bluuebunny/crossref_metadata_2025 huggingface dataset:
Teoría del Cambio en el Fortalecimiento Comunitario: Una Mirada desde la Evaluación de Impacto
Authors: Cárdenas-Torrado Lenith , Martínez Vargas Agustín María , Arenas Ardila Laura Sofía , Perdomo Vargas Iván Ricardo
Published: February 2025

i) Introducción. Históricamente, el progreso humano ha dependido de la interacción social. Sin embargo, hoy, las conexiones se fragmentan, como respuesta surgen proyectos de Innovación Social frente a los cuales este documento destaca la necesidad seguir el impacto de los proyectos. ii) Aplicar la teoría del cambio en la evaluación de un programa de fortalecimiento comunitario en el barrio Palma Real 2, ubicado en el municipio de Granada, departamento del Meta, en Colombia. iii) Metodología. Los datos se obtienen mediante la aplicación de una encuesta estructurada y el desarrollo de un grupo focal, con representantes de las personas vinculadas al proyecto. Siguiendo la teoría del cambio, se identifican los insumos, actividades, productos, efectos e impactos. iv) Resultados. Los cambios identificados se clasificaron en cuatro categorías: cambios en el sentido de comunidad, cambios en las relaciones sociales, cambios en la organización comunitaria y cambios en los vínculos entre la comunidad y las organizaciones. v) Conclusiones. Los aspectos sociales analizados y avances alcanzados en el proyecto experimentan un impacto positivo, con la excepción de la dimensión organizativa. Además, el nivel de satisfacción con los avances alcanzados durante las tres primeras fases de la ruta de innovación social es muy importante para los miembros de la comunidad.
GIS-BASED SPATIAL MODELLING TO ENHANCE TOURISM RESILIENCE AND CONSERVATION FOR SUSTAINABLE LEADERSHIP IN COASTAL COMMUNITIES
Authors: Abdullah Siti Nor Fazillah , Kamarudin Mohd Khairul Amri , Mat Som Ahmad Puad , Sanopaka Endri , - Ferizone
Published: February 2025

This study aims to create a spatial model for sustainable leadership in coastal communities to improve both tourism resilience and conservation efforts in those areas. The idea of this study stemmed from the need to better understand the importance of sustainable leadership in developing coastal communities and tourism. 366 respondents from the coastal areas in Kuala Terengganu and Marang answered the questionnaire. The statistical tool and geographical information system (GIS) were used to analyse the data. The findings show that critical thinking abilities, ethical and moral skills, and community involvement in tourism development have significant positive effects on sustainable leadership, making them vital elements in driving sustainable leadership forward. Cluster analysis groups the five sustainable leadership practices into three categories. Apart from certain domains like critical thinking, ethical and moral concerns, and sustainable leadership, the spatial analysis results show that sustainable leadership practices are typically strong in Kuala Terengganu and Marang. GIS analysis reveals a high density of sustainable leadership practices in coastal communities across different scales. The application of statistical analysis coupled with GIS can effectively identify the sustainable leadership that leaders in coastal areas adhere to.
PLANNING FOR COMMUNITY ADAPTATION TO THE RISK OF FOREIGN SHIP TRAFFIC ON INTERNATIONAL SHIPPING LANES IN THE INDONESIAN ARCHIPELAGO SEA ROUTE
Authors: Hadi Idris , Yola Lin
Published: February 2025

The International Convention Law on the Sea, which was adopted by the United Nations in 1982, granted foreign-flagged ships the right to pass safely and smoothly through the Indonesian Archipelago Sea Route/Alur Laur Kepulauan Indonesia (ALKI). The density of the shipping lanes has triggered risks such as accidents and environmental pollution caused by ship exhaust carbon emissions. Therefore, this qualitative research aimed to determine the possibilities of coastal communities to adapt to the risk in accordance with the policy of ship traffic regulation with international shipping lanes through the Traffic Separation Scheme. There is still limited research on the community’s adaptation due to ship exhaust carbon emissions and the lack of adaptation actions taken in response to environmental pollution from foreign ship exhaust emissions. Adaptation efforts recommended include the preparation of collaborative measures and strategies to ensure the carbon management has a net zero emission value on foreign ship traffic in ALKI. The result showed that adaptation effort can be used to ensure Indonesians Nationally Determined Contribution (NDC) can prevent global temperature rise from the shipping sector through carbon management, decarbonization, and energy transition programs.
GREEN SPACE EVALUATION OF SHAH ALAM LOW CARBON CITY, SELANGOR, MALAYSIA
Authors: Abd Razak Nur Ain , Ponrahono Zakiah , Mohammad Sabri Siti Afiqah
Published: February 2025

This study examines Shah Alam's progress towards achieving its 2030 low-carbon city goal, focusing on the balance between rapid development, population growth, and carbon emissions. It emphasizes the necessity of a holistic approach to sustainable urban development that integrates societal needs with environmental concerns. The study aims to identify (i) the defining characteristics of green spaces in Shah Alam and (ii) the effectiveness of stakeholders' development strategies related to these green spaces. A qualitative methodology was adopted, utilizing six expert interviews conducted both face-to-face and online. Thematic analysis of these interviews revealed detailed insights into the interplay between green spaces and low-carbon urban development. A strong correlation was found between the attributes of green spaces and their carbon absorption capacity, influenced by factors such as area size, plant diversity, and absorption rates. Initiatives like the "Tree for Life" campaign have notably advanced the low-carbon city goals through strategic green space development. These collective efforts underscore the growing trend towards sustainable urban environments and highlight the critical role of comprehensive programs in enhancing green spaces to achieve low-carbon, sustainable cities.
CHARACTERISTICS AND STRATEGIC IMPLEMENTATION OF LOW-CARBON INITIATIVES IN SHAH ALAM, SELANGOR, MALAYSIA: INSIGHTS FROM KEY STAKEHOLDERS
Authors: M. Hamdan Nur Fatiha Nadzirah , Ponrahono Zakiah , Mohammad Sabri Siti Afiqah
Published: February 2025

This study highlights the critical challenges faced by Shah Alam, such as rapid population growth driven by urbanization and economic development. This surge has intensified traffic congestion, reflecting the city’s burgeoning economic prominence through the expansion of its industrial areas. Addressing these issues necessitates sustainable urban planning strategies to mitigate environmental impacts and ensure the well-being of residents amid continued growth. The study aims to (i) determine the characteristics of a Low Carbon City in Shah Alam and (ii) explore the strategic initiatives required to achieve impactful low-carbon urban development. The study utilized a qualitative methodology, focusing on expert interviews to investigate characteristics and initiatives related to low-carbon cities. Six key informants, chosen for their expertise in low-carbon city projects, participated in both face-to-face and online interviews to address the study objectives effectively. Thematic analysis of the interviews provided detailed insights into the characteristics and initiatives of Shah Alam's Low Carbon City. Findings reveal that the characteristics of low-carbon cities are based on five main elements: energy, water, waste, mobility, and greenery. These elements were measured to determine whether an area has achieved carbon and greenhouse gas (GHG) reductions. The Low Carbon City (LCC) initiative in Section 14, Section 1, and Section 5 of Shah Alam has led to a reduction in GHG emissions since the baseline years of 2015 and 2017. Additionally, community cooperation was found to be crucial in advancing low-carbon city efforts. The research concludes that Shah Alam continues to make efforts to reduce carbon emissions, evidenced by the reductions achieved during the implementation of the LCC initiative.
Digital Health Program to Support Family Caregivers of Children Undergoing Growth Hormone Therapy: Qualitative Feasibility Study
Authors: Jiménez-Díaz Alba , Pierantonelli Maitena , Morte Coscolín Patricia , Salinas-Uhalte Amaia , Quer-Palomas Silvia , Rivera-Romero Octavio , Herrero Rocío , Fernández-Luque Luis , Baños Rosa , Berrios Ricardo C , de Arriba Antonio
Published: February 2025

Background

Caregivers of children with growth hormone deficiency often face emotional challenges (eg, stress) associated with their children’s health conditions. This psychological burden might affect children’s adherence to treatment and hinder their health-related quality of life (HrQoL). This assumption is leading to seriously considering multidimensional clinical approaches to pediatric health conditions where the emotional well-being of caregivers should be accounted for to optimize children’s health outcomes. Novel mobile health (mHealth) solutions based on emotional and behavioral change techniques can play a promising role because they are increasingly used within different health areas to support adaptive psychological functioning. However, whether and how mHealth solutions of this type of emotional well-being support caregivers of children with growth-related problems is an issue that needs to be clarified.

Objective

This study aimed to gather qualitative information to better understand individualized experiences of caregiving of children undergoing growth hormone therapy (GHt) and perceived barriers or facilitators for the adoption of an mHealth solution called Adhera Caring Digital Program (ACDP).

Methods

A total of 10 family caregivers were recruited at Miguel Servet Children’s Hospital, and they engaged with the ACDP for 1 month. The ACDP is a mobile-based digital intervention focused on promoting the overall well-being of family caregivers which provides access to personalized education, motivational mobile-based messages, and mental well-being exercises such as mindfulness or respiratory exercises. Subsequently, an individual semistructured interview was performed to gather qualitative user experience information.

Results

The digital intervention was well-received. The ACDP was found to be useful, easy to use, and understandable, addressing all the difficulties expressed by caregivers. It was also noted to be particularly helpful at the beginning of the treatment and, for some families, became a natural tool that strengthened the parent-child relationship.

Conclusions

The ACDP is a promising and well-accepted tool that enhances the experience of patients and caregivers. It improves the management of growth hormone deficiency and promotes the overall well-being of family caregivers.

Trial Registration

ClinicalTrials NCT04812665; https://clinicaltrials.gov/study/NCT04812665

International Registered Report Identifier (IRRID)

RR2-10.1186/s12911-022-01935-1
Enhancing Older Adults’ Lives Through Positive Aging Perception, Quality-of-Life Enhancement, and Social Support to Drive Acceptance and Readiness Toward Indoor Assistive Technology: Cross-Sectional Study
Authors: Wong Ka Po , Teh Pei-Lee , Lim Weng Marc , Lee Shaun Wen Huey
Published: February 2025

Background

The growing aging population faces increasing mobility limitations, highlighting the need for assistive technologies as potential solutions. These technologies support the independence and well-being of older adults and individuals with mobility challenges. Indoor mobility is essential for daily activities and significantly impacts their lives. Limited indoor mobility can reduce quality of life and heighten the risk of falls.

Objective

This study explores how positive aging perceptions, quality-of-life enhancements, and social support influence the acceptance and readiness of indoor assistive technologies among older adults.

Methods

A cross-sectional study was conducted at a gerontechnology laboratory, requiring participants to visit the facility in person. Each 60-minute session included demonstrations of various indoor assistive technologies and the completion of a questionnaire. The assistive technologies showcased encompassed a wide range of devices. Participants’ positive aging perceptions, quality-of-life enhancements, social support, technology acceptance, and readiness were measured using validated scales. Data were analyzed with AMOS (version 28; IBM Corp) and SPSS (version 28; IBM Corp), using structural equation modeling and multivariate analysis of covariance to assess the effects of predictors while controlling for demographic factors.

Results

A total of 104 older adults aged 60 years and older participated, with a mean age of 67.92 (SD 5.68) years. Structural equation modeling indicated that positive aging perception has a significant influence on older adults’ control beliefs (P=.095), comfort (P=.047), and confidence (P<.001) in gerontechnology. Multivariate analysis revealed significant combined effects of quality-of-life enhancement (P=.01) and social support (P=.03) on technology acceptance and readiness, wherein quality-of-life enhancement (P=.001) and social support (P=.008) negatively impacted security perception. Among demographic variables, educational level significantly impacted gerontechnology confidence (P=.004) while ethnicity influenced optimism (P=.003).

Conclusions

This study sheds light on key factors affecting older adults’ acceptance and readiness to adopt indoor assistive technologies. Findings highlight the importance of fostering positive aging perceptions through these technologies. Addressing issues related to control beliefs, comfort, and confidence in gerontechnology is essential to enhance technology acceptance and readiness among older adults. Future research should investigate the underlying mechanisms and create targeted interventions to support successful technology adoption in this population.
The Effects of MyChoices and LYNX Mobile Apps on HIV Testing and Pre-Exposure Prophylaxis Use by Young US Sexual Minority Men: Results From a National Randomized Controlled Trial
Authors: Biello Katie B , Mayer Kenneth H , Scott Hyman , Valente Pablo K , Hill-Rorie Jonathan , Buchbinder Susan , Ackah-Toffey Lucinda , Sullivan Patrick S , Hightow-Weidman Lisa , Liu Albert Y
Published: February 2025

Background

Young sexual minority men have among the highest rates of HIV in the United States; yet, the use of evidence-based prevention strategies, including routine HIV testing and pre-exposure prophylaxis (PrEP), remains low. Mobile apps have enormous potential to increase HIV testing and PrEP use among young sexual minority men.

Objective

This study aims to assess the efficacy of 2 theory- and community-informed mobile apps—LYNX (APT Mobility) and MyChoices (Keymind)—to improve HIV testing and PrEP initiation among young sexual minority men.

Methods

Between October 2019 and May 2022, we implemented a 3-arm, parallel randomized controlled trial in 9 US cities to test the efficacy of the LYNX and MyChoices apps against standard of care (SOC) among young sexual minority men (aged 15-29 years) reporting anal sex with cisgender male or transgender female in the last 12 months. Randomization was 1:1:1 and was stratified by site and participant age; there was no masking. The co-primary outcomes were self-reported HIV testing and PrEP initiation over 6 months of follow-up.

Results

A total of 381 young sexual minority men were randomized. The mean age was 22 (SD 3.2) years. Nearly one-fifth were Black, non-Hispanic (n=67, 18%), Hispanic or Latino men (n=67, 18%), and 60% identified as gay (n=228). In total, 200 (53%) participants resided in the Southern United States. At baseline, participants self-reported the following: 29% (n=110) had never had an HIV test and 85% (n=324) had never used PrEP. Sociodemographic and behavioral characteristics did not differ by study arm. Compared to SOC (n=72, 59%), participants randomized to MyChoices (n=87, 74%; P=.01) were more likely to have received at least 1 HIV test over 6 months of follow-up; those randomized to LYNX also had a higher proportion of testing (n=80, 70%) but it did not reach the a priori threshold for statistical significance (P=.08). Participants in both MyChoices (n=23, 21%) and LYNX (n=21, 20%) arms had higher rates of starting PrEP compared to SOC (n=19, 16%), yet these differences were not statistically significant (P=.52).

Conclusions

In addition to facilitating earlier treatment among those who become aware of their HIV status, given the ubiquity of mobile apps and modest resources required to scale this intervention, a 25% relative increase in HIV testing among young sexual minority men, as seen in this study, could meaningfully reduce HIV incidence in the United States.

Trial Registration

ClinicalTrials.gov NCT03965221; https://clinicaltrials.gov/study/NCT03965221
Nurses’ Perspectives and Experiences of Using a Bed-Exit Information System in an Acute Hospital Setting: Mixed Methods Study
Authors: Walzer Stefan , Schön Isabel , Pfeil Johanna , Klemm Sam , Ziegler Sven , Schmoor Claudia , Kunze Christophe
Published: February 2025

Background

Technology that detects early when a patient at risk of falling leaves the bed can support nurses in acute care hospitals.

Objective

To develop a better understanding of nurses’ perspectives and experiences with a bed-exit information system (BES) in an acute care hospital setting.

Methods

BES was implemented on 3 wards of a university medical center. Nurses completed 2 online surveys at each time point (P0 and P1) and participated in focus groups before (P0) and after (P1) implementation. Additional patient data were collected. Descriptive statistics summarized the survey results, while content analysis was applied to focus group data. Patient rates and adverse events in both phases were compared using negative binomial models. Reporting of this study adhered to the GRAMMS checklist.

Results

A total of 30 questionnaires were completed at P0 (30/72, 42%) and 24 at P1 (24/71, 33%). Of the participants, 15 completed both questionnaires (complete cases). At P1, 64% (9/14) of participants agreed that their perceived workload and strain in caring for patients with cognitive impairment was reduced by the use of the BES. The adverse event rate per patient per day was reduced by a factor of 0.61 (95% CI 0.393-0.955; P=.03). In addition, 11 nurses participated in 4 focus groups before and after the intervention. Participants found it challenging to operationalize the use of the BES due to the heterogeneity of care settings, but certain behaviors of patients with cognitive impairment were recognized as indicating a need for intervention. Negative experiences included information overload and alarm fatigue, leading to occasional removal of the system.

Conclusions

While BES provides some support in managing patients with cognitive impairment, its impact remains limited to specific scenarios and does not significantly reduce nurses’ workload or strain. Our findings highlight the need to manage expectations of BES performance to ensure alignment between expected and actual benefits. To improve BES effectiveness and long-term implementation, future research should consider both objective measures of patient care and subjective factors such as nurse experience, structural conditions, and technical specifications. Improving information mechanisms within call systems could help reduce alarm fatigue and increase perceived usefulness. Overall, successful integration of BES in acute care settings will require close collaboration with nursing staff to drive meaningful healthcare innovation and ensure that the technology meets the needs of both patients and nurses.

Trial Registration

German Register for Clinical Studies DRKS00021720; https://drks.de/search/de/trial/DRKS00021720
Enhancing Health Equity and Patient Engagement in Diabetes Care: Technology-Aided Continuous Glucose Monitoring Pilot Implementation Project
Authors: Thakur Madhur , Maurer Eric W , Tran Kim Ngan , Tholkes Anthony , Rajamani Sripriya , Dwivedi Roli
Published: February 2025

Federally Qualified Health Centers (FQHCs) provide service to medically underserved areas and communities, providing care to over 32 million patients annually. The burden of diabetes is increasing, but often, the vulnerable communities served by FQHCs lag in the management of the disease due to limited resources and related social determinants of health. With the increasing adoption of technologies in health care delivery, digital tools for continuous glucose monitoring (CGM) are being used to improve disease management and increase patient engagement. In this viewpoint, we share insights on the implementation of a CGM program at an FQHC, the Community-University Health Care Center (CUHCC) in Minneapolis, Minnesota. Our intent is to improve diabetes management through better monitoring of glucose and to ensure that the CGM program enables our organization’s overarching digital strategy. Given the resource limitations of our population, we provided Libre Pro devices to uninsured patients through grants to improve health care equity. We used an interdisciplinary approach involving pharmacists, nurses, and clinicians and used hemoglobin A1c (HbA1c) levels as a measure of diabetes management. We assessed the CGM program and noted key aspects to guide future implementation and scalability. We recruited 148 participants with a mean age of 54 years; 39.8% (59/148) self-identified their race as non-White, 9.5% (14/148) self-identified their ethnicity as Hispanic or Latino, and one-third (53/148, 35.8%) were uninsured. Participants had diverse language preferences, with Spanish (54/148, 36.5%), English (52/148, 35.1%), Somali (21/148, 14.2%), and other languages (21/148, 14.2%). Their clinical characteristics included an average BMI of 29.91 kg/m2 and a mean baseline HbA1c level of 9.73%. Results indicate that the CGM program reduced HbA1c levels significantly from baseline to first follow-up (P<.001) and second follow-up (P<.001), but no significant difference between the first and second follow-up (P=.94). We share key lessons learned on cultural and language barriers, the digital divide, technical issues, and interoperability needs. These key lessons are generalizable for improving implementation at FQHCs and refining digital strategies for future scalability.
Creation of Text Vignettes Based on Patient-Reported Data to Facilitate a Better Understanding of the Patient Perspective: Design Study (Preprint)
Authors: Kelly Sofia Charlotte , Wegener Emilie Kauffeldt , Kayser Lars
Published: February 2025

BACKGROUND

Patient-reported outcome (PRO) data refer to information systematically reported by patients, or on behalf of patients, without the influence of health care professionals. It is a focal point of the health care system’s ambition toward becoming more involving and personalized. It is recognized that PROs provide valuable data. However, despite this recognition, there are challenges related to both patients’ and clinicians’ accurate interpretations of the quantitative data. To overcome these challenges, this study explores text vignettes as a representation of PROs.

OBJECTIVE

This study aimed to develop data-informed text vignettes based on data from the Readiness and Enablement Index for Health Technology (READHY) instrument as another way of representing PRO data and to examine how these are perceived as understandable and relevant for both patients and clinicians.

METHODS

The text vignettes were created from participant responses to the READHY instrument, which encompasses health literacy, health education, and eHealth literacy. The text vignettes were created from 13 individual text strings, each corresponding to a scale in the READHY instrument. This study consisted of 3 sequential parts. In part 1, individuals with chronic obstructive pulmonary disease completed the READHY instrument, providing data to be used to create vignettes based on cluster profiles from the READHY instrument. Part 2 focused on the development of scale-based strings representing all READHY dimensions, which were evaluated through iterative cognitive interviews. In part 3, clinicians and patients assessed the understanding and relevance of the text vignettes.

RESULTS

Clinicians and patients both understood and related to the text vignettes. Patients viewed the text vignettes as an accurate reflection of their PRO responses, and clinicians perceived the text vignettes as aligned with their understanding of patients’ experiences.

CONCLUSIONS

Text vignettes can be developed using PRO instruments, with individual scales as input strings. This provides an opportunity to present numeric values in a text format that is understandable and recognizable to most patients and clinicians. Challenges with the vignette’s language and layout require customization and clinician training to ensure meaningful interpretation. Findings also support the need to expand the study and enhance clinical relevance with alternative or contextually relevant text vignettes.
Nurses’ Perspectives and Experiences of Using a Bed-Exit Information System in an Acute Hospital Setting: Mixed Methods Study (Preprint)
Authors: Walzer Stefan , Schön Isabel , Pfeil Johanna , Klemm Sam , Ziegler Sven , Schmoor Claudia , Kunze Christophe
Published: February 2025

BACKGROUND

Technology that detects early when a patient at risk of falling leaves the bed can support nurses in acute care hospitals.

OBJECTIVE

To develop a better understanding of nurses’ perspectives and experiences with a bed-exit information system (BES) in an acute care hospital setting.

METHODS

BES was implemented on 3 wards of a university medical center. Nurses completed 2 online surveys at each time point (P0 and P1) and participated in focus groups before (P0) and after (P1) implementation. Additional patient data were collected. Descriptive statistics summarized the survey results, while content analysis was applied to focus group data. Patient rates and adverse events in both phases were compared using negative binomial models. Reporting of this study adhered to the GRAMMS checklist.

RESULTS

A total of 30 questionnaires were completed at P0 (30/72, 42%) and 24 at P1 (24/71, 33%). Of the participants, 15 completed both questionnaires (complete cases). At P1, 64% (9/14) of participants agreed that their perceived workload and strain in caring for patients with cognitive impairment was reduced by the use of the BES. The adverse event rate per patient per day was reduced by a factor of 0.61 (95% CI 0.393-0.955; P=.03). In addition, 11 nurses participated in 4 focus groups before and after the intervention. Participants found it challenging to operationalize the use of the BES due to the heterogeneity of care settings, but certain behaviors of patients with cognitive impairment were recognized as indicating a need for intervention. Negative experiences included information overload and alarm fatigue, leading to occasional removal of the system.

CONCLUSIONS

While BES provides some support in managing patients with cognitive impairment, its impact remains limited to specific scenarios and does not significantly reduce nurses’ workload or strain. Our findings highlight the need to manage expectations of BES performance to ensure alignment between expected and actual benefits. To improve BES effectiveness and long-term implementation, future research should consider both objective measures of patient care and subjective factors such as nurse experience, structural conditions, and technical specifications. Improving information mechanisms within call systems could help reduce alarm fatigue and increase perceived usefulness. Overall, successful integration of BES in acute care settings will require close collaboration with nursing staff to drive meaningful healthcare innovation and ensure that the technology meets the needs of both patients and nurses.

CLINICALTRIAL

German Register for Clinical Studies DRKS00021720; https://drks.de/search/de/trial/DRKS00021720
Development of a Web-Based Intervention for Middle Managers to Enhance Resilience at the Individual, Team, and Organizational Levels in Health Care Systems: Multiphase Study (Preprint)
Authors: Gil-Hernández Eva , Carrillo Irene , Martin-Delgado Jimmy , García-Torres Daniel , Mira José Joaquín
Published: February 2025

BACKGROUND

Health care institutions face high systemic risk due to the inherent uncertainty and complexity of their operations. This often leads to stressful incidents impacting the well-being of health care professionals, which can compromise the effectiveness of health care systems. Enhancing resilience among health care professionals is essential for maintaining high-quality care and ensuring patient safety. The role of middle managers is essential to ensure the response capacity of individuals and teams.

OBJECTIVE

This study aims to develop a web-based intervention aimed at middle management to enhance individual, team, and organizational resilience.

METHODS

An observational study was conducted in 3 phases: design, validation, and pilot study. The study was initiated in February 2022 and concluded in June 2023. Phase 1 involved designing the content for the web-based tool based on a comprehensive review of critical elements around resilience. Phase 2 included validation by an international panel of experts who reviewed the tool and rated it according to a structured grid. They were also encouraged to highlight strengths and areas for improvement. Phase 3 involved piloting the tool with health care professionals in Ecuador to refine the platform and assess its effectiveness. A total of 458 people were invited to participate through the Institutional Course on Continuous Improvement in Health Care Quality and Safety offered by the Ministry of Public Health of Ecuador.

RESULTS

The tool, eResiliencia, was structured into 2 main blocks: individual and team resilience and organizational resilience. It included videos, images, PDFs, and links to dynamic graphics and additional texts. Furthermore, 13 (65%) of the 20 experts validated the tool, rating content clarity at an average of 4.5 (SD 0.7) and utility at an average of 4.7 (SD 0.5) out of 5. The average overall satisfaction was 9.3 (SD 0.6) out of 10 points, and feedback on improvements was implemented. A total of 362 health care professionals began the intervention, of which 218 (60.2%) completed preintervention and postintervention questionnaires, with significant knowledge increases (P<.001). Of the 362 health care professionals, 146 (40.3%) completed the satisfaction questionnaire, where overall satisfaction was rated at an average of 9.4 (SD 1.1) out of 10 points.

CONCLUSIONS

The eResiliencia web-based platform provides middle managers with resources to enhance resilience among their teams and their components, promoting better well-being and performance, even under highly stressful events. Future research should focus on long-term impacts and practical applications in diverse clinical settings.
Correction: Weight Loss Patterns and Outcomes Over 12 Months on a Commercial Weight Management Program (CSIRO Total Wellbeing Diet Online): Large-Community Cohort Evaluation Study (Preprint)
Authors: Hendrie Gilly A , Baird Danielle L , James-Martin Genevieve , Brindal Emily , Brooker Paige G
Published: February 2025

UNSTRUCTURED
The Effectiveness of a Participatory and Culturally Tailored Learning Program in Coronavirus Prevention for Muslim Older Adults with Comorbidities of Hypertension and Diabetes in Thailand (Preprint)
Authors: Moolsart Sutteeporn , Phuangsomjit 2nd Choochat
Published: February 2025

BACKGROUND

Background: Respiratory infections have increased globally over time, with the elderly being the most susceptible demographic. Programs based on cultures and experiences strongly correspond with useful, real-world applications.

OBJECTIVE

This study aimed to evaluate the effectiveness of a participatory and culturally based learning program to prevent coronavirus and healthcare among vulnerable Muslim elderly with chronic diseases of hypertension and diabetes in Thailand.

METHODS

The quasi-experimental study used a two-group pretest-posttest design with participants aged 60–80 with hypertension and diabetes. The sample included 35 in the experimental group and 32 in the comparison group. A 6-week interactive learning program on coronavirus prevention and healthcare was created based on Muslim culture and Kolb's approach. The intervention included routine customary treatment for diabetes and hypertension management and coronavirus prophylaxis. The comparison group received only the standard usual care. Data were collected via a questionnaire covering general information, awareness, knowledge, and preventive behaviors related to coronavirus prevention and healthcare. The content validity indices of sections II, III, and IV were 0.98, 0.99, and 0.96, respectively. The Cronbach's alpha coefficients of awareness and behaviors were 0.89 and 0.86, respectively, while the KR-20 for knowledge was 0.86. Data analysis was conducted using the t-test, Mann-Whitney U-test, and Wilcoxon Signed Rank test.

RESULTS

The results indicated that, after participating in the program, the awareness, knowledge, and preventive behaviors related to coronavirus and healthcare among older adults in the experimental group significantly improved compared to their pre-program levels and to those in the comparative group, with a p-value < .01.

CONCLUSIONS

The program effectively improved coronavirus prevention and healthcare among Muslim older adults. It could be broadly applied in similar contexts and to other severe respiratory diseases.

CLINICALTRIAL

Thai Clinical Trials Registry (TCTR20250112007)
The Militaristic Pandemic Response of Duterte: How Did It Affect Social Movements?
Authors: Fenis Magello Rainer
Published: February 2025

This article is based on extensive original research that aims to examine how the oppositionmovement against Duterte employed various mechanisms of political engagement, shaped by theadministration’s lockdown-centric response amid the COVID-19 pandemic. Although the pandemicimpacted individual social mobility, motivations and forms of political participation were stillobserved both physically and in the digital world. The study employs a qualitative approach, drawingon data from secondary sources to analyze the interplay between the administration’s governancestrategies and the actions of political interest groups during the COVID-19 pandemic. By usingrational choice theory, we gain a clearer understanding of Duterte's perceived interests and goals,as well as the costs and benefits of resistance during the pandemic lockdown. The findings showthat the Duterte administration's policies curtailed physical forms of political engagement, oftendescribed as “militarized” and “police-centric,” thus shaping opposition dynamics and forms ofdissent. Despite this, the civil society fostered alternative spaces for resistance, such as communitypantries and digital activism. While existing literature has largely focused on democratic backslidingin the context of combating COVID-19, the novelty of this study is its nuanced exploration of thepracticality of militaristic measures. Although the Duterte administration’s militarized response didnot achieve the expected outcomes in terms of managing the health crisis and suppressingopposition, it still represented the most practical strategy for controlling pandemic dissent. Theseinsights contribute to understanding how government responses to the COVID-19 crisis influencethe behavior of both the state and civil society.
Revolutionizing Connectivity Through 5G Technology
Authors: Paul Dipta , Prince Imtiez Ahmed , Islam Md Shafiqul , Ahamed Md. Tanzim , Sarker Md Nadim Rahman , Adhikary Ankur
Published: February 2025

The article explores the foundations and developments of 5G technology, emphasizing how it differs from earlier iterations and how it has the potential to revolutionize contemporary communication. It highlights 5G's significant influence on day-to-day living by examining how both established and cutting-edge technology have been integrated to create it. The study looks at important 5G applications, especially in manufacturing, transportation, healthcare, and other sectors where it spurs efficiency and innovation. 5G is positioned as a key component of next-generation connectivity because to its enhanced data throughput, decreased latency, and expanded network coverage. The study also discusses the significant obstacles that enterprises and researchers must overcome in order to satisfy the constantly rising needs for security, scalability, and dependability. This article gives a thorough review of 5G's role in transforming the digital world while overcoming implementation challenges by showing how it is changing mobile communication and opening up new opportunities.
Comparison of Latent Means in Utility Value, Learning Persistence, and Career Preparation Behavior in Environment Subject
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Jeon Hun , Cho Daeyeon
Published: February 2025

Objectives This study aims to examine the differences in perceptions of the utility value of environmental educa tion, learning persistence, and career preparation behavior among middle and high school students.
Methods Data from a survey of 230 middle and high school students in Seoul and Gyeonggi Province were ana lyzed using latent mean analysis (LMA) within a structural equation modeling framework.
Results The analysis confirmed configural, metric, scalar, and factor variance invariance across the groups. The latent mean analysis, using the middle school group as the reference, revealed that the middle school group ex hibited higher levels of learning persistence and career preparation behavior compared to the high school group.
Conclusions These findings suggest the need for more systematic intervention and support at the middle school level to sustain continuous learning in the environmental field and to explore careers that align with students' inter ests and aptitudes. Educational implications and suggestions for effectively conveying the utility value of environ mental education, as well as recommendations for future research, are discussed.
The Sequential Mediating Effects of Gratitude and Wisdom on the Relationship Between Depression and Psychological Well-Being in Early Old Age
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Choi Seon Yeong
Published: February 2025

Objectives This study examined the relationship between depression and psychological well-being in early old age, focusing on the mediating roles of gratitude and wisdom.
Methods Data from 295 adults aged 56-93 were analyzed using correlation and mediation analyses with SPSS and the PROCESS macro.
Results Results showed that psychological well-being, gratitude, and wisdom were positively correlated with each other and negatively correlated with depression. Gratitude and wisdom partially mediated the effect of de pression on psychological well-being, with a significant sequential mediation observed from depression through gratitude and wisdom to psychological well-being.
Conclusions These findings suggest that depression decreases psychological well-being by negatively influenc ing gratitude and wisdom. The study proposes intervention strategies that enhance gratitude and wisdom and dis cusses implications for future research.
Engaging activities to promote science dialogue and discussion.
Authors: Hernández-Arellano María Yazmín , Aguilera-Jiménez Patricia , Sánchez-Mora María del Carmen
Published: February 2025

Through participatory activities, we aim to engage people with science, technology, and innovation in an active manner, fostering a higher level of involvement and interaction with others. This paper presents the design process of an activity based on the perspective of public participation and the game PlayDecide, addressing the socio-environmental issue of urban solid waste management. We believe it is important to share this process as a contribution to those who design educational experiences in informal science settings.
Hubungan Antara Hardiness Dengan Adaptabilitas Karir Pada Siswa Kelas XII SMK Negeri Kecamatan Banda Raya Banda Aceh
Authors: Nurzakiah Nurzakiah , Safrilsyah Safrilsyah , Nova Vera
Published: February 2025

Hardiness pada siswa SMK kelas XII dapat membantu dalam menghadapi dan mengantisipasi tantangan yang terjadi terhadap adaptabilitas karir. Jika siswa kurang memiliki hardiness dalam meningkatkan kemauan untuk mengembangkan tugas perkembangan karir, maka adaptabilitas karir siswa tersebut menjadi rendah sehingga dapat memberi pengaruh yang signifikan pada masa depan. Tujuan dari penelitian ini adalah mengetahui hubungan antara hardiness dengan adaptabilitas karir pada siswa Kelas XII SMK Negeri Kecamatan Banda Raya Banda Aceh. Penelitian ini menggunakan pendekatan kuantitatif dengan metode korelasi. Alat ukur dalam penelitian ini menggunakan Skala Hardiness yang disusun berdasarkan aspek yang diadaptasi dari skala yang dibuat oleh Lutfi, Jasmadi, dan Nova dan Skala Adaptabilitas Karir oleh Saviskas. Jumlah populasi sebanyak 782 siswa dengan jumlah sampel 243. Pengambilan sampel menggunakan metode probability sampling dengan teknik cluster sampling (area sampling). Hasil penelitian menunjukkan koefisien korelasi (r) sebesar 0.886 dengan p = 0.00 yang menandakan bahwa terdapat hubungan positif yang sangat signifikan antara hardiness dengan adaptabilitas karir pada siswa SMK Negeri Kecamatan Banda Raya Banda Aceh. Artinya semakin tinggi hardiness pada siswa, maka semakin tinggi adaptabilitas karir siswa tersebut. Sebaliknya semakin rendah hardiness pada siswa, maka akan semakin rendah pula adaptabilitas karir siswa tersebut.
Hubungan Antara Internal Locus Of Control Dengan Homesickness Pada Santri Baru di Pondok Pesantren Insan Quráni Kabupaten Aceh Besar
Authors: Nursafitri Suci , Julianto Julianto , Fitria Ida , Rosnidawati Rosnidawati
Published: February 2025

Peralihan pada lingkungan baru dicerminkan oleh individu sebagai penderitaan akibat perpisahan dengan figur keterikatan dan lingkungan sosial yang menimbulkan perasaan stres dan depresi yang berujung pada kondisi yang disebut homesickness. Kondisi ini berkaitan dengan faktor internal locus of control. Individu yang memiliki kecenderungan internal locus of control akan mampu mengendalikan kehidupannya dengan lebih baik. Penelitian ini bertujuan untuk mengetahui hubungan antara internal locus of control dengan homesickness pada santri baru Dayah Insan Quráni Kabupaten Aceh Besar. Penelitian ini menggunakan metode kuantitatif, teknik pengumpulan data yang digunakan berbentuk skala dengan pengambilan sampel berdasarkan teknik sampling jenuh yaitu pengambilan sampel secara penuh karena populasi yang relatif kecil. Sampel dalam penelitian ini berjumlah 150 santri dan hasil penelitian menunjukkan bahwa terdapat hubungan antara internal locus of control dengan homesickness pada santri baru Dayah Insan Quráni Kabupaten Aceh Besar dengan nilai uji korelasi Spearman’s r=-0.458, p=0.000, α<0.05. hal ini menunjukkan bahwa terdapat hubungan negatif yang signifikan antara internal locus of control dengan homesickness pada santri baru Dayah Insan Quráni Kabupaten Aceh Besar. Dengan demikian hal ini menunjukkan bahwa semakin tinggi internal locus of control maka semakin rendah homesickness, sebaliknya semakin rendah internal locus of control maka semakin tinggi homesickness.
Perbedaan Self-Disclosure Pada Remaja Pengguna Media Sosial “Facebook” Berdasarkan Tipe Kepribadian Extrovert dan Introvert di Gampong Cot Batee Kabupaten Bireuen
Authors: Dara Mulia , Safrilsyah Safrilsyah , Adharina Nurul , Suryadi Suryadi
Published: February 2025

Pengguna media sosial “Facebook” memiliki cara tersendiri dalam mengungkapkan diri mereka. Salah satu faktor yang mempengaruhi pengungkapan diri adalah tipe kepribadian extrovert dan introvert. Penelitian ini bertujuan untuk mengetahui perbedaan antara self-disclosure pada remaja pengguna media sosial “Facebook” berdasarkan tipe kepribadian extrovert dan introvert di Gampong Cot Batee Kabupaten Bireuen. Populasi dalam penelitian ini tidak diketahui secara pasti, dengan jumlah sampel 178 remaja yang aktif menggunakan “Facebook”. pengambilan sampel dalam penelitian ini dilakukan dengan teknik purposive sampling. Pengumpulan data menggunakan dua skala, yaitu skala self-disclosure dari teori Hargie dan skala tipe kepribadian extrovert dan introvert dari teori Eysenck. Teknik analisis data yang digunakan adalah teknik uji independent sample t-test. Hasil penelitian ini menunjukkan nilai t = - 9,209 dengan p = 0,000 dimana nilai self-disclosure remaja extrovert (M = 9,209; SD = 7,95) dan nilai self-disclosure remaja introvert (M =80; SD =5,34). Hasil ini menunjukkan bahwa hipotesis diterima yaitu terdapat perbedaan antara self- disclosure dengan tipe kepribadian extrovert dan introvert. Self-discosure pada remaja dengan tipe kepribadian extrovert lebih tinggi dibandingkan remaja dengan tipe kepribadian introvert.
Kebahagiaan Pada Remaja Panti Asuhan Nirmala di Kota Banda Aceh Ditinjau Dari Kebersyukuran
Authors: Agustina Rini , Zuanny Iyulen Pebri , Ramly Fuad , Usman Muslim
Published: February 2025

Penelitian ini bertujuan untuk mengetahui kebahagiaan pada remaja Panti Asuhan Nirmala di Kota Banda Aceh ditinjau dari Kebahagian. Pendekatan dalam penelitian ini menggunakan pendekatan kuantitatif dengan metode korelasi. Populasi dalam penelitian ini berjumlah 90 orang dengan sampel 81 remaja yang diambil menggunakan teknik purposive sampling. Hasil penelitian menunjukkan bahwa terdapat hubungan yang sangat signifikan antara kebersyukuran dengan kebahagiaan pada remaja Panti Asuhan Nirmala di Kota Banda Aceh dengan nilai r=0,632 dengan p=0,000 (p˂0,05). Hal ini mengidentifikasikan bahwa tingginya kebersyukuran diikuti dengan tingginya kebahagiaan, sebaliknya rendahnya kebersyukuran diikuti dengan rendahnya kebahagiaan pada remaja Panti Asuhan Nirmala di Kota Banda Aceh. Sumbangan relatif dari Kebersyukuran terhadap Kebahagiaan remaja Panti Asuhan Nirmala di Kota Banda Aceh adalah 39,9% sedangkan 60,1% dipengaruhi oleh faktor-faktor lain. Besarnya sumbangan relatif tersebut menunjukkan bahwa Kebersyukuran memberikan kontribusi besar terhadap Kebahagiaan. Hasil penelitian ini memberikan implikasi besar pada remaja di Panti Asuhan Nirmala Banda Aceh, yakni dengan bersyukur maka dapat meningkatkan kebehagiaan.
USABILITY ANALYSIS OF THE CAREER SYSTEM AT JAMBI UNIVERSITY USING SUS AND HEURISTIC EVALUATION TO IMPROVE EMPLOYER SATISFACTION
Authors: Enggrani Fitri Lucky , Setiawan Dedy , Kaswari Teja
Published: February 2025

The Career Information System at Jambi University play a crucial role in providing data on alumni education and career paths. This study evaluates the system’s usability using the System Usability Scale (SUS) and Heuristic Evaluation (HE) to enhance employer and study program satisfaction. This research employs primary data collected from Jambi University alumni through questionnaires. The purposive sampling technique was used, with 50 respondents for the SUS method and 3–5 evaluators for HE. The evaluation results show a SUS score of 63.75, categorized as marginally acceptable with a 65th percentile ranking. The HE assessment yielded a 63% score, indicating that the system is functional but requires improvement. Additionally, the Net Promoter Score (NPS) reflects positive user feedback.This study provides insights for further system development to improve user satisfaction, particularly among employers and study programs at Jambi University.