustainability. The findings indicate that Saudi research in this field is primarily qualitative, focusing on ecological aspects. The studies reveal limited integration of social and technological dimensions, with significant gaps identified in standardized sustainability indicators, longitudinal monitoring, policy implementation, and digital heritage tools. The originality of this study lies in its comprehensive mapping of Saudi heritage tourism sustainability research, highlighting emerging gaps and future agendas. The results also provide a roadmap for policymakers, managers, and scholars to enhance governance policies, community participation, and technological integration, which can contribute to sustainable tourism development in line with Saudi Vision 2030 goals, thereby fostering international competitiveness while preserving cultural and natural heritage. Full article

(1) Background: Education serves as a catalyst for social transformation toward sustainability, yet limited empirical evidence exists regarding primary education’s contribution to regional sustainable development, particularly in island contexts facing unique environmental and economic pressures. This study examined primary education teachers’ perceptions, practices, and challenges in implementing Education for Sustainable Development (ESD) in Zakynthos, Greece. (2) Methods: A triangulated quantitative approach surveyed a representative sample of 105 primary education teachers from the Zakynthos Primary Education Directorate using a 28-item structured questionnaire assessing ESD knowledge, teaching practices, barriers, and improvement strategies. Teacher questionnaire data were triangulated with KEPEA (Center for Environmental Education and Sustainability) program documentation (103 programs, 2020–2025) and school implementation records from 75 participating schools. Data were analyzed using descriptive statistics, Mann–Whitney U tests, Kruskal–Wallis tests, and Spearman correlations. (3) Results: Most teachers (65.7%) reported adequate knowledge of sustainable development concepts, with 75.3% incorporating ESD into teaching practice often or very often. Triangulation revealed convergent findings: environmental sustainability dominated teacher perceptions (67.3%) and KEPEA programming (78.4%), while economic sustainability received limited attention (18.1%). Female teachers demonstrated significantly higher ESD knowledge (U = 892.5, p < 0.05, r = 0.34). The majority (98.1%) considered ESD integration important, yet only 48.5% felt adequately prepared to teach sustainability topics. A notable attitude-action gap emerged: while 86.6% valued community partnerships, only 47.6% engaged frequently, and KEPEA documented 33.7% of formal collaborations. Primary barriers included insufficient curriculum time (61.9%) and limited resources (51.4%). Teachers identified training programs (71.4%) and access to educational materials (71.4%) as priority interventions. (4) Conclusions: Primary education teachers in Zakynthos demonstrate strong commitment to ESD but face structural barriers limiting implementation effectiveness. The environmental-economic imbalance suggests a need for professional development, integrating economic sustainability concepts through place-based approaches relevant to the island’s tourism-dependent economy. The attitude-action gap in partnerships indicates structural rather than attitudinal barriers requiring policy intervention. Findings support targeted teacher training, curriculum reform, and strengthened school-community collaboration to enhance ESD’s contribution to regional sustainable development. Full article

Background/Objectives: The Thriving at Work model proposes that organisations have a responsibility to provide supportive work environments that identify individual health outcomes, which organisations can use to determine where workforce support is needed. The aims of this study are to (1) identify and compare the predictors of early-career nurses’ thriving at work in New Zealand and Australia and (2) provide innovative and theory-informed recommendations to improve organisational support of early-career nurses to increase retention in the profession. Design: A multinational cross-sectional study design was followed. Methods: The methods include a sub-study of an international action research programme to support the thriving of early-career nurses, which evaluates and compares results from surveys of nurses at approximately three months post-registration in 2024 and 2025. A theory-informed survey assesses predictors and outcomes of thriving at work. Results: Early-career nurses (N = 320) from New Zealand (n = 277) and Australia (n = 43) completed the survey. New Zealand early-career nurses experience greater quality of care and authenticity at work; however, they also report greater burnout. For Australian early-career nurses, authenticity at work is the greatest predictor of thriving. In New Zealand, thriving is linked to burnout and colleague support. Conclusions: New Zealand must focus on reducing burnout and fostering workplaces that value social connection if it wants to mitigate early-career nurse attrition to Australia for better working conditions. In Australia, the value of authenticity at work highlights the importance of organisational cultures that enable nurses to express their true selves and professional identity. The findings highlight the need for tailored approaches in each country to strengthen workforce sustainability and improve nurse wellbeing. Implications for the Profession: In New Zealand, additional funding to bolster the recruitment and retention of the nursing workforce is crucial to improve patient ratios and reduce workloads. The remuneration of nurses must also remain competitive with Australia. Additionally, workplaces should incorporate Māori values and practices into workplace policies to strengthen social connections. Australian organisations should include authentic management training, psychological safety initiatives, and policies that value diversity and encourage open communication. Full article

The psychosocial well-being of employees is crucial to health and productivity, and it forms the basis for organisational sustainability. Unfortunately, most studies rely on narrow indicators or small samples and thus are not generalisable. The present study aims to identify psychosocial and health-related factors that distinguish employees with high and low SWB and determine whether these effects are universal or sector-specific. A total of 1628 employees with organisations in Latvia’s public administration, healthcare, pharmaceutical and energy sectors participated by completing the Multidimensional Psychosocial Well-Being Scale for Employed Persons (MPSWEP). This instrument assesses five key work environment factors: social inclusion, professional development, work intensity, health risks and autonomy. Subjective well-being (SWB) was measured as a separate outcome variable, and additional self-reported health problems were included as an independent variable in the analysis. Higher odds of high SWB were observed with greater social inclusion (OR = 5.11; p < 0.001), whereas higher work intensity (OR = 0.51; p < 0.001) and health problems (OR = 0.25; p < 0.001) were associated with lower odds of high SWB. Model accuracy was high (AUC = 0.85–0.87), with significant differences between sectors. The results suggest that some resources universally facilitate well-being across sectors, while others exert more sector-specific effects. Full article

Background: International policy increasingly recognises the importance of inclusive, community-based support for people living with dementia. Football, as a culturally significant sport, has the potential to reach older adults and communities disproportionately affected by health inequalities. The objectives of this review were to collate evidence on football-based dementia initiatives, including intervention format, delivery approaches, and reported outcomes. Methods: Seven databases (Sportdiscus, MEDLINE, Embase, Scopus, PsycINFO, CINAHL, and Web of Science) were searched for relevant peer-reviewed and grey literature from their inception to June 2025. The PICO framework was used to define eligibility criteria. Eligible studies described community-based football-themed or football-based programmes involving people living with dementia. Data were extracted on participant sample, intervention characteristics, and reported outcomes, and iteratively charted. Results: In total, 11 of the 1059 identified articles were included within this review. Initiatives were often delivered through professional football clubs and charitable foundations, with formats ranging from reminiscence therapy sessions to walking football. Common outcomes for participants included increased sociability, improved mood, enhanced communication, and a strengthened sense of identity and belonging. Some interventions also reported physical benefits, such as improved mobility. Carers highlighted respite opportunities, peer support, and enjoyment from seeing relatives more engaged. Despite positive reports, outcome measurement was inconsistent, and most studies were small-scale or descriptive pilot projects. Conclusions: Football-based dementia initiatives provide meaningful, culturally grounded opportunities for social inclusion and support. Their delivery through community clubs/organisations positions them well to address inequities in dementia care, particularly in areas of disadvantage. However, stronger evaluation methods are required to build a robust evidence base and guide sustainable implementation at scale. Full article

Background/Objectives: In light of the concerning research data on students’ mental health, it is essential to provide high-quality programs that support children and young people in strengthening their psychological well-being. To address this need, the three-year Erasmus+ KA3 international project PROMEHS: Promoting Mental Health at Schools was developed. The project involved universities and education policy representatives from seven European countries, Italy (project leader), Greece, Croatia, Latvia, Malta, Portugal, and Romania. Its core activities included the development of the PROMEHS curriculum, grounded in three key components: social and emotional learning, resilience, and the prevention of behavioral problems, alongside a rigorous evaluation of its implementation. The main research aim was to test the effect of PROMEHS on students’ and teachers’ mental health. Methods: In Croatia, the curriculum was introduced following the training of teachers (N = 76). It was implemented in kindergartens, and primary and secondary schools (N = 32), involving a total of 790 children. Using a quasi-experimental design, data were collected at two measurement points in both experimental and control groups by teachers, parents, and students. Results: The findings revealed significant improvements in children’s social and emotional competencies and resilience, accompanied by reductions in behavioural difficulties. These effects were most evident in teachers’ assessments, compared to parents’ ratings and student self-reports. Furthermore, teachers reported a significantly higher level of psychological well-being following implementation. Conclusions: Bearing in mind some study limitations, it can be concluded that this study provides evidence of the positive effects of PROMEHS in Croatian educational settings. Building on these outcomes and PROMEHS as an evidence-based program, a micro-qualification education was created to ensure the sustainability and systematic integration of the PROMEHS curriculum into Croatian kindergartens and schools. Full article