Are We Click-to-Plate Dependent? A Phygital Nutrition Approach, Self-Efficacy and Digital Dependency in Dietary Adherence

<h3>Introduction</h3> Non-adherence to dietary therapies in chronic gastrointestinal (GI) and renal conditions promotes disease progression and poorer quality of life. Considering the complexity and limited scalability of their written counterparts, digital tools present opportunities to improve patient experience, dietary behaviour change and dietary adherence. However, it is unclear whether, and which, digital tools perform best within these parameters. This systematic review aims to determine which digital tools have the greatest effect on patient experience, dietary behaviour change and adherence in patients aged eleven and older with a chronic GI or renal disease. <h3>Methods</h3> EMBASE, Medline, CINAHL and the Cochrane Database were searched in October 2021 for studies published post-2010. Studies reporting outcomes related to patient experience, dietary behaviour change and adherence, where the primary intervention was a diet-related digital tool, were sought. Qualitative and quantitative data were extracted, including for user satisfaction, knowledge acquired, serum markers and quality of life. These data were divided into process effect and patient effect outcomes and assessed with regard to tool type and functionality. <h3>Results</h3> Of 553 studies identified, seventeen met inclusion criteria. A total of eleven were randomised controlled trials (RCTs). Smartphones were the most common tool type and the most frequently reported functionality was education. There was substantial heterogeneity of outcome measures. Mixed effects were reported within patient effect outcomes (such as dietary adherence). However, process effect outcomes were generally positive. All eleven studies reporting one of feasibility, acceptability or patient satisfaction had a positive effect. Correlations were not observed between tool type or functionality, and effect on patient experience, dietary behaviour change and adherence. <h3>Conclusions</h3> Digital tools positively impacted patient experience regardless of tool type or functionality. However, further large-scale RCTs with standardised outcome measures are required to determine whether clinically relevant correlations between digital tools and improved dietary adherence and behaviour change exist. Further research is required to determine which tools have the greatest impact within these parameters. Small homogenous samples with short follow-up periods not appropriate to outcome sensitivities must be acknowledged as limitations to be improved in future research.

AimsNon-adherence to dietary therapies in chronic gastrointestinal (GI) and renal conditions can lead to worsened outcomes, including increased mortality and poorer quality of life.1 However, current mechanisms for improving adherence...

Using Digital Media to Promote Kidney Disease Education

Purpose -The purpose of this study is to address the challenges faced by rural areas and promote their sustainable development. It emphasizes the importance of re-establishing connections and cultivating a sense of belonging within rural communities, while safeguarding their cultural heritage. The study explores the potential of digital and creative tools in enhancing learning, supporting food production and tourism, facilitating research and providing engaging experiences. It also examines the economic condition of rural areas and the potential for their contribution to the national economy. Additionally, the study highlights the significance of sustainable community development, the role of rural areas in resilience and climate change adaptation and the complexities surrounding rural migration. The aim is to provide insights and recommendations for policymakers and stakeholders involved in rural development initiatives, focusing on the Mediterranean region. Design/methodology/approach -This study develops an understanding of the role of digital and creative strategies in rural communities, highlighting their significance in preserving food heritage, culture and community capital while driving economic development. It specifically focuses on the Unesco Intangible Mediterranean Diet (UIMD) as a potential catalyst for regeneration through the integration of creative and digital tools and three cases are presented. The first is the impact of the Future Food Institute (FFI) ecosystem in the Living Lab in Pollica (Salerno, Italy); the second focuses on the digital tools provided by the CKF to support rural areas; and the third is a new identity and promotion of territorial development, co-designed in the Val di Vara (VdV) a rural region of the Ligurian inland in Italy, through digital strategies, heritage preservation and slow tourism development. The three cases highlight different ways of enhancing environmental and cultural heritage and demonstrate how collaborative creativity and digital tools contribute to the co-construction of knowledge and addressing critical issues to promote sustainable growth in rural areas. Findings -The findings of this study indicate that re-establishing connections and fostering a sense of belonging within rural communities is crucial for their sustainable development. The use of digital and creative tools presents significant opportunities in enhancing various aspects such as learning, food production, tourism and research in rural areas. The study also reveals the potential economic contributions of rural areas to the national economy. It emphasizes the importance of sustainable community development and highlights the role of rural areas in resilience and climate change adaptation. Additionally, the study addresses the complexities surrounding rural migration and emphasizes the need for comprehensive policies to ensure the well-being and rights of migrant workers. The insights and recommendations provided in this study aim to guide policymakers and stakeholders involved in rural development initiatives, particularly in the Mediterranean region. Research limitations/implications -Nonetheless, it is imperative to acknowledge certain limitations within the scope of this study, primarily associated with the specific sample selection, potentially influencing the broader applicability of the findings. There is potential to explore a wider geographic area in future Creativity and digital strategies 113

The workshop aims to explore innovative approaches to promoting health literacy and digital health literacy and their impact on individual and community health outcomes at different stages of life. This initiative is driven by the recognition that digital platforms and tools offer unprecedented opportunities to improve population health through health education and behavior change. The workshop will feature a dynamic and interactive format starting from plenary sessions in which speakers will provide insights into digital health promotion best practices and their outcomes, offering diverse perspectives. The added value of organizing this workshop lies in its comprehensive approach to integrating digital tools into health prevention strategies, particularly for addressing childhood smoking. By examining innovative digital interventions, the workshop provides a platform for sharing insights and strategies that leverage technology to promote healthier lifestyles among youth. This is increasingly pertinent as digital platforms become central in the daily interactions of young people. The coherence between the presentations revolves around the theme of enhancing digital health literacy as a preventive measure against health issues. The first presentation sets the stage by exploring digital tools that educate and engage young people about the dangers of smoking. The subsequent session builds on this by assessing the current state of digital health education and literacy, emphasizing the need for curriculum integration and better training for educators to support these initiatives effectively. Finally, the meta-analysis presentation ties everything together by evaluating the effectiveness of these digital interventions across various demographics, offering evidence-based recommendations for tailoring health literacy programs to diverse needs. Together, these presentations form a cohesive narrative on the critical role of digital literacy in health prevention, illustrating a clear pathway from educational content to educational infrastructure, and culminating in broad-based intervention strategies that can be adapted to different settings and populations. This coherence enhances the workshop’s impact, providing attendees with a well-rounded understanding of how digital tools can be harnessed to foster long-term health improvements from an early age. Live Q&amp;A sessions will encourage dialogue between speakers and attendees, enhancing the learning experience. By combining expert knowledge with interactive discussions, the workshop aims to share insights needed to implement effective digital health promotion strategies. Key messages • The role of health literacy and digital health literacy in improving health outcomes demands that the efficacy of the most effective strategies be evaluated. • Digital tools offer opportunities for innovative health promotion approaches and tools.

As the recently hired Marketing Strategist at the Good Glamm Group, year 2022, was entering the board room, he was immediately tasked with critically evaluation of the current e-commerce &amp; Digital marketing strategy of the Brand Sirona, so that one comes up with a transformed / fresh e-commerce &amp; digital marketing strategy - which has lower Revenue:Cost Ratio, Lower Customer Lifetime Acquisition value &amp; more numbers of customer flow at the top &amp; bottom of digital funnel. This as he was told that day, was required to touch unicorn mark for evaluation &amp; increase revenue by 3x times. The marketing strategist gave a thought, then asked the a question to the board, which became the direction changing advice / critique for the company as a whole &amp; Digital strategy in particular for the group. His question to board was “ Do you want me to evaluate /re-frame the e-commerce &amp; digital marketing strategy for the existing Product Value Proposition or does the scope of my work allows me to challenge the current Product value proposition itself, using series of digital tools / processes - to aim at coming up with a new value proposition so that it can then tailor-make a re-created and transformed e-commerce &amp; digital marketing strategy” which mirrors the need-gap-fit of consumer in the market for the given category by using digital tools &amp; softwares. The board was not ready for it as it clashed with their current practice of find market for existing products through digital marketing &amp; e-commerce rather than build the product itself through digital marketing &amp; e-commerce. As the board looked surprised with the question, given that they were looking for a digital marketing strategy already crafted products with lower cost &amp; higher returns using own website, social media and digital tools - but here the newly hired marketing strategist was critically challenging the Product value proposition itself and critically asking “to use digital marketing for product development first”. The marketing strategist used examples of Gillette, Marico and Emami where he had previously had gone through this learning curve - convincing the G3 Board room that core concept of Marketing starts with creating a Product value proposition based on deep insights on gaps consumer need-gaps which are not solved by current products in the market (blue ocean strategy) and hence any attempt to transform the digital marketing strategy would not work if the Product value is proposition is not transformed or freshly created based on digital insights through crawlers and other programmed softwares which scans the G3 consumer landscapes. Once the marketing strategist got the mandate on same he came with disruptive transformation in Digitally Re-created Product Value Proposition, Digitally crafted Minimal Viable Product, Digitally transformed &amp; connected Direct To Consumer (DTC) Own Website, and Digital marketing through a digitally consumer researched mix of DTC, Digital Market Place (Amazon), Social media and Digital tools. The same can be summarized in two lines below

Due to the increased prevalence of chronic diseases, behavior changes are integral to self-management. Healthcare and other professionals are expected to support these behavior changes, and therefore, undergraduate students should receive up-to-date and evidence-based training in this respect. Our work aims to review the outcomes of digital tools in behavior change support education. A secondary aim was to examine existing instruments to assess the effectiveness of these tools. A PIO (population/problem, intervention, outcome) research question led our literature search. The population was limited to students in nursing, sports sciences, and pharmacy; the interventions were limited to digital teaching tools; and the outcomes consisted of knowledge, motivation, and competencies. A systematic literature review was performed in the PubMed, CINAHL, MEDLINE, Web of Science, SAGE, Scopus, and Cochrane Library databases and by backward citation searching. We used PRISMA guidelines 2020 to depict the search process for relevant literature. Two authors evaluated included studies using the Mixed Methods Appraisal Tool (MMAT) independently. Using inclusion and exclusion criteria, we included 15 studies in the final analysis: six quantitative descriptive studies, two randomized studies, six mixed methods studies, and one qualitative study. According to the MMAT, all studies were suitable for further analysis in terms of quality. The studies resorted to various digital tools to improve students’ knowledge of behavior change techniques in individuals with chronic disease, leading to greater self-confidence, better cooperation, and practical experience and skills. The most common limitations that have been perceived for using these tools are time and space constraints.

Background Physical therapy education programs are incorporating digital delivery strategies into their curricula more than ever during the COVID-19 pandemic. The literature on digital and blended strategies within physical therapy education is limited. However, there is extensive literature across all health professions necessitating an overarching synthesis to determine best practices. Objectives In this umbrella review, we provide a critical overview of recent systematic reviews examining digital and blended curriculum delivery strategies in graduate health professions education and discuss their implementation in graduate, entry-level physical therapy education programs. Methods Searches were conducted in PubMed, Embase, CINAHL, ERIC, and the Cochrane Database of Systematic Reviews. Systematic reviews published from January 2011-January 2020 focusing on digital or blended curriculum delivery strategies in doctoral-level health professions education programs were included. Reviews with a primary or exclusive focus on simulation, clinical education, or residency education were excluded. Results Overall, digital strategies were found to be at least as effective as traditional strategies for learner satisfaction, attitude, knowledge, and skill. The evidence supports incorporating digital strategies as an adjunct to or replacement for portions of a traditional curriculum. Considerable heterogeneity across reviews and individual studies confounded the ability to draw broad conclusions. Conclusions The evidence suggests that it is unnecessary for physical therapy education programs to abandon all of their recently implemented digital strategies once the pandemic ends. Further research is needed on programs with a substantial digital delivery component and on broader outcomes at the level of the student, the program/institution, and the greater community.

BACKGROUND Mental health disorders pose a significant challenge in low- and middle-income countries (LMICs), contributing substantially to the global disease burden. Despite the high prevalence of these disorders, LMICs allocate less than 1% of health budgets to mental health, resulting in inadequate care and a severe shortage of professionals. Stigma and cultural misconceptions further hinder access to mental health services. These challenges are present in Bangladesh, with high prevalence rates of depression and anxiety, a centralized and under-resourced mental health care system. Digital tools, such as smartphone applications and online platforms, offer innovative solutions to these challenges by increasing accessibility, cost-effectiveness, and scalability of mental health interventions. OBJECTIVE This study aims to characterise the views around digital tools for mental health among residents of Korail, a major slum in Dhaka, Bangladesh, including the use of smartphones and investigate acceptable digital tools, and barriers and facilitators for digital mental health tools. METHODS Eight focus groups (FGs) were conducted with 38 participants, including individuals with serious mental disorders and their caregivers. The FGs were transcribed, translated, and analysed using thematic analysis with NVivo 14 software. RESULTS The findings revealed a general lack of awareness and understanding of digital mental health tools among slum residents. However, there was a notable appetite in these tools, recognising their potential to provide timely and cost-effective support, reduce hospital visits, and make healthcare more accessible. Participants highlighted the convenience and communication benefits of smartphones but expressed concerns about misuse such as excessive use, particularly among adolescents. Barriers to the utilisation of digital mental health tools included limited technological literacy and accessibility issues. Despite these challenges, participants acknowledged the potential of these tools to bridge the gap in mental health services, especially for those unable to travel. The importance of providing proper guidance and education to maximize the effectiveness of digital tools was emphasized. CONCLUSIONS Digital mental health tools hold promises for improving mental health care in underserved slum communities. This study underscores the need for further research and investment in tailored digital mental health solutions to address the unique needs of slum populations in LMICs.

The article conducts a thorough study of modern digitalization tools that affect the formation and strengthening of competitive advantages of enterprises in various sectors of the national economy. Digitalization is considered a key vector of business development in the context of digital transformation, which encompasses global technological trends, changing consumer preferences and the growing role of digital communication channels. It is noted that the use of digital solutions is no longer a competitive advantage in itself - it has become a necessary condition for maintaining market positions. At the same time, the competent implementation of digital tools allows you to form a new quality of the business model, reduce costs, improve interaction with customers and optimize management decision-making processes. The work systematizes and analyzes the main digital tools that are currently being actively implemented in the practice of enterprise management. These include such tools as CRM systems, which allow for precise management of customer bases and personalization of communication; cloud technologies (cloud computing), which provide mobility, scalability and cost-effective access to digital resources; digital marketing tools, in particular SEO, SMM, content marketing and email newsletters, which contribute to the formation of a sustainable competitive position in the market; analytical platforms for processing large data sets (Big Data), which allow obtaining strategic information about the market, competitors and consumer behavior; ERP systems for integrated enterprise resource management; digital logistics solutions that optimize supply chains, warehouse operations and product delivery. Particular attention is paid to the impact of the COVID-19 pandemic on the digitalization of business processes. The study emphasizes that it was during the global crisis that digitalization turned out to be a decisive factor in survival for many enterprises, especially in small and medium-sized businesses. Examples of business model transformation in the restaurant sector, retail, education, medical services and HoReCa are considered. Digital platforms, online ordering, mobile applications, contactless payments, virtual workspaces and digital management tools have become everyday means of adaptation to new conditions. The study substantiates that the effective implementation of digitalization tools requires not only financial investments, but also changes in organizational culture, increasing the digital literacy of personnel, and a strategic vision of digital transformations at the company management level. It is also important to take into account the dynamics of technological changes, adapt digital solutions to the specifics of each specific business and build partnerships with technology providers.

The article focuses on the digital transformation of Employee Experience Management (EXM) in the context of global business process digitalization. The research aims to systematize and scientifically substantiate modern approaches to the digital transformation of EXM, identify key tools, analyze successful implementation practices, and identify promising development trends. The research employs various methods, including general scientific techniques, specialized cognitive methods, analysis, synthesis, and comparative analysis. The study resulted in a systematization of theoretical and methodological foundations of EXM in the digital economy, development of the classification of digital EXM tools by functional purpose, analysis of the modern EXM software market, identification of digital transformation trends in EXM, development of a metrics system for assessing the impact of digital tools on employee experience, identification of challenges in implementing digital tools and proposed ways to overcome them. The scientific novelty of the research lies in the first comprehensive classification of digital EXM tools by functional purpose, the improvement of approaches to evaluating digital tools' effectiveness through the development of the KPI system, the advancement of conceptual foundations of digital transformation of employee experience, and the deepened understanding of digital technologies' impact on HR processes transformation. The formed recommendations for selecting and implementing digital solutions can be readily applied to HR departments. The proposed metrics allow for evaluating the effectiveness of implemented digital tools and their impact on employee experience. Research results create a foundation for developing digital transformation strategies in the HR sphere.

This article examines the role of digital marketing strategies in industrial enterprises and their importance from the perspective of sustainable development. Digital marketing is considered a key strategic tool for strengthening competitiveness in the industrial sector. The authors highlight the differences between digital and traditional marketing and emphasize the advantages of using digital tools in industrial enterprises. The study focuses on the impact of digital analytics, automation, IoT and online communication tools on the long-term sustainability of organizations. Social media, digital platforms and data-driven decision-making are evaluated as active components that support sustainable production and consumption. At the same time, passive elements such as corporate reputation, customer relations and environmental responsibility are identified as essential factors influencing the outcomes of digital strategies. Organizations increasingly invest in enhancing their digital marketing capabilities to adapt to market conditions and meet sustainability requirements. The analysis of digital performance indicators and the measurement of online activities are presented as two main evaluation methods in this article. Both approaches help determine the effectiveness of a company’s digital strategies. Ultimately, the authors underline the importance of the efficient implementation of digital marketing strategies for the long-term success of industrial enterprises.

In the rapidly evolving digital economy, small and medium sized enterprises (SMEs) are increasingly using digital marketing strategies to overcome traditional barriers to internationalization. However, despite growing accessibility to digital platforms, many SMEs struggle with strategic integration, limited technological readiness, and institutional constraints. This study investigates how digital marketing tools such as search engine optimization (SEO), social media, e-commerce, and customer relationship management (CRM) can be effectively leveraged to support SME international growth. The research adopts a qualitative methodology using literature review and thematic analysis of over twenty peer reviewed studies from 2020 to 2024, aimed at developing a conceptual model that maps the interaction between digital tools, internal mediating capabilities (digital trust and technological readiness), and external moderating factors (institutional barriers and market volatility). The findings indicate that while digital tools facilitate market visibility, customer engagement, and transactional efficiency, their success is significantly influenced by internal readiness and external conditions. The resulting conceptual model offers a comprehensive framework for SMEs to align their digital strategies with internationalization goals and highlights the role of policymakers in supporting digital infrastructure and capability development. This research contributes to both theory and practice by bridging digital marketing and international entrepreneurship, proposing a roadmap for sustainable global expansion through adaptive digital strategies.

BackgroundUse of technological resources that provide support for mental health (ie, digital mental health tools) and opportunities to use the internet to communicate with others or receive information about mental health (ie, online mental health communication) are growing in popularity among young adults (aged 18‐29 y). However, whether exposure to the negative experience of racism online is associated with the use of digital mental health tools and online mental health communication remains an important empirical question for Black young adults, given their frequent online use and engagement.ObjectiveThis study sought to examine (1) how the frequency of exposure to online racism is associated with the use of digital mental health tools and engagement in online mental health communication and (2) how these associations differ for Black young adults with either anxiety and depression versus those without.MethodsConducted from July to September 2024, data came from a larger cross-sectional study of 1005 monoracial Black young adults (mean age 24.07, SD3.04 y; 50.6% women) who completed an online survey and self-reported measures of exposure to online racism, use of digital mental health tools, frequency of engaging in online mental health communication, and anxiety and depressive symptoms. Two separate path analysis regression models were conducted for the outcomes of depression and anxiety.ResultsOur results showed that more frequent exposure to online racism was associated with a greater likelihood of using digital mental health tools (odds ratio [OR] range 1.72‐1.84; P<.001) and a greater engagement in online mental health communication (β range=.31-.36; P<.001). Those with depression and anxiety also had a greater likelihood of using digital mental health tools (depression OR 2.02; P=.001; and anxiety OR 1.71, P=.005) and a greater engagement in online mental health communication (depression β=.21; P<.001; and anxiety β=.16; P<.001). Neither anxiety nor depression was a significant moderator.ConclusionsExposure to online racism, digital mental health tools use, and online mental health communication are linked for Black young adults. Black young adults may use digital mental health tools and engage in mental health communication online when they experience online racism or may experience online racism when they use these tools and engage online, necessitating further longitudinal analyses of these relationships. Complementary digital intervention implementation strategies that support mental health while mitigating online racism are needed. Ensuring that digital tools and mental health communications opportunities are safe, culturally relevant, and free from online racism is a set of mutually reinforcing priorities for digital interventions.

Purpose. The purpose of this article is to consider the role of the main digital tools, their advantages, and challenges of use in the marketing management system of enterprises. Design/methodology/approach. The research used the following general scientific methods of scientific knowledge: comparative analysis and synthesis, systematization, and theoretical and logical generalization. Scientific works and articles on the Internet of domestic and foreign scientists who study issues related to the field of digital marketing became the informational, theoretical, and methodological basis of the research. A systematic review of literary sources and scientific publications made it possible to get acquainted with existing theories, concepts, and research in the field of digital marketing. This method is used for conducting comparative analysis and synthesis to generalize information. The method of theoretical and logical generalization of the advantages and challenges of using digital tools made it possible to draw reasonable conclusions about their use in the marketing management of enterprises. Findings. The article examines the key roles of digital tools in the modern marketing management of domestic enterprises: attracting and retaining an audience, increasing brand awareness, personalizing communication, increasing the effectiveness of advertising, measuring results, interacting with the audience, and global access. Popular digital marketing management tools are highlighted, which include a wide range of technologies, online platforms, and web services that help businesses interact with audiences, promote their products or services, and measure the effectiveness of their marketing efforts, including websites, contentmarketing, search engine optimization website, search advertising, social media, e-mail, web analytics, virtual and augmented reality technologies, chatbots, QR coding. Advantages are considered and attention is paid to the challenges associated with the use of digital tools in the marketing management system of enterprises. Practical implications. The results of the study demonstrate the importance of adaptation of domestic enterprises to the digital environment in modern business. Digital tools have become a necessary part of marketing strategy, and understanding and using them play a critical role in achieving success. Businesses that have a proper understanding of digital marketing can help improve the effectiveness of their marketing campaigns, creating a competitive advantage in the market. It also helps to increase sales, increase profitability, and improve interaction with customers. However, using digital tools also brings challenges, including the need to keep up with rapid changes in technology and the competitive environment. Businesses must be ready to adapt and learn to remain competitive. In practical terms, the study provides enterprises with useful information and recommendations on the effective use of digital tools in marketing management. This will help enterprises to grow, develop, and successfully compete in the conditions of digitalization. Originality/value. The article reflects a modern approach to considering digital tools in the marketing management of enterprises and takes into account the latest technological trends and changes in the Internet environment. Consideration of digital tools of marketing management of enterprises is carried out from a comprehensive approach, taking into account their role, advantages, and challenges of use in one context. This makes the article a valuable source of information for entrepreneurs and marketers looking to improve their digital marketing strategies and practices.