Background Recovery colleges (RCs) support personal recovery through education, skill development and social support for people with mental health problems, carers and staff. Guided by co-production and adult learning...Background Recovery colleges (RCs) support personal recovery through education, skill development and social support for people with mental health problems, carers and staff. Guided by co-production and adult learning principles, RCs represent a recent mental health innovation. Since the first RC opened in England in 2009, RCs have expanded to 28 countries and territories. However, most RC research has been conducted in Western countries with similar cultural characteristics, limiting understanding of how RCs can be culturally adapted. The 12-item Recovery Colleges Characterisation and Testing (RECOLLECT) Fidelity Measure (RFM) evaluates the operational fidelity of RCs based on 12 components, but cultural influences on these components remain underexplored.Aims To assess associations between Hofstede’s cultural dimensions and RFM items to identify cultural influences on fidelity components.Methods A cross-sectional survey of RC managers was conducted across all 221 RCs. Mixed-effects regression models examined associations between Hofstede’s country-level cultural dimensions and item-level RFM scores, adjusted for healthcare expenditure and income inequality. Four cultural dimensions, obtained from Hofstede, were analysed: individualism (prioritising personal needs), indulgence (enjoyment-oriented), uncertainty avoidance (preference for predictability) and long-term orientation (future-focused).Results The RFM was completed by 169 (76%) RC managers. Seven RFM items showed associations with cultural dimensions. Equality was linked to short-term orientation, while learning was associated with individualism and uncertainty avoidance. Both individualism and indulgence influenced co-production and community focus. Commitment to recovery was shaped by all four cultural dimensions, with the strongest associations seen for individualism and indulgence. Individualism enhanced explicit focus on strengths-based practice, while uncertainty avoidance influenced course distinctiveness.Conclusions This study demonstrates how culture shapes RC fidelity components, providing actionable insights for cultural adaptation. Incorporating under-represented dimensions, such as collectivism and restraint, could improve the RFM’s global applicability, facilitating implementation. Future research should explore cultural nuances, engage diverse stakeholders and refine fidelity measures to enhance RC inclusivity and effectiveness worldwide.展开更多
Background:In the military,insufficient postural stability is a risk factor for developing lower extremity injuries.Postural stability training programs are effective in preventing these injuries.However,an objective ...Background:In the military,insufficient postural stability is a risk factor for developing lower extremity injuries.Postural stability training programs are effective in preventing these injuries.However,an objective method for the measurement of postural stability in servicemen is lacking.The primary objective of this study was to assess the influence of the number of repetitions,different foot positions and real-time visual feedback on postural stability,as well as their effects on the intrasession reliability of postural stability measurements in servicemen.The secondary objective was to assess the concurrent validity of the measurements.Methods:Twenty healthy servicemen between 20 and 50 years of age and in active duty were eligible for this quantitative,cross-sectional study.The measurements took place on a force plate,measuring the mean velocity of the center of pressure.The participants were asked to stand as still as possible in three different foot positions(wide stance,small stance,and on one leg),five times each for 45 s each time,and the measurements were performed with and without real-time visual feedback.Results:We observed a significant main effect of foot position(P<0.001),but not of visual feedback(P=0.119)or repetition number(P=0.915).Postural stability decreased in the more challenging foot positions.The ICC estimates varied from 0.809(one repetition in wide stance)to 0.985(five repetitions on one leg).The common variance(R2)between different foot positions without feedback varied between 0.008(wide stance)and 0.412.Conclusions:To yield reliable data,wide-stance measurements should be conducted three times,and small-stance measurements and measurements on one leg should be conducted two times.The scores of a measurement in a particular foot position cannot predict the scores of measurements in other foot positions.展开更多
Confirmatory factor analysis (CFA) refers to the FA procedure with some loadings constrained to be zeros. A difficulty in CFA is that the constraint must be specified by users in a subjective manner. For dealing with ...Confirmatory factor analysis (CFA) refers to the FA procedure with some loadings constrained to be zeros. A difficulty in CFA is that the constraint must be specified by users in a subjective manner. For dealing with this difficulty, we propose a computational method, in which the best CFA solution is obtained optimally without relying on users’ judgements. The method consists of the procedures at lower (L) and higher (H) levels: at the L level, for a fixed number of zero loadings, it is determined both which loadings are to be zeros and what values are to be given to the remaining nonzero parameters;at the H level, the procedure at the L level is performed over the different numbers of zero loadings, to provide the best solution. In the L level procedure, Kiers’ (1994) simplimax rotation fulfills a key role: the CFA solution under the constraint computationally specified by that rotation is used for initializing the parameters of a new FA procedure called simplimax FA. The task at the H level can be easily performed using information criteria. The usefulness of the proposed method is demonstrated numerically.展开更多
In the European Union(EU),the revised Payment Services Directive(PSD2)aims to provide more convenient and customized financial products through open banking(OB)platforms.However,little attention has been paid to the r...In the European Union(EU),the revised Payment Services Directive(PSD2)aims to provide more convenient and customized financial products through open banking(OB)platforms.However,little attention has been paid to the role of OB in improving the financial well-being of the growing number of the EU’s underserved groups,which currently constitute approximately a quarter of its population.This study examines how the PSD2 and OB impact inclusive finance in the EU based on the perspectives of the Netherlands’ecosystem,one of the leaders in the EU’s financial technology(FinTech)landscape.A fundamental distinction can be drawn between the OB users and the ecosystem’s players.Regarding the impact of financial services on the users’inclusivity,while the PSD2 strengthens the infrastructure necessary for financial inclusion,many challenges remain,mainly because it was not designed for this purpose.This study identifies several areas of improvement that include adjustments to the know your customer and anti-money laundering processes for underserved customers,innovative ways to communicate the PSD2’s potential,and the regulation of technology providers’activities to build trust.Meanwhile,from the ecosystem’s position,there is a need to strengthen and improve microfinance regulation according to the opportunities provided by the PSD2 to support microfinance institutions(MFIs)in scaling up and reaching underserved clients across borders with innovative services.OB improvements can also be achieved by organizations formed by MFIs and FinTechs in collaboration with banks.Such hybrid institutions will combine the best features of each of them:knowledge of the needs of local underserved clients from MFIs,technological innovations from FinTechs,and large and trusted customer bases,infrastructures,and access to institutional investments and governments from banks.Finally,an EU inclusive OB sector depends on the centrality of trusted regulators as coordination bodies.The PSD2 requires adjustments for underserved populations’specific needs.OB improvements can be achieved by organizations formed by MFIs and Fin-Techs in collaboration with banks.Regulated technical service providers(TSPs)are crucial to building trust and customer adoption in OB.The European Banking Authority(EBA)may function as coordination body to design inclusive rules by engaging with OB stakeholders.As inclusive finance moves into open-finance and data eras,an increasing regulatory complexity and scope will require networks of innovative and trusted regulators.展开更多
Objective: Although HR activities are known to enhance performance, this seems an often overlooked domain amongst physicians. Therefore, this cross-disciplinary interview study explores how physicians perceive high pe...Objective: Although HR activities are known to enhance performance, this seems an often overlooked domain amongst physicians. Therefore, this cross-disciplinary interview study explores how physicians perceive high performance and what activities they find contributing to such performance. Methods: Drawing on HR and healthcare literature, we analysed in-depth interviews with 28 physicians and 7 HR professionals and hospital management representatives, following the grounded theory approach. Results: Our findings demonstrate physicians perceive high performance as a balance between quality of medical care and patient satisfaction and dedication and collaboration are indicated vital dimensions of high performance. Physicians offered suggestions regarding activities contributing to high performance. Conclusion: This cross-disciplinary study recognized dedication and collaboration as crucial elements for physicians to perform to the best of their abilities. These findings suggest that high performance can only flourish when doctors are seen as committed professionals, with strong humanistic values rather than just as providers of medical care. The results of this research furthermore indicate that people management is critical, it is recommended that this should be executed through close collaboration of all those responsible.展开更多
This multiple case study of a contracting firm contributes to understanding the barriers that organizations face during the implementation of building information modeling(BIM)by providing insights into the impact of ...This multiple case study of a contracting firm contributes to understanding the barriers that organizations face during the implementation of building information modeling(BIM)by providing insights into the impact of these barriers across different organizational levels(i.e.,from top management to project teams)and by relating these barriers to different degrees of BIM maturity.First,we observe the dominance of barriers related to the motivation,competence,and time capacity of people across all levels of an organization.Second,the cluster of barriers at the middle-management level highlights the important role of this level in reducing these barriers.Third,only those cases with a low level of BIM maturity have struggled with lack of top management support,thereby highlighting the importance of such support in achieving BIM maturity growth.High BIM maturity situations are more prone to externally oriented barriers in attempting to further leverage the benefits of BIM.Our study provides insights on where to focus BIM implementation measures and how to enhance organizational BIM maturity.展开更多
基金This study is part of the RECOLLECT 2 programme,a five-year(2020-2025)project funded by the National Institute for Health and Care Research,which investigates the effectiveness and cost-effectiveness of recovery colleges.
文摘Background Recovery colleges (RCs) support personal recovery through education, skill development and social support for people with mental health problems, carers and staff. Guided by co-production and adult learning principles, RCs represent a recent mental health innovation. Since the first RC opened in England in 2009, RCs have expanded to 28 countries and territories. However, most RC research has been conducted in Western countries with similar cultural characteristics, limiting understanding of how RCs can be culturally adapted. The 12-item Recovery Colleges Characterisation and Testing (RECOLLECT) Fidelity Measure (RFM) evaluates the operational fidelity of RCs based on 12 components, but cultural influences on these components remain underexplored.Aims To assess associations between Hofstede’s cultural dimensions and RFM items to identify cultural influences on fidelity components.Methods A cross-sectional survey of RC managers was conducted across all 221 RCs. Mixed-effects regression models examined associations between Hofstede’s country-level cultural dimensions and item-level RFM scores, adjusted for healthcare expenditure and income inequality. Four cultural dimensions, obtained from Hofstede, were analysed: individualism (prioritising personal needs), indulgence (enjoyment-oriented), uncertainty avoidance (preference for predictability) and long-term orientation (future-focused).Results The RFM was completed by 169 (76%) RC managers. Seven RFM items showed associations with cultural dimensions. Equality was linked to short-term orientation, while learning was associated with individualism and uncertainty avoidance. Both individualism and indulgence influenced co-production and community focus. Commitment to recovery was shaped by all four cultural dimensions, with the strongest associations seen for individualism and indulgence. Individualism enhanced explicit focus on strengths-based practice, while uncertainty avoidance influenced course distinctiveness.Conclusions This study demonstrates how culture shapes RC fidelity components, providing actionable insights for cultural adaptation. Incorporating under-represented dimensions, such as collectivism and restraint, could improve the RFM’s global applicability, facilitating implementation. Future research should explore cultural nuances, engage diverse stakeholders and refine fidelity measures to enhance RC inclusivity and effectiveness worldwide.
基金funded by the Military Rehabilitation Center Aardenburgpart of the Dutch Ministry of Defense。
文摘Background:In the military,insufficient postural stability is a risk factor for developing lower extremity injuries.Postural stability training programs are effective in preventing these injuries.However,an objective method for the measurement of postural stability in servicemen is lacking.The primary objective of this study was to assess the influence of the number of repetitions,different foot positions and real-time visual feedback on postural stability,as well as their effects on the intrasession reliability of postural stability measurements in servicemen.The secondary objective was to assess the concurrent validity of the measurements.Methods:Twenty healthy servicemen between 20 and 50 years of age and in active duty were eligible for this quantitative,cross-sectional study.The measurements took place on a force plate,measuring the mean velocity of the center of pressure.The participants were asked to stand as still as possible in three different foot positions(wide stance,small stance,and on one leg),five times each for 45 s each time,and the measurements were performed with and without real-time visual feedback.Results:We observed a significant main effect of foot position(P<0.001),but not of visual feedback(P=0.119)or repetition number(P=0.915).Postural stability decreased in the more challenging foot positions.The ICC estimates varied from 0.809(one repetition in wide stance)to 0.985(five repetitions on one leg).The common variance(R2)between different foot positions without feedback varied between 0.008(wide stance)and 0.412.Conclusions:To yield reliable data,wide-stance measurements should be conducted three times,and small-stance measurements and measurements on one leg should be conducted two times.The scores of a measurement in a particular foot position cannot predict the scores of measurements in other foot positions.
文摘Confirmatory factor analysis (CFA) refers to the FA procedure with some loadings constrained to be zeros. A difficulty in CFA is that the constraint must be specified by users in a subjective manner. For dealing with this difficulty, we propose a computational method, in which the best CFA solution is obtained optimally without relying on users’ judgements. The method consists of the procedures at lower (L) and higher (H) levels: at the L level, for a fixed number of zero loadings, it is determined both which loadings are to be zeros and what values are to be given to the remaining nonzero parameters;at the H level, the procedure at the L level is performed over the different numbers of zero loadings, to provide the best solution. In the L level procedure, Kiers’ (1994) simplimax rotation fulfills a key role: the CFA solution under the constraint computationally specified by that rotation is used for initializing the parameters of a new FA procedure called simplimax FA. The task at the H level can be easily performed using information criteria. The usefulness of the proposed method is demonstrated numerically.
基金Financial Inclusion through Digitalisation in Europe]research project.SFIDE is funded by The European Investment Bank Institute,EIBURS research grant(2020-22)on the theme“Building the future of inclusive finance:the role of FinTechs and digitalisation”.The funding body had no role in the design of the study,collection,analysis,and interpretation of data,as well as in writing or revising the manuscript.
文摘In the European Union(EU),the revised Payment Services Directive(PSD2)aims to provide more convenient and customized financial products through open banking(OB)platforms.However,little attention has been paid to the role of OB in improving the financial well-being of the growing number of the EU’s underserved groups,which currently constitute approximately a quarter of its population.This study examines how the PSD2 and OB impact inclusive finance in the EU based on the perspectives of the Netherlands’ecosystem,one of the leaders in the EU’s financial technology(FinTech)landscape.A fundamental distinction can be drawn between the OB users and the ecosystem’s players.Regarding the impact of financial services on the users’inclusivity,while the PSD2 strengthens the infrastructure necessary for financial inclusion,many challenges remain,mainly because it was not designed for this purpose.This study identifies several areas of improvement that include adjustments to the know your customer and anti-money laundering processes for underserved customers,innovative ways to communicate the PSD2’s potential,and the regulation of technology providers’activities to build trust.Meanwhile,from the ecosystem’s position,there is a need to strengthen and improve microfinance regulation according to the opportunities provided by the PSD2 to support microfinance institutions(MFIs)in scaling up and reaching underserved clients across borders with innovative services.OB improvements can also be achieved by organizations formed by MFIs and FinTechs in collaboration with banks.Such hybrid institutions will combine the best features of each of them:knowledge of the needs of local underserved clients from MFIs,technological innovations from FinTechs,and large and trusted customer bases,infrastructures,and access to institutional investments and governments from banks.Finally,an EU inclusive OB sector depends on the centrality of trusted regulators as coordination bodies.The PSD2 requires adjustments for underserved populations’specific needs.OB improvements can be achieved by organizations formed by MFIs and Fin-Techs in collaboration with banks.Regulated technical service providers(TSPs)are crucial to building trust and customer adoption in OB.The European Banking Authority(EBA)may function as coordination body to design inclusive rules by engaging with OB stakeholders.As inclusive finance moves into open-finance and data eras,an increasing regulatory complexity and scope will require networks of innovative and trusted regulators.
文摘Objective: Although HR activities are known to enhance performance, this seems an often overlooked domain amongst physicians. Therefore, this cross-disciplinary interview study explores how physicians perceive high performance and what activities they find contributing to such performance. Methods: Drawing on HR and healthcare literature, we analysed in-depth interviews with 28 physicians and 7 HR professionals and hospital management representatives, following the grounded theory approach. Results: Our findings demonstrate physicians perceive high performance as a balance between quality of medical care and patient satisfaction and dedication and collaboration are indicated vital dimensions of high performance. Physicians offered suggestions regarding activities contributing to high performance. Conclusion: This cross-disciplinary study recognized dedication and collaboration as crucial elements for physicians to perform to the best of their abilities. These findings suggest that high performance can only flourish when doctors are seen as committed professionals, with strong humanistic values rather than just as providers of medical care. The results of this research furthermore indicate that people management is critical, it is recommended that this should be executed through close collaboration of all those responsible.
文摘This multiple case study of a contracting firm contributes to understanding the barriers that organizations face during the implementation of building information modeling(BIM)by providing insights into the impact of these barriers across different organizational levels(i.e.,from top management to project teams)and by relating these barriers to different degrees of BIM maturity.First,we observe the dominance of barriers related to the motivation,competence,and time capacity of people across all levels of an organization.Second,the cluster of barriers at the middle-management level highlights the important role of this level in reducing these barriers.Third,only those cases with a low level of BIM maturity have struggled with lack of top management support,thereby highlighting the importance of such support in achieving BIM maturity growth.High BIM maturity situations are more prone to externally oriented barriers in attempting to further leverage the benefits of BIM.Our study provides insights on where to focus BIM implementation measures and how to enhance organizational BIM maturity.
