Search Results (1,774)

As a neighborhood-scale derivative of the Business Improvement District (BID) model, the Neighborhood Business Improvement District (NBID) represents a collaborative governance framework aimed at fostering spontaneous urban regeneration. Its successful establishment critically depends on building consensus among diverse stakeholders during the preparatory phase. This study addresses a significant gap by investigating the psychological mechanisms that shape stakeholders’ willingness to engage in NBIDs prior to their formation. Employing an exploratory sequential mixed-methods approach, we conducted semi-structured interviews in the Tiyuan North Community (Tianjin) and the Yulin East Road Community (Chengdu). Insights from the qualitative phase informed a subsequent quantitative survey administered to 215 stakeholders in Tianjin. Data were analyzed using regression analysis and Structural Equation Modeling (SEM). The results reveal that stakeholders’ performance expectations and collaborative willingness are significantly influenced by three core confidence factors: “Confidence in Authority Support (AS)” (particularly “Confidence in Council Representation”), “Confidence in Organization Capability (OC)” (especially “Confidence in Coordination Ability”), and “Confidence in Multi-party Collaboration.” Crucially, “Confidence in Enabling collaboration (MC_3)” itself acts as a key mediator, translating institutional trust into performance expectations. This study contributes a novel “Confidence–Expectation” framework to the literature on collective action and offers practical, context-sensitive insights for designing collaborative community governance structures aimed at sustainable urban regeneration in China and beyond. Full article

This study aimed to develop a typology of consumers based on their behavior in the areas of sustainable consumption and digitalization in the pharmaceutical market. The analysis considered factors including (i) Schwartz’s universal values, (ii) demographic, and (iii) socioeconomic determinants. The study was based on a survey conducted on a sample of Polish adults (n = 1247) between April and July 2024, using a computer-assisted web interviewing method via SurveyMonkey^®. In the area of sustainability, the most frequently observed behaviors included: (i) packing purchased medicinal products into a personal bag, (ii) for medicinal products with short expiration dates owing to their origin, purchasing only the quantities that meet current needs without stockpiling, and (iii) for regularly used medicinal products, choosing larger packages. Whereas, in the area of digitalization, purchasing at an online pharmacy allows for (i) saving time and (ii) saving money, while also (iii) providing greater privacy. Importantly, the presence of four types of consumers was demonstrated, i.e., Sustainable-Active (20%), Digital-Adept (29%), Sustainable-Digital-Uninterested (21%), and Sustainable-Digital-Addicted (29%). In conclusion, within the pharmaceutical market, sustainability and digitalization are reflected in consumer behavior to varying degrees across consumer types, influenced by personal values. Full article

This study examines the relationship between perceived employee environmental, social, and governance (ESG) behavior and consumer meaningfulness by exploring the mediating role of moral elevation and perceived authenticity, as well as the moderating role of consumers’ skepticism. The study draws upon the integration of self-determination theory and social cognitive theory. Prior research has often neglected the outcomes of interaction between employee behaviors and consumer perceptions. Th study used a sequential explanatory research design to understand the observable perceived ESG behaviors of the employees and the psychological outcomes of the consumers. The study involved 390 consumers from five-star hotels in Addis Ababa, Ethiopia. The data was gathered through a survey and analyzed using a structural equation model via the Smart-PLS tool. The interview data were collected from 16 frontline employees of five-star hotels and analyzed through thematic analysis. The quantitative results confirmed perceived employee ESG behavior is positively and significantly associated with consumers’ sense of meaningfulness, moral elevation, and perceived authenticity. Additionally, moral elevation and perceived authenticity significantly mediate the link between perceived employee ESG behavior and consumer sense of meaningfulness. Furthermore, consumer ESG skepticism negatively moderates the link between employee ESG behavior and both moral elevation and perceived authenticity. The qualitative study indicated that internal motivation of the company predicts employee behaviors, promoting voluntary actions to build consumers’ meaningfulness. The study advances theories and suggests implications for policymakers and managers regarding ESG behaviors among employees and the way consumers perceive them. Full article

Although AI integration in education is accelerating, professional development for Chinese EFL teachers remains predominantly techno-centric and lacks disciplinary specificity, resulting in persistently lower levels of AI literacy. To address this, this study used an eight-week AI-Integrated Genre-Based Pedagogy (AI-GBP) module grounded in Situated Learning Theory and TPACK. A quasi-experimental, explanatory, sequential, and mixed-methods design was employed to compare the AI-GBP module with a generic AI-literacy program among 64 Chinese college EFL teachers (n = 32 per group). Quantitative data from pre- and post-intervention surveys were analyzed using ANCOVA and MANCOVA to determine differences, while qualitative data from semi-structured interviews underwent thematic analysis. Quantitative findings indicated statistically significant gains in overall AI literacy as well as in its subcomponents, particularly regarding practical application and critical appraisal, among teachers in the AI-GBP group compared with the control group. Qualitative findings revealed certain developmental shift from tool-oriented AI use toward more critical and pedagogically relevant engagement, including teachers’ increased ability to identify model bias, contextual mismatch, and ‘agreeableness’ AI possesses. These findings suggest that embedding AI learning within more pedagogically and contextually appropriate situations (e.g., genre-based pedagogy) can support EFL teachers’ sustainable and critical integration and understanding of AI in their professional practice. Full article

Background/Objectives: Digestive problems are common in the general population and may be influenced by lifestyle, emotional status and diet. This study aimed to estimate the prevalence of digestive problems in Spanish adults and examined associated factors. Methods: Descriptive cross-sectional analysis of anonymized adult microdata from the 2023 Spanish Health Survey was performed. Data were collected using a mixed-mode design (self-administered web questionnaire with interviewer-administered follow-up). Digestive problems were recoded by combining gastric ulcer, constipation, and prescribed use of laxatives, astringent drugs, and stomach medication. Therefore, digestive problems are primarily defined as the presence of gastric ulcers, diarrhea, and/or constipation. Variables included sociodemographic, Body Mass Index (BMI), smoking, alcohol intake, physical activity, Personal Health Questionnaire Depression Scale (PHQ-8), World Health Organization Well Being Index (WHO-5), and macronutrient intake estimated from a Food-Frequency Questionnaire using the Spanish Food Composition Database (BEDCA). Group comparisons and multivariable logistic regression were conducted (95% CI; significance level set at p < 0.05). Results: Of 34,148 participants, 13,518 provided information on digestive problems; among these respondents, 3860 (28.6%) reported having digestive issues. Prevalence ranged from 5.2% to 36.5% among national territories. Higher odds (OR) of digestive problems were associated with age (OR 1.026, 95% CI 1.023–1.029), female sex (OR 1.168, 1.070–1.276), non-smoking (OR 1.240, 1.005–1.531) and ex-smoking (OR 1.447, 1.272–1.647) compared to current smokers, higher PHQ-8 scores (OR 1.040, 1.029–1.051), greater protein intake (OR 1.016, 1.009–1.023), consumption of sweet pastries (OR 1.058, 1.039–1.077), and dairy products (OR 1.027, 1.002–1.053); in contrast, lower odds were associated with higher WHO-5 scores (OR 0.985, 0.982–0.987), total fiber intake (OR 0.968, 0.949–0.987), and legume consumption (OR 0.894, 0.856–0.933). Conclusions: Digestive problems show considerable variability in prevalence among survey-based Spanish sample. Digestive problems were associated with older age, female sex, depressive symptoms, high-protein intake, and higher consumption of sweet pastries and dairy products, whereas higher well-being scores, higher fiber intake and legume consumption were associated with lower odds of digestive problems. Full article

The application of social cognitive theory has expanded to the boundaries of human-computer interaction research. However, existing research has scarcely addressed mutual cognitive facilitation between humans and personalized educational large language model (LLM) agents. This study explored how educational LLM agents influence teachers’ curriculum design and content creation, based on a sample of 464 teachers from coastal regions of China, along with semi-structured interviews with 23 participants. Quantitative analysis of the survey data revealed that the involvement of educational LLM agents positively predicts teachers’ ability to create content in curriculum design. Additionally, teachers’ self-efficacy mediated this relationship, while both school support and self-efficacy together created a chain mediation effect. Qualitative findings from the interviews supported the quantitative results and further highlighted individual differences and contextual nuances in teachers’ use of educational LLM agents. In summary, the findings indicated that educational LLM agents positively impact teachers’ curriculum design and content creation, with school support and teachers’ self-efficacy acting as a chain mediator in this process. Full article

Municipal solid waste management (MSWM) remains a critical environmental governance challenge in rural and peri-urban regions of the Global South, where service delivery gaps exacerbate illegal dumping and public health risks. Geographic Information Systems (GIS) are increasingly promoted as decision-support tools to improve waste collection efficiency and environmental monitoring; however, their adoption in resource-constrained municipalities remains limited. This study investigates the institutional and policy barriers shaping GIS readiness in four rural municipalities within South Africa’s Vhembe District. Using a qualitative case-study design, semi-structured interviews were conducted with 29 municipal officials across managerial and operational levels, complemented by 399 community responses to an open-ended survey question. Thematic analysis, guided by Institutional Theory and the Technology Acceptance Model (TAM), identified five interrelated themes: waste production and disposal behaviours, collection and infrastructure constraints, institutional and operational challenges, policy and standardisation gaps, and technology readiness. The findings reveal that weak service reliability, fragmented governance structures, limited human and financial capacity, and inconsistent policy enforcement collectively undermine GIS adoption, despite its high perceived usefulness among officials. The study demonstrates that the effectiveness of GIS as an environmental management tool is contingent on institutional readiness rather than technological availability alone and highlights the need for integrated reforms in service delivery, institutional capacity, and policy implementation to enable GIS-supported sustainable waste management. Full article

Forest certification in developing countries faces significant challenges due to weak institutions, limited market incentives, and complex trade conditions. This study investigates the status and key constraints of the Myanmar forest certification sector through a survey of 180 stakeholders from government organizations, NGOs, INGOs, third-party certification bodies, and private plantation owners, complemented by quantitative analysis and qualitative interviews. The results indicate a moderate level of familiarity with the Myanmar forest certification standard and high awareness of the Myanmar Forest Certification Committee; however, progress remains slow due to limited transparency, poor institutional coordination, financial and technical constraints, and insufficient stakeholder involvement. Non-compliances issues identified during pilot audits were primarily related to incomplete documentation, unclear land tenure, and weaknesses in environmental assessment. Geopolitical factors continue to limit Myanmar’s participation in certified timber markets and weaken efforts to improve traceability. Experiences from Indonesia, Malaysia, and Vietnam highlight that developing credible national certification systems requires time, clear legal frameworks, and strong cooperation among stakeholders. Strengthening institutional capacity, improving transparency, and aligning national standards with international forest governance frameworks are essential for Myanmar to build trust, achieve sustainable forest management, and regain market access. Full article

As municipalities increasingly adopt artificial intelligence (AI) and generative AI (GenAI) to automate self-service technologies (SSTs), concerns related to fairness, transparency, accountability, and citizen trust have become central to sustainable public-sector governance. While existing studies emphasize either AI adoption or high-level ethical principles, limited empirical research explains how governance mechanisms translate into user-level outcomes in municipal services, particularly in the context of emerging GenAI capabilities. This study addresses this gap by examining how governance antecedents and system design attributes shape user satisfaction, trust, and perceived fairness in AI-enabled municipal SSTs in the United Arab Emirates (UAE). A mixed-methods research design was employed, combining a comparative analysis of international and UAE AI governance frameworks with semi-structured interviews (n = 16) and a survey of municipal employees and service users (n = 272). Qualitative findings reveal persistent concerns regarding data privacy, fairness, explainability, and the absence of standardized municipal-level accountability instruments. Quantitative analysis shows that perceived helpfulness significantly increases user satisfaction, while perceived fairness strongly predicts continued usage intentions. In contrast, system responsiveness exhibits a negative association with satisfaction, highlighting an expectation–performance gap in automated service delivery. Based on these findings, the study proposes a governance–implementation–outcomes model that operationalizes ethical AI principles into measurable governance and service-design mechanisms. Unlike prior adoption-focused or purely normative frameworks, this model empirically links governance instrumentation to citizen-centered outcomes, offering practical guidance for inclusive and sustainable AI and GenAI deployment in municipal self-service systems. The findings contribute to debates on sustainable digital governance by demonstrating how ethically governed AI systems can reinforce public trust, service equity, and long-term institutional resilience. Full article

Background: Health education is a vital component of preventative care; however, rural Filipino adults often face structural, linguistic, and access barriers to obtaining reliable health information. Designing equitable and culturally relevant health education programs requires understanding which sources are most significant and how context affects them. Objective: To identify preferred sources of health education among adults in rural Philippine communities and investigate the contextual factors that influence these preferences. Methods: A cross-sectional mixed-methods study included 1203 adults from disadvantaged Luzon and Visayas barangays. Participants completed a self-administered survey on the importance of neighborhood health fairs, native-language instructional tools, and social media. Descriptive statistics (mean ± standard deviation) were used to aggregate importance ratings, and exploratory comparisons were made using paired and independent-samples t-tests. A subsample of 60 semi-structured interviews was analyzed using thematic analysis to interpret qualitative data. Results: Community health fairs were identified as the primary source of health education, with a mean rating of 8.5 ± 1.6, followed by native-language educational materials, which received a mean rating of 5.5 ± 2.4. In contrast, social media was rated the lowest, with a mean of 3.5 ± 2.3. Preference patterns were consistent across regions and sociodemographic groups, with only slight variation in rating magnitudes. Qualitative analysis revealed four themes influencing source preferences: accessibility and proximity, cultural and linguistic relevance, confidence in local health providers, and structural obstacles to digital access. Conclusions: In rural Philippine communities, intimacy, confidence, and cultural congruence influence health education preferences more than online platforms do. Strengthening community-based, locally integrated health education strategies may enhance the reach and contextual relevance of preventive health communication in underserved settings. Full article

Background/Objectives: Postoperative Delirium (POD) is a frequent complication in older patients undergoing elective surgery. Although multicomponent interventions are effective, deficits in interdisciplinary communication and intersectoral collaboration persist. This study developed and evaluated the “Geriatric Delirium Pass (GeDePa)”, a paper-based tool to systematically document risk factors for POD across care settings. Methods: A multi-method design was applied, comprising (i) a structured literature review, (ii) semi-structured expert interviews, and (iii) a standardized online survey utilizing the RAND/UCLA Appropriateness Method (RAM). A total of 21 healthcare professionals (general practitioners, geriatricians, anaesthetists, surgeons, and nurses) were recruited from Salzburg, Austria, and South Tyrol, Italy (2023–2024). Results: Healthcare professionals confirmed the GeDePa’s practical applicability for early POD risk detection across care settings. The expert rating using the RAM Disagreement Index (DI) method deemed all 45 risk factors as sufficiently relevant and, with the exemption of two risk factors (alcohol use, intraoperative complications), feasible. A detailed analysis provided a more differentiated picture, with full consensus reached for only 18 items. Several factors with uncertain consensus (e.g., cognitive impairment and polypharmacy) were retained based on strong evidence in the literature. Others were excluded despite high ratings if they were considered redundant or impractical (e.g., detailed intraoperative complications). In total, 38 of the 45 risk factors were retained. Conclusions: The GeDePa is a feasible and relevant tool for structured delirium risk assessment and enhancing interdisciplinary communication between primary and hospital care. The finalized German and Italian versions are now available and will undergo further testing and implementation in clinical practice. Full article

Youth workers within non-profit organisations in South Africa play a vital role in supporting the government’s agenda to mainstream positive youth development through the delivery of youth services. This study aims to examine the motivations that drive youth workers to get involved in youth work practice and the challenges they experience while performing their roles in non-profit organisations in South Africa. This qualitative study purposively sampled 10 youth workers. Two methods of data collection were employed, which are the Qualitative Online Survey (QOS) and online interviews through WhatsApp telephonic conversations. Data collected were analysed through reflectivity thematic analysis. This study is informed by Self-Determination Theory (SDT), which highlights the intrinsic and extrinsic motivational sources that drive individuals to act or pursue specific goals. The findings indicate that wanting to gain practical work experience as well as the desire to make a difference in young people’s lives is a major drive for youth workers’ involvement in youth work practice within the NPO sector. The study further found that youth workers experience a variety of challenges that affect their productivity and their work in general, including lack of funding, absence of training, orientation and workshops as part of professional development, as well as community resistance. To address some of these challenges and encourage youth workers’ involvement in youth work practice within the NPO sector, this study recommends an urgent need for structured and continuous professional development pathways to strengthen youth workers’ skills, enhance programme effectiveness and support the professionalisation of youth work in South Africa. Full article

This study investigates the configurational pathways enabling women in Oman to translate entrepreneurial intentions into technology venture creation. By integrating institutional theory and resource-based view, we develop a novel framework examining how formal institutional support (FIS), informal institutional support (IIS), and digital self-efficacy (DSE) interact in Oman’s conservative context. We emphasize the significant enabling role of work–life balance resources (WLBR) and the cultural legitimacy of spousal endorsement. Our mixed-methods design utilizes survey data from 418 female IT graduates and 20 semi-structured interviews, analyzed through fuzzy-set Qualitative Comparative Analysis (fsQCA). The findings indicate that FIS predicts entrepreneurial intention (β = 0.34, p < 0.001) but not venture creation (OR = 0.85, p = 0.298), revealing a visibility gap in policy implementation. IIS predicts venture creation (OR = 1.43, p = 0.033), with spousal endorsement acting as a cultural legitimacy signal. DSE alone fails to predict venture creation but is vital when combined with WLBR. FsQCA identifies a sufficient configuration pathway characterized by the combination of spousal endorsement, domestic support, DSE, and WLBR with solution consistency of 0.93 and coverage of 0.78. WLBR is a necessary condition with necessity consistency of 0.96, demonstrating that venture creation is improbable without it. Qualitative evidence shows founders reposition conservative norms as legitimacy signals, while non-founders emphasize funding barriers despite policy awareness. We recommend that policymakers subsidize care infrastructure, leverage women-led community networks for targeted outreach, and formalize state-backed legitimacy programs that reduce kinship dependency while building autonomy-focused alternatives. Full article

A triathlon is a multi-sport event that consists of three simultaneous events: swimming, biking, and running. This sport has experienced significant growth in the past few decades, with colleges and universities now participating. This exploratory mixed-methods study examined the motivations and perceived health benefits of college triathletes during the COVID-19 pandemic, using the Means-Ends of Recreation Scale and the Perceived Health Outcomes of Recreation Scale (N = 29), as well as semi-structured interviews (N = 4). Results indicate no difference in motives or health outcomes between male and female survey respondents. The thematic analysis of open-ended interview questions highlighted lived experiences. The results obtained provide preliminary evidence of the importance of motivation and health outcomes of college triathletes during the pandemic. Full article

Objectives/Background: In this study, we aimed to examine the associations of participation in leisure dance activity with perceived health status, happiness level, and perceptions of leisure, and the relevance of demographic characteristics to these associations. Moreover, we sought to explore ways of revitalizing leisure dance activity. Methods: We used data from the 2022 Korea National Leisure Activity Survey organized by the Korean Ministry of Culture, Sports, and Tourism. The 2022 Korea National Leisure Activity Survey was conducted from September to November 2022. The survey was conducted among 10,046 Koreans aged ≥15 who lived in 17 cities and provinces across the country. The participants were informed about the survey schedule in advance, and interviews were conducted at the participants’ homes using tablet PCs. Random telephone verification was performed on the recovered questionnaires to ensure the accuracy of responses. Questionnaires that passed the first verification were subjected to secondary verification by a computerized program, and questionnaires that did not pass the verification were supplemented and re-examined. The collected data were entered electronically through an encoding process, and only the data that passed the final test were compiled in the multi-stage verification process. The data were analyzed using frequency analysis, chi-squared tests, and multivariate logistic regression analysis. Results: Of the 1004 participants, 655 (6.5%) participated in leisure dance activity. Women, individuals in their twenties and thirties, college graduates or those with lower-level educational qualifications, and unmarried individuals were more likely to participate in leisure dance activities. In addition, leisure dance activities were found to be likely to increase happiness levels and leisure life satisfaction, and leisure expenses were likely to be low. Conclusions: Schools should provide high-quality dance education and enhance the professionalism of physical education teachers in the management of dance classes. This is because dance-related experiences in childhood can increase the likelihood of engaging in dancing in adulthood. Efforts are also needed to increase men’s awareness of and participation in leisure dance activities and to lower barriers to entry. The convergence of dance, games, and technology can make this possible. Full article